This document summarizes the Royal Bournemouth & Christchurch Hospitals NHS FT NHS Sustainability Day Road Show that was held on February 6th 2014. [1] The event was hosted by the Royal Bournemouth Hospital to promote sustainability within the NHS. [2] It featured presentations on topics like energy reduction, waste management, staff awareness of sustainability, green transportation, biodiversity initiatives, and sustainable food practices. [3] The goal of the event was to highlight the hospital's existing commitments to sustainability and encourage further improvements in reducing carbon emissions and promoting sustainable healthcare.
Developing a strong and sustainable food economy in Kirklees - Dr John LeverKirklees Council
A presentation about the food economy in Kirklees by Dr John Lever from the Centre for Sustainable and Resilient Communities at the University of Huddersfield. Part of the Future of Local Food in Kirklees event, February 2016. Visit www.foodkirklees.org.uk to find out more.
Food for Life in Kirklees: Social Return on Investment Study - Mat JonesKirklees Council
A presentation by Mat Jones from the University of the West of England about the benefits of the Food for Life programme in Kirklees. Part of the Future of Local Food in Kirklees event, February 2016. Visit www.foodkirklees.org.uk to find out more.
Can we design a healthier food system in Kirklees? - Tony CookeKirklees Council
A presentation by Tony Cooke, Head of Health Improvement for Kirklees Council, about why we need to design a healthier food system in Kirklees. Part of the Future of Local Food in Kirklees event, February 2016. Visit www.foodkirklees.org.uk to find out more.
Developing a strong and sustainable food economy in Kirklees - Dr John LeverKirklees Council
A presentation about the food economy in Kirklees by Dr John Lever from the Centre for Sustainable and Resilient Communities at the University of Huddersfield. Part of the Future of Local Food in Kirklees event, February 2016. Visit www.foodkirklees.org.uk to find out more.
Food for Life in Kirklees: Social Return on Investment Study - Mat JonesKirklees Council
A presentation by Mat Jones from the University of the West of England about the benefits of the Food for Life programme in Kirklees. Part of the Future of Local Food in Kirklees event, February 2016. Visit www.foodkirklees.org.uk to find out more.
Can we design a healthier food system in Kirklees? - Tony CookeKirklees Council
A presentation by Tony Cooke, Head of Health Improvement for Kirklees Council, about why we need to design a healthier food system in Kirklees. Part of the Future of Local Food in Kirklees event, February 2016. Visit www.foodkirklees.org.uk to find out more.
NHS Sustainability Day Liverpool Road Show4 All of Us
March 26th 2015 , NHS Sustainability day is one day in a sustained campaign, yet it provides a focus for organisations to participate on that day in initiating or continuing progress on achieving better sustainability practice. It has now attracted senior level endorsement within the NHS and from the Prime Minister.
The campaign of regional road-shows gives health-workers across the country the chance to participate in networking, learning about best practice and innovative ideas. The national awards scheme recognises and publicises this achievement. The tools and case studies contained within this website will provide you access to proven technologies, methods and projects that have yielded great results.
And remember all change starts with a single action.
NHS Sustainability Day Liverpool CCG Road Show4 All of Us
Sustainability was on the menu once again as the Road show cycled it’s way to the North-West and arrived in Liverpool to a warm welcome. Delegates from across the city and throughout the North-West were on hand to participate in an inspiring day of presentations, knowledge sharing and motivation.
Sarah Dewar and Professor Maureen Williams, Deputy Chair NHS Liverpool CCG were on hand to deliver inspirational sessions focusing on debate, action and good practice. Delegates entering the event were asked to jot down what they wanted to take away from the day via post it notes which were then displayed on the entrance to the venue. Postcards were also handed out with delegates tasked with writing down what they will do on NHS Sustainability Day.
The morning session kick-started with Fiona Daly, Environmental Manager at Barts Health, discussing Sustainability Day on March 27th 2014. Fiona was followed by Professor Sir Ian Gilmore, University of Liverpool who spoke passionately on the city and the important role sustainability can play in improving healthcare and supporting the people of Liverpool. The morning session also saw presentations from Dr Tim Ballard, Vice-Chair of the RCGP who was on hand to address the role sustainability can play in general practice and supporting commissioning of health services.
The mid-morning session saw best-practice examples on a wide range of areas including waste and water. Royal Liverpool and Broadgreen University Hospitals Trust were on hand to discuss their work with Carillion around the new development in the city.
The afternoon discussions saw delegates interacting with each other to identify solutions to the challenges they face around sustainable development. The day concluded with delegates outlining their promises via the postcards distributed earlier in the day.
It is these promises which will ensure NHS Sustainability Day 2014 is a success and the weight of expectation amongst the Liverpool delegates was high. Many of them leaving the venue inspired, motivated and enthused. It is through this motivation that the NHS has a chance to deliver huge change in the next few years via sustainable practice and with inspiration such as that seen in Liverpool we think the future is looking bright!
NHS Sustainability Day 2014 Official Launch4 All of Us
NHS Trusts and healthcare organisations from across England descended on the capital to witness the official launch of NHS Sustainability Day 2014. It was a day of passionate presentations and even more enthusiastic speakers.
The day kick-started with an introduction and welcome from Trevor Payne, Director of Estates and Facilities at Barts Health and the brainchild of the NHS Sustainability for the last three years. Following on from Trevor delegates were treated to presentations from Rick Walker, CSR Senior Manager, NHS England, who spoke about the corporate social responsibility NHS England has to support sustainable healthcare. Following Rick, the audience were then invited to listen to the 2013 award winners which included Lambeth Food Co-Op. Lambeth were on hand to give an inspiring presentation on how they have developed a programme which has built great momentum and involved volunteers from across the Borough. They joined Ed Rosen to discuss what the food Co-Op meant to them and how it had influenced their lives.
Presentations followed from 2013 NHS Sustainability award winners Lancashire Care Trust who delivered a compelling case study on how their community sustainability programme had supported patients and those with mental health issues and University Hospital Southampton NHS Foundation Trust on a commonly missed issue – Anaesthesia related electrical energy use and anaesthetic gas scavenging.
Following another exciting case study from Hyder Mohammed of Barking, Havering and Redbridge NHS Trust the audience were delighted to welcome Andy Jones, National Chairman of the HCA. Andy discussed the urgent need to re-address the way we source our food and how it is packaged in Hospitals. Making some bold pledges, Andy, spoke at great lengths on why we must change our behavioural culture in order to improve our sustainable performance.
Next up saw Carillion present on their work with Barts Health. Gemma Lynch and Tracey Williams spoke on how Carillion have supported Barts Health in both environmental performance and community programmes. Tracey informed delegates on the offender programme which has been so successful in getting ex-offenders back into employment and showcased how sustainability is not just about the environment.
The day concluded with Deputy Chief Medical Officer, Professor David Walker. David was on hand to discuss how the Department of Health are focusing on sustainability in healthcare and the examples they are seeing from across Europe of good practice.
It was left to Trevor to close the event with the presentation of the 2013 awards. Trevor presented Trusts and healthcare organisations from across England with their well-deserved awards for continuous development of sustainable practices.
Sustainability in the NHS Virtual Conference4 All of Us
The NHS Sustainability Day Campaign was delighted to host its 2nd virtual conference examining sustainability within the NHS and wider healthcare field. Once again we explored the solutions already being adopted by the NHS to combat carbon emissions.
This virtual conference provided further opportunities for NHS Trusts to discuss their concerns, ideas and plans around embedding sustainable development with fellow peers. Topics discussed on the day included:
Looking after nature so nature can look after us;
Fighting to make the NHS a greener organisation; and
Maximising the health and wellbeing of the NHS
We also tackled the hot debate brought up by Covid-19, of how we tackle single-use masks?
Heart of Mersey, a local CVD and NCD prevention charity presents work highlights of 2010/11. Presentation made by CEO Robin Ireland 10 October 2011, Liverpool, UK
As a member of the Global green and healthy hospitals, Hull and East Yorkshire Hospitals NHS Trust hosted the day and help kick-start the NHS Sustainability road-show series, allowing the likes of Yorkshire Ambulance Service and East Riding Public Health to become involved and demonstrate their work around health and sustainability.
Hull is also home to the first energy park designed by The Great Outdoor Gym Company who were on hand to discuss the equipment which showcases the link between health and sustainability.
Delegates attended the event for FREE and kindly supported Hull Food Bank by bringing along non-perishable food item, tins or packets, for donation.
Workshop 3: The Agriculture Nutrition Nexus and the Way Forward at The Caribbean-Pacific Agri-Food Forum 2015 (CPAF2015) taking place 2-6 November in Barbados with support from the Intra-ACP Agricultural Policy programme, organized in partnership with the Barbados Agricultural Society (BAS) and the Inter-American Institute for Cooperation on Agriculture (IICA). http://www.cta.int/en/news/caribbean-pacific-agri-food-forum.html
Presentation by Laura Wallace, Health Foundation: Anchor institutions and the role of green space at the NHS Forest Conference on Friday 11 October at Alder Hey Children's Hospital.
NHS Sustainability and the Impact of Covid19 Virtual Conference4 All of Us
This virtual conference examined the impact Covid19 will have on sustainability within the NHS and wider healthcare field. We explored the solutions already being adopted by the NHS to combat carbon emissions whilst addressing how the ramifications of Coronavirus may impact sustainable methods.
