NHS Sustainability Day 2016 Nottingham Road Show

Welcome to the Nottingham NHS
Sustainability Day 2016 Road Show
#Dayforaction

NHS Sustainability Day 2016 - Nottinghamshire Road Show
Wednesday 2nd March 2016
Morning Session:
09:30 Chairs welcome
Dr Tim Ballard GP, Sustainability lead, Royal College of General Practitioners
09:40 Introduction from Nottinghamshire Healthcare
Simon Smith Executive Director of Local Services and Trust
09:45 Award Winning Spinney Meadows Project.
Nottinghamshire Healthcare
10:00 The role of sustainability in our public health system. .
Jerome Baddley, Head of Unit, Sustainable Development Unit
10:20 The Business case for reuse .
10:40 Upcycling: stop wasting the waste!
11:00 REFRESHMENTS AND EXHIBITION

Chair’s welcome and introduction
Dr Tim Ballard GP, Sustainability
lead, Royal College of General
Practitioners
#Dayforaction

Introduction from Nottinghamshire
Healthcare
Simon Smith Executive Director of Local
Services and Trust Executive
Sustainability Lead
#Dayforaction

Lower Wells Road Project
‘Spinney Meadow’
Presented by
Kevin Tone-Social & Recreational Coordinator
Sarah Elton-Horticulture Technical Instructor
Keith Dorn-Work Skills Technical Instructor

Patient Vision
9
A Patient Project Group was established in June 2014
The group wanted:
 a space for learning, time out, practical activities, contact with nature, taking responsibility
and team work and overcoming fears
 a space for everyone
 the space to be colourful and bright, cheerful and natural (not artificial and like a park)
 to be able to hear water, birds and encourage wildlife
 to be able to smell flowers, herbs and lavender
 to be able to feel relaxed and chill and have a sense of being with nature (no noisy
animals)
 to be able to learn skills and take part in educational and vocational (work) courses, learn
practical skills and do some gardening.
 the space to be well cared for and looked after

Challenges
1
 Social & Recreational Coordinator and Technical
Instructor roles
 Timescales
 Stone picking
 Lead times
 Funding
 Supporting Documents
 Hand wash
 No classroom

Therapeutic Groups and Opportunities
 Construction, Conservation, Horticulture, Grounds
Maintenance & Animal Care
 Bug Hotels
 Raised Beds
 Flower Beds
 Fruit Beds
 Managing the Woodland
 Saw Stools Project
 Owl Box
 Compost Bins
 Animal Care
1

Animal Shelter GraffitiArt
Projects
16

Future developments
18
Multi-Use space
Wildlife Pond
Spinney Times
Classroom facility-vocational training
Income generation i.e. selling produce, staff
training and be self sufficient.

Email:
kevin.tone@nottshc.nhs.uk
sarah.elton@nottshc.nhs.uk
keith.dorn@nottshc.nhs.uk
Thank you for listening
Any questions?
19

Sustainable Development
in Public Health and
HealthCare
Jerome Baddley
SDU Head of Unit

SD in health and care report
• 2016 - State of the system
• 2012 - last SD in health
and care report
• Looking back to how
we’ve done and forward
to opportunities

Health and care context
• Human health is the measure of Sustainable
Development across all sectors
• The SD strategy and Health Check 2016 cover
whole Health and Care System
• DH, PHE, NHSPS now have Sustainable
Development Management Plans
• NHSI (Monitor/TDA) NHSE, NICE are
developing SDMPs, other eg CQC to follow

National Health and Care
footprint
• Now need to be thinking
broader than NHS.
• Across the whole Health
and Social Care Sector.
• Local health and social care
communities.
• 1.4m HSC staff as citizens.

