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Welcome to the Coventry NHS Sustainability Day 2015 Road Show In association with University Hospitals Coventry and Warwickshire NHS Trust #Dayforaction

NHS Sustainability Day Coventry Road Show

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Page 1: NHS Sustainability Day Coventry Road Show

Welcome to the Coventry NHS Sustainability Day 2015 Road Show

In association with University Hospitals Coventry and Warwickshire NHS Trust

#Dayforaction

Page 2: NHS Sustainability Day Coventry Road Show

Welcome and Introduction

Andy Hardy, Chief Executive Officer, University Hospitals Coventry and Warwickshire NHS Trust

#Dayforaction

Page 3: NHS Sustainability Day Coventry Road Show

Healthcare Fully Charged

NHS Sustainability Day Roadshow

15th January 2015

Clive Robinson

Page 4: NHS Sustainability Day Coventry Road Show

Lets Travel

Page 5: NHS Sustainability Day Coventry Road Show

On the Edge

Location, Location, Location

Page 6: NHS Sustainability Day Coventry Road Show

West Midlands

West Midlands

• Excellent Transport Infrastructure

• Centro Managed

• Excellent ticketing

Page 7: NHS Sustainability Day Coventry Road Show

West Midlands Warwickshire

Warwickshire

• Rural

• County Council

• Town Council

Page 8: NHS Sustainability Day Coventry Road Show
Page 9: NHS Sustainability Day Coventry Road Show

New Thinking

• Positive Ownership, Travel Plan commitment

• Communication, Networking, regular contact

• Looking regionally as well as locally

• Making use of all the transport network opportunities

Page 10: NHS Sustainability Day Coventry Road Show
Page 11: NHS Sustainability Day Coventry Road Show

Informing the Customer

• RTI Real Time Information

• Full journey hard copy

• Ticket information – Three options

• APPs, Web information, QR codes

• Journey planning

• Travel Events

• Travel Advisor

Page 12: NHS Sustainability Day Coventry Road Show

Cycling

• Infrastructure

• Onsite facilities

• Communication

• Dr’s and Consultants

Page 13: NHS Sustainability Day Coventry Road Show

Cycling Support

Dr Bike

Cycle Maintenance Classes

Led Rides

Smart Networks Smarter ChoicesBike Right

Cycle Training

Pool Bikes

Page 14: NHS Sustainability Day Coventry Road Show

Electric Vehicles

• Four Electric Vehicle charging bays

• First NHS EV charging in the Midlands

• Electric Pool Car

• Partnership working

• Staff Take up

Page 15: NHS Sustainability Day Coventry Road Show
Page 16: NHS Sustainability Day Coventry Road Show

SWM are the sustainability advisers for leaders of the West Midlands• Sustainability West Midlands is the sustainability champion for the West

Midlands as designated by government.• they are a not-for-profit company that works with their members in the

business, public and voluntary sectors. Their role is to act as a catalyst for change through our advice to leaders, to develop practical solutions with our members and share success through our communications.

• Their board is private sector led with cross-sector representation; and is supported by our team of staff and associates. They are the founders of Climate UK who provide a national good practice network of similar organisations.

• They are a hub of cross-sector good practice networks, and our drive to deliver a clear vision to create a better West Midlands.

Page 17: NHS Sustainability Day Coventry Road Show
Page 18: NHS Sustainability Day Coventry Road Show

How Far have we Travelled

• Doubled the size of the bus interchange

• Reduced single occupancy car journeys by 16%

• Coventry Cycle route 3

• Only NHS site in the Midlands with EV charging

• Increased cycling facilities across the site

• Travel Advisor

• Top Cycling site Gold Award

• NHS Sustainability Day Highly Commended

Page 19: NHS Sustainability Day Coventry Road Show

This Presentation Terminates Here…

Thank You

Page 20: NHS Sustainability Day Coventry Road Show

The RE:FIT Public Sector Energy Efficiency Programme

Roger Simpson-Jones, Local Partnerships

Page 21: NHS Sustainability Day Coventry Road Show

21

• Increasing energy bills

• Need to reduce property operating and maintenance costs

• CRC charges and green taxes

• Potential to generate own energy and revenue from properties

• Corporate social responsibility

• Desire to improve building environment

The cost of doing nothing is rising

Drivers for energy efficiency

Page 22: NHS Sustainability Day Coventry Road Show

22

Local Partnerships

• A joint venture between HM Treasury and the Local Government Association

• To help the public sector deliver locally

• A practical ‘hands on’ organisation

• Offering commercial expertise across wide range of services including estates, waste, funding solutions, assurance reviews & PFI efficiencies

• Funded through grant and fee-earning work

Page 23: NHS Sustainability Day Coventry Road Show

• Energy Performance Contracting model (EPC)

• Guaranteed savings

• Framework of Energy Service Companies (ESCos)

• OJEU compliant

• Available to UK public and third sector

• Helping participants deliver 'spend to save type schemes'

• Local Partnerships has been appointed by DECC to provide support to clients outside London

RE:FIT allows public bodies to make substantial cost savings, reduce energy bills and the carbon footprint of their buildings

Introducing RE:FIT

Page 24: NHS Sustainability Day Coventry Road Show

Why participate in RE:FIT?