The conference provided the opportunity for NHS Trusts to discuss their concerns, ideas and plans around embedding sustainable development with fellow peers. Topics that were discussed on the day included:
How will Procurement be impacted by the virus?
Will Infection Prevention Control stop carbon reduction initiatives?
How important will sustainable transport be in a Covid19 society?
How do you maintain environmental behaviours whilst dealing with Covid19?
How will the virus impact spending in the NHS?
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NHS Sustainability Day Liverpool Road Show4 All of Us
March 26th 2015 , NHS Sustainability day is one day in a sustained campaign, yet it provides a focus for organisations to participate on that day in initiating or continuing progress on achieving better sustainability practice. It has now attracted senior level endorsement within the NHS and from the Prime Minister.
The campaign of regional road-shows gives health-workers across the country the chance to participate in networking, learning about best practice and innovative ideas. The national awards scheme recognises and publicises this achievement. The tools and case studies contained within this website will provide you access to proven technologies, methods and projects that have yielded great results.
And remember all change starts with a single action.
NHS Sustainability Day Liverpool CCG Road Show4 All of Us
Sustainability was on the menu once again as the Road show cycled it’s way to the North-West and arrived in Liverpool to a warm welcome. Delegates from across the city and throughout the North-West were on hand to participate in an inspiring day of presentations, knowledge sharing and motivation.
Sarah Dewar and Professor Maureen Williams, Deputy Chair NHS Liverpool CCG were on hand to deliver inspirational sessions focusing on debate, action and good practice. Delegates entering the event were asked to jot down what they wanted to take away from the day via post it notes which were then displayed on the entrance to the venue. Postcards were also handed out with delegates tasked with writing down what they will do on NHS Sustainability Day.
The morning session kick-started with Fiona Daly, Environmental Manager at Barts Health, discussing Sustainability Day on March 27th 2014. Fiona was followed by Professor Sir Ian Gilmore, University of Liverpool who spoke passionately on the city and the important role sustainability can play in improving healthcare and supporting the people of Liverpool. The morning session also saw presentations from Dr Tim Ballard, Vice-Chair of the RCGP who was on hand to address the role sustainability can play in general practice and supporting commissioning of health services.
The mid-morning session saw best-practice examples on a wide range of areas including waste and water. Royal Liverpool and Broadgreen University Hospitals Trust were on hand to discuss their work with Carillion around the new development in the city.
The afternoon discussions saw delegates interacting with each other to identify solutions to the challenges they face around sustainable development. The day concluded with delegates outlining their promises via the postcards distributed earlier in the day.
It is these promises which will ensure NHS Sustainability Day 2014 is a success and the weight of expectation amongst the Liverpool delegates was high. Many of them leaving the venue inspired, motivated and enthused. It is through this motivation that the NHS has a chance to deliver huge change in the next few years via sustainable practice and with inspiration such as that seen in Liverpool we think the future is looking bright!
NHS Sustainability Day 2014 Official Launch4 All of Us
NHS Trusts and healthcare organisations from across England descended on the capital to witness the official launch of NHS Sustainability Day 2014. It was a day of passionate presentations and even more enthusiastic speakers.
The day kick-started with an introduction and welcome from Trevor Payne, Director of Estates and Facilities at Barts Health and the brainchild of the NHS Sustainability for the last three years. Following on from Trevor delegates were treated to presentations from Rick Walker, CSR Senior Manager, NHS England, who spoke about the corporate social responsibility NHS England has to support sustainable healthcare. Following Rick, the audience were then invited to listen to the 2013 award winners which included Lambeth Food Co-Op. Lambeth were on hand to give an inspiring presentation on how they have developed a programme which has built great momentum and involved volunteers from across the Borough. They joined Ed Rosen to discuss what the food Co-Op meant to them and how it had influenced their lives.
Presentations followed from 2013 NHS Sustainability award winners Lancashire Care Trust who delivered a compelling case study on how their community sustainability programme had supported patients and those with mental health issues and University Hospital Southampton NHS Foundation Trust on a commonly missed issue – Anaesthesia related electrical energy use and anaesthetic gas scavenging.
Following another exciting case study from Hyder Mohammed of Barking, Havering and Redbridge NHS Trust the audience were delighted to welcome Andy Jones, National Chairman of the HCA. Andy discussed the urgent need to re-address the way we source our food and how it is packaged in Hospitals. Making some bold pledges, Andy, spoke at great lengths on why we must change our behavioural culture in order to improve our sustainable performance.
Next up saw Carillion present on their work with Barts Health. Gemma Lynch and Tracey Williams spoke on how Carillion have supported Barts Health in both environmental performance and community programmes. Tracey informed delegates on the offender programme which has been so successful in getting ex-offenders back into employment and showcased how sustainability is not just about the environment.
The day concluded with Deputy Chief Medical Officer, Professor David Walker. David was on hand to discuss how the Department of Health are focusing on sustainability in healthcare and the examples they are seeing from across Europe of good practice.
It was left to Trevor to close the event with the presentation of the 2013 awards. Trevor presented Trusts and healthcare organisations from across England with their well-deserved awards for continuous development of sustainable practices.
Sustainability in the NHS Virtual Conference4 All of Us
The NHS Sustainability Day Campaign was delighted to host its 2nd virtual conference examining sustainability within the NHS and wider healthcare field. Once again we explored the solutions already being adopted by the NHS to combat carbon emissions.
This virtual conference provided further opportunities for NHS Trusts to discuss their concerns, ideas and plans around embedding sustainable development with fellow peers. Topics discussed on the day included:
Looking after nature so nature can look after us;
Fighting to make the NHS a greener organisation; and
Maximising the health and wellbeing of the NHS
We also tackled the hot debate brought up by Covid-19, of how we tackle single-use masks?
Heart of Mersey, a local CVD and NCD prevention charity presents work highlights of 2010/11. Presentation made by CEO Robin Ireland 10 October 2011, Liverpool, UK
As a member of the Global green and healthy hospitals, Hull and East Yorkshire Hospitals NHS Trust hosted the day and help kick-start the NHS Sustainability road-show series, allowing the likes of Yorkshire Ambulance Service and East Riding Public Health to become involved and demonstrate their work around health and sustainability.
Hull is also home to the first energy park designed by The Great Outdoor Gym Company who were on hand to discuss the equipment which showcases the link between health and sustainability.
Delegates attended the event for FREE and kindly supported Hull Food Bank by bringing along non-perishable food item, tins or packets, for donation.
Workshop 3: The Agriculture Nutrition Nexus and the Way Forward at The Caribbean-Pacific Agri-Food Forum 2015 (CPAF2015) taking place 2-6 November in Barbados with support from the Intra-ACP Agricultural Policy programme, organized in partnership with the Barbados Agricultural Society (BAS) and the Inter-American Institute for Cooperation on Agriculture (IICA). http://www.cta.int/en/news/caribbean-pacific-agri-food-forum.html
Presentation by Laura Wallace, Health Foundation: Anchor institutions and the role of green space at the NHS Forest Conference on Friday 11 October at Alder Hey Children's Hospital.
NHS Sustainability and the Impact of Covid19 Virtual Conference4 All of Us
This virtual conference examined the impact Covid19 will have on sustainability within the NHS and wider healthcare field. We explored the solutions already being adopted by the NHS to combat carbon emissions whilst addressing how the ramifications of Coronavirus may impact sustainable methods.
The conference provided the opportunity for NHS Trusts to discuss their concerns, ideas and plans around embedding sustainable development with fellow peers. Topics that were discussed on the day included:
How will Procurement be impacted by the virus?
Will Infection Prevention Control stop carbon reduction initiatives?
How important will sustainable transport be in a Covid19 society?
How do you maintain environmental behaviours whilst dealing with Covid19?
How will the virus impact spending in the NHS?
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The conference built upon the UK Diagnostics Summit held annually in London discussed how diagnostics and testing are tackling COVID-19, the technology in development, accuracy of COVID-19 tests as well as exploring current testing methods for cancer, diabetes, sepsis, urinary tract infections and HAI’S.
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This webinar is hosted by one of the NHS Sustainability Campaign Members, Elemental Healthcare, Geoff Miller, discussed sustainable alternatives to the most commonly used fully disposable devices for Laparoscopic Surgery and whether progress in this regard has been blown off course by COVID-19.
This Webinar gave an introduction to the concept of Resposable™ devices and a review of papers highlighting how a switch could significantly reduce plastic waste generated in the operating theatre.
This webinar focused on data, data sharing and how this is vital in the creation of a viable data strategy. Paul Connell opened up with an introduction to ODI Leeds - a pioneer node of the Open Data Institute, created to explore and deliver the potential of open innovation with data at city scale. Working to improve lives, help people and create value. Paul will discuss the ‘radically open’ way of working, where projects and data are shared, and the internet is used the way it’s supposed to be! Whilst highlighting the 'Open Data Saves Lives' Initiative, in response to the COVID-19 pandemic.
Following Paul we had Steve Simpson, Head of ICT, Lancaster City Council who discussed the processes behind the Digital Lancaster Strategy, recently launched.
