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NHS Bristol Sustainable Development Management Plan

By Todd Burns,2014-06-17 18:00
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NHS Bristol Sustainable Development Management Plan ...

    September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

    These plans will continue to be developed and refined over time

Energy and Carbon Management Strategic Development Manager

    Desired Outcome Actions Required Due Date CO2 Impact Cost of Priority Lead

    action ? 1 Regular Board reviews of performance Annual Report and inclusion Mar 10 Low No cost High Strategic

    in energy efficiency and carbon in performance framework Development

    reduction should be reported annually Manager

    to staff, the public and other

    stakeholders

    2 Carbon measurements should replace Ensure Carbon Mar 10 Low No cost High Strategic

    energy measurements as the target for measurements should Development

    reduction replace energy Manager

    measurements as the target

    for reduction

    3 Create a strategic plan to develop Produce Strategic Plan May 09 Low No cost High Strategic

    resilience and more renewable energy Development

    sources to ensure a guaranteed energy Manager

    supply, whilst managing the overall

    carbon footprint

    4 Encourage all staff to take responsibility Raise staff awareness ongoing Medium No cost High Strategic

    for energy consumption and carbon Development

    reduction including dissemination of Manager

    the Climate Change Staff Survey

    findings

    Page 1 of 21

September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

    Procurement NHS Bristol Purchasing Manager and BWPC Purchasing Manager

     Desired Outcome Actions Required Due Date CO2 Impact Cost of action ? Priority Lead

    1 Manage operations and procurement process Continue to roll out the use of EROS and Ongoing Medium Low High Assistant efficiently, thereby Oracle for the purchasing of goods and Purchasing minimising waste and services Manager carbon from the outset

     Ongoing Medium Medium High Assistant

    To train NHS Bristol and BCH staff to use Purchasing

    EROS and Oracles as appropriate Manager

    To consider introduction of P2P electronic Ongoing with Medium Medium Medium Associate

    system for all commissioning services SHA Director

     June 2010 Low Medium Medium Associate

    To work with NHS South West, the Bristol Director

    and Weston NHS Purchasing Consortium

    and other NHS Organisations to the

    introduction of contract management and

    data systems to achieve purchasing

    collaborations???

    To set up workshops for local SME and April 2010 Medium Medium (possibly High Associate

    Voluntary sectors to discuss how we can pump primed by Director

    introduce electronic tendering without SHA)

    disadvantaging them. If necessary set up

    training sessions.

Page 2 of 21

September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

    To introduction of Electronic Tendering March 2010 Low Medium High Contract

    systems as an alternative to hard copy Assistant

    documents.

    To train and regularly update procurement June 2010 Medium Medium (possibly Medium Purchasing

    staff on new procurement systems and to pump primed by Manager

    enable them to gain new skill and SHA)

    knowledge on sustainability.

    To ensure that sustainability is included in October 2009 Low Nil Medium Associate

    all procurement staff’s person specifications Director

    2 Work in partnership with To ensure that NHS Bristol’s vision and Dec 2009 Low/Medium Low High Purchasing suppliers to improve statements on sustainability etc are Manager sustainable and low included in all tender and contract carbon procurement information/ documentation used by NHS

    Bristol or Bristol and Weston NHS

    Purchasing Consortium on behalf of NHS

    Bristol.

    To publish NHS Bristol’s policy covering Dec 2009 Low/Medium Low High Contract

    sustainability on the NHS Bristol and Bristol Assistant

    and Weston NHS Purchasing Consortiums BWPC and

    Web sites. Purchasing

     Manager

Page 3 of 21

September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

     April 2010 Medium Medium Medium Assistant

    To identify key suppliers and target them for Purchasing

    cooperation and development on

    Sustainability.

    To work with suppliers on streamlining October 2010 Medium Low Medium Assistant

    ordering and invoicing systems. Purchasing

     Manager and

    BWPC

    To continue to work with NHS Supply Chain Ongoing Medium Low High Purchasing

    on improved delivery methods for goods Manager

    and the use of re-cycled products wherever

    possible

     Ongoing Low/Medium Low High Purchasing

    To continue to use outcome based Manager

    specifications to generate innovative

    solutions on sustainability and the use of

    recycled produces.

