NHS Sustainability Day Nottingham Road Show 2014

Welcome to the Nottinghamshire Healthcare NHS Trust NHS Sustainability

Day Road Show#Dayforaction

2

Neil Alcock, Energy and Environmental Manager

and Sustainability Adviser

Sustainability in Practice

3

from the practical world of sustainability

Hits and Misses

4

Nottinghamshire Healthcare Nottinghamshire Healthcare is a provider of integrated healthcare services, including

mental health, learning disability and community health services.

Over 8,800 dedicated staff provide these services in a variety of settings, ranging from the community through to acute wards, as well as secure settings.

The Trust has a revenue income of £435 million for the present financial year.

The Trust delivers services from approximately 60 sites it owns and operates, but also operates from many sites which are not owned by the Trust, for example at least 26 sites owned by NHS Property Services but where the Trust is the majority occupant.

Total utility budget of approximately £3.5 million for owned and operated sites.

5

6

A decrease of 26% overall

Carbon Reduction the Big Picture

7

4 main NHS

carbon sectors

8

All scopes carbon footprint 2010/11 to 2013/14

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A decrease of 24% overall

10

11

Hits

Misses

All scopes carbon footprint reduced by 26% in four years.

Core building carbon emissions reduced by 24% in four years.

Procurement footprint reduced by 42% in four years.

Year on year comparisons made difficult by change to Trust structure and quality changes in data sources.

Procurement footprint greatly influenced by decline in the capital spend. What will happen when capital spend

increases again?

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13

Hits

Misses

Staff have been provided with a range of more sustainable travel option.

Sustainable travel days have been held to publicise the options.

No parking charges and a lack of parking restrictions at Trust sites means lack of impetus to reduce car use.

No measureable reduction from carbon emitted due to staff travel to date.

Travel Scoreboard

14

Voltage Optimisation Scoreboard

Voltage optimisation units installed at 4 of our largest sites, and delivering saving of up to 11% on electricity use.

A large increase in staff occupancy at one location has reduced the apparent savings.

Hits

Misses

15

HitsNissan Leaf and Peugoet Ion EV trialled successfully at two sites.

Purchase price too high to make them cost effective.

Cost of charging very cheap.

Electric Vehicle Trial

Misses

16

Hits Secure cycle storage facilities requested by the BUG installed .

Need to engage with our Health Partnership Division.

Bicycle User Group Set Up

Misses

Changing and shower facilities programmed for installation.

17

Hits

60 bird feeders and hedgehog dens installed across the Trust.

Initiative driven by the environmental team. Concepts need to be adopted by our G&G more widely.

Green Spaces Initiative

Misses

Attractive low maintenance green spaces provided for staff and service users.

280 trees planted as part of the NHS Forest scheme.

18

Hits Waste now being recycled at 96% of Trust owned and operated sites.

Continuing adoption of new sites make waste compliance an on-going challenge.

Waste and Re-cycling

Misses

E training package being developed to aid efficient waste management.

19

Hits Low sugar and low fat menu options selected.

Some sustainable foods still appear more costly so budget constraints may limit action in this area.

Sustainable healthy food

Misses

Seasonal food sourcing adopted.

Cooking oil re-cycled to fuel delivery vans.

Where possible Fair Trade, Rain Forest Alliance and other ethically traded goods are used.

20

Hits

More needs to be done to make sustainability core to Trust thinking

…………….and finally

Misses

Many more hits than misses.

……………. any question?

Warwickshire County Council

Electric Vehicles for Rural GP Practices

Warwickshire Case Study

Mike Woollacott ~ Greenwatt TechnologyNHS Sustainability Day Tuesday 25th February


Project Partners


Trial Aims & Purpose

“to assess the applicability of electric vehicle (EV) technology in rural transport situations”

Purpose:• Visible use of EVs in the rural

community• Obtain data on actual vehicle

usage• Gain insight into user experience• Test business model with GPs


Trial Outline

• Duration18 months from August 2012• Three pilot GP Practices participating• EVs being used as:

a pool vehicle for GPs on home visits and meetings

delivery vehicle for pharmacy staff

community taxi service to/from surgery

• Each vehicle fitted with a data logger (Quartix)• Dedicated charging point at each surgery (British Gas wall/post)


What’s in it for Medical Centre partners?

