Our Commitment to a Sustainable Future A strategy for a sustainable future

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1 Our Commitment to a Sustainable Future A strategy for a sustainable future The Newcastle Upon Tyne Hospitals NHS Foundation Trust 1

2 Climate change is one of the greatest threats to our health and well-being. It s likely to have a significant impact for health in the North East. The Newcastle upon Tyne Hospitals NHS Foundation Trust, as the largest employer in the city region, has a key role to play in reducing carbon emissions and supporting local people to adapt to climate change.

3 A sustainable future for The Newcastle upon Tyne Hospitals NHS Foundation Trust and the wider NHS community will be one that embraces collaboration and innovation and identifies means of driving the highest quality clinical care through environmental improvements. We are taking action to reduce our impact on the environment - having previously installed combined heat and power capacity, in the Freeman Hospital and Royal Victoria Infirmary estates resulting in many years of carbon footprint reduction. We have invested in spend to save initiatives, such as variable speed drives on pumps/fans and lighting control schemes, and we are working towards participation in the Good Corporate Citizenship Assessment Model. Changes to our climate will clearly have a significant impact on health - leading doctors and scientists agree that one of the greatest threats to health in the 21st century will be climate change. As the largest healthcare provider in the Northeast of England, we embrace our responsibility to lead the way in the NHS and in the Northeast of England to tackle the climate change challenge head on. Sir Leonard Fenwick Chief Executive 3

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5 Why is it necessary to have a sustainability strategy? A sustainability strategy is necessary to ensure that the key Trust sustainability aims and objectives are clearly defined and effectively implemented and managed. Only then will we be able to effectively reduce our carbon emissions. The Strategy aims to Take pre-determined Baseline emissions to identify future Carbon Savings year on year. Establish and Implement a Resource Reduction Plan (RRP) Monitor and Measure Sustainability A Sustainability Working Group, comprised of key clinical and non clinical staff has been established to lead the strategic development, and ensure that all areas of the Trust community were represented in the final strategic document. The Newcastle upon Tyne Hospitals NHS Foundation Trust recognises the need to behave as a good corporate citizen and not as a hostile intruder into the city area we serve. We are taking action to reduce our impact on the local environment and take great pride in the installation of Combined Heat and Power (CHP) capacity at our principal sites - an NHS first which has seen year on year benefits delivered since Changes to our climate are already having a significant impact on the health of our population - leading clinicians agree that climate change is a challenge we all have to rise to. As the largest healthcare provider in the region, and as the largest employer in the city region, we are committed to the challenge and embrace our responsibility to lead from the front in the NHS and in the North to tackle this issue head on. 5

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7 Contents What is Sustainability? 8 Executive summary 9 Introduction 9 The national context 9 Regional Context 10 NHS Northeast 10 NUTH NHS Foundation Trust commitment 10 Sustainability Aims 11 What do we need to do? 12 Manage our resource use 13 - Energy and Carbon Savings 13 - Minimise Waste 14 - Water Conservation 15 - Information Technology and Telephony 16 Designing our Buildings Sustainability 17 Promote low carbon transportation and active travel 18 Buy sustainable products and services 19 Monitoring and measuring sustainability 20 7

8 What is sustainability? The UK Government defined sustainability in Securing the Future The Department of Health and the NHS Sustainable Development Unit have adopted this definition, which states that the five guiding principles of sustainability are: Living within environmental limits Ensuring a strong, healthy and just society Achieving a sustainable economy Promoting good governance Using sound science responsibly The Newcastle Upon Tyne Hospitals NHS Foundation Trust is committed to this vision of sustainability for the NHS. Living Within Environmental Limits Ensuring a Strong, Healthy and Just Society Respecting the limits of the planet s environment, resources and biodiversity - to improve our environment and ensure that the natural resources needed for life are unimpaired and remain so for future generations. Meeting the diverse needs of all people in existing and future communities, promoting personal wellbeing, social cohesion and inclusion, and creating equal opportunity for all. Achieving a Sustainable Economy Building a strong, stable and sustainable economy which provides prosperity and opportunities for all, and in which environmental and social costs fall on those who impose them (polluter pays), and efficient resource use is incentivised. Promoting Good Governance Actively promoting effective, participative systems of governance in all levels of society - engaging people s creativity, energy, and diversity. Using Sound Science Responsibly Ensuring policy is developed and implemented on the basis of strong scientific evidence, whilst taking into account scientific uncertainty (through the precautionary principle) as well as public attitudes and values. Source: Securing Our Future, UK Government,

