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Carbon Reduction Plan & Health Inequalities Impact Assessment

PPN 006 Compliant · Version 1.0 · 19 June 2026 · ClarityQ Ltd · Company No. 17072041

PART A: Carbon Reduction Plan

1. Introduction

ClarityQ Ltd is committed to achieving Net Zero emissions by 2050 or earlier, in line with the UK Government's Net Zero Strategy and the NHS's Delivering a Net Zero NHS targets. This Carbon Reduction Plan (CRP) has been prepared in accordance with PPN 006 (formerly PPN 06/21) requirements and sets out our current greenhouse gas emissions, reduction targets, and planned measures.

2. Company Overview

Company NameClarityQ Ltd
Company Number17072041
Registered Address71-75 Shelton Street, London, WC2H 9JQ
SectorDigital Health Technology / Software as a Service (SaaS)
Number of Employees1-5 (Micro-enterprise)
Report PeriodFinancial Year 2026
Publication Date19 June 2026

3. Commitment to Net Zero

ClarityQ Ltd is committed to achieving Net Zero emissions by 2050 for our UK operations. As a digital-first, cloud-native software company with no physical product manufacturing, our emissions profile is inherently low. We commit to continuously measuring, reporting, and reducing our carbon footprint.

This commitment has been approved by the Director of ClarityQ Ltd.

4. Baseline Emissions

As ClarityQ Ltd was incorporated in March 2026 and is in its early operational stage, the baseline year for emissions reporting is 2026. As a micro-enterprise SaaS company, our emissions are minimal and concentrated in Scope 2 (cloud computing) and Scope 3 (business travel, employee commuting, purchased services).

4.1 Emissions Breakdown

Emission SourceScopeCategoryBaseline (2026) tCO2e
Direct emissions (gas, fuel)Scope 1Company facilities0 (no owned/leased premises with heating)
Company vehiclesScope 1Transport0 (no company vehicles)
Purchased electricityScope 2ElectricityNegligible (remote working; home office)
Cloud computing (AWS)Scope 3Purchased services< 0.5 (estimated)
Business travelScope 3Business travel< 0.2 (estimated)
Employee commutingScope 3Commuting0 (fully remote)
Upstream transportationScope 3Upstream0 (no physical goods)
Waste generatedScope 3WasteNegligible
TOTAL< 1.0 tCO2e

Note: As a micro-enterprise with fewer than 5 employees operating fully remotely with cloud-based infrastructure, ClarityQ Ltd's total carbon footprint is estimated at less than 1.0 tCO2e per year. Formal carbon accounting will be conducted when the company scales to a level where more granular measurement is meaningful.

5. Current Carbon Reduction Measures

ClarityQ Ltd has adopted the following measures to minimise emissions:

  • Fully remote working: No office premises, eliminating Scope 1 emissions from heating/cooling and reducing commuting emissions to zero.
  • Cloud-native infrastructure: All computing infrastructure is hosted on Amazon Web Services (AWS), which has committed to powering operations with 100% renewable energy by 2025 (achieved) and achieving net-zero carbon by 2040.
  • No physical products: ClarityQ is a pure SaaS platform with no manufacturing, packaging, or physical distribution.
  • Digital-first operations: All business communications, documentation, and collaboration are conducted digitally, minimising paper waste.
  • Minimal business travel: Meetings are conducted virtually where possible. When travel is necessary, public transport is prioritised.
  • Energy-efficient development practices: Use of serverless and on-demand computing resources (AWS Lambda, CloudFront) to minimise idle compute capacity.

6. Carbon Reduction Targets

TargetTimelineMeasure
Maintain near-zero Scope 1 emissionsOngoingContinue remote-first operations; no office leases
Ensure cloud provider renewable energy commitment2026-2027Verify AWS Europe (London) region renewable energy status; consider green hosting alternatives if needed
Offset residual emissionsFrom 2027Purchase verified carbon offsets for any residual emissions (estimated < 1 tCO2e/year)
Achieve Net ZeroBy 2040 (ahead of 2050 target)Maintain minimal emissions profile as company scales; offset any growth-related increases
Annual emissions reportingFrom 2026Publish updated Carbon Reduction Plan annually on company website
Supply chain engagementFrom 2027Assess and engage key suppliers (AWS, domain registrars, SaaS tools) on their net zero commitments

7. Governance and Reporting

This Carbon Reduction Plan has been approved by Ms Rakhee Cholera, Director of ClarityQ Ltd. The plan will be reviewed and updated annually, with progress reported against the baseline. This document will be published on the ClarityQ Ltd website (clarityq.co.uk) in accordance with PPN 006 requirements.

8. Declaration

This Carbon Reduction Plan has been completed in accordance with PPN 006 and associated guidance, and accurately reports the carbon emissions data and reduction measures for ClarityQ Ltd.

Signed: Rakhee Cholera

Name: Ms Rakhee Cholera

Position: Director, ClarityQ Ltd

Date: 19 June 2026

PART B: Health Inequalities Impact Assessment

1. Purpose

This Health Inequalities Impact Assessment (HIIA) evaluates the potential impact of ClarityQ on health inequalities in NHS primary care. It identifies populations that may be disproportionately affected (positively or negatively) by the platform and sets out mitigation measures to ensure equitable access and benefit.

