NHS Sustainability Day Nottingham Road Show 2014

Welcome to the Nottinghamshire
Healthcare NHS Trust NHS Sustainability
Day Road Show
#Dayforaction

Sustainability in Practice
Neil Alcock, Energy and
Environmental Manager
and Sustainability Adviser

2

Hits

and

Misses

from the practical world of sustainability

3

Nottinghamshire Healthcare
 Nottinghamshire Healthcare is a provider of integrated healthcare services, including
mental health, learning disability and community health services.
 Over 8,800 dedicated staff provide these services in a variety of settings, ranging from
the community through to acute wards, as well as secure settings.
 The Trust has a revenue income of £435 million for the present financial year.
 The Trust delivers services from approximately 60 sites it owns and operates, but also
operates from many sites which are not owned by the Trust, for example at least 26
sites owned by NHS Property Services but where the Trust is the majority occupant.
 Total utility budget of approximately £3.5 million for owned and operated sites.

4

Carbon Reduction the Big Picture

A decrease of 26% overall
6

All scopes carbon footprint 2010/11 to 2013/14

8

Hits

All scopes carbon footprint reduced by 26% in four years.
Core building carbon emissions reduced by 24% in four years.
Procurement footprint reduced by 42% in four years.

Misses

Year on year comparisons made difficult by change to
Trust structure and quality changes in data sources.
Procurement footprint greatly influenced by decline in the
capital spend. What will happen when capital spend
increases again?

11

Travel Scoreboard
Hits
Staff have been provided with a range of more sustainable
travel option.
Sustainable travel days have been held to publicise the options.

Misses

No parking charges and a lack of parking restrictions at
Trust sites means lack of impetus to reduce car use.
No measureable reduction from carbon emitted due
to staff travel to date.

13

Voltage Optimisation Scoreboard
Hits
Voltage optimisation units
installed at 4 of our largest
sites, and delivering saving of
up to 11% on electricity use.

Misses
A large increase in staff
occupancy at one location has
reduced the apparent savings.

14

Electric Vehicle Trial
Hits
Nissan Leaf and Peugoet Ion EV
trialled successfully at two
sites.
Cost of charging very cheap.

Misses
Purchase price too high to
make them cost effective.

15

Bicycle User Group Set Up
Hits

Secure cycle storage facilities
requested by the BUG installed .
Changing and shower facilities
programmed for installation.

Misses
Need to engage with our Health
Partnership Division.

16

Green Spaces Initiative
Hits

Attractive low maintenance
green spaces provided for
staff and service users.
280 trees planted as part
of the NHS Forest
scheme.

Misses

60 bird feeders and
hedgehog dens installed
across the Trust.

Initiative driven by the
environmental team.
Concepts need to be
adopted by our G&G more
widely.

17

Waste and Re-cycling
Hits

Waste now being recycled at 96%
of Trust owned and operated sites.
E training package being
developed to aid efficient waste
management.

Misses
Continuing adoption of new
sites make waste compliance an
on-going challenge.

18

Sustainable healthy food
Hits

Low sugar and low fat menu
options selected.
Seasonal food sourcing adopted.
Cooking oil re-cycled to fuel
delivery vans.
Where possible Fair Trade, Rain
Forest Alliance and other ethically
traded goods are used.

Misses
Some sustainable foods still
appear more costly so budget
constraints may limit action in
this area.

19

…………….and finally
Hits
Many more hits than misses.

Misses
More needs to be done to make
sustainability core to Trust thinking

……………. any question?
20

Warwickshire County Council

Electric Vehicles for Rural
GP Practices
Warwickshire Case Study
Mike Woollacott ~ Greenwatt Technology
NHS Sustainability Day
Tuesday 25th February


Project Partners


Trial Aims & Purpose
“to assess the applicability of electric vehicle (EV) technology
in rural transport situations”
Purpose:
• Visible use of EVs in the rural
community
• Obtain data on actual vehicle
usage
• Gain insight into user experience
• Test business model with GPs


