Presentación de Jørgen Abildgaard en la Jornada "Barcelona hacia la transició...Fundación Renovables
Presentación de Jørgen Abildgaard, Director Ejecutivo de Cambio Climático de Copenhague en la Jornada "Barcelona hacia la transición energética" organizada el 10 de noviembre de 2016 por el Ayuntamiento de Barcelona en colaboración con la Fundación Renovables y Energy Cities.
Alan Ryan (SEAI) gives an overview of the National Energy Services Framework at Codema's EPC Information Seminar in The Morgan Hotel in Dublin on 13 October 2015 as part of the EESI2020 project.
Presentación de Jørgen Abildgaard en la Jornada "Barcelona hacia la transició...Fundación Renovables
Presentación de Jørgen Abildgaard, Director Ejecutivo de Cambio Climático de Copenhague en la Jornada "Barcelona hacia la transición energética" organizada el 10 de noviembre de 2016 por el Ayuntamiento de Barcelona en colaboración con la Fundación Renovables y Energy Cities.
Alan Ryan (SEAI) gives an overview of the National Energy Services Framework at Codema's EPC Information Seminar in The Morgan Hotel in Dublin on 13 October 2015 as part of the EESI2020 project.
REMOURBAN Information package n2 - Low Temperature District Heating (LTDH)REMOURBAN
The Nottingham City Council aims to create a citywide heat network that will further enable Nottingham to cope with climate change and build resilience to external energy price pressures.
UFI Operations Award 2010 presentation for Direct Energy Center , Toronto, Canada
By: Jeff Gay, Director of Event Management Services and Mark Goss, General Manager, Operations
1/3/2016 Raising the temperature of the UK heat pump market: Learning lessons...Matthew Hannon
Heat pumps play a central role in decarbonising the UK's buildings sector as part of the Committee on Climate Change's (CCC) updated abatement scenario for meeting the UK's fourth carbon budget. However, the UK has one of the least developed heat pump markets in Europe and renewable heat output
from heat pumps will need to increase by a factor of 50 over the next 15 years to be in line with the scenario. Therefore, this paper explores what lessons the UK might learn from Finland to
achieve this aim considering that its current level of heat pump penetration is comparable with that outlined in the CCC scenario for 2030. Despite the two countries’ characteristic differences we argue they share sufficient similarities for the UK to usefully draw some policy-based lessons from Finland including: stimulating new-build construction and renovation of existing stock; incorporating renewable heat solutions in building energy performance standards; and bringing the cost of heat pumps in-line with gas fired heating via a combination of subsidies, taxes and energy RD&D. Finally, preliminary efforts to grow the heat pump market could usefully focus on properties unconnected to the gas-grid, considering these are typically heated by relatively expensive oil or electric heating technologies.
REMOURBAN Information package n2 - Low Temperature District Heating (LTDH)REMOURBAN
The Nottingham City Council aims to create a citywide heat network that will further enable Nottingham to cope with climate change and build resilience to external energy price pressures.
UFI Operations Award 2010 presentation for Direct Energy Center , Toronto, Canada
By: Jeff Gay, Director of Event Management Services and Mark Goss, General Manager, Operations
1/3/2016 Raising the temperature of the UK heat pump market: Learning lessons...Matthew Hannon
Heat pumps play a central role in decarbonising the UK's buildings sector as part of the Committee on Climate Change's (CCC) updated abatement scenario for meeting the UK's fourth carbon budget. However, the UK has one of the least developed heat pump markets in Europe and renewable heat output
from heat pumps will need to increase by a factor of 50 over the next 15 years to be in line with the scenario. Therefore, this paper explores what lessons the UK might learn from Finland to
achieve this aim considering that its current level of heat pump penetration is comparable with that outlined in the CCC scenario for 2030. Despite the two countries’ characteristic differences we argue they share sufficient similarities for the UK to usefully draw some policy-based lessons from Finland including: stimulating new-build construction and renovation of existing stock; incorporating renewable heat solutions in building energy performance standards; and bringing the cost of heat pumps in-line with gas fired heating via a combination of subsidies, taxes and energy RD&D. Finally, preliminary efforts to grow the heat pump market could usefully focus on properties unconnected to the gas-grid, considering these are typically heated by relatively expensive oil or electric heating technologies.
