March 26th this year saw over 300 healthcare organisations take action to promote sustainability and increase public health awareness and we are fortunate enough to have the support of; Public Health England, Department of Health, Department for Energy and Climate Change and The Prime Minister, David Cameron. Working with these stakeholders we aim to further develop the links between health and sustainability thus improving economical and health outcomes within the UK. For the 2016 campaign, beginning in September, and to celebrate our 5th year of the campaign we will be promoting 50kg of carbon. This is effectively promoting what the public and health professionals can do to save 50kg of carbon. This could be achieved through; walking to work, cycling, planting a tree etc.

1. Welcome to the Leeds NHS Sustainability
Day 2016 Road Show
#Dayforaction

2. Chair’s welcome and introduction
Scott Buckler, Director, 4 All of Us
#Dayforaction

3. Welcome and thank you Leeds
NHS Sustainability Day
Road show
Fiona Daly
Head of Sustainability

4. Carbon reduction targets
National Strategy

5. I can save 50kg of CO2
This year it’s the BIG 50!
• Get involved
• Think about what you can do; at
home, in your trust or in your
community
• Think big
• Get people together – increase the
impact
• Know that whatever you do makes a
real difference
• …and don’t forget to apply for the
awards

6. How you’re helping shape the NHS
Our impact so far

7. The health impact on society
Our communities
Fuel Poverty - costs the NHS £850m a
year, 27,000 excess winter deaths from
cold homes
Air Quality – health costs £20bn a year
(twice as much as obesity), 9,000
Londoners die prematurely each year
Childhood Obesity – costs the NHS
£5bn a year, 25.5% of 11 year old
children in East London obese [2012]

8. @dayforaction
www.nhssustainabilityday.co.uk

9. Thursday 24th September
Briony Pete, Principal Consultant, WRM
briony.pete@wrm-ltd.co.uk / 07932 225 406
How to make them tick?

10. What makes you tick?

11. Understand how values effect behaviour…

12. How values effect behaviours…
…find ways to understand
an audience according to
its dominant values, and
then ‘sell’ a product (or a
behaviour) through appeal to
these values.
This is of course an approach
that the marketing industry
has honed to near perfection...
Common Cause: The Case for Working with our Cultural Values
http://assets.wwf.org.uk/downloads/common_cause_report.pdf

13. Understand how values effect behaviour
Articulate the big picture…

14. Understand how values effect behaviour
Articulate the big picture
Let them speak…

15. Inclusion /
loneliness
Equality /
diversity
Staff time
Supporting
communities
Reduce CO2
Improve Air Quality
Growing Food
Access to
Green
Spaces
Buying social, ethical
Training & Apprenticeships
Adapting to
Climate ChangeSocial
Health &
Wellbeing
Environment
Economic
Being financially stable
Partners financially stable
Social Value
Reducing
congestion
Active
Travel
Well workforce
Efficient logistics
People’s time
Zero hours contract / invoicing Meeting compliance / legislation
Giving time
Buying local
Leeds pound
Responsible employer /
Living wage
Fairness
Stabilising local economy
Biodiversity

16. Champions run exercise within teams to identify sustainable
improvements to internal operations, including:
 Efficient business travel
 Reducing demand (e.g. paper)
 Buying locally (e.g. using 3rd sector locations for meetings)
 Creating a positive working from home culture
 What support might be needed – e.g. confidence building
 Feedback future opportunity and assign autonomy to act.
Let them speak…

18. Understand how values effect behaviour
Articulate the big picture
Let them speak
Make it count…

19. Balanced Scorecard;
Kaplan and Norton
 Assign responsibility
and autonomy
 Staff induction
 Allow time
 Targets
Make it count…

20. Briony Pete
Principal Consultant, WRM
Briony.pete@wrm-ltd.co.uk
07932 225 406

21. NHS
Comm
NHS Acute
Provider
NHS Mental
Health
Provider
NHS
Community
Health
Provider
TSS
TS
TS
TS
TS
TS
TS
PH
Comm
Loc
GP
GP
GP
GP
GP
GP
IP
IP
IP
IP
IP
IP
NHS
Comm
NHS
Comm
ASC Delivery
How do Health
Organisations in Leeds
Currently Work in
Collaboration to be
more Sustainable?

