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NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
NHS Sustainability Day Hull Road Show
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NHS Sustainability Day Hull Road Show

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As a member of the Global green and healthy hospitals, Hull and East Yorkshire Hospitals NHS Trust hosted the day and help kick-start the NHS Sustainability road-show series, allowing the likes of …

As a member of the Global green and healthy hospitals, Hull and East Yorkshire Hospitals NHS Trust hosted the day and help kick-start the NHS Sustainability road-show series, allowing the likes of Yorkshire Ambulance Service and East Riding Public Health to become involved and demonstrate their work around health and sustainability.

Hull is also home to the first energy park designed by The Great Outdoor Gym Company who were on hand to discuss the equipment which showcases the link between health and sustainability.

Delegates attended the event for FREE and kindly supported Hull Food Bank by bringing along non-perishable food item, tins or packets, for donation.

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  • Sustainability , in a general sense, is the capacity to maintain a certain process or state indefinitely. In recent years the concept has been applied more specifically to living organisms and systems. As applied to the human community , sustainability has been expressed as meeting the needs of the present without compromising the ability of future generations to meet their own needs. [1] Brundtland Commission
  • Sustainability , in a general sense, is the capacity to maintain a certain process or state indefinitely. In recent years the concept has been applied more specifically to living organisms and systems. As applied to the human community , sustainability has been expressed as meeting the needs of the present without compromising the ability of future generations to meet their own needs. [1] Brundtland Commission
  • http://www.sdu.nhs.uk/documents/case_study/SDMP_Hull_East_Yorks_2013.pdf
  • Sustainability , in a general sense, is the capacity to maintain a certain process or state indefinitely. In recent years the concept has been applied more specifically to living organisms and systems. As applied to the human community , sustainability has been expressed as meeting the needs of the present without compromising the ability of future generations to meet their own needs. [1] Brundtland Commission
  • Sustainability , in a general sense, is the capacity to maintain a certain process or state indefinitely. In recent years the concept has been applied more specifically to living organisms and systems. As applied to the human community , sustainability has been expressed as meeting the needs of the present without compromising the ability of future generations to meet their own needs. [1] Brundtland Commission
  • Hello and welcome to the first ever NHS Sustainability Day Roadshow at the Royal Infirmary Hospital in Hull Firstly I would like to say a massive thank you to Hull and East Yorkshire NHS Trust for offering to host the day and to all of you for taking time out of your diaries to attend today and be involved in this years NHS Sustainability Day I would also like to take this opportunity to thank our event sponsors Carillion PLC, The Health Estates Journal as our official Media Partners and 4 all of us – our official delivery partners for NHS Sustainability Day 2014
  • NHS Sustainability Day is a day of action across the NHS and it’s aimed at providing information and encouraging knowledge sharing across the whole sector, showcasing excellence and best practice Hosted by Barts Health – bit about the trust/size etc This will be the 3 rd NHS Sustainability Day and it’s going from strength to strength. Last year over 100 NHS organisations took part and made a significant difference to raising the profile of sustainability across a range of organisations. Aimed so that everyone can take part, encouraging collaboration ad partnerships to take place. Working together to make sure we truly innovate and deliver sustainable solutions across the whole organisation. In driving excellence as standard and sharing best practice across the organisation we can make a real difference and by sharing and celebrating organisations successes we can inspire others to take action.
  • Targets – legislative and NHS Increased cost of utilities and increased resource scarcity Upcoming legislation and carbon taxes Improve resilience of our healthcare services and ensure we are able to deliver world class healthcare in the future
  • In order to deliver
  • Creating a legacy within our community spaces and making a lasting difference throughout the year 4 all of us link with this years NHS Sustainability Day allows us to create a legacy of activity which will benefit the local community far beyond the day itself, offering both sustainability and health benefits
  • Last year over 40 organisations entered into the first NHS Sustainability Day awards and this year we are expecting competition to be fearse. The winning entries were chosen by a panel of specialist judges who through the entries reflected a broad scope of activity demonstrating leadership and best practice in their field. A summary of the winners and their projects is outlined on the slide and their success will be formally celebrated at the launch event on 17 th October
  • An example of what we did at Barts Health last year – inspiration for what you could do this year
  • [Picture: York, courtesy of EA] Presentation covers:
  • Engage clearly and simply with the business sector to support growth, increase resilience and boost competitiveness in a changing climate. Work in partnership with the public, education and third sectors to build knowledge, capacity and expertise through effective communications, networks, shared learning and dissemination. Develop projects to support a resilient and low carbon future, leveraging external expertise and funding to the region to help stakeholders deliver their priorities. Influence and support the emerging National Adaptation Plan (NAP) underpinned by local evidence and priorities. Develop Your Climate as part of Climate UK as a sustainable and leading network for building climate resilience in Yorkshire and the Humber.
