Improving Sustainability Performance of NHSScotland

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Improving Sustainability Performance of
NHSScotland

• Polly Griffiths and Sheila Scott
• 13th November 2008

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Context

• 14 Health Boards
• 8 Special Health Boards
• NHS24, ambulance service
• 9 million outpatients
• 1.4 million inpatients day cases
• Over 150,000 staff
• 1 billion on purchasing
• 5bn annually on construction (GB)
• 8 construction industry

• Huge potential

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Sustainability and NHSScotland

• Duties of NHSScotland
• Scottish Government
• National Performance Framework
• Best Value
• Climate Change Bill
• Europe
• EU ETS
• Energy Performance Certificates

• Other
• Carbon Reduction Commitment?

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HFS Role
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Sustainability and HFS

• Policy Development
• Guidance
• Scottish Health Facility Notes e.g. Disability
  Access
• Scottish Health Planning Notes e.g. General
  Design Guidance
• Scottish Health Technical Memorandums e.g.
  EnCO2de Making Energy Work in Healthcare
• Education Training
• Reporting
• Annual National Environmental Report
• CEC work with HFS Engineering Environment team
• Sustainability research consultancy support
• Develop advice guidance

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Environmental Management Policy for NHSScotland

• HDL(2006)21 Environmental Management Policy
  issued to ensure NHSS Bodies activities
• are sustainable, and provide a national lead in
  the adoption of sound environmental management

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Environmental Management Policy Requirements of
HDL(2006)21

• 5 Policy Statements (in summary)
• Formal plan to comply with legislation
• Environmental Management Policy Statement
• Corporate GREENCODE
• Property meets environmental performance
  requirements
• Property managed in accordance with mandatory
  requirements
• 15 Mandatory Requirements cover
• EMS/ Environmental strategy development
• Climate change impacts and adaptation
• Sustainable travel
• Waste/Energy/Water
• Benchmarking performance indicators

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Environmental Management Policy Developing an
Action Plan

• Practical guidance needed for Health Boards to
  assist implementation
• Action Plan developed
• Set out in framework
• Main elements
• actions
• timescale
• existing guidance and tools
• identify responsibilities

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Environmental Management Policy Action Plan
Example
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Sustainability Review of Guidance Documents

• HFS aim
• Maximise opportunities for NHSS Bodies to deliver
  healthcare within a sustainable environment
• Focus on facilities services built environment
• Project aim
• Review incorporation of sustainability into HFS
  documents
• Recommendations
• Part 1
• Identify documents that contribute to SD
• Part 2
• Document assessment framework
• Use of SD indicators

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Sustainability Review Document Assessment Stages
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Sustainability Review Indicators Used

• Valuing Staff
• Effective Communication
• Training Skills
• Planning Reporting
• Community Engagement
• Recruitment
• Social Justice
• Environmental Equality
• Waste
• Resource Use
• Land Use

• Construction
• Emissions to Air
• Water Consumption
• Waste Water
• Chemical Use
• Biodiversity
• Energy Use
• Energy Efficiency
• Climate Change
• Minimising travel Transport

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Sustainability Review - Recommendations

• Recommendations
• Revision of document
• Creation of document
• Change in process
• High, medium or low
• High Priority
• Overarching importance
• Broad impact
• Legislative requirement
• High

• Examples
• Develop NHSS SD Policy
• Review the General Design Guidance
• Document review tool
• Review documents in future

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Sustainable Building Guide

• HFS aim sustainability considerations
• Lead projects
• Integral to decision making
• Early identification, evaluation planning
• Project Aim
• Reference guidance on construction projects
• Used by all Health Boards

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Sustainable Building Guide Guidance Structure

• Based on SCIM
• Six key stages
• Internal planning
• Procurement
• Design
• Construction
• Operation and management
• Disposal Re-use

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Sustainable Building Guide Route Maps

• Route map for each stage
• Table format
• Action Points
• Include objectives behind inclusion ? build
  capacity
• Also origin categorisation
• Categorisation statutory, policy, mandatory,
  strategy, guidance, good practice
• Not prioritised ? encourage stakeholders to treat
  equally
• Statutory mandatory likely to receive greater
  focus

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Example Design Route Map
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Sustainable Building Guide

• Complements other guidance
• Procode 2
• SHTM 07-02 EnCO2de
• GREENCODE
• Sits alongside BREEAM Healthcare
• Replace NEAT
• Further guidance likely in future
• Being finalised internally
• Must align with new SCIM

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Looking Forward

• Other mechanisms
• GREENCODE EMS for NHSS Bodies
• Education training
• CEEF
• Model waste management plans recycling policies
• User groups
• Environment, Estates Facilities Awards
• HEAT priorities

• ANER review
• All facilities
• Broader criteria
• SD Strategy
• Policy framework
• Benefits
• Action plans for NHS Boards

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Conclusion

• NHSS potential to contribute to Scotlands SD
  goals
• HFS assist with implementation delivery
• SD should become integral not a bolt on
• Progress made - ANER 42 ? in CO2 emissions
• Structure for improvement - broader range of
  areas
• Shift environmental ? sustainability
• SD strategy key
• Monitoring, review reporting
• Track progress plan

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Contact us

• Sheila Scott
• sheila.scott_at_gcal.ac.uk
• 0141 273 1431
• Polly Griffiths
• polly.griffiths_at_gcal.ac.uk
• 0141 273 1458
• www.gcal.ac.uk/environment