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Lookup NU author(s): Asma Amamou, Dr Stephen BlenkinsopORCiD, Professor Oliver HeidrichORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2025Although there is an overabundance of net-zero building frameworks, simple strategy and performance management guidelines for healthcare buildings are scarce. This study presents a novel approach to uncover barriers to achieving net-zero healthcare buildings. It first highlights the importance of standardising and simplifying net-zero frameworks through literature review. Then, it presents a new checklist-based, and user-friendly performance assessment net-zero (PANZ) matrix. This is demonstrated through its application to the main national healthcare service provider in the UK: the National Health Service (NHS). The matrix assesses the performance of the 214 NHS trusts through the Plan-Do-Check-Act (PDCA) model. The credibility, ambition and feasibility of the trusts’ net-zero strategies are assessed and linked to ISO 14068 carbon neutrality principles. This matrix is designed to scale net-zero performance assessment across other building operators globally. It is found that, although the NHS is leading the healthcare sector worldwide in setting net-zero targets, the viability of its trusts’ strategies is questionable, with average scores of 54 %, 41 %, and 8 % for measures of credibility, ambition, and feasibility, respectively. Process streamlining, the use of environmental management systems (EMS), decarbonisation schemes rollout, and applying key performance indicators (KPIs), are the main steps to ensure effective application of net-zero strategies. Implementing these steps by adhering to the PDCA cycle improves the feasibility scores to 24 %, 43 %, and 63 %. This research shows that consistency and comparability across different regions are needed to achieve net zero, especially within complex buildings such as for the healthcare sector.
Author(s): Amamou A, Blenkinsop S, Winter C, Heidrich O
Publication type: Article
Publication status: Published
Journal: Building and Environment
Year: 2025
Volume: 278
Print publication date: 15/06/2025
Online publication date: 03/04/2025
Acceptance date: 02/04/2025
Date deposited: 23/04/2025
ISSN (print): 0360-1323
ISSN (electronic): 1873-684X
Publisher: Elsevier Ltd
URL: https://doi.org/10.1016/j.buildenv.2025.112966
DOI: 10.1016/j.buildenv.2025.112966
Data Access Statement: Data will be made available on request
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