Welcome to the Nottinghamshire Healthcare NHS Trust NHS Sustainability
Day Road Show#Dayforaction
2
Neil Alcock, Energy and Environmental Manager
and Sustainability Adviser
Sustainability in Practice
3
from the practical world of sustainability
Hits and Misses
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Nottinghamshire Healthcare Nottinghamshire Healthcare is a provider of integrated healthcare services, including
mental health, learning disability and community health services.
Over 8,800 dedicated staff provide these services in a variety of settings, ranging from the community through to acute wards, as well as secure settings.
The Trust has a revenue income of £435 million for the present financial year.
The Trust delivers services from approximately 60 sites it owns and operates, but also operates from many sites which are not owned by the Trust, for example at least 26 sites owned by NHS Property Services but where the Trust is the majority occupant.
Total utility budget of approximately £3.5 million for owned and operated sites.
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6
A decrease of 26% overall
Carbon Reduction the Big Picture
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4 main NHS
carbon sectors
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All scopes carbon footprint 2010/11 to 2013/14
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A decrease of 24% overall
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Hits
Misses
All scopes carbon footprint reduced by 26% in four years.
Core building carbon emissions reduced by 24% in four years.
Procurement footprint reduced by 42% in four years.
Year on year comparisons made difficult by change to Trust structure and quality changes in data sources.
Procurement footprint greatly influenced by decline in the capital spend. What will happen when capital spend
increases again?
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Hits
Misses
Staff have been provided with a range of more sustainable travel option.
Sustainable travel days have been held to publicise the options.
No parking charges and a lack of parking restrictions at Trust sites means lack of impetus to reduce car use.
No measureable reduction from carbon emitted due to staff travel to date.
Travel Scoreboard
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Voltage Optimisation Scoreboard
Voltage optimisation units installed at 4 of our largest sites, and delivering saving of up to 11% on electricity use.
A large increase in staff occupancy at one location has reduced the apparent savings.
Hits
Misses
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HitsNissan Leaf and Peugoet Ion EV trialled successfully at two sites.
Purchase price too high to make them cost effective.
Cost of charging very cheap.
Electric Vehicle Trial
Misses
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Hits Secure cycle storage facilities requested by the BUG installed .
Need to engage with our Health Partnership Division.
Bicycle User Group Set Up
Misses
Changing and shower facilities programmed for installation.
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Hits
60 bird feeders and hedgehog dens installed across the Trust.
Initiative driven by the environmental team. Concepts need to be adopted by our G&G more widely.
Green Spaces Initiative
Misses
Attractive low maintenance green spaces provided for staff and service users.
280 trees planted as part of the NHS Forest scheme.
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Hits Waste now being recycled at 96% of Trust owned and operated sites.
Continuing adoption of new sites make waste compliance an on-going challenge.
Waste and Re-cycling
Misses
E training package being developed to aid efficient waste management.
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Hits Low sugar and low fat menu options selected.
Some sustainable foods still appear more costly so budget constraints may limit action in this area.
Sustainable healthy food
Misses
Seasonal food sourcing adopted.
Cooking oil re-cycled to fuel delivery vans.
Where possible Fair Trade, Rain Forest Alliance and other ethically traded goods are used.
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Hits
More needs to be done to make sustainability core to Trust thinking
…………….and finally
Misses
Many more hits than misses.
……………. any question?
Warwickshire County Council
Electric Vehicles for Rural GP Practices
Warwickshire Case Study
Mike Woollacott ~ Greenwatt TechnologyNHS Sustainability Day Tuesday 25th February
Warwickshire County Council
Project Partners
Warwickshire County Council
Trial Aims & Purpose
“to assess the applicability of electric vehicle (EV) technology in rural transport situations”
Purpose:• Visible use of EVs in the rural
community• Obtain data on actual vehicle
usage• Gain insight into user experience• Test business model with GPs
Warwickshire County Council
Trial Outline
• Duration18 months from August 2012• Three pilot GP Practices participating• EVs being used as:
a pool vehicle for GPs on home visits and meetings
delivery vehicle for pharmacy staff
community taxi service to/from surgery
• Each vehicle fitted with a data logger (Quartix)• Dedicated charging point at each surgery (British Gas wall/post)
Warwickshire County Council
What’s in it for Medical Centre partners?
