Commitment to achieving net zero
CaRiMed LLP is committed to achieving net zero emissions by 2045 in line with NHS England’s supplier roadmap. CaRiMed also makes the Small Medium Enterprise (SME) Climate Commitment to halve absolute emissions by 2030 and reach net-zero well before 2050, reporting progress annually via the SME Climate Hub.
Baseline emissions footprint
Baseline emissions are a record of the greenhouse gases that have been produced in the past and were produced prior to the introduction of any strategies to reduce emissions. Baseline emissions are the reference point against which emissions reduction can be measured.
CaRiMed is a medical insourcing provider, founded in 2024, and has not previously reported greenhouse gas emissions. This Carbon Reduction Plan (CRP) represents the organisation’s first formal measurement of emissions.
The baseline year has been set as 2024, as this is the first 12 months of operational activity with available data. These baseline emissions establish a transparent reference point against which CaRiMed’s ongoing carbon reduction strategy will be measured.
As a startup, CaRiMed has not previously reported Scope 3 emissions. This baseline does not record Scope 1 & 2 data as all operations are carried out in employee homes. These will be incorporated over time in line with NHS expectations and the Net Zero Supplier Roadmap.
Mr Sonpreet Rai is our board-level Net-Zero Champion who has committed to quarterly internal dashboard reviews and annual submission via SME Climate Hub which will be published at www.carimed.co.uk/net-zero and updated annually each July.
* Emissions calculated with the SME Climate Hub Small Business Carbon Calculator (GHG Protocol, 2024 BEIS factors).
* Emissions calculated with the SME Climate Hub Small Business Carbon Calculator (GHG Protocol, 2024 BEIS factors).
In December 2024 CaRiMed became an insourcing supplier after being awarded a Framework Agreement for Insourced Services to Support the Provision of Healthcare Services. At the time of preparing this Carbon Reduction Plan, CaRiMed has no active insourcing contracts. As a result our baseline emissions are extremely low and limited almost entirely to home-office electricity use, cloud services and purchased services.
We recognise that absolute emissions will rise over the next five years as we scale. To remain aligned with CaRiMed’s emission reductions goals, while accommodating growth, we have set intensity-based targets that drive continual efficiency gains even while total emissions increase.
CaRiMed’s baseline footprint was 2.128 t CO₂e for the first 11 months of 2024, generated by three work-from-home employees. This equates to ≈ 0.71 tCO₂e per full-time employee (FTE), or ≈ 0.77 tCO₂e /FTE when annualised.
As we scale to ~20 employees and begin on-site insourcing contracts, we project that absolute emissions will rise to a peak of ≈ 24 tCO₂e in 2028. Nevertheless, through aggressive efficiency measures we aim to cut carbon-intensity by at least 40% - to ≤ 0.46 tCO₂e /FTE - by 2030.
CaRiMed will limit absolute emissions to ≤22 tCO₂e by 2030, representing no more than a 10-fold increase on baseline while revenue grows >15-fold, and will set an absolute-reduction target of 50 % from that peak by 2035
Once service volumes stabilise, annual emissions reviews will lock in intensity savings that can convert into absolute reduction targets that align with the NHS Net-Zero milestones on our path to net-zero by 2045.
The following environmental management measures and projects represent our implementation at baseline. The carbon emission reduction achieved by 3 of these actions can equate to a 15-30 % electricity savings in the first year against our baseline and the measures will be in effect when performing any awarded contract. These measures will offset much of the emissions rise from head-count growth while we scale operationally.
Key actions to achieve Carbon reduction initiatives
1. Low-carbon clinical deployment
• Prioritise telemed clinics and remote triage where clinically safe.
• Use pooled transport and route-optimised scheduling for on-site teams.
2. Energy-efficient offices & IT
• Migrate remaining workloads to renewable-powered cloud services.
• Implement smart power-management – smart sockets, LED/PIR lighting controls
• Replace legacy equipment with high-efficiency models – laptop-first procurement policy.
3. Supplier & logistics engagement
• Specify Net Zero commitments in all framework sub-contracts for Lot 2.
• Consolidate consumables deliveries and shift to suppliers offering low-carbon logistics.
4. Travel demand management
• Default to Remote first meeting policy; rail over car/air where travel is unavoidable.
5. Progressive Scope 3 coverage
• 2025–26: map emissions from clinical consumables, patient travel and waste streams.
• 2027 onwards: set absolute reduction targets once service volumes stabilise and high-quality data are available.
