Sustainability Day Manchester 2017

Welcome to the Manchester Sustainability Day 2016 Road Show

#Dayforaction

Chair’s welcome

Roger Tolman, 4 All of Us

#Dayforaction

Morning session

08:45 Registration and networking

09:30 Chairs WelcomeRoger Tolman, 4 All of Us

09:40 An IntroductionDavid Cain, Board lead, Corporate Social Responsibility, Central Manchester University Hospitals NHS Foundation Trust

09:55 Delivering a vision for your TrustClaire Igoe, Sustainability & Energy Manager, Estates and Facilities Directorate, Central Manchester University Hospitals NHS Foundation Trust

10:15 The use of games to encourage behaviour change in healthClicks & Links

10:35 Smart Cities and how they have the potential to be an integral part of Health & Social careMark Griffiths, Regional Director, Bouygues Energy & Services FM Division

10:55 Question and answers

11:15 Refreshments and networking

An introduction to Manchester

David Cain, Board lead, Corporate Social Responsibility, CMFT

#Dayforaction

Delivering a vision for your Trust

9th February 2017

Claire Igoe, Sustainability & Energy Manager, CMFT

@cmftgreen

Sustainable Development Management Plan

“Our vision is to be a leading green and sustainable hospital,

delivering high quality care in a resource efficient and sustainable manner.

We will achieve this through a combination of investment in energy efficient technologies and infrastructure underpinned by a

Trust wide staff awareness and behavioural change programme.”

Sustainability Strategy

Behaviour change and staff

awareness

Waste reduction and reuse

Sustainable Travel

Energy & water

efficiency

Our Approach

Communicating the message

- Newsletters- Campaigns- Twitter- Events

Communicating the message


Reduce total volumes of waste and improve segregation

Reduce volumes of general domestic waste in healthcare waste streams

Rolled out the tiger bag ‘offensive waste’ stream into all suitable areas.

Introduced reuse system and improved segregation and compliance.


Warp It – saved £70,000 in 12 months, currently 700 users

Introducing innovative waste segregation –coffee cups, chewing gum, healthcare plastics

New confidential waste service Reusable sharps bins Improving food waste segregation and reducing

food waste volumes Alternatives to rigid plastic containers for

disposal

Waste reduction and reuse Waste per patient contact3.03 kg – 2.81 kg13/14 – 15/16

Behaviour Change

Needed a structured way to engage staff in sustainable behaviours at work

NUS (National Union of Students) Green Impact model identified

Environmental Accreditation and Awards scheme

Behaviour Change

Outcomes – last cycle

Sustainable Travel

Travel modal share (staff)

Energy & water efficiency – project examples

PC monitor power down(£25K p.a. savings)

BMS Optimisation(£150K p.a. savings)

LED Lighting in multi storey car park (£65K

p.a. savings)

Plant room insulation(£50K p.a. savings)

Boiler economisers(£100K p.a. savings)

Contact

@cmftgreen

[email protected]

The use of games to encourage behaviour change in health

Clicks & Links

#Dayforaction

Mark Griffiths

Regional Director

Bouygues Energies & Services

Smart Cities can they be an integral part of Health & Social care?

AGENDA:

• Introduction

• What is a Smart City

• Building Smart

• Delivery

• Drivers and Benefits

The Bouygues Group: Building Smart Cities

Communications Construction Power

£36 B turnover

What is Smart City?

Bouygues’ French Headquarters - Challenger

First building in the world to achieve triple certification (2011)

• LEED® “Platinum” (US)

• BREEAM® “Outstanding” (UK)

• HQE® “Exceptional” (FR)

Delivery Challenge

• Phased works from 2010 to 2014, Shifts over 67,000m2

• Occupied site

Energy

• 90% Energy and CO2 savings

• Ventilated, double skin façades

• Geothermal energy from heat pumps

• 25,000m2 photovoltaic panels on roofs, terraces and solar farm

• 100% of available BREEAM energy credits achieved

Water

• Rainwater harvesting

• 60% water savings

• 100% of sewage will be treated and re-used on site (phyto-filtration garden)

Human Activities: City Impact!!!

More Cities: More Carbon Impact!!!