• Demonstrating community leadership and local information source
• Subsidised vehicle for the trial period (subsidised 18-month contract hire terms)
• Charge point supplied and installed by British Gas
• Opportunity to evaluate benefits of EV transport for Medical Centre
• Local, regional and national media coverage
Warwickshire County Council
Project Launch August 2012
“Warwickshire GP surgeries plug in to green machines”
Handover of keys from Mr Tim Zimmerman, CEO Peugeot UK to Brookside Health Centre
Warwickshire County Council
Health Centres~ EV handover
The Revel Surgery, Brinklow
Bidford Health Centre
Warwickshire County Council
Driver Training
Vehicle familiarisation – Peugeot UK
Efficient EV driving – EcoDrive Ltd
Warwickshire County Council
Typical Weekly Data Log Report
Warwickshire County Council
One Year Usage Summary
Miles travelled:Practice 1 – Patient & community transport 1436 milesPractice 2 – Prescription deliveries 2780 milesPractice 3 – GP home visits, personal use 6322 miles
Practice 1 Practice 2 Practice 30
1000
2000
3000
4000
5000
6000
7000
annual miles
annual miles
Warwickshire County Council
Annual Costings
Warwickshire County Council
Practice Managers’ Feedback
“Fantastic alternative to petrol vehicle”
“Welcome savings made on running costs”
“Very reliable”
“Many favourable comments from patients”
“All our patients now look out for DORIS (as we have named her) making prescription deliveries around the villages”
Warwickshire County Council
Driver Survey (Coventry University)
• Drivers have found driving the electric vehicle ‘better than expected’ in terms of noise, comfort, speed, acceleration, braking, charging and informatics
• As a result of driving the EV since September 2012 drivers comment include:– “we like driving the electric car”– “we find them as safe as our diesel vehicles”– “there are good savings on running costs” – “EVs will have an important future role”
• Some concerns expressed about performance in cold weather .... “driving in the cold/frosty weather significantly reduced the range”
Warwickshire County Council
Warwickshire Rural Electric Vehicle TrialsNext Steps
• All three GP Practices have extended their lease for a further 12 months
• Stratford EV Town Project (with British Gas)
• Warwickshire Rural Electric Vehicle Project (WREV)
• Housing Association – assisted living (pool EV)
Warwickshire County Council
Rural Electric Vehicle Trial
www.evs4gps.org.uk
Dedicated user website
Project Manager - Mike [email protected]
Luciana Berger MPShadow Public Health Minister
#Dayforaction
Changing Shape of EnergyNHS Sustainability Day
February 2014
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May 2013
PROTECT - PROPRIETARY
What is the energy context in the UK?
Source: DECC Oct 2012
Supply
2001
2010
2020
2030
0.00
4.00
8.00
12.00
p/kW
h
HistoricHighCentralLow
Wholesale Power Prices 2001 – 2030
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• Electricity generated in 2012 fell by 1.3%
Carbon • Low carbon electricity’s share of generation increased from 28.1% in 2011 to 30.7% in 2012
Cost • Energy price trend is set to continue & non energy cost increasing rapidly
NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved.
May 2013
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Challenges – the energy dilemmas
2011 2014Typical unit rate £78/MWh Typical unit rate £102/MWh
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May 2013
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PROTECT - PROPRIETARY - Connecting to Performance © EDF Energy plc. All rights Reserved.
Pay Less
Reduce consumption
Change Fuel
On-site Generation
May 2013
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Chillercompliance& efficiency
Temperaturecontrol
On-site technical resource management
Building management system
Ventilation upgrades
Lighting system upgrades
Mechanical retrofit
Air quality improvement
Utilities auditing
Generators for Demand Response
“Achieve a 34% reduction in carbon
dioxide equivalent emissions from building energy use, travel and procurement of
goods andservices by 2020”.
