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Staff Engagement Session: Sustainability and Value Programme

As of 2023 the Financial Improvement Programme (FIP) was relaunched as the Sustainability and Value Programme.

Join Paul McKenna, Head of Sustainability and Value to learn more about the re-launch, ask any questions you have about financial sustainability and improvement and find out how you and your team can get involved in the programme.

This interactive session will last one hour.

Please use the MS Teams links below to register:

  • Check back here soon for links to our training and resources

Types of Sustainability and Value projects and benefits

Sustainability and Value provides tactical support and through the Project Management Office (PMO) oversees 100s of projects a year that range in scale and duration. Each Project can be accounted for on a Recurring and Non-Recurring basis.

Examples of various Projects:

  • Recurring savings from changes in drug prices.
  • Recurring savings from the change of consumables used in clinical procedures.
  • Non Recurring savings in the reduction of agency staff used in a department.
  • Recurring savings delivered through service redesign.
  • Cost avoidance through the use of alternative methods of service delivery to manage increased demands.

Waste Projects

The waste policy has been revised to reflect the commitments NHSGGC is making to meet legislative obligations and targets as a key part of our Scope 3 emissions towards Net Zero and Climate Change. This is a change of direction from the previous policy and focuses on the environmental impact of waste and our ambitions to reduce that impact.

NHS Scotland is committed to meeting the requirements of Scotland’s Zero Waste Plan through the Policy and Waste Management Action Plan as well as through short-term, medium-term and long-term projects to increase resource use efficiency and improve sustainability practices.

Our Future Waste Management Model

  • Prevent and Reduce – Through our sustainable procurement and clinical sustainability group we will work to prevent, reduce and reuse waste.
  • Reuse and Recycle – Implementation of waste segregation within clinical settings to increase segregation of non-contaminated waste into recycling stream and move away from single use items.
  • Recover / Dispose – Implement recycling facilities at source for general waste in public and staff non-clinical areas.

There have been various projects and initiatives involving waste minimisation in order to be more sustainable. Clinical waste segregation is a significant and on-going project, as well as improving recycling facilities across all GGC sites.

Mehvish Ashraf

Non-Executive Member

Biography

Mehvish Ashraf MRPharmS is a community pharmacist who brings a wealth of patient facing and management expertise to the Board. Having served for over a decade in some of the most deprived areas in and around Glasgow, she has a deep understanding of health inequalities. In particular, ethnic minority communities and supporting those with addictions.

Mehvish has worked at the Head Office of an independent chain of pharmacies spread across Scotland.

She also served as an Associate Member of Community Pharmacy Scotland (CPS) Lanarkshire Committee and is a Member of the Royal Pharmaceutical Society.

Ms Ashraf’s appointment is for four years, from 9th January 2023 to 8th January 2027.

Other information

Expenses claims

No expense claims have been declared.

Hospitality

No hospitality declared

Register of interest

Trustee, NHS Greater Glasgow and Clyde Endowment Fund

< Back to Meet the Board

Below are links to various sustainability resources for staff.

By making smart decisions, we can work more efficiently, in a more environmentally friendly manner and ultimately create a healthier, sustainable service. 

Your Ideas can contribute to real success and change within NHSGGC. From savings on postage to standardising medical equipment every idea has its merits, no idea is too small! So why not take a few minutes to yourself or with your colleagues and get your thinking caps on and tell us what you come up with! Remember, don’t assume that someone has already thought it, every idea matters.

All you have to do is send in your idea using our online form below which will go to our Financial Improvement Team for consideration.

You can also  visit our Sustainability and Value page for more information.

NHS Greater Glasgow and Clyde identifies ten priority areas in which we will take action on to address the global challenges of climate change and biodiversity loss.

To play our part in tackling the climate crisis, NHS Scotland is aiming to become a net-zero health service by 2040 at the latest. We are part of an international coalition of over 50 countries to date who have committed to developing low-carbon health systems. We will take action in each of the priority areas below to achieve NHS Scotland’s 2040 target of net zero carbon and biodiversity net gain.

