Market sounding findings: net zero supplier requirements from April 2027

What this report covers

It summarises feedback from a survey of suppliers and other stakeholders about the requirements on NHS suppliers to publish all of their relevant global emissions, emissions targets and carbon reduction plans from April 2027.

These requirements form part of the NHS Net Zero Supplier Roadmap, which was adopted as statutory guidance in 2022 and this report describes revisions to the requirements in light of the feedback we received.

Summary of key information

We engaged around 10,000 stakeholders and received 219 survey responses, including input from 7 trade bodies representing more than 1,000 suppliers.

81% of respondents agreed or partially agreed with the draft technical requirements.

Where agreement was under 80%, adjustments were discussed with industry and NHS stakeholders. 3 policy positions were revised:

The survey highlights strong support from small and medium sized suppliers.

What we asked suppliers about

The survey sought feedback on 9 draft technical requirements that will apply to suppliers from April 2027.

The 9 areas covered by the technical requirements, grouped by theme, were:

Boundary

Alignment to NHS net zero target

Scope 3 emissions reporting

Emission reporting guidance

Approach to implementation

Overall findings

NHS suppliers and trade bodies made up 78% of respondents. Among suppliers, there was a fairly even split by organisation size, with small and medium‑sized enterprises accounting for 54% and large companies 46%.

Medical devices and equipment suppliers formed the largest group of respondents (50%), followed by pharmaceuticals (13%). Other sectors represented included data and digital (6%), catering and nutrition (5%), healthcare services (5%), estates and facilities (3%), construction (2%), and transport and distribution (1%).

The remaining 22% of responses came from NHS staff, professional bodies, academic organisations, non‑governmental organisations and consultancies (referred to as ‘other’ in table 1).

Table 1: Agreement with the draft technical requirements

The percentages show the proportion of respondents selecting either ‘I agree that this is the position that should be adopted’ or ‘I partially agree this is the position that should be adopted’.

Draft technical requirementAll respondentsAll suppliersOtherLarge companyMicro, small
or medium
sized enterprise

Reporting entity

92%

92%

92%

93%

90%

Geographical boundary

76%

72%

90%

72%

70%

Net zero commitment year

71%

66%

86%

60%

71%

Scope 3 reporting

86%

87%

85%

89%

85%

Validation

71%

70%

82%

65%

72%

Verification

81%

82%

82%

80%

81%

Offsetting disclosure

78%

78%

82%

80%

77%

Alignment to standards

93%

93%

94%

93%

91%

Tiering

85%

85%

82%

85%

85%

Where combined agreement (total and partial) was at least 80% and total agreement was at least 50%, the level of support was considered sufficient to proceed with the proposed policy position, with analysis focusing on qualitative feedback to improve clarity and implementation.

The remaining 4 draft technical requirements attracted lower levels of agreement:

  • year by which the reporting entity commits to net zero (66% agreement)
  • net zero target validation (67% agreement)
  • disclosure of carbon offsetting expectations (75% agreement)
  • geographical boundary (76% agreement)

The first 3 positions were revised following further engagement with industry and NHS stakeholders. We didn’t revise the geographical boundary position, but clarified it in the guidance to distinguish between the area where emissions occur and the areas in which suppliers operate (covered by the reporting entity).

Feedback from trade bodies was considered throughout and broadly reflected supplier views: specifically, concerns around the net zero commitment year and validation requirements.

Agreement includes responses of both ‘I agree that this is the position that should be adopted’ and ‘I partially agree this is the position that should be adopted’.

A more detailed breakdown is provided for each focus area in the detailed feedback and NHS responses section here.

Detailed feedback and NHS responses

1. Reporting entity level

Proposed policy position:

The reporting entity should, at minimum, be the contract bidding entity (the organisation engaging with the NHS).

Alternatively, the parent company may report on behalf of the bidding entity.

Figure 1: Level of agreement for the reporting entity level policy position

Graph showing the shares of respondents whose response to the proposed policy position was agree, partially agree, don't know, [I have] reservations, or [I have] strong reservations.