• 80% Global CO2 due to Cities

• More People in Cities

• Reduce the impact

• Less Energy

• Eco Communities

• Eco Buildings

• Challenge of Eco Cities

Smart City Challenges

Smart City Challenges: Approach

Lots of Independent solutions

Process – Identify the needs

Public Spaces

Infrastructures

Housing

Public amenities

Commerce and

business

New

usages

Local

services

Nature in the

city

Water Energies Wastes Mobility Digital

Create the best solution with the best partners

More lively, more communal and more intense

More efficient, more renewable and greener

More connected, smarter and more intermodal

Group

Global

Local

FM

Smart Grid Local

PARIS | FORT D’ISSY

FIRST DISTRICT SMART GRID IN FRANCE Issy‐des‐Moulineaux:> 160,000m2> 10,000 people

1. Energy consumption will be measured for all types of use, including: office, home, business, public lighting and electric vehicle recharging stations

2. Installation of solar panels, co‐generation units and other energy production resources andother energy storage devices (batteries, flywheels…)

3. Production, consumption and storage systems will be shared and managed as a whole in order to identify areas of energy optimization

GreenCity – Zurich2000W Community

Today

5.000 W/hab

Accomodation1.500 W

Transportation900 W

Consumption1.100 W

Infrastructure900 W

Electricity600 W

Goal

2.000 W/hab

Smart City Solution

Smart City & Health and Social Care Drivers & Benefits

Internet Of Things

High-Tech Ecosystem

Data Development

Sensor networks

Data Collection

Storage

Mobility

Predictive Healthcare –App based ?

Improved environment –Air Quality

Reduced inpatient time

Social Inclusion

Benefits

Driv

ers

There is one game changer that will help us deliver these benefits

www.bouygues-es.co.uk

Thank You

Question and answers

#Dayforaction

Refreshments & Networking

#Dayforaction

Mid-morning session

11:45 Role of reuse within the NHSDaniel O Connor, CEO, Warp-It

12:05 100% Interest Free Capital Loans Emma Lawes, Client Support Officer from Salix Finance & Mark Hogan, Energy and Environmental Manager, Estates & Facilities at Wrightington, Wigan & Leigh NHS Foundation Trust

12:25 Building health into healthcarePaul Chatwin, Associate, Cundall

12:45 Liverpool Women’s Hospital uses sustainable reusable sharp’s containersMary Fotheringham, Business Development Manager, Sharpsmart

13:05 Need to renew your power-plants or to provide stand-by power?Gordon Watt, European Business Development

13:25 Lunch & Networking

The Power of Habit. Changing Organisational Habits

An introduction

Overview

Habits basics Organizational

habits Demonstrated via

reuse but can be applied wherever!

Daniel Bede O’Connor

Head of Customer HappinessGetWarpIt.com

[email protected]

@WarpIt_

The power of habitWhy do we do what we do and how to change.

Charles Duhigg

What habit would you like to develop or change?

You want to improve things right?

Organisationalhabits

Why habits form

Habit basics

The habit loop

The habit loop

New habits

Craving reward!

Changing habits

GetWarpIt.com

Surplus assets redistribution internal estate

Changing procurement habits

External collaboration

New disposal/procurement habits

NHS London save £3K , NHS Tayside save £15K

Keystone habits

Keystone habits in organisations

Reuse as a Keystone habit

Frame within crisis, not sustainability

Unacceptable to dispose of assets to waste

Change

Other sustainability behaviours

“Once a small win is accomplished , forces are set in motion that favouranother small win”

Small wins

“Small wins fuel transformative change by leveraging tiny advantages into patterns that convince people bigger achievements are within reach”

Small wins

Small wins

Wishlists

Direct transfer- no double handling

Watchlists

Plan building moves.

Direct transfer.

Demonstrate savings.

Metrics from NHS Tayside

Reuse as a Keystone habit

Win win win

Social

Small wins for reuseOr any sustainability project

Just start off with a stationery amnesty? Show impact?

Ask procurement to block purchase of stationery

Demonstrate savings let’s do full reuse system

Develop intranet content

Deliver newsletter

First £20K saving

Feedback to staff

Feedback to senior staff

1st year review

Yes we’ve got the CE on board!

Review

Anatomy of habits

Keystone habits

Small wins

Do you want to improve things?

Do you

Hate buying new when the organisationalready has it?

Do you

Hate seeing surplus assets in skips?

Do you

Like reducing waste?

Do you

Like reducing procurement?

Do you

Like helping staff collaborate?

Do you

Like saving money and carbon?

Do you

Like collaborating with other Trusts?

Do you

Want to get me in to illustrate the hooks and benefits of reuse for each department?

What habit would you like to develop or change?

Habit?

Cue

Routine

Reward?

Craving!

