NHS Scotland - climate emergency and sustainability: annual report 2025
This year’s report shows how NHS Scotland is working to reduce its environmental impact and adapting its infrastructure and services to address the risks presented by climate change. It also illustrates some of the wider benefits which work in this area offers.
Part 3 – Emissions Data On Scotland’s Health Boards
Building Energy Emissions
Table 1a: NHS Scotland Building Energy Use Emissions (tCO2e) Source: NHS National Services Scotland - National Energy Management System. Figures rounded to nearest thousand.
| Energy | 2015/16 | 2019/20 | 2020/21 | 2021/22 | 2022/23 | 2023/24 | 2024/25 | % Change |
|---|---|---|---|---|---|---|---|---|
| Building fossil fuel use | 311,000 | 321,000 | 323,000 | 313,000 | 309,000 | 306,000 | 304,000 | -2% |
| District heating and biomass | 9,000 | 3,000 | 3,000 | 3,000 | 3,000 | 3,000 | 3,000 | -67% |
| Electricity | 271,000 | 126,000 | 114,000 | 106,000 | 95,000 | 101,000 | 96,000 | -65% |
| Total | 591,000 | 451,000 | 440,000 | 422,000 | 407,000 | 410,000 | 403,000 | -32% |
Source: NHS National Services Scotland - National Energy Management System
Table 1b: NHS Scotland Building Energy Use Emissions – Breakdown by Health Board (tCO2e) Source: NHS National Services Scotland - National Energy Management System
| Health Board | Scope 1 2023/24 | Scope 1 2024/25 | Scope 2 2023/24 | Scope 2 2024/25 | Scope 3 2023/24 | Scope 3 2024/25 |
|---|---|---|---|---|---|---|
| NHS Greater Glasgow and Clyde | 62,000 | 65,000 | 28,000 | 25,000 | 13,000 | 13,000 |
| NHS Lothian | 40,000 | 38,000 | 15,000 | 14,000 | 8,000 | 8,000 |
| NHS Grampian | 38,000 | 39,000 | 6000 | 5,000 | 7,000 | 7,000 |
| NHS Tayside | 31,000 | 30,000 | 4,000 | 4,000 | 5,500 | 5,000 |
| NHS Lanarkshire | 16,000 | 16,000 | 6,000 | 6,000 | 3,000 | 3,000 |
| NHS Highland | 15,000 | 15,000 | 6,000 | 6,000 | 4,000 | 4,000 |
| NHS Ayrshire and Arran | 10,000 | 9,000 | 5,000 | 5,000 | 3,000 | 3,000 |
| NHS Fife | 13,000 | 12,000 | 5,000 | 5,000 | 3,000 | 2,000 |
| NHS Forth Valley | 9,000 | 9,000 | 5,000 | 5,000 | 2,000 | 2,000 |
| NHS Dumfries and Galloway | 9,000 | 9,000 | 3,000 | 2,000 | 2,000 | 2,000 |
| NHS National Waiting Times Centre | 4,000 | 5,000 | 3,000 | 3,000 | 1,000 | 1,000 |
| NHS Borders | 5,000 | 5,000 | 2,000 | 2,000 | 900 | 900 |
| NHS National Services Scotland | 2,000 | 2,000 | 2,000 | 1,000 | 500 | 400 |
| Scottish Ambulance Service | 1,000 | 1,000 | 1,000 | 1,000 | 300 | 300 |
| NHS Western Isles | 2,000 | 2,000 | 600 | 700 | 600 | 600 |
| NHS State Hospital | N/A | 1,00 | 500 | 500 | 50 | 70 |
| NHS Shetland | 300 | 300 | 1,000 | 1,000 | 200 | 200 |
| NHS Orkney | 500 | 300 | 1000 | 1,000 | 200 | 200 |
| NHS 24 | 70 | 80 | 400 | 400 | 50 | 50 |
| NHS Education for Scotland | N/A | N/A | 10 | 20 | 0 | 0 |
| Healthcare Improvement Scotland | N/A | N/A | 10 | 10 | 0 | 0 |
Note: In this table, figures over 1000 are rounded to the nearest 1,000. Those between 100 and 1,000 are rounded to the nearest 100, and those lower than a 100 are rounded to the nearest 10.