22. The goal for Leeds health and care organisations
NHS Acute
Provider
NHS CH
Provider
ASC
Delivery
NHS MH
Provider
Sustainable Journey
IP
IP
IP
IP
IP
IP
NHS
Comm
TSS
TS
TS
TS
TS
TS
TS
Loc
GP
GP
GP
GP
GP
GP
Public
NHS
Comm
PH
Comm
NHS
Comm

23. Briony Pete
Principal Consultant, WRM
Briony.pete@wrm-ltd.co.uk
07932 225 406

24. Chris Large
Partner at Global Action Plan

25. Changing Lives in
East London
• Largest NHS Trust in the country
• Serves 2.5M people

26. We help people to limit
environmental damage
Schools Businesses Communities

28. SUCCESSES - Cost and Carbon Savings

29. SUCCESSES
Better patient experience and staff fulfilment

30. Design of a behaviour change programme
What can staff do to save energy?
How often do staff do those actions already?
What is the value of doing those actions more often?
What stops people acting and how can we help uptake?

31. How did people
save energy?
Natural Light

32. QUIET
TIME
NIGHT
MODE
HIGH
ENERGY
AREAS
BUILDING
AWARENESS
How did people save energy?

33. What encouraged and enabled people to act?
PATIENTS
PEOPLE
PLANET POCKET

34. Patient – Staff – Estate
Triangle
What encouraged and enabled people to act?

35. How did we measure the impact and savings?
PATIENT
SURVEY
METER
DATA
LIGHT
METERS
SPOT
CHECKS

37. From energy saving to better relationships

38. Help is at hand to run your own Operation TLC
Scope
• Quantify
energy waste
• Create
business case
• Engage clinical
leaders
Change
• Face to face
engagement
• Personalised
comms
materials
• Coaching for
champions
and project
leaders
Measure
• Improvements
in staff taking
energy action
• Cost and
carbon savings
• Patient
experience
benefits
• Staff benefits

39. What advice would we share?
Top 3 tips
Be specific. Saving energy is abstract.
Opening the curtains and turning off the light is real.
Make energy saving genuinely meaningful for staff.
But don’t kid yourself that saving money is that meaning.

41. Chris Large
Partner at Global Action Plan
chris.large@globalactionplan.org.uk
@chrislarge1

42. The organisational
sustainable consumption model:
collaborating with the consumer-citizen
William Young
Professor of Sustainability & Business
Co-Director of SRI
c.w.young@leeds.ac.uk
Sustainability Research Institute
FACULTY OF ENVIRONMENT

43. Sustainability Research Institute
FACULTY OF ENVIRONMENT
• Ranked 1st in the UK for the quantity
of world leading research.
• 750 publications in 150 journals.
• Leaders of £100m of research
projects from 36 funders.
• 1,500 Undergraduate Alumni.
• 550 Masters Alumni.
• 70 PhD Alumni.
• 33 Academic staff, 32 research staff
& 63 PhD students Under one roof.
Celebrating 10 Years of Pioneering Research,
Teaching & Impact:

44. Traditional sustainable
organisation model
Sustainable
operations &
niche products /
services
Government
regulations,
policies &
economic
pressures
Sustainable
supply chain
management
Niche green
consumers &
environmental
NGO
pressure

45. Organisational sustainable
consumption model
Consumer-
citizen
Gatekeepers
of good
behaviour
Choice
editing
Represent
views to
government
Lifestyle
management
Product-
service
systems

46. 0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
2011 2012 2013 2014
1
2
3
4
5
Not at all
Very much indeed
How much do you care about being “green”?
Consumer-
citizen

47. http://ec.europa.eu/public_opinion/archives/ebs/ebs_416_en.pdf
Consumer-
citizen

48. http://www.ethicalconsumer.org/researchhub/ukethicalmarket.aspx
Consumer-
citizen

49. Exporting greenhouse gas
emissions & Kyoto targets
http://www.emissions.leeds.ac.uk/chart1.html
Consumer-
citizen

50. Organisational sustainable
consumption model
Consumer-
citizen
Gatekeepers
of good
behaviour
Choice
editing
Represent
views to
government
Lifestyle
management
Product-
service
systems

51. Lifestyle
management

52. Product-
service
systems

53. 1. Move beyond operations & supply chain management.
2. Patients, visitors and staff are increasingly becoming
consumer-citizens.
3. They trust NHS for advise & help on certain issues on-site
& at home.
4. Co-operate with the consumer-citizen to reduce significant
environmental burdens & influence the wider NHS.
Lessons for the NHS
Consumer-
citizen
Gatekeepers
of good
behaviour
Choice
editing
Represent
views to
government
Lifestyle
management
Product-
service
systems

