Welcome to the Liverpool CCG NHS
Sustainability Day Road Show
#Dayforaction
Care for the Future
Liverpool 4th December 2014
Professor Maureen Williams
Deputy Chair
NHS Liverpool Clinical Commissioni...
Aims and objectives of event
• Promote dialogue about sustainability in NHS and how
integrate with sustainability in socia...
Liverpool CCG Long Term
Need to Achieve?
More emphasis on prevention
More emphasis on early identification of illness

Mor...
Social Value and
Sustainable Development
• Public Services (Social Value) Act 2012
• Strategic Opportunity
• Increasing th...
Social Value Aims
Building Social Value
to Improve health
Outcomes by…

• maximizing impact of clinical services
• support...
LCCG Developing
Approach
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•

Strategic approach to social value
Supports CCG Vision and Values
Supports system planni...
Liverpool Food Alliance
The Liverpool Food Alliance is a network of food
growers, composters, buyers, cooks and
eaters, pa...
Sustainable Development Strategy for
NHS, Social Care and Public Health System
Overarching strategy in line with draft..pl...
Over today’s meeting want to consider..
– What top three things should commissioning and
procurement do differently to ach...
• Launch of strategy London
29th January

• Sustainable
development
conference

• NHS Sustainability Day
www.nhssustainabilityday.co.uk

Welcome & Thank you
NHS Sustainability Day
A call to action for the NHS
• A platform for whole system thinking on sustainable actions
• Showca...
NHS Sustainability Day
Motivating Success
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Day of action and engagement across
NHS
100 organisation pa...
NHS SD Road-shows
Coming to a venue near you
3rd October – Hull
17th October – Official Launch (London)
4th December – Liv...
Website
A brand new look and feel
Creating a legacy
Community benefit
14:14
Planting the seeds of change
• Getting the NHS to grow their own
• Reducing the carbon footprint of
patient meals
• ...
Celebrating success
Category
Clinical Engagement Initiative

Biodiversity Initiative

Sustainable Food Initiative
Carbon R...
#dayforaction
If the NHS can deliver a sustainable focus collectively on
one day, why can't we do it every day - think wha...
27th March 2014
www.nhssustainabilityday.co.uk
Refreshments
Care for the Future – 4 December 2013
Judith Greensmith, Chair, Royal Liverpool & Broadgreen
University Hospitals NHS Trus...
RLUH – ‘Sustainable Communities’
We want Carillion to be recognised as a leading sustainable business and
the leading sust...
RLUH – ‘Sustainable Communities’
Social & Economic Impact through Local Jobs & Enterprise
 Apprentice & Training Opportun...
RLUH – ‘Sustainable Communities’
Social & Economic Impact through Inward Investment
 Local construction spend with local ...
RLUH – ‘Sustainable Communities’
Social & Economic Impact - How we will create our legacy

 Committed to establishing RLU...
Sustainable Water –
Water Efficiency in the NHS

Sian McCart - AquaFund
Why save Water?
• Water Scarcity
• Rising cost of water
• Population growth
• Unpredictability of climate
Population Growth

* Population to increase by 2 billion by 2050
Food in context
• Chocolate 1kg – over 17,000 litres
• Beef 1kg – 15415 litres

• Butter 1kg – 5,553 litres

* The average...
Climate

• 3 % of water is fresh
• Droughts
• Floods
Water Stress
Water Cost & CO2
• Global energy demand
• Cost of water
• Maximum demand
• CO2
Water & the NHS
• Total Spend: £79,900,000
• 35 billion litres of water
• 14,240,000 kg of carbon

• Better water manageme...
Comprehensive Approach
Comprehensive Approach
• Full in depth surveys of all sites
• A full bureau service

• Water Saving technology
• AMR
Automatic Meter Reader (AMR)
• Total visibility on water use at site
• Accurate profiling of your building water use
• Fas...
Capturing, Reporting &
Monitoring
• Monitoring and Targeting
• Sustainability reporting
• Continual monitoring and analysi...
What can be saved?
• 20 – 30% saving
• NHS cost for water: £78,900,000
• 30% saving is 23,700,000
• 10,700,000m3 of water
...
What help is there?
• East of England Procurement Hub

