sustainable development management plan (sdmp) guidance · pdf filewhat is a sustainable...

Guidance for writing a Board level SDMP

Version 2.0

Sustainable Development

Management Plan (SDMP) Guidance

What is a Sustainable Development Management Plan (SDMP)? 3

Elements of an SDMP - Checklist 4

Tips for producing an SDMP 5

Example of an SDMP Action Plan 6

Overview of tools for monitoring and measuring progress 10

Assessing the quality of measurement 12

Maintaining consistent monitoring within shifting structures 13

SDMP Frequently Asked Questions – Appendix 1 15

The role of Any Qualified Providers (private/third sector, etc) – Appendix 2 16

External Quality Assessment of an SDMP Form – Appendix 3 17

A comprehensive glossary of sustainability terms can be found in the NHS Carbon Reduction

Strategy www.sdu.nhs.uk/publications-resources/3/NHS-Carbon-Reduction-Strategy

Contents

2

Does this guide show the evidence behind the case for an SDMP?

No. However, if you’d like to know more about the huge financial, health, risk management and reputational benefits of improving your sustainability performance, please visit http://www.sdu.nhs.uk

An SDMP sets out three things:

1. An Action Plan for delivering the organisation’s sustainability objectives2. The metrics that will be used to monitor and review the progress of the plan 3. The governance and accountability arrangements for ensuring the plan is delivered and the benefits realised

?

It will help your organisation to:

• meetminimumstatutoryandpolicyrequirementsofSD• savemoneythroughincreasedefficiencyandresilience• improvetheenvironmentinwhichcareisdelivered,forbothpatientsandstaff• haverobustgovernancearrangementsinplacetomonitorprogress• demonstrateagoodreputationforsustainability• align SD requirements with the strategic objectives of the organisation

What is a Sustainable Development Management Plan (SDMP)?

3

This guidance document will help you write an SDMP which identifies, monitors and prioritises the actions needed to improve sustainability performance while reducing carbon footprint. The majority of the raw data you need to meet minimum requirements is already collected, and simply needs to be collated, reported and managed.

What is the Carbon Reduction Strategy (CRS)?

The CRS sets an ambition for the NHS to move towards a low carbon society. Published in response to the Climate Change Act, it recommends key actions for the NHS to become a leading sustainable and low carbon organisation.

?

STRUCTURING YOUR ACTION PLAN• Tailor your focus to appropriate areas of sustainability

• Use the checklist on page 4 to meet minimum standards

• Ensure an integrated approach using the structure of the NHS Carbon Reduction Strategy (CRS)

• Use the Route Map for Sustainable Health to guide your approach to SD.

The tips on page 5 can be used to support your organisational approach to developing cross functional plans. On page 6 is a sample SDMP Action Plan with suggested headings and ideas for improving performance.

An SDMP is a board approved document that assists organisations to clarify their objectives on sustainable development (SD), and set out a plan of action.

Tips for producing an SDMP

Meeting the criteria below will give assurance to the Board that your organisation is meeting the minimum statutory, regulatory and NHS policy requirements for sustainability.

SDMP checklist

4

Our SDMP:is approved annually by the Board*outlines governance arrangements for reporting progress and assurance*defines the overarching sustainability mission statement in line with core businesslists the organisation’s sustainability objectives and cross-functional inputspecifies the board level executive/non executive lead for sustainabilityencourages sustainability in other organisations, e.g. through contractual requirementscontainsactionforasustainabilitystatementtobeincludedinallstaffjobdescriptions

Governance

Each action in the plan includes:time frames and milestonesa named person responsible for deliveryreporting arrangements (including exception reporting parameters)quantitative measuresbaseline figures and performance targetsresponsibilities/accountabilities for development, implementation and monitoring

Our SDMP demonstrates progress by:monitoring and reporting on building energy, waste and water carbon emissions*outlining the process for compliance with the HM Treasury sustainability requirement*setting an absolute carbon reduction target of 10% by 2015 on a 2007 baseline*setting annual targets for absolute reductions on a trajectory that ensures the aboveoutlining the specific metrics used to monitor progress and provide assuranceoutlining public reporting arrangements, e.g. what’s included in annual reportsmonitoring carbon emissions related to procurement and travel, including patients, publicandstaff

Our SDMP contains:a risk assessment and mitigation plan outlining management of risks posed by climate change*a section on adaptation*a plan of action for compliance with the Carbon Reduction Commitment (CRC)*coverage of the 10 areas identified in the Carbon Reduction Strategy for England

* Criteriamarkedwithanasteriskarethemosteffectiveindicatorsofcompliance.

