Climate Change Data

Totally plc

Climate Impact & Sustainability Data (2021, 2023, 2024)

Reporting Period: 2021

Environmental Metrics

Total Carbon Emissions:539.70 tCO2e/year
Scope 1 Emissions:112.89 tCO2e/year
Scope 2 Emissions:114.46 tCO2e/year
Scope 3 Emissions:370.10 tCO2e/year
Total Energy Consumption:2,268,913 kWh/year
Carbon Intensity:2.67 tonnes tCO2e/£m (2021)

ESG Focus Areas

  • Environmental
  • Social
  • Governance

Environmental Achievements

  • Reduced fleet of emergency vehicles
  • Used energy-saving technology
  • Promoted recycling
  • Reduced travel through remote working and video conferencing
  • Supported cycle-to-work initiatives
  • Energy intensity metric reduction of 2.42 tonnes tCO2e/£m compared to 2019/20

Social Achievements

  • Implemented Sickness Absence Management service (SAMs) to support employee wellbeing
  • Provided PPE and implemented COVID-19 safe processes
  • Offered early vaccination to staff
  • Held regular staff engagement sessions
  • Implemented remote working where possible
  • Launched Mental Health First Aider training program
  • All Care Quality Commission registered services rated as “Good”

Governance Achievements

  • Followed QCA Code on good corporate governance
  • Proactively engaged with the Care Quality Commission (CQC)
  • Implemented Information security policies in line with ISO 27001
  • Plans to launch the Totally Foundation to support charitable initiatives

Climate Goals & Targets

Short-term Goals:
  • Review and implement travel policy across the Group

Environmental Challenges

  • COVID-19 pandemic impacting service delivery and staff wellbeing
  • Increased demand for services
  • Supply chain disruptions
  • Changes in public policy and commissioning processes
  • UK-EU relations uncertainty
Mitigation Strategies
  • Implemented remote working, video consultations, and COVID-19 safe processes
  • Increased capacity through recruitment and redeployment
  • Developed Sickness Absence Management service (SAMs)
  • Implemented Emergency Preparedness, Resilience and Response (EPRR) systems
  • Engaged with commissioners and regulators
  • Developed contingency plans for Brexit and supply chain disruptions
  • Invested in IT infrastructure to improve resilience and efficiency

Supply Chain Management

Climate-Related Risks & Opportunities

Reporting Standards

Frameworks Used: SECR

Certifications: ISO 27001

Reporting Period: 2023

Environmental Metrics

Total Carbon Emissions:258.62 tCO2e/£m turnover
Scope 1 Emissions:73.16 tCO2e/year
Scope 2 Emissions:92.26 tCO2e/year
Scope 3 Emissions:93.20 tCO2e/year
Total Energy Consumption:1,282,007 kWh/year
Carbon Intensity:1.90 tCO2e per £m turnover

ESG Focus Areas

  • Empowering our people
  • Building social value
  • Operating responsibly

Environmental Achievements

  • Reduced operational carbon intensity by 12.8% from the previous reporting year.

Social Achievements

  • All Care Quality Commission (“CQC”) registered services continue to be rated as “Good”.
  • Ensured c. two million patients were able to access the appropriate urgent care services and treated c. 120,000 patients from elective care waiting lists.
  • Supported 25 colleagues through apprenticeships.
  • Developed a vocational Postgraduate Doctors in Training programme, training around 90 trainees each year.

Governance Achievements

  • Achieved Cyber Essentials Plus accreditation for data security.
  • Restructured healthcare operations under one leadership structure, to drive out duplication and increase opportunities for best practice.
  • Appointed Medical Director at Board level to drive focus on quality across all services and lead on medical innovation.

Climate Goals & Targets

Long-term Goals:
  • Reach net zero by 2045, with an ambition to reach a 50% reduction by 2036 to 2039 (compared with a 2020 baseline).
Medium-term Goals:
  • Reach net zero by 2040, with an ambition to reach a 50% reduction by 2028 to 2032 (compared with a 2020 baseline).
  • Implement increased focus on patient feedback to identify and respond to early indicators for service quality.
Short-term Goals:
  • Establish a Group-wide approach to meeting the requirements of the Patient Safety Incident Response Framework (“PSIRF”).
  • Implement a Group-wide appraisal process.

