NHS Sustainability Day 2015 - Gloucester Road Show

Welcome to the Gloucester NHS Sustainability Day 2015 Road Show

#Dayforaction

Welcome and Introduction

Ingrid Barker, Chair Gloucestershire Care Services NHS Trust

#Dayforaction

ENERGY: climate change,

health and four small steps

Professor Anthony KesselDirector of International Public Health Public Health England

NHS Sustainability RoadshowGloucester, February 5th 2015

PHE has four functions

• protecting the public’s health from

infectious diseases and other public

health hazards

• Securing improvements to the public’s

health through our own actions by

supporting government, local authorities

and the NHS to secure the greatest gains

through evidence based interventions.

• Playing a key role in improving

population health through sustainable

health and care services

• Ensuring the public health system

maintains the capability and capacity to

tackle today’s challenges and the

challenges of the future.

What does Public Health England do?

Climate Change - Evidence• Atmospheric concentration of CO2 is increasing (pre-industrial approx.

280ppm, currently near 400ppm);

• Other greenhouse gases (methane, nitrous oxide) have also increased.

• Observed changes to the Earth’s climate system include:

increase in global surface temperatures

sea level rise

ocean acidification

shrinking ice sheets

more extreme events

IPCC 2013, 5th AR

“Populations of all animal species depend on supplies of

food and water, freedom from excess infectious disease,

and the physical safety and comfort conferred by climatic

stability. The world’s climate system is fundamental to this

life support.” (WHO, 2008)

7 Sustainable Development and Public Health England

Public Health Challenges

Health Effects of Climate Change in the UK

Climate Change and Health

• Current evidence and climate

projections

• Temperature Effects

• Air Pollution

• Aeroallergens

• Indoor Environment

• Ultraviolet Radiation

• Floods

• Vector borne diseases

• Food and Water borne Diseases

• Health Co-benefits of Policies to

Reduce Greenhouse Gas Emissions

www.hpa.org.uk/hecc2012

ENERGY USE: Small steps to consider our

environmental impact [FEET]

1. Food

2. Energy use (at work)

3. Energy use (at home)

4. Travel

10 FEET (One Small Step)

Small steps : Food

Reduce methane production, carbon emissions and direct

environmental impact by:

1. Reducing consumption of animal products (meat and dairy)

2. Consuming fresh, locally-produced, seasonal products

3. Avoid drinking bottled water

Small Steps : Energy – at work Transition to a healthy, sustainable, low-carbon future by:

1. Making action on sustainable development an integral part of

strategic planning and business processes (in organisational

business plans; annual reports; Director of Public Health annual

reports; service specifications)

2. Capacity building to increase knowledge of climate change impacts

3. Working in partnerships with others to create momentum for change

Small Steps: Energy – at home

1. Insulation and simple draught-proofing measures.

2. Use of electrical goods: turning off appliances; turning down the

thermostat; using energy-efficient light bulbs and appliances with

good energy efficiency ratings

3. SWITCHING TO A SUPPLIER THAT PROVIDES 100% ELECTRICITY

GENERATION FROM RENEWABLE SOURCES

MAKE ONE SMALL STEP …

Switching to a supplier that provides 100% electricity generation from

renewable sources:

We cannot advise on specific electricity suppliers, but you can find

information on how to choose a 100% renewable electricity supplier

(rather than a so-called “green tariff”):

http://www.ethicalconsumer.org/buyersguides/energy/greenelectricitysup

pliers.aspx;

http://www.energysavingtrust.org.uk/domestic/content/buying-green-

electricity

Small steps: Travel

1. Walking or cycling whenever and wherever you can

2. Using public transport rather than the car or start a car sharing

scheme

3. Avoiding flying - take the train

4. Working from home if your organisation supports this, use

videoconferencing and teleconferencing

René Descartes (31 March 1596 –11 February 1650)

Immanuel Kant (22 April 1724 –12 February 1804)

John Stuart Mill (20 May 1806 –8 May 1873)

Environmental philosophy

INSTRUMENTAL VALUE

(MORAL WORTH)

INTRINSIC / INHERENT VALUE

(MORAL WORTH)

PLAY YOUR PART on ENERGY

Small steps to protect the planet

22 FEET (one Small Step)

Supporting E-mobility in car clubs

save money, reduce car ownership, create envrionmental benefit

Co-wheels – existing provision

• Nearly 30% of the fleet• EVs – across the UK

• iOn/ i-miev, C-zero

• Nissan LEAF

• Renault Zoe

• Twizy

• Renault Kangoo van trialled

• Nissan e-NV200

• Hybrid – across the UK• Toyota Auris • Toyota Prius Plug in (and plug in plus)• Toyota Yaris Hybrid

• E-Bikes – Inverness• Giant E-bikes

save money, reduce car ownership, create environmental benefit

Co-wheels – utilisation

• EVs often 1st choice• Organisation’s policy

• Member preference

• Lower costs

• E-bikes• 63 members (Nov 14)

• 80km + cycled

• Approx. 22 hours per bike per month – even in Inverness, in November

“As a Co-wheels member I am really pleased to see the number of electric cars available increasing. I would always chose to drive EV where possible, not just because of the lower environmental impacts, but also as they are so fun and easy to drive.”

