Cartoon image of a green bike, trees and plants

Adaptation

Our progress so far  

Moorfields recognises that the impacts of climate change – ranging from extreme heat and flooding to infrastructure disruption – pose increasing risks to patient safety and service continuity. To ensure resilience in the face of these challenges, we have integrated climate adaptation into our wider emergency preparedness programme. 

Our adverse weather plan is reviewed regularly and informed by national guidance, with updates from the UK Health Security Agency (UKHSA). It forms part of the emergency preparedness, resilience and response (EPRR) training programme, where real-world exercises are used to identify improvement opportunities. Any lessons learned are captured and fed into the EPRR steering group – reinforcing a cycle of continual adaptation and readiness.  

We maintain a dedicated EPRR risk register, based on the national risk register, which specifically includes climate-related risks. This ensures that environmental threats – such as heatwaves and service disruptions linked to extreme weather – are considered in our planning, mitigation, and response protocols. 

For the past two years, Moorfields has been fully compliant with all core standards for emergency preparedness, as set out by NHS England. In 2024, we also met all 11 deep-dive standards on cybersecurity and IT response – demonstrating our operational resilience in a digitally reliant era. 

By embedding climate risks within our emergency governance, and aligning with national frameworks, Moorfields is strengthening its ability to operate safely and effectively under changing environmental conditions. This is a critical component of our wider sustainability ambition – supporting patient care, protecting staff, and future-proofing our specialist services. 

Adaptation plan

Action KPIs
Comply with the NHS adaptation provision to support business continuity
Comply with NHS core standards for 2025, 2026, 2027. 
  • Report to the board on the EPRR assurance and an action plan on any partially compliant standards. 
Engage with local networks to support business continuity 
Engage with Local Health Resilience Partnership and local borough resilience forums. 
  • Deliver updates to the EPRR steering group should any actions from the greener EPRR group be relevant to Moorfields. 
  • Continue sending a representative to the local borough resilience forums. 
Set out actions to prepare for severe weather events and improve climate resilience of local sites and services.
Review and update current business continuity exercises embedding climate-related or adverse weather scenarios (heatwave, flooding, power outage, etc).
  • Business continuity audit document is reviewed at each EPRR steering group to ensure all departments are compliant with their business continuity plans. 
  • Publish reviewed business continuity plans by 2026.  
  • Review and upload by 2027. 
  • Embed climate considerations by 2028. 
Develop a new business continuity exercise specifically for digital services using a climate-related scenario.
  • Consider during next round of business continuity plan updates (Jan- March 2026). 
  • Exercise developed and successfully held –  date to be confirmed. 
Review adverse weather plan regularly as part of the EPRR plans and policies cycle.  
  • Update and sign off adverse weather plan with recently completed heatwave learning set by August 2025. 
  • Continue to update when new national advice is available or aspects change within the trust. 
Factor in the effects of climate change when making infrastructure decisions and designing new facilities
Include enhancements like improved green spaces, drainage systems and passive cooling solutions.
  • This forms part of all new business cases for refurbishments of facilities. For example, any new cooling systems are designed to cater for outside air temperatures of 38 degrees Celcius.
Ensure adequate cascading of weather health alerts and relevant messaging across the organisation
Provide updates on health alerts in order to plan appropriately and look for sustainability benefits.  
  • Continue posting all government weather health alerts on Moorfields account and our intranet, EyeQ.