Source: Sustainable Development Strategy
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Changing processes, upgrading technologies
May 2013
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Source FT Nov 2011
Advanced, open and willing to listen to new ideas…
• Executive Sponsorship• Employee Engagement• Job Isolation• Job Focus
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Changing attitudes
May 2013
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What is it?
Strategic Energy Partnership
Guaranteed savings
Generates value through a blend of measures
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Energy Performance Contracts (EnPC)
May 2013
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Strategic
Capital investment in your estate
Hedge against price fluctuations
Immediate savings
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Energy Performance Contracts (EnPC) benefits
May 2013
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Payback Period
Total Energy Savings
2 year payback Investment Criteria Limit
£50k
Energy Savings per
Project
£250k
Agg. Single Projects
EnPC (bundle)
£0k £0k
5 ye
ars0
year
s
How an EnPC works in practice
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NB: Within the EnPC the highest individual project payback was 4.6 years
Orange icons indicate single projects, Green icons indicate projects part of an EnPC
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May 2013
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Why now is the time to start thinking about EnPCs• Challenging carbon targets• Ageing assets that are approaching the end of their life• Finance constraints • Credible delivery partners • Support networks and procurement frameworks (such as
RE:FiT, Building Research Establishment (BRE), Carbon Energy Fund)
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NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved.
May 2013
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ObjectivesOutcomes
An easy way to see the energy change in context
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Understand the risks - 2011 wholesale energy price made 2/3rd of standard contract total cost
NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved.
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What does this tell us?• Non Energy Costs are getting higher • Non Energy Costs will be the volatile component of your bill
2014 Energy Prices: Non energy cost expected to rise
70% of the 2014 increase is non energy cost
NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved.
Tea/Coffee & Networking#Dayforaction
Resource efficiency through effective behaviour change
25th February 2014NHS Sustainability DayNottingham
Ann DurrantManaging Director
A bit about me and M4C …M4C:• Sustainability specialists• Strong focus on comms• In business over 8 years
Ann:• Chartered Engineer• Ex British Rail and AstraZeneca• Associate lecturer at Salford Uni
Who we’ve helped …
A very quick bit of …Behavioural Psychology
Culture change
A place where sustainable behaviours are the norm
Make it a habit
Make it a habit
Pavlov’s dog
A couple of …Case studies
Northern Rail
Project Manager engagement
Objective – to get project managers to consider sustainability initiatives at the beginning of a project
Northern Rail
SABMiller
Objective – improve performance across all sustainability priorities
Level assessment process
SABMiller
• KPIs• Level assessments
• Areas of risk• Good news stories
0 1 2 3 4 5Below minimum
Minimum standard
Progressing Developing leadership
Best practice
Leading edge
SABMiller
SABMiller
Result
Keele University
Recycling campaign
Objective – to increase their recycling rate from 44% to 60%
Keele UniversityAnnual waste management costs40% = £116,46060% = £102,285
Keele University – 64th
Northern Rail
Employee engagement
Objective – to get employees to take ownership of environmental challenges in the work place
Northern Rail
• Email • Online• Phone• Face to face• Internal mail
Case study - Northern Rail
Summary
• Tell people what to do• Make it easy• Make it normal• Use intrigue• Make it fun• Use memory joggers• Provide feedback• Competitions• Set goals• Give rewards• Link to their values
Other events
Webinars:An introduction to behaviour change techniques• 6th March – 13.00www.nhssustainabilityday.co.uk/webinars
1 day CPD accredited course:Energy savings through communication and engagement• 7th April – Watford • 15th May – Salfordwww.m4c-sustainability.co.uk/cpd
© British Gas Trading Limited 2011
Private and public sector partnerships25th February 2014
By definition
“A partnership is an arrangement in which parties agree to cooperate to advance their mutual interests”
Health and wellbeing at the core of a sustainable NHS
Source : Department of Health
Deprivation and its impact on health and wellbeing
Sources : Marmont Review, Office of National Statistics
The health risks associated with cold homes
<16°C (61°F) - Reduced resistance to respiratory infection.