9 Executive summary Introduction It is increasingly well recognised that climate change poses a formidable challenge to healthcare services - more extreme weather patterns, the spread of infectious disease, and threats to infrastructure from flooding and other natural disasters are likely to grow as global warming continues to affect the climate. This strategy outlines the Trust s commitment to sustainability, and will shape future planning and service delivery. It was guided by the NHS Sustainable Development Unit s Carbon Reduction Strategy for England, Saving Carbon, Improving Health, and is intended to work in collaboration with the aims set out in that document in 2009 and updated in The national context The UK Government has committed to take action now. The Climate Change Act sets binding targets to cut carbon emissions. As the largest public sector contributor to carbon emissions, the NHS has committed to achieve the following carbon reduction targets: 10% by % by 2020 At least 80% by 2050 The Newcastle upon Tyne Hospitals NHS Foundation Trust has long been at the fore-front of investing in low energy major infrastructure projects. As a result of investment in Trust buildings and the installation of combined heat and power (CHP) engines on its principal sites. The Trust aims to meet target and share best practice with other NHS Trusts. The table opposite illustrates the carbon footprint of the NHS in England since 1990 and the significant trend change that will be necessary to meet the UK government and NHS carbon reduction targets. Millions of Tons (MtCO2e) NHS England CO2e emissions from 1990 to 2020 with Climate Change Act targets Carbon reduction strategy target NHS England projected emissions 1990 baseline NHS England CO2e emissions 10% target from 2007 baseline 5 80% target from 1990 baseline Year Climate change act trajectory 2007 baseline 34% target from 1990 baseline 64% target from 1990 baseline Source: NHS Carbon Reduction Strategy,

10 Regional Context NHS Northeast s Commitment NHS Trusts in the Northeast have established the Regional Sustainability Lead Network which will support Trusts to reduce carbon emissions associated with energy, transportation and procurement. As part of this commitment, NHS Trusts in the region will: Assess the environmental impact of all capital investments Establish a board-approved environmental strategy that monitors, manages and reduces carbon Designate carbon reduction leads at board and officer level The Newcastle Upon Tyne Hospitals NHS Foundation Trust commitment As a leading healthcare provider working to ensure the well-being of patients and the community, The Newcastle upon Tyne Hospitals NHS Foundation Trust recognises it has a vital responsibility to minimise impact on the environment, prepare for changes in climate, ensure efficient resource use and maximise funds for patient care. As a Trailblazer and long-time leader in reducing carbon emissions, the Newcastle upon Tyne Hospitals NHS Foundation Trust is pleased to have the strong commitment of the UK and local government, the NHS and other healthcare organisations addressing this crucial issue. 10

11 Sustainability aims The Newcastle Upon Tyne Hospitals NHS Foundation Trust will: Recognise our responsibility to mitigate and prepare for impacts of climate change Promote the health and well-being of staff, patients and visitors through behaviour change Promote environmental stewardship and the responsible use of resources to minimise costs and maximise funds available for patient care Work collaboratively within the NHS and the wider community to promote sustainability Embed environmentally sustainable practices and understanding of sustainability within the Trust Develop a process to measure and report progress on performance 11

12 What do we need to do? Manage our Resource Use - Energy and Carbon Savings - Minimise Waste - Water Conservation - Effective Information Technology and Telephony Design Sustainably - Design and re-fit our buildings with sustainability as a priority Promote Green Travel - Promote low carbon transportation and active travel Procure Sustainably - Buy sustainable products and services 12

13 Manage our Resource Use Energy and Carbon Savings Reducing carbon dioxide and other green house gas emissions Our commitment: Minimise resource use through efficient and innovative technology and upgrading of the Trust s estate Monitor, measure and report on energy use to improve understanding of consumption and promote efficiency Ensure compliance with environmental legislation, such as the Carbon Reduction Commitment Energy Efficiency Scheme How we ll achieve it: Install energy monitors on high consumption equipment Install motion sensors for lighting across Trust Invest in energy saving refurbishment projects How we ll measure it: Overall carbon emissions for the Trust (based on direct emissions) Sub-metering in key areas Energy consumed per member of staff per year Measurement of transportation and supply chain emissions 13

14 Manage our Resource Use Minimise Waste Promoting appropriate use of resources and reduction of waste Our commitment: Reduce the resources we use Promote re-use of materials Increase recycling across the Trust Promote correct segregation and waste disposal How we ll measure it: Percentage of overall waste recycled Regular auditing of all waste streams Percentage of waste diverted from landfill Monthly waste volumes per hospital site How we ll achieve it: Improve awareness about responsible use of resources Find innovative ways to re-use unwanted materials Divert all of our general waste from landfill Introduce recycling facilities in all areas 14

