As a member of the Global green and healthy hospitals, Hull and East Yorkshire Hospitals NHS Trust hosted the day and help kick-start the NHS Sustainability road-show series, allowing the likes of Yorkshire Ambulance Service and East Riding Public Health to become involved and demonstrate their work around health and sustainability.
Hull is also home to the first energy park designed by The Great Outdoor Gym Company who were on hand to discuss the equipment which showcases the link between health and sustainability.
Delegates attended the event for FREE and kindly supported Hull Food Bank by bringing along non-perishable food item, tins or packets, for donation.
3. Contents
• Hull and East Yorkshire Hospitals
• Trust Figures
• Sustainable Healthcare Strategy
• Work at Hull
• Corporate Social Responsibility
• Questions
4. Hull and East Yorkshire Hospitals
• Large Acute Teaching Hospital Trust
• Two Main Sites
• Operating Budget of £480 million
• Over 8,500 employees
8. Trust Figures
• £5 million annual spend on energy
• Over 100 million kWh of energy
• 30,284 tonnes of CO2 in 2012/13
• 48 tonnes of clinical and non healthcare
waste per week
9. Trust Figures
GREENHOUSE GAS EMISSIONS 2008-09 2009-10 2010-11 2011-12 2012-13
31,407 30,858 30,887 29,050 31,529
17,037 16,002 16,564 14,700 16,365
14,371 14,856 14,322 14,350 14,576
589
19,719,167 24,033,056 23,384,555 25,661,668 1,559
2,021 1,009 1,529 37 24,245
86,192 85,274 88,463 78,727 86,259
5002863 4083033 4,383,884 4,717,187 5,081,650
294,108 284,856 281,196
Related Energy
Consumption (,000
kWh)
Financial Indicators (£)
Non-Financial Indicators
(tCO²)
Electricity Non-Renewable
Electricity Renewable
Gas
Total gross emissions
Scope 1emissions (direct) gas
Scope 3(indirect) supplier transport emissions
Expenditure on Energy
Scope 2 emissions (indirect) electricity
Carbon Reduction Commitment Expenditure
WASTE 2009-10 2010-11 2011-12 2012-13
4,231 2,871 2,712 2,779
Landfill 501 368
Incinerated with 818
Incinerated without
energy recovery 1,332 1,204 695
Landfill 2,519 1,036 233 155
Reused/Recycled 380 631 1,283 1,374
Composted 64
Landfill 304
Incinerated with
energy recovery 87
Non-Financial Indicators
(tonnes)
Total waste
Clinical Waste (ink
Hazardous)
Non-Hazardous Waste
Non-Financial Indicators
(tonnes CO
2
e)
Clinical Waste (inc.
Hazardous)*
10. Trust Figures
FINITE RESOURSE CONSUMPTION : WATER 2008-09 2009-10 2010-11 2011-12 2012-13
Water Consumption (m
3
) 375,694 360,071 337,657 344,214 358,910
158
Financial Indicators (£k)
636,051 658,757 596,536 609,519 650,930
FINITE RESOURSE CONSUMPTION : TRANSPORT 2008-09 2009-10 2010-11 2011-12 2012-13
123,511
37
1,209,462
481
270,298
Non Patient Transport Mileage CO
2
Tonnes 108
712,060
262
1,766,427
344
4,081,758
1,231
Vehicle Mileage Own Vehicles Mileage
Own Vehicles CO
2
Tonnes
Patient Transport Mileage (YAS Contract)
Patient Transport CO
2
Tonnes
Non Patient transport Mileage
All Other Patient Transport Mileage
Total Transport Mileage
Total Transport Mileage CO
2
Tonnes
Business Miles
All Other Patient Transport Mileage CO
2
Business Miles CO
2
Non-Financial Indicators
Water tonnes CO
2
e
Water Supply Costs
11. Scope of Sustainability
• Traditional scope is energy management & recycling.
• Wider scope of how we carry out all of our activities.
• CSR
• Procurement
• Clinical pathways
• How we treat patients, which patients we treat.
• Changing NHS and many of the goals align with
sustainability and are being supported.
