nhs sustainability day 2014 official launch

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Page 1: NHS Sustainability Day 2014 Official Launch

Welcome

wwwnhssustainabilitydaycouk

A call to action for the NHSNHS Sustainability Day

bull A platform for whole system thinking on sustainable actions

bull Showcase for innovation excellence and best practise

bull Opportunity to learn share collaborate

bull Engage - staffpatientsvisitorssupply chain

bull Help develop an NHS that is fit for the future

bull Do one thing differently

bull We hope you will be inspired to take part in 2014

Motivating SuccessNHS Sustainability Day

bull Day of action and engagement across NHS

bull 100 organisation participated 2013bull 300 participating in 2014bull Key endorsementsbull Royal Colleges associations and

Institutesbull Sharing knowledge experience and best

practicebull Creating a legacybull National Road Showsbull Awardsbull Internationally showcasing NHS

dayforactionIf the NHS can deliver a sustainable focus collectively on

one day why cant we do it every day - think what a difference it would make

NHS Sustainability Day 2014 launch event

Organisation date

NHS | Presentation to [XXXX Company] | [Type Date]7

Understanding sustainability

Rick WalkerCorporate Social Responsibility Senior Manager

NHS England

T Rick_Walker1

Section number

Sustainability

The goal of sustainable development is to enable all people hellip to satisfy their basic needs and enjoy a better quality of life without compromising the quality of life of future generations

hellip meeting the needs of today without compromising the ability of future generations to meet their needs hellip

8

High quality care for all now and for future generations

We have a single common definition of high quality care it is safe effective and a positive patient experience

We are committed to ensuring our resources secure a sustainable NHS

NHS England ndash vision amp purpose

The idea

NHS England ndash vision amp purpose

NHS constitutionbull ldquohellip committed to providing best value for taxpayersrsquo money

and the most effective fair and sustainable use of finite resources hellip accountable to the public communities and patients hellip taking decisionshellipshould be transparent and clear to the public patients and staffrdquo

Public health outcomes bull ldquohellip wider factors that affect health and wellbeing and health

inequalities eg children in poverty green space for exercisehealth

bull ldquohellip healthy lifestyles ndash healthy choices ndash reducing health inequalities

10

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 2: NHS Sustainability Day 2014 Official Launch

A call to action for the NHSNHS Sustainability Day

bull A platform for whole system thinking on sustainable actions

bull Showcase for innovation excellence and best practise

bull Opportunity to learn share collaborate

bull Engage - staffpatientsvisitorssupply chain

bull Help develop an NHS that is fit for the future

bull Do one thing differently

bull We hope you will be inspired to take part in 2014

Motivating SuccessNHS Sustainability Day

bull Day of action and engagement across NHS

bull 100 organisation participated 2013bull 300 participating in 2014bull Key endorsementsbull Royal Colleges associations and

Institutesbull Sharing knowledge experience and best

practicebull Creating a legacybull National Road Showsbull Awardsbull Internationally showcasing NHS

dayforactionIf the NHS can deliver a sustainable focus collectively on

one day why cant we do it every day - think what a difference it would make

NHS Sustainability Day 2014 launch event

Organisation date

NHS | Presentation to [XXXX Company] | [Type Date]7

Understanding sustainability

Rick WalkerCorporate Social Responsibility Senior Manager

NHS England

T Rick_Walker1

Section number

Sustainability

The goal of sustainable development is to enable all people hellip to satisfy their basic needs and enjoy a better quality of life without compromising the quality of life of future generations

hellip meeting the needs of today without compromising the ability of future generations to meet their needs hellip

8

High quality care for all now and for future generations

We have a single common definition of high quality care it is safe effective and a positive patient experience

We are committed to ensuring our resources secure a sustainable NHS

NHS England ndash vision amp purpose

The idea

NHS England ndash vision amp purpose

NHS constitutionbull ldquohellip committed to providing best value for taxpayersrsquo money

and the most effective fair and sustainable use of finite resources hellip accountable to the public communities and patients hellip taking decisionshellipshould be transparent and clear to the public patients and staffrdquo

Public health outcomes bull ldquohellip wider factors that affect health and wellbeing and health

inequalities eg children in poverty green space for exercisehealth

bull ldquohellip healthy lifestyles ndash healthy choices ndash reducing health inequalities

10

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 3: NHS Sustainability Day 2014 Official Launch

Motivating SuccessNHS Sustainability Day

bull Day of action and engagement across NHS

bull 100 organisation participated 2013bull 300 participating in 2014bull Key endorsementsbull Royal Colleges associations and

Institutesbull Sharing knowledge experience and best

practicebull Creating a legacybull National Road Showsbull Awardsbull Internationally showcasing NHS

dayforactionIf the NHS can deliver a sustainable focus collectively on

one day why cant we do it every day - think what a difference it would make

NHS Sustainability Day 2014 launch event

Organisation date

NHS | Presentation to [XXXX Company] | [Type Date]7

Understanding sustainability

Rick WalkerCorporate Social Responsibility Senior Manager

NHS England

T Rick_Walker1

Section number

Sustainability

The goal of sustainable development is to enable all people hellip to satisfy their basic needs and enjoy a better quality of life without compromising the quality of life of future generations

hellip meeting the needs of today without compromising the ability of future generations to meet their needs hellip

