Oliver Slaughter - Is care without carbon fit for the future

1. October 2018
Is Care Without Carbon fit for the future?
NHS Sustainability Day
Oliver Slaughter
Sustainability Manager
Susie Vernon
Head of Environment

5. 1. Organisational change
- Sustainable Transformation Partnerships
- Five Year Forward View
2. Transport revolution
- Air Pollution
- Electric Vehicle revolution
- Automation
3. Materials revolution – Circular Economy
- Plastic and the Blue Planet effect
- The Great Wall of change
4. Development of Climate Change
- Adaptation: UK Heatwave
- 1.5oc Target
Health and Wellbeing
Fit for the future?

6. 3 STP-wide projects
 Waste services contract
 Energy performance contract
 Courier services review
Sussex & East Surrey STP
1. Organisational Change: Working as a system
 23 partners
 £4 billion spend
 1.7m patients
 1 of its 5 priorities is to make
best use of resources available
 Total carbon footprint of system estimated at 100,000 tonnes CO2e at a
cost of £30m pa
 Develop a small number of strategic, collaborative projects aimed at
advancing our sustainability goals more quickly or more effectively than if
we all acted alone

7. • EPCs: Contractor implementation of
energy efficiency and renewable energy
measures
• Guaranteed savings model over 15+
years
• Works undertaken by an Energy Services
Company (ESCo), funded by client, ESCo
or third party
• Increasingly popular in NHS
1. Organisational Change: Energy Performance Contract

8. • To procure EPCs for all NHS Trusts in the
STP through a single collaborative
procurement
• Partnership with The Carbon & Energy
Fund – one of three procurement
frameworks available to public sector in
UK
• Separate contracts within a single
overarching project
• System-wide approach to energy
management
1. Organisational Change: EPC - How it works

9. • Viability study has shown potential
guaranteed savings of £6m pa across all
Trusts
• Capital investment of circa £32m
• Good projects for all Trusts with clear
opportunities for collaboration
• Procurement due to start November
2018
1. Organisational Change: EPC – next steps

10. • Air pollution increase the risk of heart
attacks and strokes
• The NHS is responsible for 1 in 20
vehicles on the road in Britain
• Physical inactivity costs NHS England
over £500m each year
• Electric vehicle revolution
2. Transport Revolution: Air Pollution / EVs

11. • 2020 Target: Reduce CO2 emissions from
our journeys by 34%
• 25 low-emission pool vehicles
• Travel Bureau
• Electric courier van and pool car
• Pool e-bike
• New Travel Plan
• Further Electrification
• Courier services review
2. Transport Revolution: CWC approach

12. 2. Transport Revolution: H@H team

13. Clinical integration
• Key part of CWC refresh
• Empowering the board to
embed sustainability
• Linking into Clinical Care Strategy
• Applying the 7 elements to clinical practice

15. • China’s crackdown on Yáng lèsè
洋垃圾 (foreign garbage)
• Import bans on 24 types of waste
• Malaysia, Thailand and Vietnam
starting to follow
• Significant changes within the
recycling market
3. Materials revolution: The Great Wall of Change

16. • Embrace Circular Economy Principles
3. Materials revolution: Circular Future

17. • Embrace Circular Economy Principles
• Promoting reuse at the heart
• Rewriting our policies
• Analysing supply chain data / Carbon
footprint
3. Materials revolution – The Great Wall of Change

18. • Embrace Circular Economy Principles
• Promoting reuse at the heart
• Rewriting our policies
• Analysing supply chain data / Carbon
footprint
• Building criteria into contracts and
Tenders
• Joining and pushing forward
certification schemes / commitments
3. Materials revolution

19. • Embrace Circular Economy Principles
• Promoting reuse at the heart
• Rewriting our policies
• Analysing supply chain data / Carbon
footprint
• Building criteria into contracts and
Tenders
• Joining and pushing forward
certification schemes / commitments
• Targeting key items through
campaigns
3. Materials revolution – The Great Wall of Change

20. • 2018 UK Heatwave in Sussex
• Flooding at a Health centre and Hospital
• Adaptation action group
• Use of UKCIP report
• Environmental audit committee report –
Heatwaves: Adapting to Climate Change
• 1.5 degrees – IPCC report
• Science based targets?
4. Development of Climate Change: Adaptation

21. Thank you
Care Without Carbon Team