NHS Trusts and healthcare organisations from across England descended on the capital to witness the official launch of NHS Sustainability Day 2014. It was a day of passionate presentations and even more enthusiastic speakers.
The day kick-started with an introduction and welcome from Trevor Payne, Director of Estates and Facilities at Barts Health and the brainchild of the NHS Sustainability for the last three years. Following on from Trevor delegates were treated to presentations from Rick Walker, CSR Senior Manager, NHS England, who spoke about the corporate social responsibility NHS England has to support sustainable healthcare. Following Rick, the audience were then invited to listen to the 2013 award winners which included Lambeth Food Co-Op. Lambeth were on hand to give an inspiring presentation on how they have developed a programme which has built great momentum and involved volunteers from across the Borough. They joined Ed Rosen to discuss what the food Co-Op meant to them and how it had influenced their lives.
Presentations followed from 2013 NHS Sustainability award winners Lancashire Care Trust who delivered a compelling case study on how their community sustainability programme had supported patients and those with mental health issues and University Hospital Southampton NHS Foundation Trust on a commonly missed issue – Anaesthesia related electrical energy use and anaesthetic gas scavenging.
Following another exciting case study from Hyder Mohammed of Barking, Havering and Redbridge NHS Trust the audience were delighted to welcome Andy Jones, National Chairman of the HCA. Andy discussed the urgent need to re-address the way we source our food and how it is packaged in Hospitals. Making some bold pledges, Andy, spoke at great lengths on why we must change our behavioural culture in order to improve our sustainable performance.
Next up saw Carillion present on their work with Barts Health. Gemma Lynch and Tracey Williams spoke on how Carillion have supported Barts Health in both environmental performance and community programmes. Tracey informed delegates on the offender programme which has been so successful in getting ex-offenders back into employment and showcased how sustainability is not just about the environment.
The day concluded with Deputy Chief Medical Officer, Professor David Walker. David was on hand to discuss how the Department of Health are focusing on sustainability in healthcare and the examples they are seeing from across Europe of good practice.
It was left to Trevor to close the event with the presentation of the 2013 awards. Trevor presented Trusts and healthcare organisations from across England with their well-deserved awards for continuous development of sustainable practices.
2. NHS Sustainability Day
A call to action for the NHS
• A platform for whole system thinking on sustainable actions
• Showcase for innovation, excellence and best practise
• Opportunity to learn, share, collaborate
• Engage - staff/patients/visitors/supply chain
• Help develop an NHS that is fit for the future
• Do one thing differently
• We hope you will be inspired to take part in 2014
3. NHS Sustainability Day
Motivating Success
•
•
•
•
•
•
•
•
•
•
Day of action and engagement across
NHS
100 organisation participated 2013
300 participating in 2014
Key endorsements
Royal Colleges, associations and Institutes
Sharing knowledge, experience and best
practice
Creating a legacy
National Road Shows
Awards
Internationally showcasing NHS
4.
5. #dayforaction
If the NHS can deliver a sustainable focus collectively on
one day, why can't we do it every day - think what a
difference it would make
8. Sustainability
The goal of sustainable
development is to enable all
people … to satisfy their basic
needs and enjoy a better quality
of life, without compromising the
quality of life of future generations
… meeting the needs of today,
without compromising the ability of
future generations to meet their
needs …
8
9. NHS England – vision & purpose
The idea
High quality care for all, now and for future generations
10. NHS England – vision & purpose
NHS constitution
• “… committed to providing best value for taxpayers’ money
and the most effective, fair and sustainable use of finite
resources … accountable to the public, communities
and patients … taking decisions…should be transparent
and clear to the public, patients and staff.”
Public health outcomes
• “… wider factors that affect health and wellbeing and health
inequalities e.g. children in poverty, green space for
exercise/health
• “…. healthy lifestyles – healthy choices – reducing health
inequalities
10
11. NHS England – vision & purpose
Our purpose
We create the culture and conditions for health
and care services and staff to deliver the highest
standard of care and ensure that valuable public
resources are used effectively to get the best
outcomes for individuals, communities and
society for now and for future generations.
