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Acting responsibly to drive progress for people and the planet

Committed to Positive Change

The core mission of ExR Education is to democratise access to medical virtual reality. As a purpose-driven business, we continuously explore how we can act responsibly, from driving educational equality to enabling sustainable change in medical training.

We aspire to be a technology for good, amplifying a positive impact for people and the planet.

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Supporting the NHS Net Zero Journey

As the NHS works towards its net zero target, ExR Education is proud to be a part of the solution through innovative medical VR training. Our advanced simulation-based training solution directly contributes to carbon reduction by reimagining traditional training methods that incur carbon emissions and waste through the global transportation of medical devices and repeated use of physical medical equipment.


ExR’s impact is substantial. In a collaborative theoretical study with the NHS Net Zero team using the NHS Business Case Carbon Calculator, we demonstrated that replacing traditional training methods for a single medical procedure (a paediatric rigid bronchoscopy) with VR technology could save 55 kilo tonnes of CO2 in just 1,000 training uses. This represents a significant contribution to the NHS's goal of reducing supply chain emissions, which currently account for 62% of the health service's total carbon footprint.


By choosing ExR Education for medical VR training, NHS trusts can simultaneously enhance clinical education quality while making meaningful progress towards their sustainability commitments.

The Road to Net Zero

The environmental benefits of VR-based medical training extend far beyond the removal of MedTech use, it also encompasses the associated travel of those participating in the training. A study, co-authored by ExR’s Medical Director, Jonny Abbas, published in the British Journal of Anaesthesia, demonstrates the significant carbon savings achievable through medical VR training.

British Journal of Anaesthesia

The environmental benefits of VR-based medical training extend far beyond the removal of MedTech use, it also encompasses the associated travel of those participating in the training. A study, co-authored by ExR’s Medical Director, Jonny Abbas, published in the British Journal of Anaesthesia, demonstrates the significant carbon savings achievable through medical VR training. The study compares traditional face-to-face training with VR simulations for tracheostomy safety courses, and researchers found that travel alone generated 483.6 kg of CO₂ per course, equating to 5.8 tonnes of CO₂ annually for one course per month. By eliminating travel requirements through remote VR training, healthcare organisations can achieve substantial carbon reductions, with no difference in learning outcomes. The research validates that reducing the travel of the healthcare workforce for training can offer a scalable opportunity for overall improvement in carbon release, and VR is the solution that makes it possible.

Proud to be a Certified B Corporation®

Mirroring the NHS’s approach to embed sustainability across the supply chain, we sought to uncover our environmental footprint. Through a rigorous assessment conducted by B Lab, we are proud to be a certified B Corporation®, enabling us to offer validity and transparency to our sustainability statements.


It has always been an ambition of ours to become a B Corp, since we launched the company in 2020. As a business, we have always been passionate about sustainability and consistently explore opportunities to enhance our business practices and investigate ways in which our solution can accelerate the NHS’ journey to net zero.


Becoming a certified B Corporation® is an incredible achievement and has provided us with a credible way to demonstrate that we fundamentally align with the NHS’ sustainability commitments.

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Photograph of wooden B Corp Award

Interested in co-creating medical VR training?

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