Climate Change Data

Environmental Metrics

ESG Focus Areas

• People
• Planet
• Communities

Environmental Achievements

• More than 11 tonnes of hospital waste diverted from landfill through PVC Recycling in Hospitals Program (200% increase from FY2018)
• Sunshine Coast University Private Hospital saving up to 21,000 litres of water per day by re-using rainwater
• Joondalup Health Campus diverting 465 tonnes (28 per cent) of its total waste from landfill to recycling
• John Flynn Private Hospital saving nearly three tonnes of food from landfill each month through composting
• Nowra Private Hospital donating unused food to the local homeless hub
• Cairns Private Hospital collecting plastic bottle tops to be converted into prosthetic aids for children
• Peel Health Campus reducing water consumption by 13 per cent
• Baringa Private Hospital recycling 30,000 plastic water bottles to raise money for local charities
• North Shore Private Hospital phasing out single-use plastic straws and reducing plastic bottle usage

Social Achievements

• Launched the Ramsay Health Care Global Leadership Academy
• Global rollout of Speak Up for Patient Safety initiative
• Introduced Net Promoter Score (NPS) as a key customer metric; Australian hospitals achieved an overall NPS rating of 73
• Ramsay Australia achieved full completion of patient safety initiative
• Implemented Promoting Professional Accountability program
• Improved patient experience through NPS surveys
• Investment in medical research through Ramsay Hospital Research Foundation and Fondation Générale de Santé
• Implemented policies to eradicate modern slavery
• Building an inclusive workplace in France, achieving 6% workforce with disabilities
• Partnership to improve health and wellbeing of migrant and refugee women in Australia
• Support for Psychs on Bikes, taking mental health care to rural Australia
• Medical Equipment Donation Program partnering with Berrima District Rotary

Governance Achievements

• 77% independent directors on the board
• 22% female board directors

Climate Goals & Targets

Environmental Challenges

• Minimising environmental footprint while delivering high-quality healthcare
• Addressing modern slavery risks in supply chains

Mitigation Strategies

• Implementing various environmental initiatives (waste reduction, water conservation, etc.)
• Developing and implementing policies (Code of Conduct, Human Rights and Labour Policy, Code of Conduct for Suppliers)

Supply Chain Management

Responsible Procurement

• Code of Conduct for Suppliers, Manufacturers and Agents

Climate-Related Risks & Opportunities

Environmental Metrics

ESG Focus Areas

• Caring for our people
• Caring for our planet
• Caring for our community

Environmental Achievements

• Avoided 5.5 million single-use plastic items in the first two months after a ban on certain items.
• More than 98% of Ramsay Australia’s unwanted IT assets have been remarketed, recycled or processed.
• Reduced single-use paper towels in Malaysia by replacing paper towel dispensers with hand dryers.

Social Achievements

• Launched the Ramsay Speak Up for Patient Safety Program, achieving zero sentinel events in Australia.
• Improved Net Promoter Scores (NPS) across Australia, the UK, and France.
• Increased representation of women at the board level to 43%.

Governance Achievements

• Continued review of governance policies and practices to ensure appropriateness.
• Developed a new strategy to help position Ramsay for growth.

Climate Goals & Targets

Environmental Challenges

• COVID-19 pandemic impacting normal operations and increasing PPE usage.
• Shortage of nurses and enhanced competition to recruit and retain nursing staff in some regions.
• Pressure on medical supply chains, particularly regarding PPE.

Mitigation Strategies

• Partnered with governments to make services available during the COVID-19 pandemic.
• Implemented a range of precautionary measures, including increased screening and a focus on infection control.
• Leveraged global supply chain to limit PPE shortfalls.

Supply Chain Management

Responsible Procurement

• Sustainable Supplier Initiative (Australia)
• Australian Code of Conduct for Manufacturers, Suppliers and Agents

Climate-Related Risks & Opportunities

Reporting Standards

Frameworks Used: GRI Standards: Core option, SASB health care sector guidance

Environmental Metrics

ESG Focus Areas

• Climate Action & Environment
• Responsible Sourcing
• Caring for Communities
• Robust & Resilient Business Model
• Good Governance
• Clinical Quality & Excellence
• People & Culture
• Data & Digital

Environmental Achievements

• Achieved 100% renewable electricity in Ramsay UK and Elysium Healthcare.
• Rolled out a significant solar energy program in Australia (over 5,000 rooftop panels across 16 facilities).
• Reduced group greenhouse gas intensity by more than 4 percent in FY22 (excluding anaesthetic gases).
• Good reductions in total waste generated in the UK, Australia and France.
• Avoided or replaced 38 million single-use plastic items in Ramsay Australia.

Social Achievements

• Opened Australia’s first women-only, standalone, trauma-informed mental health facility.
• Acquired Elysium Healthcare in the UK, expanding mental health services.
• Launched a global doctors survey to understand clinician experiences and share best practices.
• Improved employee engagement in six of eight countries.
• Ramsay Santé signed a Quality of Life & Working Conditions (QLWC) agreement with union partners in France.

