This document provides a summary of NHS Sustainability Day 2014. It discusses several challenges facing health and social care from climate change like extreme weather events and how the sector is addressing these issues. The national legislative framework for climate change adaptation is outlined. Presentations covered topics like the health effects of climate change, the health co-benefits of lowering emissions, and initiatives to green healthcare like sustainable procurement. Hospitals achieving food quality standards through the Soil Association's Catering Mark was also discussed. The event emphasized that sustainability is a leadership issue and that national tools are in place to support local climate change adaptation action in the health and social care sector.
4. Sustainability and Health
Dr Louise Newport
Sustainable Development, Climate Change
and Extreme Weather
Department of Health
5. Outline
⢠Challenges of climate change for health and
social care
⢠National Legislative Framework
⢠Health and Social Care system
⢠International Climate Change and Health
⢠Health Co-benefits of lowering emissions
6. Extreme weather events and the National Risk Register
Overallrelativeimpactscore
5
Pandemic
Influenza
4
Coastal Flooding
Effusive Volcanic
eruption
3
Major industrial
accidents
Major transport
accidents
Other infectious
diseases
Inland Flooding
Severe Space
Weather
Low
Temperature
/Heavy Snow
Heat wave
2
Zoonotic animal
disease
Drought
Volcanic Ash
disruption
Storms and
Gales
1 Public Disorder
Severe Industrial
Action
Non-zoonotic
animal disease
Greater than
0.005%
Greater than
0.05%
Greater than
0.5%
Greater than
5%
Greater than
50%
9. NAP âHealthy & Resilient Communitiesâ
⢠Obj. 11. Reduce the risk of death & illness associated with
severe weather events & CC⌠increase preparedness &
resilience to impacts on public healthâŚ
⢠Obj. 12. Ensure continuity of services & resilient assets /
estates, adapt to expected increased demand from severe
weather-related eventsâŚ
NAP Steering Group â DH, PHE, SDU, NHS England, Defra, EA
How the health risks are managedâŚ
10. Health Impacts of Climate Change
⢠Assessing the risks to health since 2002⌠& CCRA
⢠With benefits to health tooâŚreducing NCDs
âŚand the benefits of a low carbon lifestyle
Lower carbon saves lives! â and money!
Observed
temperatures
Simulated
temperatures
2040s
2060s
2003
Summer 2003:
normal by 2040s,
cool by 2060s
11. Health Impacts of Climate Change
Developing the UK evidence â 2002/08/2012
⢠Heatwave-related health problems
⢠Aeroallergens â pollen etc
⢠Air pollution â Respiratory & Cardiovascular
effects
⢠Indoor environment
⢠UV - Sunburn, skin cancer and cataracts
⢠Flooding / mental health consequences
⢠Vector-borne diseases
⢠Water & Food-borne disease
⢠Extreme weather-related events (injuries /
death)
⢠But, decrease in cold-related illness & deaths
12. ⢠WHO Resolution on Climate Change and
Health (61.12), 2008. 2013 â workplan to be
renewed. Global conference in August 2014.
⢠Commonwealth Ministers agreement to
cooperate on climate change and health.
WHA, May 2008
⢠UK co-chaired the WHO (Europe) Climate
Change Task Force, to develop a Framework
for Action on Climate Change and Health for
the European Region.
⢠WHO European Environment and Health 5th
Ministerial Conference, Parma, 2010
⢠DH chairs the WHO Euro Working Group on
Health Impacts of Climate Change (HIC)
⢠UNFCCC COP â Paris 2015
International collaboration
âClimate Change is Globalâ
13. Health Co-benefits
⢠Lancet co-benefits research, Nov 2009, LSHTM
⢠Health benefits of low carbon actions in
transport, built environment, food and
agriculture, both in the UK and the developing
world
⢠Eg Health benefits from low car use
â increased active transport
â reduce obesity,
â reduce urban pollution,
â reduce road traffic accidents.
â âGreenerâ fuels also lead to reduced indoor
and outdoor air pollution.
⢠In WHO European region :
800,000 deaths/yr outdoor air pollution
1.5 million from indoor air pollution
1.9 million from physical inactivity
2.6 million from obesity
⢠WHO âHealth in the Green Economyâ series
Lower carbon saves lives!
â and money!
14. Greening Healthcare
⢠Procurement is 60% of the
NHSâs carbon footprint
â Sustainable messaging in
contracts âvanilla clausesâ
â Procurement for Carbon
Reduction (P4CR)
â WHO looking at P4CR & greening
healthcare, for use
internationally / Pharma
⢠New SD strategy â Health,
Public Health and Social Care â
Jan 2014
⢠WHO Euro â7 countries pilotâ www.sdu.nhs.uk
15.
