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NHS Sustainability Roadshow Cardiff-Nov 30th

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Slides from all speakers bar Carbon Trust (this will be added soon)

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NHS Sustainability Roadshow Cardiff-Nov 30th

  1. 1. NHS SUSTAINABILITY DAY CAMPAIGN CARDIFF ROADSHOW- NOV 30TH
  2. 2. PUBLIC HEALTH WALES LEADING THE WAY SALLY ATWOOD, DEPUTY DIRECTOR, STRATEGY & PLANNING, PUBLIC HEALTH WALES
  3. 3. Insert name of presentation on Master Slide Circular Economy in Wales 30th November 2017 Sally Attwood Public Health Wales NHS Trust
  4. 4. Bumps in the Road
  5. 5. Public Health Wales • Health & Wellbeing is our business: prevention and protection • 1700 staff – mixed professions • 3.3 million people • large, fragmented estate • £115m annual budget • One of 10 NHS bodies
  6. 6. ‘Our Space’ Programme • an accommodation strategy – Phase 1 was ... • moving from 9 buildings across South Wales to Cardiff city centre • major office fit out in a new build - 51,000 ft2 • 550 NHS office workers affected
  7. 7. Selection process • By January 2015 .... long list of properties • High levels of staff involvement • No management specification except for: light, airy, modern, open plan • Flirting with ideas such as 4 desks per 10 staff 
  8. 8. Nightmare ..... us them
  9. 9. Expectation .... • Open plan, but try to address problems • Buy around 2,500 new items from the usual suppliers • Use a furniture framework contract • NHS Wales has a shared services arrangement for procurement
  10. 10. But wanted to re-use • Existing office furniture was OK but had been neglected • Avoid the problem of getting rid of 2,500 items • Familiar items for staff • Avoid public and political perception of excess • Meets Wellbeing of Future Generations Act 2015
  11. 11. Observations on Procurement • NHS in Wales is LINEAR • Shared service across all ten health bodies • Bound by frameworks • Difficult to articulate what I needed • Easy to articulate the need • Pressure to conform
  12. 12. Route to Market • Issued PIN Notice • Held a meeting with around 30 suppliers – Dec 2015 • All said they could do it! • Decided to go to OJEU process • More supplier engagement • 10 tenders
  13. 13. OJEU process - Consortium • Rype Office – design, office furniture re- manufacture • Orangebox – South Wales business – remanufactured chairs, new collaborative pieces • Greenstream – social enterprise from deprived area – new and recycled carpet tiles
  14. 14. Value realised • market engagement yielded results • design was crucial • inclusion of social enterprise – not tokenistic, but pivotal • re-manufacture approach changed the narrative for a major organisational change project
  15. 15. • cost savings – against purchase price of new • 550 task chairs are award winning, top of the range – staff liked them! • avoided costs of removal and disposal of old furniture • longer life of higher quality furniture • enhanced our reputation (maybe)
  16. 16. 16 Remanufacture drives furniture costs lower than structurally possible with new furniture
  17. 17. What else ....
  18. 18. Some numbers ... • 1,143 items re-used • 1,270 re-manufactured • 670m2 re-used carpet tiles • 2,435 employed hours for 8 people with barriers to work • 8 kitchens supplied by a local business • deeper understanding PHW of positive impact public bodies can have on local economy
  19. 19. environmental value • carbon benefits: 134 tonnes CO2e saved which could fill 800 double deckers • diverted 41 tonnes of waste to landfill • biodiversity loss from upstream mining / extraction
  20. 20. social value of circular economy • employment & training has led to real full time jobs for three people • Greenstream able to continue to provide support to disadvantaged households • raised the profile of social enterprise as a credible delivery option
  21. 21. So what does it look like?
  22. 22. Fabulous Workplace ...
  23. 23. It was not a ‘one off’ we’ve continued the project in our Swansea & Newport offices too!
  24. 24. Newport Office
  25. 25. Bumps in the Road ... • NHS Wales procurement voodoo • Staff negativity • Senior management underwhelmed • Specification was difficult • OJEU process • Warranties! • Implementation is difficult and different • Suppliers convinced they could meet the specification
  26. 26. Removing barriers .... • Ask simple questions – Why? • You Tube is great! • Just in time legal advice • Wellbeing of Future Generations Act 2015 • Talked about the nightmare scenario
  27. 27. More levers .. • talk to suppliers – they appreciated it • told staff about the story – reconnected with why they became a public servant • kept government informed and tried to tick their boxes • everyone understands office furniture
  28. 28. Reflections • the ‘need’ is key • Managers like me need to get a grip – needs leadership • Social enterprise is key for us and excites politicians – working with Welsh Government • Has potential to fit with wider policy and is tangible and measurable • Awards are good
  29. 29. Local, National and International
  30. 30. Thank You !
