London Universities Environment Group. London. 3 rd September, 2013

Working across the NHS, Public Health and Social Care system www.sduhealth.org.uk

Achieving sustainable development in the Higher Education sector – lessons from the health and care sector?David PencheonNHS England and Public Health EnglandSustainable Development Unit

London Universities Environment Group. London. 3rd September, 2013


Sustainable development

“...meeting the needs of the present……without compromising the ability of others, in future (or elsewhere now) to meet their own needs”

- Adapted from the Brundtland Commission


- Barbier, E.,1987. The Concept of Sustainable Economic Development. Environmental Conservation, 14(2):101-110.- Adams, W.M. (2006). "The Future of Sustainability: Re-thinking Environment and Development in the Twenty-first Century."Report of the IUCN Renowned Thinkers Meeting, 29–31 January 2006.

Social environment

Physical environment

Economicenvironment

Creating the right environments

http://cmsdata.iucn.org/downloads/iucn_future_of_sustanability.pdf


Summary of progress - Carbon


16%

19%

65%

Travel

Building energy use

Procurement

Breakdown of NHS England 2010 emissions?


Procurement BreakdownP

harm

aceu

tical

s

Bus

ines

s se

rvic

es

Med

ical

Inst

rum

ents

/equ

ipm

ent

Pap

er p

rodu

cts

NH

S F

reig

ht tr

ansp

ort

Food

and

cat

erin

g

Oth

er m

anuf

actu

red

prod

ucts

Man

ufac

ture

d fu

els,

che

mic

als

and

gase

s

Con

stru

ctio

n

Wat

er a

nd s

anita

tion

Was

te p

rodu

cts

and

recy

clin

g

Info

rmat

ion

and

com

mun

icat

ion

tech

-no

logi

es Oth

er p

rocu

rem

ent -

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

5.00

4.38

1.781.61

0.74 0.72 0.68 0.66 0.620.29 0.28 0.27 0.21

0.46


Gas

Electric

ity

Oil

Coal

Busine

ss se

rvice

s

Constr

uctio

n

Food a

nd ca

tering

Freigh

t tran

sport

Inform

ation

and c

ommun

icatio

n tec

hnolo

gies

Manufa

ctured

fuels

chem

icals

and g

ases

Medica

l Instr

umen

ts /eq

uipmen

t

Other m

anufa

ctured

prod

ucts

Other p

rocure

ment

Paper

produ

cts

Pharm

aceu

ticals

Waste

produ

cts an

d rec

yclin

g

Water a

nd sa

nitati

on

Busine

ss Trav

el

0.00m

0.50m

1.00m

1.50m

2.00m

2.50m

3.00m

3.50m

Acute

Mental Health

Primary Care

Acute

Specialist

Mental Health

Ambulance

Primary Care

SHA

tCO2e

Acute – medical instruments and equipment

Acute - building energy use (gas and electricity)

Primary care and acute – business services

Primary care – pharmaceuticals including GP prescriptions

Goods and Services carbon footprint – carbon hotspots


What do we, the public, think?

Source:Ipsos MORIhttp://www.sdu.nhs.uk/healthcheck2012http://tiny.cc/w7fg5

http://www.sdu.nhs.uk/healthcheck2012

http://tiny.cc/w7fg5


Ten Entry points1. To save money / conserve limited resources2. To comply with regulations and law / scrutiny / governance3. To manage risk and improve resilience4. To manage reputation / take exemplary action5. To reduce environmental impact harmful to health6. To support staff to do what we all do elsewhere7. To take account of the strength of the scientific evidence8. To align actions with core ethics / values of the health / care system9. To modernise models of prevention / care in line with other drivers10. To improve outcomes: population health, and reduce health

inequalities now, and in the future….


“What is good for addressing climate change and creating a sustainable world......is ALSO good for health (and healthcare) NOW”

1. For the public’s health– More physical activity, better diet, improved

mental health, less road trauma, improved air quality, less obesity/ heart disease/cancer, more social inclusion/cohesion...

2. For the health and social care system– More prevention, care closer to home, more

empowered / self care, better use of drugs, better use of information and IT, fewer unnecessary admissions, better models of care…

Health co-benefits:


Protect and Promote

• Extreme Events• Climate chaos• Resource shortages• Heatwaves• Flooding• Biodiversity

• Employment• Family and friends• Housing• Healthy sustainable food• Clean energy, clean water• Integrated transport• Safe shared pleasant spaces• Resilient communities• Moving upstream

– Prevention– Resilience


Route map


Use the legal and regulatory framework to improve health

1. Civil Contingencies Act 20042. Climate Change Act 20083. Public Services (Social Value Act) 2012

– (Chapter 3)...requires public authorities to have regard to economic, social and environmental well-being.


Keep messages simple

1. Set a profound example in one’s own practice– If not us, then who?

2. Preparing the next generation of people: improving educational outcomes for the future within resource limits (environmental and financial)– “Do more for less”

3. Best possible collaboration for implementation of net generation of evidence for a safe, sustainable and fair future…

– the best minds acting together

Working across the NHS, Public Health and Social Care system www.sduhealth.org.ukSee notes of this slides for some of the most important specific actions


Have something positive to say


Leadership support


Engagement


…at all ages


Actions to improve protect/improve health

1. Cholera: 1854 Broad Street Pump

2. Smoking and tobacco: 1962

3. Sustainable development and climate change: 2012

London Universities Environment Group. London. 3 rd September, 2013

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