Action Plan

Monitoring and reporting

Sections


• AppointanexecandnonexecboardlevelSDlead

• Establishacross-functionalsustainabledevelopmentcommittee

• InvolveallstaffindevelopingandimplementingtheSDMP

• Includeclimatechangeintheorganisation’sriskregister, to ensure compliance with the Annual Governance Statement (previously Statement on Internal Control) and the Civil Contingencies Act 2004

• Engageemergencyplanningandbusinesscontinuityleadsin creating adaptation plans

• UsetheGoodCorporateCitizenassessmentmodel(GCC)to measure progress

• ConsiderdevelopingaMarginalAbatementCost(MAC)curve

• LookatrealexamplesofSDMPsproducedbyotherorganisations

• Quantifythecarbonreductionsfromtheactionplan

• AssessperformanceannuallyagainstyourcorporateSD objectives

• Regularly update the SDMP and Action Plan as necessary

• Reportprogressontargetsregularlytotheboardincludingrisks and responsibilities

55

SDMP checklist

Measure

Set targets

Engage

Report progress

The following tips can help ensure that new and existing plans cover all the bases needed for a high quality SDMP.


Base

line

Figu

reM

etric

s to

mea

sure

pe

rfor

man

ceTi

mef

ram

e/D

eliv

ered

by

Plan

SDM

P O

bjec

tive

Are

a of

CRS

1.

Ener

gy a

ndCa

rbon

M

anag

emen

t

2.

Proc

urem

ent

and

food

3.

Low

car

bon

trav

el,

tran

spor

t and

ac

cess

ERIC

dat

a;

DEC

adv

isor

y re

port

;

Met

ered

ene

rgy

use

;

NH

S Re

port

ing

on

Su

stai

nabi

lity

Fram

ewor

k to

ol

Agre

e en

ergy

sav

ing

and

carb

on re

duct

ion

targ

ets

(e.g

. red

uce

abso

lute

ca

rbon

em

issi

ons

by

3% th

is y

ear)

Runastaff

ene

rgy

awar

enes

s ca

mpa

ign;

Inst

all l

ocal

hot

wat

er

boile

rs;

Impl

emen

t sof

twar

e

totu

rnoffice

compu

tersoff

over

nigh

t;In

stal

l ene

rgy

efficien

tlighting

Agre

e ca

rbon

redu

ctio

n ta

rget

s fo

r pr

ocur

emen

t

(e.g

. red

uce

was

te,

cost

and

car

bon

em

issi

ons

from

goo

ds

and

serv

ices

by

2%

this

yea

r)

The

emph

asis

sho

uld

be o

n pr

ovid

ing

low

ca

rbon

mod

els

of

care

by

focu

ssin

g on

ca

re c

lose

r to

hom

e,

tele

med

icin

e,

vide

ocon

fere

ncin

g fo

r m

eetin

gs. e

tc.

(e.g

. tel

econ

fere

ncin

g to

repl

ace

5% o

f bu

sine

ss m

iles)

Revi

ew le

an w

ard

re

stoc

king

pol

icy;

Revi

ew h

igh

expe

nditu

re g

oods

an

d se

rvic

es to

iden

tify

actio

n;U

se lo

cal f

ood

supp

liers

and

bu

sine

sses

; En

cour

age/

requ

ire

supp

liers

to d

evel

op

thei

r ow

n SD

MPs

Revi

ew re

curr

ing

busi

ness

mile

age

expe

nditu

re to

id

entif

y m

eetin

gs

that

cou

ld b

eco

nduc

ted

byte

leco

nfer

ence

; D

evel

op a

n ac

tive

tr

avel

pla

n th

at

prom

otes

pub

lic

tran

spor

t, cy

clin

g

and

wal

king

P4CR

fram

ewor

k;

Proc

urem

ent

sect

ion

of th

e G

CCas

sess

men

t mod

el;

Gov

ernm

ent

Buyi

ng S

tand

ards

and

G

reen

ing

Publ

icPr

ocur

emen

t

NH

S Re

port

ing

on

Sust

aina

bilit

y

Fram

ewor

k to

ol;

Busi

ness

mile

age

expe

nse

data

from

finan

ce d

ept;

Staff

travelsurveys;

Trav

el s

ectio

n of

the

GCC

ass

essm

ent

mod

el;

Ener

gy S

avin

g Tr

ust

fleet

revi

ew

Example of an SDMP Action Plan

DEC: Display Energy CertificateERIC: Estates Return Information CollectionGCC:GoodCorporateCitizenP4CR: Procuring for Carbon Reduction

?6

Pote

ntia

l Sou

rces

: Ex

ampl

es:

Pote

ntia

l Sou

rces

:

Pote

ntia

l Sou

rces

:

Exam

ples

:

Exam

ples

:

Base

line

Figu

reM

etric

s to

mea

sure

pe

rfor

man

ceTi

mef

ram

e/D

eliv

ered

by

Plan

SDM

P O

bjec

tive

Are

a of

CRS

4.

Wat

er

5.

Was

te

6.

