Communities

This section will highlight the role that NHS Trusts can take in supporting and developing sustainable communities.

The Government's Choosing Health White Paper said that, 'as the country's largest employer and with a total spend on food, goods and services which represents some 10% of regional economies, the NHS organisation can and must make a significant contribution to the health and sustainability of the communities they serve'.

How the NHS behaves - as an employer, a purchaser of goods and services, a manager of transport, energy, waste and water, as a landholder and commissioner of building work and as an influential neighbour in many communities - can make a big difference to people's health and to the well being of society, the economy and the environment. This also includes tackling health inequalities and ensuring that everyone has equal access to services.

What is a sustainable community?

One of the most widely accepted definitions of a sustainable community is that of Herbert Girardet - a sustainable community ‘is organised so as to enable all its citizens to meet their own needs and to enhance their well-being without damaging the natural world or endangering the living conditions of other people, now or in the future’.

The NHS can support local communities at a variety of levels, as a service provider, a land owner and employer and as a partner in local government and delivery.