NHS Sustainability Day Oxford Road Show

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NHS Sustainability Day Oxford Road Show

  1. 1. Welcome to the Oxford NHS Sustainability Day Road Show #Dayforaction
  2. 2. Dr Barbara Hammond, Director of LCO, & Chief Executive of the Low Carbon Hub #Dayforaction
  3. 3. Cllr. John Tanner, Board Member Cleaner Greener Oxford #Dayforaction
  4. 4. Carbon reduction at the heart of everything we do
  5. 5. In 2008 we launched our original carbon management plan “Getting Our House in Order” Our target was to implement measures to reduce carbon emissions from the Council’s estate and operations by 25% by March 2011 – that’s 2,500 tonnes of CO2
  6. 6. We need to reduce our carbon emissions to combat climate change, reduce our reliance on fossil fuels and reduce our energy and fuel bills as prices continue to rise ever higher
  7. 7. What have we done since then?
  8. 8. We created a revolving loan fund through Salix providing £405K to spend on energy saving technologies across the Council
  9. 9. With this we have installed pool covers in our leisure centres to reduce energy loss and save around £15,000 per year…
  10. 10. …and installed many more energy saving measures such as cavity wall insulation, boiler and lighting upgrades and heat recovery systems A lighting upgrade project in Westgate Car Park alone has saved us around £26,000 per year in energy bills
  11. 11. Since 2009, 240 of our fleet vehicles have been fitted with tracker/telematics systems, which can re-route vehicles to save mileage and report on emissions and fuel usage
  12. 12. We also use route optimisation software to plan the most efficient routes possible to for our waste and recycling rounds – saving time and fuel
  13. 13. In April 2009, 330 of our drivers took the Smarter Driving training course One year later our drivers showed a reduction of 15% in fuel consumption, saving us nearly £70,000 in fuel We won an Energy Saving Trust ‘Fleet Heroes’ award for this initiative
  14. 14. By moving from three offices into one as part of the Offices For the Future programme we reducing our CO2 footprint by around 250 tonnes a year
  15. 15. Major energy efficiency measures in the refurbished St Aldates offices, such as energy efficient lighting and motion sensor controls, have taken the building from an E to a C grade in terms of its energy performance rating
  16. 16. We installed Smart Meters in our main buildings to monitor gas and electricity usage on a half-hourly basis This means we can quickly see where energy is being wasted, and can act to do something about it
  17. 17. Our procurement strategy favours suppliers who can demonstrate actions taken to reduce their environmental impact, including using employees from the local area This means that for example: • All our used tyres are re-used or fully recycled • We only buy recycled paper • All the wood we use as building material is FSC certified
  18. 18. We set up a network of Carbon Champion volunteers to engage colleagues in a fun and interesting way on reducing energy use, waste and fuel usage
  19. 19. Please wash any food-soiled items before recycling Thanks to our Carbon Champions… • 95% of staff are aware of energy saving initiatives at work • 88% of staff are motivated to help save energy at work
  20. 20. We provided pool bikes to encourage cycling at work to reduce transport costs and emissions Our pool bikes mean people can travel more quickly and get fit at the same time
  21. 21. Carbon Champions helped to introduce food waste recycling at work Waste food like teabags and fruit peelings are now used to make electricity instead of releasing harmful gases in landfill
  22. 22. We became the first UK local authority to achieve the new British Standards Kitemark for Energy Reduction Verification
  23. 23. In 2010 we launched the pioneering Low Carbon Oxford initiative - uniting leaders from the public, private and non-profit sectors in working together to reduce Oxford’s carbon footprint
  24. 24. Low Carbon Council As a result of all of this we were highly commended in the 2011 LGC awards Low Carbon Council category
  25. 25. We had reached our 25% target by March 2011 But we didn’t stop there….
