HECM4 launch event

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NHS Carbon Management Phase 3 Launch Event The
Hatton, London Thursday 1st May 2008
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NHCM Phase 3 Participants 08/09
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18 NHSCM Alumni across the UK
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Welcome!

• The Carbon Trust Team
• NHSCM Alumni - Cwm Taf NHS Trust Medway NHS
  Foundation Trust
• NHS Confederation Peter Mount
• Dept of Health Estates Facilities Lorraine
  Brayford
• NHS Sustainable Development Unit Dr David
  Pencheon Larissa Lockwood
• The Campaign for Greener Healthcare Rachel
  Stancliffe Dr Frances Mortimer
• Commission for Architecture and the Built
  Environment (CABE) Susan Francis
• The Programme Advisor Team

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The Carbon Trust
Hugh Jones, Director of Solutions
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About the Carbon Trust

• The Carbon Trust was set up by government as an
  independent company
• Our mission is to accelerate the move to a low
  carbon economy
• We work with organisations to reduce carbon
  emissions and develop commercially viable low
  carbon technologies
• To deliver our mission we bring together public
  and private funding and encourage cross sector
  partnerships
• As a Company Limited by Guarantee any profits we
  make are reinvested to help deliver our mission

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Recent temperature increases follow over 1000
years of relative stability and are projected
to accelerate rapidly
Source IPCC Third Assessment, 2000
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The UK carbon challenge

• The UKs direct emissions of CO2 are 560 million
  tonnes (MtCO2) a year
• 40 of UK CO2 emissions are created by business
• 5 are from the public sector
• The Governments target is to reduce the UKs
  emissions by 60 by 2050
• The move to a low carbon economy presents
  significant challenges but huge opportunities

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The Carbon Trusts activities cover 5 main areas
Insights Explaining the low-carbon economy
Enterprises Creating new low-carbon businesses
Solutions Delivering carbon savings for
organisations
Investments Financing low-carbon businesses
Innovations Developing new low-carbon technologies
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Services available to the NHS
Carbon Trust Enterprises
Carbon Trust
Carbon Surveys
Partnership for Renewables Commercial onsite
renewable energy projects (1-10MW)
NHS Carbon Management
Bespoke support 5050 funding
Design Advice Advice for new build and refurb
NHS Network Issues exchange forum
Low Carbon Cities programme CT / EST support to
city-wide carbon reduction
Energy Tech List Procurement guidance
Salix Finance
Invest to save
Business Outreach Support 10 pilots
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Congratulations on joining the programme

• High profile influential programme CO2 and
  financial savings will be substantial.
• Average CO2 targets set to date 20
• 125,000 tCO2 identified
• Financial savings of over 14M per year to date
• Stiff competition - well done in your commitment
  to date
• Sponsors CE and director support will define
  the success of the programme in your Trust
• Resource feedback shows the programme to need
  lots of commitment and energy.
• You will reap rewards financially and
  reputationally but you need the resource in place

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NHS Carbon Management
Tom Cumberlege Public Sector Manager
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Why does the Carbon Trust work in the Health
sector?

• Direct carbon footprint
• 3.4 million tonnes of CO2 pa
• Energy bill in excess of 400M pa
• Vast indirect impact
• Wide range of responsibility
• Leadership and example
• Key to meeting climate change targets
• Influence across private, public and domestic
  sectors
• Procurement, planning services

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PROGRAMME ORGANISATION (2)
30 NHSCM Alumni across the UK
Phase 1
Phase 2
NHS Grampian
Central Manchester and Manchester Children's
University Hospitals NHS Trust
University Hospital Of South Manchester NHS
Foundation Trust
Calderdale Huddersfield NHS Trust
Hull East Yorkshire Hospitals Trust
Wrightington, Wigan and Leigh NHS Trust
University Hospitals of Leicester NHS Trust
Royal Liverpool Broadgreen University Hospital
NHS Trust
Norfolk and Norwich University Hospital
Salford Royal Hospitals NHS Trust
The Royal Free Hospital NHS Trust
Stockport NHS Foundation Trust
University College London Hospitals
North East Wales NHS Trust
Great Ormond Street Hospital for Children NHS
Trust
Birmingham Shared Services Agency
Queen Elizabeth Hospital NHS Trust
Carmarthenshire NHS Trust
Guys St.Thomas' NHS Foundation Trust
Bro Morgannwg NHS Trust
Medway Maritime Hospital
Pontypridd Rhondda NHS Trust
St. George's Healthcare NHS Trust
Cornwall Health Estates Shared Services Agency
Chelsea and Westminster Hospital NHS Foundation
Trust
Southampton NHS Trust
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315 Public Sector CM partners
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NHSCM Phase 1 participants 06/07
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NHSCM Phase 2 participants 07/08
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NHSCM Progress to date

• Over 125,000 tCO2 pa savings identified to date
• Thats over 4100 tCO2 per Trust

Total cost savings identified over 14M pa On
average 450k per Trust per year
CO2 savings based on the 30 Trusts who have
quantified CO2 savings
savings based on the 29 Trusts who have
quantified savings
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Overcoming barriers..
Bear these in mind for the Alumni look to your
programme advisors for guidance
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Barriers People Resource!

• Problem Energy management energy efficiency
  seen as peripheral to a Trusts key function
• Key to raising the profile of carbon management
  up to the mainstream the day-to-day business of
  the Trust
• Key to integrating CM and gaining appropriate
  support
• Energy Management seen not just as contract
  efficiency but proactive demand reduction

NHS Trusts need a dedicated Carbon Reduction
Manager reporting directly to the senior
management team with cross-departmental authority
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Well help you overcome other predictable
barriers..

• Ownership
• Competing priorities
• Lack of funding

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Key Messages

• Your Team
• The Carbon Trust Team
• The Programme Advisor Team

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A growing issue

• UK press coverage of climate change issues

Source Lexis Nexis, UK English National press
mentions of climate change
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Introducing the Programme Advisor Team
Paul Fisher Programme Manager
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Here to support you

• Change managers
• Stephen Parry
• Isobel Gowan
• Paul Black

• Technical managers
• Paul Williams
• Will Clark
• Paul Fisher

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Future World
Paul Black Lead Change Manager
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Breakout sessions

• Paul Williams, Diamond Suite
• Cambridge University Hospitals NHS Foundation
  Trust
• County Durham and Darlington NHS Foundation Trust
• The Rotherham NHS Foundation Trust
• Chesterfield Royal Hospital NHS Foundation Trust
• The Newcastle upon Tyne Hospitals
• United Lincolnshire Hospitals NHS Trust

• Paul Fisher, Sapphire 3, 3rd floor
• United Bristol Healthcare NHS Trust
• Avon Wiltshire Mental Health Partnership
• Heart of England NHS Foundation Trust

• Will Clark, Sapphire 4, 3rd floor
• Kings College Hospital NHS Foundation Trust
• South London and Maudsley Foundation NHS Trust
• South West London and St George's Mental Health
  NHS Trust

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5-step process
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Develop plan, establish resource requirements,
governance and communications
Identify, value and prioritise savings
opportunities
Establish Carbon Footprint Forecasts
National Events
19th 20th May Change Management Workshop
Date TBC Opportunities Prioritisation Meeting
Date TBC Graduation
Starter Packs
1st May National Launch
CMIP sign off
Date TBC Ideas sharing Webinar
Year End
Holidays
Christmas
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
Jan
Mar
Feb
Date TBC Opportunities Workshop
May Trust Kick Off Workshop
Date TBC Trust-wide CMIP Launch
Date TBC Determine Baseline assessment and Value
at stake
Trust Team Meetings
Date TBC CMIP review meeting
Project plan
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NHS carbon management toolkit

• Its a suite of software that
• Is aimed at NHS trusts.
• Takes you through the 5 steps of the Carbon
  management Process and help you to implement the
  programme.
• Demonstrates the roles of individuals and the
  functions they need to fill.
• Provides a proven framework to achieve results.
• Assists with senior management engagement.

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Stakeholder mapping tool
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Emissions baseline tool
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Emissions baseline graph
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Opportunities database
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The next few weeks

• Mobilisation Meeting (asap)
• Project Plan (within one week of Mob Meeting)
• Opportunities Workshop (Sep)

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Mobilisation Meeting

• Introduce the NHSCM Programme to Core Members
• Five Point Plan
• Project planning
• Objectives
• Project team
• Project scope
• Project and risk management
• Prep for baseline
• Engage, involve, encourage and communicate
• Date for opportunities workshop

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Sponsor Support

• Vital to the success of the programme
• Regular feedback from Project Leader to Project
  Sponsor
• Attendance at Mobilisation and Workshops

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Core Team Selection

• Co-opted/volunteer
• Highly influential
• Willing to take ownership
• Cross functional
• Specialism
• Proactive not passive
• Regular meetings/communication
• Committed
• Give feedback
• Highly motivated