• Demonstrating community leadership and local information source

• Subsidised vehicle for the trial period (subsidised 18-month contract hire terms)

• Charge point supplied and installed by British Gas

• Opportunity to evaluate benefits of EV transport for Medical Centre

• Local, regional and national media coverage


Project Launch August 2012

“Warwickshire GP surgeries plug in to green machines”

Handover of keys from Mr Tim Zimmerman, CEO Peugeot UK to Brookside Health Centre


Health Centres~ EV handover

The Revel Surgery, Brinklow

Bidford Health Centre


Driver Training

Vehicle familiarisation – Peugeot UK

Efficient EV driving – EcoDrive Ltd


Typical Weekly Data Log Report


One Year Usage Summary

Miles travelled:Practice 1 – Patient & community transport 1436 milesPractice 2 – Prescription deliveries 2780 milesPractice 3 – GP home visits, personal use 6322 miles

Practice 1 Practice 2 Practice 30

1000

2000

3000

4000

5000

6000

7000

annual miles

annual miles


Annual Costings


Practice Managers’ Feedback

“Fantastic alternative to petrol vehicle”

“Welcome savings made on running costs”

“Very reliable”

“Many favourable comments from patients”

“All our patients now look out for DORIS (as we have named her) making prescription deliveries around the villages”


Driver Survey (Coventry University)

• Drivers have found driving the electric vehicle ‘better than expected’ in terms of noise, comfort, speed, acceleration, braking, charging and informatics

• As a result of driving the EV since September 2012 drivers comment include:– “we like driving the electric car”– “we find them as safe as our diesel vehicles”– “there are good savings on running costs” – “EVs will have an important future role”

• Some concerns expressed about performance in cold weather .... “driving in the cold/frosty weather significantly reduced the range”


Warwickshire Rural Electric Vehicle TrialsNext Steps

• All three GP Practices have extended their lease for a further 12 months

• Stratford EV Town Project (with British Gas)

• Warwickshire Rural Electric Vehicle Project (WREV)

• Housing Association – assisted living (pool EV)


Rural Electric Vehicle Trial

www.evs4gps.org.uk

Dedicated user website

Project Manager - Mike [email protected]

Luciana Berger MPShadow Public Health Minister

#Dayforaction

Changing Shape of EnergyNHS Sustainability Day

February 2014

38

May 2013

PROTECT - PROPRIETARY

What is the energy context in the UK?

Source: DECC Oct 2012

Supply

2001

2010

2020

2030

0.00

4.00

8.00

12.00

p/kW

h

HistoricHighCentralLow

Wholesale Power Prices 2001 – 2030

39

• Electricity generated in 2012 fell by 1.3%

Carbon • Low carbon electricity’s share of generation increased from 28.1% in 2011 to 30.7% in 2012

Cost • Energy price trend is set to continue & non energy cost increasing rapidly

NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved.

May 2013


Challenges – the energy dilemmas

2011 2014Typical unit rate £78/MWh Typical unit rate £102/MWh

40 PROTECT COMMERCIAL - Energy Services Overview © 2013 EDF Energy plc. All rights Reserved.

May 2013


41

PROTECT - PROPRIETARY - Connecting to Performance © EDF Energy plc. All rights Reserved.

Pay Less

Reduce consumption

Change Fuel

On-site Generation

May 2013


Chillercompliance& efficiency

Temperaturecontrol

On-site technical resource management

Building management system

Ventilation upgrades

Lighting system upgrades

Mechanical retrofit

Air quality improvement

Utilities auditing

Generators for Demand Response

“Achieve a 34% reduction in carbon

dioxide equivalent emissions from building energy use, travel and procurement of

goods andservices by 2020”.