2. Assessment Scope

InnovationClarityQ — Clinical Decision Support Platform
SettingNHS Primary Care (GP practices, PCNs, ICBs)
Target populationAll registered patients at participating practices
Assessment date19 June 2026
AssessorRakhee Cholera, Director, ClarityQ Ltd

3. Protected Characteristics Assessment

The following assessment considers the impact of ClarityQ on each protected characteristic under the Equality Act 2010, as well as other dimensions of health inequality:

CharacteristicPotential Positive ImpactPotential Negative ImpactMitigation
AgeElderly patients (65+) are disproportionately affected by polypharmacy and medication errors. ClarityQ's targeted safety searches specifically identify high-risk elderly patients.Older patients may have less digital engagement, but ClarityQ is clinician-facing (not patient-facing), so patient digital literacy is not a barrier.Ensure clinical templates cover age-specific medication risks (falls risk, renal dose adjustment, anticholinergic burden).
DisabilityPatients with learning disabilities often receive poorer medication management. ClarityQ templates can include LD-specific medication safety checks.No direct negative impact identified (clinician-facing tool).Include learning disability medication review templates in MegaLibrary.
SexTemplates include sex-specific prescribing risks (e.g., teratogenic medications in women of childbearing age, cardiovascular risk profiles).No negative impact identified.Ensure clinical algorithms account for sex-specific physiological differences.
Race/EthnicityClarityQ can support identification of conditions with ethnic prevalence patterns (e.g., sickle cell, type 2 diabetes in South Asian populations) for targeted screening.Risk that clinical algorithms may underperform for ethnic minority groups if underlying evidence base is biased.Validate clinical templates against ethnically diverse patient populations and record where approved guidance notes ethnic variations.
Pregnancy/MaternityMedication safety in pregnancy is a critical area. ClarityQ can flag teratogenic medications and support pre-conception medication reviews.No negative impact identified.Include pregnancy-specific medication safety templates.
Religion/BeliefNeutral — ClarityQ operates on clinical data and does not collect or use information about religion or belief.No impact identified.N/A
Sexual OrientationNeutral — clinical algorithms are based on physiological and prescribing data.No impact identified.N/A
Gender ReassignmentClarityQ could support monitoring of hormone therapy safety for transgender patients.Clinical system coding of gender may affect search accuracy.Ensure search templates use appropriate clinical codes and are tested with diverse gender coding.
Marriage/Civil PartnershipNot directly relevant to clinical decision support.No impact identified.N/A

4. Socioeconomic and Geographic Inequalities

DimensionAssessmentMitigation
Socioeconomic deprivationPositive: Patients in deprived areas have higher rates of polypharmacy, multimorbidity, and medication-related harm. ClarityQ's systematic approach ensures all patients receive equal screening regardless of practice resources.Pricing model should not create a barrier for practices in deprived areas. Consider tiered pricing or NHS commissioning routes that ensure equitable access.
Rural vs UrbanPositive: Rural practices with fewer staff can benefit disproportionately from automation. Cloud-based platform accessible from any location.Ensure platform performance is acceptable over lower-bandwidth rural NHS connections.
Digital exclusionClarityQ is a clinician-facing tool, not patient-facing. Patient digital literacy is not a barrier to benefiting from the platform.Ensure clinician training materials are accessible and available in multiple formats.
Language barriersClarityQ operates on coded clinical data (SNOMED CT, dm+d), which is language-independent at the data level.User interface is currently English-only. Consider Welsh language requirements for practices in Wales if expanding.

5. Core20PLUS5 Alignment

NHS England's Core20PLUS5 approach focuses on reducing health inequalities for the most deprived 20% of the population, plus inclusion health groups and ethnic minority communities, across 5 clinical areas. ClarityQ aligns with this framework as follows:

Core20PLUS5 AreaClarityQ Alignment
MaternityMedication safety templates for pregnancy; pre-conception medication review support
Severe mental illness (SMI)Physical health monitoring for patients with SMI on antipsychotics (metabolic monitoring, cardiovascular risk)
Chronic respiratory diseaseInhaler technique reviews, high-dose ICS monitoring, asthma/COPD medication optimisation
Early cancer diagnosisSupporting identification of patients requiring urgent referral based on medication/symptom patterns
Hypertension case-findingBlood pressure monitoring compliance, antihypertensive prescribing optimisation

6. Monitoring and Review

ClarityQ Ltd will monitor the health inequalities impact of the platform through:

  • Collecting anonymised usage data to assess whether practices in deprived areas have equal access and engagement.
  • Reviewing clinical template coverage to ensure all Core20PLUS5 areas are addressed.
  • Seeking user feedback from diverse practice settings (urban, rural, deprived, affluent) during pilot phase.
  • Annual review and update of this Health Inequalities Impact Assessment.
  • Engaging with patient and public involvement (PPI) groups, particularly those representing underserved communities, to inform future development.

7. Conclusion

ClarityQ is designed to reduce health inequalities by providing systematic, evidence-based clinical decision support that ensures all patients receive consistent medication safety screening regardless of their practice's resources or location. The platform's clinician-facing nature means it does not create digital access barriers for patients. Potential risks have been identified around algorithmic bias and equitable access, with mitigation measures in place. This assessment will be reviewed annually and updated as the platform is deployed.

Download

A downloadable copy of this document is available as a Word file:
Download Carbon Reduction Plan & HIIA (.docx)

Contact

ClarityQ Ltd
71-75 Shelton Street, London, WC2H 9JQ
Email: info@clarityq.co.uk
Company No. 17072041 · ODS Code: O3E4P

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