Edinburgh Napier University

  This paper critically examines the integration of ethical and sustainable practices within the UK's National Health Service (NHS). Confronting significant challenges such as patient confidentiality, informed consent, resource allocation, and environmental pressures like carbon footprint management and waste reduction, this research addresses these ethical and environmental issues by aligning them with the UN Sustainable Development Goals and principles of the circular economy. The paper proposes a comprehensive and actionable responsibility framework rooted in business ethics literature, designed to enhance the NHS's accountability, transparency, and sustainability. Key findings include the identification of effective sustainable practices such as advanced recycling programs and energy-saving initiatives. By emphasizing transformational leadership and cross-sector collaboration, the paper offers detailed recommendations for embedding sustainable practices that enhance patient care and promote environmental stewardship. The NHS aims not only to improve its service delivery but also to set a global standard for sustainability in healthcare systems. The study concludes with actionable recommendations for a balanced approach to ethical healthcare delivery and environmental management, proposing systemic changes and strategic initiatives crucial for achieving real-world impact.