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Welcome to the SDU
Health Check 2018 Launch Event 1 Feb 2018 London
#SDUevent
Jerome Baddley Acting Director, Sustainable Development Unit
#SDUevent
Time Session
10:30 Introduction
10:35 Host’s welcome: Professsor Gina Radford, Department of Health
10:45 The importance of sustainability: Emily Hough, NHS England
10:55 Health Check 2018 – progress on sustainable development
11:20 Using the Sustainable Development Assessment Tool
11:45 Break
12:00 Sustainable Health and Care Campaign - Update
12:15 Workforce study - NHS staff attitudes to sustainable development
12:30 Workshop - engagement on sustainable development
13:00 Lunch
13:45 National, regional and local updates
14:05 Sustainability at GlaxoSmithKline
14:20 The next Sustainable Development Strategy - workshop
15:15 Close
Professor Gina Radford Deputy Chief Medical Officer Department of Health
#SDUevent
Emily Hough Director of Strategy NHS England
#SDUevent
Health check 2018
Jerome Baddley SDU Acting Director
10 years
Highlights this year
• Clean Growth Plan-NHS spotlight • 25 year Environment Plan • £90m saved • Significant engagement on air pollution • Rise of SDGs • Rising NHS staff expectations of action • Regulation and quality- NHSI and NICE • Social Value in new care models
National leadership
• ALBs on track for 88% of 2020 Greening Government Commitments
• Renewed commitments and joint statement
• All supporting the Sustainable Health and Care Campaign
• Parliamentary survey, public: – Top two issues 18-40 year olds: Climate Change and Health – Top issue for 18-24 year olds: Climate Change
• SDU NHS Staff study 6,200 responses: – 93% think environmental sustainability is important to NHS – 71% think their organisation actively supports
environmental sustainability
Public and staff opinion
Focus on reporting Detailed and clear sustainability reporting covering social, economic and environmental impacts is now the accepted- norm for well led organisations Work with HFMA and NHSI Mandate, awareness, reward • 46%, good or excellent (from 35%) • 85% better than minimum (from 69%) New online Sustainability Reporting tool
SD Management Plans
Module title Area of Impact
Corporate Approach
Governance &
policy Core responsibilities
Supply chain Staff and com
munity
Asset Management & Utilities Travel and Logistics
Adaptation
Capital Projects
Green Space & Biodiversity
Sustainable Care Models
Our People
Sustainable use of Resources
Carbon / GHGs
Online tool-SDAT Launched 2017 replaced GCC- Guide to produce SDMPs (see modules). Aligned to UN SDGs. Integrated with national sustainable health awards (Autumn). 89 NHS orgs (20%) have used SDAT since launch. 71% providers have SDMPs.
Supports: 25Yr Environment Plan Clean Growth Plan Air Quality Plan Waste + Resources
strategy Social Value Act Climate Change Act
Travel and air pollution
SDU Health Outcome of Travel Tool Quantifies health (QALY) and damage cost to economy of health travel. Air pollution costs to health by NHS travel and transport down from £324m to £311m. Clean Air Day 2018 21st June . “The tool demonstrated that we have avoided over £870K of health cost by reducing
health impacts and improving active travel”- Claire Igoe CMUH
Adaptation
• Providers reporting on adaptation-UP
• Adaptation plans-DOWN • 48% of clinical space
thermally monitored • 2,980 overheating events • National Adaptation Plan
and Adaptation report 2018
Service design
• Evidenced progress slow • Commitment and opportunity increasing • NHSE teams working with SDU, finding
ways to embed SV into new care models • Health and economic value in travel/air
pollution- tangible hook • NICE work on environmental impact in
pathways continues into 2018/19
‘As they think about how to develop their local health and care systems, STPs will want to take account of wider social, economic and environmental benefits of the sort referenced in the Social Value Act’-5YFV Next steps
Products and suppliers
• Providers encouraging sustainability in suppliers up from 9 to 21%
• Continued strong commitment from major pharma and med-tech
• Innovation in ‘clean health tech’ encouraged
• Inhalers and anaesthetic gases – Next year will report on NHS Nitrous impacts
as part of estates returns – High GHG inhaler use has levelled- focus on
DPI shift.