16. A day to take action
What is NHS Sustainability Day
“NHS Sustainability Day is a day of action across the NHS
providing information and knowledge across the healthcare sector,
showcasing excellence and best practice”
Taking action and engaging staff across the sector
Encouraging collaboration and partnership
Working together to deliver more
Driving and Sharing of best practice
Celebrating Success
Creating a legacy
17. Why is it important?
Sustainability in the NHS
Carbon Targets – 10% 2015, 34% 2020, 60% 2030, 80% 2050
Increased cost and reduced availability of utilities and resource
Increased Legislation
Improved resilience to a changing climate
Future proofing our futures
Ensuring we can continue to deliver world class healthcare in the
future
January 2014 – NHS New Strategy
18. Coming to a venue near you
NHS SD Road-shows
3rd
October – Hull
17th
October – Official Launch (London)
4th
December – Liverpool
29th
January – Nottingham
6th
February – Royal Bournemouth
27th
March – NHS Sustainability Day
20. Celebrating success
Category Description Winner
Clinical Engagement Initiative
Educate all students in the benefits of
effectively controlling anaesthetic gas
scavenging systems and the energy and
carbon efficiencies that can be gained University of Southampton
Biodiversity Initiative Planting 120 Trees to create a mini forest
at the hospital with NHS Forest St Helens and Knowsley NHS Trust
Sustainable Food Initiative
Set up Lambeth Food Cooperative to
support sustainable food and local
businesses Lambeth Clinical Commissioning Group
Carbon Reduction Initiative
Carbon Reduction in energy, travel and
behaviours Barking, Havering and Redbridge
Energy Reduction Initiative Big Easter Switch off and Eco Rhyme Southend University Hospital NHS Trust
Sustainable Travel Initiative
Cycle train around Warwick South Warwickshire NHS Foundation Trust
Waste & Recycling Initiative Increased recycling and introduction of
new waste recycling streams Isle of Wight
Community Engagement Initiative
Grow your own' project & 200 trees
planted Lancashire Care NHS Trust
Best Overall Project Initiative
Carbon Reduction in energy, travel and
behaviours Barking, Havering and Redbridge
23. Local Impacts in Yorkshire & Humber
Jon Clubb
Climate Change Coordinator, Your Climate
24. Our priorities in 2013-14 are to:
•Engage clearly and simply with businesses
•Build capacity and expertise across public,
education and third sectors
•Develop projects to support a resilient and low
carbon future
•Influence and support National Adaptation
Programme
your climate
Supporting action for a resilient and low carbon future
31. evidence
• UK Climate Projections - UKCP09
• Regional Adaptation Study
• UK Climate Change Risk Assessment ‘CCRA’
• Adaptation Sub Committee
• Regional and local assessments
32. UK Climate Change Risk Assessment
• Produced for government
• First in a five yearly cycle
• Analysis of over 100 key risks
• Based on UKCP09 data
• Provides robust baseline
• 11 sector reports
• Yorkshire & Humber summary
33. health and well-being
• Health inequalities a significant issue
• Impacts exacerbated by disadvantage
Key implications for Y&H
• Area of high flood risk and high deprivation
• Exacerbation of existing health conditions
• Challenges to healthcare delivery
• Changing nature of health needs
35. national adaptation programme
The key actions for local areas on Health & Wellbeing are:
—To address health risks through Joint Strategic Needs
Assessments, Joint Health and Wellbeing Strategy and Local
Health Resilience Partnerships.
—Communities and civil society groups to take action to build
community resilience to extreme weather events and impacts
of climate change, and support Local Health Resilience
Partnerships and local Recovery Coordination Groups.
—To improve the reach of the Heatwave Plan for England to
local authorities.
—To promote and implement the Cold Weather Plan for
England.
—Councils and communities to tackle climate impacts on
vulnerable groups.
—Fire & Rescue Service to review local risks and the service’s
capability to deal with a severe wildfire.
38. PROGRAMME OVERVIEW
•Environment Agency- Climate Ready programme and the national context
•Your Climate- Local impacts in Yorkshire & Humber
•PriceWaterhouseCoopers- Health & Wellbeing in the context of global sustainability
•NHS Sustainable Development Unit - Building ‘adaptation’ into Joint Strategic Needs Assessments
•Public Health England- Extreme events and climate change –the local challenges
•Joseph Rowntree Foundation- Climate impacts on vulnerable people
•Yorkshire Ambulance Service- Emergency response and resilience
•Workshop- Looking a challenges and opportunities for organisations using the ‘BACLIAT’ tool
39. • The impacts of climate change will not be
equal or fair
• Vulnerable people are likely to be
disproportionately affected
• Impacts will vary depending on multiple local
factors
• Local solutions can tackle a range of issues,
not limited to resilience
adaptation is a local issue
40. further information
Jon Clubb
Climate Change Coordinator
jon.clubb@lgyh.gov.uk
07970 120827
Adaptation Network:
Wed 9 Oct, 10am – 12pm,
Wakefield
Newsletter: http://eepurl.com/gl8X1
@your_climate
41. Greening the Ambulance Fleet
Alexis Keech
Environmental and Sustainability Manager
Yorkshire Ambulance Service
42. Yorkshire Ambulance Service
- 6,000 sq.
