HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST
SUSTAINABLE DEVELOPMENT REPORT
Trust Board date
Reference
Number
Author
Director
Pauline Lewin, Chief of
Infrastructure and
Development
Reason for the
report
This paper meets the Trust Board’s requirement for a quarterly update on
sustainable development activity and issues.
Type of report
Concept paper
Strategic
options
Information 
Performance
Marc Beaumont, Head
of Sustainability
Business
case
Review

1
RECOMMENDATIONS
The Trust Board is asked to review the report and advise whether the information contained
is adequate and provides assurance of progress.
2
Key purpose
Decision
Information
3
4
5

Approval
Assurance
Discussion

Delegation
STRATEGIC OBJECTIVES
 Safe, high quality effective care
 Strong, high performing FT
 Creating and sustaining purposeful partnerships
 Efficient economic use of resources – targeted and prioritised
effectively
 Delivery
against our priorities and objectives
 Capable, effective, valued and committed workforce
 Strong respected impactful leadership
LINKED TO
CQC Regulation(s)
Outcome 10 – Safety and suitability of premises





Assurance Framework
Ref:
Legal advice
No
No
BOARD/BOARD COMMITTEE REVIEW
The last Sustainability report was presented at the Trust Board meeting on 31 January
2012.
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HULL AND EAST YORKSHIRE HOSPITALS NHS TRUST
SUSTAINABLE DEVELOPMENT REPORT – SEPTEMBER 2012
1.
PURPOSE OF PAPER
This paper fulfils the Trust Board’s request to receive regular updates on sustainability
activity and issues.
2.
CARBON REDUCTION
2.1 Carbon Emissions and Energy Performance
The chart below gives the Trust’s CO2 emissions from April 2008 to June 2012.
Hull and East Yorkshire Hospitals NHS Trust
CO2 Emissions April 2008 to June 2013
3400
3200
tonnes CO2
3000
2800
2600
2400
2012/13
2011/12
2010/11
2009/10
2008/09
2200
2000
apr
may
jun
jul
aug
sep
oct
nov
dec
jan
feb
mar
CO2 emissions continue to track around or below previous years’ consumption,
excluding the exceptional return for May 2011.
The predicted cost of the new CRC Scheme to the Trust was slightly less for 2011/12
than anticipated, at £285k. Validation of the Trust’s processes is being undertaken by
the Internal Audit team.
The Trust achieved compliance for 2011/12 under the European Union Emissions
Trading System (EUETS) by submitting the annual return of emissions management,
with external verification. The Trust has registered its interest in the opportunity to opt
out of the main EUETS scheme in 2013, under the ‘hospitals and small emitters’ clause.
This would reduce the financial and administrative burden but the Trust would still be
committed to reducing CO2 emissions in line with revised targets.
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The Department of Health has declared that is now mandatory that all NHS Trusts report
on sustainability as part of their annual reporting process. The NHS Sustainable
Development Unit and DH developed a template framework of data for inclusion, which
has been used as the basis of the Sustainability section of this year’s Annual Report &
Accounts. The main points of note are the 8% reduction in energy consumption (but
with a 7.6% increase in costs due to energy prices), the reduction in carbon emissions of
1,755 tonnes and that the trust recycles 47% of its waste.
2.2 Carbon Reduction Projects
Improvements to the Castle Hill Building Management System were completed in the
2011/12 year which will bring heating energy and cost reductions during the coming
winter period. Projects for 2012/13 include Phase 2 of the Automatic Metering and
Targeting (AMT) programme more energy-efficient lighting. The AMT work will provide
greater detail of information from existing energy meters to help monitor usage, locate
problems such as leaks and to assist with service line reporting where supporting
systems are in place.
It was agreed at the August Infrastructure and Investment Committee to recommend
approval of the Combined Heat and Power (CHP) project, pending circulation of a further
report on feasibility, funding and suitability under the Carbon and Energy Fund. If
Committee members are sufficiently assured that the report supports the project then the
business case will proceed to the October Trust Board for approval.
WASTE MANAGEMENT
The chart below gives the tonnages for individual waste streams for the period July 2011
to June 2012.
Hull and East Yorkshire Hospitals NHS Trust
Waste Streams Tonnage July 2011 to June 2012
140
120
100
tonnes
Clinical
80
Offensive
60
Domestic
40
Recycling
20
Ju
n12
12
M
ay
-
12
Ap
r-
12
M
ar
-
Fe
b12
Ja
n12
ec
-1
1
D
ov
-1
1
N
ct
-1
1
O
Se
p11
Au
g11
0
Ju
l-1
1
3.
Following on from earlier work to increase recycling and reduce the volume going to
