As a member of the Global green and healthy hospitals, Hull and East Yorkshire Hospitals NHS Trust hosted the day and help kick-start the NHS Sustainability road-show series, allowing the likes of Yorkshire Ambulance Service and East Riding Public Health to become involved and demonstrate their work around health and sustainability. Hull is also home to the first energy park designed by The Great Outdoor Gym Company who were on hand to discuss the equipment which showcases the link between health and sustainability. Delegates attended the event for FREE and kindly supported Hull Food Bank by bringing along non-perishable food item, tins or packets, for donation.

1. Welcome to the Hull and East Yorkshire
NHS Sustainability Day Road Show

2. Sustainability at Hull and East
Yorkshire Hospitals
Marc Beaumont
Head of Sustainability

3. Contents
• Hull and East Yorkshire Hospitals
• Trust Figures
• Sustainable Healthcare Strategy
• Work at Hull
• Corporate Social Responsibility
• Questions

4. Hull and East Yorkshire Hospitals
• Large Acute Teaching Hospital Trust
• Two Main Sites
• Operating Budget of £480 million
• Over 8,500 employees

5. Hull & East Yorkshire Hospitals

6. Where are we now

8. Trust Figures
• £5 million annual spend on energy
• Over 100 million kWh of energy
• 30,284 tonnes of CO2 in 2012/13
• 48 tonnes of clinical and non healthcare
waste per week

9. Trust Figures
GREENHOUSE GAS EMISSIONS 2008-09 2009-10 2010-11 2011-12 2012-13
31,407 30,858 30,887 29,050 31,529
17,037 16,002 16,564 14,700 16,365
14,371 14,856 14,322 14,350 14,576
589
19,719,167 24,033,056 23,384,555 25,661,668 1,559
2,021 1,009 1,529 37 24,245
86,192 85,274 88,463 78,727 86,259
5002863 4083033 4,383,884 4,717,187 5,081,650
294,108 284,856 281,196
Related Energy
Consumption (,000
kWh)
Financial Indicators (£)
Non-Financial Indicators
(tCO²)
Electricity Non-Renewable
Electricity Renewable
Gas
Total gross emissions
Scope 1emissions (direct) gas
Scope 3(indirect) supplier transport emissions
Expenditure on Energy
Scope 2 emissions (indirect) electricity
Carbon Reduction Commitment Expenditure
WASTE 2009-10 2010-11 2011-12 2012-13
4,231 2,871 2,712 2,779
Landfill 501 368
Incinerated with 818
Incinerated without
energy recovery 1,332 1,204 695
Landfill 2,519 1,036 233 155
Reused/Recycled 380 631 1,283 1,374
Composted 64
Landfill 304
Incinerated with
energy recovery 87
Non-Financial Indicators
(tonnes)
Total waste
Clinical Waste (ink
Hazardous)
Non-Hazardous Waste
Non-Financial Indicators
(tonnes CO
2
e)
Clinical Waste (inc.
Hazardous)*

10. Trust Figures
FINITE RESOURSE CONSUMPTION : WATER 2008-09 2009-10 2010-11 2011-12 2012-13
Water Consumption (m
3
) 375,694 360,071 337,657 344,214 358,910
158
Financial Indicators (£k)
636,051 658,757 596,536 609,519 650,930
FINITE RESOURSE CONSUMPTION : TRANSPORT 2008-09 2009-10 2010-11 2011-12 2012-13
123,511
37
1,209,462
481
270,298
Non Patient Transport Mileage CO
2
Tonnes 108
712,060
262
1,766,427
344
4,081,758
1,231
Vehicle Mileage Own Vehicles Mileage
Own Vehicles CO
2
Tonnes
Patient Transport Mileage (YAS Contract)
Patient Transport CO
2
Tonnes
Non Patient transport Mileage
All Other Patient Transport Mileage
Total Transport Mileage
Total Transport Mileage CO
2
Tonnes
Business Miles
All Other Patient Transport Mileage CO
2
Business Miles CO
2
Non-Financial Indicators
Water tonnes CO
2
e
Water Supply Costs

11. Scope of Sustainability
• Traditional scope is energy management & recycling.
• Wider scope of how we carry out all of our activities.
• CSR
• Procurement
• Clinical pathways
• How we treat patients, which patients we treat.
• Changing NHS and many of the goals align with
sustainability and are being supported.