• AquaFund Grant
• Typical Grant: £300,000 - £600,000
AquaFund Successes
Our Partnership with
• Helping those most deprived of
water, out of poverty
• Current project – Nepal
• 6 month Sustainabi...
Our Impact
• Water Aware
• Water Efficiency
• Every drop counts
Framework
OJEU REFERENCE: 2011/S 186-304473
t: 01753 833880
e: ask@adsm.com
www.adsm.com
@AquaFund

Thank you for your tim...
Blue Green
A Natural Health Service
Gideon Ben-Tovim OBE
Chair Liverpool City Region
Local Nature Partnership
• “I climbed a tree and swung off the
branches, it felt amazing”
People who live furthest from
public parks 27% more likely
to be overweight or obese.
Children able to play in natural
gre...
What Can GI Do?
 Increase physical activity
 Improve air quality
 Opportunities for
growing food locally
 Improve ment...
Evidence
• 80% of LCR LNP is
green/ blue space –
more than any city
outside London.
• £100bn asset
• 8000 LCR jobs in
sect...
Marmot Review
• Health inequalities
• Physical & mental health
• Public think…
– 95% very or fairly important to have
gree...
Other Health
evidence
• Roadside trees can trap up to 90 per cent
of traffic-related air-borne dust particles
• Reduce risk...
“Stretching from our
famous coastline to
our estuaries,
our urban parks and
green
spaces, including our
rural hinterland, ...
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LNP

H&WB
Boards

LEP

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6 Local Authorities
The Mersey Forest
Peel Holdings
Merseyside
Environmen...
LCR GI
Framework
• Health runs throughout strategy
• Wirral Waters, GI interventions of £2m = £29m of
net present value.
•...
Matching Needs
and Assets
Natural
Choices
for health
• £300k available
• 122
Expressions of
Interest
• 38 successful
projects
Outputs
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3274 participants
100 partners
84 events
1159 workshops
867 volunteers
135 employed
Wellbeing scores
improved by 18%
Outcomes
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Social cohesion
Wellbeing
Legacy
Mental health
Physical activity
Food / obesity
Passion

Jan-Nov =...
Opportunities
• Neighbourhood working GPs and
community groups
• NHS estate
• Partnerships
4th December 2013
NHS Sustainability Day
Liverpool

Resource efficiency through effective behaviour
change

Ann Durrant
Ma...
A bit about me and M4C …
M4C:
• Sustainability specialists
• Strong focus on comms
• In business over 8 years
Who we’ve he...
A very quick bit of …

Behavioural Psychology
Culture change

A place where sustainable
behaviours are the norm
Make it a habit
Make it a habit

Pavlov’s dog
A couple of …

Case studies
Northern Rail

Project Manager engagement
Objective – to get project managers to consider
sustainability initiatives at th...
Northern Rail
SABMiller

Level assessment process
Objective – improve
performance across all
sustainability priorities
SABMiller

• KPIs
• Level assessments
0

1

2

3

Below
minimum

Minimum
standard

Progressing

Developing
leadership

• A...
SABMiller
SABMiller

Result
Keele University

Recycling campaign
Objective – to increase their
recycling rate from 44% to
60%
Keele University

Keele University – 64th

Annual waste management costs
40% = £116,460
60% = £102,285
Northern Rail

Employee engagement
Objective – to get employees to take ownership of
environmental challenges in the work ...
Northern Rail

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Email
Online
Phone
Face to face
Internal mail
Summary
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Tell people what to do
Make it easy
Make it normal
Use intrigue
Make it fun
Use memory jogg...
Ann Durrant
ann@m4c-sustainability.co.uk
01625 501832
07951 642747

www.m4c-sustainability.co.uk
NHS Sustainability Day Liverpool CCG Road Show
NHS Sustainability Day Liverpool CCG Road Show
NHS Sustainability Day Liverpool CCG Road Show
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NHS Sustainability Day Liverpool CCG Road Show

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Sustainability was on the menu once again as the Road show cycled it’s way to the North-West and arrived in Liverpool to a warm welcome. Delegates from across the city and throughout the North-West were on hand to participate in an inspiring day of presentations, knowledge sharing and motivation.