54. The organisational
sustainable consumption model:
collaborating with the consumer-citizen
William Young
Professor of Sustainability & Business
Co-Director of SRI
c.w.young@leeds.ac.uk
Sustainability Research Institute
FACULTY OF ENVIRONMENT

55. Healthy Eating
“The Route to Health
and Wellbeing”

56. The 1960s was a time of
huge achievements...
The Context for Change

57. ....And growing concerns
The Green Revolution

58. A man with a big idea
Our 50 year overnight success

59. Current Issues in the NHS….
''Today 25% of the nation is obese and 37% is overweight”. If we could reduce the number of cases
by 20% over the next 5-10 years, we could save the NHS up to £16bn per year.
“In 2015 NHS will spend about £8 billion a year (increasing to £10-£12bn by 2020) on the medical
costs of conditions related to being overweight or obese and a further £10 billion on diabetes.”
“Shortfall in NHS funding £20bn target by 2020”

60. “NHS as an employer sets a national example in the support it offers its own 1.3
million staff to stay healthy, and serve as “health ambassadors” in their local
communities”.
Simon Stevens Five Year Forward
Tackle the root causes of ill health.
A radical upgrade in prevention and public
health.
Hard hitting action on Obesity, Alcohol
and other major health risks.

61. http://www.fao.org/fileadmin/templates/wsfs/docs/expert_paper/How_to_Feed_the_World_in_2050.pdf
http://www.tristramstuart.co.uk/FoodWasteFacts.html
http://ecowatch.com/2014/04/11/agricultures-greenhouse-gas-emissions-2050/
Challenge Consequence
To feed 9bn in 2050 FAO say we need a 60% increase in food production
some of the true costs of cheap and plentiful animal protein

62. “The need for new
business models that help
address the 9bn challenge
- including a healthy new
protein with a lower
environmental impact….”
Prof. Alan Knight Single Planet Living
Big steps toward small footprints

63. 63
Quorn is an important tool to help address
these issues

65. “Quorn ….began by
taking the original
fungi found in soil and
domesticating it in the
same way that our
ancestors did with
many plants.”
Spector, T (2015) The Diet Myth. Weidenfield
and Nicholson pp 137
Quorn has many influential advocates

66. 66
Additional Interest
SCFA production
Fibre (chitin and ẞ-glucans)
Mycoprotein as a food ingredient
Physical
Properties (shape)
Denny, A, Aisbitt, B and Lunn, J (2008) Mycoprotein and health. BNF Nutrition Bulletin 33: 298 – 310.
Bottin, J. (2014) Nutrition and Surgical Influences on appetite regulation in obese adults. PhD Thesis Imperial College London
BENEFITS
Texture creation
• Authentic meat-like texture
• Creation of fibrosity through fibre assembly
General Nutrition
• High quality protein
• Low fat content (membrane
phospho-lipids)
• High fibre (cell wall)
• Low energy density
Clinical Research
Programmes
• Lowering serum cholesterol
• Satiety
• Insulinemia and
glycemia in diabetics
Composition

67. Bowel Cancer
• Is the third most common cancer in the UK
• Eating 100 to 120 g of red and processed meat a day
- things like ham, salami and sausages – increasing
the risk of developing bowel cancer by about 25% -
we need to eat less
• Fibre offers a protective effect – we need to eat
more (SACN Report)
Quorn are supporting bowel cancer awareness
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2121650/pdf/pmed.0040345.pdf
http://scienceblog.cancerresearchuk.org/2007/11/12/how-does-red-meat-increase-bowel-cancer-risk/
http://www.dietandcancerreport.org/?p=ER
https://www.gov.uk/government/publications/sacn-carbohydrates-and-health-report

68. 68
Micrographs reveal how fibrosity is created
Textures must emulate meat fibrosity

69. Increasing protein content
Mycoprotein Beef Chicken
ToonesofProtein
Protein Yield per tonne of Wheat
used in the production of mycoprotein, beef & chicken