Des

igni

ng

the

built

en

viro

nmen

t

Loca

l wat

er c

ompa

ny

may

be

able

topr

ovid

e ca

rbon

dat

a an

d id

entif

y le

aks;

Cons

umpt

ion

data

e.

g. m

onito

red

for

ERIC

;N

HS

Repo

rtin

g

on S

usta

inab

ility

Fr

amew

ork

Tool

Envi

ronm

ent

Agen

cy

Ensureth

eeffi

cien

tus

e of

wat

er b

y m

easu

ring

and

mon

itorin

g its

use

(e.g

. red

uce

met

ered

wat

er u

se b

y 2%

this

yea

r)

Set s

tret

chin

g ta

rget

sar

ound

ope

ratio

nal

resp

onse

tim

e fo

rre

pairi

ng le

aks;

Avoi

d th

e ro

utin

epu

rcha

se o

f bot

tled

wat

er u

nles

s cl

inic

ally

re

quire

d;

Installw

aterefficien

tte

chno

logy

;

Mon

itor,

repo

rt a

nd

set t

arge

ts o

nm

anag

emen

t of

dom

estic

and

clin

ical

w

aste

, inc

ludi

ng

redu

ctio

n an

d ap

prop

riate

dis

posa

l of

was

te in

m

edic

ines

, foo

d an

d IC

T (e

.g. i

ncre

ase

% o

f or

gani

satio

nal

was

te re

cycl

ed b

y 15

%)

Ensu

re b

uilt

envi

ronm

ents

are

de

sign

ed to

en

cour

age

SD a

nd

low

car

bon

usag

e,

and

to p

rom

ote

wel

lnes

s an

d re

silie

nce

to c

limat

e ch

ange

in e

very

as

pect

of t

heir

oper

atio

n

Cond

uct a

n au

dit o

n ap

prop

riate

se

greg

atio

n of

clin

ical

an

d do

mes

tic w

aste

;

Prov

ide

recy

clin

g

faci

litie

s in

pub

lic

areasan

doffi

ces;

Wor

k w

ith s

uppl

iers

to re

duce

the

amou

nt

of p

acka

ging

prod

ucts

com

e in

Plan

impr

oved

acc

ess

and

incr

ease

d gr

een

spac

e in

hos

pita

l gr

ound

s;Ca

rry

out a

risk

asse

ssm

ent:

are

build

ings

resi

lient

to

proj

ecte

d ch

ange

s in

cl

imat

e, a

nd to

wea

ther

ext

rem

es?

Refu

rbis

h bu

ildin

gs

to re

duce

car

bon

(e.g

. wal

l ins

ulat

ion)

Cont

ract

s an

d co

llect

ion

rece

ipts

;D

ata

e.g.

mon

itore

d fo

r ERI

C;Fa

cilit

ies

Man

agem

ent s

ectio

n of

the

GCC

as

sess

men

t mod

el;

NH

S Re

port

ing

on

Sust

aina

bilit

y Fr

amew

ork

Tool

Dat

a e.

g. m

onito

red

for E

RIC;

The

DH

PA

M;

The

EA/U

KCIP

tool

s;

Build

ings

sec

tion

of

the

GCC


PAM: Premises Assurance ModelUKCIP: UK Climate Impact Project?

7

Pote

ntia

l Sou

rces

:

Pote

ntia

l Sou

rces

:

Pote

ntia

l Sou

rces

:

Exam

ples

:

Exam

ples

:

Exam

ples

:

Base

line

Figu

reM

etric

s to

mea

sure

pe

rfor

man

ceTi

mef

ram

e/D

eliv

ered

by

Plan

SDM

P O

bjec

tive

Are

a of

CRS

7.

Org

anis

atio

nal

and

wor

kfor

ce

deve

lopm

ent

8.

Role

of

part

ners

hips

/ne

twor

ks

%ofstaffwho

have

rece

ived

trai

ning

on

sust

aina

bilit

y;

Wor

kfor

ce s

ectio

n of

th

e G

CC a

sses

smen

t m

odel

;

NH

S Re

port

ing

on

Sust

aina

bilit

y Fr

amew

ork

tool

Supp

ortstaffby

prom

otin

g in

crea

sed

awar

enes

s, su

ppor

ting

beha

viou

ral c

hang

e,en

cour

agin

g ho

me

wor

king

, low

car

bon

trav

el a

nd th

e us

e of

IC

T

(e.g.allstaff

are

awar

e of

the

bene

fits

of a

ctin

gsu

stai

nabl

y an

d ha

ve th

e sk

ills

and

com

pete

ncie

s to

im

plem

ent

sust

aina

bilit

y in

itiat

ives

)

Incl

ude

a se

ctio

n on

sustaina

bilityinstaff

indu

ctio

n;In

clud

e su

stai

nabi

lity

as a

du

ty in

all

JDs;

Prom

ote

the

deve

lopm

ent o

fle

ader

ship

co

mpe

tenc

ies

to

deliv

er c

arbo

n re

duct

ion

and

impr

oved

CSR

perf

orm

ance

;Re

view

wor

kfor

cepo

licie

s to

ens

ure

they

pro

mot

esu

stai

nabl

e be

havi

our

Cons

olid

ate

part

ners

hip

wor

king

an

d co

mm

unity

enga

gem

ent a

nd

mak

e us

e of

its

leve

rage

with

in lo

cal

fram

ewor

ks

(e.g

. the

org

anis

atio

n is

an

activ

e m

embe

rof

the

loca

l su

stai

nabi

lity

and/

orcl

imat

e ch

ange

ne

twor

k)

Dev

elop

resi

lienc

e pl

ans

to d

eal w

ith

proj

ecte

d ch

ange

s in

clim

ate

and

extr

eme

wea

ther

eve

nts

with

part

ners

;O

utlin

e a

com

mun

icat

ions

pla

n fo

r rep

ortin

g on

sust

aina

bilit

y to

the

publ

ic;

Dev

elop

a p

atie

nt

and

publ

ic

enga

gem

ent p

lan;

Dev

elop

a w

hole

sy

stem

s ap

proa

ch b

ysp

ecify

ing

how

the

orga

nisa

tion

will

en

gage

with

par

tner

sto

del

iver

SD

.

