With climate change threatening to present real challenges to public health, the relevant UK organizations, such as the NHS, have produced guidelines and action plans to encourage primary care trusts (PCTs) to reduce their carbon emissions and generally function in a more sustainable way. This paper presents the results of a survey designed to assess how successful this initiative has been in one part of the UK, the south west of England. While the results are promising, the PCTs surveyed are aware that commitment and leadership must come from a higher level.