Transcript Document - Sustainable Procurement Cupboard

Carbon Reduction
&
NHS Perceptions
Phil Gover
Public Health
NHS Durham
4th January 2009
Key Points
1. Public Health & Sustainable Development
2. About the NHS
3. What we at NHS Durham want to do
4. National Strategy & Perceptions
5. Contact Details
Public Health & Sustainable Development
• Sustainable development is
“Development which meets the needs of the present without compromising
the ability of future generations to meet their own needs” (WECD, 1987).
• Sustainable development aims to achieve:
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Sustainable economy
Sustainable health
Sustainable community
Sustainable environnent (UK PHA, 2007).
Public Health & Sustainable Development
Dahlgren G. and Whitehead M. 1991. Policies and strategies to promote social equity in health
Public Health & Sustainable Development
http://www.who.int/globalchange/climate/summary/en/index.html
The NHS
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Budget
– Annual budget > £90 billion
– Spends about £17 billion per year on goods & services
– Contributes up to 10% of regional GDP
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Largest employer in Europe
– Employs about 1.3 million
– Employs 5% of UK workforce
The NHS
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Waste
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Produces 250,000 tonnes waste per annum
Waste disposal costs over £40 million per annum
In 2006-2007, over 13 m patient meals were wasted (>9 per patient)
Measuring and understanding the NHS (England) Carbon footprint
– 18 m tonnes carbon dioxide per annum
• Energy: heating, lighting, hot water = 22%
• Travel: patients, staff, visitors = 18%
• Procurement: supply chain activities of companies producing goods and
services = 60%
The NHS
What we want to do locally
• Do Sustainable Development Better
• Managing our business resources responsibly:
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NHS Staff, Cash & Assets
Provides the best outcomes for our patients / population
Actions should be healthy and sustainable by nature
Progressively less harmful to the environment
Support social economics
New forms of value for money
www.sdu.nhs.uk
Key Areas for Development
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Energy and Carbon Management
Procurement & Food
Low Carbon Travel, Transport, and Access
Water
Waste
Designing the built environment
Organisational and workforce development
Role of partnerships and networks
Governance
Finance
Perceptions & Future Action
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Establish Leadership & Expertise in this area
Plan 2 Invest & Invest 2 Reinvest
Generate more Knowledge about the carbon elements of our business
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Move from being surprised to carbon aware:
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Raise the status
Establish credibility
Create Organisational Culture
Foster Innovation in carbon based care planning / pathways
Now - Order Process Operatives
Tomorrow - Procurement Professionals
Yesterday - Eco-Procurement Specialists
Technology Driven & Sensitive to Communities
Develop work via collaborative effort across a range of levels:
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International
National
Regional Level
Sub Regional
Perceptions & Future Action
Evaluate our Progress against
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Patient Experience
Health Outcomes / Quality of Life
Reduce Dependency on services
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Estates expertise
Eco-Procure expertise
Local knowledge ontology of our waste and single product use habits
Policies & Metrics
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(personalisation of care challenge)
National / Local
Plot our status quo trajectory / Illustrate our future deviation
Collaborative Partnerships
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Local Authority
Higher Education
Procurement – Example Criteria
• Is this product made from natural and non-toxic materials?
• Is this product free from unsustainable materials and
ingredients?
• Is this product made from recycled materials, is it recyclable
or reusable?
• Is this product long-life and can it be disposed of safely?
• Is this product over packaged and are the packaging
materials biodegradable, recyclable and PVC free?
• Is this product, in its production and use, energy efficient?
• Does this product meet with the ethical standards?
Contact Information
Phil Gover
Public Health
NHS Durham
 [email protected]
 07796691984