A climate adaptation framework for NHS organisations

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Maturity Stage: Mature

PI4A Adopt an ongoing adaptive management cycle for adaptation planning

Develop and formalise an adaptive management cycle, applying Plan, Do, Study, Act (PDSA) principles to adaptation planning. An adaptive management cycle is a flexible, iterative approach for decision-making when faced with uncertainty, complexity and changing conditions – and well suited to climate adaptation. Adaptation will always be an iterative process rather than a destination as risks and vulnerabilities change. Understanding your position within the wider NHS system will be integral to this.

PI4B Taking action on adaptation is mainstreamed into your organisation’s functions

For adaptation to become routine, it needs to be mainstreamed into the business-as-usual activities and KPIs in your organisation when delivering its functions so actions are being considered and implemented across the system. Have system wide adaptation plans which have resource assigned and are being delivered.

PI4C Develop a strategic change process for achieving adaptation outcomes

Developing a strategic approach to adaptation allows you to take account of complexity and uncertainty now and in the future. Using methods like ‘adaptation pathways’, logic models, or ‘theory of change’ you can explore a range of possible options over time – and the potential role of your organisation.

DRAFT (V1)

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