1. Sustainability & Carbon Management1

2. Why should we become more sustainable?
Scientific case – the evidence suggests that we need to do something.
We are releasing 350m years of stored CO2 VERY fast
Legal case – The Climate Change act 2008
Health case – A low carbon sustainable healthcare system will deliver immediate and longer term health benefits
Business case – To realise efficiency and productivity savings. Good for reputation.
Leadership case – According to the Lancet climate change is the ‘biggest global health threat of the 21st Century’. The values of the NHS to protect health and well being mean that we must take the lead.
Pharmaceuticals Food Laundry Waste Transport 2 2

3. Sustainability & Carbon management at UCLH . What are we doing?
Imposed reduction Targets
Energy/ Utilities & Waste
Design & Upgrade
Contract Partners/Stakeholders
Procurement & Supply Chain
Transformational Change
Governance/Communications
Strategic approach to Carbon management
The plan sets out a strategy and framework implementation programme for meeting current and future legislative and other challenges
The plan sets out the governance to support the delivery and reporting of the Carbon and Sustainability Management Plan
Implement a structured management system to drive the plan forward implementing the action plan
Increase awareness and training at all levels of the organisation to gain commitment and support
Investigate making sustainability everyone’s responsibility through the performance appraisal route issuing objectives and targets to all staff
Difficult 10 mins overview individual presentations
Small steps
Invest to save
So Why bother?
Carbon management is no longer a nice to do. It’s a must do and must evidence.
Stringent Government targets set a reduction trajectory of 15% % 2020 and 80% by /2000 base year
CRC + carbon tax which will cost UCLH £300k next year. Public league table. We must act and a strategic approach is required.
Reputation issue.
Challenge by governing body members – training June 22
National profile – influencing strategy – developing evidence through research projects.
Sustainability Steering Group meet quarterly and report annually on performance
Implementation Groups meet monthly and report to Steering Group
Carbon Champions are supported by the Energy Implementation Group report monthly to Implementation Groups
UCLH Carbon footprint is audited by the Carbon Trust annually
Externally, we are required under the terms of accreditation to the Carbon Trust Standard to report on performance every two years
Annual report via the ERIC return on carbon performance
Annual report on sustainable development to independent regulators to Foundation Trusts, Monitor

4. NHS Carbon NHS Carbon Footprint – First Calculation 2008
Equates to 25% of UK Public Sector Emissions
3.2% of Total UK Carbon Emissions
Broken into three sectors:
UCLH
10%
14%
Carbon Trust Standard accreditation – 3 year overall carbon footprint (scope 1 emissions) of 9% (April 2007-March 2010)
Camden Climate Change Partnership scheme – we have already met and exceeded the membership target on carbon reduction
15 below our 10:10 year to date trajectory target.
Travel 10%
Utilities 14%
Procurement 76%
76%

5. Energy Saving Initiatives
Energy Tracker
Energy Champions
Staff booklet
Awareness days/Oscars
Quick wins
Survey works – Plant review
Controls & PCs
Sub Metering
DEC/CRC
Design Guide
Standardisation
Squeeze on NHS spending
Cost of energy expected to rise
CRC effectively puts a price on carbon emissions from direct energy use
DH may use carbon emissions as a basis for performance reporting in the NHS
Increasing use of power-consuming technology like IT in the NHS

6. UCLH Procurement & Supply Chain Management Challenges
Supply Chain review - miles & Carbon
Selection Criteria
Top 10 review
Packaging
NHS EBay
Transport – planning & scheduling
Consolidation
UCLP – mapping & Opportunities
Key Facts
Each Month (typical)
63 large vehicle deliveries
230 small vehicle deliveries
£280M Spend 70% Influencable
15,866 supply line items
8,500 vendors active suppliers
50 suppliers = 75/80% of spend
Carbon footprint for procurement:
125,000 Tonnes CO2 PA

7. Logistics ‘Tube Map’
Implement a structured management system to drive the plan forward implementing the action plan
Increase awareness and training at all levels of the organisation to gain commitment and support
Investigate making sustainability everyone’s responsibility through the performance appraisal route issuing objectives and targets to all staff 7