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 Greenspace role in Adaptation Mitigation • • Integrated into new biodiversity facility designs; e.g. • green travel plan natural drainage; wind • tree belt = 20% energy shelter • Air quality -particulates • Retro-fitted into existing • one tree = 22kg CO 2 facilities; e.g. solar – and 2yr/person O 2 shading, picnic tables • Supporting workforce resilience; Extreme weather events; e.g. river walks, roof overheating, flooding & garden drought
Cost Effective & Adds Value Greenspace multiple co- Greenspace life cycle cost : benefits drives VfM benefits • ‘Do nothing’ is NOT free • improved recovery Rowntree Poverty report: • reduced drug use NHS £29 bn/ year • reduced heating/ cooling • NHS not realising wider • better value climate levy benefits >£2.2 bn • improve staff retention NHS A&A: before = after • costs less health inequalities NHS FV: £1 = £4.32 = less hospital beds social value one tree shade = 20hrs/ day A/C for 10 rooms
Legislation & Policy Greenspace legislation duties: Greenspace policy drivers: (CELs etc) • Community Empowerment • (Scotland) Act 2015 Health Promoting Health Service • Procurement Reform • (Scotland) Act 2014 Place Standard • • Climate Change (Scotland) Biodiversity Duty targets Act 2009 • Sustainable Development • Wildlife & Natural • Design Quality Environment (Scotland) Act • Healthy Working Lives 2011 • Good Places, Better Health • Nature Conservation • Equally Well (Scotland) Act 2004
WHERE and HOW – Inspiring examples
Outdoor estate as an asset Gartnavel Hospitals
Borrowing greenspace Maryhill & Woodside Health & Care Centres
Simple green interventions Midpark & Eastwood Health & Care Centres
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 of 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 Caitlin Hamlett - HFS learning material caitlin.hamlett@nhs.net • Study tours to Anne Lumb – SNH demonstration anne.lumb@nhs.net sites Kevin Lafferty – FCS kevin.Lafferty@forestry.gsi.gov.uk • Practical advice
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