The recent Scotland Net Zero in Health Care Conference left me thinking deeply about what “sustainability” really means for us at DHI. It was a day filled with ambition, data, and good news stories, but what stayed with me most was a quieter realisation: our contribution to Scotland’s net zero goals isn’t just about carbon reduction. It’s about reimagining how health and care systems work altogether.

As I listened to different perspectives, from NHS Scotland’s decarbonisation plans to the circular economy approaches and the integration of sustainability into clinical practice, it struck me that we’re talking about a fundamental shift in how we define value in healthcare. Net zero isn’t only about greener estates, waste management or low-emission fleets. It’s about prevention, smarter use of resources, and care models that reduce demand in the first place.

At DHI, we often frame our work in terms of digital innovation; new pathways, platforms, and partnerships. And the conference reminded me that every digital intervention also carries a climate dimension. Remote care, data sharing, and service redesign can either reduce or increase our collective footprint depending on how they’re designed. That’s both a challenge and an opportunity.

What I took away most strongly is that sustainability has to be designed in from the very start. Not measured at the end. Initiatives like Scotland’s first net-zero hospital in Orkney and the integration of sustainability into clinical guidelines show that when sustainability is treated as a design principle, not a constraint, it drives innovation. If we’re serious about aligning with Scotland’s net-zero goals, we need to embed sustainability indicators into our project frameworks from the outset, treating them with the same importance as clinical outcomes and patient experience.

We also need to tell a broader story. Many of DHI’s projects, such as our Community Connections Platform, already deliver sustainability benefits indirectly: reducing travel through digital consultations, improving self-management in the community, or building systems that make better use of data. We just haven’t been framing that impact within a sustainability dimension.

This reflection isn’t a checklist; I want it to be a shift in mindset. I left the conference feeling that DHI’s has an opportunity in shaping a future where digital health and care innovation doesn’t just serve our people, our services, but also the planet. Let us all consider how sustainability can be built into our own projects from the very start—and to think about how we showcase that impact as it happens. Because this is a journey worth committing to.

DHI are sponsoring a category in this year’s Scottish Knowledge Exchange Awards for Innovation in Digital Health and Social Care to discover and highlight digitally enabled knowledge exchange projects that have made a significant positive impact on health and social care. There is still time to get entries in as the deadline has been extended to 5pm on Friday 16 January. Find out more here.