Sustainable development in the NHS - GOV.UK

1 Sustainable development in the NHSS ustainable development in the NHSSTRATEGICS ustainable development in the NHSL ondon: The Stationery Office Crown copyright 2001. Published with the permission of NHS Estates, an Executive Agency of the Department of Health, on behalf of the Controller of her Majesty s for reproduction should be made in writing to:The Copyright Unit,Her Majesty s Stationery Office,St Clements House,2 16 Colegate,Norwich NR3 0-11-322000-0 First published 2001 Printed in the United Kingdom for The Stationery OfficeCover photographs: Small Heath Health Centre, Northern Birmingham Mental Health NHS Trustphotographs courtesy MAAPECONOMICENVIRONMENTALSOCIALALBANY LODGE, WEST HERTS COMMUNITY HEALTH NHS TRUST: PHOTOGRAPH COURTESY MAAPWhat is Sustainable development ?

2 At its heart is the simple idea of ensuring abetter quality of life for everyone now and forgenerations to come A Better Quality of Life, DETRSUSTAINABLE development IN THE NHSE xecutive summaryA Sustainable NHS will mean improved workingenvironments, greater cost savings, better service to the community and reduced environmental impact. Sustainable development in the NHS was written toassist those involved in providing, managing and usingNHS healthcare facilities to work towards aims to present a wide range of information onsustainable development in an understandable and user-friendly organisation as large as the NHS has many differentpriorities and pressures.

3 This document does not seekto add to these pressures, but instead, to demonstratehow sustainability lies at the heart of many otherprogrammes and can greatly enhance their document will help the NHS in the consideration of Sustainable development principles with the use ofguidelines, samples, case studies, proformas a reference document, Sustainable development inthe NHS is not designed to be read from cover tocover; it is expected that the reader will refer instead to relevant sections as and when they are required. A hierarchical wayfinding diagram is included to assistnavigation through the document.

4 Sustainabledevelopment in the NHS should be read in conjunctionwith the recent New environmental strategy for theHealth Service (NHS Estates).EXECUTIVE SUMMARYCENTRAL MIDDLESEX HOSPITAL AMBULATORY CARE AND DIAGNOSTIC CENTRE: AVANTI ARCHITECTS (PHOTOGRAPH: NICHOLAS KANE)NHS Estates gratefully acknowledges all contributions tothis publication, with particular thanks to the following:Andrew Brown (Carillion plc), Site Manager, new Princess Margaret Hospital, SwindonIola Baker, Health Strategy Co-ordinator, Telford andWrekin CouncilAndy Davey, Environmental Supply Policy Manager, NHSP urchasing and Supply AgencyLouise Dineley, Non-Clinical Risk Manager, East KentNHS TrustMax Fordham and Partners, Building EngineersPauline Peck, Staff Travel Co-ordinator, NottinghamUniversity Hospital NHS TrustSunand Prasad, Penoyre and Prasad, ArchitectsKen Schwartz, Director, Anshen Dyer, ArchitectsChristopher Shaw, Director, Medical Architecture and ArtProjects (MAAP)

5 LtdRobert Spence, Environmental Officer, Lagan ValleyHospital, Down Lisburn HSS TrustOur thanks also to Jim Kersey, Project Director, andAdam Mactavish, Project Manager, Entec UK Ltd the primary authors of this development IN THE NHSA cknowledgementsExecutive summaryAcknowledgementsPART I INTRODUCTIONWhy read this guide? page 4 Who should read this guide? page 4 Key actions and considerations page 4 How to read this guide page 51. What is Sustainable development ?

6 Page 6 The NHS and Sustainable development2. Why be Sustainable ? page 9 Direct benefitsIndirect benefitsPolicy drivers3. Making it happen page 13 Approaching Sustainable developmentOvercoming barriers to Sustainable developmentCase studiesMeasuring progressPART II PRACTICAL GUIDANCE4. Sustainable development considerations for NHS estate strategies page 235. Planning page 25 IntroductionLegislative provisionsMain land use principlesDevelopment plans and their implications for the NHSestateRepresentations to Local PlansCase studies6.

7 Design and construction page 29 IntroductionDesignConstructionProcuring Sustainable buildingsCase studies7. Operational activities page 42 IntroductionEnergy managementWater managementWasteTransportCase studies8. Purchasing and supply page 59 IntroductionDevelopments in NHS purchasing and supplySustainable purchasing and supply in the public sectorIncorporating Sustainable development criteria inpurchasingContractor managementSpecific products or servicesCase studiesPurchasing initiatives within Government departments9.

8 Partnerships page 66 IntroductionConsultation techniquesIncreasing local participation in health promotionWorking with other local servicesCase studiesPART III FURTHER INFORMATION10. Summary checklists of issues to consider foreach topic area page 731 Contents11. Guidance on developing performance indicatorspage 79 Government indicators of Sustainable development for theUKOperational indicatorsSectoral indicatorsPossible indicators of Sustainable development for theNHS12. Example policies and forms page 83 Environmental policy (example from East Kent HospitalsNHS Trust)Register of environmental aspects (example from EastKent Hospitals NHS Trust)Register of relevant environmental legislation (example ofemissions to air)Objectives and targets formEnvironmental management procedure proformaExample staff travel survey formAudit of site releases to air and water and waste arisings13.

9 HM Treasury and DETR guidance onenvironmental issues in purchasing page 96 IntroductionPolicyThe EC procurement rulesSpecifying requirementsProcuring goods and servicesAccountabilityValue for moneyOther issuesFurther guidance14. Sources of further information page 101 PlanningDesignConstructionOperational activitiesProcurementParticipationAPPEND ICESA ppendix A: List of abbreviations page 107 Appendix B: List of some relevant legislationpage 109 Appendix C: References page 111 Sustainable development IN THE NHS2 Part IIntroductionTHE NEW PRINCESS MARGARET HOSPITAL, SWINDON: CAD IMAGE OF HOSPITAL POST-REFURBISHMENT BY IMPACT INTERACTIVE, PROVIDED COURTESY CARILLION PLCWHY READ THIS GUIDE?

10 Sustainable development is about taking a holistic viewof all activities, considering their environmental, socialand economic implications. This guide illustrates howsustainable development concepts and practices canhelp the NHS to gain most value from its estate andcontribute to improving the quality of life in the Sustainable development is only one of themany issues and priorities for the NHS, it can bringsignificant benefits to all the NHS s activities. This guideaims to show: how the activities of the NHS are vital to sustainingnational growth; how the NHS impacts on Sustainable development ,socially, economically and environmentally; and how the sustainability of the NHS can be increasedthrough its estate management, bringing: cost savings; better working environments; better service to the community; and reduced environmental are large sites that undertake a wide range ofactivities, attract a great many visitors and use largeamounts of resources.