The College's work to promote sustainability

Meet the College's Sustainability leads, Lisa Page and Jacob Krzanowski.

Hello. As Associate Registrars for Sustainability for the College, we would like to welcome you to these web pages.

It is great that the College is committed to sustainability. You can find here a range of guidance, reports, academic papers and other resources all about sustainable mental health that have been developed by the College.

Our health care system aims to provide the highest quality of care for the minimum financial cost, but a sustainable approach seeks to broaden this aim to also reduce the environmental impacts of health care, and reduce the social impacts of mental illness.

This means we need to focus on reducing waste in health care and promote models of care that are community-based and less resource-intensive. If you are a member of the College and would like to consider getting involved please contact

College position statement

We will strive to improve the sustainability of mental health care, by designing and delivering services that:

  1. Prioritise prevention. We will seek to prevent poor mental health and thereby reduce the need for health care in the future.
  2. Empower individuals and communities. If people become unwell, we will promote opportunities for self-management and independent living and will support community projects, social networks and employment, all of which improve mental health resilience.
  3. Improve value. If people need services, we will seek to offer interventions that provide the maximum patient benefit for the least economic and environmental cost by delivering the right intervention, at the right time, to the right person.
  4. Consider carbon. We will work together to understand the carbon impacts of interventions and models of care within mental health. This knowledge will become increasingly important in the design of carbon-efficient services.

College reports

In January 2015, the College published an Occasional Paper on sustainability. This report defines what sustainable health care is and describes how psychiatrists can work to improve the sustainability of their practice.

In October 2015, the College, working with the Joint Commissioning Panel for Mental Health, produced a guide for commissioners for how to commission sustainable mental health services.

Choosing Wisely

An important aspect of sustainability is reducing wasted clinical resource in clinical care.

Choosing Wisely is an international campaign that seeks to embed a culture in which patients and clinicians regularly discuss the clinical value and effectiveness of treatments or interventions with the explicit aim of reducing the amount of inappropriate clinical activity.

The sustainability committee will be leading this campaign by developing lists of interventions whose value we should question. This will be done through collaboration with the Academic Faculty.


The Sustainability committee works closely with the Centre for Sustainable Healthcare, that runs Psych SusNet - a network for professionals working mental health who are interested in sustainability.

Please join the network if you would like to stay abreast of what is happening for sustainability in mental health.

Health Professionals Alliance on climate change

The College is a member of the UK Health Alliance on Climate Change.

This alliance brings together the voices of doctors, nurses and other health care professionals within the UK to advocate for action to combat and prevent climate change, emphasising the substantial co benefits to health of tackling climate change in a fair and equitable way.

This alliance aims to communicate the relationship between health and climate change to government and the health profession.

Greenhouse gas emissions and other forms of human activity such as deforestation are having profound effects on the earth. It is increasingly clear that climate change poses a major threat to human health worldwide.

Doctors are well placed to advocate for climate change mitigation and adaption.

Get in contact to receive further information regarding a career in psychiatry