Sustainability and healthcare practice Heather Baid Sustainability and healthcare practice

Climate Change Public Health

Environmental Financial Social Sustainability Healthcare practice Environmental Financial Social Sustainability

Sustainable health and care system What is it?

http://www. sduhealth. org. uk/policy-strategy/engagement-resources http://www.sduhealth.org.uk/policy-strategy/engagement-resources.aspx

Sustainability ~ why do it? Moral Realisation of limits Green conscience Legislation Financial Manageable shortage Return on investment Innovation Survival Scarcity of resources Crisis management Shortage

NHS contributes 25% of all public sector emissions

NHS carbon footprint 17% Building energy use 24% Procurement 59% travel 17% Building energy use 24% Procurement 59% Carbon footprint of NHS: 25% of all public sector carbon emissions; 4% of total carbon emissions in England https://youtu.be/OS9eA-YG1fM Slide 15: The NHS Carbon footprint Key Points: Ask the audience to guess what they think the NHS carbon footprint is: The answer is 21million tonnes of CO2 equivalent (based on 2007 data). The average person in the UK has a carbon footprint of 9 tonnes per year. In China the average is 3 tonnes per year and in India only 1 tonne per year. The average American has a footprint of 20 tonnes per year (based on 2005 data). As we saw on slide 6 earlier we are using an unfair amount of the world’s resources. The NHS footprint is made up of: 17% travel (e.g. patient, staff and visitor travel) 24% building energy use (e.g. heating, cooling, lighting) 59% procurement (buying of goods and services e.g. drugs, food, furniture, hospital supplies, medical equipment etc.) Tips for the Facilitator: You might like to ask if anyone knows what their own carbon footprint is, and then explain that you can also measure the carbon footprints of organisations or businesses. This slide has custom animation so you may want to practice it - You could announce each of the areas (travel comes up on the first click, energy use on the second and procurement on the third) before bringing it up on the screen and ask the audience to guess what percentage each area makes up. They should be able to work the last one out! Note: CO2e means ‘Carbon dioxide equivalent’ - As we mentioned earlier, there are six main greenhouse gases which cause climate change. Each gas has a different global warming potential. For simplicity, the mass of each gas emitted is commonly translated into a carbon dioxide equivalent (CO2e) amount so that the total impact from all sources can be added up to give one figure. Source: NHS Carbon Reduction Strategy Update, NHS Sustainable Development Unit, 2010 NHS Sustainable Development Unit 2010

https://youtu.be/OS9eA-YG1fM

Sustainable Development Strategy for the NHS, Public Health and Social Care System 2014-2020 http://www.sduhealth.org.uk/policy-strategy/engagement-resources.aspx

What is our role in sustainability? Brain: Board What is our role in sustainability? Eyes: Management Mouth: Procurement Lymphatic system: HR Lungs: Finance Heart & Vessels: Frontline Staff Bones: Estates Liver: Estates Jerome Braddley. 2013. Accounting for carbon cost and care. NHS Sustainable Development Conference. London. Pancreas: Finance Digestive: Procurement Urinary: WasteWater Solid Waste

http://sustainablehealthcare.org.uk/resources/publications www.aomrc.org.uk/doc_download/9793-protecting-resources-promoting-value.html

www.brightonandhoveccg.nhs.uk/file/913/download?token=u3v_BxGp

http://www.bma.org.uk/working-for-change/international-affairs/fair-medical-trade/tools-and-resources/ethical-procurement

http://www.bma.org.uk/working-for-change/international-affairs/fair-medical-trade/fair-medical-trade-reports/medical-gloves-report

http://www. kingsfund. org http://www.kingsfund.org.uk/publications/sustainable-health-and-social-care

http://www.sdu.nhs.uk/documents/resources/Pharmaceutical_Product_and_Medical_Device_GHG_Accounting_summary_Nov_2012.pdf http://www.sduhealth.org.uk/policy-strategy/engagement-resources.aspx

Thank you!!! Heather Baid @heatherbaid H.Baid@brighton.ac.uk