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The concept of sustainability in its broadest context is an easy one. It is about using resources wisely in a way that not only protects the environment in which we live here and now, but also takes account of the needs of our planet’s inhabitants in the future. I choose my words carefully; as humans we are only one species in this ecosystem and our future wellbeing is inextricably linked with the rest of the biosphere. Climate change presents a major threat to the biosphere and there is overwhelming evidence that the activities of mankind are contributing to this phenomenon. The stress that the wider ecosystem is being put under is likely to impact on health in many ways and as GPs, health is our core business. Margaret Chan, the Director General of the World Health Organization, described climate change as the biggest threat to health in the 21st century. In part she is right but the implications for health will run for far longer than this century alone.Since the Industrial Revolution the ever-growing world population has been consuming planetary resources at an ever-increasing pace. This is true of many types of resource, however burning the locked stores of hydrocarbon in the form of coal, gas, and oil has led to a rise in CO2 levels in the atmosphere, resulting in climate change. If we continue as we are then climate modelling predicts a 2–5 °C increase in ambient temperature by 2050; the projected impact of the higher range is devastating. The report of the UCL/ Lancet …

What sustainability means for primary care: primary care leads to better overall resource use and higher quality outcomes