Slides from all speakers bar Carbon Trust (this will be added soon)

1. NHS SUSTAINABILITY
DAY CAMPAIGN
CARDIFF ROADSHOW- NOV 30TH

2. PUBLIC HEALTH WALES
LEADING THE WAY
SALLY ATWOOD, DEPUTY DIRECTOR, STRATEGY & PLANNING, PUBLIC HEALTH
WALES

3. Insert name of presentation on Master Slide
Circular Economy in Wales
30th November 2017
Sally Attwood
Public Health Wales NHS Trust

4. Bumps in the Road

5. Public Health Wales
• Health & Wellbeing is our
business: prevention and
protection
• 1700 staff – mixed
professions
• 3.3 million people
• large, fragmented estate
• £115m annual budget
• One of 10 NHS bodies

6. ‘Our Space’ Programme
• an accommodation strategy –
Phase 1 was ...
• moving from 9 buildings
across South Wales to Cardiff
city centre
• major office fit out in a new
build - 51,000 ft2
• 550 NHS office workers
affected

7. Selection process
• By January 2015 .... long list of properties
• High levels of staff involvement
• No management specification except for: light,
airy, modern, open plan
• Flirting with ideas such as 4 desks per 10 staff


8. Nightmare .....
us them

9. Expectation ....
• Open plan, but try to address problems
• Buy around 2,500 new items from the
usual suppliers
• Use a furniture framework contract
• NHS Wales has a shared services
arrangement for procurement

10. But wanted to re-use
• Existing office furniture was OK but had been
neglected
• Avoid the problem of getting rid of 2,500 items
• Familiar items for staff
• Avoid public and political perception of excess
• Meets Wellbeing of Future Generations Act 2015

11. Observations on Procurement
• NHS in Wales is LINEAR
• Shared service across all ten health
bodies
• Bound by frameworks
• Difficult to articulate what I needed
• Easy to articulate the need
• Pressure to conform

12. Route to Market
• Issued PIN Notice
• Held a meeting with around 30 suppliers – Dec
2015
• All said they could do it!
• Decided to go to OJEU process
• More supplier engagement
• 10 tenders

13. OJEU process - Consortium
• Rype Office – design, office furniture re-
manufacture
• Orangebox – South Wales business –
remanufactured chairs, new collaborative pieces
• Greenstream – social enterprise from deprived
area – new and recycled carpet tiles

14. Value realised
• market engagement yielded
results
• design was crucial
• inclusion of social enterprise – not
tokenistic, but pivotal
• re-manufacture approach changed
the narrative for a major
organisational change project

15. • cost savings – against purchase price of new
• 550 task chairs are award winning, top of the range
– staff liked them!
• avoided costs of removal and disposal of old
furniture
• longer life of higher quality furniture
• enhanced our reputation (maybe)

16. 16
Remanufacture drives furniture costs lower than
structurally possible with new furniture

17. What else ....

18. Some numbers ...
• 1,143 items re-used
• 1,270 re-manufactured
• 670m2 re-used carpet tiles
• 2,435 employed hours for 8 people with barriers to
work
• 8 kitchens supplied by a local business
• deeper understanding PHW of positive impact public
bodies can have on local economy

19. environmental value
• carbon benefits: 134 tonnes CO2e saved
which could fill 800 double deckers
• diverted 41 tonnes of waste to landfill
• biodiversity loss from upstream mining /
extraction

20. social value of circular economy
• employment & training has led to real full time
jobs for three people
• Greenstream able to continue to provide support
to disadvantaged households
• raised the profile of social enterprise as a credible
delivery option

21. So what does it look like?

22. Fabulous Workplace ...

26. It was not a ‘one off’ we’ve continued the project in our
Swansea & Newport offices too!

28. Newport Office

29. Bumps in the Road ...
• NHS Wales procurement voodoo
• Staff negativity
• Senior management underwhelmed
• Specification was difficult
• OJEU process
• Warranties!
• Implementation is difficult and different
• Suppliers convinced they could meet the specification

30. Removing barriers ....
• Ask simple questions – Why?
• You Tube is great!
• Just in time legal advice
• Wellbeing of Future
Generations Act 2015
• Talked about the nightmare
scenario

31. More levers ..
• talk to suppliers – they appreciated it
• told staff about the story – reconnected with
why they became a public servant
• kept government informed and tried to tick
their boxes
• everyone understands office furniture

