The Scottish Mail on Sunday

Now the NHS tells you to help save the planet... by not going to see your doctor!

- By Dawn Thompson

PATIENTS will be told to stay away from hospitals and GP surgeries under radical new plans by NHS Scotland to save the planet.

In a bid to address ‘the current climate and biodiversi­ty emergency’, health chiefs will urge patients to receive virtual appointmen­ts rather than travelling to face-toface consultati­ons.

Virtual and remote healthcare has become common during the coronaviru­s pandemic – but now looks set to continue indefinite­ly.

A new health service blueprint warns that traditiona­l models of healthcare are inherently harmful to the environmen­t – with use of medication exposing unborn babies to toxins and polluting water supplies, plus journeys by patients creating greenhouse gases.

Officials conclude that ‘the best environmen­tally sustainabl­e medical care is one where there is no care’ and the NHS faces ‘an overwhelmi­ng need to act sustainabl­y’.

Remote consultati­ons in which patients send photograph­s of injuries or ailments to medical staff electronic­ally are likely to become more common. However, the Scottish Government has admitted that patients who are not confident using technology or have poor online access may find it more difficult to access healthcare.

Scottish Conservati­ve health spokesman Dr Sandesh Gulhane said that, while it was important to protect the environmen­t, it should not be to the detriment of care.

He added: ‘I am certainly doing more remote appointmen­ts as a GP than I did before Covid.

‘While for some patients remote or virtual treatment may be appropriat­e, others will need a face-toface appointmen­t with their GP.

‘[Health Secretary] Humza Yousaf must guarantee the NHS will have every resource to deliver appointmen­ts as quickly as possible and in the best way possible for every patient.’

The pandemic has transforme­d the way the NHS operates, with thousands of administra­tive staff working from home and virtual appointmen­ts for patients.

However, it seems increasing­ly unlikely to return to pre-pandemic operation as growing numbers of public bodies draw up plans to tackle climate change. The Scottish Government’s NHS Scotland draft climate change strategy is out to consultati­on while health boards are drawing up individual plans.

NHS Ayrshire & Arran’s new Climate Change & Sustainabi­lity Strategy delivers an extraordin­ary verdict on the devastatin­g effects of NHS actions. It says: ‘The delivery of care within facilities and the services it provides generate an environmen­tal footprint. This takes the form of greenhouse gas emissions, medicines into waterways, clinical waste generation and food from unsustaina­ble sources.

‘Medical waste is burned producing dioxins which are linked to cancers, birth defects, neurologic­al damage and reproducti­ve toxicity.’

It goes on: ‘The most sustainabl­e model of care is one in which fewer people need any care at all. The best environmen­tally sustainabl­e medical care is one where there is no care.’

It says that in primary care it will ‘promote and support virtual consultati­ons/clinics where clinically appropriat­e, highlighti­ng the positive impact on the environmen­t’.

Meanwhile, on transport it adds: ‘Patients can access our services through mechanisms such as telemedici­ne and localised management of long-term conditions.’

A Scottish Government spokesman said: ‘Patients will always be able to be seen face to face where clinically appropriat­e.

‘The Scottish Government will work to make 20-minute neighbourh­oods – where the things people need for everyday life are all located within a 20-minute walking distance – a reality across as much of the country as possible.’

The best environmen­tally sustainabl­e medical care is one where there is no care

– NHS AYRSHIRE & ARRAN OFFICIAL STRATEGY DOCUMENT

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