Active Travel and Transport

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).

Bus information screens have been installed at QEUH, GRI, Stobhilll, New Victoria and Gartnavel to improve access to bus services at these locations. Transport advice in real time for NHSGGC patients, visitors and staff – NHSGGC

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.

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 was enforced from 1 June 2023. Now all vehicles must meet emission standards when entering city centre zone.

So far NHSGGC has…

  • Added over 100 electric vehicles to our fleet.
  • Established three transport hubs to reduce courier mileage by incorporating external deliveries into our existing fleet runs.
  • Trained over 200 drivers on Fuel Good Driving – reducing fuel consumption and engine idling.
  • Achieved a 4 Star Eco Fleet rating.
  • Installed over 200 EV charging points across the board and developing projects to install more.

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.
  • Creating 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.
  • NHSGGC continue to work in partnership with a range of stakeholders including Local Authorities, SPT and Transport Providers to review and develop active and sustainable travel.

Electric Vehicle Charging

From 22nd April 2024, NHSGGC implemented 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 4 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.

Greenspace and Biodiversity

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

Well-managed green and open spaces around our healthcare buildings play an important part in the physical and mental health of patients, staff and visitors. Access to greenspace has been shown to have both a preventative and restorative effect on health and wellbeing and a view of a natural setting can even help to reduce the time a patient spends in hospital. These spaces also support and contribute to enhanced local biodiversity, climate change adaptation and mitigation, active travel, and a reduction in the effects of air pollution, excessive noise, heat, and flooding.

NHSGGC has a significant environmental footprint due to the nature and size of the organisation. A recent study carried out in partnership with Public Health Scotland (PHS) found that 62% of NHSGGC’s estate is made up of greenspace, making it one of our most important resources. As well as providing direct benefit to patients, visitors and the workforce, this greenspace resource can also be of value to local communities. In our role as an anchor institution, NHSGGC is committed to improving access to and use of our green spaces by local people and organisations. In particular, providing the benefits of attractive, natural spaces to some of the more deprived areas and communities around our sites helps to alleviate health and wellbeing inequalities and contributes to improved quality of life for all.

What we’re doing…

  • Maximising internal and external funding opportunities to develop projects that make use of our outdoor estate for the health and wellbeing of patients, staff, visitors, and the local community.
  • Working with partners across the public, private and third sectors to protect and enhance natural capital within the NHSGGC estate and to recognise it as an important resource in meeting local and global sustainability goals.
  • Mapping the NHSGGC outdoor estate to establish the extent and value of this resource and to help focus and prioritise project development.
  • Developing sustainable management strategies for each of our acute sites to make the most of our existing assets by 2025.
  • Assessing the potential of our outdoor estate to assist in adapting to the effects of climate change. This will include fitting green infrastructure to address flooding and installing passive cooling systems to combat increasing temperatures both retrospectively within our existing estate and as an integral part of all new projects by 2030.
  • Ensuring that all future building and development complies with the NHS Sustainable Design and Construction Guide.

Sites

NHSGGC Greenspace and Biodiversity Projects

Royal Alexandra Hospital – Pond and Beyond
Gartnavel

Leverndale
Queen Elizabeth University Hospital
Capital Planning

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.
Environmental Management

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.

Energy

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.

Sustainable Procurement

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

Waste

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 2024

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

Watch Your Waste Campaign

Awareness

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


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


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.
Community Wealth Building

NHSGGC as an Anchor Organisation

As an anchor organisation, NHSGGC drives community wealth building by taking deliberate actions to support local people into secure employment, to procure goods and services locally where possible, and ensure NHS assets are best used to the advantage of the local community. This in turn supports Scotland’s ambition to deliver wellbeing economy which protects the planet and works for the people by improving living standards, creating good jobs, purposeful businesses, and building economic resilience.