  • Winter late 2010 / 2011 Temps down to -20’C Huge impact on business, schools… e.g. lost days at work, logistics / supply chains disrupted. Salt supplies – prioritising critical infrastructure Elderly people – reluctant to leave the home Pressure on heating… Defrost – pipes bursting!
  • Defra – responsible for air quality issued the alert Ozone and pollutants: PM10s which can affect people’s health PM10s: Very small particulates of dust, soot and other materials Impacts on vulnerable groups such as very young and old Those with respiratory conditions such as asthma Coincided with Easter ‘getaway’ making with 18m vehicles on the roads making the problem worse!
  • 2011 drought and forest / moorland fires Marsden Moore Fire – near Huddersfield Date: Prolonged dry weather High winds Fire was initially man made, but spread quickly. BBC News – 10 April 2011 A quad bike on fire caused a blaze that spread across more than 500 hectares (1,235 acres) of protected moorland near huddersfield, police said. Up to 50 firefighters spent 24 hours tackling the flames at marsden moor after the fire started at about 1200 bst on saturday. National trust managers fear rare birds, hares and vegetation could have perished due to the speed it spread. Police said they were looking for the owners of the quad bike. Officers said their investigations were at an early stage and it was not yet known whether the fire was started deliberately. Firefighters said nine engines were sent to tackle two separate fires on the moor, which is designated a site of specific scientific interest. The fire is believed to have spread quickly due to dry and windy conditions. National trust countryside manager gemma wren said: "we believe birds and hares will have been wiped out, we saw lots of them trying to get out of the way." The national trust scrambled a helicopter with a water bucket to help douse the flames.
  • Not just the impact on domestic users.. Impact on agriculture, Drought conditions now extend into midlands and south west Some rivers in England exceptionally low – impact on biodiversity (fish, birds, frogs) Thames water – desalination plant – East London (noting controversy)
  • Definition Adapting to climate change will reduce the costs and damages of a changing climate in the UK from floods, droughts and heat waves, and ensure that businesses and public agencies can harness some of the opportunities
  • The CCRA methodology is novel in that it has allowed for comparison of over 100 risks prioritised from an initial list of over 700 from a number of disparate sectors based on the magnitude of the impact and confidence in the evidence base A key strength of the analysis is using a consistent method and set of climate projections to look at current and future risks and opportunities. does not include societal change in assessing future risks, either from non-climate related change, for example economic growth, or developments in new technologies; or future responses to climate risks such as future or planned Government policies or private adaptation investment plans. Excluding these factors from the analysis provides a more robust ‘baseline’ against which the effects of different plans and policies can be more easily assessed.
  • Health inequalities a significant issue People in most areas experiencing poorer health and greater likelihood of premature death than the average in England A larger proportion of people deemed to be suffering fuel poverty compared to England Lower than average levels of physical activity in children, healthy eating and housing suitable for habitation Higher than average premature deaths and long-term preventable illness Ageing population migrating away from urban centres towards more rural areas. Impacts exacerbated by disadvantage Impacts exacerbated by disadvantage communities that already suffer from health and environmental inequalities Tackling some of the root causes will pay dividends when adapting to climate change Area of high flood risk and high deprivation See next slide… Exacerbation of existing health conditions E.g. increasing respiratory illnesses such as asthma due to air pollution from elevated ozone levels and pollutants Worse in urban areas in summer months, e.g. smog alert in April 2011 Challenges to healthcare delivery Temperature control in buildings Severe weather impacts on ability to delivery mobile home care services, e.g. meals on wheels, community transport Changing nature of health needs Less winter mortality, but increased heat stress (dehydration / exhaustion) of elderly and young and UV exposure in summer
  • Graph shows no. of properties in England & Wales in the highest 20% of deprived areas at significant risk of flooding Thinking back to Summer Flood 2007 – cost £3bn in England People displaced from their homes for long periods of time Stress associated with upheaval, financial pressures and conditions.
