Transportation is required for health care delivery in three aspects:

• Employee commute

• Fleet vehicle management, including ambulances, courier cars and vans, supply trucks, and shuttle buses

• Supply chain distribution practices

Health systems across the globe are employing various strategies to combat transport-related emission, and these solutions differ depending on the local infrastructure and landscape. In places where cycling routes are well-established, cycling is incentivized by providing hospital bikes and building bike-friendly campuses. Carpooling groups and programs are set up to reduce single-vehicle commuters and relieve parking pressure. Vehicle idling reduction policies are put into effect to reduce fuel wastage, prevent wearing of engines and cut hospital costs.

Technological innovation has enabled the transition to low- or zero-emission fleet vehicles. 100% electric ambulances are already in service in Birmingham, England. Despite a higher upfront cost, many electric vehicles offer a lower total cost of ownership than the traditional ones due to a lower fuel and maintenance cost. On top of that, the NHS is testing hydrogen-electric ambulances, which are more suited to long journeys and are capable of faster recharging.