70. Key comparisons - mycoprotein
 By working closely with Carbon Trust we have established that Quorn Foods offer significant environmental
benefits relative to meat.
 Quorn is the first and only meat free brand to have carried out such a systematic third party analysis of its
environmental footprint.
1 Geraldes, E & Freire F (2013) Greenhouse gas assessment of soyabean production: implications of land use change J Cleaner Production 54, 49 -60
2. Matsuka, T& Goldsmith, P (2009) World soyabean production: Area yeild and projections. In: J Food Agric Management review 12 (4) 143-161
3. Ercin, AE Aldaya, M &Hoekstra, AYl (2011) The water footprint of soymilk, soyburger and equivalent animal products. UNESCO IHE Inst Water Education. Report 49
4. Carbon Trust. Report to Marlow Foods (2014) Available on request
ENVIRONMENTAL COMPARISON PROTEINS AND MYCOPROTEIN
GHG
(kg/kg)
LAND
(ha/te)
WATER
(m3/te)
MYCOPROTEIN 1.6 0.17 860
source#4: carbon trust lifecycle analysis of mycoprotein. Report 2014
QUORN MINCE 2.4 0.4 1900
SOYABEAN 0.1 - 17.8 0.43 2500
source#1 source#2 source#3
BEEF (GRAZED) 121
(114 - 130) 5 21500
BEEF (MIXED) 30
(16 - 69) 3.5 19500
source#4: carbon trust lifecycle analysis of mycoprotein.
Report 2014
POULTRY 9 0.7 3970
Compared with Quorn mince ex factory
GHG LAND WATER
Beef
(mixed)
X12 X9 X10
Beef
(grazed)
X50 X12 X11
Poultry X4 X2 X2

71. What have we have been doing……

72. What if every NHS member of staff ate the
same lunch as you will be eating today??
SAVED Fat: 56 tonnes = approx. 2 lorries full
SAVED Carbon:
7.4 million kg = 7,400 tonnes
[35x Angels of the North]
SAVED Water:
4 million tonnes (m3) = the
amount of water flowing in the
river Aire over 32 hours.
SAVED Land:
1400 hectares = 7x the
size of Roundhay Park
SAVED Calories kcal :
To feed 760 people for a
year (365 x 2,500 kcal)
INCREASED Fibre: 21 tonnes = approx. 1 lorry full

73. What our customers think……

74. THANK YOU

75. Refreshments and networking
#Dayforaction

76. Title bar
Body text
○ Bullet text
Carillion Services
NHS Sustainability Conference

77. What is Facilities Management…?

78. People at the heart of what we do.
Focussing on our people so that they
can focus on your people…
Carillion has an engaged and
empowered workforce that
understands the NHS imperative for a
sustainable operation.

79. Getting it right first time…
Everything costs money and everything draws upon the limited resources we have.
Carillion understands the crucial importance
in getting the job right first time.
○ Minimising the use of chemicals
○ Minimising the amount of waste
○ Minimising the amount of down time
○ Minimising the need for repeating the jobs

80. Don’t Walk By!
The number of Don’t Walk By reports recorded and actioned within
Carillion each year, globally, is in the region of 1.5 million!
Which represents, potentially, 1.5 million times that the workplaces we
operate in have been improved. But it is also 1.5 million times that we
know health, safety, environmental impact and quality have been
discussed in our workplaces.
Which means that 6000 times every day we are a making a contribution
to creating sustainable workplaces.

81. Helping you help others…
Carillion understands our stake in
the wider Sustainability agenda.
The health and welfare of our wider
society is paramount. Clearly the NHS
is in the vanguard with this. But
Carillion is there facilitating and
driving standards where we can.

82. Our People
People

83. Looking after our people…
Carillion recognises the need for a healthy
workforce. Recently we have brought a greater
focus to the health aspect of the Health and
Safety agenda – we call this Health like Safety.
We want our people to be in the work place
being productive.

84. Sustainability within our Values
Sustainability is at the heart of the Carillion
business and at the core of our values.
○ We care
○ We achieve together
○ We improve
○ We deliver
Sustainability in facilities management is all
about the people.