Governance Achievements

• Board approved net zero greenhouse gas emissions targets and initial TCFD disclosures.
• GHG emission reduction targets were included in FY22 STI scorecards for Executives.
• Ramsay Cares Sustainability Strategy was incorporated into the Corporate Strategy.

Climate Goals & Targets

Environmental Challenges

• Workforce shortages in the healthcare sector.
• High rates of employee turnover in most regions.
• Pandemic-related absenteeism.
• Supply chain disruptions due to the COVID-19 pandemic.
• Climate change impacts on healthcare (e.g., extreme weather, increased energy costs).

Mitigation Strategies

• Implementing agile, tailored responses to workforce challenges in each region.
• Investing in employee engagement, development, and retention strategies.
• Global supplier risk management framework to mitigate supply chain disruptions.
• Developing climate adaptation and net zero plans for future developments.
• Switching to renewable energy sources and maximizing energy efficiency.

Supply Chain Management

Supplier Audits: Over 20% of suppliers (by share of spend) completed EcoVadis CSR assessment in FY22.

Responsible Procurement

• Code of Conduct for Manufacturers, Suppliers and Agents.
• Incorporating contractual provisions into supply agreements to require supplier compliance with the Code.

Climate-Related Risks & Opportunities

Physical Risks

• Extreme weather (heat waves, storms, flooding).
• Energy disruption and cost increases.

Transition Risks

• Regulatory changes on energy efficiency and development.
• Supply chain disruptions due to climate change.

Opportunities

• Transition to renewable energy sources.
• Building climate resilience into new developments.
• Engaging suppliers to reduce carbon emissions.

Reporting Standards

Frameworks Used: GRI Standards: Core option, SASB healthcare sector guidance, TCFD recommendations

Certifications: Null

Third-party Assurance: Deloitte Touche Tohmatsu

UN Sustainable Development Goals

• Goal 3: Good Health and Well-being
• Goal 4: Quality Education
• Goal 5: Gender Equality
• Goal 8: Decent Work and Economic Growth
• Goal 10: Reduced Inequalities
• Goal 12: Responsible Consumption and Production
• Goal 13: Climate Action

The report details how Ramsay's initiatives contribute to these goals through various programs and actions.

Sustainable Products & Innovation

• Not disclosed

Awards & Recognition

• Subang Jaya Medical Centre won six Global Health Asia-Pacific Awards.
• RS Premier Jatinegara recognised as Hospital of the Year in Indonesia.
• Ramsay UK won the LaingBuisson Healthcare Outcomes Award.

Environmental Metrics

ESG Focus Areas

• Healthier people
• A thriving planet
• Stronger communities

Environmental Achievements

• Reduced greenhouse gas emissions by 9% compared to the previous year, despite growth in activity and acquisitions.
• Installed over 34,000 LED lights in Australia saving an estimated 28,185 GJ of energy
• Switching away from desflurane delivering 17% reduction in anaesthetic gas emissions since last year
• 60 million single-use items in Australia avoided or swapped
• 3,970 kW solar installed since 2021 in Australia and UK across more than 30 sites
• Generated more than 3-million kWh of renewable electricity in Australia

Social Achievements

• Launched a new global Code of Conduct.
• Established five employee-led People Resource Groups in Ramsay UK.
• Maintained gender balance across senior leadership.
• Trained more than 500 people in Mental Health First Aid in Australia and the UK.
• Ramsay was named number one graduate employer in the healthcare sector in Grad Australia’s annual ranking.
• Ramsay Santé became the first European healthcare provider to sign a Quality of Life & Working Conditions Agreement.

Governance Achievements

• Ramsay Santé became the first listed healthcare group to become a Mission-driven Company.
• Approved new or updated governance policies including Ramsay’s Code of Conduct, Global Responsible Sourcing Policy, and Global Diversity & Inclusion Policy.

Climate Goals & Targets

Environmental Challenges

• Persistent, long-standing skills shortages experienced across the global health sector.
• Pandemic-related absenteeism.
• Understanding Scope 3 emissions.
• Increased water use across most businesses, reflecting hotter and drier conditions.

Mitigation Strategies

• Concentrating on providing flexible working conditions, more accessible learning and development opportunities, expanding leadership programs, and investing in technology.
• Implementing a range of energy efficiency and emission reduction projects and embedding net zero roadmaps into Ramsay’s 2030 Corporate Plan.
• Working with partners and suppliers to improve data on Scope 3 emissions and engaging key suppliers around opportunities to reduce emissions.
• Including water efficiency measures in developments and upgrades and commencing a program of audits to identify further opportunities to conserve water.

Supply Chain Management

Supplier Audits: 40% of suppliers (by share of spend) assessed by EcoVadis in FY23; on track for 80% by FY26.