Empowering local leaders
• Over 800 people now engaged in local and regional networks
• 59 local ambassadors have been identified and supported covering 64% of STP areas
• Sustainable health and care is a social movement
• People like: Peter Wilkinson, Consultant Cardiologist, Ashford & St Peter’s Hospitals NHS Foundation Trust
Natural Resources Footprint
• New carbon footprint • Also water footprint • later air pollution and waste • New presentation
– Core – Supply chain – Community
Similar split to SDAT – What we do – What we buy – How we interact
Sustainable Health and Care Campaign
• DH+ALBs support via Cross System Group • Workshops through spring • Health Sustainability Week- 25th -30th June • National Sustainability Awards open in April: categories
aligned to SDAT modules
Results • Combination of :
– Strengthened mandate – Integrated tools – More visible value – Better connected networks – Greater recognition for success
• Working towards: – Sustainable development as essential to high quality
health and care
Next year Increasing • Expectation of progress in governance and regulation • SDMPs and alignment with SDGs • Sustainability and social value increasingly embedded in
specification and guidance for services and products • Higher profile given to success • Public and political interest in sustainable healthcare Working on: • The second sector Adaptation Report • Scoping for the 2020-25 sector sustainability strategy
Jerome Baddley CEnv MIEMA Acting Director Sustainable Development Unit (SDU) 0113 8253217 [email protected] www.sduhealth.org.uk Follow us on Twitter @sduhealth
Sustainable Development Assessment Tool – SDAT www.sduhealth.org.uk/sdat/
Rick Lomax – SDU [email protected]
Why a new tool?
• Sustainable Development in the NHS has evolved since 2012 – Context
• SDU’s Sustainable Development Strategy 2014-2020 • UN Sustainable Development Goals (SDGs)
– What good looks like
• User feedback
You said;
• Consultation, survey and reference group with users and non-users from Scotland & England
• You wanted; – A shorter tool – A more transparent scoring system – A less repetitive and more useful/integrated
structure – The option to capture evidence or next steps – A more useful excel export / data outcomes
The value of the Tool
• Regularly measure progress: – The tool provides a consistent method
for quantifying progress – Showcase the success of sustainability in
your organisation – Compare and benchmark your score
nationally and with your relevant peers – Report outcomes to your board, staff and
in your public annual report.
The value of the Tool
• SDAT can be integral to the development of your Sustainable Development Management Plan (SDMP): – The SDAT can quantify the successes you have already made – Support your materiality assessment of your next SDMP – using the
hotspots tools available in the resources section. – Provides some of the KPIs and SMART targets for your SDMP action
plan
The value of the Tool
• Demonstrate your local contribution to the UN Sustainable Development Goals (SDGs): – See your local action and how it is contributing to national efforts in achieving
the SDGs – Where appropriate, SDG progress is also shown at a modular level. – This progress should also be reported to Board, staff and in your public annual
report.
Each statement has 4 answers;
– Yes = a score of 3 – In progress - where
you are at least 50% on way to achieving the statement = 1
– No = 0 score – N/A - reduces the
denominator
Transparent scoring
The value of the Tool
• Handover notes, evidence base and action plan;
The value of the Tool
• The process itself is a conversation starter; – Identify your colleagues and priorities in their
work plans and how the SDAT and sustainability can support them.
– Nothing more engaging than a win win
Structure Modules
Corp
orat
e Ap
proa
ch
Asse
t Man
agem
ent
& U
tiliti
es
Trav
el a
nd Lo
gist
ics
Adap
tatio
n
Capi
tal P
roje
cts
Gre
en S
pace
&
Biod
iver
sity
Sust
aina
ble
care
m
odel
s
Our
Peo
ple
Sust
aina
ble
use
of
Reso
urce
s
Carb
on /
GH
Gs
X-cu
ttin
g the
mes
Governance & Policy
Core Responsibilities
Procurement & Supply chain
Working with Staff, Patients and Communities
The value of the Tool
• Showcase innovation and quality projects to win awards! – The Sustainable Health and Care Campaign have
aligned their award categories to the SDAT modules
The value of the Tool
• SDAT also aligned to the Areas of Influences segmentation for the 2018 Natural Resources Footprinting report
− Core − Supply Chain − Community
Resources
• Alignment to the previous GCC statements has been added to the SDAT statements in the excel
• User guide if you get stuck
• SDAT hotspots is excel formulas that can be pasted into your excel export to support assessing material content for SDMP
Next steps
• Continue to learn from user experiences • Adding of suggested colleagues at the top of
each module • Reminders of how you have answered
duplicated statements • The benchmarking will go live when we have
sufficient submitted responses.
