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SlideShare utilise les cookies pour améliorer les fonctionnalités et les performances, et également pour vous montrer des publicités pertinentes. Si vous continuez à naviguer sur ce site, vous acceptez l’utilisation de cookies. Consultez notre Politique de confidentialité et nos Conditions d’utilisation pour en savoir plus.
Public Health Wales
• Health & Wellbeing is our
business: prevention and
• 1700 staff – mixed
• 3.3 million people
• large, fragmented estate
• £115m annual budget
• One of 10 NHS bodies
‘Our Space’ Programme
• an accommodation strategy –
Phase 1 was ...
• moving from 9 buildings
across South Wales to Cardiff
• major office fit out in a new
build - 51,000 ft2
• 550 NHS office workers
• By January 2015 .... long list of properties
• High levels of staff involvement
• No management specification except for: light,
airy, modern, open plan
• Flirting with ideas such as 4 desks per 10 staff
• Open plan, but try to address problems
• Buy around 2,500 new items from the
• Use a furniture framework contract
• NHS Wales has a shared services
arrangement for procurement
But wanted to re-use
• Existing office furniture was OK but had been
• Avoid the problem of getting rid of 2,500 items
• Familiar items for staff
• Avoid public and political perception of excess
• Meets Wellbeing of Future Generations Act 2015
Observations on Procurement
• NHS in Wales is LINEAR
• Shared service across all ten health
• Bound by frameworks
• Difficult to articulate what I needed
• Easy to articulate the need
• Pressure to conform
Route to Market
• Issued PIN Notice
• Held a meeting with around 30 suppliers – Dec
• All said they could do it!
• Decided to go to OJEU process
• More supplier engagement
• 10 tenders
OJEU process - Consortium
• Rype Office – design, office furniture re-
• Orangebox – South Wales business –
remanufactured chairs, new collaborative pieces
• Greenstream – social enterprise from deprived
area – new and recycled carpet tiles
• market engagement yielded
• design was crucial
• inclusion of social enterprise – not
tokenistic, but pivotal
• re-manufacture approach changed
the narrative for a major
organisational change project
• cost savings – against purchase price of new
• 550 task chairs are award winning, top of the range
– staff liked them!
• avoided costs of removal and disposal of old
• longer life of higher quality furniture
• enhanced our reputation (maybe)
Remanufacture drives furniture costs lower than
structurally possible with new furniture
Some numbers ...
• 1,143 items re-used
• 1,270 re-manufactured
• 670m2 re-used carpet tiles
• 2,435 employed hours for 8 people with barriers to
• 8 kitchens supplied by a local business
• deeper understanding PHW of positive impact public
bodies can have on local economy
• carbon benefits: 134 tonnes CO2e saved
which could fill 800 double deckers
• diverted 41 tonnes of waste to landfill
• biodiversity loss from upstream mining /
social value of circular economy
• employment & training has led to real full time
jobs for three people
• Greenstream able to continue to provide support
to disadvantaged households
• raised the profile of social enterprise as a credible
Bumps in the Road ...
• NHS Wales procurement voodoo
• Staff negativity
• Senior management underwhelmed
• Specification was difficult
• OJEU process
• Implementation is difficult and different
• Suppliers convinced they could meet the specification
Removing barriers ....
• Ask simple questions – Why?
• You Tube is great!
• Just in time legal advice
• Wellbeing of Future
Generations Act 2015
• Talked about the nightmare
More levers ..