Yvonne, Co-wheels member, Newcastle

Operational Set Up

• Pay As You Go• From £3.75 per hour

• 13p per mile (free for EV)

• Managed Pool Cars• Flexible options

• Franchise• Community operations

• Informal Tourism• Technology options

• E-Bikes

Opportunities for EVs

• Fleets – EVs as managed pool cars• Excellent journey profiles

• Local Authorities

• NHS Trust

• Housing Associations

• Easier Management• Internal champion

• Charging in place

• Good reporting

• Carbon Reductions

• Out of hours access to residents• Lower risk

Supporting Systems

• Fleet Analysis• Current situation

• Sweet spot identification• Biggest gains, Co2, cost

• Specific vehicle requirements

• Benefits beyond EVs• WAV, e-bikes, load bearing

• System development opportunity• More advanced systems

• New deployment models easier to facilitate – future proofing

Maximising the Potential

• Floating cars

• Multi driver trips

• One way trips

• Integration with public transport

• E-bikes

• Intelligent vehicle selection

• Intelligent booking scheduling

Thank you!

liz@co-wheels.org.uk

www.co-wheels.org.uk

Our experience of an electric

pool car

Mark Armstrong-Read

Strategy and Planning Manager

Derbyshire Community Health Services NHS

Foundation Trust

Our Car

Infrastructure

• Pedestal charge point –

2 sockets, each 22KWh

• £10,000 total costs for

equipment and

installation

• Fully funded from OLEV

(75%) and Derbyshire

County Council (25%)

Key Facts

• The Leaf Arrived End of August

• Between September and December:

– 600-700 miles per month (less in Dec)

– 80 journeys/bookings (used almost every

work day)

– Average 29 miles per journey

– Longest journey 67 miles

– 6 regular users, 4 occasional users

• There is access to an alternative pool car

on site – low emission Aygo

Key Facts (2)

User’s

perspective

“I was due to be seconded from my post to undertake a placement

including a one year university course, but I still had my foot in a ‘boot’

following an accident. It was suggested I use the Nissan Leaf as it didn’t

require me to use my left foot to drive. I did and it was brilliant! It gave me

the chance to start my course and be independent again.

Myself and two colleagues, also on the course, now use the pool car

nearly every week for two days to attend Derby University. I have

experienced no problems with the electric pool car; it’s easy to drive and

easy to plug back into the charging port. We travel around 38 miles to the

university and back and we still have approximately 20-30% battery life on

return. I would definitely recommend using an electric car.”

User’s

perspective

“It is a challenge in the winter months to plan the use of this car, due to

when needing to use windscreen wipers heater etc. The power is used up

quickly and if visiting in a ‘hilly’ area it goes even quicker. I have been

worried that I won’t get back! I have been very cold due to switching the

heater off in a bid to save the power!

The other problem is having to disconnect/connect it in the rain and the

cables can become very muddy and me very wet! Also defrosting the car

etc. uses power.

I really like the car, but as I said it is a challenge in the winter!

Learning Points

• EVs can work really well for most journeys

• Hills and winter weather reduces range,

but not a reason to avoid EVs

• Users learn when EV can be used

• Some users will be real advocates – only

need a few to make EVs successful

• Being automatic is an advantage

Future Plans

• Applied for latest OLEV funding (75% of

costs for 2-year lease and infrastructure)

• At least 3 pool cars and 2 fleet vans

(asked for more if funding is available)

• Identified Mitsubishi Outlander as

preferred pool car to trial:

– Hybrids (up to 30 miles on electric)

– Large vehicles (lots of space for equipment)

– 4 wheel drive

Questions?

CAN WE BE MORE COST-EFFICIENT

AND YET OFFER A BETTER LEVEL OF

SERVICE TO PATIENTS

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THANK-YOU

Embedding EVs within

your TrustJonathan Mitchell

What is OLEV?

Energy security

2013 ULEV STRATEGY RECAP: POLICY DRIVERS

GOVERNMENT COMMITMENT

PLUG IN GRANTS – ELIGIBLE VEHICLES

PLUG-IN GRANTS (CUMULATIVE)

NISSAN ENV200 AUDI A3 E-TRON KIA E-SOUL VW E-GOLF & PHEV GOLF

Mercedes B Class Electric

Mitsubishi Outlander PHEV

PLUG IN GRANT – RECORDS, RECORDS…

2011/12 2012/132013/14

INFRASTRUCTURE

Grants to 7 TOCs to install over 300

chargepoints at train stations

Grants to 59 public sector orgs to install

over 1,000 chargepoints on their own

estate

Over 5,700 chargepoints installed

through 8 PIP projects.

Plus…

Over 5,000 chargepoints

installed by the private sector

Is the media warming to ULEVs?

COMMUNICATIONS

GOVERNMENT FLEETS

£5m project launched to help

increase uptake of ULEVs

across Government

Government to lead by

example in making ULEVs

commonplace in fleets

Fleet reviews already started

for 10 departments

Project now extended to wider

public sector

£500m SUPPORT 2015-2020

THANK YOU

jonathan.mitchell@olev.gsi.gov.uk

www.gov.uk/olev

@OLEVgovuk

Tea/Coffee and Networking

#Dayforaction

adsm.com© Advanced Demand Side Management 2014.

AquaMarkUK’s National Water Benchmarking Project3 years’ fully-funded services

AquaMark / UK’s National Water Benchmarking Project

Who we are

Water efficiency

experts for over 20 years

Government

advisors since 1999

On a mission

to save Britain’s water

Why save Britain’s water?

Population

growthClimate change Water scarcity

Benchmarking for sustainability

• Why worry about benchmarking?

• Measure our performance

• Compare our performance

• Identify inefficiencies

• Save money and waste by

using less water

“You can’t

reduce what you

can’t measure”

Current Benchmarking

• WaterMark

• HM Treasury

• Typical and best practice benchmarks

Water consumption in an NHS Trust

Water Consumption per Hospital vs Industry Published Benchmarks

50,000

100,000

150,000

200,000

250,000

300,000

Hospital 1 Hospital 2 Hospital 3 Hospital 4 Hospital 5 Hospital 6 Hospital 7

Consumption in 2013

AquaMark

• £500m of water is going to drain each year through

the lack of benchmarking data

• Largest and most in-depth project in the UK

• Establish 500 different building benchmark

classifications

• Robust, complex and more sophisticated

benchmarks

AquaMark

• Putting Britain at the forefront of commercial water

benchmarking

• Greater sustainable water supplies and increased

water security for thousands of organisations

• 10,000 sites already taking part in the project

• We need you

Fully funded for you

• Three years’ free bill validation by

award-winning bureau service

• Monthly consumption reports

• Identification of high consumption anomalies

• Benchmarking toolkit

• De-regulation of the water market

• Save a 1/3 on water bill

How do you take part?

• ADSM provides you with an email to send to

your water supplier, then we take care of all

the rest

• Future bills are sent to us for assessment &

validation

• Within 24 hours we send them back to you

• Participation is completely anonymous

• Data completely secure

• Absolutely no cost to you what-so-ever

How benchmarking can help the NHS?• If all of the UK participated we could

save an estimated £500 million per

NHS alone

could save 1/3

on it’s water

Your participation

ask@adsm.com

01753 833 880

www.adsm.com

Thank you

Creating Social Value through

Volunteering

“We will be recognised as a

leading sustainable business

and the leading sustainable

support services company.”

Richard Howson

Chief Executive

Carillion’s 2020 Sustainability Vision

Volunteering & Community Engagement

Employee Volunteering

• Making a difference to our communities, clients, people

and Carillion

• Carillion’s Vision – 50% of staff using the paid leave

programme towards community work by 2020

• Current target of 10% for working with schools,

unemployed and hard to reach groups

Volunteering & Community Engagement Programme

• Enables employees to apply annually for six paid

volunteering days

• www.carillionplc.com/volunteering

Why Get Involved?

• Personal development

• Employee pride

• Long Term Customer Relationships – up to 30 years –

embedded in local communities

• We recruit from local communities – today’s special needs

individual could be tomorrow’s Catering supervisor

• Volunteering enables us to help our ‘extended family’ – our

‘NHS Good Corporate Citizen’

Business in the Community

• Born out of BITC’s Business Action on Homelessness

campaign, Ready for Work has supported over 3,000

people into work since 2001.

• Carillion provide job coaches and work experience

placements and employment opportunities.

•Ready for Work is a national

programme from Business in the

Community (BITC) that engages

business to support

disadvantaged groups,

particularly people who have

experienced homelessness, into

employment.