  • The National Adaptation Programme (NAP) contains a register of actions to deliver “ A society which makes timely, far-sighted and well-informed decisions to address the risks and opportunities posed by a changing climate.” Focuses on major risks identified in the Climate Change Risk Assessment Identifies actions being undertaken or to be undertaken by partners from across business, government, organisations and localities. c300 actions in the NAP divided into the following broad categories: Raising awareness of the need for climate change adaptation Increasing resilience to current climate extremes Taking timely action for long-lead time measures Addressing major evidence gaps.
  • [Picture: Richmondshire scene] Funding from YoHr Space for LAs to undertake LCLIPs and risk assessments supporting performance The CC Partnership has delivered good practice / sharing events for LAs and partners. Regional study ‘weathering the storm’ undertaken in 2009. We also hosted ‘Projections in Practice’ week to launch government funded UKCP09 ‘projections’ up to the 2080s local climate impact profiles LAs undertook media trawl to find local examples of severe weather and how they coped. Key risks shared with service managers. risk assessments Builds on LCLIP process, but looks in detail at each service area in LAs Matrix develop to categorise how likely a risk is to occur and what the impacts might be. Interviews held with service managers to identify risks and possible actions adaptation action plans Some LAs have now moved ahead with developing clear ‘adaptation’ action plans as part of their wider climate change strategies
  • Joint project with JRF – to look at socially just adaptation to climate change Modelling conducted by University of Manchester – trys to measure flood disadvantage Need to consider: Adaptive Capacity (preparedness, ability to respond, recovery) Sensitivity (age, health, care req’d) Exposure (i.e. blue/green space, built env) Results: Hull East – higher than average %householders with: – under 5’s, over 75’s, lone single pensioners, limiting long term illness, disability, lone parents, low mobility (no car)
  • NHS has 1.3million staff and a budget of 20bn – a huge opportunity to influence the agenda and people’s awareness of the issues both at work/home. There is the opportunity for much stronger joint and integrated working, particularly looking at how best to utilise budgets. Look for the co-benefits of working together on this agenda. It is more effective (and cheaper) to take preventative action than to deal with the resulting health issues. Do we really understand the true costs of these health impacts? The challenge can’t solely be the task of Health and Wellbeing Boards – they will need appropriate support.
  • Explain here the idea behind the pull ups
  • People told Camden that the cost & accessibility were a barrier to gym use.   TGO worked with Camden PCT to provide gyms within a 20minute walk of most Camden homes.   There are now eight NHS –funded free to use outdoor gyms across Camden.
  • Explain how the NHS did their own surveys and the results were great. Highlight the fact that the surveys showed that the gyms were successfully attracting the inactives.
  • Talk about the concept here, about adidas’ Olympic legacy, the promotion of physical activity and cross selling physical activity into sport.
  • There is Daley thompson and our own TGO trainer Greg Andrews
  • Hull is high on the coronary heart problems and obesity. Hull has seen the benefit of 8 of our adizones
  • Transcript

    • 1. Welcome to the Hull and East Yorkshire NHS Sustainability Day Road Show
    • 2. Sustainability at Hull and East Yorkshire Hospitals Marc Beaumont Head of Sustainability
    • 3. Contents • Hull and East Yorkshire Hospitals • Trust Figures • Sustainable Healthcare Strategy • Work at Hull • Corporate Social Responsibility • Questions
    • 4. Hull and East Yorkshire Hospitals • Large Acute Teaching Hospital Trust • Two Main Sites • Operating Budget of £480 million • Over 8,500 employees
    • 5. Hull & East Yorkshire Hospitals
    • 6. Where are we now
    • 7. Trust Figures • £5 million annual spend on energy • Over 100 million kWh of energy • 30,284 tonnes of CO2 in 2012/13 • 48 tonnes of clinical and non healthcare waste per week