Trial Outline
• Duration18 months from August 2012
• Three pilot GP Practices participating
• EVs being used as:
a pool vehicle for GPs on home
visits and meetings
delivery vehicle for pharmacy
staff
community taxi service to/from
surgery
• Each vehicle fitted with a data logger (Quartix)
• Dedicated charging point at each surgery (British Gas wall/post)


What’s in it for Medical Centre partners?
• Demonstrating community leadership and
local information source
• Subsidised vehicle for the trial period
(subsidised 18-month contract hire terms)
• Charge point supplied and installed by
British Gas
• Opportunity to evaluate benefits of EV
transport for Medical Centre
• Local, regional and national media coverage


Project Launch August 2012
“Warwickshire GP surgeries plug in to green machines”

Handover of keys from Mr Tim Zimmerman, CEO Peugeot UK to Brookside Health Centre


Health Centres~ EV handover

Bidford Health Centre

The Revel Surgery, Brinklow


Driver Training
Efficient EV driving –
EcoDrive Ltd

Vehicle familiarisation –
Peugeot UK


Typical Weekly Data Log Report


One Year Usage Summary
Miles travelled:
Practice 1 – Patient & community transport
Practice 2 – Prescription deliveries
Practice 3 – GP home visits, personal use

1436 miles
2780 miles
6322 miles

annual miles
7000
6000
5000
4000

Practice 1

3000

Practice 2

2000

Practice 3

1000
0
Practice 1

Practice 2

Practice 3


Annual Costings


Practice Managers’ Feedback
“Fantastic alternative to petrol vehicle”
“Welcome savings made on running
costs”
“Very reliable”
“Many favourable comments from
patients”
“All our patients now look out for DORIS
(as we have named her) making
prescription deliveries around the
villages”


Driver Survey (Coventry University)
• Drivers have found driving the electric vehicle ‘better than
expected’ in terms of noise, comfort, speed, acceleration,
braking, charging and informatics
• As a result of driving the EV since September 2012 drivers
comment include:
–
–
–
–

“we like driving the electric car”
“we find them as safe as our diesel vehicles”
“there are good savings on running costs”
“EVs will have an important future role”

• Some concerns expressed about performance in cold
weather .... “driving in the cold/frosty weather
significantly reduced the range”


Warwickshire Rural Electric Vehicle Trials
Next Steps
• All three GP Practices have
extended their lease for a
further 12 months
• Stratford EV Town Project
(with British Gas)
• Warwickshire Rural Electric
Vehicle Project (WREV)
• Housing Association –
assisted living (pool EV)


Rural Electric Vehicle Trial
Dedicated user website

www.evs4gps.org.uk
Project Manager - Mike Woollacott
mike@greenwatt.co.uk

Luciana Berger MP
Shadow Public Health Minister
#Dayforaction

Changing Shape of Energy
February 2014

38

PROTECT - PROPRIETARY

What is the energy context in the UK?
Supply

• Electricity generated in 2012 fell by 1.3%

Carbon

• Low carbon electricity‘s share of generation increased from 28.1% in 2011 to 30.7% in 2012

Cost

• Energy price trend is set to continue & non energy cost increasing rapidly
Wholesale Power Prices 2001 – 2030
12.00
Historic
High

8.00
p/kWh

Central
Low

2030

2020

2010

0.00

2001

4.00

Source: DECC Oct 2012
39

NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved.
May 2013


Challenges – the energy dilemmas

2011
Typical unit rate £78/MWh

40

2014
Typical unit rate £102/MWh

PROTECT COMMERCIAL - Energy Services Overview © 2013 EDF Energy plc. All rights Reserved.
May 2013


41

PROTECT - PROPRIETARY - Connecting to
Performance © EDF Energy plc. All rights Reserved.

May 2013


Changing processes, upgrading technologies
Temperature
control

Lighting system
upgrades

Mechanical
retrofit

Air quality
improvement

―Achieve a 34% reduction in
carbon
dioxide equivalent emissions from
building energy use, travel and
procurement of goods and
Utilities
auditing
Chiller
compliance
& efficiency
Ventilation
upgrades

42

Building
management
system

services by 2020‖.