Carillion Volunteering

Volunteering in Health

Portsmouth Hilsea Lido

‘together’ charity partnership

Our Charity partner – Barnardo’s

• Raised nearly £50,000

• Provided practical assistance through volunteering our time and skills

• Barnardo’s biggest challenge is finding the funding to support its

services for the thousands of children and young people who depend

on them.

• Barnardo’s is proud that 92p in every £1 raised goes directly towards

its work.- £5 provides books and pens, essential for early learning in a children’s centre.

- £15 provides a hot meal and a personal care kit for a homeless teenager.

- £60 pays for warm winter clothing for a child living in poverty.

- £100 pays for 3 psychology sessions for a child who has been sexually abused.

- £2,700 provides skills and training for a young person to get out of the poverty trap

and turn their life around.

Creating the world’s leading

meat-alternative business

Who is Tim Finnigan???• Married, two children (grown up)• Likes running up hills and likes a pint• 30 years R&D in Food and Drink• PhD Oilseed rape protein, Government food research, APV,

General Foods and...

Q2. What’s he going to talk about?

The 1960’s and a time of great concern about food security and the origins of Quorn

The current context, the link between diet health and the environment - and the need to change

Why we need “ healthy new proteins with a lower environmental impact”

How Quorn could help address the ambitions within the NHS for sustainability by making huge savings in fat, calories and environmental impacts

The 1960s was a time of

huge achievements...

Quorn in context

....And growing concerns

Quorn in context

A man with a big idea

Quorn is born

From 1964 to 1985 – time flies……….

Another 30 years on in 2015, and what has changed

+ a large number of ducks, rabbits, horses, turkeys…

..3 camels and one unfortunate mule

Chickens 110,000

Pigs 2,630

Sheep 922

Goats 781

Cows 557

The scale of livestock production is driven by our desire for cheaper and more plentiful meat, but there are damaging

consequences, which at the moment are forecast only to intensify

The current context…

http://www.fao.org/fileadmin/templates/wsfs/docs/expert_paper/How_to_Feed_the_World_in_2050.pdfhttp://www.tristramstuart.co.uk/FoodWasteFacts.htmlhttp://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

Challenges for a scalable meat based

sustainable food future

Challenges for a scalable meat based

sustainable food future

Our biggest lever globally is to eat less meat

http://www.eating-better.org/uploads/Documents/Let'sTalkAboutMeat.pdf

Challenges of behaviour change in an excellent new report

Diets link environment and human health

New Thinking Links the trilemma of diet, environment and health

http://www.independent.co.uk/environment/have-we-reached-peak-food-shortages-loom-as-global-production-rates-slow-10009185.html

“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

Transition away from meat made more difficult by decline in cooking skills

Tasty, Health and Convenient

Must fit into routine and repertoire

At the heart of all Quorn foods is

mycoprotein…

So, what is it?

Natural appeal

..Our 50 year ‘overnight success’

Additional InterestSCFA productionFibre (chitin and ẞ-glucans)

Mycoprotein as a food ingredient

Physical

Properties (shape)

Denny, A, Aisbitt, B and Lunn, J (2008) Mycoprotein and health. BNF Nutrition Bulletin 33: 298 – 310.Bottin, J. (2014) Nutrition and Surgical Influences on appetite regulation in obese adults. PhD Thesis Imperial College London

BENEFITS

Texture creation• Authentic meat-like texture• Creation of fibrosity through fibre assembly

General Nutrition• High quality protein• Low fat content (membranephospho-lipids)

• High fibre (cell wall)• Low energy density

Clinical Research Programmes• Lowering serum cholesterol• Satiety• Insulinemia and

glycemia in diabetics

Composition

No other protein can create the meat like textures achieved by Quorn

Unique attributes

Sustainability

Raw Data Key Comparisons vs QuornGHG

(kg/kg)Land

(ha/kg)Water (L/kg)

Beef Mixed 30 0.0035 19500

Beef Grazed 121 0.0049 21800

Chicken 9 0.0007 3900

Quorn Mince 3.4 0.0004 1900

Quorn Pieces 3.4 0.0003 1650

GHG LAND WATER

Beef Mixed

x9 more GHG

x9 more land

x10more water

Beef Grazed

x36 more GHG

x12 more land

x11 more water

Chickenx3 more

GHGx2 more

landx2 more

An easy way to remember this…….

Member of the FUNGI family

That’s grown by FERMENTATION

And is FILAMENTOUS

That helps us to create FIBROSITY

Which we achieve through FREEZING

The Seven F’s

And creates nutritious new FOOD

With a low environmental FOOTPRINT

Quorn can help deliver massive savings

What if all Beef mince served within the NHS were replaced by Quorn mince

• Thank you!

