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EEVS operates a certified Quality Management System for analytical measurement and verification services FS-591998 Certificate of Carbon Footprint Verification 2016/17 This certificate is to certify that Sussex Community NHS Foundation Trust has been assessed and judged to meet the principles for reporting Carbon Footprint under the guidelines of the Greenhouse Gas Protocol Corporate Accounting and Reporting Standard for the 2016/17 emissions inventory. The scope of this Greenhouse Gas Protocol covers: The accounting and reporting of greenhouse gas emissions covered by the Kyoto Protocol for emissions from purchased electricity and heat. Additionally, the optional reporting of emissions from indirect sources including transport and water. Signed on behalf of EEVS Insight: ………………………………………………. ………………………………………………. Hilary Wood Michael Ndongala Operations Director Consultant Date of Issue: 20 th September 2017 Issued by: EEVS Insight Ltd 6 Stirling Park Laker Road Rochester Airport Estate Rochester Kent ME1 3QR

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Page 1: Certificate of Carbon Footprint Verification 2016/17 ... · Certificate of Carbon Footprint Verification 2016/17 ... The checklist below was used as part of the assurance process

EEVS operates a certified Quality Management System for analytical measurement and verification services

FS-591998

Certificate of Carbon Footprint Verification 2016/17

This certificate is to certify that

Sussex Community NHS Foundation Trust has been assessed and judged to meet the principles for reporting Carbon Footprint under the guidelines of the Greenhouse Gas Protocol Corporate Accounting and Reporting Standard for the 2016/17 emissions inventory.

The scope of this Greenhouse Gas Protocol covers:

The accounting and reporting of greenhouse gas emissions covered by the Kyoto Protocol for emissions from purchased electricity and heat. Additionally, the optional reporting of emissions from indirect sources including transport and water.

Signed on behalf of EEVS Insight:

………………………………………………. ……………………………………………….

Hilary Wood Michael Ndongala

Operations Director Consultant

Date of Issue: 20th September 2017

Issued by:

EEVS Insight Ltd

6 Stirling Park Laker Road Rochester Airport Estate Rochester Kent ME1 3QR

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Sussex Community Foundation Trust – Carbon Footprint Verification – v3.0 Page 1 of 30

www.eevs.co.uk | +44 (0) 330 313 8484 | [email protected] | @eevsinsight

Version 3.0 Carbon Footprint Verification Sussex Community NHS Foundation Trust 16/17 Carbon Footprint Verification Advisory Report November 2017 – FINAL

Prepared for:

Toby Donhou and Will Clark

Sussex Community NHS Foundation Trust Environment and Logistics Arundel Building, Brighton General Hospital Elm Grove, Brighton, BN2 3EW 01273 696011 [email protected]

Prepared by:

Michael Ndongala

EEVS Insight Ltd 22 Long Acre London WC2E 9LY 07718 242520 [email protected]

Peer reviewed by:

Hilary Wood EEVS Insight Ltd

07585 504 004

[email protected]

FS-591998

EEVS operates a certified Quality Management System for analytical measurement and verification services

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Sussex Community Foundation Trust – Carbon Footprint Verification – v3.0 Page 2 of 30

www.eevs.co.uk | +44 (0) 330 313 8484 | [email protected] | @eevsinsight

Contents 1. Executive summary ................................................................................................................ 3

2. Our approach ......................................................................................................................... 4

3. Compliance 2016/17 .............................................................................................................. 7

4. Carbon Footprint Data Assurance and Findings .................................................................. 10

5. Materiality ............................................................................................................................ 17

6. Data record, issues and recommendations ......................................................................... 18

7. Summary of issues resolved................................................................................................. 22

8. Recommendations for on-going improvements to SCFT’s footprint process. .................... 23

9. Sussex Community Foundation Trust’s on-going improvements to the footprint process.24

10. Benefits of independent assurance and continuous process improvement ....................... 25

11. Appendix 1 - Assurance Plan .............................................................................................. 26

12. Appendix 2 - Data sources reviewed ................................................................................. 28

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Sussex Community Foundation Trust – Carbon Footprint Verification – v3.0 Page 3 of 30

www.eevs.co.uk | +44 (0) 330 313 8484 | [email protected] | @eevsinsight

1. Executive summary Carbon reporting is the first vital step for organisations to make reductions in emissions. By measuring and reporting Greenhouse Gas (GHG) emissions, organisations can begin to set targets and put in place carbon management initiatives to reduce emissions in the future.

Sussex Community Foundation Trust (SCFT) has been actively engaged in the reporting of its Greenhouse Emissions since 2010, as part of a long-term strategy to track its carbon footprint until the target year of 2020. The greenhouse reports are produced to provide readers with a clear understanding of the Trust’s operations and their impact on emissions, with year to year comparisons being made to ensure the Trust is on track to achieve its goals. In addition, the baseline year has been used to produce a set of targets in the form of energy intensity ratios such as KPIs and energy efficiency metrics against which The Trust can measure progress.

For several years SCFT has used independent third party GHG assurance to validate and verify the accuracy of their emissions reporting. In keeping with this, EEVS Insight have completed the assurance for the 2016/17 Greenhouse Gas Emissions Report as an experienced provider of assurance, verification and certification services related to energy. The aim of the assurance exercise was to provide recommendations to the Trust to improve data quality and management processes, calculation and reporting methodologies, as well as improving the robustness of the footprint calculation for future years. EEVS has provided a certificate of verification with this report, allowing SCFT to demonstrate to stakeholders that external reviewers have assessed reporting for its compliance to the principles of good practice GHG accounting and reporting according to the protocol. Although Greenhouse Gas reporting is not a regulatory requirement, it is recommended as good practice. The role of independent assurance serves to improve accuracy, completeness and consistency of GHG emissions reporting, leading to better decision-making and stakeholder understanding.

