Support for GCI C&C Statement

Please add my personal and professional endorsement to support of the GCI's C&C Proposal to the UNFCCC.

With very best wishes,


Dr David Pencheon
Director - NHS Sustainable Development Unit (SDU)

Slide Show from NHS Sustainable Development Unit

  • This slide helps to explain the concept of Contraction and Convergence.
  • Carbon footprints (per capita) vary around the world; with the world average being ~4 tonnes CO2.
    Scientists suggest that 1.85 tonnes (per capita) is needed for sustainability.
  • For most countries (including the UK), that‘s a very large reduction! (Although according to the contraction and convergence concept, other countries, such as Nigeria, Ethiopia and Bangladesh, should be allowed to increase their emissions, to allow them to develop and attain the standard of living of the developed world).
  • NHS targets are in this context. As the biggest public sector organisation, arguably the NHS should be at the forefront of leading actions against climate change.
  • Source: Marches Energy Agency, but it was derived from some work carried out by the Global Commons Institute (GCI) – Contraction & Convergence – international shares of carbon.


You may be aware that the Royal College of Nursing (RCN), BMJ Editor-in-Chief Fiona Godlee, and the Campaign for Greener Healthcare hosted a meeting of health professionals at the RCN on Saturday as part of the Wave demonstration.

Here’s my contribution: David Pencheon

“The time is now. As health professionals we have a duty of care, a duty to remind people we have no right to break a long established deal – that we leave this world in a better state than we found it – for everyone.

The time is now. We demonstrate today for people who have less choice and less voice than we do. This is not about saving the planet – the planet will be fine, albeit less habitable – unpleasant for the rich and impossible for the poor. But, of course, many poorer people already know this. Many rich people do not know and do not want to know. This is not about saving the planet, it’s about saving ourselves and preserving the interdependency which sustains everything and which makes life worth living.

Making a stand.

Is this important? I think it’s the most important thing we’ll ever do.

Is this difficult? If you think helping a person addicted to heroin is tricky, try helping 6 billion people addicted to carbon.

Is this fair? If you think the credit crunch is an obscene degree of borrowing from future generations, the climate crunch is an obscene, immoral and unforgivable theft. We have no right to do this.

And the crazy thing is, not only do we do this knowingly, but the alternative: a safer, cleaner, fairer, healthier world is entirely possible. We are complicit in destroying a world where all our children and where people who have far less opportunity than we do, could all have a decent future. We are living off the past which is fine, but we are living off the future too, which is wrong.

The time is now. The next three weeks will be the best time we’ll ever have to force a tipping point. We will never have a better time to make this issue mainstream, not just in people’s minds but in people’s actions.

However, we need to be informed. Genuine change is not stimulated by empty rhetoric. We all need to be aware of 2 degrees, 450 parts per million, 1 trillion tonnes, and contraction and convergence. We need to know that adaptation, managing the unavoidable, is important, but that mitigation, avoiding the unmanageable, is even more important.

In fact, we are not really about avoiding a disaster. Because the disaster has already happened – ask the poor in poorer countries. We are about avoiding a catastrophe. The convenient truth is that the money is available (the response to the credit crunch has shown that) and the technology is available (we already know we can decarbonise the European electricity supply with less effort and international collaboration than it has taken to run a war). What is lacking is the will.

Today we will make a little piece of history – but only if this advocacy and awareness raising is translated into consistent and sustained action: implementing the social cost of carbon, and implementing contraction and convergence.

Many of us in this room today are part of one of the world’s largest workforces facing the world’s largest challenge. But don’t get mad, get active, and get 10 other people to get active too.

But above all, stay focussed and stay positive: Martin Luther King did not say “I have a nightmare.” This country has the world’s highest cumulative emissions per capita. Health professionals are the most respected people in this country. If we do not make a stand: if we do not ensure that this about lines in the sand, not heads in the sand, then we are failing everyone. There is no they, It’s us, it’s we, it’s you, it’s me.

This is happening on our watch, it will be our legacy. The time is now.

Action to reduce substantially carbon emissions in a way that is fair and equitable for all countries around the globe see Global Commons Institute’s policy of Contraction and Convergence, which is a carbon cap and trade policy designed to reduce CO2 emissions.

Faculty of Public Health of the Royal Colleges of Physicians of the United Kingdom
Scottish Environmental Protection Agency
UK Public Health Association
Sheila Adam, Interim Regional Director of Public Health, NHS London
Edwina Affie, Public Health Consultant
John Ashton, title to be confirmed
Ian Baker, Hon. Reader in Public Health, University of Bristol
Geoff Barnes, Health Policy Adviser, Sustainable Development Commission
Ian Basnett, Assistant Director of Public Health, North East London Strategic Health Authority
Chris Bentley, Director of Public Health & Clinical Engagement, South Yorkshire Strategic Health Authority
Graham Bickler, Regional Director , South East Health Protection Agency
Chris Birt, Consultant / Honorary Senior Lecturer in Public Health, Central Liverpool PCT
Leslie Boydell, Consultant in Public Health Medicine, Institute of Public Health in Ireland
Nick Cavill, Cavill Associates
Sir Ken Collins, Chairman, Scottish Environment Protection Agency
Anna Coote, Public health specialist
Fiona Crawford, Public Health Programme Manager, Glasgow Centre for Population Health
Andrew Furber, Honorary Senior Clinical Lecturer/ Consultant in Public Health Medicine, South East Sheffield PCT
Campbell Gemmell, Chief Executive, Scottish Environment Protection Agency
Mike Gill, Visiting Professor in Public Health, University of Surrey
Sir Muir Gray, Director of Clinical Knowledge, Process and Safety, NHS Connecting for Health
Jenny Griffiths, independent consultant
Rod Griffiths, President, Faculty of Public Health
Siân Griffiths, Director, School of Public Health, The Chinese University of Hong Kong
Sir Andy Haines, Professor, London School of Hygiene and Tropical Medicine
Neil Hamlet, Consultant in Public Health Medicine, NHS Fife
John Harvey, Director of Public Health, Havering PCT
Tony Hedley, Chair Professor in Community Medicine, Department of Community Medicine, School of Public Health, The University of Hong Kong
Alison Hill, Director, South East Public Health Observatory
Linda Hillman, Consultant in Public Health and Dental Public Health, Norfolk Public Health Network.
Phil Insall, Director, Active Travel, Sustrans
Lizi Irvine, Senior Lecturer, Napier University, Edinburgh
Julie Hotchkiss, Director of Public Health, Ashton,Leigh & Wigan Primary Care Trust
Richard Jarvis, Consultant in Health Protection, Cheshire & Merseyside
Jack Jeffery, Immediate Past Chairman of the Royal Institute of Public Health and Director, Durham County Waste Management Ltd.
Alyson Learmonth, Director of Public Health and Health Improvement, Sedgefield PCT
Giovanni Leonardi, Consultant in Environmental Epidemiology, Health Protection Agency, Centre for Radiation, Chemical, and Environmental Hazards
Carolyn Lester, Lead for Health Inequalities & Equity, National Public Health Service for Wales
Ann McCarthy, Senior Lecturer, Division of Criminology, Public Health & Policy Studies, School of Social Sciences, The Nottingham Trent University
John Middleton, Director of Public Health, Sandwell
David Miles, Director of Public Health, West of Cornwall Primary Care Trust
Ruairidh Milne, Clinical Senior Lecturer, School of Medicine, University of Southampton
George Morris, Professor, Senior Medical Officer, Scottish Executive,
Maggi Morris Director of Public Health, Preston Primary Care Trust
Aldo Mussi, Snr Lecturer in Health Development, Faculty of Health, University of Central England
David Ogilvie, MRC fellow, MRC Social and Public Health Sciences Unit, Glasgow
Lindley Owen, Director, Mobilise! Project, Manager Sustrans Cornwall & Plymouth
David Pencheon, Director, Eastern Region Public Health Observatory
Cathy Read, Consultant in Public Health Medicine, Barnsley Primary Care Trust
Paul Redgrave, Director of Public Health, Barnsley Primary Care Trust
Sue Roaf, Councillor Professor, Oxford Brookes University
Ian Roberts, Professor of Epidemiology and Public Health, London School of Hygiene and Tropical Medicine
Helen Ross, Public Health Development Manager, Greater Nottingham Health and Environment Partnership,
Harry Rutter, Deputy Director, South East Public Health Observatory
Paul Scourfield, Chief Executive, Faculty of Public Heatlh
Jackie Spiby, Consultant in Public Health, North East London Strategic Health Authority
Cameron Stark, Consultant in Public Health, NHS Highland
Robin Stott, vice chair Medact
Jeremy Wight, Director of Public Health, North Sheffield Primary Care Trust
Ewan Wilkinson, Consultant in Public Health, Liverpool Primary Care Trusts