To conclude the webinar Colin Munro, Managing Director, Miconex. Colin, the Smart Cities UK 2020 Data award winner, explored how Smart Loyalty programmes can generate data sets that provide local authorities with valuable data about how local citizens travel to and use their local towns and cities. He also highlighted how Smart Loyalty can be used to incentivise behavioural change and encourage use of sustainable travel options as well as encouraging and promoting a more localised spend, supporting carbon reduction.
The second webinar in the NHS Sustainability day mini-series looked at how the NHS can reduce its usage of single use plastic, kindly sponsored by Vanguard Medical Devices Ltd.
Speakers:
Scott Buckler, Campaign Manager, NHS Sustainability Day
Alexis Percival, Environmental & Sustainability Manager, Yorkshire Ambulance Service NHS Trust
Paul Broadberry, Country Manager, UK, Vanguard Medical Devices Ltd.
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We find ourselves in the midst of the biggest global health crisis of our time and many are calling for increased testing for both the public and staff working in healthcare from primary to secondary.However, confusion reigns on the tests themselves; how they function, the accuracy and the cost to procure.
This webinar we examined the role of testing, examining current tests available and explore-
* The accuracy and predictability of tests
* The function of a test
* Their role in your patient pathway
* The barriers to adoption of tests
* The case studies of success across the UK
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John Bagshaw - BIVDA
David Watwood - Ciga Healthcare
Marc Winrow - Lumos Diagnostics
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The programme of regional road shows allows NHS staff around the country to participate in the national campaign whilst minimising their travel time and carbon footprint. Each roadshow will identify key aspects of sustainable development within healthcare practice addressing the challenges and achievements along the way.
Sustainability Day Campaign Manchester Roadshow4 All of Us
The programme of regional road shows allows NHS staff around the country to participate in the national campaign whilst minimising their travel time and carbon footprint. Each roadshow will identify key aspects of sustainable development within healthcare practice addressing the challenges and achievements along the way.
The NHS Sustainability Campaign has been advocating the mandatory implementation of Sustainable Development Management Plans for the past year.
SDMPs, as they are often referred to, are not currently a mandatory requirement for any NHS Trust. They are part of the NHS Contract, but not reported on or considered when measuring performance.
This is leading to carbon measures been ignored by over 30% of the NHS Trusts in England, thats around 80 Trusts! This is staggering and also demonstrative of the lack of leadership needed to drive sustainability.
As part of our campaign to support Trusts with SDMP's we hosted a webinar, CPD accredited, on December 6th. The webinar explored how to create an SDMP, what is needed at implementation, how to get top-level engagement and much more!
Sponsored by WRM who had Adam Newman, Sustainability Lead for Leeds Teaching Hospitals NHS Foundation Trust speaking on their behalf.
Guest speakers:
Claire Igoe, Head of Environmental Sustainability, Manchester University NHS Foundation Trust
Alex Hammond, Sustainability Director, ETL
The 2019 Diagnostic Summit brought together diagnostic developers in academia and industry as well as end-users in the pharmaceutical and healthcare sector to gain a comprehensive picture of diagnostics in prenatal, oncology, infectious disease, point-of-care, and liquid biopsy.
This important Summit enabled delegates to learn what novel technologies, platforms and applications are emerging that will impact future healthcare delivery and pharmaceutical research.
Bringing together European leading experts via presentations, workshops and case studies the Summit was a must attend event! We explored:
Current diagnostic testing in GP surgeries and Pharmacies
How Diagnostics can be funded and funding barriers
Advances in Prenatal Molecular Diagnostics
Diagnostic Regulations
Point of care testing
Advanced Diagnostics for infectious diseases
Adapting and evaluating Innovation
Education on testing and accuracy
Patient and Clinical pathways
Key health areas examined in the Summit included:
Sexual Health
Diabetes
Cancer
Antibiotic Resistance
Sepsis
Obesity
Urinary Infections
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The second annual Conference addressed how the NHS, public health and social care system can maximise opportunities to mitigate against future harm to health as a result of climate change and improve social and environmental, as well as economic, sustainability. Featuring best-practice examples from across Scotland on how sustainability is supporting the delivery of high quality patient services, as well as expert commentary on initiatives to support the drive to a healthier Scotland in the future.
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For the 2016 campaign, beginning in September, and to celebrate our 5th year of the campaign we will be promoting 50kg of carbon. This is effectively promoting what the public and health professionals can do to save 50kg of carbon. This could be achieved through; walking to work, cycling, planting a tree etc.
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This webinar addressed key topical areas such as:
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Travel planning- How can Trusts reduce congestion around the Estates and what transport plans should Trusts utilise?
Sustainable travel- Is the NHS doing enough to promote this?
Dan Saunders of Basemap and Ian Goodwin of the British Parking Association were on hand to present information to overcome such challenges for Estate Directors and Managers.
March 26th this year saw over 300 healthcare organisations take action to promote sustainability and increase public health awareness and we are fortunate enough to have the support of; Public Health England, Department of Health, Department for Energy and Climate Change and The Prime Minister, David Cameron. Working with these stakeholders we aim to further develop the links between health and sustainability thus improving economical and health outcomes within the UK.
For the 2016 campaign, beginning in September, and to celebrate our 5th year of the campaign we will be promoting 50kg of carbon. This is effectively promoting what the public and health professionals can do to save 50kg of carbon. This could be achieved through; walking to work, cycling, planting a tree etc.
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
Across the UK we are seeing more and more examples of smart city transformation. Key 'smart' sectors utilised by such Cities include transport, energy, health care, water and waste. Against the current background of economic, social, security and technological changes caused by the globalization and the integration process, cities in the UK face the challenge of combining competitiveness and sustainable urban development simultaneously.
A smart city is a place where the traditional networks and services are made more efficient with the use of digital and telecommunication technologies, for the benefit of its inhabitants and businesses. With this vision in mind, the European Union is investing in ICT research and innovation and developing policies to improve the quality of life of citizens and make cities more sustainable in view of Europe's 20-20-20 targets.
The smart city concept goes beyond the use of ICT for better resource use and less emissions. It means smarter urban transport networks, upgraded water supply and waste disposal facilities, and more efficient ways to light and heat buildings.
And it also encompasses a more interactive and responsive city administration, safer and secure public spaces.
Smart Cities UK 2017 Conference, Expo and Awards lead the way on addressing the best practice examples on smart transformation from across Cities within the United Kingdom whilst disseminating guidance and information transformation within waste, energy, transport, security and other key smart sectors.
Across the UK we are seeing more and more examples of smart city transformation. Key 'smart' sectors utilised by such Cities include transport, energy, health care, water and waste. Against the current background of economic, social, security and technological changes caused by the globalization and the integration process, cities in the UK face the challenge of combining competitiveness and sustainable urban development simultaneously.
A smart city is a place where the traditional networks and services are made more efficient with the use of digital and telecommunication technologies, for the benefit of its inhabitants and businesses. With this vision in mind, the European Union is investing in ICT research and innovation and developing policies to improve the quality of life of citizens and make cities more sustainable in view of Europe's 20-20-20 targets.
The smart city concept goes beyond the use of ICT for better resource use and less emissions. It means smarter urban transport networks, upgraded water supply and waste disposal facilities, and more efficient ways to light and heat buildings.
And it also encompasses a more interactive and responsive city administration, safer and secure public spaces.
Smart Cities UK 2017 Conference, Expo and Awards lead the way on addressing the best practice examples on smart transformation from across Cities within the United Kingdom whilst disseminating guidance and information transformation within waste, energy, transport, security and other key smart sectors.
Antibiotic Guardian London Workshop 20164 All of Us
Antibiotic resistance is one of the biggest threats facing us today.
Why it is relevant to you: without effective antibiotics many routine treatments will become increasingly dangerous. Setting broken bones, basic operations, even chemotherapy and animal health all rely on access to antibiotics that work.
What we want you to do: To slow resistance we need to cut the unnecessary use of antibiotics. We invite the public, students and educators, farmers, the veterinary and medical communities and professional organisations, to become Antibiotic Guardians.
Call to action: Choose one simple pledge about how you’ll make better use of antibiotics and help save these vital medicines from becoming obsolete.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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MBBS (Best Graduate, AIMC Lahore)
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MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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1. Welcome to the Royal Bournemouth &
Christchurch Hospitals NHS FT NHS
Sustainability Day Road Show
#Dayforaction
2. The Royal Bournemouth Hospital
Sustainability Day Road Show –
February 6th 2014
Introduction
“The NHS has a commitment to its
patients, the public, staff, and the
environment to embed sustainability
across operations and activities”
4. NHS Sustainability Day road shows
The Royal
Bournemouth Hospital
is proud to host the
fourth national “NHS
Sustainability Day
Road Show” on behalf
of NHS Trusts across
the South Coast
5. Commitment to Sustainability
The NHS is one of the main carbon
emitters within the UK, and has a
significant influence upon the three
spheres of sustainability.
Making an organisational commitment with
top-level support is essential in promoting
sustainable health care, and RBCH is proud
of its work in this arena over the last 5 years.
RBCH has applied a strong focus to
implementing sustainable practices across
operations and facilities, and strives to
further improve sustainable development
through good corporate citizenship each
year.