    • 8. Trust Figures GREENHOUSE GAS EMISSIONS 2008-09 2009-10 2010-11 2011-12 2012-13 31,407 30,858 30,887 29,050 31,529 17,037 16,002 16,564 14,700 16,365 14,371 14,856 14,322 14,350 14,576 589 19,719,167 24,033,056 23,384,555 25,661,668 1,559 2,021 1,009 1,529 37 24,245 86,192 85,274 88,463 78,727 86,259 5002863 4083033 4,383,884 4,717,187 5,081,650 294,108 284,856 281,196 Related Energy Consumption (,000 kWh) Financial Indicators (£) Non-Financial Indicators (tCO²) Electricity Non-Renewable Electricity Renewable Gas Total gross emissions Scope 1emissions (direct) gas Scope 3(indirect) supplier transport emissions Expenditure on Energy Scope 2 emissions (indirect) electricity Carbon Reduction Commitment Expenditure WASTE 2009-10 2010-11 2011-12 2012-13 4,231 2,871 2,712 2,779 Landfill 501 368 Incinerated with 818 Incinerated without energy recovery 1,332 1,204 695 Landfill 2,519 1,036 233 155 Reused/Recycled 380 631 1,283 1,374 Composted 64 Landfill 304 Incinerated with energy recovery 87 Non-Financial Indicators (tonnes) Total waste Clinical Waste (ink Hazardous) Non-Hazardous Waste Non-Financial Indicators (tonnes CO 2 e) Clinical Waste (inc. Hazardous)*
    • 9. Trust Figures FINITE RESOURSE CONSUMPTION : WATER 2008-09 2009-10 2010-11 2011-12 2012-13 Water Consumption (m 3 ) 375,694 360,071 337,657 344,214 358,910 158 Financial Indicators (£k) 636,051 658,757 596,536 609,519 650,930 FINITE RESOURSE CONSUMPTION : TRANSPORT 2008-09 2009-10 2010-11 2011-12 2012-13 123,511 37 1,209,462 481 270,298 Non Patient Transport Mileage CO 2 Tonnes 108 712,060 262 1,766,427 344 4,081,758 1,231 Vehicle Mileage Own Vehicles Mileage Own Vehicles CO 2 Tonnes Patient Transport Mileage (YAS Contract) Patient Transport CO 2 Tonnes Non Patient transport Mileage All Other Patient Transport Mileage Total Transport Mileage Total Transport Mileage CO 2 Tonnes Business Miles All Other Patient Transport Mileage CO 2 Business Miles CO 2 Non-Financial Indicators Water tonnes CO 2 e Water Supply Costs
    • 10. Scope of Sustainability • Traditional scope is energy management & recycling. • Wider scope of how we carry out all of our activities. • CSR • Procurement • Clinical pathways • How we treat patients, which patients we treat. • Changing NHS and many of the goals align with sustainability and are being supported.
    • 11. CSR Corporate Social Responsibility • Night Shelter • Charity of the year • Youth Unemployment
    • 12. Questions
    • 13. NHS Sustainability DayFiona Daly Environmental Manager
    • 14. The people behind the day Welcome & Thank you
    • 15. A day to take action What is NHS Sustainability Day  “NHS Sustainability Day is a day of action across the NHS providing information and knowledge across the healthcare sector, showcasing excellence and best practice”  Taking action and engaging staff across the sector  Encouraging collaboration and partnership  Working together to deliver more  Driving and Sharing of best practice  Celebrating Success  Creating a legacy
    • 16. Why is it important? Sustainability in the NHS  Carbon Targets – 10% 2015, 34% 2020, 60% 2030, 80% 2050  Increased cost and reduced availability of utilities and resource  Increased Legislation  Improved resilience to a changing climate  Future proofing our futures  Ensuring we can continue to deliver world class healthcare in the future  January 2014 – NHS New Strategy
    • 17. Coming to a venue near you NHS SD Road-shows 3rd October – Hull 17th October – Official Launch (London) 4th December – Liverpool 29th January – Nottingham 6th February – Royal Bournemouth 27th March – NHS Sustainability Day
    • 18. Community benefit Creating a legacy
    • 19. Celebrating success Category Description Winner Clinical Engagement Initiative Educate all students in the benefits of effectively controlling anaesthetic gas scavenging systems and the energy and carbon efficiencies that can be gained University of Southampton Biodiversity Initiative Planting 120 Trees to create a mini forest at the hospital with NHS Forest St Helens and Knowsley NHS Trust Sustainable Food Initiative Set up Lambeth Food Cooperative to support sustainable food and local businesses Lambeth Clinical Commissioning Group Carbon Reduction Initiative Carbon Reduction in energy, travel and behaviours Barking, Havering and Redbridge Energy Reduction Initiative Big Easter Switch off and Eco Rhyme Southend University Hospital NHS Trust Sustainable Travel Initiative Cycle train around Warwick South Warwickshire NHS Foundation Trust Waste & Recycling Initiative Increased recycling and introduction of new waste recycling streams Isle of Wight Community Engagement Initiative Grow your own' project & 200 trees planted Lancashire Care NHS Trust Best Overall Project Initiative Carbon Reduction in energy, travel and behaviours Barking, Havering and Redbridge
    • 20. 27th March 2014 www.nhssustainabilityday.co.uk
    • 21. Local Impacts in Yorkshire & Humber Jon Clubb Climate Change Coordinator, Your Climate
    • 22. Our priorities in 2013-14 are to: •Engage clearly and simply with businesses •Build capacity and expertise across public, education and third sectors •Develop projects to support a resilient and low carbon future •Influence and support National Adaptation Programme your climate Supporting action for a resilient and low carbon future