<12°C (52°F) - Increase in blood pressure and blood thickness. Risk of circulatory and heart disease, can be fatal.
<9°C (47°F) - After two hours, deep body temperature falls leading to hypothermia, can be fatal.
Taking action on fuel poverty
By definition
“A partnership is an arrangement in which parties agree to cooperate to advance their mutual interests”
Tower Hamlets
Each year, Tower Hamlets suffers from around 330 excess winter deaths that are attributable to Fuel Poverty. Tower Hamlets is one of the worst affected areas in the UK.
The vision
“Improving the energy efficiency of the existing [building] stock is a long-term, sustainable way of ensuring multiple gains, including environmental, health and social gains.”
The Health Impacts of Cold Homes and Fuel Poverty, Marmot Review, 2011
Our approach
1. Training of healthcare professionals
2. Utilisation of outpatient letters
3. In-hospital comms
What we are learning
Engaging appropriate stakeholders key
It takes time and resource
Language barriers
Quality of information will impact conversion rates
Where we are with the project
43 people trained
Letter process up and running
Referrals generated
First completed installs
Raising the profile
Left: Living Warm Living Well featured in the Barts Health Life magazine, which goes out to staff and patients
Below: Living Warm Living Well also featured in the East End Life before Christmas.
Next steps
Customer satisfaction surveys and feedback
Review what worked, what didn’t
Consider implications of changes to ECO
Partnerships principles
1. Discuss wider goals
2. Take calculated risks, and be realistic(considering resource, BAU activity etc.)
3. Measure success
4. When things don’t work, learn from it
5. When things do work, repeat and share best practice
Thank you
Chris BarrassSenior Business Development [email protected] 573639
Nottinghamshire Healthcare NHS TrustFebruary 25th 2014
Collaborating on Sustainability within the NHS
12/09/2013
90
Titre de la présentation
Click icon to add picture
Agenda
Introduction to Cofely
Collaboration within the NHS
Cofely GDF SUEZ approach to Sustainability
Local Action Plans
Case Study Examples (broader sustainability)— Pilgrim Hospital— Rampton Hospital— Queen Elizabeth Hospital
91
GDF SUEZ Energy Services & Cofely
Cofely is primary B2B brand of GDF SUEZ Energy Services
Cofely operates in over 30 countries, serving 100,000 public & private sector customers
£13 billion revenues
No.1 service provider in France, Belgium, Netherlands & Italy
95,000 employees worldwide
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Cofely in the UK
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£1 billion UK turnover*
15,200 employees in UK*
14,000 sites managed in UK
23.6 million m2 of space managed
* Including pro-rata full consolidation of Romec JV
Service Areas for Customers
94
12/09/2013
95
12/09/2013
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Local Engagement on Sustainability
12/09/2013
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Pilgrim Hospital Energy Centre, Boston
15 year contract for Energy Supply and Operation
Awarded in April 2008
Design, build and operation of Energy Centre
Steam raising biomass, gas & CHP
Updated control system
New water treatment plant
First installation of steam biomass boiler supplied to the NHS within the UK
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Background: Pilgrim Hospital, Boston, Lincolnshire
Pilgrim Hospital opened in 1976
Serves South & South East Lincolnshire
24hr major Accident & Emergency department
569 beds, serving a population of 350,000
Full range of acute services
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Phase I: Construction & Installation
COFELY designed, installed and operate the Energy Centre.