Sarah Dewar and Professor Maureen Williams, Deputy Chair NHS Liverpool CCG were on hand to deliver inspirational sessions focusing on debate, action and good practice. Delegates entering the event were asked to jot down what they wanted to take away from the day via post it notes which were then displayed on the entrance to the venue. Postcards were also handed out with delegates tasked with writing down what they will do on NHS Sustainability Day.

The morning session kick-started with Fiona Daly, Environmental Manager at Barts Health, discussing Sustainability Day on March 27th 2014. Fiona was followed by Professor Sir Ian Gilmore, University of Liverpool who spoke passionately on the city and the important role sustainability can play in improving healthcare and supporting the people of Liverpool. The morning session also saw presentations from Dr Tim Ballard, Vice-Chair of the RCGP who was on hand to address the role sustainability can play in general practice and supporting commissioning of health services.

The mid-morning session saw best-practice examples on a wide range of areas including waste and water. Royal Liverpool and Broadgreen University Hospitals Trust were on hand to discuss their work with Carillion around the new development in the city.

The afternoon discussions saw delegates interacting with each other to identify solutions to the challenges they face around sustainable development. The day concluded with delegates outlining their promises via the postcards distributed earlier in the day.

It is these promises which will ensure NHS Sustainability Day 2014 is a success and the weight of expectation amongst the Liverpool delegates was high. Many of them leaving the venue inspired, motivated and enthused. It is through this motivation that the NHS has a chance to deliver huge change in the next few years via sustainable practice and with inspiration such as that seen in Liverpool we think the future is looking bright!

