Sustainability in Healthcare Environments

Paul Featherstone Director of Estates and Facilities

UHSM NHS FT

Climate change is happening

• The 10 warmest years on record have occurred since 1990

• Extreme weather events are also becoming more common

Antarctic 2002: Larsen ice shelf

(3,250km2) shatters and

drifts off to sea

Greenland: summer melt extending

Ice caps melting: north and south

Consequences (?)

The Carbon Trust & key dates

April 2007

Carbon Trust NHS Carbon Management Programme

October 2007

BoD – programme endorsement

Production of Carbon Management Implementation Plan

March 2008

BoD - CMIP approval & roll out

Carbon management programme

April May June July August September October November December January February

Milestone / Event / Activity Owner

Key Programme DatesProgramme Launch X

Key Internal Dates[e.g. meetings of sponsoring group] � �

[e.g. bids for next year's project planning round]Present Project Plan to sponsoring group PS XPresent Case for Action to sponsoring group PS XPresent SIP to sponsoring group PS

Step 1 - Mobilise The OrganisationEngagement meeting PL XBuild team PLIdentify stakeholders PLDevelop Project Plan PLM1 - Project Plan signed off by Sponsor PS X

Step 2 - Set Baseline, Forecast and TargetsCompile emissions baseline TBCProduce emissions forecasts and Value at Stake TBCDocument Baseline (SIP Section 3) TBC XDevelop a vision and strategy (SIP section 2) TBCM2 - Case for action complete (SIP sections 2 and 3) PL �

Step 3 - Identify and Quantify OptionsEarly wins identification & schedulingOpportunities appraisal TBCPrioritise options TBCQuantify costs and benefits (SIP section 5) TBCM3 - Opportunities fully documented (SIP section 4) PL �

Step 4 - Finalise strategy and Implementation PlanDraft the implementation plans (CMIP Appendix A) TBCDefine Communications Plan (CMIP section 6) TBCDefine and approve governance (SIP section 7) TBCFinalise strategy (CMIP section 2) TBCM4 - Draft CMIP available for Programme review PL �

Finalise and approve CMIP (all sections of SIP) TBCM5 - Sponsor signoff of CMIP PS �

Step 5 - ImplementationEarly wins implementation PL

Potential projects and estimated savings

� 25 potential projects identified

� Total cost £2.8m

� 5500 tonnes estimated potential carbon saving

� £435,000 p.a. estimated potential cost saving

� Average payback 6.4 years

� 17 projects delivered

� Total cost £2.5m

� 5300 tonnes carbon saved

� At least £420,000 p.a. saved

� Average payback 5.9 years

Case study: Biomass

Why Choose Biomass?

SWOT Analysis

Biomass, Renewable, Low Carbon

North West Offers Most Fuel Availability

Envirolink Northwest

Biomass

� Virgin wood

� Suitability for heat/power generation

� Physical characteristics

� Moisture Content

� Particle Size

� Risk of Contamination

Fuel

� Pellets

� Woodchip

� Standards

� CEN/TC 335

� ÖNORM

� DIN

Fuel procurement and supply

Fuel feed system

Real time monitoring

How it works

Results (1 of 3) - Gas

Results (2 of 3) - Biomass

Results (3 of 3) - Electricity

Overall Combined Effect

– Carbon Emissions reduced by 28%– Cost savings / avoidance in the region of £400k p.a.– Nationally recognised as Britain’s Greenest Hospital

• Overall Winner - Guardian Public Sector Awards 2010• Winner Sustainability Category – Guardian Public Sector

Awards 2010• Winner Climate Week Awards 2011• Highly Commended – HSJ Efficiency Awards 2011

- Organisational-wide behaviour change- Positive attitude to wider sustainability matters

Britain’s Greenest Hospital

Future ChallengesBoard Report – Sustainability April 2010Estates Strategy 2012

Sustainable: The Trust needs its buildings to comply with relevant sustainability goals, and they must comply with relevant environmental legislation.Ensuring that all business cases include a sustainability assessment; Concentrating efforts to reduce carbon emissions in those areas with the largest carbon footprints; Demonstrating visible leadership on reducing carbon; Mainstreaming sustainability into all Trust policy and operational decisions;Ensuring all new buildings meet BREEAM Excellent or Very Good; Including Climate Change resilience as an explicit factor in decision making for new affordable capital investments; Asking all services to highlight, within their operational risk management systems, any major vulnerabilities to extreme weather impacts; andPublishing climate impact summaries internally throughout the Trust.

.

Any Questions ?