HEAR FROM USERS & QUESTIONS
Rick Lomax Sustainability Analyst Sustainable Development Unit (SDU) 0113 8253220 [email protected] www.sduhealth.org.uk Follow us on Twitter @sduhealth
Break 11.45 – 12.00
Time Session
10:30 Introduction
10:35 Host’s welcome: Professor Gina Radford, Department of Health
10:45 The importance of sustainability: Emily Hough, NHS England
10:55 Health Check 2018 – progress on sustainable development
11:20 Using the Sustainable Development Assessment Tool
11:45 Break
12:00 Sustainable Health and Care Campaign - Update
12:15 Workforce study - NHS staff attitudes to sustainable development
12:30 Workshop - engagement on sustainable development
13:00 Lunch
13:45 National, regional and local updates
14:05 Sustainability at GlaxoSmithKline
14:20 The next Sustainable Development Strategy - workshop
15:15 Close
sustainablehealthandcare.org
@SustHealthCare
Simon Briggs Communications Manager Sustainable Development Unit
sustainablehealthandcare.org
@SustHealthCare
Aims • Support organisations to engage with their
staff, patients and communities • Share good practice, projects and ideas • Celebrate the great work taking place
sustainablehealthandcare.org
@SustHealthCare
Developed and shaped by people working in the health care system.
sustainablehealthandcare.org
@SustHealthCare
• Steering group of organisations from across the sector
• User Reference Group 60 people we contact for views and feedback
• We want your input! • Join by emailing: [email protected]
sustainablehealthandcare.org
@SustHealthCare
• Commissioned by the SDU on behalf of the health and care system
• Backed by the cross system group for sustainable health made up of 25 national organisations in health and care and environment sectors
• The campaign reports in to cross system group meetings biannually.
sustainablehealthandcare.org
@SustHealthCare
• Five regional events • Sustainable Health and Care Week in June • Awards programme and ceremony • Conference and exhibition • Website – tool, resources, templates
sustainablehealthandcare.org
@SustHealthCare
Regional events
• 27 February – Leeds • 13 March – Bristol • 11 April – Manchester • 18 April – London • 8 May – Birmingham
sustainablehealthandcare.org
@SustHealthCare
Regional events • National updates, key issues and developments • Information on activity locally, networks and case studies • Info on the campaign, support, tools and templates • SDU resources and how to use them • Opportunities to network, share experience and make new
contacts
Go to www.sustainablehealthandcare.org to book your free place
sustainablehealthandcare.org
@SustHealthCare
25-29 June • Share and celebrate good sustainable practice • Increase awareness and understanding • Encourage conversation and involvement
sustainablehealthandcare.org
@SustHealthCare
Tools and templates The campaign will produce free, adaptable resources to help you to run a local campaign. Artwork and templates such as: • Posters / leaflets • Web banners and graphics • Twitter cards & images for social media • Key messages, facts and figures • Press release template for local press • Comms copy to promote activities
sustainablehealthandcare.org
@SustHealthCare
Themes
• Travel and logistics • Social value • Sustainable care models • Green space • Innovation and technology
sustainablehealthandcare.org
@SustHealthCare
Categories • Corporate approach • Water and energy • Travel and logistics • Resilience • Building design efficiency • Green space and
biodiversity
• Sustainable care models • Our people • Sustainable use of
resources • Carbon reduction + 2 awards for individuals covering leadership and action
sustainablehealthandcare.org
@SustHealthCare
Timeline • April/May – Awards open • July – Awards close • September - Judging day • November– Awards ceremony
sustainablehealthandcare.org
@SustHealthCare
W: sustainablehealthandcare.org T: @SustHealthCare E: [email protected]
sustainablehealthandcare.org
@SustHealthCare
Simon Briggs Communications Manager Sustainable Development Unit [email protected] 07900 715186
Content
• The rationale of the study • The what and when • Key outcomes related engagement • Next steps • Initial conclusions • Questions
Rationale
• In 2011, 2013 and 2015 the SDU worked with Ipsos MORI;
“92% of the public think it is important for the health system to work in a more sustainable way”
• This really does provide us all with a mandate • But we needed the intelligence to deliver on this … • Do actions/values change when at home and at work?