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  • In line with forthcoming strategy…these are the aims for today…expanding out thinking from carbon reduction to wider sustainability – to integrating sustainability thinking in all systems…Important time for this workNHS and Local Govt facing significant challenges…New solutions needed – paradigm shift – not hyperbole – in NHS lifetime massive changes have taken place….Communications – from state managed broadcast – to personal/mobileShopping – from local stores – to supermarkets – to internet... Travel – from walk, cycle, public transport…to cars & cheap flightsNew model of care for next generation – must address social, environmental and economic wellbeing – a resilient system supporting resilient communities.
  • LCCG undertaking review of whole health economy system in light of this contextHealthy Liverpool Programme…developing 5 year strategy for LCCG…looking at what we need to achieve More prevention – upstream action to avoid ill healthEarly Detection – how change culture of late presentation and poor knowledge of warning signs?Self-care – how support people, families and communities to know how to look after themselves and each other to stay healthy and to live better with long term health conditionsTargeted support when not well – when health and care services are needed, making sure the support is appropriate, effective and in the right place at the right timeEasier navigation – making it easy to find the right serviceAll these chime with sustainable models of care…and reflect the direction of travel we need to move in…
  • From this year new legislation for public bodies – opportunity to embed sustainable development through commissioning…At NHS Liverpool CCG, as commissioners – we see taking a strategic and committed view of social value as an opportunity and a framework to achieve sustainable development - bringing social, environmental and economic wellbeing in everything we do and commission. We are developing a social value strategy that will enable sustainable development to be at the heart of the CCG. Working with LCC social care and PH colleagues and others, can we build something across the city that means sustainable development is integral to how we conceive of services.
  • An example…In Liverpool we’ve been working together as a health economy to co-ordinate our efforts on carbon reduction through the Carbon Collective. All Trusts have accredited carbon management plans in place, we’re collaborated on renewable energy and sustainable transport projects and we developed a campaign across 10 Trusts to promote Simple Actions to save energy and waste. The campaign recently won a Gold and Silver award at the recent Chartered Institute of PR awards so congratulations to everyone for this – lots of people I room were involved. Want to take this forward, building on the messages and bringing NHS staff on the journey to a more sustainable health and care system…
  • National consultation on a new Sustainable Development Strategy took place this year – there was a hugely positive response…947 responses – NHS, LAs, royal colleges, CCGs…>90% support to expand NHS Carbon Reduction plan to create broader Sustainable Development strategy for whole health and care system.NHS Liverpool CCG welcomes new strategy for Sustainable Development across NHS, social care and public health. Launched January 29th 2014- new strategy will help direct us to new paradigm addressing the wider sustainable development concepts around fair economics and social equality as well as carbon reduction and promoting healthy environments.Above sets out the detailed areas the strategy will address supporting the overarching strategy.
  • In this afternoon’s session we will discuss these questions having heard from speakers. Encouragingly, there are many leaders to help guide all of us in this path and examples of good practice taking place now, demonstrating that we can find innovative and effective solutions to the issues we face now and for future generations.At today’s event – we are fortunate to share the experience of these leaders and use this time to consider how we build these ideas into improving Care for the Future.
  • Presentation will cover:-why green space is one of LCRs greatest health assetsWhat the local nature partnership is – and a sneak preview of our new identity Nature Connected..Examples of green space and healthSuggestions for harnessing this asset for health more
  • Being active outdoors is one of the best preventive health and healing activities available to us.It’s an instinctive reaction…we simply feel it.. But also ..compelling and extensive evidence base … improves mental and physical health and shown to reduce health inequalitiesThe Marmot Review 2009Public health outcomes indicators …NICE.…CABE….NHS HEATWAVE PLAN…PUBLIC HEALTH WHITE PAPER..
  • Green Infrastructure – all our green and blue spaces The image is the international good example of Landlife’s work in Kirkby using GI to transform an area and provide opportunities for local people.
