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Welcome to the Oxford NHS
Sustainability Day Road Show
#Dayforaction
Dr Barbara Hammond, Director of LCO, &
Chief Executive of the Low
Carbon Hub
#Dayforaction
Cllr. John Tanner, Board Member
Cleaner Greener Oxford
#Dayforaction
Carbon reduction at the
heart of everything we do
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
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
What have we done since then?
We created a revolving loan fund through Salix
providing £405K to
spend on energy
saving technologies
across the Council
With this we have
installed pool covers
in our leisure centres
to reduce energy loss
and save around
£15,000 per year…
…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
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
We also use route optimisation software to plan the
most efficient routes possible to for our waste and
recycling rounds – saving time and fuel
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
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
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
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
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
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
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
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
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
We became the first UK local authority to
achieve the new British Standards Kitemark for
Energy Reduction Verification
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
Low Carbon Council
As a result of all of this we were highly
commended in the 2011 LGC awards Low
Carbon Council category
We had reached our 25% target by
March 2011
But we didn’t stop there….
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
We set up a Bicycle User
Group (BUG) and have run
bike maintenance and training
to encourage more people to
cycle at work
Our Motor Transport
division continue to trial
the latest developments
in fuel efficient vehicles
– including electric cars
We launched a workplace travel plan and a host of
incentives to get staff our of their cars and using greener
transport at work
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
We worked with a local community group to pilot
their Low Carbon Living Programme in the
workplace for the first time
…but there’s still a long way to go
We have achieved a lot…
Each year the Council spends…
£1,400,000 on gas and electricity
Each year the Council spends…
£1,400,000 on gas and electricity
£800,000 on fuel
Each year the Council spends…
£1,400,000 on gas and electricity
£800,000 on fuel
£250,000 on water
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…
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:
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
Oxford City Council are placing
carbon reduction at the heart of
everything we do
Creating a joined up heat
network for Oxford
Paul Robinson
Climate Change and Energy,
Oxford City Council
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.
Introduction to district heating
What is it?
Sustainable Development
What is ‘district heating’ or ‘heat networks’?
• District heating (DH) is a means
for delivering heat to multiple
buildings from a central energy
centre
• It can deliver:
– space heating and domestic
water
– cooling by the means of
heat driven chillers.
Energy centre supplying hot water to DH –
Hillerod, Denmark © BRE
Basic parts of a DH scheme
1. energy centre containing
the heat source/s
2. a heat distribution
network used to deliver
the heat to end users
3. hydraulic interface unit
(HIU) e.g. heat
exchangers, linking each
customer to the heat
distribution network
Heat network
Energy centre
Schematic showing basic parts of DH scheme
© BRE
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.
1. Energy centre - examples
Gothenburg –
Power station operating in CHP
mode
• 260 MW elec
• 300 MW heat
Seaton, Aberdeen –
Dedicated CHP plant
• 1MW elect
• Circa 1.5MW heat © BRE
2. Heat distribution network
• Most heat distribution networks
consist of pre-insulated steel single
pipe flow and return systems
Source: Aberdeen Heat and Power
Source: Logstor
Pre-insulated single pipe flow and return DH systems
© BRE
2. Heat distribution network
• Higher performance systems exist that reduce the heat distribution
losses relative to the use of single pipe systems, e.g. twin pipes
Twin pipe DH pipe system
© Logstor
Work undertaken under the
International Energy Agency
and BRE suggested that
heat distribution losses can
be reduced by 20-37% in
twin pipe systems relative to
single pipe systems
3. Heat exchanger/ sub-station
• It acts as an interface between
the heat distribution network and
building heating system
• It acts as a boiler
• It is able to provide space heating
and hot water on demand
exchanger
This is enough to provide the
peak requirements of a circa
30,000 m2 office building
enough to provide the peak
requirements of a circa ,0
This heat exchanger can
provide the peak requirements
of a 30,000 m2 office building
office building
© BRE
Scale of DH schemes
• In principle, any building can be
connected to a DH scheme,
– Public sector
– Residential
– Commercial
– Institutional.
BRE ©
Benefits of district heating
Sustainable Development
Environmental benefits
• DH pipes simply transport hot
water from an energy centre to
consumers
• Therefore, DH offers the
opportunity to:
– implement low carbon
technologies such as CHP
– integrate renewable sources
like biomass, solar thermal
– make use of locally available
waste heat
– switch whole communities to
new and emerging
technologies with ease.
Energy centre where heat generated is
delivered via DH
A fossil fuel based heat source could be replaced
by a low carbon or renewable energy source with
no disruption to residents
© BRE
Security of supply
• DH schemes that use more than
one fuel source:
– enhance security of supply
due to the diversification of
fuels - as well as
– provide a buffer against price
volatility in the market
– CHP provides on-site back-
up of electricity.
