1. The Carbon Trust - NHS Carbon Management Graeme Precious Regional Manager

2. Who Are The Carbon Trust? “The Carbon Trust will take the lead on low carbon technology and innovation in this country and put Britain in the lead internationally” The Prime Minister  Set up in 2001, the Carbon Trust is an independent UK-wide company funded by the Climate Change Levy and Government  Our objectives are,  To help UK business and public sectors meet ongoing targets for carbon dioxide emissions  To increase business competitiveness through resource efficiency  To support the development of UK based low carbon technologies

3. Why does the Carbon Trust work in the Health Sector? Substantial direct carbon impact –~1 million tonnes of carbon pa –Energy bill in excess of £400M pa Vast indirect impact –Wide range of responsibility –Leadership and example –Key to meeting climate change targets –Influence across private, public and domestic sectors –Procurement, planning & services

4. Carbon Trust Products  Carbon Trust products are available to all NHS Trusts –Site Surveys - NHS Opportunity Assessments –Technical expertise –Telephone advice –Website & Publications –Low Carbon Buildings Design Review –Training and Awareness NHS Carbon Management programme…….

5. NHS Carbon Management programme An 10 month, consultant supported programme aimed at developing an organisation wide strategy to embed ongoing carbon emissions reduction into the day to day operations of a Trust Phase 1 launched October 2006 Phase 2 launched April 2007

6. Drivers for Carbon Management Cost reduction: Opportunities associated with energy efficiency Reputation: Benefits associated with promoting sustainable development Legislation is strengthening : Climate change levy EU ETS EU Energy Performance in Buildings Directive (EPBD) Government Policy: Climate Change Review April 2006

7. Scope of the programme GHG under the control of the NHS Trust: –Reduce energy consumption –Improving estates energy infrastructure –Encourage staff to be more energy efficient –Embedding carbon management into the future plans of the hospital To deliver a strategic implementation plan

8. The process Building the team & determining the scope Setting the baseline and goals Identifying the risks and prioritising the opportunities Designing a cost effective strategy Complete with budgets, targets & success metrics Mobilise the organisation 1 Set baseline, forecast & targets 2 Identify & quantify options 3 Finalise strategy & implementation plan 4 Implement the plan 5

9. Case for Action MayJulJunAugSepOctNovDecJanMarFeb Initiation workshop Programme Boards CMIP full draft Final CMIP Ideas Sharing Conference Launch EventImplementation Planning Workshop Opportunities workshop The timeline

10. PROGRAMME ORGANISATION (2) Royal Liverpool & Broadgreen University Hospital NHS Trust Central Manchester and Manchester Children's University Hospitals NHS Trust North East Wales NHS Trust Birmingham Shared Services Agency Stockport NHS Foundation Trust University Hospital Of South Manchester NHS Foundation Trust University Hospitals of Leicester NHS Trust Norfolk and Norwich University Hospital Carmarthenshire NHS Trust Pontypridd & Rhondda NHS Trust Cornwall Health Estates Shared Services Agency The Royal Free Hospital NHS Trust Great Ormond Street Hospital for Children NHS Trust Chelsea and Westminster Hospital NHS Foundation Trust Queen Elizabeth Hospital NHS Trust Medway Maritime Hospital Guys & St.Thomas' NHS Foundation Trust Hull & East Yorkshire Hospitals Trust Southampton NHS Trust University College London Hospitals St. George's Healthcare NHS Trust NHS Grampian Wrightington, Wigan and Leigh NHS Trust Calderdale & Huddersfield NHS Trust Bro Morgannwg NHS Trust Salford Royal Hospitals NHS Trust

11. NHSCM Phase 1 Results 10 NHS Trusts Identified cost savings of £7.9 million Identified CO 2 savings of 64,700 tonnes

12. Implementation Plan Huddersfield and Calderdale >£100,000 p.a. to 20104,000 tonnes CO 2 p.a. Hull and East Yorkshire £560,000 by 2010/11 4,000 tonnes CO 2 p.a

13. Graeme Precious graeme.precious@carbontrust.co.uk