Sustainability

Active Travel

The emissions from transport and travel are significant in a large organisation such as NHSGCC, particularly due to the vastness of our operational activities and services.

NHSGGC are continuously encouraging sustainable travel by making staff and visitors aware of the various public transport links that are available to them.

There are a variety of public transport and active travel routes to our hospital sites and health centres (Shuttle Bus for staff).

The Travel Plan Office continue to promote sustainable and active travel and host events to provide information on public transport and active travel options, including Cycle to Work.

What we’re doing

• Managing and developing NHSGGC Cycle to Work scheme. 
• Reviewing, developing and implementing projects to improve cycling infrastructure e.g. secure bike storage, across our estates.
• Created walking and cycling maps for our main acute sites, indicating links to National Cycle Routes and walking routes; Queen Elizabeth University Hospital and Royal Hospital for Children Walking and Cycling Guide.
• Promoting annual season tickets for public transport operators to provide cost savings for staff. Using Public Transport – NHSGGC.

Transport

Due to the size of the geographical area covered by NHSGGC, some element of travel and transport will always be required. These are often providing a vital service, however there are a number of ways the associated emissions can be reduced.

NHSGGC are committed to adding to our electric/hydrogen fleet, adding additional electric vehicle charging points and minimising the impacts from our fleet operations.

Glasgow’s Low Emission Zone will be enforced from 1 June 2023. All vehicles will need to meet emission standards when entering city center zone.

What we’re doing

• Over 100 electric fleet.
• Three transport hubs established to reduce courier mileage by incorporating external deliveries into existing fleet runs.
• Over 200 drivers trained on Fuel Good Driving – maximising fuel consumption and reducing engine idling.
• 4 Star Eco Fleet rating.
• Over 200 EV charging points across the board and ongoing projects to develop and install more.

EV charging

From 22nd April 2024, NHSGGC is implementing a fee for the use of its Electric Vehicle (EV) charging points of 45p/KWh.

NHSGGC have until this point incurred the cost of providing the use of EV charging equipment on its sites, however the cost of providing and maintaining such a service means that the implementation of a usage charge is a necessity to the board. The charges implemented by NHSGGC complies with its EV Charging Policy and are in line with other public sector bodies across Scotland.

To ensure the use of EV charging points on our sites is fair and equitable a maximum time limit of four hours is being applied to each session at which point drivers are required to move their vehicles. Failure to do so would incur an additional charge of £40.

Access to EV charging is through an app operated by EV charging provider Fuuse, which can be used to pay for EV charging sessions. 

For more information about the Fuuse app, click here.

For more information about the new arrangements for for EV charging, click here.

We are committed to enhancing biodiversity and green spaces across the NHS Greater Glasgow and Clyde estate.

Well-managed green and open spaces support and contribute to enhanced biodiversity, climate change adaptation and mitigation, active travel, and a reduction in the effects of air pollution, excessive noise, heat, and flooding. As well as the environmental benefits of greenspace, there is an increasing body of evidence linking access to high quality greenspace with enhanced physical and mental health and wellbeing. Spending time in greenspace has been shown to have both a preventative and restorative effect on health and wellbeing, and this effect is observed most strongly among those living in more deprived areas.

NHSGGC has a significant environmental footprint due to the nature and size of the organisation. As one of the largest public sector landowners in Scotland, this also presents a significant opportunity to enhance biodiversity and access to greenspace for staff, patients and members of the wider community. Additionally, much of the NHSGGC estate is located within and adjacent to some of Scotland’s most deprived areas and communities. Given the ‘equigenic’ effect of greenspace on health and wellbeing, delivery of greenspace and biodiversity improvements across the NHSGGC estate will directly contribute towards alleviating health and wellbeing inequalities, thus helping contribute to improved quality of life for all.

What we’re doing

• Greenspace strategies have been developed for several acute sites, including QEUH, RAH and Leverndale.
• Have accessed funding from Scottish Government, Green Exercise Partnership, Sustrans, NHSGGC endowments and estates to deliver landscape improvement projects.
• Look to undertake GIS mapping of all of the land owned by NHSGGC, including its extent, quality, accessibility and biodiversity by 2025.
• Make significant progress towards utilising our existing outdoor estate as a method of adaptation to the effects of climate change, including retrofitting green infrastructure to combat increased flooding, and passive cooling systems to combat increased incidences of high temperatures by 2030.
• All future estates will reflect the NHS Sustainable Design and Construction Guide.
• Developing and making use of our outdoor estate as places for health and wellbeing; for patients, staff, visitors, and the local community.
• Developing sustainable management strategies for each of our acute sites to make the most of our existing assets by 2025.