Social
Sustainability
Environmental
Economic
6. Commitment to Sustainability
A definition or two
Sustain – to cause or allow something to continue for a period of time
Sustainable – causing little or no damage to the environment and therefore
able to continue for a long time
It is easier and to cause and allow little things to happen than to push to
achieve great things by a single act.
Allow flexible travel not car bans, a single day without a car equals a 20%
reduction in emissions, congestion and cost. It is also achievable.
Fit low wattage lamps rather than replace fittings, it is more affordable
Use the stairs not the lift – low energy and healthy
Remove bottled water dispensers – allow plumbed in
Allow staff to be committed to a sustainable future
7. Commitment to Sustainability
RBCH have committed to sustainability on a number of
levels, such as:
Sustainability section included within Trust Annual
Report, with carbon reduction targets
Top-level support from Chief Executive
Introduction of new Trust policy,
e.g. Sustainable Management Plan
& Sustainable Development Policy
Quarterly Carbon Management
Group meetings
Plan to develop Biodiversity Policy
8. Activities to improve sustainability
Sustainability feeds
into a number of
areas within the
Trust and requires a
holistic approach to
be implemented, in
order to achieve
goals and targets.
Energy
Biodiversity
& Green
spaces
Waste
Sustainability
Food &
Procurement
Staff
awareness
Transport
Carbon
reduction
9. Energy
• 3 solar PV arrays generating on site renewable energy
Waste
• Zero waste to landfill achieved in 2013
Staff Awareness
• Green Impact Scheme introduced for staff to engage with sustainability –
only 2nd NHS Organisations in UK to take part!
Transport
• 2 Electric vehicles added to fleet
Biodiversity & Green spaces
• Bird boxes, duck houses, and dedicated wildflower site to encourage
biodiversity
• Biodiversity board designed to communication positive messages to staff
13. Caterers Responsiblity
• People
• Communication
– Trained/Focused/Committed
– Local Community
• Good Food
– Good Ingredients
– Well Presented
– Served with Knowledge
• Waste
– Local Suppliers Showcase
Stalls
– Customers Information
Point - Patients and Staff
• ASK
– Case Studies
– NFU, MSC, Red Tractor
Served with Passion
Nothings IMPOSSIBLE
14. Suppliers Responsiblity
• Supply Partners
• Co-operatives
• Meet the Supplier Days
• Procurement – Food Chain Guardians
•
•
•
•
Seasonal and Local
British First Goods
Sustainable Sourced
Clear and True Labelling
• Packaging
14
15. What Has HCA Done To-Date
• Supply Partners
• Packaging – Why/How/Issues
• Local Procurement
• Web Site
• 14.14
15
16. Together we can CHANGE
ANY QUESTIONS?
OH YES I HAVE ONE!
NOTHING’S IMPOSSIBLE
16
17. Food for Life Partnership:
Improving food in hospitals
Susannah McWilliam, Soil Association
Margi Lennartsson, Garden Organic
18. What is the Food for Life partnership?
“transforming
food culture”
Food
growing
Cooking
skills
Eating
experience
HEALTH
SUSTAINABILITY
EDUCATION
The voice
of the
user
Farm links
Developing
the
expertise of
the caterer
19. The results
improved performance
TWICE as many primary schools
received an Outstanding Ofsted
rating after working with the Food
for Life Partnership
increase of fruit and
veg consumption
local economic benefits
For every £1 invested in Food
for Life menus, the
social, economic and
environmental return on
investment for the local
authority is
28% more children eating 5 a day
45% of parents eating more vegetables
Increased meal uptake
13% increase in free school meal uptake
£3
20. How it has developed
• From March 2012 commissioned by local
authorities.
• FFLP track record in 4500 schools
• Hailed by the School Food Plan
• May 2013: awarded £3.6 million by Big
Lottery to extend to workplaces, early
years, universities & hospitals.
21. FFLP in hospitals: pathfinder pilots
Leading
by
example
Food
growing
Eating
experience
HEALTH
SUSTAINABILITY
EDUCATION
The voice
of the
user
Community
links
Developing
the
expertise of
the caterer
24. Food for Life Catering Mark
Bringing together all of the issues people care about:
• 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
25. New CQUIN rewards
better hospital food
CQUIN number 295 in NHS England picklist, ‘Improving Hospital Food by achieving
compliance with recommended or best practice
standards’
"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
26. 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
“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
Barts Health NHS Trust
Imperial College Healthcare NHS Trust
Calderdale and Huddersfield NHS Trust
27. To find out more please email me at
smcwilliam@soilassociation.org
Or come and chat
at the break
28. Gardening and food growing to deliver
health, wellbeing and sustainability
Margi Lennartsson
34. 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
35. Food Growing in Health Settings
Hoventon House Care Home
University Hospitals Coventry and Warwickshire
Growing Opportunities Sandwell
Sydenham Gardens
38. Sustainable Food City Partnership
“Revolutionising the way we
grow, buy, cook, eat, celebrate and dispose of
our food”
39. Enabling Community Food Growing
• Develop a pool of resources
• Publicise the work
• Develop a skill sharing and
mentoring scheme
• Provide a one-stop shop
• Create a support network
• Influence public policies
“The garden has become a central feature
on our estate – something colourful and
vibrant to look out at every day.”
40. Consolidating the Community Food
Network
•
•
•
•
9 currently directly involved
Participate in Big Dig days
Work placed volunteering
Grow to Sell scheme
“Previously the area was overgrown and
wasteland, now it is a pleasant, peaceful
and safe place to sit and watch or get
involved. Crime has gone
down, community cohesion has increased
and strangers have become friends.”
41. Growing the Community Food
Network
•
•
•
•
•
•
Increase to 35 gardens
20 garden partners
200 training opportunities
10 Food champions
125 new volunteer opportunities
Social enterprise development
“Our gardens have grown out of spaces that were plagued by anti-social behaviour.
We have reclaimed the open spaces on our estate by joining and journeying
together, realising through events and talking to each other, we can make changes
that have a positive impact on our lives and the place where we live.
42. Getting involved
•
•
•
•
•
Join the Partnership
Spread the word
Share your skills and enthusiasm
Ask for sustainable, local and Fairtrade
When you find somewhere brilliant shout
about it!
43. Real achievements
The achievement that means the most is the positive
effect that the garden can have on individual lives. It’s
finding an anonymous note on the cabin door that says
“I have lived in this area all my life and this garden
makes me proud to be from this area.” Or it’s when a
troubled person on the margins of society discovers the
garden, becomes involved, and it improves their life. This
is what really makes the many hours of voluntary work
worthwhile.
47. Health and wellbeing in a
changing climate
Jemma Knowles Climate SouthWest Project Officer
Jim Hodgson Climate Change Advisor, Climate Ready Support Service
48. Overview
Jemma
• Changing climate: impacts on a local level
• Local support available
Jim
• The Climate Ready support service
• New toolkit for health and wellbeing boards
49. What we have seen so far
2014: flooding and...?
2001: flooding
2001: flooding
2013: heat wave
wave
2013:
flooding
storm
2003: heat wave
2012: drought
2012: drought
flooding
2005: flooding
2005: flooding
2010: flooding
2010: flooding
snow ice
snow & ice
2000: flooding
2000: flooding
2006: drought
2006: drought
heat wave
heat wave
2008: flooding
2007: flooding 2008: flooding
2007: flooding
snow ice
snow & ice
2009: flooding
2009: flooding
snow ice
snow & ice
Building resilience to extreme weather and a changing climate
50. What we can expect by 2050s
Overall increase in temperature
2.7°C
Increased winter precipitation
17%
Decreased summer precipitation
20%
Rising sea levels
26-29cm
More frequent & intense extreme weather
Building resilience to extreme weather and a changing climate
51. Impacts for health
Challenges
• Increased heat related deaths
• Increased deaths & admissions associated
with ground level ozone
• Increase in death & injury from flooding &
storms
• Increase in flood-related mental health
issues
• Increased ground level UV
Opportunities
• Increased physical
recreation, reduction in obesity & CHD
• Decrease in cold-related deaths
• Fewer cold related admissions
• Healthier lifestyles
Building resilience to extreme weather and a changing climate
52. Service delivery: impacts & response
Risk to
Examples of adaptive response
Estate/building & supporting
infrastructure (transport)
Vehicles/equipment
Natural ventilation
Cool spots
Green infrastructure, SuDS
Medications keep at right temperature
Rise in fuel, energy, water, food costs
Water supply
Supply chain, transport
Resource efficiency
Identification of alternatives
Workforce – accessibility, wellbeing
Vector disease migration
Patient comfort
Staff access considerations
Training and guidance on response to
extreme weather events
Transport planning
Adaptation inclusion in emergency and
contingency plans
Social impacts
Vulnerable communities
Information, targeted warning systems
Change in behaviours
Building resilience to extreme weather and a changing climate
55. Climate Ready Support Service
3 year programme launched in 2012
Part of Government's wider adaptation programme
Aim: to help „key sectors increase their resilience to climate risks’ by
incorporating climate risk management into routine business decisionmaking:
Primarily working in partnership and through others
Builds on our corporate objective to integrate adaptation into everything we
do
56. Climate Ready Support Service
Two key components:
Free, independent online advice and support via:
www.environment-agency.gov.uk/climateready
Tailored support and partnership working
to help key sectors adapt:
•
•
•
•
•
•
•
Business & services
Infrastructure
Natural environment
Built environment
Local government
Health & wellbeing
Agriculture & forestry
57. Climate Ready and the NAP
Theme
Relevant NAP objectives for LAs
Local
Government
• Raise the profile of adaptation with LA‟s and promote action
• Support local government to build a business case for action
• Local government policy framework supports climate resilience
• Support sector led activities to address local climate challenges
Healthy and
resilient
communities
• Promote climate resilience to organisations in the health sector
• Encourage resilience within the health system and its operations
• Reduce health impacts related to climate change e.g. heatwaves
• Improve the resilience of groups vulnerable to climate impacts
Built
Environment
• Developing skills to understand and manage climate risks
• Providing decision tools to help developers promote adaptation
• Ensuring new development is resilient to future flood risk
• Increasing the resilience of homes and buildings to climate risks
60. Adaptation in the new health & social care system
Intervention / Action
Benefit
Climate ready JSNA & JHWS
Promotion of extreme weather
preparedness
Future proofing
Better health outcomes
Social Vulnerability
Meeting the NAP objectives
Climate ready commissioning plans
NHS Commissioning Board Business
continuity management framework
Commissioning board emergency
preparedness framework
EPRR core standards
Board approved SDMP
Public Health Outcomes Framework 3.6
All of above
Adaptation Reporting Power
Multi-agency planning a preparation for
response (including through LRFs)
Combating fuel poverty
Buildings better prepared for heatwaves
61. Adaptation Toolkit – coming soon
•Responding to specific needs of those
in the health and social care system
•Profiling adaptation as part of core
business
• informed by stakeholders (10 councils)
•How to assess risk to changing climate
•How to enable action
•How to test JSNA
•Case studies
62. Panel Discussion
•
•
•
•
Sam Moore, Energy Services Partner, EDF Energy
Phil Shepley, MD Carillion Engineering Services
Edwin Davies, Associate Director of Capital & Estates, Royal Bournemouth Hospital
Trevor Payne, Director of Estates and Facilities, Barts Health NHS Trust
75. NHS Sustainability Day of
action
Emma Wood
Group Sustainability & Corporate Responsibility
Manager
76. Landfill
Diversion
Sustainable
Noise
transport
pollution
How can we help?