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www.eevs.co.uk | +44 (0) 330 313 8484 | [email protected] | @eevsinsight

2. Our approach 2.1. Aims

To develop a robust and statistically sound verification methodology by making recommendations for SCFT’s current practices including practical changes that can be made to produce effective emissions management and transparency. In addition, ensuring that SCFT's carbon and sustainability reporting meets both regulatory requirements and the Trust’s own objectives, whilst adding value to SCFT’s environmental data and publicly reported emissions figures with independent insight and constructive feedback.

2.2. EEVS Assurance Checklist

The checklist below was used as part of the assurance process for SCFT’s Carbon Performance Report. The checklist presents a general overview of some of the items checked in determining whether the Carbon Performance Report meets the principles outlined in the GHG Reporting and Accounting Protocol.

Item Check a sample of input data for transcription errors ✓ Identify spreadsheet modifications that could provide additional controls or checks on quality ✓ Ensure that adequate version control procedures for electronic files have been implemented ✓ Confirm that bibliographical data references are included in spreadsheets for all primary data ✓ Check that assumptions and criteria for selection of boundaries, base years, methods, activity data, emission factors, and other parameters are documented ✓ Check that changes in data or methodology are documented ✓ Check whether emission units, parameters, and conversion factors are appropriately labelled ✓ Check if units are properly labelled and correctly carried through from beginning to end of calculations ✓ Check that conversion factors are correct ✓ Check the data processing steps (e.g., equations) in the spreadsheets ✓ Check that spreadsheet input data and calculated data are clearly differentiated ✓ Check a representative sample of calculations, by hand or electronically ✓ Check some calculations with abbreviated calculations (i.e., back of the envelope calculations) ✓ Check the aggregation of data across source categories, business units ,etc. ✓ Check consistency of timeseries inputs and calculations ✓

Source: The GHG Protocol Corporate Accounting and Reporting Standard

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www.eevs.co.uk | +44 (0) 330 313 8484 | [email protected] | @eevsinsight

2.3. Statistical approach

2.3.1. Sampling design

Considering the large inventory of energy data collected by the Trust, a sampling approach has been designed to produce a representative set of data for EEVS to verify. Verification of this sample is intended to provide a high degree of confidence in the whole of the Trust’s energy data without the need to verify every data point. This approach has been chosen with the robustness the assurance practice in mind.

Hence, to complete the assurance for the 2016/17 carbon footprint, EEVS has requested a number of invoices for each utility. The number of invoices requested was based on the minimum sample size required to achieve an assurance with the degree of confidence stated below.

The sample size was based on the following statistical criteria:

Precision – 10%

Confidence – 90%, which equates to a 10% sampling risk

Coefficient of Variation - 0.5

As it is impractical to recalculate the sample size based on the variance in the billed consumption concurrently, a higher than typical ‘starting point’ Coefficient of Variation (CoV) has been used. Having considered all statistical criteria, the sample size determined was at least 33 consumption totals. The sample size was then divided across the 4 billed emission sources utility groups (Electricity, Gas, Water, Oil), requiring a minimum of 8 sites being verified for each utility. This is the minimum sample size for each utility group required to detect whether there is a pervasive difference between invoiced consumption and emissions reporting figures. The larger the difference, the larger the sample size required to accurately complete the assurance. Once an adequate sample size has been chosen, the sites selected for the sample are randomly chosen with a number generator.

The invoices randomly selected for the sample then undergo the assurance process. The total consumption taken from the invoice for a given site is compared against the reported consumption to determine the accuracy. In cases where the CoV criteria is not met, the CoV is then adjusted in the sampling calculations to determine a new sample size. The potential increase in sample size is discussed further in the attribute sampling section.

The remaining emissions sources such as Transport, will be verified in their entirety and considered outside this sampling approach.

2.3.2. Attribute sampling

The attribute sampling technique has been used to determine the occurrence rate of errors for all billable energy consumption. The initial sample size was calculated based on the total population size. The total population size is based on all the billable sites with energy consumption with a tolerable error rate set to 10%. In the event that the error rate were to

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www.eevs.co.uk | +44 (0) 330 313 8484 | [email protected] | @eevsinsight

exceed the tolerable rate, EEVS would consider requesting additional invoices to check whether the higher than expected error rate is representative of the entire population. If upper deviation rate is above the tolerable rate, the sample size may also be increased by increasing confidence levels. The increase is determined by the difference between tolerable rate and upper deviation (assuming the difference is less than the sampling risk).

This allows us to determine whether consumption is being accurately recorded and correctly inputted into the main carbon footprint reporting spreadsheet, as well as allowing us to measure the rate at which errors are likely to occur. Once the error rate has been determined to be acceptable, the sample size is then deemed to be appropriate for assurance purposes.

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Sussex Community Foundation Trust – Carbon Footprint Verification – v3.0 Page 7 of 30

www.eevs.co.uk | +44 (0) 330 313 8484 | [email protected] | @eevsinsight

3. Compliance 2016/17 3.1. EEVS assessment

Sussex Community Foundation Trust emissions reporting was verified for compliance against The GHG Protocol Corporate Accounting and Reporting Standard. The results of the assessment were as follows:

Greenhouse Gas Reporting Protocol

EEVS assessment SCFT Compliance

Setting organisational and operational boundaries

SCFT have made efforts to establish a boundary that includes their most environmentally impactful activities. The basis for omitting certain activities is due to unreliable and difficult to obtain data.