N/A=Not available at time of writing.
Table 1c(i): NHS Scotland Building Energy Use Emissions – Health Board Fossil Fuels Breakdown (tCO2e)
| Health Board | 2022/23 (tCO2e) | 2023/24 t(CO2e) | 2024/25 t(CO2e) |
|---|---|---|---|
| NHS Greater Glasgow & Clyde | 72,000 | 73,000 | 76,000 |
| NHS Lothian | 47,000 | 47,000 | 45,000 |
| NHS Lanarkshire | 18,000 | 19,000 | 18,000 |
| NHS Highland | 21,000 | 19,000 | 19,000 |
| NHS Ayrshire & Arran | 12,000 | 13,000 | 10,000 |
| NHS Fife | 15,000 | 15,000 | 14,000 |
| NHS Forth Valley | 11,000 | 11,000 | 10,000 |
| NHS Grampian | 43,000 | 45,000 | 45,000 |
| NHS Tayside | 37,300 | 36,400 | 35,200 |
| NHS National Waiting Times Centre | 5,000 | 5,000 | 6,000 |
| NHS Dumfries & Galloway | 12,000 | 11,000 | 11,000 |
| NHS Borders | 5,000 | 5,000 | 6,000 |
| NHS National Services Scotland | 3,000 | 3,000 | 2,000 |
| NHS Orkney | 600 | 600 | 300 |
| Scottish Ambulance Service | N/A | N/A | N/A |
| NHS Western Isles | 2,000 | 2,000 | 2,000 |
| NHS State Hospital | 3,000 | 3,000 | 3,000 |
| NHS Shetland | 1,000 | 1,000 | 1,000 |
| NHS 24 | 400 | 400 | 400 |
| NHS Education for Scotland | 80 | 80 | 90 |
| Healthcare Improvement Scotland | N/A | N/A | N/A |
Note: In this table, figures over 1000 are rounded to the nearest 1,000. Those between 100 and 1,000 are rounded to the nearest 100, and those lower than a 100 are rounded to the nearest 10.
N/A=Not available at time of writing.
Table 1c(ii): NHS Scotland Building Energy Use Emissions – Health Board Electricity Breakdown (tCO2e)
| Health Board | 2022/23 (tCO2e) | 2023/24 (tCO2e) | 2024/25 (tCO2e) |
|---|---|---|---|
| NHS Greater Glasgow & Clyde | 29,000 | 30,000 | 27,000 |
| NHS Lothian | 16,000 | 16,000 | 15,000 |
| NHS Lanarkshire | 6,000 | 7,000 | 7,000 |
| NHS Highland | 6,000 | 6,000 | 6,000 |
| NHS Ayrshire & Arran | 6,000 | 6,000 | 6,000 |
| NHS Fife | 5,000 | 5,000 | 5,000 |
| NHS Forth Valley | 5,000 | 5,000 | 5,000 |
| NHS Grampian | 6,000 | 6,000 | 5,000 |
| NHS Tayside | 4,000 | 5,000 | 5,000 |
| NHS National Waiting Times Centre | 3,000 | 3,000 | 4,000 |
| NHS Dumfries & Galloway | 3,000 | 3,000 | 3,000 |
| NHS Borders | 2,000 | 2,000 | 2,000 |
| NHS National Services Scotland | 2,000 | 2,000 | 1,000 |
| NHS Orkney | 1,000 | 1,000 | 1,000 |
| Scottish Ambulance Service | 1,000 | 1,000 | 1,000 |
| NHS Western Isles | 700 | 700 | 700 |
| The State Hospital | 600 | 600 | 600 |
| NHS Shetland | 500 | 500 | 500 |
| NHS 24 | 500 | 500 | 400 |
| NHS Education for Scotland | N/A | 15 | 20 |
| Healthcare Improvement Scotland | 10 | 10 | 10 |
Note: In this table, figures over 1000 are rounded to the nearest 1,000. Those between 100 and 1,000 are rounded to the nearest 100, and those lower than a 100 are rounded to the nearest 10.
N/A=Not available at time of writing.