Breakdown of all responses for the reporting entity level policy position shared in the detailed market sounding

ResponsePercentage

Agree

68%

Partially agree

23%

I don’t know

0%

Reservations

5%

Strong reservations

3%

What suppliers said:

  • Respondents agreed that the NHS should continue with a flexible approach and allow either the bidding entity or the parent company to report, as this strikes a balance between standardisation and practicality.
  • Feedback highlights the need for clear guidance to ensure suppliers understand the flexible approach.

Quote from detailed market sounding:

“We agree that this position should be adopted, as it recognises the diversity of company structures within the supply chain while ensuring alignment with internationally recognised frameworks.

“This approach provides both flexibility for suppliers and consistency with best practice in emissions reporting.”

NHS response:

The policy position has been confirmed with additional guidance and examples on which entities can report and how this relates to the geographical boundary.

2. Geographical boundary for net zero commitment and emissions

Proposed policy position:

The reporting entity must apply a global geographical boundary for the net zero commitment and emissions reporting, encompassing all emissions under operational or financial control, as per the Greenhouse Gas Protocol.

Figure 2: Level of agreement for the geographical boundary for net zero commitment and emissions policy position

Graph showing the shares of respondents whose response to the proposed policy position was agree, partially agree, don't know, [I have] reservations, or [I have] strong reservations.

Breakdown of all responses for the geographical boundary for net zero commitment and emissions policy position shared in the detailed market sounding

ResponsePercentage

Agree

59%

Partially agree

16%

I don’t know

1%

Reservations

14%

Strong reservations

11%

What suppliers said:

  • There was strong support for all emissions to be reported irrespective of where they are happening (‘global geographical boundaries’) rather than emissions happening in the UK only to ensure comprehensive emissions reporting that drives accountability and aligns with global standards such as the Greenhouse Gas (GHG) Protocol.
  • This approach is seen as critical for consistency and transparency.
  • Responses to this question indicated confusion between what must be reported (geographical boundary) and who must report them (reporting entity).
  • Responses indicated a misunderstanding that the NHS will exclusively require the global parent company to report upon and make net zero commitments, which is not the case (refer to Reporting Entity above).
  • This highlights the need for clarity on these concepts in the policy guidance.

Quote from detailed market sounding:

“We support this position. A global reporting boundary is essential to reflect true emissions’ impact across international operations.

“This aligns well with GHG Protocol principles and reinforces credibility in supplier disclosures.”

NHS response:

The policy position has been confirmed with additional guidance and examples distinguishing between reporting entity and geographical boundary, aligning with the Greenhouse Gas Protocol.

This will also be covered in detail in the supporting resources, including internal trainings and external webinars.

3. Year by which the reporting entity commits to net zero

Proposed policy position:

The reporting entity should commit to net zero by 2045 or earlier, for their scope 1, 2 and 3 emissions, for a global geographical boundary, for the entity level they have chosen; or provide a rationale, in line with the constraints below, as to why they have set a net zero commitment for a later date (such date still being before the end of 2050).

For reporting entities that have set net zero commitments after 2045, but before the end of 2050, recognition is given to targets that are robust, clear, and include near-term reductions.

They must be validated through a credible net zero target validation standard; for example, the Science Based Targets initiative (SBTi) Corporate Net Zero Standard.

Figure 3: Level of agreement across all respondents for the year by which the reporting entity commits to net zero policy position

Graph showing the shares of respondents whose response to the proposed policy position was agree, partially agree, don't know, [I have] reservations, or [I have] strong reservations.

Breakdown of all responses for the year by which the reporting entity commits to net zero policy position shared in the detailed market sounding

ResponsePercentage

Agree

42%

Partially agree

28%

I don’t know

1%

Reservations

16%

Strong reservations

14%

What suppliers said:

  • Suppliers were supportive of the NHS’s 2045 net zero target for scope 1, 2 and 3 emissions, viewing it as demonstrating leadership.
  • Concerns were raised about the feasibility of a 2045 target for suppliers from 2027, as many have set their targets in line with the UK’s national target of 2050.
  • Respondents also highlighted potential risks of greenwashing and lack of robustness with earlier targets without external validation.
  • Costs to suppliers to obtain validation was also raised.