Tracking emissions over time

SCFT set their emissions reduction target for the year 2020. With SCFT recalculating the base year emissions and targets to reflect any changes in the portfolio. SCFT have clearly shown their methodology in the carbon footprint reporting spreadsheet.

Identifying and calculating GHG emissions

SCFT have identified an appropriate source of energy data for each emission type. The Trust has selected an appropriate calculations approach by applying the correct data and emission factors. Energy data applied in emissions calculations is the highest tier available and the emission factors applied have been taken from DEFRA.

Managing inventory quality

The majority of evidence requested by EEVS for the assurance was provided by the Trust. SCFT was able to retrieve data for 2016/17 in a timely manner with existing energy data retrieval processes being implemented for other energy reporting delivery purposes being completed by the Trust. Furthermore, SCFT are considering ways in which their inventory can be better managed, with the use of energy management software being considered.

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www.eevs.co.uk | +44 (0) 330 313 8484 | [email protected] | @eevsinsight

Accounting for GHG reductions

SCFT’s carbon footprint calculations take into account changes in their portfolio. Baseline adjustments are incorporated to account for site additions/removals, improved methodologies and changes to the GHG protocol.

Reporting GHG Emissions

EEVS believes SCFT’s GHG emissions reporting is based on the most accurate data available at time of publication. In cases where data is unavailable, SCFT have been transparent about the data estimation procedures undertaken to fill missing data.

Verification of GHG Emissions

SCFT are aware of the need for third party verification, having sought assurance for their annual carbon footprint reporting each year. EEVS have been enlisted to complete the verification for the 2016/17 emissions.

Setting GHG targets SCFT have set a target of 34% reduction in GHG emissions from energy and water sources and a 75% target for emissions from waste. These targets are in line with reductions we expect an estate of the Trust’s size to achieve.

Accounting for Indirect Emissions from Purchased Electricity

SCFT have reported on the supplier specific emissions resulting from the production of electricity with specific emission factors having been obtained from a relevant source.

3.2. Footprint scope and boundary

In keeping with the GHG Protocol, SCFT’s Greenhouse gas emissions have been categorised into three ‘scopes’ as shown in the table below. Determining and justifying boundaries is a fundamental stage in emissions accounting. As a way of understanding the environmental impact of operational activities, organisations are increasingly expanding the scope of their carbon footprint reporting. By taking a closer look at data collection process, the trust may be able to identify potential means of expanding. Full coverage of the emissions sources allows the Trust to present emissions figures to the stakeholders as a figure representing the entire operational impact of the Trust on the environment.

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www.eevs.co.uk | +44 (0) 330 313 8484 | [email protected] | @eevsinsight

3.2.1. SCFT Specific activities

Scope 1: All direct GHG emissions from sources owned or controlled by the organisation. Scope 2: Indirect GHG emissions from the generation/consumption of purchased electricity, heat or steam. Scope 3: Other indirect emissions, such as the extraction and production of purchased materials and fuels, transport-related activities in vehicles not owned or controlled by the reporting entity, electricity-related activities not covered in Scope 2, outsourced activities, waste disposal, etc. Emissions scope Footprint area EEVS Verified

Scope 1

Gas use in buildings Yes

Gas oil use in buildings Yes Fuel used by owned vehicles Yes

Scope 2 Electricity use in buildings Yes Scope 3 Fuel used by Grey fleet vehicles Yes

Scope 3 Electricity use for the Transmission and Distribution Yes

3.3. Key Performance Indicators for 2016/17

The following indicators will be used to monitor the Trust’s progress towards its 2020 emissions goal.

• Carbon footprint (tonnes CO2e) • Energy efficiency (kgCO2e/m2) • Water efficiency (m3/m2) • Trust vehicle emissions (gCO2/km) • Grey Fleet Mileage (miles)

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4. Carbon Footprint Data Assurance and Findings The follow

ings section contains our findings and recomm

endations from the Carbon Footprint assurance. Recom

mendations have been m

ade in line w

ith the principles outlined in the GHG reporting standard, with the aim

of forming a m

ethodology that adheres with this standard.

4.1. Scope 1

4.1.1. Gas

Site Docum

ent(s) Tab

Cell Issue type

Recomm

endation Actions taken by SCFT

Status

Bognor Health Centre

Bill logger 2016-17 V1.1

BOGN

OR

REGIS HC

G32 M

issing evidence / Data record incom

plete.

Complete data for

2016/17 was requested

however the data

provided by the Trust is incom

plete. Provide data to cover this period or com

ments on w

hy it has not been included.

Invoice missing on data portal –

estimate from

previous year’s invoice instead

Closed

Uckfield

Comm

unity Hospital

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy &

Water

H90, N90

Cells are not referencing correct inform

ation from

the bill logger.

Correct Excel formulae.

Fixed Closed

Westham

pnett Centre

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy &

Water

H80, N80

Cells are not referencing correct inform

ation from

the bill logger.

Correct Excel formulae.

Fixed Closed

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Westham

pnett Centre

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy &

Water

B80 Com

ment does

not appear valid. There appears to be gas consum

ption at this site. The Trust should update the com

ment.

Cell reference fixed. Now

showing 0 gas consum

ption as per note

Closed

4.1.2. Oil

The table below provides details of our findings for em

issions calculated for SCFT oil use.