Biomass fired DH in Sweden
A small municipality in the periphery of
Gothenburg uses biomass as the
main fuel for the DH scheme. This minimises
the need for expensive oil. Oil is still used a
back-up.
© BRE
Affordable warmth
• With modern DH schemes a
lower heat price can be offered
than when using individual
gas/oil boilers or electrical
heating
• systems with CHP use fuel more
efficiently than conventional
alternatives
• they derive revenues from both
electricity and heat, so the price
of heat can be reduced.
Social housing estates connected to DH
Electrically heated social housing at Aberdeen was
retrofitted with district heating fired with CHP plant as
a means to alleviating fuel poverty.
Heat offered on a flat rent basis (circa £7.75 per week
– 2008), electricity sold to commercial buildings.
© BRE
Energy centre hosting CHP
plant and back-up boilers
The plant is enough to supply 1,000 existing
council flats at Callendar Park, Falkirk, Scotland
Optimising the supply of heat
Less plant required
• Individual heating systems are
sized for maximum demand on
the coldest winter day
• For DH, demand for heat is
aggregated; peak demand in all
buildings unlikely to occur at the
same time
• Demand is consequently spread
more evenly and total plant size
required is reduced
BRE ©
Optimising the supply of heat
Overall system efficiency is
increased due to the diversity
of load
• Each building connected to a DH
scheme has its own characteristic
heat demand load profile
• some buildings have increased demand
during ‘office hours’: offices, schools
• while homes tend to have increased
demand out of office hours…
• and hospitals have significant demand
through whole 24 hours
Council building
National Indoor Arena
Town Hall
Pictures showing some of the heat loads
connected to the Birmingham City Centre
District Heating scheme BRE ©
Hyatt hotel
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.
Introduction to district heating
Where to apply it?
Sustainable Development
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’…
Buildings suitable for CHP – also anchor loads
• Hospitals
• Universities
• Hotels – large
• Leisure centres with pools
• Multi-residential blocks
Buildings unlikely to justify CHP
• Cottage hospitals, doctor’s surgeries
• Schools
• Hotels – small
• Leisure centres without pools
• Low-rise housing
• Offices
• Retail.
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.
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.
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
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
Contacts
• BRE can assist with assessing CHP, renewables and
district heating options
• Robin Wiltshire
wiltshirer@bre.co.uk
01923 664534
0777222 8729
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
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
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
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
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
A platform for collaboration
?
??
?
Links between Food, Health and
Environment
• Impact of food on health and healthcare
• Food procurement in healthcare
• Food growing
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.
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
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
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
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)
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
Workshop: Good Food Oxford Charter
• 19th March, 6-7:30pm
• Oxford Hub, above Turl Street Kitchen
• www.goodfoodoxford.org
• 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
Morning refreshments
#Dayforaction
NHS Sustainability Day of
action
Emma Wood
Group Sustainability & Corporate Responsibility
Manager
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
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
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
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
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
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
Rose Bristow
NHS SUSTAINIBILITY DAY
11the March 2014
Oxford
PHS Group
• The start - 14 August 1963
• Part of Tack Training Group
• Introduction of Feminine Hygiene service
• Currently employ 5,000 people
• Turnover £418m
Clinical Journey
• 2001 Healthcare Division created
• Established national service
• 28 transfer stations across UK
• Developed be-spoke service to support NHS clients
Expectations of the NHS
• Waste hierarchy
• Best Practice
• Segregation
• Innovation
• Education
• Legislation
In the community
The Reality...
• Confusion
• Lack of Guidance
• Lack of Support
• Multiple healthcare waste generators
Response to Change
• Clients now expecting innovative ideas
• Reduction of costs
• Partnerships
• KPI’s
• So who took a leap of faith?
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
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”
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
How it looks now
Support
• Training materials
• Online Game at:
– www.phswastemanagement.co.uk
• Segregation posters
• New interactive website launching
soon
Support Continued...
The Future...
• Reduce, Reuse, Recycle
• Continued investment in new
technologies
⁻ PDA
⁻ Customer portal
⁻ New vehicles
• Communicate
It’s not perfect but we’re on the right track
Any Questions...
??
Making tomorrow a better place
through our 2020 sustainability strategy
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Sustainability at Carillion
Emma Gilbert
Making tomorrow a better place
through our 2020 sustainability strategy
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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
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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
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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
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Our Journey...
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2004 and Beyond …
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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
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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
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A Corporate Issue
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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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through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
It just makes sense...
• For our clients
• For our communities
• For our environment
• For our people
• For our reputation
• For our bottom line
Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
• 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
Lunch and networking
#Dayforaction
Food for Life Partnership:
Improving food in hospitals
Susannah McWilliam, Soil Association
Margi Lennartsson, Garden Organic
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
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
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.