Sustainable healthcare
community
The heath care community crosses all
sectors
‘how’ as important as ‘what’ in
healthcare delivery.
• Local leadership and example in
good corporate citizenship
• Public health protection
• Resource efficiency
• The impact of the staff as citizens
• The design of models of care
• The goods and services the sector
procures

How?
Eg.
• Grid decarbonisation
• Vehicle efficiency
• Supports 30% reduction
Eg.
• Energy and travel efficiency
• Anaesthetic gases
• Models of care
• Public health
• Supports 58% reduction

Where now on the how
In SDMPs and Reporting need to make and report the
business case for sustainable care, and capture sustainability
co-benefits from lower cost care.
Yes- estates, transport and staff engagement
Also- Supply chain and sustainable procurement
And- Models of care

Models of Care
• Accounting for the environmental benefits from
better care- Vangards, Rightcare etc.
• Often unaccounted environmental and social co-
benefits- need to be quantified
• Potentially using new (Oct 2015) SDU guidance on
foot printing care pathways.

Low carbon economy
• 20% LEP investment in local growth- low
carbon. More in Innovation.
• Low Carbon economy now worth £26Bn
• Bigger than Pharma, 2nd to Food and
Drink.

Support for innovation
• Low Carbon economy = more healthy economy- eg
less air pollution, warmer homes
• Heath economy S.Notts alone <£1Bn
• Support exists from universities on environmental
management, resource efficiency and innovation
• Time to expect more and ask for year on year
improvement from providers and suppliers.

Health workforce as
community leaders
• 1.4m staff work in the Health and Social Care
sector
• C2% of working population
• Supporting staff to engage in sustainable
lifestyles, at work, at home and in-between
• Supporting and valuing community activity

Leadership and leverage
UK health sector already recognised nationally and globally as
sustainability leaders in corporate practice. Need to maintain and
grow:
• Community leadership – Sustainability and Transformation Plans require a
wider collaborative approach. Health organisations with strong SDMPs and
reporting demonstrate financial, social and environmental leadership.
• Procurement + Commissioning -The catalytic role of sustainable and
innovative, products, services and models of care, to leverage both
efficiency in health spending and the local low carbon economy.
• Workforce – collective genius of staff as sustainability champions and green
citizens

Jerome Baddley CEnv MIEMA
Head of Unit
Sustainable Development Unit (SDU)
0113 8253217
Jerome.baddley@nhs.net
www.sduhealth.org.uk
Follow us on Twitter @sduhealth

The business case
for reuse:
DanielO’Connor
HeadofCustomerHappiness
Daniel@warp-it.co.uk
@WarpIt_

Overview
 Financial
 Environment
 Social

Overview
 NHS real case
studies
 Free resources
 How to set up your own
 Business case templates
 Legal templates

Value
“It is only a
waste when it is
in the wrong
place”

The Enemy
 Time
 Space
 Distance

Priority?
Reuse has a
much great
impact than
recycling

Purchase &
Waste costs
Staff time

SupplyChain
Impacts
60% NHS
Carbon from
supply chain

Procurement
& waste
avoidance
benefits

External
Collaboration
AberUni save
£10K in 1st
trade!! (audio
room)

Take home
tip
Explore developing a
reuse target
>Track your savings
>>Put more resources
into reuse

Free
resources
Freegle
Warp It (is free really)
Legal document for
donation to 3rd parties
Business case for reuse
system

GetWarpIt.com
Book a callback!

Linkedin: Daniel
BedeO’Connor
Daniel@warp-it.co.uk
@WarpIt_

Convert what you throw away into what you need
Rod Fountain
CEO and founder

we take this
and make this
FluteOffice

we take this
and make this
FluteOffice
1 tonne of waste £50
1 tonne of upcycled waste
£10,000+

and make this
FluteOffice
Join the
dots!
1
2

and make this
FluteOffice
we take this

and make this
FluteOffice
Medical Records Office
Estates Office
Post room
Anti-Coag Office

The circular economy creates amazing returns for all of us
ECONOMIC
Huge savings for
NHS trusts.
Higher prices for
waste.
Lower costs for
furniture and fittings.
Subscription option
frees the capital
budget.
Reduces FM costs.
ENVIRONMENTAL
Huge reduction in
carbon footprint.
Reduces or eliminates
waste to landfill.
Optimises use of
resources.
SOCIAL
Raises quality of
working environment
for staff and patients.
Creates new form of
positive engagement.
Supports CSR
programme.
FluteOffice: Critical for the NHS to embrace the circular economy

“The FluteOffice solution represents the future for our Trust. The opportunity
exists to save many millions of pounds for the NHS if it embraces the circular
economy across the country.”
David Sissling CEO Kettering General Hospital NHS Foundation Trust
“We find the FluteOffice model utterly compelling and we intend to roll it out
throughout our estate.”
Martin Riley Managing Director Medway Community Healthcare
“We want everyone who works for us to be proud of what we are doing to make
their working environment much better and at the same time much more
environmentally responsible and sustainable. We are all very excited about the
future potential of working with FluteOffice.”
Julie Sherlock, Board Lead Customer Care & Facilities, Your Healthcare
Kingston
FluteOffice: Everyone loves it!

FluteOffice: Example of the closed loop model for the NHS
We take waste cardboard from NHS trusts and use it to make
stunning furniture and interior office products….
….which we then resupply to the
NHS for use in its buildings for as
long as required….
….and when they aren’t
needed anymore we take them
back and remanufacture into
new products for resupply to
the NHS…….

Better,
much better,
does not have to
cost the earth.
FURTHER INFORMATION
Rod Fountain CEO
rod@fluteoffice.com
+ 44 (0) 7957 424976
FluteOffice Ltd
The Studio, Gardeners Cottage,
Jayes Park Courtyard, Ockley,
Surrey, RH5 5RR
+ 44 (0) 1306 400070
www.fluteoffice.com 96

Refreshments and networking
#Dayforaction

MID-MORNING SESSION: PRACTICAL DEMONSTRATIONS OF SUSTAINABILITY IN ACTION
11:20 Healthy eating the route to health & wellbeing
Dr. Tim Finnigan, Director of R&D, Quorn Foods
11:40 AquaMark - UK’s National Water Benchmarking Project
Ismena Deacon, Technical Director, ADSM
12:00 Salix Finance Solving Energy Efficiency in the NHS
Emma Lawes, Client Support Officer, Salix Finance
12:20 Carillion Sustainability
Victoria Smith, Head of Supply Chain, Carillion
12:40 LUNCH AND NETWORKING

Healthy Eating
“The Route to Health and Wellbeing”

Current Issues in the NHS….
''Today 25% of the nation is obese and 37% is overweight”. If we could reduce the number of cases
by 20% over the next 5-10 years, we could save the NHS up to £16bn per year.
“In 2015 NHS will spend about £8 billion a year (increasing to £10-£12bn by 2020) on the medical
costs of conditions related to being overweight or obese and a further £10 billion on diabetes.”
“Shortfall in NHS funding £20bn target by 2020”

“NHS as an employer sets a national example in the support it offers its own 1.3
million staff to stay healthy, and serve as “health ambassadors” in their local
communities”.
Simon Stevens Five Year Forward
Tackle the root causes of ill health.
A radical upgrade in prevention and public
health.
Hard hitting action on Obesity, Alcohol
and other major health risks.

http://www.fao.org/fileadmin/templates/wsfs/docs/expert_paper/How_to_Feed_the_World_in_2050.pdf
http://www.tristramstuart.co.uk/FoodWasteFacts.html
http://ecowatch.com/2014/04/11/agricultures-greenhouse-gas-emissions-2050/
Challenge Consequence
To feed 9bn in 2050 FAO say we need a 60% increase in food production
some of the true costs of cheap and plentiful animal protein

“The need for new
business models that help
address the 9bn challenge
- including a healthy new
protein with a lower
environmental impact….”
Prof. Alan Knight Single Planet Living
Big steps toward small footprints

104
Quorn is an important tool to help address
these issues

“Quorn ….began by
taking the original
fungi found in soil and
domesticating it in the
same way that our
ancestors did with
many plants.”
Spector, T (2015) The Diet Myth. Weidenfield
and Nicholson pp 137
Quorn has many influential advocates

Increasing protein content
Mycoprotein Beef Chicken
ToonesofProtein
Protein Yield per tonne of Wheat
used in the production of mycoprotein, beef & chicken