12. CSR
Corporate Social Responsibility
• Night Shelter
• Charity of the year
• Youth Unemployment

13. Questions

14. NHS Sustainability
DayFiona Daly
Environmental Manager

15. The people behind the day
Welcome & Thank you

16. A day to take action
What is NHS Sustainability Day
 “NHS Sustainability Day is a day of action across the NHS
providing information and knowledge across the healthcare sector,
showcasing excellence and best practice”
 Taking action and engaging staff across the sector
 Encouraging collaboration and partnership
 Working together to deliver more
 Driving and Sharing of best practice
 Celebrating Success
 Creating a legacy

17. Why is it important?
Sustainability in the NHS
 Carbon Targets – 10% 2015, 34% 2020, 60% 2030, 80% 2050
 Increased cost and reduced availability of utilities and resource
 Increased Legislation
 Improved resilience to a changing climate
 Future proofing our futures
 Ensuring we can continue to deliver world class healthcare in the
future
 January 2014 – NHS New Strategy

18. Coming to a venue near you
NHS SD Road-shows
3rd
October – Hull
17th
October – Official Launch (London)
4th
December – Liverpool
29th
January – Nottingham
6th
February – Royal Bournemouth
27th
March – NHS Sustainability Day

19. Community benefit
Creating a legacy

20. Celebrating success
Category Description Winner
Clinical Engagement Initiative
Educate all students in the benefits of
effectively controlling anaesthetic gas
scavenging systems and the energy and
carbon efficiencies that can be gained University of Southampton
Biodiversity Initiative Planting 120 Trees to create a mini forest
at the hospital with NHS Forest St Helens and Knowsley NHS Trust
Sustainable Food Initiative
Set up Lambeth Food Cooperative to
support sustainable food and local
businesses Lambeth Clinical Commissioning Group
Carbon Reduction Initiative
Carbon Reduction in energy, travel and
behaviours Barking, Havering and Redbridge
Energy Reduction Initiative Big Easter Switch off and Eco Rhyme Southend University Hospital NHS Trust
Sustainable Travel Initiative
Cycle train around Warwick South Warwickshire NHS Foundation Trust
Waste & Recycling Initiative Increased recycling and introduction of
new waste recycling streams Isle of Wight
Community Engagement Initiative
Grow your own' project & 200 trees
planted Lancashire Care NHS Trust
Best Overall Project Initiative
Carbon Reduction in energy, travel and
behaviours Barking, Havering and Redbridge

21. 27th
March 2014
www.nhssustainabilityday.co.uk

23. Local Impacts in Yorkshire & Humber
Jon Clubb
Climate Change Coordinator, Your Climate

24. Our priorities in 2013-14 are to:
•Engage clearly and simply with businesses
•Build capacity and expertise across public,
education and third sectors
•Develop projects to support a resilient and low
carbon future
•Influence and support National Adaptation
Programme
your climate
Supporting action for a resilient and low carbon future

25. extreme weather?
2000 – flooding 2008 – snow and ice
2001 – flooding 2009 – flooding
2003 – heatwave 2009 – snow and ice
2005 – flooding 2010 – flooding
2006 – drought 2010 – snow and ice
2006 – heatwave 2011 – drought / fire
2007 – flooding 2012 – drought
2008 – flooding 2012 – flooding

26. ‘Britain facing one of the coldest winters in
100 years, experts predict’
The Telegraph, 2 January 2010

27. ‘Smog alert for England and Wales’ , BBC News, 22 April 2011

28. Marsden Moor Fire,
April 2011

29. “Drought may last until Christmas”
BBC News, 16 April 2012

30. A1 closure

31. evidence
• UK Climate Projections - UKCP09
• Regional Adaptation Study
• UK Climate Change Risk Assessment ‘CCRA’
• Adaptation Sub Committee
• Regional and local assessments

32. UK Climate Change Risk Assessment
• Produced for government
• First in a five yearly cycle
• Analysis of over 100 key risks
• Based on UKCP09 data
• Provides robust baseline
• 11 sector reports
• Yorkshire & Humber summary