86. Sian McCart
Corporate Affairs

92. Mission:
To reduce global water
consumption by
1 %

93.  Water efficiency experts for 20 years
 Advisors to the Government since 1999
 Lead consultants of Watermark

95. £70 million

96.  Major improvements
 Metering
 Billing
 Reporting

99.  Wider ranging
 Greater detail
 Robust

100. £500 million per annum in lost
revenue, which if saved coincides with a 30%
reduction in water use

101. London’s Total Annual Water Consumption

102. 3 billion Cups of Tea

103. …or filling this room 6 million times over

104. • 34 Million m3
• £24 million

106. 500Different Building
Benchmark
Classifications

107. Why do we need you?

108.  3 years free bill validation
 Electronic water consumption profiles
 Identification of high consumption anomalies
 A benchmarking toolkit

109.  More accurate reporting on water
 Prepare for deregulation from 2017 and;
 Tools to potentially reduce your water bill by a third

110. Video Case Study

111. 3Simple Steps
to Participate

112.  We provide you with an email to send to
your water supplier
 They send your future bills to us for
benchmarking assessment and validation
 Within 24 hours of receiving them, we send
your now validated bills onto you

113.  Climate Change
 Rapid Population Growth
 Economic Development

116. True water management
- comprehensive approach

117. @adsmUK
#AquaMark
Your Participation
AquaMark@adsm.com
01753 833 880
www.adsm.com
Thank you

118. What this means for the NHS
 34 million m3 per year
 £24 million

119. Tim Morozgalski
Programme Manager
tim.morozgalski@salixfinance.co.uk
0207 406 7658
100%
INTEREST
FREE

120. Introduction
Knowledge sharing and case studies
Summary of the loan application process
To demonstrate how Salix can help NHS England
Our goals for today

121. Introduction to Salix funding model

122. Who we are
Established in 2004
Independent, publicly funded, not-for-profit company
100% interest-free capital finance for the public sector
Funded by DECC, Scottish and Welsh Government, EfA, DfE, and
HEFCE
Support public sector bodies such as local authorities, educational
establishments and NHS Trusts
Working throughout England, Wales, Scotland and N. Ireland

123. Minimise wasted energy – controls
and awareness raising
Efficient conversion –
installing energy
efficient technology
Salix focus
capital investment to
reduce energy and
save carbon
Energy hierarchy
Onsite
renewable
energy

124. Loan funding by public sector body type
40%
30%
12%
10%
4%
3%
1%
England between April 2010 - March 2015
Local Authority
Higher Education
Institute
National Health Service
School
Further Education
Institute
Academy
Emergency

125. Salix Activity within the NHS

126. Top 10 NHS Clients
Imperial College Healthcare NHS Trust
Northern Devon Healthcare Trust
Hinchingbrooke NHS Trust
Bradford Teaching Hospitals NHS FT
Princess Alexandra Hospital NHS Trust
Northampton General Hospital NHS Trust
St George’s Hospital
Poole NHS FT
Salisbury NHS FT
Ealing NHS Hospital Trust

127. Energy usage in the NHS
245 eligible organisations spend over £634m on energy and utilities 1
Average of £2.5m per hospital 1
Typically 3rd largest expenditure
Our NHS clients have saved on average £200k per year 2
1. Health and Social Care Information Centre, Hospital estates and facilities statistics 2015
2. Salix Finance – loan applications since 2008

128. Energy usage in the NHS
£156m estimated lifetime savings equivalent to…
5,200 Hospital Consultants;
3,900 Chiropractors;
7,200 Paediatric Nurses; or
2,228 GP Doctors

129. Knowledge sharing and case studies

130. Knowledge sharing and case studies
Case
Studies
Project Knowledge
Slides
Social
Media
News &
Blog

131. Northampton General Hospital - case study
Pre project conditions –
• Mixed 40 acre estate with buildings ranging in age
from 1793 to 2008
• Issues with BMS control, heating networks,
pipework lagging, heat loss, and inefficient lighting
Salix funded solution –
• Total project cost £381k
• Cavity wall and pipework insulation, draught
proofing, BEMS upgrades, pool covers, and T5/LED
lighting
• 3 year payback
Project overview
Salix helped Northampton General Hospital to deliver a suite of new
projects across their estate saving the hospital £127,484 per year

132. Salix project case studies

133. Project knowledge slides
Sharing of knowledge between clients
Completed projects
Before and after
Supporting comments
experiences
lessons learnt
supplier
contact details

134. SOLVING ENERGY EFFICIENCY FINANCE IN THE PUBLIC SECTORWWW.SALIXFINANCE.CO.UK
Salix application process

135. SOLVING ENERGY EFFICIENCY FINANCE IN THE PUBLIC SECTORWWW.SALIXFINANCE.CO.UK
Changes for 2014/15
New online application process

