Winner: Nottingham University Hospitals trust

The winning trust's commitment to sustainability means it has already saved 90,000 food miles and cut the number of car journeys by 500,000 this year

Nottingham University Hospitals trust operates and manages its business in a sustainable way, including the local sourcing of food.

The trust's sustainable strategy supports the local economy, reduces transport miles and therefore the carbon footprint, and ensures access to fresh ingredients.

The judges praised the project's continued ambition and innovation, which is "combined with a holistic approach and board-level support".

So far, 90,000 food miles have been saved. The long-term goal is to build a food production unit with green initiatives, including photovoltaic panels. The trust recycles 97 per cent of its clinical waste at its City Hospital site. The next step in the waste programme is to introduce a domestic co-mingled recycling waste strategy on both sites.

A choice of sustainable transport options are offered to people travelling to the trust's two hospitals, including the free Medilink bus service, which travels between the two hospitals and has served around one million passengers this financial year. This service has cut the number of car journeys on the inner ring road by 500,000 this year and reduced congestion on the trust's car parking spaces. The hospitals trust also offers discounted bus tickets for other services, has cycles for hire and is set to introduce tax-efficient travelcard schemes that will allow people travelling to hospital to choose the best transport option for them.

The trust is committed to changing the culture at work so that staff incorporate exercise into their working day and, to that end, shower facilities have been upgraded and additional cycle storage has been created.

Sustainability at Nottingham University Hospitals trust, contact

Highly Commended: Spokes - the NHS Cycling Network

Spokes, an informal network for NHS staff who cycle to work, used a mileage survey to highlight trusts' obligations to compensate workers.

The findings were that 56 per cent of NHS employers were paying the 6.2p per mile minimum rate. Twenty per cent were paying more than the minimum, with several trusts paying 40p or 50p, 22 per cent paying less than the minimum, and many paying nothing.

Four trusts paying the 6.2p minimum have subsequently raised their mileage rates, in one case to 40.6p.

The NHS carbon reduction strategy cites the results and proposes that NHS organisations offer at least 20p per mile. The judges said the network had had an "impressive impact".

Spokes, contact

Finalist: Birmingham and Solihull Mental Health foundation trust

An energy and environmental efficiency and awareness campaign launched in April 2007 developed a corporate and strategic approach, increased awareness and kickstarted projects.

The judges were impressed with this project's "strong set of environmental initiatives".

Policies have been developed on sustainable development, waste management and energy and carbon management.

More than 1,200 employees have been trained on delivering quality healthcare in a more environmentally effective manner. An initial energy reduction of around 3 per cent has been achieved.

Environmental sustainable development, contact

Finalist: NHS Yorkshire and the Humber Commercial Procurement Collaborative

Growing the Region's Businesses with NHS Investment is a joint project between the regional development agency Yorkshire Forward and Yorkshire and Humber strategic health authority.

The project is managed by the NHS Yorkshire and the Humber Commercial Procurement Collaborative, and aims to redirect 1 per cent (£18m) of the region's total non-pay NHS spend to local businesses.

More than 600 local suppliers have been trained on NHS and public sector procurement and nine contracts have been won by regional suppliers.

Growing the region's businesses with NHS investment, contact

Finalist: South Essex Partnership foundation trust

The judges were "extremely impressed" with the Rochford hospital modernisation programme, part of the trust's plans for developing 21st century mental health services.

The hospital opened in February 2008, with most of the site in a conservation area. The trust worked with Rochford district council's planning department to ensure the requirements of the conservation zone and local architecture were met. The buildings were designed using sustainable materials and methods for energy conservation. Events were held to engage local residents and businesses in the development process.

The judges said the result was a "very high-quality, innovative patient environment".

Rochford hospital project, contact

Finalist: South Staffordshire and Shropshire Healthcare foundation trust

The trust impressed with its holistic approach to becoming environmentally friendly. Its sites now get 26 per cent of their electrical energy from renewable sources. Carbon emissions have been reduced over the last five years from 6,819 tonnes per year to 3,500 tonnes per year, largely by ensuring that heating controls are set at the correct time and temperature.

Ten thousand pieces of decommissioned equipment have been re-used by the International Hospital Trust, and 200 tonnes of domestic commercial waste which previously went to landfill sites is now reverse-recycled and sorted off-site by a contractor.

Holistic approach to make the trust environmentally friendly, contact