What was the study
• Over 6,200 respondents across NHS and Public health (representative sample)
• A national picture • Undertaken and verified independently • Staff perceptions (reality vs perceptions) • Asked 15 questions;
– Their values on sustainability and the environment – Commuting travel data – Value of access to greenspace on health and wellbeing – And how and what engages them to act
Headlines
98% of staff think it is important for health and social care sector to support the environment (77% thought it was very important). 93% of staff value environmental sustainability in the workplace (96% at home). 71% of staff perceive their employer actively supporting the environment.
Headlines ~95% of staff understand the benefit of green space for themselves, other staff, patients and the community on health and wellbeing (accessing this both at work and outside of work).
Actions at work
Water efficiency
Paperless
Electrical efficiency
Recycling
Food waste
Resources/consumables
Active travel commuting
Avoid business travel
Working from home
Volunteering
Staff perception of the most engaging methods
0% 20% 40% 60% 80% 100%
Introducing a green champion in my team(n=829)
Include it in my job description (n=1132)
Include it as part of induction or training(n=1067)
Share news stories and examples with me(n=1592)
I want to understand more about climate change(n=1664)
The Board and senior managers leading byexample (n=1101)
Help me understand how it saves me time(n=1948)
Help me understand how it provides financialsavings (n=2300)
Help me understand how it benefits the public'shealth and wellbeing (n=1755)
Help me understand how this can fit into my role(n=1860)
Help me understand how it benefits patients'health and wellbeing (n=1674)
Helping me understand how it benefits myhealth and wellbeing (n=1574)
% of staff
Alreadyhappensand iseffective
Alreadyhappensand is noteffective
Staff perception what would engage them
0 1000 2000 3000 4000
Include it in my job description
I want to understand more about climate change
Help me understand how it provides financial savings
Share news stories and examples with me
Help me understand how it saves me time
Help me understand how this can fit into my role
Understand how it benefits the public's health andwellbeing
Introducing a green champion in my team
Understand how it benefits patients' health and wellbeing
The Board and senior managers leading by example
Understand how it benefits my health and wellbeing
Include it as part of induction or training
Number of responses
Would beeffective ifhappened
Next steps
A full report will be launch with; A set of resources;
• The results by region, organisation and staff type • Access to the study template itself • A short guide how to undertake a study locally to avoid
bias and how to aim for a representative sample • Allow you to baseline how “green” your staff are • Measure progress and evaluate success of your
engagement
SDU keen to learn from your experiences
Conclusion
• A national view of staff perceptions • Some approaches seem to be more effective
than others • But don’t forgot a single approach is never
going to engage everyone • Using this learning should be helpful with your
local campaign week activities
QUESTIONS?
Rick Lomax Sustainability Analyst Sustainable Development Unit (SDU) 0113 8253220 [email protected] www.sduhealth.org.uk Follow us on Twitter @sduhealth
Workshop session
On your tables • What engagement activities have
worked before? • What might you want to run in June? • What support/resources do you need? • Write down the group’s ideas • Complete your individual forms about what
you're going to do and what you need
Lunch 13.00 – 13.45
Time Session
10:30 Introduction
10:35 Host’s welcome: Dr Gina Radford, Department of Health
10:45 The importance of sustainability: Emily Hough, NHS England
10:55 Health Check 2018 – progress on sustainable development
11:20 Using the Sustainable Development Assessment Tool
11:45 Break
12:00 Sustainable Health and Care Campaign - Update
12:15 Workforce study - NHS staff attitudes to sustainable development
12:30 Workshop - engagement on sustainable development
13:00 Lunch
13:45 National, regional and local updates
14:05 Sustainability at GlaxoSmithKline
14:20 The next Sustainable Development Strategy - workshop
15:15 Close
What do they do?
Where are they? North Region Sustainability & Health Network Chair: Pam Warhurst Leads: Mike Gent, PHE; Janet King, NHS
Where are they?
East Midlands Sustainability & Health Network Lead: Anne Pridgeon, PHE
Where are they?
West Midlands Sustainability & Public Health Network Leads: Sustainability West Midlands; Nigel Smith, PHE
Where are they?
East of England Regional Sustainability Network Leads: Elmarie Swanepoel, Linda Cox, Gill Lee, NHS
Where are they?
London network Leads: Kathie Binysh, NHS; Marc Beveridge, PHE
Where are they?
South Region Sustainability & Health Network (SRSHN) Leads: James Mapstone, PHE; Nigel Acheson, NHS
Ambassadors
SDU support
• Providing support and facilitation
• Connecting people
• Ensuring legacy and long-term continuation
Coverage
What are these projects?