Envi

ronm

ent A

genc

y an

d U

KCIP

tool

s;

NH

S Re

port

ing

on

Sust

aina

bilit

yFr

amew

ork

tool

;

Org

anis

atio

n’s

Ann

ual

Repo

rt;

Clim

ate

Chan

gepa

rtne

rshi

ps


CSR: Corporate Social ResponsibilityJD: Job Description?

8

Exam

ples

:

Exam

ples

:

Pote

ntia

l Sou

rces

:

Pote

ntia

l Sou

rces

:


Base

line

Figu

reM

etric

s to

mea

sure

pe

rfor

man

ceTi

mef

ram

e/D

eliv

ered

by

Plan

SDM

P O

bjec

tive

Are

a of

CRS

9.

Gov

erna

nce

10.

Fina

nce

Adap

tatio

n -

not i

n CR

S bu

t is

are

quire

men

tfo

r an

SDM

PAc

tion

Plan

EMS

Gov

erna

nce

sum

mar

y on

SD

U

web

site

;

Carb

on Im

pact

A

sses

smen

tte

mpl

ate

on Q

IPP

ev

iden

ce

Ensu

re g

over

nanc

e pr

oces

ses

are

in p

lace

to

ens

ure

sust

aina

bilit

y is

em

bedd

ed in

the

orga

nisa

tion

(e.g

. sus

tain

abili

ty is

co

nsid

ered

in e

very

de

cisi

on m

ade

byth

e bo

ard)

Clea

r SD

targ

ets

and

actio

ns n

eede

d to

m

eet l

egal

, NH

S an

d

orga

nisa

tiona

l tar

gets

Regu

lar m

onito

ring

w

ith a

ctio

ns s

how

ing

prog

ress

;Se

rvic

e de

liver

y de

cisi

ons

cons

ider

SD

im

pact

, e.g

. usi

ng C

IAFi

nanc

ial d

ecis

ions

co

nsid

er w

hole

lifec

ycle

cos

ting

Qua

ntify

cos

t and

ca

rbon

redu

ctio

nop

tions

as

part

of

efficien

cyim

prov

emen

ts

incl

udin

g Q

IPP

(e.g

. trip

le b

otto

m

line

for s

usta

inab

ili-

ty: c

arbo

n, s

ocia

l and

co

st im

pact

ass

ess-

men

t pe

rfor

med

for a

ll pr

ojec

ts)

Incl

udes

forw

ard

plan

ning

, rai

sing

aw

aren

ess,

incr

easi

ng

resi

lienc

e,

man

agin

g ris

ks a

nd

taki

ng a

dvan

tage

of

any

pote

ntia

l ben

efits

(e

.g.

serv

ice

deliv

ery

plan

s in

clud

e fo

reca

st

ofsizean

dprofi

leof

popu

latio

n, c

limat

e an

d re

silie

nce

to

extr

eme

even

ts)

Who

le li

fecy

cle

cost

ing

for

proc

urem

ent

cont

ract

s;N

et p

rese

nt v

alue

and

re

turn

on

inve

stm

ent

for p

roje

cts;

MAC

cur

ves

for a

ll la

rge

inve

stm

ents

an

d pr

ojec

ts

Crea

te a

sec

tion

in

the

orga

nisa

tiona

l ris

k re

gist

er th

at

addr

esse

s th

e ch

alle

nges

of

build

ing

resi

lienc

e to

cl

imat

e ch

ange

and

co

vers

the

lega

l, fin

anci

al,

orga

nisa

tiona

l, re

puta

tiona

l and

serv

ice

risks

NH

S Re

port

ing

on

Sust

aina

bilit

y

Fram

ewor

k to

ol;

Save

Mon

ey b

y Sa

ving

Car

bon

for

in

form

atio

n ab

out

MAC

cur

ves


CIA: Carbon Impact AssessmentMAC: Marginal Abatement CostEMS: Environmental Management Systems?

NH

S SD

U G

uida

nce

on A

dapt

atio

n;

The

EA/U

KCIP

tool

sRi

sk re

gist

er;

Clim

ate

Chan

ge

Part

ners

hips

9

Exam

ples

:

Exam

ples

:

Exam

ples

:

Pote

ntia

l Sou

rces

:

Pote

ntia

l Sou

rces

:

Pote

ntia

l Sou

rces

:

Overview of Tools for Measuring and Monitoring ProgressOverview of Tools for Measuring and Monitoring Progress

The majority of the raw data you need to monitor the performance of your SDMP is readily available. The tools and frameworks below will allow you to:

• establish baselines• analyse the data from a sustainability perspective• measure and assess the impact of your SDMP

10

The GCC demonstrates the level of commitment and performance on SD over 6 key areas.It will help you create an organisational baseline and identify areas for action. It enables you to benchmark yourself against other regional and national organisations.

