Importance of Sustainability in   the Healthcare Sector ?Helen MaherEstates Mgr,Health Service Executive
Healthcare Sector Sustainability?  Speaking to the Converted……  Procurement  Energy & Transport  Waste Management  Water &...
Healthcare Sector Sustainability Health Budget           €14 Billion Health Employees         106,000+ Health Procurement ...
Property Portfolio   HSE Properties = 2,730   50 Acute Hospitals   Non Acute   Community Hospitals   Psychiatric Hospitals...
Healthcare Transport   Daily     Commuters = 106,000+     Goods Deliveries/Contractors     Patient 6 Days Average in Hospi...
HSE Procurement5 Categories of Goods & Services = €5 Billion  Drugs & Medicines  Medical & Surgical Supplies  Primary Care...
HSE ProcurementOther Significant Categories < €100m  Catering  Cleaning  Bedding & Clothing  Laboratory Consumables  Blood...
Carbon Foot Print      NHS Carbon Footprint                         Goods & Services                         Building Ener...
Green Public Procurement  Draft National Green Procurement Action Plan  6 Priority Green Procurement Categories; 1.   Cons...
Energy Efficiency Value for Money; Energy Expenditure €85 Million 2010 HSE Consumed 1,268 GWh 2010 Procured Renewable Ener...
HSE Energy Efficiency Energy Concession   Energy Services Company   Invest Energy Plant & Equipment Upgrades   No HSE capi...
Sustainable Building         Life Cylcle Costs                             Design                             Construction...
Green Transport Healthy Options - Cycle to Work Facilities Secure reliable Bus services, links Rail/Bus Stations High fuel...
Healthcare Waste Value for Money; Waste Expenditure €23 Million Regulatory Compliance Food Waste Regulations 2009    Ban F...
Healthcare Waste EPA’s Green Healthcare Programme   22 Hospitals: Waste & Water Audits   Benchmark waste generation per Ho...
Healthcare Risk Waste National Healthcare Risk Waste Contract (SRCL)    Volume healthcare risk    waste reduced 3%.    Exp...
Healthcare Hazardous Waste Electronic & Electrical   Photographic Fix & Dev Batteries                 Heavy Metal (Amalgam...
Healthcare Non Risk WasteMixed Recyclables   Mixed Glass   BiodegradableCardboard           Wood          Vegetable OilPla...
Healthcare Waste Contract HSE Framework Contract for all other Wastes   Currently 40+ Waste Service providers   V4M determ...
Water Consumption Value for Money; Water Expenditure €8 Million Increased 48% between 2006 – 2010 Change from Flat Charge ...
Water Costs per M3                                                                         Local Authority Combined Water ...
Accounting for Water Water Expenditure per Acute Hospital, and per county Identify locations above Average Expenditure C&A...
H2O ConsumptionHealth Technical Memorandum 04-01 (NHS UK)                     Water Consumption per Hopsital Type  600  50...
Waste Water Discharge Local Authority Wastewater Discharge License   Oil Fats & Grease - Catering Facilities   Organic Loa...
Health Impact Assessment                        Health Sector Resources                                                   ...
Sustainable Healthcare Regulation Compliance is important Value for Money is the Key Driver Government Funding allocated t...
Importance of Sustainability  in the Healthcare Sector           Helen Maher        helen.maher2@hse.ie           021 492 ...
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Sustainability in Healthcare