Quote from detailed market sounding:

“While a 2045 commitment aligns with NHS ambition, the current proposal risks encouraging suppliers to make bold but unvalidated claims simply to meet the earlier date.

“Achieving independent validation is resource-intensive, yet requiring it only for later targets places a disproportionate burden on companies who may be taking a more cautious, realistic approach.

“A fairer model would be to encourage validation for all net zero commitments, with a more realistic deadline of 2050. NHS could also remove this requirement for all suppliers, but it should be consistent.

“This would avoid creating an incentive for unverified commitments and ensure consistency and credibility across the supply chain.”

NHS response:

The policy position has been reviewed; whilst suppliers are encouraged to set a net zero target of 2045, a target of 2050 will still meet the minimum requirements for the April 2027 Net zero supplier roadmap policy.

The section on 5. Net zero target validation provides further information on changes to the validation policy position.

4. Reporting on scope 1, 2 and all relevant scope 3 emissions

Proposed policy position:

The reporting entity reports on scope 1, 2 and all relevant scope 3 emissions defined in the Greenhouse Gas Protocol for their base year and current reporting year.

In line with reporting standards, the reporting entity must follow the Greenhouse Gas Protocol guidance to determine relevant scope 3 categories, and where categories are deemed ‘not relevant’, an explanation must be provided.

Figure 4: Level of agreement across all respondents for reporting on scope 1, 2 and all relevant scope 3 policy position

Graph showing the shares of respondents whose response to the proposed policy position was agree, partially agree, don't know, [I have] reservations, or [I have] strong reservations.

Breakdown of all responses for the reporting on scope 1, 2 and all relevant scope 3 policy position shared in the detailed market sounding

ResponsePercentage

Agree

58%

Partially agree

28%

I don’t know

0%

Reservations

7%

Strong reservations

7%

What suppliers said:

  • Suppliers supported the position that all relevant Scope 3 emissions should be reported as they viewed this as essential for transparency and accountability whilst minimising reporting burden.
  • Feedback highlighted the specific need for support of smaller suppliers to report on all 15 Scope 3 categories and the need for simple, government-backed tools to support consistency.
  • There were also mixed perceptions around annual reporting with some respondents suggesting it may be too frequent.

Quote from detailed market sounding:

“Most organisations required to disclose emissions will need to explain why certain categories are excluded. This promotes transparency, consistency, and accountability across the supply chain, while also helping to identify priority areas for carbon reduction.

“By encouraging the use of estimation methods and requiring justification for omissions, the proposed policy achieves a practical balance between thoroughness and feasibility – particularly for suppliers still developing their emissions reporting capabilities.”

NHS response:

The policy position has been confirmed, and is aligned with wider reporting requirements including PPN 006 and CSRD, with additional guidance on emissions reporting resources.

A proportionate approach to application, particularly in frameworks, is emphasised in the guidance.

This area will be a point of focus for supporting resources, including internal training and external webinars.

5. Net zero target validation

Proposed policy position:

Target validation will be encouraged but not required for targets which comply with the 2045 requirement.

Target validation is only required for reporting entities that have set targets after 2045 and before the end of 2050 in line with the requirements set out in the ‘net zero commitment required’ section.

This approach recognises the wide range of suppliers in the NHS supply chain who are at the early stages of their sustainability journey and supports them to take further steps.

Figure 5: Level of agreement across all respondents for net zero target validation policy position

Graph showing the shares of respondents whose response to the proposed policy position was agree, partially agree, don't know, [I have] reservations, or [I have] strong reservations.