Further information: www.sdu.nhs.uk/sd_and_the_nhs/sd-governance/good-corporate-citizen.aspx

The P4CR is designed to support procurers in the NHS and wider health and social care sector in prioritising high impact actions for reducing carbon emissions. It includes:

• an engagement toolkit• a prioritisation tool (SCO2PE) quantifying the CRS procurement category • a flexible framework for performance assessment Guidance available here: www.sdu.nhs.uk/publications-resources/23/Procuring-for-Carbon-Reduction-P4CR/

EFM is used to collect and analyse data or “returns” provided by trusts. Data on areas such as building energy use, waste and water is used to calculate carbon emissions and to make comparisons with other organisations. The data can be used to create benchmarks against which progress can be monitored.This information has been published since 1999/2000 on the Information Centre website.

Published information: www.hefs.ic.nhs.uk/ EFM system: www.efm.ic.nhs.uk

GoodCorporateCitizenship(GCC)AssessmentModel

Procurement for Carbon Reduction (P4CR)

Estates and Facilities Management System (EFM)

Overview of Tools for Measuring and Monitoring Progress

11

Overview of Tools for Measuring and Monitoring Progress

This tool uses readily available organisational data to produce a sustainability report in compliance with HM Treasury mandatory accounts.

It measures performance in areas including energy, waste, water and travel. It also covers adaptation plans and SDMPs. It can provide metrics to inform the CRS areas 1, 3, 4, 5 and 7.

Further information: www.sdu.nhs.uk/sd_and_the_nhs/reporting.aspx

TheMACcurvecondensescosteffectivenessdataintoagraphclarifying which carbon reduction measures save the most money, helping you assess and prioritise action in any of the CRS areas.

Guidance available: www.sdu.nhs.uk/publications-resources/9/Save-Money-by-Saving-Carbon-/

The EA is a Government delivery body in England which helps organisations adapt to climate change. They work with UKCIP to provide a range of tools, methodsandguidancewhichhelporganisationsidentifyhowtheymightbeaffectedbyclimate change, and what they can do to minimise risks and exploit opportunities.

A particularly useful tool for those putting together the organisational adaptation plan is the UKCIPAdaptationWizard:www.ukcip.org.uk/wizard/

Further information: www.environment-agency.gov.uk/adaptation

NHS Sustainability Reporting Framework Spreadsheetet

Marginal Abatement Cost Curves (MAC)

The Environment Agency’s adaptation tools

Assessing the quality of measurement

12

Maintaining Consistent Monitoring within Shifting Structures

Is the SDMP agreed by partners and are processes in place?Review has not taken place; no baseline or targets; implementation not startedAreas reviewed; some baselines and targets set; implementation of SDMP startedTargets agreed with all partners and SDMP implementedProgress against agreed targets reported to board annually against SDMP

Does the SDMP target all core areas listed in the sample Action Plan*?Up to fiveSix to tenAll areas The SDMP includes exemplar actions and is promoted nationally as exemplary

Does the SDMP meet its targets?

Below agreed targets in most areas – inadequate performanceAbove agreed targets in some areas – adequate performanceConsistently above agreed targets – good performanceWell above agreed targets – strong performance

Who are my partners? “Partners” can include boards of provider organisations, boards of commissioning organisations, SHAs, voluntary sector, private sector, patient and public representatives and Local Authorities.

Progress

Quality

Scope

Comparing the quality of your SD performance to others

• CompletetheGoodCorporateCitizenshipAssessmentModel(seeOverviewofTools)• Visitwww.erpho.org.ukforthecarbonfootprintassociatedwithenergy,wasteand water usage for every NHS organisation in England. • Becomeanactivememberofyourregionalsustainabilitynetwork.TheNHSSDU can put you in touch with your regional lead.

An SDMP helps to deliver your organisational objectives by ensuring that the objectives you set contain targets that can be regularly reviewed and reported.

?

* attached in the Appendix

Assessing the quality of measurement Maintaining Consistent Monitoring within Shifting Structures

13

The health and care sector undergoes regular structural and organisational change. This poses a particular challenge when monitoring the NHS carbon footprint, as consistent baselines are essential when demonstrating that the UK is meeting the targets outlined in the Climate Change Act 2008.

What are the three scopes of greenhouse gases, and how do I measure them? Find out here: www.sdu.nhs.uk/publications-resources/59/APHO-Technical- Briefing-9-Measuring-Sustainable-Development/ Also see Example Monitoring the 10% section on the next page

?

• Have a board approved SDMP for each legal entity• Include scope 1, 2 and 3 emissions in carbon footprinting consistent with NHS

England• Embed SD in transition plans, legacy arrangements and documents • Actively participate in local health sustainability networks• Estimate baseline carbon footprints if not available from 2007• Implement your action plan and monitor progress• Benchmark your performance against other similar organisations• Put in place succession planning arrangements for your SD leads • Maintain contact with your regional SD Lead

These general principles will help you in times of transition:

The following could be used to estimate unknown figures for the carbon footprint. These can be used for apportionment e.g. for leased buildings or backcasting to previous years e.g. to estimate the 2007 baseline for organisations that have been created since 2007.Direct measurement should be used where these figures are available. Where figures are not available an estimate could be used to support evidence of action.