Source: Sustainable Development Strategy

42 NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved. – Protect Commercial

Changing processes, upgrading technologies

May 2013


Source FT Nov 2011

Advanced, open and willing to listen to new ideas…

• Executive Sponsorship• Employee Engagement• Job Isolation• Job Focus

43 NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved.

Changing attitudes

May 2013


What is it?

Strategic Energy Partnership

Guaranteed savings

Generates value through a blend of measures


Energy Performance Contracts (EnPC)

May 2013


Strategic

Capital investment in your estate

Hedge against price fluctuations

Immediate savings


Energy Performance Contracts (EnPC) benefits

May 2013


Payback Period

Total Energy Savings

2 year payback Investment Criteria Limit

£50k

Energy Savings per

Project

£250k

Agg. Single Projects

EnPC (bundle)

£0k £0k

5 ye

ars0

year

s

How an EnPC works in practice

46

NB: Within the EnPC the highest individual project payback was 4.6 years

Orange icons indicate single projects, Green icons indicate projects part of an EnPC


May 2013


Why now is the time to start thinking about EnPCs• Challenging carbon targets• Ageing assets that are approaching the end of their life• Finance constraints • Credible delivery partners • Support networks and procurement frameworks (such as

RE:FiT, Building Research Establishment (BRE), Carbon Energy Fund)

NHS Sustainability Day February 2014 © EDF Energy plc. All rights Reserved.47

48


May 2013


ObjectivesOutcomes

An easy way to see the energy change in context


50

Understand the risks - 2011 wholesale energy price made 2/3rd of standard contract total cost


51

What does this tell us?• Non Energy Costs are getting higher • Non Energy Costs will be the volatile component of your bill

2014 Energy Prices: Non energy cost expected to rise

70% of the 2014 increase is non energy cost


Tea/Coffee & Networking#Dayforaction

Resource efficiency through effective behaviour change

25th February 2014NHS Sustainability DayNottingham

Ann DurrantManaging Director

A bit about me and M4C …M4C:• Sustainability specialists• Strong focus on comms• In business over 8 years

Ann:• Chartered Engineer• Ex British Rail and AstraZeneca• Associate lecturer at Salford Uni

Who we’ve helped …

A very quick bit of …Behavioural Psychology

Culture change

A place where sustainable behaviours are the norm

Make it a habit

Make it a habit

Pavlov’s dog

A couple of …Case studies

Northern Rail

Project Manager engagement

Objective – to get project managers to consider sustainability initiatives at the beginning of a project

Northern Rail

SABMiller

Objective – improve performance across all sustainability priorities

Level assessment process

SABMiller

• KPIs• Level assessments

• Areas of risk• Good news stories

0 1 2 3 4 5Below minimum

Minimum standard

Progressing Developing leadership

Best practice

Leading edge

SABMiller

SABMiller

Result

Keele University

Recycling campaign

Objective – to increase their recycling rate from 44% to 60%

Keele UniversityAnnual waste management costs40% = £116,46060% = £102,285

Keele University – 64th

Northern Rail

Employee engagement

Objective – to get employees to take ownership of environmental challenges in the work place

Northern Rail

• Email • Online• Phone• Face to face• Internal mail

Case study - Northern Rail

Summary

• Tell people what to do• Make it easy• Make it normal• Use intrigue• Make it fun• Use memory joggers• Provide feedback• Competitions• Set goals• Give rewards• Link to their values

Other events

Webinars:An introduction to behaviour change techniques• 6th March – 13.00www.nhssustainabilityday.co.uk/webinars

1 day CPD accredited course:Energy savings through communication and engagement• 7th April – Watford • 15th May – Salfordwww.m4c-sustainability.co.uk/cpd

Ann Durrant

[email protected] 50183207951 642747

www.m4c-sustainability.co.uk

© British Gas Trading Limited 2011

Private and public sector partnerships25th February 2014

By definition

“A partnership is an arrangement in which parties agree to cooperate to advance their mutual interests”

Health and wellbeing at the core of a sustainable NHS

Source : Department of Health

Deprivation and its impact on health and wellbeing

Sources : Marmont Review, Office of National Statistics

The health risks associated with cold homes

<16°C (61°F) - Reduced resistance to respiratory infection.