  • Methodology for quantifying what natural environment contributes to us now well established….work led by The Mersey Forest – national leaders in this.Economic, social and environmental benefits… jobs, ecosystem services, environmental attractiveness for business investment, house prices…. That 80% of our area is GI presents a tremendous potential asset for health and wellbeing – It is the USP of the Liverpool City Region – more GI than any other UK cityWhat other city offers urban vitality right up to the beach? Where else in the UK do the forces of nature offer such potential energy solutions? What other city brings cruise liners and container shipping to 800 years of port city diversity? Where else does urban living include river and parkland, red squirrels and ferry rides?
  • But crucial to maximising this asset is making sure the spaces which are near to our poorest communities are of high quality and easily accessible.There is a significant international and national body of evidence supporting the role of green space in promoting health and wellbeing. And in reducing health inequalitiesOne of the most significant review of the evidence base for health - Marmot reivew..bringing health inequalities and green space agendas together through evidenceThe psycho-social effects of green space mean that even time spent looking at natural environment improve our wellbeingA view of green space improves recovery time for hospital patientsIts hard wired into our make-up to spend time in a natural worldWith >50% populations living in cities – we must adapt them to meet this need
  • Cimate change flooding risk reduced by tree planting and gi schemes such as sustainable urban drainageShade prvided by street trees will support vulnerable at risk from heatwaves10% increase in tree cover would cancel out the projected temperature rise from climate change in UKExercise in a green outdoor environment is more effective in improving health than exercise indoors…
  • Nature Connected will provide strategic leadership and direction to enhance, harness and celebrate our natural environmental assets, and with our partners mobilise resources to protect and manage them for their intrinsic value, and to support sustainable economic growth and improved quality of life.
  • Government set out LNPs in Natural En White PaperLiverpool City Regions LNP approved end 2012Requirement for LEP and H&WB Board and LNPs to collaborateDuty to co-operateLNP Board – members of LAs, Peel Holdings, MET= Merseyside Environmental Trust
  • LCR GI framework – evidence and strategy behind the LNPProduced by the Mersey ForestComprehensive evidence base setting out the GI of the LCR, what functions it currently serves and what it could achieve Example of GI investment supporting health and wellbeing..is Wirral Waters…Pie chart shows most benefit is to health and wellbeingAs the need to shift to community models of care, from intensive hospital and specialist treatment to more prevention and self care…GI has to be a big part of the solution…
  • In Liverpool the GI strategy produced jointly by LC and PCT provided the evidence to develop health and green space concept and test it outThis map shows areas where health and GI needs high and correlateThe Action Plan led to a health funded programme to explore how supporting communities to use and improve local spaces might contribute to improved health and wellbeing.Black dots are where the funded projects took place – meeting health need key criteria for selection
  • A grant programme was devised on principes ofBuilding community assets – communities devised programmes relevant for their areaStructured around 5 ways to wellbeingNatural Choices for health partnership - 38 programmes right across the cityCommunity leadGrowing food…making places accessible…brining communities together…rejeuvenating land…using existing land…Refugees connecting with local communities growing and cooking food, sensory gardens, community gardens, allotments… community cohesion, environment discussion – climate change on of functions of GI .. Experiencing the Five ways to wellbeing and greening spaces …
  • At the start of the programme 16.3% of participants who completed well-being cards had a ‘low’ well-being score, whilst 70% had an ‘average’ well-being score and 14% a ‘high’ well-being score.By the end of the programme 6% of participants still had a ‘low’ well-being, however fewer had an ‘average’ well-being score (60%) and more participants had a ‘high’ well-being score (34%).1
  • Significant outcomes and potential from programmeHalton also exploring a Natural Health Service approach
  • Potential for neighbourhood working to support green space activityNHS maximise value of estate for healthPartnerships – eg Alder Hey and Royal designing green space for health and match funding to EU programmeNext week – launch of Nature Connected – LCRs LNPKey partnership with healthMaximise value of assets part of H&WB Strategies..Place green space at heart of a city that enables and encourages health and wellbeing, prevention, self care and recovery.
  • Sustainability specialists, strong focus on comms and engagementNearly 8 yearsSome of our the people we’ve helped
  • Conditioning – Pavlov’s dog
  • Tell people what to doNudge
  • Improved quality of dataCompetitionFeedbackTelling people what to doMaking it normal
  • Appeal to their values – management, staff and studentsTell people what to doMake it easyMake it normalCompetitionTell people what to do - Fridge magnets
  • Make it intriguingMake it funMake it easyCompetitionReward – variable25 reasonable suggestions + a few others that were not so reasonable
  • NHS Sustainability Day Liverpool CCG Road Show

