Activating the NHS: the role of Facilities in achieving a Health - - PowerPoint PPT Presentation

Activating the NHS: the role of Facilities in achieving a Health Promoting Health Service

Pete Rawcliffe & Anne Lumb

Scottish Natural Heritage

NHS Greenspace Demonstration Project

Demonstration sites

• New developments
• Retro-fitting

Monitoring and Evaluation Mainstreaming

Growing role of Facilities in HPHS?

• Evidence of effectiveness of

health promoting activity in hospital settings;

• Access to large numbers of

patients, carers, visitors and staff;

• Efficiency, through making

the most of opportunistic face-to-face contacts, and assessment processes at all stages of the pathway through hospital; and

• Good employment

practice, which involves supporting staff's health and_wellbeing.

But why greenspace?

• Health and well-

being outcomes

• Climate change,

resilience and biodiversity

• Cost effective

and adds value

• Legislation and

policy drives

Health & Wellbeing

• Health outcomes
• physical and mental
• treatment and

rehabilitation

• health inequalities
• Demonstrable benefits
• promotes public health

and well-being

• reduces drug / recovery

time

• cost effective

Climate, & Resilience and Biodiversity

• Greenspace role in

Adaptation

• Integrated into new

facility designs; e.g. natural drainage; wind shelter

• Retro-fitted into existing

facilities; e.g. solar shading, picnic tables

• Supporting

workforce resilience; e.g. river walks, roof garden

• Greenspace role in

Mitigation

• biodiversity
• green travel plan
• tree belt = 20% energy
• Air quality -particulates
• ne tree = 22kg CO2

– and 2yr/person O2

Extreme weather events;

• verheating, flooding &

drought

Cost Effective & Adds Value

Greenspace multiple co- benefits drives VfM

• ‘Do nothing’ is NOT free

Rowntree Poverty report: NHS £29 bn/ year

• NHS not realising wider

benefits >£2.2 bn NHS A&A: before = after costs NHS FV: £1 = £4.32 social value

• ne tree shade =

20hrs/ day A/C for 10 rooms

Greenspace life cycle cost : benefits

• improved recovery
• reduced drug use
• reduced heating/ cooling
• better value climate levy
• improve staff retention
• less health inequalities

= less hospital beds

Legislation & Policy

Greenspace legislation duties:

• Community Empowerment

(Scotland) Act 2015

• Procurement Reform

(Scotland) Act 2014

• Climate Change (Scotland)

Act 2009

• Wildlife & Natural

Environment (Scotland) Act 2011

• Nature Conservation

(Scotland) Act 2004 Greenspace policy drivers: (CELs etc)

• Health Promoting Health

Service

• Place Standard
• Biodiversity Duty targets
• Sustainable Development
• Design Quality
• Healthy Working Lives
• Good Places, Better Health
• Equally Well

WHERE and HOW – Inspiring examples

Outdoor estate as an asset

Gartnavel Hospitals

Borrowing greenspace

Maryhill & Woodside Health & Care Centres

Midpark & Eastwood Health & Care Centres

Simple green interventions

Connections & Wayfinding

Ayr & Ailsa Hospitals

Masterplanning

Dumfries & Galloway and Forth Valley Campuses

NHS Greenspace - making it happen

Barriers and Opportunities

• Cost: budget cuts and

changing Estate maintenance practices

• Contractual: quality

programme and integrating at outset into design

• Funding: multi-agency
• Attitudinal: priorities &

understanding the value

• f outdoor estate

Promoting the NHS Greenspace Demonstration Project

Next steps

Phase 1

• Completion of current

interventions

• Publication of evaluation

report Phase 2

• Promoting good practice
• Training, advice and

guidance

• Piloting new “Community

partnerships”

Further Information

• Case studies and

learning material

• Study tours to

demonstration sites

• Practical advice

Caitlin Hamlett - HFS caitlin.hamlett@nhs.net Anne Lumb – SNH anne.lumb@nhs.net Kevin Lafferty – FCS kevin.Lafferty@forestry.gsi.gov.uk