<12°C (52°F) - Increase in blood pressure and blood thickness. Risk of circulatory and heart disease, can be fatal.

<9°C (47°F) - After two hours, deep body temperature falls leading to hypothermia, can be fatal.

Taking action on fuel poverty

By definition

“A partnership is an arrangement in which parties agree to cooperate to advance their mutual interests”

Tower Hamlets

Each year, Tower Hamlets suffers from around 330 excess winter deaths that are attributable to Fuel Poverty. Tower Hamlets is one of the worst affected areas in the UK.

The vision

“Improving the energy efficiency of the existing [building] stock is a long-term, sustainable way of ensuring multiple gains, including environmental, health and social gains.”

The Health Impacts of Cold Homes and Fuel Poverty, Marmot Review, 2011

Our approach

1. Training of healthcare professionals

2. Utilisation of outpatient letters

3. In-hospital comms

What we are learning

Engaging appropriate stakeholders key

It takes time and resource

Language barriers

Quality of information will impact conversion rates

Where we are with the project

43 people trained

Letter process up and running

Referrals generated

First completed installs

Raising the profile

Left: Living Warm Living Well featured in the Barts Health Life magazine, which goes out to staff and patients

Below: Living Warm Living Well also featured in the East End Life before Christmas.

Next steps

Customer satisfaction surveys and feedback

Review what worked, what didn’t

Consider implications of changes to ECO

Partnerships principles

1. Discuss wider goals

2. Take calculated risks, and be realistic(considering resource, BAU activity etc.)

3. Measure success

4. When things don’t work, learn from it

5. When things do work, repeat and share best practice

Thank you

Chris BarrassSenior Business Development [email protected] 573639

Nottinghamshire Healthcare NHS TrustFebruary 25th 2014

Collaborating on Sustainability within the NHS

12/09/2013

90

Titre de la présentation

Click icon to add picture

Agenda

Introduction to Cofely

Collaboration within the NHS

Cofely GDF SUEZ approach to Sustainability

Local Action Plans

Case Study Examples (broader sustainability)— Pilgrim Hospital— Rampton Hospital— Queen Elizabeth Hospital

91

GDF SUEZ Energy Services & Cofely

Cofely is primary B2B brand of GDF SUEZ Energy Services

Cofely operates in over 30 countries, serving 100,000 public & private sector customers

£13 billion revenues

No.1 service provider in France, Belgium, Netherlands & Italy

95,000 employees worldwide

92

Cofely in the UK

93

£1 billion UK turnover*

15,200 employees in UK*

14,000 sites managed in UK

23.6 million m2 of space managed

* Including pro-rata full consolidation of Romec JV

Service Areas for Customers

94

12/09/2013

95

12/09/2013

96

Local Engagement on Sustainability

12/09/2013

97

Pilgrim Hospital Energy Centre, Boston

98


http://www.ulh.nhs.uk/

Pilgrim Hospital Energy Centre, Boston

15 year contract for Energy Supply and Operation

Awarded in April 2008

Design, build and operation of Energy Centre

Steam raising biomass, gas & CHP

Updated control system

New water treatment plant

First installation of steam biomass boiler supplied to the NHS within the UK

99

Background: Pilgrim Hospital, Boston, Lincolnshire

Pilgrim Hospital opened in 1976

Serves South & South East Lincolnshire

24hr major Accident & Emergency department

569 beds, serving a population of 350,000

Full range of acute services

100

http://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&docid=fj8dlxO_fm0PeM&tbnid=nY8bbKO7FZoxwM:&ved=0CAUQjRw&url=http://www.ulh.nhs.uk/about_us/contacting_us.asp&ei=M3IGU-T9JKHK0AWAqIHQBg&bvm=bv.61725948,d.ZG4&psig=AFQjCNHB6LAMUGyhEwnWvi1CQ3XPHMKbEQ&ust=1393017772759511

http://www.google.co.uk/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&docid=fj8dlxO_fm0PeM&tbnid=nY8bbKO7FZoxwM:&ved=0CAUQjRw&url=http://www.ulh.nhs.uk/about_us/contacting_us.asp&ei=M3IGU-T9JKHK0AWAqIHQBg&bvm=bv.61725948,d.ZG4&psig=AFQjCNHB6LAMUGyhEwnWvi1CQ3XPHMKbEQ&ust=1393017772759511

Phase I: Construction & Installation

COFELY designed, installed and operate the Energy Centre.