Daniel O’Connor

Head of Customer [email protected]

@WarpIt_

ENERGY EFFICIENCY AT WRIGHTINGTON, WIGAN

AND LEIGH NHS FOUNDATION TRUST

Emma LawesClient Support Officer

Mark HoganEnergy Environmental ManagerWrightington, Wigan and Leigh

Foundation Trust

100%INTERESTFREE

@SalixFinance #SalixFunded

Introduction

Knowledge sharing and case studies

Salix Finance and Wrightington, Wigan and Leigh NHS FT

To demonstrate how Salix can help Trust and Foundation Trusts

Summary of the loan application process

Our aims for today


Opportunities and Savings for the NHS

241 Trusts and Foundation Trusts spend over £634m on energy and utilities 1

Average of £2.5m per hospital 1

Typically 3rd largest expenditure

The most energy intensive Trusts spend 6.2 x more per m2 than those which are less energy intensive 1

1. Health and Social Care Information Centre, Hospital estates and facilities statistics 20152. Salix Finance – loan applications since 2008

Our NHS clients have saved on average £236k per year 2


Introduction to Salix funding


Who we are

Established in 2004

Publicly funded, not-for-profit company

100% interest-free capital finance for the public sector

Over 120 technologies funded

Funded by BEIS, Scottish and Welsh Government, EFA and DfE

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

NHS Improvement approve of Salix’s Invest to Save model



Case StudiesProject Knowledge Slides

Social Media


News & Blog

Best Practice Calculations


Our funding model

Client contribution

(were applicable)


Salix Activity within the NHS


Top 10 NHS Clients*

Imperial College Healthcare NHS Trust

Northern Devon Healthcare Trust

Hinchingbrooke NHS Trust

Bradford Teaching Hospitals NHS FT

Princess Alexandra Hospital NHS Trust

Northampton General Hospital NHS Trust

St George’s Hospital NHS FT

Poole Hospital NHS FT

Wrightington, Wigan and Leigh NHS FT

Frimley Health NHS FT * By project value


Salix Finance and Wrightington, Wigan and Leigh NHS Foundation Trust

RAEI 600 Bed Acute

Leigh Infirmary, Tertiary ServicesWrightington Hospital Specialist Services

Background

WWL Started its own CMIP in 2006

WWL Employ Energy Manager 2008

First SALIX application approved 2014

We have carried out 6 energy reduction projects since 2015

Utilised a total of £2.6M

Annual savings of £590K

Achievements of WWL so far

Heat Recovery RAEI Heat Recovery Leigh Heat Recovery Wrightington

Plant room optimisation

Achievements of WWL so far

-

5,000.00

10,000.00

15,000.00

20,000.00

25,000.00

2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17

WWL enrgy emissions (tCO2e)

WWL Capital Investment £200K/annum SALIX capital Investment £2.6M

Bas

elin

e ye

ar

1. WWL Energy Manager Starts2. New boilers running full year

1. New CCC running full year2. Installation of Heat recovery Unit3. SALIX Finance £500K

1. New Phase – running full year2. Installation of two new Heat

recovery units3. Removal of old Calorifiers4. SALIX Finance £890K

1. Install CHP2. Heat recovery

extension3. SALIX Finance

£1.2M

Emissions Reduction

Benefits

Patient and staff comfort improved

Reduced revenue expenditure

Improved resilience

Simple process

Support available from SALIX technical team

Supported in capital investment when internal is not available

Lessons learnedAlways remember to include VAT in the application

Remember to include for additional work which the project may need

Next steps

Produce a new 5 year strategy and carbon management plan

Utilise SALIX Finance for energy efficiency schemes

Work closely with Waste, Transport and Procurement to reduce our footprint further.

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

Salix application process


FeasibilityInternal

ConsultationProcurement Mobilisation Installation

Business case checks

Meet with finance department

Offer reservation of funding for Trust Board

Workshops and calls with other Trusts for advice

Interim Payments

Phase works over financial years

How Salix can support your application


Key Application Steps1. Visit our website at www.salixfinance.co.uk

2. Simple on-line application process

• Application in five easy steps• Down load project compliance tool

• For projects valued over £100,000 – business case template

3. Public Sector Body or supporting body submits application

4. An automate email is generated and sent to the authorised official which they need to reply to confirming their approval

5. Application assessed & decision made typically within two weeks


1

2

3

4

5

http://www.salixfinance.co.uk/

Summary

NHS Trusts and Foundation Trusts – no maximum loan amount

Help achieve energy and carbon reduction targets

Long-term funding plans, SDMPs, estates strategies

Reduce energy bills at your Trust


Thank you

[email protected]

020 3714 5655


mailto:[email protected]

Ideal logo position here

Building Health into Healthcare

Paul Chatwin WELL APTM @ChatwinP1

@Cundall_Global

[email protected]

The WELL Building Standard

Critical systems Education Government

Healthcare Industrial Infrastructure Lifestyle

Masterplanning Residential Retail Workplace

Aviation

Cundall Sectors

90%of our lives are spent

indoors and it has a lasting

impact on our health..

