Sustainability was on the menu once again as the Road show cycled it’s way to the North-West and arrived in Liverpool to a warm welcome. Delegates from across the city and throughout the North-West were on hand to participate in an inspiring day of presentations, knowledge sharing and motivation. Sarah Dewar and Professor Maureen Williams, Deputy Chair NHS Liverpool CCG were on hand to deliver inspirational sessions focusing on debate, action and good practice. Delegates entering the event were asked to jot down what they wanted to take away from the day via post it notes which were then displayed on the entrance to the venue. Postcards were also handed out with delegates tasked with writing down what they will do on NHS Sustainability Day. The morning session kick-started with Fiona Daly, Environmental Manager at Barts Health, discussing Sustainability Day on March 27th 2014. Fiona was followed by Professor Sir Ian Gilmore, University of Liverpool who spoke passionately on the city and the important role sustainability can play in improving healthcare and supporting the people of Liverpool. The morning session also saw presentations from Dr Tim Ballard, Vice-Chair of the RCGP who was on hand to address the role sustainability can play in general practice and supporting commissioning of health services. The mid-morning session saw best-practice examples on a wide range of areas including waste and water. Royal Liverpool and Broadgreen University Hospitals Trust were on hand to discuss their work with Carillion around the new development in the city. The afternoon discussions saw delegates interacting with each other to identify solutions to the challenges they face around sustainable development. The day concluded with delegates outlining their promises via the postcards distributed earlier in the day. It is these promises which will ensure NHS Sustainability Day 2014 is a success and the weight of expectation amongst the Liverpool delegates was high. Many of them leaving the venue inspired, motivated and enthused. It is through this motivation that the NHS has a chance to deliver huge change in the next few years via sustainable practice and with inspiration such as that seen in Liverpool we think the future is looking bright!

1. Welcome to the Liverpool CCG NHS
Sustainability Day Road Show
#Dayforaction

2. Care for the Future
Liverpool 4th December 2014
Professor Maureen Williams
Deputy Chair
NHS Liverpool Clinical Commissioning
Group

3. Aims and objectives of event
• Promote dialogue about sustainability in NHS and how
integrate with sustainability in social care and PH to make
system wide
• Broaden agenda from estates based measures to models of
care…increase understanding of what this means
• Share good practice
• Promote activity for NHS sustainability day
• Galvanise momentum for action and build network of
protagonists

4. Liverpool CCG Long Term
Need to Achieve?
More emphasis on prevention
More emphasis on early identification of illness
More emphasis on self care
More targeted support when not well
Easier navigation of services

5. Social Value and
Sustainable Development
• Public Services (Social Value) Act 2012
• Strategic Opportunity
• Increasing the social, economic and
environmental wellbeing of the people we
serve
• Clear link to Sustainable Development agenda

6. Social Value Aims
Building Social Value
to Improve health
Outcomes by…
• maximizing impact of clinical services
• supporting non-medical solutions
• positively influencing social determinants
of health
Place Social Value at the centre of
our thinking and
policy, commissioning and
practice.
Ensure the way LCCG invests and acts
achieves maximum benefit to the
population we serve now and in the
future.

7. LCCG Developing
Approach
•
•
•
•
Strategic approach to social value
Supports CCG Vision and Values
Supports system planning – Healthy Liverpool
Takes into account input from third sector, LCC inc
public health, NHS providers and partners
• Economic, Social and Environmental measures
• Aiming for collaboration across NHS in Liverpool,
with LCC and city wide

9. Liverpool Food Alliance
The Liverpool Food Alliance is a network of food
growers, composters, buyers, cooks and
eaters, passionate about a positive healthy food culture
for
Liverpool
LFA aims to make enjoying good food easy and
affordable for everyone and to grow a local,
eco-friendly food economy for the future.