Site

Document(s)

Tab Cell

Issue Recom

mendation

Actions taken by SCFT Status

All sites SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Oil Calcs

B2:B6 O

il calculation is based on estim

ates.

SCFT should keep track of future fuel oil deliveries for reporting purposes.

SCFT keep track of oil deliveries; how

ever as it is only used as backup fuel in a num

ber of cases over a year. Going forw

ard SCFT will use 1 of 2

approaches.

Closed

All sites SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Oil Calcs

C22:C28 Fuel properties used can be im

proved with

actual fuel specific inform

ation.

EEVS recomm

ends that the Trust obtains Gross Calorific Values and Fuel Density values from

the supplier.

Noted – w

ill endeavour to gather this inform

ation when

fuel is ordered.

Closed

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4.1.3. Ow

ned vehicles

EEVS Insight did not find any issues with the em

issions calculated for fuel consumed by SCFT ow

ned vehicles.

4.2. Scope 2

4.2.1. Electricity Site

Document(s)

Tab Cell

Issue Recom

mendation

Actions taken by SCFT Status

Morley Street

School Clinic Bill logger 2016-17 V1.1

Morley Street

Clinic M

18 Data record incorrect.

Amend the

spreadsheet according to the invoice.

Fixed Closed

Morley Street

School Clinic Bill logger 2016-17 V1.1

Morley Street

Clinic M

21 Data record incorrect.

Amend the

spreadsheet according to the invoice.

Fixed Closed

Brighton General Hospital – Varndean Building

Bill logger 2016-17 V1.1

BGH Varndean and SRC

M43:M

44 Data record incorrect.

Amend the

spreadsheet according to the invoice.

M43 am

ended. Invoice for M

44 provided. Closed

Uckfield

Comm

unity Hospital

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy & W

ater G90, M

90 Cells are not referencing the correct inform

ation from

bill logger.

Correct Excel form

ulae. Fixed

Closed

Westham

pnett Centre

SCFT 2016-2017 CARBO

N

Energy & W

ater G80, M

80 Cells are not referencing

Correct Excel form

ulae. Fixed

Closed

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PERFORM

ANCE

REPORT V1.7

the correct inform

ation from

bill logger.

Uckfield

Comm

unity Hospital

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Electricity E81

Cells are not referencing the correct inform

ation from

bill logger.

Correct Excel form

ulae. Fixed

Closed

Uckfield

Comm

unity Hospital

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Electricity K81:O

81 M

issing the cost inform

ation from

invoices

Electricity cost from

invoices should be used to populate this area.

Fixed Closed

Westham

pnett Centre

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Electricity I71,O

71 Cells are not referencing the correct inform

ation from

bill logger.

Correct Excel form

ulae. Fixed

Closed

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4.3. Scope 3

4.3.1. Grey m

ileage

Site

Document(s)

Tab Cell

Issue Recom

mendat

ion Actions taken by SCFT

Status

Transport SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Transport C3:C6

Grey Fleet m

ileage figures have not been inputted into m

aster spreadsheet.

Populate cells w

ith Grey Fleet m

ileage for 2016-17.

Corrected and figures now pulling

through to reporting document.

Also provided 1/4ly breakdown.

Closed

4.3.2. Leased car mileage

EEVS Insight did not find any issues with the em

issions calculated for fuel consumed by SCFT leased vehicles.

4.3.3. Procurement (Supply Chain) Em

issions

Site Docum

ent(s) Tab

Cell Issue

Recomm

endation Actions taken by SCFT

Status All sites

Bill logger 2016-17 V1.1

Brighton General Hospital

K10:K21 The Trust has om

itted LLF for Brighton General Hospital.

The Trust should consider w

idening GHG reporting scope to include em

issions produced by transm

ission and distribution losses. These losses should be

Agreed should be included – have added in on baseline adjustm

ent tab for 16/17 back to base year.

Closed

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considered attributable to the Trust as w

ell as their associated em

issions.

4.3.4. Water and W

astewater

The table below provides details of our findings for em

issions calculated for SCFT water and w

astewater use.

Site Docum

ent(s) Tab

Cell Issue

Recomm

endation Actions taken by SCFT

Status Lancing Health Centre

Bill logger 2016-17 V1.1

Lancing HC F41

Estimation

calculation unclear. The values do not show

the figures used to com

plete pro-rata calculation.

Pro-rata consumption

should be based on invoices from

2016/17.

Fixed Closed

Moulsecoom

b Health Centre

Water

Moulsecoom

b HC_W

ater N

/A M

issing evidence / Data record incom

plete. Data provided w

as for Hangleton Park Childrens Centre

Complete data for

2016/17 was

requested however

the data provided by the Trust is incom

plete. Provide data to cover this period for EEVS to review

.

Moulsecoom

b Health Centre W

ater data was

provided in folder of invoices.

Closed

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Moulsecoom

b Health Centre

Water

Water

N/A

Missing

evidence / Data record incom

plete

Complete data for

2016/17 was

requested however

the data provided by the Trust is incom

plete. Provide data to cover this period for EEVS to review

.

Data for Hangleton was

provided instead of M

oulsecoomb Childrens

Centre. Correct data set for M

oulsecoomb Childrens

Centre provided.

Closed

Uckfield

Comm

unity Hospital

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy & W

ater K90, P90, Q

90 Cells are not referencing correct inform

ation.

Correct Excel form

ulae. Fixed

Closed

Westham

pnett Centre

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy & W

ater K80, P80, Q

90 Cells are not referencing correct inform

ation.