    1. 1. Welcome to the Liverpool CCG NHS Sustainability Day Road Show #Dayforaction
    2. 2. Care for the Future Liverpool 4th December 2014 Professor Maureen Williams Deputy Chair NHS Liverpool Clinical Commissioning Group
    3. 3. Aims and objectives of event • Promote dialogue about sustainability in NHS and how integrate with sustainability in social care and PH to make system wide • Broaden agenda from estates based measures to models of care…increase understanding of what this means • Share good practice • Promote activity for NHS sustainability day • Galvanise momentum for action and build network of protagonists
    4. 4. Liverpool CCG Long Term Need to Achieve? More emphasis on prevention More emphasis on early identification of illness More emphasis on self care More targeted support when not well Easier navigation of services
    5. 5. Social Value and Sustainable Development • Public Services (Social Value) Act 2012 • Strategic Opportunity • Increasing the social, economic and environmental wellbeing of the people we serve • Clear link to Sustainable Development agenda
    6. 6. Social Value Aims Building Social Value to Improve health Outcomes by… • maximizing impact of clinical services • supporting non-medical solutions • positively influencing social determinants of health Place Social Value at the centre of our thinking and policy, commissioning and practice. Ensure the way LCCG invests and acts achieves maximum benefit to the population we serve now and in the future.
    7. 7. LCCG Developing Approach • • • • Strategic approach to social value Supports CCG Vision and Values Supports system planning – Healthy Liverpool Takes into account input from third sector, LCC inc public health, NHS providers and partners • Economic, Social and Environmental measures • Aiming for collaboration across NHS in Liverpool, with LCC and city wide
    8. 8. Liverpool Food Alliance The Liverpool Food Alliance is a network of food growers, composters, buyers, cooks and eaters, passionate about a positive healthy food culture for Liverpool LFA aims to make enjoying good food easy and affordable for everyone and to grow a local, eco-friendly food economy for the future.
    9. 9. Sustainable Development Strategy for NHS, Social Care and Public Health System Overarching strategy in line with draft..plus.. • Released in January – Carbon hotspots – Engagement and leadership – Strong and resilient communities – Commissioning and procurement – Clinical models of care • To be developed during 2014… – Social capital/value – Research & Development & innovation – Metrics
    10. 10. Over today’s meeting want to consider.. – What top three things should commissioning and procurement do differently to achieve better prevention and self-care? – What are the top three opportunities to deliver the mutual benefit on environment, strong communities and health priorities? – How do we engage clinicians in creating sustainable models of care? – What are the top three remaining big carbon challenges? – What will I do after today to bring about change?
    11. 11. • Launch of strategy London 29th January • Sustainable development conference • NHS Sustainability Day
    12. 12. www.nhssustainabilityday.co.uk Welcome & Thank you
    13. 13. NHS Sustainability Day A call to action for the NHS • A platform for whole system thinking on sustainable actions • Showcase for innovation, excellence and best practise • Opportunity to learn, share, collaborate • Engage - staff/patients/visitors/supply chain • Help develop an NHS that is fit for the future • Do one thing differently • We hope you will be inspired to take part in 2014
    14. 14. NHS Sustainability Day Motivating Success • • • • • • • • • • Day of action and engagement across NHS 100 organisation participated 2013 300 participating in 2014 Key endorsements Royal Colleges, associations and Institutes Sharing knowledge, experience and best practice Creating a legacy National Road Shows Awards Internationally showcasing NHS
    15. 15. NHS SD Road-shows Coming to a venue near you 3rd October – Hull 17th October – Official Launch (London) 4th December – Liverpool 29th January – Nottingham 6th February – Royal Bournemouth 27th March – NHS Sustainability Day
    16. 16. Website A brand new look and feel
    17. 17. Creating a legacy Community benefit
    18. 18. 14:14 Planting the seeds of change • Getting the NHS to grow their own • Reducing the carbon footprint of patient meals • Delivering a sustainable legacy for local grown produce • Engaging communities to support their NHS • Lambeth Food Co-operative case study • #dayforaction • #14:14