What we’re doing – Case Studies

With our Land and Assets

1. Transfer of Former Under-utilised Car Park to Housing Provider

The overflow car park for the former Victoria Infirmary was declared surplus and checked by the Scottish Government’s directorates, as per the NHS Property Transactions Handbook. The More Homes Division declared interest in the site and confirmed that the site would support a housing development. A housing provider was identified and the proposed scheme was for a “later living” and adapted housing development. As a result of the transfer of this site, it will be redeveloped to provide housing and also will enhance the local surrounding area by developing a previously underutilised site. Prospecthill Road | Collective Architecture

2. Greenspace Project: Pond and Beyond Project at Royal Alexandra Hospital (RAH)

A greenspace project to rediscover the pond at the RAH and improve access to and around the pond for patients, visitors, and staff. The project will deliver an enhanced greenspace within a busy hospital site and encourage not just the users of the hospital but also the local community to use the site. Works to enhance and restore a pond and its under-utilised surroundings at the Royal Alexandra Hospital are complete, and the site is now well used by patients and staff. This environmental improvement project includes an exhibition space, which was developed simultaneously and is situated in dining room, available for programming by the Renfrewshire cultural programmes. Stunning new greenspace takes shape at RAH pond – NHSGGC

3. Arts and Health Strategy

We have an Arts and Health Strategy within all our capital developments. One example was Greenock Health and Social Care Centre’s Building Better Health Care Best Collaborative Arts Project 2022, highlighting and celebrating local area through collaboration with local arts sector and residents. Building Better Healthcare November 2022

With Spending and Procurement

1. Local spend

The procurement strategy commits us to increase the proportion of trade spend with those suppliers that are based in the six local authority areas within the NHSGGC geographical area. The 23/24 spend data indicates that NHSGGC had an annual spend total of £106,868,030 with local suppliers (defined as suppliers within the same local authority), which is 12.6% of overall trade spend.

2. Community Benefits

It is a mandatory inclusion of participation through the NHSGGC contracting process to agree to the concept of Community Benefits. Through the NHSGGC Contract and Supplier Management process, Community Benefits is a point contained within the standard Key Supplier Meeting agenda. This captures and monitors key suppliers’ Community Benefits activity, which can be delivered through a national Community Benefits Gateway portal (Access our Community Benefit Gateway | National Services Scotland) or via employability activities such as creation of apprenticeships and targeted recruitment to enable local people to gain employment.

3. Diversifying the Supply Chain

NHSGGC’s Procurement and Public Health departments have worked in partnership with the Supplier Development Programme to deliver a project aiming to diversify our supply chain, after a successful funding bid to the Health Foundation’s Health Anchor Learning Network. The project aimed to encourage a wide pool of suppliers, support more local SMEs to become suppliers, and focused in particular on increasing diversity. Diversifying NHS Greater Glasgow and Clyde Supply Chain — Health Anchors Learning Network

As an Employer

1. Black and Minority Ethnic Leadership Programme

NHSGGC recognises that an inclusive and diverse workforce that reflects the diversity of the population it serves is better able to meet that population’s needs. Following successful Year 1 and 2 Programmes, we continue to complement our existing portfolio of management and leadership development provision with a Year 3 Leadership Skills Programme for Black and Minority Ethnic Employees in NHSGGC. The programme aims to support employees to fulfil their potential, and access opportunities that will not only be beneficial for those individuals’ career progression, but will also have a positive impact on healthcare provision. It enables participants to recognise and further develop their skills and abilities as leaders.

2. Hardship Fund

In challenging economic times, we recognise the impact that money worries can have on staff wellbeing and have introduced a Hardship Fund available for short term support to our staff. This is in addition to wider services available to staff and patient population through our Support and Information Services (SIS) team.

3. Promotion of Mentoring in Partnership with MCR Pathways

MCR Pathways directly recruits, trains and supports high quality adult mentors who meet weekly in school with a young person during term time, for a minimum of a year. Building relationships, confidence and self-esteem are the prerequisite to helping young people find, grow and use their talents. Subsequent supported pathways and MCR talent tasters then support effective transitions to higher education, further education and employment. NHSGGC has a partnership agreement with MCR Pathways to promote mentoring by its staff and, by August 2023, 57 NHS employees had registered to be a mentor.