136. SOLVING ENERGY EFFICIENCY FINANCE IN THE PUBLIC SECTORWWW.SALIXFINANCE.CO.UK
Six simple steps to apply
1. Log on to the Salix website salixfinance.co.uk/loans
2. Select the NHS loans page
3. Complete the compliance tool with project details
4. Complete an online loan application
5. Submit your application online
6. Salix will do a technical assessment

137. Summary
NHS Trusts and Foundation Trusts – no maximum loan amount
Help achieve energy and carbon reduction targets
Long-term funding plans, SDMPs, estates strategies
Reduce energy bills at your Trust

138. Thank you
4 All of Us
tim.morozgalski@salixfinance.co.uk
0207 406 7658

139. The business
case for reuse
Daniel@warp-it.co.uk
@WarpIt_

140. Overview
 Financial
 Environment
 Social

141. Overview
 Free resources
 How to set up your own
 Business case templates
 Legal templates

142. Value
“It is only a
waste when it is
in the wrong
place”

143. The Enemy
 Time
 Space
 Distance

144. Priority?
Reuse has a
much greater
impact than
recycling

145. Win win win

146. Win win win

147. Win win win

149. Purchase &
Waste costs
Staff time

150. SupplyChain
Impacts
60% NHS
Carbon from
supply chain

151. #

152. SupplyChain

153. Social

154. Internal
Collaboration

155. Internal
Collaboration

156. Internal
Collaboration

157. Procurement
& waste
avoidance
benefits

158. Internal
Collaboration

159. External
Collaboration

160. Friend
requests

161. External
Collaboration

162. External
Collaboration
Aber Uni save
£10K in 1st
trade!! (audio
room)

163. Metrics
Value of reuse
Audit
Management

165. Behaviour
change

166. Examples
warp-it.co.uk/nhsggc
warp-it.co.uk/gmh
warp-it.co.uk/CWP
warp-it.co.uk/lthtr

167. Win win win

168. Win win win

169. Win win win

170. Take home tip
Explore developing a
reuse target
>Track your savings
>>Put more resources
into reuse

171. Free resources
Freegle
Warp It (is free really)
Legal document for
donation to 3rd parties
Business case for reuse
system

172. The business
case for reuse
Daniel@warp-it.co.uk
@WarpIt_

173. Lunch and networking
#Dayforaction

174. Welcome back
Scott Buckler, Director, 4 All of Us
#Dayforaction

175. Hull and East Yorkshire Hospitals
NHS Trust
Keeping a water supply on a large site free from
leaks and dealing with them as they arise can be
difficult.

176. Castle Hill Hospital is supplied by
• Single water supply
• Delivered to break tanks on-site
• It is pumped into a distribution system
• The water system is buried underground and
consists of cast iron and plastic lines In a figure of
‘8’

177. CHH Water system

178. It was while evaluating
water usage that an
anomaly was
identified, which was
initially put down to
the opening of the
new Oncology and
Cardiology centres.
Further investigations
pointed to an
alternative cause.
Castle Hill Hospital from the air

179. When looking back at
the past 10 years of
water consumption, a
steady increase in
water delivery through
the supply meter was
identified.
7000
9000
11000
13000
15000
17000
19000
21000
23000
Apr-04
Nov-04
Jun-05
Jan-06
Aug-06
Mar-07
Oct-07
May-08
Dec-08
Jul-09
Feb-10
Sep-10
Apr-11
Nov-11
Jun-12
Jan-13
Aug-13
Mar-14
Oct-14
May-15
10 year water use CHH 'M3'

180. Water Balance of the site
• There are 80 buildings on site some metered some not.
• The meters where read and then reread after 24 hours
• Some assumption where made
• And the expected base line calculated
• The conclusion was

181. • Expected use 336M3 a day
• Actual use 465M3 a day
• 38% to possible leaks

182. • Resistance from the Estates Dept.
• Financial deficit identified
• Estates told that they where responsible for over spend
as they run the system.
• Focus of attention on water use
How to engage the Estates Team

183. Process for water leak detection
Estates method
• 5 men, 1 engineer
• 5 hour a night
• 3 days to interpolate data?
• Where is it ?
• Try again
• We are not not experts!

