Abstract
Background The NHS has set a target to reach net zero by 2040. A greater understanding is required of the effectiveness of decarbonisation initiatives in general practices, and how different factors can facilitate or inhibit their introduction and maintenance.
Aim To explore factors that influence the identification and planning of decarbonisation actions in general practice.
Method Online focus groups were held with 4–7 members of general practice staff in varying roles across 12 practices from 3 contrasting English regions. A video intervention was developed, summarising the decarbonisation resources available to general practice teams, and providing examples of actions that could be undertaken. A facilitated discussion explored practice teams’ response to the video and potential actions they could adopt in their practice. Focus group data were audio recorded and transcribed verbatim. Data are currently being analysed using the framework method, with inductive and deductive elements guided by normalisation process theory (NPT) and theoretical domains framework (TDF).
Results Initial analysis has revealed that co-benefits, such as cost savings, financial incentives, and benefits for patient health have been identified as key motivators when identifying decarbonisation actions. However, high recycling costs alongside time, financial and administrative constraints are seen as barriers to adoption. Additionally, limitations of the physical environment, including setting (urban/rural) and building ownership status, impacted a practice’s capacity to undertake actions around active travel and energy respectively.
Conclusion While general practice teams face multiple barriers when identifying decarbonisation initiatives, co-benefits such as cost savings, and financial incentives serve as significant motivators.
