NHS Carbon Management Programme
Carbon Management Plan
working with
Gloucestershire Hospital NHS Foundation Trust
Carbon Management Programme
Carbon Management Plan (CMP)
Date : 19th January 2010
Version number: 2
Owner: Graham Marsh, Director Property and Medical Engineering
Approval route: Corporate Citizenship Committee 19th January 2009
Approval status: APPROVED
Page 1
……………………………...
NHS Carbon Management Programme
Carbon Management Plan
working with
Page 2
NHS Carbon Management Programme
Carbon Management Plan
working with
Contents
Foreword from Dr Frank Harsent, Chief Executive
5
Foreword from the Carbon Trust
6
Executive Summary
7
1 Introduction
9
2
3
4
5
6
7
8
Carbon Management strategy
10
2.1
Context and drivers for Carbon Management
10
2.2
Our low carbon vision and strategic themes
11
2.3
Targets and objectives
12
Emissions baseline and projections
13
3.1
Scope
13
3.2
Baseline
14
3.3
Projections and Value at Stake
15
Carbon Management Projects
19
4.1
Past Projects
19
4.2
Existing Projects - 2009/10
20
4.3
Planned / Funded Projects – 2010/11
20
4.4
Medium Term Projects – 2011/12
22
4.5
Long Term Projects
23
4.6
Projected Achievement towards Target
24
Carbon Management Plan financing
26
5.1
Assumptions
26
5.2
Benefits and Savings
26
5.3
Unquantifiable Benefits
27
5.4
Financial costs and sources of funding
28
5.5
Carbon Reduction Commitment Energy Efficiency Scheme
29
Actions to Embed Carbon Management in the Trust
30
6.1
Policy – embedding CO2 saving across the organisation
30
6.2
Responsibility – being clear that saving CO2 is everyone’s job
31
6.3
Data Management – measuring the difference, measuring the benefit
31
6.4
Communication and Training – ensuring everyone is aware
32
6.5
Finance and Investment – the money to match the commitment
33
6.6
Procurement – buying a sustainable future
33
6.7
Monitoring and Evaluation
33
Programme Management of the CM Programme
34
7.1
The Programme Board – strategic ownership and oversight
34
7.2
The Carbon Management Team – delivering the projects
35
7.3
Succession planning for key roles
36
7.4
Ongoing stakeholder management
36
Appendix A: Carbon Management Matrix - Embedding
Page 3
38
NHS Carbon Management Programme
Carbon Management Plan
9
10
working with
Appendix B: Definition of Projects
39
Appendix C: Case Studies Combined Heat and Power
Page 4
55
NHS Carbon Management Programme
Carbon Management Plan
working with
Foreword from Dr Frank Harsent, Chief Executive
The Carbon Trust’s NHS Carbon Management Programme, in which the Trust participated
during 2009, is fully supported by the Trust’s Corporate Citizenship Committee.
As an organisation, we acknowledge the impact we have on the environment and are
therefore committed to continually work to actively reduce the Trust’s carbon footprint in
response to the potentially catastrophic effects of climate change.
This plan will help realise our low carbon vision of developing the Trusts core business
more sustainably and with a challenging 20% target reduction in CO2 emissions by 2015
demonstrates our commitment to carbon reduction.
We all have a role to play and the power to make a difference. I consider it essential that
each of us draw inspiration from the principles in this plan in our everyday activity.
Together we can lead Gloucestershire Hospitals NHS Foundation Trust into providing
healthcare for a sustainable future.
Page 5
NHS Carbon Management Programme
Carbon Management Plan
working with
Foreword from the Carbon Trust
Cutting carbon emissions as part of the fight against climate change should be a key priority
for NHS Trusts - it's all about getting your own house in order and leading by example. The
UK government has identified the NHS sector as key to delivering carbon reduction across the
UK inline with its Kyoto commitments and the NHS Carbon Management programme is
designed in response to this. It assists NHS Trusts in saving money on energy and putting it to
good use in patient care, whilst making a positive contribution to the environment by lowering
their carbon emissions.
Gloucestershire Hospitals NHS Foundation Trust was selected in 2009, amidst strong
competition, to take part in this ambitious programme. Gloucestershire Hospitals NHS
Foundation Trust partnered with the Carbon Trust on this programme in order to realise
substantial carbon and cost savings. This Carbon Management Plan commits the NHS Trust
to a target of reducing CO2 by 20% by 2015 and underpins potential financial savings to the
organisation of around £ 2.3 million per year by that date.
There are those that can and those that do. NHS Trusts can contribute significantly to
reducing CO2 emissions. The Carbon Trust is very proud to support Gloucestershire Hospital
NHS Foundation Trust in their ongoing implementation of carbon management.
Richard Rugg
Head of Public Sector, Carbon Trust
Page 6
NHS Carbon Management Programme
Carbon Management Plan
working with
Executive Summary
This Carbon Management Plan is the main deliverable as part of the NHS Carbon
Management Programme facilitated by the Carbon Trust. It is intended that this will form the
basis for all carbon management activity within the Trust and sets out the key strategic
objectives, targets and actions in order to reduce Gloucestershire Hospitals NHS Foundation
Trust’s carbon footprint over a six-year target period.
The Trust has developed a low carbon vision stating:
“Gloucestershire Hospitals NHS Foundation Trust recognises the contribution we can
make towards mitigating climate change. We are committed to reducing our
environmental impact and will lead by example, continually acting to reduce carbon
emissions arising from our operations and services, providing healthcare for a
sustainable future.”
To achieve this vision the following target has been agreed:
Gloucestershire Hospitals NHS Foundation Trust will reduce the CO2 emissions
from its activities by 20% from the 2008/09 baseline, by April 2015.
For the 2008/09 baseline year the Trust was responsible for the emission of 27,733 tonnes of
CO2 resulting in the annual expenditure of £6.2 million. The breakdown of the Trust’s
emissions is set out in the chart below:
Business travel
2%
Fleet
1%
Waste
4%
Water
0%
Grid electricity
54%
Natural gas
39%
Liquid fuels
0%
Building emissions
94%
Transport emissions
2%
Other emissions sources
4%
TOTAL
Grid Electricity
Liquid Fuels
Natural gas
Fleet
Business travel
Waste
Water
15,135
23
10,713
232
453
1,061
115
27,733
Page 7
NHS Carbon Management Programme
Carbon Management Plan
working with
It was calculated that a 20% reduction in carbon emissions by 2015 could result in the
cumulative saving of 24,141 tonnes of CO2, with a potential cumulative cost avoidance of
£6.9 million.
Gloucestershire Hospitals NHS Foundation Trust has developed a portfolio of projects to
achieve substantial carbon reductions by 2015. These projects combine technical solutions,
behavioural changes and policy and procedure reviews resulting in a mix of “quick win”
projects and high carbon saving/longer-term strategic projects.
These actions will require investment. However, the requirement for this investment is driven
by the environmental and economic case for action outlined above. The predicted savings
calculated for the projects identified amounts to £2.8 million.
In some cases funding for projects has already been secured. This is from a mixture of
sources including internal Trust finances and external sources such as Department of Health
grants and Salix Energy Efficiency Loans Scheme. The predicted cost of projects identified in
the Carbon Management Plan is £1,585,981; however some additional actions and investment
will need to be identified to achieve the target by 2015.
As well as specific carbon management projects the Trust will carry out a number of actions to
ensure that carbon management considerations are embedded within the organisation, thus
creating a low carbon culture. These follow seven themes including:







Policy – embedding CO2 saving across the organisation
Responsibility – being clear that saving CO2 is everyone’s job
Data Management – measuring the difference, measuring the benefit
Communication and Training – ensuring everyone is aware
Finance and Investment – the money to match the commitment
Procurement – buying a sustainable future
Monitoring and Evaluation
Corporate Citizenship Committee will formally review the Programme’s progress internally on
a quarterly basis. The Carbon Trust will monitor the Council’s carbon dioxide reduction
progress annually, every January.
Page 8
NHS Carbon Management Programme
Carbon Management Plan
working with
1 Introduction
It is now widely recognised that climate change is perhaps the most serious future threat to
life, our health, and our well being. Our climate is changing, primarily due to human emissions
of greenhouse gases, and the effects are set to accelerate in the future bringing significant
impacts around the world.
This change has the potential to affect human health in a number of ways, for instance by
altering the geographic range and seasonality of certain infectious diseases, disturbing foodproducing ecosystems, and increasing the frequency of extreme weather events, such as
hurricanes. The World Health Organisation (WHO) recognises that climate change already
contributes to the global burden of disease, and this contribution is expected to grow in the
future.
Reports from both the Stern Review on the economics of climate change and the United
Nations Intergovernmental Panel on Climate Change (IPCC), amongst many others, have
prompted changes in public, political and corporate attitude, moving the issue beyond
scientific debate to focus on actions needed to effectively reduce emissions.
These developments have been translated into increased pressure on business and
organisations to act and it is against this background that Gloucestershire Hospital NHS
Foundation Trust Corporate Citizenship Committee has developed this Carbon Management
Plan.
This Carbon Management Plan (CMP) is the main output and sets out a structured, systematic
framework for cost effective carbon reduction over a 6-year target period. The CMP identifies
and quantifies sources of carbon emissions from the Trust, setting a baseline against which
the impact of actions will be measured. It describes the activities being pursued and quantifies
the cost of doing nothing, in both carbon emitted and projected costs.
The programme will be regularly monitored and reviewed by the Corporate Citizenship
Committee and progress communicated to all stakeholders including staff, visitors and
patients.
Page 9
NHS Carbon Management Programme
Carbon Management Plan
working with
2 Carbon Management strategy
2.1 Context and drivers for Carbon Management
If no action is taken we can expect summer temperatures in the South West to increase by
3.1°C by the 2050s and 5°C by the 2080s resulting in water shortages, coastal flooding and
increased frequency and intensity of extreme weather events.
This will have severe repercussions for the services the NHS delivers and, as the largest
employer in the UK, there is an imperative to act now in order to make a real difference and
set a leading example to the rest of the UK.
A number of legislative drivers have been introduced to facilitate the move to a low carbon
economy, some of which are outlined below:

Climate Change Act, 2008 – The Climate Change Act sets a legally binding target to
ensure UK carbon emission reductions of 34% by 2020 and 80% by 2050 compared to
a 1990 baseline.

Carbon Reduction Commitment (CRC) Energy Efficiency Scheme – One of the
mechanisms to meet the Climate Change Act targets, the Carbon Reduction
Commitment Energy Efficiency Scheme is a mandatory “cap & trade” emissions
trading scheme for organisations whose total electricity consumption is greater than
6,000MWh or approximately £500k. If an organisation falls within the CRC Energy
Efficiency Scheme all electricity and fuel emissions are covered. From 2011 poorly
performing NHS organisations will be penalised depending on their position in a CRC
league table1. Gloucestershire Hospitals NHS Foundation Trust will be participants in
this scheme; the consequences of this are discussed in section 5 of this plan.