32. Reflections
• the ‘need’ is key
• Managers like me need to get a grip – needs
leadership
• Social enterprise is key for us and excites
politicians – working with Welsh Government
• Has potential to fit with wider policy and is
tangible and measurable
• Awards are good

33. Local, National and International

34. Thank You !

35. HOW WALES CAN
UTILISE BEHAVIOUR
CHANGE
REBECCA COLLEY-JONES, DIRECTOR, YNYS RESOURCES LTD

36. Looking at things differently
Rebecca Colley-Jones FCIWM
Ynys Resources Ltd

37. Today we will be covering…….
The Vision in Wales

38. Today we will be covering…….
The Vision in Wales
2010
2025
2050

39. What is sustainability?
• It's not about being 'green‘
• It is not a tree hugging, altruistic
approach
• No point in saving the planet and
going bust.
•
• Our actions must make business
sense

40. Sustainable Waste
Hierarchy
RECOVER
RECYCLE
REUSE
PREVENT/REDUCE

41. A move away from

42. How to change behaviours
Education
Understanding
ParticipationReview
Innovation

43. A Circular Future

44. Circular Future-
Business Models
Sources: http://www.wrap.org.uk/resource-efficient-business-
models/innovative-business-models

45. Circular Future-
Business Models

48. Today we will be covering…….
Ignite

49. EZW: Ice Arena Wales

50. EZW: Findings
– EZW sites 20% better than SMART waste benchmarks
– People matter – 10-30% difference between waste generation for similar
sites
– Waste symptom of other issues
– Zero – whole supply chain
– Passing wastes to sub contractors not zero waste
– Take back schemes – not equal
– End of waste for road planings
– Geographical challenges
– Product challenges
– Refurb more challenging - more opportunities
– Close but not yet zero waste

51. WRAP/Bangor Uni
Campaign

52. Benefits of Reuse

53. Bangor University Halls Campaign
https://www.youtube.com/watch?v=z9grfrlraNc

55. Join a professional
institution
Promote the
Highest
Professional
Standards
Dissemination of
Knowledge
Research
Training
Education

58. Diolch yn fawr :: Thank you
58
rebecca@ynysresources.co.uk

59. CASE STUDY- REUSE AS A
GATEWAY HABIT FOR
BEHAVIOUR CHANGE
LUKE CHAMPION, SUSTAINABILITY MANAGER, 2GETHER NHS FOUNDATION
TRUST & DANIEL O’CONNOR, CEO, WARP- IT

61. 2gether NHS re-use journey
Luke Champion
Sustainability Manager

62. 2gether NHS Foundation Trust
 Provides specialist mental health and learning disability
services to people in Gloucestershire and Herefordshire.
 Approx. 35 sites across Gloucestershire and Herefordshire
 10 inpatient sites (includes short and long term residents)

63. Why re-use?
 Legal requirement to apply the waste hierarchy:
Regulation 12 of the waste (England & Wales) Regulations 2011.

64. Why re-use?
 Cost savings
 NHS needs to save £22bn by 2020.
We can no
longer afford to
scrap things
like this!

65. Why re-use?
 It works better
More efficient to re-use items instead of paying for disposal and then
paying again to buy new
 Reduced procurement time
No need to raise purchase orders to buy new items or for disposing of
used items
 Improved corporate image
It doesn’t look good when a public sector organisation throws lots of
reusable furniture in a skip. Far better to promote re-use instead
 Changes perception of “waste”
Waste as a resource – not as something to be forgotten about

66. The reuse journey part 1
 Internal re-use system - Anytakers
2gether Trust needed an awareness system across the organisation
 If people don’t know about surplus items then they will just buy new and
throw things away as before
 Used idea from a previous NHS Trust
 Forum based system. No-cost solution for website
 Only cost involved is the moving cost for the recipient
 Anyone who works for 2gether can post offered or wanted adverts
 Gets people talking to one another instead of working in a closed
environment

67. Impact
 From May 2015 to February 2016, 2gether saved £10,000 by re-using
furniture and other office equipment
 Divisional Accountants directed staff to look on the forum when a
requisition was raised
 Purchasing block put into place to stop people buying new furniture
until they had checked the Anytakers forum

68. What we learned
 Some limitations to an online forum.
 Usability
 Search
 When someone else posted an item the next one got moved down
 Someone had to log in to take the items down
 If they didn't get taken down then it caused confusion- people
didn’t come back
 Needed to maximise participation
 We proved savings and so looked to the market to see if there was an
improvement.

