Newcastle Hospitals Sustainability Journey

Transcription

1 Newcastle Hospitals Sustainability Journey James Dixon BSc(Hons) MSc MIEMA CEnv Head of Environmental Management 19 th May 2017, IEMA North East Event, Newcastle Civic Centre

2 Newcastle Hospitals Providing patient-centred healthcare to communities in the North East of England and beyond for over 250 years. We re one of the largest NHS trusts in the UK, offering a wider range of specialist services than any other. Key facts: 1.96 million patient contacts a year Serve a population of over 3 million 14,000 staff 1 billion turnover 1,800 beds Five acute sites, plus many community sites Major Trauma Centre with helipad at RVI Over 190,000 people attended our A&E & WICs Over 7,000 babies delivered per annum Long history of clinical excellence: First child heart transplant in Europe ( 87) First single ( 87) & double lung transplant in Europe ( 91) CQC Outstanding 2016 (only Shelford Trust)

3 Strategies

4

5

6

7 Environmental Performance Data Electricity imported (kwh) 13,815,699 10,384,543 13,603,713 14,690,626 10,181,446 12,135,292 9,598,663 Electricity exported (kwh) 8,072,236 11,913,094 9,559,200 11,196,097 Energy Gas usage (kwh) 268,065, ,259, ,775, ,661, ,476, ,081, ,013,869 Oil usage (kwh) 344, , , , ,716 1,041,271 1,420,945 Carbon emissions (tco 2 e) 63,111 58,898 65,858 50,335 49,188 49,996 51,060 High Temperature Disposal (t) Waste Heat Treatment (t) 1,484 1,454 1,472 1,536 1,554 1,659 1,689 Landfill (t) 1, Energy Recovery (t) 579 1,980 1,875 1,879 1,741 2,001 1,891 Recycling (t) ,056 1,216 1,183 Total Waste (t) 4,280 4,341 4,470 4,574 4,602 5,166 5,033 Recycling rate (non-clinical) 12.4% 26.4% 32.6% 32.9% 38.1% 42.3% 40.6% Carbon emissions (tco 2 e) Water Water usage (m3) 484, , , , , , ,037 Carbon emissions (tco 2 e) Patient Transport (miles) 1,110,616 1,257,569 1,304,173 1,365,161 1,314,908 1,266,668 1,235,687 Visitor Transport (miles) 46,000,654 49,666,570 50,722,387 56,612,693 57,771,389 58,806,302 59,923,749 Travel Staff Commute (miles) 9,619,733 11,280,475 10,488,882 10,720,973 10,897,246 11,152,770 11,464,010 Total Travel (miles) 56,731,003 62,204,614 62,515,441 68,698,827 69,983,542 71,225,740 72,623,446 Carbon emissions (tco 2 e) 21,359 23,419 23,536 25,382 25,714 25,758 26,247 Procurement Supply Chain Spend ( ) M M M M M M M Carbon emissions (tco 2 e) 80,491 87,548 92, , , , ,852 Total Carbon Footprint (tco 2 e) 165, , , , , , ,845