miles
- 5 million pop.
- 4,470 staff
- 64 ambulance
stations
- 43 other
locations
- Ageing estate
- 1,490 vehicles
- 510 A&E
- 470 PTS
- 210 RRV
- 32 m miles pa
- £8 million pa
50. Cold weather health effects
In Britain, a cold spell during a mild winter is
followed:
• 2 days later - rise in heart attacks (up to 1/3)
• 5 days later - rise in the number of strokes
• 12 days later - rise in respiratory illness
Knock on effect:Knock on effect:
increased pressure onincreased pressure on
A&E, PTS, Hospitals andA&E, PTS, Hospitals and
NHSNHS
51. How are we working to reduce the impact of
YAS and maintain our response times?
52. Implementation
• Staff education programmes
• Driver days and guides
• Fleet, Estates and Procurement
Strategy
• Intranet information
• Telematics
• Poster campaigns, staff
newsletters
• Carbon Champion network
59. Eco Driving
Potential saving £1.5 million, saving 1,100 t CO2
• Two circuit training
• >41 mpg to 47 mpg
• Use internal driver
trainers
• Monitor with
Telematics
• Train all drivers
• Compulsory C1
training
• Retrain staff
60.
61.
62. Lighting and Energy
Lighting upgrades
LEDs and T5
Halogen
replacement
Natural lighting in
offices
Timers and daylight monitors
Motion sensors
63. Heating
Assessments:
Gas and Electric Use
Radiators and air con
Double Glazing
upgrades
Draught proofing
Cavity wall, loft and
pipework insulation
Building Management
Systems
Garage heater override
systems
64. New technologies
Air Source Heat
pumps
Boiler Optimisation
Voltage Optimisation
Free cooling for
server room
Window film
Solar panels on HQ,
ambulance
stations and 999 call
centres
66. GrEAN
• Green Environmental Ambulance
Network
• Network of ambulance services
• Green Passport to educate staff
• Working with Estates, Fleet and
Procurement to reduce emissions
• Newsletters
• National bidding capability
• National Procurement feed in
• National approach to sustainability
68. Carbon Champions
What staff do at work they take
home and vice versa
• 76 onsite Carbon
Champions
• CC Guidebook
• Carbon Copy Newsletter
• Organisation wide
magazine
• Monthly Themes
• Updates
71. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Carillion Supply Chain Leadership
&
Community Engagement
NHS Sustainability DayNHS Sustainability Day
Hull And East YorkshireHull And East Yorkshire
33rdrd
October 2013October 2013
72. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Carillion ServicesCarillion Services
Amazing FactsAmazing Facts
VideoVideo
Carillion IntroductionCarillion Introduction
Carillion is one of
the UK’s leading
support
services and
construction
companies,
with over 50,000over 50,000
employeesemployees
worldwide
and annualannual
revenue of £4bnrevenue of £4bn.
Our Mission:Our Mission:
To Make
Tomorrow a
Better PLace
Our Vision:Our Vision:
To be the leader
in delivering
integrated
solutions for
infrastructure,
buildings and
Healthcare:Healthcare:
•> £1bn construction projects completed> £1bn construction projects completed
•£750m hospital projects under£750m hospital projects under
constructionconstruction
•Appointed to deliver Royal LiverpoolAppointed to deliver Royal Liverpool
Hospital £335mHospital £335m
One of our ValuesOne of our Values
inc:inc:
..profitable &
sustainable
growth
73. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Carillion Sustainability Strategy 2020Carillion Sustainability Strategy 2020
74. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
“We want Carillion to be recognised as
a leading sustainable businessleading sustainable business and
the leading sustainable supportleading sustainable support
services companyservices company.”