Breakdown of all responses for the net zero target validation policy position shared in the detailed market sounding

ResponsePercentage

Agree

41%

Partially agree

29%

I don’t know

2%

Reservations

14%

Strong reservations

11%

What suppliers said:

  • Agreement from suppliers that 3rd-party validation, particularly through recognised standards like the Science Based Targets Initiative (SBTi), adds scientific rigor and trust to net zero commitments.
  • Feedback advocated for a flexible approach that encourages rather than mandates validation for all targets.
  • mandating validation received mixed views, reflecting the feedback set out in the section Year by which the reporting entity commits to net zero, with some stating it is required for meaningful target setting irrespective of target year and others saying it may be too burdensome and costly as a mandatory requirement from 2027.

Quote from detailed market sounding:

“While the aim should be for all net zero targets to be 3rd party validated, we appreciate that a whole range of companies supply to the NHS and therefore flexibility is required.

“However, as it is best practice and the only way to ensure credible and robust targets, we do think that validation must continue to be encouraged through the Evergreen supplier assessment.”

NHS response:

The policy position has been revised to reduce cost burden on suppliers, especially SMEs, aligning with the changes in the Year by which the reporting entity commits to net zero position.

Irrespective of the target date, validation will continue to be encouraged as best practice, but not mandated.

6. Verification of emissions disclosed

Proposed policy position:

Emissions verification will be encouraged but not required.

However, emissions calculations and reporting should adhere to the Greenhouse Gas Protocol’s Corporate Accounting and Reporting Standard and should be conducted to a reasonable level of assurance.

Figure 6: Level of agreement across all respondents for emission verification policy position

Graph showing the shares of respondents whose response to the proposed policy position was agree, partially agree, don't know, [I have] reservations, or [I have] strong reservations.

Breakdown of all responses for the verification of emissions disclosed policy position shared in the detailed market sounding

ResponsePercentage

Agree

50%

Partially agree

32%

I don’t know

0%

Reservations

13%

Strong reservations

6%

What suppliers said:

  • Support for emissions verification to enhance credibility and transparency.
  • Consensus was that verification should be voluntary at this stage.
  • Requests for clear guidance on acceptable verification levels, including distinctions between ‘reasonable’ and ‘limited’ assurance*.
  • Some confusion between validation and verification and differing interpretations of assurance levels.
  • Concerns over practicality and cost-effectiveness of limited assurance were also raised.

[*Reasonable assurance provides a high level of confidence that reported emissions are accurate and free from material misstatement, while limited assurance offers a lower level of confidence based on less extensive verification procedures.]

Quote from detailed market sounding:

“Encouraging, but not requiring, emissions verification strikes a practical balance, allowing organisations flexibility while promoting progress.

“At the same time, requiring emissions calculations and reporting to follow the Greenhouse Gas Protocol’s Corporate Accounting and Reporting Standard, with a reasonable level of assurance, ensures consistency, reliability, and credibility in the data reported.”

NHS response:

The policy position has been confirmed, with emissions verification remaining voluntary.

7. Disclosure of carbon offsetting expectations

Proposed policy position:

The reporting entity provides an estimate of the emissions within their net zero target for which they anticipate using carbon offsets to neutralise the residual emissions that cannot be eliminated through direct emission reductions.

Offset estimations may be confirmed closer to the target date.

Figure 7: Level of agreement across all respondents for disclosure of carbon offsetting expectations policy position

Graph showing the shares of respondents whose response to the proposed policy position was agree, partially agree, don't know, [I have] reservations, or [I have] strong reservations.

Breakdown of all responses for the disclosure of carbon offsetting expectations policy position shared in the detailed market sounding

ResponsePercentage

Agree

47%

Partially agree

29%

I don’t know

3%

Reservations

12%

Strong reservations

9%

What suppliers said:

  • Support to focus the majority of efforts on emissions reductions rather than offsetting residual emissions.
  • Concerns arose about the risk of overemphasising offsetting, doubts about the reliability and transparency of offsetting schemes, and the difficulty in estimating realistic offsetting needs 20 years ahead.

