Environmental and Sustainability Initiatives within the NHS

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Environmental and Sustainability Initiatives
within the NHS

• Presented by
• Greg Roberts LLM BSc MIEMA CEnv

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Introduction

• Why Sustainability in the NHS?
• Who are Hyder
• NEAT
• Good Corporate Citizen
• Yorkshire and Humber Strategic Health Authority
• New Legislation
• NHS Project Experience

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Why?

• Promoting health and preventing illness Corporate
  Activities
• Annual budget over 90 billion
• Employs more than 1.3 million people
• Spends over 17 billion a year on goods and
  services
• By adopting environmental/sustainability
  initiatives the NHS can make a huge difference

Information taken from www.goodcorporatecitizen.nh
s.uk
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Sustainability in the NHS

• Devolved to Strategic Health Authorities
• East of England to house NHS Sustainable
  Development Unit
• South West required NHS Trusts to report on Good
  Corporate Citizen and Carbon management

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Hyder Consulting

• Hyder consulting is a forward looking and
  thinking consulting business with over 150 years
  experience
• 4,000 staff (1500 in the UK)
• 17 UK offices, offices in 20 countries
• We are a planning, environmental, engineering and
  design management consultancy
• We pride ourselves on providing services that are
  specific to the clients requirements

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Hyder Consulting

• Full development services
• New build, refurbishments and facilities upgrades
  design e.g. Dudley LIFT Solihull
• Environmental reviews environmental training
• NEAT assessments
• Good Corporate Citizen
• Waste management advisory services
• Carbon, energy and water audits

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Hyder is included as a preferred supplier of
environmental services as part of the
OGCbuying.solutions framework. This route, if
chosen, would remove the need to undertake a full
tender exercise and proves Hyders reputation as
a provider of cost effective, practical waste
management consultancy solutions.
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NEAT

• June 2008 will become BREEAM Healthcare
• New build mandatory as part of business case
• Existing - voluntary
• Will require membership fee
• Training to become certified assessor
• NEAT a requirement of HC Standards for Better
  Health

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New Build Documentation

• HTM 07-04 Water Management and Water Efficiency
• HTM 07-07 Sustainable Construction GUIDANCE FOR
  NHS
• Available June 2006

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What is Good Corporate Citizen

• How NHS organisations contribute to
• Strong local economies
• Social cohesion
• Healthy environment
• Helps Trust develop a CSR strategy

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Areas Covered

• Transport
• Procurement
• Facilities Management
• Employment and Skills
• Community Engagement
• New Buildings

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Benefits

• Financial savings (Bedfordshire NHS Waste
  Consortium saved over 40,000 in a year)
• Faster patient recovery rates (nutritious, fresh
  food aids recovery)
• Improved staff morale (a well designed building
  enhances staff performance)
• A healthier local population (employed people are
  healthier people)

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Yorkshire and Humber Strategic Health Authority

• Placing greater importance on sustainable
  development and climate change
• The Strategic Health Authority will be seeking
  information on the following
• Whether the Trust has an individual leading on
  Sustainable Development
• Whether the Trust is using the Good Corporate
  Citizen toolkit
• Whether Sustainable Development initiatives are
  being undertaken or are at least planned within
  the Trust

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• New Legislation

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Energy Performance of Buildings Directive (EPBD)

• Nearly 50 per cent of the UK's energy consumption
  arises from the way in which our 25 million
  buildings are lit, heated and used.  Even
  comparatively minor changes in the way we use
  each building would have a significant effect in
  reducing energy consumption, and hence, carbon
  emissions.

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Rolling out the EPBD

• From 1st October 2008 hospitals will be required
  to erect Display Energy Certificates (DEC) for
  buildings greater than 1,000m2
• The DEC will provide an Asset Rating an
  Operational Rating.
• Asset Rating - means a numerical indicator of the
  amount of energy estimated to meet the different
  needs associated with a standardised use of a
  building.
• Operational Rating - means a numeric indicator of
  the amount of energy consumed during the
  occupation of the building over a period of 12
  months.

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Rolling out EPBD Cont..

• Advisory reports will also accompany the DEC.
• The reports will contain recommendations for
  improving the energy performance of the building
  and its energy usage.
• A DEC is valid for 12 months and needs to be
  updated annually.
• The Advisory Report is valid for 7 years.

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Rolling out EPBD Cont..

• Failure to Display DEC's
• 500 penalty for failing to display a DEC at all
  times in a prominent place clearly visible to the
  public
• 1,000 for failing to have possession of a valid
  advisory report. A maximum fine of 5,000 may be
  imposed dependent on the nature of the breach of
  regulations.

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Example of a DEC
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Site Waste Management Plan (SWMP) Regulations 2008

• Introduced on 6th April 2008
• Can be regulated by Local Authorities and
  Environment Agency
• Basic SWMP required for projects between 300k -
  500k
• Advanced SWMP required for projects over 500k

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Site Waste Management Plan (SWMP) Regulations 2008

• Applicable to the whole range of construction
  projects
• - Buildings - Refurbishment
• - Infrastructure - Maintenance Repair
• - New-build - Demolition

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Carbon Reduction Commitment (CRC)

• Mandatory emissions trading scheme being
  introduced by the government.
• Cover public sector organisations with annual
  half-hourly metered electricity use above 6,000
  mega watt hours.
• Organisations will have to report their CO2 on an
  annual basis from all fixed point energy sources.
  This includes, electricity, gas and other fuel
  types such as LPG and diesel.

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CRC Cont..

• CRC will not require organisations to report on
  their transport issues.
• As a cap and trade scheme, CRC will set carbon
  emission limits which if exceeded by an
  organisation will require it to buy carbon
  allowances. If emissions are lower than the cap,
  the unused allowances can be sold.
• During the introductory three years allowances
  will be sold at a fixed price of 12/tCO2. After
  this allowances will be auctioned.

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• NHS Project Experience

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Bradford Teaching Hospitals Foundation NHS Trust

• Environmental Review
• Annual environmental audit
• Independent board / annual report
• NEAT

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Ceredigion and Mid Wales NHS Trust

• Implementation, now maintenance of Trusts Green
  Dragon Standard Level 3 registration since 2004
• Visit site once per month providing constant
  support and prompting
• Undertake training and awareness
• Saves Trust from taking on additional staff

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Dorset County Hospital NHS Trust

• Facilitate informal EMS
• Facilitate quarterly meetings
• Establish objectives and targets
• Production of annual report
• Update NEAT
• Allows the Trust to report to board
• Good Corporate Citizen

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Imperial College NHS Healthcare Trust

• Largest NHS Trust
• Includes, Hammersmith, St Mary's, Queen
  Charlottes Chelsea, Western Eye and Charing
  Cross Hospitals.
• Undertake annual Environmental reviews
• Waste audits
• Establish objectives and targets
• Update NEAT
• Annual environmental board reports
• BS8555 gap analysis

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Shaw Healthcare

• Client required EMS to meet tender requirements
• Review and strategy for implementation
• Review of 2 care homes in 6 regions
• Will advise to implement Project Acorn
• Aspects and Objectives and Targets Workshop
• IOSH Training Course

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Thank you

• Greg Roberts
• Hyder Consulting
• Bristol
• 07764635364
• 01173721528
• Greg.roberts_at_hyderconsulting.com