Biodiversity
Hazardous waste
Adapting to
climate change
Carbon
reduction
Renewables
Ethical
procurement
Care closer
to home
Community Social Value
Engagement
Energy
Management
Saving water
Noise
pollution
Workplace
Wellbeing
Infection
control
Employee
Diversity
77. 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
78. 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
79. 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
80. 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
81. 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
85. Waste within the NHS
•
•
•
•
•
•
Waste hierarchy
Best Practice
Segregation
Innovation
Education
Legislation
86. Worcester NHS
• PHS won the contract in 2001
• Committed to identify their hazardous waste streams and
segregate at source.
• Fronted by Infection Control, who worked on a plan for the
Community and Mental health groups.
• PHS completed full site audits to ensure compliance and make
recommendations.
• Approximately 90 locations including home patients and
hospitals on various service frequencies.
• Classification of waste streams
87. Worcester NHS
•
•
•
•
We provided spill containment training
We provided support to design recycling programme
Developed tailored training support materials
Supplied reports on segregation and the split of types and
volumes of waste being collected
• We hold quarterly reviews meeting with stakeholders
• We have successfully instilled a proactive change to increase
segregation via our Waste Segregation Training.
• Developed the ‘Naughty Persons List’
97. NISSAN
Nissan‟s Challenge as a Zero-Emission Pioneer
The increasing global population and the rapid growth of the world economy have effects on
the global environment, from environmental degradation and climate change to issues of
supply and demand of energy, resources, water and food.
To reach this objective, Nissan will continue to lead the industry in advancing zero-emission
technology. Nissan were early investors—and will remain profound believers—in this
technology. They also recognize the importance and potential of zero-emission efforts, for the
auto industry and the planet.
Nissan is determined to help find answers that will benefit society and will continue working to
build on their pioneering efforts to bring zero emission technology to consumers.
This isn’t simply a business objective. It’s a responsibility that Nissan have to today’s
customers—and future generations.
98. NISSAN
Nissan LEAF produces considerably less CO2 emissions over its entire lifecycle, even
including manufacturing to end-of-life disposal, compared to gasoline-powered vehicles
of the same class.
EV batteries can do more than just provide power for driving. As energy storage
devices, they can play a key role in supporting the broad rollout of renewable energy.
This makes them a promising contributor to the achievement of a low-carbon society as
a whole—not just the vehicles within that society.
Nissan plans to bring even more EVs to the market, starting with the all-electric
commercial e-NV200, which I will talk about a little later
99. NISSAN
Nissan’s profound belief in the importance of zero-emission vehicles led them to select
and train a dedicated team of dealer specialists to sell the LEAF and promote awareness
and significance of this amazing electrical and digital electronics technology.
Westover Nissan were early investors in this technology being amongst the first of the
selected dealerships to market the Zero emissions Nissan LEAF.
I manage a team which deals with Electric Nissan LEAF, anything from events (such as
this one) to providing both vehicle and technical support to companies, local
authorities, schools and colleges.
101. NISSAN
PRODUCED IN EUROPE, FOR EUROPE
UK production of the Nissan LEAF is now in
full swing in Sunderland, producing the New
Nissan LEAF for Europe.
103. NISSAN
ADVANTAGES OF A NISSAN LEAF
NO CO2 WHEN DRIVING
NO ENGINE OIL
NO PETROL OR DIESEL
NO ROAD FUND LICENCE
NO “BENEFIT IN KIND” TAX (if used as a company car)
NO LONDON CONGESTION CHARGE
NO CLUTCH
NO GEARBOX
NO EXHAUST PIPE
106. NISSAN
HALF TIME HOME CHARGING ARRIVES
Domestic Plug
(10 amp)
Home Wallbox or
Street Charger
(16 amp)
Home Wallbox or
Street Charger
(32 amp)
CHAdeMO
Rapid Charger
12 hours
0-100% charge
8 hours
0-100% charge
4 hours
0-100% charge
30 minutes
0-80% charge
107. NISSAN
CARWINGS
CARWINGS is a telematics system which lets you remotely set
(from your iPhone or computer ) the following:
1. Check your current charge level
2. Start charging
3. Check when your charging will complete
4. Turn your climate control on or off
5. Schedule your climate control to turn on automatically
6. Check your estimated driving range
108. NISSAN
BATTERY LEASE OPTION
Buy or Lease the Battery
From £70 per Month
Lower Initial Purchase Price
Ultimate Battery Peace of Mind
VEHICLE + BATTERY
BUY OR LEASE
or
VEHICLE
BATTERY
+
BUY
LEASE
110. NISSAN
LANDSCAPE FOR ELECTRIC CARS IS IMPROVING ALL THE TIME
£37M INFRASTRUCTURE PACKAGE
HOME CHARGING
PUBLIC SECTOR
RAPID CHARGERS – STRATEGIC ROAD NETWORK
BENEFIT IN KIND
LEAF AT ZERO BIK UNTIL 2015, NEW LOWEST BAND (0-50g/km) THEREAFTER
CONGESTION CHARGE
GREEN VEHICLE DISCOUNT REPLACED WITH ULEV DISCOUNT
ONLY PLUG-IN CARS CURRENTLY MEET NEW, 75g/km THRESHOLD
111. NISSAN
HOME CHARGING
FREE 16A HOME CHARGERS
UPGRADE TO 32A (TO SUPPORT 6KW CHARGING) FOR AROUND £99
STANDARD INSTALLATION ONLY – BUT INCLUDES EARTH
BONDING AND UP TO 10M CABLING
3 YEAR PARTS + LABOUR WARRANTY
PRIVATE HOUSES ONLY AT THIS STAGE
112. NISSAN
NISSAN RAPID CHARGERS: STATUS
Today there are 181 Rapid Chargers nationwide (from just 63 in March ‘13)
NISSAN ANTICIPATE THAT 90% OF BRITAIN’S MOTORWAY SERVICE STATIONS
WILL HAVE RAPID CHARGERS BY SUMMER 2014 MEANING THAT ‘RANGE ANXIETY’
WILL BE A THING OF THE PAST!
Now you can fill up for free at motorway services…with Green Energy!
113. NISSAN
LOCAL RAPID CHARGERS
Just in this area there will be 15 more Rapid charging points set up - four in Poole, three in
Bournemouth and a further eight in Dorset.
The funding has come from the UK Government Office for Low-emission Vehicles (OLEV).
Work will start in the spring and be completed by the end of 2014.
The £723,000 funding has been jointly secured by the Borough of Poole
Council, Bournemouth Borough Council and Dorset County Council.
Three charging points will be installed in Poole itself in:
New Orchard
Serpentine Road
Ashley Road
Poole Road, Westbourne.
114. NISSAN
UK RAPID CHARGERS
In Bournemouth, they will be placed in:
West Hill car park
Bournemouth Railway Station/Interchange
Hawkwood Road main car park.
The exact locations of the Dorset charge points have not yet been agreed, but plans are
that they will be located in Christchurch, Wimborne Minster, Dorchester, Blandford
Forum, Weymouth, Shaftesbury, Bridport and Lyme Regis.