69. The reuse journey part 2
 Business case for Warp It ( I can send you a copy)
 Implemented Warp It in Jan 2017 (tested it from Nov 2016)
 Online marketplace. Internal and external - can link up with other Trusts
 Easy to use
 Payback in 2 months
 Savings so far and Warp It demo Click this link.

73. Impact
 Total savings over £20K
 Saving over £1489/ month on a £280/month investment
 Now over 180 members internally
Love the email notifications of what is available.
Brilliant way to save money throughout the Trust.
Fabulous service that allows furniture, equipment and stationery to be recycled
throughout the Country.

74. Next steps
 Communication campaign to get more members
 Trade more challenging items
 Link up with other NHS organisations
 Link up with more charities

75. Top tips
 Promote re-use more than recycling! You have to keep talking about it.
 Use your Exec Team – encourage them to sign up and/or put their name
to a press release/comms piece.
 Purchasing blocks can be very effective when coupled with cost saving
targets and getting people to sign up to Warp It.
 Some things are not easy to re-use such as large corner desks. It is often
easier to recycle the wood and metal components as waste.
 Re-use needs a lot more promotion. Recycling is good but it gets all the
attention and doesn’t offer the best savings.
 Even better is up-cycling. Potential for partnering with local organisations
that up-cycle waste wood and make new furniture?

76. SMART TECHNOLOGY - CAN IT
BE AN INTEGRAL PART OF
ESTATES & FACILITIES IN
HEALTHCARE?
MARK GRIFFITHS, REGIONAL DIRECTOR, BOUYGUES

77. Smart technology - can it be an integral part of
Estates & Facilities in Healthcare?
AGENDA:
• Introduction
• What is Smart
• Delivering Smart
• Delivery
• Drivers and Benefits

79. The Bouygues Group: Building Smart Cities
Communications Construction Power
£36 B turnover

80. Bouygues’ French Headquarters - Challenger
First building in the world to achieve triple certification (2011)
• LEED® “Platinum” (US)
• BREEAM® “Outstanding” (UK)
• HQE® “Exceptional” (FR)
Delivery Challenge
• Phased works from 2010 to 2014, Shifts over 67,000m2
• Occupied site
Energy
• 90% Energy and CO2 savings
• Ventilated, double skin façades
• Geothermal energy from heat pumps
• 100% of available BREEAM energy credits achieved
• 25,000m2 photovoltaic panels on roofs, terraces and solar farm
Water
• Rainwater harvesting
• 60% water savings
• 100% of sewage will be treated and re-used on site (phyto-filtration garden)

81. What is Smart?

82. Lots of Independent solutions

83. Process – Identify the needs
Public Spaces
Infrastructures
Housing
Public amenities
Commerce and
business
New
usages
Local
services
Nature in the
city
Water Energies Wastes Mobility Digital

84. Delivering Smart

85. GreenCity – Zurich
2000W Community
Today
5.000 W/hab
Accomodation
1.500 W
Transportation
900 W
Consumption
1.100 W
Infrastructure
900 W
Electricity
600 W
Goal
2.000 W/hab

86. The Drivers

87. So why SMART for NHS?

88. The Art of the possible….
• 700 bed hospital
• 1,800,000 sg ft of GIA
• Automatic tinting windows using IP
technology
• Full fresh air ventilation systems
• Gains in efficiency of Healthcare
staff
• Real time data available both
clinically & estate wise
• Efficiency in bed utilisation /
optimisation
• 50% reduction compared to a
typical model hospital
• A single source of data & benefits…

89. Scheduling
Data
(HIS)
Staff
Locations
(RTLS)
Nurse Call
System
Unified
Comms
Real Time
Audit /
Analytics
Nurse / Bed
Assignments
(HIS)
Agent keeps track
of people, locations,
Schedules, Roles,
Beds, Assignments
Nurse Agent receives
notifications for the
attached user and
interacts with them…
Nurse Assist
Agent identifies the
right nurse and notifies
them
Track everything
in real time
Capture Nurse
Call Events
Intelligent
Alerting
Voice call
initiation
Workflow
Management
End Users and
Computing Devices
Data, System and
Healthcare Things
Interaction InterconnectionIntelligence
ThoughtWire makes everything smarter…Nurse Assist - Receive and respond to nurse call
events on any desktop or mobile device.Health
89

90. Smart City & Health
Drivers for now and the future…

91. www.bouygues-es.co.uk
Thank You

92. ENERGISING HEALTHCARE-
COULD ENERGY DATA
TRANSFORM HEALTHCARE
FFLUR LAWTON, HEAD OF POLICY AND COMMUNICATIONS WALES, SMART
ENERGY GB

