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Looking after people’s health and the planet’s

One Health

People’s health is closely linked to the health of the environment, natural wealth and biodiversity, air quality, and healthy and sustainable lifestyles. At Sanitas, we are firmly committed to taking action to mitigate the effects of climate change and to the regeneration of green spaces. We are committed to sustainability and global health in order to ensure the well-being of people, both today and in the future.
GRI 203-2, 3-3

We create spaces that protect our health

The concentration of population in cities, with seven out of ten people living in urban areas in Spain, makes it increasingly necessary to transform urban spaces into healthy, more sustainable environments that improve the quality of life of citizens.

The Healthy Cities Challenge

The 8th edition of the Healthy Cities initiative, published in 2023, sets out a dual challenge: to promote healthy lifestyles and to create more sustainable and healthy urban environments. The project invites participants to walk 6,000 steps a day and leave the car at home at least once a week for two months in order to encourage physical exercise and sustainable mobility.

Learn more
Healthy Cities app

A transformative movement

Citizens, companies and employees can add their steps to the Healthy Cities challenge, which has been growing since its launch in 2015.
  • Partners, companies, society and administrations

    Healthy Cities was launched in 2015 and is supported by the Spanish Heart Foundation, the Spanish Olympic Committee, the Spanish Paralympic Committee, the Real Madrid Football Club and the Norman Foster Foundation, in addition to the 230 companies and more than 24,400 people who took part in the 2023 edition.

  • Norman Foster Foundation

    Sanitas partners with the Norman Foster Foundation to create buildings and urban spaces that improve people’s quality of life and well-being. The joint initiatives include raising public awareness through the Healthy Cities Public Debates, which are sponsored by Sanitas and organised by the Norman Foster Foundation and the promotion and dissemination of the advantages of more sustainable urban environments and their positive impact on health.

  • Sanitas Chair in Health and the Environment

    In 2023, the initial findings of the research conducted by the Sanitas Health and Environment Chair at the University of Navarra were presented. A report will be prepared with scientific evidence on the impact of urban factors on the morbidity and mortality rates among the Spanish population and the importance of urban regeneration.

    Research shows how factors like air quality, temperature, heat islands, green and blue areas and urban mobility affect health. The aim is to create a situation map to identify problems and situations that have an impact on health, and to explore solutions that will transform cities into healthier places.

  • The Jane Goodall Institute

    Since 2022, Sanitas has partnered with the Jane Goodall Institute to raise awareness among future generations. In addition to replanting green spaces, Sanitas supports the Institute’s Roots and Shoots programme, which runs workshops in 100 Spanish schools and teaches around 5,000 students each year about the importance of taking care of the planet’s health in order to take care of people’s health.

We transform cities

GRI 3-3, 413-1

The more than 24,000 trees planted in this edition have been allocated to ten environmental recovery and regeneration projects in different Spanish cities, and, for the second year running, in Senegal.

Urban Forests

Madrid City Council and Bosque Metropolitano

For the third consecutive year, Sanitas has collaborated with the City of Madrid on a project to create a large green belt around the city. In addition to the trees already planted in Ifema, Cañaveral and Butarque, 1,500 trees and shrubs will be planted in the O’Donnell area, at the future junction between Ciudad Lineal and Moratalaz, creating a mixed pine forest and two areas of deciduous forest. A green lung to improve the quality of life for the people of Madrid. In addition to supporting the growth of the Forest, we assume the maintenance and irrigation costs of all our plantations during the first four years through specialized organizations, such as Bosques Sostenibles or Fundación Juan XXIII.

Learn more

Peri-urban forests

In the Southeast Regional Park (Madrid), which is a bird sanctuary situated along the valleys of the Jarama, Manzanares and Henares rivers, a project is underway to restore 15 hectares of the park in order to accommodate 9,000 native riverside species, including ash, poplar, elm, hawthorn, rose and tamarisk trees.