Correct Excel form

ulae. Fixed

Closed

St Richard’s Hospital (M

ain Building)

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy & W

ater K75

Cells are not referencing correct inform

ation.

Correct Excel form

ulae. Fixed

Closed

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4.3.5. Waste

Site Docum

ent(s) Tab

Cell Issue

Recomm

endation Actions taken by SCFT

Status W

aste SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Waste

E23 M

issing evidence / Data record incom

plete.

Master

spreadsheet should be updated to include the kgCO

2 e attributable to each w

aste type. Such as Healthcare w

aste incineration, W

aste Recycling and General W

aste.

Waste not included in

carbon footprint due to unreliability of em

ission factors for various w

aste stream

s

Closed

4.4. All scopes The table below

provides details of our findings which are relevant across all sources.

Site Docum

ent(s) Tab

Cell Issue

Recomm

endation Actions taken by SCFT

Status SCFT occupied Desk spaces

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy & W

ater G95:K100

These sites are m

issing energy consum

ption data.

Energy consumption

from invoices should be

used to populate these cells. O

r reasons should be provided for these not being included.

We do not use

invoiced data, as we

do not hold it and given the sm

all values involved w

e choose not to gather it and m

ake an estimate on

typical energy consum

ption per desk and apply the

Closed

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appropriate emissions

factors. All sites

SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy & W

ater and Electricity

Energy consum

ption figures are being pulled from

an outdated Bill Logger file - v1.0.

Energy consumption

figures should be taken from

the most up to

date Bill Logger -v1.1

Bill Logger -v1.1 was

an identical version of 1.0 saved as binary file as original w

as too large. Version 1.0 rem

ains the w

orking copy from

which data is being

pulled.

Closed

All sites SCFT 2016-2017 CARBO

N

PERFORM

ANCE

REPORT V1.7

Energy & W

ater and Electricity

In som

e places, energy consum

ption figures are being pulled from

the incorrect sites.

EEVS recomm

ends the Trust uses the site nam

e as a unique identifier. M

odifying excel formula

to extract consumption

figures from the bill

logger based on the site nam

e so that changes in either spreadsheet do not cause errors.

The bill logger for 2017/2018 w

ill be im

plementing the use

of site names as

unique identifiers with

which to pull data

from.

Ongoing

All sites SCFT 2016-2017

Targets & KPIs

N4:N

10 Percentage change calculation has not been correctly applied to all cells.

Correct calculations. Fixed

Closed

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5. Materiality After completing the audit and general review, the discrepancy between emission figures before and after assurance for each emission source and KPI was completed. GHG Reporting and Accounting Standard proposes 5% as a materiality threshold. This is shown in the tables below:

Emission sources Data before assurance exercise

Data after assurance exercise

Discrepancy

Electricity (tCO2e) 3,044 2,480 18.52%

Gas (tCO2e) 2,730

2,273

16.75%

Oil (tCO2e) 8.657

8.657 0.00%

Water consumption (tCO2e) 32.98

26.04

21.04%

Wastewater (tCO2e) 64.47

50.91

21.04%

Owned vehicle (tCO2e) 101.92

101.92

0.00%

Leased vehicle (tCO2e) 163.65

163.65

0.00%

Indicator

KPI Data before

assurance exercise

Data after assurance exercise

Discrepancy

Carbon footprint tonnes CO2e 7300.81 6483.61 11.19 Energy efficiency kgCO2e/m2 47.52 47.52 0.00%

Indicator

KPI Data before

assurance exercise

Data after assurance exercise

Discrepancy

Water efficiency m3/m2 0.873 0.873 0.00% SCFT Vehicle emission gCO2/km 109.92 109.92 3.41% Grey fleet mileage miles claimed 3,838,094 3,838,094 0.00%

It should be noted that the material discrepancies observed were mostly due to the incorrect double inclusion of a highly consuming site in the emissions report, caused by a referencing error in the master spreadsheet.

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6. Data record, issues and recommendations Based on statistical criteria outlined in Chapter 2, a sample of primary data was checked to see if the values it contained were correctly transferred to the master spreadsheet. The sample size was based on 90% confidence level, with a sampling risk of 10%. The attribute sampling procedure we designed would have required that additional samples are reviewed had a significant number of errors been found. Since the discrepancies due to transcription errors were not material, an increase in the sample size was not required. However, EEVS recommend that since the Trust has reduced the occurrence of errors, that the statistical criteria is made stricter, and a larger sample size is verified in future years to further minimise risk. Since the majority of errors arose due to incorrect referencing by Excel formulae, particular attention needs to be made to the manner in which data links are set-up across spreadsheets.

Some of the other Issues EEVS & SCFT came across during the assurance include the following

• Difficulty in gathering data for certain sites

• Metering or measurement issues

• Data management constraints

• Incomplete information for the period

• General changes in the building portfolio

Over the course of the assurance process, the issues listed above were identified. Upon being discovered, these issues were logged and documented. Where possible SCFT were able to provide feedback on any historic attempts to address the issue with a solution as noted in their feedback in Chapter 4.

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6.1. Data validation process

As part of the data verification process, invoices were checked against the figures inputted into SCFT’s bill logger. Where applicable, monthly figures were checked as well as the calculation for the annual total. Almost all the discrepancies identified between the invoices and reported figures were minor in nature and were not pervasive or representative of the whole carbon footprint report. In cases where discrepancies were identified, these were raised to the Trust for correction. In comparison to previous carbon footprint reporting, such issues have been reduced significantly indicating that the Trust has improved its emissions reporting and internal assurance practices. However, it is our recommendation that the Trust continues to undergo assurance to ensure errors are reduced to a minimum and that stakeholder confidence is maintained.