Clinical Sustainability

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

NHSGGC has in place robust governance processes for overseeing the implementation of the National Green Theatres Project (NGTP) and wider clinical sustainability opportunities. The Clinical Sustainability Group oversees all clinical sustainability work streams and reports into all Governance Forums, with senior clinical and managerial leadership representing board wide clinical specialities.

  • NHSGGC has removed the use of desflurane, a potent global warming anaesthetic gas, from its theatres since early 2024.
  • To date, NHSGGC has decommissioned 4 nitrous oxide manifolds across its theatres. It is anticipated that the remaining 5 manifolds across the estate will be decommissioned by December 2024. It is anticipated that this will save 140 tonnes of carbon making its way into the environment.
  • Turning off Heating Ventilation and Air Conditioning (HVAC) Systems in theatres during out of hour’s periods. NHSGGC is working towards its ambitions to reach Net-Zero targets through various operating methods, one of them being turning off HVAC systems across 8 theatres at the Queen Elizabeth University Hospital. Plans are in place to implement this significant carbon and cost saving strategy across all pertinent NHSGGC theatres throughout 2024/25.
  • 2022 saw 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. Education and learning events are now held across hospital sites to increase awareness of the financial and carbon savings available by effectively segregating clinical waste has on the organisation and our environment.
  • In 2023, NHSGGC – Primary Care Directorate undertook a Quality Improvement Project –Respiratory Inhalers, across 20 GP practices in the North East of Glasgow. The scope of the project was for GPs to review patients using 6 or more short acting inhalers per year. This cohort of patients were assessed and those deemed suitable were transferred to a more carbon friendly dry powdered inhaler. The results from the pilot show carbon savings through a more environmentally friendly device, a reduction in the use of short acting inhalers in the pilot practices and effective management of long term respiratory disease such as COPD and asthma.

What Is Sustainability and Value

The aim of Sustainability and Value is to support the delivery of a comprehensive programme of schemes which identify efficiencies that have a financial benefit, enabling the Board to achieve and maintain financial balance through effective management, control, innovation, quality and best practice.

Sustainability and Value was launched in 2022 expanding, improving and replacing the Financial Improvement programme, which to add is still an integral and component part within Sustainability and Value assisting the Board in achieving and maintaining financial balance.

What Does Sustainability and Value Do?

Sustainability and Value provides tactical support and guidance to directorates and departments in identifying the potential for efficiency improvements and removing waste from our ways of working. The programme is based on a proven methodology, and is underpinned by a comprehensive governance process and a programme management office (PMO).

Contact the Sustainability and Value Team

Further Information and Resources

Other Areas of Work

To mark this year’s Climate Week (26th September – 2nd October), we’re asking individuals, businesses and communities up and down the country to put climate change at the top of the conversation list. 

Our aim is to normalise conversations about climate change and sustainability within NHSGGC, encourage everyone to talk more about its impact and what each of us plan to do to tackle it – only by taking action together will we succeed in becoming a net zero nation by 2045. 

This year we’ve heard from individuals across the organisation who are taking steps both in their professional and personal life to become more sustainable, helping drive forward positive change in our approach to sustainability. 

Profile 1: Nick Elliot and John Conroy, Asbestos Team, Estates and Facilities

Nick and John are part of the Asbestos Compliance Team within Corporate Estates based at the QEUH. The roles require a mix of desk based work and site visits across the Board area to maintain an asbestos safe environment.

The past year has seen sustainability become a greater part of how the team operates, taking advantage of the resources and systems NHSGGC have in place to support staff in this area.

The team have utilised the Blended Working Policy to cut their commuting days by working from home two days a week and now commute by bicycle for the remainder of the week. There are secure cycle parking and showering facilities at their office. For site visits, greater use has been made of the fleet of electric pool cars.