Sustainability Vision 2020Sustainability Vision 2020
75. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Drive down
carbon
Make real
contributions
to the
communities
we work in
Drive up
demand for
sustainability
and lead our
sector
Improve the
prospects of
our people
Building a
successful
business
Reduce waste,
responsibly
source
materials and
protect the
environment
Six Positive OutcomesSix Positive Outcomes
76. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Our leadership in creating employment and skills
opportunities, coupled with our understanding of the
needs of our communities, will ensure we have a
significant and positive contribution everywhere we
work.
Support Sustainable CommunitiesSupport Sustainable Communities
77. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Objective:
How can our Supply Chain
Leadership “Make real
contributions to the
communities we work in”
SME & Third Sector
Development workshops
designed, developed &
delivered
Supply Chain Partners Sustainability
Community Benefit Commitments
Ex-Offenders Model
Maximising the
Local Pound
Maximising
Local Employment
Maximising Local Training
Meet the Buyer Events
Redundant Furniture Community
Recycling Model
Third Sector Model
Support Sustainable Communities – Supply Chain Models & CommitmentsSupport Sustainable Communities – Supply Chain Models & Commitments
78. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Support Sustainable Communities – Supply Chain Models & CommitmentsSupport Sustainable Communities – Supply Chain Models & Commitments
………..
79. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Online learning environment
for Carillion’s Supply Chain
Carillion Support our Supply Chain in their drive to sustainable excellenceCarillion Support our Supply Chain in their drive to sustainable excellence
80. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Barts & The London Community EngagementBarts & The London Community Engagement
Business Action on Homelessness – Ready
for Work
Hosted 57 clients.
Hosted 13 Client Support Network
evenings
Offered paid employment to 13 clients.
Business in the Community – Get Ready!
Hosted 1 Workshop
5 Taster Days.
15 Carillion staff have volunteered their time
Supporting Ex-Offenders – HMP Send
10 work experience placements
3 secured full time paid positions at Barts
Harpley’s School Pupil
Referral Unit
The project won
Carillion’s Annual S
Factor award for best
group for this initiative
81. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
ConclusionConclusion
Carillion Supply Chain Leadership & Community
Engagement……..
•Great for local communities
•Great for customers
•Great for Carillion
•Great for the planet
84. Case studies
Preventative Health -
How TGO gyms are a
great tool to assist
communities to get
more physically active.
Intro to TGO:
Greener
Safer
Stronger
87. The concept of free to use outdoor gyms
originate from China in the 90s
Evaluation of Chinese outdoor gym products:
Concept: Excellent
Safety: Unsatisfactory
Inclusivity: Unsatisfactory
Quality of build: Unsatisfactory
Fitness aspects: Could be better
96. Key pillars of TGO safe designs
Aligned with EN1176:
•No entrapments
•No crush points
•No sharp edges
•No unrestricted
swinging pendulums
•No shear points
•No head and neck
entrapments
TGO equipment meets the same safety
standard as playgrounds!
Always ask to
see the
certificates for all
products
97. All ages can enjoy TGO gyms because
they meet play standards
That’s why we
were asked to
sponsor the new
BSI outdoor gym
standard
PAS888!
98. Design features of TGO’s gyms:
• Transfer handles
• Start and finish diagrams
• Wheelchair accessible pieces
• A mixture of difficulty levels
• Various start points
Our inclusive design means ALL abilities
can enjoy TGO gyms
108. • Our gyms are free
• Our gyms are safe for
all ages
• Our gyms are within
walking distance of
people’s homes
• Our gyms are
inclusive for all abilities
• Our gyms generate
great word of mouth
promotion!
111. Results showed high take up by inactive
groups
“26% of
users
surveye
d were
new to
exercise
”
I was told if I didn’t do
enough exercise I could
get diabetes.
I was considered obese, 5 and a half
stone overweight. I needed a lot of
help & Camden active team gave it.
It’s changed my life!
I had a major op in 2008,
lost a lot of weight. Using
the gym 2-3 times a week
helped rebuild my upper
body weight.
112. Other key findings to the survey
TGO gyms empower people to sustained activity
· 31% of participants used the gyms 1-2 days per week;31% 3-5 days per week; and 12% 6-7 days per week.
TGO gyms are getting people more active!
· 46% of people surveyed had increased levels of physical activity when physical activity levels pre-outdoor
gym use were compared with number of days physical in previous 7 days prior to survey.