Display Energy Certificates - As of 1st October 2008 there is a legal requirement for
all public sector buildings with a total useful floor area of over 1,000m2, to show a
Display Energy Certificate (DEC) in a prominent place, clearly visible to the public
outlining the buildings energy efficiency2.
Using these national targets the NHS has set its own targets and guidance including:
 NHS Sustainable Development Unit - The NHS strategy “Saving Carbon, Improving
Health” sets a target for NHS Trusts to reduce their carbon emissions through all
activities by at least 10% between 2007 and 2015. This includes developing a Board
approved carbon management strategy.
 BREEAM Healthcare: As of 1st of July 2008, the Department of Health require, as
part of the Outline of Business Case approval, that all new builds achieve an Excellent
and all refurbishments achieve a Very Good rating under BREEAM Healthcare.
Additionally, all projects are required to achieve credit Tra 5 Travel Plan.
 Health Technical Memorandum 07 – Environment and Sustainability: A series of 7
publications that set specific environmental and sustainability healthcare standards for
building components and the design and operation of engineering services. HTM
recommendations are reflected in the cost guidance promulgated by the Department of
Health as a benchmark for demonstrating value for money in business cases.
Finally, and by no means the least, measures to increase energy efficiency will reduce energy
costs, which is particularly important for the future given the predicted increases in energy
1
more information on the CRC can be found at: http://www.defra.gov.uk/Environment/climatechange/uk/business/crc/index.htm
2
more information on DEC can be found at:
www.communities.gov.uk/planningandbuilding/theenvironment/energyperformance/certificates/displayenergycertificates
Page 10
NHS Carbon Management Programme
Carbon Management Plan
working with
prices. Energy and fuel costs have seen a dramatic rise in recent years, with energy prices
increasing by well over 50% since 2004. This trend is not expected to change and we must
accept that the price we pay for our energy will continue to increase in the coming years.
2.2 Our low carbon vision and strategic themes
“Gloucestershire Hospitals NHS Foundation Trust recognises the contribution we
can make towards mitigating climate change. We are committed to reducing our
environmental impact and will lead by example, continually acting to reduce
carbon emissions arising from our operations and services, providing healthcare for
a sustainable future.”
Technical
solutions
Behavioural
change
Financial
resources
Policies and
procedures
Where applicable,
the Trust will
implement
practical, costeffective technical
solutions in order
to reduce carbon
emissions and
associated costs.
It is important that
this strategy is not
solely reliant on
technical solutions.
Therefore the
Trust will
encourage
environmental
good practice
amongst staff,
visitors and
patients through
awareness
campaigns and
initiatives. This will
include regular
communication
promoting
outcomes of this
strategy and
progress towards
achieving our low
carbon vision.
Funding will be
sourced from
existing funding
streams and
external funding
avenues. Careful
consideration is
given to ensure full
Value for Money is
realised from each
project.
Where appropriate
policies and
procedures will be
amended and
adapted to support
carbon
management
activities. This
alongside
behavioural
change actions will
aim to create a low
carbon culture
within the
organisation.
Page 11
NHS Carbon Management Programme
Carbon Management Plan
working with
2.3 Targets and objectives
Gloucestershire Hospitals NHS Foundation Trust will reduce the CO2
emissions from its activities by 20% from the 2008/09 baseline, by April 2015.
The following objectives will form a fundamental part in successfully achieving this target:






Bringing together all carbon management activities from across the organisation into
one consistently managed and coherent programme.
Significantly reducing energy consumption in buildings, particularly Gloucestershire
Royal Hospital and Cheltenham General Hospital.
Developing a formal, recognised Environmental Champions group.
Raising awareness of the climate change and carbon management agenda amongst
staff, visitors and patients, to promote good house keeping and environmental best
practice.
Embedding carbon management into Gloucestershire Hospitals NHS Foundation
Trust’s day-to-day activities, policies and procedures with responsibility at Board level.
Ensuring risks and issues are regularly monitored and mitigated.
Page 12
NHS Carbon Management Programme
Carbon Management Plan
working with
3 Emissions baseline and projections
It is essential that progress towards the reduction target can be measured accurately. This
allows initiatives to be reviewed and scrutinised as well as providing consistently repeatable
and traceable information for future years.
This section outlines Gloucestershire Hospitals NHS Foundation Trust’s carbon footprint and
provides a baseline against which efforts to reduce carbon emissions will be measured.
3.1 Scope
The baseline year for this programme is the 2008/09 financial year. Although assumptions
have been made (see section 3.2), this is the earliest year that data is of sufficient quality to
allow an accurate footprint to be established.
The scope was based on guidance as set out in the Greenhouse Gas Protocol: A Corporate
Accounting and Reporting Standard3. All scope 1 and 2 emissions have been included. Scope
3 emissions have been selected where data is available and processes for reporting further
sources will be identified as the programme progresses.
SCOPE 1
Direct Emissions
Fuels combustion (e.g. gas
use in boilers)
SCOPE 2
Indirect Energy Emissions
Business travel
Consumption of purchased
electricity from grid, heat
and steam from Energy
Centres A and B.
Owned transport (fleet,
pool and lease car
emissions)
Key:
SCOPE 3
Other Indirect Emissions
Waste disposal
Water use
Standard
Best Practice
Figure 3.1 Emissions sources included in the Carbon Management Programme 2008/09.
The NHS Sustainable Development Unit’s publication, ‘Saving Carbon, Improving Health’,
indicates that procurement accounts for 60% of the NHS carbon footprint. Calculating the
exact impact of the Trust’s procurement activities would require considerable resources and
so have been excluded from the scope of this carbon footprint. However, the carbon impact of
procurement activities will not be discarded and work will continue in order to reduce the
emissions associated with these activities (see Section 6.6).
3
more information on the GHG Protocol can be found at: http://www.ghgprotocol.org/standards/corporate-standard
Page 13
NHS Carbon Management Programme
Carbon Management Plan
working with
3.2 Baseline
During the 2008/09 financial year Gloucestershire Hospitals NHS Foundation Trust
was responsible for 27,733 tonnes of carbon dioxide as a result of its activities
and services.
Business travel
2%
Fleet
1%
Waste
4%
Water
0%
Grid electricity
54%
Natural gas
39%
Liquid fuels
0%
Building emissions
94%
Transport emissions
2%
Other emissions sources
4%
Grid Electricity
Liquid Fuels
Natural gas
Fleet
Business travel
Waste
Water
TOTAL
15,135
23
10,713
232
453
1,061
115
27,733
Figure 3.2 Breakdown of emissions sources 2008/09.
For the purposes of this baseline exercise, a baseline tool provided through the Carbon Trust,
and emissions factors provided by DEFRA4 have been used.
Data quality for buildings and further scope sources were both accurate and reliable with
historic data easily available for analysis.
Data for transport emissions was rather more scarce resulting in estimates being required.
Fleet car mileage is generally recorded accurately and data is easily accessible. However
records for lease car and business mileage required a considerable number of estimations.
This is because, for lease cars, employees do not regularly report mileage to the Finance
Department resulting in sporadic records. For business mileage, with the current system, there
is no way to produce standard reports that allow straightforward analysis of mileage. Section
6.3 outlines processes that will improve data management in future years.
As the table in Figure 3.2 highlights, buildings account for the largest proportion of emissions
and are clearly the area to initially focus attention. Figure 3.3 illustrates a detailed breakdown
of building emissions.
4
DEFRA emissions factors can be found at: http://www.defra.gov.uk/environment/business/reporting/pdf/conversion-factors.pdf
Page 14
NHS Carbon Management Programme
Carbon Management Plan
working with
Delancey Hospital
2%
Other
4%
Gloucestershire
Royal Hospital
Energy Centre B
6%
Gloucestershire
Royal Hospital
Energy Centre A
19%
Cheltenham
General Hospital
Electricity
18%
Cheltenham
General Hospital
Natural Gas
13%
Gloucestershire
Hospitals
Partnership
(PFI building)
Electricity
13%
Gloucestershire
Royal Hospital
Electricity
25%
Figure 3.3 Breakdown of building emissions 2008/09.
Gloucestershire Royal Hospital, which includes Energy Centres A and B (hot water and steam
generation) and the Gloucestershire Hospital Partnership (PFI) building, has the largest
carbon footprint accounting for 63% of building emissions. Cheltenham General Hospital has
the second largest carbon footprint comprising 31% of building emissions.
Together these two sites include 24,320 tonnes of carbon dioxide or 94% of Gloucestershire
Hospitals NHS Foundation Trusts total carbon footprint.
This result was anticipated as these sites contain the majority of facilities, including wards,
operating theatres, pathology laboratories, the Trust data centre and Central Sterile Supply
Department. However to ensure the success of this programme reduction at these sites is a
key objective.
3.3 Projections and Value at Stake
The following section considers two potential emissions scenarios; business as usual and
reduced emissions scenario. These are used to draw attention to the potential environmental
and financial benefits that could be gained by adopting this Carbon Management Plan.
Business As Usual Scenario
“Business as Usual” refers to the scenario in which the Trust continues to increase energy
consumption year on year, with no active approach to carbon management, resulting in
increased carbon emissions and associated expenditure.
Forecasts in Figure 3.4 show the predicted change in carbon emissions and utility prices
under a Business As Usual scenario. This has been calculated using the following
assumptions supplied by the Carbon Trust:
 Carbon emissions will increase by 0.7% per annum – Department of Business
Enterprise and Regulatory Reform, EP68.
Page 15
NHS Carbon Management Programme
Carbon Management Plan


