1. www.sduhealth.org.uk College of Occupational Therapists: Sustainable Development Strategy Sonia Roschnik Sustainable Development Unit 21 st November 2014

2. www.sduhealth.org.uk A health issue? www.sdu.nhs.uk

3. www.sduhealth.org.uk All the water in the world (1.4087 billion cubic kilometres of it) including sea water, ice, lakes, rivers, ground water, clouds, etc., on a single sphere. In the same scale, on the right, all the air in the atmosphere (5140 trillion tonnes of it) gathered into a ball at sea-level density.

4. www.sduhealth.org.uk The world map reflecting production related to climate change. “Climate Change presents the biggest threat to health in the 21 st Century” The Lancet (373;9697 pp 1659-1734, May 16-22 2009). Who produces the greenhouse gases?

5. www.sduhealth.org.uk Who bears the burden? The world map reflecting mortality related to climate change. “Climate Change presents the biggest threat to health in the 21 st Century” The Lancet (373;9697 pp 1659-1734, May 16-22 2009).

6. www.sduhealth.org.uk

7. The Public’s view Ipsos MORI 2011 and 2013 89% thought it important or very important for health system to be more sustainable 36% said it should even if cost more money

8. www.sduhealth.org.uk Cross system support

9. www.sduhealth.org.uk A sustainable system that protects and improves health within environmental and social resources now and for the future Vision for sustainable health and care

10. www.sduhealth.org.uk Goal 1 A healthier environment

11. www.sduhealth.org.uk Goal 2 Communities and services are resilient to changing times and climates

12. www.sduhealth.org.uk Goal 3 Every opportunity contributes to healthy lives, communities and environments

13. www.sduhealth.org.uk Enable the positives Reduce the negatives A sustainable health and care system

14. www.sduhealth.org.uk

15. Care model for a healthy life

16. www.sduhealth.org.uk

17. Delivery

18. www.sduhealth.org.uk Reduced environmental impact Prepared communities Local community leadership Embedding sustainability Improved health outcomes Recognition and replication Results

19. www.sduhealth.org.uk

21. Thank you