TGO gyms are hitting target groups
· The outdoor gyms were popular among BME communities. 12% of Black Caribbean men were using the
equipment when the average population in Camden is approximately 2%. While 37% of those surveyed were
White British, which compares with a Camden population average of nearer 52%.
· 12% of people using the outdoor gyms were unemployed.
TGO gyms could do with more publicity and a
trainer
· When asked what would encourage more use, 55% of participants thought the gyms should be better
publicised, users at Polygon and Cantelowes highlighted safer parks and 48% of users at Polygon suggested
a personal trainer.
The love for TGO gyms is growing…
· 94% of participants would recommend using the outdoor gym to a friend
133. 133
Commissioning: Concept
• Assessing the needs of a population;
• Setting priorities and developing commissioning strategies;
• Securing services from providers to meet those needs and targets;
• Monitoring and evaluating outcomes;
• An explicit requirement to consult and involve a range of stakeholders,
patients/service users and carers in the process.
134. 134
Sustainability: Key Drivers
Expectations
Lifestyles
Clinical Advances
Demography
• Big opportunities to improve care
• Impact on service design & cost
• New pathways of care & New technology
• More choice
• Services closer to home
• Better advice on staying healthy
• Better support to self manage conditions
• Burden of disease on population
• Prevalence
• Less active health styles – long term health
• Effect on inequalities
• Aging population
• Growing population
• Urban and (dispersed) rural communities
135. 135
Local Health & Wellbeing Priorities
• Children and young people enjoy good health
and wellbeing
• Reduced inequalities
• Healthy, independent ageing
143. 143
Issues
• Almost all diseases are more common among the poor
• Vulnerability to adverse events is higher
• Adoption of new initiatives may be slow
• Some minority groups have particular needs
147. 147
Issues
• Demographic change prominent in the East Riding
• Rise in certain conditions such as dementia
• Vulnerability to adverse events is higher
• Adoption of new initiatives may be slow
148. 148
Potential solutions
• Community support
• New technology e.g. tele-health & tele-care
• Housing
• Infrastructure
• Strategic and small-scale
• Resilience planning e.g. BIOPICCC
149. 149
From Swampy to Solid Ground
Eco-activist, c. 1990 Eco-activist, c. 2008 Eco-activist, c. 2015/20
Daniel
Hooper,
aka
‘Swampy’
Stuart
Rose,
Chairman,
M&S
Every
one
Sustainability , in a general sense, is the capacity to maintain a certain process or state indefinitely. In recent years the concept has been applied more specifically to living organisms and systems. As applied to the human community , sustainability has been expressed as meeting the needs of the present without compromising the ability of future generations to meet their own needs. [1] Brundtland Commission
Sustainability , in a general sense, is the capacity to maintain a certain process or state indefinitely. In recent years the concept has been applied more specifically to living organisms and systems. As applied to the human community , sustainability has been expressed as meeting the needs of the present without compromising the ability of future generations to meet their own needs. [1] Brundtland Commission
Sustainability , in a general sense, is the capacity to maintain a certain process or state indefinitely. In recent years the concept has been applied more specifically to living organisms and systems. As applied to the human community , sustainability has been expressed as meeting the needs of the present without compromising the ability of future generations to meet their own needs. [1] Brundtland Commission
Sustainability , in a general sense, is the capacity to maintain a certain process or state indefinitely. In recent years the concept has been applied more specifically to living organisms and systems. As applied to the human community , sustainability has been expressed as meeting the needs of the present without compromising the ability of future generations to meet their own needs. [1] Brundtland Commission
Hello and welcome to the first ever NHS Sustainability Day Roadshow at the Royal Infirmary Hospital in Hull Firstly I would like to say a massive thank you to Hull and East Yorkshire NHS Trust for offering to host the day and to all of you for taking time out of your diaries to attend today and be involved in this years NHS Sustainability Day I would also like to take this opportunity to thank our event sponsors Carillion PLC, The Health Estates Journal as our official Media Partners and 4 all of us – our official delivery partners for NHS Sustainability Day 2014
NHS Sustainability Day is a day of action across the NHS and it’s aimed at providing information and encouraging knowledge sharing across the whole sector, showcasing excellence and best practice Hosted by Barts Health – bit about the trust/size etc This will be the 3 rd NHS Sustainability Day and it’s going from strength to strength. Last year over 100 NHS organisations took part and made a significant difference to raising the profile of sustainability across a range of organisations. Aimed so that everyone can take part, encouraging collaboration ad partnerships to take place. Working together to make sure we truly innovate and deliver sustainable solutions across the whole organisation. In driving excellence as standard and sharing best practice across the organisation we can make a real difference and by sharing and celebrating organisations successes we can inspire others to take action.
