WEBVTT

00:00:07.029 --> 00:00:10.529
You're listening to the Decarbonisation Dialogue,

00:00:10.849 --> 00:00:14.529
a podcast from Salix. Welcome to Delivering on

00:00:14.529 --> 00:00:17.089
Climate Change, our collective challenge. Welcome

00:00:17.089 --> 00:00:19.690
to the Decarbonisation Dialogue. I'm Hannah Walker

00:00:19.690 --> 00:00:21.589
and I believe that the best way to communicate

00:00:21.589 --> 00:00:24.350
a message is by being passionate about what you

00:00:24.350 --> 00:00:27.309
are talking about. Through that passion, I believe

00:00:27.309 --> 00:00:30.969
you use your influence and take people with you

00:00:30.969 --> 00:00:35.049
to create action and make a difference. Our task

00:00:35.049 --> 00:00:37.770
today is to turn our actions into a positive

00:00:37.770 --> 00:00:42.039
legacy and make our impact count. My guest today

00:00:42.039 --> 00:00:45.179
is John McGarrigle who is Head of Energy and

00:00:45.179 --> 00:00:47.719
Performance for Cardiff and Vale University Health

00:00:47.719 --> 00:00:50.299
Board and is responsible for energy management.

00:00:50.759 --> 00:00:52.880
He is the project manager for strategic energy

00:00:52.880 --> 00:00:55.079
schemes for carbon and cost reduction and other

00:00:55.079 --> 00:00:57.420
engineering programs and is the author of a range

00:00:57.420 --> 00:00:59.439
of policies and procedures for the health board.

00:00:59.799 --> 00:01:02.280
He has more than 30 years energy management experience

00:01:02.280 --> 00:01:04.609
and engineering experience. During his career,

00:01:04.769 --> 00:01:07.230
he's been Energy Manager of the Year finalist,

00:01:07.450 --> 00:01:09.969
a part -time lecturer, and is a fellow of the

00:01:09.969 --> 00:01:12.849
Institute of Mechanical Engineers. Today, he

00:01:12.849 --> 00:01:16.310
plays a crucial role in driving forward the organization's

00:01:16.310 --> 00:01:18.709
carbon reduction initiatives, energy efficiency

00:01:18.709 --> 00:01:21.290
projects, and performance improvement programs

00:01:21.290 --> 00:01:25.010
across the Welsh health estate. John's background

00:01:25.010 --> 00:01:27.750
is in engineering, facilities management, and

00:01:27.750 --> 00:01:32.170
strategic planning. Welcome to John. Hello Hannah,

00:01:32.269 --> 00:01:34.230
and thank you so much for this great opportunity.

00:01:34.370 --> 00:01:36.370
That's really kind, thank you. It's a real privilege.

00:01:36.750 --> 00:01:40.170
Thank you. Now John, let's start by telling us

00:01:40.170 --> 00:01:42.829
please a little bit about your career and how

00:01:42.829 --> 00:01:45.730
you came eventually to combine health, engineering,

00:01:46.209 --> 00:01:49.489
energy and of course climate. Thank you for the

00:01:49.489 --> 00:01:52.769
question Hannah. Well I originally trained as

00:01:52.769 --> 00:01:55.829
a mechanical building services engineer for heating,

00:01:56.010 --> 00:01:58.629
ventilation and air conditioning systems. And

00:01:58.629 --> 00:02:01.469
I was always interested in making systems more

00:02:01.469 --> 00:02:04.790
efficient and more economical to run. And also

00:02:04.790 --> 00:02:08.330
in college I was drawn to energy and fuel related

00:02:08.330 --> 00:02:12.069
subjects. And then an opportunity arose where

00:02:12.069 --> 00:02:14.789
I then moved into the manufacturing industry,

00:02:15.069 --> 00:02:17.349
undertaking various energy and environmental

00:02:17.349 --> 00:02:20.000
research projects. for a major international

00:02:20.000 --> 00:02:23.039
cosmetics organization. This included aerosol

00:02:23.039 --> 00:02:25.900
waste minimization, steam distribution system

00:02:25.900 --> 00:02:28.659
optimization, and effluent treatments, and I

00:02:28.659 --> 00:02:31.979
really enjoyed my experience there. And at that

00:02:31.979 --> 00:02:33.639
same time, I also had the privilege of being

00:02:33.639 --> 00:02:36.120
a part -time lecturer at a local university.

00:02:37.539 --> 00:02:40.599
As I had developed a good background in engineering

00:02:40.599 --> 00:02:43.759
and also energy management, I really then wanted

00:02:43.759 --> 00:02:47.409
to use this knowledge and experience complex

00:02:47.409 --> 00:02:50.669
and diverse organization. And when the opportunity

00:02:50.669 --> 00:02:53.870
within Cardiff and Vale Health Board came along,

00:02:54.110 --> 00:02:56.990
it seemed to be a perfect fit for my career.

00:02:57.830 --> 00:03:00.610
Also, as the NHS has so many differing areas

00:03:00.610 --> 00:03:03.310
of expertise, I've had the privilege of gaining

00:03:03.310 --> 00:03:05.969
experience in a range of other disciplines as

00:03:05.969 --> 00:03:08.469
well, including transport and travel and environmental

00:03:08.469 --> 00:03:11.099
management systems. I've now been responsible

00:03:11.099 --> 00:03:13.719
for energy management for Cardiff and Vale University

00:03:13.719 --> 00:03:15.860
Health Board and other roles as well for over

00:03:15.860 --> 00:03:19.560
20 years now and the NHS is an amazing organisation

00:03:19.560 --> 00:03:22.580
and I'm very privileged to contribute in a small

00:03:22.580 --> 00:03:25.139
humble way to the healthcare and wellbeing of

00:03:25.139 --> 00:03:26.780
our patients and I always do my best to follow

00:03:26.780 --> 00:03:29.360
the principle that patients come first, they

00:03:29.360 --> 00:03:32.280
are our priority. So that's really a bit of a

00:03:32.280 --> 00:03:35.240
very quick summary of my career pathway to date.