Learn more

Planet’s largest lungs

Sanitas continues to work with the Jane Godall Institute in Senegal, planting trees to fight climate change and desertification in the Kédougou region of Senegal, a sanctuary for endangered chimpanzees and one of the planet’s largest lungs.

Learn more

Healthy Cities figures 2023

8

editions

+24,400

participants

230

participating companies in Spain

+6,300 M

steps

36

tons of CO2 avoided

+24,000

trees planted on 145 hectares

238,000

people benefiting from restored green areas

At Sanitas, we are committed to caring for people's health, and if we mean to do so, we have to take care of the environment around us. So, we have set ourselves the goal of becoming a net zero company a decade ahead of the Paris Agreement, and thanks to the efforts of the entire organisation, we are well on the way to achieving it.

Yolanda Erburu
Directora de Comunicación, RSC de Sanitas y Bupa Europa y Latinoamérica, y directora de Fundación Sanitas

Net-zero target

GRI 302-4

Sanitas started a decarbonisation process several years ago, with the objective of reducing emissions from its operations. This strategy is aimed at reducing carbon and other greenhouse gas emissions. The goal is to become a net-zero emissions company by 2040 and to contribute to the containment of global temperature rise to below 1.5°C.

Learn more

Our progress in decarbonisation

GRI 3-3

Sanitas has achieved a reduction of nearly 78% in carbon emissions compared to 2009, thanks to the implementation of energy efficiency and renewable energy projects that minimise the impact of our facilities on the environment.

*Emissions from burning natural gas, LPG and diesel, electricity and from our own fleet

Our progress in decarbonisation

Reducing emissions

Innovation for low-emission healthcare

GRI 302-4

Innovation in healthcare is also critical to reducing emissions and achieving a sustainable future. Sanitas uses advanced technologies and implements environmentally friendly health care practices.

Sanitas makes sustainable anaesthesia a reality

Digital transformation

Eco-Disruptive

Water footprint

GRI 3-3, 303-1, 303-5

Water is an increasingly valuable and scarce commodity. At Sanitas, we are equipping all clinics with taps featuring automatic sensors and atomising filters. This will reduce the water footprint through more efficient and responsible consumption.

Measures

Circular economy

GRI 3-3, 306-3

The three fundamental principles of a circular economy are reduction, reuse and recycling. At Sanitas, we adhere to these principles through responsible consumption of resources and effective waste treatment procedures.

Learn more

Responsible and conscious operations

The Healthy Cities Challenge

In return, Sanitas will plant a tree for each person who meets this double challenge. A commitment to urban regeneration to contribute to a greener and healthier legacy for all.

Go to the Healthy Cities’ manifesto.

Healthy Cities app

Once again, this year, participants in the 8th edition of Healthy Cities had access to an app to track their progress and their daily steps, as well as to access to information, articles and tips on healthy and sustainable habits. The platform also informed users about prizes, draws and activities, and provides more details about the regeneration projects that Sanitas is involved in.

Urban Forests

Zaragoza City Council and Bosque de los Zaragozanos

Bosque de los Zaragozanos is a pioneering collaborative project designed to create new natural spaces in Zaragoza and its surrounding area. For the second consecutive year, Sanitas will donate 3,500 seedlings to be planted on 3.5 hectares of land in two locations: the first and largest area, in the Bosque de Peñaflor; and the second, at Campos de Canal. The goal is to create natural spaces that have a positive impact on the health of residents.

Malaga City Council and city streets

The city of Málaga will benefit from new tree-lined promenades along the following streets: Bulevar Pilar Miró, Parque Litoral, Calle Villanueva de la Concepción and Avenida Molière. The idea is to make streets with no trees and no shade greener, as well as to create urban forests where people can live closer to nature.

Valencia City Council and the European Green Capital 2024

Sanitas has donated nearly 200 trees to avoid empty tree wells and create shade on the streets of Valencia. As part of the city’s nomination to become European Green Capital in 2024, Sanitas will also be working with the city council on a plan to rehabilitate the area affected by the fires in the Devesa del Saler.