Generators for
Demand Response
On-site technical
resource management

Source: Sustainable Development Strategy

NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved. – Protect Commercial
May 2013


Changing attitudes
Advanced, open and willing to listen to new
ideas…
• Executive Sponsorship
• Employee Engagement

• Job Isolation
• Job Focus

Source FT Nov 2011

43

May 2013


Energy Performance Contracts (EnPC)

What is it?

How Does it work?

Strategic Energy Partnership

Guaranteed savings

Fit for purpose technologies

Generates value through a
blend of measures

44

Turnkey approach to an
estate

A range of financial options

May 2013


Energy Performance Contracts (EnPC) benefits

Strategic

Technical

Capital investment in
your estate

Improving existing
assets

Hedge against price
fluctuations

Performance risk borne
by Delivery Partner

Immediate savings

Increased security of
supply

Energy Expert resource

45

May 2013


How an EnPC works in practice
Energy Savings
per Project

Total Energy
Savings

Agg. Single Projects
EnPC (bundle)
£50k

£0k

£250k

2 year payback Investment Criteria Limit

£0k

Payback Period
NB: Within the EnPC the highest individual project payback was 4.6 years
Orange icons indicate single projects, Green icons indicate projects part of an EnPC
46

May 2013


Why now is the time to start thinking about EnPCs
•
•

Ageing assets that are approaching the end of their life

•

Finance constraints

•

Credible delivery partners

•

47

Challenging carbon targets

Support networks and procurement frameworks (such as
RE:FiT, Building Research Establishment (BRE), Carbon Energy
Fund)

May 2013

48



An easy way to see the energy change in context

Objectives
Outcomes

49

May 2013

Understand the risks - 2011 wholesale energy price
made 2/3rd of standard contract total cost

50


2014 Energy Prices: Non energy cost expected to rise

70% of the 2014 increase is
non energy cost

What does this tell us?
• Non Energy Costs are getting higher
• Non Energy Costs will be the volatile component of your bill
51


Tea/Coffee & Networking
#Dayforaction

25th February 2014
Nottingham

Resource efficiency through effective
behaviour change

Ann Durrant
Managing Director

A bit about me and M4C …
M4C:
• Sustainability specialists
• Strong focus on comms
• In business over 8 years
Who we’ve helped …

Ann:
• Chartered Engineer
• Ex British Rail and AstraZeneca
• Associate lecturer at Salford Uni

A very quick bit of …

Behavioural Psychology

Culture change

A place where sustainable
behaviours are the norm

Make it a habit

Pavlov’s dog

Northern Rail

Project Manager engagement
Objective – to get project managers to
consider sustainability initiatives at the
beginning of a project

SABMiller

Level assessment process
Objective – improve
performance across all
sustainability priorities

SABMiller

• KPIs
• Level assessments
0

1

2

3

Below
minimum

Minimum
standard

Progressing

Developing
leadership

• Areas of risk
• Good news stories

4
Best
practice

5
Leading
edge

Keele University

Recycling campaign
Objective – to increase their
recycling rate from 44% to
60%

Keele University

Keele University – 64th

Annual waste management costs
40% = £116,460
60% = £102,285

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

Other events
Webinars:
An introduction to behaviour change techniques
• 6th March – 13.00
www.nhssustainabilityday.co.uk/webinars

1 day CPD accredited course:
Energy savings through communication and engagement
• 7th April – Watford
• 15th May – Salford
www.m4c-sustainability.co.uk/cpd

Ann Durrant
ann@m4c-sustainability.co.uk
01625 501832
07951 642747

www.m4c-sustainability.co.uk

Private and public
sector partnerships
25th February 2014

© British Gas Trading Limited 2011

By definition

―A partnership is an arrangement in which parties
agree to cooperate to advance their mutual
interests‖

Health and wellbeing at the core of a sustainable NHS

Source : Department of Health

Deprivation and its impact on health and wellbeing

Sources : Marmont Review, Office of National Statistics

The health risks associated with cold homes

<16 C (61 F) - Reduced resistance to respiratory
infection.
<12 C (52 F) - Increase in blood pressure and blood
thickness. Risk of circulatory and heart
disease, can be fatal.
<9 C (47 F) - After two hours, deep body temperature
falls leading to hypothermia, can be fatal.