Sites

NHSGGC Greenspace and Biodiversity Projects

The emissions associated with the construction and operation of our buildings are significant and we have a responsibility to ensure these are reduced as far as reasonably possible.

NHSGGC is one of the largest public sector landowners in Scotland. The estate varies enormously from Victorian stone buildings to mid-century concrete framed and clad hospital towers. The challenge to achieve a net zero position from this baseline should not be underestimated. However we are committed to ensuring that our property and assets are optimised to be efficient and to be a benefit to the communities and patients they serve.

The design and construction of new buildings can easily align with modern low carbon techniques and practice. A greater challenge comes from the existing buildings, which represent a high amount of spent embodied carbon, so careful consideration must be made here.

What we’re doing

• Site-specific net zero masterplans to be commissioned for each acute site, incorporating plans for green infrastructure, renewable heating systems, enhanced access for public transport and walking/cycling, maximising the use of existing facilities and identifying optimal siting where new-build is required.

• Work to develop site strategies to optimise existing estate and improve functionality, accessibility and amenity.
• Explore options for new buildings and major refurbishments to be carbon neutral in construction, and reduce as far as possible the emissions associated with their operation.
• Explore the use of renewable heating systems and utilise this technology where appropriate.
• Ensure whole-life considerations, including embodied carbon and eventual demolition/disposal are taken into account when selecting materials and building elements.

NHS Greater Glasgow and Clyde is committed to continual improvement in minimising the environmental impact of its operations.

We recognise the detrimental impacts our services can have on the natural environment. As a healthcare provider, we seek to minimise these impacts whilst delivering health co-benefits for staff, patients and our local community.

Our Environmental Management System assists the organisation in demonstrating that NHSGGC address and minimise environmental impacts alongside managing legal compliance.  It also assists us in monitoring and continuously improving our environmental performance.

The EMS is based broadly on the requirements of ISO 14001:2015 and is appropriate for the diverse nature of the NHS estate, the large number of sites and broad range of activities and environmental aspects relating to NHSGGC.

For more information, including the scope of the Environmental Management System, please contact: Sustainability.Team@ggc.scot.nhs.uk.

NHSGGC is committed to achieving best practice benchmark standards in energy efficiency for healthcare establishments while meeting UK and EU legislations in relation to energy and the environment.

As part of our environmental strategy, NHSGGC is committed to responsible energy management and will practice energy efficiency throughout all our premises, plant and equipment, wherever it is cost effective to do so.

Within our commitment to serving the local community in providing effective and efficient healthcare services, NHSGGC will provide and maintain an appropriate comfortable internal environment, in line with NHS guidelines, that minimises energy consumption and provides a synergy with our environmental and Sustainability targets for the NHS. This also aligns with the UN Sustainable Development Goals.

By avoiding wasting energy we will also avoid unnecessary expenditure, help to prolong the useful life of fossil fuels and protect the wider environment by the amount of greenhouse and other potentially harmful gases released into the atmosphere.

What we’re doing

• All EPC’s are in process of being updated to reflect new dynamic certificates, starting off with Glasgow Royal Infirmary (GRI).
• 3 major Carbon Reduction Projects (QEUH WWHP, Stobhill & Leverndale ASHP) proposals are in place to take to Outline Business Case (OBC).
• Reviewing various energy and renewable frameworks to widen range of technologies.
• An ongoing annual spend to save programme of energy efficiency and carbon reduction projects NHSGGC eHealth Dept have agreed both a Digital Strategy and a Cloud Strategy which will result in Cloud Technologies being used, where possible, and any new Infrastructure which will be sited in Computer Rooms will have an element of Power Consumption reduction included within tenders.

For more information please contact: GGC.EnergyTeam@ggc.scot.nhs.uk.

NHSGCC are committed to making net zero a key consideration for all procurement activities and no longer purchase from suppliers that do not meet or exceed a commitment to be net zero.  