working with
Energy prices will increase by 5.3% per annum - Department of Business Enterprise
and Regulatory Reform, Communication on DECC fossil fuel price assumptions5.
All other costs will increase by 8.4% per annum - Department of Business Enterprise
and Regulatory Reform, Communication on DECC fossil fuel price assumptions.
Carbon dioxide emissions are projected to rise from 27,733 tCO2 to 28,919 tCO2 by April 2015.
A 4.3% increase.
The financial implications of maintaining Business As Usual results in an expenditure increase
from £6.2 million p.a. to £9.1 million p.a. by April 2015. A 47.7% increase in utility costs.
Further to the predicted increase in utility costs is the cost of participating in the upcoming
Carbon Reduction Commitment Energy Efficiency Scheme. This is discussed in more detail in
section 5.
40,000
10,000,000
9,000,000
35,000
8,000,000
7,000,000
25,000
6,000,000
20,000
5,000,000
cost (£)
carbon emissions (tCO 2)
30,000
4,000,000
15,000
3,000,000
10,000
2,000,000
5,000
1,000,000
0
0
2008/09
2009/10
2010/11
2011/12 2012/13
Emissions (tCO2)
2013/14
2014/15
Cost (£)
Figure 3.4 Projected carbon emissions and costs – Business as Usual Scenario.
These estimations may seem high but, as Figure 3.5 demonstrates; historic consumption and
cost trends indicate that these projections have been exceeded in recent years.
5
more information on fossil fuel price assumptions can be found at: http://www.berr.gov.uk/files/file51365.pdf
Page 16
NHS Carbon Management Programme
Carbon Management Plan
working with
2004/05
2008/09
% increase
Electricity
Carbon emissions (tCO2)
Cost (£)
4,252
305,705
4,745
978,964
12
220
Gas
Carbon emissions (tCO2)
Cost (£)
3,529
344,863
3,679
644,932
4
87
Total
Carbon emissions (tCO2)
Cost (£)
7,781
650,569
8,424
1,623,895
8
150
Figure 3.5 Historic carbon emissions and costs, Cheltenham General Hospital, 2004/05 to
2008/09.
Reduced Emissions Scenario
Subject to securing external funding to finance carbon management activities, with a proactive
approach to carbon management resulting in emissions reductions of 20% by 2015
Gloucestershire Hospitals NHS Foundation Trust will be undertaking a “Reduced Emissions
Scenario” (see Figure 3.6 and 3.7).
With a successful 20% reduction in carbon emissions, the Trust can expect costs to increase
from £6.2 million to £ 7.0 million by April 2015. A 13% increase.
Under a Reduced Emissions Scenario carbon emissions will decrease from 27,733 tCO2 to
22,186 tCO2.
35,000
BAU emissions: 28,919 tCO2
Baseline emissions: 27,733 tCO2
Carbon emissions (tCO 2)
30,000
Value At Stake
25,000
20,000
RES emissions: 22,186 tCO2
15,000
10,000
5,000
Value At Stake 2014/15: 6,733 tCO2
0
2008/09
2009/10
Actual emissions
2010/11
2011/12
Business As Usual (BAU)
Figure 3.6 Value At Stake – Emissions.
Page 17
2012/13
2013/14
Reduced Emissions Scenario (RES)
2014/15
NHS Carbon Management Programme
Carbon Management Plan
working with
10,000,000
BAU cost: £ 9,142,819
9,000,000
8,000,000
Baseline cost: £ 6,189,784
Value At Stake
7,000,000
Cost (£)
6,000,000
RES cost: £ 7,014,317
5,000,000
4,000,000
3,000,000
2,000,000
Value At Stake 2014/15: £ 2,128,502
1,000,000
0
2008/09
2009/10
Actual emissions
2010/11
2011/12
Business As Usual (BAU)
2012/13
2013/14
2014/15
Reduced Emissions Scenario (RES)
Figure 3.7 Value At Stake – Cost.
Value At Stake
Value At Stake is an indicative tool that illustrates the difference between the Business As
Usual and Reduced Emissions Scenarios (figures 3.6 and 3.7).
The Value At Stake represents a potential cumulative saving of 24,141 tonnes of
carbon dioxide and £ 6.9 million over the six year target period.
The Value At Stake is different from the savings calculated in Section 5 of the Plan. The Value
At Stake highlights what can potentially be achieved through the Carbon Management
Programme, whereas the savings identified in Section 5 are the sum of the calculated savings
projected for each identified carbon management project.
Despite these limitations the graphs above make it very clear that reducing Gloucestershire
Hospitals NHS Foundations Trusts carbon footprint has obvious environmental and financial
benefits.
Page 18
Gloucestershire Hospitals NHS Foundation Trust
working with
NHS Carbon Management Programme
Carbon Management Plan
4 Carbon Management Projects
4.1 Past Projects
Transport Plan (TP2006)
The Trust has implemented a Transport Plan6 for all staff, patients and visitors which has substantially improved travel arrangements to and from the
main sites at Gloucestershire Royal Hospital and Cheltenham General Hospital. Actions have included:





Providing secure cycle parks at both sites and improving showers and changing facilities.
Introducing parking permits and a 1.5 mile exclusion zone for all non-essential car users.
Providing a shuttle bus between Gloucestershire Royal Hospital and Cheltenham General Hospital drastically reducing business mileage
between sites.
Providing low cost bus travel around the county for all employees commuting to and from work.
Supplying information with regards to car sharing, public transport and active transport around the county.
Despite its obvious success, the absolute reduction in Trust carbon emissions as a result of the Transport Plan is unclear. When the Transport Plan is
reviewed (see section 4.3) it will be ensured that procedures for measuring absolute carbon emission reductions will be established allowing progress to
be included and reported as part of this Carbon Management Programme.
Waste Management
Paper and cardboard is widely recycled throughout the Trust with 177 tonnes of paper (equivalent to saving ~3000 trees) recycled in 2008/09. Recently
the installation of two new cardboard balers has increased the capacity for cardboard recycling, also providing financial benefits.
At present the Trust is running a pilot scheme to further expand the types of materials recycled with the ambition of expanding this in the future to
incorporate additional services areas (section 4.4).
6
more information can be found at: http://www.gloshospitals.org.uk/content/citizenship/citizenship_transport.html and http://ghnhst/Transport%20%20Parking/default.aspx
Page 19
Gloucestershire Hospitals NHS Foundation Trust
working with
NHS Carbon Management Programme
Carbon Management Plan
4.2 Existing Projects - 2009/10
The following sections set out projects and actions identified to deliver Gloucestershire Hospitals NHS Foundation Trusts reduction target and
associated financial savings. This process is not static and additional reduction initiatives will be ascertained and implemented as they become available.
More detail on each project, including identified funding avenues, can be found in Appendix B.
Annual Saving
Strategic theme
Lead
Capital cost
Funding
Source
Fin.
CO2
Replacement of College Road Wing
HWS Calorifiers with PHEs
Technical solutions
Property and
Medical
Engineering
£90,804
Department of
Health Grant
£17,850
GHFT-002
GRH and CGH – Improvements to
existing lighting schemes
Technical solutions
Property and
Medical
Engineering
£131,310
Department of
Health Grant
GHFT-003
Cheltenham General Hospital –
Steam Boiler House Efficiency
Improvements
Technical solutions
Property and
Medical
Engineering
£199,724
Department of
Health Grant
Ref
Project
GHFT-001
£421,838
Project totals 2009/10
Pay back
% Absolute
Reduction
85 tCO2
Grant
funded
0.3%
£22,043
135 tCO2
Grant
funded
0.5%
£48,814
314 tCO2
Grant
funded
1.1%
£88,707
534 tCO2
1.9%
4.3 Planned / Funded Projects – 2010/11
Annual Saving
Strategic theme
Lead
Capital cost
Funding
Source
Fin.
CO2
GRH Energy Centre B – Replace Two
Existing Burners and Install a Summer
Boiler
Technical solutions
Property and
Medical
Engineering
£69,000
Salix Finance
– Approved
£17,878
GHFT-005
Variable Speed Drives for Larger
Pumps and Fan Motors
Technical solutions
Property and
Medical
Engineering
£77,726
Salix Finance
- Approved
GHFT-006
BMS Control of Discrete Air
Technical solutions
Property and
Medical
£56,999
Salix Finance
- Approved
Ref
Project
GHFT-004
Page 20
Pay back
% Absolute
Reduction
105 tCO2
3.9 years
0.4%
£42,279
264 tCO2
1.8 years
1.0%
£11,531
72 tCO2
4.9 years
0.3%
Gloucestershire Hospitals NHS Foundation Trust
working with
NHS Carbon Management Programme
Carbon Management Plan
Conditioning “Splits”
Engineering
GHFT-007
Insulation Upgrade Steam and
Heating Pipework
Technical solutions
Property and
Medical
Engineering
£10,364
Salix Finance
- Approved
£3,916
23 tCO2
2.7 years
0.1%
GHFT-008
LED Street Light upgrade
Technical solutions
Property and
Medical
Engineering
£17,696
Salix Finance
- Approved
£4,258
27 tCO2
4.2 years
0.1 %
GHFT-009
LED Lighting Replacement GRH Lift
Landings
Technical solutions
Property and
Medical
Engineering
£8,314
Salix Finance
- Approved
£2,317
14 tCO2
3.6 years
0.05%
GHFT-010
Basement Corridor LED Lamp
Replacements
Technical Solutions
Property and
Medical
Engineering
£10,044
Salix Finance
- Approved
£2,934
18 tCO2
3.4 years
0.06%
GHFT-011
Relocation and upgrade of HWS
Calorifiers to PHEs from St Lukes 1 to
College Road Wing
Technical Solutions
Property and
Medical
Engineering
£179,000
Trust financed
- Approved
£8,700
38 tCO2
20.5 years
0.1%
GHFT-012
Additional metering and BMS
upgrades
Technical Solutions
Property and
Medical
Engineering
£110,000
Trust financed
– Awaiting
approval
£7,500
112 tCO21
14.7 years
0.4%
GHFT-013
Investigated and quantify projects for
20010/11
Technical Solutions
Carbon
Management
Team
-
-
-
-
-
-
GHFT-014
PN07-04 Temperature Control
Settings
Policies and
procedures
Property and
Medical
Engineering
-
-
£7,500
701 tCO2
-
2.5%
GHFT-015
Review of Transport Plan
Policies and
procedures
Transport
Team
-
-
To be
established
137 tCO22
-
0.5%
GHFT-016
Environmental Champions –
awareness raising and campaigns
Behavioural change
Environment
Team
£2,000 p.a.
(revenue)
Unidentified
£25,000
310 tCO2
-
1.1%
£133,813
1,821 tCO2
£541,143
Project totals 2010/11
1
2
Estimate from Rapid Assessment of Potential (RAP) spreadsheet tool supplied by the Carbon Trust.
Assuming a 20% reduction in business and fleet emissions as a result of actions arising from the reviewed Transport Plan.
Page 21
6.6%
Gloucestershire Hospitals NHS Foundation Trust
working with
NHS Carbon Management Programme
Carbon Management Plan
4.4 Medium Term Projects – 2011/12
Annual Saving
Strategic theme
Lead
Capital cost
Funding
Source
Fin.
CO2
Pay back
% Absolute
Reduction
PC Power Management – 4000 PCs
Technical Solutions
IT Services
£23,000
IT Services
£104,000
51 tCO2
3 months
0.2%
GHFT-018
PC desktop virtualisation
Technical Solutions
IT Services
£600,000
IT Services
£41,500
217 tCO2
14.5 years
0.8%
GHFT-019
Voltage Optimisation
Technical Solutions
Property and
Medical
Engineering
To be
established
Salix Finance
– to be
approved
To be
established
381 tCO2
To be
established
1.4%
GHFT-020
Automatic lighting controls in store
rooms
Technical Solutions
Property and
Medical
Engineering
To be
established
Salix Finance
– to be
approved
To be
established
14 tCO2
To be
established
0.05%
GHFT-021
Planned boiler maintenance and
upgrades
Technical Solutions
Property and
Medical
Engineering
Taken from
maintenance
budget
Taken from
maintenance
budget
To be
established
39 tCO2
-
0.1%
GHFT-022
Low energy drives on lifts – GRH &
CGH
Technical Solutions
Property and
Medical
Engineering
To be
established
Salix Finance
– to be
approved
To be
established
15 tCO2
To be
established
0.05%
GHFT-023
Replace and upgrade existing
pharmaceutical refrigerators
Technical Solutions
Pharmacy
To be
established
To be
established
To be
established
20 tCO2
To be
established
0.1%
GHFT-024
Asset management closure of
Delancey Hospital, Ermin House and
Old Chapel
Policies and
procedures
-
-
N/A
760 tCO2
-
2.7%
GHFT-025
Increase recycling facilities at CGH
and GRH
Policies and
procedures
Environment
Team
To be
established
To be
established
To be
established
To be
established
To be
established
-
GHFT-026
Investigated and quantify projects for
2012/15
Technical Solutions
Carbon
Management
Team
-
-
-
-
-
-
£312,200
1,497 tCO2
Ref
Project
GHFT-017
£623,000
Project totals 2011/12
£166,700
(energy costs)
The figures outlined in this table are estimates as supplied by the IT Service Delivery Manager and the Carbon Management Projects Register (CMPR)
spreadsheet tool supplied by the Carbon Trust. Each project needs to be investigated further throughout the year and figures will be updated as more
robust information becomes available.
Page 22
5.4%
Gloucestershire Hospitals NHS Foundation Trust
working with
NHS Carbon Management Programme
Carbon Management Plan
4.5 Long Term Projects
Aside from energy efficiency improvements and policy alignment, in order to make substantial carbon savings Gloucestershire Hospitals NHS
Foundation Trust will need to address the way in which energy is generated in the first instance. Technologies such as Combined Heat and Power
(CHP) offer large carbon savings and favourable financial benefits with proven applications in Hospital settings (see cases studies in Appendix C). From
initial analysis carbon savings of around 1,220 tCO2 p.a. could be achieved resulting in a 3.9% reduction in absolute emissions.
Although the current financial climate prevents investment in technologies such as Combined Heat and Power the Trust recognises that in order to hit its’
ambitious 20% reduction target options such as these will need to be investigated before April 2015. Therefore Gloucestershire Hospitals NHS
Foundation Trust has the aspiration to include a low carbon energy generating technology by the end of the target period. The first step in this will be a
feasibility study as set out in the table below:
Strategic theme
Lead
Capital cost
Funding
Source
Feasibility study for Combined Heat
and Power (CHP) at GRH – 2011/12
Technical Solutions
Property and
Medical
Engineering
To be
established
Installation of Combined Heat and
Power unit – GRH – 2014/15
Technical Solutions
Property and
Medical
Engineering
To be
established
Ref
Project
GHFT-026
GHFT-027
Long term projects 2008/15
Annual Saving
% Absolute
Reduction
Fin.
CO2
To be
established
-
-
-
-
To be
established
To be
established
1,220 tCO2
To be
established
4.4%
1,220 tCO2
Page 23
Pay back
4.4%
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
4.6 Projected Achievement towards Target
The total cumulative carbon savings identified throughout this section are 5,062 tCO2, an
18.3% absolute emissions reduction (figure 4.1). This falls below the 20% reduction target as
stated in section 2.4.
However, energy efficiency projects for both the 2012/13 and 2013/14 financial years have yet
to be finalised and included in this Carbon Management Plan. Actions identified for these
years will without doubt make up and exceed the required 1.7% deficit. Nevertheless this
issue clearly highlights the importance of regularly identifying, quantifying, implementing and
reviewing carbon reducing opportunities ensuring Gloucestershire Hospitals NHS Foundation
Trust’s low carbon vision is realised.
30,000
CO2 (tonnes)
27,500
25,000
22,500
20,000
17,500
2008/09
2009/10
2010/11
Reduced Emissions Scenario (RES)
2011/12
2012/13
2013/14
2014/15
Precited achievement towards target
Figure 4.1 Achievement towards the 20% reduction target
Figure 4.1 is relatively simplistic and assumes that each project will achieve the predicted
savings and that these will work at maximum efficiency for an indefinite time period.
Figure 4.2 illustrates the emissions reductions identified in this Carbon Management Plan
when deducted from predicted Business as Usual emissions thus illustrating a more robust
anticipation of overall success.
Page 24
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
30,000
CO2 (tonnes)
27,500
25,000
22,500
20,000
17,500
2008/09
Business As Usual (BAU)
2009/10
2010/11
2011/12
2012/13
Reduced Emissions Scenario (RES)
2013/14
2014/15
Emissions in chosen plan
Figure 4.2 Emissions in chosen plan when compared to Business As Usual emissions.
With this more sophisticated approach an emissions reduction of 3,886 tCO2 (14%) could be
expected by April 2015 demonstrating the potential risk involved. In order to mitigate this risk
section 6 outlines actions to embed carbon management across the organisation. Actions
identified here will reduce business as usual increases and, in some cases, act as carbon
reduction projects in their own right further reducing risk.
Page 25
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
5 Carbon Management Plan financing
For Gloucestershire Hospitals NHS Foundation Trust to successfully achieve carbon
reductions and avoid large energy expenditure increases, alongside plans to implement wider
carbon management initiatives, the programme will require capital investment.
5.1 Assumptions
The projected benefits and savings of individual projects, and the overall Programme, are an
integral element of the funding decision-making process. In order to calculate these cost
savings certain assumptions have been applied. These are outlined below:



Only energy cost savings are included, not financial savings associated with increased
life of equipment, improved efficiency, reduced maintenance etc.
Each project will achieve the assumed savings as outlined in this plan.
Progression with some projects and associated financial savings are dependant on the
results of feasibility studies and therefore have yet to be established.
5.2 Benefits and Savings
This section outlines the carbon emissions and cost savings that are projected to be achieved
from projects the Trust undertakes in the coming years, and the percentage of the 20% by
2015 reduction target achieved. As the Trust’s target is for 2015 additional carbon reduction
projects covering the latter part of the target period will be identified in light of fresh ideas and
new technologies. This will further increase both carbon and cost benefits.
2009/10
2010/11
2011/12
2012/13
2013/14
2014/15
Annual CO2
saving (tonnes)
534
1,821
1,497
-
-
1,220
Cumulative CO2
saving tonnes
534
2,355
3,852
3,852
3,852
5,072
1.9%
8.5%
13.9%
13.9%
13.9.%
18.3%
% absolute
reduction
Figure 5.1 Gloucestershire Hospitals NHS Foundation Trusts projected carbon savings
2009/15.
The following tables illustrate the projected financial savings under two scenarios. Assumption
1 assumes that energy prices will not increase from the 2008/09 baseline year until April 2015
and that energy prices will remain at:

Electricity – 8.6 p/kWh

Gas – 3.15 p/kWh
Page 26
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
2009/10
2010/11
2011/12
2012/13
2013/14
2014/15
Annual cost
saving
£88,707
£133,813 £312,200
-
-
-
Cumulative cost
saving p.a.
£88,707
£222,520 £534,720 £534,720 £534,720
£534,720
£2,450,107
Total saving 2009/15
Figure 5.2 Gloucestershire Hospitals NHS Foundation Trusts projected cost savings 2009/15
– Assumption 1
Assumption 2 assumes that energy prices will increase year-on-year according to the
Emissions baseline and predictions (section 3):

Energy prices will increase by 5.3% per annum - Department of Business Enterprise
and Regulatory Reform, Communication on DECC fossil fuel price assumptions7.
2009/10
2010/11
2011/12
2012/13
2013/14
2014/15
Annual cost
saving
£88,707
£140,905 £345,293
-
-
-
Cumulative cost
saving p.a.
£88,707
£234,313 £579,606 £610,325 £642,672
£676,734
£2,832,357
Total saving 2009/15
Figure 5.3 Gloucestershire Hospitals NHS Foundation Trusts projected cost savings 2009/15
– Assumption 2
As shown above the financial benefits are clear; currently representing a potential £2.8 million
cost avoidance over the target period. As the programme continues and further projects are
developed and implemented to achieve an absolute 20% reduction the financial benefits will
continue to increase providing even more Value for Money.
5.3 Unquantifiable Benefits
Aside from financial benefits there are also many unquantifiable benefits to the Carbon
Management Programme that cannot be as easily quantified into carbon and cost savings.
These include:
7

Increasing awareness of the climate change and carbon management agenda across
the organisation

Providing an improved working environment

Increasing efficiency and lifetime of equipment as identified in Appendix B

Contributing to national, regional and local carbon reduction targets

Enhancing the Trusts reputation as a Good Corporate Citizen
more information on fossil fuel price assumptions can be found at: http://www.berr.gov.uk/files/file51365.pdf
Page 27
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
5.4 Financial costs and sources of funding
Total Projected Cost of Projects: £1,585,981
Total Potential Savings 2009/15: £2,832,357
Project costs p.a.
Department of Health Grant
Funding
Identified
funding
sources
Salix Interest
Free Energy
Efficiency loans
Scheme
Property &
Medical
Engineering
Service Budget
2009/10
2010/11
2011/12
£421,838
£541,143
£623,000
£421,838
-
-
£250,143
-
£179,000
-
Approved
Unapproved
-
Approved
£110,000
Unapproved
IT Services Service Budget
Total unidentified funding
-
-
£623,000
£0
£2,000
£0
Figure 5.4 Gloucestershire Hospitals NHS Foundation Trusts projected cost of known projects
Figure 5.4 illustrates that for all projects, where the capital cost is known, funding sources
have been identified. Projects that do not have capital costs included in section 4.4 are part of
existing Trust business planning or are eligible for Salix funding and will be investigated during
the next bidding round.
Salix Energy Efficiency Loans Scheme
Salix is an independent, publicly funded company, set up in 2004, to accelerate public sector
investment in energy efficiency technologies through invest to save schemes.
The Energy Efficiency Loans Scheme provides interest free loans to pay for the installation of
a wide range of energy efficiency measures – providing 100% support in making progress
towards reducing energy bills and carbon emissions. Repayments are covered from the
energy savings achieved by the projects and organisations can keep all the savings generated
once the loan is repaid.
Each project must meet the following criteria:

The project must pay for itself in energy savings within a maximum 5 year period

The cost of CO2 must be less than £100 per tonne over the lifetime of the project

