London Universities Environment Group. London. 3 rd September, 2013

1. Achieving sustainable development in the Higher Education sector – lessons from the health and care sector?David PencheonNHS England and Public Health England Sustainable Development Unit London Universities Environment Group. London. 3rd September, 2013

2. Sustainable development “...meeting the needs of the present… …without compromising the ability of others, in future (or elsewhere now) to meet their own needs” - Adapted from the Brundtland Commission

3. Creating the right environments Social environment Physical environment Economic environment - Barbier, E.,1987. The Concept of Sustainable Economic Development. Environmental Conservation, 14(2):101-110. - Adams, W.M. (2006). "The Future of Sustainability: Re-thinking Environment and Development in the Twenty-first Century."Report of the IUCN Renowned Thinkers Meeting, 29–31 January 2006.

5. Summary of progress - Carbon

6. Breakdown of NHS England 2010 emissions?

7. Procurement Breakdown

8. Goods and Services carbon footprint – carbon hotspots Primary care – pharmaceuticals including GP prescriptions Acute – medical instruments and equipment Acute - building energy use (gas and electricity) Primary care and acute – business services

9. What do we, the public, think? Source: Ipsos MORI http://www.sdu.nhs.uk/healthcheck2012 http://tiny.cc/w7fg5

11. Ten Entry points • To save money / conserve limited resources • To comply with regulations and law / scrutiny / governance • To manage risk and improve resilience • To manage reputation / take exemplary action • To reduce environmental impact harmful to health • To support staff to do what we all do elsewhere • To take account of the strength of the scientific evidence • To align actions with core ethics / values of the health / care system • To modernise models of prevention / care in line with other drivers • To improve outcomes: population health, and reduce health inequalities now, and in the future….

12. “What is good for addressing climate change and creating a sustainable world......is ALSO good for health (and healthcare) NOW” For the public’s health More physical activity, better diet, improved mental health, less road trauma, improved air quality, less obesity/ heart disease/cancer, more social inclusion/cohesion... For the health and social care system More prevention, care closer to home, more empowered / self care, better use of drugs, better use of information and IT, fewer unnecessary admissions, better models of care… Health co-benefits:

14. Protect and Promote • Extreme Events • Climate chaos • Resource shortages • Heatwaves • Flooding • Biodiversity • Employment • Family and friends • Housing • Healthy sustainable food • Clean energy, clean water • Integrated transport • Safe shared pleasant spaces • Resilient communities • Moving upstream • Prevention • Resilience

15. Route map

17. Use the legal and regulatory framework to improve health • Civil Contingencies Act 2004 • Climate Change Act 2008 • Public Services (Social Value Act) 2012 • (Chapter 3)...requires public authorities to have regard to economic, social and environmental well-being.

18. Keep messages simple • Set a profound example in one’s own practice • If not us, then who? • Preparing the next generation of people: improving educational outcomes for the future within resource limits (environmental and financial) • “Do more for less” • Best possible collaboration for implementation of net generation of evidence for a safe, sustainable and fair future… • the best minds acting together

19. See notes of this slides for some of the most important specific actions

20. Have something positive to say

22. Leadership support

23. Engagement

24. …at all ages

25. Actions to improve protect/improve health 2. Smoking and tobacco: 1962 3. Sustainable development and climate change: 2012 1. Cholera: 1854 Broad Street Pump