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Suggested agenda
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The next few weeks

• Mobilisation Meeting (asap)
• Project Plan (within one week of Mob Meeting)
• Opportunities Workshop (May)

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Project plan

• Main reference document for implementation.
• Ensure that everyone in the project team
  understands what is expected
• Reason for the project
• Scope
• Objectives/targets/benefits/issues
• Timetable eg workshops, CMIP production
• Identify responsibilities
• Who needs to be involved
• Communications plan
• Internal resources required

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The next few weeks

• Mobilisation Meeting (a.s.a.p)
• Project Plan (within one week of Mob Meeting)
• Opportunities Workshop (Sep)

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The Opportunities Workshop

• Internal event to be held in May
• Typically half-day event
• Two purposes
• Stakeholder engagement
• Identification of opportunities
• Range of participants
• Broader than Core Team
• Key, co-opted representatives (three-line whip
  from Project Sponsor?)
• Volunteers

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Breakout sessions

• Paul Williams, Diamond Suite
• Cambridge University Hospitals NHS Foundation
  Trust
• County Durham and Darlington NHS Foundation Trust
• The Rotherham NHS Foundation Trust
• Chesterfield Royal Hospital NHS Foundation Trust
• The Newcastle upon Tyne Hospitals
• United Lincolnshire Hospitals NHS Trust

• Paul Fisher, Sapphire 3, 3rd floor
• United Bristol Healthcare NHS Trust
• Avon Wiltshire Mental Health Partnership
• Heart of England NHS Foundation Trust

• Will Clark, Sapphire 4, 3rd floor
• Kings College Hospital NHS Foundation Trust
• South London and Maudsley Foundation NHS Trust
• South West London and St George's Mental Health
  NHS Trust

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Cwm Taf NHS Trust
Tony Hayward Paul Lewis
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Carbon Management Programme Case Study
Presented By A R Hayward Assistant Director of
Estates P Lewis Environmental Manager
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Case Study

• Engaging Stakeholders P Lewis
• Environmental Manager

• The Process A R Hayward
• Assistant Director of Estates

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Introduction The Estate

• Estate of 90,000m2
• 1000 Beds
• 5 Hospitals, 17 Health Centres and Clinics
• Mixed Acute, Mental Health and Community
• Annual Energy Consumption of 52.3mW
• Annual Utilities bill of 2.2m
• CO2 emissions of 18,264 tonnes
• Staff of 4000

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Engaging the Stakeholders

• Recruitment process
• Completed the stakeholder mapping process
• Integrated the Carbon Management Board into the
  existing Environmental Steering Group
• Sub Group Recruitment Strategy
• Al Gore Movie Showings Recruitment Form
• Intranet News Items, Posters Flyers
• Opportunities Workshops
• Transport
• Energy
• Waste

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Engaging the Stakeholders

• Buy In
• Waste Group
• 4 Consultants
• Senior Nurse
• Catering Manager
• Hotel Services Manager
• Infection Control Nurse
• Waste Manager
• Local Council
• Welsh Health Estates

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Engaging the Stakeholders

• Buy In
• Transport Group
• Outpatients Manager
• Human Resources Manager
• Communications Manager
• Transport Manger
• Car Park Management
• Patient Liaison Officer
• Staff Representatives
• Transport Specialists
• Welsh Health Estates

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Engaging the Stakeholders

• Buy In
• Energy Group
• Estates Managers
• Laundry Manager
• Theatre Coordinator
• Pathology Manager
• IT Manager
• Financial Management Accountant
• Catering Manager
• Library Manager
• Welsh Health Estates

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Engaging the Stakeholders

• Raising Trust Awareness
• Environmental Awareness Week
• Posters
• Pledge Sheets
• Environmental Quiz With Prizes
• Energy Awareness Campaign
• Environmental Intranet Site Published

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Engaging the Stakeholders

• Maintaining the momentum
• Terms, goals and targets for each group
• Strategy for each group
• Transport Awareness Event
• Launch of Environment Week
• Launch of Waste Segregation Programme
• Routine Environmental Audits
• Feedback to staff on performance

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Case Study
The Process A R Hayward
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Project Plan
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Stage 1 - Establish a Project Board

• Integrated the process into existing
  environmental groups within the Trust

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Baseline Assessment, Forecast and targets

• Identified all sources of emissions
• Energy
• Waste
• Transport
• Aggregated emissions from a 3 year period
• Produced a 10 year do nothing forecast
• Identify Targets
• Energy - HTM 07 New and Existing Buildings
• Waste Waste Strategy for Wales
• Transport Trust devised targets

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Current Performance v Targets (energy)
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Quantify the Options

• Options generated from
• Staff Opportunities Workshops
• 25 Bag Waste Audit
• Energy performance Audit
• Transport Surveys

• Options prioritised against
• Current trust performance (what is needed to
  achieve the target)
• Carbon off setting against Buildings who can not
  make the target
• R.O.C.E.