12. Sustainability in NHS England
Corporate Social Responsibility – is the way we
understand and manage our impacts and take
steps to use them in a positive way, encompassing
• Patients – Doing the right thing for patients –
towards sustainable models of healthcare
• Community – Managing our impacts to support
communities
• Healthy environments – Reducing negative
impacts and protecting the environment
• Our people – Striving to be the best employer we
can
• Our organisation – Having the highest
standards of accountability
12
13. Towards a plan
• Offices (energy, carbon, waste, water)
• Travel
• Local community benefits/community impact
(e.g. local procurement)
• Engaging & involving staff – our personal
responsibilities
• Volunteering connecting to our priorities
• Exploring employability / access to work
links to health outcomes
• Processes e.g. NHS Standard contract
• Exploring the scope of Commissioning tools &
support, CSU products, primary care
commissioning
13
19. Lambeth Walk Group Practice
Summer 2013
Using space at the side of the surgery to full
potential
20. Lambeth Walk Group Practice
October 2013
Participants harvesting produce
21. Lambeth GP Food Co-op
Funded by the London Borough of Lambeth and NHS Lambeth
Clinical Commissioning Group.
Supported and grown by the people of Lambeth
22. Anaesthesia related electrical energy
use and anaesthetic gas scavenging
(AGSS)
Dr JMT Pierce
Gemma Morris
Tom Dugdale
University Hospital Southampton
25. Where is electricity used during
anaesthesia?
• Plug-in energy meters for all
anaesthesia related equipment
• Surreptitious observation
of radiant heater use
• AGSS
– Obtained the total power consumption from all
the locations from Estates Department
– Power clamped each of the 3 phases of the supply
29. Up in the loft
• 31 operating rooms
• Total load 25.15 kWh
• Mean derived load per room 0.8kWh/theatre
– 19.47 kKw/theatre /day
• Mean measured load 0.75 kWh/theatre
– 18.03 kWh/theatre/day
• In addition AGSS in radiology, ICU, catheter labs
– Additional 21kW
– 504 kWh/day
30. Average daily anaesthesia related
energy consumption (UHS kWh)
1.35
5.00
3.90
Mean AR
Mean OR
Mean AGSS
Radiant heaters
18.03
31. How big is the issue?
• Theatre use 24/7
– 204,000 kWh / year
• Other use in radiology 24/7
– 184,000 kWh / year
230 tonnes CO2
OR used for 40% of the time
32. What was the state of knowledge?
• 7 Night time surveys 11pm
– All AGSS left on
• Survey anaesthetic department knowledge of
– On / off switches
– Anaesthetic machine AGSS indicators
• Informal telephone survey of other
anaesthetic departments
• Anaesthetic machine servicing teams
36. The future?
• Initiatives have a honeymoon phase
– Staff turnover
• Interface the anaesthesia machine with the
AGSS proven too difficult
• Occupancy sensors to activate AGSS
– Current project
• Move to low FGF may prove safe enough to
allow a significant reduction in the AGSS flow
rate
37.
38. NHS Sustainability Day
Award 2013
For Best Community Engagement
Initiative
Centre for Sustainable Health Care
NHS Forest Annual Awards
Most Innovative Site 2013
Network Name
Corporate Services
39. Question:
Can more be done to choose safe, environmentally
sustainable food and a healthier diet?
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
40. Yes its possible adopting the Grow Your Own Model
We reduce supplier related CO2 emissions by growing
organic, seasonal crops. Food miles have become food steps!
We have reduced food waste, harvesting produce to meet
patient menu requirements.
We can assure food quality and growing standards as there is
no external involvement in the growing process.
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
41. Providing a Healthier Diet
Fruit and vegetables are one of our main sources of vitamins
and minerals, which the body needs to perform a variety of
functions well. Vitamin A helps to strengthen our immune
system, B vitamins help us process energy from food, vitamin D
helps us maintain healthy teeth and bones, and vitamin C helps
to keep cells and tissues healthy.