24

RE:FIT provides guaranteed energy and water savings plus a number of other potential benefits:

• New and better equipment installed (failing systems can be prioritised)

• Reduction in maintenance backlog

• Reduction in maintenance costs

• Improved systems provide better building knowledge and early issue awareness

• Improved environment (air quality, reduction of hot/cold areas etc…)

Maintenance backlog

Large infrastructure

Quick fix / fast track projects

Optimising existing sites

Payback of the investment is guaranteed with the delivery risk transferred to the ESCo

Page 25: NHS Sustainability Day Coventry Road Show

25

Energy Conservation Measures

• Lighting upgrades and controls

• Boiler upgrades and replacement

• Combined heat and power (CHP)

• Heating controls

• Heat recovery

• Cooling and air-conditioning systems

• Building management systems

• Voltage optimisation

• Variable speed drives

• Building fabric improvements

• District heating

• Solar - photovoltaic panels

• Solar thermal

• Water saving measures

Page 26: NHS Sustainability Day Coventry Road Show

How RE:FIT works

• Data analysis & opportunity assessment

• Ascertain potential savings, costs and payback period

• Funding approach agreed

• Run mini-competition to select an ESCo and preferred solution

• Guaranteed energy savings identified

• Energy Conservation Measures installed

• Measurement and verification to confirm savings achieved

Local Partnerships provides the support to help clients from specificationthrough to procurement close and into project delivery

Page 27: NHS Sustainability Day Coventry Road Show

Procuring an energy performance contract

• Energy performance contracts are typically high value and therefore have two main procurement routes: undertake your own “OJEU” type tender or use an energy performance contracting framework

• In selecting a framework provider there are a number of questions to consider:

• Who owns the framework and how robust is it?

• How much will the framework owner / support partner get paid -either directly or indirectly - for their support and use of the framework?

• What support will be provided?

• How long will you be paying support costs for?

• Is your selection of a framework / support partner compliant with public procurement rules?

27

Page 28: NHS Sustainability Day Coventry Road Show

RE:FIT’s achievements and benefits

190

Organisations directly engaged:

• NHS

• Higher & Further

Education

• Schools

• Local Authorities

• Police

• Government

• Cultural and

Heritage

450+

Buildings retrofitted or in the process of:

• Hospitals• Universities• Colleges• Schools• Civic centres• Cultural centres• Fire stations• Police buildings• Office buildings• Community buildings• Leisure centres• Theatres• Museums

No up front investment

Energy savings guaranteed

No shared savings

Reduced risk for clients

Efficient and effective tendering

Tested, proven and flexible approach

Page 29: NHS Sustainability Day Coventry Road Show

29

Why we are a good partner

• Experienced RE:FIT team

• Innovative funding expertise

• Delivery partner with Department of Health

• Support and funding from Department of Energy and Climate Change for RE:FIT roll-out

• Record of success on reducing PFI costs

• Highly successful programme

• Competitive framework of ESCOs

• Range of financing options

• No direct or indirect royalty fee for using the framework

• Established by the public sector, for the public sector

Page 30: NHS Sustainability Day Coventry Road Show

30

RE:FIT working for the NHS

• Over 20 NHS Trusts participating in RE:FIT

• Experience across a range of facility types – critical, acute, non-acute, mental health, clinical commissioning groups

• Applicable for projects from £500k to £5m+

Newham University Hospital:- Significant over performance (20% higher than

contracted savings – all retained by Newham).- Tackled buildings being overly hot or too cold- Payback in under 5 years- Awards include “Best use of innovative financing”

“I chose to use the RE:FIT Framework because it was tried and tested, OJEU compliant and easy to access. It has shown the benefits, support and savings that can be achieved as a programme and also allowed the best solutions to be taken up by the organisation."

Justin Pereira, Assistant Director of Site Development and Facilities

Page 31: NHS Sustainability Day Coventry Road Show

RE:FIT key contacts

Vicky Kingston

Project Director

[email protected]

07876 594041

31

Robert McKinnon

Business Development and Engagement Lead

[email protected]

07920 702297

RE:FIT is a public sector initiative for the public sector

‘The money for a RE:FIT Project is in your budget – it is currently being spent on wasted energy’

Page 32: NHS Sustainability Day Coventry Road Show

Working together in the Public Sector to improve carbon and energy performance

Funding for innovationNHS SDU Roadshow, Coventry

15th January 2015Steven Heape

Page 33: NHS Sustainability Day Coventry Road Show

The Carbon and Energy Fund – What do we do?

“The Carbon and Energy Fund (CEF) is a co-creation with the NHS for the NHS and now

the wider Public Sector, delivering infrastructure upgrades that guarantee energy, carbon and cost savings. With a

proven track record and in-depth experience of procurement, engineering, legal and

finance, CEF is the only organisation that successfully guides Public Sector clients

through the complex processes involved.”

• Jacobs

• Attest

• SKM•Internal

•Squire Sanders

• Hill Dickenson

•Beechcroft• TEC

• NHS SBS

• PFPM

• WT• Millbridge

• Internal

• Lending Banks

• Pension Funds• GIB

• ECB

• Equity InvestorsCommercial and Financial

Project Management

TechnicalProcurement and Legal

Page 34: NHS Sustainability Day Coventry Road Show

The Carbon and Energy Fund – Achievements to date

CEF Energy

Performance Contracts

In contract:

EPC Contracts: £118m

Guaranteed savings per annum: £24m

Guaranteed carbon savings per annum: 111,000T

In procurement:

EPC Contracts: £90m

Guaranteed savings per annum: £15m

Guaranteed carbon savings per annum: 52,000T

Total expected by end of 2015:

EPC Contracts: £208m

Guaranteed savings per annum: £39m

Guaranteed carbon savings per annum: 163,000T

Page 35: NHS Sustainability Day Coventry Road Show

Typical CEF Energy Performance Contract project

Finance selection overall project performance. Internal skill sets resource should be part of selection.