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’
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
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’
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
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
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
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
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
To find out more please email me at
smcwilliam@soilassociation.org
Or come and chat
at the end of the day
Gardening and food growing to deliver
health, wellbeing and sustainability
Margi Lennartsson
Promoting and supporting people to grow
organically
Benefits of gardens and food growing
Environment Human health
and wellbeing
Benefits of gardens and food growing
Building stronger
communities Food security
Growing Food
• Access to fresh and tasty food
• Active and worthwhile
• Learning and connecting with food production
• Climate friendly actions
Why food-growing?
• Mental & Physical Health
• Food and Diet
• Wellbeing
• Wider determinants of health
• Diverse appeal
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
Sydenham Gardens
University Hospitals Coventry and Warwickshire
Hoventon House Care Home
Food Growing in Health Settings
Growing Opportunities Sandwell
www.nhssustainabilityday.co.uk
www.gardenorganic.org.uk
www.1414campaign.com
www.growinghealth.info
mlennartsson@gardenorganic.org.uk
Welcome back
#Dayforaction
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
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’
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
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
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.
NHS Sustainability Day of Action
Lancashire Care NHS Trust
Opening of on
site garden
Apple picking with staff,
patients and local
community
Bee keeping on site
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
NHS Forest- Key Contacts
Changing Perception, Changing Behaviors
www.trakeo.com @trakeonews
www.trakeo.com @trakeonews
Trakeo Sustainability Resource Planning -
a comprehensive system to track, monitor
and enable more sustainable practice
www.trakeo.com @trakeonews
“People love chopping wood. In this
activity one immediately sees results.”
Albert Einstein
www.trakeo.com @trakeonews
www.trakeo.com @trakeonews
www.trakeo.com @trakeonews
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
www.trakeo.com @trakeonews
“People love chopping wood. In this
activity one immediately sees results.”
Albert Einstein
www.trakeo.com @trakeonews
Trevor Payne, Director Estates and Facilities Barts Health NHS Trust
and founder of NHS Sustainability Day
www.nhssustainabilityday.co.uk
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
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
• 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
#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

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NHS Sustainability Day Oxford Road Show

  • 1. Welcome to the Oxford NHS Sustainability Day Road Show #Dayforaction
  • 2. Dr Barbara Hammond, Director of LCO, & Chief Executive of the Low Carbon Hub #Dayforaction
  • 3. Cllr. John Tanner, Board Member Cleaner Greener Oxford #Dayforaction
  • 4. Carbon reduction at the heart of everything we do
  • 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
  • 7. What have we done since then?
  • 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
  • 32. …but there’s still a long way to go We have achieved a lot…
  • 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
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  • 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.
  • 45. Introduction to district heating What is it? Sustainable Development
  • 46. What is ‘district heating’ or ‘heat networks’? • District heating (DH) is a means for delivering heat to multiple buildings from a central energy centre • It can deliver: – space heating and domestic water – cooling by the means of heat driven chillers. Energy centre supplying hot water to DH – Hillerod, Denmark © BRE
  • 47. Basic parts of a DH scheme 1. energy centre containing the heat source/s 2. a heat distribution network used to deliver the heat to end users 3. hydraulic interface unit (HIU) e.g. heat exchangers, linking each customer to the heat distribution network Heat network Energy centre Schematic showing basic parts of DH scheme © BRE
  • 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.