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
42. Louise Treasure, Team Leader Property Services. “Part of the GYO project is
to introduce locally grown, organic food in to the food chain for the Service
Users at Guild Lodge. This summer we have had fresh strawberries, which have
been harvested, prepared and served all within a few days, providing the
Service Users the best quality fresh ingredients which is the priority. An
abundance of fresh salad vegetables and herbs have all been provided to the
kitchen to be used in patient feeding, this not only gives the Service User a
freshly made dish but also cuts down on food miles, cost and waste. These
issues are high on the agenda at Lancashire Care and as we get more and
more established the planning of vegetable growing to match menus will
increase and we can cut down on the above on a bigger scale”
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
43. Chris Rowe, Head of Support Services. “The project plays a vital
role in minimising waste within the catering industry and builds
towards planning for the future, establishing a sustainable resource
that is multi facetted and can be of benefit to the reduction of food
miles and locally sourced produce. We will endeavour to move
forward in the future building on what we have already achieved
broadening involvement in the local community and encouraging a
stable method of procurement for the future .”
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
44. Question:
How can gardening support mental health recovery?
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
46. Blake Shaw, Associate Practitioner, “At Fellside unit we started the project with a selfcontained poly tunnel which was full of weeds and overgrown. With encouragement service
users have embraced the concept, showing self-motivation by participating in the „grow your
own‟ project. therefore Chris A and I started to recruit volunteers to work on the
land, clearing the weeds and making the tunnel and surrounding area fit to grow our own
produce. With a lot of hard work and dedication from the Fellside grow your own team the
Polytunnel is being redesigned with the help of the service users. We have started to
cultivate and replenish the growing beds with seedlings and an assortment of vegetable and
fruit plants which in time will be sourced as part of our on-going health promotion projects.
Many of us know that being more active outdoors is good for our physical health but getting
outdoors and into nature can improve mental health too. Even simple activities like taking
a stroll in the park, or gentle outdoor exercise can have big benefits for our mental
wellbeing.”
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
47. Paula Pemberton, Associate Practitioner, “On Forest Beck we have used
produce from delicious apples, juicy sweetcorn and my favourite - honey. It is
a project that saves money at Forest Beck, it provides produce for healthy
eating groups, communal meals which encourages service users to use skills
in preparing and cooking food. At Forest Beck service users are preparing to
go out into the community and cooking skills are important for their future. It is
something that service users can see from beginning to end. From plot to
plate. It is outdoor exercise which is stress busting and a way to enjoy the
great outdoors. NHS campaign „Change 4 Life‟ with eat well, move more live
longer is exactly what this project promotes.”
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
48. Carol Bristow, SEED Project Lead Service User Involvement “Please can
I take this opportunity to say what a fantastic project you lead on you must
be very proud of your achievements!! The person who I escorted down did
not stop talking about your project “ Grow Your Own” on the way back. I
wish I had a camera to capture his expression when we arrived down at Grow
Your Own. I have not seen a service user so emotionally enthusiastic for a
long time. What hope you gave him by just experiencing your project for a
short period of time – that‟s called Recovery!! The service user champion
has now gone away to design a promotional leaflet and poster to advocate
your project to other service users and staff here at Guild Lodge.”
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
49. Service User Comments Fellside and Forest Beck
“Great opportunity to learn new skills that I can take away with me
on discharge”
“Very good quality and produce was well presented on arrival
looking very fresh and tasty.”
“Help with having a healthier lifestyle and personal fitness”
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
51. Community is the fundamental building block to our society
Through community we promote healthy
eating, outdoor spaces and organic produce
living
and
We
help
to
development
positive
personal
skills, teamwork, confidence, achievement, pride, ownership and
engagement
We interact with staff, service users and community groups to
share skills, network and develop friendships, overcoming
stigmas and perceptions
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
52. We promote positive community engagement with real benefits
for the local health economy
We provide opportunities for people to volunteer and make a real
difference to outcomes, being a team makes us stronger
We support service user recovery and actively help to reduce the
need for service user dependency
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
53. Community Feedback
"I really enjoyed the day, thank you"
"A one and only experience to help out" "Amazing experience"
Esther Wilks Assistant Programme Manager, The Challenge
Network, ”I've not had a chance to write to say the HUGEST of thank you’s
for last weekend (I can't believe it was only a few days ago, seems like ages
ago!!) I, for one, had so much fun on the day, and all the feedback I got in
the staff debrief suggests that the staff and young people did too. It was
such a nice way to end their time at The Challenge. The level of effort you
put into the day was so evident, from the team signs to the hand sanitiser
and biscuits in baskets, thank you. I hope we managed to get a lot of the
apples picked for you and that the service users enjoyed the labyrinth.”