Energy ProjectBuild

The above are outsourced to CEF

Client Advisors

• Feasibility

• Outline Design

• Procurement

• Technical Support

• Legal

• Monitoring and

Verification

Funded by ClientDesign

Operate Funded by CEF

Funded by Contractor

Framework

Page 36: NHS Sustainability Day Coventry Road Show

Finance in an EPC type project - Unitary Payment and Energy Savings

Unitary or Fixed

GuaranteedEnergy Savings

Potential Uplift in Savings

Time (Yrs)

Val

ue

(£k)

Page 37: NHS Sustainability Day Coventry Road Show

Energy Service Company finance - options

There are many ways to finance a project, it is project dependent and pricing depends on risk and scale. There are many hidden costs dependent on the finance selected.

Internal Finance

• Foundation Trust Financing Facility

• Public Works Loan Board

• Salix

Debt

• Lending Banks

• GIB• Pension

funds• Terms 7 to

30 years

Equity

• Private Wealth

• Green Funds• Private

Equity• Venture

Capital

Mix

• Mezzanine Finance

• Project Finance

• Sustainable Development Capital

Page 38: NHS Sustainability Day Coventry Road Show

Energy Service Contract (ESCo) finance comparison

There are many ways to finance a project, it is project dependent and pricing depends on risk and scale. There are many hidden costs dependent on the finance selected.

Finance Costs ConstructionEquity Due Dilligence

Legal Fees Post PC Debt

Term Suitable for Small Projects

Project Finance

6%-8% 10% to 12% IRR

£150,000 plus

£30 to £100,000

6% to 8% ? No

CEF Finance 5% to 6.5% Not required Nil £30 to £40,000

5% to 6.5% 7 to 30 years

Yes

High Street Lenders

No Not required Risk averse/NA

£30 to £40,000

8% to 10% 5 to 7 years

Yes

Equity 10% to 12% IRR

Not required £150,000 plus

£30 to £40,000

10% to 20% IRR

5 to 7 years

Yes but needs high yield

Page 39: NHS Sustainability Day Coventry Road Show

Summary

Thank you

Page 40: NHS Sustainability Day Coventry Road Show

Tea/Coffee and Networking

#Dayforaction

Page 41: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMarkUK’s National Water Benchmarking Project3 years’ fully-funded services

Page 42: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

Who we are

Water efficiency

experts for over 20 years

Government

advisors since 1999

On a mission

to save Britain’s water

Page 43: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

Why save Britain’s water?

Population

growthClimate change Water scarcity

Page 44: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

Benchmarking for sustainability

• Why worry about benchmarking?

• Measure our performance

• Compare our performance

• Identify inefficiencies

• Save money and waste by

using less water

“You can’t

reduce what you

can’t measure”

Page 45: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

Current Benchmarking

• WaterMark

• HM Treasury

• Typical and best practice benchmarks

Page 46: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

Water consumption in an NHS Trust

Page 47: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

Water Consumption per Hospital vs Industry Published Benchmarks

0

50,000

100,000

150,000

200,000

250,000

300,000

Hospital 1 Hospital 2 Hospital 3 Hospital 4 Hospital 5 Hospital 6 Hospital 7

12 m

on

ths W

ate

r C

on

su

mp

tio

n m

3

Consumption in 2013

Page 48: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

AquaMark

• £500m of water is going to drain each year through

the lack of benchmarking data

• Largest and most in-depth project in the UK

• Establish 500 different building benchmark

classifications

• Robust, complex and more sophisticated

benchmarks

Page 49: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

AquaMark

• Putting Britain at the forefront of commercial water

benchmarking

• Greater sustainable water supplies and increased

water security for thousands of organisations

• 10,000 sites already taking part in the project

• We need you

Page 50: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

Fully funded for you

• Three years’ free bill validation by

award-winning bureau service

• Monthly consumption reports

• Identification of high consumption anomalies

• Benchmarking toolkit

• De-regulation of the water market

• Save a 1/3 on water bill

Page 51: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

How do you take part?

• ADSM provides you with an email to send to

your water supplier, then we take care of all

the rest

• Future bills are sent to us for assessment &

validation

• Within 24 hours we send them back to you

• Participation is completely anonymous

• Data completely secure

• Absolutely no cost to you what-so-ever

Page 52: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

How benchmarking can help the NHS?• If all of the UK participated we could

save an estimated £500 million per

annum

NHS alone

could save 1/3

on it’s water

costs

Page 53: NHS Sustainability Day Coventry Road Show

adsm.com© Advanced Demand Side Management 2014.

AquaMark / UK’s National Water Benchmarking Project

Your participation

[email protected]

01753 833 880

www.adsm.com

Thank you

Page 54: NHS Sustainability Day Coventry Road Show

Fuel ManagementReducing Cost and Carbon

Page 55: NHS Sustainability Day Coventry Road Show

Fuel Costs Fleet Costs

25%

Costs

Why have a fuel Policy?