The project must be “additional”- i.e. would not have happened without the funding
The Trust has identified this Scheme as a valid source of funding and has successful secured
£250,143 of interest free energy efficiency loans for projects in the 2010/11 financial year.
Page 28
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
5.5 Carbon Reduction Commitment Energy Efficiency Scheme
Due to start in April 2010, the Carbon Reduction Commitment Energy Efficiency Scheme
(CRC) is a tool for cutting carbon emissions from large, non-energy intensive organisations.
The CRC will require organisations that consumed more than 6,000MWh of electricity through
half hourly meters in 2008 to participate in the scheme from April 2010 onwards. Around 5,000
public and private sector organisations will be included.
From April 2011 onwards, as participants, Gloucestershire Hospitals NHS Foundation Trust
will have to buy and surrender carbon allowances to cover annual building emissions. Initially
there are an unlimited number of allowances available to participants and the price of carbon
will be fixed at £12 /tCO2. This price will remain fixed for the first three years of the scheme
(Introductory Phase) after which the available number of allowances will be capped and the
price of carbon subject to auction.
The revenue from the sale of allowances will be recycled back to participants each year based
on their carbon cutting performance. A Carbon Reduction Commitment League Table will rank
organisations and those who are highly ranked will receive a bonus payment whilst poor
performers will be penalised.
Based on building emissions from the 2008/09 financial year, figure 5.5 highlights the potential
cost implications for the Trust over the first Introductory Phase of the Scheme. This table
assumes that carbon emissions will not change over the course of this Phase and is used to
illustrate cash flow implications only. A more detailed Carbon Reduction Commitment Strategy
will be produced before the start of the Scheme
Year
Building
emissions (tCO2)*
Cost for
allowances
Maximum annual
bonus/penalty
(based on league table
position)
Potential
bonus/penalty at
stake
29,236
£350,832
+/- 10%
£35,083
29,236
£350,832
+/- 20%
£70,166
29,236
£350,832
+/- 30%
£105,250
Cost for allowances over 3 year Introductory Phase
£1,052,496
Maximum potential bonus/penalty over 3 year Introductory Phase
£210,499
Figure 5.5 Potential cost implications of the CRC based on 2008/09 building emissions
2010/11
2011/12
2012/13
.
Page 29
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
6 Actions to Embed Carbon Management in the Trust
Incorporating CO2 considerations into mainstream decision making requires cultural change
within the management and operation of the Trust. Managing this change and incorporating
carbon considerations at the heart of the decision making process is crucial to initiating and
maintaining this carbon management strategy.
The process of embedding carbon management lies primarily within the plans Strategic
Themes of behaviour change and policies and procedures.
As part of the NHS Carbon Management Programme the Trust completed an assessment to
evaluate the degree to which carbon management considerations are currently integrated into
the day-to-day running of the organisation (Appendix A). It is intended that by the end of the
target period progress will be made to improve performance across all areas resulting in best
practice by April 2015. The issues and outcomes required to achieve this are discussed in
more detail throughout this section and section 7.
6.1 Policy – embedding CO2 saving across the organisation
A significant risk is that future actions could, without consideration, undo emissions reduction
made now. For this reason guaranteeing carbon management is embedded within policies
and procedures is a significant way in which actions, outside of those specified in this Carbon
Management Plan, contribute to mitigating the effects of climate change and creates a low
carbon culture.
Currently several existing Trust policies have a positive impact on reducing carbon emissions.
Examples include the Catering Department Environmental Policy, the Procurement
Management Policy, the Energy and Utility Management Policy, Waste Management Policy
and Travel Plan. However, due to the relatively contemporary nature of climate change
legislation, carbon management is often not explicitly mentioned. By taking part in the NHS
Carbon Management Programme this has been identified and subsequently highlighted the
opportunity to review these policies in the future.
Monitor, the independent regulator of NHS Foundation Trusts, is currently consulting on the
inclusion of a section entitled Sustainability in annual reports and accounts8. This requires a
commentary on the overall sustainability strategy of the Trust and the governance processes
in place to support the management and reporting of sustainability performance.
In order to develop further policy alignment with regards to carbon management the Corporate
Citizenship Committee and Carbon Management Team will:
 Review existing policies and procedures to include carbon management
considerations, including SMART targets where applicable.
 In the next year, update the existing Sustainability Policy and use this to draw together
all existing policies, including this Carbon Management Plan, into one comprehensive
document.
 Establish relevant procedures to annually inform Monitor of the Trusts sustainability
performance.
8
more information on this consultation can be found at: http://www.monitor-nhsft.gov.uk/home/our-publications/browsecategory/consultations/monitors-consultations/consultation-additional-a
Page 30
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
6.2 Responsibility – being clear that saving CO2 is everyone’s job
Climate change is a global problem and yet we all have a role to play and the power to make a
difference. Achieving success in carbon management, maintaining momentum and continuing
commitment will only be achieved when all levels of the Trust understand the issues, have a
sense of ownership and have the ability to make a contribution. The roles, responsibilities and
organisational arrangements for ensuring that the Carbon Management Programme is
delivered as a shared effort are set out in Chapter 7.
Senior endorsement and clear commitment to the carbon management programme is
essential. A leadership seen to demonstrate its commitment through their individual actions
will contribute significantly to embedding CO2 savings across the Trust.
The approval of this Carbon Management Plan represents that senior level endorsement and
recognises that Gloucestershire Hospitals NHS Foundation Trusts is dedicated and
responsible for meeting its 20% reduction target.
To reinforce the fact that mitigating climate change is a Trust priority, by the end of the target
period:
 Sustainability and carbon management expectations will be included in all new job
descriptions.
 During the induction process staff will be made aware of the risks and issues of climate
change and the role they can play in order to mitigate this.
6.3 Data Management – measuring the difference, measuring the benefit
Establishing baseline carbon emissions has given the opportunity to evaluate the way in which
data is currently collected, stored, monitored and used to inform the Trust about its
environmental impact.
At present data from utility bills is regularly recorded in excel spreadsheets by the Energy
Officer. This data is accurate, reliable and easily analysed. However as energy consumption is
recorded from utility bills multiple departments, buildings and services are often covered by
the same invoice. In order to better understand the energy consumption of specific
departments and services:
 Additional metering will be installed (see section 4).
Transport emissions traditionally have not been recorded and as a result it was difficult to
ascertain emissions from this source. This was particularly the case for business and lease
car mileage.
 Transport data collation will be improved in order to better understand transport
emissions.
From discussion with members of the Carbon Management Team the data gathering exercise
has highlighted the importance of sharing data with relevant staff. In general employees are
unaware of the consumption and cost associated with the Trusts energy use.
Part of ongoing awareness campaigns will be informing staff of energy consumption and cost
implications so they can see how data is being used, can monitor progress against the
reduction target and have progress on carbon reduction acknowledged.
Page 31
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
6.4 Communication and Training – ensuring everyone is aware
A thorough communications strategy is essential to gaining approval and endorsement for the
Carbon Management Plan. However it is also fundamental for ensuring carbon management
is embedded in the day-to-day running of the organisation. By engaging staff across the whole
organisation and establishing two-way communication channels the level of support for this
programme will increase.
The aim of the carbon management communications plan is to:
 Increase staff, patient and visitor understanding of climate change, carbon emissions,
energy reduction and energy efficiency and associated costs.
 Encourage employees to engage with the carbon management programme and make
their contribution to reducing greenhouse gas emissions.
 Ensure all stakeholders are informed of the development and progression of the
carbon management programme.
 Embed carbon management in the day-to-day business of the Trust.
In order to encompass as many people as possible communication will be through a variety of
channels, including:
 Posters
 Stickers (reminding staff to turn of lights/monitors at the end of the day)
 Intranet page
 Global emails
 Dedicated mailbox ([email protected])
 Outline (GHNHSFT’s internal magazine)
 Face to face meetings and presentations by Environmental Champions and members
of the Carbon Management Team
 Press releases
 Sustainability eLearning module
Awareness campaigns
Raising awareness across the organisation can lead to carbon reductions as individuals learn
to take ownership and responsibility for their environmental impact. This is an ongoing process
that should be regularly reviewed and monitored in order to maintain momentum. Awareness
campaigns have the added benefit that staff can apply these messages and transfer them to
their own private lives, further reducing carbon emissions in the UK. This point will be
highlighted during campaigns.
Environmental Champions
The establishment of a formalised, Trust-recognised Environmental Champions network forms
a central part of the communications plan. This programme aims to bring about measurable
environmental improvements and reduce carbon emissions, by a minimum of 1%, through
encouraging good housekeeping and best practice amongst Trust staff.
Environmental Champions will be recruited from all levels across the organisation to
demonstrate from the onset that carbon reduction is everyone’s responsibility. Initial training
will be provided on climate change/environmental issues and how to carry out simple energy
audits in relation to energy use and waste/recycling. After undertaking environmental audits,
meaningful statistics will be produced and these will help support the Champions in running a
Page 32
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
series of environmental campaigns. Once each campaign is complete audits will be repeated
in order to measure the success of the programme.
6.5 Finance and Investment – the money to match the commitment
This factor of embedding carbon management is covered in section five of this Plan.
6.6 Procurement – buying a sustainable future
At present procurement considers whole costing as standard as well as scrutinising all goods
purchased against the Office of Government Commerce ‘Quick Wins’. These ‘Quick Wins’ are
a list of minimum environmental performance specifications for a range of commonly
purchased items. Departments must use these specifications when procuring any of the items
listed from light bulbs and paper to major refurbishments and new builds. The Forum for the
Future manual “Buying a Better World” and principles from this are also routinely used.
6.7 Monitoring and Evaluation
The Carbon Management Programme will be formally reviewed quarterly by the Corporate
Citizenship Committee (Programme Board). These reviews will cover:
 Progress towards the CO2 reduction target and any associated risks and issues.
 Reviewing the success of completed projects and consideration of projects that may
have not been delivered.
 Financial savings/cost avoidance from implementing carbon reduction projects.
 Less quantifiable benefits such as influencing patients and the local community.
Sustainability performance will be reported externally in Gloucestershire Hospitals NHS
Foundation Trusts annual report and accounts in line with Monitors current consultation
proposals.
Page 33
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
7 Programme Management of the CM Programme
Integral to supporting the Carbon Management Programme is good programme governance
and a stable programme management structure. Clear, effective ownership is essential for
Gloucestershire Hospitals NHS Foundation Trust to realise a 20% reduction by 2015.
The primary means of governance is through the Programme Board and Project Team. The
Programme Board (Corporate Citizenship Committee) provides senior, strategic oversight and
ownership to the programme whilst the Project Team has drawn together a diverse set of skills
from across the Trust providing coherence and coordination of carbon reduction activity.
The following diagram demonstrates the management structure of the Carbon Management
Programme:
Figure 7.1 Management structure of the Carbon Management Programme
7.1 The Programme Board – strategic ownership and oversight
The Gloucestershire Hospitals NHS Foundation Trust Carbon Management Plan is governed
by the Corporate Citizenship Committee which acts as the programme Board. Members
include:
o
o
o
o
o
o
o
o
o
o
o
o
John Henry – Non Executive Director (Chair)
Graham Lloyd – Director of Corporate Governance and Facilities
Sally Pearson – Director of Clinical Strategy
Graham Marsh – Director of Property and Medical Engineering
Vacancy – Assistant Director of Finance
Mike Seeley – Assistant Director of Human Resources
Mike Byrne – Catering Manager
Catherine Boyce – Clinical Strategy Manager
Jennifer Schroder – Procurement Manager
Gill Brook – Head of Patient Experience
Jen Goode – Environmental and Sustainability Manager
Sarah Brown – Communications Specialist
Page 34
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
o
o
o
Nick Adams – Staff Governor
Gill Bliss – Staff Side Representative
Val Dyer – GHNHSFT PPI Forum Member
The Corporate Citizenship Committee meet quarterly and aim to enhance the organisation’s
capacity to be at the forefront of the agenda to make a positive social, economic and
environmental input and to help reduce health inequalities and contribute to sustainable
development.
The progress of the Carbon Management Programme will be monitored by this committee and
will provide the following strategic oversight:





Championing and providing leadership on carbon management within the organisation
Setting, monitoring and reviewing strategic direction and targets
Recommending policies and approaches to address carbon management
Advising the Trust on resources required to deliver the Carbon Management
Programme
Removal of obstacles to ensure the successful completion of carbon management
projects.
The Environment and Sustainability Manager is both the Project Lead for the Carbon
Management Programme and a member of the Corporate Citizenship Committee. Therefore
they, assisted by the Sustainability Officer, will be reponsible for regularly updating the
Programme Board on carbon management activities and progress against the reduction
target.
7.2 The Carbon Management Team – delivering the projects
The core team, responsible for delivering each individual project will be the Energy and
Carbon Reduction Group:
o
o
o
o
o
o
Graham Marsh – Director of Property and Medical Engineering (Chair)
Graham Biggar – Associate Director Property and Medical Engineering
Andy Heaysman – Energy Manager
Colman Herron - Information and Contracts Manager
Jen Goode – Environment and Sustainability Manager (Project Lead)
Mark Phelpstead – Sustainability Officer (Deputy Project Lead)
The Carbon Management Team is a wider team of individuals from across the Trust and will
be called upon for opportunities identification and specific expertise when required:
o
o
o
o
o
o
o
Cathy Boyce – Clinical Strategy Manager
Sarah Brown – Communication Specialist
Debra Clark – Clinical Nurse Manager
Katherine Holland – Patient and Public Involvement
Steve Holley - Service Delivery Manager (IT)
Martin Pratt – Pharmacy Director
Timm Schofield – Assistant Catering Manager
Page 35
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
o
o
Jennifer Schroder – Procurement Manager
Vacancy – Assistant Director of Finance
The Energy and Carbon Reduction Group and the Carbon Management Team meet every six
weeks.
The Carbon Management Team oversees and monitors carbon reduction across
Gloucestershire Hospitals NHS Foundation Trust and is responsible for developing and
implementing the Carbon Management Strategy and Implementation Plan. The Project Team
has the following responsibilities:





Championing carbon management within the organisation
Bringing together a diverse set of projects from across the organisation to guarantee
coherence and coordination of carbon reduction activity
Providing the Programme Board with regular updates on the progress of the
Programme
Advising the Programme Board on resources required to deliver the Carbon
Management Programme
Providing technical support and advice on individual projects.
7.3 Succession planning for key roles
Inevitably members of both the Carbon Management Team/Board and management
structures will change over time. If key members leave before carbon management is fully
established and embedded within the running of the Trust progress could stall and severely
detriment the overall programme success.
 A dedicated folder on the Property & Medical Engineering SharePoint site will contain
all programme documents allowing information on carbon management activity to be
freely accessible in the event of a Carbon Management Team member leaving.
 When needed, suitable replacements will be identified to ensure all departments are
represented in the Carbon Management Team.
 Succession plans for Trust governance changes will be identified to ensure carbon
management remains a priority.
7.4 Ongoing stakeholder management
Stakeholder
Influence
Impact
For continued carbon emissions reductions across the estate stakeholders need to be kept
informed and engaged with the progress of the programme. Communicating the correct
information in the most effective manner to these groups is essential.
The following table highlights these stakeholders, their influence and potential impact on the
Carbon Management Programme and the means of engagement proposed to overcome these
risks.
Chief Executive,
Directors and Senior
H
H
Their interests or issues
Means of Engagement
Cost savings; budget
implications; Trust under
Programme Board to report status
of the CM Programme.
Page 36
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Board Members
pressure to remain financially
robust.
Audit and legal compliance;
national targets.
Corporate Social Responsibility.
Progress of the Carbon
Management Programme.
Project Sponsor and Lead to give
presentations as appropriate.
Awareness campaigns.
Articles in Outline.
Finance Director
H
Cost savings; budget
implications; Trust under
pressure to remain financially
robust.
Increasing cost of utility and fuel
supplies
Financial implications of the
Carbon Reduction Commitment
Energy Efficiency Scheme.
Programme Board to report status
of the CM Programme.
Show and explain Value At Stake.
Representative on Carbon
Management Board.
Awareness campaigns.
M
Trust under pressure to remain
financially robust.
Corporate Social Responsibility.
Opportunities to contribute to the
CM programme.
Project Sponsor and Lead to give
presentations as appropriate.
Trust annual report.
Targeted Member communications.
Awareness campaigns.
H
Corporate Social Responsibility.
Awareness of the CM
programme.
Programme updates and
progress towards target
reduction.
Risk and issues.
Project Lead to give quarterly
updates reports.
Targeted Board Communications.
Awareness campaigns.
Articles in Outline.
H
Programme updates and
progress towards target
reduction.
Raise awareness of CM in the
organisation.
Support in implementing CM
projects.
Project Lead and Deputy Project
Lead to give six-weekly updates at
meetings.
Awareness campaigns.
Articles in Outline.
Corporate Social Responsibility.
Awareness of the CM
programme.
Programme updates and
progress towards target
reduction.
Targeted communications.
Awareness campaigns.
Dedicated email inbox.
Webpage.
Environmental Champions
meetings.
Newsletters.
Corporate Social Responsibility.
Opportunities for greater staff
awareness and contribution they
can make to CM.
Environmental Champions.
Awareness Campaigns.
Articles in Outline.
Intranet page and mailbox.
Global emails.
Press releases.
Clean, relaxing, efficient and
effective facilities for clinical care.
Corporate Social Responsibility.
In-house awareness raising.
Press releases.
H
Foundation Trust
Members
M
Corporate
Citizenship
Committee (Carbon
Management Board)
H
Carbon Management
Team
H
Environmental
Champions
M
H
Staff
M
M
L
L
Patients/Visitors
Page 37
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
8 Appendix A: Carbon Management Matrix - Embedding
POLICY
 SMART Targets
signed off
5
BEST
 Action plan
contains clear
goals & regular
progress reviews
 Strategy launched
internally & to
community
RESPONSIBILITY
 CM is full-time
responsibility of a few
people
 CM integrated in
responsibilities of senior
managers
 Board level support
DATA MANAGEMENT
 Quarterly collation of
CO2 emissions for all
sources
 Data externally
verified
 M&T in place for:
o Buildings
 Part of all job
descriptions
o Waste
COMMUNICATION &
TRAINING
 All staff given formalised
CM:
FINANCE & INVESTMENT

o Induction
o Training Plan

Finance representation
on CM Team

Robust task
management mechanism

Ring-fenced fund for
carbon reduction
initiatives
o Communications
 CM matters regularly
communicated to:
o External community,
including patients
4
3
 Approved Climate
Change/Sustaina
bility strategy.
 CM integrated in to
responsibilities of
department managers,
not all staff
 Draft policy
 CM is part-time
responsibility of a few
people
 Climate Change
reference
 No policy
2
1
Worst
 CM is full-time
responsibility of an
individual
 Climate Change
aspiration
 No policy
 No Climate
Change reference
 CM responsibility of
department champions
 CM is part-time
responsibility of an
individual
 Annual collation of CO2
emissions for:
o
o
o
 Data internally
reviewed
 Collation of CO2
emissions for limited
scope i.e. buildings only
o
o
Induction
Communications
 CM communicated to:
o
o
o
o
Training
Communications
Sustainability
comprehensively
integrated in tendering
criteria
Whole life costing

Area-wide procurement

Environmental demands
incorporated in tendering

Familiarity with
Procura+

Joint procuring
between NHS Trusts or
with LAs.
 Ad hoc financing for CM
projects

 Limited task
management
Whole life costing
occasionally employed

Some pooling of
environmental expertise

Regular financing for CM
projects

Some external financing

Sufficient task
management mechanism
External community
Key partners
 Environmental / energy
group(s) give ad hoc:

Senior purchasers
consult & adhere to
ICLEI’s Procura+,
Forum for the Futures
manual & principles, or
 No allocated resource
No CO2 emissions
data compiled
 Ad hoc financing for CM
related projects


 Regular poster/awareness
campaigns
Green criteria
occasionally considered
Energy data
compiled on a
regular basis
 Staff given ad hoc CM:
 Limited task coordination
resources

Products considered in
isolation

No Green consideration

No life cycle costing
 Not compiled:
o
CO2 emissions
 Estimated billing
Position before starting the NHS Carbon Management Programme
o
Communications
 No communication or
training

No internal financing or
funding for CM related
projects
Aspirational position by April 2015
Page 38

Senior management
review CM process

Core team regularly
reviews CM progress

Published externally
on website

Visible board level
review

Core team regularly
reviews CM progress:
o
Actions
o
Profile &
Targets
o New opportunities
quantification


 No departmental
champions
 No CM responsibility
designation
Buildings
Transport
waste
 All staff given CM:


o Key partners
 SMART Targets
developed but
not implemented
Granular & effective
financing mechanisms
for CM projects
MONITORING &
EVALUATION
PROCUREMENT
CM team review
aspects including:
o Policies /
Strategies
o Targets
o Action Plans

Ad hoc reviews of CM
actions progress

No CM monitoring
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
9 Appendix B: Definition of Projects
Project:
Reference:
Replacement of College Road Wing HWS Calorifiers with PHEs
GHFT-001
Department
Property and Medical Engineering
Description
Replacement of two 8,000 litre steam heated HWS storage calorifiers with
two off packaged steam heat HWS plate heat exchangers (PHE).

