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INT INTO O PRA PRACTICE CTICE Act Actions ions for or a - - PowerPoint PPT Presentation

PUT PUTTING TING SUST SUSTAIN AINABILITY ABILITY INT INTO O PRA PRACTICE CTICE Act Actions ions for or a Health a Healthy y an and d Sust Sustaina ainable ble Soc Society iety Joint Chairs: Caroline Jessel NHS England


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PUT PUTTING TING SUST SUSTAIN AINABILITY ABILITY INT INTO O PRA PRACTICE CTICE

Act Actions ions for

  • r a Health

a Healthy y an and d Sust Sustaina ainable ble Soc Society iety

Joint Chairs: Caroline Jessel – NHS England Graham Bickler – Public Health England

Follow the discussion on Twitter @NHSEnglandSouth #NHSSustainability

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PUTTING PUTTING SUST SUSTAIN AINABILI BILITY TY INT INTO O PRA PRACTICE CTICE

Dr Caroline Jessel Clinical Strategy Lead Kent and Medway Area Team Sustainability Lead South Region NHS England

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Today is all about linkages and networks

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Example - obesity

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Imagine a world where …

  • Only healthy food is served in schools and hospitals
  • Locally sourced convenient cheap food is available

everywhere – and all can enjoy growing and harvesting it

  • City centres are car free and bikes are available to

all

  • School car parks are all half a mile away
  • Sugar is only 3% of all our diets
  • No-one is chained to their desks 10 hours a day

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PUT PUTTING TING SUS SUSTAIN AINABI ABILITY LITY INT INTO O PRA PRACTICE CTICE

Graham Bickler Centre Director, Kent, Surrey and Sussex Public Health England

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Follow the discussion on Twitter @NHSEnglandSouth #NHSSustainability

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Things to think about during day….…as a result of today

  • What will you do?
  • What do you want this network to do?
  • What are you going to try to get your team
  • r organisation to do?

We will email you all for answers later this week!

Follow the discussion on Twitter @NHSEnglandSouth #NHSSustainability

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Da David vid Penc encheon heon

NHS and PHE Sustainable Development Unit

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

  • Reading. 1st October, 2014

Putting Sustainability into Practice Reading PHE NHS South Network

David Pencheon

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

Sustainable development

...meeting the needs of the present without compromising the ability of others, in future (or elsewhere now) to meet their own needs, to live a life

  • f comparable quality and value.

... the requirement that the next generation must be left with whatever it takes to achieve a standard of living at least as good as our own and to look after their next generation similarly.

  • Adapted from the Brundtland Commission, Amartya Sen, and Robert Solow.
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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

IPCC (Intergovernmental Panel on Climate Change)

  • AR5 (Assessment Report Five). (AR4 was 2007)

– Working Group 1 (WG1) Sept 2013: The Physical Science Basis – Working Group 2 (WG2) March 31st 2014. “Impacts, adaptation, and vulnerability to climate change.” [CHAPTER 11 = Human health] – Working Group 3 (WG3) April 2014. Mitigation of Climate Change

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

Sustainable development

  • 1. Living within environmental limits
  • 2. Living within financial means
  • 3. Building on all available personal, community,

social assets

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

Operating within financial limits Building on personal and assets to improve Public Health and Health and Social Care Living within environmental limits

Win- wins

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  • UN
  • OECD
  • International

Monetary Fund

  • World Bank

“Realising the twin benefits of lower carbon emissions and health requires deliberate policy choices” "Reducing emissions is not only compatible with economic growth and development – if done well it actually generates better growth than the old high- carbon model," said Stern.

Co-chaired by Lord Nicholas Stern and Jeremy Oppenheim

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

Goal 1 - A healthier environment Goal 2 - Communities and services are resilient to changing times and climates Goal 3 - Every opportunity contributes to healthy and lives, communities and environments

Vision: A sustainable system protects and improves health with the available environmental, financial, and social resources, now and for the future

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

Enable the positives Reduce the negatives

Sustainable, Resilient, Healthy, Places and People

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

Route map

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

Resources:

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

4 Areas 12 Themes

  • A. Housing and place.
  • 1. Housing and homelessness.
  • 2. Planning, infrastructure, built and natural

environment: air quality...

