Strategic Report Annua Report and Accounts 2013/14 Sustainabiity Report The NHS aims to reduce its carbon footprint by 10% between 2009 and 2015. In support of this target we have deveoped a Sustainabe Management Pan (SMP) that was signed by the Board of Directors in January 2011. It affirms our objectives and targets for reducing carbon emissions and enabes the organisation to contribute to the NHS aim of becoming a ow carbon, sustainabe provider of high quaity heathcare. We are committed to continuay improve on minimising the impact of the Trust s activities on the environment, and in doing so reinforcing its commitments to both the Good Corporate Citizenship Mode and cost improvement. The NHS has set an overa carbon reduction target for NHS trusts to achieve a 10% reduction by Apri 2016 (from 2007/08 baseine year). In addition the NHS, pubic heath and the socia care system have aso set a ongterm carbon reduction target of 34% by 2020 across three areas: buiding energy use, trave, and procurement of goods and services. These represent ambitious goas to reduce carbon emissions in the heathcare sector, and in doing so protect the heath and webeing of the UK popuation. In order to meet these targets we are working in a number of areas to invest in ow-carbon technoogies and practices, outined within the foowing beow. The key areas for action are: energy, water and carbon management sustainabe procurement and food ow carbon trave, transport and access waste reduction and recycing green spaces staff engagement and communication buidings and site design organisationa and workforce deveopment partnership and networks governance, IT and finance. We reguary review and report on progress against the Good Corporate Citizenship Assessment Mode and key actions within an accompanying Sustainabe Management Action Pan. Monitoring, reviewing and reporting of energy and carbon management are carried out quartery via the Carbon Management Group. Richard Renaut, Director of Service Deveopment, is the board eve ead for sustainabiity. This ensures that sustainabiity issues have visibiity and ownership at the highest eve of the organisation. We have been progressing with energy and carbon management in a number of areas over the ast few years. page 59
Strategic Report Annua Report and Accounts 2013/14 Energy, water and carbon management We have invested in energy efficient ighting across the hospita sites. LED ights have been instaed in one ward environment, main corridors, a number of office areas, accommodation refurbishments, and in a car parks at the Roya Bournemouth Hospita. An investment grade audit has aso been carried out as part of an Energy Performance Contract (EPC) with British Gas and Breathe Energy. This project aims to reduce energy consumption by 25% through a variety of measures. Sustainabe procurement and food We recognise our responsibiity to carry out procurement activities in an environmentay and sociay responsibe manner, and the considerabe infuence we have in using our buying power to encourage heathy and sustainabe food production and consumption. It is important that as a hospita we promote the sourcing of oca and seasona produce, not just from a carbon reduction perspective, but aso to benefit the heath and webeing of our staff and patients. For exampe, the Catering Department has deveoped a sustainabe and heathy food action pan and is striving towards achieving a bronze Food for Life award. The Commercia Services Department ensures that a suppiers are asked to provide information on environmenta performance during the pre-quaification questionnaires process. We are aso in the process of producing a sustainabe procurement poicy to guide a ong-term strategy of addressing carbon emissions from procurement reated activities - which at present in the NHS, is the argest singe source of carbon. Low carbon trave, transport and access The Estates Department has recenty purchased two Nissan Leaf eectric vehices. They wi be used by staff traveing between sites, and for any other work-reated trave. In addition, three charge points have been instaed on site for staff and one for patients - argey supported by funding from the Government s Office for Low Emissions Vehices (OLEV). These cars have been produced in the UK and wi be charged using renewabe energy generated on site from our soar PV instaations. Waste reduction and recycing During 2012/13 we became zero