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3 Objectives: Sustainable Healthcare for the Future Royal Berkshire Hospital Sustainable Development Management Plan Improving the environment through sustainable thinking 2012-2015

CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Page 1: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

3

Objectives:

Sustainable Healthcare for the

Future

Royal Berkshire Hospital

Sustainable Development Management Plan

Improving the environment through sustainable thinking

2012-2015

Page 2: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Trust Objectives / Executive Summary

The Royal Berkshire NHS Foundation Trust recognises:

The urgent need to reduce carbon emissions and to address sustainability issues.

The trust understands that it cannot move to a truly sustainable health system without and backing of society, patients and staff.

In April 2010 the board approved a 5 year Carbon Management Plan

There is an expectation that all Trusts will have a Sustainable Development Management Plan approved at board level.

Since the adoption of the original Carbon Management Plan the trust has made good progress in Waste Management and has started the implementation of major capital works.

Many of the legislative targets have now changed and it is felt that this is an opportune time to re-assess and revise the early work.

The success of the Carbon Management Plan will require the formation of dedicated working groups that will engage key stakeholder from all aspects of the Trust.

As with any action plan, objectives and measurements of success are essential to enable progress.

Dalkia wish to support the Trust in delivering these objectives where possible, supported by Trust Personnel, Norlands and other relevant Stakeholders

Page 3: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Objectives:

Travel 3.19 MtCO2e 16%

Building Energy Use

3.8 MtCO2e 19%

Procurement 12.72 MtCO2e 65%

NHS Carbon Footprint – Breakdown by category

A breakdown of the NHS carbon footprint 2010 for the UK is shown below:

For the period 2010-2011 Royal Berkshire NHS Foundation Trust was position 985 in a table of 2103 companies.

Year 2010-2011 2011-2012

Reported Carbon Emissions (Tonnes of CO2)

15,631 15,750

Royal Berkshire NHS Foundation Trust – CRC reported emissions

Page 4: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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STRATEGIC THEMES

The NHS Carbon Reduction Strategy for England (2009) sets out a number of requirements for all NHS bodies in taking action to reduce their carbon emissions. These include:

• The production of Board-approved Sustainable Development Management Plan containing a commitment to reduce the organisation’s 2007 carbon footprint by 10% by 2015;

• Signing up to the Good Corporate Citizenship Assessment Model;

• Monitoring, reviewing and reporting on carbon reduction; and

• Actively raising carbon awareness at every level of the organisation.

The NHS Strategy Development Unit (SDU) identifies the need to take action in each of the following ten areas (referred to as the Strategic Themes) / Appendix 1:

• Energy and Carbon Management

• Procurement and Food

• Travel and Transport

• Water / Waste

• Designing the Built Environment

• Organisational and Workforce Development

• Partnerships and Networks

• Governance

• Finance

Page 5: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Strategic Themes: Appendix 1

Sets out a number of key items and actions that have been identified

Dalkia are also currently working with the Trust Estates personnel to identify further opportunities for Carbon, Energy and cost savings (DSEM).

These broadly include:� VSD & ventilation modifications (LTHW pumps,

maternity gen AHU, secondary chilled water pumps)

� Maternity general AHU – run-around coil (investigation still underway)

� Site wide BMS strategy and set-point recalibration including:

� Relaxed dehumidification strategy

� Ambient hold on pump circuits to avoid unnecessary heat loss in warm weather

� 30degree C set point for extract fans to prevent unnecessary heat loss

In Addition to the original requirement to look into :

� Pipe insulation (by others by savings guaranteed by Dalkia)

� Steam traps are to be removed from scheme as others have done works

1. Energy and Carbon ManagementStrategy issue Specific action Timescale Measurement Progress Working

Group

Monitor, measure and

report on energy use to

improve understanding of

consumption and promote

efficiency

Using the existing

metering systems

generate dashboard

type reports that can

be published to staff

and visitors.