16. Levers for Action
⢠National:
- Health & Social Care Act 2012
- Climate Change Act 2008:
Adaptation Reporting Power -
SDU to report for health and
social care sector
- Scrutiny by Adaptation Sub
Committee, reporting 2015
- Civil Contingencies Act 2004
- National Planning Policy
Framework
- Building Regulations
- Flood & Water Management Act
2010
Local:
- PHOF â SDMP indicator,
- H&WBs, JSNAs,
- Local Health Resilience
Partnerships
- Local Resilience Forums
- Local Adaptation Plans
- Local Flood risk mapping and
strategies
- Built environment / town
planning
Pivotal role played
by councils
17. Sustainability is a leadership issue
Think SD! - Supports growth, saves lives,
improves wellbeing
⢠Health and social care sector can provide
leaders
â People trust health care professionals
â 1.3 million workers involved
â Touches all of our lives
⢠Raise awareness and communicate case for action
â Public engagement, transformational behaviour
change.
18. Summary
⢠SD is a leadership issue. Board-level support for
climate change adaptation / sustainability
needed â and in the right place.
⢠Consistent sustainable principles are required
throughout the health and care sector. Complex
interactions of partnership working over diverse
areas â with the same overarching aim.
⢠National drivers and tools (eg the new SD
strategy and âUnder the Weatherâ) are in place
to help local action â eg climate change on risk
registers.
20. Should sustainability be an NHS priority?
Our leadership will be tested in our commitment and
ability to bring about the transformations required. We
must take these concepts forward in our lives, our
jobs, our teams and organisations, and with our
communities. We must do so positively and
inquisitively, with enthusiasm and with vigour. This
agenda creates many positive benefits and it is already
generating energy for change in people, organisations
and communities. It also demonstrates our
responsibility and commitment to a broader and more
global perspective of health and wellbeing.
21. Should food be an NHS priority?
Spending power:
ÂŁ500 million
Staff health and
wellbeing:
1.2 million staff
300 million
patient meals
Public health
responsibility:
Every Contact
Counts
Improved
outcomes
Cost to the NHS of
diet related ill health:
ÂŁ5.8 billion (and
rising)
Quality
of care
22.
23.
24.
25.
26.
27. Feb 2013: Horse-gate
âOur Education Catering Service is proud
to hold the Soil Association's Gold
Catering Markâ
28. Food for Life Catering Mark
Quality assurance:
⢠Independent accreditation
⢠Backed by inspection
⢠Nutrition, Quality, Provenance, Sustainability
⢠Step-by-step
29. ⢠> 160 million meals a year
⢠>900,000 meals a day
⢠>20% of school catering
⢠>25% university catering
⢠>30% at Silver & Gold
Food for Life Catering Mark
30. DH rewards excellence
âWe also use PLACE to record whether hospitals
comply with recommended guidance. We
already ask about the government buying
standard for food, and next year we will ask
about the Soil Associationâs Food for Life
Catering Mark.â
Earl Howe, Second Reading of Health and Social
Care (food amendment) Bill
31. PLACE
Incentives and measuring progress
CQUIN
(no. 295 in NHS England pick-list),
âImproving Hospital Food by achieving
compliance with recommended or
best practice standardsâ
32. New CQUIN for hospital food
"Our new commissioners, the Clinical Commissioning Groups and their leaders, will
need to take the new quality incentive and kite mark seriously for two reasons.
Firstly, because they are not only about good nutrition but also about knowing
where the food has come from and about supporting British farmers, the local
economy and sustainability.
Secondly, the catering mark is independently audited by the Soil Association so that
Clinical Commissioning Groups can easily check whether their local hospitals are
actually doing what they say they are.â
Michael Dixon, Chairman, NHS Alliance
33. Hospitals and the Catering Mark
Catering Mark-awarded
North Bristol NHS Trust
Nottingham University Hospitals Trust
Hinchingbrooke Healthcare NHS Trust (Cambridgeshire)
St Josephâs (Wales)
Working towards:
Rotherham Hospital
Bournemouth &
Christchurch
Specifying Catering Mark:
Barts Health NHS Trust
Imperial College Healthcare NHS Trust
Calderdale and Huddersfield NHS Trust
âAll this hard work has secured jobs for my staff. We're making
considerable savings, sales have gone up by almost a third since
we achieved the Catering Mark, and the staff are happier.