Key comparisons - mycoprotein
 By working closely with Carbon Trust we have established that Quorn foods offer significant environmental
benefits relative to meat.
 Quorn is the first and only meat free brand to have carried out such a systematic third party analysis of its
environmental footprint.
1 Geraldes, E & Freire F (2013) Greenhouse gas assessment of soyabean production: implications of land use change J Cleaner Production 54, 49 -60
2. Matsuka, T& Goldsmith, P (2009) World soyabean production: Area yeild and projections. In: J Food Agric Management review 12 (4) 143-161
3. Ercin, AE Aldaya, M &Hoekstra, AYl (2011) The water footprint of soymilk, soyburger and equivalent animal products. UNESCO IHE Inst Water Education. Report 49
4. Carbon Trust. Report to Marlow Foods (2014) Available on request
ENVIRONMENTAL COMPARISON PROTEINS AND MYCOPROTEIN
GHG
(kg/kg)
LAND
(ha/te)
WATER
(m3/te)
MYCOPROTEIN 1.6 0.17 860
source#4: carbon trust lifecycle analysis of mycoprotein. Report 2014
QUORN MINCE 2.4 0.4 1900
SOYABEAN 0.1 - 17.8 0.43 2500
source#1 source#2 source#3
BEEF (GRAZED) 121
(114 - 130) 5 21500
BEEF (MIXED) 30
(16 - 69) 3.5 19500
source#4: carbon trust lifecycle analysis of mycoprotein.
Report 2014
POULTRY 9 0.7 3970
Compared with Quorn mince ex factory
GHG LAND WATER
Beef
(mixed)
X12 X9 X10
Beef
(grazed)
X50 X12 X11
Poultry X4 X2 X2

Bowel Cancer
• Is the third most common cancer in the UK
• Eating 100 to 120 g of red and processed meat a day
- things like ham, salami and sausages – increasing
the risk of developing bowel cancer by about 25% -
we need to eat less
• Fibre offers a protective effect – we need to eat
more (SACN Report)
Quorn are supporting bowel cancer awareness
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2121650/pdf/pmed.0040345.pdf
http://scienceblog.cancerresearchuk.org/2007/11/12/how-does-red-meat-increase-bowel-cancer-risk/
http://www.dietandcancerreport.org/?p=ER
https://www.gov.uk/government/publications/sacn-carbohydrates-and-health-report

NHS SUSTAINABILITY DAY
24th MARCH 2016

What if every NHS member of staff ate the
same lunch as you will be eating today??
SAVED Fat: 56 tonnes = approx. 2 lorries full
SAVED Carbon:
7.4 million kg = 7,400 tonnes
[35x Angels of the North]
SAVED Water:
4 million tonnes (m3) = the
amount of water flowing in the
river Aire over 32 hours.
SAVED Land:
1400 hectares = 7x the
size of Roundhay Park
SAVED Calories kcal :
To feed 760 people for a
year (365 x 2,500 kcal)
INCREASED Fibre: 21 tonnes = approx. 1 lorry full

Mission:
To reduce global water
consumption by
1%

 Water efficiency experts for 20 years
 Advisors to the Government since 1999
 Lead consultants of Watermark

 Major improvements
 Metering
 Billing
 Reporting

 Wider ranging
 Greater detail
 Robust

£500 million per annum in lost
revenue, which if saved coincides with a
30% reduction in water use

The entire East Midlands’ Water Consumption for 2 Years

…or filling this entire building 60 thousand times over

What this means for the NHS
 10 million m3 per year
 £24 million

500Different Building
Benchmark
Classifications

 3 years free bill validation
 Electronic water consumption profiles
 Identification of high consumption anomalies
 A benchmarking toolkit

 More accurate reporting on water
 Prepare for deregulation from 2017 and;
 Tools to potentially reduce your water bill by a
third

 We provide you with an email to send
to your water supplier
 They send your future bills to us for
benchmarking assessment and
validation
 Within 24 hours of receiving them, we
send your now validated bills onto you

 Climate Change
 Rapid Population Growth
 Economic Development

True water management
- comprehensive approach

@adsmUK
#AquaMark
Your Participation
AquaMark@adsm.com
01753 833 880
www.adsm.com
Thank you

Emma Lawes
Client Support Officer
Emma.lawes@salixfinance.co.uk
020 3102 6910
100%
INTEREST
FREE

Introduction
Knowledge sharing and case studies
Summary of the loan application process
To demonstrate how Salix can help NHS England
Our goals for today