    • 23. extreme weather? 2000 – flooding 2008 – snow and ice 2001 – flooding 2009 – flooding 2003 – heatwave 2009 – snow and ice 2005 – flooding 2010 – flooding 2006 – drought 2010 – snow and ice 2006 – heatwave 2011 – drought / fire 2007 – flooding 2012 – drought 2008 – flooding 2012 – flooding
    • 24. ‘Britain facing one of the coldest winters in 100 years, experts predict’ The Telegraph, 2 January 2010
    • 25. ‘Smog alert for England and Wales’ , BBC News, 22 April 2011
    • 26. Marsden Moor Fire, April 2011
    • 27. “Drought may last until Christmas” BBC News, 16 April 2012
    • 28. A1 closure
    • 29. evidence • UK Climate Projections - UKCP09 • Regional Adaptation Study • UK Climate Change Risk Assessment ‘CCRA’ • Adaptation Sub Committee • Regional and local assessments
    • 30. UK Climate Change Risk Assessment • Produced for government • First in a five yearly cycle • Analysis of over 100 key risks • Based on UKCP09 data • Provides robust baseline • 11 sector reports • Yorkshire & Humber summary
    • 31. health and well-being • Health inequalities a significant issue • Impacts exacerbated by disadvantage Key implications for Y&H • Area of high flood risk and high deprivation • Exacerbation of existing health conditions • Challenges to healthcare delivery • Changing nature of health needs
    • 32. flood risk / deprivation
    • 33. national adaptation programme The key actions for local areas on Health & Wellbeing are: —To address health risks through Joint Strategic Needs Assessments, Joint Health and Wellbeing Strategy and Local Health Resilience Partnerships. —Communities and civil society groups to take action to build community resilience to extreme weather events and impacts of climate change, and support Local Health Resilience Partnerships and local Recovery Coordination Groups. —To improve the reach of the Heatwave Plan for England to local authorities. —To promote and implement the Cold Weather Plan for England. —Councils and communities to tackle climate impacts on vulnerable groups. —Fire & Rescue Service to review local risks and the service’s capability to deal with a severe wildfire.
    • 34. managing risk locally • local climate impact profiles • risk assessments • adaptation action plans www.yourclimate.org
    • 35. vulnerability mapping
    • 36. PROGRAMME OVERVIEW •Environment Agency- Climate Ready programme and the national context •Your Climate- Local impacts in Yorkshire & Humber •PriceWaterhouseCoopers- Health & Wellbeing in the context of global sustainability •NHS Sustainable Development Unit - Building ‘adaptation’ into Joint Strategic Needs Assessments •Public Health England- Extreme events and climate change –the local challenges •Joseph Rowntree Foundation- Climate impacts on vulnerable people •Yorkshire Ambulance Service- Emergency response and resilience •Workshop- Looking a challenges and opportunities for organisations using the ‘BACLIAT’ tool
    • 37. • The impacts of climate change will not be equal or fair • Vulnerable people are likely to be disproportionately affected • Impacts will vary depending on multiple local factors • Local solutions can tackle a range of issues, not limited to resilience adaptation is a local issue
    • 38. further information Jon Clubb Climate Change Coordinator jon.clubb@lgyh.gov.uk 07970 120827 Adaptation Network: Wed 9 Oct, 10am – 12pm, Wakefield Newsletter: http://eepurl.com/gl8X1 @your_climate
    • 39. Greening the Ambulance Fleet Alexis Keech Environmental and Sustainability Manager Yorkshire Ambulance Service
    • 40. Yorkshire Ambulance Service - 6,000 sq. miles - 5 million pop. - 4,470 staff - 64 ambulance stations - 43 other locations - Ageing estate - 1,490 vehicles - 510 A&E - 470 PTS - 210 RRV - 32 m miles pa - £8 million pa
    • 41. Ambulance Service Carbon Footprint? Transport Electricity Water Gas Waste
    • 42. Issues affecting the Ambulance Service Fleet and Estates
    • 43. Fuel prices
    • 44. Pandemic swine flu Cold weather (-1oC average) Cold weather Flooding Cold weather
    • 45. Courtesy of Claire Blissett, Leeds University Masters student
    • 46. Cold weather health effects In Britain, a cold spell during a mild winter is followed: • 2 days later - rise in heart attacks (up to 1/3) • 5 days later - rise in the number of strokes • 12 days later - rise in respiratory illness Knock on effect:Knock on effect: increased pressure onincreased pressure on A&E, PTS, Hospitals andA&E, PTS, Hospitals and NHSNHS
    • 47. How are we working to reduce the impact of YAS and maintain our response times?