  31. 31. HOW WALES CAN UTILISE BEHAVIOUR CHANGE REBECCA COLLEY-JONES, DIRECTOR, YNYS RESOURCES LTD
  32. 32. Looking at things differently Rebecca Colley-Jones FCIWM Ynys Resources Ltd
  33. 33. Today we will be covering……. The Vision in Wales
  34. 34. Today we will be covering……. The Vision in Wales 2010 2025 2050
  35. 35. What is sustainability? • It's not about being 'green‘ • It is not a tree hugging, altruistic approach • No point in saving the planet and going bust. • • Our actions must make business sense
  36. 36. Sustainable Waste Hierarchy RECOVER RECYCLE REUSE PREVENT/REDUCE
  37. 37. A move away from
  38. 38. How to change behaviours Education Understanding ParticipationReview Innovation
  39. 39. A Circular Future
  40. 40. Circular Future- Business Models Sources: http://www.wrap.org.uk/resource-efficient-business- models/innovative-business-models
  41. 41. Circular Future- Business Models
  42. 42. Today we will be covering……. Ignite
  43. 43. EZW: Ice Arena Wales
  44. 44. EZW: Findings – EZW sites 20% better than SMART waste benchmarks – People matter – 10-30% difference between waste generation for similar sites – Waste symptom of other issues – Zero – whole supply chain – Passing wastes to sub contractors not zero waste – Take back schemes – not equal – End of waste for road planings – Geographical challenges – Product challenges – Refurb more challenging - more opportunities – Close but not yet zero waste
  45. 45. WRAP/Bangor Uni Campaign
  46. 46. Benefits of Reuse
  47. 47. Bangor University Halls Campaign https://www.youtube.com/watch?v=z9grfrlraNc
  48. 48. Join a professional institution Promote the Highest Professional Standards Dissemination of Knowledge Research Training Education
  49. 49. Diolch yn fawr :: Thank you 58 rebecca@ynysresources.co.uk
  50. 50. CASE STUDY- REUSE AS A GATEWAY HABIT FOR BEHAVIOUR CHANGE LUKE CHAMPION, SUSTAINABILITY MANAGER, 2GETHER NHS FOUNDATION TRUST & DANIEL O’CONNOR, CEO, WARP- IT
  51. 51. 2gether NHS re-use journey Luke Champion Sustainability Manager
  52. 52. 2gether NHS Foundation Trust  Provides specialist mental health and learning disability services to people in Gloucestershire and Herefordshire.  Approx. 35 sites across Gloucestershire and Herefordshire  10 inpatient sites (includes short and long term residents)
  53. 53. Why re-use?  Legal requirement to apply the waste hierarchy: Regulation 12 of the waste (England & Wales) Regulations 2011.
  54. 54. Why re-use?  Cost savings  NHS needs to save £22bn by 2020. We can no longer afford to scrap things like this!
  55. 55. Why re-use?  It works better More efficient to re-use items instead of paying for disposal and then paying again to buy new  Reduced procurement time No need to raise purchase orders to buy new items or for disposing of used items  Improved corporate image It doesn’t look good when a public sector organisation throws lots of reusable furniture in a skip. Far better to promote re-use instead  Changes perception of “waste” Waste as a resource – not as something to be forgotten about
  56. 56. The reuse journey part 1  Internal re-use system - Anytakers 2gether Trust needed an awareness system across the organisation  If people don’t know about surplus items then they will just buy new and throw things away as before  Used idea from a previous NHS Trust  Forum based system. No-cost solution for website  Only cost involved is the moving cost for the recipient  Anyone who works for 2gether can post offered or wanted adverts  Gets people talking to one another instead of working in a closed environment
  57. 57. Impact  From May 2015 to February 2016, 2gether saved £10,000 by re-using furniture and other office equipment  Divisional Accountants directed staff to look on the forum when a requisition was raised  Purchasing block put into place to stop people buying new furniture until they had checked the Anytakers forum
  58. 58. What we learned  Some limitations to an online forum.  Usability  Search  When someone else posted an item the next one got moved down  Someone had to log in to take the items down  If they didn't get taken down then it caused confusion- people didn’t come back  Needed to maximise participation  We proved savings and so looked to the market to see if there was an improvement.