Tower Hamlets

Each year, Tower Hamlets suffers from around 330
excess winter deaths that are attributable to Fuel
Poverty. Tower Hamlets is one of the worst affected
areas in the UK.

The vision

―Improving the energy efficiency of the existing [building]
stock is a long-term, sustainable way of ensuring multiple
gains, including environmental, health and social gains.”
The Health Impacts of Cold Homes and Fuel
Poverty, Marmot Review, 2011

Our approach

1. Training of healthcare professionals

2. Utilisation of outpatient letters

3. In-hospital comms

What we are learning

 Engaging appropriate stakeholders key
 It takes time and resource

 Language barriers
 Quality of information will impact conversion rates

Where we are with the project

 43 people trained
 Letter process up and running
 Referrals generated
 First completed installs

Raising the profile

Left: Living Warm Living Well
featured in the Barts Health
Life magazine, which goes out
to staff and patients
Below: Living Warm Living
Well also featured in the East
End Life before Christmas.

Next steps

 Customer satisfaction surveys and feedback
 Review what worked, what didn‘t

 Consider implications of changes to ECO

Partnerships principles

1. Discuss wider goals

2. Take calculated risks, and be realistic
(considering resource, BAU activity etc.)
3. Measure success
4. When things don‘t work, learn from it
5. When things do work, repeat and share best practice

Thank you

Chris Barrass
Senior Business Development Manager
chris.barrass@britishgas.co.uk
07789 573639

Collaborating on Sustainability within the NHS
Nottinghamshire Healthcare NHS Trust
February 25th 2014

12/09/2013
90

Titre de la présentation

Agenda

 Introduction to Cofely
 Collaboration within the NHS
 Cofely GDF SUEZ approach to Sustainability
 Local Action Plans
 Case Study Examples (broader sustainability)
—
—
—

91

Pilgrim Hospital
Rampton Hospital
Queen Elizabeth Hospital

GDF SUEZ Energy Services & Cofely

 Cofely is primary B2B brand of GDF SUEZ Energy Services
 Cofely operates in over 30 countries, serving 100,000 public & private sector customers
 £13 billion revenues
 No.1 service provider in France, Belgium, Netherlands & Italy
 95,000 employees worldwide

92

Cofely in the UK

£1 billion UK turnover*
15,200 employees in UK*
14,000 sites managed in UK
23.6 million m2 of space managed

* Including pro-rata full consolidation of Romec JV

93

Service Areas for Customers

94

Local Engagement on Sustainability

12/09/2013
97

Pilgrim Hospital Energy Centre, Boston

98

Pilgrim Hospital Energy Centre, Boston

 15 year contract for Energy Supply and Operation
 Awarded in April 2008
 Design, build and operation of Energy Centre
 Steam raising biomass, gas & CHP
 Updated control system
 New water treatment plant
 First installation of steam biomass boiler supplied to the NHS within the UK

99

Background: Pilgrim Hospital, Boston, Lincolnshire

 Pilgrim Hospital opened in 1976
 Serves South & South East Lincolnshire
 24hr major Accident & Emergency department
 569 beds, serving a population of 350,000
 Full range of acute services

100

Phase I: Construction & Installation

 COFELY designed, installed and operate the Energy Centre.
 The Security of Supply was essential at all times:
—

Hospital fully operational at all times throughout the project

 Fuel flexibility

101

Phase II - Operational

 COFELY have total responsibility for the plant
 Working in close partnership with the NHS Trust through
a Liaison Committee to procure fuel

 We sell steam, electricity and hot water to the Hospital
 £90K per annum carbon trading savings
 5,732 tonnes reduction in CO2 emissions per annum
 51% reduction in CO2

102

Behavioural Change

 Awareness Campaign for new Energy Centre
 Educational materials & Energy boards
 Open day for stakeholders
 Supplier forum
 Engaging local press
 Training & Awareness

 Awareness of practices that can be used outside of the workplace at home

103

Other initiatives

104

Rampton Hospital Energy Centre






Carbon Energy Fund framework contract to construct, operate and maintain a new Energy Centre
Due for completion by the end of 2014,
Energy Centre will provide heating, hot water and electricity to the hospital.
Will meet approx 87% of the total electricity demand
—
—
—
—

1MW biomass boiler,
1.2MW combined heat and power (CHP) engine
3 x high efficiency dual-fuel boilers running on gas.
A new building management system will also be installed.