Pascal Meril, Catering Manager, St Josephâs Hospital
34. Hospitals and the Catering Mark
Catering Mark-awarded:
North Bristol NHS Trust - SILVER
Nottingham University Hospitals Trust â now GOLD
Hinchingbrooke Healthcare NHS Trust (Cambridgeshire)
St Josephâs (Wales)
Rotherham Hospital
Working towards:
Bournemouth &
Christchurch
Specifying Catering Mark:
Barts Health NHS Trust
Imperial College Healthcare NHS Trust
Calderdale and Huddersfield NHS Trust
+
68 more
hospitals
Over 4.5
million meals
annually
35. Hospital pathfinder pilots
âwhole hospital
approachâ FOOD EDUCATION
AND SKILLS
e.g. support cooking
and growing skills
development
A HEALTH
PROMOTING
SETTING
e.g. leadership on
developing a good
food culture
throughout the
hospital
CATERING QUALITY
STANDARDS AND
CERTIFICATION
e.g. improve food
quality through FFL
Catering Mark:
patients, staff and
visitors
PATIENT DINING
EXPERIENCE
e.g. dining
experience tailored
to maximise positive
experience for
different patient
groups
COMMUNITY
AND PARTNERS
e.g. Connect
hospital and
relevant social care
settings in the
nutritional support
of patients into post
discharge life
36. Hospital pathfinder pilots
FOOD EDUCATION
AND SKILLS
e.g. support cooking
and growing skills
development
A HEALTH
PROMOTING
SETTING
e.g. leadership on
developing a good
food culture
throughout the
hospital
CATERING QUALITY
STANDARDS AND
CERTIFICATION
e.g. improve food
quality through FFL
Catering Mark:
patients, staff and
visitors
PATIENT DINING
EXPERIENCE
e.g. dining
experience tailored
to maximise positive
experience for
different patient
groups
COMMUNITY
AND PARTNERS
e.g. Connect
hospital and
relevant social care
settings in the
nutritional support
of patients into post
discharge life
37. To find out more please contact:
Joanna Lewis, Head of Policy
Susannah McWilliam, Hospitals project manager
Or come and chat
at the endâŚ
39. WHO IS GLOBAL ACTION PLAN?
⢠UKâs leading environmental behaviour change
charity
⢠Projects endorsed by UNEP
⢠Practical yet creative solutions that inspire
people to act
40.
41. HEALTH IMPACTS OF AIR
POLLUTION
⢠Premature death
⢠Worsening symptoms in those with
respiratory disease and cardiovascular disease
⢠Low birth weight
⢠Restriction of daily activity
⢠Lung cancer
42. CLEANER AIR PROJECT
⢠Reduce emissions from and around the hospitals
⢠Help the most vulnerable reduce their exposure to
pollution
43. CLEANER AIR PROJECT AIMS
⢠Clean air for our hospitals
⢠Clean air for our communities
⢠Improved engagement and health intervention
44. CLEANER AIR WEEK
â 24-28 FEB
⢠Aim to engage 1000 staff,
visitors and patients
⢠Complete Cleaner Air
Survey
⢠Receive Breath Better
Plan
45. NEXT 2YEARS
⢠Clean Air Supplier or Courier Award
⢠Hospital Clean Air Zones
⢠Reduce idling
⢠Increase subscription to AirText
⢠Improve community based emissions
46. âAir pollution causes ill health and deaths from
heart and lung disease. By working with
communities Barts Health will equip them with
the information they need to minimise their
risk. We will also commit to reducing our impact
on air quality by changing how we use transport
and reduce emissionsâ
Ian Basnett, Director of Public Health
52. bromptondock.co.uk
Health Centres in Islington:
⢠Bingfield Primary Care Centre
⢠Finsbury Health Centre
⢠Goodinge Health Centre
⢠Hanley Road Primary Care Centre
⢠Highbury Grange Health Centre
⢠Holloway Community Health Centre
⢠Hornsey Rise Health Centre
⢠Islington Outlook
⢠Killick Street Health Centre
⢠Northern Health Centre
⢠Partnership Primary Care Centre
⢠River Place Health Centre
Health Centres in Haringey
⢠Bounds Green Health Centre
⢠Broadwater Farm Community Health Centre
⢠Hornsey Central Neighbourhood Health Centre
⢠Lordship Lane Clinic
⢠Stroud Green Medical Clinic
⢠Stuart Crescent Health Centre
⢠The Laurels Healthy Living Centre
⢠Tynemouth Road Health Centre
56. Current Network
bromptondock.co.uk
Ashford International
Birmingham Moor Street
Birmingham New Street
Birmingham Snow Hill
Bristol Temple Meads
Canterbury West
Didcot Parkway
Ealing
Exeter St Davids
GlaxoSmithKline
Greenwich
Greenwich Avery
Greenwich Medway
Guildford
Haywards Heath
Maidstone East
Manchester
Oxford
Peckham Rye
Peterborough
Portsmouth Park & Ride
Reading
Redhill
Southampton
Stoke on Trent
Stratford Parkway
Swindon
Three Bridges
Tonbridge
Warrington Birchwood
Warrington Bank Quay
Warrington Central
Whittington
Woking