Is innovation the answer?

Emma Wood

Group Sustainability & CR Manager

Time to Vote

What was the most ‘ environmentally sustainable’ change that your Trust made last year?

Technology Investment

Changed product

New Procedure

The scale of the challenge

• No one can ignore the scale of the challenge, either globally, nationally or for the NHS

• We must learn to live more sustainably

• But do big challenges necessarily demand big, transformative changes?

Sustainability headliners

• Innovation often linked to breaking with traditional consumerism and promoting more sustainable service models

• Generally large consumer businesses, products not services

• Is it relevant to talk about ‘disruptive’ change for services like the NHS?

The power of small changes

• Sustainability as evolution not (just) revolution

• The risk of relying on big commitments:

–Can disruptive change really work in a service environment like the NHS

–Big commitments can be quietly side-lined as political or economic climates change

–Sustainability viewed as something for others to do

–People feel powerless to effect change

• Challenge to make sustainability commonplace & everyday

What keeps the NHS working day in, day out?

Examples where you least expect it….

• Don’t assume that sustainability messages have to be ‘big ticket’ stories

• Some of most powerful stories might be small, existing measures

• Social science research identified that people much more likely to act in a desired way, if they feel that this is consistent with their values and previous actions

Not necessarily new!

Where will improvement come from ?

• SDU research clearly highlights carbon hotspots and opportunities for cost effective improvements

Pharmaceuticals

• Pharmaceuticals represent Number 1 carbon hotspot for NHS

• Over-prescription & wastage all controlled by individuals

• Simple, regular checks and calibration of fridges could reduce wastage

• Segregation key!

• RCN estimated savings of £5.5 million per annum if 20 % of ‘infectious’ waste classified as ‘offensive’

• Reliant on understanding balance of infection control and sustainability and dominance of ‘just in case’ thinking

Values

Personalise your message

“Over its lifetime, using this hand dryer will save 4,500 kWh of electricity”

“…this hand dryer will save £450 of electricity cost”

“…this hand dryer will save 2,420 kg of CO2e”

“…this hand dryer will save enough energy to power your ward for 1 week?”

Thank you

www.phs.co.uk

emmawood@phs.co.uk

Sustainability

Resource

Planning

www.trakeo.com @trakeonews

For Healthcare

Trakeo Sustainability Resource Planning -

a comprehensive system to track, monitor

and enable more sustainable practice

➢ Motivating behaviour

➢ Real time feedback

➢ Boosting financial returns

➢Guided by GRI

➢ Supply chain impact

➢ Break down and baseline

➢ Risk modelling

“People love chopping wood. In this

activity one immediately sees results.”

Albert Einstein

% agreeing Global

sample

Highly

engaged

Unsupporte

Detached Disengaged

Organisation

conducts

business

activities with

honesty and

integrity

58% 84% 61% 47% 27%

Organisation is

highly regarded

by general

public

57% 81% 59% 46% 29%

Towers Watson Global Workforce Study

Company Image

2020 and beyond

➢ Going forward the focus of emissions reduction will be on

procurement. There will be less potential to reduce

emissions in the building energy sector given the low level

that would exist at that time.

➢ 31% of all NHS organisations have already reduced

building energy consumption by more than 10% (from a

2007/08 baseline)

➢ 78% believe performance against reducing carbon should

be measured and managed as part of core business.

CO2e Reduction Potential for NHS England

Lunch and Networking

#Dayforaction

Welcome back

#Dayforaction

Salix Finance solving energy efficiency in the NHS

Tim Morozgalski, Programme Co-ordinator

tim.morozgalski@salixfinance.co.uk0207 406 7658

Introduction

Knowledge sharing and case studies

Summary of the loan application process

To demonstrate how Salix can help NHS Trusts

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, DfE, and HEFCE

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

Onsiterenewable

energy

Over 12,000 projects totalling over £320 million of funding

£1.2 billion of savings generated for the public sector over projects lifetime

For every £1 invested, almost £4 is saved

Carbon reduction of over 6.6 million tonnes of CO2 saved over the lifetime of projects

Now fund over 120 different energy efficiency project types

Data up to October 2014

Since 2004

Programmes

Recycling FundEngland,

Scotland, Wales Loans

Schools Loans (DfE)

Salix/HEFCE Revolving

Green Fund 4 (RGF4)

CIF (Education Funding Agency)

Salix/EAUC College Energy

Salix programmes

Loan funding by public sector body type(April 2010 – October 2014)