Sustainable Procurement requires NHS Scotland to work alongside suppliers to take into consideration the whole lifecycle, environmental, social and ethical impact of procured goods & services. The NHS purchases products from suppliers all over the world and an environmentally and socially responsible approach implements an opportunity to boost health and wellbeing throughout the UK and globally. Embedding sustainability at the heart of procurement decisions can reduce negative impacts on the local community and those around us, whilst bringing the organisation closer to our net zero goals. 

What we’re doing 

• Invested in a Carbon Footprint Tool – allows NHSGGC to identify where we are being wasteful with carbon and taking action to reduce the waste and emissions.
• Increase and improve the measuring and monitoring of associate carbon emissions from all goods and service providers.
• Increase the scope and weight given to contracts and product selection that support and directly reduce associated carbon emissions.
• To only purchase products or services from suppliers that are aligned with net-zero commitments.
• Review and select only procurement frameworks that have committed to a net-zero target.
• Change of pack size to National Uniforms to deliver a 50% plastic packaging reduction and cost cuts of waste disposal.

• Commit to reducing our reliance on single-use equipment, investing in take-back schemes and reuse schemes where possible.

Sustainable Procurement Steering Group (SPSG) December Newsletter

NHSGGC is committed to taking an innovative approach to driving out waste, delivering year-on-year reductions in cost and volumes.

NHSGGC delivers healthcare services across a wide portfolio of settings, resulting in the production of a correspondingly broad range of wastes.

NHSGGC is responsible for managing the waste produced by its employees irrespective of whether the waste generated on a site owned or leased by the board. NHSGGC is obliged to comply with all regulatory requirements, including, but not limited to those related to The Health and Safety at Work etc Act (1974) and the Environmental Protection Act (1990).

NHS Greater Glasgow and Clyde is responsible for adhering to the waste hierarchy as far as is reasonably practicable, enacting a waste minimisation strategy and implementing circular economy principles.

Waste Management Policy 2023

In the workplace, a large variety of wastes are produced; these can be classified broadly into the following six ‘core’ waste streams:

1. Healthcare (including clinical) waste – waste produced as a direct result of healthcare activities which may pose a risk of infection and/or is medicinally contaminated.
2. Other (non-healthcare) special wastes – waste with hazardous characteristics produced from support (non-healthcare) activities, such as paints, batteries, and waste electrical and electronic equipment (WEEE).
3. Source-segregated recyclates – glass, paper, card, plastics, metals, and other metals suitable for recycling.
4. Construction waste – Minor Estates and capital projects works.
5. Food waste – unwanted food from patients, staff, and visitors of the site.
6. Residual waste – the fraction of waste that remains once all special waste, recyclates and food have been removed at source. This is typically described as ‘black bag’, ‘domestic’ or municipal waste.

For more information or any waste management queries, please contact ggc.wasteteam@ggc.scot.nhs.uk

Posters

Guide to Clinical Waste Segregation

Guide to Mixed Recyclate

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Watch Your Waste Campaign

Awareness of the importance of the climate emergency and sustainability has never been greater but it can still be challenging to know how we can make a difference.

By engaging our staff to create a culture of sustainability, we can empower each and every one of our people to be part of the solution. It is envisaged that through work place behaviour change, our staff can take ownership at home too, adopting more sustainable lifestyles, assisting Glasgow and Scotland in achieving its climate change goals.  

Awareness Days

A calendar of events, featuring newsletters, information, facts and figures – this calendar will provide opportunities to communicate success and instigate change

Communications and Engagement

People underpin sustainable healthcare – we need the help of staff, partners and people in the community to ensure this agenda delivers positive and beneficial outcomes for all.

We can only achieve high levels of engagement within sustainability if the relevant information is communicated effectively and clearly.

Ambitions

We believe NHSGGC can be a leading role model within the public sector and a champion for sustainable development – encouraging and developing change and engagement in our stakeholders

By engaging with and harnessing the enthusiasm of the 1.2 million people we serve, and our 38,000 staff members we can deliver real and lasting change

NHS Greater Glasgow and Clyde aims to be a:

Sustainability Role Model

Showing leadership and minimising our impacts

Sustainability Educator

Inform our staff, patients, communities and stakeholders of sustainability

Sustainability Champion

Support policy measures and work with others to embed sustainability to the heart of NHSGGC

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Communications Team

Through close collaboration with the organisation’s Communications Team, we aim to promote newsletters, surveys, and relevant information on a regular basis.