8

High quality care for all now and for future generations

We have a single common definition of high quality care it is safe effective and a positive patient experience

We are committed to ensuring our resources secure a sustainable NHS

NHS England ndash vision amp purpose

The idea

NHS England ndash vision amp purpose

NHS constitutionbull ldquohellip committed to providing best value for taxpayersrsquo money

and the most effective fair and sustainable use of finite resources hellip accountable to the public communities and patients hellip taking decisionshellipshould be transparent and clear to the public patients and staffrdquo

Public health outcomes bull ldquohellip wider factors that affect health and wellbeing and health

inequalities eg children in poverty green space for exercisehealth

bull ldquohellip healthy lifestyles ndash healthy choices ndash reducing health inequalities

10

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 4: NHS Sustainability Day 2014 Official Launch

dayforactionIf the NHS can deliver a sustainable focus collectively on

one day why cant we do it every day - think what a difference it would make

NHS Sustainability Day 2014 launch event

Organisation date

NHS | Presentation to [XXXX Company] | [Type Date]7

Understanding sustainability

Rick WalkerCorporate Social Responsibility Senior Manager

NHS England

T Rick_Walker1

Section number

Sustainability

The goal of sustainable development is to enable all people hellip to satisfy their basic needs and enjoy a better quality of life without compromising the quality of life of future generations

hellip meeting the needs of today without compromising the ability of future generations to meet their needs hellip

8

High quality care for all now and for future generations

We have a single common definition of high quality care it is safe effective and a positive patient experience

We are committed to ensuring our resources secure a sustainable NHS

NHS England ndash vision amp purpose

The idea

NHS England ndash vision amp purpose

NHS constitutionbull ldquohellip committed to providing best value for taxpayersrsquo money

and the most effective fair and sustainable use of finite resources hellip accountable to the public communities and patients hellip taking decisionshellipshould be transparent and clear to the public patients and staffrdquo

Public health outcomes bull ldquohellip wider factors that affect health and wellbeing and health

inequalities eg children in poverty green space for exercisehealth

bull ldquohellip healthy lifestyles ndash healthy choices ndash reducing health inequalities

10

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 5: NHS Sustainability Day 2014 Official Launch

NHS Sustainability Day 2014 launch event

Organisation date

NHS | Presentation to [XXXX Company] | [Type Date]7

Understanding sustainability

Rick WalkerCorporate Social Responsibility Senior Manager

NHS England

T Rick_Walker1

Section number

Sustainability

The goal of sustainable development is to enable all people hellip to satisfy their basic needs and enjoy a better quality of life without compromising the quality of life of future generations

hellip meeting the needs of today without compromising the ability of future generations to meet their needs hellip

8

High quality care for all now and for future generations

We have a single common definition of high quality care it is safe effective and a positive patient experience

We are committed to ensuring our resources secure a sustainable NHS

NHS England ndash vision amp purpose

The idea

NHS England ndash vision amp purpose

NHS constitutionbull ldquohellip committed to providing best value for taxpayersrsquo money

and the most effective fair and sustainable use of finite resources hellip accountable to the public communities and patients hellip taking decisionshellipshould be transparent and clear to the public patients and staffrdquo

Public health outcomes bull ldquohellip wider factors that affect health and wellbeing and health

inequalities eg children in poverty green space for exercisehealth

bull ldquohellip healthy lifestyles ndash healthy choices ndash reducing health inequalities

10

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 6: NHS Sustainability Day 2014 Official Launch

NHS | Presentation to [XXXX Company] | [Type Date]7

Understanding sustainability

Rick WalkerCorporate Social Responsibility Senior Manager

NHS England

T Rick_Walker1

Section number

Sustainability

The goal of sustainable development is to enable all people hellip to satisfy their basic needs and enjoy a better quality of life without compromising the quality of life of future generations

hellip meeting the needs of today without compromising the ability of future generations to meet their needs hellip

8

High quality care for all now and for future generations

We have a single common definition of high quality care it is safe effective and a positive patient experience

We are committed to ensuring our resources secure a sustainable NHS

NHS England ndash vision amp purpose

The idea

NHS England ndash vision amp purpose

NHS constitutionbull ldquohellip committed to providing best value for taxpayersrsquo money

and the most effective fair and sustainable use of finite resources hellip accountable to the public communities and patients hellip taking decisionshellipshould be transparent and clear to the public patients and staffrdquo

Public health outcomes bull ldquohellip wider factors that affect health and wellbeing and health

inequalities eg children in poverty green space for exercisehealth

bull ldquohellip healthy lifestyles ndash healthy choices ndash reducing health inequalities

10

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 7: NHS Sustainability Day 2014 Official Launch

Sustainability

The goal of sustainable development is to enable all people hellip to satisfy their basic needs and enjoy a better quality of life without compromising the quality of life of future generations

hellip meeting the needs of today without compromising the ability of future generations to meet their needs hellip

8

High quality care for all now and for future generations

We have a single common definition of high quality care it is safe effective and a positive patient experience