Options:- Population served- Income- Expenditure- Per square metre (m2)- Staffnumbers(e.g.FullTimeEquivalent)

Any estimates should include the following:- What bases have been used?- Why was this base used?- Alternative options and scale of change with alternative assumptions- Shortcomings of base used

Estimating figures for the carbon footprint

Example Monitoring 10% reduction by 2015

30%

30%

10%

29%

20%

20%

-10% 20

% 6% 10%

30% 4% 4% 10%

7,27

2

NA

1,82

4

184

9,28

0 5

191 -6

965

1,15

4

1,2

37 99

2,49

7

3,83

3

14,2

67

- - -

- - -

- - -

0

Ow

ned

build

ings

- ga

s

Ow

ned

build

ings

- co

al/o

il

Elec

tric

ity

Leas

ed a

sset

s (u

pstr

eam

)1

Busi

ness

trav

el -

air

Leas

ed a

sset

s (d

owns

trea

m)1

Busi

ness

trav

el -

air

Busi

ness

trav

el -

road

Busi

ness

trav

el -

rail2

Patie

nt/v

isito

r tra

vel3

Empl

oyee

com

mut

e

Trav

el to

tal

Capi

tal g

oods

Phar

mac

eutic

als

Med

ical

inst

rum

ents

Was

te a

nd w

ater

Oth

er

Proc

urem

ent t

otal

Gra

nd to

tal

Example Monitoring 10% reduction by 2015Ta

rget

re

duct

ion

by 2

015

Targ

et re

duct

ion

by 2

015

tCO

2e20

10/1

1 tC

O2e

2009

/10

tCO

2e20

08/0

9 tC

O2e

2007

/08

tCO

2eCa

tego

ry

desc

riptio

nCR

Sca

tego

ry

Excl

ude

from

to

tal

Build

ing

ener

gy u

se

Trav

el

Proc

urem

ent

1 ga

s, co

al, o

il an

d el

ectr

icity

Italics indicate estimated figures; calculations should be separate and should include:• Method used for estimation, e.g. population, activity, % of footprint, expenditure• Discussion of alternative methods including quantifying the change inestimated figures

22,9

1125

,054

24,8

8824

,241

6,07

9

1,84

4

32,1

64

2,07

5 23 954 60

13,8

31

4.82

5

19,6

92

9,00

0

112

3,76

6

12,3

65 330

62,4

27

88,0

00

139,

856

0

6,95

5

1,77

1

33,6

14

2,12

5 43

1,06

0

10,2

700

1,90

6

37,2

30

2,29

6 1916

2,02

9

42,5

83

1,83

3

17,8

390

3 no

n-em

erge

ncy

Hea

lthca

re fr

om o

ther

pro

vide

rs

14

NA

2 us

e of

pub

lic tr

ansp

ort e

stim

ated

incr

ease

In putting together your SDMP you may come up with a number of questions that you are unable to answer. As a first step it is useful to check the NHS Sustainable Development Unit website as there are a number of guidance documents and technical documents available that may help.

If you are still unable to find the answer please do not hesitate to contact your regional lead or the SDU team – the contact numbers are on our website at www.sdu.nhs.uk

You may also find these links useful when putting together your SDMP: Space for health website - DH guidance for Estates and Facilities:http://www.spaceforhealth.nhs.ukBREEAM standards e.g. In Use: http://www.breeam.org/page.jsp?id=373 ISO 14001: http://www.iso.org/iso/iso_catalogue/management_and_leadership_standards/environmental_management.htmISO 50001: http://www.iso.org/iso/specific-applications_energyCarbon per bed day calculation: http://www.erpho.org.uk/viewResource.aspx?id=20967QIPP project Carbon impact assessment: http://www.evidence.nhs.uk/qippCarbon Trust footprint calculator: http://www.carbontrust.co.uk/cut-carbon-reduce-costs/calculate/Pages/Default.aspx

SDMP Frequently Asked Questions - Appendix 1

15

1. Who is responsible for leased premises?2. Who is responsible for Private Finance Initiative premises?3. How do I create a baseline?4. What happens if I do not have data for the year 2007?5. What is an Environmental Management System (EMS) and why is it useful?6. What are the minimum requirements I have to fulfil around sustainability?7. Are Foundation Trusts subject to the same requirements?8. What are the key requirements to be included in an adaptation plan to demonstrate compliance with the statement on internal control?9. How do I start to include travel estimations in our organisation’s footprint?10. My organisation uses the standard suggested metrics for measuring sustainability performance. What alternative metrics are available to measure sustainability in a broader sense?

Below are some of the SDMP FAQs.