15 Manage our Resource Use Water conservation Promoting efficient use and innovative solutions for water conservation Our commitment: Minimise resource use through efficient technology and upgrade of Trust estate Monitor, measure and report on water use to improve understanding of consumption and promote efficiency How we ll achieve it: Water saving devices installed as standard in refurbishments and new builds How we ll measure it: Water used per member of staff per year Water used per square meter per year 15

16 Manage our Resource Use Effective Information Technology and Telephony Improving the efficiency and reliability of information technology Our commitment: Provide technical solutions and support to reduce energy and material use Prioritise IT&T solutions that save resources and promote efficiency of use Recognise the role of IT&T in enabling sustainability How we ll achieve it: Centralised shut down of idle PCs after specified time of inactivity Development of energy efficient data centres Increased use of IT&T solutions to reduce materials such as paper and printer toner How we ll measure it: Sub metering of data centres, communications rooms and other high energy use areas Monitoring of energy consumed per member of staff per year 16

17 Design Sustainably Design and Re-fit our Buildings with Sustainability as a Priority Ensure our buildings, new and old, reflect our sustainability aims Our commitment: Integrate processes to ensure sustainability is prioritised when planning estate work Develop innovative sustainable design standards for refurbishments and new buildings How we ll achieve it: Project managers to complete sustainability evaluation for all major projects Investment in resource saving refurbishments through RE-FIT building efficiency programme How we ll measure it: Sustainability Impact Assessments BREEAM (Building Research Establishment Environmental Assessment Method) rating for new buildings and large refurbishments 17

18 Promote Green Travel Promote Low Carbon Transportation and Active Travel Encourage active and sustainable travel for patients and staff Our commitment: Develop processes to promote sustainable transportation Promote health and well-being through improved information about and opportunities to participate in active and sustainable travel How we ll achieve it: Develop a sustainable transport plan for our hospital sites Improve the efficiency of Trust vehicles Commit to a Cycling Strategy How we ll measure it: Track the number of staff using active travel options, such as cycling Staff and patient questionnaires Measure Trust vehicle miles fuelled by alternative sources Reduce total miles driven by Trust vehicles and patient transportation 18

19 Procure Sustainably Buy Sustainable Products and Services The Trust will meet its needs for goods and services in a way that achieves value for money on a whole-life basis not only generating benefits to the organisation but also to society and the economy, whilst minimising damage to the environment Our commitment: Consider whole-life cycle costs of products purchased Increase staff awareness of sustainable procurement Increase the utilisation of national contracts let by NHS Supply Chain (NHSSC) and the Office of Government Commerce (OGC) Buying Solutions where it is clear that sustainability issues have been addressed Include relevant sustainability criteria in procurement specifications and consider variants to enable bidders to offer innovative solutions Ensure Suppliers have or are working toward Environmental Management accreditations (ISO14001, EMAS or BS8555 or equivalent) Ensure clear, effective and transparent procurement procedures Reduce the number of supplier deliveries by a reduced number of distributors including NHS Supply Chain and commercial distributors. How we ll achieve it: Evaluate all contracts on a whole-life cost basis Increase awareness/training of sustainability issues for Trust Supplies staff Examine national framework agreements for the potential utilisation of existing contracts prior to bespoke contracting Revise Invitation to Tender documents to include sustainability criteria and a requirement for suppliers to have or be working toward Environmental Management accreditations Revise Invitation to Tender documents to include the option to offer alternative supply routes How we ll measure it: Departmental training records/mandatory training Monitor the number of national contracts utilised on an annual basis (Information to be provided by NHSSC/OGC) By auditing tender invitation documents Identify top 5 distributor/supply routes and monitor the number of supplier deliveries 19

20 Monitoring and Measuring Sustainability Successful delivery of the sustainability strategy depends on effective measurement of its progress, as well as ongoing monitoring, feedback and reporting. Key actions and progress on key performance indicators are documented in our Resource Reduction Plan (RRP). This is monitored at the quarterly Sustainability Working Group meeting. Other key areas of measurement include: The CRC Energy Efficiency Scheme (CRC) European Union Energy Trading Scheme (EU ETS) Estates Return Information Collection (ERIC) data BREEAM for Healthcare Assessment Model G F E D C B A 20

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