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Board Meeting


									Board Meeting
Agenda item: Date: From: 11 27 February 2008 Nurse Director

Sustainable Development Plan
Summary Sheet
Decision Discussion Information 



To provide the Board with a progress report on the work being taken forward in the development of a Sustainable Development Action Plan 2008/2009. This paper shows how we are taking forward our strategic responsibilities for Sustainable Development and the NHS Good Corporate Citizen Programme None identified at this stage that will impact over and above current set budgets The PCT must have explicit and agreed objectives if it is to be successful and a fit organisation. There will be a strong emphasis on equality and community engagement in the detailed action plan None arising from this report. The Sustainable Development Plan has been shared with NHS South West and North Somerset Council. The plan will be reviewed in April 2008 and will be monitored by the Executive Team. None


Link to Strategic Objectives


Financial Implications Risk and Other Implications Equality Issues



6 7

Legal Issues Consultation / Communication Review / Update



Declared Interests

If you need this document in a different format telephone the PCT on 01275 546717 Board Paper

10 Summary, recommendations and actions 11 Appendices

The Board is asked to note the contents of the report and to nominate a Non Executive Director to take part in the self assessment workshop in April 2008. Appendix A – Sustainable development indicators in your pocket 2007 Appendix B – North Somerset PCT Sustainable Development Action Plan 2008/9

Prepared by: Julie Clatworthy, Nurse Director
Date: 14 February 2008…

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Meeting of the Board to be held on 27 February 2008 Sustainable Development Plan Agenda Item: 11

1. INTRODUCTION AND BACKGROUND 1.1. Good Corporate Citizenship describes how NHS organisations can embrace sustainable development and tackle health inequalities through their day-to-day activities 1.2. This means using NHS organisations‟ corporate powers and resources in ways that benefit rather than damage the social, economic and environmental conditions in which we live. How the NHS behaves - as an employer, a purchaser of goods and services, a manager of transport, energy, waste and water, as a landlord and commissioner of building work and as an influential neighbour in many communities – can make a big difference to people‟s health and well being of society, the economy and environment. 1.3. Sustainable Development is a concept derived from the need to ensure that actions undertaken to provide or improve a service or provision is not outweighed by other consequences of the action. It is largely applied to environmental issues and is recognised mainly through climate and waste impacts. 1.4. The White Paper Choosing Health: Making healthier choices easier set out the vision of developing a corporate citizenship programme. The Department of Health commissioned the Sustainable Development Commission to design a web-based self-assessment model that all NHS organisations can use to assess their own performance in this field. 1.5. NHS organisations can assess themselves against the following six topics:     Transport Procurement Facilities Management Employment and Skills
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Board Meeting 27 February 2008

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Community Engagement New Buildings

1.6. This voluntary self assessment model was launched by the Health Minister in February 2007 and is designed to help facilitate discussion, generate ideas, promote learning and motivate. It can be used to engage with both employees and the local community. 1.7. The UK Government Sustainable Development Strategy, Securing the Future, was launched in March 2005. The strategy outlined 68 indicators through which to review progress, alone with other evidence, in four priority areas:     Sustainable consumption and production. Climate change and energy. Natural resource protection and enhancing the environment. Creating sustainable communities and a fairer world.

1.8. Attached for information is the “Sustainable development indicators in your pocket 2007” which provides an outline to the 68 sustainable development indicators. Appendix A.

2. LINKS TO CURRENT AND FUTURE OPERATIONS 2.1. Perhaps the first and most important link to make is that it is widely acknowledged that the health of the people and the environment are inextricably linked, and therefore PCT actions in Corporate Citizenship and sustainable development will have both direct and indirect impact on the health of the population. 2.2. It is therefore safe to say that the PCT should, when planning current and future service provision, take into account the likely impact of those actions and plans. 2.3. The PCT has undertaken many pieces of work which have directly and indirectly supported this approach, and whilst these are to be applauded, they do not form a coherent strategy or plan against which the PCT can assess itself in terms of its contribution to sustainable development. 3. LINKS WITH OUR PARTNERS 3.1. The PCT is strategically linked to North Somerset council and is able to input and influence the Local Development Framework, which is able to target work-stream areas for which the PCT is statutorily unable e.g. commercial redevelopment. This process allows the PCT to ensure that future developments can be considered along side

