Travel and transport

Outcome statement

Improving air quality and health by reducing emissions from staff, patient and visitor travel. This includes shifting towards active modes of transport, electrifying our fleet (including ambulances), and exploring innovative ways to deliver care remotely.

Governance and delivery

Why is this important?

The Net Zero Government Operations Policy sets a range of actions for ϳԹ Health targeting government passenger fleets. It outlines requirements for all new government passenger vehicles to be electric vehicles by 30 June 2030, within an interim target of 50% EVs by 30 June 2026. Emergency vehicles are currently exempt from the target.

Health research shows that exposure to traffic pollution is associated not just with heart and lung disease, but also with increased risk of strokes, neurodegenerative diseases, diabetes, some cancers and, in pregnant women, increased risk of low birth weight and premature babies20. Vulnerable people, including the elderly, children and those with chronic health conditions are at highest risk.

Fleet, staff, patient and visitor travel are significant contributors to our carbon footprint. Continued action to accelerate fleet electrification and sustainable travel strategies will reduce our emissions, improving air quality and associated public health benefits.11

Electrification of our fleet

The ϳԹ Government’sElectric Vehicle Strategy accelerates the uptake of EVs and commits to electrifying ϳԹ Government passenger vehicle fleet.21 The strategy sets a target of electrifying all Government passenger feet. The transition to low-emission or zero-emission vehicles requires comprehensive charging infrastructure across our health care facilities.

ϳԹ Health is supporting the ϳԹ Government targets by retrofitting existing facilities, installing EV charging infrastructure at new facilities, and fitting EVs with technology that allows staff to schedule or book its use.10 ϳԹ Health will need to partner with facility owners to build EV charging infrastructure at leased facilities. ϳԹ Health will reduce our impact through ongoing improvements in efficiency through logistics, digitisation, and IT. For larger vehicles such as vans, trucks and ambulances, ϳԹ Health will explore a range of technologies (e.g. hybrid vs electric vs hydrogen cell).

Active travel

The health benefits of walking and cycling are clear: improved cognitive function, mental health, sleep quality, weight status, muscular and cardiorespiratory fitness as well as bone health. Physically active people have lower rates of anxiety and depression, cardiovascular disease, hypertension, hip fractures, type 2 diabetes, some cancers, metabolic syndrome and the risk of dementia. People who walk or cycle also have lower carbon footprints from all daily travel. At the population level, replacing motorised travel with walking or cycling, reduces vehicle exhaust and greenhouse gas emissions. Encouraging ϳԹ Health staff, patients and visitors to shift towards active and public transport options, wherever feasible, will help improve health outcomes and decarbonise our health system.

The ϳԹ Ministry of Health, in partnership with Local Health Districts, leads the development, statewide implementation and evaluation of prevention-focused programs and services that improve health and help reduce the burden of chronic disease.22 The COVID-19 response has accelerated changes to the way we deliver care, including delivering care closer to home, and changing modes of delivery of medicines and medical supplies.

What we learnt from the consultation

The consultation process confirmed what is working well in the system and identified priorities and areas that require improvement.

What is working well

  • There were many examples of what is working well to reduce travel and transport related emissions, including:
  • Electrification and rationalisation of government passenger vehicle fleet from internal combustion engines to hybrid and electric vehicles.
  • End of trip and storage facilities that encourage active travel among staff and patients; including bike storage and e-bike charging infrastructure.
  • Flexible working arrangements and virtual education delivery to reduce staff travel and emissions.
  • Adoption of innovative strategies, including SWSLHD’s Uber for Health pilot and HNELHD’s eBikes as fleet vehicles pilot, supplementing government passenger vehicle fleets for more sustainable alternatives.