Targets – legislative and NHS Increased cost of utilities and increased resource scarcity Upcoming legislation and carbon taxes Improve resilience of our healthcare services and ensure we are able to deliver world class healthcare in the future
In order to deliver
Creating a legacy within our community spaces and making a lasting difference throughout the year 4 all of us link with this years NHS Sustainability Day allows us to create a legacy of activity which will benefit the local community far beyond the day itself, offering both sustainability and health benefits
Last year over 40 organisations entered into the first NHS Sustainability Day awards and this year we are expecting competition to be fearse. The winning entries were chosen by a panel of specialist judges who through the entries reflected a broad scope of activity demonstrating leadership and best practice in their field. A summary of the winners and their projects is outlined on the slide and their success will be formally celebrated at the launch event on 17 th October
An example of what we did at Barts Health last year – inspiration for what you could do this year
[Picture: York, courtesy of EA] Presentation covers:
Engage clearly and simply with the business sector to support growth, increase resilience and boost competitiveness in a changing climate. Work in partnership with the public, education and third sectors to build knowledge, capacity and expertise through effective communications, networks, shared learning and dissemination. Develop projects to support a resilient and low carbon future, leveraging external expertise and funding to the region to help stakeholders deliver their priorities. Influence and support the emerging National Adaptation Plan (NAP) underpinned by local evidence and priorities. Develop Your Climate as part of Climate UK as a sustainable and leading network for building climate resilience in Yorkshire and the Humber.
Winter late 2010 / 2011 Temps down to -20’C Huge impact on business, schools… e.g. lost days at work, logistics / supply chains disrupted. Salt supplies – prioritising critical infrastructure Elderly people – reluctant to leave the home Pressure on heating… Defrost – pipes bursting!
Defra – responsible for air quality issued the alert Ozone and pollutants: PM10s which can affect people’s health PM10s: Very small particulates of dust, soot and other materials Impacts on vulnerable groups such as very young and old Those with respiratory conditions such as asthma Coincided with Easter ‘getaway’ making with 18m vehicles on the roads making the problem worse!
2011 drought and forest / moorland fires Marsden Moore Fire – near Huddersfield Date: Prolonged dry weather High winds Fire was initially man made, but spread quickly. BBC News – 10 April 2011 A quad bike on fire caused a blaze that spread across more than 500 hectares (1,235 acres) of protected moorland near huddersfield, police said. Up to 50 firefighters spent 24 hours tackling the flames at marsden moor after the fire started at about 1200 bst on saturday. National trust managers fear rare birds, hares and vegetation could have perished due to the speed it spread. Police said they were looking for the owners of the quad bike. Officers said their investigations were at an early stage and it was not yet known whether the fire was started deliberately. Firefighters said nine engines were sent to tackle two separate fires on the moor, which is designated a site of specific scientific interest. The fire is believed to have spread quickly due to dry and windy conditions. National trust countryside manager gemma wren said: "we believe birds and hares will have been wiped out, we saw lots of them trying to get out of the way." The national trust scrambled a helicopter with a water bucket to help douse the flames.
Not just the impact on domestic users.. Impact on agriculture, Drought conditions now extend into midlands and south west Some rivers in England exceptionally low – impact on biodiversity (fish, birds, frogs) Thames water – desalination plant – East London (noting controversy)
Definition Adapting to climate change will reduce the costs and damages of a changing climate in the UK from floods, droughts and heat waves, and ensure that businesses and public agencies can harness some of the opportunities
The CCRA methodology is novel in that it has allowed for comparison of over 100 risks prioritised from an initial list of over 700 from a number of disparate sectors based on the magnitude of the impact and confidence in the evidence base A key strength of the analysis is using a consistent method and set of climate projections to look at current and future risks and opportunities. does not include societal change in assessing future risks, either from non-climate related change, for example economic growth, or developments in new technologies; or future responses to climate risks such as future or planned Government policies or private adaptation investment plans. Excluding these factors from the analysis provides a more robust ‘baseline’ against which the effects of different plans and policies can be more easily assessed.