6.2. Data quality and data management recommendations

Based on the Trust’s current practices, EEVS has made a tiered set of recommendations for how the management and maintenance of data can be improved. These recommendations centre around the use of software and data collection strategies to help reduce reporting time and increase data quality. Each tier is more effective at energy data management than the next, however it will most likely require a higher financial expense from the Trust to achieve.

The first-tier data management recommendation, is the use of proprietary energy management software, licensed from a provider which will provide full integration across energy billing, validation and reporting. The second tier, , which is the least disruptive to the Trust’s current practices, will require changes to the manner in which data is organised and linked across spreadsheets.

6.2.1. Tier 1 – Use of Energy Management Software for Data Storage and Reporting

The collection and inventory of supplier data is a key component of correctly verifying the accuracy of the carbon footprint report. The Trust has a set of procedures in place for the storage and retrieval of energy data. In most cases where EEVS have made a request for data, the Trust has been able to locate and retrieve the required data within a short period of time. However, the use of energy and invoice management systems may allow the Trust to improve data quality and the speed of data retrieval. Electronic billing can be used to provide energy consumption details to the Trust, with the use of the ‘Electronic Data Interchange’. EDI is the computer to computer transfer of invoices between two organisations using an agreed industry standard. The EDI signal can be customised to contain the data of business documents, invoices, credit notes from an energy supplier.

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Typically, energy data and invoice management systems are used as a platform for aggregating and storing information stored within EDI signals. Considering SCFT’s large building portfolio, with certain sites being supplied by several meter points, energy management software may be an effective tool for managing and reporting energy consumption in a timely manner. The data can then be used for carbon footprint reporting purposes and the reporting of other energy reporting activities. The scope of the activities that can be completed with EMS extend beyond the scope of GHG reporting but include the following;

• Energy Procurement; • Utility Bill Validation; • Energy Performance, Targeting & Benchmarking; • Metering Data Storage (Fiscal and Sub-Meters); • Recharging of Utilities to internal or external Tenants;

Key Performance Indicators (KPI’s) can be readily integrated into most forms of energy management software, allowing The Trust to benchmark performance using presently used key metrics. Invoice validation and payment can also be automated with the use of energy management software. Utility billing system is capable of receiving electronic billing. Communication to the supplier data is achieved using EDI-enabled software. There are several companies and consultancies marketing such packages. These packages translate EDI data from the supplier into clear and understandable data for the Trust to use. This facility provides customers with billing data for internal use. It will convert an EDI file into a readable format that is user definable containing only the information that the customer requires.

An automatic data flow can be set up between the supplier’s systems and the Trust. Allowing for the automate transfer of billing information across platforms every month. This data can then be used to complete carbon footprint reports without the need for continuous time-consuming data entry of consumption figures allowing the Trust to process invoices as efficiently as possible. Aside from the introduction of data automation and energy management software, there are alternative means for SCFT to improve the quality and range of data that it collects, these include:

• Ensuring that a complete set of primary data is clearly linked to the calculations spreadsheets. Where required, this will allow the footprint calculations to be traced back to the primary data source in all cases;

• Working towards obtaining actual data for benchmarked sites.

Considering changes that take place in SCFT in portfolio, energy management software may be a viable option for storing and retrieving historic data. This becomes particularly pertinent when

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sites have been sold or have moved out of SCFT’s circle of control but historic data is still required for reporting purposes. Considering the wide range of energy reporting purposes that can be fulfilled by energy reporting software, the additional costs incurred by adopting such an approach may be worthwhile.

6.2.2. Tier 2 - Data inventory, Data entry and Data Storage recommendations for use of Microsoft Excel

Presently the Trust utilises Microsoft Excel spreadsheets across all its reporting data. Although this is a feasible option for such purposes, it can raise potential data issues. Consumption data is currently inputted manually into the bill logger from supplier invoices. These figures are then drawn into the master spreadsheet using VLOOKUP functions that are based on indexing information according to their location in a row. The bill logger itself is a large document containing all of the sites under SCFT’s management within individual tabs. The bill logger contains a summary tab which aggregates the site specific information before being called upon by the main master spreadsheet. Considering the importance of the link between the bill logger and master spreadsheet, it is the recommendation of EEVS that site name specific EXCEL formulas are used to differentiate between rows within the master spreadsheet. SCFT’s portfolio may change in future, these formulas with site specific and utility specific references will allow the layout changes in the master spreadsheet without a loss in data quality.

Navigation of the bill logger can also be improved by implementing hyperlinks on the summary tab. These links would allow direct movement to the required site for data retrieval and data checking purposes.

6.3. Energy emissions reporting recommendations

6.3.1. Electricity Transmissions and Distribution Emissions

Electricity consumption makes up a significant proportion of SCFT’s GHG emissions source, it is therefore important to correctly report this. Scope 3 emissions are all the other indirect emissions which are related to the reporting company’s activities, such as the emissions associated with electricity which is lost in the Transmission and Distribution (T&D) system used for delivering purchased electricity. For reporting organisations that purchase electricity from a T&D system, but do not own any part of that system, the emissions associated with T&D losses may optionally be reported under scope 3. These emissions are calculated by using a “T&D loss” emission factor. SCFT have taken steps to implement this entirely within their GHG reporting process. The T&D methodology has been verified and considered suitable by EEVS.