  26. 26. We installed solar panels on two leisure centres and three sheltered housing sites to generate our own green electricity. These reduce our electricity bills and also generate extra income through the feed-in tariff scheme
  27. 27. We set up a Bicycle User Group (BUG) and have run bike maintenance and training to encourage more people to cycle at work
  28. 28. Our Motor Transport division continue to trial the latest developments in fuel efficient vehicles – including electric cars
  29. 29. We launched a workplace travel plan and a host of incentives to get staff our of their cars and using greener transport at work
  30. 30. Following a very popular trial with staff we have added several electric bikes to the bike pool – these are a fun way of saving time and getting up hills with no effort
  31. 31. We worked with a local community group to pilot their Low Carbon Living Programme in the workplace for the first time
  32. 32. …but there’s still a long way to go We have achieved a lot…
  33. 33. Each year the Council spends… £1,400,000 on gas and electricity
  34. 34. Each year the Council spends… £1,400,000 on gas and electricity £800,000 on fuel
  35. 35. Each year the Council spends… £1,400,000 on gas and electricity £800,000 on fuel £250,000 on water
  36. 36. Each year the Council spends… £1,400,000 on gas and electricity £800,000 on fuel £250,000 on water £15,000 on sending waste to landfill And the price of these continues to rise…
  37. 37. We have a more ambitious target - 5% reduction in carbon emissions from waste, electricity, gas and fuel use We have broadened the scope and included more sites in our carbon footprint We want to continue to be leaders in carbon reduction in Oxford From 2012:
  38. 38. And we all have a part to play Which is why…. Revenues Officer Management Accountant Sustainable Energy Officer Chief Executive Director Business Improvement Partner Performance Improvement Officer Building Control Surveyor Senior Planner Conservation Officer Team Leader Community Development Officer Community Response Team Officer Property Manager Corporate Asset Manager Admin Support Benefit Assessment Officer Revenues Officer Administrative Apprentice Rent Advisor Enforcement Officer Fleet Administrator Road Construction Worker Electrician Bricklayer Gas Engineer Streetscene Operative Environmental Health Officer Dog Warden
  39. 39. Oxford City Council are placing carbon reduction at the heart of everything we do
  40. 40. Creating a joined up heat network for Oxford Paul Robinson Climate Change and Energy, Oxford City Council
  41. 41. Heat Networks for Oxford Hand over to Robin Wiltshire, BRE – expert on heat networks. We are going to be working together to identify potential opportunities in Oxford.
  42. 42. Introduction to district heating What is it? Sustainable Development
  43. 43. What is ‘district heating’ or ‘heat networks’? • District heating (DH) is a means for delivering heat to multiple buildings from a central energy centre • It can deliver: – space heating and domestic water – cooling by the means of heat driven chillers. Energy centre supplying hot water to DH – Hillerod, Denmark © BRE
  44. 44. Basic parts of a DH scheme 1. energy centre containing the heat source/s 2. a heat distribution network used to deliver the heat to end users 3. hydraulic interface unit (HIU) e.g. heat exchangers, linking each customer to the heat distribution network Heat network Energy centre Schematic showing basic parts of DH scheme © BRE
  45. 45. Large DH network • District heating is widely used worldwide and in some European countries schemes exist that supply entire cities with heat – Most of the towns and cities of Denmark and Sweden are heated in this way and – German cities like Berlin and Hamburg have some of the biggest networks in the world. DH supplying the city of Copenhagen. 160km of primary pipes and 1,500km of distribution pipes Heat is derived from waste incineration, geothermal energy and fuels such as wood pellets, straw, straw pellets, natural gas, oil and coal.
  46. 46. 1. Energy centre - examples Gothenburg – Power station operating in CHP mode • 260 MW elec • 300 MW heat Seaton, Aberdeen – Dedicated CHP plant • 1MW elect • Circa 1.5MW heat © BRE
  47. 47. 2. Heat distribution network • Most heat distribution networks consist of pre-insulated steel single pipe flow and return systems Source: Aberdeen Heat and Power Source: Logstor Pre-insulated single pipe flow and return DH systems © BRE
  48. 48. 2. Heat distribution network • Higher performance systems exist that reduce the heat distribution losses relative to the use of single pipe systems, e.g. twin pipes Twin pipe DH pipe system © Logstor Work undertaken under the International Energy Agency and BRE suggested that heat distribution losses can be reduced by 20-37% in twin pipe systems relative to single pipe systems
