Sustainability

The climate crisis has been described by the Lancet medical journey as the biggest threat to healthcare in the 21st century. Within the ICB and alongside our partners we are determined to tackle this threat head on.

We know that a healthy planet can mean healthy people. It’s predicted that around 150,000 UK lives could be saved every year* if we all pulled together to meet the country’s climate change targets.

Read more about how the health and care system across Suffolk and north east Essex has come together in the quest to work more sustainably.

*source: The public health implications of the Paris Agreement: a modelling study – The Lancet Planetary Health

What does ‘sustainability’ mean to us?

What does ‘sustainability’ mean to us?

Transcript of What does ‘sustainability’ mean to us? video

This video features three speakers.

00:00:30 – 05:23:24 – Andrew Urquhart, ICB Sustainability Lead
05:29:07 – 07:15:24 – Isla Kaye, ICB Information Governance Officer
07:21:21 – 09:49:24 – Dr Vasandhara Thoroughgood, Essex GP
09:50:18 – end – Andrew Urquhart

Transcript

So, the purpose of my role is to look at limiting the impacts of climate change from our health perspective and our care partners’ perspectives, certainly in relation to population health and the impacts that climate change has on population health. What does that entail? Well that’ll entail pulling numerous strands of information and people together to form a green plan, a strategy, and that will be our sustainability strategy moving forward.

So sustainability itself is not one single thing, it’s a paradigm of thinking, it’s thinking holistically, it’s considering the environment, it’s considering social, and it’s also considering economic benefits. So it’s triple bottom line benefit thinking and it’s holistic and the thing they all have in common is they’re all integrated so you don’t consider one without the other. Now that’s quite an overarching paradigm of thinking and to try and break that down, the United Nations have developed 17 sustainable development goals, and that tries to break down an overwhelming amount of information into smaller bite-sized chunks that we can start to tackle. And what is the purpose of those sustainable development goals? Well, they are by the UN, accepting that actually, if we’re going to tackle poverty – poverty and the associated things with poverty such as poor education, poor diet, poor health and so on and so forth, that goes hand-in-hand with developing an economic strategy that also doesn’t just consider both social elements but it also considers the environment and tackling climate change. So all three things together in one overarching paradigm. When we consider the UN’s sustainable development goals and what my role entails in tackling population health issues, there is a link with climate change. And not just sustainability itself, so climate change um is or has come about from the release of greenhouse gases primarily through humans releasing hydrocarbons burning fossil fuels and so on and so forth and the issue with that is that global climate has changed. Our um the temperature has increased by one degree over the last century and if this goes unabated, the science, the consensus is that by the end of this century temperatures would have increased by three degrees which is completely unsustainable for us. So with that in mind, what is the impact on that? So as global climates are changing that’s leading to more extreme weather events and those extreme weather events are actually starting to put a pressure on our frontline services. So to give you some examples we’re having and experiencing a lot more heat waves. And those heatwave episodes are actually having an impact on the most vulnerable and people in our society that have cardiovascular and respiratory issues so we’re seeing a spike in hospital admissions. We see spikes in mental health cases with more flooding and we’re seeing that as temperatures change that disease vectors and pathogens are now starting to transfer more. So climate change itself is having an impact not just on the weather, that’s in turn having impact on frontline services. It’s been described, climate change, as a climate emergency – which it is – and a health emergency. But actually what I prefer to do, and what I like us to think is, let’s strike the word emergency out and let’s call it an opportunity because it is an opportunity. It’s an opportunity to frame and do things differently certainly in a post-Covid world. So in terms of taking really complex and wide scale global issues – sustainability, climate change, the impacts on health – we have to distil them down into something which is tangible and recognizable and something that we can act on at a more local level. So we take those issues, we develop our green plan, and our green plan uses those in that information into several key areas like carbon, estates, care pathways, travel, greening space. It marries those issues and climate change mitigation activity together and then that becomes our green plan – our strategy. And we will look at things which will really help at a local level. So for instance limiting our business use of cars and embracing active travel and transport. That has a direct impact on helping the local population air quality.

Other elements such as sustainable production and consumption -wasting less and delivering more value for our local population as we embrace a more circular economy, and rather than just reuse, reuse, recycle and then it gets thrown away.

I’m a member of our steering group engaged in travel and transport. Our aim is to encourage sustainable and active travel wherever possible and to only travel when it’s absolutely necessary and to expand the virtual technologies for both patients and staff in order to reduce the need for travel overall. But this isn’t just about traveling to work. We also want to support staff to improve sustainability at work and at home and to empower them to make sustainable choices in their everyday lives. Immediately post-Covid, we’re concerned that people will revert back to using their car instead of using public transport due to fears of contamination and concerns around social distancing. Which is why we’re making active travel a key element of our approach. We know from studies undertaken that 65% of UK road trips are less than five miles. So by embracing active travel when people do go back to work can help target and tackle those habits. Encouraging cycling will help us reduce those making shorter commutes and tackle perceptions around using public transport. It has a dual benefit to keep people out of cars to do this we’re now working with cycling UK. Their support will include bike doctor sessions to repair your bike, you can bring your bike in and the bike doctor will help you get it road-ready. Confidence boosting lead bike rides to get people back in the saddle, a webinar to give tips hints and advice on safe cycling, grant support for some equipment and we’re also looking at our offices to see if we’re active travel friendly enough. Things such as lockers, showers and bike storage. And we also have some great staff activities to encourage active travel and exercise. We’ve had a virtual trip to Lapland and we’re currently on our way to Mexico so once you start logging your miles it really does encourage you to do more.

So from a sustainability survey that we sent out last year we know that over 90% of healthcare professionals, so that includes GPs and nurses felt that general practice has a role in reducing its carbon footprint. Obviously as clinicians within general practice we’re part of the partnership of a wider ICS – delivering the sustainability steering group’s goals. So last year I set up a group of interested GPs who want to help general practice reduce their carbon footprint. We’re called Greener Practice Essex and Suffolk and we meet monthly to try and come up with ideas to support practices to do exactly that. There are so many things that GP practices and clinicians can do to make an impact on their carbon footprint and it’s something that you can apply in your practice tomorrow. So we know that the biggest part of our carbon footprint in general practice is prescribing and it’s not about saying to patients you can’t have your medication but thinking about other ways to help them manage their problems that actually might be better for them and good for the planet. So I’d like to mention social prescribing here because we know that being connected to other people is such a key part of our health and we’ve got great social prescribers in our area with community360, so getting them involved to support our patients is a great idea. Also making use of other professionals who work with us such as our health coaches to support patients with lifestyle changes such as getting more active, eating more healthily, looking after themselves, managing stress. All of that helps to improve their health and reduce their reliance on medication. Now as prescribers what can we do – I’ve got some inhalers here to show you. So most of us are prescribing these aren’t we? Metered dose inhalers and we need to shift over to ones like this – dry powder inhalers. Lots of our patients will be able to use this and by doing this we know that we can massively reduce the carbon footprint of our prescribing in general practice. And finally, I want to talk about waste because within the NHS we all know that waste is a big problem. Lots of our patients ask for medication that they never use. Apparently a lot of people flush it down the toilet because they think it’s safer than putting it in the bin, but actually that’s poisoning our water. So just talking to patients about medication they’re not using, asking them to be honest with us and if they don’t want to take it, stopping it and reminding them to return it to chemists for recycling and incineration would also make a big difference.

And we often hear people say when we talk about sustainability, “if I only do a little bit it won’t make a difference”, actually the flip side is true. It will make a huge difference, and the reason for that is if you consider lots of small local activities by everybody bound together for our CCGs and then think of each CCG up and down the country as a patchwork quilt, put those patches together in the quilt and then you start to get local actions and activities which actually address local issues but also then help to have a global impact and that’s what our green plan will start to do.

Sustainable working in the ICB

We have a vision to improve the health and wellbeing of the communities that we serve. We recognise that our actions as an ICB have a direct impact on issues such as climate change, and in turn poverty and inequality. This includes choices around the goods and services that we buy and how we shape and commission services.

Here are some examples of how we’re driving positive change.

Our Medicines Management team are working with our patients and providers to help them make sustainable choices about their healthcare.

This includes swapping high-carbon use inhalers to lower carbon alternatives and championing the re-use of equipment to help eliminate single-use plastics.