Financial savings: £17,850

Payback period: 7.9 years

CO2 Emissions reduction: 85 tonnes of CO2

CRC allowance savings (at £12 tCO2): £1,020

Project cost: £90,804

Source of funding: Department of Health grant funding

Funding secured
Resources

PROJECT IMPLEMENTED
Ensuring
Success

PROJECT IMPLEMENTED
Measuring
Success

PROJECT IMPLEMENTED
Timing

PROJECT IMPLEMENTED
Benefits
Funding
Notes
Project:
Reference:
GRH and CGH – Improvements to existing lighting schemes
GHFT-002
Department
Property and Medical Engineering
Description
Upgrade of lighting in the Tower Block (GRH) involving the upgrading of lamp
and control gear fittings that are suitable for straight conversion from T12/T8
lamps and conventional ballasts, to T5 lamps with high frequency control
gear. T12/T8 light fittings not suitable for conversion to be replaced with new
fittings incorporating T5 lamps and high frequency control gear.
The scheme for CGH involves replacing existing control gear with high
frequency units, together with T5 upgrades in a number of areas where the
conversion was cost effective.
Benefits

Financial savings: £22,043

Payback period: 6.0 years

CO2 Emissions reduction: 135 tonnes of CO2

CRC allowance savings (at £12 tCO2): £1,620

Improved working environment
Page 39
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan

Project cost: £131,310

Source of funding: Department of Health grant funding

Funding secured
Resources

PROJECT IMPLEMENTED
Ensuring
Success

PROJECT IMPLEMENTED
Measuring
Success

PROJECT IMPLEMENTED
Timing

PROJECT IMPLEMENTED
Funding
Notes
Reference:
Cheltenham General Hospital – Steam Boiler House Efficiency
Improvements
GHFT-003
Department
Property and Medical Engineering
Description
Installation of equipment to improve the steam raising efficiency of the
existing boiler house. Each of the three steam boilers to be fitted with a
feedwater pre-heater using recovered heat from flue gases, digital
combustion control and variable speed control of combustion fans. In
addition, upgrading the existing boiler blowdown system to include automatic
total dissolved solids control with flash steam recovery, heat exchanger and
steam sparge for pre-heating boiler make-up water.
Project:

Financial savings: £48,814

Payback period: 4.1 years

CO2 Emissions reduction: 314 tonnes of CO2

CRC allowance savings (at £12 tCO2): £3,768

Project cost: £199,724

Source of funding: Department of Health grant funding

Funding secured
Resources

PROJECT IMPLEMENTED
Ensuring
Success

PROJECT IMPLEMENTED
Measuring
Success

PROJECT IMPLEMENTED
Timing

PROJECT IMPLEMENTED
Benefits
Funding
Notes
Page 40
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Reference:
GRH Energy Centre B – Replace Two Existing Burners and Install a
Summer Boiler
GHFT-004
Department
Property and Medical Engineering
Description
Replace the existing burners on two of the boilers with fully modulating
digitally controlled burner systems thus improving the combustion efficiency
by ensuring that the optimum fuel/air ratio is maintained across the firing
range via servo motor control. The burners would be complete with variable
speed drive forced draught fans reducing the motor electrical consumption at
part loading.
The existing 1,400kW boiler would also be replaced with a 300kW unit. This
smaller unit would be utilised in the summer months only to better match the
hospital loads. It could also be used as the first follow boiler during early
autumn and late spring. The use of this smaller boiler will provide greater
turndown and lower standing losses.
Project:

Financial savings: £17,878

Payback period: 3.9 years

CO2 Emissions reduction: 105 tonnes of CO2

CRC allowance savings (at £12 tCO2): £1,260

Project cost: £69,000

Source of funding: Salix Finance

Funding secured
Ensuring
Success

Project implementation needs to occur within 9 months in order to
secure Salix Energy Efficiency Loan
Measuring
Success

Study after implementation at Energy Centre B to ensure energy/cost
savings are achieved.
Benefits
Funding
Timing
o
o
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Figures taken from report dated 29-07-09, “GRH Energy Centre B – Carbon
Reduction Opportunities”
Project:
Reference:
Variable Speed Drives for Larger Pumps and Fan Motors
GHFT-005
Department
Property and Medical Engineering
Description
The pumps and fans used in HVAC applications have traditionally been
designed to run at constant speed, as determined by the peak heating or
ventilating loads. In reality these loads are experienced infrequently and
hence for much of the year satisfactory services could be delivered using
reduced pump or fan outputs.
The most energy efficient way of varying the output of an HVAC pump of fan
is to vary the speed of its motor using a variable speed drive. The most
widely used form used in HVAC applications is the inverter, which varies the
speed of the motor by changing the frequency of its AC supply.
In all cases, the variable speed dive will need to be supplemented by a
control system so that the motor speed can be varied in response to a
measured parameter (for example heating circuit temperature or ventilation
Page 41
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
system duct pressure).

Financial savings: £42,279

Payback period: 1.8 years

CO2 Emissions reduction: 264 tonnes of CO2

CRC allowance savings (at £12 tCO2): £3,168

Project cost: £77,726

Source of funding: Salix Finance

Funding secured
Ensuring
Success

Project implementation needs to occur within 9 months in order to
secure Salix Energy Efficiency Loan
Measuring
Success

Study after implementation to ensure energy/cost savings are achieved.
Benefits
Funding
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Figures taken from report dated 26-01-09, “Energy Saving Project
Opportunities at GRH & CGH”
Project:
Reference:
BMS control of Discrete Air Conditioning “Splits”
GHFT-006
Department
Property and Medical Engineering
Description
There are a large number of individual room comfort cooling systems at both
GRH and CGH. These are installed in offices which are typically occupied
between 7am and 5pm. There are around 30 units at CGH and 75 units at
GRH, with ratings between 1.5 to 15kW.
These are generally controlled by occupants and not connected to the BMS.
As a result most units operate continuously during out of office hours.
Providing wireless connection to the BMS will allow these discrete splits to be
controlled more effectively, thus reducing energy consumption.

Financial savings: £56,999

Payback period: 4.9 years

CO2 Emissions reduction: 72 tonnes of CO2

CRC allowance savings (at £12 tCO2): £864

Project cost: £56,999

Source of funding: Salix Finance

Funding secured
Ensuring
Success

Project implementation needs to occur within 9 months in order to
secure Salix Energy Efficiency Loan
Measuring
Success

Study after implementation to ensure energy/cost savings are achieved.
Benefits
Funding
Timing
o
o
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Page 42
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Notes
Figures taken from report dated 26-01-09, “Energy Saving Project
Opportunities at GRH & CGH”
Project:
Reference:
Insulation Upgrade Steam and Heating Pipework
GHFT-007
Department
Property and Medical Engineering
Description
Opportunities exist in CGH for pipework to be insulated in plant rooms and
accessible distribution ducts repaired or upgraded. This is particularly
important for all systems due to the greater heat loss compared with LTHW.

Financial savings: £3,916

Payback period: 2.7 years

CO2 Emissions reduction: 23 tonnes of CO2

CRC allowance savings (at £12 tCO2): £276

Project cost: £10,364

Source of funding: Salix Finance

Funding secured
Ensuring
Success

Project implementation needs to occur within 9 months in order to
secure Salix Energy Efficiency Loan
Measuring
Success

Study after implementation to ensure energy/cost savings are achieved.
Benefits
Funding
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Figures taken from report dated 26-01-09, “Energy Saving Project
Opportunities at GRH & CGH”
Project:
Reference:
LED Street Light Upgrade
GHFT-008
Department
Property and Medical Engineering
Description
Upgrade of current street lighting facilities with LED lighting at GRH.
Benefits
Funding
Ensuring

Financial savings: £4,258

Payback period: 4.2 years

CO2 Emissions reduction: 27 tonnes of CO2

CRC allowance savings (at £12 tCO2): £324

Project cost: £17,969

Source of funding: Salix Finance

Funding secured

Project implementation needs to occur within 9 months in order to
Page 43
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Success
Measuring
Success
secure Salix Energy Efficiency Loan

Study after implementation to ensure energy/cost savings are achieved.
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Project:
Reference:
LED Lighting Replacement GRH Lift Landings
GHFT-009
Department
Property and Medical Engineering
Description
Replacement of current lift landing lighting facilities at GRH with LED lighting.

Financial savings: £2,317

Payback period: 3.6 years

CO2 Emissions reduction: 14 tonnes of CO2

CRC allowance savings (at £12 tCO2): £168

Project cost: £8,314

Source of funding: Salix Finance

Funding secured
Ensuring
Success

Project implementation needs to occur within 9 months in order to
secure Salix Energy Efficiency Loan
Measuring
Success

Study after implementation to ensure energy/cost savings are achieved.
Benefits
Funding
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Project:
Reference:
Basement Corridor LED Lamp Replacements
GHFT-010
Department
Property and Medical Engineering
Description
Replacement of current basement corridor lighting facilities at GRH with LED
lighting.
Benefits
Funding

Financial savings: £2,934

Payback period: 3.4 years

CO2 Emissions reduction: 18 tonnes of CO2

CRC allowance savings (at £12 tCO2): £216

Project cost: £10,044
Page 44
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan

Source of funding: Salix Finance

Funding secured
Ensuring
Success

Project implementation needs to occur within 9 months in order to
secure Salix Energy Efficiency Loan
Measuring
Success

Study after implementation to ensure energy/cost savings are achieved.
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Project:
Reference:
Relocation and upgrade of HWS Calorifiers to PHES from St Lukes 1 to
College Road Wing
GHFT-011
Department
Property and Medical Engineering
Description
Replacement of steam heated HWS storage calorifiers with off packaged
steam heat HWS plate heat exchangers (PHE).
Benefits
Funding
Measuring
Success

Financial savings: £8,700

Payback period: 20.5 years

CO2 Emissions reduction: 38 tonnes of CO2

CRC allowance savings (at £12 tCO2): £456

Project cost: £179,000

Property and Medical Engineering department budget

Funding secured

Reduced risk of Legionella

Study after implementation to ensure energy/cost savings are achieved.
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Project:
Reference:
Additional metering and BMS upgrades
GHFT-012
Department
Property and Medical Engineering
Description
In order to measure progress towards the 20% reduction target it is essential
that adequate infrastructure is in place. Additional metering and BMS
upgrades will ensure that all carbon reduction projects can be measured,
monitored and benchmarked.
Benefits

Financial savings: £7,500
Page 45
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Funding
Measuring
Success

Payback period: 14.7 years

CO2 Emissions reduction: 112 tonnes of CO2

CRC allowance savings (at £12 tCO2): £1,344

Preparation for upcoming Carbon Reduction Commitment

Project cost: £110,000

Property and Medical Engineering department budget

Funding secured

Study after implementation to ensure energy/cost savings are achieved.
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Project:
Reference:
Investigate and quantify projects for 2010/11
GHFT-013
Department
Carbon Management Team/ Energy and Carbon Reduction Group
Description
Reducing absolute carbon emissions by 20% by 2015 is not a static process.
Projects will need to be continually identified and quantified in order for the
target to be realised.
Each year an “Opportunities Workshops” will be held to encourage people
from across the organisation to suggest future carbon a management
projects.
Benefits

Additional projects identified for carbon reduction

Good opportunity for stakeholder engagement
Funding
N/A
Ensuring
Success

Succession planning for key members of the Carbon Management
Team and Energy and Carbon reduction Group.

Ensuring a good Communications Strategy to encourage as many
stakeholders as possible to participate.

Production of a “long list” of carbon reduction ideas for investigation.
Measuring
Success
Timing
o
o
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Project:
Reference:
PN07-04 Temperature Control Settings
GHFT-014
Page 46
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Department
Property and Medical Engineering
Description
All environmental temperature control throughout Gloucestershire Hospitals
NHS Foundation Trust should be operated with the ranges set out by the
Department of Health. Any request for change to the setpoint and control will
be followed in operational sequence as outlined in the procedure note.
Benefits

Financial savings: £7,500

Payback period: N/A

CO2 Emissions reduction: 701 tonnes of CO2

CRC allowance savings (at £12 tCO2): £8,412
Funding
N/A
Ensuring
Success

The key success factor is ensuring that all staff are aware of the
procedure note and know the correct reporting structure to follow.
Measuring
Success

Study of energy consumption at Energy Centres A and B after
implementation to ensure energy/cost savings are achieved.
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Project:
Reference:
Review of Transport Plan
GHFT-015
Department
Transport Team
Description
Review and incorporation of carbon management considerations to existing
Transport Plan (TP06). Particular emphasis will be given on fleet and lease
vehicle mileage.
Benefits

Financial savings: TBA

CO2 Emissions reduction: 137 tonnes of CO2

Wider health benefits from active travel
Funding
N/A
Measuring
Success

Timing
Reduction in business/lease mileage measured through Electronic Staff
Record.
o
o
Start date: 2010/11
Completion date (when it will deliver the savings): 2010/11
Notes
Project:
Reference:
Environmental Champions – awareness raising and campaigns
GHFT-016
Page 47
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Department
Environment Team
Description
Establishment of an Environmental Champions Group within the Trust to
encourage good housekeeping and environmental best practice amongst
staff.