33. health and well-being
• Health inequalities a significant issue
• Impacts exacerbated by disadvantage
Key implications for Y&H
• Area of high flood risk and high deprivation
• Exacerbation of existing health conditions
• Challenges to healthcare delivery
• Changing nature of health needs

34. flood risk / deprivation

35. national adaptation programme
The key actions for local areas on Health & Wellbeing are:
—To address health risks through Joint Strategic Needs
Assessments, Joint Health and Wellbeing Strategy and Local
Health Resilience Partnerships.
—Communities and civil society groups to take action to build
community resilience to extreme weather events and impacts
of climate change, and support Local Health Resilience
Partnerships and local Recovery Coordination Groups.
—To improve the reach of the Heatwave Plan for England to
local authorities.
—To promote and implement the Cold Weather Plan for
England.
—Councils and communities to tackle climate impacts on
vulnerable groups.
—Fire & Rescue Service to review local risks and the service’s
capability to deal with a severe wildfire.

36. managing risk locally
• local climate impact profiles
• risk assessments
• adaptation action plans
www.yourclimate.org

37. vulnerability mapping

38. PROGRAMME OVERVIEW
•Environment Agency- Climate Ready programme and the national context
•Your Climate- Local impacts in Yorkshire & Humber
•PriceWaterhouseCoopers- Health & Wellbeing in the context of global sustainability
•NHS Sustainable Development Unit - Building ‘adaptation’ into Joint Strategic Needs Assessments
•Public Health England- Extreme events and climate change –the local challenges
•Joseph Rowntree Foundation- Climate impacts on vulnerable people
•Yorkshire Ambulance Service- Emergency response and resilience
•Workshop- Looking a challenges and opportunities for organisations using the ‘BACLIAT’ tool

39. • The impacts of climate change will not be
equal or fair
• Vulnerable people are likely to be
disproportionately affected
• Impacts will vary depending on multiple local
factors
• Local solutions can tackle a range of issues,
not limited to resilience
adaptation is a local issue

40. further information
Jon Clubb
Climate Change Coordinator
jon.clubb@lgyh.gov.uk
07970 120827
Adaptation Network:
Wed 9 Oct, 10am – 12pm,
Wakefield
Newsletter: http://eepurl.com/gl8X1
@your_climate

41. Greening the Ambulance Fleet
Alexis Keech
Environmental and Sustainability Manager
Yorkshire Ambulance Service

42. Yorkshire Ambulance Service
- 6,000 sq.
miles
- 5 million pop.
- 4,470 staff
- 64 ambulance
stations
- 43 other
locations
- Ageing estate
- 1,490 vehicles
- 510 A&E
- 470 PTS
- 210 RRV
- 32 m miles pa
- £8 million pa

43. Ambulance Service Carbon Footprint?
Transport
Electricity
Water
Gas
Waste

44. Issues affecting the
Ambulance Service
Fleet and Estates

45. Fuel prices

48. Pandemic swine flu
Cold weather (-1oC average)
Cold weather
Flooding
Cold weather

49. Courtesy of Claire Blissett, Leeds University Masters student

50. Cold weather health effects
In Britain, a cold spell during a mild winter is
followed:
• 2 days later - rise in heart attacks (up to 1/3)
• 5 days later - rise in the number of strokes
• 12 days later - rise in respiratory illness
Knock on effect:Knock on effect:
increased pressure onincreased pressure on
A&E, PTS, Hospitals andA&E, PTS, Hospitals and
NHSNHS

51. How are we working to reduce the impact of
YAS and maintain our response times?

52. Implementation
• Staff education programmes
• Driver days and guides
• Fleet, Estates and Procurement
Strategy
• Intranet information
• Telematics
• Poster campaigns, staff
newsletters
• Carbon Champion network

53. Upgrading
vehicles

57. Aerodynamics and
vehicle redesign

59. Eco Driving
Potential saving £1.5 million, saving 1,100 t CO2
• Two circuit training
• >41 mpg to 47 mpg
• Use internal driver
trainers
• Monitor with
Telematics
• Train all drivers
• Compulsory C1
training
• Retrain staff

62. Lighting and Energy
Lighting upgrades
LEDs and T5
Halogen
replacement
Natural lighting in
offices
Timers and daylight monitors
Motion sensors

63. Heating
Assessments:
Gas and Electric Use
Radiators and air con
Double Glazing
upgrades
Draught proofing
Cavity wall, loft and
pipework insulation
Building Management
Systems
Garage heater override
systems