The Security of Supply was essential at all times:— Hospital fully operational at all times throughout the project
Fuel flexibility
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Phase II - Operational
COFELY have total responsibility for the plant
Working in close partnership with the NHS Trust through a Liaison Committee to procure fuel
We sell steam, electricity and hot water to the Hospital
£90K per annum carbon trading savings
5,732 tonnes reduction in CO2 emissions per annum
51% reduction in CO2
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Behavioural Change
Awareness Campaign for new Energy Centre
Educational materials & Energy boards
Open day for stakeholders
Supplier forum
Engaging local press
Training & Awareness
Awareness of practices that can be used outside of the workplace at home
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Other initiatives
104
Titre de la présentation
Rampton Hospital Energy Centre
Carbon Energy Fund framework contract to construct, operate and maintain a new Energy Centre Due for completion by the end of 2014, Energy Centre will provide heating, hot water and electricity to the hospital. Will meet approx 87% of the total electricity demand
— 1MW biomass boiler, — 1.2MW combined heat and power (CHP) engine — 3 x high efficiency dual-fuel boilers running on gas. — A new building management system will also be installed.
Reducing CO2 emissions by 8,000 tonnes per annum
Projected financial savings of around £112,000 per annum
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Queen Elizabeth Hospital
Onsite energy manager oversees hospital site’s £10 million energy spend
We support the operational team in contract delivery to guarantee onsite energy performance
Energy reduction strategy implemented across the 185,000 sqm estate means the combined hospital trusts are already operating 12% more efficiently than the original performance target.
Welcome back#Dayforaction
Lunch#Dayforaction
Welcome back#Dayforaction
Sustainable WaterHow Bart's NHS are Saving Britain’s Water
with AquaFund©
Why worry about water?
• Water scarcity
• Rising cost of water
• Population growth
• Unpredictability of climate
01753 833 880 [email protected]
© Advanced Demand Side Management 2014.
Population Growth & Food
What do you use?
01753 833 880 [email protected]
Butter
Beef
150 litres3,400 litres
Chocolate
© Advanced Demand Side Management 2014.
Climate change
Water cost & CO2
• Rising costs
• The nexus of Energy & Water
01753 833 880 [email protected]
© Advanced Demand Side Management 2014.
Better water management
• Sustainability
• We should use less
• Not simply because it is right, because it is necessary
01753 833 880 [email protected]
How Bart's NHS are Saving Britain's Water
The Trust had specific objectives
• Reduce water consumption and cost
• Reduce Carbon emissions
• Environmental performance & impact
• Strengthen data management
To sustainably manage its
water resources
01753 833 880 [email protected]
© Advanced Demand Side Management 2014.
The partnership
• Lower water consumption
• Financial savings
• No budget
• A comprehensive approach
NHS Trusts are eligible for a £200,000 -
£500,000 grant
01753 833 880 [email protected]
© Advanced Demand Side Management 2014.
Engineering expertise
• In-depth surveys of the entire portfolio
• State of the art water-saving technologies
• Automatic Meter Readers
01753 833 880 [email protected]
© Advanced Demand Side Management 2014.
Strengthening the Trust’s data
• Full water bureau service
• Monthly Monitoring & Targeting Reports
• Total visibility
01753 833 880 [email protected]
Environmental
• Consumption profiling and environmental information
• Levels of Carbon saved
• Continually monitoring, preventing anomalies or leaks
01753 833 880 [email protected]
© Advanced Demand Side Management 2014.
Humanitarian aid420,000 people out of water poverty
Delivering on the Trust’s objectives
• Reduce water consumption and cost
• Reduce Carbon emissions
• Strengthen data management
• Environmental performance & impact
01753 833 880 [email protected]
© Advanced Demand Side Management 2014.
To sustainably manage its
water resources
A comprehensive approach
• Billing Data
• Water-saving equipment
• Continually monitoring
01753 833 880 [email protected]
© Advanced Demand Side Management 2014.
Our impact
Framework OJEU REFERENCE:
2011/S 186-30447301753 833 880
www.adsm.com
@AquaFund
01753 833 880 [email protected]
© Advanced Demand Side Management 2014.
