The National Health Service in Scotland (NHSScotland) has, in recent years, done much to reduce energy consumption in its major healthcare buildings (hospitals). On average, a reduction of 2% per year has been achieved since 2000, based on hospital buildings. However, there had been little or no attention paid to smaller premises such as health centres, clinics, dentists, etc. Such smaller healthcare buildings in Scotland constitute 29% of the total treated floor area of all NHSScotland buildings and, therefore, may contribute a similar percentage of carbon and other emissions to the environment. By concentrating on a sample of local health centres in Scotland, this paper outlines the creation of an energy benchmark target, which is part of a wider research project to investigate the environmental impacts of small healthcare buildings in Scotland and the scope for improvements. It was found that energy consumption varied widely between different centres but this variation could not be linked to building style, floor area or volume. Overall, it was found that a benchmark of 0.2 GJ/m(3) would be challenging, but realistic. (C) 2007 Elsevier Ltd. All rights reserved.