    19. 19. Celebrating success Category Clinical Engagement Initiative Biodiversity Initiative Sustainable Food Initiative Carbon Reduction Initiative Energy Reduction Initiative Sustainable Travel Initiative Waste & Recycling Initiative Community Engagement Initiative Best Overall Project Initiative Description Winner 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 Planting 120 Trees to create a mini forest at the hospital with NHS Forest Set up Lambeth Food Cooperative to support sustainable food and local businesses Carbon Reduction in energy, travel and behaviours Big Easter Switch off and Eco Rhyme Cycle train around Warwick Increased recycling and introduction of new waste recycling streams Grow your own' project & 200 trees planted Carbon Reduction in energy, travel and behaviours St Helens and Knowsley NHS Trust Lambeth Clinical Commissioning Group Barking, Havering and Redbridge University Hospital NHS Trust Southend South Warwickshire NHS Foundation Trust Isle of Wight Lancashire Care NHS Trust Barking, Havering and Redbridge
    20. 20. #dayforaction If the NHS can deliver a sustainable focus collectively on one day, why can't we do it every day - think what a difference it would make
    21. 21. 27th March 2014 www.nhssustainabilityday.co.uk
    22. 22. Refreshments
    23. 23. Care for the Future – 4 December 2013 Judith Greensmith, Chair, Royal Liverpool & Broadgreen University Hospitals NHS Trust and David Kennedy, Director, Carillion KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Making tomorrow a better place through our 2020 sustainability strategy
    24. 24. RLUH – ‘Sustainable Communities’ We want Carillion to be recognised as a leading sustainable business and the leading sustainable support services company Our six positive outcomes for the basis of our 2020 Sustainability Strategy and encompass Carillion’s economic, environmental, and social contributions and Impacts. RLUH Project Vision Our vision and objective is to leave a social and economic regeneration legacy for the Liverpool community by: • Supporting local economic development • Maximising local training, employment and skills KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Making tomorrow a better place through our 2020 sustainability strategy
    25. 25. RLUH – ‘Sustainable Communities’ Social & Economic Impact through Local Jobs & Enterprise  Apprentice & Training Opportunities for local people  Local workforce (Merseyside / City Region)  Targeted Recruitment & Up-skilling of people from Priority Wards  Unwaged work placements  Support Student Employability and Learning & Careers Information KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Making tomorrow a better place through our 2020 sustainability strategy
    26. 26. RLUH – ‘Sustainable Communities’ Social & Economic Impact through Inward Investment  Local construction spend with local Supply Chain partners  Regular Meet the Buyer & SME Development Workshops  Regular ‘Liverpool Third Sector Forums’  Carillion Liverpool Regeneration Fund of £100,000 KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Making tomorrow a better place through our 2020 sustainability strategy
    27. 27. RLUH – ‘Sustainable Communities’ Social & Economic Impact - How we will create our legacy  Committed to establishing RLUH as a CITB National Skills Academy for Construction (NSAfC) accredited project  Jobs & Training Forum  Work in partnership with local colleges across the City & Liverpool Futures  Support BITC’s BAoH & Business Class Programme  Invest in local charities & support sustainable outcomes  Collaborative working with Liverpool in Work & Local Agencies KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Making tomorrow a better place through our 2020 sustainability strategy
    28. 28. Sustainable Water – Water Efficiency in the NHS Sian McCart - AquaFund
    29. 29. Why save Water? • Water Scarcity • Rising cost of water • Population growth • Unpredictability of climate
    30. 30. Population Growth * Population to increase by 2 billion by 2050
    31. 31. Food in context • Chocolate 1kg – over 17,000 litres • Beef 1kg – 15415 litres • Butter 1kg – 5,553 litres * The average person consumes 3,400 litres per day
    32. 32. Climate • 3 % of water is fresh • Droughts • Floods
    33. 33. Water Stress
    34. 34. Water Cost & CO2 • Global energy demand • Cost of water • Maximum demand • CO2
    35. 35. Water & the NHS • Total Spend: £79,900,000 • 35 billion litres of water • 14,240,000 kg of carbon • Better water management • A comprehensive approach
    36. 36. Comprehensive Approach
    37. 37. Comprehensive Approach • Full in depth surveys of all sites • A full bureau service • Water Saving technology • AMR
    38. 38. Automatic Meter Reader (AMR) • Total visibility on water use at site • Accurate profiling of your building water use • Fast reaction to leaks • Accurate water balance assessment • Prepares for deregulation of the water market
    39. 39. Capturing, Reporting & Monitoring • Monitoring and Targeting • Sustainability reporting • Continual monitoring and analysis
    40. 40. What can be saved? • 20 – 30% saving • NHS cost for water: £78,900,000 • 30% saving is 23,700,000 • 10,700,000m3 of water • A shower everyday for 1 year
    41. 41. What help is there? • East of England Procurement Hub • AquaFund Grant • Typical Grant: £300,000 - £600,000
    42. 42. AquaFund Successes
    43. 43. Our Partnership with • Helping those most deprived of water, out of poverty • Current project – Nepal • 6 month Sustainability update • Positive addition to CSR * We track your contribution to a dedicated project