Fuel Poverty
Old definition: more than 10 % of income spent on fuel to maintain a satisfactory heating regime.
When is a household in fuel poverty?
New definition: fuel costs are above average or where heating adequately would leave an income below the poverty line
In 2011 under the new definition 2.4 million 1 were classed as fuel poor rather than 3.2 million 2
1. DECC, Annual report on fuel poverty statistics 2013 (May 2013) 2. DECC, Fuel poverty report: Updated August 2013 (August 2013)
Fuel Poverty - the causes & consequences
Low Income Poor efficiency
Under occupancy
FUEL POVERTY
High energyprices
HEAT HOME DON’T HEAT Fuel Debt Ill health
Disrepair
Condensation
Who is at risk?
Households with a low income particularly if it is fixed –
Older people
Parents with young children
People with disabilities and or long term illnesses
Single people – under occupied
People without access to advice and information
Households that are not on the gas network
CSE Fuel Poverty Indicator 2012
Health issues associated with fuel poverty
Cold homes can be a significant risk to health
18 - 21°C – No risk to sedentary, healthy people
Below 16 °C – diminished resistance to respiritory infections
Below 12 °C – increased blood pressure and viscosity
Below 9 °C – after 2 or more hours deep body temperature falls
Excess Winter Mortality associated with fuel poverty
In Britain a cold spell during a mild winter is followed:
2 days - Rise in heart attacks (1/3)
5 days - Rise in strokes
12 days - Rise respiratory illnesses
In 2012-13 there were 31,100 excess winter deaths in England.
This is a a 29% in increase compared with the previous winter.
Reports on Excess Winter Mortality – Public Health England (PHE) and ONS
Identifying Fuel Poverty
Using prepayment meter to avoid debt
Home is draughty
Child / family member has respiratory problems
Listen out for people talking about it
Fuel bills are too high
Home is usually too cold
Living in one room to keep warm
Rationing fuel
Anyone can identify fuel poverty, particularly those in contact with public
Severe condensation on windows
Portable bottled gas or electric heaters
Heating controls absent / not working
Mould stains on wall or curtains
Curtains kept closed to retain heat
Look for evidence of it
Heating appliances aren’t being used e.g. dust on heating elements
Blocked / covered vents
Feel – Cold
Smell – damp, musty
Feel – Draughts
Feel - Large differences in temperature between rooms maybe only heating one room
Sense it when visiting homes
Fuel Poverty Solutions
Improve income
Accessing benefits can increase incomes available grant schemes and other services
Reduce fuel costs
Using the cheapest fuels for heating, hot water and appliances
• Switching energy suppliers can save up to £420 a year*
• Comparison sites such as energyhelpline, uswitch, moneysupermarket
• Make sure you are on the cheapest tariff • Try to pay by Direct Debit if possible
(Figures from uswitch)
Improve the energy efficiency of homes
Renewable and Micro generation technologies
Energy efficient heating systems
Insulation
26%
12% 8%
33% 18%
3%
Loft Insulation
Loft Insulation is one of the easiest and most cost-effective ways of improving the energy efficiency of your home.
*Source Energy Saving Trust
• Save up to £175* every year on bills
• Your home will stay warmer for longer
• Can help to reduce condensation
• Effective for at least 40 years
• An un-insulated roof can lose up to 25%
Cavity Wall Insulation
• Save up to £135* every year
• Homes stay warmer for longer
• Can help to reduce condensation
• Effective for at least 40 years
• Un-insulated walls lose up to 33%
If your home was built after 1920 its external walls are likely to be made of two layers with a gap or cavity between them. Cavity wall insulation fills that gap
*Source Energy Saving Trust
Solid Wall Insulation
• Layer of insulation material is fixed to the walls
• External insulation may change appearance
• May need planning permission:
Renewable energy systems
• Ground source heat pumps• Air source heat pumps• Biomass boilers (wood)• Solar thermal • Solar photo voltaic (P.V.)
