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67Kitchen Organisation And The EnvironmentA small, rural hospital focused on improving the organisation of the kitchen. By implementing 5S principles and basic first-in-first-out and reorder systems, they eliminated 100% of expired items. Expired items trigger unnecessary purchasing and production, transport, disposal, and material use, all of which generate avoidable greenhouse gas emissions. Even simple, low-cost improvements in areas like kitchens can support sustainability goals. Circularity Is CriticalA quick way for leaders to identify waste opportunities is to \dustbins.\Health Service produces around 156,000 tonnes of clinical waste annually, which is a staggering amount that requires incineration or alternative treatment. Any unnecessary disposal drains resources, requires new purchases and storage, and generates greenhouse gas emissions across the supply chain. Healthcare practitioners are increasingly addressing this challenge through circularity, which aims to keep supplies in use at their highest value for as long as possible. For instance, the NHS North West recycles facemasks and medicine pots through \-as-a-service\ systems, and the Royal College of Surgeons of England recommends reusable alternatives for textiles (PPE, drapes) and surgical instruments to reduce theatre waste. Circularity challenges leaders to reduce the need for additional resources by keeping waste out of landfills. This is a key strategy in sustainability. Final ThoughtsClosing the Execution Gap can be accomplished by weaving lean and sustainability principles into the heart of the strategy, using tools like the Doughnut Model for a balanced, holistic path forward. Success stories, such as the remarkable reductions in waiting time and neonatal mortality, illustrate the transformative power of aligning highlevel ambitions with frontline action. By acting decisively, nurturing a culture of continuous improvement, reimagining supply chains for circularity, and freeing resources from waste, we can forge resilient, equitable, and sustainable healthcare systems. Our challenge is to bridge this gap for the sake of planetary and human health.專欄文章5 (原文)｜THE EXECUTION GAP