Projects in peri-urban environments

The climate crisis and the availability of water have a significant impact on the environment. As a result, the protection of wetlands is another of the key projects in which Sanitas works in collaboration with WWF. In particular, work is being carried out in the Southeast Regional Park (Madrid) in the Tajo river basin to restore almost one hectare of water surface across different bodies of water and their surroundings.

Furthermore, Sanitas is working with Bosques Sostenibles to reforest an area affected by a fire in the Sierra de la Paramera, in the municipality of Navalacruz (Ávila), and to recover forests in the Network of Protected Natural Spaces in the province of Barcelona.

Reforestation of large green spaces on Earth

2,415 trees have already been planted in this area. In addition, firebreaks have been established by planting trees that are suitable for agroforestry and domestic areas, while food security has been enhanced through the introduction of Nebedaye trees (Moringa oleifera) as a sustainable economic alternative.

Net-zero target

In line with the scientific recommendations of the Science Based Target (SBTi) initiative, which Sanitas joined in 2021, the company is taking action to achieve the net-zero target, with the aim of addressing climate change and its consequences on people’s health and the planet’s.

Our progress in decarbonisation

GRI 302-4, 305-1, 305-2, 305-3

In line with previous years, Sanitas has maintained its commitment of 100% electricity consumption from renewable sources in 2023. This has enabled the company to achieve net-zero Scope 2 emissions.

Emissions by scope 2022 2023
Scope 1
Scope 2
Total Scope 1 & 2
Scope 3
Total
10,367
0.0
10,367
7,536
17,903
8,804
0.0
8,804
8,061
16,865

Reducing emissions

Reduction of direct emissions

GRI 302-4, 305-1

Sanitas’ net-zero target is underpinned by three key principles: efficiency, process rationalisation and the adoption of low-carbon alternatives. This commitment is reflected in measures such as the use of renewable energies and energy savings in hospitals, clinics, residences and offices.

19%

reduction in natural gas consumption from 2021 achieved as a result of the electrification of heating systems and boiler optimisation.

+45%

reduction in our fleet’s energy consumption from 2021, thanks to the rational use and electrification of the home care fleet.

+45%

increase in photovoltaic generation from 2021 thanks to the expansion of photovoltaic panels installed at our residences, hospitals and headquarters.

*To learn more, see the Resilient Buildings section below.

Energy consumption 2022 2023
Grid electricity (kWh)
Natural gas (kWh)
Photovoltaic generation
61,916,561
38,429,640
988,827
60,861,661
35,696,636
1,455,630

Reduction of indirect emissions

GRI 302-4, 305-2, 305-3

Measuring and reducing the impact of Scope 3 GHG emissions from business travel and network losses is key to achieving our goal of becoming a Net Zero company by 2040.

Identifying the footprint of each point in the value chain is also crucial. We collaborate closely with our suppliers to reduce the environmental impact of the products we purchase and the healthcare treatments we offer. We encourage them to commit to reducing their emissions with the support of Sanitas. We are also working to improve our measurement methodology in accordance with the Greenhouse Gas Protocol, the GHG Protocol Corporate Accounting and Reporting Standard and SBTi guidelines.

Video consultations and digital services can reduce the environmental impact of customer travel. Similarly, a number of initiatives are in place to encourage sustainable commuting among employees, with the aim of reducing the emissions generated by their commutes to work.

*To learn more, see the Digitalisation for sustainability section below.

Investing to accelerate decarbonisation

The use of renewable energies and low-carbon alternatives, along with streamlining processes for greater efficiency in the group’s hospitals, clinics, residences and offices, are the foundations on which Sanitas is building its commitment to reach the goal of net zero emissions. However, this requires adequate investment. In 2023, Sanitas invested €1.2 million in energy efficiency projects.