  59. 59. The reuse journey part 2  Business case for Warp It ( I can send you a copy)  Implemented Warp It in Jan 2017 (tested it from Nov 2016)  Online marketplace. Internal and external - can link up with other Trusts  Easy to use  Payback in 2 months  Savings so far and Warp It demo Click this link.
  60. 60. Impact  Total savings over £20K  Saving over £1489/ month on a £280/month investment  Now over 180 members internally Love the email notifications of what is available. Brilliant way to save money throughout the Trust. Fabulous service that allows furniture, equipment and stationery to be recycled throughout the Country.
  61. 61. Next steps  Communication campaign to get more members  Trade more challenging items  Link up with other NHS organisations  Link up with more charities
  62. 62. Top tips  Promote re-use more than recycling! You have to keep talking about it.  Use your Exec Team – encourage them to sign up and/or put their name to a press release/comms piece.  Purchasing blocks can be very effective when coupled with cost saving targets and getting people to sign up to Warp It.  Some things are not easy to re-use such as large corner desks. It is often easier to recycle the wood and metal components as waste.  Re-use needs a lot more promotion. Recycling is good but it gets all the attention and doesn’t offer the best savings.  Even better is up-cycling. Potential for partnering with local organisations that up-cycle waste wood and make new furniture?
  63. 63. SMART TECHNOLOGY - CAN IT BE AN INTEGRAL PART OF ESTATES & FACILITIES IN HEALTHCARE? MARK GRIFFITHS, REGIONAL DIRECTOR, BOUYGUES
  64. 64. Smart technology - can it be an integral part of Estates & Facilities in Healthcare? AGENDA: • Introduction • What is Smart • Delivering Smart • Delivery • Drivers and Benefits
  65. 65. The Bouygues Group: Building Smart Cities Communications Construction Power £36 B turnover
  66. 66. Bouygues’ French Headquarters - Challenger First building in the world to achieve triple certification (2011) • LEED® “Platinum” (US) • BREEAM® “Outstanding” (UK) • HQE® “Exceptional” (FR) Delivery Challenge • Phased works from 2010 to 2014, Shifts over 67,000m2 • Occupied site Energy • 90% Energy and CO2 savings • Ventilated, double skin façades • Geothermal energy from heat pumps • 100% of available BREEAM energy credits achieved • 25,000m2 photovoltaic panels on roofs, terraces and solar farm Water • Rainwater harvesting • 60% water savings • 100% of sewage will be treated and re-used on site (phyto-filtration garden)
  67. 67. What is Smart?
  68. 68. Lots of Independent solutions
  69. 69. Process – Identify the needs Public Spaces Infrastructures Housing Public amenities Commerce and business New usages Local services Nature in the city Water Energies Wastes Mobility Digital
  70. 70. Delivering Smart
  71. 71. GreenCity – Zurich 2000W Community Today 5.000 W/hab Accomodation 1.500 W Transportation 900 W Consumption 1.100 W Infrastructure 900 W Electricity 600 W Goal 2.000 W/hab
  72. 72. The Drivers
  73. 73. So why SMART for NHS?
  74. 74. The Art of the possible…. • 700 bed hospital • 1,800,000 sg ft of GIA • Automatic tinting windows using IP technology • Full fresh air ventilation systems • Gains in efficiency of Healthcare staff • Real time data available both clinically & estate wise • Efficiency in bed utilisation / optimisation • 50% reduction compared to a typical model hospital • A single source of data & benefits…
  75. 75. Scheduling Data (HIS) Staff Locations (RTLS) Nurse Call System Unified Comms Real Time Audit / Analytics Nurse / Bed Assignments (HIS) Agent keeps track of people, locations, Schedules, Roles, Beds, Assignments Nurse Agent receives notifications for the attached user and interacts with them… Nurse Assist Agent identifies the right nurse and notifies them Track everything in real time Capture Nurse Call Events Intelligent Alerting Voice call initiation Workflow Management End Users and Computing Devices Data, System and Healthcare Things Interaction InterconnectionIntelligence ThoughtWire makes everything smarter…Nurse Assist - Receive and respond to nurse call events on any desktop or mobile device.Health 89
  76. 76. Smart City & Health Drivers for now and the future…
  77. 77. www.bouygues-es.co.uk Thank You
  78. 78. ENERGISING HEALTHCARE- COULD ENERGY DATA TRANSFORM HEALTHCARE FFLUR LAWTON, HEAD OF POLICY AND COMMUNICATIONS WALES, SMART ENERGY GB
  79. 79. Could energy data transform healthcare? Fflur Lawton, Head of Policy & Communications, Wales
  80. 80. 94
  81. 81. every energy supplier will be offering smart meters at no extra cost Britain’s digital energy revolution is underway 95 7.7 million smart meters have now been installed 97% of the population are now aware of the smart meter rollout 20 million people are willing to seek or accept a smart meter in the next 6 months every home and every small business
  82. 82. 96 smart meters help get gas and electricity under control enabling a smarter, more energy efficient network
  83. 83. bringing the smart future to life
  84. 84. The smart meter rollout will create a broad platform for innovation thanks to the detailed data generated by households. More care is taking place in the home rather than in institutions. Smart meter functions such as real-time information and a modern payment system will already help vulnerable households. Using the data stream to analyse behaviour could lead to much wider benefits. 98 could energy data transform healthcare? A smart future for everybody
  85. 85. energising Health New research explores opportunities and challenges 99 The UCL Energy Institute has reviewed what progress has been made to date in this field. Case study: Mersey Care NHS Trust is doing a trial using smart meter technology to monitor dementia patients.