As part of our commitment to carbon reduction, from 2026 all new clinical-consumable suppliers to CaRiMed LLP must either have a public carbon-reduction plan or sign the SME Climate Commitment. We will follow NHS and UK-government procurement guidance, the Oxford Principles for Net-Zero Aligned Carbon Offsetting (2024), and SME best practice. CaRiMed will exclusively purchase certified carbon removals (UK-based woodland creation verified to UK Peatland Code) for any residual emissions after 2035.
Future measures for implementation:
Software & Cloud Controls
● Enforce operating system power-sleep policies via Intune configuration changes.
● Implement Auto-shutdown scripts for shared PCs/server.
● Keep workloads to serverless services (e.g. Microsoft 365) to eliminate idle server draw.
● Enable adaptive brightness & battery-saver modes on laptops/monitors
● Voltage optimisation - Fit “fixed-ratio” VO transformers that trims voltage by 8 - 10%
● Use lightweight virtual meeting tools with low bandwidth/data-saver settings.
Behavioural & Operational Tweaks
● “Default-off” policy for peripherals and lights integrated to the onboarding checklist.
● Quarterly “power-down drill” to identify hidden base-load and raise awareness.
● Green KPI in staff objectives (e.g. 10 % weight on energy-saving ideas)
● Consolidate deliveries & favour low-carbon couriers when ordering consumables
This Carbon Reduction Plan has been completed in accordance with PPN 006 and associated guidance and reporting standards for Carbon Reduction Plans.
Emissions have been reported and recorded in accordance with the published reporting standard for Carbon Reduction Plans and the GHG Reporting Protocol corporate standard13 and uses the appropriate government emission conversion factors for greenhouse gas company reporting.
Scope 1 and Scope 2 emissions have been reported in accordance with SECR requirements (where required), and the required subset of Scope 3 emissions have been reported in accordance with the published reporting standard for Carbon Reduction Plans and the Corporate Value Chain (Scope 3) Standard.
This Carbon Reduction Plan has been reviewed and signed off by the board of directors (or equivalent management body).
Angus Campbell
Date: 16/07/2025
Published: July 2025
This statement is made in accordance with section 54 of the Modern Slavery Act 2015 and relevant NHS procurement guidance. It sets out the steps CaRiMed LLP will take in order to prevent modern slavery and human trafficking in our business and supply chains.
a. Our Structure, Business and Supply Chains
CaRiMed LLP is a UK-based start-up insourcing partner to NHS Trusts, providing clinical and operational staff to support healthcare delivery. Our direct workforce comprises employees, IT service providers and clinical staff including clinical personal service company contractors (PSCs).
b. Policies on Slavery and Human Trafficking
We maintain a comprehensive Modern Slavery & Human Trafficking Policy and Internal Strategy, endorsed by our Executive Board. This policy prohibits forced, bonded or compulsory labour, aligns with NHS sustainable procurement standards, and is integrated into our Recruitment and Procurement Policies and Supplier Code of Conduct.
c. Due Diligence Processes
All suppliers undergo enhanced pre-qualification, including:
• Completion of the GOV UK's Modern Slavery Assessment Tool (MSAT);
• Submission of their own Modern Slavery Statements or equivalent;
• Evidence of ethical recruitment, right-to-work checks and labour practice audits;
• Site visits, process assessments and risk mapping exercises.
d. Risk Assessment and Management
We map our supply chains to identify high-risk tiers and geographies. Key risk areas include overseas recruitment and temporary labour. Mitigation steps include:
• Clear responsibilities and contractual clauses mandating transparency;
• Regular supplier site audit questionnaires;
• Supplier KPIs on labour practices;
• Escalation and remediation processes for adverse findings.
e. Measuring Effectiveness
We monitor performance against the following indicators:
• 100% supplier due-diligence completion rate;
• Zero reported incidents of forced labour or trafficking via our whistleblowing hotline;
• Annual supplier audit compliance scores above 90%;
• MSAT scores and improvement tracked quarterly.
f. Training and Capacity Building
All staff, including procurement and operations teams, complete mandatory modern slavery e-learning and bespoke workshops within one month of joining, with annual refreshers. We stipulate training requirements through procurement contracts and share resources with supplier partners to raise awareness and skills.
Impact of Business Decisions
We recognise that short lead times, late payments, and cost pressures can increase supply chain risk. We commit to:
• Fair payment terms (30-day maximum) for all suppliers;
• Transparent procurement timelines;
• Close collaboration with suppliers to understand and mitigate pressures.
Approval
This statement was approved by the Managing Partner of CaRiMed LLP on 16 July 2025 and will be reviewed annually or upon significant change to our business model.
Angus Campbell
Director, CaRiMed LLP
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