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1: Provide targeted financial support for high-impact decarbonisation initiatives

1a: Consult, scope, design and launch a dedicated decarbonisation funding stream to succeed the Targeted Estates Fund (TEF) ahead of its expiry in 2027

Proposed owners: Welsh Government; NWSSP SES (NHS Wales Shared Services Partnership Special Estates Service).

Implemented by: December 2026.

1b: Embed a structured mechanism within operational planning processes to support staff-led environmental sustainability initiatives

Proposed owners: all NHS organisations; SPPC (Strategic Programme for Primary Care).

Implemented by: depending on IMTP (Integrated Medium Term Plan) timelines.

2: Oversee implementation of the Strategic Delivery Plan and ensure continued relevance

2a: In consultation with NHS organisations, Welsh Government will review the success of the strategic delivery plan implementation and provide an update

Proposed owners: Welsh Government.

Implemented by: December 2027.

3: Foster a climate smart workforce of staff who feel empowered to champion sustainable practices and tackle the climate emergency through their roles

3a: Create a climate smart development plan that outlines how environmental sustainability principles can be integrated across all workstreams for all staff groups

Proposed owners: Climate Smart group; HEIW (Health Education Improvement Wales).

Implemented by: December 2026.

3b: Establish an all‑Wales environmental sustainability communication and engagement channel; additionally, explore and implement opportunities to engage visitors and patients in environmental sustainability efforts

Proposed owners: climate smart group.

Implemented by: May 2026.

3c: Create an organisational communication approach, or plan, to maintain support and build momentum for climate action

Proposed owners: all NHS organisations.

Implemented by: annual reporting.

3d: Develop a workforce strategy to support delivery of the ‘Delivering sustainable healthcare: position statement’

Proposed owners: all NHS organisations.

Implemented by: December 2026.

4: Establish a national approach to accelerate the spread and scale of sustainable practices across NHS Wales

4a: Develop a standardised evaluation tool to assess, track and report the clinical, environmental, and economic impact of innovations, enabling consistent appraisal and comparison across NHS Wales

Proposed owners: NWSSP, NHS Performance and Improvement, Welsh Government.

Implemented by: September 2026.

4b: Create a communication approach or plan to maintain support and build momentum for climate action; track reach and success as communication activities progress

Proposed owners: all NHS organisations.

Implemented by: annual reporting.

4c: Create a national repository of evaluated pilot projects, including carbon impact data, implementation insights, and adoption status, to support shared learning and transparency

Proposed owners: NWSSP, NHS Performance and Improvement, Welsh Government.

Implemented by: January 2027.