The following projects were approved for implementation in 2023 and will be completed in 2024:

  • The implementation of intelligent building management systems (BMS) at Sanitas La Zarzuela and CIMA University Hospitals, six senior residences and the dental clinics will allow us to control and automate the building’s energy consumption. In addition, the Sanitas headquarters underwent renovation.
  • Decarbonisation of heating systems. At Sanitas La Moraleja and Sanitas La Zarzuela University Hospitals, aerothermal systems were introduced and boilers were modernised. CIMA Hospital has also installed an aerothermal system, which has allowed it to minimise fuel consumption.
  • The photovoltaic generation capacity was expanded by installing new photovoltaic panels at La Zarzuela, Virgen del Mar and La Moraleja hospitals, as well as at the senior residence in Valladolid.
  • The insulation of our flagship buildings has been upgraded.

Emblematic Projects

  • The new Blua Sanitas Valdebebas Hospital, scheduled to open in Madrid in 2025, will be the first digital hospital. The digitalisation of this sustainability-focused facility will contribute significantly to emissions savings.
  • Eco-friendly spaces. We use innovative technologies on the external façades of our buildings to capture CO2 and create eco-friendly spaces.
  • Integrated green infrastructure. We are committed to the creation of green areas wherever possible, in the form of gardens and green roofs, which have the dual benefit of improving air quality and biodiversity. One example of this is the green roof at Sanitas La Moraleja University Hospital.
  • Sustainability certifications:
    • The Sanitas headquarters in Madrid, located at Ribeira del Loira street, has received the BREEAM Exceptional in Use sustainability certification and complies with sustainability building audits in terms of sustainable management, health, wellness, energy, transportation, water, materials, waste, ecology and pollution. The company has also been awarded the Zero Waste Certificate from Aenor. This certification, valid until 2026, attests that the building has a Waste Management System that ensures the recovery of more than 90% of the waste that it produces. The Sanitas headquarters is the first building to receive this certification, and other facilities and hospitals will follow suit as they are also adopting this approach. Waste recovery enables the material to be reconverted and reused as raw materials for the production of other products. This process reintroduces the materials into the production chain, thereby contributing to the development of a circular economy model.
    • Sanitas La Zarzuela and Sanitas La Moraleja University Hospitals in Madrid, as well as CIMA Barcelona Hospital, have implemented an energy efficiency management system that complies with the ISO 50001 standard.
    • Sanitas hospitals are ISO 14064-certified and have a protocol in place to monitor and report on their emissions footprint, including natural resources consumed, carbon emissions and waste generated.

Sanitas makes sustainable anaesthesia a reality

The anaesthesia services of the La Zarzuela, La Moraleja and Virgen del Mar hospitals in Madrid and CIMA hospital in Barcelona, as well as medical centres with outpatient surgery, have minimised the use of nitrous oxide and desflurane, two gases commonly used in surgical procedures that produce significant amounts of carbon emissions. The process, which began in June 2022 and has now been successfully completed, has enabled Sanitas to become one of the first Spanish healthcare providers to eliminate these gases, thereby reducing the environmental impact of its surgical activity.

By the end of 2023, we had reduced our carbon emissions around 600 tons as a result of implementing a sustainable anaesthesia process. This measure is designed to reduce the environmental impact of healthcare facilities, hospitals and medical centres by more than a third.

1,000

tons of CO2 less estimated in the coming years 

44%

reduction of carbon emissions associated with anaesthetic gases

Digital transformation

Advancing towards sustainability The digital revolution at Sanitas streamlines and facilitates the delivery of care to people while protecting the planet’s health.

  • Video consultations and downloadable online reports reduce patient travel emissions.
  • The use of intraoral scanners in dental clinics reduces raw material consumption and waste generation.
  • The digital radiology systems used in hospitals and dental clinics also help to use resources efficiently.

To help raise awareness, Mi Sanitas app includes a calculator that allows patients to quantify their contribution to reducing the carbon footprint through the use of Sanitas digital services. Thanks to digitalisation, we avoided the emission of 8,823 tons CO2 and 175 tons of waste.