  49. 49. 3. Heat exchanger/ sub-station • It acts as an interface between the heat distribution network and building heating system • It acts as a boiler • It is able to provide space heating and hot water on demand exchanger This is enough to provide the peak requirements of a circa 30,000 m2 office building enough to provide the peak requirements of a circa ,0 This heat exchanger can provide the peak requirements of a 30,000 m2 office building office building © BRE
  50. 50. Scale of DH schemes • In principle, any building can be connected to a DH scheme, – Public sector – Residential – Commercial – Institutional. BRE ©
  51. 51. Benefits of district heating Sustainable Development
  52. 52. Environmental benefits • DH pipes simply transport hot water from an energy centre to consumers • Therefore, DH offers the opportunity to: – implement low carbon technologies such as CHP – integrate renewable sources like biomass, solar thermal – make use of locally available waste heat – switch whole communities to new and emerging technologies with ease. Energy centre where heat generated is delivered via DH A fossil fuel based heat source could be replaced by a low carbon or renewable energy source with no disruption to residents © BRE
  53. 53. Security of supply • DH schemes that use more than one fuel source: – enhance security of supply due to the diversification of fuels - as well as – provide a buffer against price volatility in the market – CHP provides on-site back- up of electricity. Biomass fired DH in Sweden A small municipality in the periphery of Gothenburg uses biomass as the main fuel for the DH scheme. This minimises the need for expensive oil. Oil is still used a back-up. © BRE
  54. 54. Affordable warmth • With modern DH schemes a lower heat price can be offered than when using individual gas/oil boilers or electrical heating • systems with CHP use fuel more efficiently than conventional alternatives • they derive revenues from both electricity and heat, so the price of heat can be reduced. Social housing estates connected to DH Electrically heated social housing at Aberdeen was retrofitted with district heating fired with CHP plant as a means to alleviating fuel poverty. Heat offered on a flat rent basis (circa £7.75 per week – 2008), electricity sold to commercial buildings. © BRE
  55. 55. Energy centre hosting CHP plant and back-up boilers The plant is enough to supply 1,000 existing council flats at Callendar Park, Falkirk, Scotland Optimising the supply of heat Less plant required • Individual heating systems are sized for maximum demand on the coldest winter day • For DH, demand for heat is aggregated; peak demand in all buildings unlikely to occur at the same time • Demand is consequently spread more evenly and total plant size required is reduced BRE ©
  56. 56. Optimising the supply of heat Overall system efficiency is increased due to the diversity of load • Each building connected to a DH scheme has its own characteristic heat demand load profile • some buildings have increased demand during ‘office hours’: offices, schools • while homes tend to have increased demand out of office hours… • and hospitals have significant demand through whole 24 hours Council building National Indoor Arena Town Hall Pictures showing some of the heat loads connected to the Birmingham City Centre District Heating scheme BRE © Hyatt hotel
  57. 57. Summary of benefits • Environmental – carbon reduction • Enhanced security of supply • Affordable warmth • Efficient use of heat sources (fossil fuel, biomass) • More straightforward maintenance of heating plant • Space savings at the building level • Increased safety of the building occupiers • Instantly available of any amount of hot water at system pressure.
  58. 58. Introduction to district heating Where to apply it? Sustainable Development
  59. 59. Where is it implemented? Generally speaking, DH is best applied in the following: • Areas of high heat demand density • Areas with a mix of building types • And for initiating new schemes look for the potential ‘anchor loads’…
  60. 60. Buildings suitable for CHP – also anchor loads • Hospitals • Universities • Hotels – large • Leisure centres with pools • Multi-residential blocks
  61. 61. Buildings unlikely to justify CHP • Cottage hospitals, doctor’s surgeries • Schools • Hotels – small • Leisure centres without pools • Low-rise housing • Offices • Retail.
  62. 62. Individual site CHP – sometimes a heat network • Might be just one building (large hotel) • Or maybe many buildings (campus university) • If more than one building – need connecting pipes… • … effectively then a heat network • Such heat linking at individual sites is not uncommon • Heat linking beyond the site boundary is less common but offers significant benefits.
  63. 63. Heat linking to other organisations - benefits • Higher overall demand • Smoother aggregate load profile • Higher heat sales, stronger economic case • Connection of individual buildings that could not justify CHP on their own • No need for separate heating (or chilling) plant in buildings • Less items of plant to buy and maintain • Perhaps a larger CHP.