  • 49. 1. Energy centre - examples Gothenburg – Power station operating in CHP mode • 260 MW elec • 300 MW heat Seaton, Aberdeen – Dedicated CHP plant • 1MW elect • Circa 1.5MW heat © BRE
  • 50. 2. Heat distribution network • Most heat distribution networks consist of pre-insulated steel single pipe flow and return systems Source: Aberdeen Heat and Power Source: Logstor Pre-insulated single pipe flow and return DH systems © BRE
  • 51. 2. Heat distribution network • Higher performance systems exist that reduce the heat distribution losses relative to the use of single pipe systems, e.g. twin pipes Twin pipe DH pipe system © Logstor Work undertaken under the International Energy Agency and BRE suggested that heat distribution losses can be reduced by 20-37% in twin pipe systems relative to single pipe systems
  • 52. 3. Heat exchanger/ sub-station • It acts as an interface between the heat distribution network and building heating system • It acts as a boiler • It is able to provide space heating and hot water on demand exchanger This is enough to provide the peak requirements of a circa 30,000 m2 office building enough to provide the peak requirements of a circa ,0 This heat exchanger can provide the peak requirements of a 30,000 m2 office building office building © BRE
  • 53. Scale of DH schemes • In principle, any building can be connected to a DH scheme, – Public sector – Residential – Commercial – Institutional. BRE ©
  • 54. Benefits of district heating Sustainable Development
  • 55. Environmental benefits • DH pipes simply transport hot water from an energy centre to consumers • Therefore, DH offers the opportunity to: – implement low carbon technologies such as CHP – integrate renewable sources like biomass, solar thermal – make use of locally available waste heat – switch whole communities to new and emerging technologies with ease. Energy centre where heat generated is delivered via DH A fossil fuel based heat source could be replaced by a low carbon or renewable energy source with no disruption to residents © BRE
  • 56. Security of supply • DH schemes that use more than one fuel source: – enhance security of supply due to the diversification of fuels - as well as – provide a buffer against price volatility in the market – CHP provides on-site back- up of electricity. Biomass fired DH in Sweden A small municipality in the periphery of Gothenburg uses biomass as the main fuel for the DH scheme. This minimises the need for expensive oil. Oil is still used a back-up. © BRE
  • 57. Affordable warmth • With modern DH schemes a lower heat price can be offered than when using individual gas/oil boilers or electrical heating • systems with CHP use fuel more efficiently than conventional alternatives • they derive revenues from both electricity and heat, so the price of heat can be reduced. Social housing estates connected to DH Electrically heated social housing at Aberdeen was retrofitted with district heating fired with CHP plant as a means to alleviating fuel poverty. Heat offered on a flat rent basis (circa £7.75 per week – 2008), electricity sold to commercial buildings. © BRE
  • 58. Energy centre hosting CHP plant and back-up boilers The plant is enough to supply 1,000 existing council flats at Callendar Park, Falkirk, Scotland Optimising the supply of heat Less plant required • Individual heating systems are sized for maximum demand on the coldest winter day • For DH, demand for heat is aggregated; peak demand in all buildings unlikely to occur at the same time • Demand is consequently spread more evenly and total plant size required is reduced BRE ©
  • 59. Optimising the supply of heat Overall system efficiency is increased due to the diversity of load • Each building connected to a DH scheme has its own characteristic heat demand load profile • some buildings have increased demand during ‘office hours’: offices, schools • while homes tend to have increased demand out of office hours… • and hospitals have significant demand through whole 24 hours Council building National Indoor Arena Town Hall Pictures showing some of the heat loads connected to the Birmingham City Centre District Heating scheme BRE © Hyatt hotel
  • 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.
  • 61. Introduction to district heating Where to apply it? Sustainable Development
  • 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
  • 75. A platform for collaboration ? ?? ?
  • 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
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  • 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
  • 94.
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  • 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
  • 106. Rose Bristow NHS SUSTAINIBILITY DAY 11the March 2014 Oxford
  • 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
  • 110. The Reality... • Confusion • Lack of Guidance • Lack of Support • Multiple healthcare waste generators
  • 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
  • 115. How it looks now
  • 116. Support • Training materials • Online Game at: – www.phswastemanagement.co.uk • Segregation posters • New interactive website launching soon
  • 118. The Future... • Reduce, Reuse, Recycle • Continued investment in new technologies ⁻ PDA ⁻ Customer portal ⁻ New vehicles • Communicate
  • 119. It’s not perfect but we’re on the right track
  • 121. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Sustainability at Carillion Emma Gilbert
  • 122. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • 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 through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info 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 through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • 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
  • 125. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info 125 Maintenance Utilities Facilities Defence Infrastructure Rail Health Education Managing Globally …
  • 126. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Origins … 1994 Major Road Protests at Twyford
  • 127. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • 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 through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info Our Journey...
  • 129. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info 2004 and Beyond …
  • 130. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info “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 through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info 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 through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info A Corporate Issue
  • 133. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info
  • 134. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • 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
  • 135. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • £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
  • 136. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info And from our people... James Cook University Hospital
  • 137. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info And from our people... BARTS and Harpley
  • 138. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • 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
  • 139. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info It just makes sense... • For our clients • For our communities • For our environment • For our people • For our reputation • For our bottom line
  • 140. Making tomorrow a better place through our 2020 sustainability strategy KEEP UP TO DATE WITH SUSTAINABILITY Get involved at www.stnlive.info • 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
  • 156. Promoting and supporting people to grow organically
  • 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
  • 165.
  • 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
  • 174. NHS Forest- Key Contacts
  • 175. Changing Perception, Changing Behaviors www.trakeo.com @trakeonews
  • 176. www.trakeo.com @trakeonews Trakeo Sustainability Resource Planning - a comprehensive system to track, monitor and enable more sustainable practice
  • 177. www.trakeo.com @trakeonews “People love chopping wood. In this activity one immediately sees results.” Albert Einstein
  • 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
  • 182. www.trakeo.com @trakeonews “People love chopping wood. In this activity one immediately sees results.” Albert Einstein
  • 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