Following the success of community owned solar energy projects in Brixton, Brighton, Bath and elsewhere a group of residents is working to set up a not-for-profit solar energy co-operative based in South East London. This will be a cooperatively owned enterprise that generates renewable electricity for use by householders and for sale to the national electricity grid.
The group plans to raise investment from the community to enable them to install solar panels on the large sunny roofs of building providing social housing or community services.Generating clean electricity in this way can potentially provide low cost or free electricity and fund energy efficiency measures whilst also providing a return to investors
The groups invites all those who would like to get involved in setting up the cooperative or who would like to find out more about investing in it or benefiting from it get in touch! These slides are from the first public meeting held on Sunday 9th March 4 – 5.30pm at the Food Bank, 467 New Cross Road.
Heat in the City | Bruxelles - 10 décembre 2019Cluster TWEED
Le 10 décembre dernier, EDORA et ODE, les fédérations des énergies renouvelables de Wallonie, de Bruxelles et de Flandre, se sont associés au Danish Trade Council et au Danish Board of District Heating, pour apporter des réponses aux défis de la décarbonation des systèmes de chauffage et de la production d’eau chaude sanitaire. Découvrez l'ensemble des présentations de l'événement dès à présent.
Blake Lapthorn green breakfast with guest speaker Gin Tidridge - engaging col...Blake Morgan
Blake Lapthorn solicitors' Climate Change team held a green breakfast on engaging colleagues in sustainability on 30 October 2012. The guest speaker was Gin Tidridge, B&Q's One Planet Home Range Manager.
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?
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?
The Diagnostic & Testing virtual conference held on the 11th June 2020 was an inspiring event examining the role of both molecular and rapid diagnostics in tackling disease, infection and reducing the impact of COVID-19 within our communities and hospitals. The virtual conference explored how health professionals, academics and industry are driving diagnostic and testing usage within laboratories, pharmacies and community practice.
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.
Sustainability in the Operating Theatre4 All of Us
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.
Role of diagnostics for disease & infection prevention webinar4 All of Us
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
Speakers
John Bagshaw - BIVDA
David Watwood - Ciga Healthcare
Marc Winrow - Lumos Diagnostics
NHS Sustainability Day Cardiff 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.
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
Sustainable Health Scotland 2017 was organised by 4 All of Us in partnership with NHS National Services Scotland, NHS Health Scotland and the Scottish Managed Sustainable Health Network (SMaSH). The Conference, a catalyst to a long-term campaign on behalf of NHS National Services Scotland and NHS Health Scotland to reduce health inequalities and achieve a sustainable health and social care system in Scotland.
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.
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.
Transport and Travel Challenges for the NHS - Webinar4 All of Us
This webinar addressed key topical areas such as:
Parking charging for patients - How can this be addressed and improved?
Adequate parking spaces- Are Trusts fit for purpose when it comes to car parking?
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.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
5. In 2008 we launched our original carbon management plan
“Getting Our House in Order”
Our target was to implement measures to reduce carbon
emissions from the Council’s estate and operations by
25% by March 2011 – that’s 2,500 tonnes of CO2
6. We need to reduce our carbon emissions to combat
climate change, reduce our reliance on fossil fuels and
reduce our energy and fuel bills as prices continue to
rise ever higher
8. We created a revolving loan fund through Salix
providing £405K to
spend on energy
saving technologies
across the Council
9. With this we have
installed pool covers
in our leisure centres
to reduce energy loss
and save around
£15,000 per year…
10. …and installed many more energy saving measures
such as cavity wall insulation, boiler and lighting
upgrades and heat recovery systems
A lighting upgrade project in Westgate Car Park alone
has saved us around £26,000 per year in energy bills
11. Since 2009, 240 of our fleet vehicles have been fitted with
tracker/telematics systems, which can re-route vehicles to
save mileage and report on emissions and fuel usage
12. We also use route optimisation software to plan the
most efficient routes possible to for our waste and
recycling rounds – saving time and fuel