  64. 64. Why haven’t more done it? • Not core business: who will take the initiative? • Carrying on with the status quo • Existing CHP (or other plant) already working well • Desire to keep all such decision making at site level only • Fears about reliability • Lack of obvious adjacent sites to link with • Apparently suitable adjacent sites may be reluctant or already have new plant • Lack of awareness of heat networks and/or CHP
  65. 65. Getting started with district heating • Local authorities are generally the key hub point for establishing heat networks • Local authorities are in a good position to initiate because they can connect buildings they are responsible for • Major LA buildings like town halls, leisure centres and residential blocks are ideal ‘anchor loads’ for heat networks • So too are hospitals. LA energy champions
  66. 66. Contacts • BRE can assist with assessing CHP, renewables and district heating options • Robin Wiltshire wiltshirer@bre.co.uk 01923 664534 0777222 8729
  67. 67. NHS Sustainability Day 2014 Oxford Roadshow, 11th March CREATING A SUSTAINABLE FOOD STRATEGY Julian Cottee (Cultivate & Good Food Oxford) Ingeborg Steinbach (Centre for Sustainable Healthcare & Good Food Oxford) julian@cultivateoxford.org | Inge@sustainablehealthcare.org.uk
  68. 68. What is ‘sustainable food’? • Environment – climate change, land, water, biodiversity, species loss • Fairness – good food affordable to all, and exploiting no one • Local economy – a food system that supports independent business and rewarding work • Food culture – we enjoy local tastes and know how and where our food is produced • Health – 30% of children aged 4-5 are either overweight or obese
  69. 69. Food and Climate Change • About 30% of all greenhouse gas emissions globally come from our food system • Every stage in the food chain produces emissions, from field to fork to waste Graphic: http://ccafs.cgiar.org/bigfacts2014/#theme=mitigation
  70. 70. 2 starting points for action • WASTE: 30% of all food produced is wasted. This means: – We have to produce 1/3 more food = impact – Methane from rotting food in landfill = impact • MEAT CONSUMPTION: livestock account for 14.5% of total global greenhouse gas emissions – Dietary change can have a huge impact
  71. 71. Creating a holistic Good Food Strategy • Good Food is complex • No one organisation has the power to deliver: it can only happen through partnership and shared vision A new network for Oxford Aim: “to identify and catalyse actions by that will measurably reduce the greenhouse gas emissions from Oxford’s food system while promoting environmental sustainability, social inclusion, health, wellbeing, the local economy and a thriving food culture.” www.goodfoodoxford.org
  72. 72. A platform for collaboration ? ?? ?
  73. 73. Links between Food, Health and Environment • Impact of food on health and healthcare • Food procurement in healthcare • Food growing
  74. 74. Impact of food on Health and Healthcare • Access and consumption of healthy food is important in preventing illness. • What is good for health is good for the environment, e.g. reducing consumption of red meat. • Health problems associated with being overweight cost the NHS £5billion.
  75. 75. Carbon Footprint of the NHS 25Mt Co2e > Carbon footprint of Estonia • 61% Procurement (34% pharmaceuticals, 18% medical devices & equipment) • 17% Building energy • 13% Travel • 9% Commissioning
  76. 76. Food Procurement • 3% of the NHS Carbon footprint is food and catering • NHS serves over 300m meals a year, 30m a year are thrown away (10%) • 21 failed voluntary initiatives from 1992-2013 at the cost of £54m
  77. 77. Criteria of Successful Case Studies • More local fresh food • Seasonal menus • Working closely with suppliers • Creating/ working with hubs of small farmers • Not cost saving, but cost neutral
  78. 78. Guides on Sustainable Food Procurement • Sustainable Food – A guide for hospitals (Department of Health) • Catering Mark (Soil Association) • Good Food on the Public Plate: A manual for sustainability in public sector food and catering (Sustain) • How to ... provide tasty, healthy and environmentally friendly hospitals meals (CSH)
  79. 79. Actions for NHS Sustainability Day • Meat free day • Use one ingredient grown on site • Measure your food waste for a day • Provide information on where your food comes from
  80. 80. Workshop: Good Food Oxford Charter • 19th March, 6-7:30pm • Oxford Hub, above Turl Street Kitchen • www.goodfoodoxford.org
  81. 81. • Share information between participating organisations about their employee engagement work • Bring in expertise and experience from outside Low Carbon Oxford to add value to Pathfinders’ work • Model best practice in employee engagement and behaviour change by creating a strong community of professionals who will continue to support each other after the initial stage of the project is complete
  82. 82. Morning refreshments #Dayforaction
  83. 83. NHS Sustainability Day of action Emma Wood Group Sustainability & Corporate Responsibility Manager
  84. 84. How can we help? Biodiversity Social Value Employee Diversity Noise pollution Carbon reduction Landfill Diversion Adapting to climate change Energy Management Renewables Community Engagement Workplace Wellbeing Hazardous waste Noise pollution Sustainable transport Saving water Infection control Care closer to home Ethical procurement
  85. 85. Our History • In essence, our business was founded 50 years ago to help our customers meet a ‘sustainability challenge’ • Legal and consumer demand for ‘better’ solutions still drives our product development • Rental model arguably a pre-cursor to the ‘circular economy’ • But we recognised that we needed some help to really understand how we could respond effectively to the challenges
