Welcome to the Liverpool CCG NHS Sustainability Day Road Show #Dayforaction
NHS Sustainability Day Liverpool CCG Road Show
Sep 14, 2014
Sustainability was on the menu once again as the Road show cycled it’s way to the North-West and arrived in Liverpool to a warm welcome. Delegates from across the city and throughout the North-West were on hand to participate in an inspiring day of presentations, knowledge sharing and motivation.
Sarah Dewar and Professor Maureen Williams, Deputy Chair NHS Liverpool CCG were on hand to deliver inspirational sessions focusing on debate, action and good practice. Delegates entering the event were asked to jot down what they wanted to take away from the day via post it notes which were then displayed on the entrance to the venue. Postcards were also handed out with delegates tasked with writing down what they will do on NHS Sustainability Day.
The morning session kick-started with Fiona Daly, Environmental Manager at Barts Health, discussing Sustainability Day on March 27th 2014. Fiona was followed by Professor Sir Ian Gilmore, University of Liverpool who spoke passionately on the city and the important role sustainability can play in improving healthcare and supporting the people of Liverpool. The morning session also saw presentations from Dr Tim Ballard, Vice-Chair of the RCGP who was on hand to address the role sustainability can play in general practice and supporting commissioning of health services.
The mid-morning session saw best-practice examples on a wide range of areas including waste and water. Royal Liverpool and Broadgreen University Hospitals Trust were on hand to discuss their work with Carillion around the new development in the city.
The afternoon discussions saw delegates interacting with each other to identify solutions to the challenges they face around sustainable development. The day concluded with delegates outlining their promises via the postcards distributed earlier in the day.
It is these promises which will ensure NHS Sustainability Day 2014 is a success and the weight of expectation amongst the Liverpool delegates was high. Many of them leaving the venue inspired, motivated and enthused. It is through this motivation that the NHS has a chance to deliver huge change in the next few years via sustainable practice and with inspiration such as that seen in Liverpool we think the future is looking bright!
Sarah Dewar and Professor Maureen Williams, Deputy Chair NHS Liverpool CCG were on hand to deliver inspirational sessions focusing on debate, action and good practice. Delegates entering the event were asked to jot down what they wanted to take away from the day via post it notes which were then displayed on the entrance to the venue. Postcards were also handed out with delegates tasked with writing down what they will do on NHS Sustainability Day.
The morning session kick-started with Fiona Daly, Environmental Manager at Barts Health, discussing Sustainability Day on March 27th 2014. Fiona was followed by Professor Sir Ian Gilmore, University of Liverpool who spoke passionately on the city and the important role sustainability can play in improving healthcare and supporting the people of Liverpool. The morning session also saw presentations from Dr Tim Ballard, Vice-Chair of the RCGP who was on hand to address the role sustainability can play in general practice and supporting commissioning of health services.
The mid-morning session saw best-practice examples on a wide range of areas including waste and water. Royal Liverpool and Broadgreen University Hospitals Trust were on hand to discuss their work with Carillion around the new development in the city.
The afternoon discussions saw delegates interacting with each other to identify solutions to the challenges they face around sustainable development. The day concluded with delegates outlining their promises via the postcards distributed earlier in the day.
It is these promises which will ensure NHS Sustainability Day 2014 is a success and the weight of expectation amongst the Liverpool delegates was high. Many of them leaving the venue inspired, motivated and enthused. It is through this motivation that the NHS has a chance to deliver huge change in the next few years via sustainable practice and with inspiration such as that seen in Liverpool we think the future is looking bright!
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Transcript
Welcome to the Liverpool CCG NHS Sustainability Day Road Show
#Dayforaction
Care for the FutureLiverpool 4th December 2014
Professor Maureen WilliamsDeputy Chair
NHS Liverpool Clinical Commissioning Group
Aims and objectives of event
• Promote dialogue about sustainability in NHS and how integrate with sustainability in social care and PH to make system wide
• Broaden agenda from estates based measures to models of care…increase understanding of what this means
• Share good practice• Promote activity for NHS sustainability day• Galvanise momentum for action and build network of
protagonists
Liverpool CCG Long Term Need to Achieve?
