The installation of wind turbines and solar parks in valued rural landscapes has led to local concerns and perceived injustices to the extent that the societal acceptance of the energy transition is at stake. Although the literature on energy justice is blooming, research into citizens' understandings of justice with regards to regional energy transitions is rare. This paper examines the aspects citizens consider relevant when discussing a just energy transition in a regional context. Eleven focus groups, including 42 participants with various backgrounds, were conducted in four cities in the province of Overijssel, the Netherlands. The results show that citizens express justice claims by referring to spaces, places, and scales both within and beyond the region. From the perspective of citizens, regional energy transitions are both influenced by, and have an impact on, existing socio-spatial inequalities at multiple levels, ranging from households to the entire world. Citizens also acknowledge that energy policies and changes made at one scale can create injustices at other scales, referring to the different impacts national subsidies have on rich and poor neighborhoods, or to different effects of implementing renewable energy facilities on rural landscapes and urban regions. Our findings illustrate the multi-scalar character of justice concerns in regional energy transitions. A better understanding of the spatial justice considerations that are fundamental to the concerns of citizens can help improve policy processes and communication about regional energy transitions.

Due to the significant environmental impact of healthcare, there is an urgent need to accelerate its circular transition. We provide an overview of the ESCH-R project study design and methodology for accelerating the transition from a linear to a circular healthcare sector through the development and implementation of circular interventions in the Netherlands. Using a transdisciplinary approach, we will apply the 10-R ladder framework for a circular economy to hospitals. Methods are presented to analyze current clinical practices, policies and requirements for sustainable behavioral change, from material flows and operations to policy and regulations. We describe methods for the development of circular interventions, including business models, contract templates, and product redesigns. Finally, our approach to dissemination and education is presented. The described study design and methods can be used by other hospital (settings) to identify environmental hotspots for circular interventions in their own healthcare practice and for the cross-transfer of knowledge and anticipated challenges in implementing circular strategies. Ultimately, the ESCH-R project will deliver innovative, scalable approaches for hospitals to reduce procurement of raw materials, retain value of medical products, and reduce waste streams, CO2 emissions and pollution.