landfill, waste streams have now settled to a steady profile. However, there has been a
slight increase in clinical waste despite a fall in activity over the same period. Further
investigation is being carried out to establish the cause.
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A student is working with the Waste Team, researching the possibility of reducing the
volume of clinical waste to landfill (via the alternative treatment method) through
increased recycling. This work will be particularly useful as at present the Environment
Agency and the Department for Environment, Food and Rural Affairs (defra) have
differing views on the future of clinical waste disposal.
A pilot scheme on food waste recycling is being conducted on wards C18 to C22, the
Cardiac Building and in the catering department. Food waste is collected in specially
adapted containers and sent for processing off-site into re-usable material such as
compost. The expected outcomes are reduced amounts of food going to landfill, reduced
carbon emissions, savings of around £40 per tonne and measurable evidence of the
Trust’s commitment to ongoing sustainable development.
All demolition projects now have a requirement to provide a breakdown of site materials
recycling and disposal. The report for The Princess Royal Hospital/Haughton Building
demolitions shows that 98% of the 36,000 tonnes of waste material such as bricks, tiles
and aggregate were recycled.
4.
CORPORATE SOCIAL RESPONSIBILITY (CSR)
Following on from the paper presented at the July Trust Board amendments have
been made to the ‘Supporting our People and Community’ report so that the
importance to the organisation of embracing CSR principles is clear. In addition, a
performance framework for CSR performance is being developed to measure
commitment and progress. These could be included in future Trust Board reports
and will be used to support the Health Groups’ performance process.
A CSR Group has been set up to discuss and promote ideas for CSR initiatives. Already
planned is a visit to the Leeds Community of our Charity of the Year, Emmaus with a
view to producing a video and newsletter article to offer information on the work of the
charity.
5.
NHS NORTH OF ENGLAND PROPOSAL –TRUST BOARD PAPERS
The Director of Public Health for NHS North of England has written to Chief Executives
asking the Trust to consider the addition of a “Sustainability Implications” section to the
Trust Board papers cover sheet, on the grounds that it would demonstrate that
sustainability is ‘”at the heart of you organisation’s Board decision-making process”. The
letter emphasises that the proposal is “consistent with delivering cost savings and the
pursuit of modern models of care” and should not be seen as burdensome. A standard
template is suggested, with accompanying guidance notes.
6.
6.1
OTHER INITIATIVES
ISO 14001
The Sterile Services Unit has passed the first stage assessment towards the ISO 14001,
Environmental Management Standard, with the second stage visit due in midSeptember. This project will then be evaluated to assess whether it would be
advantageous to look at other areas of the Trust.
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6.2
NHS Sustainability Day and Trust Transport Days
March 28 was the first national NHS Sustainability Day for which the Trust held
information events on both sites. Two successful Transport Days were held in June
2012 at which local public transport providers gave out information on their services.
6.3
NHS Sustainable Development Unit Route Map
The NHS SDU is putting together a framework for sustainable health, in line with the
QIPP agenda. Development of the framework is by a series of workshops attended
by leading thinkers in the NHS, health and sustainability, including Trust
representatives, who are tasked with addressing two fundamental questions;

What does a truly sustainable health service look like?

What components need to be put in place to get there?
A set of six themes has been identified to help NHS organisations co-ordinate and
take actions that will save money and resources while improving health and making
changes future-proof. They are;






Models of care
Technology
System governance
Use of resources
Societal behaviours and attitudes
Individual behaviours and attitudes.
Organisations and individuals are asked to collaborate with each other and the SDU in
shaping the Route Map. A further workshop is planned for January 2013.
7.
RECOMMENDATION
The Trust Board is asked to;

Review the report and advise whether the information contained is adequate and
provides assurance of progress.

Decide whether to support the proposal outlined in paragraph 5.
Pauline Lewin
Chief of Infrastructure and Development
August 2012
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