Local Authority - 49%

Higher Education Institute - 31%

National Health Service - 10%

School - 5%

Further Education Institute - 3%

Emergency - 1%

Salix funding for the NHS

Worked with over 40 NHS Trusts in England

Over 460 projects totaling over £33 million

Annual savings of over £10 million and 58,000 tonnes CO2

Lifetime savings for the NHS estimated at £140 million

Data up to October 2014

NHS sector in EnglandTop ten technology types funded (2012/13 to Q2 2014/15)

Technology type Number of Projects Technical cost

Combined Heat and Power 2 £2.7m

Heat recovery 4 £2.4m

LED lighting 53 £996k

Heating and hot water 7 £778k

Boiler replacement 1 £473k

VSDs/Motor Controls 6 £261k

Building management systems 8 £231k

Lighting upgrades 5 £185k

Ventilation and cooling 4 £172k

Lighting controls 5 £106k

Top Salix NHS Clients

Knowledge sharing and case studies

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

New Salix case studies are available to download from the website

Salix project case studies

Project knowledge slides

Sharing of knowledge between clients

Completed projects

Before and after

Supporting comments

experiences

lessons learnt

supplier

contact details

BEFORE

• Fixed speed control on existing AHU and cold

air through entrance area

• Electricity 509,308 kWh/year consumed

• Gas 217,918 kWh/year consumed

• £57,469/year running cost

• Poorly designed public entrance

• Uncomfortable for staff, patients and visitors

Project knowledge –VSD and air curtains by

Medway NHS Foundation Trust

• Variable Speed Drive (VSD) installed on

existing AHU to reduce motor speed and air

curtain to stop excessive amounts of cold air

entering the building (£93,750)

• 418,092 kWh/year savings

• £30,396/year savings

• 3 years payback (average)

• 164 tCO2 saved per year

Project completion dates – Sept 13 Mar14

Supporting Comments:

Project knowledge –VSD and air curtains by

Medway NHS Foundation Trust

• VSDs - The running costs were estimated based on measure running current and run hours. Air

curtains - These were based on calculated air loss through the doors and the cost of providing

• Energy prices 10 p/kWh Electricity and 3 p/kWh Gas

• Trish Marchant developed the project and suppliers were Schneider Electric and JS Air Curtains

• Install BMS control on the air curtains rather than rely on individuals turning them on and off

• Be clear that your air changes will still be achieved when reducing fan motor speeds

• Remember to consider the cable runs and isolations needed to carry out the works. Consider

which manufacturers the maintenance team use across the site to minimise the need for training

on new numerous different VSD controllers

Client – Medway NHS Foundation Trust Client contact –Trish Marchant

Tel – 01634 833843 Email – trish.marchant@medway.nhs.uk

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

Salix application process

Changes for 2014/15 New 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

Project compliance tools: version 29

3 Tools:

– Single Fuel Compliance Tool

– Multiple Fuel Compliance Tool

– Multiple Project Site Tool

Summary

Funding available to NHS Trusts with no maximum loan amount

We offer support through-out the process

NHS Trust information packs available at our stand

Work together on long-term funding plans, estates strategies, and carbon management plans

Thank you4 All of Us and NHS Sustainability Day

tim.morozgalski@salixfinance.co.uk0207 406 7658

Smart Grid Energy Balancing Services

for the Health Sector

Presentation to: Sustainability, Coventry 2015

About | Open Energi

Open Energi works with large

energy users to generate

revenue from energy-intensive

equipment. We are:

•Helping National Grid to balance

electricity supply and demand

•Building the world’s first demand

side power station

•Cutting UK CO2 emissions

•An approved National Grid

Demand Response Aggregator

Background | Timeline

Health Service | Challenges & Initiatives

How to monetise energy intensive equipment to offset rising energy

and health service delivery costs

*Source: Energy Live News

Supply | Old Energy Economy

• Linear value chain with limited demand-side participation

• Does not support the UK’s* or European Commissions* targets to

transition to a renewable energy policy by 2020

• New policy has created change - customers now take and provide

service back to grid

* 30% UK target / 20% European Commission target

Supply | New Energy Economy

• Bidirectional “smart-grid” value chain provides the opportunity to

participate in the revenue generating demand-side balancing market

Supply | Capacity Crunch

Fears of a capacity crunch as energy

surplus falls below 2%

Supply | Capacity Crunch

3.7 GW power production closing or at risk for winter 2015

Supply | The Renewables Challenge

30% of the UK’s electricity supply to come from renewables by 2020

Major changes to the way electricity is

generated:

•Need to develop infrastructure to

accommodate rapid growth in wind

generation

•Unpredictable wind generation creates

additional balancing costs currently

passed to energy consumers

•Open Energi’s solution helps the UK move

to a low carbon future reducing balancing

costs with increased flexibility

Balancing | Market Position

Open Energi fills

peaks & troughs

Peaking power

typically coal

Base load power

typically nuclear /

The graph represents a 24hr winter profile taken from the National Grid

demonstrating base / peaking power and Open Energi’s service positioning

Grid | Balancing

• National Grid has a statutory mandate to keep power balanced

between 49.50 - 50.50Hz

• Power supply would fail without grid balancing services

Frequency Response | Example Event

Grid | How is it Balanced?