Digitalisation also reduces use of paper and eliminates the need for printing and physical filing of traditional applications.

At Sanitas, we see digitalisation as the perfect partner for decarbonisation. As a result, we are committed to digitalising our products and services as part of our contribution to fighting global warming and the impact of climate change on human health. In this context, we rely on the implementation of sustainable digital services across all of our business units.

Sanitas Seguros

Signing policies digitally to include beneficiaries and products saves paper and streamlines the process of printing and filing traditional applications. New corporate contracts are sustainable as they are done 100% online, eliminating the need for paper and physical filing.

In 2023 Sanitas avoided the emission of more than 8,000 tons of CO2 as a result of digital consultations and downloadable medical reports.

Sanitas Hospitales

Thanks to Idonia, Sanitas’ digital platform for diagnostic imaging tests, CDs and other physical media are no longer used. In addition, patients can access their images remotely at any time via cloud technology, without having to travel to the hospital or medical centre.

Sanitas medical centres perform an average of 600,000 radiological tests per year. It is estimated that this measure will reduce consumption of raw materials and plastic by 75 tons, and avoid the emission of 450 tons of CO2 generated by patients travelling to collect their tests.

Sanitas Dental

In 2018, dental clinics began the process of digitalisation with the introduction of digital patient records. In 2023, it was the turn of informed consent forms, and they began to digitalise budgets and insurance claims.

In addition to video consultations, the most significant advancement in dental clinics has been the introduction of intraoral scanners. This technology offers a number of advantages, including greater accuracy and efficiency, faster impressions and convenience as well as greater sustainability. It significantly reduces the consumables associated with traditional impressions, such as plastic trays, alginate powder and PVS materials. Furthermore, patients will no longer have to travel in order to have adjustments or replacements made to the casts in the event of failure or breakage.

Thanks to digitalisation, Sanitas dental clinics avoid the emission of 187 tons of CO2 and 48 tons of waste each year.

Sanitas Mayores

Senior residences are now using digital signatures for new admissions. This includes digital signatures on contracts and internal regulations. This initiative has streamlined the admission process for family members while also avoiding the use of 50 kg of paper.

In addition, the introduction of video consultations with doctors and specialists has led to a reduction of the footprint due to avoiding traveling.

Eco-Disruptive

The Eco-Disruptive Talent Development Programme was created to identify and collaborate with different start-ups in the search for innovative solutions with a positive impact on health and the environment. In its third edition, emerging companies and internal Sanitas teams from across Bupa have once again joined forces to work towards building a better world.

The Eco-Disruptive programme addresses three key areas directly linked to Sanitas’ three sustainability objectives.

  • Mission Zero: Decarbonisation and Circular Economy
  • Mission Accelerate: Sustainable Products and Services and Sustainable Options
  • Mission Regenerate: Healthy buildings, and reforesting and regenerating urban environments

Six Sanitas teams, together with their start-up partners, developed precise solutions which were then put to a vote by employees. The winning project for this edition was presented by the “Uniscool” team. They suggested implementing an intelligent liquid cooling system for data processing centres, which would result in a 30% reduction in electricity consumption.

Water footprint

Proper water management has enabled all our hospitals and centres to reduce water consumption by 3% compared to last year.

 

Water consumption (m³) 2023 2022
Sanitas Seguros

Sanitas Hospitales

Sanitas Mayores (*)

EYP L’ Horta Manises S.A.U.

Sanitas Emisión S.L.

16,961

81,209

388,232

56,589

1,935

16,679

84,043

380,735

59,672

495

(*) Includes Sanitas Mayores S.L., Sanitas Mayores de Navarra S.L. and Sanitas Mayores País Vasco S.A.

Circular economy

Effective waste management is key to reducing the environmental impact of the company’s healthcare activities, which produce biomedical waste that requires special treatment and strict controls.

