NHS SNEEICS - Green Plan

PV installations 278 ktCO2e Investment needed Saving Carbon saving £1,936m £131m pa 278 ktCO2e Step 4 Increase on-site renewables Coal boiler removal 3 ktCO2e Oil boiler removal 7 ktCO2e Heat pumps and hydrogen CHP 454 ktCO2e Hot water 55 ktCO2e Investment Saving Carbon needed saving £1,364m -£14m pa 519 ktCO2e Step 3 Switch to non-fossil fuel heating Building Fabric 114 ktCO2e Investment Saving Carbon needed saving £326m £15m pa 114 ktCO2e Step 2 Prepare buildings for electricity-led heating The opportunity – what we can achieve Low carbon, low polluting, resilient, energy efficient buildings that are digitally smart, powered and heated by renewable energy sources. Switching secondary care across the NHS to LED lightning would save £3b over the next three decades.12 By adopting the NHS Estates Net Zero Strategy ‘making every kilowatt hour count’ mantra, we can reduce emissions, improve air quality and transition to renewable energy through making the interventions highlighted below which, shows the total NHS carbon savings that can be made.50 Strategic objectives To support our primary care estate, establish a base line and action plan for making every kilo watt hour count in transitioning to a lower carbon estate. To support system partners on transitioning to 100% renewable electricity sources, using LED light bulbs and adopting smart systems to underpin future investment opportunities. Developing and interlinking where possible a range of system-wide mechanisms that support our net zero transition including shared spaces, collective purchasing, active travel and transport infrastructure and hybrid working models. Why it matters The NHS estate and its supporting facilities services account for 15% of all NHS carbon emissions (including waste).12 Carbon in our estates isn’t just ‘operational’ (heating, building performance and utilities) it’s also ‘embedded carbon’ (from the materials used, construction methods, transport and the waste produced). How we procure, build, refurbish and undertake maintenance all impacts our carbon footprint.51 A holistic approach is required. Our buildings and infrastructure need to be ready for climatic changes and extreme weather events such as extreme heat.37 Key activity Make every KW/ Hour count by investing in energy saving measures and identifying retrofitting opportunities. Encourage a ‘whole life’ carbon approach to our estates recognising that we must reduce construction impacts, operational carbon (energy use) and increase renewable energy. Collaborate with system partners on alternative models of energy generation and funding mechanisms including community energy, onsite renewables and collective purchasing. Actively link greenspaces plans and biophilic design principles into our estates strategies with wilding and planting projects. Estates and facilities Source: NHS Estates & Facilities net zero strategy50 Making every KWh count Digitalisation 15 ktCO2e Small appliance 8 ktCO2e Carbon and energy management 756 ktCO2e Building service distribution systems 31 ktCO2e Investment needed Saving Carbon saving £1,322m £346m pa 1,757 ktCO2e LED lighting 376 ktCO2e Building Management Systems 352 ktCO2e Air conditioning and cooling 21 ktCO2e Ventilation 80 ktCO2e Space heating 118 ktCO2e Step 1 Make every kWh count Suffolk and North East Essex Integrated Care System Green Plan | 20 Key Themes

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