waste to andfi, which represents a significant miestone to waste reduction and a strong commitment to protecting the environment by disposing of waste responsiby. Recycing faciities are being roed out across the organisation within cinica and office areas, and our waste contractor aso suppies a food waste coection service for the Catering Department. This food waste is transported to a oca Anaerobic Digestion (AD) pant where it is used to produce energy for the nationa grid, and by-product iquid fertiiser to oca farmers. Battery recycing faciities have aso been roed out across the Trust. The instaation of Dyson Airbade hand driers in non-cinica washrooms has been carried out at the Roya Bournemouth Hospita. Significant savings have been achieved through the instaation of these driers via the avoided cost in paper towe purchasing and disposa. Buidings and site design In deveoping our services and faciities, we aim to meet the BREEAM performance benchmarks (incuding BREEAM Exceent for new buid deveopments) in respect of the specification, design, construction and use of our buidings. The BREEAM measures incude aspects reated to energy and water use, the interna environment (heath and webeing), poution, transport, materias, waste, ecoogy and management processes. page 60
Strategic Report Annua Report and Accounts 2013/14 Green spaces In eary 2014 a biodiversity board was erected by the akeside to communicate the biodiversity and widife present on site. This board was produced by the Estates Team using recyced materias (destined for disposa), and the sketches were created by one of our apprentices. The intention of the board is to reinforce inks between peope and their oca environment, and to estabish the positive ink between heathcare and the environment. Staff engagement and communications We are committed to ensuring staff, patients, visitors and suppiers/contractors are abe to effectivey engage with, and support, the carbon reduction pan. We were the second NHS organisation to take part in the Green Impact Scheme, an environmenta accreditation and awareness scheme run by the Nationa Union of Students. During 2013 over 10 teams from across the organisation took part in the scheme, and it is estimated to have reached out to over 400 staff contacts. Sustainabiity is reported to staff on a reguar basis through weeky buetins, the staff magazine and reguar awareness-raising events. The Roya Bournemouth Hospita aso hosted one of the nationa NHS Sustainabiity Day roadshows during 2014. The event was an opportunity to demonstrate our sustainabiity achievements and to share exampes of best practice across the NHS. Organisationa and workforce deveopment A range of initiatives associated with heath improvement and promoting the heath of staff, patients and the pubic are ed and overseen by the Vauing Staff and Webeing Group. You can read more about their work on page 51. Partnership and networks We continue to work in partnership with key stakehoders under oca strategic partnerships to ensure the coaboration aids the integration of the sustainabiity agenda. Governance Performance against targets is reported quartery to the Carbon Group. A Sustainabe Deveopment Poicy has been signed off on behaf of the Trust by the Carbon Group. We aso routiney report on energy consumption through the Department of Heath Estates Returns Information Coection mechanism (ERIC). IT and finance We have introduced sustainabiity criteria for competion as part of a business cases. The IT department has aso recenty roed out a PC power management software, aimed at reducing energy consumption through computers being eft on unnecessariy. Future priorities and targets for 2013/14: update Sustainabe Management Pan and action pan sustainabe procurement poicy and associated action pan catering department to achieve the Bronze Food for Life award waste management strategy conduct staff and patient trave survey expore potentia of coaboration with neighbouring companies to reduce congestion around sites during peak times expansion of Green Impact Scheme cimate change risk mitigation pan The foowing performance data represents our tota gross CO2 equivaent emissions. This emissions figure is comprised of three scopes, which incorporate direct and indirect emissions (in ine with the Greenhouse Gas Protoco Corporate Standard). The figures for the financia year 2013/14 have been reported using the DEFRA Environmenta Reporting Guideines (June 2013), and a carbon factors used have been sourced from DEFRA s Greenhouse Gas Conversion Factor Repository. page 61