120. NHS Sustainability Day
A call to action for the NHS
• 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
121. NHS Sustainability Day
Motivating Success
•
•
•
•
•
•
•
•
•
•
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
Internationally showcasing NHS
122. • 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
123.
124. #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
136. Strengthening the Trust‟s data
•
Full water bureau service
•
Monthly Monitoring & Targeting Reports
•
Total visibility
01753 833 880
ask@aquafund.com
143. Operating Theatre Optimisation
Presented by:
Darren Jones BSc (Hons), Eng.Tech. MCIBSE LCC
The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust
NHS Sustainability Day Roadshow – 6th February 2014
144. HTM 03-01 Verification & Theatre Optimisation
Our aims are:
To check current theatre plant operation against HTM 03-01
requirements (are systems fit for purpose?)
To ascertain HVAC energy loads associated with the current plant
operations
To reduce energy loads associated with current plant
operations, whilst continuing to meet HTM 03-01 requirements
To identify quick win opportunities through effective control
changes
To identify medium term (under 4 years) capital investment
opportunities
146. HTM 03-01 Verification
Duct Air-Flow Rates
OBJECTIVE
HTM 03-01 requires a full measure of the supply and extract airflow rates within ducts.
METHOD
A measure of the air supply rates are generally made within the
principle and branch ducts. All measurements are made with a
digital hotwire anemometer and an electronic manometer. At each
test point, a set of readings are taken and an average value
calculated.
147. HTM 03-01 Verification
Room Terminal Air-Flow Rates
OBJECTIVE
HTM 03-01 requires a full measure of the supply and extract air-flow
rates at room terminals.
METHOD
A full measure of the air supply and extract rates are made at the
principle room terminal points. All velocity measurements are taken
using a laboratory calibrated balometer.
148. HTM 03-01 Verification
Air Changes per Hour
OBJECTIVE
HTM 03-01 states that ventilation systems should achieve at least
75% of the design air-change rate.
METHOD
Calculations are based on duct airflow rates. The calculated ACR/H
is compared to the relevant design criteria given in HTM 03-01, or
against the ventilation system’s original design parameters.
149. HTM 03-01 Verification
Room Differential Pressures
OBJECTIVE
To prove that the differential pressure regimes of each theatre and
any associated rooms are not less than 75% of the HTM 03-01
standards as given in Part A, Appendix 2, or the operating theatre’s
original design parameters; and that the pressure gradient
relationships in the surrounding areas are maintained.
METHOD
Differential pressure measurements are made during Normal and
Setback mode in each of the relevant and adjoining rooms with a
digital manometer. Tubing connected to the manometer are passed
through pressure stabilisers or underneath doorways.
150. Operating Theatre Optimisation
Low Carbon Europe’s Operating Theatre
Optimisation and HTM 03-01 audit can help
NHS Trusts identify cost savings and reduce
carbon emissions at the same time.
We have proved that by improving the air
supply in one theatre alone, a Trust could
save in the region of £5,000 a year.
If this figure was extended to all the Trusts in
England, it could mean a saving of more than
£10m and a reduction in carbon emissions
of 80,000 tonnes a year!
151. Theatre HVAC Optimisation
Our on-site approach:
A full internal inspection of air handling plant to ascertain the efficiency and operation of
existing components (fan units, heating/cooling elements, heat recovery devices and
humidification systems)
A thermographic study of all theatre HVAC plant and equipment
The measurement of fan system absorbed powers and flow rates in addition to temperature
and pressure measurements across each of the systems’ components, using calibrated
instruments
Theatre supply and extract grille, air flow/velocity measurements
To inspect down stream servings such as heating, cooling and humidification plant
To interrogate system controls
152. Theatre HVAC Optimisation
Following the on-site work, we analyse each
system in order to ascertain the following:
Air change rates
Ventilation rates
The suitability of setpoints and control
strategies
Heat recovery opportunities
Free cooling opportunities
Potential for fan upgrades
Potential for the inclusion of VSDs
154. Key Energy Saving Initiatives Identified
1.
2.
3.
4.
Temperature and pressure calibration anomalies
Installation of Automatic Control Dampers
Replacement of Air Handling Unit (AHU) Supply Fans
Installation of Variable Speed Drives (VSDs) on secondary
chilled water pumps
5. Software interlock to reduce the operation of chillers
during low demand
6. AHU Frost Coil Control Improvements
7. Temperature Set-back on Theatres
155. Temperature and Pressure Calibration Anomalies
Table illustrating discrepancies between the actual measured theatre
temperature and humidity, the theatre set-point and the Sauter BMS graphics.
Theatre
Supply - Graphic
Sampling duct- Graphic
Set-point's- BMS Sauter
Actual Space-Fluke
Temperature
Humidity
Temperature
Humidity
Temperature
Humidity
Temperature
Humidity
1
13.3°C
47.6%
18.0°C
39.7%
18.5°C
44.0%
22.6°C
33.1%
2
13.9°C
41.0%
18.5°C
23.8%
18.5°C
40.0%
21.3°C
36.6%
3
15.4°C
47.3%
22.8°C
27.4%
20.5°C
48.0%
19.6°C
36.7%
4
21.0°C
37.9%
18.5°C
37.9%
21.0°C
50.0%
21.7°C
34.4%
Four humidity and temperature
readings taken per theatre.
157. Humidity Calibration Anomalies
Psychometric Charts also
illustrate that even though
humidification plant is
switched off, there does
appear to be unexpected
variations in these levels. As
the plant is inactive this must
be attributed to errors in the
sensors.
158. Temperature and Pressure Calibration Anomalies
Conclusion
Based on industry rules of thumb, a 1°C sensor discrepancy will result in an
8% system inefficiency. Therefore based on our observations & analysis we
anticipate a 16% saving could conservatively be achieved through the
replacement and calibration of sensors.
% Saving
16%
Annual Energy Saving
224,000 kWh
Annual OpEX Saving
£8,960
Budget Cost
£6,000
Return on Investment
8 months
159. Installation of Automatic Control Dampers
The Problem…
All theatres need to be switched to set back mode before fan motor frequency
modulation is reduced.
The Solution…
The addition of volume control dampers (VCDs) at the head of each operating
theatre ductwork branch (see photo below), linked to the setback switches,
would allow the proportional control of the fan if one or more of the setback
switches were enabled.
160. Installation of Automatic Control Dampers
The Results…
EXISTING
NEW DAMPER - DAY
NEW DAMPER - NIGHT
100%
70%
70%
Air Volume
Setback Theatres 3 & 4
Setback All
Theatre 1 (m3/s)
0.92
0.92
0.644
Theatre 2 (m3/s)
0.98
0.98
0.686
Theatre 3 (m3/s)
0.92
0.644
0.644
Theatre 4 (m3/s)
0.92
0.644
0.644
Fan Duty
Anaesthetic (m3/s)
0.6
0.6
0.42
Prep (m3/s)
0.28
0.28
0.196
Scrub (m3/s)
0.25
0.25
0.175
Total Volume (m3/s)
4.87
4.318
3.409
Overall Setback (%)
0.00
88.67
70.00
Fan Power (kWh)
14.7
10.25
5.04
Energy Usage (kWh)
128,772.00
44,879.96
Total Energy (kWh)
128,772.00
66,964.36
Percentage Saving (%)
0
48
The Conclusion…
22,084.40
% Saving
48%
Annual Energy Saving
61,811 kWh
Annual OpEX Saving
£5,563
Budget Cost
£16,650
Return on Investment
36 months
161. Replacement of Air Handling Unit (AHU) Supply Fans
The Problem…
The 24/7 operation of inefficient belt driven centrifugal supply fans.
The Solution…
Upgrading the fans to high efficiency, direct drive, plug fans would provide a
saving of approximately 30%.
The Conclusion…
% Saving
30%
Annual Energy Saving
38,632 kWh
Annual OpEX Saving
£3,477
Budget Cost
£10,990
Return on Investment
38 months
162. Installation of Variable Speed Drives (VSDs) on
secondary Chilled Water Pumps
The Problem…
Continuous pump operation regardless of demand. Pumps operating at full
speed (no VSDs installed) despite a very low requirement for cooling.
The Solution…
Installing a VSD to a pump to reduce speed and therefore flow, causes the
pump curve to shift down, which due to the affinity laws, power is greatly
reduced at reduced flows thus resulting in significant savings.
The Conclusion…
% Saving
50%
Annual Energy Saving
32,062 kWh
Annual OpEX Saving
£2,886
Budget Cost
£8,000
Return on Investment
33 months
163. Chiller System – Software Interlock
The Problem…
All six chillers were on and primed, despite there being very low cooling
demand (low ambient temperature of 12°C). This is illustrated by BMS screen
shot (see below) where there is diminutive difference between flow and
return temperatures (0.7°C). In addition, the chiller sequence control panel
has no hardwire or software interface to the BMS.
The Solution…
Integrate chiller control into the BMS. Sequence chillers and employ the use of
appropriate demand lead interlocks to provide significant energy savings.
The Conclusion…
% Saving
15 - 20%
Annual Energy Saving
22,000 kWh
Annual OpEX Saving
£1,900
Budget Cost
£2,000
Return on Investment
12 months
164. AHU Frost Coil Control
The Problem…
The frost coil control valve will open whenever fresh air plenum temperature
is below 10°C (2K hysteresis). Also, frost coil valves on both run and standby
AHU’s operate, despite only one AHU being operational at any given time.
