1. Securing Healthy Returns Realising the financial, social and environmental value of sustainable development Jerome Baddley SDU Head of Unit

2. Securing Healthy Returns From energy measures alone against BAU. £1.85bn total saving since ’07 £190 annual saving in 2015

3. SD in health and care report 2016 - State of the system 3.4Mt carbon saving since ’07 18% increase in activity Health is the ultimate beneficiary of SD

4. Energy York Teaching Hospital estates investment plans on the 2010 SDU MAC Curve. Investments by the trust, and through an Energy Performance Contract, Including large Combined Heat and Power system, have saved £680k in annual energy costs and emission reduction of 24.5% on their baseline, cutting 2,997 tonnes of CO2e

5. Scale of influence 1.4m staff- 1m WTE (2.8m In HSC) £20bn goods and services 40% Public carbon emissions

6. Determinants of health Staff work-life balance and health Local social networks and community Local employment and opportunity Environmental quality, air, water, green space

7. Constitution and Values

9. Broadening of scope

10. US footprint Health sector pollution est. at 405,000 DALYs Equiv. 44–98,000 deaths pa, preventable medical errors. Mostly PM10 air pollution Not inc. NOx Not inc. patient, visitor and staff travel Yet to quantify for NHS. However, 40,000 UK air quality related deaths pa

11. Wider Benefits tracking Long term value with short term savings. Eg Electric vehicles- carbon, cost Quantifying value where it exists or lose it. Eg Teleconferencing- Cost and health (carbon?) Air Quality, DALYs, Local Spend?

12. Top 10-cost/carbon

13. Total prize At least £370m pa by 2020 potential savings 1m tonnes CO 2 pa = 1 less gas power station. Ave. hospital- £2.2m, 3kt CO 2 pa =1,300 less cars But only part of picture…… Online organisational cost curve tool

14. NHSI Ed Smith- Chair, NHSI ‘savings and investment are lasting and effective when the efficiencies and transformations we make are also socially and environmentally sustainable.’ ‘There is a critical role for healthcare finance professionals to play in this area, through supporting development of local leadership, governance arrangements and organisations’ plans and reporting.’

15. Cross sector partnership Local Authorities- Jobs, built environment Transport etc Universities- Impact LEPs- Jobs, local growth, innovation Chambers of Commerce + Supply chain networks (eg Medilink)- Local business

16. Supporting Innovation Working with EAUC+ NUS- UniversitiesNUS Working with PRME- Business schoolsPRME Working with Medilink- Supply chainMedilink There is support and funding work with suppliers and providers.

17. Resources from Unit Online Healthy Returns resourcesHealthy Returns Guidance on footprinting with CSPMCSPM Developing support for local networks January system progress publication Ways to quantify wider benefits of SD

19. Jerome Baddley CEnv MIEMA Head of Unit Sustainable Development Unit (SDU) 0113 8253217 Jerome.baddley@nhs.net www.sduhealth.org.uk Follow us on Twitter @sduhealth