The Security of Supply was essential at all times:— Hospital fully operational at all times throughout the project

Fuel flexibility

101

Phase II - Operational

COFELY have total responsibility for the plant

Working in close partnership with the NHS Trust through a Liaison Committee to procure fuel

We sell steam, electricity and hot water to the Hospital

£90K per annum carbon trading savings

5,732 tonnes reduction in CO2 emissions per annum

51% reduction in CO2

102

Behavioural Change

Awareness Campaign for new Energy Centre

Educational materials & Energy boards

Open day for stakeholders

Supplier forum

Engaging local press

Training & Awareness

Awareness of practices that can be used outside of the workplace at home

103

Other initiatives

104


Rampton Hospital Energy Centre

Carbon Energy Fund framework contract to construct, operate and maintain a new Energy Centre Due for completion by the end of 2014, Energy Centre will provide heating, hot water and electricity to the hospital. Will meet approx 87% of the total electricity demand

— 1MW biomass boiler, — 1.2MW combined heat and power (CHP) engine — 3 x high efficiency dual-fuel boilers running on gas. — A new building management system will also be installed.

Reducing CO2 emissions by 8,000 tonnes per annum

Projected financial savings of around £112,000 per annum

105

106

Queen Elizabeth Hospital

Onsite energy manager oversees hospital site’s £10 million energy spend

We support the operational team in contract delivery to guarantee onsite energy performance

Energy reduction strategy implemented across the 185,000 sqm estate means the combined hospital trusts are already operating 12% more efficiently than the original performance target.

Welcome back#Dayforaction

Lunch#Dayforaction

Welcome back#Dayforaction

Sustainable WaterHow Bart's NHS are Saving Britain’s Water

with AquaFund©

Why worry about water?

• Water scarcity

• Rising cost of water

• Population growth

• Unpredictability of climate

01753 833 880 [email protected]

© Advanced Demand Side Management 2014.

Population Growth & Food

What do you use?


Butter

Beef

150 litres3,400 litres

Chocolate


Climate change

Water cost & CO2

• Rising costs

• The nexus of Energy & Water



Better water management

• Sustainability

• We should use less

• Not simply because it is right, because it is necessary


How Bart's NHS are Saving Britain's Water

The Trust had specific objectives

• Reduce water consumption and cost

• Reduce Carbon emissions

• Environmental performance & impact

• Strengthen data management

To sustainably manage its

water resources



The partnership

• Lower water consumption

• Financial savings

• No budget

• A comprehensive approach

NHS Trusts are eligible for a £200,000 -

£500,000 grant



Engineering expertise

• In-depth surveys of the entire portfolio

• State of the art water-saving technologies

• Automatic Meter Readers



Strengthening the Trust’s data

• Full water bureau service

• Monthly Monitoring & Targeting Reports

• Total visibility


Environmental

• Consumption profiling and environmental information

• Levels of Carbon saved

• Continually monitoring, preventing anomalies or leaks



Humanitarian aid420,000 people out of water poverty

Delivering on the Trust’s objectives

• Reduce water consumption and cost

• Reduce Carbon emissions

• Strengthen data management

• Environmental performance & impact



To sustainably manage its

water resources

A comprehensive approach

• Billing Data

• Water-saving equipment

• Continually monitoring



Our impact

Framework OJEU REFERENCE:

2011/S 186-30447301753 833 880

[email protected]

www.adsm.com

@AquaFund



Fuel Poverty

Old definition: more than 10 % of income spent on fuel to maintain a satisfactory heating regime.

When is a household in fuel poverty?

