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29th March 2016

UK health services unprepared for climate change, warns new health alliance

UK health services are currently unprepared for the risks posed by climate change, warns a major new health alliance launching today

Thursday 30th March 2016

In an unprecedented move, the heads of the UK’s leading health institutions have come together to urge the Government to put into place action plans to ensure that the public, and the health systems they rely on, are able to respond. In a letter to Health Secretary Rt. Hon. Jeremy Hunt MP, the Alliance highlights that only 18 per cent of clinical commissioning groups and only one third of NHS providers have adequate plans in place to adapt to climate change.

The UK Health Alliance on Climate Change warns that extreme weather events like flooding and heatwaves, which are becoming more intense and frequent as the climate changes, pose direct risks to people’s health and systemic threats to hospitals and health services.

From increased air pollution to the spread of disease vectors like mosquitoes, climate change is at the root of many health risks. Simple measures to tackle climate change, like walking or cycling instead of driving, will improve health outcomes and reduce the financial burden on the NHS.

Up to 14 per cent of emergency service stations and eight per cent of health care buildings in England are currently operating in flood risk zones2, meaning that as many as 357 fire, ambulance and police stations and 2,000 hospitals, care homes, and GP surgeries are at risk of river and coastal flooding, after accounting for local flood defenses.

Heatwaves, which will become more frequent and severe as the climate changes, are also major public health threats. During the 2003 European heatwave 15,000 died in France alone, many of them isolated elderly people, as infrastructure including electricity grids, transport networks and hospitals became overwhelmed.

By 2010, a worse heatwave caused fewer deaths following an overhaul of the French health authorities’ strategy.

“Ensuring that our NHS doesn’t fail as a result of the threats we face is vital,” said John Ashton, President of the Faculty of Public Health.

“The Zika Virus epidemic in South America, and the impact of heatwaves in Europe including in the UK, clearly demonstrate the devastating effects that result when the public and the health systems they rely on are unprepared for and overwhelmed by new challenges. France now has an action plan in place which reduced the 2010 heatwave deathtoll. Let’s not wait for disaster on this scale to strike the UK before we are properly prepared.”

President of the Royal College of Emergency Medicine, Dr Clifford Mann said: “We see firsthand what happens in A&E departments when severe weather hits. Elderly people, pregnant women and children can be especially vulnerable and are often the first to get into difficulty. Flooding in particular makes homes uninhabitable and displaces large numbers of people. Those who rely on home-care services to support them lose their independence. Even temporary displacement can result in long term physical and psychological damage.”

The Alliance is calling on the Government to ensure that public infrastructure is resilient to climate change risks by working with Clinical Commissioning Groups, NHS providers, and local authorities to ensure they are able to implement robust adaptation plans and report on them annually.

It highlights the severe floods this Winter that disabled major infrastructure in Northern England. Army trucks were stationed at a hospital in Lancaster to act as ambulances after flooding at an electricity sub-station and the closure of all the road bridges cut the city off from the power grid and blocked all but one access route.

The Alliance warns that there are limits to adaptation however, and, as the doctors, nurses and allied health care professionals they represent know, prevention is better than cure.

Janet Davies, RCN Chief Executive & General Secretary said: “As with other public health threats, doctors and nurses are coming together to call for stronger, smarter measures to tackle climate change. By providing their patients with the support to make small but important changes in their lives that benefit their health, healthcare professionals can also play a significant role in reducing the financial pressures on the NHS and the wider impacts of climate change.

“Through their one to one contact with their patients, health professionals are uniquely placed to help people understand the range of benefits that come from these small changes.”

Click here to see the founding members of the UK Health Alliance on Climate Change.