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those of North Somerset Council and where benefits can be realised, they are through co-operation. 3.2. Sustainable Development was discussed at the Joint North Somerset Council/Primary Care Trust Management Meeting on 11 February 2008 and agreement reached to work together on the sustainable development agenda. The Nurse Director and Associate Director of Governance are making arrangements to meet with their counterparts in the North Somerset Council to share good practice and identify opportunities to work together. 3.3. The Associate Director of Governance has participated in the South West regional workshops on Health and Sustainable Development held in Bristol and Plymouth during January 2008. The first workshop was focused initially around the „Good Corporate Citizen‟ toolkit developed by the UK Sustainable Development Commission. The focus of the second workshop was to determine from those NHS Trusts who were further progressed in their Sustainable Development work, what activities were being undertaken within the region and what the opportunities were for sharing best practice and working collectively on a number of actions. 3.4. Leslie Watson, Director of Sustainability South West, kindly agreed to come and talk to the second workshop about Carbon Footprinting and how Sustainability South West have worked within the South West to help other organisations to further their Sustainable Development work. 3.5. The key action points to come out from both of the days were:  The formation of a South West NHS network of Sustainable Development leads. The network would be used as a basis for sharing information from exemplar Trusts, as a forum for discussion and signposting to resources and toolkits. The enthusiasm for sharing Sustainable Development policies and strategies within Trusts in the South West region to ensure that best practice can be replicated across the region and to minimise the duplication of time required to put together basic policies around Sustainable Development. Identification of indicators that as a region we should be focusing on. The inclusion of a Social Responsibility Chapter in every NHS organisations annual report.


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The running of themed days/workshops for Sustainable Development leads around the six areas of focus, e.g. procurement, transport, employment and skills etc. The running of themed days/workshops to raise the awareness of Sustainable Development amongst finance and commissioning colleagues. The provision of a contact list/guide to all the Sustainable Development groups who are active across the South West region, who they are, what they do and how the NHS can engage with them. The provision of a compendium of NHS Case Studies with contact details for accessing top tips from people who have already undergone the process. The engagement of the NHS into transport planning was a theme from both of the workshops and it was suggested that a joint seminar could be run for NHS and Local Government to encourage partnership working in this area. The use of the Carbon Trust in the measurement of an organisation‟s Carbon Footprint was discussed and the experience of South West NHS Trusts who are going through this process currently or who have already been through the process was felt to be a valuable resource. When looking at procurement the groups agreed that more help was needed from PASA in order to focus the NHS on becoming more sustainable throughout their procurement processes. The suggestion was for a half days meeting with PASA and procurement colleagues across the South West to improve and increase the skill sets required for sustainable procurement.







3.6 A number of suggestions from the workshops also included the potential resource presented by University Environmental Management students. The use of „World Environment Day‟ on 5th June 2008 to promote an organisations commitment to, and encourage its community‟s enthusiasm for work in Sustainable Development.

4. NORTH SOMERSET PCT SUSTAINABLE DEVELOPMENT ACTION PLAN 2008/2009 4.1. A high level Sustainable Development Plan has been developed for the PCT, attached at Appendix B.

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4.2. This plan covers the full range of activities the PCT will be required to address in the next twelve months. 4.3. Work has commenced in developing the PCT‟s Green Travel Plan lead by the Commissioning Directorate. This plan will include the discounted cycle scheme requested by the NHS South West. 4.4. A workshop will take place in April 2008 to assess the PCT‟s performance against the following six topics:       Transport Procurement Facilities Management Employment and Skills Community Engagement New Buildings

4.5. The workshop will then further develop the Sustainable Development Action Plan 2008/2009.

5. RECOMMENDATIONS The Board are asked to: 5.1 Note the contents of the report. 5.2 Provide a nomination of a Non Executive Director for inclusion in the Self Assessment workshop in April 2008.

Julie Clatworthy Nurse Director February 2008

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Policy/Strategy Issues to be covered 1. Green Travel Plan Travel Survey including baseline assessment of staff business mileage Discounted cycle purchases (all Trusts and PCTs in the SW are expected to have schemes in place) Cycle reimbursement rates Interest free loans for Public Transport Season Tickets No lease car scheme Car sharing audit Town Centre Post deliveries hand delivered Baseline Carbon Footprint 2. Estates Strategy

Lead Director Jeannette George

Lead Manager Yvonne Preece

Timescale Strategy – March 2008 Policy – June 2008 Implementation Plan – September 2008

Mary Hutton Environmental Strategy and Action Plan Environmental Impact Review Electrical Appliance Replacement (A rated) Energy Efficiency Awareness Baseline Assessment of Fuel/Energy Consumption Renewable Energy Sources Energy Efficiency Education Baseline Carbon Footprint

Yvonne Preece

End March/Early April 2008

3. Major Capital Schemes Minimised car parking Jeannette George arrangements Water conservation/ rainwater harvesting Energy Efficient Options Thermal modelling Plus issues identified for Estates Strategy

Yvonne Preece

September 2008

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4. Procurement Policies Local Procurement Provision Mary Hutton including:  Major Capital Schemes arrangements for local purchasing Minor Capital Schemes Local Procurement


September 2008


5. Human Resources Policies Local Apprentice Scheme Local Recruitment Advertising Community Inclusion Recruitment Advertising 6. Recycling Policy Recycling schemes Waste Disposal Water conservation/ harvesting

Madelaine Vaughan

Marcus Ede

September 2008

Penny Brown rainwater

Vicki Lovis

June 2008

7. Community Investment Fund Community Investment Fund Jeannette George Ann Van September 2008 Vliet

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