    44. 44. Our Impact • Water Aware • Water Efficiency • Every drop counts
    45. 45. Framework OJEU REFERENCE: 2011/S 186-304473 t: 01753 833880 e: ask@adsm.com www.adsm.com @AquaFund Thank you for your time
    46. 46. Blue Green A Natural Health Service Gideon Ben-Tovim OBE Chair Liverpool City Region Local Nature Partnership
    47. 47. • “I climbed a tree and swung off the branches, it felt amazing”
    48. 48. People who live furthest from public parks 27% more likely to be overweight or obese. Children able to play in natural green space gained 2.5 kg less per year than children who did not have such opportunities. 1,300 extra deaths each year in UK among lower income groups in where the provision of green space is poor. Natural England
    49. 49. What Can GI Do?  Increase physical activity  Improve air quality  Opportunities for growing food locally  Improve mental health  Social cohesion  Adaptation to climate change  Reduce symptoms ADHD…
    50. 50. Evidence • 80% of LCR LNP is green/ blue space – more than any city outside London. • £100bn asset • 8000 LCR jobs in sector • GI generating £8 for every pound invested
    51. 51. Marmot Review • Health inequalities • Physical & mental health • Public think… – 95% very or fairly important to have green space near homes – 90% parks & open spaces improve their quality of life – 74% important to physical & mental wellbeing • Reconnect to healthy food • Communities stronger and more cohesive with good quality green infrastructure
    52. 52. Other Health evidence • Roadside trees can trap up to 90 per cent of traffic-related air-borne dust particles • Reduce risk of flooding • Climate change • NICE Guidance for physical activity
    53. 53. “Stretching from our famous coastline to our estuaries, our urban parks and green spaces, including our rural hinterland, the richness and diversity of the Liverpool City Region’s natural environment is unique”
    54. 54. • • • • LNP H&WB Boards LEP • • • • • • • • 6 Local Authorities The Mersey Forest Peel Holdings Merseyside Environmental Advisory Service Health Liverpool Vision Natural England Rural Leader Atlantic Gateway University of Liverpool LEP Merseyside Environmental Trust
    55. 55. LCR GI Framework • Health runs throughout strategy • Wirral Waters, GI interventions of £2m = £29m of net present value. • Of these, health and wellbeing benefits being the most significant @ 50%
    56. 56. Matching Needs and Assets
    57. 57. Natural Choices for health • £300k available • 122 Expressions of Interest • 38 successful projects
    58. 58. Outputs • • • • • • 3274 participants 100 partners 84 events 1159 workshops 867 volunteers 135 employed
    59. 59. Wellbeing scores improved by 18%
    60. 60. Outcomes • • • • • • • Social cohesion Wellbeing Legacy Mental health Physical activity Food / obesity Passion Jan-Nov = 44 weeks £2.14 per participant, per week
    61. 61. Opportunities • Neighbourhood working GPs and community groups • NHS estate • Partnerships
    62. 62. 4th December 2013 NHS Sustainability Day Liverpool Resource efficiency through effective behaviour change Ann Durrant Managing Director
    63. 63. A bit about me and M4C … M4C: • Sustainability specialists • Strong focus on comms • In business over 8 years Who we’ve helped … Ann: • Chartered Engineer • Ex British Rail and AstraZeneca • Associate lecturer at Salford Uni
    64. 64. A very quick bit of … Behavioural Psychology
    65. 65. Culture change A place where sustainable behaviours are the norm
    66. 66. Make it a habit
    67. 67. Make it a habit Pavlov’s dog
    68. 68. A couple of … Case studies
    69. 69. Northern Rail Project Manager engagement Objective – to get project managers to consider sustainability initiatives at the beginning of a project
    70. 70. Northern Rail
    71. 71. SABMiller Level assessment process Objective – improve performance across all sustainability priorities
    72. 72. SABMiller • KPIs • Level assessments 0 1 2 3 Below minimum Minimum standard Progressing Developing leadership • Areas of risk • Good news stories 4 Best practice 5 Leading edge
    73. 73. SABMiller
    74. 74. SABMiller Result
    75. 75. Keele University Recycling campaign Objective – to increase their recycling rate from 44% to 60%
    76. 76. Keele University Keele University – 64th Annual waste management costs 40% = £116,460 60% = £102,285
    77. 77. Northern Rail Employee engagement Objective – to get employees to take ownership of environmental challenges in the work place
    78. 78. Northern Rail • • • • • Email Online Phone Face to face Internal mail
    79. 79. Summary • • • • • • • • • • • Tell people what to do Make it easy Make it normal Use intrigue Make it fun Use memory joggers Provide feedback Competitions Set goals Give rewards Link to their values
    80. 80. Ann Durrant ann@m4c-sustainability.co.uk 01625 501832 07951 642747 www.m4c-sustainability.co.uk

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