10. Sustainable Development Strategy for
NHS, Social Care and Public Health System
Overarching strategy in line with draft..plus..
• Released in January
– Carbon hotspots
– Engagement and leadership
– Strong and resilient
communities
– Commissioning and
procurement
– Clinical models of care
• To be developed
during 2014…
– Social
capital/value
– Research &
Development &
innovation
– Metrics

11. Over today’s meeting want to consider..
– What top three things should commissioning and
procurement do differently to achieve better prevention
and self-care?
– What are the top three opportunities to deliver the mutual
benefit on environment, strong communities and health
priorities?
– How do we engage clinicians in creating sustainable
models of care?
– What are the top three remaining big carbon challenges?
– What will I do after today to bring about change?

12. • Launch of strategy London
29th January
• Sustainable
development
conference
• NHS Sustainability Day

13. www.nhssustainabilityday.co.uk
Welcome & Thank you

14. NHS Sustainability Day
A call to action for the NHS
• A platform for whole system thinking on sustainable actions
• Showcase for innovation, excellence and best practise
• Opportunity to learn, share, collaborate
• Engage - staff/patients/visitors/supply chain
• Help develop an NHS that is fit for the future
• Do one thing differently
• We hope you will be inspired to take part in 2014

15. NHS Sustainability Day
Motivating Success
•
•
•
•
•
•
•
•
•
•
Day of action and engagement across
NHS
100 organisation participated 2013
300 participating in 2014
Key endorsements
Royal Colleges, associations and Institutes
Sharing knowledge, experience and best
practice
Creating a legacy
National Road Shows
Awards
Internationally showcasing NHS

16. NHS SD Road-shows
Coming to a venue near you
3rd October – Hull
17th October – Official Launch (London)
4th December – Liverpool
29th January – Nottingham
6th February – Royal Bournemouth
27th March – NHS Sustainability Day

17. Website
A brand new look and feel

18. Creating a legacy
Community benefit

19. 14:14
Planting the seeds of change
• Getting the NHS to grow their own
• Reducing the carbon footprint of
patient meals
• Delivering a sustainable legacy for
local grown produce
• Engaging communities to support
their NHS
• Lambeth Food Co-operative case
study
• #dayforaction
• #14:14

20. Celebrating success
Category
Clinical Engagement Initiative
Biodiversity Initiative
Sustainable Food Initiative
Carbon Reduction Initiative
Energy Reduction Initiative
Sustainable Travel Initiative
Waste & Recycling Initiative
Community Engagement Initiative
Best Overall Project Initiative
Description
Winner
Educate all students in the benefits of
effectively controlling anaesthetic gas
scavenging systems and the energy and
carbon efficiencies that can be gained
University of Southampton
Planting 120 Trees to create a mini forest
at the hospital with NHS Forest
Set up Lambeth Food Cooperative to
support sustainable food and local
businesses
Carbon Reduction in energy, travel and
behaviours
Big Easter Switch off and Eco Rhyme
Cycle train around Warwick
Increased recycling and introduction of
new waste recycling streams
Grow your own' project & 200 trees
planted
Carbon Reduction in energy, travel and
behaviours
St Helens and Knowsley NHS
Trust
Lambeth Clinical Commissioning Group
Barking, Havering and
Redbridge University Hospital NHS Trust
Southend
South Warwickshire NHS Foundation
Trust
Isle of Wight
Lancashire Care NHS
Trust
Barking, Havering and
Redbridge

21. #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

22. 27th March 2014
www.nhssustainabilityday.co.uk

23. Refreshments

24. Care for the Future – 4 December 2013
Judith Greensmith, Chair, Royal Liverpool & Broadgreen
University Hospitals NHS Trust
and
David Kennedy, Director,
Carillion
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy

25. RLUH – ‘Sustainable Communities’
We want Carillion to be recognised as a leading sustainable business and
the leading sustainable support services company
Our six positive outcomes for the basis of our 2020 Sustainability Strategy and
encompass Carillion’s economic, environmental, and social contributions and
Impacts.
RLUH Project Vision
Our vision and objective is to leave a social and economic regeneration legacy
for the Liverpool community by:
• Supporting local economic development
• Maximising local training, employment and skills
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy

26. RLUH – ‘Sustainable Communities’
Social & Economic Impact through Local Jobs & Enterprise
 Apprentice & Training Opportunities for local people
 Local workforce (Merseyside / City Region)
 Targeted Recruitment & Up-skilling of people from Priority Wards
 Unwaged work placements
 Support Student Employability and Learning & Careers Information
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy

27. RLUH – ‘Sustainable Communities’
Social & Economic Impact through Inward Investment
 Local construction spend with local Supply Chain partners
 Regular Meet the Buyer & SME Development Workshops
 Regular ‘Liverpool Third Sector Forums’
 Carillion Liverpool Regeneration Fund of £100,000
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy

28. RLUH – ‘Sustainable Communities’
Social & Economic Impact - How we will create our legacy
 Committed to establishing RLUH as a CITB National Skills Academy for
Construction (NSAfC) accredited project
 Jobs & Training Forum
 Work in partnership with local colleges across the City & Liverpool Futures
 Support BITC’s BAoH & Business Class Programme
 Invest in local charities & support sustainable outcomes
 Collaborative working with Liverpool in Work & Local Agencies
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy

29. Sustainable Water –
Water Efficiency in the NHS
Sian McCart - AquaFund

30. Why save Water?
• Water Scarcity
• Rising cost of water
• Population growth
• Unpredictability of climate

31. Population Growth
* Population to increase by 2 billion by 2050

32. Food in context
• Chocolate 1kg – over 17,000 litres
• Beef 1kg – 15415 litres
• Butter 1kg – 5,553 litres
* The average person consumes 3,400 litres per day

33. Climate
• 3 % of water is fresh
• Droughts
• Floods

34. Water Stress

35. Water Cost & CO2
• Global energy demand
• Cost of water
• Maximum demand
• CO2

36. Water & the NHS
• Total Spend: £79,900,000
• 35 billion litres of water
• 14,240,000 kg of carbon
• Better water management
• A comprehensive approach

37. Comprehensive Approach

38. Comprehensive Approach
• Full in depth surveys of all sites
• A full bureau service
• Water Saving technology
• AMR

39. Automatic Meter Reader (AMR)
• Total visibility on water use at site
• Accurate profiling of your building water use
• Fast reaction to leaks
• Accurate water balance assessment
• Prepares for deregulation of the water market

40. Capturing, Reporting &
Monitoring
• Monitoring and Targeting
• Sustainability reporting
• Continual monitoring and analysis

41. What can be saved?
• 20 – 30% saving
• NHS cost for water: £78,900,000
• 30% saving is 23,700,000
• 10,700,000m3 of water
• A shower everyday for 1 year

42. What help is there?
• East of England Procurement Hub
• AquaFund Grant
• Typical Grant: £300,000 - £600,000

43. AquaFund Successes

45. Our Partnership with
• Helping those most deprived of
water, out of poverty
• Current project – Nepal
• 6 month Sustainability update
• Positive addition to CSR
* We track your contribution to a dedicated project

46. Our Impact
• Water Aware
• Water Efficiency
• Every drop counts

47. Framework
OJEU REFERENCE: 2011/S 186-304473
t: 01753 833880
e: ask@adsm.com
www.adsm.com
@AquaFund
Thank you for your time

48. Blue Green
A Natural Health Service
Gideon Ben-Tovim OBE
Chair Liverpool City Region
Local Nature Partnership

49. • “I climbed a tree and swung off the
branches, it felt amazing”

50. People who live furthest from
public parks 27% more likely
to be overweight or obese.
Children able to play in natural
green space gained 2.5 kg
less per year than children
who did not have such
opportunities.
1,300 extra deaths each year in
UK among lower income
groups in where the provision
of green space is poor.
Natural
England

51. What Can GI Do?
 Increase physical activity
 Improve air quality
 Opportunities for
growing food locally
 Improve mental health
 Social cohesion
 Adaptation to climate
change
 Reduce symptoms
ADHD…