Quote from detailed market sounding:

“Industry agrees that offsetting emissions should be for residual emissions, but estimating how many carbon offsets will be required at this stage is incredibly challenging.

“Suppliers are reliant on their complex supply chains reducing their own emissions over the coming years. Technological advances will heavily influence offsets required, and therefore estimations are likely to be significantly inaccurate.”

NHS response:

The policy position has been reviewed; suppliers will not be required to disclose their offsetting expectations in their net zero target.

The change reflects CSRD updates and focuses on emissions reduction.

8. Alignment to international reporting standards

Proposed policy position:

The reporting entity adheres to the Greenhouse Gas Protocol’s Corporate Accounting and Reporting Standard when calculating and reporting scope 1, 2 and all relevant scope 3 emissions.

NHS England continues to explore ways to recognise and align with wider initiatives, for example CSRD and CSDDD.

Figure 8: Level of agreement across all respondents for alignment to international standards policy position

Graph showing the shares of respondents whose response to the proposed policy position was agree, partially agree, don't know, [I have] reservations, or [I have] strong reservations.

Breakdown of all responses for the alignment to international reporting standards policy position shared in the detailed market sounding

ResponsePercentage

Agree

72%

Partially agree

19%

I don’t know

2%

Reservations

4%

Strong reservations

3%

What suppliers said:

  • Agreement that the GHG Protocol should remain the emissions reporting standard for Scope 1, 2, and 3 emissions.
  • The GHG protocol was valued for its role in ensuring consistency, comparability, and credibility.
  • Feedback also highlighted the complexity and potential burden linked to the existence of multiple frameworks and platforms (CSRD, TCFD, GHG Protocol), and suggested that clarification on reporting standards vs platforms and frameworks should be provided.

Quote from detailed market sounding:

“We strongly support the NHS’s alignment with the Greenhouse Gas Protocol’s Corporate Accounting and Reporting Standard.

“This is a globally recognised framework that ensures consistency, credibility, and transparency in emissions reporting.

“We also welcome NHS England’s ongoing consideration of aligning with complementary standards such as the CSRD and CSDDD.

“Clear, harmonised standards improve consistency and reduce duplication.”

NHS response:

The policy position has been confirmed, aligning to wider international reporting requirements.

9. Approach to implementation, including tiering of requirements

Proposed policy position:

The NHS will continue to apply a proportionate approach to policy implementation, and will consider various options to do this; for example, through applying tiered requirements based on anticipated contract value.

Figure 9: Level of agreement across all respondents for approach to implementation policy position

Graph showing the shares of respondents whose response to the proposed policy position was agree, partially agree, don't know, [I have] reservations, or [I have] strong reservations.

Breakdown of all responses for the approach to implementation policy position shared in the detailed market sounding

ResponsePercentage

Agree

55%

Partially agree

26%

I don’t know

4%

Reservations

8%

Strong reservations

7%

What suppliers said:

  • Support for tiered implementation to ensure fairness and feasibility, particularly for SMEs and microbusinesses.
  • Emphasised the need for clear thresholds, consistent application, and practical guidance to avoid confusion, unnecessary burden and misinterpretation for both suppliers and NHS stakeholders.

Quote from detailed market sounding:

“We agree that a tiered, proportionate and phased approach to policy implementation is appropriate to recognise that suppliers to the NHS are at different places on their Net Zero journey.”

NHS response:

The policy will be tiered to support a proportionate and flexible approach to policy implementation with clear guidance on early engagement and consideration of vulnerable markets and those serving disadvantaged groups.

Methodology

The market sounding survey ran between 15 July 2025 and 19 September 2025. Engagement activities included:

  • direct emails
  • proactive emails and presentation reminders
  • LinkedIn posts
  • live broadcast sessions attended by 400 stakeholders
  • a series of internal and external presentations

These activities reached over 10,000 stakeholders, including 5,000 participants outside the NHS. A high-level summary of the findings was presented through a public webinar at the end of 2025.


Publication reference: PRN02316_i