13. In April 2009, 330 of our drivers took the Smarter Driving
training course
One year later our drivers showed a reduction of 15% in
fuel consumption, saving us nearly £70,000 in fuel
We won an Energy Saving Trust ‘Fleet Heroes’ award for
this initiative
14. By moving from three offices into one as part of the Offices
For the Future programme we reducing our CO2 footprint
by around 250 tonnes a year
15. Major energy efficiency measures in the refurbished St
Aldates offices, such as energy efficient lighting and
motion sensor controls, have taken the building from an
E to a C grade in terms of its energy performance rating
16. We installed Smart Meters in our main buildings to
monitor gas and electricity usage on a half-hourly basis
This means we can quickly see where energy is being
wasted, and can act to do something about it
17. Our procurement strategy favours suppliers who can
demonstrate actions taken to reduce their environmental
impact, including using employees from the local area
This means that for example:
• All our used tyres are re-used or fully recycled
• We only buy recycled paper
• All the wood we use as building material is FSC certified
18. We set up a network of Carbon Champion volunteers to
engage colleagues in a fun and interesting way on
reducing energy use, waste and fuel usage
19. Please wash any food-soiled items before recycling
Thanks to our Carbon Champions…
• 95% of staff are aware of energy saving initiatives at work
• 88% of staff are motivated to help save energy at work
20. We provided pool
bikes to encourage
cycling at work to
reduce transport
costs and
emissions
Our pool bikes
mean people can
travel more quickly
and get fit at the
same time
21. Carbon Champions helped to
introduce food waste recycling at work
Waste food like teabags and fruit peelings
are now used to make electricity instead of
releasing harmful gases in landfill
22. We became the first UK local authority to
achieve the new British Standards Kitemark for
Energy Reduction Verification
23. In 2010 we launched the pioneering Low
Carbon Oxford initiative - uniting leaders
from the public, private and non-profit
sectors in working together to reduce
Oxford’s carbon footprint
24. Low Carbon Council
As a result of all of this we were highly
commended in the 2011 LGC awards Low
Carbon Council category
25. We had reached our 25% target by
March 2011
But we didn’t stop there….
26. We installed solar panels on two leisure centres and three
sheltered housing sites to generate our own green
electricity. These reduce our electricity bills and also
generate extra income through the feed-in tariff scheme
27. We set up a Bicycle User
Group (BUG) and have run
bike maintenance and training
to encourage more people to
cycle at work
28. Our Motor Transport
division continue to trial
the latest developments
in fuel efficient vehicles
– including electric cars
29. We launched a workplace travel plan and a host of
incentives to get staff our of their cars and using greener
transport at work
30. Following a very popular trial with staff we have added
several electric bikes to the bike pool – these are a fun
way of saving time and getting up hills with no effort
31. We worked with a local community group to pilot
their Low Carbon Living Programme in the
workplace for the first time
33. Each year the Council spends…
£1,400,000 on gas and electricity
34. Each year the Council spends…
£1,400,000 on gas and electricity
£800,000 on fuel
35. Each year the Council spends…
£1,400,000 on gas and electricity
£800,000 on fuel
£250,000 on water
36. Each year the Council spends…
£1,400,000 on gas and electricity
£800,000 on fuel
£250,000 on water
£15,000 on sending waste to landfill
And the price of
these continues
to rise…
37. We have a more ambitious target - 5%
reduction in carbon emissions from waste,
electricity, gas and fuel use
We have broadened the scope and
included more sites in our carbon footprint
We want to continue to be leaders in
carbon reduction in Oxford
From 2012:
38. And we all have a part to play
Which is why….
Revenues Officer
Management Accountant
Sustainable Energy Officer
Chief Executive
Director
Business Improvement Partner
Performance Improvement Officer
Building Control Surveyor
Senior Planner
Conservation Officer
Team Leader
Community Development Officer
Community Response Team Officer
Property Manager
Corporate Asset Manager
Admin Support
Benefit Assessment Officer
Revenues Officer
Administrative Apprentice
Rent Advisor
Enforcement Officer
Fleet Administrator
Road Construction Worker
Electrician
Bricklayer Gas Engineer
Streetscene Operative
Environmental Health Officer
Dog Warden
39. Oxford City Council are placing
carbon reduction at the heart of
everything we do
40. Creating a joined up heat
network for Oxford
Paul Robinson
Climate Change and Energy,
Oxford City Council
41.
42.
43.
44. Heat Networks for Oxford
Hand over to Robin Wiltshire,
BRE – expert on heat networks.