64. New technologies
Air Source Heat
pumps
Boiler Optimisation
Voltage Optimisation
Free cooling for
server room
Window film
Solar panels on HQ,
ambulance
stations and 999 call
centres

65. Awareness
Campaigns

66. GrEAN
• Green Environmental Ambulance
Network
• Network of ambulance services
• Green Passport to educate staff
• Working with Estates, Fleet and
Procurement to reduce emissions
• Newsletters
• National bidding capability
• National Procurement feed in
• National approach to sustainability

67. Adaptation Planning
• Anticipating
flood/drought/
snow/cold/wind
impacts
• Working with
Councils for gritting
plans
• Regionally to adapt
and react to
unpredictable
weather
• Estates and Fleet
strategy

68. Carbon Champions
What staff do at work they take
home and vice versa
• 76 onsite Carbon
Champions
• CC Guidebook
• Carbon Copy Newsletter
• Organisation wide
magazine
• Monthly Themes
• Updates

69. Greening the Estate

70. alexis.keech@yas.nhs.uk
Yorkshire Ambulance Service
Working to reduce our environmental impact
and adapt to the uncertain changes of the future

71. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Carillion Supply Chain Leadership
&
Community Engagement
NHS Sustainability DayNHS Sustainability Day
Hull And East YorkshireHull And East Yorkshire
33rdrd
October 2013October 2013

72. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Carillion ServicesCarillion Services
Amazing FactsAmazing Facts
VideoVideo
Carillion IntroductionCarillion Introduction
Carillion is one of
the UK’s leading
support
services and
construction
companies,
with over 50,000over 50,000
employeesemployees
worldwide
and annualannual
revenue of £4bnrevenue of £4bn.
Our Mission:Our Mission:
To Make
Tomorrow a
Better PLace
Our Vision:Our Vision:
To be the leader
in delivering
integrated
solutions for
infrastructure,
buildings and
Healthcare:Healthcare:
•> £1bn construction projects completed> £1bn construction projects completed
•£750m hospital projects under£750m hospital projects under
constructionconstruction
•Appointed to deliver Royal LiverpoolAppointed to deliver Royal Liverpool
Hospital £335mHospital £335m
One of our ValuesOne of our Values
inc:inc:
..profitable &
sustainable
growth

73. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Carillion Sustainability Strategy 2020Carillion Sustainability Strategy 2020

74. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
“We want Carillion to be recognised as
a leading sustainable businessleading sustainable business and
the leading sustainable supportleading sustainable support
services companyservices company.”
Sustainability Vision 2020Sustainability Vision 2020

75. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Drive down
carbon
Make real
contributions
to the
communities
we work in
Drive up
demand for
sustainability
and lead our
sector
Improve the
prospects of
our people
Building a
successful
business
Reduce waste,
responsibly
source
materials and
protect the
environment
Six Positive OutcomesSix Positive Outcomes

76. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Our leadership in creating employment and skills
opportunities, coupled with our understanding of the
needs of our communities, will ensure we have a
significant and positive contribution everywhere we
work.
Support Sustainable CommunitiesSupport Sustainable Communities

77. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Objective:
How can our Supply Chain
Leadership “Make real
contributions to the
communities we work in”
SME & Third Sector
Development workshops
designed, developed &
delivered
Supply Chain Partners Sustainability
Community Benefit Commitments
Ex-Offenders Model
Maximising the
Local Pound
Maximising
Local Employment
Maximising Local Training
Meet the Buyer Events
Redundant Furniture Community
Recycling Model
Third Sector Model
Support Sustainable Communities – Supply Chain Models & CommitmentsSupport Sustainable Communities – Supply Chain Models & Commitments

78. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Support Sustainable Communities – Supply Chain Models & CommitmentsSupport Sustainable Communities – Supply Chain Models & Commitments
………..

79. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Online learning environment
for Carillion’s Supply Chain
Carillion Support our Supply Chain in their drive to sustainable excellenceCarillion Support our Supply Chain in their drive to sustainable excellence

80. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
Barts & The London Community EngagementBarts & The London Community Engagement
Business Action on Homelessness – Ready
for Work
Hosted 57 clients.
Hosted 13 Client Support Network
evenings
Offered paid employment to 13 clients.
Business in the Community – Get Ready!
Hosted 1 Workshop
5 Taster Days.
15 Carillion staff have volunteered their time
Supporting Ex-Offenders – HMP Send
10 work experience placements
3 secured full time paid positions at Barts
Harpley’s School Pupil
Referral Unit
The project won
Carillion’s Annual S
Factor award for best
group for this initiative

81. Making tomorrow a better place
through our 2020 sustainability strategy
KEEP UP TO DATE WITH
SUSTAINABILITY
Get involved at
www.stnlive.info
ConclusionConclusion
Carillion Supply Chain Leadership & Community
Engagement……..
•Great for local communities
•Great for customers
•Great for Carillion
•Great for the planet

82. Lunch and networking

83. Hull conference
Matt Delaney,
Managing Director,
The Great Outdoor Gym
Company (TGO)

84. Case studies
Preventative Health -
How TGO gyms are a
great tool to assist
communities to get
more physically active.
Intro to TGO:
Greener
Safer
Stronger

85. Story
From the beginning…

86. A British company on a global
mission
To create a healthier planet

87. The concept of free to use outdoor gyms
originate from China in the 90s
Evaluation of Chinese outdoor gym products:
Concept: Excellent
Safety: Unsatisfactory
Inclusivity: Unsatisfactory
Quality of build: Unsatisfactory
Fitness aspects: Could be better

88. …But TGO Gyms are very different!

89. TGO’s holistic active design principles

90. GREENER
We think the
greenest outdoor
gym equipment in
the world!

91. Upper body
Lower body
Core
Beginner
Intermediate
Advanced
Cardio
Strength
Tone
Local manufacturing…Two high quality
UK manufacturers

92. Light bulb moment…
Exercise
= energy

93. TGO Green Energy Range was born

94. Tree planting
For every piece we install in the UK
we plant one tree with the NHS
Forest Scheme

95. SAFER
We think the safest
outdoor gym
equipment in the
world!

96. Key pillars of TGO safe designs
Aligned with EN1176:
•No entrapments
•No crush points
•No sharp edges
•No unrestricted
swinging pendulums
•No shear points
•No head and neck
entrapments
TGO equipment meets the same safety
standard as playgrounds!
Always ask to
see the
certificates for all
products

97. All ages can enjoy TGO gyms because
they meet play standards
That’s why we
were asked to
sponsor the new
BSI outdoor gym
standard
PAS888!

98. Design features of TGO’s gyms:
• Transfer handles
• Start and finish diagrams
• Wheelchair accessible pieces
• A mixture of difficulty levels
• Various start points
Our inclusive design means ALL abilities
can enjoy TGO gyms

99. STRONGER
Made in Britain
equipment means
stronger equipment
and a stronger you.

100. Why British is best value

101. TGO gyms will last longer because….We only use the
highest quality fixtures, fittings, steel and welding on the
market

102. TGO gyms will last longer because…. All factory tests are to
4 times the level of indoor gyms (we imposed this on
ourselves)

103. From beginners to Olympic athletes.......
For beginners and experts…

104. …to even the most able can use
them

105. HEALTH
We will encourage
and assist people to
become more
physically active.

106. Why TGO
gyms assist
people in
becoming more
physically
active?

107. Breaking down the barriers to exercise

108. • Our gyms are free
• Our gyms are safe for
all ages
• Our gyms are within
walking distance of
people’s homes
• Our gyms are
inclusive for all abilities
• Our gyms generate
great word of mouth
promotion!

109. CASE
STUDIES
Proving TGO gyms
increase physical
activity.

110. Camden TGO gym – installed 2008

111. Results showed high take up by inactive
groups
“26% of
users
surveye
d were
new to
exercise
”
I was told if I didn’t do
enough exercise I could
get diabetes.
I was considered obese, 5 and a half
stone overweight. I needed a lot of
help & Camden active team gave it.
It’s changed my life!
I had a major op in 2008,
lost a lot of weight. Using
the gym 2-3 times a week
helped rebuild my upper
body weight.