93. Could energy data
transform healthcare?
Fflur Lawton, Head of Policy & Communications,
Wales

94. 94

95. every energy
supplier will be offering
smart meters at no extra cost
Britain’s digital energy revolution is underway
95
7.7 million smart meters
have now been installed
97% of the population are now
aware of the smart meter rollout
20 million people are willing to
seek or accept a smart meter in
the next 6 months
every home and every
small business

96. 96
smart meters help get gas and electricity under control
enabling a smarter, more energy efficient network

97. bringing the smart future
to life

98. The smart meter rollout will create a broad platform for innovation
thanks to the detailed data generated by households.
More care is taking place in the home rather than in institutions.
Smart meter functions such as real-time information and a modern
payment system will already help vulnerable households.
Using the data stream to analyse behaviour could lead to much
wider benefits.
98
could energy data transform healthcare?
A smart future for everybody

99. energising Health
New research explores opportunities and challenges
99
The UCL Energy Institute has reviewed what
progress has been made to date in this field.
Case study:
Mersey Care NHS Trust is doing a trial using
smart meter technology to monitor dementia
patients.

100. micro and macro
Potential uses of smart energy data
Ongoing monitoring of conditions
Alerting relatives or care professionals
Aiding diagnosis
Aggregate data analytics
100

101. what can smart meters offer?
Smart meter advantages as a platform include:
Near ubiquity
Historical data
Low cost
Versatile
101

102. challenges and recommendations
How to enable consumer confidence as well as innovation?
Focus on user acceptance
Build evidence base with clinical trials
Technical barriers
Regulation
102

103. working with others

104. 104
partnerships
• vast range of partnerships
• over 400 people from 239 organisations
across Britain trained to help spread the
message
• worked with partners to create co-branded
assets

105. partnerships focusing on those over 65 with no
internet access
105

106. working with employers
106
1
The employers’ guide to
smart meters and energy
ef ciency awareness at
work and at home
August 20 17

107. 107
engaging almost 1.5 million employees so far

108. diolch / thank you

109. LUNCH & EXPO

110. AFTERNOON SESSION
• 13.30A Rubbish Project: Saving Money and Carbon Through a World First
Recycling Innovation
• Peter White, Waste & Environmental Manager & Chris Davies, Energy &
Environmental Officer, Aneurin Bevan University Health Board - Confirmed
• 13.50Food waste prevention within the Welsh NHS
• Hugh Jones, Programme Area Manager - Food Waste Prevention, WRAP Cymru-
Confirmed
• 14.10Question and answer session
• 14.30Roadshow Close

111. CASE STUDY- A RUBBISH
PROJECT- SAVING MONEY &
CARBON THROUGH A WORLD
FIRST RECYCLING
INNOVATION
PETER WHITE, WASTE & ENVIRONMENTAL MANAGER & CHRIS DAVIES, ENERGY &
ENVIRONMENTAL OFFICER, ANEURIN BEVAN UNIVERSITY HEALTH BOARD

112. A Rubbish Project:
Saving Money and Carbon Through
a World First
Recycling Innovation

113. Background to the Project
• Initial contact made with Thermal Compaction Group in
August 2015.
• Trial agreed at the Royal Gwent Hospital in Newport.
• Power supply installed and operational process agreed.
• Trial commenced in November 2015.

114. Background to the Project
• Polypropylene sterilisation wrap had always been
classified as infectious clinical waste.
• 4 tonnes of wrap are generated for disposal each month
from the HSDU Departments across the Health Board.
• Disposal cost £290/tonne as clinical waste.
• Revenue of around £150 per tonne as PP for recycling.

115. Legal Compliance
• The Sterimelt Machine operates under an EA Regulatory
Position Statement (112).
• Small-scale heat treatment of waste plastics for recovery.
• Allows the processing of up to 100 tonnes per week.
• Currently process around 4 tonnes per month.

116. Financial Benefits
• Cost avoidance of £1,160 per month
• Income based on 4t per month of around £600
• Monthly lease cost of £875
• Capital cost of £46,500
• Payback of 2.2 years based on 4 tonnes per month
(£150/tonne income)

117. Pressures & Challenges
• Odour issues
• Resistance to Change!!
• Contamination (paper, other plastic items)
• Upscaling throughout the Health Board

118. Solutions
• Filter media changed, extraction & cooling system
improvements
•Extensive engagement process with staff:
• effective communication
• site visits
Selling the sizzle, not the sausage!

