ArticleNIHR open research2024
Supporting the drive for net zero by decarbonising general practice - A longitudinal study protocol.
Article in NIHR open research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- From theory to practice: using the Normalization Process Theory and Theoretical Domains Framework to understand implementation of decarbonization in general practice.Family practice · 2025Pooled it
- Implementation of decarbonisation actions in general practice: a systematic review and narrative synthesis.BMJ open · 2025Pooled it
- Supporting general practices to develop green action plans to reduce carbon emissions: development and evaluation of the feasibility of a workshop-based intervention.Primary health care research & development · 2026Article
- Mobilising Knowledge for General Practice Decarbonisation: Maximising Impact Through a Multi-Stakeholder Workshop.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: The urgency to address climate change and reduce carbon emissions in healthcare, highlighted in the United Kingdom (UK) by the 'Delivering a 'Net Zero' National Health Service (NHS)' report, emphasises the need for healthcare organisations to adopt and integrate sustainability practices. General practice is recognised as a major source of greenhouse gas emissions, but evidence on achieving effective decarbonisation in general practice is limited, a knowledge gap that urgently needs further research. This study protocol sets out a subsequent study designed to examine the current approaches general practice uses for decarbonisation and to provide practical recommendations for facilitating, advancing, and sustaining these efforts, contributing to the goal of a net zero NHS. Methods and analysis: A 30-month longitudinal case study will span three geographical sites in England and use a mixed methods study design. It will adopt a comprehensive approach, merging sociological (Normalisation Process Theory - NPT) and behavioural theories (Theoretical Domains Framework - TDF) to understand and address factors influencing decarbonisation efforts in general practice. NPT focuses on collective behaviours, emphasising relationships and interactions among professionals, patients, and stakeholders. TDF, with 14 domains simplifying behavioural change theories, concentrates on individual, social, and environmental factors. A systematic review will be conducted, and quantitative and qualitative data will be collected over a 12-month period from general practice, staff, patients, public, and key stakeholders' perspectives through surveys, interviews, and focus groups. Additionally, a non-clinical carbon calculator, alongside prescribing data, will be gathered to assess measurable changes in carbon emissions, informing a budget impact model for practice-specific and generic use. Dissemination: A dynamic dissemination and impact strategy will be emplyed aimed at ensuring broad awareness, adoption, and accelerated uptake of decarbonisation measures. Outputs, including lay summaries, factsheets, policy briefs and academic presentations will be produced throughout the study and undergo regular review, targeting key audiences and ensuring alignment with regional and national goals.
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