We are going to be working
together to identify potential
opportunities in Oxford.
48. Large DH network
• District heating is widely
used worldwide and in
some European countries
schemes exist that supply
entire cities with heat
– Most of the towns and
cities of Denmark and
Sweden are heated in
this way and
– German cities like
Berlin and Hamburg
have some of the
biggest networks in the
world.
DH supplying the city of Copenhagen.
160km of primary pipes and 1,500km of
distribution pipes
Heat is derived from waste incineration,
geothermal energy and fuels such as wood pellets,
straw, straw pellets, natural gas, oil and coal.
60. Summary of benefits
• Environmental – carbon reduction
• Enhanced security of supply
• Affordable warmth
• Efficient use of heat sources (fossil fuel, biomass)
• More straightforward maintenance of heating plant
• Space savings at the building level
• Increased safety of the building occupiers
• Instantly available of any amount of hot water at
system pressure.
62. Where is it implemented?
Generally speaking, DH is best applied in the following:
• Areas of high heat demand density
• Areas with a mix of building types
• And for initiating new schemes look for the potential
‘anchor loads’…
63. Buildings suitable for CHP – also anchor loads
• Hospitals
• Universities
• Hotels – large
• Leisure centres with pools
• Multi-residential blocks
64. Buildings unlikely to justify CHP
• Cottage hospitals, doctor’s surgeries
• Schools
• Hotels – small
• Leisure centres without pools
• Low-rise housing
• Offices
• Retail.
65. Individual site CHP – sometimes a heat network
• Might be just one building (large hotel)
• Or maybe many buildings (campus university)
• If more than one building – need connecting pipes…
• … effectively then a heat network
• Such heat linking at individual sites is not uncommon
• Heat linking beyond the site boundary is less common
but offers significant benefits.
66. Heat linking to other organisations - benefits
• Higher overall demand
• Smoother aggregate load profile
• Higher heat sales, stronger economic case
• Connection of individual buildings that could not justify
CHP on their own
• No need for separate heating (or chilling) plant in
buildings
• Less items of plant to buy and maintain
• Perhaps a larger CHP.
67. Why haven’t more done it?
• Not core business: who will take the initiative?
• Carrying on with the status quo
• Existing CHP (or other plant) already working well
• Desire to keep all such decision making at site level
only
• Fears about reliability
• Lack of obvious adjacent sites to link with
• Apparently suitable adjacent sites may be reluctant or
already have new plant
• Lack of awareness of heat networks and/or CHP
68. Getting started with district heating
• Local authorities are generally the key
hub point for establishing heat networks
• Local authorities are in a good position to
initiate because they can connect
buildings they are responsible for
• Major LA buildings like town halls, leisure
centres and residential blocks are ideal
‘anchor loads’ for heat networks
• So too are hospitals.
LA energy
champions
69. Contacts
• BRE can assist with assessing CHP, renewables and
district heating options
• Robin Wiltshire
wiltshirer@bre.co.uk
01923 664534
0777222 8729
70. NHS Sustainability Day 2014
Oxford Roadshow, 11th March
CREATING A SUSTAINABLE FOOD STRATEGY
Julian Cottee (Cultivate & Good Food Oxford)
Ingeborg Steinbach (Centre for Sustainable Healthcare & Good Food Oxford)
julian@cultivateoxford.org | Inge@sustainablehealthcare.org.uk
71. What is ‘sustainable food’?
• Environment – climate change, land, water,
biodiversity, species loss
• Fairness – good food affordable to all, and
exploiting no one
• Local economy – a food system that supports
independent business and rewarding work
• Food culture – we enjoy local tastes and know
how and where our food is produced
• Health – 30% of children aged 4-5 are either
overweight or obese
72. Food and Climate Change
• About 30% of all
greenhouse gas emissions
globally come from our
food system
• Every stage in the food
chain produces emissions,
from field to fork to waste
Graphic: http://ccafs.cgiar.org/bigfacts2014/#theme=mitigation
73. 2 starting points for action
• WASTE: 30% of all food produced is
wasted. This means:
– We have to produce 1/3 more food =
impact
– Methane from rotting food in landfill =
impact
• MEAT CONSUMPTION: livestock account
for 14.5% of total global greenhouse gas
emissions
– Dietary change can have a huge impact
74. Creating a holistic Good Food Strategy
• Good Food is complex
• No one organisation has the power to deliver:
it can only happen through partnership and
shared vision
A new network for Oxford
Aim: “to identify and catalyse actions by that
will measurably reduce the greenhouse gas
emissions from Oxford’s food system while
promoting environmental sustainability, social
inclusion, health, wellbeing, the local economy
and a thriving food culture.”
www.goodfoodoxford.org
76. Links between Food, Health and
Environment
• Impact of food on health and healthcare
• Food procurement in healthcare
• Food growing
77. Impact of food on Health and
Healthcare
• Access and consumption of healthy food is
important in preventing illness.