112. Other key findings to the survey
TGO gyms empower people to sustained activity
· 31% of participants used the gyms 1-2 days per week;31% 3-5 days per week; and 12% 6-7 days per week.
TGO gyms are getting people more active!
· 46% of people surveyed had increased levels of physical activity when physical activity levels pre-outdoor
gym use were compared with number of days physical in previous 7 days prior to survey.
TGO gyms are hitting target groups
· The outdoor gyms were popular among BME communities. 12% of Black Caribbean men were using the
equipment when the average population in Camden is approximately 2%. While 37% of those surveyed were
White British, which compares with a Camden population average of nearer 52%.
· 12% of people using the outdoor gyms were unemployed.
TGO gyms could do with more publicity and a
trainer
· When asked what would encourage more use, 55% of participants thought the gyms should be better
publicised, users at Polygon and Cantelowes highlighted safer parks and 48% of users at Polygon suggested
a personal trainer.
The love for TGO gyms is growing…
· 94% of participants would recommend using the outdoor gym to a friend

113. adiZones – London 2012 shaped gyms

114. Activation programmes in Hull

115. The Green Heart - Hull
Hull was the first to launch a revolutionary new gym incorporating both wellness and
green energy technology!

117. Chief Medical Officers’ guidelines on
physical activity levels clearly displayed

118. ...and we are looking for a global
player to join us on the journey
Additional health features on our
gyms

119. With innovative and brand new range of
unique outdoor gym equipment.

120. Green
Heart
Video

121. Coming
soon…

122. Barbara Robson Park, Hull

123. Features to keep people working out for
longer…
Instructional
how to use
videos with
the TGO
trainers
Charge
your
mobile
phone

124. Thank you
Any questions?
www.tgogc.com

125. 125
Health and Wellbeing Priorities:
links with sustainability
Tim Allison
Director of Public Health

126. 126

127. 127

128. 128

129. 129
“Sometimes he thought sadly to himself,
Why?”

130. 130
© AA Milne, EH Shepherd

131. 131
Perhaps the most important
question
So what?

132. 132
Health and Sustainability
• Overall health & wellbeing
• Resilience
• Corporate sustainability
• Commissioning

133. 133
Commissioning: Concept
• Assessing the needs of a population;
• Setting priorities and developing commissioning strategies;
• Securing services from providers to meet those needs and targets;
• Monitoring and evaluating outcomes;
• An explicit requirement to consult and involve a range of stakeholders,
patients/service users and carers in the process.

134. 134
Sustainability: Key Drivers
Expectations
Lifestyles
Clinical Advances
Demography
• Big opportunities to improve care
• Impact on service design & cost
• New pathways of care & New technology
• More choice
• Services closer to home
• Better advice on staying healthy
• Better support to self manage conditions
• Burden of disease on population
• Prevalence
• Less active health styles – long term health
• Effect on inequalities
• Aging population
• Growing population
• Urban and (dispersed) rural communities

135. 135
Local Health & Wellbeing Priorities
• Children and young people enjoy good health
and wellbeing
• Reduced inequalities
• Healthy, independent ageing

136. 136
Children and young people enjoy
good health and wellbeing

137. 137

138. 138
• Improving sustainability can improve health
• School travel plans
• Nutrition
• Physical activity
• Psychological wellbeing

139. 139

140. 140
Reduced inequalities

141. 141

142. 142

143. 143
Issues
• Almost all diseases are more common among the poor
• Vulnerability to adverse events is higher
• Adoption of new initiatives may be slow
• Some minority groups have particular needs

144. 144
Potential solutions
• Education and training
• Employment
• Housing
• Infrastructure
• Strategic and small-scale

145. 145
Healthy, Independent
Ageing

146. 146

147. 147
Issues
• Demographic change prominent in the East Riding
• Rise in certain conditions such as dementia
• Vulnerability to adverse events is higher
• Adoption of new initiatives may be slow

148. 148
Potential solutions
• Community support
• New technology e.g. tele-health & tele-care
• Housing
• Infrastructure
• Strategic and small-scale
• Resilience planning e.g. BIOPICCC

149. 149
From Swampy to Solid Ground
Eco-activist, c. 1990 Eco-activist, c. 2008 Eco-activist, c. 2015/20
Daniel
Hooper,
aka
‘Swampy’
Stuart
Rose,
Chairman,
M&S
Every
one

150. Closing remarks
The Lord Mayor of Hull
Councillor Nadine Fudge