52. Evidence
• 80% of LCR LNP is
green/ blue space –
more than any city
outside London.
• £100bn asset
• 8000 LCR jobs in
sector
• GI generating £8 for
every pound
invested

53. Marmot Review
• Health inequalities
• Physical & mental health
• Public think…
– 95% very or fairly important to have
green space near homes
– 90% parks & open spaces improve their
quality of life
– 74% important to physical & mental
wellbeing
• Reconnect to healthy food
• Communities stronger and more cohesive
with good quality green infrastructure

54. Other Health
evidence
• Roadside trees can trap up to 90 per cent
of traffic-related air-borne dust particles
• Reduce risk of flooding
• Climate change
• NICE Guidance for
physical activity

55. “Stretching from our
famous coastline to
our estuaries,
our urban parks and
green
spaces, including our
rural hinterland, the
richness and diversity
of the
Liverpool City
Region’s natural
environment is
unique”

56. •
•
•
•
LNP
H&WB
Boards
LEP
•
•
•
•
•
•
•
•
6 Local Authorities
The Mersey Forest
Peel Holdings
Merseyside
Environmental
Advisory Service
Health
Liverpool Vision
Natural England
Rural Leader
Atlantic Gateway
University of
Liverpool
LEP
Merseyside
Environmental Trust

57. LCR GI
Framework
• Health runs throughout strategy
• Wirral Waters, GI interventions of £2m = £29m of
net present value.
• Of these, health and wellbeing benefits being the
most significant @ 50%

58. Matching Needs
and Assets

60. Natural
Choices
for health
• £300k available
• 122
Expressions of
Interest
• 38 successful
projects

61. Outputs
•
•
•
•
•
•
3274 participants
100 partners
84 events
1159 workshops
867 volunteers
135 employed

62. Wellbeing scores
improved by 18%

63. Outcomes
•
•
•
•
•
•
•
Social cohesion
Wellbeing
Legacy
Mental health
Physical activity
Food / obesity
Passion
Jan-Nov = 44 weeks
£2.14 per participant, per week

64. Opportunities
• Neighbourhood working GPs and
community groups
• NHS estate
• Partnerships

65. 4th December 2013
NHS Sustainability Day
Liverpool
Resource efficiency through effective behaviour
change
Ann Durrant
Managing Director

66. A bit about me and M4C …
M4C:
• Sustainability specialists
• Strong focus on comms
• In business over 8 years
Who we’ve helped …
Ann:
• Chartered Engineer
• Ex British Rail and AstraZeneca
• Associate lecturer at Salford Uni

67. A very quick bit of …
Behavioural Psychology

68. Culture change
A place where sustainable
behaviours are the norm

69. Make it a habit

70. Make it a habit
Pavlov’s dog

71. A couple of …
Case studies

72. Northern Rail
Project Manager engagement
Objective – to get project managers to consider
sustainability initiatives at the beginning of a project

73. Northern Rail

74. SABMiller
Level assessment process
Objective – improve
performance across all
sustainability priorities

75. SABMiller
• KPIs
• Level assessments
0
1
2
3
Below
minimum
Minimum
standard
Progressing
Developing
leadership
• Areas of risk
• Good news stories
4
Best
practice
5
Leading
edge

76. SABMiller

77. SABMiller
Result

78. Keele University
Recycling campaign
Objective – to increase their
recycling rate from 44% to
60%

79. Keele University
Keele University – 64th
Annual waste management costs
40% = £116,460
60% = £102,285

80. Northern Rail
Employee engagement
Objective – to get employees to take ownership of
environmental challenges in the work place

81. Northern Rail
•
•
•
•
•
Email
Online
Phone
Face to face
Internal mail

82. Summary
•
•
•
•
•
•
•
•
•
•
•
Tell people what to do
Make it easy
Make it normal
Use intrigue
Make it fun
Use memory joggers
Provide feedback
Competitions
Set goals
Give rewards
Link to their values

83. Ann Durrant
ann@m4c-sustainability.co.uk
01625 501832
07951 642747
www.m4c-sustainability.co.uk