 Reducing CO2 emissions by 8,000 tonnes per annum
 Projected financial savings of around £112,000 per annum

105

Queen Elizabeth Hospital

 Onsite energy manager oversees
hospital site‘s £10 million energy spend
 We support the operational team in
contract delivery to guarantee onsite
energy performance
 Energy reduction strategy implemented
across the 185,000 sqm estate means
the combined hospital trusts are already
operating 12% more efficiently than the
original performance target.

106

Sustainable Water
How Bart's NHS are Saving Britain‘s Water
with AquaFund©

Why worry about water?
• Water scarcity

• Rising cost of water
• Population growth
• Unpredictability of climate

01753 833 880
ask@aquafund.com

© Advanced Demand Side Management 2014.

What do you use?

150 litres
3,400 litres

Chocolate

01753 833 880
ask@aquafund.com

Butter

Beef


Water cost & CO2
•

Rising costs

•

The nexus of Energy & Water

01753 833 880
ask@aquafund.com


Better water management
•

Sustainability

•

We should use less

•

Not simply because it is right, because it is necessary

01753 833 880
ask@aquafund.com

How Bart's NHS are Saving Britain's Water

The Trust had specific objectives
•

Reduce water consumption and cost

•

Reduce Carbon emissions

•

Environmental performance & impact

•

Strengthen data management

01753 833 880
ask@aquafund.com

To sustainably
manage its
water resources


The partnership
•

Lower water consumption

•

Financial savings

•

No budget

•

A comprehensive approach

01753 833 880
ask@aquafund.com

NHS Trusts are
eligible for a
£200,000 £500,000 grant


Engineering expertise
•

In-depth surveys of the entire portfolio

•

State of the art water-saving technologies

•

Automatic Meter Readers

01753 833 880
ask@aquafund.com


Strengthening the Trust‘s data
•

Full water bureau service

•

Monthly Monitoring & Targeting Reports

•

Total visibility

01753 833 880
ask@aquafund.com

Environmental
•

Consumption profiling and environmental information

•

Levels of Carbon saved

•

Continually monitoring, preventing anomalies or leaks

01753 833 880
ask@aquafund.com


Humanitarian aid
420,000 people out of water poverty

Delivering on the Trust‘s objectives
•

Reduce water consumption and cost

•

Reduce Carbon emissions

•

Strengthen data management

•

Environmental performance & impact

01753 833 880
ask@aquafund.com

To sustainably
manage its
water resources


A comprehensive approach
•

Billing Data

•

Water-saving equipment

•

Continually monitoring

01753 833 880
ask@aquafund.com


Framework OJEU REFERENCE:
2011/S 186-304473
01753 833 880
ask@aquafund.com
www.adsm.com
@AquaFund

01753 833 880
ask@aquafund.com


When is a household in fuel poverty?
Old definition: more than 10 % of income spent on fuel to
maintain a satisfactory heating regime.
New definition: fuel costs are above average or where heating
adequately would leave an income below the poverty line

In 2011 under the new
definition 2.4 million 1 were
classed as fuel poor rather
than 3.2 million 2

1. DECC, Annual report on fuel poverty statistics 2013 (May 2013)

2. DECC, Fuel poverty report: Updated August 2013 (August 2013)

Fuel Poverty - the causes & consequences
Low Income

High energy
prices

Poor
efficiency

Under
occupancy

FUEL POVERTY
Fuel Debt

HEAT HOME

DON’T HEAT

Ill health
Condensation
Disrepair

Who is at risk?
Households with a low income particularly if it is fixed –
Older people
Parents with young children
People with disabilities and or long term illnesses
Single people – under occupied
People without access to advice and information
Households that are not on the gas network

CSE Fuel Poverty Indicator 2012

Health issues associated with fuel poverty
Cold homes can be a significant risk to health
18 - 21°C – No risk to sedentary, healthy people
Below 16 °C – diminished resistance to respiritory infections
Below 12 °C – increased blood pressure and viscosity
Below 9 °C – after 2 or more hours deep body temperature falls

Excess Winter Mortality associated with fuel poverty
In 2012-13 there were 31,100 excess winter deaths in England.