    To encourage suppliers to submit variant April 2010 Low/Medium Medium Low Purchasing

    bids or greener alternatives for goods and Manager

    services required by NHS Bristol.

    3 Consider local To work with our colleagues in Finance to Dec 2009 Low/Medium Low High Associate procurement, whole development methods of ‘whole life Director lifecycle costs and the costings’ that reflect the benefits of environmental impact of sustainability financial decisions in

    preparation for the use of

    carbon as a currency

Page 4 of 21

September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

    To ensure that packaging, method of March 2010 Medium Medium Medium Purchasing

    delivery, travel miles and other key Manager &

    environmental/sustainability issues are built BWPC

    into tender evaluation criteria where

    applicable.

    To use ‘Whole Life costs or similar’ to base April 2010 Low/Medium Low Medium Associate

    tender solutions rather than take the lowest Director

    bid.( This will require a change in SFI’s).

     Ongoing Medium Medium Medium Contracts

    To develop and encourage local suppliers Assistant

    to bid for services and the supply of goods

    to NHS Bristol

    To ensure that there is at least one Key April 2010 Low/Medium Low Medium Purchasing

    Performance Indicator linked to Manager

    environmental/sustainability that is included

    in all future NHS Bristol contracts.

    4 Consider ways of To work with clinicians on new and Ongoing Medium Medium/High Medium Purchasing reducing carbon footprint improved clinical pathways that will also Manager of pharmaceuticals include a reduction on the environmental /BWPC

    impact

     October 2010 Medium Medium/High Medium Purchasing

    To work with clinicians to rationalise the Manager

    providers, improve the existing supply /BWPC

    chains to enhances sustainability through

    consolidation of deliveries, packaging,

    invoicing etc.

Page 5 of 21

September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

    To work collaboratively across the local October 2010 Medium Medium Medium Purchasing

    health economy ( including NHS SW) to use Manager

    combined purchasing power to influence /BWPC

    pharmaceutical companies to improve

    sustainability and green innovation in their

    manufacturing processes.

    To seek from the manufacturers an October 2010 Low/Medium High Medium Purchasing

    increase in the use of recycled products in Manager

    the manufacture of their ‘Single use’ item. /BWPC

    5 Promote sustainable food To work with colleagues in Public Health to Ongoing Low/Medium Medium High Assistant and nutrition publicise the benefits health eating, Purchasing

    exercise and weight management. Manager

    To work with local Acute Trusts, Bristol and Sept 2010 Medium Medium Medium Purchasing

    Weston NHS Purchasing Consortium and Manager

    DEFRA to encourage the use of local /BWPC

    providers and reduce ‘air miles’ of most

    catering product for all patients , staff and

    the public catering.

    To encourage providers to supply products Sept 2010 Low Low Medium Purchasing

    with ecolabels or those endorsed by fair- Manager

    trade. /BWPC

Page 6 of 21

    September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

Low carbon travel, transport and access Associate Director Strategic Development

     Desired Outcome Actions Required Due Date CO2 Cost of Priority Lead

    Impact action ?

    1 Develop a Board approved active travel 1. Staff travel surveys March High Low High Associate Director for NHS

    plans for NHS Bristol and Bristol 2. Benchmarking 2010 Bristol /BCH Estates and

    Community Health respectively 3. Staff, staff-side and visitor Facilities lead

     engagement on draft plan

    4. Board sign-off

    2 Introduce a flat rate business mileage 1. Staff and staff-side engagement September Medium Low High PCT and BCH HR

    regardless of engine size or modal 2. Develop draft proposals 2011

    option (car, foot, cycle) 3. Staff-side sign-off

    4. Board sign-off

    3 Reduce car mileage across Bristol 1. Review evidence base ongoing High Band 7 High BCH Estates and Facilities lead

    Community Health and NHS Bristol 2. Carry out as transformation of

    service

    4 Consider introducing monitoring Review evidence base March High Band 7 High BCH Estates and Facilities lead

    arrangements so reductions in Commission feasibility study 2010

    emissions from road vehicles used for If indicated review relative priority

    PCT business can be assessed and agree timetable for

    measured. implementation

    5 Routinely and systematically review the Ongoing High Band 7 Medium BCH Estates and Facilities lead

    need for staff, patients and visitors to within

    travel services

    6 Continue to move healthcare delivery Consistent with existing medium Ongoing Medium unknown High suggest Dir of Commissioning

    closer to home using assessment tool and long terms commissioning

    as part of system redesign work to intentions

    ensure that options for low carbon travel

    are routinely considered.

    Page 7 of 21

September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

    Water Head of Estates and Facilities

     Desired Outcome Actions Required Due CO2 Cost of Priority Lead

    Date Impact action ?

    1 Ensure efficient water 1. Establish a board approved ‘requirements March High Will have a low Head of Estates and usage is integrated into specification’ for use on all future building commissions. 2010 (subject percentage Facilities building developments to cost

    at the design stage implemeincrease on

    nting on future

    future capital

    schemesschemes.

    ) Est. 5-7%

    2 Measure and monitor Complete installation of water meters to all retained Dec 200 Low. T.B.A Medium water costs and estate site Head of Estates and consumption, including Facilities results in Annual Report Set up robust recording and monitoring of consumption Dec 2009 Internal Medium Head of Estates and

     resource Facilities

    implication.

    Neg.

    Establish annual energy report Internal High Head of Estates and

     Mar 2010 resource Facilities

    (rolling) implication.

     Neg.

    Propose an annual ‘competition’ for all bases with a March Medium Head of Estates and

    prize for the site with the most improved reduction in 2010 Internal Facilities

    water usage.(ie %) This to be linked to a educational onwards resource

    campaign on ‘good practice’ use of water. implication.

    3 Ensure that leaks are Proactively monitor consumption rates and review issue Following Positive Medium Head of Estates and identified and fixed as they present themselves. action impact on Facilities immediately 2.2 costs.

    above -

    Jan 2010

    Page 8 of 21

September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

    4 Consider adoption of Undertake review of current installations and assess Dec 2009 low T.B.A High Head of water efficiency options for improvements Estates and Facilities technology across estate

    Cost up identified works in connection and propose Dec 2009 T.B.A High Head of

    establishment of budget to fund works Estates and Facilities

     April T.B.A High Head of

    Propose implementation plan (rolling) 2010 Estates and Facilities

    5 Stop purchasing bottled 1. Need to review where bottled water is being Sept T.B.A T.B.A Low water purchased and amounts frequency 2009

     Head of Estates and

    2. Confirm whether alternative source of main water Sept Low Facilities

    available for consumption and confirm where new 2009

    services are required.

    3. Cost up requisite works and input to annual bid for Sept 09 Low

    funds

     From

    4. Subject to funding implement works April Low

    2010

    Page 9 of 21

    September 2009 Board meeting Agenda Item: 8.4 Appendix 1

    NHS Bristol Sustainable Development Action Plan September 2009.

Waste - Head of Estates and Facilities

     Desired Outcome Actions Required Due Date CO2 Cost of Priority Lead

    Impact action ?

    1 Report management of domestic, 1.develop reporting format and Sept 2009 ? Neg. Low Head of Estates and

    clinical and hazardous waste at Board agree frequency of reporting Facilities

    level 2 Board to undertake a balanced risk Not Estates action? ? ? ?

    assessment of waste and associated

    costs and carbon including those

    related to single issue, use and disposal

    policies in contrast to sterilisation and

    re-use policies

    3 Ensure that we have the skill to manage 1. review current contractors used On going N/A N/A Medium Head of Estates and

    waste legally, efficiently and cost as well as ensure appropriately annual Facilities

    effectively trained in review of suppliers. review 4 Monitor and manage the quantity and 1. practices in place. However On going N/A N/A Medium Head of Estates and

    cost of all waste streams and set these are being reviewed to offer Facilities

    trajectories to monitor, manage and improved recording and monitoring.

    reduce them over time

    5 Consider targets in line with DH and 1. The PCT’s waste streams are In place N/A N/A

    NHS SDU for; reviewed against DH annual

    benchmarks via way of annual review ? Reducing waste from clinical ERIC returns. Head of Estates and areas / hazardous waste 2. Active measures in place to In place Facilities ? Reduce domestic waste to monitor bases performance in landfill following waste stream ? Increase recycling guidelines and as required

    directed training is given. Dec 2009 Low

    3. Following the move to South (first full

    Plaza the introduction of year

    centralised waste collection review)

    (removal of desk bins) has

    proved successful and propose

    that this will be evidenced in

    future reporting.

    Page 10 of 21

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