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What have we identified ?
2.6m Project Cost 600k Revenue Saving 19.2
Carbon Reduction

• Resulting in
• 0.3 reduction in Transport emissions
• 2.7 reduction in Waste emissions
• 16.2 reduction in Energy emissions
• 83 of the Trust meets the standard within HTM 07

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Projects of interest
550 car park and street lights converted to L.E.D.
1.2mW Biomass boiler (largest in the NHS in Wales)
First installation of 3 parallel micro CHP sets
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Achievements
Winners of the Climate Change and Energy Award
2007
NHS Environment Award 2007
Achieved Green Dragon Environmental Standard 2007
Selected to launch Environmental Week across
Wales June 2008
Appointed Chairman of Welsh Health Environmental
Forum 2007
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Failure to manage our environment today will
cost the Earth tomorrow
(Rt.Hon Tony Blair 2004)
Thank you Any Questions?
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Carbon Management Awards Peter Mount NHS
Confederation
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Carbon Quiz results
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The World Today Quiz
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1 Energy

• What percentage of the world's energy is
  currently generated from renewable sources?
• (including hydropower and biomass)
•  
• 5 9 14

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Energy

• Correct answer 14
• Energy is vital for development to date, fossil
  fuels have accounted for almost all the growth
• Renewables (geothermal, solar, wind, biomass)
  contribute 11.5 of current world energy
  consumption and 14 if hydropower is included
• Wind turbines currently generate over 17,000 MW
  of electricity in more than 30 countries
• Worldwide shipments of PV cells grew 6-fold
  1990-2000

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2 Population

• How many people are estimated to be in the
  world by 2050?
•  
• 4.3 billion
• 7.9 billion
• 9.3 billion

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Population

• Correct answer 9.3 billion
• There are now just over 6 billion people on the
  planet, up 3.5 billion since 1950
• 2.4 billion are children and teenagers
• UN forecasts growth to 9.3 billion people by
  2050, with most growth in developing countries

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3 Biodiversity

• Approximately what percentage of the world's
  plant species are threatened with extinction?
•  
• 10 20 30

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Biodiversity

• Correct answer 10
• Nearly 26,000 plant species - about 10 of all
  those known - are under threat of extinction.
• More than- 1,100 mammals- 1,200 birds- 700
  freshwater fish and - hundreds of reptiles and
  amphibians are also threatened

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4 Emissions

• By what percentage have global CO2
  concentrations in the atmosphere increased since
  pre-industrial times?
•  
• 5 28 529

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Emissions

• Correct answer 28
• Concentration of CO2 in the atmosphere has
  increased from 288 ppm in pre-industrial times to
  380ppm in 2005
• Increased atmospheric concentrations of
  greenhouse gases - including CO2- are believed to
  be raising average global temperatures
• This could lead to dramatic and damaging changes
  in the climate and local weather storms,
  droughts, floods and a rise in sea levels

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5 Mobility

• How much () of worldwide energy consumption
  is accounted for by the transport of people and
  goods?
•   10 20 30

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Mobility

• Correct answer 20
• Transport of people and goods accounts for a
  fifth of world energy consumption
• Passenger air trips have almost tripledin the
  last 25 years and are expected to triple again in
  the next 20 years
• The number of motor vehicles worldwide is
  increasing at about 3 pa
• Rich countries have 60 times more vehicles per
  capita than the average low-income country - but
  vehicle ownership has tripled in low income
  counties in the past 17 years

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6 The Energy Challenge

• How much is global energy demand expected to grow
  by 2050?
•  
• 30 50 100

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The energy challenge

• Correct answer at least 100
• Developing countries will need 5 times more
  energy
• The developed world 10-20 more
• Global GDP is expected to be 4 times larger
• Source Shell Long Term Energy Scenarios

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Final words
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Final Words

• Good luck with your Mobilisation meeting
• Two more gatherings of this crowd.
• Opportunities Conference and
• Embedding Carbon Conference
• Press Release template to follow
• Feedback forms!
• https//nhsnetwork.carbontrust.co.uk

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Thanks for your participation Good Luck Your
team are here to help