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Sustainable development discussions are often conducted exclusively in terms of saving energy and minimising carbon emissions, whether as direct effects from the specific project or in terms of embedded effects in materials.

However, Health and Wellbeing is seen as a fundamental part of sustainable development, to the extent that the BREEAM appraisal method specifically rates these aspects. Noise is seen within this framework as having an adverse effect on health and good acoustic design is rewarded by the awarding of credits towards an overall rating. Noise has also been highlighted by the CQC as an important part of the Patient Experience with the reported situation worsening.

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