Health & Wellbeing

131Lost working days

due to sickness

million

Health & Wellbeing

40Deaths a year linked

to poor air quality

thousand

Source – greatairmanchester.com

WELL LimitsPM2.5 <15 µg/m3 (2)PM10 <50 µg/m3 (3)

Source – theweathernetwork.com

UK Green Building Council

Trends towards healthybuildings…

What is WELL Building standard

What is WELL Building standard

Copyright 2015 by International WELL Building Institute PBC. All rights reserved.

Performance Based Standard

UK GBC – Case Study

Betteshanger Visitor Centre – Case Study

One Carter Lane - Case Study

Air - Health Materials

Air - Volatile Organic Compounds

“…I understand it now, if I can eat it, I can install it…”

Air - Volatile Organic Compounds

Element WELL Standard Cundall

Carbon Monoxide <9ppm 0.8ppm

Formaldehyde <27ppb <1.28ppb

Ozone <50ppb 5.5ppb

Nitrogen Dioxide <53ppb 21ppb (0.042m/m3)

PM2.5 <15µg/m3 8µg/m3

PM10 <50µg/m3 0µg/m3

Total VOCs <500µg/m3 1323.2µg/m3

“…I can smell the difference…”

“…it doesn’t have that new car smell…”

Water - Testing

Water - Filter

Activated carbon

from coconut shell

Nourishment

Light - Background

Light - Workplace

Light - Integrated Medical Interior (IMI)

Warm Biometric Lighting up light

Integrated Medical Interior (IMI)

Warm white (sunrise) wake up light




White (Breakfast) light




Crisp White (Mid day) light. (Blue light to reset body clock)



White (Afternoon) light

White (Afternoon) light


Warm white (sunset) light. (Relaxing light)

White (Afternoon) lightWarm white (sunset) light. [Relaxing light]


Red sleep light prevents production of cortisol to aid sleep

Fitness

Comfort

Comfort

Sitting Kills, Moving Heals by Joan Vernikos

Mind: Beauty + Design

Mind - Biophilic Design

Mind: Biophilia – Active living wall

Mind: Biophilia – Connection with nature

Mind: Biophilia – Response

Mind: Biophilia – Refuge

Cost to provide healthybuildings…

WELL – Cost

Total Cost £850,000

1,500m2 fit-out

• Joinery materials £3,000

• Egger board to joinery units £1,500

• Compliant ply to vinyl floor £60

• Bolon floor in lieu of carpet £5,200

• Compliant paint coats £7,000

• Variable air volume to meeting rooms £5,000

• Air Water / Testing £2,000

• Water Filter £7,000

Total £30,760

3.6% uplift or £200 per head

WELL Fees - £10,000

+ Consultancy Fees

WELL – Benefits

40

60

80

100

120

140

160

180

200

APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER

LONDON OFFICE ABSENTEEISM DATA

FTE Staff Numbers Work days lost

WELL – Benefits

• In October 2016 absenteeism was 50% lower than the previous year

• Compared with 27% for two controlled “new” offices.

• For a year, this equates to a £90.4K saving

• A 27% drop in staff turnover = £122K saving

Sustainability + healthy buildings…

The world is getting warmer

Summary – Any Questions?

Paul Chatwin WELL APTM @ChatwinP1 [email protected]

@Cundall_Global

SHARPSMART & LIVERPOOL WOMEN’S HOSPITAL

AGENDA

• WHO ARE SHARPSMART?

• THE CHALLENGE

• THE SOLUTIONS

1. SHARPSMART

2. CLINISMART BAG-TO-BEDSIDE

• THE RESULTS

Making waste invisible!

Defining the future for

safe management of

Healthcare Waste.

ALIGNING WITH THE NEEDS OF THE NHS

We don’t just ensure that you achieve your goals….

We make it harder for you to fail.

SAFETY & PROTECTION

• Needlestick injuries reduced by 25%

• Improved patient environment brought about by elimination of point-of-care containers

• Odours eliminated within the patient environment

• Cross contamination risk removed

SUSTAINABILITY

• Sharps Waste reduced by minimum of 32%

• Sharps CO2 reduced by 91%

• Regulated clinical waste volumes reduced by 35-75% (elimination of offensive and general waste in clinical waste stream)

• Increased opportunities for recycling through education and behaviour change

VALUE/EFFICIENCY

• Waste minimisation reduces costs significantly

• Less labour required for bag replacement, bin cleaning in patient rooms

• ‘Waste Invisibility’ creates a cleaner environment for patients

• Frequent waste movements into disposal room enables accuracy of scheduled pick-ups by portering teams

COMPLIANCE

• Behavioural change reduces risk of non-compliance

• Perpetual auditing ensures ‘horizon watching’ and speedy correction related to segregation issues

EDUCATION

• Point-of-care and touch-point education specific to the disposal routines ensures inherent behaviour change

• Distance learning tools available to ensure nursing staff can focus on patient care

• Training records maintained to ensure traceability of learner outcomes

LIVERPOOL WOMEN’S HOSPITAL - THE

CHALLENGE

Liverpool Women’s Hospital is a specialist NHS Trusts in the UK that is dedicated to the healthcare of women, babies and their families.