Table 1d: Top 20 emitting sites in NHS Scotland estate
(as selected in 2023/24 based on data available for 2022/23)
Source: NHS National Services Scotland - National Energy Management System
| Health Board | Site | 2022/23 (tCO2e) | 2023/24 (tCO2e) | 2024/25 (tCO2e) |
|---|---|---|---|---|
| NHS Grampian | Foresterhill Health Campus, includes Royal Cornhill Hospital | 36,000 | 37,000 | 38,000 |
| NHS Greater Glasgow & Clyde | Queen Elizabeth University Hospital Campus | 29,000 | 30,000 | 31,000 |
| NHS Tayside | Ninewells Hospital | 24,000 | 24,000 | 22,000 |
| NHS Greater Glasgow & Clyde | Glasgow Royal Infirmary | 18,000 | 16,000 | 16,000 |
| NHS Lothian | Royal Infirmary of Edinburgh | 15,000 | 15,000 | 16,000 |
| NHS Lothian | Western General Hospital | 14,000 | 13,000 | 11,000 |
| NHS Highland | Raigmore Hospital | 15,000 | 13,000 | 14,000 |
| NHS Lothian | St Johns Hospital & Howden Health Centre | 12,000 | 11,000 | 11,000 |
| NHS Greater Glasgow & Clyde | Gartnavel Health Campus | 11,000 | 11,000 | 12,000 |
| NHS Fife | Victoria Hospital | 10,000 | 10,000 | 10,000 |
| NHS Forth Valley | Forth Valley Royal Hospital | 9,000 | 9,000 | 8,000 |
| National Waiting Times Centre | Golden Jubilee National Hospital | 8,000 | 9,000 | 9,000 |
| NHS Dumfries & Galloway | Dumfries & Galloway Royal Infirmary | 7,000 | 7,000 | 6,500 |
| NHS Greater Glasgow & Clyde | Royal Alexandra Hospital | 7,000 | 7,000 | 7,000 |
| NHS Lanarkshire | Wishaw District General Hospital | 6,500 | 6,000 | 6,000 |
| NHS Lothian | Royal Hospital for Children & Young People, Edinburgh | 6,000 | 6,000 | 6,000 |
| NHS Ayrshire & Arran | Crosshouse Hospital Campus including Ayrshire Maternity | 6,000 | 6,000 | 5,000 |
| NHS Borders | Borders General Hospital | 5,000 | 5,000 | 6,000 |
| NHS Lanarkshire | Monklands District General Hospital | 5,000 | 6,000 | 6,000 |
| NHS Tayside | Perth Royal Infirmary | 5,000 | 5,000 | 4,000 |
Note: These figures are based on data recorded on NHS Assure’s central energy data system. Some figures for 2024/25 will be subject to change, due to resolution of billing issues, for example. Updated figures for 2024/25 will be available in the next Annual Report.
Note: In this table, figures over 1000 are rounded to the nearest 1,000. Those between 100 and 1,000 are rounded to the nearest 100, and those lower than a 100 are rounded to the nearest 10.
Medical Gas Emissions
Table 2a: N2O emissions, including Entonox, breakdown by Health Board (tCO2e) Source: Scottish Government
| Health Board | 2018/19 (baseline) | 2021/22 | 2022/23 | 2023/24 | 2024/25 |
|---|---|---|---|---|---|
| NHS National Waiting Times Centre | 170 | 81 | 93 | 119 | 273 |
| NHS Ayrshire & Arran | 1,195 | 1,118 | 814 | 904 | 831 |
| NHS Borders | 562 | 487 | 488 | 205 | 307 |
| NHS Dumfries & Galloway | 642 | 502 | 433 | 445 | 306 |