These need to be

extended and made

more available

Availability of

reports

dashboards

Energy,

Water &

Buildings

Significantly reduce

resource use through

behavioural change

Establish a group of

sustainability

champions who can

promote energy

saving

Regular

sustainability

champions

meetings

Energy,

Water &

Buildings

Significantly reduce

resource use through

more detailed reporting

Install Smart sub

meters so that more

detailed

consumption data

can be utilised

Q2 2013 Availability of

consumption

data by building

area

Metering

Policy

document in

draft

Energy,

Water &

Buildings

Significantly reduce

resource use

The installation of

motion sensors in

toilets and offices

Energy,

Water &

Buildings

Monitor, measure and

report on energy use to

improve understanding of

consumption and promote

efficiency

Write energy policy

specifically for

carbon reduction

2010 Policy

available and

ratified

Requires

update and

refresh

Energy,

Water &

Buildings

Update carbon footprint to

include additional Scope 2

and Scope 3 activities

Collate appropriate

evidence

Q2 2013 Production of

updated carbon

footprint

Sustainability

Group

Page 6: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Carbon Energy Fund

What are Dalkia doing for the Trust ?

Page 7: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Trusts Requirements – ITT September 2011

Cost Savings - £1M savings per annum from potential energy saving measures across the estate with the introduction of CHP.

Carbon Implementation Plan – 25% C02 reduction or 3,453 tonnes

Carbon Implementation Plan – Incorporate Combined Heat & Power into Current Energy Strategy plus lighting and connecting to the University, School and Craven Road Trust Buildings

Strategic Direction – Clinically led 3 care group strategy

Funding – Capital funds available under the CEF programme or under an alternative finance package by Dalkia

Introduce innovation and a culture that will provide a flexible energy solution to enhance the Trusts capabilities in terms of meeting the future size and shape of the RBH

Early implementation of project at Preferred bidder stage - Interim Operating Services

Page 8: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

The Energy Centre ( Original & New CHP )

Original Plant Configuration

3 x 7,100kg/hr and 1 x 5,700kg/hrsteam boilers and associated balance of plant

• 3 x Boilers installed in 2004

• 1 x Boiler installed in 1974

Mitie provided all O&M of boiler plant and Hard FM Services across the estate

Good levels of plant redundancy during peak demands

CHP Plant Configuration

3 x 7,100kg/hr “refurbished”

1 * 1.994MWe CHP Engine

1 * Waste Heat Boiler (~1.0te/hr)

7* Heat Exchangers located in plant rooms around the Hospital

Auxilliary Plant for the CHP

Norlands provide Hard FM Services across the estate

Good levels of plant redundancy during peak demands

£3.3M Investment

Page 9: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Why Gas Fired CHP?

CHP is the NHS Carbon Reduction Strategy’s optimum solution

Gives the optimum balance of revenue costs savings/CO2 reductions for hospitals

• Proven technology – well supported

• CHP works in hospitals….

NHS Sustainability Unit (SDU) – MAC Curve

CHP

Page 10: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Mains Electricity supply network

Natural

gas

Power station

35%10057

kW

Fuel

Boilers

85%

Heat loads

3642 kW

4285 kW

Conventional energy supply

Site

Electrical

Loads

3520kWe

Total input Energy = 14342kW

Total output Energy = 7162kW

Overall Efficiency = 50%

3520kWe

Page 11: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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CHP Unit

Gas

100 %

Loss

20%

Electricity

35%

Heat

45%

What is Combined Heat & Power ?

Page 12: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Mains Electricity supply network

Natural

gas

Power station

Boilers

Heat loads

3642 kW

10072 kW

Total input Energy = 10072kW

Total output Energy = 7162kW

Overall Efficiency = 71%

Energy supply with CHP

Site

Electrical Loads

3520kWe

CHP unit

0 kW

0 kW

0 kW

Plant Rooms Switch Rooms

HV / LV

Page 13: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Mains Electricity supply network

Natural

gas

Power station

Boilers

Heat loads

3642 kW

10072 kW

Total input Energy = 10072kW

Total output Energy = 7162kW

Overall Efficiency = 71%

Energy supply with CHP

Site

Electrical Loads

3520kWe

CHP unit

0 kW

0 kW

0 kW

Plant Rooms Switch Rooms

HV / LV

RBH CHP Target CO2

Savings ~ 2800 Te = 19%

Page 14: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Energy Profiles

Page 15: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Core Bid – 2MWe Energy Balance

Page 16: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Core Bid – 2MWe Energy Balance

P

r

o

c

u

r

e

m

e

n

t

T

e

c

h

n

i

c

a

l

M

a

n

a

g

e

m

e

n

t

E

f

f

i

c

i

e

n

c

y

Down Stream

Energy

Mangement

D

e

m

a

n

d

M

a

n

a

g

e

m

e

n

t

Page 17: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Boiler House Integration

Page 18: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

CHP LTHW Interface

If site demand increases, primary pipe work has additional flow capacity and can be extended

to additional Plant Rooms to accommodate a 2nd CHP unit.