  • 3. Energy
  • 4. Transport, access, and active travel
  • 5. Food and water
  • B. Jobs and Skills.
  • 6. Jobs/ local economy / prosperity.
  • 7. Education, training, skills
  • C. Family, friends and

community

  • 8. Climate resilience, adaptation, extreme

weather events

  • 9. Cultural and community development, Faith

Groups; Social capital / cohesion / isolation;

  • 10. Inequalities; prevention;

D. Services

  • 11. Social/health care
  • 12. Commissioning / Procurement (incl. waste)

HWB Local Implementation Toolkit

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

4 Areas 12 Themes

  • A. Housing and place.
  • 1. Housing and homelessness.
  • 2. Planning, infrastructure, built and natural

environment

  • 3. Energy
  • 4. Transport, access, and active travel
  • 5. Food and water
  • B. Jobs and Skills.
  • 6. Jobs/ local economy / prosperity.
  • 7. Education, training, skills
  • C. Family, friends and

community

  • 8. Climate resilience, adaptation, extreme

weather events

  • 9. Cultural and community development, Faith

Groups; Social capital / cohesion / isolation;

  • 10. Inequalities; prevention;

D. Services

  • 11. Social/health care
  • 12. Commissioning / Procurement (incl. waste)

Place with roof, warmth, water and food Sustainable economy Safety, security, solidarity, fairness Services

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

  • Dr. Margaret Chan, DG of WHO:

“For public health, climate change is the defining issue for the 21st century… The evidence is there, and it is compelling. Here is my strong view: climate change, and all of its dire consequences for health, should be at centre-stage, right now, whenever talk turns to the future of human

  • civilizations. After all, that's what's at stake.”

15th September 2014

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

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Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

Head in the sand…or…..line in the sand?

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Ques Questions? tions?

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WORKS ORKSHO HOPS PS

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WORKSHOPS

  • If you haven’t already signed up in the foyer you can

choose now – all time and room information is available here

  • Choose 2 from both morning and afternoon session
  • Each workshop runs twice during the session, for 40

minutes

  • First morning session starts at 10:50
  • Second morning session starts at 11:30
  • First afternoon session starts at 13:50
  • Second afternoon session starts at 14:30
  • Built in 5 minute transfer time!

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MORNING WORKSHOP LOCATIONS

Resilience in a changing climate across the health and care system

  • Waterhouse Chamber Room on the first floor (same

floor as the Concert Hall) JSNAs – a focus on sustainability

  • Silverthorne Room on the second floor

Pharmaceuticals and Medicines

  • 3Bs Room on the ground floor

Optimising Social Value

  • Concert Hall (this room) on the first floor

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AFRTERNOON WORKSHOP LOCATIONS

Commissioning and Procurement

  • Waterhouse Chamber Room on the first floor

Sustainable Carbon Emissions

  • Silverthorne Room on the second floor

Active Transport

  • 3Bs Room on the ground floor

Health Co-benefits

  • Concert Hall on the first floor

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TRANS TRANSITIO ITION N AS PUBLIC AS PUBLIC HE HEAL ALTH TH

Rob Hopkins TransitionNetwork.org

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http://www.stereogum.com/1705681/krill- peanut-butter/mp3s/

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'7 Elements of a Climate-Friendly Hospital':

  • Energy efficiency: reduce hospital energy consumption and costs through

efficiency and conservation measures.

  • Green building design: build hospitals that are responsive to local climate

conditions and optimized for reduced energy and resource demands.

  • Alternative energy generation: produce and/or consume clean, renewable energy
  • nsite to ensure reliable and resilient operation.
  • Transportation: use alternative fuels for hospital vehicle fleets; encourage walking

and cycling to the facility; promote staff, patient and community use of public transport; site health-care buildings to minimize the need for staff and patient transportation.

  • Food: provide sustainably grown local food for staff and patients.
  • Waste: reduce, re-use, recycle, compost; employ alternatives to waste

incineration.

  • Water: conserve water; avoid bottled water when safe alternatives exist.

