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SUSTAINABILITY


Business, Energy & Industrial Strategy (BEIS) – for which the team was looking for 40 buildings across the NHS to participate. She said: “Using our AI Energy Manager tool, EMMA, we want to see how AI works; AI is a new self-learning technology, which means it takes time to learn – but we are really keen to see how some of this plays into the system.” The Professor’s team at NHSE/NHSI is linking this work into other AI initiatives already underway in the sector. “For instance,” Prof Daly explained, “IHEEM’s President, Ian Hinitt, who is the director of Estates and Facilities at The Queen Elizabeth Hospital King’s Lynn, has been running a trial on AI down to asset level; this is seeking to identify and evaluate how assets within an estate are running at an individual level, and to harness self-learning to see how we might future-proof things for productive maintenance.” The Professor encouraged anyone keen to have more information on this particular project to contact her.


LED lighting funding


The speaker said that there were a number of initiatives being taken ‘at the centre’ by NHSE/NHSI to progress the carbon reduction agenda. She elaborated: “For instance, we recently released £46 m of funding for LED lighting (Fig. 3), and hopefully many of you here will have been recipients of some of this investment. There is massive opportunity here; via the funding we calculate we will be able to save 33,000 tonnes of CO2


– equivalent


to the carbon emissions of a small to medium-sized acute Trust. Through projects like this we are almost testing and proving what we are doing, at a scale level, but still a relatively small one. In next year’s Comprehensive Spending Review, we will be putting the case for the rest of the funding; we believe there remains the opportunity to convert a further 76.6 per cent of the NHS estate in England to LED


Overall carbon reduction


Negative impact 0%


Baseline reduction


34%


every capital scheme to be Net Zero Carbon – in its build, the materials used, and in its operations. That is the really nice thing about the Net Zero Caron Framework; it allows us to expand over time. Currently we probably don’t have all the solutions; in five years we will be in a much better place, and in 10 years’ time, a better place still. So, the amount we will have to purchase to offset at the end will be far, far less as we progress into the future, and increasingly demand more from our suppliers and supply chains.”


Energy Strategy


Positive impact 0%


Figure 2: Achieving Net Zero Carbon.


lighting. What we have already done on the LED lighting front shows how we can make great use of the data we already have – and that you in the healthcare estates sector provide – to run carbon- saving projects, identify the benefits, and then seek more funding.”


Building and refurbishing Professor Daly said that while it was ‘absolutely brilliant’ that – as per recent announcements – the NHS in England had been promised additional funding to build new hospitals, and to refurbish and upgrade others, this activity needed to be undertaken against the backdrop of achieving the service’s Net Zero Carbon targets. She explained that NHSE/NHSI had been working with the UK Green Building Council, which has a Net Zero Carbon Framework, to ‘see if we can adapt this into healthcare’. The speaker said: “This is going to be one of our baseline standards going forward, so we will be amending our business case guidance accordingly. We will expect


One of the other key focuses for the NHSE/NHSI Estates & Facilities team, Prof Daly explained, had been its Energy Strategy – team members had been ‘working up’ the first such NHS Energy Strategy, and had already tested it with national performance advisory groups for sustainability. “Essentially,” the speaker explained, “the Strategy will focus on areas including data, procurement. i.e. reducing what we buy, reducing our consumption, and improving the spread of renewables and innovation. They are at its core. Do we, for instance, know how much we have to buy? Not in all cases, I would say, and are we getting the best out of our buying power? I suspect probably not. I don’t know of many Trusts with a proper procurement strategy for energy. How do we reduce what we have to buy and use, and, similarly, how do we reduce our reliance on fossil fuels? – because these will start to be taxed more. Equally, we should reduce our reliance on them from a moral and a social standpoint. In all of this we will we need to innovate,” continued Prof. Daly, “although not until we have the data and know what we are consuming. I don’t know of many NHS Trusts that have good sub-metering strategies. Again, we have been working with BEIS to get some funding to roll out some sub-metering and telemetrics.


January 2020 Health Estate Journal 33


©NHSE/NHSI


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