abstract: [Figure: see text] Heading for a meltdown: the NHS has a major role to play in tackling climate change, according to an NHS Confederation report, Taking the Temperature: Towards an NHS response to global warming. The report suggests that energy use in NHS healthcare facilities costs £400 million a year and results in a net annual emission of around one million tonnes of carbon dioxide. Based on the government's target, the NHS has to reduce net emissions by at least 60 per cent by 2050. ■For copies of the report, access www.nhsconfed.org/.