Carbon and energy reduction
that would help drive down costs, and provided us with access to specialist skills to help us achieve our goals.”
Once in receipt of agreement from the hospital’s board, Jeanette Rooke says she expects work to start straight away, and to benefit from savings quite quickly.
George Eliot Hospital, Nuneaton It is a case of ‘out with the old and in with the new’ at the George Eliot Hospital NHS Trust in Nuneaton. The hospital is already engaged in a two-year rolling programme to replace its lighting with more energy- efficient LED technology across the site. Saving energy and cuttings costs is an ongoing commitment for the hospital, which is stepping further up to the mark with a project to replace its old plant room and invest in a low temperature hot water (LTHW) system with new gas-fired boilers and a CHP system.
The hospital is working closely with Cynergin, and, once the project is completed in March 2017, the George Eliot will see its carbon emissions reduced by 1,900 tonnes per year and reap savings of £450,000 per annum. The timescale for the George Eliot’s project has moved along at a good pace. The Trust’s board approved the outline business case in November 2014. Despite stiff competition from four other bidders, Cynergin was awarded the contract five months later, as it was the only company that offered full removal of steam. The contract will be managed by Cynergin over a 15-year period. Funding was achieved via an interest- free loan from Salix Finance, and internally generated capital. “We are working very well with Salix Finance,” explains Kirstie Webb, Capital Projects manager. “It offered very good advice, and provided us with a good route for funding. Salix Finance has been very supportive, and takes a keen interest at every stage of the project, and we anticipate working with it again on future projects.” Work is now well underway to replace the hospital’s aged steam system with a low temperature hot water system with new gas-fired boilers and a CHP system – which will reduce the hospital’s maintenance costs and provide it with a far more efficient and resilient system.
Sharing ideas and knowledge Kirstie Webb said of the project: “It is going remarkably well, and that is due to the fantastic relationship with Cynergin,
some major mechanical and electrical infrastructure improvement work. A commitment was made to allocate £1.5 m each year for the next five years to address outstanding maintenance issues. Electricity-saving initiatives were also identified, including the fitting of improved controls that would reduce the energy needed to provide heating and hot water. Energy performance contracts costing £4.6 m are now underway at four of the Trust’s sites – the North Devon District Hospital (NDDH) in Barnstaple, Holsworthy Community Hospital, South Molton Community Hospital, and Bideford Community Hospital.
New chillers being installed at the North Devon District Hospital, which provides a ‘24/7’ accident and emergency, and general medical and surgical services.
and to sharing ideas and knowledge.” All health and safety process are in place, and Cynergin took much of the load off the hospital’s own estates staff. The new gas main has already been installed, and pipework is in the process of being fitted. The new boilerhouse was constructed offsite in sections, and will be craned into place when required and located behind a sub-station in an area not used by the hospital. There has been minimal disruption, which Kirstie Webb attributes to Cynergin’s ‘meticulous planning and project management skills’. She said: “Cynergin is very hands-on. There is good collaboration on both sides. It is very much a team effort, with good lines of communication, and we are kept well informed.” The CHP system is on target for installation in December, and the project is scheduled for completion in early March 2017, at which point the hospital will be completely ‘steam-free’.
Northern Devon Healthcare NHS Trust In April 2012 the Northern Devon Healthcare NHS Trust (NDHT) published its Estates Strategy, which outlined its environmental plans for its sites. Since 2002 the Trust has been active in addressing a sustainable agenda. NDHT identified several areas that required investment, including issues with the maintenance of buildings, as well as
Indeed the number of hospital Trusts investing in CHP systems is climbing steadily, and, for many, combined heat and power forms a major part of their overall strategy for reducing energy and their dependence on the National Grid
The NDDH is an acute hospital that provides a ‘24/7’ accident and emergency service, as well as a range of general medical services including cardio- respiratory, stroke care, and gastroenterology. General surgical services include orthopaedics, and vascular and colorectal specialties. NDDH is recognised by the Royal College of Surgeons as having one of the highest rates of day case surgery in England, while in 2012 it was designated as a trauma unit within the South West Trauma Network. A very successful ophthalmology service is provided from NDDH, using the latest procedures and techniques to treat glaucoma and macular degeneration. In 2014/5 NDDH opened England’s first purpose-built dementia ward in an acute hospital, and a new chemotherapy and day treatment centre, following a four-year fundraising campaign inspired by the local community.
Three sites identified Three of the Trust’s community hospitals were identified as likely to benefit from energy efficiency programmes – Holsworthy Community Hospital, built in 1991; South Molton Community Hospital, built in 1988 and extended in 1997, and Bideford Community Hospital, which was built in 1924 and has been extended many times. Both Holsworthy and South Molton have inpatient wards, while Bideford is home to a minor injuries unit. All the hospitals deliver a range of outpatient clinics and services, including nurse-led specialist clinics, physiotherapy, and occupational therapy. “Hospitals are one of the biggest users of energy,” explains Kevin Ward, deputy head of Estates at NDHT. “As a public body, we needed to change, and had a duty to look at how we could minimise our reliance on fossil fuels and become less reliant on the National Grid. The Trust has always been proactive, and we were looking at energy projects long before the Carter Report. This report has served to confirm that we and Cynergin are taking the right approach, and Cynergin is helping us drive through the changes that are necessary.” Cynergin secured the energy contracts from Northern Devon Healthcare NHS
Health Estate Journal 57September 2016
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