SDMP Frequently Asked Questions - Appendix 1

• Use contractual levers to compel your service and product providers to demonstrate their level of sustainability performance

• Encourage and support organisations you contract with to develop their own SDMPs

NHS buying power is immense, and a responsible and sustainable approach to procurement leads to health and well-being benefits for the local community. Below is a form which will help you consider and discuss your own priorities as well as your expectations of other organisations:

Clinical Commissioning Groups can also factor in the additional priorities:

Any Qualified Providers - Appendix 2

16

Priority My organisation StakeholderSustainability mission statementSDMP is in placeAnnual reports include sustainability sectionAwareness of current organisational footprintCarbon emission reduction (relative)Carbon emission reduction (absolute)Sustainability criteria included in business cases and models of care redesignSustainability awareness training and educationUse of GCC tool to assess progressUse of GCC tool to monitor progressStaffhealthandwell-beingpolicyMeeting or aiming for Carbon Trust Standard or equivalentWorkforce reflects local diversity

Priority Our CCGSet objective sustainability measures and targets for providers in contractsAssess provider sustainability performance at performance management meetings Consider providers’ sustainability credentials as part of tendering processMaintain regional oversight of health system carbon emissions Work with local authorities, providers and health and wellbeing boards to reduce health system carbon emissions

Ways to help providers contribute to the success of your SDMP

Trus

t Nam

e

Nam

e of

Boa

rd A

ppro

ved

Plan

Fram

ewor

k fo

r ass

essm

ent o

f SD

MP

External Quality Assessment of an SDMP Form - Appendix 3

1. S

cope 1.

1 Is

the

core

focu

s on

car

bon

redu

ctio

n, o

r a h

olis

tic a

ppro

ach

to s

usta

inab

ility

?

1.2

Are

eac

h of

the

ten

them

atic

are

as fr

om th

e N

HS

SDU

CRS

ass

igne

d sp

ecifi

c an

d m

easu

rabl

e ac

tion?

Fairl

y de

taile

d“S

MA

RT”/

deta

iled

actio

nsBa

sic

actio

ns a

ssig

ned

Refe

renc

ed

Them

atic

are

a

Ener

gyca

rbon

man

agem

ent

Proc

urem

ent a

nd fo

od

Low

car

bon

trav

el, t

rans

port

,

Wat

er

Was

te

Des

igni

ng b

uilt

envi

ronm

ent

Org

anis

atio

nal/w

orkf

orce

Part

ners

hip/

netw

orks

Gov

erna

nce

inc.

GCC

Fina

nce

Adap

tatio

n

Uns

peci

fied

Long

er3-

5 ye

ars

1-2

year

s1.

3 W

hat i

s th

e tim

efra

me

for t

his

plan

?


17

5 =

Hol

istic

app

roac

h: -

inte

grat

ed e

nviro

n-m

enta

l, so

cial

and

eco

nom

ic d

evel

opm

ent

appr

oach

to s

usta

inab

ility

acr

oss

busi

ness

54

32

11

= Co

re fo

cus:

exc

lusi

ve a

tten

tion

to

carb

on re

duct

ion

External Quality Assessment of an SDMP Form - Appendix 32.

Qua

lity

2.2

Doe

s th

e pl

an in

clud

e cl

ear m

ilest

ones

or s

ucce

ss c

riter

ia?

2.3

The

plan

incl

udes

join

t wor

king

with

:

3.3

If yo

u an

swer

ed “y

es” t

o th

e ab

ove,

doe

s yo

ur C

omm

ittee

incl

ude

a na

med

boa

rd le

vel l

ead?

18


Yes,

it ex

ceed

s th

em, a

nd o

ur ta

rget

s* a

re:

Yes

No2.

1 D

oes

the

Trus

t bel

ieve

the

plan

will

del

iver

the

min

imum

legi

slat

ive

requ

irem

ents

* on

car

bon

redu

ctio

n? (N

HS

SDU

gui

danc

e en

cour

ages

a 1

0% re

duct

ion

in C

O2e

by

2015

on

a 20

07 b

asel

ine) *

over

all,

ener

gy, w

ater

, was

te a

nd p

rocu

rem

ent

Yes

No

Oth

er p

artn

ers

Patie

nts

and

publ

icLA

/LSP

Part

ner o

r nei

ghbo

urin

g Tr

usts

/sec

tor

2.4

The

plan

rela

tes

to c

orpo

rate

prio

ritie

s, op

erat

ing

plan

s an

d w

ider

trus

t com

mitm

ents

**

**e.

g. JS

NA

, com

mis

sion

ing

stra

tegy

pla

ns fo

r PC

Ts

Thor

ough

lyTo

som

e ex

tent

N

ot a

t all

2.5

The

plan

ack

now

ledg

es c

limat

e ch

ange

ada

ptat

ion

prep

ared

ness

as

a bu

sine

ss ri

sk v

ia B

oard

ass

uran

ce fr

amew

orks

Thor

ough

inte

grat

ion

Som

e in

tegr

atio

nN

ot a

t all

3. G

over

nanc

e

3.1

Doe

s th

e pl

an s

et o

ut c

lear

gov

erna

nce

stru

ctur

es w

hich

indi

cate

that

the

plan

is a

dequ

atel

y em

bedd

ed?