John has made significant savings by buying his bike through the Cycle to Work Scheme which he found to be a painless process with many retailers participating in the scheme to choose from. The scheme includes accessories for those new or returning to cycling. 

Nick found the transition to cycle commuting easier than expected and having optimised his commute away from busy roads, now enjoys a more peaceful commute with more consistent timings as cycles can take routes which closer mirror ‘as the crow flies’.

Profile 2: Helen Goodwin, Senior Dental Officer (Paediatrics), Public Dental Service

I am currently a Senior Dental Officer in Paediatrics within the Public Dental Service. I first started looking into sustainability within a dental setting when giving an education update to our service on dental inhalation sedation with Nitrous Oxide. This is an intervention within paediatric dentistry which we are fully utilising in order to prevent children requiring a dental general anaesthetic, however comes with its own cost to the environment. This has led me to take an active role within our service in ensuring appropriate stewardship of nitrous oxide and the reduction of single use plastic sedation equipment within our sedation services whilst still maintaining an effective, patient centred clinical service.

Profile 3: Michelle Wailes, NHSGGC Non-Executive Board Member and champion for environmental sustainability

The environment in which we live is intrinsically linked with human health and well-being. 

As a non-executive board member and the board champion for environmental sustainability I firmly believe that in seeking to take actions to improve the local environment and minimise our impact on the climate we can improve the likelihood that the local population have the basic necessities of clean air, clean water, sufficient food and secure shelter which are essential foundations for a healthy life.

In addition to this, improvements to the outdoor spaces in our estate can assist with the provision of green and blue spaces to provide opportunities for recreation, active travel and support well-being and mental health.

Working to balance current priorities with longer term strategic decisions to reach these goals will ultimately help to prevent future demand by improving the health of our population and helping to address the wider social determinants of health which cause health inequalities.

Profile 4: Vivienne Gough, Consultant General Surgeon

I’m a Consultant General Surgeon at the RAH. I first became involved in sustainability at work when frustrated that I was unable to recycle waste at work as I would at home due to a lack of recycling facilities. Since then my focus has broadened and i am involved in a GGC wide and also a national Green Theatres group which aim to improve sustainability in the surgical arena- it’s exciting that there are so many like-minded individuals in GGC and throughout Scotland who are eager to work to help to reduce the large carbon footprint that healthcare produces.

Sustainability, to me on a practical level, means trying to reduce and eliminate single use items and to focus on trying to minimise waste and packaging as much as possible. I’m working to try to pilot the re-introduction of reusable theatre gowns and drapes and we are currently introducing recycling of high value surgical instruments at the RAH. We have also started a weekly local anaesthetic hernia repair operating list- as the operations have a significantly lower carbon footprint than if performed under general anaesthesia.

So many sustainability initiatives are also cost as well as carbon saving as they reduce waste or unnecessary processes, that it really is a win- win for the health service.

Profile 5: Nikki Munro, Service Manager (Orthotics)

I am Service Manager for Orthotics in NHSGGC where we deliver service to inpatients and outpatients on all 8 acute sites and some community locations. As a department we measure for and fit custom body worn medical devices to patients and order around 20,000 items for our patients from external suppliers as well as manufacturing another 4000 per year in our in house manufacturing workshop at Gartnavel General.

At home I do everything I can to recycle and choose sustainability in everything I do so it’s a frustration that I’m not able to choose this for my service area as the amount of waste we create each year is considerable.

We work closely with our external suppliers to do all we can to help them to reduce packaging and their CO2 levels for deliveries to us as many of these companies have sustainability targets of their own to meet. Our new tenders include a scored sustainability section so we can choose to work with companies with a better sustainability record or evidence of innovative sustainability activities.

Our in house manufacturing workshop helps us to reduce transport costs getting devices delivered by external suppliers however we still create a lot of manufacturing waste. We hope this could be recycled in future along with a huge amount of packaging and cardboard which currently is not recycled within the board. We would aim to be an early adopter of any scheme which would allow this.