We are committed to ensuring our resources secure a sustainable NHS

NHS England ndash vision amp purpose

The idea

NHS England ndash vision amp purpose

NHS constitutionbull ldquohellip committed to providing best value for taxpayersrsquo money

and the most effective fair and sustainable use of finite resources hellip accountable to the public communities and patients hellip taking decisionshellipshould be transparent and clear to the public patients and staffrdquo

Public health outcomes bull ldquohellip wider factors that affect health and wellbeing and health

inequalities eg children in poverty green space for exercisehealth

bull ldquohellip healthy lifestyles ndash healthy choices ndash reducing health inequalities

10

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 8: NHS Sustainability Day 2014 Official Launch

High quality care for all now and for future generations

We have a single common definition of high quality care it is safe effective and a positive patient experience

We are committed to ensuring our resources secure a sustainable NHS

NHS England ndash vision amp purpose

The idea

NHS England ndash vision amp purpose

NHS constitutionbull ldquohellip committed to providing best value for taxpayersrsquo money

and the most effective fair and sustainable use of finite resources hellip accountable to the public communities and patients hellip taking decisionshellipshould be transparent and clear to the public patients and staffrdquo

Public health outcomes bull ldquohellip wider factors that affect health and wellbeing and health

inequalities eg children in poverty green space for exercisehealth

bull ldquohellip healthy lifestyles ndash healthy choices ndash reducing health inequalities

10

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 9: NHS Sustainability Day 2014 Official Launch

NHS England ndash vision amp purpose

NHS constitutionbull ldquohellip committed to providing best value for taxpayersrsquo money

and the most effective fair and sustainable use of finite resources hellip accountable to the public communities and patients hellip taking decisionshellipshould be transparent and clear to the public patients and staffrdquo

Public health outcomes bull ldquohellip wider factors that affect health and wellbeing and health

inequalities eg children in poverty green space for exercisehealth

bull ldquohellip healthy lifestyles ndash healthy choices ndash reducing health inequalities

10

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 10: NHS Sustainability Day 2014 Official Launch

We create the culture and conditions for health and care services and staff to deliver the highest standard of care and ensure that valuable public resources are used effectively to get the best outcomes for individuals communities and society for now and for future generations

World-class customer focus openness and transparency genuine patient and public participation empowering clinical leaders evidence-based decision making promoting innovation working in partnership

We are committed to ensuring our resources secure a sustainable NHS (financial social amp environmental)

Not only money

but our people

our knowledge and

skills

NHS England ndash vision amp purpose

Our purpose

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 11: NHS Sustainability Day 2014 Official Launch

Sustainability in NHS England

12

Corporate Social Responsibility ndash is the way we understand and manage our impacts and take steps to use them in a positive way encompassingbull Patients ndash Doing the right thing for patients ndash

towards sustainable models of healthcarebull Community ndash Managing our impacts to support

communitiesbull Healthy environments ndash Reducing negative

impacts and protecting the environmentbull Our people ndash Striving to be the best employer we

canbull Our organisation ndash Having the highest

standards of accountability

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 12: NHS Sustainability Day 2014 Official Launch

Towards a plan

13

bull Offices (energy carbon waste water) bull Travel bull Local community benefitscommunity impact

(eg local procurement)bull Engaging amp involving staff ndash our personal

responsibilitiesbull Volunteering connecting to our prioritiesbull Exploring employability access to work links

to health outcomesbull Processes eg NHS Standard contractbull Exploring the scope of Commissioning tools amp

support CSU products primary care commissioning

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 13: NHS Sustainability Day 2014 Official Launch

Sustainability day

14

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 14: NHS Sustainability Day 2014 Official Launch

Rick Walker

Corporate Social Responsibility Senior ManagerEmail rickwalkernhsnet

Twitter Rick_Walker1

15

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 15: NHS Sustainability Day 2014 Official Launch

Gracefield Gardens Health CentreApril 2013How it begins Building food growing capacity inside the Streatham located Health Centre

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 16: NHS Sustainability Day 2014 Official Launch

Gracefield Gardens Health Centre April 2013Patients get to work preparing a planter

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 17: NHS Sustainability Day 2014 Official Launch

Paxton Green Group PracticeJune 2013 Participants planting crops

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 18: NHS Sustainability Day 2014 Official Launch

Lambeth Walk Group Practice Summer 2013Using space at the side of the surgery to full potential

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 19: NHS Sustainability Day 2014 Official Launch

Lambeth Walk Group PracticeOctober 2013Participants harvesting produce

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 20: NHS Sustainability Day 2014 Official Launch

Lambeth GP Food Co-op

Funded by the London Borough of Lambeth and NHS Lambeth Clinical Commissioning Group

Supported and grown by the people of Lambeth

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 21: NHS Sustainability Day 2014 Official Launch

Anaesthesia related electrical energy use and anaesthetic gas scavenging (AGSS)

Dr JMT PierceGemma MorrisTom Dugdale

University Hospital Southampton

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 22: NHS Sustainability Day 2014 Official Launch

Nitrous oxide 100ppmIsoflurane 50ppm

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 23: NHS Sustainability Day 2014 Official Launch