World Health Organisation: Healthy Hospitals, Healthy Planet, Healthy People: Addressing climate change in health care settings

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Hospital as Market Garden

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Hospital as Power Station

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Hospital as New Economy

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1: URBAN TRADED 5% Salads and leafy greens, fruit

2: PERI-URBAN LAND 17.5%

Fruit and veg, horticulture, some field scale

3: RURAL HINTERLAND Within 100 miles 35%

Mainly field-scale and some arable and livestock

Mainly arable and livestock 4: REST OF UK 20% 5: REST OF EUROPE 15% Fruit and hungry-gap veg 6: FURTHER AFIELD 5%

Spices, coffee, tea, chocolate, tropical fruit 0: URBAN DOMESTIC 2.5%

Towards a sustainable and resilient food & farming system.

How might we reduce the amount of energy, fossil fuels and resources it takes to feed us, while also creating jobs and community in both urban and rural areas and producing delicious food that is good for us and the planet. The GROWING COMMUNITES’ FOOD ZONES looks at how much of what kind of food we could be sourcing from different zones, starting with the urban areas in which most of us live and applying a kind of food subsidiarity - raising what it is best to raise as close as we can and then moving outwards taking into account the factors shown. TRADING SYSTEMS

  • Farms directly

connected to the urban communities they feed, enabling supply chains to be shortened and communities to source increasing amounts of food from closer to where they live.

  • Community-led trading

systems prioritise the local but work out to the global – enabling growers in urban and peri-urban areas, rural farmers, larger farms, wholesalers, and imports to exist in harmony. PARADIGMS

  • Sustainability: flourishing

within the ecological limits of the planet.

  • Famers are paid the

price they need to produce food sustainably and make a decent living.

  • Jobs on the land seen

as a positive ‘output’

  • f the economy, not as

an input that needs reducing in order to increase ‘efficiency’.

  • People reconnected

with food and farming: involve with the production, trading and celebration of sustainable food. 80% Self sufficiency 20% Imports Size of plots available, scale of operation, degree

  • f mechanisation required

and the carbon intensity of distribution increase. Perishability of produce decreases as you move further away from where it will be consumed. Grazing animals can be included where this makes

  • sense. Pigs & chickens can

be fitted into mixed farming systems where they can use waste and provide fertility Population of urban centres likely to reduce as some city dwellers move to zones further out to get involved in farming and the need for human ‘power’ becomes more significant. DIET

  • Adjusted to reflect how

much of what kinds of foods can best be produced.

  • Aim for all to have

‘enough’ and to minimise waste.

  • Eat with the Seasons
  • Mainly plant based
  • Mainly fresh (minimally

processed) FARMING

  • Predominantly small to

medium scale (human?)

  • Mixed and diverse
  • Low input: organic or

near as

  • Utilise human skills and

labour, backed up by appropriate technology and machines and grounded in sound science Soil type, climate, what grows best where is taken into account. Infrastructure: retail, abattoirs and food processing facilities exist in all zones as appropriate.

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www.transitionnetwork.org On Twitter @robintransition

.

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LUNCH UNCH AND AND MARKE MARKET T PLA PLACE CE IN IN FO FOYER YER

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Workshops begin at 13:50

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CAR CARE E WITHOU WITHOUT C T CARB ARBON: ON: Se Seven en steps steps to sus to sustaina tainable ble healthcar healthcare

Will Clark Capita plc Sussex Community Trust

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SUMMING SUMMING UP UP AND AND NEXT NEXT STEPS STEPS

Graham Bickler Centre Director, Kent, Surrey and Sussex Public Health England

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Objectiv Objectives es

  • To bring together leaders and those with an interest in sustainability

from the NHS, public health and social care, voluntary organisations and other partners to inspire delegates to new, more sustainable ways of working

  • To begin to embed the need to work in a sustainable way across the

NHS, public health and social care system so that we can achieve the goals set out in the Sustainable Development Strategy in the South

  • To give the opportunity for those from the NHS, public health and

social care systems, and other partners to share and learn from best practice and innovation in the delivery of a sustainable health and care system

  • To share ideas and good practice around ‘co-benefits’ – activities

which not only improve the health and wellbeing of individuals but also reduce carbon emissions and offer financial benefits

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TEA TEA AND AND NET NETWORKI ORKING NG IN IN FO FOYER YER

Thank you for coming!

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