We utilise the Gartnavel transport drivers who pick up samples for the Beatson on the other 7 acute sites to deliver our devices out to individual hospitals, this is efficient use of current GGC resources and reduces both our transport costs and CO2 footprint.

Most of the items we prescribe are used by our patients daily for long periods of time, if not lifelong so devices need replaced regularly. However we have a repair service provided by our workshop at Gartnavel which allows patients devices to be repaired and refurbished reducing the need for new items and disposal of the old ones wherever possible.

Profile 6: Eleanor Murray, Doctor (Renal Medicine)

As a doctor, Sustainable Healthcare to me means an NHS that can provide high value care, whilst minimising ongoing harm to patients and communities from our fossil-fuel dependence, and limiting the inevitable future consequences of climate change and resource depletion.

Personally, the simple things are easy to start with: I cycle to work when possible, I take my reuse coffee mug, I turn off lights and dim computer screens etc.  

Professionally, I try to apply realistic medicine and resource stewardship principals to healthcare decision making, as we all control the NHS carbon footprint through the tests we order, the consumables we use, and the treatments we prescribe. 

Collaboratively, we have set up a Sustainability Committee within our department to raise awareness and to target carbon hotspots and low value healthcare activity through quality improvement work. We have saved over 1tonne CO2e in under a year through these projects. I also got involved in a national network that is flourishing, building an evidence base and sharing best practice across the UK.

Profile 7: Ewan Wallace, Paediatric Anaesthetic and Chronic Pain Consultant

I am a Paediatric Anaesthetic and Chronic Pain consultant at the Royal Hospital for Children in Glasgow. In 2019 I started an ‘Eco-committee’ in the theatre suite in the Royal Hospital for Children to look at our environmental impact at work.  This has subsequently grown into a role with dedicated time in my job plan to look at all aspects of sustainability within the theatre suite. At this time I also started meeting with a group of healthcare professionals, from across NHSGGC, once a month to try to form a network of support; this group has subsequently become the ‘Sustainability Clinical Governance Group’ a group that can hopefully influence, advise and support sustainable change for all specialties in the clinical setting.

All of this is supported immensely by also being part of the Green Anaesthesia Scotland (GAS) group.  As a group we were privileged to present our ‘Green theatre project’ initiatives at COP26 in Glasgow in 2021.

As 25% of all hospital waste is produced by theatres, our impact on climate and environment does not stop once we get to work. As much as we can we need to step away from the single use, disposable culture that has pervaded the NHS. We all produce huge amounts of waste and subsequently incur a massive carbon footprint at work, the likes of which we would never tolerate at home.  I am passionate about trying to effect change within the hospital to challenge the current culture and deliver a different way of working, one that is based on Reduce/Reuse/Repurpose/Recycle aligning with a more streamlined waste management and circular economy.

Katie Pragnell, Non-Executive Board Member

Non-Executive Member

Biography

Councillor Katie Pragnell is appointed as a non-executive board member from 4th July 2022 until 30th April 2027.

Katie was elected to East Renfrewshire Council in May 2022 and was appointed as Social Work and Health Convener and East Renfrewshire’s representative on the board.  

Katie graduated from the Open University with a BA (Honours) in History. She has worked in the political sphere for MPs and MSPs, in both research and caseworker roles. She has also worked in the third sector in policy and research roles.  

As someone living with a disability, Katie has a keen interest in promoting disability rights and inclusion.  

Other information

Expenses claims

No expense claims have been declared.

Hospitality

No hospitality declared

Register of interest

Elected Member, East Renfrewshire Council

Vice Chair, East Renfrewshire IJB

Trustee, East Renfrewshire Culture and Leisure Trust

Member, Ehlers Danos Support UK

Member, GMB Union

Member, Pollokshaws Methodist Church

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Colin Neil

Director of Finance

Biography

Colin Neil is the Director of Finance for NHS Greater Glasgow and Clyde.

Other information

Expenses claims

No expense claims have been declared.

Hospitality

No hospitality declared

Register of interest

Trustee, Accord Hospice

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