| NHS Fife | 1,327 | 1,303 | 1,154 | 1,220 | 1,077 |
| NHS Forth Valley | 1,066 | 969 | 1,191 | 625 | 596 |
| NHS Grampian | 3,657 | 3,544 | 3,578 | 2,655 | 2,145 |
| NHS Greater Glasgow & Clyde | 5,734 | 4,505 | 5,078 | 4,904 | 4,595 |
| NHS Highland | 1,059 | 1,119 | 802 | 841 | 721 |
| NHS Lanarkshire | 2,142 | 1,792 | 1,606 | 1,654 | 1,524 |
| NHS Lothian | 4,098 | 3,799 | 3,634 | 3,132 | 2,287 |
| NHS Orkney | 80 | 97 | 76 | 81 | 76 |
| NHS Shetland | 101 | 89 | 138 | 46 | 48 |
| NHS Tayside | 2,009 | 1,984 | 2,151 | 2,439 | 1,855 |
| NHS Western Isles | 113 | 180 | 150 | 114 | 53 |
| Scottish Ambulance Service (Entonox only) | 1,188 | 1,077 | 1,135 | 1,132 | 1,076 |
| Total | 25,143 | 22,646 | 22,521 | 20,516 | 17,769 |
Table 2b: Volatile gas - desflurane, sevoflurane and isoflurane - emissions breakdown by Health Board (tCO2e)
Source: Scottish Government
| Health Board | 2017/18 (baseline) | 2021/22 | 2022/23 | 2023/24 | 2024/25 |
|---|---|---|---|---|---|
| NHS National Waiting Times Centre | 29 | 22 | 26 | 55 | 31 |
| NHS Ayrshire & Arran | 685 | 78 | 76 | 51 | 53 |
| NHS Borders | 70 | 15 | 16 | 12 | 12 |
| NHS Dumfries & Galloway | 111 | 27 | 17 | 20 | 33 |
| NHS Fife | 151 | 50 | 41 | 47 | 45 |
| NHS Forth Valley | 419 | 41 | 41 | 46 | 49 |
| NHS Grampian | 1,350 | 222 | 133 | 82 | 75 |
| NHS Greater Glasgow & Clyde | 3,954 | 394 | 470 | 419 | 391 |
| NHS Highland | 349 | 43 | 43 | 40 | 40 |
| NHS Lanarkshire | 916 | 77 | 108 | 101 | 89 |
| NHS Lothian | 1,403 | 308 | 257 | 236 | 207 |
| NHS Orkney | 22 | 10 | 26 | 3 | 3 |
| NHS Shetland | 25 | 14 | 7 | 26 | 3 |
| NHS Tayside | 669 | 55 | 89 | 79 | 89 |
| NHS Western Isles | 19 | 9 | 7 | 5 | 9 |
| Total | 10,170 | 1,365 | 1,356 | 1,223 | 1,129 |
Table 2c: Desflurane emissions by Health Board (tCO2e) Source: Hospital Medicines Utilisation Database (HMUD), Public Health Scotland (PHS)
| Health Board | 2017/18 (baseline) | 2021/22 | 2022/23 | 2023/24 | 2024/25 |
|---|---|---|---|---|---|
| NHS National Waiting Times Centre | 13 | 5 | 2 | - | 4 |
| NHS Ayrshire & Arran | 620 | 35 | 25 | - | - |
| NHS Borders | 55 | 6 | 5 | - | - |
| NHS Dumfries & Galloway | 87 | 7 | 1 | - | 6 |
| NHS Fife | 95 | 9 | -4 | - | - |
| NHS Forth Valley | 365 | 0 | - | - | - |
| NHS Grampian | 1,235 | 152 | 58 | 1 | - |
| NHS Greater Glasgow & Clyde | 3,576 | 112 | 142 | 73 | 16 |
| NHS Highland | 297 | - | - | - | - |
| NHS Lanarkshire | 816 | 9 | 21 | 10 | - |
| NHS Lothian | 1,128 | 158 | 87 | 66 | 54 |
| NHS Orkney | 20 | 7 | 22 | - | - |
| NHS Shetland | 22 | 11 | 4 | 23 | - |
| NHS Tayside | 591 | -5 | 12 | 5 | 16 |
| NHS Western Isles | 16 | 5 | 3 | - | 4 |
| Total | 8,937 | 511 | 378 | 179 | 99 |
*Negative numbers represent pharmacy returns.
Note: Boxes marked “–“ indicate that data was not recorded on the HMUD.
