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If we want to see a greater impact on those we serve, we need to listen better.

The NHS in England is committed to getting to carbon net zero by 2040 on all that it directly controls and by 2045 on all that it procures and consumes. Other health systems are making similar commitments, and all health systems, just like everything else, will have to get to net zero if we are to avoid a climate and nature catastrophe. Much research and innovation will be needed, and a meeting held on 10 October at BMA House heard lots of evidence on research and innovation for the clinical work of the NHS to reach net zero. I prowled the meeting and have tried to summarise some of the lesson...

Research shows that working fewer hours can be far more productive. Richard Godwin clocks on to find out if it’s true

We have to give ourselves room to come up with transformational ideas

Perhaps, as the shamans of old-time cultures knew, what matters most is the patient’s proper integration into the wider community. Which I take to be an encouraging pointer to the possible good health available in a small farm future.