New definition: fuel costs are above average or where heating adequately would leave an income below the poverty line

In 2011 under the new definition 2.4 million 1 were classed as fuel poor rather than 3.2 million 2

1. DECC, Annual report on fuel poverty statistics 2013 (May 2013) 2. DECC, Fuel poverty report: Updated August 2013 (August 2013)

Fuel Poverty - the causes & consequences

Low Income Poor efficiency

Under occupancy

FUEL POVERTY

High energyprices

HEAT HOME DON’T HEAT Fuel Debt Ill health

Disrepair

Condensation

Who is at risk?

Households with a low income particularly if it is fixed –

Older people

Parents with young children

People with disabilities and or long term illnesses

Single people – under occupied

People without access to advice and information

Households that are not on the gas network

CSE Fuel Poverty Indicator 2012

Health issues associated with fuel poverty

Cold homes can be a significant risk to health

18 - 21°C – No risk to sedentary, healthy people

Below 16 °C – diminished resistance to respiritory infections

Below 12 °C – increased blood pressure and viscosity

Below 9 °C – after 2 or more hours deep body temperature falls

Excess Winter Mortality associated with fuel poverty

In Britain a cold spell during a mild winter is followed:

2 days - Rise in heart attacks (1/3)

5 days - Rise in strokes

12 days - Rise respiratory illnesses

In 2012-13 there were 31,100 excess winter deaths in England.

This is a a 29% in increase compared with the previous winter.

Reports on Excess Winter Mortality – Public Health England (PHE) and ONS

Identifying Fuel Poverty

Using prepayment meter to avoid debt

Home is draughty

Child / family member has respiratory problems

Listen out for people talking about it

Fuel bills are too high

Home is usually too cold

Living in one room to keep warm

Rationing fuel

Anyone can identify fuel poverty, particularly those in contact with public

Severe condensation on windows

Portable bottled gas or electric heaters

Heating controls absent / not working

Mould stains on wall or curtains

Curtains kept closed to retain heat

Look for evidence of it

Heating appliances aren’t being used e.g. dust on heating elements

Blocked / covered vents

Feel – Cold

Smell – damp, musty

Feel – Draughts

Feel - Large differences in temperature between rooms maybe only heating one room

Sense it when visiting homes

Fuel Poverty Solutions

Improve income

Accessing benefits can increase incomes available grant schemes and other services

Reduce fuel costs

Using the cheapest fuels for heating, hot water and appliances

• Switching energy suppliers can save up to £420 a year*

• Comparison sites such as energyhelpline, uswitch, moneysupermarket

• Make sure you are on the cheapest tariff • Try to pay by Direct Debit if possible

(Figures from uswitch)

Improve the energy efficiency of homes

Renewable and Micro generation technologies

Energy efficient heating systems

Insulation

26%

12% 8%

33% 18%

3%

Loft Insulation

Loft Insulation is one of the easiest and most cost-effective ways of improving the energy efficiency of your home.

*Source Energy Saving Trust

• Save up to £175* every year on bills

• Your home will stay warmer for longer

• Can help to reduce condensation

• Effective for at least 40 years

• An un-insulated roof can lose up to 25%

Cavity Wall Insulation

• Save up to £135* every year

• Homes stay warmer for longer

• Can help to reduce condensation

• Effective for at least 40 years

• Un-insulated walls lose up to 33%

If your home was built after 1920 its external walls are likely to be made of two layers with a gap or cavity between them. Cavity wall insulation fills that gap

*Source Energy Saving Trust

Solid Wall Insulation

• Layer of insulation material is fixed to the walls

• External insulation may change appearance

• May need planning permission:

Renewable energy systems

• Ground source heat pumps• Air source heat pumps• Biomass boilers (wood)• Solar thermal • Solar photo voltaic (P.V.)