Table 2d: NHS Scotland Piped Nitrous Oxide emissions by year (tCO2e) Source: Hospital Medicines Utilisation Database (HMUD), Public Health Scotland (PHS) and BOC, NHS NSS
| Health Board | 2017/18 | 2021/22 | 2022/23 | 2023/24 | 2024/25 |
|---|---|---|---|---|---|
| NHS National Waiting Times Centre | 180 | - | - | - | - |
| NHS Ayrshire and Arran | 538 | 482 | 242 | 290 | 220 |
| NHS Borders | 241 | 214 | 219 | 26 | 74 |
| NHS Dumfries & Galloway | 231 | 140 | 87 | 157 | 44 |
| NHS Fife | 188 | 193 | 193 | 299 | - |
| NHS Forth Valley | 246 | 57 | 420 | 4 | - |
| NHS Grampian | 1,601 | 1,165 | 1,133 | 732 | 101 |
| NHS Greater Glasgow & Clyde | 2,509 | 1,517 | 1,790 | 1,513 | 1,401 |
| NHS Highland | 359 | 359 | 131 | 114 | 79 |
| NHS Lanarkshire | 733 | 171 | 223 | 271 | 35 |
| NHS Lothian | 1,750 | 864 | 405 | 353 | 214 |
| NHS Orkney | 30 | 35 | 9 | 13 | - |
| NHS Shetland | 30 | 26 | 66 | - | - |
| NHS Tayside | 895 | 637 | 754 | 1,016 | 401 |
| NHS Western Isles | 59 | 114 | 96 | 48 | - |
| Total | 9,590 | 5,973 | 5,768 | 4,837 | 2,570 |
Note: Boxes marked “–“ indicate that data was not recorded on the HMUD.
Travel and Transport
Table 3a: Health Board fleet greenhouse gas emissions (tCO2e) Source: Health Board Public Bodies Climate Change Duties Reports (rounded to nearest 10)
| Health Board | 2019/20 | 2023/24 | % Change |
|---|---|---|---|
| NHS Ayrshire & Arran | 1,280 | 950 | - 26 |
| NHS Borders | - | 140 | - |
| NHS Dumfries & Galloway | 20 | 420 | 2,000 |
| NHS Fife | 440 | 480 | 9 |
| NHS Forth Valley | 380 | 270 | - 29 |
| NHS Grampian | 1,030 | - | - |
| NHS Greater Glasgow & Clyde | - | 1,320 | - |
| NHS Highland | - | 1,070 | - |
| NHS Lanarkshire | - | 570 | - |
| NHS Lothian | 1,530 | 1,030 | - 33 |
| NHS Orkney | 70 | - | - |
| NHS Shetland | - | 40 | - |
| NHS Tayside | 770 | 660 | - 14 |
| NHS Western Isles | - | 50 | - |
| NHS National Waiting Times Centre | - | 40 | - |
| The State Hospital | - | - | - |
| Public Health Scotland | No fleet | No fleet | - |
| Healthcare Improvement Scotland | - | - | - |
| NHS Education for Scotland | No fleet | No fleet | - |
| NHS National Services Scotland | 160 | 2,350 | 1,369 |
| NHS 24 | No fleet | No fleet | - |
| Scottish Ambulance Service | 20,560 | 19,370 | - 6 |
Note: Boxes marked “–“ indicate that data was not available at the time of writing, or that data was not reliably comparable.
Note: In some cases reported emissions have risen during this period, but some of this at least is likely to be explained by improvements in reporting over this period.
Table 3b: Health Board business travel greenhouse gas emissions (tCO2e) Source: Health Board Public Bodies Climate Change Duties Reports and NHS NSS (rounded to nearest 10)
| Health Board | 2019/20 | 2023/24 | 2024/25 | % change 2023/24 – 2024/25 |
|---|---|---|---|---|
| NHS Ayrshire & Arran | 1,890 | 1,720 | 1,000 | -42 |
| NHS Borders | - | 420 | 400 | -5 |
| NHS Dumfries & Galloway | - | 480 | 580 | 21 |
| NHS Fife | 1,400 | 860 | 940 | 9 |
| NHS Forth Valley | 600 | 510 | 550 | 8 |
| NHS Grampian | - | 1,250 | 1,160 | -7 |
| NHS Greater Glasgow & Clyde | - | 3,180 | 2,470 | -22 |
| NHS Highland | - | 1,140 | 1,400 | 23 |
| NHS Lanarkshire | 760 | 1,360 | 1,530 | 13 |
| NHS Lothian | 1,420 | 1,550 | 1,450 | -6 |
| NHS Orkney | - | 50 | 40 | -20 |
| NHS Shetland | 1,150 | 1,840 | 40 | -98 |
| NHS Tayside | - | 1,160 | 1,090 | -6 |
| NHS Western Isles | - | 110 | 130 | 18 |
| NHS National Waiting Times Centre | - | 70 | 10 | -86 |
| NHS State Hospital | - | 0 | 0 | 0 |
| Public Health Scotland | - | 50 | 20 | -60 |
| Healthcare Improvement Scotland | - | 30 | 20 | -33 |
| NHS Education for Scotland | 260 | 100 | 125 | 25 |
| NHS National Services Scotland | 2,010 | 170 | 100 | -41 |
| NHS 24 | - | 50 | 50 | 0 |
| Scottish Ambulance Service | 80 | 260 | 190 | -27 |
Note: Boxes marked “–“ indicate that data is not available or not reliably comparable.
Table 3c(i-iv): Composition of NHS Fleet by Health Board, April 2025 Source: NHS National Services Scotland (National Fleet Management System), NHS Ayrshire and Arran, NHS Tayside, Scottish Ambulance Service
Table 3c(i): Composition of NHS Fleet by Health Board, April 2025 (Cars)
| Health Board | EV | Fossil Fuel/Hybrid | Total | % EV |
|---|---|---|---|---|
| NHS Ayrshire and Arran | 234 | 16 | 250 | 94 |
| NHS Borders | 14 | 29 | 43 | 33 |
| NHS Dumfries and Galloway | 23 | 74 | 97 | 24 |
| NHS Fife | 22 | 29 | 51 | 43 |
| NHS Forth Valley | 59 | 6 | 65 | 91 |
| NHS Grampian | 3 | 186 | 189 | 2 |
| NHS Greater Glasgow and Clyde | 36 | 69 | 105 | 34 |
| NHS Highland | 99 | 299 | 398 | 25 |
| NHS Lanarkshire | 0 | 8 | 8 | 0 |
| NHS Lothian | 291 | 87 | 378 | 77 |
| NHS Orkney | 32 | 0 | 32 | 100 |
| NHS Shetland | 35 | 2 | 37 | 95 |
| NHS Tayside | 95 | 27 | 122 | 78 |
| NHS Western Isles | 1 | 10 | 11 | 9 |
| NHS National Services Scotland | 8 | 25 | 33 | 24 |
| Scottish Ambulance Service | 306 | 181 | 487 | 63 |
| The State Hospital | 0 | 0 | 0 | 0 |
| Total | 1258 | 1048 | 2306 | 55 |
Table 3c(ii): Composition of NHS Fleet by Health Board, April 2025 (Light Commercial Vehicles)
| Health Board | EV | Fossil Fuel/Hybrid | Total | % EV |
|---|---|---|---|---|
| NHS Ayrshire and Arran | 8 | 105 | 113 | 7 |
| NHS Borders | 11 | 27 | 38 | 29 |
| NHS Dumfries and Galloway | 2 | 25 | 27 | 7 |
| NHS Fife | 36 | 32 | 68 | 53 |
| NHS Forth Valley | 72 | 20 | 92 | 78 |
| NHS Grampian | 12 | 95 | 107 | 11 |
| NHS Greater Glasgow and Clyde | 60 | 135 | 195 | 31 |
| NHS Highland | 12 | 200 | 212 | 6 |
| NHS Lanarkshire | 57 | 4 | 61 | 93 |
| NHS Lothian | 95 | 79 | 174 | 55 |
| NHS Orkney | 5 | 0 | 5 | 100 |
| NHS Shetland | 11 | 5 | 16 | 69 |
| NHS Tayside | 46 | 57 | 103 | 45 |
| NHS Western Isles | 7 | 11 | 18 | 39 |
| NHS National Services Scotland | 7 | 35 | 42 | 17 |
| Scottish Ambulance Service | 35 | 52 | 87 | 40 |
| The State Hospital | 3 | 3 | 6 | 50 |
| Total | 479 | 885 | 1364 | 35 |
Table 3c(iii): Composition of NHS Fleet by Health Board, April 2025 (Heavy Vehicles)
| Health Board | EV | Fossil Fuel/Hybrid | Total | % EV |
|---|---|---|---|---|
| NHS Ayrshire and Arran | 0 | 2 | 2 | 0 |
| NHS Borders | 0 | 0 | 0 | 0 |
| NHS Dumfries and Galloway | 0 | 1 | 1 | 0 |
| NHS Fife | 0 | 0 | 0 | 0 |
| NHS Forth Valley | 0 | 0 | 0 | 0 |
| NHS Grampian | 0 | 15 | 15 | 0 |
| NHS Greater Glasgow and Clyde | 2 | 22 | 24 | 8 |
| NHS Highland | 0 | 4 | 4 | 0 |
