This document summarizes a webinar about waste management at Barts Health NHS Trust. Barts Health operates six hospital sites in East London serving over 1.3 million patients annually. It currently spends £2.5 million annually disposing of over 5,300 tonnes of waste. By implementing a partnership with Skanska and their waste auditing team SUST-N, Barts Health aims to reduce waste costs through improved compliance and behavioral change programs. Skanska and Barts Health are working to standardize best practices for waste across sites, including expanding reuse programs, reusable sharps containers, and food and cardboard recycling. Their goal is to continuously innovate to reduce environmental impact and costs.
3. Barts Health
Our portfolio
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Large acute teaching hospitals
Centre of excellence for cardiac, cancer, stroke & trauma services
Six hospital sites spanning four East London Boroughs
>570,000M2 of real estate
Workforce of 15,000 staff
>1.3M patients treated every year
Turnover of £1.25bn
£1.3bn PFI project rebuilding two hospitals
Diverse building stock
Largest NHS Trust in UK
4. Waste & Spend
Spend to save
• Barts Health’s current annual spend for all waste is £2.5M
• Barts Health’s annual tonnage for waste disposal is currently
around 5300 tonnes.
• By having a dedicated team of waste monitoring staff to audit
waste, including the roll out of offensive waste implementation,
means we will spend less, year on year, for our waste disposal
costs.
• Offensive waste is half the cost to dispose of than orange
“infectious” clinical waste bags. We will have every hospital site
within the Trust switched over in the use of offensive waste by
the end of 2014.
5. Partnership approach to Waste
Working together to make change happen
• Appointed SKANSKA as our preferred Trust-wide FM Service
Provider to manage all waste services at all hospital sites.
• SKANSKA employ SUST-N; a dedicated monitoring team of
auditors managing waste compliance and staff training.
• SUST-N produce monthly waste audits for each hospital site,
detailing each clinical areas waste disposing practices at source.
• Using SUST-N helps our Trust improve waste compliance,
engages our staff in behavioral change practices, heightens
awareness and continues to save our Trust money.
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SUST-N Team
6. Innovation
Standardise to consolidate Best Practice
• Barts Health swap shop established in partnership with
Skanska to re-use and re-deploy unwanted office furniture and
supplies around the Trust, saving our hospitals buying new.
• Will be implementing Sharpsmart’s reusable sharps container
system throughout the Trust next year, to help reduce our
carbon foot print and our sharps injuries.
• Rolling out cardboard baling from two hospital sites to four
hospital sites.
• Rolling out food waste to AD from four hospital sites to all six
hospitals within the Trust.
• Rolling out offensive waste disposal practice from three
hospital sites to all six hospitals within the Trust.
Welcome
Notice of filming – Energy Live
Hosted by Barts Health and partners 4allofus, Carillion and Healthcare Estate
Rachael Baldwin
Sustainability Manager - Skanska
Skanska is one of the world’s leading companies in construction and project development
Skanska Values
4,000 repeat customers
55,000 employees
Listed on the Stockholm Stock Exchange
Skanska on a global stage
Last year we celebrated our first 125 years globally
Skanska was founded in Sweden by Rudolf Fredrik Berg in 1887
Our founder had strong beliefs about what’s right and wrong and our values remain fundamental to our culture
We believe in responsible business
Final image in large circle is off the Oresund Bridge linking Sweden to Denmark, which Skanska built in the late 1990s
Several Countries OU’s
The Big Rocks
To help achieve our Profitable Growth Business Plan there are six major global priorities to focus upon:
Be a market maker
Explore new horizons
Work smarter
Learn and lead in safety
Live our values
Build winning teams
One Skanska
Three Deadly Sins
Right Customer
Right Place
Right People
Five Zeros
Loss Making Projects
Environmental incidents
Accidents
Ethical Breaches
Defects
Six Rocks
Market Making
Explore New Horizons
Work Smarter
Living our Values
Build Winning Teams
Learn and Lead in Safety
For Sustainability we call this our Journey to Deep Green- the ultimate position being Zero impact on the Environment.
Deep Green means to have Zero Impact but also be independent of the ‘Grid’ for Utilities and could even mean to generate energy to feed into the grid.
To do this in a sustainable way has down the line improvements for improving
Zero Impact = Zero Landfill, Energy generation, Water Minimisation, Travel plans to reduce Carbon
Behavioural Change = NHS is the largest employer in Europe, Engaging with its employees to make changes is one of the most difficult things to do, creating change is the start but continuous training and measuring is required to ensure the changes become the culture of the organisation.
Efficiencies = Sometimes we have to challenge the red tape and the processes that do not make sense, this is challenging but is achievable by taking a common sense approach and having a real partnership this is achievable
Commercialisation = From the smallest things such as baling cardboard and white paper to generating surplus energy to the grid there are many opportunities for the NHS to commercialise their services. Many large acute hospitals will attract better pricing and we can work with them and the local communities around them to benefit the small Drs and health centres whilst generating an income. By using the private sector partners this can all be wrapped up into the contracts with no impact for the Trust.
Continuous Training = Is so important as the churn and movement withing the NHS is massive, it is also important to ensure ths happens to embed change
Technology = Automatic systems create efficiencies and frees up time to focus on core work
EPC = Funding
On site Waste Treatment
Future Proofing = Energy Prices, Waste treatment costs, Water purchase costs
Reducing Environmental Impact = Travel for employees, sub contractors and products, understanding embodied Carbon and the impacts that this has on the health of the nation.
Reducing risk = finding alternatives that reduce on going risk for example the on site treatment of waste means that the waste is not transported on the road and certain stages are taken out of the process where it could potentially become a risk.
Energy Generation = WTE, CHP, PV, Energy prices will only go up, the NHS has the opportunity to look to 2050 and beyond in their vision. This should include energy generation and where possible being in a position where they can export energy to the grid as this will create an income for them.
Deep Green Position is the same vision that the NHS has, we want to be able to carry out our core activities without impacting on the Environment
Reduce Environmental Impact
Zero Domestic Waste to Landfill
Reduce Carbon Footprint
Improve Compliance
Economic
Reduce Cost and Risk
Social
Work with the Local Community and Trust to improve the communities in which we work
Welcome
Notice of filming – Energy Live
Hosted by Barts Health and partners 4allofus, Carillion and Healthcare Estate