Over 8,000 babies delivered and 10,000 gynaecological procedures untaken each year, as well multiple genetics departments to maintain.

Vital that the trusts waste disposal methods are as safe and sustainable as possible.

THE CHALLENGE

DISPOSABLE ‘BURN’ BINS ISSUES

Safe?The single-use system was not the safest option for sharps disposal. • Small size• Absence of protective features (permanent locks, pre-assembly)

EfficiencyThe time taken to construct some of these containers impinged on carers’ time.

Plastic Disposal Single-use containers saw the disposal of 6.5 tonnes of polypropylene plastic per year - Not in line with the 2008 climate change act- Costly

THE CHALLENGE

REDUCE CLINICAL WASTE & CO2

Promoting SustainabilityOne of Liverpool Women’s biggest environmental objectiveswas to reduce their clinical waste and, consequently, their carbon emissions.

Compliance• Independent audit had highlighted instances of non-compliance with waste

guidelines• Trust were concerned that they were incinerating significantly more waste than

necessary• Wanted to ensure they were fully compliant on all fronts • Trust’s environmental manager was under growing pressure to introduce an

offensive waste stream.

THE SOLUTION -

SHARPSMART

DISPOSABLE ‘BURN’ BINS ISSUES:

WHAT IS THE SHARPSMART SYSTEM?

A Reusable Engineered Safety Device designed for point-of-care disposal of sharps, pharmaceuticals and recyclable devices.

Reusable sharps containment system & accessories designed for traceable safe point-of-care disposal.

Bespoke blended learning programmes built on ‘5 Moments’ Concept including hard copy ‘touch point’ training tools and e-learning modules.

Auditsmart Perpetual Audit system designed for continual optimisation and compliance

THE SOLUTION –

CLINISMART BAG-T-BEDSIDE

REDUCE CLINICAL WASTE & CO2:

WHAT IS THE BAG TO BED SYSTEM?

A total waste optimisation solution including an array of bespoke blended-learning tools and accesories ensure that optimised segregation, safety and compliance can be achieved routinely without compromising correct segregation techniques.

Flexible accessories designed to ensure safe, compliant point-of-care segregation/disposal

Bespoke blended learning programmes built on ‘5 Moments’ Concept including hard copy ‘touch point’ training tools and e-learning modules.

The system reduces the possible risk ofinfection by the removal of the infectious waste bins from patient areas.

PROCESS

• Met with key stakeholders across the hospital (including infection control, Nursing Managers and Health & Safety) in order to trial then implement the Sharpsmart and Clinismart across the hospital.

• Department surveys to assess individual areas requirement in terms of accessories and stock.

• Education requirements – including bLearning learning

• Wellness calls, additional training & ward walks – helped ensure the Trust were fully optimising the system.

• Monthly audits – measured how well the system was being used; (correct segregation, labelling and optimisation of container space)

• Communication with the hospital’s facilities companies and portering teams to ensure a smooth process.

THE RESULTS – SHARPSMART

Forecast:Sharpsmart will not have to manufacture any additional containers for the hospital to use for the next 10 years,

leading to an estimated 560 tonne reduction in CO2 emissions from the trust & 65 tonnes of plastic being removed from the incineration stream.

In 19 months since the Sharpsmart installation:

• Sharps Management Savings of 10%

• 10 tonnes of polypropylene plastic saved from being incinerated

• CO2 emissions reduced by approximately 56 tonnes

• Safer working environment for staff

• 6,000 fewer containers are handled by both clinical and portering staff each year.

• Reduced waste volumes and educational opportunities for all staff.

THE RESULTS - CLINISMART BAG-TO-BEDSIDE

All cost and time-related savings from introducing these systems have been diverted to the maintenance and improvement of frontline services, including waste, portering and domestic services.

In 6 months since the Clinismart Bag to Bedside system installation:

• Minimised the presence of waste containers in bay areas

• 40% of waste diverted from clinical to offensive and infectious streams

• Cost savings of 45%

• Touch-point education available for all staff involved in the production & movement for healthcare waste

• Its value as an educational tool has helped the Trust stay compliant with CQC guidelines and 2012 Controlled Waste Regulations.

PROJECT FEEDBACK

Regarding the success of the project, John Foley, Environment Manager at the Trust, commented;

“By providing a significant reduction in carbon emissions and clinical waste volumes, the introduction of the Sharpsmart and Clinismart systems to the Trust has greatly assisted

with our efforts to become more sustainable in line with the Climate Change Act.