184. • Water balance carried out again by Estates
• Step testing on site
• Areas Identified
• Leak repair team brought in
• leak repaired
The Trust talked to Yorkshire Water

185. All’s well for 3 days
• Water consumption up even
higher
• Start procedure for leak detection
• 6 more leak discovered

187. Night line alarms
With the aid of Yorkshire water the
night line for CHH was set at less
than 1 L/s in any 24 hours

188. BEMS Alarms
• Trend BEMS
• Alarm on water to site
• Night-line monitoring
• Engineers alarm and
response

189. New base line for Trust is 299 M3 a day with a
minimum use of less than 1 litre a second in
every 24 period

190. The cost
The increase use has cost
£374,000
Over 5 years

191. Engaging with Organisational
Sustainability
What’s the problem?
What is sustainability?
Strategic planning for sustainability
What this might mean in practice? -
Engagement

192. Who are we?
• Low Carbon Europe – work with a range of
clients to deliver sustainable outcomes
• Energy and carbon management specialists
• Strategic sustainable development planning
and organisational change

193. Source: Jae Mathers, Carbon Free Group, IEMA Presentation, 03/09/15
What is the problem?

194. What is sustainability?
"Meeting the needs of the present generation without
compromising the ability of future generations to meet
their needs." Bruntland Report (1987)

195. From this…
…to this
It’s common sense really…

196. Strategic planning for
sustainability

197. What might this mean in
practice? – Board Level
• Sustainability Steering group oversees progress of SDMP
and SDAP
• Agree dedicated resource to deliver sustainability
• Building partnerships to deliver effective early
interventions, support community recovery and reduce
readmissions
• Consider the use of technology as patient empowerment
tools
• Mobilise external organisations to deliver improvements
to support the Trust’s aims
• Consider future service changes (demographics) or
adaptation needs (resilience)

198. Initial steps…
• Informal discussions to understand each service
area and implications/feasibility for sustainability
– What are the quick wins?
– What might be time or budget constrained?
– Baseline data, monitoring and evaluation requirements
– Training needs
• Initiation of Sustainability Steering Group to develop
the SDAP and oversee its implementation
• Reporting of SDAP to the Board annually

199. What might this mean in
practice? – Staff Engagement
• A systematic approach to recruitment
• Developing a network of champions
• Managerial approval to allow staff time to participate
• Develop and run dedicated workshops focussing on the
context of your Trust
• Departmental Action Planning & Working Groups
– Clinical pathways
– Sustainability Aspects (Transport, Water, Energy, Waste, Food &
Procurement)
• Seeing is Believing Tours & Action Planning Updates
• Evaluation & Monitoring
• Sharing & Celebrating – NHS Sustainability Day

201. What might this mean in
practice? – Communities
• Partnership working
– Schools, Colleges, Universities
– Local Government
– Local Businesses
– Charities
• Health & Wellbeing Projects
• Patient Surveys and Focus Groups

202. Any questions?
Sarah Moore
Sustainability Consultant
T: (01273) 862582
M: 07712 669270
Sarah.moore@lowco2.eu
www.lowCO2.eu
Low Carbon Europe Ltd
Queensberry House, 106 Queens Road, Brighton, BN1 3XF

204. Greening Wingrove : The Starting Point

205. Greening Wingrove : Back lanes to
‘country lanes’
Vancouver

206. Greening Wingrove Annual Garden
Festivals since 2011

207. Greening Wingrove U-Decide 18 Feb
2012

208. Greening Wingrove : Communities
Living Sustainably Bid
Fuel poverty, rising food prices and scarce
resources are just some of the issues in the
sights of BIG’s Communities Living Sustainably
programme. It aims to inspire people to adapt
the way they live, work and connect together
to reap financial, environmental and health
gains.
The thirty projects are receiving up to £10,000
to work in partnership with local people,
councils, schools, businesses, and voluntary
groups to draw up detailed plans for how their
community can become greener.

209. Greening Wingrove : Clean Back Lanes

210. Greening Wingrove : Reclaim the Back
Lanes

211. Greening Wingrove : Vertical Veg

212. Greening Wingrove : The Engine

213. Greening Wingrove : Street Cleans

214. Greening Wingrove : Community
Garden and Stealth Orchard

215. Greening Wingrove : Cutting Carbon
Footprints

216. Greening Wingrove : A Bug’s Eye View
Photo: Time Exchange

217. GREENING WINGROVE
http://greeningwingrove.org.uk/

218. Concluding comments
Scott Buckler, Director, 4 All of Us
#Dayforaction