Space is available within Plant Rooms and service duct for LTHW system but final capacity

and location to be confirmed.

Page 19: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Boiler House Integration

Page 20: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Delivered This Morning – In Place Now

Page 21: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Estimated CO2 Savings (based on 1.4MWe CHP)

Page 22: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Lighting Upgrade

Initial survey carried out has established the following for consideration:

60% of lighting stock has been refurbished within the last 5 years

There are approximately 20-30% still utilising T12 & T8 switches

Proposed installation makes use of high frequency fluorescent & LED technology.

The replacements are based on a one to one retrofit of the existing lighting scheme.

Lighting levels after the retro-fit will be equivalent to, or better than that provided by the current installation.

Standardisation is a key objective where possible / practical to do so.

Plastic diffusers will be replaced with up to date polycarbonate diffusers of the relevant flame retarding / low smoke materials.

The lighting retrofit enables the Trust to make immediate savings.

Page 23: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

25

Public Information

Public Information Display

Location – Main Entrance, First Floor reception

Wall mounted Monitor / Multi Media Display unit, intended to communicate:

• Protecting the environment and supporting patient care

• The rationale of the energy saving projects, CEF funding, carbon targets for the NHS

• Why CHP ? – efficiency, CO2 savings, minimal transmission loss

• Why is CHP good for Hospitals – Dalkia has supplied to over 100 NHS sites ( and over 6,000 worldwide) etc

• The project phases and update – step by step development in pictures

• News associated with the project eg official opening, official visits, awards etc.

• Press cuttings showing coverage

• MWh generated and running CO2 savings

• Cost savings

• Other energy efficiency measures

• Energy awareness campaigns – to help visitors and staff save energy at home and at work

Page 24: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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High Grade Heat Recovery

WHB control &

metering interface

CEF NHS Royal Berkshire – Typical PMS System Architecture

Modification Supersedes

Date Drawn Sheet Issue18/08/11 AM 1 of 1 A - Draft

Date Drawn Issue Sheet Document

Legend :Dalkia Communications & Wiring LinksHospital Communications Links

Alarm transmission to Dalkia SMC

Data transfer to eSight Server

CHP Engine control &

metering interface

DALKIA

SYSTEMS DIVISION

Unit 11/12

Mercia Business Village

Torwood Close

Coventry

CV4 8HX

Dalkia

ADSL

AlarmModems

WEB /

Dalkia WAN

Fossil Fuel Systems

Existing Boiler house plant control & metering

interface upgrade

Secure Comms

Unit

Public Area Display

SCADA

Energy ConservationCogeneration Systems

Low Grade Heat Recovery

LTHW PHX control &

metering interface

Operational & Technical support

Page 25: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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The Carbon Clock

Objective:

Is to capture and totalise the cumulative effect of Carbon Savings made by the Royal Berkshire NHS Trust

To install a display unit ( Exact specification under review )

• Near to Main Hopsital Entrance

• Possibly powered by PV’s

That will track the ongoingperformance of:

• The Trusts CO2 reduction activities

• The benefit achieved in CO2 reduction through the operation of the CHP Plant

Page 26: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Royal Berkshire Hospital &

Dalkia

Cost, Carbon and Energy Improvement Process

powered by

Miraclees

Page 27: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Energy and Carbon Cost Reduction Programme powered by MIRACLEES™

• Awareness of business risks and opportunities of total energy related costs

• Understanding optimisation techniques

• Realisation of overall commercial benefits of an intelligent investment programme

To enhance its Energy Services, an Organisation needs to

comprehend and take advantage of the competitive variables

relating to its own business environment by …….