  86. 86. Our Journey • We’ve been working with Forum for the Future to look at the role of sustainability within our business • Understand what our priorities are – Focused on what is important to the business not what ‘we should’ be doing – Have had to make some difficult decisions! – E.g. Water – our new target is linked to how much we help our customers save, not what we ourselves save • Understand what our customer’s priorities are
  87. 87. Our Journey • We’ve always had a role in supporting environmental improvement: – ‘Push’: driven by legal compliance – ‘Pull’: promoting rewards , not necessarily financial – ‘Nudge’: encouraging customers to make ‘the right’ choices, even choice editing? • Recognising that this is our most significant contribution • Our obligation therefore to: – Inform & educate – Provide evidence – Help partners monitor Pioneering Efficiency CR Player Coping with CR, Satisfying Users Keeping Things Clean
  88. 88. How we can help • Practical, common-sense measures • Experience of implementing solutions in a wide range of organisations (including our own!) • We’re working on the evidence: – Carbon Trust Certification for Waterlogic and Sanitary Disposal services – Extensive water saving trials
  89. 89. Social Value • Partnership and collaboration also about working with partners who share your values and social aims • With inclusion of ‘Social Value’, important to work with partners who can bring wider value to supply chain • In 2012 we launched our own PHS Foundation: – Partnership with Together for Short Lives – Employee Community Impact Awards Programme • Focus on supporting Social Enterprise – Number of Directors & Senior Managers volunteered to mentor local entrepreneurs – SE procurement risen from £0 in 2012 to £35k in 2013
  90. 90. Rose Bristow NHS SUSTAINIBILITY DAY 11the March 2014 Oxford
  91. 91. PHS Group • The start - 14 August 1963 • Part of Tack Training Group • Introduction of Feminine Hygiene service • Currently employ 5,000 people • Turnover £418m
  92. 92. Clinical Journey • 2001 Healthcare Division created • Established national service • 28 transfer stations across UK • Developed be-spoke service to support NHS clients
  93. 93. Expectations of the NHS • Waste hierarchy • Best Practice • Segregation • Innovation • Education • Legislation In the community
  94. 94. The Reality... • Confusion • Lack of Guidance • Lack of Support • Multiple healthcare waste generators
  95. 95. Response to Change • Clients now expecting innovative ideas • Reduction of costs • Partnerships • KPI’s • So who took a leap of faith?
  96. 96. A Success Story • PHS won tender in 2007 • Committed to identify their hazardous waste streams and segregate at source. • Fronted by Infection Control, for Community and Mental Health. • Approximately 90 locations including home patients and hospitals on various service frequencies • PHS completed full site audits to ensure compliance and make recommendations. • Create plan of action
  97. 97. Success - cont... • The start - hard work and perseverance • Develop tailored training • Barriers to change – “old habits die hard” • Supplied reports on segregation and the split of types and volumes of waste being collected. • Regular reviews meetings with stakeholders • Developed the “Naughty Persons List”
  98. 98. How it looked before 28% 72% Waste Segregation Worcester PCT GP Practices - June - August 09 Offensive Infectious Worcester Mental Health Trust Locations - June - August 09 51%49% Offensive Infectious
  99. 99. How it looks now
  100. 100. Support • Training materials • Online Game at: – www.phswastemanagement.co.uk • Segregation posters • New interactive website launching soon
  101. 101. Support Continued...
  102. 102. The Future... • Reduce, Reuse, Recycle • Continued investment in new technologies ⁻ PDA ⁻ Customer portal ⁻ New vehicles • Communicate
  103. 103. It’s not perfect but we’re on the right track
  104. 104. Any Questions... ??
  105. 105. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Sustainability at Carillion Emma Gilbert
  106. 106. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • A bit about me • A bit about Carillion • Sustainability at Carillion – How? What? – A corporate issue – On our projects – From our people • It just makes sense • Questions and Discussion
  107. 107. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info A bit about me... • 17 years experience in HSEQ Management in FMCG, Oil and Gas, Pharmaceutical and Facilities Management • Joined Carillion in 2011 through acquisition of Eaga. • Role of Sustainability Manager for the UK Services Business for over 2 years • Currently working at James Cook University Hospital
  108. 108. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • Tarmac Group – De-Merged in 1999 – Tarmac, Wimpey, Cubitts and Mitchell Construction • Further Acquisitions: – Mowlem (2006) – Alfred McAlpine and Vanbots (2008) – eaga (2011) – John Laing Integrated Services (2013) A Collection of Businesses … • 40,000 employees • UK, Middle East, Canada • £4.1Bn turnover (2013) • Share price £3.66
  109. 109. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info 125 Maintenance Utilities Facilities Defence Infrastructure Rail Health Education Managing Globally …
  110. 110. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Origins … 1994 Major Road Protests at Twyford
  111. 111. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • Expectations – Trust, Transparency and Responsible Actions – Clients – Government and Commercial – Investors and Shareholders – Employees – Internal and Supply Chain • Reputation and Legal Accountability – Media and Opinion Formers – Social Media: The World as a Journalist • Cost and Profitability – “Triple Bottom Line” – Economic – Environmental – Social • Competitive Advantage Why It’s a Corporate Issue
  112. 112. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Our Journey...