• talk to suppliers – they appreciated it
• told staff about the story – reconnected with
why they became a public servant
• kept government informed and tried to tick
• everyone understands office furniture
• the ‘need’ is key
• Managers like me need to get a grip – needs
• Social enterprise is key for us and excites
politicians – working with Welsh Government
• Has potential to fit with wider policy and is
tangible and measurable
• Awards are good
– EZW sites 20% better than SMART waste benchmarks
– People matter – 10-30% difference between waste generation for similar
– Waste symptom of other issues
– Zero – whole supply chain
– Passing wastes to sub contractors not zero waste
– Take back schemes – not equal
– End of waste for road planings
– Geographical challenges
– Product challenges
– Refurb more challenging - more opportunities
– Close but not yet zero waste
Bangor University Halls Campaign
Join a professional
Diolch yn fawr :: Thank you
CASE STUDY- REUSE AS A
GATEWAY HABIT FOR
LUKE CHAMPION, SUSTAINABILITY MANAGER, 2GETHER NHS FOUNDATION
TRUST & DANIEL O’CONNOR, CEO, WARP- IT
2gether NHS re-use journey
2gether NHS Foundation Trust
Provides specialist mental health and learning disability
services to people in Gloucestershire and Herefordshire.
Approx. 35 sites across Gloucestershire and Herefordshire
10 inpatient sites (includes short and long term residents)
Legal requirement to apply the waste hierarchy:
Regulation 12 of the waste (England & Wales) Regulations 2011.
NHS needs to save £22bn by 2020.
We can no
longer afford to
It works better
More efficient to re-use items instead of paying for disposal and then
paying again to buy new
Reduced procurement time
No need to raise purchase orders to buy new items or for disposing of
Improved corporate image
It doesn’t look good when a public sector organisation throws lots of
reusable furniture in a skip. Far better to promote re-use instead
Changes perception of “waste”
Waste as a resource – not as something to be forgotten about
The reuse journey part 1
Internal re-use system - Anytakers
2gether Trust needed an awareness system across the organisation
If people don’t know about surplus items then they will just buy new and
throw things away as before
Used idea from a previous NHS Trust
Forum based system. No-cost solution for website
Only cost involved is the moving cost for the recipient
Anyone who works for 2gether can post offered or wanted adverts
Gets people talking to one another instead of working in a closed
From May 2015 to February 2016, 2gether saved £10,000 by re-using
furniture and other office equipment
Divisional Accountants directed staff to look on the forum when a
requisition was raised
Purchasing block put into place to stop people buying new furniture
until they had checked the Anytakers forum
What we learned
Some limitations to an online forum.
When someone else posted an item the next one got moved down
Someone had to log in to take the items down
If they didn't get taken down then it caused confusion- people
didn’t come back
Needed to maximise participation
We proved savings and so looked to the market to see if there was an
The reuse journey part 2
Business case for Warp It ( I can send you a copy)
Implemented Warp It in Jan 2017 (tested it from Nov 2016)
Online marketplace. Internal and external - can link up with other Trusts
Easy to use
Payback in 2 months
Savings so far and Warp It demo Click this link.
Total savings over £20K
Saving over £1489/ month on a £280/month investment
Now over 180 members internally
Love the email notifications of what is available.
Brilliant way to save money throughout the Trust.
Fabulous service that allows furniture, equipment and stationery to be recycled
throughout the Country.
Communication campaign to get more members
Trade more challenging items
Link up with other NHS organisations
Link up with more charities
Promote re-use more than recycling! You have to keep talking about it.
Use your Exec Team – encourage them to sign up and/or put their name
to a press release/comms piece.
Purchasing blocks can be very effective when coupled with cost saving
targets and getting people to sign up to Warp It.
Some things are not easy to re-use such as large corner desks. It is often
easier to recycle the wood and metal components as waste.
Re-use needs a lot more promotion. Recycling is good but it gets all the
attention and doesn’t offer the best savings.
Even better is up-cycling. Potential for partnering with local organisations
that up-cycle waste wood and make new furniture?
SMART TECHNOLOGY - CAN IT
BE AN INTEGRAL PART OF
ESTATES & FACILITIES IN
MARK GRIFFITHS, REGIONAL DIRECTOR, BOUYGUES
Smart technology - can it be an integral part of
Estates & Facilities in Healthcare?