Children's University Hospital

29/09/2011

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2.helen maher

  1. 1. Importance of Sustainability in the Healthcare Sector ?Helen MaherEstates Mgr,Health Service Executive
  2. 2. Healthcare Sector Sustainability? Speaking to the Converted…… Procurement Energy & Transport Waste Management Water & Wastewater
  3. 3. Healthcare Sector Sustainability Health Budget €14 Billion Health Employees 106,000+ Health Procurement 52% Goods & Service €7 Billion New Buildings €337 Million
  4. 4. Property Portfolio HSE Properties = 2,730 50 Acute Hospitals Non Acute Community Hospitals Psychiatric Hospitals Community Nursing Units Health Centres Support Services Procurement Stores Maintenance Stores Offices
  5. 5. Healthcare Transport Daily Commuters = 106,000+ Goods Deliveries/Contractors Patient 6 Days Average in Hospital Visitors Annual Healthcare 3.5m Outpatient Treatment 1.3m Day Care Treatment 1.1m Accident & Emergency Treatment
  6. 6. HSE Procurement5 Categories of Goods & Services = €5 Billion Drugs & Medicines Medical & Surgical Supplies Primary Care - GP’s, Pharmacists Healthcare Services - Nursing Homes, Foster care etc. Healthcare Agencies - Voluntary Hospitals etc.
  7. 7. HSE ProcurementOther Significant Categories < €100m Catering Cleaning Bedding & Clothing Laboratory Consumables Blood Products X- Ray Consumables Office Supplies Furniture (Medical & Office) Office Stationary & Printing ICT Equipment Energy & Utilities Transport Fleet
  8. 8. Carbon Foot Print NHS Carbon Footprint Goods & Services Building Energy Transport 60% C02
  9. 9. Green Public Procurement Draft National Green Procurement Action Plan 6 Priority Green Procurement Categories; 1. Construction 2. Cleaning Products 3. Food 4. Uniforms/Textiles 5. Paper 6. Electricity HSE Procurement Officers & Estates Mgrs
  10. 10. Energy Efficiency Value for Money; Energy Expenditure €85 Million 2010 HSE Consumed 1,268 GWh 2010 Procured Renewable Energy - 8 GWh Public Sector Renewable Energy 15% National Energy Efficiency Target 33% by 2020 Regulatory Compliance Display Building Energy Rating > 1000m2
  11. 11. HSE Energy Efficiency Energy Concession Energy Services Company Invest Energy Plant & Equipment Upgrades No HSE capital funds required Key Performance Indicators – BER Ratings HSE continue Procure & Pay Energy Supply Energy Savings Benefit to HSE Pilot HSE South - €6 million 60 Non Acute Healthcare locations Year One Target Savings = 3 GWh
  12. 12. Sustainable Building Life Cylcle Costs Design Construction Occupation
  13. 13. Green Transport Healthy Options - Cycle to Work Facilities Secure reliable Bus services, links Rail/Bus Stations High fuel costs, opportunity provide commuters options Maps & Information i.e. Travel ways Map NTA Carshare.ie – CUH, UCHG, Letterkenny etc. Free Preferential parking for Carshare.ie users Acute Hospitals income from visitor parking
  14. 14. Healthcare Waste Value for Money; Waste Expenditure €23 Million Regulatory Compliance Food Waste Regulations 2009 Ban Food Waste Landfill & Macerators Engage Food Waste Recycling HSE Waste Awareness Handbook HSE Waste E-Learning Slides www.HSELand.ie Register & Download
  15. 15. Healthcare Waste EPA’s Green Healthcare Programme 22 Hospitals: Waste & Water Audits Benchmark waste generation per Hospital Quantify Waste Prevention Opportunities - €1.5m Typical Acute Hospital Healthcare Non Risk Waste Recyclable Paper Recyclable Plast ic Recyclable CBoard Organic Food Recyclable Met al Recyclable Glass Landf ill Wast e
  16. 16. Healthcare Risk Waste National Healthcare Risk Waste Contract (SRCL) Volume healthcare risk waste reduced 3%. Expenditure reduced 10% to €8.6m 2011 New rate per ton– 20% Discount 70% Treated waste diverted to Recovery as fuel
  17. 17. Healthcare Hazardous Waste Electronic & Electrical Photographic Fix & Dev Batteries Heavy Metal (Amalgam/Pb) Fluorescent Tubes Laboratory Chemicals Paints / Weed Killers Waste Oils White Goods Other as Identified…
  18. 18. Healthcare Non Risk WasteMixed Recyclables Mixed Glass BiodegradableCardboard Wood Vegetable OilPlastics Metals Textiles Confidential Residual LandfillC&D Waste Records
  19. 19. Healthcare Waste Contract HSE Framework Contract for all other Wastes Currently 40+ Waste Service providers V4M determined by local competition Landfill Cost varies from €120 - €250 per ton Not all HSE locations pay by weight Framework Tender advertised on e-tenders April One Primary waste contractor per Region Mini Competition for HSE Dublin Nth East Dublin, Cavan/Monaghan, Louth, & Meath Maximize recycling rates
  20. 20. Water Consumption Value for Money; Water Expenditure €8 Million Increased 48% between 2006 – 2010 Change from Flat Charge to per m3 HSE Water Costs per Region €3,500,000 €3,000,000 €2,500,000 2006 €2,000,000 2007 €1,500,000 2008 Euros €1,000,000 2010 €500,000 €0 WEST STH DNE DML Regions
  21. 21. Water Costs per M3 Local Authority Combined Water Charge per M3 2010 3.50 3.00 2.50 2.00E u ro s 1.50 1.00 0.50 0.00 re y d d t h k a n i s o rd l y . y al e w y m o rk n . r y th al re ic k lo w C la e n n xf o r r fo rM e a e r ic C a v L a o e a t hS lig g f o O f fa T ip p m o n C it C it y a t hn. e g e r a g a rlo C it ya lw a e it ri M a y C o g h a T ip pK e r L o u u b liFnin g C it y C ityild a lk e e n k a W L im tm Lo t h m o r rd /RD o A v C r ic k G L D a y l in K Ki W Wa t es N oo r s c o C e r fo o g h e o n outh u th lw D u b W R a t La M S So Ga W un L im D
  22. 22. Accounting for Water Water Expenditure per Acute Hospital, and per county Identify locations above Average Expenditure C&AG Report 2010 - Unaccounted for Water Local Authority Average UFW 41 % ForFAS Assessment of Water Services 2008 58% UFW on consumer side i.e. healthcare pipe work Routine water shortage by 2013; Athlone, Dublin, Galway, Letterkenny, Limerick, Tralee, Waterford & Cavan Leak Detection surveys & water conservation
  23. 23. H2O ConsumptionHealth Technical Memorandum 04-01 (NHS UK) Water Consumption per Hopsital Type 600 500 400 300 Litres per Bed per Day 200 100 0 Acute Maternity Long Stay Phychiatric Elderly Care
  24. 24. Waste Water Discharge Local Authority Wastewater Discharge License Oil Fats & Grease - Catering Facilities Organic Loading – Sewage, Milk etc. Alter pH Neutral - Chemicals 24 Hour Sampling System Annual Monitoring Charges Monitoring Results
  25. 25. Health Impact Assessment Health Sector Resources Economic, Social Impact on Health of & Environmental Population Impacts Health Sector Impact on Health Capacity to Deliver of Population Quality Services Demand for Health Services
  26. 26. Sustainable Healthcare Regulation Compliance is important Value for Money is the Key Driver Government Funding allocated to Healthcare Procurement - Green Procurement Criteria Infrastructure - Environmental Assessment Information is Pow€r, value of sustainable choices Key Healthcare budget holder support
  27. 27. Importance of Sustainability in the Healthcare Sector Helen Maher helen.maher2@hse.ie 021 492 7210 THANK YOU !

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