• Harriet Dean-Orange, Brighton & Sussex University Hospitals NHS Trust
• Andrew Broadbent, Epsom & St Helier University Hospitals NHS Trust
• Claire Igoe, Manchester University NHS Foundation Trust
Kim Croasdale Local and regional sustainability networks manager Sustainable Development Unit (SDU) 0113 8253215 [email protected] www.sduhealth.org.uk Follow us on Twitter @sduhealth
GSK Sustainability Overview Dept of Health 1st Feb 2018 Richard Henderson
UK/RESP/0025/18 Date of Preparation January 2018
Environmental sustainability targets
Our environmental sustainability strategy since 2010 focuses on three key strands – carbon, waste and water - and sets out ambitious goals, including being carbon neutral by 2050.
Reduce our carbon footprint
2015 2020
10% reduction in overall carbon footprint
25% reduction in overall carbon footprint
Reduce our water impact
20% reduction in direct operations
20% reduction in impact in the value-chain
Reduce and recycle waste
• 25% reduction in hazardous and non-hazardous waste
• 25% reduction in operational waste to landfill
• 50% of paper packaging from responsible sources
• 50% reduction in hazardous and non-hazardous waste
• Zero operational waste to landfill
• 90% of paper packaging from responsible sources
UK/RESP/0025/18 Date of Preparation January 2018
1. GSK Responsible Business Supplement (2016)
GSK’s sustainability success 2010 to 2017
We have made big reductions on the environmental impact of our direct operations since 2010
Award winning supplier programme to address impacts of raw materials
> 1,000,000 Inhalers recycled in UK Innovative partnership with NHS Health Care Trusts
UK/RESP/0025/18 Date of Preparation January 2018
2. GSK Responsible Business Supplement (2017)
UK/RESP/0025/18 Date of Preparation January 2018
3. GSK – Value Chain Carbon Footprint (2016)
Comparison of a GSK MDI with GSK’s most recently developed DPI in carbon footprint terms used to treat COPD
1MDI used for 1 month’s maintenance
treatment 19 kg CO2e per pack
DPI used for 1 month’s maintenance
treatment 0.8 kg CO2 per pack
24 DPI have the same carbon footprint as 1 MDI
UK/RESP/0025/18 Date of Preparation January 2018
4. Product Carbon Footprint Certification Letter CERT-12506 (2017)
UK/RESP/0025/18 Date of Preparation January 2018
Analysis of returned inhalers 2013
448 inhalers analysed On average 42% of medicine & propellant remains in inhaler
314 inhalers analysed On average 21% of medicine remains in inhaler*
UK/RESP/0025/18 Date of Preparation January 2018 *Please note this data was before the launch of GSK’s most recent DPI inhaler
Thank you
UK/RESP/0025/18 Date of Preparation January 2018
UK/RESP/0025/18 Date of Preparation January 2018
04 GSK – Value chain water impact (2016)
What factors might we need to consider in any 2020-25
sustainable development strategy ?
PESTEL Analysis Monitoring the external environment • P – Political • E – Economic • S – Social • T – Technological • E – Environmental • L – Legal
Three areas of influence Using the 3 areas of influence from the Natural Resources Footprint work Core- What we do
Delivery of health, care and public health
Supply chain- What we buy local, national and global suppliers
Community- How we interact Patients, staff, public, local partners eg LAs and universities
Future scope: A 2020-25 Sustainable Development Strategy
What PESTLE factors might affect a 2020-25 SDS. Considering issues like energy, health inequality, waste, local economy, water, education, adaptation, innovation, greenspace
Political Economic Social
Technological Environmental Legal
Core- What we do Delivery of health, care and public health Table 1 Table 4
Supply chain- What we buy local, national and global suppliers Table 2 Table 5
Community- How we interact Patients, staff, public, local partners eg LAs and universities
Table 3 Table 6
Timing
• 15 mins PES/TEL • Feedback 5-10 mins • 15 mins TEL/PES • Feedback 5-10 mins • Is this 3 way segmentation a fair way to split
up the SD challenge in the health sector?
Conclusions • Thank you to our hosts – DH, speakers and all
delegates for your input. • Please get involved with the new Sustainable
Health and Care Campaign email: [email protected]
• Event materials will be on the website – we will email you all details and follow-up info
• Please fill in your feedback forms • Have a safe journey home