Environmental Challenges

  • Increased demand, workforce shortages and inflationary challenges impacted our business.
  • Urgent care market proved challenging due to ICB and trust focus on operational challenges.
  • High inflation and a competitive workforce environment.
  • NHS pay disputes and strike action impacting service provision.
Mitigation Strategies
  • Completed actions to integrate Pioneer, remove service duplication, manage costs, and reduce reliance on agency staff.
  • Invested in NHS England’s new SVCC model and focused on urgent care contracts with sufficient staffing and acceptable margins.
  • Strengthened approach to workforce planning, competitive pay and reward benefits, offering greater flexibility, apprenticeship programmes, and increased brand awareness.
  • Restructured business to bring all healthcare services under one team focused on urgent and elective care, enabling economies of scale and removing duplicated services and costs.

Supply Chain Management

Responsible Procurement
  • Uses NHS Supplies for medical supply chain, which is ISO 14001 accredited and applies an ethical procurement strategy and labour standards assurance systems.

Climate-Related Risks & Opportunities

Physical Risks
  • Acute weather events (damage to physical assets)
  • Chronic weather events (operational disruption)
Transition Risks
  • Failure to move to net zero carbon emissions
  • Energy costs
  • New technologies
  • Market risk
  • Reputation risk
  • Legal and regulatory
Opportunities
  • Providing additional support to the NHS due to predicted climate-related impacts on health.

Reporting Standards

Frameworks Used: SECR, TCFD

Certifications: ISO 27001:2013, Cyber Essentials Plus

Reporting Period: 2024

Environmental Metrics

Total Carbon Emissions:289.87 tCO2e
Scope 1 Emissions:74.78 tCO2e
Scope 2 Emissions:90.06 tCO2e
Scope 3 Emissions:125.03 tCO2e
Total Energy Consumption:1,399,629 kWh
Carbon Intensity:2.72 tCO2e per £m turnover

ESG Focus Areas

  • Empowering our people
  • Building social value
  • Operating responsibly

Environmental Achievements

  • Replaced company vehicle fleet with hybrid alternatives.

Social Achievements

  • Increased employee engagement levels to 60% despite organizational change.
  • Launched volunteering policy.
  • Achieved Disability Confident Employer (Level 2) accreditation.
  • Launched Sexual Safety Charter.
  • Implemented changes to workforce profile to directly employ where possible and minimize use of agencies.

Governance Achievements

  • Appointed new Chair, Non-Executive Director, and CFO.
  • Reviewed governance and risk management structure, increasing meeting frequency and detail in management information.
  • All CQC registered services continued to be rated as “Good”.

Climate Goals & Targets

Long-term Goals:
  • Reach net zero emissions by 2040 (direct emissions) and 2045 (influenced emissions).
Medium-term Goals:
  • Reduce emissions by 50% by 2036-2039 (compared with a 2020 baseline).
  • Achieve Disability Confident Leader (Level 3) accreditation within the next three years.
Short-term Goals:
  • Reduce emissions by 50% by 2028-2032 (compared with a 2020 baseline).

Environmental Challenges

  • NHS challenges impacting financial performance and new business opportunities.
  • Uncertainty within the NHS due to delays in planning guidance and changes in procurement legislation.
  • Workforce challenges impacting the number of new business opportunities.
  • Increased demand and pressure on NHS budgets.
  • Inflationary pressure on the cost of delivering services.
Mitigation Strategies
  • Phased cost reduction programme delivered annualised savings of c. £3.5 million.
  • Right-sized the organisation to reflect a smaller contract base.
  • New protocols put in place to drive a more controlled labour mix and stabilize margin.
  • Continued to work closely with commissioners to review discrepancies between planned and actual patient numbers and review broader contract arrangements.
  • Actively explored innovative approaches to support sustained increases in demand without similar increases in cost to the NHS.

Supply Chain Management

Responsible Procurement
  • Employing and sourcing products locally wherever possible.
  • Using NHS Supplies for medical supply chain (ISO 14001 accredited, ethical procurement strategy, labour standards assurance systems, supplier code of conduct).

Climate-Related Risks & Opportunities

Physical Risks
  • Acute weather events (damage to physical assets)
  • Chronic weather events (operational disruption)
Transition Risks
  • Failure to move to net zero carbon emissions
  • Energy costs
  • New technologies
  • Market risk
  • Reputation risk
  • Legal and regulatory
Opportunities
  • Reduce energy costs by reducing consumption.
  • Position positively in the market.
  • Provide additional support to NHS due to predicted climate-related impacts on health.

Reporting Standards

Frameworks Used: SECR, TCFD

Certifications: Cyber Essentials Plus, ISO 14001 (indirectly through NHS Supplies)