"Contraction and Convergence is a prime example of a UNFCCC-compliant Global Climate Change Framework. It is a rational formulation for reconciliation of 'Climate Justice without Vengeance'. Several ideas derived from C&C have surfaced since Kyoto with ideas that can be perhaps in various ways incorporated into C&C. However, there is an overwhelming need for an over-arching UNFCCC-compliant Framework that enables the globally competing interests of the over-consuming and the under-consuming to be reconciled with each other and with the objective of the UNFCCC in a non-random manner. We feel that C&C is the veteran and indeed the apex example of this and urge you to consider our request. At Kyoto in December 1997 and shortly before they withdrew from these negotiations, the USA stated, “C&C contains elements for the next agreement that we may ultimately all seek to engage in.” The adversarial reasons for their withdrawal then were in play again at COP-15: - http://www.gci.org.uk/public/COP_15_C&C.swf C&C answers this in a unifying and constitutional way and the need for this answer becomes increasingly critical."
Letter & signatories at: -http://www.gci.org.uk/politics.html
Anthony J. McMichael, MBBS, PhD
Professor and NHMRC Australia Fellow National Centre for Epidemiology & Population Health
ANU College of Medicine, Biology and Environment
Australian National University
Honorary Professor of Climate Change and Human Health, University of Copenhagen
Professor Sir Michael Marmot MBBS, MPH, PhD, FRCP, FFPHM, FMedSci
Director, UCL International Institute for Society and Health
MRC Research Professor of Epidemiology and Public Health, University College London
Chairman, Commission on Social Determinants of Health
Chairman, Department of Health Scientific Reference Group
Professor Sir Andy Haines
Director, London School of Hygiene & Tropical Medicine, London WC1E 7HT
[in a personal capacity]
Alistair Woodward
Head of the School of Population Health, University of Auckland
Dr Nigel Woodcock
Dr David Pencheon
Director - NHS Sustainable Development Unit (SDU)
Professor Anthony Costello FMedSci,
Director UCL Institute for Global Health
Linda Rosenstock MD, MPH
Dean, UCLA School of Public Health
Former Director, U.S. National Institute for Occupational Safety and Health
Professor Alan Maryon-Davis
President, UK Faculty of Public Health
John Guillebaud
Emeritus Professor of Family Planning & Reproductive Health, UCL
Professor Hugh Montgomery
Director, UCL Institute for Human Health and Performance
Dr Robin Stott
Director of the Climate and Health Council
Jenny Griffiths OBE,
Member, Climate and Health Council
Dr Richard Horton
Editor in Chief Lancet Magazine
Fiona Godlee
Editor in Chief British Medical Journal
Dr Jean-Baptiste Kakoma
Rwandan School of Public Health
Ian Roberts
Professor of Epidemiology and Public Health LSHTM
University of London
Sarah Walpole, BSc, MBChB,
York District Hospital, UK
Professor Sir Sabaratnam Arulkumaran
President, Royal College of Obstetricians & Gynaecologists, UK
Mr Tim Campbell-Smith MBBS BSC FRCS (Gen Surg)
Consultant colorectal and general surgeon
Mark Thompson
General Practitioner
Dr. Marie-Claire Lobo
Consultant in Public Health Medicine NHS Hampshire
Tony Waterston
Consultant paediatrician (retired)
Chair of Royal College of Paediatrics and Child Health Advocacy committee
Professor Fiona Stanley
Director Telethon Institute for Child Health Research Perth Western Australia
Dr Richard Lawson

General Practitioner
John H Crook Phd DSc
Formerly Head of Joint School in Psychology and Zoology
Psychology Department, Bristol University
Francesca Vandelli
Systemic Learning and Development Officer, Health and Social Care Bristol
Dr Martin Hemingway
Green Party, North West Leeds

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