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Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
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Supporting the drive for net zero by decarbonising general practice - A longitudinal study protocol.

Ana Raquel Nunes1, Helen Atherton2, Frederik Dahlmann3

  • 1University of Warwick Warwick Medical School, Coventry, England, UK.

NIHR Open Research
|January 16, 2026
PubMed
Summary
This summary is machine-generated.

This study investigates general practice decarbonisation strategies in the UK to support a net zero National Health Service (NHS). It aims to provide practical recommendations for reducing healthcare

Keywords:
climate change; carbon footprint; primary care; general practice; longitudinal study; mixed methods.

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Area of Science:

  • Healthcare Sustainability
  • General Practice Decarbonisation
  • Health Policy Research

Background:

  • The UK's 'Delivering a 'Net Zero' National Health Service (NHS)' report highlights the urgent need for sustainability in healthcare.
  • General practice is a significant contributor to greenhouse gas emissions, yet effective decarbonisation strategies are under-researched.
  • A knowledge gap exists regarding practical approaches to decarbonise general practice settings.

Purpose of the Study:

  • To examine current decarbonisation approaches within general practice.
  • To develop practical recommendations for advancing and sustaining decarbonisation efforts.
  • To contribute to the UK's goal of a net zero National Health Service.

Main Methods:

  • A 30-month longitudinal, mixed-methods case study across three English geographical sites.
  • Integration of Normalisation Process Theory (NPT) and Theoretical Domains Framework (TDF) to understand behavioural influences.
  • Data collection via systematic review, surveys, interviews, focus groups, carbon calculator, and prescribing data analysis.

Main Results:

  • This section is for study results, which are not yet available as this is a study protocol.
  • The study will assess measurable changes in carbon emissions.
  • A budget impact model will be developed for practice-specific and generic use.

Conclusions:

  • This research protocol outlines a comprehensive study to address the limited evidence on general practice decarbonisation.
  • Findings will inform practical recommendations to support the NHS in achieving net zero targets.
  • The study aims to facilitate the integration of sustainability practices in primary care settings.