1. October 2018
Is Care Without Carbon fit for the future?
NHS Sustainability Day
Oliver Slaughter
Sustainability Manager
Susie Vernon
Head of Environment
2.
3.
4.
5. 1. Organisational change
- Sustainable Transformation Partnerships
- Five Year Forward View
2. Transport revolution
- Air Pollution
- Electric Vehicle revolution
- Automation
3. Materials revolution – Circular Economy
- Plastic and the Blue Planet effect
- The Great Wall of change
4. Development of Climate Change
- Adaptation: UK Heatwave
- 1.5oc Target
Health and Wellbeing
Fit for the future?
6. 3 STP-wide projects
Waste services contract
Energy performance contract
Courier services review
Sussex & East Surrey STP
1. Organisational Change: Working as a system
23 partners
£4 billion spend
1.7m patients
1 of its 5 priorities is to make
best use of resources available
Total carbon footprint of system estimated at 100,000 tonnes CO2e at a
cost of £30m pa
Develop a small number of strategic, collaborative projects aimed at
advancing our sustainability goals more quickly or more effectively than if
we all acted alone
7. • EPCs: Contractor implementation of
energy efficiency and renewable energy
measures
• Guaranteed savings model over 15+
years
• Works undertaken by an Energy Services
Company (ESCo), funded by client, ESCo
or third party
• Increasingly popular in NHS
1. Organisational Change: Energy Performance Contract
8. • To procure EPCs for all NHS Trusts in the
STP through a single collaborative
procurement
• Partnership with The Carbon & Energy
Fund – one of three procurement
frameworks available to public sector in
UK
• Separate contracts within a single
overarching project
• System-wide approach to energy
management
1. Organisational Change: EPC - How it works
9. • Viability study has shown potential
guaranteed savings of £6m pa across all
Trusts
• Capital investment of circa £32m
• Good projects for all Trusts with clear
opportunities for collaboration
• Procurement due to start November
2018
1. Organisational Change: EPC – next steps
10. • Air pollution increase the risk of heart
attacks and strokes
• The NHS is responsible for 1 in 20
vehicles on the road in Britain
• Physical inactivity costs NHS England
over £500m each year
• Electric vehicle revolution
2. Transport Revolution: Air Pollution / EVs
11. • 2020 Target: Reduce CO2 emissions from
our journeys by 34%
• 25 low-emission pool vehicles
• Travel Bureau
• Electric courier van and pool car
• Pool e-bike
• New Travel Plan
• Further Electrification
• Courier services review
2. Transport Revolution: CWC approach
13. Clinical integration
• Key part of CWC refresh
• Empowering the board to
embed sustainability
• Linking into Clinical Care Strategy
• Applying the 7 elements to clinical practice
14.
15. • China’s crackdown on Yáng lèsè
洋垃圾 (foreign garbage)
• Import bans on 24 types of waste
• Malaysia, Thailand and Vietnam
starting to follow
• Significant changes within the
recycling market
3. Materials revolution: The Great Wall of Change
17. • Embrace Circular Economy Principles
• Promoting reuse at the heart
• Rewriting our policies
• Analysing supply chain data / Carbon
footprint
3. Materials revolution – The Great Wall of Change
18. • Embrace Circular Economy Principles
• Promoting reuse at the heart
• Rewriting our policies
• Analysing supply chain data / Carbon
footprint
• Building criteria into contracts and
Tenders
• Joining and pushing forward
certification schemes / commitments
3. Materials revolution
19. • Embrace Circular Economy Principles
• Promoting reuse at the heart
• Rewriting our policies
• Analysing supply chain data / Carbon
footprint
• Building criteria into contracts and
Tenders
• Joining and pushing forward
certification schemes / commitments
• Targeting key items through
campaigns
3. Materials revolution – The Great Wall of Change
20. • 2018 UK Heatwave in Sussex
• Flooding at a Health centre and Hospital
• Adaptation action group
• Use of UKCIP report
• Environmental audit committee report –
Heatwaves: Adapting to Climate Change
• 1.5 degrees – IPCC report
• Science based targets?
4. Development of Climate Change: Adaptation