119. Bevan Commission Support
• Funding for a full time operative for the machine for 18
weeks
• Process Optimisation – the parameters of the machine
were adjusted to obtain the optimum temperature and
cycle time – reduced by 20 minutes
• Extensive engagement with staff at other ABUHB hospital
sites – targeting Theatres in addition to HSDU
• Promotion of the concept across NHS Wales – site visits.

120. Bevan Commission Support
• HSDU (Nevill Hall Hospital): 1.2 tonnes per month
• Bevan Commission impact – 40% increase in wrap recycled
• A further 1.6 tonnes per month has been identified from
the Theatres (Nevill Hall & Ysbyty Ystrad Fawr)
• Next step – 23 Royal Gwent theatres!

121. The Future - Opportunities
• Trial the processing of polypropylene curtains.
• Investigate and trial the recycling of other hospital
plastics
• 3D printing – University of South Wales

122. Media Links
• South Wales Argus
• Resource Co (1)
• Recycling Waste World
• Resource Co (2)
• Business Wales News
• Materials Recycling World
• BBC Wales Report - YouTube

123. NHS Sustainability Awards
Winner of the
Innovation
Category
•

125. FOOD WASTE
PREVENTION WITHIN
THE WELSH NHS
HUGH JONES, PROGRAMME AREA MANAGER, FOOD WASTE PREVENTION, WRAP
CYMRU

126. Food Waste
Prevention
within the Welsh
NHS
Hugh Jones

127. Food Waste Prevention
Agenda:
• Behaviour Change – what does it take?
• Behaviour Change – the Challenge
• Food Waste – what food waste?
• Business Case for Change
• Taking Action
• Week of Action

128. Behaviour Change - what does it take?
• Death?
• £2,500 + Disqualification
• £200 + 6 points
• £50
• 5p
• +1p
• +50p

129. Behaviour Change – the Challenge
The facts:
• 20% of food is wasted
• 60% of people say they waste no or little food
• 80% of people say they are doing all they can to reduce waste
1
People believe
they waste food
2
People believe
food is valuable
Create the
motivation to do
something
differently
Yet we throw away 10 Million tonnes of food a year

130. Food Waste – What food waste?
Food Manufacturer example:
• Ingredients 105 100
• Cooking 105 100
• Filling 105 100
• Packing 105 100
• Delivery/ Over orders 105 100
Totals 125 100
Management Reporting?
Waste is running at …… 0% 5% 25%

131. Food Waste – the Challenge
The Cold Hard Facts:
• Food Waste in the UK = £17 Billion
• Food Waste in the Healthcare Sector = £230 Million
• Healthcare Sector Food Waste = 70% of Waste
• Uneaten food waste (plate waste) = 50% of total food waste

132. Healthcare - composition of food waste

133. Business case for Change
• SDG 12.3
• Environment Act
• WFGA
• EFPMS
• FWRT
Return on Investment = 14 : 1

134. Taking Action – What you can do
• Identify principal causes of food and
packaging waste arising
• Develop action plan to tackle main
areas in which waste arises
• Engage staff, patients and visitors
on preventing food waste
• Work with suppliers to reduce food
waste and optimise packaging

135. Taking Action - WRAP’s Resources to
Help You
• How to Take Action on Waste
• HCA Screencasts
• Business Support for the Sector
• Waste Prevention Toolkit
• Your Business is Food – don’t throw it away
• NHSS Waste Prevention & Re-use Guide
• Managing NHSS Food Waste
• Commercial Food Waste Collection
• Food Waste Recycling for your Business
http://www.wrapcymru.org.uk/health-sector

136. Taking Action - Your Best Resource
Waste Prevention = The Power of Three + 1
And it’s free!

137. Your Business is Food – don’t throw it
away
• A suite of resources that aims to
help identify where food waste
might be arising at site level/
ward level
• Can help direct action to reduce
food waste, and provide valuable
information to make the case for
greater investment in food waste
measurement and prevention
http://www.wrapcymru.org.uk/hospitality-and-food-
service-0

138. Taking Action - SOS
Campaigns
• Potatoes
• Poultry
• Bread
The average UK family is wasting nearly £60 a
month

139. Taking Action – Sustainability Day
• March = Measurement
• Week of Action w/c 12th March 2018
• Evaluate and Report = 22nd March 2018
• Action Plan/ Celebrate Success
• Power of 3(v2) - Engage staff, patients
and visitors on preventing food waste
hugh.jones@wrap.org.uk
0780 909 2897