Introduction to Salix funding model

Who we are
Established in 2004
Independent, publicly funded, not-for-profit company
100% interest-free capital finance for the public sector
Funded by DECC, Scottish and Welsh Government, EfA and DfE
Support public sector bodies such as local authorities, educational
establishments and NHS Trusts
Working throughout England, Wales, Scotland and N. Ireland

Minimise wasted energy – controls
and awareness raising
Efficient conversion –
installing energy
efficient technology
Salix focus
capital investment to
reduce energy and
save carbon
Energy hierarchy
Onsite
renewable
energy

Loan funding by public sector body type
40%
30%
12%
10%
4%
3%
1%
England between April 2010 - March 2015
Local Authority
Higher Education
Institute
National Health Service
School
Further Education
Institute
Academy
Emergency

Top 10 NHS Clients
Imperial College Healthcare NHS Trust
Northern Devon Healthcare Trust
Hinchingbrooke NHS Trust
Bradford Teaching Hospitals NHS FT
Princess Alexandra Hospital NHS Trust
Northampton General Hospital NHS Trust
St George’s Hospital
Poole NHS FT
Salisbury NHS FT
Ealing NHS Hospital Trust

Energy usage in the NHS
245 eligible organisations spend over £634m on energy and utilities 1
Average of £2.5m per hospital 1
Typically 3rd largest expenditure
Our NHS clients have saved on average £200k per year 2
1. Health and Social Care Information Centre, Hospital estates and facilities statistics 2015
2. Salix Finance – loan applications since 2008

Case
Studies
Project Knowledge
Slides
Social
Media
News &
Blog

Northampton General Hospital - case study
Pre project conditions –
• Mixed 40 acre estate with buildings ranging in age
from 1793 to 2008
• Issues with BMS control, heating networks,
pipework lagging, heat loss, and inefficient lighting
Salix funded solution –
• Total project cost £381k
• Cavity wall and pipework insulation, draught
proofing, BEMS upgrades, pool covers, and T5/LED
lighting
• 3 year payback
Project overview
Salix helped Northampton General Hospital to deliver a suite of new
projects across their estate saving the hospital £127,484 per year

Project knowledge slides
Sharing of knowledge between clients
Completed projects
Before and after
Supporting comments
experiences
lessons learnt
supplier
contact details

SOLVING ENERGY EFFICIENCY FINANCE IN THE PUBLIC SECTORWWW.SALIXFINANCE.CO.UK
Salix application process

Online application process

Six simple steps to apply
1. Log on to the Salix website salixfinance.co.uk/loans
2. Select the NHS loans page
3. Complete the compliance tool with project details
4. Complete an online loan application
5. Submit your application online
6. Salix will do a technical assessment

Summary
NHS Trusts and Foundation Trusts – no maximum loan amount
Help achieve energy and carbon reduction targets
Long-term funding plans, SDMPs, estates strategies
Reduce energy bills at your Trust

Thank you
Emma.lawes@salixfinance.co.uk
020 3102 6910

Carillion – Sustainability
Victoria Smith & Chris Neale
2nd March 2016

163
Agenda
• Carillion Group
• Carillion Sustainability
• Services Supply Chain
• Royal Liverpool Hospital
• Nottingham University Hospitals
• ‘Field to Fork’ Case Study

• Tarmac Group – De-Merged in 1999
− Tarmac, Wimpey, Cubitts and Mitchell Construction
• Further Acquisitions:
− Mowlem (2006)
− Alfred McAlpine and Vanbots (2008)
− EAGA (2011)
− John Laing Integrated Services (2013)
− Rokstad Distribution (2014) – 60% ownership
• 40,000 employees
• UK, Middle East, Canada
• Approx £5Bn turnover
• FTSE 250 PLC
Who Are We ?