8 Objective KSM by 2020 Actions ( ) ENERGY: Exceed NHS & UK Climate Change Act targets to reduce building energy use carbon emissions WASTE: 100% of our waste is either reused, recycled or reprocessed WATER: Actively seek ways to reduce our use of water BUILDINGS AND LAND: Exemplar sustainable healthcare building design and healthy, green, bio-diverse external spaces JOURNEYS: Lead on influencing a modal shift in travel and transport methods to more active and sustainable methods PURCHASING: Fully integrate sustainable and ethical procurement practices into our Supplies & Procurement strategy, policy and processes for all goods and services CARE: Develop low-carbon care pathways for our patients; improving health outcomes whilst delivering social and environmental benefits To reduce our BUILDING ENERGY carbon footprint by at least 28% (based on a 2013 baseline) To reduce our WASTE carbon footprint by at least 28% (based on a 2013 baseline) To reduce our WATER carbon footprint by at least 28% (based on a 2013 baseline) Every new building has achieved at least a BREEAM rating of Excellent, with the aim of Outstanding from design stage To reduce our TRAVEL carbon footprint by at least 28% (based on a 2013 baseline) To reduce our SUPPLY CHAIN (scope 3) carbon footprint by at least 28% (based on a 2013 baseline) To be recognised as the leading NHS acute teaching hospital Trust for sustainable healthcare policy and practice BUSINESS PLANNING: Ensure Sustainability is an explicit aim within sustainability is embedded into Trust the Trust s core Visions and Values business strategies, policy development and is embedded into our business and investment/business case proposals planning arrangements PEOPLE: All staff, patients and the wider community are aware of our commitment to sustainability, the benefits of acting sustainably and the actions they can take to help support us in this goal All staff recognise our commitment to sustainable healthcare service delivery and know how they can support the Trust in our aim to be the leading NHS Trust in this field Consult on identify and prioritise energy saving schemes for NUTH Implement an Energy Use behaviour change campaign for staff Investigate the feasibility of generating renewable energy on applicable Trust sites Adopt a proactive & robust monitoring and targeting process for energy management Reduce: Work with suppliers to reduce the amount of packaging/consumable item waste Reduce (Hazardous): Expand the segregation of non-infectious healthcare waste Reuse: Increase the reuse of surplus furniture and equipment Recycle: Trial the recycling of food waste, healthcare PVC & single use metal instruments Trial and implement water efficient technologies and improve metering/leak detection Liaise with Water Safety Group to trial a reduction in amount of routine flushing Approve a Sustainable Estates Building Strategy Commission a Five-Year Conservation Management Plan for the Freeman Hospital Enhance the biodiversity & accessibility of our external spaces wherever feasible Establish systems to accurately calculate the carbon footprint of staff and patient travel Increase the fleet of Trust electric vehicles and Trust electric vehicle charging points Pilot mobile working with Community staff to demonstrate efficiencies and benefits Promote staff health and wellbeing through participation in active journeys Train all Supplies & Procurement staff on sustainable and ethical procurement practices Ensure all Trust tendered contracts are procured in consultation with the EM team Increase the amount of food we serve that is local, seasonal and organic Seek to establish improved calculations of the carbon footprint of our procurement Invest in health promotion, and ill-health prevention; working in partnership with PHE Move more care closer to home, with the expansion of outreach services and tele-health Seek to establish the carbon footprint of key care pathways to identify hotspots Ensure sustainability is included in Trust business strategies and investment proposals Ensure sustainability is considered in all Estates & Facilities and IT business cases Engage with commissioners to ensure sustainability is included in service planning Develop, then seek Board approval for, a Trust Climate Change Adaptation Plan Develop a NUTH Sustainability brand to increase staff, & wider community, engagement Continue annual staff sustainability surveys to gauge staff awareness of sustainability Achieve Silver in the Health & Wellbeing at Work Awards Engage with Green Champions and other networks to embed sustainable practices Produce a quarterly Green News newsletter celebrating/sharing good practice Deliver sustainability awareness events, at least annually Embed sustainability training into the Trust induction for all staff

9 NUTH Sustainability

10 NUTH Sustainability Team

11 Engaging Staff & Visitors Easy to read posters/bin magnets Website (internal & external) Green News Green Champions Green events / competitions Rolling audit programme Induction package for new starters

12 Green Champions Our network of 180 keen individuals, from all wards and departments, helping to deliver the key aims of our sustainable healthcare strategy

13 Recent Achievements

14 Waste Management Focus Incineration Heat Treatment Energy Recovery Recycle Reduce or Reuse

15 Waste Produced (2015/16) Incineration = 290t (6%) (Inc. Sharps = 73t) Heat Treatment = 1,659t (32%) Landfill = 0t ZERO! Energy Recovery = 2,001t (39%) Recycling = 1,216t (23%) (or 42% of Non-Clinical waste) Total waste produced = 5,166t

