SUSTAINABLE DEVELOPMENT

We have a plan ?

We knew we were in trouble and had to do something.

Many parts of the organisation were doing good things (and some not so good things) for the environment

We did not have a clear overall picture of what impact our organisation and its operations were having on the environment or what we could, should and were doing to eliminate, reduce or manage these impacts

Some help was at hand and came in the form of the publication

A Sustainable Development Strategy for NHSScotland

April 2009

This document laid out the way forward for NHS Boards and introduced tools and guidance on how to progress - NHS Ayrshire & Arran

Established a Sustainable Development Team.

Appointed a Board Environmental Management Representative.

Developed a Board Sustainable Development Statement.

Registered with the Good Corporate Citizenship Assessment Model and using this toolkit carried out a baseline assessment, and GAP analysis.

Developed an overall Action plan and is developing 6 thematic action plans to address the GAP.

Used Corporate GREENCODE to develop an Environmental Management System and has achieved ISO 14001 at Ailsa Hospital Ayr.

SUSTAINABLE DEVELOPMENTSTATEMENT

NHS Ayrshire & Arran will endeavour to ensure that its activities areconsistent with the principles of environmentally sustainable development and commits itself to continual environmental improvement and preventionof pollution to ensure the healthiest life possible for the people of Ayrshire and Arran.

Objectives

Ensure that NHS Ayrshire & Arran is an exemplar of good practice in environmental issues in line with the Scottish Governments “Greener” strategic objective “to improve Scotland’s natural and built environment and the sustainable use and enjoyment of it”.

Implement an effective environmental management system (EMS) through which NHS Ayrshire & Arran can continually improve its environmental and sustainability performance.

Establish a robust audit, review and reporting system on sustainability performance.

Integrate environmental, sustainable and social considerations into all business decisions including clinical decisions and procurement of goods and services.

Raise employees’ awareness of environmental and sustainability issues and provide appropriate training to ensure effective implementation within their normal duties.

Establish appropriate environmental and sustainability performance indicators with associated improvement targets based on current best practice.

Commit to developing environmental and sustainable initiatives with local communities, Local Authorities, Agencies, patients and the public.

Promote sustainability through waste minimisation and the prudent use of energy, water, transport, materials and other physical resources.

Adopt best practice for conservation of biodiversity, prevention of pollution, land management and reduction of environmental damage.

Encourage and ensure high environmental and sustainability standards from suppliers and contractors by using those whose environmental and sustainability policies are compatible with our own.

The web based tool

GOOD CORPORATE CITIZENSHIP ASSESSMENT MODEL

Was used by the Board to measure where we were on the whole issue of Sustainable development and help us quantify what had to be done for 6 areas

BuildingsCommunity EngagementWorkforceTransport ProcurementFacilities Management

Minimising waste: Q5/6Getting started

Getting there

Excellent Evidence / Required Actions

We work with waste managers to identify the waste being produced by our organisation. aWe understand how our procurement activity can reduce this waste. aWe work with other parts of our organisation to raise awareness of waste reduction/reuse/recycling. Information and support is available to help staff reduce waste.

aProcurement represented on waste management group

We set and achieve targets for waste minimisation and recycling. a In line with national targets

We are introducing contract specifications that minimise waste, use recycled/recyclable materials where possible and take back waste and packaging.

a Specification clauses and e-sourcing

We regularly report progress to our Board. a Agree format for report

Our waste management and procurement staff co-operate closely on waste avoidance. a Head of Procurement has responsibility for waste policy

We work with suppliers of products and waste services to minimise packaging, increase reuse, take back, recycling and reduce waste.

a National dietribution and Ward product management

We collect data on the purchase, use and disposal of products and only buy/use what is needed.

Develop demand management and extend NDC ordering.

We have reviewed product order size, delivery, frequency and stock rotation to minimise waste.

aWard Product Management

We make key procurement decisions based on whole life costing/spend to save, factoring in cost of waste disposal.

a Part of specification and procurement startegy

We set and monitor recycled content values where applicable, eg paper and construction materials.

aContents set in specifications

We monitor and report progress to our board and stakeholders Dveloping routine reporting

2009 2010TARGET 100% 100%Buildings 15% 51% 36%Community Engagement 30% 48% 18%Facilities Management 37% 43% 6%Procurement 19% 35% 16%Transport 28% 43% 15%Workforce 26% 74% 48%

0% 20% 40% 60% 80% 100% 120%

TARGET

Buildings

Community Engagement

Facilities Management

Procurement

Transport

Workforce

2010

2009

GCCAM - Progress

There are some very real challenges around getting the action plans togetherand progressed

Departments do not have the time or resources to deal with sustainable development they have got savings targets to meet

Sustainable development is seen as another beauracratic burden with no value

Sustainable development is not recognised as everyones responsibility but is seen for example as only Facilities Managements responsibility

We set out to develop the thematic action plans from existing groups plans making sustainable development business as usual for strategic groups.

Actions are being developed based on maximum return on minimum inputs or strategic plans which have acceptable returns on investment

There is a communications strategy being developed to ensure thatall staff patients and visitors have the opportunity to participate in the process providing ideas and feed back.

The work continues !

http://gccams.client.fatbeehive.com/

The link to the GOOD CORPORATE CITIZENSHIP Site is:

The slides are available to all and copies of a summary of the thematic action plans for Procurement and Transport and the policy statement are included in the handouts.

If anyone wishes to discuss this further my e-mail isAndrew.elliot@aaaht.scot.nhs.uk

Tel: 01294 323585