  113. 113. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info 2004 and Beyond …
  114. 114. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info “To be recognised as a leading sustainable business and the leading sustainable support services company …” Sustainability Vision 2020 Richard Howson Chief Executive Officer
  115. 115. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Our six positive outcomes Protecting the environment Supporting sustainable communities Providing better prospects for our people Building a successful business Leading the way Enabling low-carbon economies
  116. 116. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info A Corporate Issue
  117. 117. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info
  118. 118. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • One of the Carillion’s largest construction projects in the UK • Aim that the hospital redevelopment will act as a catalyst for regeneration • Key target was to ensure that the benefits flowed into the community – 85% local employment – 60% local spend • Carillion delivered – 80% local employment – 60% local spend Southmead Hospital Sustainability Achievements
  119. 119. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • £335M capital cost, 3 year build • £100M support services, 30 year concession • Largest all single-bed hospital in UK (646 beds, 40-bed CCU, 18 theatres) • One of the UK’s 'greenest' hospitals: – Dedicated cycle centre and 10 electric car charging points – Renewable energy systems – Low carbon materials, systems – Water meters, leak detection • £240M to local economy – 750 full-time jobs during build – 60% to local people – 60% materials locally-sourced – 15% workforce from priority areas – 100 apprenticeships created New Royal Liverpool Hospital Sustainability Commitments
  120. 120. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info And from our people... James Cook University Hospital
  121. 121. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info And from our people... BARTS and Harpley
  122. 122. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • 2011: Carbon Disclosure Leadership Index – for 1st time • 2011: 148 placements for Business Action on Homelessness • 2011: Highly Commended – PwC FTSE 250 Sustainability Report • 2012: Launched Sustainability Talk and News (STN) – Industry 1st • 2012: Gold Leaf member of UK Green Building Council • 2012: 1000 apprentices gain NVQs in sector-leading programme • 2013: Funding Partner of Supply Chain Sustainability School • 2013: Retain BiTC Platinum Big Tick status • 2013: Achieve Carbon Leadership status – Top 10 UK companies • 2013: Win PwC Building Public Trust Award – Sustainability Report
  123. 123. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info It just makes sense... • For our clients • For our communities • For our environment • For our people • For our reputation • For our bottom line
  124. 124. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • A bit about me • A bit about Carillion • Sustainability at Carillion – How? What? – A corporate issue – On our projects – From our people • It just makes sense... • Questions and Discussion
  125. 125. Lunch and networking #Dayforaction
  126. 126. Food for Life Partnership: Improving food in hospitals Susannah McWilliam, Soil Association Margi Lennartsson, Garden Organic
  127. 127. What is sustainable food? is kind to the environment, protecting biodiversity, minimising resource use and minimising carbon impacts Has high animal welfare standards Contributes to thriving economies and livelihoods Provides social benefits, such as good quality food, safe and healthy products, and educational opportunities
  128. 128. is kind to the environment, protecting biodiversity, minimising resource use and minimising carbon impacts Has high animal welfare standards Contributes to thriving economies and livelihoods Provides social benefits, such as good quality food, safe and healthy products, and educational opportunities Should sustainable food be an NHS priority? Spending power: £500 million Staff health and wellbeing: 1.2 million staffScale: 300 million patient meals Public health responsibility: every contact counts Leadership & responsibility Improved outcomes Cost to the NHS of diet related ill health: £5.8 billion (and rising) Public expectation
  129. 129. Should sustainability be an NHS priority? Our leadership will be tested in our commitment and ability to bring about the transformations required. We must take these concepts forward in our lives, our jobs, our teams and organisations, and with our communities. We must do so positively and inquisitively, with enthusiasm and with vigour. This agenda creates many positive benefits and it is already generating energy for change in people, organisations and communities. It also demonstrates our responsibility and commitment to a broader and more global perspective of health and wellbeing.