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7. Summary of issues resolved

The Trust has gone to great effort to collate all the available emissions data required to calculate its carbon footprint. Where required, the Trust has been able to supply primary data to EEVS for verification purposes. By completing the assurance exercise for 2016/17, EEVS insight has been able to identify the actions listed below that SCFT should consider to improve its footprint reporting.

The following issues were raised and corrected by the Trust over the course of the assurance.

• Data record incomplete: the master data sheet (or one of the calculation sheets which feeds the master sheet) was missing relevant data for a period of time during the reporting year.

• Missing evidence of data: consumption data recorded in the master data sheet (or one of the calculation sheets which feeds the master sheet) was not supported by copies of evidence (i.e. invoices etc.).

• Data record incorrect: the data had been copied from the evidence, or from another calculation sheet, incorrectly.

• Estimation calculation incorrect or incomplete: there was no estimation calculation, or there was an incorrect estimation calculation, used to fill a gap in the data.

• Organisation’s buildings portfolio record incorrect: the record of buildings under the organisation’s control was incorrect or unclear.

• Comments or colouring need updating: Comments were incorrect. • Spreadsheets not referencing the correct information from bill logger

These issues were identified as a result of SCFT seeking third party assurance. To ensure further issues are not missed in future, EEVS recommends that the assurance process remains in place for future carbon footprint

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8. Recommendations for on-going improvements to SCFT’s footprint process.

8.1. Expansion of the Assurance sample

Confidence intervals were set at 90% for the sampling required to complete the 2016/17 assurance. It is the recommendation of EEVS that as the Trust’s reporting processes improve over time, that the confidence interval required to achieve satisfaction be raised to over 95% of all emissions sources. To reach this level of assurance will require a more extensive assurance of SCFT’s sites and data points. EEVS Insight would be able to help the Trust in delivering this higher level of assurance confidence in future.

8.2. Uncertainty Analysis

Uncertainty analysis has been increasingly recognized as an important tool for improving an organisations inventories of GHG emissions and reductions. The process of completing an uncertainty analysis would provide the Trust with a more comprehensive understanding of the accuracy ranges of emissions inventories. Information garnered from such an analysis, would allow specific emissions activities to be targeted for greater data collection and management scrutiny. The level of scrutiny would be determined by ranking emissions sources according to their overall contribution to the emissions inventory and the overall uncertainty range. The results of such an analysis can be used to develop strategies for emissions reductions and to monitor the effectiveness of existing carbon abatement policies. More information can be gained on conducting an uncertainty analysis from GHG Protocol guidance on uncertainty assessment in GHG inventories.

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9. Sussex Community Foundation Trust’s on-going improvements to the footprint process. As part of a continual effort to maintain and improve the quality of Carbon Footprint reporting practices, SCFT will be undertaking the following EEVS approved activities due to be implemented in future reporting:

9.1. Oil calculation methodology

As part of the assurance, EEVS recommended the inclusion of a more detailed gas oil consumption inventory. SCFT are now considering two approaches for calculating gas oil consumption, with the intention of implementing an approach for future reporting. The first approach will use the volume of the oil tank and delivered oil volumes to calculated the oil consumed within a period of time. The second option will utilise the generator’s log book of monthly load readings. In future reporting, SCFT will proceed with the approach deemed most appropriate.

9.2. Expansion of Scope 3 emissions reporting

SCFT has identified that the scope of the Carbon Footprint could be expanded to include other aspects of the Trust’s emissions. The Foundation Trust has taken steps towards the calculation of emissions due to the procurement of medical equipment. The GHG emissions attributable to the procurement of medical goods and services forms a significant proportion of the environmental impact of SCFT.

In 2016, Environmental Resources Management was commissioned by the Sustainable Development Unit (SDU) to make an assessment of procured goods by hospitals. Sussex Community Foundation Trust has used this assessment to complete their initial analysis. However, due to the limitations of the tool SCFT will be exploring other options.

Sussex Community Foundation Trust are working towards developing an approach for the quantification of emissions attributable to the procurement of medical equipment by the Foundation Trust. SCFT will develop a bespoke tool capable of accurately reporting emissions specific to the characteristics of the Trust’s procurement activity.

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10. Benefits of independent assurance and continuous process improvement

Independent Carbon Footprint Assurance serves to increase the confidence that can be placed on GHG emission reports for decision-making purposes. Independent verification serves to ensure integrity in emissions base lining, tracking and reporting and that greenhouse gas emissions data and calculations are accurate and representative. It adds value to the information to be reported by identifying material departures or omissions from good practice reporting and suggesting corrections to the 2016/17 GHG emissions report. It has the additional long term aim of making lasting recommendations that improve reporting for future years.

In keeping with the carbon footprint verification procedure, EEVS Insight has issued SCFT with an assurance certificate, allowing the Trust to demonstrate its carbon footprint’s adherence to the principles of the Greenhouse Gas Reporting Standard. Certification is intended to be used as an official declaration to stakeholders of the carbon footprint report’s credibility. By measuring and reporting site emissions from year to year, SCFT are able to identify areas of emissions improvement. Insights from carbon footprint reports can be used to amend SCFT’s general carbon management strategy, aiding in its mission towards achieving its 2020 emissions target.

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11. Appendix 1 - Assurance Plan EEVS Insight have been engaged to perform a limited assurance of SCFT’s 2016/17 environmental data and performance. This responsibility includes the selection and application of the methods outlined below. Assurance objectives and criteria The objective of the assurance exercise is to ensure that the quantification of GHG emissions reported is reasonably near actual emissions, as far as can be judged statistically, and that uncertainties are reduced as far as is practical. Findings should be sufficiently precise to enable intended users to make decisions with reasonable assurance that the reported information is credible. These procedures have been defined in the context of SCFT’s current reporting practices, with the aim of providing recommendations which are practical and applicable. With guidance on how to improve and enhance a company’s GHG accounting and reporting system. This Assurance Plan has been structured in accordance with the five principles of the Greenhouse Gas Protocol.