Financial savings: £15,000

Payback period: ~1 month

CO2 Emissions reduction: 310 tonnes of CO2

CRC allowance savings (at £12 tCO2): £3,720

Project cost: £2,000

As part of ongoing recycling initiatives the Trust profits from recycling
cardboard. As well as supporting the ongoing maintenance of the
cardboard bailers this profit will also be used to fund the Environmental
Champions and awareness campaigns.
Ensuring
Success

A thorough communications strategy is currently being prepared and a
paper will go to the Corporate Citizenship Committee for endorsement
and formal recognition of Champions.
Measuring
Success

Champions will complete simple energy/walk round surveys before each
awareness campaign. When the campaign is over these walk rounds
will be repeated to assess the success of each topic.

Study of monthly energy data.
Benefits
Funding
o
o
Timing
Start date: 2010/11
Completion date (when it will start to deliver the savings): 2010/11
Notes
Project:
Reference:
PC Power Management – 4000 PCs
GHFT-017
Department
IT Services
Description
By applying PC power management software selected computers will
automatically turn off when not in use after a set time period.
Benefits
Funding
Measuring
Success
Timing

Financial savings: £104,000

Payback period: 3 months

CO2 Emissions reduction: 51 tonnes of CO2

CRC allowance savings (at £12 tCO2): £612

Project cost: £23,000

IT Services Budget

Environmental Champions will complete a walk round before and after
project implementation in order to assess the impact of this project.

Study of monthly energy data.
o
Start date: 2011/12
Page 48
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
o
Completion date (when it will deliver the savings): 2011/12
Notes
Project:
Reference:
PC Desktop Virtualisation
GHFT-018
Department
IT Services
Description
Desktop virtualisation involves running as many programs and applications
as possible from a remote server, thus drastically reducing the energy
consumption of an individual PC.
Benefits
Funding
Measuring
Success

Financial savings: £41,500

Payback period: 14.5 years

CO2 Emissions reduction: 217 tonnes of CO2

CRC allowance savings (at £12 tCO2): £2,604

Improved IT Service provision

Project cost: £600,000

IT Services Budget

Study of monthly energy data upon project completion.
o
o
Timing
Start date: 2011/12
Completion date (when it will start to deliver the savings): 2010/11
Notes
For a more detailed description of desktop virtualisation go to:
http://en.wikipedia.org/wiki/Desktop_virtualization
Project:
Reference:
Voltage Optimisation
GHFT-019
Department
Property and Medical Engineering
Description
Voltage optimisation equipment optimises and improves the incoming voltage
for a site therefore reducing energy consumption. This in turn reduces energy
costs and also improves efficiency of electrical equipment, prolonging its
useful lifetime.
Benefits
Funding
Ensuring

Financial savings: TBA

Payback period: TBA

CO2 Emissions reduction: 381 tonnes of CO2

CRC allowance savings (at £12 tCO2): £4,572

Prolonged life of electrical equipment

Project cost: TBA

Source of funding: This project will be investigated for Salix Funding

Further study needs to occur over the 2010/11 financial year in order to
Page 49
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Success
Measuring
Success
ascertain financial costs and benefits. A business case will be
developed once this information becomes available.

Study after implementation to ensure energy/cost savings are achieved.
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2011/12
Notes
For more information go to:
http://www.ems-uk.org/solutions/products/powerstar.asp
http://www.powerperfector.com/
Project:
Reference:
Automatic lighting controls in store rooms
GHFT-020
Department
Property and Medical Engineering
Description
It has been noted that many store rooms around both GRH and CGH have
lights left on once the room is empty. Installing automatic lighting controls will
solve this problem.

Financial savings: TBA

Payback period: TBA

CO2 Emissions reduction: 14 tonnes of CO2

CRC allowance savings (at £12 tCO2): £168

Project cost: TBA

Source of funding: This project will be investigated for Salix Funding
Ensuring
Success

Further study needs to occur over the 2010/11 financial year in order to
ascertain financial costs and benefits. A business case will be
developed once this information becomes available.
Measuring
Success

Study after implementation to ensure energy/cost savings are achieved.
Benefits
Funding
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2011/12
Notes
Project:
Reference:
Planned boiler maintenance
GHFT-021
Department
Property and Medical Engineering
Description
Through ongoing planned boiler maintenance significant carbon savings can
be achieved as old boilers are replaced.
Benefits

Financial savings: TBA

Payback period: TBA

CO2 Emissions reduction: 39 tonnes of CO2

CRC allowance savings (at £12 tCO2): £468
Page 50
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Funding
Measuring
Success

Project cost: TBA

Source of funding: Maintenance budget

Study of gas use after implementation to ensure energy/cost savings
are achieved.
o
o
Timing
Start date: 2011/12
Completion date (when it will start to deliver the savings): 2011/12
Notes
Project:
Reference:
Low energy drives on lifts – GRH & CGH
GHFT-022
Department
Property and Medical Engineering
Description
Lifts at both acute hospital sites use a significant amount of energy. When
planned maintenance occurs on lifts, low energy drives will be fitted in order
to improve their energy efficiency.

Financial savings: TBA

Payback period: TBA

CO2 Emissions reduction: 15 tonnes of CO2

CRC allowance savings (at £12 tCO2): £180

Project cost: TBA

Source of funding: This project will be investigated for Salix Funding
Ensuring
Success

Further study needs to occur over the 2010/11 financial year in order to
ascertain financial costs and benefits. A business case will be
developed once this information becomes available.
Measuring
Success

Study of electricity use after implementation to ensure energy/cost
savings are achieved.
Benefits
Funding
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2011/12
Notes
Project:
Reference:
Replace and upgrade existing pharmaceutical refrigerators
GHFT-023
Department
Pharmacy
Description
From a recent audit of individual refrigerators on wards at both acute hospital
sites many were found to be old, energy inefficient models. By replacing
these fridges with new energy efficient equivalents carbon and cost savings
can be achieved.
Benefits

Financial savings: TBA
Page 51
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan

Payback period: TBA

CO2 Emissions reduction: 20 tonnes of CO2

CRC allowance savings (at £12 tCO2): £240

Project cost: TBA

Source of funding: TBA
Ensuring
Success

This project is in the very early stages of implementation and so further
study needs to occur over the 2010/11 financial year in order to
ascertain financial costs and benefits. A business case and funding
source will be developed once this information becomes available.
Measuring
Success

Study of electricity use after implementation to ensure energy/cost
savings are achieved.
Funding
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2011/12
Notes
Project:
Reference:
Asset Management – Closure of Delancey Hospital, Ermin House and
Old Chapel
GHFT-024
Department
Trust wide
Description
As part of the Trust Asset Management Plan selected buildings will be closed
in the 2011/12 financial year. This will provide energy, carbon and cost
savings.

Financial savings: £166,700 (energy costs)

CO2 Emissions reduction: 760 tonnes of CO2

CRC allowance savings (at £12 tCO2): £9,120
Funding

Source of funding: Funding secured
Measuring
Success

Study of energy consumption reduction after implementation during
monthly data collation to ensure energy/cost savings are achieved.
Benefits
o
Timing
Completion date (when it will deliver the savings): 2011/12
Notes
Project:
Reference:
Increase recycling facilities at GRH and CGH
GHFT-025
Department
Environment Team
Description
Increase in the provision of recycling facilities across Gloucestershire
Hospitals NHS Foundation Trust.
Ensuring

This project is in the early stages of implementation and therefore at
Page 52
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Success
Measuring
Success
present it is difficult to ascertain figures for the both costs and benefits of
this scheme. Investigation into the costs and benefits will be carried out
over the 2010/11 financial year to provide more accurate figures for this
carbon reduction activity.

Monitor of the amount of recycled material collected by contractor
o
o
Timing
Start date: 2010/11
Completion date (when it will deliver the savings): 2011/12
Notes
Project:
Reference:
Investigate and quantify projects for 2012/15
GHFT-026
Department
Carbon Management Team/ Energy and Carbon Reduction Group
Description
Reducing absolute carbon emissions by 20% by 2015 is not a static process.
Projects will need to be continually identified and quantified in order for the
target to be realised.
Each year an “Opportunities Workshops” will be held to encourage people
from across the organisation to suggest future carbon a management
projects.
Benefits

Additional projects identified for carbon reduction

Good opportunity for stakeholder engagement
Funding
N/A
Ensuring
Success

Succession planning for key members of the Carbon Management
Team and Energy and Carbon reduction Group.

Ensuring a good Communications Strategy to encourage as many
stakeholders as possible to participate.

Production of a “long list” of carbon reduction ideas for investigation.
Measuring
Success
Timing
o
o
Start date: 2011/12
Completion date (when it will deliver the savings): 2012/15
Notes
Project:
Reference:
Feasibility study for Combined Heat and Power (CHP) at GRH
GHFT-027
Department
Property and Medical Engineering
Description
In order to develop a business case for a Combined Heat and Power
installation at Gloucestershire Royal Hospital a feasibility study will be carried
out in the 2011/12 financial year to determine suitability of the site, cost
implications and carbon benefits.
Page 53
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Funding

To be identified in 2011/12 funding round
Ensuring
Success

Ensuring all stakeholders involved know the potential benefits and
savings CHP can provide in hospital applications.
Measuring
Success

Production of feasibility study to act as basis for business case
o
Timing
Start date: 2011/12
Notes
Project:
Reference:
Installation of Combined Heat and Power (CHP) at GRH
GHFT-027
Department
Property and Medical Engineering
Description
Installation of a Combined Heat and Power Unit at Gloucestershire Royal
Hospital.

Financial savings: TBA

CO2 Emissions reduction: ~1,220 tonnes of CO2

CRC allowance savings (at £12 tCO2): £14,640
Funding

To be identified – all external and internal funding sources will be
explored
Ensuring
Success

A feasibility study will be produced in 2011/12 outlining the business
case for CHP at GRH.

Ensuring all stakeholders involved know the potential benefits and
savings CHP can provide in hospital applications.

Production of feasibility study to act as basis for business case
Benefits
Measuring
Success
Timing
o
o
Start date: 2012/13
Completion date (when it will deliver the savings): 2012/15
Notes
Page 54
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
10 Appendix C: Case Studies Combined Heat and Power
Page 55
Gloucestershire Hospitals NHS Foundation Trust
NHS Carbon Management Programme
working with
Carbon Management Plan
Page 56