  130. 130. PLACE Incentives and measuring progress CQUIN (no. 295 in NHS England pick-list), ‘Improving Hospital Food by achieving compliance with recommended or best practice standards’
  131. 131. Food for Life Catering Mark • Complies with recommended nutritional standards • Freshly prepared with quality ingredients • Local sourcing – seasonality • Committed to higher animal welfare and traceability • Food that is better for the environment • Making healthy eating easier • Third Party approval from independent assessors
  132. 132. New CQUIN rewards better hospital food "Our new commissioners, the Clinical Commissioning Groups and their leaders, will need to take the new quality incentive and kite mark seriously for two reasons. Firstly, because they are not only about good nutrition but also about knowing where the food has come from and about supporting British farmers, the local economy and sustainability. Secondly, the catering mark is independently audited by the Soil Association so that Clinical Commissioning Groups can easily check whether their local hospitals are actually doing what they say they are.“ Michael Dixon, Chairman, NHS Alliance CQUIN number 295 in NHS England pick-list, ‘Improving Hospital Food by achieving compliance with recommended or best practice standards’
  133. 133. Hospitals and the Catering Mark Awarded North Bristol NHS Trust Nottingham University Hospitals Trust Hinchingbrooke Healthcare NHS Trust (Cambridgeshire) St Joseph’s (Wales) Working towards Rotherham Hospital Bournemouth & Christchurch Commitments Barts Health NHS Trust Imperial College Healthcare NHS Trust Calderdale and Huddersfield NHS Trust “All this hard work has secured jobs for my staff. We're making considerable savings, sales have gone up by almost a third since we achieved the Catering Mark, and the staff are happier. Who wants to be opening boxes and boiling food in the bag all day? Using our skills to cook properly is much more interesting.” Pascal Meril, Catering Manager, St Joseph’s Hospital
  134. 134. Hospitals and the Catering Mark Awarded North Bristol NHS Trust Nottingham University Hospitals Trust – now at gold level Hinchingbrooke Healthcare NHS Trust (Cambridgeshire) St Joseph’s (Wales) Rotherham Hospital (patient, staff and visitor) Working towards Bournemouth & Christchurch Commitments Barts Health NHS Trust Imperial College Healthcare NHS Trust Calderdale and Huddersfield NHS Trust Plus: 68 more hospitals Over 4.5 million meals annually
  135. 135. FFLP in hospitals: pathfinder pilots “transforming food culture” FOOD EDUCATION AND SKILLS e.g. support cooking and growing skills development A HEALTH PROMOTING SETTING e.g. leadership on developing a good food culture throughout the hospital CATERING QUALITY STANDARDS AND CERTIFICATION e.g. improve food quality through FFL Catering Mark: patients, staff and visitors PATIENT DINING EXPERIENCE e.g. dining experience tailored to maximise positive experience for different patient groups COMMUNITY AND PARTNERS e.g. Connect hospital and relevant social care settings in the nutritional support of patients into post discharge life
  136. 136. FFLP in hospitals: pathfinder pilots “transforming food culture” FOOD EDUCATION AND SKILLS e.g. support cooking and growing skills development A HEALTH PROMOTING SETTING e.g. leadership on developing a good food culture throughout the hospital CATERING QUALITY STANDARDS AND CERTIFICATION e.g. improve food quality through FFL Catering Mark: patients, staff and visitors PATIENT DINING EXPERIENCE e.g. dining experience tailored to maximise positive experience for different patient groups COMMUNITY AND PARTNERS e.g. Connect hospital and relevant social care settings in the nutritional support of patients into post discharge life
  137. 137. FFLP in hospitals: pathfinder pilots FOOD EDUCATION AND SKILLS e.g. support cooking and growing skills development A HEALTH PROMOTING SETTING e.g. leadership on developing a good food culture throughout the hospital CATERING QUALITY STANDARDS AND CERTIFICATION e.g. improve food quality through FFL Catering Mark: patients, staff and visitors PATIENT DINING EXPERIENCE e.g. dining experience tailored to maximise positive experience for different patient groups COMMUNITY AND PARTNERS e.g. Connect hospital and relevant social care settings in the nutritional support of patients into post discharge life
  138. 138. To find out more please email me at smcwilliam@soilassociation.org Or come and chat at the end of the day
  139. 139. Gardening and food growing to deliver health, wellbeing and sustainability Margi Lennartsson
  140. 140. Promoting and supporting people to grow organically
  141. 141. Benefits of gardens and food growing Environment Human health and wellbeing
  142. 142. Benefits of gardens and food growing Building stronger communities Food security
  143. 143. Growing Food • Access to fresh and tasty food • Active and worthwhile • Learning and connecting with food production • Climate friendly actions