Comms Team: Assist Sustainability Team in distributing materials both internally and externally

Sustainability Team: Prepare engaging materials to be sent to Communications Team for distribution

Sustainability Governance Group: High-level governance, strategic direction and leadership

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What we’re doing

• Following NHSGGC’s Sustainable Communications Plan.

• Identify works stream leads/champions in line with priority areas that will improve our sustainability and net zero performance.
• Support staff to lead change at individual, team and departmental level aligned to the Board’s corporate sustainability objectives.
• Empower staff to take advantage of sustainability initiatives which boost health and wellbeing;
• Improve our service provisions, offering more sustainable alternatives where possible and reducing risk to service operations.
• We will deliver engaging internal communications to create interest in the strategy amongst our colleagues as part of wider cultural change across the business, sharing good news stories and highlighting best practice.

Education

We must take our 40,000 staff on this journey with us, ensuring staff are equipped with the knowledge and skills to ensure they can make changes in both their professional and personal lives.

• Creation of a Sustainability e-learning package in 2023 with additional bespoke modules relevant to specific subject areas; you can now access our e-learning modules via LearnPro by searching course name GGC: 301 Sustainability.
• Creation of downloadable learning packages including posters, information and other learning resources.
• Identify works stream leads/champions in line with priority areas that will improve our sustainability and net zero performance.
• Support staff to lead change at individual, team and departmental level aligned to the Board’s corporate sustainability objectives.
• Empower staff to take advantage of sustainability initiatives which boost health and wellbeing.
• Improve our service provisions, offering more sustainable alternatives where possible and reducing risk to service operations.

NHSGGC recognises its status as an anchor organisation at the heart of the Glasgow City region.

Anchor organisations are large employers with a strong local presence in an area. They can exert sizable influence through their commissioning and purchasing of goods and services, through their workforce and employment capacity, and by creative use of their facilities and land assets. Positive use of these aspects can affect social, economic and environmental change. Community Wealth Building (CWB) is an alternative approach to traditional economic development, which seeks to develop resilient, inclusive local economies with improved local employment and a larger and more diverse local supply chain.

What we’re doing:

• Site-specific net zero masterplans commissioned for each acute site as part of Moving Forward Together Implementation Strategy, incorporating plans for green infrastructure, renewable heating systems, enhanced access to public transport and walking/cycling, maximising the use of existing facilities and identifying optimal siting where new-build is required.
• Clydebank Health Centre developed to connect into zero carbon district heating system using River Clyde as a heat source.
• New integrated health, social care and wellbeing facility at Parkhead designed to achieve net-zero in operation and located at public transport fulcrum
• Developing pathfinder projects to explore new ways to achieve better sustainability outcome in the wider capital programme. 

Our Role as a Holder of Property and Assets Case Studies

NHSGGC recognises that healthcare and the way we provide care can have a major impact on our communities and the environment. 

By changing how we plan and deliver services we can empower people to have more control over their health and deliver rapid and long-lasting change which is environmentally sustainable, increases our contribution to good health and reduces health inequalities. 

Our clinicians and staff are at the heart of NHS Scotland and NHS Greater Glasgow and Clyde’s climate emergency response and our efforts to become an environmentally and socially sustainable health service. 

What we’re doing:

• Formation of a Clinical Sustainability Governance Group to oversee NHSGGC’s sustainable care agenda.
• Clinical Sustainability Group meetings open to all healthcare staff; currently working on the Nitrous Oxide Project and National Green Theatre Project.
• 2022 has seen the lowest levels of Orange Waste since 2012. This has been achieved through improved segregation practices and circular economy techniques, however there is still room for improvement.

• Reduced desflurane usage – an anaesthetic gas with a global warming potential 3000 times that of CO2.
• The carbon footprint of inhalers was considered during the recent review of the NHSGGC COPD and adult asthma inhaler device guides (IDGs). The IDGs now have a traffic light key which highlights if the inhaler has a very high, high or low carbon footprint (GGC Medicines: Sustainability: Reducing the environmental impact of inhalers).
• Roll out of fluid suction system in QEUH theatres as first phase of wider roll out to replace VacSacs in high fluid theatres. This is a circular system that significantly reduces plastic consumption and disposal within the supply chain, as well as benefits to staff and patient environment in theatres.
• Implement the actions outlined within NHS Scotland’s Climate Emergency and Sustainability Strategy 2022-2026 (NHS Scotland climate emergency and sustainability strategy: 2022-2026 – gov.scot (www.gov.scot).