Page 28: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Energy and Carbon Cost Reduction Programme powered by MIRACLEES™

To enhance its Energy Services, an organisation needs to comprehend and

take advantage of the competitive variables relating to its own business

environment by …….

• Awareness of business risks and opportunities

of total energy related costs

•Understanding of optimisation techniques

•Realisation of overall commercial benefits of an

intelligent investment programme

Page 29: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Energy and Carbon Cost Reduction Programme powered by MIRACLEES™

Energy Management Software

•Awareness of business risks and opportunities

of total energy related costs

• Understanding of optimisation techniques

•Realisation of overall commercial benefits of an

intelligent investment programme

To enhance its Energy Services, a company needs to comprehend and take

advantage of the competitive variables relating to its own business

environment by …….

Page 30: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Energy and Carbon Cost Reduction Programme powered by MIRACLEES™

•Awareness of business risks and opportunities

of total energy related costs

•Understanding of optimisation techniques

• Realisation of overall commercial benefits of an

intelligent investment programme

To enhance its Energy Services, an organisation needs to comprehend and

take advantage of the competitive variables relating to its own business

environment by …….

Page 31: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

Energy and Carbon Cost Reduction Programme powered by MIRACLEES™

By carrying out the Energy and Carbon Cost Reduction Programme powered by

MIRACLEES™

The Trust supported by Dalkia and Norland’s can realise the following

benefits……

• Bring clarity to the Trust CESR Group and will increase the rate of sign-off on projects

• Audits, investment plan, business cases and verified case studies all in one place

• Provide a Transparent Investment Plan for both the Trust and Dalkia to optimise payback

methodology

• Promotes Trust Board and Stakeholder confidence in the Carbon / Cost Reduction programme

thus supporting the objectives and deliverables within the long term relationship

................and thus strive towards meeting “Your” and “Our” commitments to energy and carbon reduction

targets –

• In the shortest time,

• At least cost

• With certainty

&

• By Working Together

Page 32: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Publicity and Marketing

Aim

The aim of the proposed activities is to raise the awareness of the Trusts

actions to reduce the carbon footprint, protect the environment and save

money through energy efficiency. The activities will also highlight the role

of the Estates department. The results will be:

• Greater awareness and engagement by the internal audiences ie hospital staff as

the refurbishment projects progress

• Better understanding and promotion of the CR values within the local

communities and hospital patients and visitors

• Better profiling of the Trust across the NHS, NHS Estates and wider environment

and energy press.

Page 33: CESR Presentation Dec 12 [Read-Only]carbonandenergyfund.net/public_docs/RBH_CESR_update.pdf · Energy and Carbon Management Strategy issue Specific action Timescale Measurement Progress

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Activity/Media Approx timing Target Audience OutcomeInternal news letter 6-8weeks and ongoing Hospital staff Internal staff awareness of project

and aims/benefits

CO2 commitment signing

event

6-8 weeks Hospital staff plus potential media Internal staff awareness of project

and aims/benefits. Editorial

coverage in Health Estates press

Energy awareness day Q4 2012 Hospital staff Greater energy awareness across

staff and engagement in energy

efficiency campaign

Project updates 6-8weeks and ongoing Hospital staff/external visitors Continuity and progress

awareness

Internal Public Display Unit Q4 2012 Hospital staff/external visitors Continuity and progress

awareness, promotion of benefits

to environment

Local media From Nov2012 Communities in local area Promotion of hospitals

environmental strategy in local

community

Healthcare/ energy media From Nov2012 Trade magazine and website

audiences

Profiling of Hospital’s energy

commitment and Estates success

VIP opening After project build completion Trade magazine and website

audiences, local communities,

hospital staff

Political awareness and potential

lobbying. External and internal

Media opportunities

Healthcare/energy press editor

visits

Dec 2012 onwards Trade magazine and website

audiences

In depth profiling of project and

estates role

Presentations/ technical

papers

Mar 2013 onwards Professional Institution event

attendees external

In depth profiling of project and

estates role

Conference presentations May 2013 onwards Conference attendees In depth profiling of project and

estates role

Professional institutes May2013 IHEEM and HEFMA members Profiling and awareness in estates

professional bodies

Awards After project build completion ie

Summer 2013 onwards

Commercial recognition of

success, Awareness of

achievement, External and

internal Media opportunities