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SUSTAINABILITY


The next topic was ‘what happens after 2040’ with control over the supply chain. Beth Goodwin said that to decarbonise it, and for the NHS to meet its Net Zero goals, the service would need to work out how to ‘persuade or force’ suppliers to meet the same challenges. Ideally, they would see the benefits in winning more NHS orders, but there was a risk they might meet their obligations simply by carbon offsetting, with the associated costs reflected in more expensive supplies and services. Equally, who would police the supply chain? She recommended that Trusts set Key Performance Indicators for carbon reduction within the supply chain, and that Estates personnel talk to their Procurement Teams now about this, ensuring that all future formal tenders include the right stipulations.


Carbon offsetting


David Oliver next addressed carbon offsetting: “The NHS targets concede that it will be impossible to achieve zero carbon emissions, and so the final method of achieving Net Zero is through carbon offsetting.” Currently, carbon offsets cost £5-£10/tonne CO2


, but if demand


exploded, there was a real risk the availability of carbon offsets would reduce, resulting in rising costs. The question also arose as to whether it was appropriate for the public sector to pay for carbon offsets? David Oliver said: “Surely it would be better for the Government to use public funds to build carbon capture and storage, or for afforestation projects that can be credited to the NHS as part of the annual funding? Finally,” he added, “here’s another interesting anomaly in the world of carbon – our fourth ‘elephant’ – Zero Carbon Electricity.” The private sector presents a 'Grid Equivalent' carbon impact of electricity, and Inenco recommends that this approach also be taken in the NHS – to capture the value of these projects. Some Trusts might by now have installed solar photovoltaic panels. As an example, an installation of around 100 kWp will have generated around 80 MWh or more electricity over the last year, and reduced the user’s carbon emissions by almost 20 tonnes. David Oliver said: “However, from April 2021 the same installation will produce zero carbon savings. Similarly, any future electrical efficiency improvements will reduce your energy consumption and hopefully save you money, but won’t impact your carbon footprint.” In both cases this was because when a Trust began procuring renewable electricity in April, all electricity used on site will be counted as zero carbon. Thus any on-site renewable generation or reduction in electricity demand will only displace zero carbon imports. With the two Inenco speakers having covered considerable ground, it had become clear that for the NHS to


36 Health Estate Journal March 2021 Emissions from Gas and Electricity with CHP decommissioned in 2030 7000


Complete Heat Decarbonisation Plan


6000


Procurement of renewable electricity from 2021


5000


Major building insulation upgrades


De-steaming of site Phase 1


Phase 2 4000 3000


Decommissioning of CHP reduces gas demand and increases demand for zero-carbon electricity


2000


Circa 79.4% reduction in CO2 emissions in 2030 compared with 1990


Heat Pump 1000


trials in outlying buildings can ensure that targets are achieved


0


2000 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Year


Figure 5: Indicative path to achieve Interim Targets.


successfully meet the targets set, all must play their part. I asked the two speakers how they advised Trusts, and their Esates teams particularly, to go about engaging key stakeholders to drive change.


Need for widespread ‘buy-in’ Beth Goodwin said: “As an Estates manager, you will need considerable ‘buy-in’ from all to achieve your sustainability targets, and meet realistic Green Plan goals. In concluding, let’s address how you’re going to embed the Green Plan within your Trust, and use it to engage stakeholders and drive change, working on the assumption that most of you are from within Estates Departments, so already understand the need for this action and steps.”


An Estates Department’s ‘first advantage’, she said, was the need for the Board to sign off the Green Plan; this gave an Estates manager a ‘great reason’ to engage with a Board Sustainability sponsor, and to ensure awareness went ‘all the way to the top’. She said: “It’s in the Board’s best interests to understand how you plan to meet the targets, and to give the power and authority to the appropriate people to ensure that this happens.” ‘Thinking back to the SDAT’,


establishing focus groups for each of the ‘sections’, and regular meetings for these ‘granular’ elements, would help to ensure that ‘Estates’ did not need to oversee all the detail.


Using KPIs


When ‘allocating accountability’ for the different targets, it was important to


consider the actions needed to meet the goals, and to find a way to ensure these are a part of a staff member or department head’s KPIs, both so that they can make them happen, but also so they are responsible if they don’t. “For example,” she said, “the targets on anaesthetic gas mix should be owned by the lead anaesthetist, not the Sustainability manager, who has no input in achieving the goal. Rather, the Estates team’s role should be to monitor the progress, and if targets are going to be missed, to find a way to recover, or to report this to the Board.”


A great way to help drive accountability was ‘to encourage an awareness of targets and plans within the local area and the public domain’, since once a target was set publicly, it was less likely to be missed. It was also advisable to talk to personnel such as the Trust’s Finance director, to advise them where in future years there would be a burden they would need to find resource for. Training staff on sustainability, and increasing staff awareness of targets, would also help identify sponsors internally, who may wish to help, or will help keep their own departments accountable.


In conclusion, Beth Goodwin said: “To summarise, sustainability, and the implementation of your Green Plan, are Trust-wide responsibilities, and if you create your document with that in mind it will not only be a compliance document, but will also drive your Trust towards a sustainable future.” With this, a very informative webinar ended.


Revise Heat Decarbonisation Plan to cover 2030-2040


Reduce site Heat Demand Prepare site for lower temperature heating supplies


n Natural Gas n Electricity


hej


Tonnes of CO2


e per year


©Inenco


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