Estates and facilities

Our progress so far

Moorfields continues to lead on environmental performance, with its use of technology-driven air monitoring across its surgical operating suite at City Road. An example of progress since the last green plan is the ability to measure and monitor air change rates continuously, allowing us to be flexible with our fan speeds. By switching them to lower speeds or off completely when it is safe to do, we are saving as much energy as possible. 

As part of our future-facing digital strategy aimed at creating a SMART building, we have partnered with BYUK to deliver our new centre in Camden, integrating sustainability from the outset. The new facility, aiming for BREEAM (Building Research Establishment Environmental Assessment Method) excellence, is fossil fuel free and harnesses renewables through photo-voltaic panels and ground and air source heat pumps.  

Since the last green plan, we have instigated utilities monitoring with real time energy reporting at our City Road site. When moving to our new facility, we will align with a smart work ordering system which ensures prompt action should any parameters be detected as outside of the commissioned values. 

At our City Road site, which is scheduled for decommissioning within the next two years, we have adopted a high scrutiny approach to further infrastructure investment. Given diminishing returns, such as a £75 annual saving from installing LED lighting at 15p per kilowatt-hour, any upgrades are evaluated through a cost-benefit lens aligned with long-term value and carbon savings. 

Alongside our focus on the sustainable development of our new facility we have made significant improvements at our current sites: 

• 80% of all lighting fittings at City Road have already transitioned to LED.
• At Brent Cross, Hoxton, and Stratford, LED installations reached 100% coverage within the last three to four years.
• These upgrades form part of our wider energy efficiency and renewable energy plan, designed to deliver long-term reductions in energy consumption and emissions. 

At our Stratford site, we removed the fossil fuel boilers and replaced with air source heat pumps and solar systems alongside electric based cooling systems.  

In support of cleaner energy sourcing, Moorfields purchases electricity through the Renewable Energy Guarantees of Origin (REGO) scheme, ensuring our supply chain aligns with national net-zero commitments. 

Our waste streams are a target for continuous improvement, and at present we are achieving the highest recycling rate within the North Central London Integrated Care System (NCL ICS) at over 85% for offensive waste and 75%-80% for domestic recycling. 

In 2025, we also began working with CollectEco, an organisation that redistributes surplus, high-quality office furniture and equipment to avoid waste. Through this partnership, we sourced refurbished furnishings across the trust, reducing environmental impact while supporting circular economy principles. 

City Road’s environmental achievements were also quantified through its SmartCarbon rating of 23.24, a clear benchmark demonstrating our energy performance relative to sector peers.