Where is electricity used during anaesthesia

bull Plug-in energy meters for all anaesthesia related equipmentbull Surreptitious observation of radiant heater usebull AGSS

ndash Obtained the total power consumption from all the locations from Estates Department

ndash Power clamped each of the 3 phases of the supply

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 24: NHS Sustainability Day 2014 Official Launch

Energy use and surgical speciality

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 25: NHS Sustainability Day 2014 Official Launch

Energy use and equipment

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 26: NHS Sustainability Day 2014 Official Launch

Anaesthetic gas scavenging pumps

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 27: NHS Sustainability Day 2014 Official Launch

Up in the loft

bull 31 operating roomsbull Total load 2515 kWhbull Mean derived load per room 08kWhtheatre

ndash 1947 kKwtheatre daybull Mean measured load 075 kWhtheatre

ndash 1803 kWhtheatredaybull In addition AGSS in radiology ICU catheter labs

ndash Additional 21kWndash 504 kWhday

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 28: NHS Sustainability Day 2014 Official Launch

Average daily anaesthesia related energy consumption (UHS kWh)

135

390

1803

500Mean AR

Mean OR

Mean AGSS

Radiant heaters

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 29: NHS Sustainability Day 2014 Official Launch

How big is the issue

bull Theatre use 247ndash 204000 kWh year

bull Other use in radiology 247ndash 184000 kWh year

230 tonnes CO2 OR used for 40 of the time

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 30: NHS Sustainability Day 2014 Official Launch

What was the state of knowledge

bull 7 Night time surveys 11pmndash All AGSS left on

bull Survey anaesthetic department knowledge ofndash On off switchesndash Anaesthetic machine AGSS indicators

bull Informal telephone survey of other anaesthetic departments

bull Anaesthetic machine servicing teams

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 31: NHS Sustainability Day 2014 Official Launch

AGSS onoff switches

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 32: NHS Sustainability Day 2014 Official Launch

Confirming the AGSS is working

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 33: NHS Sustainability Day 2014 Official Launch

The future

bull Initiatives have a honeymoon phasendash Staff turnover

bull Interface the anaesthesia machine with the AGSS proven too difficult

bull Occupancy sensors to activate AGSSndash Current project

bull Move to low FGF may prove safe enough to allow a significant reduction in the AGSS flow rate

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 34: NHS Sustainability Day 2014 Official Launch

Network Name

Corporate Services

Grow Your Own

Project

NHS Sustainability Day

Award 2013

For Best Community Engagement Initiative

Centre for Sustainable Health Care

NHS Forest Annual Awards

Most Innovative Site 2013

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 35: NHS Sustainability Day 2014 Official Launch

Network Name

Can more be done to choose safe environmentally sustainable food and a healthier diet

Question

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 36: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We reduce supplier related CO2 emissions by growing organic seasonal

crops Food miles have become food steps

Yes its possible adopting the Grow Your Own Model

We have reduced food waste harvesting produce to meet patient menu

requirementsWe can assure food quality and growing standards as there is no external

involvement in the growing process

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 37: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Providing a Healthier Diet

Fruit and vegetables are one of our main sources of vitamins and

minerals which the body needs to perform a variety of functions well

Vitamin A helps to strengthen our immune system B vitamins help us

process energy from food vitamin D helps us maintain healthy teeth and

bones and vitamin C helps to keep cells and tissues healthy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 38: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Louise Treasure Team Leader Property Services ldquoPart of the GYO project is to

introduce locally grown organic food in to the food chain for the Service Users at Guild

Lodge This summer we have had fresh strawberries which have been harvested prepared

and served all within a few days providing the Service Users the best quality fresh

ingredients which is the priority An abundance of fresh salad vegetables and herbs have all

been provided to the kitchen to be used in patient feeding this not only gives the Service

User a freshly made dish but also cuts down on food miles cost and waste These issues

are high on the agenda at Lancashire Care and as we get more and more established the

planning of vegetable growing to match menus will increase and we can cut down on the

above on a bigger scalerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 39: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Chris Rowe Head of Support Services ldquoThe project plays a vital role in

minimising waste within the catering industry and builds towards planning for

the future establishing a sustainable resource that is multi facetted and can

be of benefit to the reduction of food miles and locally sourced produce We

will endeavour to move forward in the future building on what we have already

achieved broadening involvement in the local community and encouraging a

stable method of procurement for the future rdquo

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 40: NHS Sustainability Day 2014 Official Launch

Network Name

How can gardening support mental health recoveryQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 41: NHS Sustainability Day 2014 Official Launch

Network NameTeamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Grow your own as you wishAny veg for your dish