This is a a 29% in increase compared with the previous winter.
In Britain a cold spell during a mild winter is followed:
2 days - Rise in heart attacks (1/3)
5 days - Rise in strokes
12 days - Rise respiratory illnesses

Reports on Excess Winter Mortality – Public Health England (PHE) and ONS

Listen out for people talking about it
Anyone can identify fuel poverty, particularly those in contact with public
Fuel bills are too high

Home is usually too cold
Living in one room to keep warm
Rationing fuel
Using prepayment meter to avoid debt
Home is draughty
Child / family member has respiratory problems

Look for evidence of it
Severe condensation on windows
Curtains kept closed to retain heat
Mould stains on wall or curtains
Portable bottled gas or electric heaters
Heating controls absent / not working
Blocked / covered vents
Heating appliances aren’t being used e.g. dust on heating elements

Sense it when visiting homes
Feel – Cold
Smell – damp, musty
Feel – Draughts
Feel - Large differences in
temperature between rooms
maybe only heating one room

Improve income
Accessing benefits can increase incomes available grant
schemes and other services

Reduce fuel costs
Using the cheapest fuels for heating, hot water and appliances
•

Switching energy suppliers can save up to
£420 a year*

•

Comparison sites such as
energyhelpline, uswitch, moneysupermarket

•

Make sure you are on the cheapest tariff

•

Try to pay by Direct Debit if possible

(Figures from uswitch)

Improve the energy efficiency of homes
Insulation
Energy efficient
heating systems

Renewable and Micro
generation technologies

Loft Insulation
Loft Insulation is one of the easiest and most cost-effective ways of improving
the energy efficiency of your home.

• Save up to £175* every year on bills
• Your home will stay warmer for longer
• Can help to reduce condensation

• Effective for at least 40 years
• An un-insulated roof can lose up to 25%

*Source Energy Saving Trust

Cavity Wall Insulation
If your home was built after 1920 its external walls are likely to be made of two
layers with a gap or cavity between them. Cavity wall insulation fills that gap

• Save up to £135* every year
• Homes stay warmer for longer
• Can help to reduce condensation
• Effective for at least 40 years

• Un-insulated walls lose up to 33%

*Source Energy Saving Trust

Solid Wall Insulation

•

Layer of insulation material is
fixed to the walls

•

External insulation may change
appearance

•

May need planning permission:

Renewable energy systems
• Ground source heat pumps
• Air source heat pumps
• Biomass boilers (wood)
• Solar thermal
• Solar photo voltaic (P.V.)
Incentives:
• Renewable heat incentive (RHI)
• Feed in tariff (FIT)

Green deal
Launched in January 2013
Reduces upfront costs of energy
efficiency measures
Repay the cost of improvements
through the savings on your energy
bills
No eligibility criteria

Energy Company Obligation (ECO)
• Government’s new energy efficiency programme

• Replaces the CERT, CESP & Warm Front programmes
• Works alongside the Green Deal
• Provides additional support for energy efficiency
• Support for vulnerable households & communities
• Funding is provided from energy companies to install:
• Loft & Wall insulation
• Replacement energy efficient boilers
• Communal heating

Carillion Case Study – Birmingham 7 Towers

The 7 towers project is part of the Birmingham Energy Savers Programme
480 social housing flats in tower blocks owned by Birmingham City Council
Two fuel poor areas of the city
Installation of energy efficiency improvements including:
• External wall insulation
• Flat roof insulation

• EcoPod district heating

Carillion Case Study – Birmingham 7 Towers

Project delivery was significantly more that the ECO funding alone.
Carillion worked with Birmingham City Council to include other funding:
• DECC Go Early
• DECC Fuel Poverty
• European Regional Development Fund

Example of measureable impacts on fuel poverty on a flat in Metchley House:
• Average annual fuel bill prior to installation £550
• Average annual fuel bill after EWI and EcoPod installation: £350
• Average overall annual saving: £200

EDF Energy Workshop
Presenter: Vicki Evans, EDF Energy

GPS London Event Jan 2014


Protect Commercial

An easy way to see the energy change in context

Objectives
Outcomes

156

NHS Sustainability Day 2014 © EDF Energy plc. All rights Reserved.
GPS London Event Jan 2014 © EDF Energy plc. All rights Reserved.