"Always willing to answer questions" "Would love to get the opportunity again"
“All instructors were excellent, very informative”
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
54. Grow Your Own Project
Food Security
Mental Health Recovery
Community Engagement
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
66. Thank You
From the Grow Your Own Project Team
Elizabeth Harrison, Volunteer Project Lead : Email Elizabeth.Harrison@lancahirecare.nhs.uk : Tel 01772 773580
Teamwork – Compassion – Integrity – Respect – Excellence – Accountability
Network Name
71. Estates & Facilities Division
Director of
Estates, Facilities & Capital
Range of
contractors,
ppliers,
Jackie Nugent
su
Head of Estates
Capital, PFI Portfolio & Contracts
PFI
Contractor
inter
Peter Harris
nal and external
stakeholders
Sustainability & Carbon Manager
Estates Sustainability
Hyder Mohammad
Sustainability Communications Officer
Estates Sustainability
SODEXO
74. NHS Sustainability Day 2013 Campaign
Objectives:
organise a
high profile
launch
engage, ed
ucate, enco
urage
implement
simple
measurable
actions
75. energy &
carbon –
awareness
energy &
carbon –
savings
initiatives
waste &
water –
awareness
NHS Sustainability
Day 2013 Campaign
planned activities
waste &
water –
Travel awareness
& support
changing
behaviours better ways of
doing
reduction
initiatives
76. energy & carbon – awareness
LIVE energy
consumption –
check
anywhere, anytime
Cardboard
monitor says
“switch me off”
Green
Champions in
Action
Real-time Energy Display:
A high profile launch by CEO with
Head of Estates, Sodexo FM
Managers and eco|Driver Director at
Queen‟s Hospital.
Big A1 size “PC monitors” crafted out of cardboard
“Switch off your monitor overnight and save as
much as 2% of Queen’s electricity costs. That’s
£30,000!”
Green Champions raised local
awareness with provided
information and tools.
77. energy & carbon – savings initiatives
Lights go
off, when no
one on stairs
Let our
buildings
sleep
Secret Energy
Audits
Implementation of light sensors in multistorey car park staircases at Queen‟s
Hospital.
Review and making changes to AHUs
operating times to match business hours.
Easter Bank Holiday switch-off
Green Champions were encouraged to do walked-
around in their local areas to identify potential
energy savings.
78. waste & water – awareness
How to save
water?
Empty paper
boxes display
Which bin to
use?
Essex & Suffolk Water
company, distributed their Water
Saving kit.
Stacked empty paper boxes were
in display in the Atrium with an
awareness raising animated
movie.
A stand raising awareness with
bins, posters and interactive quizzes to
teach staff how to segregate waste
properly.
Join us to learn more
On 28th June
Queen’s Atrium
79. waste & water – awareness
Disposable cup
Empty card box
packaging
On 28th June
Queen’s Atrium
Plastic/paper
packaging from
clinical equipment
Mask worn by staff
Gloves exposed to
blood/body fluids
Paper towel used
for hand drying
Paper towel
contaminated with blood
Join us to learn more
Empty Spirigel
container
Disposable hat worn
by staff
Disposable gown
with blood stain
80. waste & water – awareness
Nurse wasteful
vs.
Nurse greenway
An activity based pictorial guide
showing the behaviour of a
“waste producer vs. waste reducer”.
81. waste & water – reduction initiatives
IV Bags
recycling in
Pharmacy
In Pharmacy Unit awareness and facilities
are provided to send saline & dextrose
bags, as Food Waste stream.
Aperlan waste
bottles
recycling
In Renal Unit and Endoscopy Unit facilities
were arranged to collect Aperlan plastic
bottles for recycling
Water reduction
opportunities
Identified ways to work in collaboration
with water supply company.
