Christelle Zemkoho - Ward-led sustainability - growing sustainability throughout the branches of a hospital

1. Ward-led Sustainability
Growing Sustainability throughout the
Branches of a Hospital
Christelle Zemkoho
Energy and Sustainability Manager
NHS Sustainability Campaign Roadshow
London, 25th October 2018
Dr Olivia Bush
Clinical Programme Lead

2. Ward- Led Sustainability
Overview of presentation
•Introduction to UHS
•Green Ward Competition and Driver
•Green Ward Competition – How it Works
•Green Ward Competition Entries
•Project Judging criteria and Awards
•Summary

3. Ward-Led Sustainability
Introduction to UHS
• Provides services to some 1.9 million people living in Southampton and
south Hampshire, plus specialist services to more than 3.7 million people in
central southern England and the Channel Islands.
• Major centre for teaching and research in association with the University of
Southampton.
• Every year our 11,500 staff:
- treat around 150,000 inpatients and day patients, including about
50,000 emergency admissions;
- see over 624,000 people at outpatient appointments; and
- deal with around 135,000 cases in our emergency department.

4. Green Ward Competition - Driver
• Introduced in April 2017 as part of a Trust wide Behavioural Change
Programme run by Low Carbon Europe:
 aimed to bring sustainability away from a purely estates driven agenda;
 develop staff competencies around improved patient care and clinical
outcomes, which are increasingly proven through the delivery of
sustainable healthcare.
• Clinical engagement programme run by the Centre for Sustainable
Healthcare (CSH) for NHS Trusts wishing to improve their environmental
sustainability and reduce their carbon footprint.
• Healthcare workers who participate are supported to design an innovative
project in their unit or ward that will bring social and financial benefits
alongside carbon reductions from resource efficiency.

5. - How It Works

6. Delivering Impact & Value
• Teaching & Learning
– principles of sustainability
– principles of carbon foot-printing
• ‘Triple Bottom Line’ Savings:
– Environmental
– Social
– Financial

7. Green Ward: why it works
• Facilitators bring ‘fresh eyes’ on existing
habits, behaviours & culture
• Focus on sustainability at core of sound
resource stewardship
• Grassroots ideas lead to team ownership
• Connecting teams for interdisciplinary
working

8. Green Ward Competition Entries
The 04 projects were run by clinical
1- Urometre CHOICE – Urology Day Unit
2- Reducing Duplicate Ordering Of Medication – Acute Medical Unit
3-eat, Drink, Dress, Move – Therapy Services
4-early Mobilisation Project – Cardiac Intensive Care Unit
More information is available on in the case study document:
https://sustainablehealthcare.org.uk/sites/default/files/green_ward_competition
_uhs_evaluation.pdf

9. Green Ward Competition Entries
Project Carbon Money
Urometre Choice 3,082.17 £10,061.31
Reducing Duplicate Ordering of
Medication
11,180 £26,000
Eat, Drink, Dress, Move 25,63.58 £166.32 (current)
£12,934.32 (potential)
Early Mobilisation Project 8,950 £47,500
Totals 25,775.75 £83727.63 - £96,495.63
Available Carbon and financial savings to the Trust when projects
are fully implemented and ongoing

10. Cumulative Potential Yearly Saving

11. Green Ward Competition Judging
and Award Ceremony
Judging Panel was constituted of 04 members
Impact Approach
• Environmental sustainability – how much
carbon or other resources have been
saved?
• Social sustainability – can you demonstrate
a benefit to staff, patients, or the wider
community?
• Economic sustainability – have you
quantified any financial savings?
• Strategic thinking – why have
you chosen your given action(s)?
• How are you measuring
progress?
• Have other staff and patients
been involved?

12. Green Ward Competition Judging
and Award Ceremony

13. Summary - Moving Forward
• Communication staff, Senior Buy in, staff
enthusiasm were key success elements
• Main challenge observed – short staffing
pressure
• Next step scale up phase: “how to guide” with
materials to help staff independently manage the
project.
• Independent sustainability initiatives now
spreading around the Trust

14. Thank you!
Christelle Zemkoho
Energy & Sustainability Manager
023 8120 6611
Sustainabilty@uhs.nhs.uk
Dr Olivia Bush
Clinical Programme Lead
01865 515811
olivia.bush@sustainablehealthcare.org.uk