Results were noticed almost immediately by both staff and patients, which has greatly enhanced the Trust and its prestigious reputation as a safe and environmentally-conscious

healthcare provider. The ability to audit and see what is inside a container is a real eye-opener and extremely useful in educating staff.”

Fuel Cell Technology Part of the NHS Energy Mix

2017

Doosan BabcockBuilding a Low Carbon Future

AGENDA

183

• INTRODUCTION TO DOOSAN BABCOCK

• THE DRIVERS

• THE PURECELL FUEL CELL

• UK FUEL CELL INSTALLATIONS

• ARUP STUDY FINDINGS

• THE UKS LARGEST FUEL CELL INSTALLATION

184

Reduction ofEnergy

Consumption

Financial

savings

Reduced

Carbon levels

Low maintenance

Optimised

solution

THE DRIVERS

5

PURECELL® MODEL 460 – WHAT & HOW

1 Electrical PowerInverter generates high quality AC power

3 Air ConditioningUtilising an Absorption Chiller Hot Water can efficiently provide Air Conditioning

4 HydrogenPure Hydrogen slipstreamed for Transportation

5 Vitiated AirProvides Data Centers with Inert Atmosphere for fire protection

A Natural GasConnect to Existing UK Gas Infrastructure

B Hydrogen Ready100% Hydrogen with Minor Modification

447kW of Power and 530kW of Heat created from hydrogen

2 Hot WaterHeat Recovery System Generate Hot Water

185


DOOSAN FUEL CELL IN CONNECTICUT

186


Design Features

• 10 year cell stack life

• Grid-independent operation

• Electric load following

• Low pressure natural gas fuel & H2 ready

• Low noise and vibration

• Low emissions

PURECELL® - WHAT…

187

Performance

• Fleet availability 98% -12 month rolling average

• No shutdown required for planned maintenance

Output and Efficiency

• 447kW electric output

• 530kW/h heat output

• 42% electrical efficiency

• 90% system efficiency

Cleanest source of continuous on site energy generation

187


Key Client Examples

Data Centers /

TelecomHospitalsUniversities Industrial

District Heat &

PowerCommercialRetail Government

20 yearProduct life

>12 millionHours of fleet field operation

>110 MWInstalled referenceProven

Technology>220 PureCell

Units globally

KEY SECTORS ADOPTING DOOSAN FUEL CELLS

188


FUEL CELL ADOPTERS IN THE UK

189


FUEL CELL ADOPTERS IN THE UK

190

Daily Peak Load Energy Mix

•Fuel Cell / CHP solution supplies majority of demand

• >60%

•Solar PV provides top-up during mid-day

• Max Solar output coincides with mid-day demand peak

• Up to 150kW in Summer

•Remaining Demand met by grid import

• Only 30% of total peak daily demand is grid electricity

New Energy Mix:

Fuel Cell

&

CHP

Grid

Solar

NHS Estate Trust Project - current

Strictly Private & Confidential, © Copyright Doosan Babcock

TRUST BENEFITS

Air Quality Benefits – Healthy Local Hospital

Resilient Technology – Heat & Power

CSR Project Opportunity

Low Noise & Vibration

Future Proof

De-Steam

Long Term

Triple Bottom Line Improvements

(+ Financial + Social + Environmental)

CO

ST

CA

RB

ON


ARUP STUDY BASIS OF COMPARISON

193

• Purecell® 400 Versus Gas Fired CHP

• Mixed Use Commercial Building

• Central London

• Run at Full Load with No Heat Rejection

• MCPD NOx Limits of <95mg/Nm3


• 400 kWe

• 472 kWth

• 92% Availability

SYSTEM OUTLINE

194

• Gas Fired CHP System


SYSTEM OUTLINE

195

• Fuel Cell CHP System

• 447 kWe

• 530 kWth

• 98% Availability


METHODOLOGY

196

• Whole Systems & Whole Lifecycle Cost

• Equipment Schedule for Both Systems

• O&M Costs for all Major Equipment

• Total Parasitic Loads Calculated

• Space Requirements Compared

• End of Life and Decommissioning Costs Assessed

• Analysis for 20 Years Lifetime of Purecell®

• Economic Comparison using Cash Flow Model


TECHNICAL COMPARISON (20 YEARS)

197

Item Purecell® 400 Gas Engine CHP

Average Electrical Efficiency (NCV) 41.2% 40%

Average Thermal Efficiency (NCV) 49% 47%

Availability Factor 98% 92%

Total Electrical Output (MWh) 76,267 63,241

Total Heat Output (MWh) 91,033 76,079

Total Energy Output (MWh) 167,660 139,320

Total Fuel Input (MWh) 206,400 177,631

Carbon Emissions per Unit Heat (kgCO2e/kWh) 0.201 0.219


CONCLUSIONS OF THE ARUP REPORT

198

• Highest Electrical Efficiency• 41 % NCV, giving rise to 8% reduction in Carbon emissions

