The article discusses the importance of sustainability in healthcare from the perspective of patients and the public. It highlights the NHS's goal to become the world's first 'net zero' healthcare provider by 2045, which requires significant changes to healthcare practices. These changes may affect patient care quality and experience, and there is a need to ensure that patients are informed and involved in decisions that impact their care. The article reviews existing research and policy, including documents from the National Institute for Health and Care Excellence (NICE) and the Health Foundation, which show that the public generally supports sustainable healthcare, although there is concern about potential impacts on patient choice and safety. The authors emphasize the need for more research and engagement to understand the balance between individual patient needs and environmental impacts. They suggest that patients should be provided with information about sustainable healthcare options without pressure, and that changes should be made in a way that does not compromise patient safety or quality of care. The article also highlights the importance of involving patients and the public in leading positive change and avoiding health inequalities. The authors share their personal experiences and views on sustainability in healthcare, including their concerns about the environmental impact of healthcare practices and the need for sustainable alternatives. They stress the importance of patient involvement in decision-making and the need for healthcare providers to consider the environmental impact of their practices. The article concludes that while there is a need for change, it must be done in a way that prioritizes patient safety, quality of care, and the well-being of the public.The article discusses the importance of sustainability in healthcare from the perspective of patients and the public. It highlights the NHS's goal to become the world's first 'net zero' healthcare provider by 2045, which requires significant changes to healthcare practices. These changes may affect patient care quality and experience, and there is a need to ensure that patients are informed and involved in decisions that impact their care. The article reviews existing research and policy, including documents from the National Institute for Health and Care Excellence (NICE) and the Health Foundation, which show that the public generally supports sustainable healthcare, although there is concern about potential impacts on patient choice and safety. The authors emphasize the need for more research and engagement to understand the balance between individual patient needs and environmental impacts. They suggest that patients should be provided with information about sustainable healthcare options without pressure, and that changes should be made in a way that does not compromise patient safety or quality of care. The article also highlights the importance of involving patients and the public in leading positive change and avoiding health inequalities. The authors share their personal experiences and views on sustainability in healthcare, including their concerns about the environmental impact of healthcare practices and the need for sustainable alternatives. They stress the importance of patient involvement in decision-making and the need for healthcare providers to consider the environmental impact of their practices. The article concludes that while there is a need for change, it must be done in a way that prioritizes patient safety, quality of care, and the well-being of the public.