More emphasis on prevention
More emphasis on early identification of illness
More emphasis on self care
More targeted support when not well
Easier navigation of services
Social Value and Sustainable Development
• Public Services (Social Value) Act 2012• Strategic Opportunity• Increasing the social, economic and
environmental wellbeing of the people we serve
• Clear link to Sustainable Development agenda
Place Social Value at the centre of our thinking and policy, commissioning and practice.
Ensure the way LCCG invests and acts achieves maximum benefit to the population we serve now and in the future.
• maximizing impact of clinical services • supporting non-medical solutions• positively influencing social determinants
of health
Building Social Value to Improve health Outcomes by…
Social Value Aims
LCCG Developing Approach• Strategic approach to social value• Supports CCG Vision and Values• Supports system planning – Healthy Liverpool• Takes into account input from third sector, LCC inc
public health, NHS providers and partners• Economic, Social and Environmental measures• Aiming for collaboration across NHS in Liverpool,
with LCC and city wide
Liverpool Food Alliance
The Liverpool Food Alliance is a network of food growers, composters, buyers, cooks and eaters, passionate about a positive healthy
food culture for Liverpool
LFA aims to make enjoying good food easy and affordable for everyone and to grow a local,
eco-friendly food economy for the future.
Sustainable Development Strategy for NHS, Social Care and Public Health System
• Released in January– Carbon hotspots– Engagement and leadership– Strong and resilient
communities– Commissioning and
procurement– Clinical models of care
• To be developed during 2014…– Social
capital/value– Research &
Development & innovation
– Metrics
Overarching strategy in line with draft..plus..
Over today’s meeting want to consider..– What top three things should commissioning and
procurement do differently to achieve better prevention and self-care?
– What are the top three opportunities to deliver the mutual benefit on environment, strong communities and health priorities?
– How do we engage clinicians in creating sustainable models of care?
– What are the top three remaining big carbon challenges?– What will I do after today to bring about change?
• Launch of strategy London 29th January
• Sustainable development conference
• NHS Sustainability Day
www.nhssustainabilityday.co.uk
Welcome & Thank you
NHS Sustainability DayA•
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•
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call to action for the NHSA platform for whole system thinking on sustainable actions
Showcase for innovation, excellence and best practise
Opportunity to learn, share, collaborate
Engage - staff/patients/visitors/supply chain
Help develop an NHS that is fit for the future
Do one thing differently
We hope you will be inspired to take part in 2014
NHS Sustainability DayMotivating Success
• Day of action and engagement acrossNHS100 organisation participated 2013300 participating in 2014Key endorsementsRoyal Colleges, associations and Institutes Sharing knowledge, experience and best practiceCreating a legacy National Road Shows AwardsInternationally showcasing NHS
•••••
••••
NHS SD Road-showsComing to a venue near you
3rd October – Hull
17th October – Official Launch (London)
4th December – Liverpool
29th January – Nottingham
6th February – Royal Bournemouth
27th March – NHS Sustainability Day
WebsiteA brand new look and feel
Creating a legacyCommunity benefit
Planting
14:14the seeds of change
••
Getting the NHS to grow their ownReducing the carbon footprint of patient mealsDelivering a sustainable legacy for local grown produceEngaging communities to support their NHSLambeth Food Co-operative case study#dayforaction#14:14
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••
Celebrating success
scavenging systems and the energy and