• What is good for health is good for the
environment, e.g. reducing consumption of
red meat.
• Health problems associated with being
overweight cost the NHS £5billion.
78. Carbon Footprint of the NHS
25Mt Co2e > Carbon footprint of Estonia
• 61% Procurement (34% pharmaceuticals, 18%
medical devices & equipment)
• 17% Building energy
• 13% Travel
• 9% Commissioning
79. Food Procurement
• 3% of the NHS Carbon footprint is food and
catering
• NHS serves over 300m meals a year, 30m a
year are thrown away (10%)
• 21 failed voluntary initiatives from 1992-2013
at the cost of £54m
80. Criteria of Successful Case Studies
• More local fresh food
• Seasonal menus
• Working closely with suppliers
• Creating/ working with hubs of small farmers
• Not cost saving, but cost neutral
81. Guides on Sustainable Food
Procurement
• Sustainable Food – A guide for hospitals
(Department of Health)
• Catering Mark (Soil Association)
• Good Food on the Public Plate: A manual for
sustainability in public sector food and catering
(Sustain)
• How to ... provide tasty, healthy and
environmentally friendly hospitals meals (CSH)
82. Actions for NHS Sustainability Day
• Meat free day
• Use one ingredient grown on site
• Measure your food waste for a day
• Provide information on where your food
comes from
83. Workshop: Good Food Oxford Charter
• 19th March, 6-7:30pm
• Oxford Hub, above Turl Street Kitchen
• www.goodfoodoxford.org
84.
85.
86.
87.
88.
89.
90.
91.
92.
93. • Share information between participating
organisations about their employee engagement
work
• Bring in expertise and experience from outside Low
Carbon Oxford to add value to Pathfinders’ work
• Model best practice in employee engagement and
behaviour change by creating a strong community of
professionals who will continue to support each
other after the initial stage of the project is complete
99. NHS Sustainability Day of
action
Emma Wood
Group Sustainability & Corporate Responsibility
Manager
100. How can we help?
Biodiversity
Social Value
Employee Diversity
Noise pollution
Carbon reduction
Landfill Diversion
Adapting to climate
change
Energy Management
Renewables
Community
Engagement
Workplace
Wellbeing
Hazardous waste
Noise pollution
Sustainable
transport
Saving water
Infection control
Care closer to home
Ethical procurement
101. 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
102. 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
103. 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
104. 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
105. 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
107. PHS Group
• The start - 14 August 1963
• Part of Tack Training Group
• Introduction of Feminine Hygiene service
• Currently employ 5,000 people
• Turnover £418m
108. Clinical Journey
• 2001 Healthcare Division created
• Established national service
• 28 transfer stations across UK
• Developed be-spoke service to support NHS clients
109. Expectations of the NHS
• Waste hierarchy
• Best Practice
• Segregation
• Innovation
• Education
• Legislation
In the community
111. Response to Change
• Clients now expecting innovative ideas
• Reduction of costs
• Partnerships
• KPI’s
• So who took a leap of faith?
112. A Success Story
• PHS won tender in 2007
• Committed to identify their hazardous waste streams and
segregate at source.
• Fronted by Infection Control, for Community and Mental
Health.
• Approximately 90 locations including home patients and
hospitals on various service frequencies
• PHS completed full site audits to ensure compliance and
make recommendations.
• Create plan of action
113. Success - cont...
• The start - hard work and perseverance
• Develop tailored training
• Barriers to change – “old habits die hard”
• Supplied reports on segregation and the split of
types and volumes of waste being collected.