16 We ve come a long way Waste Segregation /11 13% 8% 4% 35% Incineration Heat Treatment Landfill 40% Energy Recovery Recycling

17 Key Improvements 2011 / fold increase in recycling (326t / 1216t) 2015/16 = 42% of non-clinical waste recycled (2010/11 = 10%!) Energy Recovery: 346% Increase Zero Waste to landfill since % lower costs ( 1.58m / 1.26m)

18 You can t manage what you can t measure Non-Clinical KPIs Clinical KPIs TRUST TOTAL Key Monthly Waste Information Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Tonne Tonne Tonne Tonne Tonne Tonne Tonne General Waste , , , , , , , Dry Mixed Recycling , , , , , , , Cardboard bales , , , , , , Scrap Metal Glass Green Waste Plaster Waste Confi. Paper , , , , , , , WEEE , , , , Batteries Compactor & Baler Rental 1, , , , , , , Totals , , , , , , , Recycling Tonne / Cost , , , , , , , Recycled % / Cost per Tonne 34.3% % % % % % % FREEMAN HOSPITAL Key Monthly Waste Information Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Tonne Tonne Tonne Tonne Tonne Tonne Tonne General Waste , , , , , , , Dry Mixed Recycling Cardboard bales Scrap Metal Glass Green waste Plaster Board Confi. Paper , , , WEEE Batteries Compactor & Baler Rental Totals , , , , , , , Recycling Tonne / Cost , , , , Recycled % / Cost per Tonne 31.2% % % % % % % RVI Key Monthly Waste Information Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Tonne Tonne Tonne Tonne Tonne Tonne Tonne General Waste , , , , , , , Dry Mixed Recycling Cardboard bales Scrap Metal Glass Plaster Board Confi. Paper , , , , , , , WEEE Batteries Compactor & Baler Rental Totals , , , , , , , Recycling Tonne / Cost , , , , , , Recycled % / Cost per Tonne 37.0% % % % % % % Trust Total Q Waste Outcome Waste Type Total weight Total cost 770LHazAltTreat 437, , Landfill = 770LHazAnatomical 3, , LHazIncin 2, , % 770LNonHazMeds 23, , LHazSharpsIncin 4, , Incineration = 770LCytotoxic 10, , , LNonHaz 2, % 360LHazSharpsIncin LHazAltTreat AT + EfW = 1LHazSharpsIncin , % EfW = 7LHazSharpsIncin , % LHazSharpsIncin Recycling = % ClinBagsHazAltTreat LUnitRadioactive MatressHazAltTreat

19 Successful Invest to Save Initiatives

20 SharpSmart reusable sharps containers The first Trust in Europe to use reusable sharps containers over 12 years ago Filled containers sent to Spennymoor facility to be emptied, the containers washed and disinfected for reuse, and the waste consigned for incineration Slightly cheaper than disposable boxes (given the better fill efficiency) 30% less waste incinerated Best environmental option available - Over 90% reduction in carbon footprint Over 3,000 tco 2 e saved to date

21 Waste Achievements 100% of waste is now either recovered or recycled (zero to landfill) Recycling increase year-on-year, from 326t to 1216t ( 373%) Rate of non-clinical waste recycled up from 10% to 42% CO 2 emissions from waste disposal down 600tCO 2 e/yr ( 75%) Contributions of over 1,000,000 savings to Trust CIP Winners of the Green Nephrology Award 2012 Finalists in the National Recycling Awards 2014 First Shelford Group Trust to achieve the Carbon Trust Waste Standard in 2014 (and re-certified in 2016)

22 Moving Up The Waste Hierarchy 2020 Vision

23 Upcoming projects

24 James Dixon Head of Environmental Management Newcastle Hospitals