Sustainable Lighting Solutions for the NHS Final · Humanizing the Healthcare experience Healing environments can enhance the healing process and the wellbeing of all people in the

Richard Tandy, National Sales Manager Katy Bryan, Sustainability Manager February 2012

Sustainable Lighting Solutions for the NHS

Katy Bryan, Sustainability Manager , February 2012

Enabling health and well-beingWhere we live, work and play

Philips Healthcare

Philips Lighting

Philips Consumer Lifestyle

36% 34%

30%


53,000+People employed worldwide across 60 countries

€7.6Billion in sales in 2010

Our focusOrganized around the people we serve

Philips Lighting

Customer Segments

24% 17% 17% 11% 13% 5% 2% 3% 8%

The distribution of our business*

* Approximate

Entertainment Healthcare AutomotiveHospitalityRetailHomes Offices Outdoor Industry

5%of sales invested in R&D in 2010

Katy Bryan, Sustainability Manager , February 2012 4

Longstanding Commitment to SustainabilityWith EcoVision4 we have committedto the following by 2012:

- Generate 30% of total revenues from Green Products- Double investment in Green Innovations to a cumulative EUR 1

billion- Improve our operational energy efficiency by 25% and reduce

our CO2 emissions by 25%, all compared with the base year 2007.


Raising the bar in SustainabilityEcoVision5 raises the bar in Philips’ overall approach to sustainability,

– Bringing care to more than 500 million peopleTarget: 500 million lives touched by 2015

– Improving energy efficiency of Philips productsTarget: 50% improvement by 2015 (for the average total product portfolio) compared to 2009

– Closing the materials loopTarget: Double global collection, recycling amounts and recycled materials in products by 2015 compared to 2009.

5


Awards and Recognition

5th in Guide to Green Electronics

Responsible Supply Chain Management Award

Included since 2000

Member Company

Gold Class 2008 & 2009Supersector Leader 2010

6


Sustainability Common trends

Sustainability is rising to top of the Management agenda

Rising costs are encouraging organisations to do more with less (financial cost of carbon)

Empowered consumers having more influence over their lifestyle choices e.g. Fairtrade and Carbon Labelling

Legislation is driving change, e.g. Carbon Reduction Commitment Energy Efficiency Scheme

Corporate Social Responsibility helping organisations give social returns on investments

7


Sustainability The Case for the NHSThe NHS employs around 1.3 million people, NHS

staff are in contact with more than 1.5 million patients & their families every day

An energy bill of over £600m, accounting for 3% of UK total emissions

Men and women live an average of 10 years longer than they did before the creation of the NHS in 1948

Patients in England now have the right to choose between at least four hospitals for non-emergency treatment

Increasing focus on other revenue streams, providing an attractive sustainable environment for research partners is key

8


Economic SocialEnvironmental

Business case must make sense

Financial implication of Carbon Emissions

Opportunity costs considered e.g. investing in new products

to improve revenue

Corporate Social Responsibility Reputation

Benefits to society e.g. if using the

world’s resources to profit – give

something back

Use less resources to achieve more

Reduce emissions and pollution

Benefits to future generations

What makes an initiative sustainable?A holistic approach

9


How Lighting can contribute to meeting environmental targets and reducing energy costs and emissions

10


Economic SocialEnvironmentalFinancial benefit

associated with energy savings

Security of energy supply

Rising energy costs –savings worth more in

future

Effective reduction in CO2 emissions

Financial cost of Carbon

LEDs limit waste to landfill

Quality of light impacts health, wellbeing, patient

and staff comfort

Energy savings can be used in corporate social responsibility

reports & campaigns

Provides safe, attractive environment

Comply with environmental legislation

Leveraging Sustainability in Lighting Benefits all round

Reduce hazardous materials e.g. mercury

11


Reducing Carbon, saving costsLighting & your carbon management plan

Marginal Abatement Cost (MAC) Curve

12


For transformational change, innovative methods of funding are needed to deliver meaningful solutions


Total Lighting Solutions Introduction

Helping to save energy andmaintenance costs withsustainable lighting solutions,providing a safe andcomfortable environment

Long standing commitment to delivering sustainable environments

From lamps, gear and luminaires through to lighting controls and lighting management systems, backed by extensive application know-how

Total Lighting Solutionoptimize hospital processesPeoples’ needs are at the heart

of our innovative solution,focusing on physical andemotional comfort for patientsand staff

People-centric lighting solution

14


Total Lighting Solutions ProcessDelivering transformational change

15


Total Lighting Solutions OutcomesBenefits all round

Technological Solution

Based on 1000 fittings

Existing conventional lighting replaced by LED technology

Project Costs

£45K for total installed cost

Option of no capital expenditure from Trust

Project Benefits over 10 years

£226,480 for every 1000 lamps switched to LED

1,040 tonnes of CO2 saved

£12,490 CRC savings

Financial Solution

On/Off Balance sheet solution

Payback of less than 2 years

16


How Lighting can contribute to improving patient and staff comfort, providing a safe and attractive healing environment

17


Humanizing the Healthcare experience

Healing environments can enhance the healing process and the wellbeing of all people in the care environment

“People that walk into a hospitalshould have the feeling

that they will be cured there”

Healing SpacesEster M. Sternberg, M.D.

Important elements are design, materials, sound, air quality, ergonomics, views, links to nature, and last but not least Light !


Different roles of Light in hospital design

• Light of good quality is required for operating a 24/7 hospital facility

• Light can be used to create a professional and pleasant ambience

• Light can enhance the healing environment by making use of the biological effects that light can induce


Light regulates the biological clock of humans

Cortisol Melatonin 8:00 am noon 6:00 pm

A good start in the morning

• Cool increasing light levels• Raise the energy level

Have a break and refresh

• Cool to warm light, decreased light levels

Have a good night sleep

• Lowest light levels• Undisturbed sleep

Dawn DayNight DuskRelax and unwind

• Warm light, decreased light levels

• Start melatonin production


Eyes and brains convey the message to our body

Cones forday/colour vision

Rods fornight vision

Third receptors:Send signals to the brain ............(that controls the biological clock)


Light affects (psycho-) physiological processes

8:00 am Noon 4:00 pm 6:00 pm

Noon 6:00 pm MidnightMidnight 6:00 am

Cortisol makes you feel alert

Melatonin makes you feel sleepy

Affecting for instance:• Mood• Sleep • Concentration• Alertness

… and more indirectly also affecting:• Immune system• Recovery• Wound healing


Factors linking light to patient recovery

23

Workflow efficiency

Satisfaction ratings (e.g. Press Ganey)

Length of stay

Mediating factors as described in scientific literature, with as possibleother factors: Stress, pain, alertness, mood

Light Recovery

Sleep

Depression

Delirium

Anxiety

Satisfaction

Related benefits:


Design & Health Scientific Review2010

“In fact, by installing brighter lights on a psychiatric ward, depressed patients had a three-day shorter durationof hospitalization”Anna Wirz-Justice PhD,Colin Fournier AA Dip (Hon)

11. Staedt J, Pless-Steinkamp C, Herfeld F, Gudlowski Y, Wirz-Justice A. Einfluss erhöhter Lichtintensität auf die Verweildauervon stationär behandelten depressiven Patienten. Nervenheilkunde 2009; 28:223-6.

What experts say about light and recovery


Psychosomatic Medicine 67:156–163 2005

“Patients getting more sunlightexperience less stress & loweranalgesic medication use”

Jeffrey M. Walch et al.

The Effect of Sunlight on Postoperative Analgesic Medication Use:A Prospective Study of Patients Undergoing Spinal SurgeryJEFFREY M. WALCH, BSA, BRUCE S. RABIN, MD, PHD, RICHARD DAY, PHD, JESSICA N. WILLIAMS, BS, KRISSY CHOI, BS, AND JAMES D. KANG, MD



Journal of Affective Disorders2001

“Bipolar depression: morning sunlight reduces length of hospitalization”

F. Benedetti et al

Benedetti, F., Colombo, C., Barbini, B., Campori, E., & Smeraldi, E. (2001). Morning sunlight reduces length of hospitalization in bipolar depression. Journal of Affective Disorders, 62(3), 221–223.



Infant Behavior and Development1995

“Neonatal ICs: cycled lighting improves pre-term sleep & weight gain”

C. L. Miller et al.

Miller, C. L., White, R., Whitman, T. L., O’Callaghan, M. F., & Maxwell, S. E. (1995). The effects of cycled versus non-cycled lighting on growth and development in preterm infants. Infant Behavior and Development, 18(1), 87–95.


Katy Bryan, Sustainability Manager , February 2012Katy Bryan, Sustainability Manager , February 2012

NOCTURNAL RESTLESSNESS

Society of Biological Psychiatry1997

“Increasing the illumination levelin group care facilities amelioratedsymptoms of disturbed cognition, mood, behavior, functional abilitiesand sleep”

Eus J. W. Van Someren et al.

E. J. W. van Someren, A. Kessler, M. Mirmiram and D. F. SwaabIndirect bright light improves Circadian Rest-Activity disturbances in demented patients, Society of Biological Psychiatry1997;41; 955-963


Katy Bryan, Sustainability Manager , February 2012Katy Bryan, Sustainability Manager , February 2012

Improving sleep of Alzheimer patientswith daytime light treatment

Before

Source: E. van Someren et al.,Biol. Psychiatry 1997

After 4 weeksextra light

NOCTURNAL RESTLESSNESS

NOCTURNAL RESTLESSNESS Actigraph measurements of daytime sleepiness and nighttime restlessness

After another4 weeks w/o

extra light


A new lighting solution for patient rooms:

HealWell


HealWellUsing the natural power of light

Cortisol Melatonin 8:00 am noon 6:00 pm


Shedding new light on the patient experience


Sleep duration: HealWell room patients sleep longer

-6.00

-4.00

-2.00

0.00

2.00

4.00

6.00

8.00

10.00

Cha

nge

from

nig

ht 1

to n

ight

7

(%)

Total Sleep Duration after 7 nights

Control group Intervention group(HealWell)

Longer sleep

Shorter sleep

Data acquired by Acti-graphy; based on publication of first analysis*

Total sleep duration refers to the total actual sleep time (motionless in bed, not awake)

*Gimenez et al., Annual Proceedings of the NSWO Volume 22, 2011, p. 56-59


Falling asleep: HealWell room patients fall asleep faster

-40.00

-30.00

-20.00

-10.00

0.00

10.00

20.00

30.00

40.00

Cha

nge

from

nig

ht 1

to n

ight

7

(%)

Time it takes to fall asleep


Slower asleep

Faster asleep

Data acquired by Acti-graphy; based on publication of first analysis*

Time to fall asleep (“sleep onset latency”) refers to actual time awake in bed before falling asleep*Gimenez et al., Annual Proceedings of the NSWO Volume 22, 2011, p. 56-59


Mood: HealWell room reduces depression scores as derived from HADS depression scores

-10.00

-8.00

-6.00

-4.00

-2.00

0.00

2.00

4.00

6.00

8.00

10.00

Cha

nge

from

day

1 to

day

7 (%

)

Mood (HADS Depression Score)


Data acquired by using the depression scores of the HADS questionnaire(Hospital Anxiety and Depression Scale)

Deteriorated mood

Improved mood


HealWell is implemented in your hospital as a turnkey project.

The solution includes lighting design, installation, commissioning and training for staff (optional are upgrade / maintenance services).

Support on a study on beneficial effects (e.g. patient/staff evaluation) is open for discussion.

A turnkey solution for peace of mind


HealWell

• is a new and unique total lighting solution for the patient room

• addresses the different needs of its users at all times, day and night (functional, emotional, biological), using an intelligent networked system

• provides a pleasant atmosphere, that can be controlled by the patients

• provides excellent working light for staff

• is an evidence based solution, with evidence on improved satisfaction, improvedsleep duration, reduced sleep onset latency and improved mood of patients

• is implemented as a turn-key solution, including lighting design, installation andtraining for staff

HealWellUsing the natural power of light


Partners in innovationPeople focusedMeaningful solutions

HealWell benefits

Meaningful solutions

Designed to improve the healing environment

Partners in innovation

Enhanced hospital reputation

People focused

Increasedpatient and staff satisfaction


Staff environment key to hospital performance

Philips Dynamic Lighting enhances wellbeing and performance

Staff and patients benefit from opportunity to control their own lighting

Lighting creates a stimulating ambience that follows the rhythm of the day.

Rigshospitalet, Copenhagen, Denmark

Total Lighting SolutionsAttracting patients and staff

39


Medical procedures like Magnetic Resonance Imaging can often frighten people, so the examination can be difficult and time-consuming.

AmbiScene makes clinical procedures less intimidating by using colored LED light to create a comforting environment to relax patients, meaning less sedation needed

For staff, this results in calmer patients and faster/better diagnosis, increasing suite turnaround

Financial savings are made in reduced room idle time, more scans per day and reduced clinician overtime

Centro Medico Teknon, Barcelona, Spain

Total Lighting SolutionsComfortable light improves diagnosis

40


Helping young patients to feel less anxious when they arrive

The hospital environment is key to uplifting their spirits

Use lighting to creates an immediate distraction to make children feel curious

The result is a welcoming, reassuring ambience

Birmingham Children’s Hospital, Birmingham, England

Total Lighting SolutionsDistracting solutions to reduce anxiety

41


ExteriorCreate a recognizable landmark. Communicate care, safety and hospitality.

Entrance areas and shopsCreate a welcoming ambience, facilitate communication, and create a good working environment.

Waiting roomsCalm and comfort. Stimulate distractions and social interaction when necessary. Communicate hygiene with an open and clean atmosphere.

Exam, imaging and interventionalRelaxed patients mean faster and clearer diagnosis. Flexible lighting for a variety of tasks.

Corridors, outdoor and parkingProvide a secure, easily navigable environment. Smart lighting controls help save energy.

Patient roomsCreate a less clinical, more welcoming room. Give patients more control of their environment. Facilitate treatment at the bedside.

Hospital officesAllow individuals to control their own workspace. Have a positive effect on motivation and well-being. Enable better concentration and communication.

Operating theatersReduce glare and shadow. Improve performance. Improve patient observation.

Total Lighting SolutionsImpact on Sustainability across the Estate

42


Leveraging Sustainability in Lighting A Holistic Approach


What to consider when investing in a sustainable lighting solution?

Does this business case make sense?

Have I considered the opportunity costs?

Should I calculated how much money I will save from CRC allowances?

Will I be incentivized in future to reduce my demand for energy during peak times? Can lighting help with this?

Energy prices are rising….have I included this increase in my payback calculations?

If I delay this decision – how much will it cost me each day? What is the cost of delay?

How much energy will this initiative save me on my utility bill this month?

Will spending more money on the capital investment save me money over time on my operational budget?


Will this solution impact on my carbon dioxide emissions?

Will this solution help me meet my environmental promises and targets?

LEDs last longer – have I considered how this will positively impact on my waste strategy?

Lighting is a relatively quick payback compared to other energy initiatives – can I use the savings from lighting to pay for other investments in my estate?

Will this solution help me to comply with environmental legislation?


Is this solution using less scarce resources to achieve more benefits than the existing technology?


Have I considered how the quality of light that this solution provides impacts on the health, wellbeing and productivity of my fellow employees?

Can I shout about the energy savings I have made in my corporate social responsibility reports?

I need to provide a safe and attractive environment – how will the white light from LED impact positively on this in my outdoor environment?

How can I use my commitment to energy efficiency to empowered my staff and consumers?


How can I use lighting to provide an environment that reflects our brand and corporate identity?


Thank you for your interestAny questions?

47

Documents

Sustainable Lighting Solutions for the NHS Final · Humanizing the Healthcare experience Healing environments can enhance the healing process and the wellbeing of all people in the