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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
4
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
5
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
6
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
7
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
Carbon Energy Fund
What are Dalkia doing for the Trust ?
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
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
11
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
12
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
13
CHP Unit
Gas
100 %
Loss
20%
Electricity
35%
Heat
45%
What is Combined Heat & Power ?
14
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
15
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%
Energy Profiles
Core Bid – 2MWe Energy Balance
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
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m
e
n
t
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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
Boiler House Integration
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.
Boiler House Integration
Delivered This Morning – In Place Now
Estimated CO2 Savings (based on 1.4MWe CHP)
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.
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
26
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
27
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
Royal Berkshire Hospital &
Dalkia
Cost, Carbon and Energy Improvement Process
powered by
Miraclees
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 …….
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
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 …….
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 …….
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
34
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.
35
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