You can plant what you want to do

Making lots of veges for your stew

Grow your own any time of day

Even when the skies are grey

It can be hard without a doubt

Even when there is a drought

Planting seeds at the shedLovely flowers all of red

Yellow green and different colours

Creating things for hours and hours

Service User Poem

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 42: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Blake Shaw Associate Practitioner ldquoAt Fellside unit we started the project with a self-contained poly

tunnel which was full of weeds and overgrown With encouragement service users have embraced the

concept showing self-motivation by participating in the lsquogrow your ownrsquo project therefore Chris A and I

started to recruit volunteers to work on the land clearing the weeds and making the tunnel and

surrounding area fit to grow our own produce With a lot of hard work and dedication from the Fellside

grow your own team the Polytunnel is being redesigned with the help of the service users We have

started to cultivate and replenish the growing beds with seedlings and an assortment of vegetable and

fruit plants which in time will be sourced as part of our on-going health promotion projects Many of us

know that being more active outdoors is good for our physical health but getting outdoors and into nature

can improve mental health too Even simple activities like taking a stroll in the park or gentle

outdoor exercise can have big benefits for our mental wellbeingrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 43: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Paula Pemberton Associate Practitioner ldquoOn Forest Beck we have used produce

from delicious apples juicy sweetcorn and my favourite - honey It is a project that saves

money at Forest Beck it provides produce for healthy eating groups communal meals

which encourages service users to use skills in preparing and cooking food At Forest

Beck service users are preparing to go out into the community and cooking skills are

important for their future It is something that service users can see from beginning to

end From plot to plate It is outdoor exercise which is stress busting and a way to enjoy

the great outdoors NHS campaign lsquoChange 4 Lifersquo with eat well move more live longer is

exactly what this project promotesrdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 44: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Carol Bristow SEED Project Lead Service User Involvement ldquoPlease can I take this

opportunity to say what a fantastic project you lead on you must be very proud of your

achievements The person who I escorted down did not stop talking about your project ldquo

Grow Your Ownrdquo on the way back I wish I had a camera to capture his expression

when we arrived down at Grow Your Own I have not seen a service user so emotionally

enthusiastic for a long time What hope you gave him by just experiencing your project

for a short period of time ndash thatrsquos called Recovery The service user champion has now

gone away to design a promotional leaflet and poster to advocate your project to other

service users and staff here at Guild Lodgerdquo

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 45: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Service User Comments Fellside and Forest Beck

ldquoGreat opportunity to learn new skills that I can take away with me on

dischargerdquo

ldquoHelp with having a healthier lifestyle and personal fitnessrdquo

ldquoVery good quality and produce was well presented on arrival looking very

fresh and tastyrdquo

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 46: NHS Sustainability Day 2014 Official Launch

Network Name

Does community engagement matterQuestion

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 47: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Through community we promote healthy living and eating outdoor spaces

and organic produceWe help to development positive personal skills teamwork confidence

achievement pride ownership and engagement We interact with staff service users and community groups to share skills

network and develop friendships overcoming stigmas and perceptions

Community is the fundamental building block to our society

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 48: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

We support service user recovery and actively help to reduce the need for

service user dependency

We provide opportunities for people to volunteer and make a real difference

to outcomes being a team makes us stronger

We promote positive community engagement with real benefits for the local

health economy

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 49: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Community FeedbackI really enjoyed the day thank you

ldquoAll instructors were excellent very informativerdquo

Amazing experience

Would love to get the opportunity againAlways willing to answer questions

A one and only experience to help outEsther Wilks Assistant Programme Manager The Challenge Network rdquoIve not had a chance to write to say the HUGEST of thank yoursquos for last weekend (I cant believe it was only a few days ago seems like ages ago) I for one had so much fun on the day and all the feedback I got in the staff debrief suggests that the staff and young people did too It was such a nice way to end their time at The Challenge The level of effort you put into the day was so evident from the team signs to the hand sanitiser and biscuits in baskets thank you I hope we managed to get a lot of the apples picked for you and that the service users enjoyed the labyrinthrdquo

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 50: NHS Sustainability Day 2014 Official Launch

Network Name

Grow Your Own Project

Food Security

Mental Health Recovery

Community Engagement

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

>

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 51: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 52: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 53: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 54: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 55: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 56: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 57: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 58: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 59: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 60: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 61: NHS Sustainability Day 2014 Official Launch

Network Name

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 62: NHS Sustainability Day 2014 Official Launch

Network Name

Thank You From the Grow Your Own Project Team

Teamwork ndash Compassion ndash Integrity ndash Respect ndash Excellence ndash Accountability

Elizabeth Harrison Volunteer Project Lead Email ElizabethHarrisonlancahirecarenhsuk Tel 01772 773580

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 63: NHS Sustainability Day 2014 Official Launch

Sustainability atBHR University Hospitals

NHS Trust17th October 2013

NHS Sustainability Day 2014Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 64: NHS Sustainability Day 2014 Official Launch

Beds

Staff

Queenrsquos Hospital - Romford

King George Hospital - Ilford

~1000 ~ 400

~ 4242 ~ 1581

Contractors ~ 610 ~ 194Companies ~ 70 ~ 50

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 65: NHS Sustainability Day 2014 Official Launch

Director ofEstates Facilities amp Capital

Jackie Nugent

Head of EstatesCapital PFI Portfolio amp Contracts

Peter Harris

Sustainability amp Carbon Manager Estates Sustainability

Hyder Mohammad

Sustainability Communications Officer Estates Sustainability

PFI Contractor

SODEXO

Range of

contractors

suppliers

internal and

external

stakeholders

Estates amp Facilities Division

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 66: NHS Sustainability Day 2014 Official Launch

