CARBON REDUCTION
A new video – created in partnership with the new NHS Alliance and ITN Productions, and introduced by news- reader and television presenter, Natasha Kaplinsky – highlights the challenges and benefits of replacing inefficient, outdated energy systems in hospitals.
Trusts, and technology instruction on calculating savings. It will demonstrate what Trusts should expect, and how the technologies they choose to adopt can be employed along with other technologies in real situations. By way of balance, the new guide will include candid explanation of any pitfalls. For example, renewable energy will be considered, with fuel type, asking questions such as: ‘With biomass fuel do you opt for pellets or chips?’; ‘Is there suitable on-site storage space for the fuel?’, and ‘What if the space for storage is near a cancer ward; is there an increased risk of infection?’
Technical and other considerations The guide will also consider the technology from a technical point of view, and provide guidance on the how the healthcare estates profession can go about creating a project that may include: procurement – via a framework or ‘going it alone’; the various types of contract available, and what works best for what scenario; where the finance may come from and sources of capital available to a Trust; what a finance director needs to know – ITFF (Independent Trust Financing Facility) vs. Off Balance Sheet finance, and the business case procedure and NHS Improvement.
Once the scheme is commissioned, the guide explains how to ‘future-proof’ a Trust’s infrastructure, and why some
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The broad range of elements incorporated in this infographic will all be covered in the new guide.
schemes operate at 92% efficiency when the NHS average for CHP is 57% (The difference could be easily in excess of £200,000 per annum). It also covers what happens year on year with monitoring and verification, what works, and who should be responsible.
York Teaching Hospital built its estates investment plans on the 2010 SDU MAC (Marginal Abatement Cost) Curve. Direct investments by the Trust, and those through an Energy Performance Contract, including a large CHP system, have saved £680,000 in annual energy costs. The Trust has reported a Net Present Value for the project of £3 million, and an emission reduction of 24.5% on its baseline, cutting 2,997 tonnes of CO2
28 Health Estate Journal April 2017 Future innovations
Looking to the future, the guide investigates innovations that may well be more easily available in the near future, including thermal and battery storage; capacity markets; heat pumps, and, district heating schemes. Many Trusts are being approached as anchor loads for district heating schemes, and indeed the Government has committed to provide £300 m in grants and soft loans for these projects. What should a Trust consider? The final key theme reflected within the guide will be how, through leadership, the healthcare estates profession and the country’s acute NHS hospitals can look outwardly for the benefit of the NHS in the way that the profession interacts with the surrounding community – for example via private wire or district heating schemes, and/or creating, or being part of, a ‘virtual power station’; the list of potential opportunities and combinations
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