165
Maintenance
Utilities
Facilities
Defence Infrastructure
Rail
Health
Education
What Do We Do ?

“To be recognised as a leading
sustainable business and the
leading sustainable support
services company …”
Sustainability Vision 2020
Richard Howson
Chief Executive Officer

Carillion’s 6 Positive Outcomes
Sustainability 2020
• Building a successful business
• Leading the way with our customers and suppliers
• Providing better prospects for our people
• Supporting sustainable communities
• Enabling low-carbon economies
• Protecting the environment

Carillion’s 6 Positive Outcomes
Sustainability 2020
Our key impacts:
• £27.2m net profit contribution through sustainability efficiencies
• 51% local spend including SMEs
• 49% reduction in our All Accident Frequency Rate since 2011
• 87% of apprentices found employment or pursued further education
• 17% reduction of our carbon footprint since 2011 (normalised)
• 95% waste diverted from landfill

Working With the Right Companies
• Supplier accreditation and risk management
• Audit, relationship management and development
Supply Chain Sustainability School
• Funding Partner of Cross-Industry School
− Free Virtual Learning Environment and support
− Multi-media – videos, articles, webinars, tools
− Supplier Days / Workshops – networking
− Develop sustainability knowledge and competence through Action Plans
− Flexible Framework – Level 5 Achieved in early 2016.
Services Supply Chain
“… impressive collaboration across so many
stakeholders, with an investment in education
that will have long-term sector impact ..”

• £335M capital cost, 3 year build – plus £100M support services, 30 year
concession
• One of the largest all single-bed hospitals in UK (646 beds, 40-bed CCU, 18
theatres)
• One of the UK’s 'greenest' hospitals:
• Dedicated cycle centre and 10 electric car charging points
• Renewable energy systems
• Low carbon materials, systems
• Water meters, leak detection
• £240M to local economy
• 750 full-time jobs during build
• 60% to local people
• 60% materials locally-sourced
• 15% workforce from priority areas
• 100 apprenticeships created
Opportunities – Royal Liverpool Hospital
Royal Liverpool Hospital

• Phased and staged packages of procurement
• Preferred supplier base – pre-accredited suppliers
• ‘Meet the Buyer’ events
• Trust and City Council – links to ‘priority wards’
• Community Engagement Officer
• Previously a Business Connector
• Business in the Community regional management team
• Charitable trusts – managing applications and allocations
• Specific delivery against Community Schedule in pre-contract agreements
• Supply Chain Sustainability School – Supplier Day
• Apprenticeships and Work Placements
• Supplier engagement and planning
Process – Royal Liverpool Hospital
Buying for the Long Run

Nottinghamshire University Hospitals Trust
Patient Meals
• On site CPU producing 1.9 million meals per annum
• Meals supplied to City and QMC sites
• Tablet based food ordering system
• Food waste reduction from 18% to 8% (target 6%)
• Patients order 2 hours before meal service
• 7 day menu cycle with average patient stay of 3.5 days

Field to Fork
Gold Soil Association ‘Food for Life’ Catering Mark
• Buying local wherever possible (60%)
• Purchase of organic produce (15%)
• 75% meals freshly prepared on site
• All fish procured from MSC approved list
• Use of only cage free eggs
• 5% of food used is free range
• Use of Farm assured products ie; Hams
• All meals are free of E numbers such as MSG and
do not contain artificial trans fats or GM ingredients
• Every £1 spent on food for life produce equates to
£3 being reinvested into the local economy

Lunch and networking
#Dayforaction

AFTERNOON SESSION: IMPROVING CONDITIONS, IMPROVING SURROUNDINGS
13.20 Welcome back
13:30 Creating and growing a Green Champions Network utilising In-house expertise.
Nottinghamshire Healthcare
13:50 Food for Life Hospital Leaders programme
South Warwickshire NHS Foundation Trust
14:10 Operation TLC: Creating healing environments
Hugh Goulbourne, Partner, Global Action Plan
14:30 Chairs concluding comments
15:00 CONFERENCE CLOSE

Green Champion Network
Nick Fayers and Lynn Richards
Divisional Energy and Environmental
Managers

179
Why develop a network?
 Raise awareness of environmental/sustainability issues
 A means of engaging with our staff, patients and service
users
 Provide a mechanism for making small yet meaningful
changes in the work environment
 Sharing our success stories and Trustwide objectives
 Trustwide approach, inclusive of all regardless of
size/location
 Link to Sustainable Development Management Plan