Health inequalities a significant issue People in most areas experiencing poorer health and greater likelihood of premature death than the average in England A larger proportion of people deemed to be suffering fuel poverty compared to England Lower than average levels of physical activity in children, healthy eating and housing suitable for habitation Higher than average premature deaths and long-term preventable illness Ageing population migrating away from urban centres towards more rural areas. Impacts exacerbated by disadvantage Impacts exacerbated by disadvantage communities that already suffer from health and environmental inequalities Tackling some of the root causes will pay dividends when adapting to climate change Area of high flood risk and high deprivation See next slide… Exacerbation of existing health conditions E.g. increasing respiratory illnesses such as asthma due to air pollution from elevated ozone levels and pollutants Worse in urban areas in summer months, e.g. smog alert in April 2011 Challenges to healthcare delivery Temperature control in buildings Severe weather impacts on ability to delivery mobile home care services, e.g. meals on wheels, community transport Changing nature of health needs Less winter mortality, but increased heat stress (dehydration / exhaustion) of elderly and young and UV exposure in summer
Graph shows no. of properties in England & Wales in the highest 20% of deprived areas at significant risk of flooding Thinking back to Summer Flood 2007 – cost £3bn in England People displaced from their homes for long periods of time Stress associated with upheaval, financial pressures and conditions.
The National Adaptation Programme (NAP) contains a register of actions to deliver “ A society which makes timely, far-sighted and well-informed decisions to address the risks and opportunities posed by a changing climate.” Focuses on major risks identified in the Climate Change Risk Assessment Identifies actions being undertaken or to be undertaken by partners from across business, government, organisations and localities. c300 actions in the NAP divided into the following broad categories: Raising awareness of the need for climate change adaptation Increasing resilience to current climate extremes Taking timely action for long-lead time measures Addressing major evidence gaps.
[Picture: Richmondshire scene] Funding from YoHr Space for LAs to undertake LCLIPs and risk assessments supporting performance The CC Partnership has delivered good practice / sharing events for LAs and partners. Regional study ‘weathering the storm’ undertaken in 2009. We also hosted ‘Projections in Practice’ week to launch government funded UKCP09 ‘projections’ up to the 2080s local climate impact profiles LAs undertook media trawl to find local examples of severe weather and how they coped. Key risks shared with service managers. risk assessments Builds on LCLIP process, but looks in detail at each service area in LAs Matrix develop to categorise how likely a risk is to occur and what the impacts might be. Interviews held with service managers to identify risks and possible actions adaptation action plans Some LAs have now moved ahead with developing clear ‘adaptation’ action plans as part of their wider climate change strategies
Joint project with JRF – to look at socially just adaptation to climate change Modelling conducted by University of Manchester – trys to measure flood disadvantage Need to consider: Adaptive Capacity (preparedness, ability to respond, recovery) Sensitivity (age, health, care req’d) Exposure (i.e. blue/green space, built env) Results: Hull East – higher than average %householders with: – under 5’s, over 75’s, lone single pensioners, limiting long term illness, disability, lone parents, low mobility (no car)
NHS has 1.3million staff and a budget of 20bn – a huge opportunity to influence the agenda and people’s awareness of the issues both at work/home. There is the opportunity for much stronger joint and integrated working, particularly looking at how best to utilise budgets. Look for the co-benefits of working together on this agenda. It is more effective (and cheaper) to take preventative action than to deal with the resulting health issues. Do we really understand the true costs of these health impacts? The challenge can’t solely be the task of Health and Wellbeing Boards – they will need appropriate support.
Explain here the idea behind the pull ups
People told Camden that the cost & accessibility were a barrier to gym use. TGO worked with Camden PCT to provide gyms within a 20minute walk of most Camden homes. There are now eight NHS –funded free to use outdoor gyms across Camden.
Explain how the NHS did their own surveys and the results were great. Highlight the fact that the surveys showed that the gyms were successfully attracting the inactives.
Talk about the concept here, about adidas’ Olympic legacy, the promotion of physical activity and cross selling physical activity into sport.
There is Daley thompson and our own TGO trainer Greg Andrews
Hull is high on the coronary heart problems and obesity. Hull has seen the benefit of 8 of our adizones