Can hospitals reach zero carbon emissions by using renewable energy?

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1 Can hospitals reach zero carbon emissions by using renewable energy? Scottish Healthcare Conference John Taylor

2 Contents Overview of RES Hospitals and current use of renewables by hospitals Overview of the pilot hospitals Renewable energy options included in 2020 Investment Plans Is a Zero Carbon hospital possible? Renewables in Scottish hospitals Key issues for hospitals in Scotland Introducing the RES Guide for European Hospitals

3 RES-HOSPITALS European Project Sponsored by the Intelligent Energy Europe Programme Accelerate exploitation of renewable energy opportunities in European hospitals (support EU2020 Strategy climate change and energy targets) Pilot projects in eight European countries Aimed at exploring the barriers and how they can be overcome in different situations - Zero carbon possibilities - Investment plan to reach 50% RES by 2020 RES Guide for European Hospitals Aimed at technical, management and policy stakeholders - Influencing factors - Non-technical barriers - Feasible RES options - Making the business case for investment

4 Current position/options for hospitals Solar Bioenergy Heat Pumps Wind Hydro See for summary of examples (v1) Sample of 50 hospitals in 19 countries that have invested in RES Australia Austria Canada Columbia Denmark Gambia Germany Hawaii Hungary Italy Luxembourg Netherlands Norway Palestine Portugal Spain Sweden UK USA

5 What about the future? Scenarios for energy prices, carbon taxes, RES technology prices 41% increase in gas prices ( ) Investment costs for PV modules will decrease by 74% ( ) 31% increase in industrial electricity prices ( ) onshore wind investment costs will decrease by 5.23% ( ) More or less carbon taxes on energy????? biomass investment costs will increase by 41% ( ) EU Energy Trends to 2030 RE-Shaping: Shaping an effective and efficient European renewable energy market

6 Overview of the pilot hospitals 1. Avicenne University Hospital, France 2. Cardinal Massaia, Asti, Italy 3. Cruces University Hospital, Barakaldo, Spain 4. Zala County Hospital, Hungary 5. Galdakao-Usansolo, Galdako, Spain 6. Gelre ziekenhuizen, Apeldoorn, Netherlands 7. Hospital de Gorliz, Gorliz, Spain 8. Myślenice Hospital, Myślenice, Poland 9. Raigmore Hospital, Inverness, Scotland, UK 10. Rijnstate,Arnhem, Netherlands 11. San Camilio de Lellis Hospital, Rieti, Italy 12. Sant'Orsola-Malpighi, Bologna, Italy 13. Sucha Beskidzka Hospital, Sucha Beskidzka, Poland 14. TweeSteden Ziekenhuis, Tilburg, Netherlands 15. Ubarmin Hospital, Spain 16. Versilla Hospital, Viareggio Lucca, Italy 17. Wadowice Hospital, Wadowice, Poland 18. Zamudio Psychiatric Hospital, Spain Poland, 3 France, 1 Hungary, 1 Netherlands, 3 Scotland, 1 Spain, 5 Italy, 4

7 Renewable energy options under consideration Planned source Renewable energy system(s) included as part of '50% RES by 2020' plan Existing source Planned and existing source Aggregated investment ~ 50M to 60M Investment range ~ 0.09M to 13.1M Country Ref. Netherlands Italy Poland Spain France 16 Hungary 17 Scotland 18 Air source heat pumps Biofuels (transport) Biogas Bioliquids Biomass (boiler/chp/cchp) Energy from waste Geothermal (deep borehole) Ground source heat pumps (incl. heat and cold storage) Hydropower Solar thermal Solar PV Water source heat pumps Wind turbines Aggregated CO 2 saving ~ 55Kt to 60Kt p.a. CO 2 saving range ~ 320 t.p.a. To 8,000 t.p.a.

8 Is Zero Carbon possible? What does it mean? In 2010, the NHS England carbon footprint was composed of building energy (24%), travel (17%) and procurement (59%). Direct & indirect emissions from the hospitals site (Scope 1), from energy produced by 3 rd parties (Scope 2) and from the hospital supply chain (Scope 3). NHS England Carbon Footprint (published 2012)

9 Zero Carbon Hospitals US example (Gunderson Lutheran Hospital) 100% Net Zero Carbon Energy Independence by 2014 Multi-faceted programme of energy conservation measures and RES investments - Waste biogas from local brewery and landfill site to produce electricity - Solar panels on garage roof - Solar thermal system in childcare centre - Community wind farms - Hydrokinetic energy from local dam - Biomass boiler - Geothermal system - Dairy gas site

10 Zero Carbon Hospitals US example (Gunderson Lutheran Hospital) Gundersen's Energy Independence Plan Biomass Boiler Conservation Phase 4 Dairy Biogas II Dairy Biogas I 100 Energy Cumulative Start Wind - Cashton Landfill Biogas Wind - Lewiston Conservation Phase 3 Conservation Phase 2 Conservation Phase 1 Geo Heat Pump New Hospital Load May-08 Dec-08 Dec-09 Dec-10 Dec-11 Mar-12 May-12 Feb-13 Aug-13 Sep-13 Estimated Implementation Date Oct-13 Oct-13 Dec-13 Ultimate aim is Zero Net Cost Energy Bill Needs to move to % renewable energy production

11 Zero Carbon Hospitals NHSScotland Scottish Government Targets - Decarbonise electricity supply by % emissions reduction by Projected Energy Usage Target Expected energy usage, almost all from fossil fuels Target Energy required for NHSScotland in Approximately 50% from renewables. Average performance 44 GJ/100m Fossil fuels 2 0 Fossil Electricity Renewable Electricity Energy (millions GJ) Biomass GSHP Electricity

12 Renewables in Scottish hospitals - now Biomass (e.g. Raigmore, Girvan, etc) Wind (e.g. Girvan, etc)) Ground Source Heat Pumps (e.g. D&G Dental Centre, St Andrews Community Hospital) Solar PV (e.g. Borders General Hospital) Green electricity purchase (100%!! but what does this mean?)

13 Key issues for Scottish hospitals Model of European best practice in aligning with national targets Limitations on available funding sources (..but Carbon Energy Fund an option) Energy transmission infrastructure (gas grid availability and exporting electricity) Onsite or offsite renewable energy generation? Remit leading energy generation or key buyer? (24/7 demand attractive) Using green grid electricity (who gets the carbon benefits?) Financially feasible renewable technologies (now and in future)

14 Introducing the RES Guide to European Hospitals

15 What information is included in the Guide? Factors influencing renewable energy use in hospitals Non-technical barriers to investment (and options to address barriers) Identifying feasible renewable energy options Making the business case for renewable investment Key messages from the Guide Appendices Ten case study examples (hospitals, Government policy and external stakeholder) Synthesis of good practice (step-by-step summary energy efficiency + RES) Proposed common framework for hospital reporting of CO 2 and RES Economics of renewable energy (Member State level comparisons)

16 Thank you Questions?

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