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Value-driven and driving value:
Managing green within
the healthcare sector. Laura Mayhew-Manchόn
Environmental Advisor
Skanska UK
International Healthcare Waste Conference (IHWC)14/04/16
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International Healthcare Waste Conference (IHWC)14/04/16
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International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
Bristol Schools, Skanska ID and Skanska UK
International Healthcare Waste Conference (IHWC)14/04/16
Bentley Works, Skanska UK Deep Green
International Healthcare Waste Conference (IHWC)14/04/16
San Francisco Transbay Transit Center, Skanska USA Civil
International Healthcare Waste Conference (IHWC)14/04/16
Vivalla, Skanska Sweden
International Healthcare Waste Conference (IHWC)14/04/16
Nya Karolinska Solna Hospital, Skanska ID, Skanska Sweden and Skanska UK
International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
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International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
• Aims:
 Measure and reduce regional NHS carbon footprint
 Whilst improving quality, productivity and effectiveness
• 26 Trusts, 4 care homes, commissioners, providers,
supply chain, DH, local government, and more!
• Multidisciplinary approach to potential solutions
 Energy in buildings  Waste
 Procurement  Food
 Travel (EVs)  NHS Forest
• Phased approach
1. Develop  2. Pilot  3. Roll-out
• Healthcare savings identified:
 £1.53m – £1.64m
 >2,672,000 kWh
 2,556 tCO2e p.a.
International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
Skanska Waste Management Solution (SWMS)
• More than the sum of the parts
o Building effective partnerships
o Understanding issues
o Providing expertise
o Developing fixes
• Simple but effective MO
o Change management
o Innovative technology
 Unlocks client’s potential to achieve:
 Highest environmental credentials
 Waste management standards
 Significant financial savings
International Healthcare Waste Conference (IHWC)14/04/16
Source: Barts Health NHS Trust
359,000
individual bin audits
9,000 audit reports sent to staff,
23% rise in compliance
7,000 people trained in waste as part of behavioural change programme
14,000 tonnes of waste diverted from landfill
Zero waste to landfill
905 tonnes cardboard baled, generating £59,000 in revenue
£2,700,000 waste cost saving for the Trust
International Healthcare Waste Conference (IHWC)14/04/16
Roll-out of SWMS in <12 months:
 41,000 audits completed to date
 HTM compliance improved from ~18% to 80%
 Offensive waste stream rolled out within just 5 days
 £200,000 saved for the Trust in Year 1
 55 tonnes of cardboard bailed = £3,300 Trust revenue
 Refuse-derived fuel now sent for energy recovery
 The Waste Management Team have walked the distance
from Kings Mill Hospital to Köln Cathedral (600 miles)!
International Healthcare Waste Conference (IHWC)14/04/16
Furniture store
International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
13% cut
in wider
health
sector
carbon
footprint
11% cut
in the NHS
direct
carbon
footprint
18% rise
in
healthcare
system
activity
4.3% cut
in the NHS
energy-
related
carbon
emissions
>£23m
saved
34% cut
in NHS
waste
not
recycled
International Healthcare Waste Conference (IHWC)14/04/16
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International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
Cost premium
Occupier benefit Occupier and owner benefit Owner benefit
70%
decrease
in waste
output
30-50%
reduction
in energy
use
40%
reduction
in water
usage
35%
decrease
in carbon
emissions
International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
International Healthcare Waste Conference (IHWC)14/04/16
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International Healthcare Waste Conference (IHWC)14/04/16
“Human health is
the measure of
Sustainable
Development
across all sectors”.
SDU, 2016.
International Healthcare Waste Conference (IHWC)14/04/16

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IHWC LMM 140416 FINAL