Success StoryNHS Sustainability Day 2013 CampaignBest Carbon Reduction and Best Overall Initiative

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 67: NHS Sustainability Day 2014 Official Launch

Invest Time amp Money

Implement Projects

Predicted Savings

Meet Drivers

Stakeholders

Retain SMT support

Culture change in FM

Out-of-hours bank holidays savings

Water conservation Waste

reduction amp recycling

Upset sustainability plans

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 68: NHS Sustainability Day 2014 Official Launch

NHS Sustainability Day 2013 CampaignObjectives

organise a high profile

launch

implement simple

measurable actions

engage educate

encourage

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 69: NHS Sustainability Day 2014 Official Launch

energy amp carbon ndash awareness

energy amp carbon ndash savings initiatives

waste amp water ndash awareness

waste amp water ndash reduction initiativeschanging

behaviours - better ways of doing

Travel - awareness amp support

NHS Sustainability Day 2013 Campaign planned activities

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 70: NHS Sustainability Day 2014 Official Launch

LIVE energy consumption ndash check anywhere

anytime

energy amp carbon ndash awareness

Real-time Energy Display

A high profile launch by CEO with Head of Estates Sodexo FM Managers and eco|Driver Director at Queenrsquos Hospital

Cardboard monitor says

ldquoswitch me offrdquo

Big A1 size ldquoPC monitorsrdquo crafted out of cardboard ldquoSwitch off your monitor overnight and save as much as 2 of Queenrsquos electricity costs Thatrsquos pound30000rdquo

Green Champions in

Action

Green Champions raised local awareness with provided information and tools

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 71: NHS Sustainability Day 2014 Official Launch

Lights go off when no one

on stairs

energy amp carbon ndash savings initiatives

Implementation of light sensors in multi-storey car park staircases at Queenrsquos Hospital

Let our buildings

sleep

Review and making changes to AHUs operating times to match business hours

Easter Bank Holiday switch-off

Secret Energy Audits

Green Champions were encouraged to do walked-around in their local areas to identify potential energy savings

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 72: NHS Sustainability Day 2014 Official Launch

Empty paper boxes display

waste amp water ndash awareness

Stacked empty paper boxes were in display in the Atrium with an awareness raising animated movie

Which bin to use

A stand raising awareness with bins posters and interactive quizzes to teach staff how to segregate waste properly

Join us to learn moreOn 28th June

Queenrsquos Atrium

How to save water

Essex amp Suffolk Water company distributed their Water Saving kit

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 73: NHS Sustainability Day 2014 Official Launch

waste amp water ndash awareness Join us to learn moreOn 28th June

Queenrsquos Atrium

Disposable cup

Gloves exposed to bloodbody fluids

Paper towel used for hand drying

Paper towel contaminated with blood

Disposable hat worn by staff

Disposable gown with blood stain

Empty Spirigelcontainer

Mask worn by staff

Plasticpaper packaging from

clinical equipment

Empty card box packaging

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 74: NHS Sustainability Day 2014 Official Launch

waste amp water ndash awareness

Nurse wasteful vs

Nurse greenway

An activity based pictorial guide showing the behaviour of a ldquowaste producer vs waste reducerrdquo

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 75: NHS Sustainability Day 2014 Official Launch

IV Bags recycling in Pharmacy

waste amp water ndash reduction initiatives

In Pharmacy Unit awareness and facilities are provided to send saline amp dextrose bags as Food Waste stream

Water reduction opportunities

Identified ways to work in collaboration with water supply company

Aperlan waste bottles

recycling

In Renal Unit and Endoscopy Unit facilities were arranged to collect Aperlan plastic bottles for recycling

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 76: NHS Sustainability Day 2014 Official Launch

travel ndash awareness amp support

Free

Dr Bike

Sessions

Free

BUG

Breakfast

Bike

marking

sessions

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 77: NHS Sustainability Day 2014 Official Launch

Changing behaviours ndash better ways of doing things

Stakeholders engagement and training

Domestics M amp E Team

Medical Records Store FM Supervisors

PortersSecurity

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 78: NHS Sustainability Day 2014 Official Launch

Outcomes Achievements

increased awareness at all levels

Contractors participation

Sense of ldquonever

done can be done amp

achievablerdquo

Connection to wider teams

Opportunities external

funding amp services

Completion of Travel

Plan

monitoring amp targeting

tools

Integration into Estates

and FM plans

Recorded progress

change and savings

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 79: NHS Sustainability Day 2014 Official Launch

Invest Time amp Money

Implement Initiatives

Predicted Savings

Meet Drivers

Stakeholders

SMT support and

leadership

with a desire to make a BIG difference it is vital to RETAIN

timely available of resources

stakeholders full support

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 80: NHS Sustainability Day 2014 Official Launch

Barking Havering and Redbridge University HospitalsNHS Trust

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 81: NHS Sustainability Day 2014 Official Launch

Sustainable CateringNHS CATERING

Andy JonesNational Chair of HCA

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 82: NHS Sustainability Day 2014 Official Launch