Did you know, the use of certain inhalers to relieve asthma can produce the same amount of CO2 as driving 170 miles from Sheffield to London? Whereas using a low carbon inhaler instead would produce the same amount of CO2 as driving just 4 miles.

 

When we decide which organisations should receive contracts to provide various health or care services, we use set marking criteria to judge which organisation would do the best job.

From April 2022, at least 10% of the marking criteria weighting will be based on the social value that the organisations could potentially provide. This includes how well the organisations will:

  • provide community support for COVID-19 recovery
  • tackle economic inequality
  • fight climate change
  • provide equal opportunities
  • improve health and wellbeing
  • promote community integration

Our Estates teams are committed to working sustainably. From sourcing renewable energy and making our buildings more carbon-efficient to employing local firms to boost the economy. We are also providing more digital suites within primary care settings, enabling patients to connect with clinicians based further afield without having to travel.

We’re also utilising technology within the ICB to enable remote meetings, reducing travel-related carbon emissions.

By our people we mean everybody. Our staff, our partners staff, our wider communities and the population we serve.

We’re planning training and development opportunities for our ICB workforce, helping them to understand the links between climate change, health and wellbeing. This increased awareness will help us all to plan health and care services that will drive improved health and environmental outcomes.

Our communities have a critical role to play too, in understanding and embracing new models of care such as uptake of digital appointments, reducing the travel impacts of appointments, reducing medicines waste and positively influencing family and friends.

By working more closely with our communities we can build on the successes of projects such as the development of social prescribing hubs at Kennedy Way Medical Centre in Clacton and The Unity Centre in Whitton, Ipswich. These facilities provide safe, green spaces that support our communities look after their mental health, stay physically active and grow locally produced, sustainable food.

The Kennedy Way Community Garden

The Kennedy Way Community Garden

Transcript of The Kennedy Way Community Garden video

Speaking is Lisa Andrews, Deputy CEO, Community Voluntary Services Tendring.

Hi, and welcome to the Kennedy Way Community Garden. W e have had our grand opening today so the community garden is open to the public and what we’re gonna do we’re gonna just show you around show you a few of the things here and let you know what we’re going to be doing here in the garden over the coming months and hopefully years.

We’ve got a fabulous group of volunteers; a social prescribing link worker, volunteer coordinator who’ve helped make this happen. We’ve got some fabulous raised beds where our local community are able to plant fruit and veg and flowers, grow things, and just improve their health and well-being. We know how great the value of being outside is and the difference that it can make to people’s health and well-being so we’ve created this fabulous space that allows people to get outside, be active, make new friends and join their local community.

So here we’ve got our brand new polytunnel which is where we’re going to be able to do seedlings and plant things and grow things and obviously when the weather isn’t too great we’re going to be able to be inside in the warm and the dry. So we’ve got some lovely seating areas here where people can come – the staff can obviously from the Kennedy Way Medical Centre can enjoy their lunch here or sit out here but also the community can come have a natter with their friends after they’ve done a bit of planting, have a cup of tea. Just a place to sit and enjoy the outside.

Here we are outside our men’s shed it’s a little bit noisy there’s all sorts of activity going on in here and if you come inside I’ll show you around let you know what we’re going to be doing inside. So this is the men’s shed, you can see we’ve got some lovely little bird boxes here that have been made we’re going to decorate them and pop them up on the trees out in the garden and this is a space where we can – men can actually work side-by-side and build things, make things, create things teach other men how to make things and create things and it’s just a really great place to be. If you come up to the other end you’ll be able to see it’s got obviously it’s got electricity and it’s got a microwave and a sink unit so people can also have a cup of tea.

We’ve got one of our volunteers here also who hopefully doesn’t mind being on film and uh just closing it up for the night because we’re all done for the day but it’s a really great space that people can enjoy throughout the year in the dry in the warm and make new friends get to know each other and try something new.

The impact of our work

Through our actions, partnerships, engagement and behaviours our green action plan will:

  • Reduce air pollution.
  • Tackle and reduce poverty & health inequality.
  • Deliver NHS long term plan (value for money, staff development, embracing digital & doing things differently). 
  • Provide leadership through actions, partnerships, engagement and transparency.
  • Reduce the impact of climate change on population health by driving change that saves lives.

Our Green Plan will be published to this page July 2022.

Page last modified: 9 May 2022
Next review due: 9 November 2022