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HEALTH SECTOR NEWS Trust seeks to reduce ICU’s carbon footprint


Philips has partnered with County Durham and Darlington NHS Foundation Trust to identify key opportunities to reduce the carbon footprint and waste material at the intensive care unit (ICU) at Darlington Memorial Hospital. Philips believes the collaboration is


a first in a multinational working with an NHS Trust thus, using its clinical and ‘environmental expertise in sustainability’ to identify efficiency improvements with the potential to reduce the carbon footprint of a critical care department. Working with the Trust over a six-month period, a team of nine Philips clinical and environmental specialists analysed data, interviewed clinical staff, and undertook shadowing and observation sessions on clinical workflow, supply chain and procurement, medical technology, and staff and patient experience. Philips explained: “The results have formed a blueprint to drive further change and improvement across the Trust, in line with the NHS’s overall target of being the world’s first Net Zero national health service by 2040.” The analysis has been developed as part of an existing 14-year strategic agreement


between Philips and the Trust, initially focused on support for its radiology services. Critical care was chosen because it represents a significant portion of the NHS carbon footprint, and is among the most expensive types of care. Key areas highlighted by the


team to enhance sustainable care included: n ICU discharge optimisation: optimising ICU capacity, with earlier discharge of patients no longer requiring critical care.


n Reducing waste in the supply chain – including reducing the high CO2


impact


of single-use items such as arterial lines – ‘by using less, re-using, or finding alternatives’.


n Driving cultural change – via staff training on the latest sustainability requirements, identifying sustainability ‘ambassadors’, enabling staff to share ideas, measuring success, and recognising staff for their efforts.


n Medical technology: reducing use of power, and effective management of medical equipment – switching it off when not in use, and reducing excessive


Guidance on ‘technical challenges’ of designing risers issued


The Building Engineering Services Association (BESA) has produced new guidance to address the technical challenges faced by engineers designing building services risers.


The second in a series planned by the Association’s specialist Offsite Group, BESA Technical Bulletin TB56/1.2 provides a snapshot of guidelines, principles, and rules of thumb, to be considered as early as possible in the design process for the spatial fit of services inside risers. The group’s first Technical Bulletin, released last March, covered service voids and horizontal distribution/modules.


Emphasising the importance of allowing adequate spatial fit for building services, the free-to-download riser


guide provides specific advice for engineers using traditional approaches, or Modern Methods of Construction (MMC)/design for manufacture and assembly (DfMA). Highlighting the importance of planning the layout and spatial provision within risers as early as possible in the design process, it also shows how well-designed risers allow for more flexibility in building design, by enabling architects and engineers to plan the layout of utilities more efficiently. BESA’s guide covers types, sizes, positions, and co-ordination of riser turnouts on to floor plates, all of which need to be established no later than the end of RIBA Stage 3. It also emphasises the important part risers play in achieving regulatory compliance and life safety. “A well-planned riser strategy is vital for the efficient distribution of services, and to ensure that systems can be accessed easily for future maintenance and safety work,” said BESA Offsite Group chair, Mark Snell. “A sensible and coherent riser strategy also helps avoid the problems we often encounter with complex crossovers between services and congested ceiling voids.”


noise – including from patient alarms, which can be distracting for patients, staff, and visitors.


n Strategic refurbishment: reducing costs and CO2


emissions by extending the lifespan of existing buildings.


Following the analysis, the Trust has implemented a number of recommended initiatives – including staff reminders on sustainability requirements and environmental impact from their activities, prevention of unnecessary waste, ensuring Personal Protective Equipment use is appropriate to each patient, and actively no longer treating patients as a medical issue – ‘de-medicalisation’ – as their health improves.


NG Bailey supports new Emergency Care Village


Independent engineering and services business, NG Bailey, has secured a £7.6 m contract to support the creation of a new-build Emergency Care Village in Worksop for Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust.


Undertaken in partnership with


Integrated Healthcare Projects (IHP), it will see the firm deliver all mechanical, electrical and public health installations on site – both for the new Emergency Care Village, and the refurbishment of existing clinical and mental health accommodation to create a new Paediatric Assessment Unit and Acute Medical Unit at Bassetlaw Hospital. The new development will increase


the size of the Emergency Department, and provide more accessible same day services. The work began in October, with the project due to be completed in summer 2024. Modern Methods of Construction are being widely used, and many of the service installations will be at NG Bailey’s specialist offsite manufacturing facility in Bradford. The scheme will be an all-electric design.


January 2024 Health Estate Journal 25

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