Responsible Procurement

• Global Responsible Sourcing Policy aligned with UN Guiding Principles on Business and Human Rights, ILO Declaration, and UN Global Compact.

Climate-Related Risks & Opportunities

Physical Risks

• Increased temperatures
• Changes to rainfall
• Humidity
• Wind speeds
• Fire weather

Transition Risks

• Regulatory changes
• Market shifts

Opportunities

• Development of energy-efficient products and services

Reporting Standards

Frameworks Used: GRI Standards, SASB healthcare sector guidance, TCFD recommendations

Certifications: ISO 14001 (Ramsay Santé – Capio)

Third-party Assurance: Deloitte Touche Tohmatsu

UN Sustainable Development Goals

• Goal 3: Good Health and Well-being
• Goal 4: Quality Education
• Goal 8: Decent Work and Economic Growth
• Goal 10: Reduced Inequalities
• Goal 13: Climate Action
• Goal 17: Partnerships for the Goals

See pages 15-16, 24-32, 44-50 for details on how initiatives contribute to these goals.

Sustainable Products & Innovation

• More environmentally friendly alternatives to single-use plastics.

Awards & Recognition

• Ramsay was named number one graduate employer in the healthcare sector.
• Ramsay Santé received the Business Parentalité Trophy.
• Elysium won the Nursing Times award for Preceptorship Programme of the Year.
• Premier Jatinegara Hospital received the World Stroke Organisation’s Diamond Award.
• Subang Jaya Medical Centre became the first hospital in the Asia Pacific region to be accredited by the Australian Council on Healthcare Standards International as a Centre of Excellence for Oncology services.

Environmental Metrics

ESG Focus Areas

• Healthier people
• A thriving planet
• Stronger communities

Environmental Achievements

• Achieved a 23% reduction in greenhouse gas emissions compared to 2020 (market-based approach)
• Renewable electricity now accounts for 98% of energy use in Norway
• Generated >8 million kWh of electricity via rooftop solar systems since 2021 (4.7 million kWh in FY24)
• Reduced anaesthetic gas emissions by 26% since FY22 (13% since FY23)

Social Achievements

• Met gender diversity targets in leadership and management roles
• Named among the world’s top healthcare employers for women
• Expanded market leadership in key areas: orthopaedics, cancer and cardiology
• Launched Ramsay Cares strategy and global approach
• Opened Australia’s first Vaping Cessation Clinic

Governance Achievements

• Updated our Funding Group1 sustainability-linked loan facilities to extend our KPIs and targets and include Elysium Healthcare
• Introduced a Sustainability Deed Poll
• Ramsay Santé successfully refinanced, with 98% of its senior loan debt now sustainability-linked
• Approved updated governance policies, including Ramsay’s Board and Committee charters, Global Human Rights & Labour Policy, Global Gifts & Hospitality Policy, and Global Sustainability Policy

Climate Goals & Targets

Environmental Challenges

• Workforce shortages
• Climate change impacts
• Understanding Scope 3 emissions
• Increased water use across a number of regions due to weather conditions and new facilities

Mitigation Strategies

• Investing in a wide range of recruitment, development and recognition initiatives
• Developing regional transition plans to reach net zero targets
• Refining data and updating estimated emissions for FY24, engaging key suppliers to explore opportunities for emissions reductions and better data accuracy
• Reviewing opportunities for water efficiencies across our sites and water savings and water efficient equipment are a key part of all new designs

Supply Chain Management

Supplier Audits: 60% of suppliers (by share of spend) assessed by EcoVadis in FY24

Responsible Procurement

• Global Responsible Sourcing Policy
• EcoVadis supplier assessments
• SMETA audits
• FairSupply and Dow Jones Risk Centre monitoring

Climate-Related Risks & Opportunities

Physical Risks

• Extreme weather, hot and humid weather conditions

Transition Risks

• Regulatory changes, market shifts

Opportunities

• Development of energy-efficient products and services

Reporting Standards

Frameworks Used: GRI Standards, SASB healthcare sector guidance, TCFD recommendations

Certifications: null

Third-party Assurance: Not disclosed

UN Sustainable Development Goals

• Goal 3: Good Health and Well-being
• Goal 4: Quality Education
• Goal 5: Gender Equality
• Goal 8: Decent Work and Economic Growth
• Goal 12: Responsible Consumption and Production
• Goal 13: Climate Action
• Goal 17: Partnerships for the Goals

Ramsay’s sustainability initiatives support the UN Sustainable Development Goals through its focus on healthier people, a thriving planet and stronger communities.

Sustainable Products & Innovation

• Sugarcane-based HDPE bags for patient discharge (Ramsay UK)
• Recyclable paper cups and vegware containers (Victoria Gardens)

Awards & Recognition

• Forbes top six healthcare companies globally for women employees
• Ramsay Santé’s “Transformation of Management Culture” award
• Ramsay named top graduate employer in Australian healthcare by Prosple
• Cobalt Hospital’s Gold Award at the Better Health at Work Awards