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Browse our library of guides, case studies and resources. Developed with our members across industry, the NHS and academia, they share practical tools, methods and real-world learning on sustainable patient care pathways, clinical trials and more.

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Whether you're just starting to explore healthcare sustainability or looking to measure and reduce emissions in your own work, you'll find resources here to support you - search below:

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The Environmental Sustainability Gap in Clinical Trials: Workforce Attitudes, Barriers, and Emerging Practice from an International Survey

October 2026 This report presents the findings of our BIG Clinical Trials Sustainability Survey. The survey gathered 181 responses from...

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Systematic, contextual, and individual influences drive trialists’ behaviour relating to greener trial design and delivery – A qualitative study

Journal of Clinical Epidemiology | Oct 2026 | To identify the key behavioural determinants that influence how people working in...

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Carbon footprint of clinical research: a systematic review and quantitative synthesis of estimates, sources of variation and emission hotspots

BMJ | Oct 2026 | Nekouei Shahraki M, Van Bodegraven L, De Haes F, et alCarbon footprint of clinical research:...

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6 things you can do to reduce the environmental impact of clinical research trials

Imperial | Sept 2026 "Clinical research trials are an essential way to advance medicine and develop treatments that can help...

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Carbon Calculators for Healthcare

The growing demand for carbon accounting has driven a proliferation of carbon calculators enabling organisations to calculate their overall carbon...

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Sustainable Clinical Trials by Design

July 2026 | A structured, repeatable approach to measuring the carbon footprint of clinical trials

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Minimising waste in clinical trials

July 2026 | Protocol-level decisions have the greatest leverage on the volume of consumables, samples, and packaging a trial goes...

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Assessing carbon emissions of clinical trials

July 2026 | A structured, repeatable approach to measuring the carbon footprint of clinical trials

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Decarbonising Clinical Trials at Novartis

Novartis has embedded environmental sustainability across the clinical trial lifecycle, from protocol design through to close-out. This case study explains...

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Minimise patient & staff travel in clinical trials

July 2026 | Every visit a trial requires is also a journey with a carbon cost. Redesigning where and how...

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Sustainable Healthcare Coalition Launches Version 3 of the Clinical Trial Carbon Calculator

May 2026 Significant update to the free-to-use calculator delivers multi-trial analysis capability and deeper country-level modelling, enabling sponsors and researchers...

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Decarbonizing clinical trials: Where sustainability meets operational excellence

ERM Blog released on 11th May.

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