Digitalisation also presents numerous opportunities to reduce consumption of resources. In 2023, the use of the intraoral scanner led to a saving of 65 tonnes of paper and the avoidance of the consumption of 76 tons of radiological test materials as well as 34 tons of consumables.

Waste generated (kg) Sanitas Seguros
Biomedical waste
Cytotoxic waste
Expired medication
Contaminated packaging and containers
Fluorescents
Paper and cardboard
Confidential papers
Packaging and containers
Electrical appliances
Urban waste
Organic waste
49
0
0
0
9
14,428
4,664
7,928
4,089
1,431
18,623

*Sanitas Seguros also includes Sanitas Emisión.

Waste generated (kg) Sanitas S.A. de Hospitales
Biomedical waste
Cytotoxic waste
Expired medication
Contaminated packaging and containers
Fluorescents
Paper and cardboard
Confidential papers
Packaging and containers
Electrical appliances
Urban waste
Organic waste
135,722
12,524
3,504
1,767
122
118,516
42,470
30,341
5,642
690,737
59,733
Waste generated (kg) Sociedad Especializada y Primaria L’Horta Manises, S.A.
Biomedical waste
Cytotoxic waste
Expired medication
Contaminated packaging and containers
Fluorescents
Paper and cardboard
Confidential papers
Electrical appliances
Urban waste
163,346
8,790
380
488
40
82,520
33,100
4,269
513,960
Waste generated (kg) Sanitas Mayores S.L.
Biomedical waste
Cytotoxic waste
Expired medication
Contaminated packaging and containers
Fluorescents
Paper and cardboard
Confidential papers
Electrical appliances
Urban waste
1,916
0
0
8,255
84
0
0
329
0
Waste generated (kg) Sanitas Dental
Biomedical waste
Cytotoxic waste
Expired medication
Contaminated packaging and containers
Fluorescents
Paper and cardboard
Confidential papers
Electrical appliances
Urban waste
9,108
0
0
0
0
0
0
0
0

Responsible and conscious operations

Zero waste

The Sanitas headquarters in Madrid has been awarded the Zero Waste Certificate by AENOR. This certification is valid until 2026 and confirms that the building has a Waste Management System in place, ensuring that over 90% of waste generated is recovered.
During 2023, the Group’s healthcare facilities also worked to achieve the Towards Zero Waste certification, which they received at the beginning of 2024.

E-waste reduction

Sanitas promotes circular economy projects related to the electronic waste generated by its operations, including computers, tablets and mobile phones. The company strives to achieve a positive social and environmental impact wherever possible. This is achieved through participation in the programmes of leading NGOs, such as the donation of 400 laptops and tablets to the Reutiliza-k programme of the La Kalle Cultural Association.

Single-use plastics

At Sanitas, we have been implementing measures to eliminate plastic waste for several years. We replaced millions of plastic cups from water fountains in hospitals and dental clinics, as well as at our Madrid headquarters. In addition, we have introduced measures such as the ‘My Last Plastic Bottle’ initiative with the goal of increasing employee awareness of the importance of reducing single-use plastics and replacing plastic bottles with refillable alternatives. The programme includes an app that allows users to calculate how much plastic can be avoided each time a refillable bottle is used.

Training

All hospital staff receive training in waste management, and specific recycling campaigns are carried out regularly.

Recycling of packaging and containers

The Ecoembes Reciclos programme offers points for the collection of packaging materials, which can be redeemed for a range of sustainable prizes, local products and discounts on public transportation and sustainable mobility. The Sanitas La Zarzuela University Hospital was the first hospital in Spain to install a Reciclos machine. La Moraleja University Hospital, Sanitas headquarters in Madrid and the CIMA Hospital in Barcelona have since followed suit. To date, we have recycled a total of 15,442 containers.

Sustainable work uniforms

Sanitas is implementing the use of sustainable work uniforms across all four of our business units. Sanitas Seguros and Sanitas Mayores have already implemented this initiative, while Sanitas Dental and Sanitas Hospitales are currently in the process.