Grid | Demand Response Markets

Balancing Services

Dynamic Frequency Response

Peak Price Avoidance

TRIAD Management

DUoS Charge Management

Capacity Market

Capacity Market DSR

Distribution Network

Energy Trading

Imbalance Avoidance

Day Ahead Trading

Demand Response Markets

Balancing Services

Dynamic Frequency Response

Peak Price Avoidance

TRIAD Management

DUoS Charge Management

Capacity Market

Capacity Market DSR

Distribution Network

Energy Trading

Imbalance Avoidance

Day Ahead Trading

Dynamic

Demand

Service | Proposition

The health service can generate revenues from energy intensive equipment

including a range of standard hospital energy assets

Value | Comparison

Dynamic Demand delivers more value than any other balancing service

Market | Value

Monetise hospital energy loads in an established £1 billion UK market*

*Source: National Grid: Note: The dip in value reflects the UK’s recession

Availability | Payments

Turning energy-intensive equipment into income

Response

Paid for

Availability

Only 5%

(average)

Switched

Hardware | Architecture

Typical installation layout

Customers | Case Studies

Open Energi works with large energy users across the public and private

sector to generate new revenues and support their sustainability goals

“The data I receive from Open

Energi is incredibly useful. Now I

know exactly how, why and when

we are using energy, and the

equipment that was costing us the

most to run is now generating an

income.”

Manoj Chohan | Energy Manager

Southend University Hospital NHS

Working | With Us

• Process

• Project management

• Client actions

• Payment

• Account management

Installing Dynamic Demand is a straight forward process, we work with

customers from needs analysis through to strategic account development

UK Head Office

1 Pemberton Row

London

EC4A 3BG

+44 (0)20 3051 0600

www.openenergi.com

The Growing NHS Forest

at Gloucestershire Care

Services

Georgina Smith

Official Opening of the green gym

Mobilisation

Gardens

for all

Insurance –

professional

indemnity

Public liability

Funding

Charitable

Apple Days

Planting our new coppice

Recently planted a

coppice (sweet

chestnut) which will

allow us to do wood

crafts in the future –

in 10 years!

North Cotswold Hospital

Stroud General & Maternity Hospital – Our 3rd Site

Opened NHS Sustainability

Day March 2014

Growing the Green Gyms

Winner of the NHS Forest Award – Best community

Engagement

Andy Heaysman

Energy & Utilities Manager

Estates & Facilities Division

what cost

CARBON REDUCTION

Our NHS Trust Gloucestershire Hospitals NHS Foundation

Trust is one of the largest hospital trusts in the country, providing services at Gloucestershire

Royal and Cheltenham General Hospitals.

We are the second largest employer in Gloucestershire, with more than 7,400

employees and we provide high quality acute elective and specialist care for a population of

more than 612,000 people.

Our Carbon Emissions • The total carbon emitted by The Trust in 2011 -2012 was in the

region of 24,500 tCO2.

• In 2012 – 2013 we had a bad year, mainly due to the weather where the energy used sent emission's to over 26,000 tCO2

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

GHNHSFT CRC Emissions/Targets

2011/12 -1.5% Target -5% Target Actual Reduction

Our Plan for 2020 and beyond

• The Trust secured a £1M grant for a new CHP at Cheltenham General Hospital

• Who would install and operate the CHP and what else should we do to capitalise on the funding opportunities.

• Using consultants from the Carbon Energy Fund we decided to appointed Vital Energi as our Partners on a 15 year energy supply contract.

• Vital Energi have installed and now manage the CHP as a next step in reducing the Trust Carbon emissions.