• Smallest Plant Room Size• 70 m2 less floor area

• Significant Superior Air Quality Performance• 0.65mg/Nm3

• Improved Modulation Performance• Electrical efficiency maintained down to 40%

• Better Economic Performance Over 20 Years• £380,000 more revenue generated

• Lower Energy Costs• Undiscounted LCOE & LCOH 7- 10% lower respectively

• Greater Economic Return• Additional investment of a Purecell® over conventional CHP gives an IRR of 3.8%

Key Findings of Techno-Economic Analysis of Purecell® 400 Compared

to a Similar Sized Gas Engine CHP With SCR Nox Reduction Technology


EMISSION & AQ - COMPARISON OF CONTROLLABLE DECENTRALISED TECHNOLOGIES

199

Source(s): ‘Averting an Emerging Air Quality Risk’ – see appendix for detailed

source info and assumptions

Note: Corrected to 15% oxygen level


FUTURE PROJECTS

200


THE LARGEST FUEL CELL INSTALLATION IN THE UK

201

ABERDEEN

AECC Energy Centre Layout (Plan View)

CHP

Offic

es

Thermal

StoresElectrolysers Chilling Fuel Cells

Switch

Rooms

120m

20m

SUMMARY

The Purecell unit is being considered by many in the NHS because it

delivers

Resilience

Negligible Nox & Sox

Low maintenance

Step change technology

Quiet

Most efficient technology

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Lunch & Networking

#Dayforaction

Welcome back

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Afternoon session

14:00 Welcome backRoger Tolman, 4 All of Us

14:10 Connected Sustainable TravelFran Silcocks, Sustainability Officer, Sandwell and West Birmingham Hospitals NHS Trust

14:25 Comprehensive water managementFiona Daly, Director, Sustainable Business Development, ADSM

14:45 Reducing Fuel Poverty through a Community Energy InstallationCharlie Cox, Energy Manger, University Hospitals of North Midlands & Sarah Bloor, Energy and Sustainability Officer, University Hospitals of North Midlands

15:05 Concluding commentsRoger Tolman, 4 All of Us

15:15 Conference Close

Sustainable TravelSandwell & West Birmingham Hospitals NHS Trust

Fran Silcocks, Sustainability Officer

[email protected]

0121 507 4065


Sandwell & West Birmingham Hospitals (SWBH)

NHS Trust

• Large acute NHS Trust

• 3 main sites (City, Sandwell and

Rowley Regis) plus satellite sites

• Employ around 7,500 people

• New hospital in construction

(Midland Metropolitan Hospital) –

due to go live Autumn 2018. State-

of-the-art acute hospital for the

530,000 people living in Sandwell

and West Birmingham

Governance and Achievements

Overarching Documents:

• Sustainability and Environment Policy

• Sustainability Action Plan

• Sustainability Working Group

• Staff Travel Surveys and Travel Plans

(done annually)

• Trust Public Health Plan

• Collaborative work with Transport for

West Midlands

• Link with Health and Wellbeing team

New Infrastructure

• More cycle parking

o New cycle ‘pods’ x 12

o Repairs to existing cycle shed at

City

o New shed built at Sandwell

(housing up to 30 bikes with

lockers)

• Cycle parking signage

• Cycle lane markings

• Cycling equipment to support cyclists

(locks, helmets, rucksack covers,

water bottles, repair kits)

• Travel kiosks (City and Sandwell) to

display live bus times and route

planning

• Shuttle bus to help staff travel

between sites

• Pedometers for lunchtime walkers

Wider Support and InitiativesCycling

o Cycle to Work scheme

o Free bike checks

o Staff pool bikes to hire

o Cycling group

o Bike maintenance / safety courses

o Cycling and walking intranet pages for information

o Trust annual charity bike ride

o Cycle proficiency training

o Bike leader courses

o Bus travel discounts

o Free healthy lunch for cyclists and walkers

o Personal route planning for staff – cycling, walking, public transport

Walking

o Lunchtime walks

Public Transport

o Discount of public transport

Other Initiatives

o Staff travel surveys - annually

o Events – Roadshows, Sustainability Garden Party, Climate Week,

cycle to Work Week, Walk to Work Week

o Communications – Sustainability Newsletter, Staff Bulletin,

‘Heartbeat’ staff magazine, social media

Future Plans and Midland Metropolitan Hospital

(MMH)