  86. 86. micro and macro Potential uses of smart energy data Ongoing monitoring of conditions Alerting relatives or care professionals Aiding diagnosis Aggregate data analytics 100
  87. 87. what can smart meters offer? Smart meter advantages as a platform include: Near ubiquity Historical data Low cost Versatile 101
  88. 88. challenges and recommendations How to enable consumer confidence as well as innovation? Focus on user acceptance Build evidence base with clinical trials Technical barriers Regulation 102
  89. 89. working with others
  90. 90. 104 partnerships • vast range of partnerships • over 400 people from 239 organisations across Britain trained to help spread the message • worked with partners to create co-branded assets
  91. 91. partnerships focusing on those over 65 with no internet access 105
  92. 92. working with employers 106 1 The employers’ guide to smart meters and energy ef ciency awareness at work and at home August 20 17
  93. 93. 107 engaging almost 1.5 million employees so far
  94. 94. diolch / thank you
  95. 95. LUNCH & EXPO
  96. 96. AFTERNOON SESSION • 13.30A Rubbish Project: Saving Money and Carbon Through a World First Recycling Innovation • Peter White, Waste & Environmental Manager & Chris Davies, Energy & Environmental Officer, Aneurin Bevan University Health Board - Confirmed • 13.50Food waste prevention within the Welsh NHS • Hugh Jones, Programme Area Manager - Food Waste Prevention, WRAP Cymru- Confirmed • 14.10Question and answer session • 14.30Roadshow Close
  97. 97. CASE STUDY- A RUBBISH PROJECT- SAVING MONEY & CARBON THROUGH A WORLD FIRST RECYCLING INNOVATION PETER WHITE, WASTE & ENVIRONMENTAL MANAGER & CHRIS DAVIES, ENERGY & ENVIRONMENTAL OFFICER, ANEURIN BEVAN UNIVERSITY HEALTH BOARD
  98. 98. A Rubbish Project: Saving Money and Carbon Through a World First Recycling Innovation
  99. 99. Background to the Project • Initial contact made with Thermal Compaction Group in August 2015. • Trial agreed at the Royal Gwent Hospital in Newport. • Power supply installed and operational process agreed. • Trial commenced in November 2015.
  100. 100. Background to the Project • Polypropylene sterilisation wrap had always been classified as infectious clinical waste. • 4 tonnes of wrap are generated for disposal each month from the HSDU Departments across the Health Board. • Disposal cost £290/tonne as clinical waste. • Revenue of around £150 per tonne as PP for recycling.
  101. 101. Legal Compliance • The Sterimelt Machine operates under an EA Regulatory Position Statement (112). • Small-scale heat treatment of waste plastics for recovery. • Allows the processing of up to 100 tonnes per week. • Currently process around 4 tonnes per month.
  102. 102. Financial Benefits • Cost avoidance of £1,160 per month • Income based on 4t per month of around £600 • Monthly lease cost of £875 • Capital cost of £46,500 • Payback of 2.2 years based on 4 tonnes per month (£150/tonne income)
  103. 103. Pressures & Challenges • Odour issues • Resistance to Change!! • Contamination (paper, other plastic items) • Upscaling throughout the Health Board
  104. 104. Solutions • Filter media changed, extraction & cooling system improvements •Extensive engagement process with staff: • effective communication • site visits Selling the sizzle, not the sausage!