180
Why develop a network now?
• Previously explored option
• Low-hanging fruit mostly gone
• The right people arrived

181
Who was responsible?
• Members of the existing Environmental Team –
Divisional Leads but Trustwide approach
• Supported by the Sustainability Committee which has
Board Level representation
• Not outsourced as this could prove costly

182
What did we do?
• Designed an ‘identifier’ and purchased ‘giveaways’

183
• Agreed a calendar of events to focus our approach
• Tied into National or Local Campaigns to give our work
credibility

184
• Launched in January 2015
• January – Communications and Engagement month –
used our staff email network to send a global email
• Produced posters which could be downloaded from our
section on the intranet
• Compiled a questionnaire for interested members to
complete to give us an idea of the most important topics
for staff (not essential but helped us shape our approach)
• As the network grew we decided to stop asking staff to fill
this in – generating requests and ideas without needing
this as a prompt

185
• Each month an E-bulletin is produced which focuses
on the topic of that month but also looks forward to
the coming months
• 2 or 3 pages – short and to the point
• Champions actively encouraged to contribute
• Emailed to all champions who are encouraged to
email it to colleagues or display on their notice
boards
• Great means of recording our progress
• Positive feedback received

187
Successes
• Ever growing network – to date there are 215
champions in over 50 locations
• Promoted working within and between
departments
• An article has been published in every edition of
the Trusts magazine ‘Positive’ which showcases
our work

189
From Champion to Champion!
• A chance discussion between two Green
Champions resulted in patients at Rampton
Hospital making planters for Millbrook Hospital
The planters were used
by staff and patients to
grow herbs and salad

190
Green Travel Day
• Trustwide initiative to raise awareness
of carbon associated with travel
and transport
• Dedicated Green Travel Day in June
• Staff encouraged to travel to work
sustainably – other than by car
• ‘Green miles’ were logged using
a simple calculator
• Winner (picture) cycled 46 mile round trip!

191
• Green Champions have been instrumental in
using and integrating Warp-it
• Good numbers signed up and exchanges
have already taken place
• Positive response from champions

192
Limitations
• Time – constant workload, writing articles,
producing the bulletin, attending inductions
• Finance – limited budget
• Realistic objectives
• Reaching all staff > 8000
• Reaching all locations >200 sites

194
Nick Fayers Lynn Richards
Divisional Energy & Environmental Managers
environment@nottshc.nhs.uk
Nick.fayers@nottshc.nhs.uk
01159691300 x10776
Lynn.richards@nottshc.nhs.uk
01777247807

Food for Life Hospital Leaders

Hi everyone!
• A bit about SWFT
• Importance of food in hospitals
• What is Food for Life and the Catering Mark?
• Projects we are doing at SWFT
• Hospital Circle Leaders
• What's next…

Who we are
We are a small
acute and
community Trust
serving a rural
population.
Operate over four
hospitals and
community sites

Role of food in Hospitals
Good Food
For Patients For Staff & Visitors Culture
Supports health,
promotes recovery and
rehabilitation, enhances
wellbeing, champions
sustainability
Supports health, enhances
wellbeing, champions
sustainability
Promotes hospitals as
settings that support
good health and places
that lead by example

all NHS hospitals must develop
and maintain a food and drink
strategy, to include:
• the nutrition and hydration
needs of patients
• healthier eating for the whole
hospital community, especially
staff
• sustainable procurement of food
and catering services
Food in Hospitals: Policy Drivers

supporting NHS Trusts to become health-
promoting settings, improving the food
experience of patients, staff and visitors and
benefiting the wider community
Food for Life in Hospitals
Food for Life Catering Mark
Almost 10 million meals served in
hospitals every year with the Catering
Mark
• Food and drink strategy support package: supporting Trusts to develop
meaningful and effective strategies with multi-disciplinary input
• Ongoing policy and advocacy work on the importance of a food in the health
promoting hospital

Ingredients required
• Enthusiastic team
• Essentials:
– Your catering team
– Dietetics team
– Nursing team
– Health and Wellbeing team
– Senior leadership
• Ongoing commitment – not a one off project

The whole settings approach:
examples of good practice

Hospital Leaders Circle
Food for Life Hospital Leaders are committed to becoming
health-promoting settings, improving the food experience of
patients, staff and visitors and benefiting the wider community.
Circle members receive intensive support to develop and
implement a transformative food and drink strategy
addressing nutritional care, sustainability and health
promotion.
Circle membership offers unrivalled opportunities for
‘mentoring’, further learning and networking opportunities.