Heater batteries are currently open-control.
The Solution…
Firstly, reduce frost coil control setpoint. Secondly, reduce the mass flow rate
in the standby unit when frost coils are initiated through more effective closeloop control. This will significantly reduce hot water wastage (coil demand is
25.3kW per frost coil).
The Conclusion…
% Saving
50%
Annual Energy Saving
66,000 kWh
Annual OpEX Saving
£1,980
Budget Cost
£1,500
Return on Investment
9 months
165. Theatre Temperature Control Set-back
The Problem…
The AHU operates continuously with a minimum set-point of 18oC.
The Solution…
Reduce the occupation period to ten hours with an optimiser for prewarm up, supplement with an override switch to re-instate the plant if
required. An enhancement to this arrangement could be to install
movement detectors to accommodate for periods of non-occupancy
during the day.
166. Theatre Temperature Control Set-back
Evaluation of Savings…
20-year average standard degree day figures were used to evaluate the
potential cost savings of adopting an unoccupied set-back. Two base
temperatures were used 18°C (current) and 15.5°C (set-back). Degree day
figures were interpolated at the ratio of 10 hours at 18oC (normal) and 14
hours at 15.5°C (setback) against a continuous 24 hours at 18°C.
167. Theatre Temperature Control Set-back
The Result…
A 15.44% reduction in energy consumption.
See below a Annual Heating Cost and Consumption Simulation at 18oC.
Annual heating requirement – 772,143 kWh
Annual Heating Cost – £21,664
168. Theatre Temperature Control Set-back
Results…
A 15.44% reduction through a temperature set back will
therefore result in annual consumption and cost savings of
115,821kWh and £3,345 respectively.
% Saving
15%
Annual Energy Saving
115,821kWh
Annual OpEX Saving
£3,345
Budget Cost
£2,200
Return on Investment
8 months
169. Summary Table
%
Saving
Annual Energy
Saving
Annual
OpEX
Saving
Budget
Cost
Return on
Investment
A review of the temperature and pressure
calibration in order to maintain optimum control
efficiency.
A review of the benefits of installing automatic
control dampers within each of the theatre supply
ducts.
A review of the replacement of Air Handling Unit
(AHU) supply fans with high efficiency units
A review of the benefits of installing variable speed
drives (VSDs) on secondary chilled water pumps and
controlling pumps based on demand.
A review of installation of a software interlock to
prevent the unnecessary operation of chillers during
low demand.
AHU Frost Coil Control
16%
224,000 kWh
£8,960
£6,000
8 months
48%
61,811 kWh
£5,563
£16,650
36 months
30%
38,632 kWh
£3,477
£10,990
38 months
50%
32,062 kWh
£2,886
£8,000
33 months
15 20%
22,000 kWh
£1,900
£2,000
12 months
50%
66,000 kWh
£1,980
£1,500
9 months
Temperature Set-back on Theatres
15%
115,821kWh
£3,345
£2,200
8 months
560,326kWh
£28,111
£47,340
20 months
Initiatives
Total
171. Our journey towards sustainable
Waste Management
Charles Joly - MEng MSc MIEMA
Environmental, Waste & Sustainability Manager
6th February 2014
172. Isle of Wight NHS Trust
Only integrated acute, community, mental health
and ambulance health care provider in England
Full range of health services to an isolated offshore
population of 140,000
St Mary‟s Hospital main hub in Newport (246 beds)
About 20 community premises
173. Waste: 3 drivers / pressure points
1
Compliance &
accountability
2
Budget
pressures
Environmental
3
agenda
Patients / staff /
public
Exec team
Directors
Executive team
H&S team
Risk/Audit
committee
Staff
DoF / finance
manager
NGOs
178. Governance
Before
No formal governance on waste
Waste Policy not updated since 2003
HTM 07-01 ignored (!)
After
Waste Management Group
New Waste Policy and set of procedures
HTM almost fully implemented
179. Contracts
Before
No formal contracts in place
No KPIs / specifications / accountability
Trust‟s “Man & van” community collections
After
3 lots tender - Domestic /Clinical /Confidential
5 years contracts – 2014-19
Full community service - inc. GPs / pharmacies
214. Clinical waste collections community –
transition plan
Private
customers
Trust clinics
GPs
Home
patients
IoW Council
Private sector
NHS IoW
NHS England
NHS IoW
1st Dec14
1st April 14
1st April 14
1st April 14
218. Green Impact in the NHS
Charlotte Bonner
Communities Programme Manager
NHS Sustainability Day 2014
Royal Bournemouth & Christchurch NHS
Foundation Trust Road Show
219.
220.
221.
222.
223.
224.
225.
226.
227.
228. It’s growing…
110 students’ unions
60 universities and
colleges
110 off-campus
organisations
NHS Trusts
Dental practices
Hospices
International pilots too!
236. What people have said…
Being involved in
Green Impact has given a new aspect to
my role – I’m learning things and
developing professionally. I’m definitely
classing this as CPD.
It’s great to see the
Trust supporting this
centrally. It’s not just
about the enthusiastic
few now.
It’s given me some legitimacy –
people don’t just think of me as
the local nag any more, they can
see why it’s important.
237. and the students…
I feel it is a good addition to my
CV and it was a new situation I
got valuable
information out of.”
I was lucky enough to
meet wonderful,
inspirational people.
The scheme allowed me
to stand out from the crowd and
be part of something important,
as well as building on my
interpersonal skills.
240. RBCH will strive to improve it’s position as a
sustainable healthcare Trust in future, and promote
sustainable development across all activities.
Bournemouth Hospital has been proud to host this
“NHS Sustainability Day Road Show” and would like
to thank everyone involved.
Editor's Notes
Define the outcomes before we startWork together, not in isolationShare knowledgeDrives innovationBest cost?? NO NO NO NO
EnvironmentSkillsCommunity safetyDiverse appeal
Looking at Obesity or healthy weightThe NICE guidance on strategies to help people to achieve and maintain a healthy weight are strategies relating diet and physical activity – eat at least 5 portions of fruit and vegetables each day, in place of foods higher in fat and calories; make enjoyable activities such as walking cycling and gardening part of everyday life; recommends that adults should do at least 30 minutes of at least moderate-intensity physical activity on 5 or more days a week, including gardening digging, pushing a lawn mower or sweeping leaves. Diet- evidence to support the assumption that being involved in gardening and food growing can impact on the diet or intake on fruit and vegetables in particular; in adults in household of low income men and women who grow food have higher intake of fruit and vegetables.Recent review of studies on impact of food growing activities in school showing that concluding food growing in school has positive impact particularly on attitudes towards healthy eating and willingness to try fruit and vegetables.Physical activity – Researchers in Cardiff has shown that 68% of gardeners reported exercise frequencies that met physical activity frequencies recommendations compared to only 25 % of adults in same age group time spent doing gardening ie being physically activeAn American (Salt Lake City, ) study published earlier this year showed that both women and men community gardeners had significantly lower body mass index than their neighbours who were not in the community gardening programme. Also lower BMIs than their sisters or brothers.Similarly Garden Organic Master Gardener programme has shown that people taking up food growing activities have increased their time spend gardening and 50% now spend 3 hours or more gardening and 50% spend 1-2 hours gardening.
Community Garden and Centre in South LondonLong term relationship with GPExternal funding to deliver health and welling projects including food growing and creative (art and craft activities)Last 4 years commissioned by CCG to deliver therapeutic services for people with mental health problems and dementiaX Co workers (clients)
I thought this picture could demonstrate anything is possible!!!!
Nature of NAP steering group: Cross-organisational delivery. Different expertise etc.