• What is Smart
• Delivering Smart
• Drivers and Benefits
The Bouygues Group: Building Smart Cities
Communications Construction Power
£36 B turnover
Bouygues’ French Headquarters - Challenger
First building in the world to achieve triple certification (2011)
• LEED® “Platinum” (US)
• BREEAM® “Outstanding” (UK)
• HQE® “Exceptional” (FR)
• Phased works from 2010 to 2014, Shifts over 67,000m2
• Occupied site
• 90% Energy and CO2 savings
• Ventilated, double skin façades
• Geothermal energy from heat pumps
• 100% of available BREEAM energy credits achieved
• 25,000m2 photovoltaic panels on roofs, terraces and solar farm
• Rainwater harvesting
• 60% water savings
• 100% of sewage will be treated and re-used on site (phyto-filtration garden)
The Art of the possible….
• 700 bed hospital
• 1,800,000 sg ft of GIA
• Automatic tinting windows using IP
• Full fresh air ventilation systems
• Gains in efficiency of Healthcare
• Real time data available both
clinically & estate wise
• Efficiency in bed utilisation /
• 50% reduction compared to a
typical model hospital
• A single source of data & benefits…
Nurse / Bed
Agent keeps track
of people, locations,
Nurse Agent receives
notifications for the
attached user and
interacts with them…
Agent identifies the
right nurse and notifies
in real time
End Users and
Data, System and
ThoughtWire makes everything smarter…Nurse Assist - Receive and respond to nurse call
events on any desktop or mobile device.Health
Smart City & Health
Drivers for now and the future…
supplier will be offering
smart meters at no extra cost
Britain’s digital energy revolution is underway
7.7 million smart meters
have now been installed
97% of the population are now
aware of the smart meter rollout
20 million people are willing to
seek or accept a smart meter in
the next 6 months
every home and every
smart meters help get gas and electricity under control
enabling a smarter, more energy efficient network
The smart meter rollout will create a broad platform for innovation
thanks to the detailed data generated by households.
More care is taking place in the home rather than in institutions.
Smart meter functions such as real-time information and a modern
payment system will already help vulnerable households.
Using the data stream to analyse behaviour could lead to much
could energy data transform healthcare?
A smart future for everybody
New research explores opportunities and challenges
The UCL Energy Institute has reviewed what
progress has been made to date in this field.
Mersey Care NHS Trust is doing a trial using
smart meter technology to monitor dementia
micro and macro
Potential uses of smart energy data
Ongoing monitoring of conditions
Alerting relatives or care professionals
Aggregate data analytics
what can smart meters offer?
Smart meter advantages as a platform include:
challenges and recommendations
How to enable consumer confidence as well as innovation?
Focus on user acceptance
Build evidence base with clinical trials
• 13.30A Rubbish Project: Saving Money and Carbon Through a World First
• Peter White, Waste & Environmental Manager & Chris Davies, Energy &
Environmental Officer, Aneurin Bevan University Health Board - Confirmed
• 13.50Food waste prevention within the Welsh NHS
• Hugh Jones, Programme Area Manager - Food Waste Prevention, WRAP Cymru-
• 14.10Question and answer session
• 14.30Roadshow Close
CASE STUDY- A RUBBISH
PROJECT- SAVING MONEY &
CARBON THROUGH A WORLD
PETER WHITE, WASTE & ENVIRONMENTAL MANAGER & CHRIS DAVIES, ENERGY &
ENVIRONMENTAL OFFICER, ANEURIN BEVAN UNIVERSITY HEALTH BOARD
A Rubbish Project:
Saving Money and Carbon Through
a World First
Background to the Project
• Initial contact made with Thermal Compaction Group in
• Trial agreed at the Royal Gwent Hospital in Newport.
• Power supply installed and operational process agreed.
• Trial commenced in November 2015.
Background to the Project
• Polypropylene sterilisation wrap had always been
classified as infectious clinical waste.
• 4 tonnes of wrap are generated for disposal each month
from the HSDU Departments across the Health Board.
• Disposal cost £290/tonne as clinical waste.
• Revenue of around £150 per tonne as PP for recycling.
• The Sterimelt Machine operates under an EA Regulatory
Position Statement (112).
• Small-scale heat treatment of waste plastics for recovery.
