The climate emergency is the greatest existential threat of our time and as trusted leaders within our communities’, healthcare providers need to take urgent actions. The challenge is analogous to the threat posed to our patients by the Tobacco industry. This session is all about reducing the large carbon footprint of healthcare by moving away completely from energy derived from burning fossil fuels. It will identify specific actions that we can all take at a micro-level (individual practice), meso-level (local practices and clinical units) to macro-level (whole of health policy).