• MMH Target: 5% modal shift from single occupancy

car travel towards more sustainable modes

(compared with the baseline survey undertaken in

2008), with:

o EV charge points (12 spaces planned – 6 staff,

6 visitors)

o Provision for 50 dedicated car sharing spaces

o Cycle parking (for a minimum of 288 cycles)

o Provision of real time information displays for

public transport information

o Dedicated bus lane onto site

o Frequent bus service

o Shuttle bus for staff to travel between sites

• Focus on promoting and facilitating car sharing,

cycling and walking and supporting staff

• Further discounts and offers on public transport

• Preparing staff for the move to MMH

• MMH specific travel survey to gauge potential staff

travel to the new site

Staff Travel Surveys

• Staff travel surveys undertaken annually since 2013 to look at

staff travel habits to/from work:

o More staff cycling and walking and taking the bus

o Reduction in rail use

o Not many formal car sharers (that we know of)

• ‘What would encourage cycling and walking to work?’

o The 2016 survey responses showed that across City and

Sandwell the most popular answers were (respectively):

1. Safer cycle routes/footpaths

2. Safer walking routes/footpaths

3. Shower/changing facilities at work

Thank you

Fran Silcocks, Sustainability Officer

[email protected]

0121 507 4065

Recent Achievements:

Birmingham Connected Sustainable Travel Award (2015)

Winner of the Centro ‘Most Proactive Organisation, Cycling’ Award (2015)

Gold Standard Top Cycling Location (2015)

Top Walking Location (2016)

Platinum Top Active Travel Location (2016)


questions and contact

Fiona [email protected]@AdsmUK

Savings Lives With Solar Charlie Cox - Energy Manager Sarah Bloor - Energy & Sustainability Officer

‘Build healthy, sustainable and resilient services and communities’

Our 2020 Vision: Our sustainable future 2015 - 2020

UHNM

Southern Staffordshire Community

Energy

(SSCE)

UHNMSustainability

Clinical

Communications

Land and Property

Estates

Finance

Beat The Cold

Co

mm

un

ity

Project Partners

Project Overview

UHNM leased roof space to SSCE

SSCE attracted £335,600 of investment from the community

Investment funded 1,089 PV panels

SSCE receive Feed In Tariffs

Surplus Income forms a Community Fund

Patients are selected for referral to Beat The Cold

Beat The Cold uses the Community Fund to help those patients out of fuel poverty

UHNM pay SSCE for the electricity generated

Investors are paid back at 4.5% IRR over 20 years

Funding

Referral Pathway

Innovative project elements :

Funding New source of Capital funding • Entirely funded by the Community / Ethical Investors• No Trust capital required

• Share offer issued• Investments of £100-£100k• Investors attracted by ethical benefits• …but also by 4.5% IRR• £355,600 raised in 12 weeks

Secure Community Fund• The community fund is independent of Trust finances• Cannot be reallocated!

Referral Pathway

Specialist Treatment

Discharge

Cold, Damp Conditions

Exacerbation of illness

Admission

Assessment in Emergency

Department

The Cycle of Readmissions

• Bad for patients

• Bed blocking

• High cost

• Not sustainable

Referral Pathway

Assessment

• Medical Condition

• Home Location

Referral

• Patient Consent

• Beat the Cold

• Convenient Time

Intervention

• Home Improvements

• Behaviour Change

• Tariff Advice

• Income


Discharge

Cold, Damp Conditions

Exacerbation of illness

Admission


Department

Referral Pathway


Discharge

Intervention

Healthy, Warm Home

Admission


Department

The Cycle is Broken

• Healthy patients

• Sustainable Care• Environmental• Financial• Social

Challenges Approval Process

• Capital?

• Expenditure?

• Business case?

• Board level?

Roof Leases

• Condition – 20 years

• Impact on occupants

• Future developments

• Existing leases

Working with Third Sector Organisations

• Capable and diligent, but unused to NHS process

Outcomes

Environmental Social EconomicReduction in UHNM’s

CO₂ emissions(3,346 tonnes)

Improving livingstandards

Increased energyresilience

Reducing ourenvironmental impact

Building healthy, resilient and sustainable

communities

Electricity cost savings of £600,000 over project

life

Patients increased energy efficient

behaviours

Community Fund boosted, through

attracting additional funding (nPower)

Reduced readmissions. Especially into A&E

Patients make savings through BtC advice

Is it replicable?

Referral pathway

Consultant/ clinical support is

crucial

Estate – Clinical –Community link

Other determinants of

health

Prevention rather than

cure

Financing model

Revenue/income - Feed in tariffs

Technology

Payback/ ROI

Ethical attraction

Long payback schemes

Conclusion

Closing comments

#Dayforaction

Sustainability Day Manchester 2017

Healthcare

Transcript of Sustainability Day Manchester 2017