    • 48. Implementation • Staff education programmes • Driver days and guides • Fleet, Estates and Procurement Strategy • Intranet information • Telematics • Poster campaigns, staff newsletters • Carbon Champion network
    • 49. Upgrading vehicles
    • 50. Aerodynamics and vehicle redesign
    • 51. Eco Driving Potential saving £1.5 million, saving 1,100 t CO2 • Two circuit training • >41 mpg to 47 mpg • Use internal driver trainers • Monitor with Telematics • Train all drivers • Compulsory C1 training • Retrain staff
    • 52. Lighting and Energy Lighting upgrades LEDs and T5 Halogen replacement Natural lighting in offices Timers and daylight monitors Motion sensors
    • 53. Heating Assessments: Gas and Electric Use Radiators and air con Double Glazing upgrades Draught proofing Cavity wall, loft and pipework insulation Building Management Systems Garage heater override systems
    • 54. New technologies Air Source Heat pumps Boiler Optimisation Voltage Optimisation Free cooling for server room Window film Solar panels on HQ, ambulance stations and 999 call centres
    • 55. Awareness Campaigns
    • 56. GrEAN • Green Environmental Ambulance Network • Network of ambulance services • Green Passport to educate staff • Working with Estates, Fleet and Procurement to reduce emissions • Newsletters • National bidding capability • National Procurement feed in • National approach to sustainability
    • 57. Adaptation Planning • Anticipating flood/drought/ snow/cold/wind impacts • Working with Councils for gritting plans • Regionally to adapt and react to unpredictable weather • Estates and Fleet strategy
    • 58. Carbon Champions What staff do at work they take home and vice versa • 76 onsite Carbon Champions • CC Guidebook • Carbon Copy Newsletter • Organisation wide magazine • Monthly Themes • Updates
    • 59. Greening the Estate
    • 60. alexis.keech@yas.nhs.uk Yorkshire Ambulance Service Working to reduce our environmental impact and adapt to the uncertain changes of the future
    • 61. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Carillion Supply Chain Leadership & Community Engagement NHS Sustainability DayNHS Sustainability Day Hull And East YorkshireHull And East Yorkshire 33rdrd October 2013October 2013
    • 62. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Carillion ServicesCarillion Services Amazing FactsAmazing Facts VideoVideo Carillion IntroductionCarillion Introduction Carillion is one of the UK’s leading support services and construction companies, with over 50,000over 50,000 employeesemployees worldwide and annualannual revenue of £4bnrevenue of £4bn. Our Mission:Our Mission: To Make Tomorrow a Better PLace Our Vision:Our Vision: To be the leader in delivering integrated solutions for infrastructure, buildings and Healthcare:Healthcare: •> £1bn construction projects completed> £1bn construction projects completed •£750m hospital projects under£750m hospital projects under constructionconstruction •Appointed to deliver Royal LiverpoolAppointed to deliver Royal Liverpool Hospital £335mHospital £335m One of our ValuesOne of our Values inc:inc: ..profitable & sustainable growth
    • 63. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Carillion Sustainability Strategy 2020Carillion Sustainability Strategy 2020
    • 64. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info “We want Carillion to be recognised as a leading sustainable businessleading sustainable business and the leading sustainable supportleading sustainable support services companyservices company.” Sustainability Vision 2020Sustainability Vision 2020
    • 65. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Drive down carbon Make real contributions to the communities we work in Drive up demand for sustainability and lead our sector Improve the prospects of our people Building a successful business Reduce waste, responsibly source materials and protect the environment Six Positive OutcomesSix Positive Outcomes
    • 66. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Our leadership in creating employment and skills opportunities, coupled with our understanding of the needs of our communities, will ensure we have a significant and positive contribution everywhere we work. Support Sustainable CommunitiesSupport Sustainable Communities
    • 67. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Objective: How can our Supply Chain Leadership “Make real contributions to the communities we work in” SME & Third Sector Development workshops designed, developed & delivered Supply Chain Partners Sustainability Community Benefit Commitments Ex-Offenders Model Maximising the Local Pound Maximising Local Employment Maximising Local Training Meet the Buyer Events Redundant Furniture Community Recycling Model Third Sector Model Support Sustainable Communities – Supply Chain Models & CommitmentsSupport Sustainable Communities – Supply Chain Models & Commitments
    • 68. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Support Sustainable Communities – Supply Chain Models & CommitmentsSupport Sustainable Communities – Supply Chain Models & Commitments ………..