Protect Commercial
Protect Commercial

Scoping out delivery costs

157

NHS Sustainability Day 2014
GPS London Event Jan 2014 ©© EDF Energy plc. All rights Reserved.
EDF Energy plc. All rights Reserved.

Protect Commercial
Protect Commercial

Electricity network

Transmission

Balancing
Distribution

158

NHS London Event Jan 2014 © EDF Energy plc. All rights Reserved.
GPS Sustainability Day 2014 © EDF Energy plc. All rights Reserved.

Protect Commercial

Non energy costs are rising
2%
Other

2%
7%

2011

65%

Low carbon
generation

26%

Delivery

12%

30%

56%

2014

Wholesale
energy

2011 – Typical unit rate £78/MWh

2014 – Typical unit rate £102/MWh

Delivery charges are predicted to increase by 50% to represent
an increase from around 26% to 30% of the average unit price.
Based on average customer

159


Protect Commercial

• Significant investment to maintain
network and connect new, often
intermittent, low carbon generation
• Ofgem regulates their revenues
with price controls
• TNUoS = c.5% of business energy bills
• Triad management opportunities

160

NHS London Event Jan 2014
GPS Sustainability Day 2014


Protect Commercial

• 6 DNOs manage 14 regional networks
• DNOs‘ investment plans and revenues
are long term and regulated by Ofgem
• DUoS = 20% of businesses energy bill.
Charges vary by region

161


Protect Commercial

• National Grid acts as System Operator
(SO) to balance demand & generation
• BSUoS = 1% of business energy bills
• Balancing contracts (e.g. STOR) provide
opportunities to be paid for reducing
consumption / increasing generation to
help balance the system

162



Protect Commercial

Rising fast

Rising

Variable

All costs in £ billions

163



Protect Commercial

Options to save
The only way to avoid non energy costs is not to use the unit. Non
Energy Costs are passed through or included in your unit rate
these charges always apply

Produce
your own

164



Use less

Protect Commercial

Produce your own – example
• An NHS Trust uses a CHP plant to generate electricity
• Unused generation was being spilt back to the grid
• The Trust was not receiving payment for what they spilt
• The Trust set themselves up to export
• A Power Purchase Agreement (PPA) is set up
• Customer is paid for the excess energy they generate **

**Depending on volume generated

165

NHS Sustainability Day 2014 ©© EDF Energy plc. All rights Reserved.

Protect Commercial
Protect Commercial

Power Purchase Agreements (PPAs)
Fixed price PPA:
•
•
•

Sets the price you sell, provides income certainty
All-inclusive rate
Volume tolerance options

Index-linked PPA:
•
•
•

166

Achieves a price that is linked to the wholesale market
Suitable for new generators, variable or intermittent export
volumes
Flexibility around how and when you forecast your output


Protect Commercial
Protect Commercial

Use less – example
• NHS Trust requests assistance to help them understand their energy

consumption patterns
• Their energy provider gives access to day +1 reporting portal
• The Trust uses data to get control on when they use electricity
• The Trust contacts an energy services provider to find out more
• Provider identifies a number of options to reduce usage through on-site
and desk research