at the hospital with NHS Forest
St Helens and Knowsley NHS Trust
behaviours Barking, Havering and Redbridge
Sustainable Travel InitiativeCycle train around Warwick
Trust
new waste recycling streams Isle of Wight
planted Lancashire Care NHS Trust
behaviours Barking, Havering and Redbridge
Category Description Winner
Educate all students in the benefits ofClinical Engagement Initiative effectively controlling anaesthetic gas
carbon efficiencies that can be gained University of SouthamptonBiodiversity Initiative Planting 120 Trees to create a mini forest
Set up Lambeth Food Cooperative toSustainable Food Initiative support sustainable food and local
businesses Lambeth Clinical Commissioning Group
Carbon Reduction Initiative Carbon Reduction in energy, travel and
Energy Reduction Initiative Big Easter Switch off and Eco Rhyme Southend University Hospital NHS Trust
South Warwickshire NHS Foundation
Waste & Recycling Initiative Increased recycling and introduction of
Community Engagement Initiative Grow your own' project & 200 trees
Best Overall Project Initiative Carbon Reduction in energy, travel and
#dayforactionIf the NHS can deliver a sustainable focus collectively on
one day, why can't we do it every day - think what a difference it would make
27th March 2014www.nhssustainabilityday.co.uk
Refreshments
Making tomorrow a better place through our 2020 sustainability strategy
KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwww.stnlive.info
Care for the Future – 4 December 2013
Judith Greensmith, Chair, Royal Liverpool & Broadgreen University Hospitals NHS Trust
and
David Kennedy, Director,Carillion
Making tomorrow a better place through our 2020 sustainability strategy
KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwww.stnlive.info
RLUH – ‘Sustainable Communities’
We want Carillion to be recognised as a leading sustainable business and the leading sustainable support services company
Our six positive outcomes for the basis of our 2020 Sustainability Strategy andencompass Carillion’s economic, environmental, and social contributions andImpacts.
RLUH Project Vision Our vision and objective is to leave a social and economic regeneration legacyfor the Liverpool community by:• Supporting local economic development• Maximising local training, employment and skills
Making tomorrow a better place through our 2020 sustainability strategy
KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwww.stnlive.info
RLUH – ‘Sustainable Communities’
Social & Economic Impact through Local Jobs & Enterprise
Apprentice & Training Opportunities for local people
Local workforce (Merseyside / City Region)
Targeted Recruitment & Up-skilling of people from Priority Wards
Unwaged work placements
Support Student Employability and Learning & Careers Information
Making tomorrow a better place through our 2020 sustainability strategy
KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwww.stnlive.info
RLUH – ‘Sustainable Communities’
Social & Economic Impact through Inward Investment
Local construction spend with local Supply Chain partners
Regular Meet the Buyer & SME Development Workshops
Regular ‘Liverpool Third Sector Forums’
Carillion Liverpool Regeneration Fund of £100,000
Making tomorrow a better place through our 2020 sustainability strategy
KEEP UP TO DATE WITHSUSTAINABILITYGet involved atwww.stnlive.info
RLUH – ‘Sustainable Communities’Social & Economic Impact - How we will create our legacy
Committed to establishing RLUH as a CITB National Skills Academy for Construction (NSAfC) accredited project
Jobs & Training Forum
Work in partnership with local colleges across the City & Liverpool Futures
Support BITC’s BAoH & Business Class Programme
Invest in local charities & support sustainable outcomes
Collaborative working with Liverpool in Work & Local Agencies
Sustainable Water – Water Efficiency in the NHS
Sian McCart - AquaFund
• Water Scarcity
• Rising cost of water
• Population growth
• Unpredictability of climate
Why save Water?