Incentives:• Renewable heat incentive (RHI)• Feed in tariff (FIT)
Grants, Schemes and Services
Green deal
Launched in January 2013
Reduces upfront costs of energy efficiency measures
Repay the cost of improvements through the savings on your energy bills
No eligibility criteria
Energy Company Obligation (ECO)
• Government’s new energy efficiency programme • Replaces the CERT, CESP & Warm Front programmes• Works alongside the Green Deal• Provides additional support for energy efficiency• Support for vulnerable households & communities
• Funding is provided from energy companies to install:• Loft & Wall insulation• Replacement energy efficient boilers• Communal heating
Carillion Case Study – Birmingham 7 Towers
The 7 towers project is part of the Birmingham Energy Savers Programme
480 social housing flats in tower blocks owned by Birmingham City Council
Two fuel poor areas of the city
Installation of energy efficiency improvements including: • External wall insulation• Flat roof insulation • EcoPod district heating
Carillion Case Study – Birmingham 7 Towers
Project delivery was significantly more that the ECO funding alone. Carillion worked with Birmingham City Council to include other funding:
• DECC Go Early • DECC Fuel Poverty • European Regional Development Fund
Example of measureable impacts on fuel poverty on a flat in Metchley House:
• Average annual fuel bill prior to installation £550• Average annual fuel bill after EWI and EcoPod installation: £350• Average overall annual saving: £200
Thank you !
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Welcome
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EDF Energy Workshop
Presenter: Vicki Evans, EDF Energy
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ObjectivesOutcomes
An easy way to see the energy change in context
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Scoping out delivery costs
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Electricity network
Distribution
TransmissionBalancing
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Non energy costs are rising
2011 201465%
7%
2%
56%30%
12%
2%
Wholesale
energy
Delivery
Based on average customer
26%
Low carbon generation
Other
Delivery charges are predicted to increase by 50% to represent an increase from around 26% to 30% of the average unit price.
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2011 – Typical unit rate £78/MWh 2014 – Typical unit rate £102/MWh
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• Significant investment to maintain network and connect new, often intermittent, low carbon generation
• Ofgem regulates their revenues with price controls
• TNUoS = c.5% of business energy bills
• Triad management opportunities160 NHS Sustainability Day 2014 © EDF Energy plc. All rights Reserved. Protect Commercial
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• 6 DNOs manage 14 regional networks
• DNOs’ investment plans and revenues are long term and regulated by Ofgem
• DUoS = 20% of businesses energy bill. Charges vary by region
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• National Grid acts as System Operator (SO) to balance demand & generation
• BSUoS = 1% of business energy bills
• Balancing contracts (e.g. STOR) provide opportunities to be paid for reducing consumption / increasing generation to help balance the system
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Rising
Rising fast
Variable
All costs in £ billions
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Options to save
The only way to avoid non energy costs is not to use the unit. Non Energy Costs are passed through or included in
your unit rate these charges always apply
Produce your own Use less
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Produce your own – example
• An NHS Trust uses a CHP plant to generate electricity• Unused generation was being spilt back to the grid • The Trust was not receiving payment for what they spilt• The Trust set themselves up to export• A Power Purchase Agreement (PPA) is set up• Customer is paid for the excess energy they generate **
**Depending on volume generated
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Power Purchase Agreements (PPAs)
Fixed price PPA:• Sets the price you sell, provides income certainty• All-inclusive rate• Volume tolerance options
Index-linked PPA:• Achieves a price that is linked to the wholesale market• Suitable for new generators, variable or intermittent
export volumes• Flexibility around how and when you forecast your output
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Use less – example