Caterers Responsiblity

bull Peoplendash TrainedFocusedCommittedndash Local Community

bull Good Foodndash Good Ingredientsndash Well Presentedndash Served with Knowledge

bull Waste

bull Communicationndash Local Suppliers Showcase

Stallsndash Customers Information

Point - Patients and Staff

bull ASKndash Case Studiesndash NFU MSC Red Tractor

Served with PassionNothings IMPOSSIBLE

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 83: NHS Sustainability Day 2014 Official Launch

90

Suppliers Responsiblitybull Supply Partners

bull Co-operativesbull Meet the Supplier Days

bull Procurement ndash Food Chain Guardiansbull Seasonal and Localbull British First Goodsbull Sustainable Sourcedbull Clear and True Labelling

bull Packaging

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 84: NHS Sustainability Day 2014 Official Launch

91

Together we can CHANGE

ANY QUESTIONSOH YES I HAVE ONE

NOTHINGrsquoS IMPOSSIBLE

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 85: NHS Sustainability Day 2014 Official Launch

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion Services ndash Community Engagement

Gemma LynchOperations Director Carillion Health

Tracy WilliamsHR BP Carillion Health Barts Health Contract

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 86: NHS Sustainability Day 2014 Official Launch

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Carillion plc is one of the UKrsquos leading support services companies with a substantial portfolio of Public Private Partnership projects and extensive construction capabilities Our services have the potential to contribute significantly to society as well as providing employment within the communities in which we operate

The Grouprsquos annual revenue in 2012 was pound44 billion and we employ around 42000 people across the UK Canada and the Middle East and North Africa

To fulfil our mission and vision we seek to behave in accordance with our Values in everything we do and to embed sustainability across all our business units Our sustainability vision

To be recognised as a leading sustainable business and the leading sustainable support services company

Click icon to add picture

Carillion plc

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 87: NHS Sustainability Day 2014 Official Launch

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Our six positive outcomes

Protecting the environment

Supporting sustainable communities

Providing better prospects for our people

Building a successful business

Leading the way

Enabling low-carbon economies

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 88: NHS Sustainability Day 2014 Official Launch

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

Supporting sustainable communities

bull Charitable giving

bull Employment opportunities

bull Engaging with schools and hard-to-reach groups

bull Local spend

bull Use of Community Needs plans

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 89: NHS Sustainability Day 2014 Official Launch

Making tomorrow a better place through our 2020 sustainability strategy

KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwwwstnliveinfo

bull Business Action on Homelessness

bull Harpley School

bull HM Prison Send

Community Engagement atBarts Health

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 90: NHS Sustainability Day 2014 Official Launch

Sustainability and DH

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 91: NHS Sustainability Day 2014 Official Launch

bull DH contacts and partners

bull National work on SD and Climate change

bull International work and the inspiration you provide for othershellip

Sustainability and DHGeneral Outline of Talk

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 92: NHS Sustainability Day 2014 Official Launch

DH Contacts

bull Prof David Walker ndash DCMO SD amp CC Champion

bull Helen Shirley-Quirk ndash Director Health Protection

bull Robert Edmondson-Jones CBE ndash Director Estates amp

Information Services

bull Dr Louise Newport ndash Policy lead for sustainability and CC

bull Ian Rowlan ndash Senior Engineer

bull Christine Hardy ndash Estates amp Sustainability Manager

bull David Wathey ndash Sustainable procurement

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 93: NHS Sustainability Day 2014 Official Launch

Partnership Working

bull NHS-England

bull Public Health England

bull Sustainable Development Unit

bull Defra

bull Decc

bull Environment Agency

bull Local Government Association

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 94: NHS Sustainability Day 2014 Official Launch

Climate Change Act (2008)

bull DH provides health input to cross-government implementation of the Climate Change Act (2008)ndash Input to Carbon Reduction Strategiesndash Five year cycle to understand and act on the

consequences of climate change CCRA and NAPndash Climate Change Risk Assessment (January 2012) ndash

what are the likely consequences of climate changendash National Adaptation Programme (July 2013) ndash how are

these risks addressed ndash for Healthy and Resilient Communities

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 95: NHS Sustainability Day 2014 Official Launch

NHS Sustainable Development Unit

bull NHS Sustainable Development Unitndash Adaptation to Climate Change in

NHS Organisations ndash what you need to know (2012)

ndash PHOF ndash SDMP indicatorndash ARPndash SD Strategy consultation 2013

wwwsdunhsuk

Guidance producedhellip

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 96: NHS Sustainability Day 2014 Official Launch

Procurement

bull Procurement is 60 of the NHSrsquoS carbon footprint

bull Sustainable messaging in contracts

bull Procurement for Carbon Reduction (P4CR)

bull WHO looking at P4CR use internationally

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 97: NHS Sustainability Day 2014 Official Launch

ERIC AND PAM

bull Important to measure progress across the system

bull Updating to include necessary information on

sustainability and climate resilience

bull BREEAM for healthcare ndash Phase III ndash increase

sustainable building construction in healthcare for 2020

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 98: NHS Sustainability Day 2014 Official Launch