* Population to increase by 2 billion by 2050
Population Growth
• Chocolate 1kg – over 17,000 litres
• Beef 1kg – 15415 litres
• Butter 1kg – 5,553 litres
* The average person consumes 3,400 litres per day
Food in context
• 3 % of water is fresh
• Droughts
• Floods
Climate
Water Stress
• Global energy demand
• Cost of water
• Maximum demand
• CO2
Water Cost & CO2
• Total Spend: £79,900,000
• 35 billion litres of water
• 14,240,000 kg of carbon
• Better water management
• A comprehensive approach
Water & the NHS
Comprehensive Approach
• Full in depth surveys of all sites
• A full bureau service
• Water Saving technology
• AMR
Comprehensive Approach
Automatic Meter Reader (AMR)
• Total visibility on water use at site
• Accurate profiling of your building water use
• Fast reaction to leaks
• Accurate water balance assessment
• Prepares for deregulation of the water market
• Monitoring and Targeting
• Sustainability reporting
• Continual monitoring and analysis
Capturing, Reporting & Monitoring
• 20 – 30% saving
• NHS cost for water: £78,900,000
• 30% saving is 23,700,000
• 10,700,000m3 of water
• A shower everyday for 1 year
What can be saved?
• East of England Procurement Hub
• AquaFund Grant
• Typical Grant: £300,000 - £600,000
What help is there?
AquaFund Successes
1% of AquaFund revenue donated to
WaterAid
• Helping those most deprived of water, out of poverty
• Current project – Nepal
• 6 month Sustainability update
• Positive addition to CSR
Our Partnership with
* We track your contribution to a dedicated project
Our Impact
• Water Aware
• Water Efficiency
• Every drop counts
FrameworkOJEU REFERENCE: 2011/S 186-304473
t: 01753 833880e: [email protected] @AquaFund
Thank you for your time
Blue GreenA Natural Health Service
Gideon Ben-Tovim OBEChair Liverpool City RegionLocal Nature Partnership
• “I climbed a tree and swung off the branches, it felt amazing”
Natural England
People who live furthest from public parks 27% more likely
to be overweight or obese.
Children able to play in natural green space gained 2.5 kg less per year than children
who did not have such opportunities.
1,300 extra deaths each year in UK among lower income
groups in where the provision of green space is poor.
What Can GI Do?
Increase physical activity Improve air quality Opportunities for
growing food locally Improve mental health Social cohesion Adaptation to climate
change Reduce symptoms
ADHD…
Evidence
• 80% of LCR LNP is green/ blue space – more than any city outside London.
• £100bn asset• 8000 LCR jobs in
sector• GI generating £8 for
every pound invested
Marmot Review
• Health inequalities• Physical & mental health• Public think…
– 95% very or fairly important to have
green space near homes– 90% parks & open spaces improve their
quality of life – 74% important to physical & mental
wellbeing• Reconnect to healthy food• Communities stronger and more cohesive
with good quality green infrastructure
Other Health evidence
• Roadside trees can trap up to 90 per cent of traffic-related air-borne dust particles
• Reduce risk of flooding• Climate change• NICE Guidance for
physical activity
“Stretching from our famous coastline to
our estuaries, our urban parks and
green spaces, including our rural
hinterland, the richness and diversity
of the Liverpool City
Region’s natural environment is
unique”
LNP
LEPH&WB
Boards
• 6 Local Authorities• The Mersey Forest• Peel Holdings• Merseyside
Environmental Advisory Service
• Health• Liverpool Vision• Natural England• Rural Leader• Atlantic Gateway• University of
Liverpool• LEP• Merseyside
Environmental Trust
LCR GI Framework
• Health runs throughout strategy• Wirral Waters, GI interventions of £2m = £29m of
net present value. • Of these, health and wellbeing benefits being the
most significant @ 50%
Matching Needs
and Assets
Natural Choices
for health
• £300k available• 122
Expressions of Interest
• 38 successful projects
Outputs
• 3274 participants• 100 partners• 84 events• 1159 workshops• 867 volunteers• 135 employed
Wellbeing scores improved by 18%
Outcomes• Social cohesion• Wellbeing• Legacy• Mental health• Physical activity• Food / obesity• Passion
Jan-Nov = 44 weeks £2.14 per participant, per week
Opportunities
• Neighbourhood working GPs and community groups
• NHS estate• Partnerships
Resource efficiency through effective behaviour change
4th December 2013NHS Sustainability DayLiverpool
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 5
Below 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 University Annual 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
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
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