SUSTAINABILITY
SDAT score within your Green Plan – by identifying areas which are currently ‘no’ answers, and planning a route to change them to a ‘yes’.
The 300 questions fall into the following categories: n Corporate approach. n Asset management and utilities. n Travel and logistics. n Adaptation. n Capital projects. n Green space and biodiversity. n Sustainable care models. n ‘Our People’. n Sustainable use of resources. n Carbon/Greenhouse gases.
Each question was also categorised by which stage of the process it related to: n Measure/Assess. n Plan. n Engagement. n Means to deliver. n Outcome achieved. n How the outcome is being communicated.
By answering the questions, a healthcare estates professional could identify current sustainability progress, and would expect to see a pattern in which areas needed to be worked on most.
Using one’s score
David Oliver said: “Once you have your initial score, the next step is to produce a plan to improve it year-on-year, and we recommend assigning a responsible person for each of the questions, and using the tool to drive change.” The responsible individuals would likely be from a broad range of areas, ‘sitting between finance, procurement, clinical, and estates teams’, and would need to take ownership of delivering improvements within their allocated questions. For example, question 100 sits with ‘Travel & Logistics’, within ‘Procurement & Supply Chain’, and asks that ‘Key contracts have CO2
e and/or
NOx reduction KPIs for the delivery and logistics associated with goods and services, and that these are monitored’. David Oliver said: “If you have marked this as a ‘no’ at the start of your Green Plan, you might want to allocate a Category manager within Procurement to oversee the set-up of these KPIs.” This individual would then be targeted to put such measures in place for all new contracts. Existing suppliers may also be contacted to negotiate adding such KPIs to their contracts, with realistic target dates set, and the responsible person reporting on progress annually or quarterly.
A great framework
David Oliver said the 300 questions provided ‘a great framework to improve sustainability’, ‘importantly’ devolving the
responsibility from solely within ‘Estates’ to all parts of the Trust. He added at this juncture that the presentation would be incomplete without discussing the recent Delivering a ‘Net Zero’ National Health Service document. In it (HEJ – February 2021), NHS England had set two Net Zero targets for the NHS, with ‘ambitious interim goals,’ based on a defined ‘NHS Carbon Footprint’, and the so-called ‘Carbon Footprint Plus’ (Fig 2): n The NHS Carbon Footprint mandates Net Zero carbon for the NHS by 2040, with an ambition for an 80% reduction (compared with a 1990 baseline) by 2028 to 2032.
n The NHS Carbon Footprint Plus sets a Net Zero carbon target for the service and its supply chain by 2045, with an ambition for an 80% reduction (compared with a 1990 baseline) by 2036 to 2039. Trusts’ Green Plans would need to consider these targets, and how they might impact on their own.
Designed around the Greenhouse Gas Protocol Here Beth Goodwin showed slides of the NHS Carbon Footprint and Carbon Footprint Plus definitions, explaining that the NHS ‘footprint’ had been designed around the GHG Protocol, and followed a similar scope within the main footprint to that required of the private sector under the new Streamlined Energy & Carbon
Reporting (SECR). She said: “We’re going to go off-topic momentarily, and discuss the private sector; many Trusts have wholly-owned subsidiary companies for their Estates Department, and if these are your contracting entity for your gas and electricity, and meet at least two of the following criteria, they will be captured by SECR, and will need to follow this guidance and report: n A turnover of £36 m or more. n A balance sheet of £18 m or more. n 250 or more employees.”
The SECR report would need to be published annually with the Trust’s accounts. She explained: “Unlike with ESOS, there’s no exemption for wholly- owned subsidiaries for the carbon reporting requirements.” A ‘standard’ SECR report would cover emissions from: n Mains gas. n Company fleet. n Company lease vehicles. n Mains electricity, and n Grey fleet.
An ‘enhanced scope’ SECR, meanwhile – currently voluntary for private companies – would usually add in emissions from: n Other gases. n Water. n Sewerage. n Waste. n Public transportation, and n Hire cars.
March 2021 Health Estate Journal 33
emissions CH4 Major
N4
O SF6
CO2
CFCs PFCs HFCs
Scope 1 Direct Scope 2 Indirect
Scope 3 Indirect
Travel
Outside GHGP scopes
Medical devices
Fossil fuels
NHS facilities Anaesthetics
NHS fleet and leased vehicles
Electricity
Energy Well-to-tank
Business travel
Public transport, grey fleet etc
Business services
Waste Water
Metered dose inhalers
NHS Carbon Footprint
Construction
Manufacturing (products, chemicals, gases)
commuting Staff
NHS Carbon Footprint Plus
Figure 2: Greenhouse Gas Protocol scopes in the context of the NHS.
Freight transport
Food and catering
Medicines
Patient, visitor travel
Commissioned health services outside NHS
ICT
©NHSE/NHSI
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