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Achieving sustainable development in the Higher Education sector – lessons from the health and care sector? David Pencheon NHS England and Public Health England Sustainable Development Unit. London Universities Environment Group. London. 3 rd September, 2013. Sustainable development . - PowerPoint PPT Presentation
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Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Achieving sustainable development in the Higher Education sector – lessons from the health and care sector?David PencheonNHS England and Public Health EnglandSustainable Development Unit
London Universities Environment Group. London. 3rd September, 2013
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Sustainable development
“...meeting the needs of the present……without compromising the ability of others, in future (or elsewhere now) to meet their own needs”
- Adapted from the Brundtland Commission
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
- Barbier, E.,1987. The Concept of Sustainable Economic Development. Environmental Conservation, 14(2):101-110.- Adams, W.M. (2006). "The Future of Sustainability: Re-thinking Environment and Development in the Twenty-first Century."Report of the IUCN Renowned Thinkers Meeting, 29–31 January 2006.
Social environment
Physical environment
Economicenvironment
Creating the right environments
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Summary of progress - Carbon
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
16%
19%
65%
Travel
Building energy use
Procurement
Breakdown of NHS England 2010 emissions?
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Procurement BreakdownP
harm
aceu
tical
s
Bus
ines
s se
rvic
es
Med
ical
Inst
rum
ents
/equ
ipm
ent
Pap
er p
rodu
cts
NH
S F
reig
ht tr
ansp
ort
Food
and
cat
erin
g
Oth
er m
anuf
actu
red
prod
ucts
Man
ufac
ture
d fu
els,
che
mic
als
and
gase
s
Con
stru
ctio
n
Wat
er a
nd s
anita
tion
Was
te p
rodu
cts
and
recy
clin
g
Info
rmat
ion
and
com
mun
icat
ion
tech
-no
logi
es Oth
er p
rocu
rem
ent -
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00
4.38
1.781.61
0.74 0.72 0.68 0.66 0.620.29 0.28 0.27 0.21
0.46
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Gas
Electric
ity
Oil
Coal
Busine
ss se
rvice
s
Constr
uctio
n
Food a
nd ca
tering
Freigh
t tran
sport
Inform
ation
and c
ommun
icatio
n tec
hnolo
gies
Manufa
ctured
fuels
chem
icals
and g
ases
Medica
l Instr
umen
ts /eq
uipmen
t
Other m
anufa
ctured
prod
ucts
Other p
rocure
ment
Paper
produ
cts
Pharm
aceu
ticals
Waste
produ
cts an
d rec
yclin
g
Water a
nd sa
nitati
on
Busine
ss Trav
el
0.00m
0.50m
1.00m
1.50m
2.00m
2.50m
3.00m
3.50m
Acute
Mental Health
Primary Care
Acute
Specialist
Mental Health
Ambulance
Primary Care
SHA
tCO2e
Acute – medical instruments and equipment
Acute - building energy use (gas and electricity)
Primary care and acute – business services
Primary care – pharmaceuticals including GP prescriptions
Goods and Services carbon footprint – carbon hotspots
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
What do we, the public, think?
Source:Ipsos MORIhttp://www.sdu.nhs.uk/healthcheck2012http://tiny.cc/w7fg5
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Ten Entry points1. To save money / conserve limited resources2. To comply with regulations and law / scrutiny / governance3. To manage risk and improve resilience4. To manage reputation / take exemplary action5. To reduce environmental impact harmful to health6. To support staff to do what we all do elsewhere7. To take account of the strength of the scientific evidence8. To align actions with core ethics / values of the health / care system9. To modernise models of prevention / care in line with other drivers10. To improve outcomes: population health, and reduce health
inequalities now, and in the future….
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
“What is good for addressing climate change and creating a sustainable world......is ALSO good for health (and healthcare) NOW”
1. For the public’s health– More physical activity, better diet, improved
mental health, less road trauma, improved air quality, less obesity/ heart disease/cancer, more social inclusion/cohesion...
2. For the health and social care system– More prevention, care closer to home, more
empowered / self care, better use of drugs, better use of information and IT, fewer unnecessary admissions, better models of care…
Health co-benefits:
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Protect and Promote
• Extreme Events• Climate chaos• Resource shortages• Heatwaves• Flooding• Biodiversity
• Employment• Family and friends• Housing• Healthy sustainable food• Clean energy, clean water• Integrated transport• Safe shared pleasant spaces• Resilient communities• Moving upstream
– Prevention– Resilience
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Route map
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Use the legal and regulatory framework to improve health
1. Civil Contingencies Act 20042. Climate Change Act 20083. Public Services (Social Value Act) 2012
– (Chapter 3)...requires public authorities to have regard to economic, social and environmental well-being.
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Keep messages simple
1. Set a profound example in one’s own practice– If not us, then who?
2. Preparing the next generation of people: improving educational outcomes for the future within resource limits (environmental and financial)– “Do more for less”
3. Best possible collaboration for implementation of net generation of evidence for a safe, sustainable and fair future…
– the best minds acting together
Working across the NHS, Public Health and Social Care system www.sduhealth.org.ukSee notes of this slides for some of the most important specific actions
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Have something positive to say
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Leadership support
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Engagement
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…at all ages
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk
Actions to improve protect/improve health
1. Cholera: 1854 Broad Street Pump
2. Smoking and tobacco: 1962
3. Sustainable development and climate change: 2012
Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk