Part 1: Health Service in England: Integration, Collaboration and Other Changes NHS England Section 9: Duties in relation to climate change etc.
This section introduces a new duty on NHS England that requires it to have regard to how it can contribute to the achievement of the government’s legislative targets regarding the environment and climate change. These are specified as: the target set under section 1 of the Climate Change Act 2008 (the Net Zero emissions targets, currently set for 2050) and the targets set under section 5 of the Environment Act 2021, which pertain to such matters as air quality, water quality and species abundance (among others). In addition, the duty requires NHS England to have regard to how it may support efforts to adapt to the predicted impacts of climate change as set out in the reports brought forward under section 56 of the Climate Change Act 2008. The duty applies when NHS England is exercising any of its functions. Section 13ND gives NHS England a permissive power to issue guidance on the climate change duties placed upon it, Trusts, Foundation Trusts and integrated care boards, and how those duties are to be discharged. Section 10: Public involvement and consultation: carers and representatives
	This section amends section 13Q of the NHS Act 2006, which requires NHS England to involve individuals to whom health services are provided when exercising its commissioning functions. Following this amendment to subsection (2), NHS England is required to also involve carers and representatives of those individuals to whom health services are provided when exercising its commissioning functions. The term "carer" is broad in order to ensure it captures all groups of carers, including young carers and parent carers who provide care, unpaid, for a friend or family member who has needs for example arising from a disability, impairment or long term health condition.