• Regular reviews meetings with stakeholders
• Developed the “Naughty Persons List”
114. How it looked before
28%
72%
Waste Segregation Worcester PCT GP Practices -
June - August 09
Offensive
Infectious
Worcester Mental Health Trust Locations -
June - August 09
51%49%
Offensive
Infectious
121. Making tomorrow a better place
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Sustainability at Carillion
Emma Gilbert
122. Making tomorrow a better place
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• A bit about me
• A bit about Carillion
• Sustainability at Carillion – How? What?
– A corporate issue
– On our projects
– From our people
• It just makes sense
• Questions and Discussion
123. Making tomorrow a better place
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A bit about me...
• 17 years experience in HSEQ Management in
FMCG, Oil and Gas, Pharmaceutical and Facilities
Management
• Joined Carillion in 2011 through acquisition of
Eaga.
• Role of Sustainability Manager for the UK Services
Business for over 2 years
• Currently working at James Cook University
Hospital
124. Making tomorrow a better place
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• Tarmac Group – De-Merged in 1999
– Tarmac, Wimpey, Cubitts and Mitchell Construction
• Further Acquisitions:
– Mowlem (2006)
– Alfred McAlpine and Vanbots (2008)
– eaga (2011)
– John Laing Integrated Services (2013)
A Collection of Businesses …
• 40,000 employees
• UK, Middle East, Canada
• £4.1Bn turnover (2013)
• Share price £3.66
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125
Maintenance
Utilities
Facilities
Defence
Infrastructure
Rail
Health
Education
Managing Globally …
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Origins … 1994 Major Road Protests at Twyford
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• Expectations – Trust, Transparency and Responsible Actions
– Clients – Government and Commercial
– Investors and Shareholders
– Employees – Internal and Supply Chain
• Reputation and Legal Accountability
– Media and Opinion Formers
– Social Media: The World as a Journalist
• Cost and Profitability – “Triple Bottom Line”
– Economic
– Environmental
– Social
• Competitive Advantage
Why It’s a Corporate Issue
128. Making tomorrow a better place
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Our Journey...
129. Making tomorrow a better place
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2004 and Beyond …
130. Making tomorrow a better place
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“To be recognised as a leading
sustainable business and the
leading sustainable support
services company …”
Sustainability Vision 2020
Richard Howson
Chief Executive Officer
131. Making tomorrow a better place
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Our six positive outcomes
Protecting the environment
Supporting sustainable
communities
Providing better prospects
for our people
Building a successful business
Leading the way
Enabling low-carbon economies
132. Making tomorrow a better place
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A Corporate Issue
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134. Making tomorrow a better place
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• One of the Carillion’s largest construction
projects in the UK
• Aim that the hospital redevelopment will
act as a catalyst for regeneration
• Key target was to ensure that the benefits
flowed into the community
– 85% local employment
– 60% local spend
• Carillion delivered
– 80% local employment
– 60% local spend
Southmead Hospital Sustainability Achievements
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• £335M capital cost, 3 year build
• £100M support services, 30 year concession
• Largest all single-bed hospital in UK (646 beds, 40-bed CCU, 18 theatres)
• One of the UK’s 'greenest' hospitals:
– Dedicated cycle centre and 10 electric car charging points
– Renewable energy systems
– Low carbon materials, systems
– Water meters, leak detection
• £240M to local economy
– 750 full-time jobs during build
– 60% to local people
– 60% materials locally-sourced
– 15% workforce from priority areas
– 100 apprenticeships created
New Royal Liverpool Hospital Sustainability Commitments
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And from our people... James Cook University Hospital
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And from our people... BARTS and Harpley
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• 2011: Carbon Disclosure Leadership Index – for 1st time
• 2011: 148 placements for Business Action on Homelessness
• 2011: Highly Commended – PwC FTSE 250 Sustainability Report
• 2012: Launched Sustainability Talk and News (STN) – Industry 1st
• 2012: Gold Leaf member of UK Green Building Council
• 2012: 1000 apprentices gain NVQs in sector-leading programme
• 2013: Funding Partner of Supply Chain Sustainability School
• 2013: Retain BiTC Platinum Big Tick status
• 2013: Achieve Carbon Leadership status – Top 10 UK companies
• 2013: Win PwC Building Public Trust Award – Sustainability Report
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It just makes sense...