But there are key elements within your control

Page 56: NHS Sustainability Day Coventry Road Show

VehiclePolicy

FuelPurchase

Fuel Consumption

FuelAdministration

Page 57: NHS Sustainability Day Coventry Road Show

VehiclePolicy14ppl

FuelPurchase3 - 4ppl

Fuel Consumption

9.7ppl

FuelAdministration

7ppl

Comparative Influence on Costs as ppl

Page 58: NHS Sustainability Day Coventry Road Show

Supermarkets

Preferred Brands

‘No’ to Motorway sites

Outlet Diesel PPL Unleaded

PPL

ASDA 139.05 131.84

BP 145.77 136.00

CO-OP 144.05 135.68

ESSO 142.04 134.51

GULF 144.33 136.79

JET 142.19 134.73

MORRISONS 140.26 132.45

MURCO 143.29 135.68

SAINSBURY 141.16 133.49

SHELL 142.84 134.31

TESCO 141.17 133.36

TEXACO 143.83 135.94

TOTAL OIL 143.95 134.94

Brand National Average (excluding motorway sites) 143.26 134.94

Motorway National Average 149.70 141.67

Price Differentials are Consistent

Page 59: NHS Sustainability Day Coventry Road Show

MPG Analysis

Reduced Carbon

Improved Maintenance

Safer Driving – CSR

Driver Behaviour

0

50

100

150

200

250

300

MPG: 37 38 39 40 41 42 43Number of Gallons: 540 526 512 500 487 476 465Cost @ £6 / Gallon £3,240 £3,156 £3,072 £3,000 £2,922 £2,856 £2,790

Saving/(Cost) per vehicle: (£240) (£156) (£72) - £78 £144 £210

0

50

100

150

200

250

300

MPG: 37 38 39 40 41 42 43Number of Gallons: 540 526 512 500 487 476 465Cost @ £6 / Gallon £3,240 £3,156 £3,072 £3,000 £2,922 £2,856 £2,790

Saving/(Cost) per vehicle: (£240) (£156) (£72) - £78 £144 £210

Improved driving = Quantum Savings

A 2 MPG improvement equates to 289kg of CO2, a 5% reduction in GHG emissions

Page 60: NHS Sustainability Day Coventry Road Show

If you process paper receipts, are you recovering VAT?How many do you lose?HMRC believes 41% of companies fail to recover all or part of 20%

If you apply Fixed Cost Reimbursement - It is always wrong!

If your policy is Pay & Reclaim – there are hidden costsDrivers are funding your businessIncreased administration to process expensesIncreased threat of FraudReduced driver activity

How it is administered?

Page 61: NHS Sustainability Day Coventry Road Show

Optimise Whole Life Costs throughwise vehicle choice

Adopt preferred brands

Manage Driver behaviour

Actual cost reimbursement

Capture savings and Sustain them

VehiclePolicy

FuelPurchase

Fuel Consumption

FuelAdministration

A Fuel Management Policy...

Reduces Costs and is Environmentally Significant

Page 63: NHS Sustainability Day Coventry Road Show

Who is Tim Finnigan???• Married, two children (grown up)• Likes running up hills and likes a pint• 30 years R&D in Food and Drink• PhD Oilseed rape protein, Government food research, APV,

General Foods and...

Page 64: NHS Sustainability Day Coventry Road Show

Future Food…

..Now

Page 65: NHS Sustainability Day Coventry Road Show

The 1960s was a time of

huge achievements...

Quorn in context

Page 66: NHS Sustainability Day Coventry Road Show

....And growing concerns

Quorn in context

Page 67: NHS Sustainability Day Coventry Road Show

A man with a big idea

Quorn is born

Page 68: NHS Sustainability Day Coventry Road Show

+ a large number of ducks, rabbits, horses, turkeys…

..3 camels and one unfortunate mule

Chickens 110,000

Pigs 2,630

Sheep 922

Goats 781

Cows 557

The scale of livestock production is driven by our desire for cheaper and more plentiful meat, but there are damaging

consequences, which at the moment are forecast only to intensify

The current context…

Page 69: NHS Sustainability Day Coventry Road Show

+ a large number of ducks, rabbits, horses, turkeys…

..3 camels and one unfortunate mule

Chickens 110,000

Pigs 2,630

Sheep 922

Goats 781

Cows 557

The scale of livestock production is driven by our desire for cheaper and more plentiful meat, but there are damaging

consequences, which at the moment are forecast only to intensify

The current context…

Page 70: NHS Sustainability Day Coventry Road Show

http://www.fao.org/fileadmin/templates/wsfs/docs/expert_paper/How_to_Feed_the_World_in_2050.pdfhttp://www.tristramstuart.co.uk/FoodWasteFacts.htmlhttp://ecowatch.com/2014/04/11/agricultures-greenhouse-gas-emissions-2050/

Challenge Consequence

To feed 9bn in 2050 FAO say we need a 60% increase in food production

some of the true costs of cheap and plentiful animal protein

Challenges for a scalable meat based

sustainable food future

Page 71: NHS Sustainability Day Coventry Road Show

Dramatic changes are shaping

the future of food policy

Page 72: NHS Sustainability Day Coventry Road Show

Article Nov 14th – Nature

New Thinking Links the trilemma of diet, environment and health

Page 73: NHS Sustainability Day Coventry Road Show

“The need for new business models that help address the 9bn challenge - including a healthy new protein with a lower environmental impact….”

