Overview Sustainable development What is it Why important

Overview Sustainable development • What is it? Why important? What can I do? Planning • Problem obesogenic environment • Solution planning? • Opportunities Public Health White Paper • Future new NPPF • SPAHG Guidance

What is Sustainability? “Meeting our needs today without compromising the ability of others to meet their needs tomorrow…” 4

Sustainability – Striking the Balance Barbier, 1987 5

Did you know? If everyone on the planet had the same wasteful lifestyles and used as much energy as we do in the UK we would need THREE EARTHS to provide enough resources. We are living way beyond our means 6

What can I do? Turn it off! If every Trust cut their energy bill by 5% the NHS in England would save around £ 20 million per year. When you left your house this morning did you leave the taps running and the lights and TV on? 7

Why is sustainability important…? 1) It improves Health 2) It saves Money 3) The NHS can Make a Difference 8

Did you know? The NHS has to reduce its carbon emissions by 10% by 2015 to help meet the Climate Change Act (2008) target of 80% by 2050. How will you help deliver this? 9

What can I do? Reduce travel! If teleconferencing replaced 5% of business miles travelled, the NHS (England) would save over £ 13. 9 million each year Is that face to face meeting really necessary? 10

Did you know? The Government’s Carbon Reduction Commitment (CRC) scheme requires many NHS organisations to participate in an “energy league”. Good performers will do well in the league table and the CRC will cost them less money than poor performers. Saving carbon will save the Trust money that can be reinvested in delivering services! 14

17% NHS carbon footprint 1 tra ve 21 million tonnes CO 2 e Procurement l Building energy use 24% 59% 1 England. NHS Sustainable Development Unit 2010 15

What can I do? Reduce, reuse and recycle! The NHS spends £ 20 billion every year on buying goods and services Think about everything you use in your job and the amount of things you throw away: which of them could be used better, reused or recycled? 16

Can we make a difference? True or False? 1) 21 million tonnes of CO 2 e is the same as some medium sized countries (e. g. Estonia and Slovenia) TRUE 2) The biggest chunk of procurement emissions is the manufacture of medical devices FALSE 3) The NHS is the largest emitter of greenhouse gases in Europe TRUE 4) 1 in 20 journeys on UK roads are health related TRUE 17

Making the presentation specific to your Organisation You may like to include slides with: • • Your Organisation’s sustainability statement Who the SD Champions are in the Organisation Who the Board level sponsor is for Sustainable Development work Specific information and data from your Organisation (e. g. amount Organisation spends on energy, how much water the Organisation uses etc) • Information about staff events promoting sustainability • The key actions you want people to take in the Organisation to help improve sustainability and reduce carbon 19

NHS England CO 2 e footprint 1990 – 2020 with Climate Change Act targets:

Results of Public Opinion Survey: Source: Ipsos MORI http: //www. sdu. nhs. uk/documents/public ations/Ipsos_MORI_Survey. pdf

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What organisations can do:

NHS England carbon intensity kg. CO 2 e/£ 1990 to 2010: Carbon intensity kg. CO 2 e/£ 1. 80 1. 60 1. 40 1. 20 1. 00 0. 80 0. 60 0. 40 0. 20 1995 2000 Carbon Year intensity 2005 2010

Breakdown of NHS England 2010 emissions: 16% Travel Building energy use 19% 65% Procurement

0. 28 0. 27 0. 21 Waste products and recycling Information and communication technologies 0. 62 Other procurement 0. 29 Water and sanitation 0. 50 Construction 0. 66 Manufactured fuels, chemicals and gases 0. 68 Other manufactured products 0. 72 Food and catering 0. 74 NHS Freight transport 1. 00 Paper products 1. 78 Medical Instruments /equipment 2. 00 Business services 4. 50 Pharmaceuticals Procurement Breakdown: 5. 00 4. 38 4. 00 3. 50 3. 00 2. 50 1. 61 1. 50 0. 46

“Planning is part art, part science and part politics, quite rightly, and there will be uncertainties, difficulty and argument all the time”, December 2011 Dr Hugh Ellis Chief Planner, Town and Country Planning Association

Public Health White Paper ‘Local government and communities will have new resources, rights and powers to shape their local areas. DCLG will support local areas with streamlined planning policy that aligns social, economic, environmental and health priorities into one place. ’ ‘Public health will be better integrated with areas such as social care, transport, leisure, planning and housing, keeping people connected, active, independent and in their own homes. ’

Planning levels and assessment tools POLICY Ao. S Example: Energy NPS PLAN Example: Long-term national waste strategy PROGRAMME Example: Solihull Waste Management Strategy 2010 -2020 PROJECT Strategic Environmental Assessment Environmental Impact Assessment Health Impact Assessment HIA Example: Construction of an incinerator SEA: EIA: HIA: SEA or SA Ao. S: SA: Appraisal of Sustainability Appraisal

Public health professional Planner SEA ? £££ ? health ? LDF ? % GI ? Health premium + Population health The built and natural environment

• Another way U. S. immigrants are assimilated: Weight gain • Bad news for new Americans: A study published today shows that simply moving to the USA packs on the pounds.