Health Impacts of Climate ChangeDeveloping the UK evidence ndash 2002082012

bull Heatwave-related health problems

bull Aeroallergens ndash pollen etc

bull Air pollution ndash Respiratory amp Cardiovascular effects

bull Indoor environment

bull UV - Sunburn skin cancer and cataracts

bull Flooding mental health consequences

bull Vector-borne diseases

bull Water amp Food-borne disease

bull Extreme weather-related events (injuriesdeath)

bull But decrease in cold-related illness amp deaths

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 99: NHS Sustainability Day 2014 Official Launch

Health Co-benefits bull Lancet co-benefits research Nov 2009 LSHTM bull Health benefits of low carbon actions in transport

built environment food and agriculture both in the UK and the developing world

bull Eg Health benefits from low car usendash increased active transportndash reduce obesity ndash reduce urban pollutionndash reduce road traffic accidents ndash lsquoGreenerrsquo fuels also lead to reduced indoor

and outdoor air pollution bull Currently 800000 deaths per year from outdoor

air pollution 15 million from indoor air pollution 19 million from physical inactivity and 26 million from obesity (WHO European region)

bull WHO lsquoHealth in the Green Economyrsquo series

Lower carbon saves lives ndash and money

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 100: NHS Sustainability Day 2014 Official Launch

bull WHO Resolution on Climate Change and Health (6112) 2008

bull Commonwealth Ministers agreement to cooperate on climate change and health WHA May 2008

bull UK co-chaired the WHO (Europe) Climate Change Task Force to develop a Framework for Action on Climate Change and Health

bull WHO European Environment and Health 5th Ministerial Conference Parma 2010

bull DH chairs the WHO Euro Working Group on Health Impacts of Climate Change (HIC)

International collaborationlsquoClimate Change is Globalrsquo

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 101: NHS Sustainability Day 2014 Official Launch

Greening Healthcare

bull WHO Europe Meeting in Bonn 2013

bull Inspiring examples from other countries

bull Solar power in hospitals in Kyrgyzstan and Montenegro

ndash Uninterrupted power supply for the first time

ndash Able to function outside daylight hours

ndash Improved patient outcomes and staff morale

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 102: NHS Sustainability Day 2014 Official Launch

Thank you

Professor David WalkerDeputy Chief Medical OfficerDepartment of Health

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 103: NHS Sustainability Day 2014 Official Launch

NHS Sustainability Day 2013 Awards

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111
Page 104: NHS Sustainability Day 2014 Official Launch

Donrsquot forget the date

  • Welcome
  • NHS Sustainability Day
  • NHS Sustainability Day (2)
  • Slide 4
  • dayforaction
  • NHS Sustainability Day 2014 launch event
  • Understanding sustainability
  • Sustainability
  • Slide 9
  • NHS England ndash vision amp purpose
  • Slide 11
  • Sustainability in NHS England
  • Towards a plan
  • Sustainability day
  • Gracefield Gardens Health Centre
  • Gracefield Gardens Health Centre
  • Paxton Green Group Practice
  • Lambeth Walk Group Practice
  • Lambeth Walk Group Practice
  • Lambeth GP Food Co-op
  • Anaesthesia related electrical energy use and anaesthetic gas s
  • Slide 23
  • Slide 24
  • Where is electricity used during anaesthesia
  • Energy use and surgical speciality
  • Energy use and equipment
  • Anaesthetic gas scavenging pumps
  • Up in the loft
  • Average daily anaesthesia related energy consumption (UHS kWh)
  • How big is the issue
  • What was the state of knowledge
  • AGSS onoff switches
  • Confirming the AGSS is working
  • Slide 35
  • The future
  • Slide 37
  • Slide 38
  • Slide 39
  • Slide 40
  • Slide 41
  • Slide 42
  • Slide 43
  • Slide 44
  • Slide 45
  • Slide 46
  • Slide 47
  • (2)
  • Slide 50
  • Slide 51
  • Slide 52
  • Slide 53
  • Slide 54
  • Slide 55
  • Slide 56
  • Slide 57
  • Slide 58
  • Slide 59
  • Slide 60
  • Slide 61
  • Slide 62
  • Slide 63
  • Slide 64
  • Slide 65
  • Slide 66
  • Sustainability at BHR University Hospitals NHS Trust
  • Slide 68
  • Slide 69
  • Slide 70
  • Slide 71
  • Slide 72
  • Slide 73
  • Slide 74
  • Slide 75
  • Slide 76
  • Slide 77
  • Slide 78
  • Slide 79
  • Slide 80
  • Slide 81
  • Slide 82
  • Slide 83
  • Slide 84
  • Slide 85
  • Slide 86
  • Slide 87
  • Sustainable Catering NHS CATERING
  • Caterers Responsiblity
  • Suppliers Responsiblity
  • Together we can CHANGE
  • Slide 92
  • Carillion plc
  • Slide 94
  • Slide 95
  • Community Engagement at Barts Health
  • Sustainability and DH
  • Slide 98
  • DH Contacts
  • Partnership Working
  • Climate Change Act (2008)
  • NHS Sustainable Development Unit
  • Procurement
  • ERIC AND PAM
  • Health Impacts of Climate Change Developing the UK evidence ndash 2
  • Health Co-benefits
  • Slide 107
  • Greening Healthcare
  • Thank you
  • Slide 110
  • Slide 111