Prof. Alan Knight Single Planet Living

Big steps toward small footprints

Page 74: NHS Sustainability Day Coventry Road Show

74

Deliciously versatile

Page 75: NHS Sustainability Day Coventry Road Show

At the heart of all Quorn foods is

mycoprotein…

So, what is it?

Natural appeal

..Our 50 year ‘overnight success’

Page 76: NHS Sustainability Day Coventry Road Show

76

Additional InterestSCFA productionFibre (chitin and ẞ-glucans)

Mycoprotein as a food ingredient

Physical

Properties (shape)

Denny, A, Aisbitt, B and Lunn, J (2008) Mycoprotein and health. BNF Nutrition Bulletin 33: 298 – 310.Bottin, J. (2014) Nutrition and Surgical Influences on appetite regulation in obese adults. PhD Thesis Imperial College London

BENEFITS

Texture creation• Authentic meat-like texture• Creation of fibrosity through fibre assembly

General Nutrition• High quality protein• Low fat content (membranephospho-lipids)

• High fibre (cell wall)• Low energy density

Clinical Research Programmes• Lowering serum cholesterol• Satiety• Insulinemia and

glycemia in diabetics

Composition

Page 77: NHS Sustainability Day Coventry Road Show

77

No other protein can create the meat like textures achieved by Quorn

Unique attributes

Page 78: NHS Sustainability Day Coventry Road Show

Sustainability

Raw Data Key Comparisons vs QuornGHG

(kg/kg)Land

(ha/kg)Water (L/kg)

Beef Mixed 30 0.0035 19500

Beef Grazed 121 0.0049 21800

Chicken 9 0.0007 3900

Quorn Mince 3.4 0.0004 1900

Quorn Pieces 3.4 0.0003 1650

GHG LAND WATER

Beef Mixed

x9 more GHG

x9 more land

x10more water

Beef Grazed

x36 more GHG

x12 more land

x11 more water

Chickenx3 more

GHGx2 more

landx2 more

water

Page 79: NHS Sustainability Day Coventry Road Show

What If………..

What if all Beef mince served within the NHS were replaced by Quorn mince

Page 80: NHS Sustainability Day Coventry Road Show

An easy way to remember this…….

Member of the FUNGI family

That’s grown by FERMENTATION

And is FILAMENTOUS

That helps us to create FIBROSITY

Which we achieve through FREEZING

The Seven F’s

And creates nutritious new FOOD

With a low environmental FOOTPRINT

Page 81: NHS Sustainability Day Coventry Road Show

Future Food - playing a leading role

How can diets rich in mycoprotein contribute to health and wellness?

What is the impact of our food and of our organisation on the environment and how do we compare?

How can we make Quorn irresistible?

How can we collaborate to address these key issues and contribute to the debate?

Page 82: NHS Sustainability Day Coventry Road Show

82

• Thank you!

Page 83: NHS Sustainability Day Coventry Road Show

Sustainable & Ethical Procurement Supported

by Mobile Technology Enhances Patient Care

at Nottingham University Hospitals NHS Trust

Page 84: NHS Sustainability Day Coventry Road Show

84

• Supports the local economy x 3

• Supports Government policy

• Ensures that wealth stays in the local community

• Minimises supply risk

• Promotes sustainable options

• Future proof for the long-term

• Enhances quality

• We do what we say - Living Our Values

Does it make a difference?

Page 85: NHS Sustainability Day Coventry Road Show

85

What have we done?

• 70% of purchased regionally

• 100% UK when in season

• £2m per year

• Commitment

• We get to know our farmers

• Central Production Kitchen

• 1.9m patient meals per year

Page 86: NHS Sustainability Day Coventry Road Show

Making it work

Contracts/Commitment

• Why do we expect people to supply

without commitment?

• Quality Standards

• Length of contract

• Partnership

• Barriers

86

Local producers

Wholesales

SupplierC

om

munic

atio

n

NUH

Page 87: NHS Sustainability Day Coventry Road Show

Investing in technology

• Tablet computers

• Patient orders within two hours of

service

• Patient gets what they ordered

• Significant reduction in waste from 24%

to 1-2% on some trial wards

• Increased patient satisfaction

• Reduced cost

• Reduced food to land fill etc.

87

Page 88: NHS Sustainability Day Coventry Road Show

Investing in technology

• Controls nutrition

• Pictures for patients

• Allergen information

• Special diet information

• Prevents inappropriate ordering

• Real time information

• Feed back on the same shift

88

Page 89: NHS Sustainability Day Coventry Road Show

Smart Grid Energy Balancing Services

for the Health Sector

Presentation to: Sustainability, Coventry 2015

Page 90: NHS Sustainability Day Coventry Road Show

About | Open Energi

Open Energi works with large

energy users to generate

revenue from energy-intensive

equipment. We are:

•Helping National Grid to balance

electricity supply and demand

•Building the world’s first demand

side power station

•Cutting UK CO2 emissions

•An approved National Grid

Demand Response Aggregator

Page 91: NHS Sustainability Day Coventry Road Show

Background | Timeline

Page 92: NHS Sustainability Day Coventry Road Show

Health Service | Challenges & Initiatives

How to monetise energy intensive equipment to offset rising energy

and health service delivery costs

*Source: Energy Live News

Page 93: NHS Sustainability Day Coventry Road Show

Supply | Old Energy Economy

• Linear value chain with limited demand-side participation

• Does not support the UK’s* or European Commissions* targets to

transition to a renewable energy policy by 2020

• New policy has created change - customers now take and provide

service back to grid

* 30% UK target / 20% European Commission target

Page 94: NHS Sustainability Day Coventry Road Show

Supply | New Energy Economy

• Bidirectional “smart-grid” value chain provides the opportunity to

participate in the revenue generating demand-side balancing market

Page 95: NHS Sustainability Day Coventry Road Show

Supply | Capacity Crunch

Fears of a capacity crunch as energy

surplus falls below 2%

Page 96: NHS Sustainability Day Coventry Road Show

Supply | Capacity Crunch

3.7 GW power production closing or at risk for winter 2015

Page 97: NHS Sustainability Day Coventry Road Show

Supply | The Renewables Challenge

30% of the UK’s electricity supply to come from renewables by 2020

Major changes to the way electricity is

generated:

•Need to develop infrastructure to

accommodate rapid growth in wind

generation

•Unpredictable wind generation creates

additional balancing costs currently

passed to energy consumers

•Open Energi’s solution helps the UK move

to a low carbon future reducing balancing

costs with increased flexibility

Page 98: NHS Sustainability Day Coventry Road Show

Balancing | Market Position

Open Energi fills

peaks & troughs

Peaking power

typically coal

Base load power

typically nuclear /

gas

The graph represents a 24hr winter profile taken from the National Grid

demonstrating base / peaking power and Open Energi’s service positioning

Page 99: NHS Sustainability Day Coventry Road Show

Grid | Balancing

• National Grid has a statutory mandate to keep power balanced

between 49.50 - 50.50Hz

• Power supply would fail without grid balancing services

Page 100: NHS Sustainability Day Coventry Road Show

Frequency Response | Example Event

Page 101: NHS Sustainability Day Coventry Road Show

Frequency Response | Example Event

Page 102: NHS Sustainability Day Coventry Road Show

Grid | How is it Balanced?

Page 103: NHS Sustainability Day Coventry Road Show

Grid | Demand Response Markets

Balancing Services

Dynamic Frequency Response

FCDM

STOR

DSBR

Peak Price Avoidance

TRIAD Management

DUoS Charge Management

Capacity Market

Capacity Market DSR

Distribution Network

LCNF

Energy Trading

Imbalance Avoidance

Day Ahead Trading

Page 104: NHS Sustainability Day Coventry Road Show

Demand Response Markets

Balancing Services

Dynamic Frequency Response

FCDM

STOR

DSBR

Peak Price Avoidance

TRIAD Management

DUoS Charge Management

Capacity Market

Capacity Market DSR

Distribution Network

LCNF

Energy Trading

Imbalance Avoidance

Day Ahead Trading

Dynamic

Demand

Page 105: NHS Sustainability Day Coventry Road Show

Service | Proposition

The health service can generate revenues from energy intensive equipment

including a range of standard hospital energy assets

Page 106: NHS Sustainability Day Coventry Road Show

Value | Comparison

Dynamic Demand delivers more value than any other balancing service

Page 107: NHS Sustainability Day Coventry Road Show

Market | Value

Monetise hospital energy loads in an established £1 billion UK market*

*Source: National Grid: Note: The dip in value reflects the UK’s recession

Page 108: NHS Sustainability Day Coventry Road Show

Availability | Payments

Turning energy-intensive equipment into income

High

Response

Low

Response

Paid for

Availability

Only 5%

(average)

Switched

Page 109: NHS Sustainability Day Coventry Road Show

Hardware | Architecture

Typical installation layout

Page 110: NHS Sustainability Day Coventry Road Show

Customers | Case Studies

Open Energi works with large energy users across the public and private

sector to generate new revenues and support their sustainability goals

“The data I receive from Open

Energi is incredibly useful. Now I

know exactly how, why and when

we are using energy, and the

equipment that was costing us the

most to run is now generating an

income.”

Manoj Chohan | Energy Manager

Southend University Hospital NHS

Trust

Page 111: NHS Sustainability Day Coventry Road Show

Working | With Us

• Process

• Project management

• Client actions

• Payment

• Account management

Installing Dynamic Demand is a straight forward process, we work with

customers from needs analysis through to strategic account development

Page 112: NHS Sustainability Day Coventry Road Show

UK Head Office

1 Pemberton Row

London

EC4A 3BG

+44 (0)20 3051 0600

www.openenergi.com

Page 113: NHS Sustainability Day Coventry Road Show

Lunch and Networking

#Dayforaction

Page 114: NHS Sustainability Day Coventry Road Show

Welcome back

#Dayforaction

Page 115: NHS Sustainability Day Coventry Road Show

Salix Finance Solving Energy Efficiency in the NHS

Tim Morozgalski, Programme Co-Ordinator

[email protected] 406 7658

Page 116: NHS Sustainability Day Coventry Road Show

Introduction

Knowledge sharing and case studies

Summary of the loan application process

To demonstrate how Salix can help NHS Trusts

Our Goals for Today

Page 117: NHS Sustainability Day Coventry Road Show

Introduction to Salix Funding Model

Page 118: NHS Sustainability Day Coventry Road Show

Who We Are

Established in 2004

Independent, publicly funded, not-for-profit company

100% interest-free capital finance for the public sector

Funded by DECC, Scottish and Welsh Government, EfA, DfE, HEFCE, and EAUC

Support public sector bodies such as local authorities, educational establishments and NHS Trusts