  144. 144. Why food-growing? • Mental & Physical Health • Food and Diet • Wellbeing • Wider determinants of health • Diverse appeal
  145. 145. Obesity – Healthy weight Diet • Higher intake of fruit and vegetables • Positive impact on pupil nutrition and attitudes towards healthy eating Physical activity • Gardeners achieved physical activity recommendations, decrease in body mass index in older men. Body Mass Index • Lower body mass index in male and female community gardeners
  146. 146. Sydenham Gardens University Hospitals Coventry and Warwickshire Hoventon House Care Home Food Growing in Health Settings Growing Opportunities Sandwell
  147. 147. www.nhssustainabilityday.co.uk www.gardenorganic.org.uk www.1414campaign.com www.growinghealth.info mlennartsson@gardenorganic.org.uk
  148. 148. Welcome back #Dayforaction
  149. 149. The Centre for Sustainable Healthcare We are a small healthcare charity inspiring people to realise the importance of the overlap between their wellbeing and environmental sustainability, particularly in the field of healthcare. Our Work includes: • Clinical Transformation – green champions • Sharing Knowledge – case histories and queries • Literally Greening the NHS Estates - NHS Forest, Green Health Routes • Embedding Sustainability as a management priority
  150. 150. NHS Forest Aims • Improving the health of staff, patients and communities through increasing access to green space on or near to NHS land • Greening NHS Estates – with trees, plants, edible crops • Encouraging greater social cohesion between NHS sites and the local community via Outer Space Community Projects • A ‘Natural Health Service’
  151. 151. Benefits of the NHS Forest Trees and Green space: • Accelerate patient recovery (Ulrich 1984) • Provide a healing environment • Enhance people’s mood, self esteem, lower blood pressure • Improve air quality, reduce temperature and risk of flooding • Reduce NHS costs through increasing health prevention, speeding up recovery rates and lessening estates’ maintenance costs For more information of the benefits of the NHS Forest visit www.nhsforest.org/evidence
  152. 152. Achievements in 2014, so far … • 33,583 trees planted • 120 sites involved • NHS Sustainability Day of Action (30+ sites participating) • GP Health Walks • Therapy gardens
  153. 153. NHS Sustainability Day of Action • NHS Forest running 2 trees at 2pm campaign – 2@2 • In 2013, 22 sites across the UK planted trees • This year, 31 sites are taking part with over 600 trees being planted • The Great Outdoor Gym Company (www.tgogc.com) have sponsored the trees to be donated to healthcare sites.
  154. 154. NHS Sustainability Day of Action
  155. 155. Lancashire Care NHS Trust Opening of on site garden Apple picking with staff, patients and local community Bee keeping on site
  156. 156. How you can be part of the NHS Forest • Plant Trees at your Healthcare Organisation • Encourage staff, patients and the local community to use their NHS Forest • Sponsor Trees • Partner with the NHS Forest as a delivery organisation
  157. 157. NHS Forest- Key Contacts
  158. 158. Changing Perception, Changing Behaviors www.trakeo.com @trakeonews
  159. 159. www.trakeo.com @trakeonews Trakeo Sustainability Resource Planning - a comprehensive system to track, monitor and enable more sustainable practice
  160. 160. www.trakeo.com @trakeonews “People love chopping wood. In this activity one immediately sees results.” Albert Einstein
  161. 161. www.trakeo.com @trakeonews
  162. 162. www.trakeo.com @trakeonews
  163. 163. www.trakeo.com @trakeonews
  164. 164. www.trakeo.com @trakeonews Company image % agreeing Global sample Highly engaged Unsupported Detached Disengaged Organisation conducts business activities with honesty and integrity 58% 84% 61% 47% 27% Organisation is highly regarded by general public 57% 81% 59% 46% 29% Towers Watson Global Workforce Study
  165. 165. www.trakeo.com @trakeonews “People love chopping wood. In this activity one immediately sees results.” Albert Einstein
  166. 166. www.trakeo.com @trakeonews
  167. 167. Trevor Payne, Director Estates and Facilities Barts Health NHS Trust and founder of NHS Sustainability Day www.nhssustainabilityday.co.uk
  168. 168. A call to action for the NHS NHS Sustainability Day • 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
  169. 169. Motivating Success NHS Sustainability Day • 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 – over 60 entries • Internationally showcasing NHS
  170. 170. • Why 1414? • Integrating Health and Sustainability • Utilising our estates for the benefit of our patients and communities • Creating a legacy • Integrating with Catering – new recipes • What will you do with your car parking space? www.1414campaign.com
  171. 171. #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

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