Yes

No 3.

2 H

as a

str

ateg

ic S

usta

inab

ility

Com

mitt

ee (o

r sim

ilar)

bee

n es

tabl

ishe

d w

ith re

pres

enta

tion

from

acr

oss

the

orga

nisa

tion?

Incl

usiv

e re

pres

enta

tion

Adeq

uate

rep

rese

ntat

ion

Unc

lear

No

Unc

lear

(ple

ase

expl

ain

in th

is b

ox)

Yes

No


4. R

esou

rces

and

cap

acity

19

3.6

The

oper

atio

nal l

ead

is:

Uns

peci

fied

Oth

erCo

rpor

ate

Serv

ices

Publ

ic H

ealth

Esta

tes

and

Faci

litie

s

Incl

usiv

e re

pres

enta

tion

Adeq

uate

rep

rese

ntat

ion

Unc

lear

No

Unc

lear

(ple

ase

expl

ain

in th

is b

ox)

Yes

No3.

4 H

as a

n op

erat

iona

l Sus

tain

abili

ty C

omm

ittee

(or s

imila

r) b

een

esta

blis

hed

with

repr

esen

tatio

n fr

om a

cros

s th

e or

gani

satio

n?

3.5

If yo

u an

swer

ed “y

es” t

o th

e ab

ove,

doe

s yo

ur C

omm

ittee

incl

ude

a na

med

boa

rd le

vel l

ead?

3.7

The

oper

atio

nal l

ead

is b

ased

in th

e fo

llow

ing

depa

rtm

ent:

3.8

An

oper

atio

nal l

ead

has

been

iden

tified

to o

vers

ee s

peci

fic o

bjec

tives

at a

n ap

prop

riate

and

pro

port

iona

lte le

vel

Yes

No

3.9

Doe

s th

e pl

an in

clud

e a

risk

asse

ssm

ent o

r equ

ival

ent?

4.1

Trai

ning

, aw

aren

ess

and

com

mun

icat

ion

of s

usta

inab

ility

is in

tegr

al to

the

plan

5 =

wel

l int

egra

ted

and

has

been

giv

en

clea

r aut

horit

y

54

32

11=

mai

nly

auto

nom

ous

5 =

very

muc

h in

evi

denc

e5

43

21

1= n

ot a

t all

5 =

very

muc

h th

e ca

se5

43

21

1= n

ot a

t all


5. E

xem

plar

act

ions

20

4.2

Fina

ncia

l res

ourc

es h

ave

been

iden

tified

and

mad

e av

aila

ble

to d

eliv

er th

e pl

anU

ncle

arYe

s, an

d ou

tline

dYe

s, th

ough

uns

peci

ficN

ot in

evi

denc

e

4.3Su

fficien

thum

anre

sources(cap

acity

,skillsand

sen

iority)havebe

enid

entifi

edand

mad

eavailabletodeliverth

eplan

Unc

lear

Yes,

and

outli

ned

Yes,

thou

gh u

nspe

cific

Not

in e

vide

nce

5.1

Has

the

trus

t dev

elop

ed a

car

bon

foot

prin

t?Ye

sN

o

If “y

es”,

desc

ribe

belo

w in

clud

ing

nam

e of

con

trac

tor a

nd s

cope

of f

ootp

rint.


21

5.2

The

exem

plar

y/ u

niqu

e th

inki

ng d

emon

stra

ted

in th

is p

lan

shou

ld b

e co

nsid

ered

as

part

of f

utur

e gu

idan

ce (d

escr

ibe

belo

w)

Ener

gy a

nd c

arbo

n m

anag

emen

t

Proc

urem

ent a

nd fo

od

Low

car

bon

trav

el, t

rans

port

, acc

ess

Wat

er

Was

te

Des

igni

ng b

uilt

envi

ronm

ent

Org

anis

atio

nal/w

orkf

orce

dev

elop

men

t

Role

of p

artn

ersh

ip/n

etw

orks

Gov

erna

nce

inc.

GCC

Fina

nce

Adap

tatio

n

Oth

er/o

vera

ll

5.3

This

pla

n co

uld

be p

rom

oted

to o

ther

trus

ts a

s ex

empl

ary

Yes

No

6. S

uppo

rt a

nd o

ppor

tuni

ties

6.1

This

is a

com

preh

ensi

ve, i

n-de

pth

plan

sup

port

ed b

y go

od g

over

nanc

e an

d ap

prop

riate

reso

urce

s. U

ntru

e - n

eed

supp

ort w

ith c

arbo

n re

duct

ion

Unt

rue

- nee

d su

ppor

t with

sus

tain

abili

ty

True

6.2

Impr

ovem

ents

are

nee

ded

in th

ese

area

s - r

efer

to a

ppro

pria

te s

ectio

n nu

mbe

rs a

nd p

leas

e ad

d fu

rthe

r det

ail b

elow

.

Scop

e of

pla

n (s

ectio

n 1)

Qua

lity

of p

lan

(sec

tion

2)

Gov

erna

nce

of s

usta

inab

ility

(sec

tion

3)Re

sour

ces

and

capa

city

(sec

tion

4)

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