 We are supported at every level
 They have helped us develop our Food and Drink Strategy – now ratified and
approved.
 Help us engage with catering, retail and vending contractors to raise food standards
e.g. speaking directly to our vending providers to work together to offer a healthier
vending range
 Pilot new approaches to improving patient experience; communal dining
 Provide communications support to raise the profile of this work internally and with
key stakeholders.
 Create opportunities to share learning and best practice with other NHS Trusts and
collectively influence national policy; workshops, seminars
 Continue to give national visibility to the Trust’s work in this area.
 Advise on the option of a hospital food CQUIN and the wider business case.
What does being a Hospital Circle
Leader mean for us?

What's next?
• Upcoming seminars and workshops
– Volunteering
– Improving Healthy Cooking skills
• Celebration Event!
• New projects for 16/17
– Electronic patient menus
– Fruit and Veg Stall
– Silver Catering Mark

One last thing…
• Topic for NHS Sustainability
Day discussion?
• Do you have interested
individuals?
• Could you look at external
space?

Please get in touch
Abbey Morris
Sustainability Lead
South Warwickshire NHS Foundation Trust
abbey.morris@swft.nhs.uk
01926 495321 ext 4856
@swftnhs
Dr Susannah McWilliam
Programme Manager
Soil Association
SMcWilliam@soilassociation.org
0117 914 2453
@SAfoodforlife

Hugh Goulbourne
Partner at Global Action Plan

Changing Lives in
East London
• Largest NHS Trust in the
country
• Serves 2.5M people

We help people to limit
environmental damage
Schools Businesses Communities

SUCCESSES - Cost and Carbon Savings

• Increased natural light in mental health patient rooms
resulted in 3.7 day shorter hospital stay on average (AHRQ, 2005)
• Cervical and lumar spinal surgeries patients who received
more natural light saw a 22% decrease in painkilling
medicine use (Joseph, 2006)
Behaviour change in action
Increasing natural light exposure
Reduction in artificial light
• Darkening hospital rooms at night – reduced sleep
disturbances by 38% (Bartick et al,. 2009)

SUCCESSES
Better patient experience and staff fulfilment

Design of a behaviour change programme
What can staff do to save energy?
How often do staff do those actions already?
What is the value of doing those actions more often?
What stops people acting and how can we help uptake?

How did people
save energy?
Natural Light

QUIET
TIME
NIGHT
MODE
HIGH
ENERGY
AREAS
BUILDING
AWARENESS
How did people save energy?

What encouraged and enabled people to act?
PATIENTS
PEOPLE
PLANET POCKET

Patient – Staff – Estate
Triangle
What encouraged and enabled people to act?

How did we measure the impact and savings?
PATIENT
SURVEY
METER
DATA
LIGHT
METERS
SPOT
CHECKS

From energy saving to better relationships

Help is at hand to run your own Operation TLC
Scope
• Quantify
energy waste
• Create
business case
• Engage clinical
leaders
Change
• Face to face
engagement
• Personalised
comms
materials
• Coaching for
champions
and project
leaders
Measure
• Improvements
in staff taking
energy action
• Cost and
carbon savings
• Patient
experience
benefits
• Staff benefits

What advice would we share?
Top 3 tips
Be specific. Saving energy is abstract.
Opening the curtains and turning off the light is real.
Make energy saving genuinely meaningful for staff.
But don’t kid yourself that saving money is that meaning.

Chris Large
chris.large@globalactionplan.org.uk
@chrislarge1
Hugh Goulbourne
hugh.goulbourne@globalactionplan.org.uk

Chair’s closing comments
Dr Tim Ballard GP, Sustainability
lead, Royal College of General
Practitioners
#Dayforaction

NHS Sustainability Day 2016 Nottingham Road Show

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NHS Sustainability Day 2016 Nottingham Road Show