Building the understanding, confidence and coalitions needed to turn sustainability ambition into an organisation-wide commitment.
The challenge
After joining Great Ormond Street Hospital as Head of Sustainability, I began building momentum around an agenda that had previously been relatively fragmented.
There were already individual sustainability projects, but they were often seen as separate initiatives rather than part of a wider organisational response.
I believed the hospital needed to recognise publicly and internally that climate change was a health issue - particularly for children - and that the organisation itself had an opportunity to show leadership beyond its walls.
The challenge was not simply persuading the Board to approve a declaration. It was building enough understanding, confidence and organisational support for that commitment to become meaningful.

I worked progressively through the organisation, discussing the opportunity and building the understanding of senior leaders, executive teams, the Trust Board, clinical and operational teams, young people and other stakeholders.
I translated the climate and health challenge into the everyday reality recognised across different parts of the hospital and with key leaders we analysed what it meant for estates, finance, clinical care, procurement, new development, transport, staff, patients and other stakeholders.
I supported colleagues in the preparation and delivery of the case through appropriate governance structures, combined multiple hospital perspectives into practical and compelling coalitions, guided business functions in making the case from their own professional or personal standpoint, and worked with emerging sustainability leaders across the organisation.
Alongside this, I supported teams to identify practical opportunities – to reduce carbon, improve efficiency and elevate patient experience – across areas including construction, procurement, fleet, plastics and patient care.
I created opportunities for leaders to converge across organisational boundaries, helping previously separate groups to better see how their decisions affected each other and contributed to the climate and health crisis. An issue linked to them, their roles and our patients.

The Trust Board formally acknowledged the Climate & Health Emergency and incorporated it into the organisation's strategic direction. They were the first hospital in London to do so.
The organisation committed to:
The commitment created a stronger platform for action and helped secure greater organisational attention, staff involvement and funding.
It supported the development of a much wider network of sustainability leads and advocates, alongside work on site decarbonisation, new construction, fleet electrification, clinical plastics, learning and education, green teams, and other programmes.
Most importantly, sustainability moved from a collection of individual projects towards something that leaders and teams across the organisation understood as part of their responsibility. Now and in the future.