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Our approach

We will consider everything we consume as an asset with a real carbon footprint and a real post-consumption value (from energy to equipment, from food to pharmaceuticals and more).

Circular economy productivity

Three-quarters of our carbon emissions are already embedded in the goods, materials and equipment we purchase and consume.

Our vision of rapidly developing our role as a responsible consumer within a circular economy provides us with a much more achievable and locally productive way forward. One that can act as both a foundation and ongoing boost to the higher level processes of supply chain decarbonisation coming forward in the centrally driven Roadmap for NHS Suppliers to Reach Net Zero by 2045 (opens in a new tab).

Diagram illustrating the reprocessing and review of materials and resources
Developing our role as a responsible consumer within a circular economy provides us with a much more achievable and locally productive way. Reduce inputs (including transport and packaging) to a minimum, Repair whatever is repairable, Reuse wherever possible. Reprocessing of materials back into the supply chain; Review resources for alternatives with lower environmental impacts; Recycle all waste to the highest value achievable (within the safety regulations); Hospital activity predominantly fuelled and powered by renewable fuels and energy.

Everything CUH purchases does, of course, have an immediate utility value in terms of healthcare delivery. In a circular economy, however, the productivity does not stop there:

  • the value can be sustained through reuse and repair on-site;
  • some of the purchase cost can be recouped through high-value recycling;
  • by working with suppliers, products can be designed for ready reuse, repair and high-value recycling;
  • by working with disposal contractors, exhausted products can be more readily segregated, collected and fed back into the supply chain to secure maximum value, zero-waste and minimum carbon emissions; and
  • by working with our NHS, community and academic partners to share and expand net-zero/zero-waste knowledge and experience.

Each of the actions in our Action 50 Green Plan works within or develops this reframing of decision making. To deliver our Green Plan we will work with all our staff to help them choose between high-carbon/high-waste and net-zero/zero-waste options. Some will be familiar and others less so – but all matter.

Day-in-the-life decisions at CUH: choosing between high-carbon/high-waste or net-zero/zero-waste

High-carbon/high-waste consumption decisions and choices

Below are examples of business-as usual decisions and choices that perpetuate high carbon/high-waste consumption - worsening the climate emergency, dangerous pollution and the loss of vital resources.

These decisions and choices have been reframed so that life cycle analysis counts, current and future costs are connected, and responsibility is devolved to those closest to the point of consumption.

Choosing how to travel on business

Staff continue to use their own cars (especially where not very low emissions).

Reframed decision: Use of online meetings where possible. Switch to using Trust's very low emission pool cars.

Drafting a tender specification document

Net-zero/zero-waste not included or given sufficient weight in specification.

Reframed decision: Specifications include material net-zero/zero-waste parameters that are prioritised in scoring.

Thinking about what should be included in a new process

Weak coverage of operational inputs (utilities and supply chain) and outputs (waste).

Reframed decision: Carbon, waste and travel footprint of the full process calculated and minimised by design.

Deciding how to dispose of an unwanted item

Use of nearest bin or waste collection point that seems appropriate.

Reframed decision: Care taken to fully understand waste segregation and then to ensure the correct stream is used.

Picking out what to eat from the shop or café

Selection based on availability from supplier (and marketing promotions).

Reframed decision: Fresh, local, seasonal, organic, plant-based option preferred or home-brought.

Specifying a piece of equipment to carry out a particular job

Decision almost entirely based on only utility and up-front cost.

Reframed decision: Full life cycle carbon and waste implications given real material weight in choice.

Setting-up or clearing away after a clinical procedure

All used/open items put into nearest general purpose bin (typically offensive)

Reframed decision: Clean and non-hazardous paper, card and plastic packaging separated out and put in a green bin.

Establishing and managing a project budget

Lowest initial cost; carbon and waste not costed; future value discounted.

Reframed decision: All operational and lifetime costs (plus carbon and waste) included; discount rated reversed.

Introducing a new-starter to their job role

Limited focus on importance of active travel, recycling and energy saving.

Reframed decision: Focus on responsibilities to help deliver CUH, team and personal net-zero/zero-waste targets.

Routinely packing up to go home at the end of a shift

Pre-leave checks and hand-overs do not cover energy, waste and travel.

Reframed decision: Routine checks covering power-off, all waste carefully sorted, and sustainable travel where possible.

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Work being carried out to supply of gas