maximising the nhs estate - sustainability · " scientific case the scientific evidence - we...

Maximising the NHS Estate - Sustainability

GovToday Sustainable Development Conference

Trevor Payne Director of Estates & Facilities UCLH 14th February 2012

Sustainable Healthcare?

• Life expectancy in 1948:Men 66 Women 70

• In 1948, NHS spend was 2.4% of GDP

• Life expectancy in 2009: Men 78 Women 83

• In 2009, NHS spend was 9.8% of GDP


Why should we become more sustainable?

• Scientific case – the scientific evidence - We should doWe are releasing 350m years of stored CO2 VERY fast

• Legal case – The Climate Change act 2008 – We have to (CRC League tables)

• Health case – A low carbon sustainable healthcare system will deliver immediate and longer term healthcare co- benefits – We must do

• Business case – To realise efficiency and productivity savings. Good for reputation. We will do

• Leadership case – According to the Lancet climate change is the ‘biggest global health threat of the 21st Century’. The values of the NHS to protect health and well being mean that we must take the lead. We ought to

Pharmaceuticals Food Treatment Waste Transport


Sustainable Development– what we are doing?

ü Board Approved Sustainable Development Management Planü Procurement & Supply Chainü Contract Partners/Stakeholders - JVsü Energy & Utilitiesü Wasteü Design & Upgrade – Adaptationü Clinical engagementü Performance Dashboards/metricsü Transformational change

A long term view that we can influence carbon reduction of up to 15% through behavioural change.


Some UCLH Achievements to date….

• Board approved Carbon management plan• Achieved reduction in carbon footprint & consumption training• Built up sustainability team• Trained carbon champions & carbon Oscars• Carbon impact of cancer care work shop• Low carbon food menus• Carbon Trust low carbon procurement pilot project• Patient transport & supply chain optimisation scheme• Increased recycling• Winners of several sustainability awards• Carbon Trust Standard• Successful ‘Mr Switch It’ energy awareness campaign

It can be done...........


31,671

27,348

0

5000

10000

15000

20000

25000

30000

35000

Year 2009-10 Year 2010-11

UCLH Carbon Footprint in Tonnes

£3,894,429

£3,390,273£3,225,404

£1,556,546£1,437,863 £1,360,424

£625,770 £634,373 £545,862

08/09 09/10 10/11

Electricity Gas Water

UCLH Utilities Costs Last 3 Years


Low Impact Construction


UCLH - NHS Plan A

• Plan A M&S – income generator• Sustainable design brief• Framework arrangements• Challenging Capital Programme – New build and Upgrade £75m• Backlog maintenance £47M• Materials• Standardisation/lighting/sub metering/BMS


Sustainable Healthcare?Targets

Deadlines

Metrics

Reporting

InfluencingStakeholders

Technology

Governance


UCLH Route Map Progress to date

Start Here


Three sites to check out…………

NHS Sustainability Day of Action 28th March 2012www.nhssustainabilityday.co.uk

NHS ReUsewww.nhsreuse.co.uk

NHS Sustainability Portalwww.bre.co.uk/sdhealth


www.bre.co.uk NHS Sustainability Portal


NHS Reuse: UCLH Case Study

Through the reuse of office furniture UCLH have already saved approx £84,000

A recent catalogue of the furniture UCLH have in storage identified over 1500 items. Reusing this equipment will save:

c.£150,000 in avoided purchase

cost for new

c.54,000kg of embodied carbon

c.34 tonnes of waste to landfill

SKIP


What will we do next?

Challenges to our carbon Management Plan:

maximising the nhs estate - sustainability · " scientific case the scientific evidence - we...

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