  105. 105. Bevan Commission Support • Funding for a full time operative for the machine for 18 weeks • Process Optimisation – the parameters of the machine were adjusted to obtain the optimum temperature and cycle time – reduced by 20 minutes • Extensive engagement with staff at other ABUHB hospital sites – targeting Theatres in addition to HSDU • Promotion of the concept across NHS Wales – site visits.
  106. 106. Bevan Commission Support • HSDU (Nevill Hall Hospital): 1.2 tonnes per month • Bevan Commission impact – 40% increase in wrap recycled • A further 1.6 tonnes per month has been identified from the Theatres (Nevill Hall & Ysbyty Ystrad Fawr) • Next step – 23 Royal Gwent theatres!
  107. 107. The Future - Opportunities • Trial the processing of polypropylene curtains. • Investigate and trial the recycling of other hospital plastics • 3D printing – University of South Wales
  108. 108. Media Links • South Wales Argus • Resource Co (1) • Recycling Waste World • Resource Co (2) • Business Wales News • Materials Recycling World • BBC Wales Report - YouTube
  109. 109. NHS Sustainability Awards Winner of the Innovation Category •
  110. 110. FOOD WASTE PREVENTION WITHIN THE WELSH NHS HUGH JONES, PROGRAMME AREA MANAGER, FOOD WASTE PREVENTION, WRAP CYMRU
  111. 111. Food Waste Prevention within the Welsh NHS Hugh Jones
  112. 112. Food Waste Prevention Agenda: • Behaviour Change – what does it take? • Behaviour Change – the Challenge • Food Waste – what food waste? • Business Case for Change • Taking Action • Week of Action
  113. 113. Behaviour Change - what does it take? • Death? • £2,500 + Disqualification • £200 + 6 points • £50 • 5p • +1p • +50p
  114. 114. Behaviour Change – the Challenge The facts: • 20% of food is wasted • 60% of people say they waste no or little food • 80% of people say they are doing all they can to reduce waste 1 People believe they waste food 2 People believe food is valuable Create the motivation to do something differently Yet we throw away 10 Million tonnes of food a year
  115. 115. Food Waste – What food waste? Food Manufacturer example: • Ingredients 105 100 • Cooking 105 100 • Filling 105 100 • Packing 105 100 • Delivery/ Over orders 105 100 Totals 125 100 Management Reporting? Waste is running at …… 0% 5% 25%
  116. 116. Food Waste – the Challenge The Cold Hard Facts: • Food Waste in the UK = £17 Billion • Food Waste in the Healthcare Sector = £230 Million • Healthcare Sector Food Waste = 70% of Waste • Uneaten food waste (plate waste) = 50% of total food waste
  117. 117. Healthcare - composition of food waste
  118. 118. Business case for Change • SDG 12.3 • Environment Act • WFGA • EFPMS • FWRT Return on Investment = 14 : 1
  119. 119. Taking Action – What you can do • Identify principal causes of food and packaging waste arising • Develop action plan to tackle main areas in which waste arises • Engage staff, patients and visitors on preventing food waste • Work with suppliers to reduce food waste and optimise packaging
  120. 120. Taking Action - WRAP’s Resources to Help You • How to Take Action on Waste • HCA Screencasts • Business Support for the Sector • Waste Prevention Toolkit • Your Business is Food – don’t throw it away • NHSS Waste Prevention & Re-use Guide • Managing NHSS Food Waste • Commercial Food Waste Collection • Food Waste Recycling for your Business http://www.wrapcymru.org.uk/health-sector
  121. 121. Taking Action - Your Best Resource Waste Prevention = The Power of Three + 1 And it’s free!
  122. 122. Your Business is Food – don’t throw it away • A suite of resources that aims to help identify where food waste might be arising at site level/ ward level • Can help direct action to reduce food waste, and provide valuable information to make the case for greater investment in food waste measurement and prevention http://www.wrapcymru.org.uk/hospitality-and-food- service-0
  123. 123. Taking Action - SOS Campaigns • Potatoes • Poultry • Bread The average UK family is wasting nearly £60 a month
  124. 124. Taking Action – Sustainability Day • March = Measurement • Week of Action w/c 12th March 2018 • Evaluate and Report = 22nd March 2018 • Action Plan/ Celebrate Success • Power of 3(v2) - Engage staff, patients and visitors on preventing food waste hugh.jones@wrap.org.uk 0780 909 2897

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