A NetZero NHS Scotland How Will We Do

A Net-Zero NHS Scotland: How Will We Do It? Kathryn Dapré Head of Energy & Sustainability, NHS National Services Scotland

11 years ago…. “ Climate change is the biggest global health threat of the 21 st century. ” UCL-Lancet Commission on Managing the Health Effects of Climate Change, 2009

NHS Scotland £ 13. 4 Bn annual budget ~ 1. 4 M procedures p. a ~ 13, 000 beds ~ 5 M m 2 estate ~ 1, 500 buildings – c 200 hospitals ~ 160, 000 staff (6% of Scotland’s workforce) Environmental Impact ~ 340, 000 t. CO 2 e buildings ~ 50, 000 tonnes waste p. a. ~ 9, 300 vehicles, 127 M miles p. a. , (~ 60, 000 t. CO 2 e) ~ £ 2. 7 BN procurement

• Healthcare accounts for 4. 4% of global emissions (5. 4% within UK)

Health Impacts from Climate Change • Social costs: rising health inequalities • Fuel poverty: £ 80 M p. a. to NHSS • Poor air quality: £ 2 billion cost p. a. to NHSS; 2, 000 deaths p. a. • Physical/ mental health impacts of adverse climate events • Climate change impacts on health service delivery and reputational risks

Achievements and Challenges

NHSScotland GHG Emissions 1990 - 2020 Since 1990, energy consumption down >43% and CO 2 down >62%

NHSScotland GHG Emissions - Projections Decarbonisation of electricity grid 75% reduction by 2030 90% reduction by 2040

Optimising Sustainability Outcomes

Minimising Environmental Impacts

NHS Scotland Climate Change & Sustainability Strategy 2020 - 2025

A Holistic Approach SUSTAINABILITY CLIMATE CHANGE ENVIRONMENTAL MANAGEMENT & COMPLIANCE

NHS Scotland Climate Change Commitments 1. NHSScotland will be a ‘net-zero’ GHG organisation by 2045 at the latest 2. All NHSScotland new buildings and major refurbishments will be designed to have net-zero GHG emissions from April 2020 3. Each NHSScotland Board will undertake a Climate Change Risk Assessment covering all operational areas and will produce a Climate Change Adaptation Plan to ensure resilience of service under changing climate conditions. 4. NHSScotland transport GHG emissions from its owned fleet (small/ medium vehicles) will be net-zero by 2025 5. The NHS supply chain will be reviewed to determine the extent of associated GHG emissions and environmental impacts, and a programme of work will be undertaken to minimise these impacts. 6. Each NHSScotland Board will establish a Climate Change Governance Group to oversee their transition to a net-zero emissions service.

Governance & Policy - Capital Projects - Active Travel - Transport - Greenspace - Nature & Biodiversity - Awareness - Welfare - Ethical Issues - Communities - Sustainable Care - Environmental Management - Procurement & Supply Chain - Waste - Adaptation - Greenhouse Gases

An opportunity. . . “ Tackling climate change could be the greatest global health opportunity of the 21 st century. ” Lancet Commission on Health Effects and Climate Change, 2015

Thank you Kathryn Dapré Kathryn. dapre@nhs. scot 07825 060963