82. travel – awareness & support
Free
Free
BUG
Dr. Bike
Breakfast
Bike
marking
sessions
Sessions
83. Changing behaviours –
better ways of doing things
Stakeholders engagement and training
Domestics
M & E Team
Medical Records Store
FM Supervisors
Security
Porters
84. Outcomes / Achievements
increased
awareness
at all levels
Connection
to wider
teams
monitoring
& targeting
tools
Contractors
participation
Opportunities,
external
funding &
services
Integration
into Estates
and FM
plans
Sense of
“never
done, can
be done &
achievable”
Completion
of Travel
Plan
Recorded
progress, c
hange and
savings
89. Caterers Responsiblity
• People
• Communication
– Trained/Focused/Committed
– Local Community
• Good Food
– Good Ingredients
– Well Presented
– Served with Knowledge
• Waste
– Local Suppliers Showcase
Stalls
– Customers Information
Point - Patients and Staff
• ASK
– Case Studies
– NFU, MSC, Red Tractor
Served with Passion
Nothings IMPOSSIBLE
90. Suppliers Responsiblity
• Supply Partners
• Co-operatives
• Meet the Supplier Days
• Procurement – Food Chain Guardians
•
•
•
•
Seasonal and Local
British First Goods
Sustainable Sourced
Clear and True Labelling
• Packaging
90
91. Together we can CHANGE
ANY QUESTIONS?
OH YES I HAVE ONE!
NOTHING‟S IMPOSSIBLE
91
92. Carillion Services – Community
Engagement
Gemma Lynch
Operations Director, Carillion Health
Tracy Williams
HR BP, Carillion Health,
Barts Health Contract
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy
93. Carillion plc
Carillion plc is one of the UK’s leading support services companies with
a substantial portfolio of Public Private Partnership projects and
extensive construction capabilities. Our services have the potential to
contribute significantly to society, as well as providing employment
within the communities in which we operate.
The Group’s annual revenue in 2012 was £4.4 billion and we employ
around 42,000 people across the UK, Canada and the Middle East and
North Africa.
To fulfil our mission and vision, we seek to behave in accordance with
our Values in everything we do and to embed sustainability across all
our business units. Our sustainability vision:
To be recognised as a leading sustainable business and the
leading sustainable support services company.
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy
94. Our six positive outcomes
Building a successful business
Enabling low-carbon economies
Protecting the environment
Supporting sustainable
communities
Providing better prospects
for our people
Leading the way
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy
95. Supporting sustainable
communities
• Charitable giving
• Employment opportunities
• Engaging with schools and hard-to-reach
groups
• Local spend
• Use of Community Needs plans
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy
96. Community Engagement at
Barts Health
•
Business Action on Homelessness
•
Harpley School
•
HM Prison Send
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Making tomorrow a better place
through our 2020 sustainability strategy
98. Sustainability and DH
General Outline of Talk
• DH contacts and partners
• National work on SD and Climate change
• International work and the inspiration you provide
for others…
99. DH Contacts
• Prof David Walker – DCMO, SD & CC Champion
• Helen Shirley-Quirk – Director, Health Protection
• Robert Edmondson-Jones CBE – Director, Estates &
Information Services
• Dr Louise Newport – Policy lead for sustainability and CC
• Ian Rowlan – Senior Engineer
• Christine Hardy – Estates & Sustainability Manager
• David Wathey – Sustainable procurement
100. Partnership Working
• NHS-England
• Public Health England
• Sustainable Development Unit
• Defra
• Decc
• Environment Agency
• Local Government Association
101. Climate Change Act (2008)
• DH provides health input to cross-government
implementation of the Climate Change Act (2008)
– Input to Carbon Reduction Strategies
– Five year cycle to understand and act on the
consequences of climate change, CCRA and NAP
– Climate Change Risk Assessment (January 2012) –
what are the likely consequences of climate change
– National Adaptation Programme (July 2013) – how are
these risks addressed – for Healthy and Resilient
Communities
102. Guidance produced…
NHS Sustainable Development Unit
• NHS Sustainable Development
Unit.