• For our clients
• For our communities
• For our environment
• For our people
• For our reputation
• For our bottom line
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• A bit about me
• A bit about Carillion
• Sustainability at Carillion – How? What?
– A corporate issue
– On our projects
– From our people
• It just makes sense...
• Questions and Discussion
142. Food for Life Partnership:
Improving food in hospitals
Susannah McWilliam, Soil Association
Margi Lennartsson, Garden Organic
143. What is sustainable food?
is kind to the environment,
protecting biodiversity, minimising
resource use and minimising carbon
impacts
Has high animal welfare standards
Contributes to
thriving economies
and livelihoods
Provides social
benefits, such as good
quality food, safe and
healthy products, and
educational
opportunities
144. is kind to the environment,
protecting biodiversity, minimising
resource use and minimising carbon
impacts
Has high animal welfare standards
Contributes to
thriving economies
and livelihoods
Provides social
benefits, such as good
quality food, safe and
healthy products, and
educational
opportunities
Should sustainable food be
an NHS priority?
Spending power:
£500 million
Staff health and
wellbeing:
1.2 million staffScale:
300 million
patient meals
Public health
responsibility:
every contact counts
Leadership & responsibility
Improved
outcomes
Cost to the NHS of diet
related ill health: £5.8
billion (and rising)
Public
expectation
145. Should sustainability be
an NHS priority?
Our leadership will be tested in our commitment and
ability to bring about the transformations required. We
must take these concepts forward in our lives, our
jobs, our teams and organisations, and with our
communities. We must do so positively and
inquisitively, with enthusiasm and with vigour. This
agenda creates many positive benefits and it is already
generating energy for change in people, organisations
and communities. It also demonstrates our
responsibility and commitment to a broader and more
global perspective of health and wellbeing.
146. PLACE
Incentives and measuring progress
CQUIN
(no. 295 in NHS England pick-list),
‘Improving Hospital Food by achieving
compliance with recommended or
best practice standards’
147. Food for Life Catering Mark
• Complies with recommended nutritional standards
• 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
148. New CQUIN rewards
better hospital food
"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
CQUIN number 295 in NHS England pick-list,
‘Improving Hospital Food by achieving compliance
with recommended or best practice standards’
149. 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
Barts Health NHS Trust
Imperial College Healthcare NHS Trust
Calderdale and Huddersfield NHS Trust
“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
150. Hospitals and the Catering Mark
Awarded
North Bristol NHS Trust
Nottingham University Hospitals Trust – now at gold level
Hinchingbrooke Healthcare NHS Trust (Cambridgeshire)
St Joseph’s (Wales)
Rotherham Hospital (patient, staff and visitor)
Working towards
Bournemouth &
Christchurch
Commitments
Barts Health NHS Trust
Imperial College Healthcare NHS Trust
Calderdale and Huddersfield NHS Trust
Plus:
68 more
hospitals
Over 4.5
million meals
annually
151. FFLP in hospitals: pathfinder pilots
“transforming
food culture” FOOD EDUCATION
AND SKILLS
e.g. support cooking
and growing skills
development
A HEALTH
PROMOTING
SETTING
e.g. leadership on
developing a good
food culture
throughout the
hospital
CATERING QUALITY
STANDARDS AND
CERTIFICATION
e.g. improve food
quality through FFL
Catering Mark:
patients, staff and
visitors
PATIENT DINING
EXPERIENCE
e.g. dining
experience tailored
to maximise positive
experience for
different patient
groups
COMMUNITY
AND PARTNERS
e.g. Connect
hospital and
relevant social care
settings in the
nutritional support
of patients into post
discharge life
152. FFLP in hospitals: pathfinder pilots
“transforming
food culture” FOOD EDUCATION
AND SKILLS
e.g. support cooking
and growing skills
development
A HEALTH
PROMOTING
SETTING
e.g. leadership on
developing a good
food culture
throughout the
hospital
CATERING QUALITY
STANDARDS AND
CERTIFICATION
e.g. improve food
quality through FFL
Catering Mark:
patients, staff and
visitors
PATIENT DINING
EXPERIENCE
e.g. dining
experience tailored
to maximise positive
experience for
different patient
groups
COMMUNITY
AND PARTNERS
e.g. Connect
hospital and
relevant social care
settings in the
nutritional support
of patients into post
discharge life
153. FFLP in hospitals: pathfinder pilots
FOOD EDUCATION
AND SKILLS
e.g. support cooking
and growing skills
development
A HEALTH
PROMOTING
SETTING
e.g. leadership on
developing a good
food culture
throughout the
hospital
CATERING QUALITY
STANDARDS AND
CERTIFICATION
e.g. improve food
quality through FFL
Catering Mark:
patients, staff and
visitors
PATIENT DINING
EXPERIENCE
e.g. dining
experience tailored
to maximise positive
experience for
different patient
groups
COMMUNITY
AND PARTNERS
e.g. Connect
hospital and
relevant social care
settings in the
nutritional support
of patients into post
discharge life
154. To find out more please email me at
smcwilliam@soilassociation.org
Or come and chat
at the end of the day
155. Gardening and food growing to deliver
health, wellbeing and sustainability
Margi Lennartsson
157. Benefits of gardens and food growing
Environment Human health
and wellbeing
158. Benefits of gardens and food growing
Building stronger
communities Food security
159. Growing Food
• Access to fresh and tasty food
• Active and worthwhile
• Learning and connecting with food production
• Climate friendly actions
160. Why food-growing?
• Mental & Physical Health
• Food and Diet
• Wellbeing
• Wider determinants of health
• Diverse appeal
161. 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
162. Sydenham Gardens
University Hospitals Coventry and Warwickshire
Hoventon House Care Home
Food Growing in Health Settings
Growing Opportunities Sandwell
166. The Centre for Sustainable Healthcare
We are a small healthcare charity inspiring people to realise the
importance of the overlap between their wellbeing and
environmental sustainability, particularly in the field of
healthcare.
Our Work includes:
• Clinical Transformation – green champions
• Sharing Knowledge – case histories and queries
• Literally Greening the NHS Estates - NHS Forest, Green Health Routes
• Embedding Sustainability as a management priority
167. NHS Forest Aims
• Improving the health of staff, patients and communities
through increasing access to green space on or near to NHS
land
• Greening NHS Estates – with trees, plants, edible crops
• Encouraging greater social cohesion between NHS sites and
the local community via Outer Space Community Projects
• A ‘Natural Health Service’
168. Benefits of the NHS Forest
Trees and Green space:
• Accelerate patient recovery (Ulrich 1984)
• Provide a healing environment
• Enhance people’s mood, self esteem, lower blood pressure
• Improve air quality, reduce temperature and risk of flooding
• Reduce NHS costs through increasing health prevention,
speeding up recovery rates and lessening estates’
maintenance costs
For more information of the benefits of the NHS
Forest visit www.nhsforest.org/evidence
169. Achievements in 2014, so far …
• 33,583 trees planted
• 120 sites involved
• NHS Sustainability Day of Action
(30+ sites participating)
• GP Health Walks
• Therapy gardens
170. NHS Sustainability Day of Action
• NHS Forest running 2 trees at 2pm campaign – 2@2
• In 2013, 22 sites across the UK planted trees
• This year, 31 sites are taking part with over 600 trees being
planted
• The Great Outdoor Gym Company (www.tgogc.com) have
sponsored the trees to be donated to healthcare sites.
172. Lancashire Care NHS Trust
Opening of on
site garden
Apple picking with staff,
patients and local
community
Bee keeping on site
173. How you can be part of the NHS Forest
• Plant Trees at your Healthcare Organisation
• Encourage staff, patients and the local community to
use their NHS Forest
• Sponsor Trees
• Partner with the NHS Forest as a delivery
organisation
181. www.trakeo.com @trakeonews
Company image
% agreeing Global
sample
Highly
engaged
Unsupported Detached Disengaged
Organisation
conducts
business
activities with
honesty and
integrity
58% 84% 61% 47% 27%
Organisation is
highly regarded
by general
public
57% 81% 59% 46% 29%
Towers Watson Global Workforce Study
184. Trevor Payne, Director Estates and Facilities Barts Health NHS Trust
and founder of NHS Sustainability Day
www.nhssustainabilityday.co.uk
185. A call to action for the NHS
NHS Sustainability Day
• 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
186. Motivating Success
NHS Sustainability Day
• 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 – over 60 entries
• Internationally showcasing NHS
187. • 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
188.
189. #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