167


Protect Commercial
Protect Commercial

Use less – your options

Pay back
timing

Savings

•
•
•

•
•
•

•

Short-term
Long term
ECM hurdle rate

Carbon

Volume
Value
Extra income

Energy
awareness

Volume

reduction

•

•
•
•

CRC Scheme

Impact
Audience
Promoting

Renewable
generation

Audit
&
Reporting

change

Technology

168

•
•
•

•

Refurbishment
Established
Innovative

Volume
management


Increased
visibility

Operational
Excellence

•
•
•
•
•

Installation
Consumption
Alternatives
Increase awareness

Understanding, visibility
and control

•
•
•
•
•
•

Around change
Basis for strategy

Site Maintenance
Consistency
Disaster recovery process
Smart Response

Protect Commercial
Protect Commercial

A good place to start
Understand energy usage

Produce targeted business
cases for investments

Highlight wastage or
over consumption

Pinpoint areas
for improvement

Within energy
function

Establish
benchmarks

With external
stakeholders

Engage with frontline
staff and create
engagement strategies

Communicate with
senior management

Plan for changes within the
organisation e.g. expansion
169


Protect Commercial
Protect Commercial



Protect Commercial

Reduction of carbon emissions and
associated costs by 25% (2009-2014)
Sid Siddiqui
DCHS
Environmental Manager

Mark Armstrong-Read
DCHS
Strategy and Planning Manager

EMISSIONS

SCOPE:

Cost

ENERGY

WATER

WASTE

TRAVEL

How?
ENERGY

• Capital
• Improve buildings and energy using plant
• Low cost energy efficient innovations
• Renewables

• Rigorous maintenance
• Back-log – draught proofing, heating controls
• Pro-active – plant & equipment ppm, water meters
• Reactive – windows, doors, heating, water leaks

How?
WATER

•
•
•
•
•

Strict leakage monitor and control
Low cost water saving devices
Working closely with water supply companies
Behavioural change
ISO 14001

How?
WASTE

•
•
•
•
•

Adopting ‗waste hierarchy‘ approach
Meticulous waste separation & segregation
Reducing landfill waste
WEEE
ISO 14001

How?
TRAVEL

Green Travel Plan
•
•
•
•
•
•

Teleconferencing and back to back meetings
Remote and agile working providing hot desks
E-pay: Electronic mileage claims
Salary sacrifice lease cars
Car share website, public transport, cycle to work
pool cars

Managing
CHANGE

•
initiative
•Carbon Champions
•The Voice
•Mail shots/Newsletters

CO2 vs.
TARGET

2850 tonnes saved against BAU scenario

£’s vs.
TARGET
Actual cost savings to date £600k (£1600k against BAU)

Our
FUTURE

• Beyond 2014
– Retain and embed achievements and good
practices
– Develop new sustainability strategy to take us
into 2020
– Sustainable procurement to play significant role
in reducing CO2 emissions and costs
– Minimise landfill waste
– Low carbon buildings and technologies

Thank you for listening
Questions?

Sustainability in NHS
Property Services Ltd

Why NHS Property Services?
• We manage, maintain and improve NHS
properties and facilities
• In partnership with NHS organisations
• To create safe, efficient,
sustainable and modern
healthcare and working
environments.

Our objectives

5 of 6 To ensure our estate is managed
sustainably and that we support wider
government initiatives in this area

Benefiting the NHS
1. Focus on Estates and Facilities provision, we
can deliver a more streamlined, strategic and
professional focus
2. Provide quality buildings, one building many
providers
3. Clinical providers can concentrate on quality of
care. Patients come to one building for range of
care

We look forward to working with you
• Scope to redesign or add value only realised
through co-operation with commissioners and
providers

An Exciting Vision
• The NHS is now under pressure to adopt new
patient care pathways. NHS Property Services
will respond by making the estate fit for the
future
• NHS Property Services can lead the way in
reducing the impact of the NHS on the
environment

How will NHS Property Services achieve its
energy saving targets?
•
•
•
•
•

Audit its estate
Establish its carbon footprint
Target improvement
Implement improvement strategies
Work with partners/tenants in achievement of
their own sustainability objectives

What does NHS Property Services plan in
the future?
• Establishment of good quality data
• Use of EPC to improve efficiency of buildings
• Work with tenants to improve efficient use of
resources - leads to lower charges
• Greater negotiation with transport providers
• Work with tenants to identify electric vehicle
charging points
• Work with commissioners to
identify areas for investment
and de-investment

Matthew Smith
BEng(Hons), DipNEBOSH, EnvDipNEBOSH, AIEMA

Matthew.smith@property.nhs.uk

NHS Sustainability Day Nottingham Road Show 2014

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