National Health Sustainable Office NHSO Established 2013 Cork University Hospital September 25th 2015 Jim Murphy

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1 National Health Sustainable Office Cork University Hospital September 25 th 2015 Jim Murphy National Lead NHSO State of Play Q Site Details Five Sets of Property Database HSE Property Database ESBN Site Database BGN Site Database Oil Site Database LPG Site Database No Database Nationally for Water Multiple Meters per Site Different address per meter No Knowledge Nationally, of the Total Number of:- ESB, Natural Gas or Water Meters Oil Tanks or their Type LPG Tanks National Geographical Survey Key deliverables recorded 19 week project timeframe 2,443 sites surveys carried out Photos of the Site and relevant Buildings Approximate size of the location Photos of all meters on-site Meter numbers from the site GPS co-ordinates of the site (entrance or car park) GPS co-ordinates of relevant plant and equipment GPS co-ordinates of vehicle fuel tanks on-site

2 Key Deliverables Continued 452 sites confirmed with natural gas meters 621 sites confirmed with kerosene oil tanks 288 sites confirmed with gas oil tanks 32 sites confirmed with heavy duty oil tanks 22 sites confirmed with medium duty oil tanks 35 sites confirmed with light duty oil tanks Key Deliverables Continued 171 sites confirmed liquid petroleum gas (LPG) tanks 32 sites confirmed with vehicle fuel, split between petrol, diesel and agri-diesel 1,175 sites confirmed with water meters 72 sites confirmed with having renewable energy sources, these include geothermal, solar P.V and solar thermal, biomass and wood pellet burners. 1,552 of buildings are over 250m², 444 buildings are over 500m² and 447 building are over 1,000m². Communications Programme Website and Newsletter established Continued Development of the Communications Plan Developing a Communication Network nationally NHSO Website NHSO Website About us News and Events Resources Sections on: - Energy Efficiency, Waste Prevention, Water Conservation, Sustainable Healthcare Buildings, Green Procurement

3 NHSO Newsletter Knowledge Exchange Programme The Office has established a quarterly newsletter the first newsletter was circulated to all HSE staff by . June 2015 Next newsletter circulated to all HSE staff September 2015 Climate KIC is Europe s largest initiative to support climate change. A key focus of the programme is to build and share knowledge to tackle barriers/ issues to achieve change. NHSO is working with Climate KIC to develop Study Visits between the NHS and HSE. Waste Prevention Green Healthcare Programme (GHP) In 2014, NHSO Partnered with the Environmental Protection Agency (EPA) Both now Jointly Fund the Green Healthcare Programme Green Healthcare Programme National Waste Prevention Audits GHP has surveyed over 40 Acute and Non Acute hospitals Developed waste prevention Best Practice Guidance, Benchmarks and Case Studies specifically for dealing with Risk Waste reduction, Food Waste prevention, etc. All Available on the NHSO Website GHP Training and Education Programme Education & Awareness In June 2015 the NHSO issued an invitation to the Acute Hospitals to participate in Free Training and Education Programme, dealing with:- Healthcare Risk Waste Reduction Healthcare Food Waste Reduction Maximising Recycling and Reducing Landfill Healthcare Water Conservation

4 GHP Education & Awareness 23 Acute Hospitals volunteered for the training programme. On 16 th September The First Awareness Day was held in the Coombe Hospital Green Healthcare Water Green Healthcare Water Water Audits carried out in Acute and Community Hospitals, in the Cork Wexford Limerick Kerry Develop Nationally the first Irish Health Sector Water benchmarks (litres per patient bed day) per type of hospital. Develop Best Practice healthcare water conservation guidance. Total Energy Usage 2014 Energy Type 2014 kwh Electricity 222,554,384 Gas 292,046,222 LPG 9,168,733 Heating Oil 250,903,092 Heavy Oils 27,663,760 Wood Fuels 722,175 Transport Fuel 59,105,269 Total 862,163,635

5 Percentage Energy Usage 2014 Increase in Energy Usage 2011 to ,044,794 kwh 803,058,366 kwh Increase in Energy Usage 16,013,572kWh Achieving our 33% Reduction on Energy Usage by 2020 Deadline National Energy Contracts One National Contract for each Energy Supply: Electricity, Gas, Oil and LPG. One Supplier for each Energy Source. Agreed set of deliverables from the Contact. National Energy Contracts NHSO Sustainability Programme NHSO is engaging with the new suppliers to agree on:- Monitoring & Reporting Usage & Cost Analysis Develop Best Tariff for Site Corporate Sustainability Management Services Sustainability Management Concession Contract Approved by Leadership Team in May 2014

6 Corporate Sustainability Management Services (CSMS) Corporate Sustainability Management Services (CSMS) To develop a National Energy Bureau Service Stage 1 is complete with the National Procurement programme for Energy Suppliers Stage 2 is well advanced with the Energy Awareness Campaign in partnership with the OPW Next Steps:- Develop National Programme of Works and Carry Out Gap Analysis. Energy Awareness Programme Optimising Work Energy Awareness Programme Participating Healthcare Buildings The NHSO in partnership with the OPW are running a national energy awareness campaign in HSE buildings The initiative aims to change staff behaviour towards energy conservation within our buildings. Sustainability Management Concession Contract (SMCC) SMCC This is Energy Efficiency Contracting utilising the ESCo funding model The Capital Investment is Funded by the Energy Savings

7 Sustainability Project Development Sustainability Project Development Stage 1 Project Identification / Desktop Survey Quantify energy saving objectives and decide if energy efficiency project is needed. Determine if energy contracting is acceptable, and identify projects. Stage 2 Initial appraisal Establish the business case and decide the most appropriate energy contracting option. Stage 3 Detailed appraisal Establish how the contract will be structured, financed and procured and analyse the project financials. Stage 4 Procurement Procure the service using Competitive Dialogue. Healthcare Buildings Participating in the SMCC Programme Energy Efficient Design Reviews (EEDR) St Vincent's University Hospital Naas General Hospital Letterkenny General Hospital Sligo Regional Hospital St Columcille's Hospital, Loughlinstown Aras Attracta, Mayo Roscommon General Hospital Mater Hospital Cherry Orchard Hospital AMNCH Tallaght Peer Review throughout the Designs Stage for Energy Efficiency. Six pilot sites Now incorporated in the scope of works for major and minor projects (June 2015) SEAI Energy MAP Courses - Building Energy Saving Awareness HSE North East 28 HSE West Galway 24 HSE North West 16 HSE South 13 HSE DATHS 13 HSE Mid West 22 HSE Dublin Mid Leinster 28 The attendance over the three-day training programme equates to approximately 400 person days

8 Sustainable Transport Policy Smarter Travel Workplaces The Sustainable Transport Policy will assist the HSE in Achieving its: Target Renewable Energy Supply Directive NHSO working with the National Transport Authority and Department of Transport, who run the Programme Aims to promote and support more sustainable travel habits Staff, Patients and Visitors. The Workplace Wellbeing Policy Eco Health & Wellbeing Health and Wellbeing Subgroup established. Synergies exist between public health issues, health inequalities, transport, improving the sustainability of the HSE and climate change. Promote walking, cycling, public transport and physical activity achieve public health benefits they also achieve sustainability benefits including reduction of carbon emissions, cleaner air, reduced traffic congestion and reduced noise.. Terms of Reference for Subgroup National Health Sustainability Office Support HSE Lead on NHSO Steering Group Develop a Sustainability Strategy for the Health and Wellbeing Directorate Develop Annual Action Plan for Delivery of Strategy in Cooperation with other Directorates Finally, I would like to thank you for your attention and interest