Creating Sustainability with Viability.uk

leading innovator in efficient energy provision

Agenda

Introductions

Trust Objective’s

Project Scope CGH & GRH

Service Delivery

Introduction

Gary Oldham Regional Business Manager

Stuart Russ Contract Manager

“We provide sustainable and viable energy solutions for our clients which not only meet their current energy requirements, but also anticipate their future energy demand. Our solutions are future proofed and flexible, allowing us to generate and distribute energy and then provide the management solutions to monitor, measure and reduce energy consumption and ensure those systems operate at optimum performance and clients receive the most benefits”

“By using this approach we have been able to continuously reduce our clients’ carbon emissions and save them money on their energy bills each year”

www.vitalenergi.co.uk

Introduction

Introductions

To improve the carbon and energy performance at both

Gloucestershire Royal Hospital and Cheltenham General Hospital

We have engaged with trust to improve site infrastructure, security of

supply and resilience though investment to:

– Meet and exceed 2015 carbon reduction targets

– Deliver carbon and energy savings

– Provide flexibility to support future development of the site

– Reduce backlog maintenance

– Guaranteed Savings in terms of energy costs

Trust Objectives

Trust’s Objectives

What is an CHP ?

Combined heat and power (CHP) is the use of a heat engine to

simultaneously generate electricity and useful heat.

Project Summary

Project Scope

Cheltenham General HospitalCore Bid

(18 years)

Install 1.28MWe high efficiency gas fired CHP P

Install 0.7MW CHP exhaust gas heat recovery unit P

Install LTHW distribution system from Energy Centre to

College Rd and 2A Day Surgery plant rooms P

Upgrade existing steam boiler plant at ECA to

BG001/INDG436P

Upgrade Energy Centre ventilation system to meet current

standardsP

Install new flue (within existing mast) for CHP unit P

Install SCADA plant control and optimisation system P

Upgrade 435 light fittings P

Upgrade BMS system P

Install site wide metering system P

Civil and M&E works integrating the new plant into the

existing heat & power networksP

Operation Maintenance, Repair & lifecycle services for the

duration of the contractP

Gloucestershire Royal HospitalCore Bid

(15 years)

Install 1.99MWe high efficiency gas fired CHP P

Install 1.0MW CHP exhaust gas heat recovery unit P

Install MTHW distribution system from ECA to ECB P

Install LTHW distribution system from ECA to Tower & Wooton

Lawn plant roomsP

Install 990kW wood chip steam biomass boiler plant P

Upgrade existing steam boiler plant at ECA to BG001/INDG436 P

Upgrade ECA ventilation system to meet current standards P

Install new flue (within existing chimney) windshield for CHP unit P

Install free standing chimney for biomass boiler P

Install SCADA plant control and optimisation system P

Install new (additional) hotwell in ECA P

Install 50 kWp solar PV array P

Upgrade 427 light fittings P

Upgrade BMS system P

Install site wide metering system P

Civil and M&E works integrating the new plant into the site’s heat

& power networksP

Operation, Maintenance, Repair & lifecycle services for the

duration of the contractP

Project Scope

12,000

14,000

16,000

18,000

20,000

22,000

24,000

26,000

28,000

2005 2010 2015 2020 2025 2030

Gloucestershire Trust Carbon Footprint

C&G Carbon Footprint

DoH CO2 ReductionStrategy Target

2015 CO2 ReductionTarget

2020 CO2 ReducionTarget

Vital Energi Solution at CGH

Vital Energi Solution at GRH

Carbon Impact v Trust Targets

Creating Sustainability with Viability.ukwww.vitalenergi.co.uki.co.uk

Summary of Service Delivery

Experienced mobile service engineers operating the equipment to optimise the efficiencies and sustainability

The Energy Centre was initially operated as part of the Interim service with daily site visits. Following the Practical Completion it will be fully automated, to run on an “unmanned” basis

To achieve this the existing boilers will be upgraded for safe remote operation in accordance with all HSE Guidance Notes

– including INDG436 (PM5), SAFed

SCADA system will control and optimise the plant, including alarm Management to a 24/7 Remote Monitoring Centre

Vital Energi technicians will attend site every 72 hours to carry out– Operational duties

– Maintenance activities

– Efficiency activities

– Sub contractor liaison and management

– Account Management / liaison

– Pressure systems annual insurance inspection

Service Delivery

Monitoring and Verification

M&V process will cover:-

– Annual CHPQA reporting

– Regular calibration of CHPQA meters

– Monthly review of the contractual KPI’s and service delivery

– Detailed annual efficiency reports for Boilers and CHP

– Monthly reports on site energy trends and include on-going project

specific outcomes

– BMS and Lighting savings start before Practical Completion

– Continuous energy monitoring and identifying potential savings during

the term of the contract

Service Delivery

Creating Sustainability with Viability.ukThank You For Your Time

leading innovator in efficient energy provision

Questions

NHS Sustainability Day 2015 - Gloucester Road Show

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