    • 69. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Online learning environment for Carillion’s Supply Chain Carillion Support our Supply Chain in their drive to sustainable excellenceCarillion Support our Supply Chain in their drive to sustainable excellence
    • 70. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Barts & The London Community EngagementBarts & The London Community Engagement Business Action on Homelessness – Ready for Work Hosted 57 clients. Hosted 13 Client Support Network evenings Offered paid employment to 13 clients. Business in the Community – Get Ready! Hosted 1 Workshop 5 Taster Days. 15 Carillion staff have volunteered their time Supporting Ex-Offenders – HMP Send 10 work experience placements 3 secured full time paid positions at Barts Harpley’s School Pupil Referral Unit The project won Carillion’s Annual S Factor award for best group for this initiative
    • 71. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info ConclusionConclusion Carillion Supply Chain Leadership & Community Engagement…….. •Great for local communities •Great for customers •Great for Carillion •Great for the planet
    • 72. Lunch and networking
    • 73. Hull conference Matt Delaney, Managing Director, The Great Outdoor Gym Company (TGO)
    • 74. Case studies Preventative Health - How TGO gyms are a great tool to assist communities to get more physically active. Intro to TGO: Greener Safer Stronger
    • 75. Story From the beginning…
    • 76. A British company on a global mission To create a healthier planet
    • 77. The concept of free to use outdoor gyms originate from China in the 90s Evaluation of Chinese outdoor gym products: Concept: Excellent Safety: Unsatisfactory Inclusivity: Unsatisfactory Quality of build: Unsatisfactory Fitness aspects: Could be better
    • 78. …But TGO Gyms are very different!
    • 79. TGO’s holistic active design principles
    • 80. GREENER We think the greenest outdoor gym equipment in the world!
    • 81. Upper body Lower body Core Beginner Intermediate Advanced Cardio Strength Tone Local manufacturing…Two high quality UK manufacturers
    • 82. Light bulb moment… Exercise = energy
    • 83. TGO Green Energy Range was born
    • 84. Tree planting For every piece we install in the UK we plant one tree with the NHS Forest Scheme
    • 85. SAFER We think the safest outdoor gym equipment in the world!
    • 86. Key pillars of TGO safe designs Aligned with EN1176: •No entrapments •No crush points •No sharp edges •No unrestricted swinging pendulums •No shear points •No head and neck entrapments TGO equipment meets the same safety standard as playgrounds! Always ask to see the certificates for all products
    • 87. All ages can enjoy TGO gyms because they meet play standards That’s why we were asked to sponsor the new BSI outdoor gym standard PAS888!
    • 88. Design features of TGO’s gyms: • Transfer handles • Start and finish diagrams • Wheelchair accessible pieces • A mixture of difficulty levels • Various start points Our inclusive design means ALL abilities can enjoy TGO gyms
    • 89. STRONGER Made in Britain equipment means stronger equipment and a stronger you.
    • 90. Why British is best value
    • 91. TGO gyms will last longer because….We only use the highest quality fixtures, fittings, steel and welding on the market
    • 92. TGO gyms will last longer because…. All factory tests are to 4 times the level of indoor gyms (we imposed this on ourselves)
    • 93. From beginners to Olympic athletes....... For beginners and experts…
    • 94. …to even the most able can use them
    • 95. HEALTH We will encourage and assist people to become more physically active.
    • 96. Why TGO gyms assist people in becoming more physically active?
    • 97. Breaking down the barriers to exercise
    • 98. • Our gyms are free • Our gyms are safe for all ages • Our gyms are within walking distance of people’s homes • Our gyms are inclusive for all abilities • Our gyms generate great word of mouth promotion!
    • 99. CASE STUDIES Proving TGO gyms increase physical activity.
    • 100. Camden TGO gym – installed 2008
    • 101. Results showed high take up by inactive groups “26% of users surveye d were new to exercise ” I was told if I didn’t do enough exercise I could get diabetes. I was considered obese, 5 and a half stone overweight. I needed a lot of help & Camden active team gave it. It’s changed my life! I had a major op in 2008, lost a lot of weight. Using the gym 2-3 times a week helped rebuild my upper body weight.