What will be different in 2030

  • Investment in electrification of emergency vehicles (including net zero ambulances and patient transport vehicles), including supporting charging infrastructure and equipment, for example long- range batteries.
  • Collaborating with the ϳԹ Government and key partners, including Transport ϳԹ and councils, to continue to improve public transport infrastructure; improving healthcare access and reducing health system emissions associated with staff and patient travel.
  • Expansion of innovative travel and transport pilots, including electric bike fleets and drones, which support hospital and community service delivery.
  • Improved promotion of public and active transport initiatives (e.g. walking and cycling) and establishment of active travel plans for ϳԹ Health facilities, promoting sustainable (active and public), connected and reliable transport options.
  • Improved availability of secure and reliable charging infrastructure across ϳԹ Health facilities for staff and patients.
  • Expansion and promotion of car-pooling and sharing arrangements for staff.
Charging stations in a car park
Hunter New England Local Health District, Maitland Hospital EV charging infrastructure

Supporting initiatives

Case study: NSLHD’s commitment to net zero

NSLHD is committed to reducing transport emissions and achieving the District's net zero targets. As part of this commitment, six electric vehicle (EV) charging stations were commissioned at Macquarie Hospital in 2024, and ten EVs have been put into operation with community nursing and Mental Health services at Macquarie. The EV rollout will continue across the District as part of NSLHD’s ongoing sustainability efforts.

Case study: Travel for the future

SWSLHD’s Travel for the Future Strategy aims to create a more sustainable transport network by exploring the use of Uber for Health, consolidating pool vehicles at shared sites, utilising telematics data to identify opportunities for fleet reductions and installing electric vehicle chargers to support the existing and future electric vehicle pool.

SWSLHD has installed 17 EV chargers at Liverpool Hospital and commenced work on introducing a further 18 chargers at Campbelltown Hospital. These charging sites will create an EV travel corridor between Liverpool and Campbelltown Hospitals whilst providing opportunities to grow the Districts Electric Vehicle fleet pool.

Case study: The Children’s Hospital at Westmead Car Park Redevelopment

The state-of-the-art, eight-storey car park for the Children’s Hospital at Westmead provides over 1,000 new parking spaces to meet the hospital’s current and future parking needs.

The new car park’s sustainable design includes 75 electric vehicle charging stations, with future proofing for 200 in total. Solar panels have been installed on both the roof and the façade; generating over 700kW of renewable energy.

The redevelopment also incorporates new landscaped areas, pedestrian pathways and playground improvements which support active travel initiatives.

Case study: ϳԹ Active Transport Health Model

Active transport plays a major role in addressing chronic disease, traffic safety and congestion, air pollution, and climate change.

In 2024, the ϳԹ Ministry of Health, in partnership with Griffith University, the University of ϳԹ and The George Institute, released a new Active Transport Health Model. The model provides an evidence-based method for assessing the health impacts of active transport.23

The model’s standardised economic and social reference outcome values can be used by practitioners to calculate the costs and benefits of active transport initiatives.

Case study: Gearing up for greener transport

Hunter New England LHD’s Population Health team based at Wallsend Health Campus are gearing up for greener transport. They’re swapping fleet cars for electric bicycles to attend meetings and appointments at frequently visited sites including John Hunter Hospital, Hunter Medical Research Institute, Calvary Mater Hospital and University of Newcastle.

The eBikes as Fleet Vehicle pilot project launched in 2024 aiming to reduce carbon emissions associated with staff travel and promote physical and mental health outcomes for staff. In addition, riding electric bicycles is expected to be time and cost effective compared to driving a car.

Case study: Driving sustainability targets

On their journey to Net Zero, ϳԹ Ambulance are upgrading their emergency vehicles to run on solar-powered energy.

ϳԹ Ambulance Fleet and Equipment team designed a system to replace the lead-acid battery with a more environmentally friendly lithium battery to power several electrical components of the vehicles.

“This has involved solar panels being installed on the roof of the vehicles which charge the lithium batteries,” said Ols Duerr-Reuther, Associate Director Fleet and Equipment. The use of solar panels and lithium batteries is already reducing waste and keeping ϳԹ Ambulance’s vehicles on the road longer and more often. So far, approximately 400 solar panels and 550 lithium batteries have been installed in ambulances and they are on the way to achieving a reduction of 2,000 battery changes per year.

Current as at: Wednesday 28 May 2025
Contact page owner: System Purchasing