• NHS Trust requests assistance to help them understand their energy consumption patterns• Their energy provider gives access to day +1 reporting portal• The Trust uses data to get control on when they use electricity• The Trust contacts an energy services provider to find out more• Provider identifies a number of options to reduce usage through on-site and desk research
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Use less – your options
Pay back timing
Technology• Refurbishment• Established• Innovative
• Short-term• Long term• ECM hurdle rate
Savings• Volume• Value• Extra income
Carbon
Volume management
• Increased visibility
• Volume reduction• CRC Scheme
Energy awareness
• Impact• Audience• Promoting change
Renewable generation
Operational Excellence
• Installation• Consumption• Alternatives• Increase awareness
Audit&
Reporting
• Understanding, visibility and control• Around change• Basis for strategy
• Site Maintenance• Consistency• Disaster recovery process• Smart Response
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A good place to startUnderstand energy usage
Highlight wastage or over consumption
Pinpoint areas for improvement
Establish benchmarks
Plan for changes within the organisation e.g. expansion
Communicate with senior management
Engage with frontline staff and create engagement strategies
Produce targeted business cases for investments
Within energy function
With external
stakeholders
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Reduction of carbon emissions and associated costs by 25% (2009-2014)
Sid SiddiquiDCHS
Environmental Manager
Mark Armstrong-ReadDCHS
Strategy and Planning Manager
ENERGY WATERWASTE TRAVEL
EMISSIONS Cost
SCOPE:
• Capital• Improve buildings and energy using plant• Low cost energy efficient innovations• Renewables
• Rigorous maintenance• Back-log – draught proofing, heating controls • Pro-active – plant & equipment ppm, water meters• Reactive – windows, doors, heating, water leaks
How?ENERGY
• Strict leakage monitor and control • Low cost water saving devices • Working closely with water supply companies • Behavioural change • ISO 14001
How?WATER
• Adopting ‘waste hierarchy’ approach• Meticulous waste separation & segregation• Reducing landfill waste • WEEE• ISO 14001
How?WASTE
Green Travel Plan• Teleconferencing and back to back meetings• Remote and agile working providing hot desks • E-pay: Electronic mileage claims• Salary sacrifice lease cars• Car share website, public transport, cycle to work• pool cars
How?TRAVEL
• initiative •Carbon Champions•The Voice •Mail shots/Newsletters
ManagingCHANGE
CO2 vs.TARGET
2850 tonnes saved against BAU scenario
£’s vs.TARGET
Actual cost savings to date £600k (£1600k against BAU)
• Beyond 2014– Retain and embed achievements and good
practices – Develop new sustainability strategy to take us
into 2020– Sustainable procurement to play significant role
in reducing CO2 emissions and costs – Minimise landfill waste– Low carbon buildings and technologies
OurFUTURE
Thank you for listening
Questions?
Sustainability in NHS Property Services Ltd
Why NHS Property Services?
• We manage, maintain and improve NHS properties and facilities
• In partnership with NHS organisations• To create safe, efficient,
sustainable and modernhealthcare and working environments.
Our portfolio
Our objectives
5 of 6 To ensure our estate is managed sustainably and that we support wider government initiatives in this area
Benefiting the NHS1. Focus on Estates and Facilities provision, we
can deliver a more streamlined, strategic and professional focus
2. Provide quality buildings, one building many providers
3. Clinical providers can concentrate on quality of care. Patients come to one building for range of care
We look forward to working with you
• Scope to redesign or add value only realised through co-operation with commissioners and providers
An Exciting Vision
• The NHS is now under pressure to adopt new patient care pathways. NHS Property Services will respond by making the estate fit for the future
• NHS Property Services can lead the way in reducing the impact of the NHS on the environment
How will NHS Property Services achieve its energy saving targets?
• Audit its estate• Establish its carbon footprint• Target improvement • Implement improvement strategies• Work with partners/tenants in achievement of
their own sustainability objectives
What does NHS Property Services plan in the future?• Establishment of good quality data• Use of EPC to improve efficiency of buildings• Work with tenants to improve efficient use of
resources - leads to lower charges• Greater negotiation with transport providers• Work with tenants to identify electric vehicle
charging points• Work with commissioners to
identify areas for investment and de-investment
Matthew SmithBEng(Hons), DipNEBOSH, EnvDipNEBOSH, AIEMA