Why health and wellbeing board are well placed to take forward action on adaptation
It can be seen clearly that the price of electricity has been rising over the years. This is likely to continue given the supply-demand imbalance in the country. UK is a net importer of electricity & will continue to be in in the coming years.Given this supply demand imbalance, price rise is imminent which is a risk to businesses & their operating costs. The only way to address this is to reduce volume by using a mix of energy savings & on-site generation. Provisional data for 2012 shows that over the past five years (2007 to 2012), average industrial electricity prices have risen by 34 per cent, with an increase of 6 per cent in the last year. Renewables’ share of electricity generation increased from 9.4% in 2011 to a record 11.3% in 2012, reflecting a near 20% growth in renewable generation. Gas’s share of generation fell from 39.9% to 27.5%, due to high gas prices. Key Takeaway: Risk of rising electricity prices needs to be addressed. An uncertain future is forecast: protect yourself from this changing landscape Non energy costs – 50 % by 2020Rule of thumb 50% wholesale, 30% transportation, 20% taxes – to pay for Renewable heat incentiveFeed in tariffsRenewable obligation certificate
To achieve Organisational objectives at minimum energy cost Investigate appropriate Risk and Procurement Strategy Through measures such as EnPC, load shedding and re-scheduling operations to avoid peak prices to reduce maximum demand and supply capacity chargesCo-generation of heat and power, investigate renewable optionsdelivering an overall Energy Management StrategyRational for generation remains strongreduce your exposure to the non-commodity costs & Tax risesAn attractive subsidy regimeNo transportation costSecurity of supplyTrilemma we hear about in terms of cost, carbon and security supply – match against: triple bottom line for ee: economic value, environmental value, positive community benefits
includes renewables, CHPweekly target of going swimming three times a week, I’ll only go twice. This type of target only takes the management of a couple of stakeholders – usually me (my work load) and family commitments. Typically, this target is Aspirational – and (relatively) easy in managing the people involved. Stakeholder engagement for an Energy manager is an extremely complex affairMcKinsey and Co for DECC – which showed that a 10% reduction in electricity demand by 2030 could mean £4bn in avoided electricity system investments, The overwhelming evidence should make this easy? Whether its the argument that reducing your consumption brings a “double benefit” of lower consumption and less exposure to the increasing non-energy element of your invoice What have we found that works for your organisation is to create a Energy Steering Committee. Practical tips for this steering committee include Encourage that debate how your business can use the carbon agenda to make it more efficientInvestigate what can be done about your organisation’s inputs. Where are you on that journey –how far advanced are you to achieving those targets? How can your suppliers and partners help?Do you have the right tools in place to accurately drive those initiatives – is it the case that have you completed energy audits but they’re on the shelf gathering dust?How will your wider stakeholders react when you start delivering? We know that investment needs support –the improvement in efficiency is being driven by government policy and it seems that some of our Business consumers would not get there on their own- so do approach each stakeholder differently. Each stakeholder will have different priorities and as an energy manager, you will need many different skills in order to convince all stakeholders involved. For me it’s back to the swimming pool for the second time this week…
MEUCMain barrier to improving energy efficiencyLack of funds 27%Interest at top level 30%Awareness 16%“better to reduce one unit of energy rather than have to create 2 units of supply. Energy efficiency becomes ‘self survival’“Trilemma” remains – “security of supply”, “green renewable agenda” and “price”FT July 2013 – 2015 supply crunch 3% Make a real difference to the way people think about “green”Maximising profitability from energy efficiencyJones Lange LaSalle – property consultant – employed a physiologist to investigate why not taking up ECMs-(in Empire State Building)Key Message: Government initiatives/confusion in market place/complexity, it’s a ‘dry’ subject which needs to be made more exciting. Danger of making it too technical McKinsey and Co for DECC – which showed that a 10% reduction in electricity demand by 2030 could mean £4bn in avoided electricity system investments, for an energy manager to get stakeholder engagement for Energy Services is a really tough gig: The overwhelming evidence should make this easy - Reducing your consumption brings a “double benefit” - lower consumption and less exposure to the increasing non-energy element of your invoice – “magnificent 7” to ensure successLeadership teamFinance teamProcurement teamEnergy & Environmental teamFacilities/Property teamLegal teamEngineering team Without these people on board, your targets will remain targets! they’re the only employee (or two) working on sustainability, so they lack departmental support (I’m all alone)Often managing sustainability initiatives is of secondary importance to their actual job role – ‘the day job (I’m doing loads already)It’s harder to engage employees in initiatives that are not ‘obligatory’, even more so when there is a lack of ‘buy in from the top’ – “Prove It”
The EPC market has grown from $2.6b to $6.2b over the last 10 years in the US. The UK whilst significantly less has still seen a large increase. In 2006 the EPC market was around £80m – 2012 it was £138m.
holistic set of objectives and measures consistency across the estategreater economy of scale – delivery and procurementMaximising market incentivesShieldlegislation changesFunding investment – at portfolio vs site level:lower cost and faster set-up timescalesApplication of best practice initiatives and learning across the estate
A financial tool for implementing energy efficiency and facility improvementsThe cost savings generated by the improvements service the debt from projectThe ESCo implements the programme using a design-build approach and guarantees the financial and operational performance The ESCo carries the performance risk and construction cost risk of the programme
International Energy Agency (IEA) which said that nearly $180Bn in 2011 was invested globally in project aimed at improving energy efficiency (ie everyone else is doing it so why aren’t we). A financial tool for implementing energy efficiency and facility improvementsThe cost savings generated by the improvements service the debt from projectHPA Target Greenhouse Gas emissions - overall reduction of tCO2e by 34% (by 2020)Reduce carbon emissions from central government estate by 15% by 2015 and 34% by 2020. (This equates to 6% reduction per year) Key commercial considerationsBalance Sheet treatmentLong term contractingFuture energy & carbon pricesAccess / Lease Payment mechanism Guarantees limit
Good to see that on website, this event was referred to as a sustainability day of action...about driving real improvement not simply a group of like-minded individuals sharing information.Turning theory into practice is one area where I think partnerships and collaboration with others, including commercial companies such as PHS can pay real dividends
So how can PHS help?Well for a start, you get my personal wholehearted sympathy! The range and complexity of issues that you potentially have to deal with is just mind-boggling!In all seriousness, I was very conscious that you might think we’ve got a bit of a nerve coming here today and telling with you what we think you should be doing. In many ways, we are completely outgunned – our sustainability team consists of me and 1 other person – the level of expertise in the SDU is outstanding and certainly nothing we could compare with, the knowledge and experience of the people in the room I’m sure far outstrips my own...But, what I do think we can offer is practical support
We’ve also been through an interesting journey ourselves recently and even though we come from very different organisations, I would image that many of the challenges and questions we have faced recently would be shared.Sustainability challenge = sanitary wasteBetter solutions = banning of bulk volume aerosols from landfill led to the development of DePack, hand dryers have seen a transformation in the last 5-10 years from high voltage, warm air dryers to low energy, high speed cold airBusiness as usual just not good enough!
Push – you’re not persuading people to change, you are forcing them to. The harder it is for them not to comply, the less it is a nudge and more a pushPull – generally associated with rewarding people and demonstrating rewards but these not necessarily just financial – lots of our products do save money, but a big benefit of our service is ease of use so if we are providing customers with simple, cost-effective solutions to complex workplace challenges, arguably we can pull them with usNudge – waste segregation is a great example of an area that tries, and sometimes succeeds in utilising behavioural psychology and persuasion techniques to nudge people into positive actions.Heard great story about littering in Holland on a route predominantly used by school children to walk and cycle to work. They placed bins at basket ball net height and turned it into a competitive challenge!Pull – e.g. Products that offer water savings, rewarding paperless billingResearch suggests that simply rewording a statement to suggest that it’s the norm can improve environmental compliance by around 25%
Implementation: e.g. Waste segregationYou name it, we’ve tried it – from training sessions, observational visits to 5 minute briefings, posters, mousemats, on-line gameWe’ve learnt through trial and error – for example, we know for a FACT that if you place a clinical waste bin near a sink, you’ll end up paying way over the odds to get rid of your paper towels, we know that if you don’t include your doctors and your cleaners and porters in the training, it’s going to go wrong.Admittedly, those things might be blindingly obvious to most of you, but you’d be surprised how often simple things like this are overlooked.
Foundation impact areas are health, environmental and enterpriseMany of you will also be dealing with ‘CSR’ issues and I personally don’t see a great distinction between ‘sustainability’ and ‘corporate responsibility’ . In fact, there’s growing evidence that far more effective to approach social and environmental issues together in co-ordinated manner rather than address each in isolation.Demonstrating social impact of services can also be a powerful engagement tool...whether that be translating the cost of poor waste segregation into the number of nursing positions this figure equates to or highlighting the energy & heat that alternative treatment facilities can provide for local communities when discussing landfill diversionI strongly believe that the commercial world and the third sector are not mutually exclusive. Those historic lines are increasingly fuzzy... In fact there are many opportunities to work together in a way that can bring value to both – for example, I have worked with a social entrepreneur who runs a drug and alcohol recovery network and shared my experience of completing commercial waste tenders to help her prepare bids for NHS and public sector contracts which have conversely given me an insight into community treatment and the myriad of bodies operating in this area...But I don’t want to go into too much detail here as today is all about practical measures so I’d like to hand over to Jamie who is going to run through a case study of our ongoing work with Worcester to improve their waste management processes.
WelcomeNotice of filming – Energy LiveHosted by Barts Health and partners 4allofus, Carillion and Healthcare Estate
NHS Sustainability is a day of action on climate change across the healthcare sector. As the largest trust in the NHS and with the diversity of staff, building stock and health communities we serve we feel we feel it is important for us to play back into the NHS areas of excellence and best practice. Last year 100 NHS organistaions participated in the day, demonstrating the appetite for collaboration and wealth of knowledge in the sector. This year the new website will provide a platform for knowledge sharing and idea generation and the national roadshows will provide an opportunity for local collaboration and networking. This year we are focused on creating a lasting legacy across the communities in which we work – establishing sustaianable projects through our partners 4 all of us.National roadshows – Hull done on 3rd October, Liverpool 4th December, Bournemouth 6th February and London 27th March.The awards will give trusts recognition for the work they are doing across the UK and encourage others to join next year.
Follow us on twitter and facebook @dayforaction/#dayforaction
As you can see, student engagement in sustainability is really high, and this has allowed us to develop a big, bold vision for our work:Students’ unions as a network of green hubs, greening themselves, their institutions and working together to green their communitiesStudents leave tertiary education as part of the solution to the world’s environmental challenges, not part of the problemWe have a short animation that we hope captures our vision for sustainability through students…