Strategic Report Annua Report and Accounts 2013/14 Performance data: Greenhouse gas emissions and energy use: 2007-08 Nonfinancia (tonnes CO2e) Reated energy consumption (MWh) Financia ( 1,000's) 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 Tota gross emissions: 13,545 12,874 11,994 12,568 11,877 12,600 10,821 Gross emissions scope 1 (Gas/oi/feet vehices/refrigerant osses) Gross emissions scope 2 (Eectricity) Gross emissions scope 3 (Waste/water) 5,340 4,949 4,401 4,630 4,166 4,185 3,950 7,511 7,172 6,876 7,247 7,142 8,161 6,715 700 754 717 692 569 254 156 Eectricity: renewabe* 4,072 3,889 3,857 3,738 3,684 3,758 15,074 Eectricity: non-renewabe 9,823 9,704 10,332 11,215 11,053 11,275 0 Gas 28,457 25,435 22,371 23,566 21,512 21,480 20,671 Oi 0 356 556 162 246 194 537 LPHW 1,535 6,629 10,104 7,903 5,125 6,696 7,400 Expenditure on energy 1,545 2,344 2,003 2,035 2,225 2,675 2,583 CRC gross expenditure - - - - 143 149 147 Expenditure on officia business trave - 428 448 391 324 389 394 Energy consumption (MWh) per GIA foor area: 0.50 0.52 0.44 0.43 0.39 0.41 0.41 Carbon emissions (Kg CO2e) per patient: 21.7 19.4 17.1 17.9 16.0 16.4 13.7 Performance commentary: *RBCH has chosen to purchase eectricity from 100% combined heat and power (CHP) guaranteed sources during 2013/14. Energy costs have decreased sighty during 2013/14. This decrease can be attributed to significanty ower gas consumption during the period due to a reativey mid winter. A sight increase in eectrica consumption has aso been observed over the ast few years, and this is due to additiona eectrica oad through new equipment instaed. Tota energy consumption reative to foor area has remained the same as ast financia year, which represents a decrease of 24% from the 2007/08 baseine year. In addition, RBCH generates roughy 15% of our energy on site, through 3 soar PV instaations and ow pressure hot water which is produced as a by-product of on site incineration and used to subsidise the Roya Bournemouth Hospita s heating systems. Greenhouse gas emissions page 62
Strategic Report Annua Report and Accounts 2013/14 Waste: 2007-08 Nonfinancia (tonnes) 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 Tota waste 1,369 1,286 1,257 1,482 1,503 1,258 1,407 High temp disposa waste 615 565 610 517 469 486 549 Landfi 701 707 642 827 299 0 0 Recyced/ reused 123 17 88 181 444 247 269 Energy recovery 0 0 0 0 284 526 589 Financia ( 1,000 s) Tota waste cost 318 325 367 333 336 320 306 High temp disposa waste 256 238 288 258 221 237 219 Landfi 62 77 73 72 44 0 0 Recyced/ reused 26 3 9 28 31 13 16 Energy recovery 0 0 0 0 31 65 71 Performance commentary: In 2013/14 our preferred waste contractor coected a tota 858 tonnes of non-hazardous waste. Of this, zero tonnes went to andfi, 589 tonnes went to an energy recovery faciity and 269 tonnes was recyced, which incuded mixed recycing (51 tonnes); baed cardboard/paper (93 tonnes); and separate food waste coections (79 tonnes). The Trust has chosen to send a waste to energy recovery as opposed to andfi as of financia year 2012/13. Waste production page 63
Strategic Report Annua Report and Accounts 2013/14 Water: 2007-08 Nonfinancia (000 s m 3 ) Financia ( 1,000 s) 2008-09 2009-10 2010-11 2011-12 2012-13 Water consumption 130 138 143 142 140 129 146 Sewerage 112 118 117 124 122 108 124 Water suppy costs 115 121 121 140 147 131 172 Sewerage costs 144 147 151 168 164 167 197 Water usage per GIA (foor area) 1.47 1.57 1.34 1.33 1.31 1.20 1.37 Performance commentary: RBCH water consumption has increased by 12% compared to ast year (2012/13). This is ikey attributed to fuctuating consumption at Christchurch Hospita due to arge-scae construction works, fushing regimes to contro the spread of egionea, and a sighter mider cimate during 2013/14 compared to the previous year. Water consumption however, has decreased by 7% reative to foor area compared to the 2007/08 baseine. Water consumption 2013-14 The Trust s annua report and accounts have been prepared under a direction issued by Monitor under the Nationa Heath Service Act 2006. This specifies the form in which the accounts shoud be presented which has been set out in the NHS Foundation Trust Annua Reporting Manua for 2013/14. Mr A Spotswood Chief Executive 27 May 2014 page 64