Working throughout England, Wales, Scotland and N. Ireland

Page 119: NHS Sustainability Day Coventry Road Show

Minimise wasted energy – controls and awareness raising

Efficient conversion –installing energy

efficient technology

Salix focus capital investment to

reduce energy and save carbon

Energy Hierarchy

Onsiterenewable

energy

Page 120: NHS Sustainability Day Coventry Road Show

Over 12,000 projects totalling over £320 million of funding

£1.2 billion of savings generated for the public sector over projects lifetime

For every £1 invested, almost £4 is saved

Carbon reduction of over 6.6 million tonnes of CO2 saved over the lifetime of projects

Now fund over 120 different energy efficiency project types

Data up to October 2014

Since 2004

Page 121: NHS Sustainability Day Coventry Road Show

Programmes

Recycling FundEngland,

Scotland, Wales Loans

Schools Loans (DfE)

Salix/HEFCE Revolving

Green Fund 4 (RGF4)

CIF (Education Funding Agency)

Salix/EAUC College Energy

Fund

Salix Programmes

Page 122: NHS Sustainability Day Coventry Road Show

Loan Funding by Public Sector Body Type(April 2010 – October 2014)

Local Authority - 49%

Higher Education Institute - 31%

National Health Service - 10%

School - 5%

Further Education Institute - 3%

Emergency - 1%

Page 123: NHS Sustainability Day Coventry Road Show

Salix Funding for the NHS

Worked with over 40 NHS trusts in England

Over 460 projects totaling over £33 million

Annual savings of over £10 million and 58,000 tonnes CO2

Lifetime savings for the NHS estimated at £140 million

Data up to October 2014

Page 124: NHS Sustainability Day Coventry Road Show

NHS Sector in EnglandTop Ten Technology Types Funded (2012/13 to Q2 2014/15)

Technology type Number of Projects Technical cost

Combined Heat and Power 2 £2.7m

Heat recovery 4 £2.4m

LED lighting 53 £996k

Heating and hot water 7 £778k

Boiler replacement 1 £473k

VSDs/Motor Controls 6 £261k

Building management systems 8 £231k

Lighting upgrades 5 £185k

Ventilation and cooling 4 £172k

Lighting controls 5 £106k

Page 125: NHS Sustainability Day Coventry Road Show

Top Salix NHS Clients

Page 126: NHS Sustainability Day Coventry Road Show

Knowledge Sharing and Case Studies

Page 127: NHS Sustainability Day Coventry Road Show

Knowledge Sharing and Case Studies

Page 128: NHS Sustainability Day Coventry Road Show

Project Knowledge Slides

Sharing of knowledge between clients

Completed projects

Before and after

Supporting comments

experiences

lessons learnt

supplier

contact details

Page 129: NHS Sustainability Day Coventry Road Show

New Salix case studies are available to download from the website

Salix Project Case Studies

Page 130: NHS Sustainability Day Coventry Road Show

SOLVING ENERGY EFFICIENCY FINANCE IN THE PUBLIC SECTORWWW.SALIXFINANCE.CO.UK

Salix Application Process

Page 131: NHS Sustainability Day Coventry Road Show

SOLVING ENERGY EFFICIENCY FINANCE IN THE PUBLIC SECTORWWW.SALIXFINANCE.CO.UK

Changes for 2014/15 New Online Application Process

Page 132: NHS Sustainability Day Coventry Road Show

SOLVING ENERGY EFFICIENCY FINANCE IN THE PUBLIC SECTORWWW.SALIXFINANCE.CO.UK

Six Simple Steps to Apply

1. Log on to the Salix website salixfinance.co.uk/loans

2. Select the NHS loans page

3. Complete the compliance tool with project details

4. Complete an online loan application

5. Submit your application online

6. Salix will do a technical assessment

Page 133: NHS Sustainability Day Coventry Road Show

SOLVING ENERGY EFFICIENCY FINANCE IN THE PUBLIC SECTORWWW.SALIXFINANCE.CO.UK

Project Compliance Tools: Version 29

3 Tools:

– Single Fuel Compliance Tool

– Multiple Fuel Compliance Tool

– Multiple Project Site Tool

Page 134: NHS Sustainability Day Coventry Road Show

Summary

Funding available to NHS Trusts with no maximum loan amount

We offer support through-out the process

NHS Trust information packs available at our stand

Work together on long-term funding plans, estates strategies, and carbon management plans

Page 135: NHS Sustainability Day Coventry Road Show

Thank You4 All of Us and NHS Sustainability Day

[email protected] 406 7658

Page 136: NHS Sustainability Day Coventry Road Show

CAN WE BE MORE COST-EFFICIENT

AND YET OFFER A BETTER LEVEL OF

SERVICE TO PATIENTS

Page 137: NHS Sustainability Day Coventry Road Show

We have the solution.