Incentives:• Renewable heat incentive (RHI)• Feed in tariff (FIT)

Grants, Schemes and Services

Green deal

Launched in January 2013

Reduces upfront costs of energy efficiency measures

Repay the cost of improvements through the savings on your energy bills

No eligibility criteria

Energy Company Obligation (ECO)

• Government’s new energy efficiency programme • Replaces the CERT, CESP & Warm Front programmes• Works alongside the Green Deal• Provides additional support for energy efficiency• Support for vulnerable households & communities

• Funding is provided from energy companies to install:• Loft & Wall insulation• Replacement energy efficient boilers• Communal heating

Carillion Case Study – Birmingham 7 Towers

The 7 towers project is part of the Birmingham Energy Savers Programme

480 social housing flats in tower blocks owned by Birmingham City Council

Two fuel poor areas of the city

Installation of energy efficiency improvements including: • External wall insulation• Flat roof insulation • EcoPod district heating

Carillion Case Study – Birmingham 7 Towers

Project delivery was significantly more that the ECO funding alone. Carillion worked with Birmingham City Council to include other funding:

• DECC Go Early • DECC Fuel Poverty • European Regional Development Fund

Example of measureable impacts on fuel poverty on a flat in Metchley House:

• Average annual fuel bill prior to installation £550• Average annual fuel bill after EWI and EcoPod installation: £350• Average overall annual saving: £200

Thank you !

GPS London Event Jan 2014 © EDF Energy plc. All rights Reserved. Protect Commercial154

Welcome

GPS London Event Jan 2014 © EDF Energy plc. All rights Reserved. Protect Commercial

EDF Energy Workshop

Presenter: Vicki Evans, EDF Energy


ObjectivesOutcomes

An easy way to see the energy change in context

156 NHS Sustainability Day 2014 © EDF Energy plc. All rights Reserved. Protect Commercial


Scoping out delivery costs



Electricity network

Distribution

TransmissionBalancing



Non energy costs are rising

2011 201465%

7%

2%

56%30%

12%

2%

Wholesale

energy

Delivery

Based on average customer

26%

Low carbon generation

Other

Delivery charges are predicted to increase by 50% to represent an increase from around 26% to 30% of the average unit price.


2011 – Typical unit rate £78/MWh 2014 – Typical unit rate £102/MWh


• Significant investment to maintain network and connect new, often intermittent, low carbon generation

• Ofgem regulates their revenues with price controls

• TNUoS = c.5% of business energy bills

• Triad management opportunities160 NHS Sustainability Day 2014 © EDF Energy plc. All rights Reserved. Protect Commercial


• 6 DNOs manage 14 regional networks

• DNOs’ investment plans and revenues are long term and regulated by Ofgem

• DUoS = 20% of businesses energy bill. Charges vary by region



• National Grid acts as System Operator (SO) to balance demand & generation

• BSUoS = 1% of business energy bills

• Balancing contracts (e.g. STOR) provide opportunities to be paid for reducing consumption / increasing generation to help balance the system



Rising

Rising fast

Variable

All costs in £ billions



Options to save

The only way to avoid non energy costs is not to use the unit. Non Energy Costs are passed through or included in

your unit rate these charges always apply

Produce your own Use less



Produce your own – example

• An NHS Trust uses a CHP plant to generate electricity• Unused generation was being spilt back to the grid • The Trust was not receiving payment for what they spilt• The Trust set themselves up to export• A Power Purchase Agreement (PPA) is set up• Customer is paid for the excess energy they generate **

**Depending on volume generated



Power Purchase Agreements (PPAs)

Fixed price PPA:• Sets the price you sell, provides income certainty• All-inclusive rate• Volume tolerance options

Index-linked PPA:• Achieves a price that is linked to the wholesale market• Suitable for new generators, variable or intermittent

export volumes• Flexibility around how and when you forecast your output



Use less – example

• NHS Trust requests assistance to help them understand their energy consumption patterns• Their energy provider gives access to day +1 reporting portal• The Trust uses data to get control on when they use electricity• The Trust contacts an energy services provider to find out more• Provider identifies a number of options to reduce usage through on-site and desk research