| NHS Lanarkshire | 0 | 7 | 7 | 0 |
| NHS Lothian | 5 | 17 | 22 | 23 |
| NHS Orkney | 0 | 0 | 0 | 0 |
| NHS Shetland | 0 | 0 | 0 | 0 |
| NHS Tayside | 0 | 14 | 14 | 0 |
| NHS Western Isles | 0 | 0 | 0 | 0 |
| NHS National Services Scotland | 0 | 0 | 0 | 0 |
| Scottish Ambulance Service | 8 | 993 | 1001 | 1 |
| The State Hospital | 0 | 0 | 0 | 0 |
| Total | 15 | 1089 | 1104 | 1 |
Table 3c(iv): Composition of NHS Fleet by Health Board, April 2025 (Motorbikes)
| Health Board | EV | Fossil Fuel/Hybrid | Total | % EV |
|---|---|---|---|---|
| Scottish Ambulance Service | 0 | 10 | 10 | 0 |
| Total | 0 | 10 | 10 | 0 |
Table 3d: Bike Use in NHS Scotland territorial Health Boards as at March 2024 Source: Health Board Annual Climate Emergency and Sustainability Reports 2023/24
| Health Board | Bikes | ebikes |
|---|---|---|
| NHS Ayrshire & Arran | 0 | 0 |
| NHS Borders | 0 | 0 |
| NHS Dumfries & Galloway | 21 | 19 |
| NHS Fife | 0 | 0 |
| NHS Forth Valley | 0 | 0 |
| NHS Grampian | 0 | 31 |
| NHS Greater Glasgow & Clyde | - | - |
| NHS Highland | - | - |
| NHS Lanarkshire | 0 | 0 |
| NHS Lothian | 0 | 22 |
| NHS Orkney | - | - |
| NHS Shetland | 0 | 12 |
| NHS Tayside | 4 | 15 |
| NHS Western Isles | 6 | 4 |
Note: Boxes marked – indicate that either a report was not available or the number of bikes/ebikes was not stated in the report.
Waste
Table 4: NHS greenhouse gas emissions from waste disposal, tCO2e Source: Health Board Annual Public Bodies Climate Change Duties Reports
| Health Board | 2019/20 | 2023/24 | % Change |
|---|---|---|---|
| NHS Ayrshire & Arran | 325 | 450 | 38% |
| NHS Borders | N/A | 120 | N/A |
| NHS Dumfries & Galloway | 235 | 249 | 6% |
| NHS Fife | N/A | 310 | N/A |
| NHS Forth Valley | 271 | 190 | -30% |
| NHS Grampian | 590 | 592 | 0% |
| NHS Greater Glasgow & Clyde | 148 | 2008 | 1257% |
| NHS Highland | N/A | 746 | N/A |
| NHS Lanarkshire | 54 | 906 | 1578% |
| NHS Lothian | N/A | 947 | N/A |
| NHS Orkney | 48 | 15 | -69% |
| NHS Shetland | N/A | 18 | N/A |
| NHS Tayside | 1242 | 601 | -51.6% |
| NHS Western Isles | N/A | 55 | N/A |
| State Hospital | 38 | 53 | 39% |
| Scottish Ambulance Service | 13 | 33 | 154% |
| Health Improvement Scotland | 6 | NA | NA |
| National Waiting Times Centre | N/A | 186 | N/A |
| NHS 24 | 11 | N/A | N/A |
| National Services Scotland | 28 | 35 | 25% |
| Public Health Scotland | N/A | N/A | N/A |
| National Education Scotland | N/A | N/A | N/A |
Note: NA=Not available.