• Relevance – Ensure SCFT’s GHG reporting reflects the GHG emissions of the Trust, providing internal and external decision makers the appropriate information to act upon.

• Completeness – Comprehensively review all GHG emission sources and activities within the agreed inventory boundary. Where specific exclusions exist, justified reasons have been provided for this.

• Consistency – Methodologies used are consistent, allowing direct comparisons over the reporting period to be made.

• Transparency – Data used for reporting purposes has a clear and defined audit trail. Assumptions made in the calculation methodologies are disclosed and referenced to appropriate sources.

• Accuracy – Reducing uncertainties within the best capability of the Trust, ensuring reported emissions are near actual emissions with a large degree of statistical confidence.

SCFT’s GHG report compliance with the principles outlined above will form the basis of our verification. Quality management procedures In keeping with these principles, our assurance process will consist of quality management procedures used to assess data and carbon footprint validity. These include,

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• Checking data has been correctly transcribed from invoices to GHG report, including ensuring that aggregation of data across source categories has been completed correctly. Ensuring the appropriate tier of data is being used, based on availability of data. • Assumptions and criteria for selection of boundaries, base years, activity data, emission factors, and other parameters are made using sound and appropriate methodology. • General methodology used is coherent throughout the footprint

Level of assurance The sample plan outlined below utilises statistical techniques to objectively select the sample population due to be audited as part of the assurance exercise. Although the sample has been designed to be representative of the total population, it should be noted that total assurance is not possible. The assurance exercise completed for SCFT’s 2014/15 carbon footprint was limited to an objectively selected 10% of all emissions sources. This year as part of SCFT’s effort towards continual improvement in carbon footprint assurance practices, the sample size will be based on the following statistical criteria. Statistical Criteria To design the sample due to be audited, EEVS will be considering four statistical properties, the population size, confidence level, precision and the Coefficient of Variation. Each parameter will be based on GHG assurance best practices, inquiries from SCFT, and prior GHG assurance exercises. • Population - The population contains all emission sources to be considered for testing. Each

will have an unbiased chance of selection to ensure the final sample is representative of the population.

• Confidence Level - The sample's confidence level refers to the reliability that can be placed on the sample results. Typically, confidence levels of 90 percent to 99 percent are used. For the purposes of this exercise, EEVS Insight intends to set the confidence level at 90 percent in the emissions. Hence, sampling risk has been set to a conservative 10 percent.

• Precision - A measure of the possible difference between the sample estimate and the actual population value-the better the design, the less margin of error, smaller sample size required. The rate has been based on EEVS observations of SCFT reporting processes and prior year assurance results.

• Coefficient of Variation - Based on the statistical inputs above the sample size needed to

achieve the required precision depending on the population proportion using random sampling.

Materiality Materiality is required to quantify changes made due to the completion of the assurance exercise. In order to determine the point at which a discrepancy is considered material, EEVS as verifier has set the threshold at 5 %. Previous carbon footprint verifications completed for SCFT have used the same materiality threshold, and it is EEVS judgement that this is still suitable.

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12. Appendix 2 - Data sources reviewed

Footprint area Site Document/Folder containing invoices Gas East Grinstead Health Clinic Gas (Excel file) Gas Lancing Health Centre Gas (Excel file) Gas Morley St School Clinic Morley Street_Gas (Folder) Gas Heathfield Community Centre Gas (Excel file) Gas Bognor Health Centre Gas (Excel file) Gas Horsham Hospital Gas (Excel file) Gas Salvington Lodge Gas (Excel file) Gas Zachery Merton Hospital Gas (Excel file) Gas Shoreham Health Centre Gas (Excel file) Electricity Brighton General Hospital Brighton General Hospital_Elec (Folder) Electricity Brighton General Hospital British Gas consolidated Electricity Lewes Victoria Hospital Electricity (Excel file) Electricity Horsham Hospital Electricity (Excel file) Electricity Nightingale Primary Care

Centre Electricity (Excel file)

Electricity Folders Lane (Finches) British Gas consolidated (Folder) Electricity Morley St School Clinic British Gas consolidated Electricity Conway Court British Gas consolidated Water/Wastewater Morley St School Clinic Morley Street_Water (Water) Water/Wastewater Moulsecoomb Health Centre Moulsecoomb HC_Water (Folder) Water/Wastewater Moulsecoomb Children’s

Centre Moulsecommb_CC_Water

Water/Wastewater Haywards Heath Health Centre Water (Excel file) Water/Wastewater Newhaven RC & PC Water (Excel file) Water/Wastewater East Grinstead Health Centre Water (Excel file) Water/Wastewater Lancing Health Centre Water (Excel file) Water/Wastewater Moulsecoomb Children’s

Centre Water (Excel file)

Water/Wastewater Crawley Hospital Water (Excel file) Transport - Owned All sites OWN Carbon Report - 2016-17 Actual Transport - Leased All sites LEASED Carbon Report- 2016-17 Actual Master sheet All sites SCFT 2016-2017 CARBON PERFORMANCE REPORT

V1.7 Calculation sheet All sites Bill Logger 2016-17 V1.1 Transport All sites Travel Transactions 2016-17 full year