• Allows the processing of up to 100 tonnes per week.
• Currently process around 4 tonnes per month.
• Cost avoidance of £1,160 per month
• Income based on 4t per month of around £600
• Monthly lease cost of £875
• Capital cost of £46,500
• Payback of 2.2 years based on 4 tonnes per month
Pressures & Challenges
• Odour issues
• Resistance to Change!!
• Contamination (paper, other plastic items)
• Upscaling throughout the Health Board
• Filter media changed, extraction & cooling system
•Extensive engagement process with staff:
• effective communication
• site visits
Selling the sizzle, not the sausage!
Bevan Commission Support
• Funding for a full time operative for the machine for 18
• Process Optimisation – the parameters of the machine
were adjusted to obtain the optimum temperature and
cycle time – reduced by 20 minutes
• Extensive engagement with staff at other ABUHB hospital
sites – targeting Theatres in addition to HSDU
• Promotion of the concept across NHS Wales – site visits.
Bevan Commission Support
• HSDU (Nevill Hall Hospital): 1.2 tonnes per month
• Bevan Commission impact – 40% increase in wrap recycled
• A further 1.6 tonnes per month has been identified from
the Theatres (Nevill Hall & Ysbyty Ystrad Fawr)
• Next step – 23 Royal Gwent theatres!
The Future - Opportunities
• Trial the processing of polypropylene curtains.
• Investigate and trial the recycling of other hospital
• 3D printing – University of South Wales
• South Wales Argus
• Resource Co (1)
• Recycling Waste World
• Resource Co (2)
• Business Wales News
• Materials Recycling World
• BBC Wales Report - YouTube
NHS Sustainability Awards
Winner of the
THE WELSH NHS
HUGH JONES, PROGRAMME AREA MANAGER, FOOD WASTE PREVENTION, WRAP
within the Welsh
Food Waste Prevention
• Behaviour Change – what does it take?
• Behaviour Change – the Challenge
• Food Waste – what food waste?
• Business Case for Change
• Taking Action
• Week of Action
Behaviour Change - what does it take?
• £2,500 + Disqualification
• £200 + 6 points
Behaviour Change – the Challenge
• 20% of food is wasted
• 60% of people say they waste no or little food
• 80% of people say they are doing all they can to reduce waste
they waste food
food is valuable
motivation to do
Yet we throw away 10 Million tonnes of food a year
Food Waste – the Challenge
The Cold Hard Facts:
• Food Waste in the UK = £17 Billion
• Food Waste in the Healthcare Sector = £230 Million
• Healthcare Sector Food Waste = 70% of Waste
• Uneaten food waste (plate waste) = 50% of total food waste
Business case for Change
• SDG 12.3
• Environment Act
Return on Investment = 14 : 1
Taking Action – What you can do
• Identify principal causes of food and
packaging waste arising
• Develop action plan to tackle main
areas in which waste arises
• Engage staff, patients and visitors
on preventing food waste
• Work with suppliers to reduce food
waste and optimise packaging
Taking Action - WRAP’s Resources to
• How to Take Action on Waste
• HCA Screencasts
• Business Support for the Sector
• Waste Prevention Toolkit
• Your Business is Food – don’t throw it away
• NHSS Waste Prevention & Re-use Guide
• Managing NHSS Food Waste
• Commercial Food Waste Collection
• Food Waste Recycling for your Business
Taking Action - Your Best Resource
Waste Prevention = The Power of Three + 1
And it’s free!
Your Business is Food – don’t throw it
• A suite of resources that aims to
help identify where food waste
might be arising at site level/
• Can help direct action to reduce
food waste, and provide valuable
information to make the case for
greater investment in food waste
measurement and prevention
Taking Action - SOS
The average UK family is wasting nearly £60 a
Taking Action – Sustainability Day
• March = Measurement
• Week of Action w/c 12th March 2018
• Evaluate and Report = 22nd March 2018
• Action Plan/ Celebrate Success
• Power of 3(v2) - Engage staff, patients
and visitors on preventing food waste
0780 909 2897