    • 102. Other key findings to the survey TGO gyms empower people to sustained activity · 31% of participants used the gyms 1-2 days per week;31% 3-5 days per week; and 12% 6-7 days per week. TGO gyms are getting people more active! · 46% of people surveyed had increased levels of physical activity when physical activity levels pre-outdoor gym use were compared with number of days physical in previous 7 days prior to survey. TGO gyms are hitting target groups · The outdoor gyms were popular among BME communities. 12% of Black Caribbean men were using the equipment when the average population in Camden is approximately 2%. While 37% of those surveyed were White British, which compares with a Camden population average of nearer 52%. · 12% of people using the outdoor gyms were unemployed. TGO gyms could do with more publicity and a trainer · When asked what would encourage more use, 55% of participants thought the gyms should be better publicised, users at Polygon and Cantelowes highlighted safer parks and 48% of users at Polygon suggested a personal trainer. The love for TGO gyms is growing… · 94% of participants would recommend using the outdoor gym to a friend
    • 103. adiZones – London 2012 shaped gyms
    • 104. Activation programmes in Hull
    • 105. The Green Heart - Hull Hull was the first to launch a revolutionary new gym incorporating both wellness and green energy technology!
    • 106. Chief Medical Officers’ guidelines on physical activity levels clearly displayed
    • 107. ...and we are looking for a global player to join us on the journey Additional health features on our gyms
    • 108. With innovative and brand new range of unique outdoor gym equipment.
    • 109. Green Heart Video
    • 110. Coming soon…
    • 111. Barbara Robson Park, Hull
    • 112. Features to keep people working out for longer… Instructional how to use videos with the TGO trainers Charge your mobile phone
    • 113. Thank you Any questions? www.tgogc.com
    • 114. 125 Health and Wellbeing Priorities: links with sustainability Tim Allison Director of Public Health
    • 115. 126
    • 116. 127
    • 117. 128
    • 118. 129 “Sometimes he thought sadly to himself, Why?”
    • 119. 130 © AA Milne, EH Shepherd
    • 120. 131 Perhaps the most important question So what?
    • 121. 132 Health and Sustainability • Overall health & wellbeing • Resilience • Corporate sustainability • Commissioning
    • 122. 133 Commissioning: Concept • Assessing the needs of a population; • Setting priorities and developing commissioning strategies; • Securing services from providers to meet those needs and targets; • Monitoring and evaluating outcomes; • An explicit requirement to consult and involve a range of stakeholders, patients/service users and carers in the process.
    • 123. 134 Sustainability: Key Drivers Expectations Lifestyles Clinical Advances Demography • Big opportunities to improve care • Impact on service design & cost • New pathways of care & New technology • More choice • Services closer to home • Better advice on staying healthy • Better support to self manage conditions • Burden of disease on population • Prevalence • Less active health styles – long term health • Effect on inequalities • Aging population • Growing population • Urban and (dispersed) rural communities
    • 124. 135 Local Health & Wellbeing Priorities • Children and young people enjoy good health and wellbeing • Reduced inequalities • Healthy, independent ageing
    • 125. 136 Children and young people enjoy good health and wellbeing
    • 126. 137
    • 127. 138 • Improving sustainability can improve health • School travel plans • Nutrition • Physical activity • Psychological wellbeing
    • 128. 139
    • 129. 140 Reduced inequalities
    • 130. 141
    • 131. 142
    • 132. 143 Issues • Almost all diseases are more common among the poor • Vulnerability to adverse events is higher • Adoption of new initiatives may be slow • Some minority groups have particular needs
    • 133. 144 Potential solutions • Education and training • Employment • Housing • Infrastructure • Strategic and small-scale
    • 134. 145 Healthy, Independent Ageing
    • 135. 146
    • 136. 147 Issues • Demographic change prominent in the East Riding • Rise in certain conditions such as dementia • Vulnerability to adverse events is higher • Adoption of new initiatives may be slow
    • 137. 148 Potential solutions • Community support • New technology e.g. tele-health & tele-care • Housing • Infrastructure • Strategic and small-scale • Resilience planning e.g. BIOPICCC
    • 138. 149 From Swampy to Solid Ground Eco-activist, c. 1990 Eco-activist, c. 2008 Eco-activist, c. 2015/20 Daniel Hooper, aka ‘Swampy’ Stuart Rose, Chairman, M&S Every one
    • 139. Closing remarks The Lord Mayor of Hull Councillor Nadine Fudge

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