Use less – your options

Pay back timing

Technology• Refurbishment• Established• Innovative

• Short-term• Long term• ECM hurdle rate

Savings• Volume• Value• Extra income

Carbon

Volume management

• Increased visibility

• Volume reduction• CRC Scheme

Energy awareness

• Impact• Audience• Promoting change

Renewable generation

Operational Excellence

• Installation• Consumption• Alternatives• Increase awareness

Audit&

Reporting

• Understanding, visibility and control• Around change• Basis for strategy

• Site Maintenance• Consistency• Disaster recovery process• Smart Response

NHS Sustainability Day 2014 © EDF Energy plc. All rights Reserved. Protect Commercial168


A good place to startUnderstand energy usage

Highlight wastage or over consumption

Pinpoint areas for improvement

Establish benchmarks

Plan for changes within the organisation e.g. expansion

Communicate with senior management

Engage with frontline staff and create engagement strategies

Produce targeted business cases for investments

Within energy function

With external

stakeholders



Reduction of carbon emissions and associated costs by 25% (2009-2014)

Sid SiddiquiDCHS

Environmental Manager

Mark Armstrong-ReadDCHS

Strategy and Planning Manager

ENERGY WATERWASTE TRAVEL

EMISSIONS Cost

SCOPE:

• Capital• Improve buildings and energy using plant• Low cost energy efficient innovations• Renewables

• Rigorous maintenance• Back-log – draught proofing, heating controls • Pro-active – plant & equipment ppm, water meters• Reactive – windows, doors, heating, water leaks

How?ENERGY

• Strict leakage monitor and control • Low cost water saving devices • Working closely with water supply companies • Behavioural change • ISO 14001

How?WATER

• Adopting ‘waste hierarchy’ approach• Meticulous waste separation & segregation• Reducing landfill waste • WEEE• ISO 14001

How?WASTE

Green Travel Plan• Teleconferencing and back to back meetings• Remote and agile working providing hot desks • E-pay: Electronic mileage claims• Salary sacrifice lease cars• Car share website, public transport, cycle to work• pool cars

How?TRAVEL

• initiative •Carbon Champions•The Voice •Mail shots/Newsletters

ManagingCHANGE

http://www.wethinkgreen.co.uk/about/

CO2 vs.TARGET

2850 tonnes saved against BAU scenario

£’s vs.TARGET

Actual cost savings to date £600k (£1600k against BAU)

• Beyond 2014– Retain and embed achievements and good

practices – Develop new sustainability strategy to take us

into 2020– Sustainable procurement to play significant role

in reducing CO2 emissions and costs – Minimise landfill waste– Low carbon buildings and technologies

OurFUTURE

Thank you for listening

Questions?

Sustainability in NHS Property Services Ltd

Why NHS Property Services?

• We manage, maintain and improve NHS properties and facilities

• In partnership with NHS organisations• To create safe, efficient,

sustainable and modernhealthcare and working environments.

Our portfolio

Our objectives

5 of 6 To ensure our estate is managed sustainably and that we support wider government initiatives in this area

Benefiting the NHS1. Focus on Estates and Facilities provision, we

can deliver a more streamlined, strategic and professional focus

2. Provide quality buildings, one building many providers

3. Clinical providers can concentrate on quality of care. Patients come to one building for range of care

We look forward to working with you

• Scope to redesign or add value only realised through co-operation with commissioners and providers

An Exciting Vision

• The NHS is now under pressure to adopt new patient care pathways. NHS Property Services will respond by making the estate fit for the future

• NHS Property Services can lead the way in reducing the impact of the NHS on the environment

How will NHS Property Services achieve its energy saving targets?

• Audit its estate• Establish its carbon footprint• Target improvement • Implement improvement strategies• Work with partners/tenants in achievement of

their own sustainability objectives

What does NHS Property Services plan in the future?• Establishment of good quality data• Use of EPC to improve efficiency of buildings• Work with tenants to improve efficient use of

resources - leads to lower charges• Greater negotiation with transport providers• Work with tenants to identify electric vehicle

charging points• Work with commissioners to

identify areas for investment and de-investment

Matthew SmithBEng(Hons), DipNEBOSH, EnvDipNEBOSH, AIEMA

[email protected]

Health & Medicine

NHS Sustainability Day Nottingham Road Show 2014