– Adaptation to Climate Change in
NHS Organisations – what you
need to know (2012)
– PHOF – SDMP indicator
– ARP
– SD Strategy consultation 2013
www.sdu.nhs.uk
103. Procurement
• Procurement is 60% of the NHS’S carbon footprint
• Sustainable messaging in contracts
• Procurement for Carbon Reduction (P4CR)
• WHO looking at P4CR use internationally
104. ERIC AND PAM
• Important to measure progress across the system.
• Updating to include necessary information on
sustainability and climate resilience
• BREEAM for healthcare – Phase III – increase
sustainable building construction in healthcare for 2020
105. Health Impacts of Climate Change
Developing the UK evidence – 2002/08/2012
•
Heatwave-related health problems
•
Aeroallergens – pollen etc
•
Air pollution – Respiratory &
Cardiovascular effects
•
Indoor environment
•
UV - Sunburn, skin cancer and cataracts
•
Flooding / mental health consequences
•
Vector-borne diseases
•
Water & Food-borne disease
•
Extreme weather-related events
(injuries/death)
•
But, decrease in cold-related illness &
deaths
106. Health Co-benefits
•
Lancet co-benefits research, Nov 2009, LSHTM
•
Health benefits of low carbon actions in
transport, built environment, food and
agriculture, both in the UK and the developing
world
•
Eg Health benefits from low car use
– increased active transport
– reduce obesity,
– reduce urban pollution,
– reduce road traffic accidents.
– „Greener‟ fuels also lead to reduced indoor
and outdoor air pollution.
•
Currently 800,000 deaths per year from outdoor
air pollution, 1.5 million from indoor air pollution,
1.9 million from physical inactivity and 2.6 million
from obesity (WHO European region).
•
WHO „Health in the Green Economy‟ series
Lower carbon saves lives! – and money!
107. International collaboration
„Climate Change is Global‟
•
WHO Resolution on Climate Change
and Health (61.12), 2008
•
Commonwealth Ministers
agreement to cooperate on climate
change and health. WHA, May 2008
•
UK co-chaired the WHO (Europe)
Climate Change Task Force, to
develop a Framework for Action on
Climate Change and Health.
•
WHO European Environment and
Health 5th Ministerial Conference,
Parma, 2010
•
DH chairs the WHO Euro Working
Group on Health Impacts of Climate
Change (HIC)
108. Greening Healthcare
• WHO Europe Meeting in Bonn, 2013
• Inspiring examples from other countries
• Solar power in hospitals in Kyrgyzstan and Montenegro
– Uninterrupted power supply for the first time
– Able to function outside daylight hours
– Improved patient outcomes and staff morale
WelcomeNotice of filming – Energy LiveHosted by Barts Health and partners 4allofus, Carillion and Healthcare Estate
NHS Sustainability is a day of action on climate change across the healthcare sector. As the largest trust in the NHS and with the diversity of staff, building stock and health communities we serve we feel we feel it is important for us to play back into the NHS areas of excellence and best practice. Last year 100 NHS organistaions participated in the day, demonstrating the appetite for collaboration and wealth of knowledge in the sector. This year the new website will provide a platform for knowledge sharing and idea generation and the national roadshows will provide an opportunity for local collaboration and networking. This year we are focused on creating a lasting legacy across the communities in which we work – establishing sustaianable projects through our partners 4 all of us.National roadshows – Hull done on 3rd October, Liverpool 4th December, Bournemouth 6th February and London 27th March.The awards will give trusts recognition for the work they are doing across the UK and encourage others to join next year.
Follow us on twitter and facebook @dayforaction/#dayforaction
Health and safety commission 1995. 8 hour time weighted averageControl of substances hazardous to health
BS 6834;1987 80-130lISO DIS 7396 50-80l
LHS = 2.2 kW older pair of operating rooms RHS = 550w single newer roomJust show me how many of your theatre teams actively switch off AGSS at the end of the day?Risk of not activating the following day?
28.3kWh per theatre per dayRelatively small amount of energy for anaesthesia delivery 28.3 Large amount heating and AGSS (2/3rds)
Total of 388,000 kWh/year
So we have a problem
In principle AGSS should be checkedPatient Warming
In the mean time…..
Define the outcomes before we startWork together, not in isolationShare knowledgeDrives innovationBest cost?? NO NO NO NO