Page 138: NHS Sustainability Day Coventry Road Show
Page 139: NHS Sustainability Day Coventry Road Show
Page 140: NHS Sustainability Day Coventry Road Show

One click access

Access from anywhere

No physical meeting room

Full size video

Document share

DEMAND

MORE…

Page 141: NHS Sustainability Day Coventry Road Show

MEET

ANYWHERE

AS THOUGH

YOU WERE

THERE

Page 142: NHS Sustainability Day Coventry Road Show

Record it all !

Page 143: NHS Sustainability Day Coventry Road Show

iMEET APPS FOR ALL YOUR DEVICES

143

Makes it easy to host, manage, and join a meeting

from anywhere.

Page 144: NHS Sustainability Day Coventry Road Show

INVITE OTHERS TO MEET AND COLLABORATE

144

Add guests right from the meeting via email or just have iMeet

call them.

Page 145: NHS Sustainability Day Coventry Road Show

145

CONNECTS YOU AUTOMATICALLY

WITH AUTO-CONNECT

Page 146: NHS Sustainability Day Coventry Road Show

MEETING CALLS YOU –

NO PASSCODES TO REMEMBER

146

Or, click “Call My Computer” to bypass the phone

all together.

Page 147: NHS Sustainability Day Coventry Road Show

MEET USING VIDEO. ANYTIME, ANY DEVICE.

147

More personal face-to-face meetings, even when you’re not in the

same room.

Page 148: NHS Sustainability Day Coventry Road Show

HOST OR ATTEND MEETINGS WITH

UP TO 125 PEOPLE

148

An online experience that’s easy-to-use, personal

and professional.

Page 149: NHS Sustainability Day Coventry Road Show

iMEET ALERTS YOU WHEN SOMEONE’S

WAITING TO MEET

149

One-click to join your meeting or send a message

to your guests.

Page 150: NHS Sustainability Day Coventry Road Show

YOUR FILES ARE READY AND WAITING

TO BE SHARED

150

iMeet’s cloud-based file cabinet allows you to store,

access and share files – anytime.

Page 151: NHS Sustainability Day Coventry Road Show

WANT SOMEONE ELSE TO DRIVE

THE PRESENTATION?

151

Pick a guest and pass control.

Page 152: NHS Sustainability Day Coventry Road Show

DVR WITH MEETING MINUTES CAPTURES

IT ALL

152

Your recording and the transcript of the meeting

is ready to share, email or post.

Page 153: NHS Sustainability Day Coventry Road Show

THANK-YOU

Page 154: NHS Sustainability Day Coventry Road Show

A Trust in Action:

Nottinghamshire Healthcare

Nick Fayers

Divisional Energy and Environmental Manager

Nottinghamshire Healthcare NHS Trust

Page 155: NHS Sustainability Day Coventry Road Show

155

Who are we?

“Nottinghamshire Healthcare is positive about

providing integrated healthcare services, including

mental health, learning disability and community health

services.”

8800 staff over multiple locations

Diverse locations through our 3 very different

Divisions:

○ Forensics

○ Local Services

○ Health Partnerships

Page 156: NHS Sustainability Day Coventry Road Show

156

Nottingham

Lincoln

Mansfield

Page 157: NHS Sustainability Day Coventry Road Show

157

The story so far…

New boilers, insulation and boiler controls

Photovoltaic panels at a number of locations

Recycling programme reached 97% of our sites

Cycling facilities widespread

Page 158: NHS Sustainability Day Coventry Road Show

158

Trust HQ new lighting system (through a grant)

Voltage reduction system

Food – sustainability bronze soil association

catering mark (not yet but very close!)

Page 159: NHS Sustainability Day Coventry Road Show

159

Then, Now and the Future

ISO 14001 accreditation

Pool cars

Green champions

EMS 68834

Page 160: NHS Sustainability Day Coventry Road Show

160

Then: ISO14001

Successes

Obvious environmental impact

Contract bids

Completely renewed system,

significantly simplified.

Challenges

Paperwork and documentation

Engagement

Not Trust wide

Constant improvement/ Evidence

Accredited first in 2002; reaccredited 2014.

Facilities, Local Services

Page 161: NHS Sustainability Day Coventry Road Show

161

Now: Pool Cars

Successes

Some very enthusiastic uptake

Cars are popular with users

Electronic booking system

Challenges

Short journeys / Quiet periods

Funding

Parking policy

Travel available to any staff member

Introduced 2014

2 vehicles

Page 162: NHS Sustainability Day Coventry Road Show

162

The future: Green Champions

Successes

Immediate interest

Low cost

Challenges

Policy and Procedure

Coordinating the events

Keeping it going

Staff time

Volunteer programme to deliver sustainable healthcare

across the Trust

Formally introduced last week

Monthly event calendar

Page 163: NHS Sustainability Day Coventry Road Show

163

Lessons learnt LOW-LEVEL BUY IN.

○ at least as important as senior buy in.

PEOPLE DO CARE.

○ Often the best ideas come from outside the Environment Team, so get

people involved.

○ Involve them and encourage participation

ASK THE EXPERTS

○ If you don’t speak to the right people, you wont get the right answers

STRATEGY

○ A strategy is essential.

Page 164: NHS Sustainability Day Coventry Road Show

164

Thank you

Nick Fayers

Divisional Energy and

Environmental Manager

[email protected]

0115 9691 300 x10776

Page 165: NHS Sustainability Day Coventry Road Show

Closing comments

#Dayforaction