00:03:35.639 --> 00:03:38.180
Thank you. Thank you for putting such passion

00:03:38.180 --> 00:03:40.400
into that. Now, let's talk about Wales for a

00:03:40.400 --> 00:03:42.419
moment, because Wales' primary net zero target

00:03:42.419 --> 00:03:44.599
is to achieve net zero greenhouse gas emissions

00:03:44.599 --> 00:03:47.800
by 2050. And I think there's legally binding

00:03:47.800 --> 00:03:50.199
five -yearly annual carbon budgets to guide that

00:03:50.199 --> 00:03:52.460
transition. And I think the government also has

00:03:52.460 --> 00:03:55.479
a collective target for the public sector to

00:03:55.479 --> 00:04:00.599
achieve net zero by 2030. Now, all things health.

00:04:00.969 --> 00:04:03.629
Tell us a little bit for a moment about what

00:04:03.629 --> 00:04:06.569
the biggest challenge is in aligning health service

00:04:06.569 --> 00:04:11.210
delivery with ambitious carbon reduction targets.

00:04:12.069 --> 00:04:14.349
Energy management within Cardiff and Vale University

00:04:14.349 --> 00:04:17.449
Healthwood has a range of challenges, risks or

00:04:17.449 --> 00:04:20.209
opportunities depending on how we look at them

00:04:20.209 --> 00:04:23.329
and there are a number of recurring themes and

00:04:23.329 --> 00:04:25.610
I like to describe them really in the form of

00:04:25.610 --> 00:04:28.569
a Rubik's Cube because I find that they're generally

00:04:28.569 --> 00:04:31.990
related in some way. and have some form of interdependency,

00:04:32.370 --> 00:04:34.949
so they need the various faces to align in some

00:04:34.949 --> 00:04:38.370
way. So the first challenge we have is the age

00:04:38.370 --> 00:04:41.649
of our estate. Our largest site, University Hospital

00:04:41.649 --> 00:04:44.750
of Wales, and others, were designed and constructed

00:04:44.750 --> 00:04:47.089
before or whilst the Beatles were still together

00:04:47.089 --> 00:04:50.589
in the 1960s. Yes, they've been upgraded, but

00:04:50.589 --> 00:04:52.810
much of the original building and engineering

00:04:52.810 --> 00:04:56.230
infrastructure is still operational. And these

00:04:56.230 --> 00:04:59.629
designs, as good as they were and still are,

00:04:59.800 --> 00:05:02.800
do present energy management challenges, for

00:05:02.800 --> 00:05:05.500
example, building U -values and insulation levels,

00:05:05.959 --> 00:05:09.040
heating and ventilation system designs and controllability,

00:05:09.620 --> 00:05:11.879
they realistically will not be able to be as

00:05:11.879 --> 00:05:14.480
efficient as the latest systems. That's the first

00:05:14.480 --> 00:05:16.959
thing, really, is the age of our estate. Secondly,

00:05:16.959 --> 00:05:19.439
we have got the size and the geography of our

00:05:19.439 --> 00:05:23.480
estate. We have 48 sites, including two major

00:05:23.480 --> 00:05:26.680
acute hospitals, and we have hundreds of thousands

00:05:26.680 --> 00:05:29.300
of energy -consuming pieces of plant and equipment.

00:05:29.600 --> 00:05:32.519
just for estates and facilities alone. And this

00:05:32.519 --> 00:05:35.160
includes over two and a half thousand air conditioning

00:05:35.160 --> 00:05:38.300
and ventilation systems, nearly 300 boilers,

00:05:38.319 --> 00:05:42.060
and we operate a 4 .4 megawatt CHP plant combined

00:05:42.060 --> 00:05:45.860
with our system. And there are many other complex

00:05:45.860 --> 00:05:48.740
engineering networks and systems all consuming

00:05:48.740 --> 00:05:51.300
energy, and these also present any challenges

00:05:51.300 --> 00:05:55.019
to us. Thirdly, the NHS is a high -risk, high

00:05:55.019 --> 00:05:57.779
-dependency organization. We're always open 24

00:05:57.779 --> 00:06:00.339
-7. Therefore, we never close. So all of the

00:06:00.339 --> 00:06:02.939
engineering systems and technologies must always

00:06:02.939 --> 00:06:05.339
work. Then we've got health care activity and

00:06:05.339 --> 00:06:07.399
associated requirements. These will always change.

00:06:07.579 --> 00:06:09.860
And we must keep up to date with that and must

00:06:09.860 --> 00:06:12.519
understand how it impacts on energy usage. And

00:06:12.519 --> 00:06:14.319
then we've got cost and resource pressures and

00:06:14.319 --> 00:06:17.720
energy market volatility. It continues to be

00:06:17.720 --> 00:06:20.079
a challenge for the health board and other organizations

00:06:20.079 --> 00:06:22.959
as well. And capital funding is required to invest

00:06:22.959 --> 00:06:25.579
in energy and decarbonization. So there's cost

00:06:25.579 --> 00:06:28.220
and resource to pressures. And finally we've

00:06:28.220 --> 00:06:30.660
got decarbonisation. In 2021 the Welsh Government

00:06:30.660 --> 00:06:33.240
issued the NHS Wales decarbonisation strategy

00:06:33.240 --> 00:06:37.199
and that gives key objectives that we're trying

00:06:37.199 --> 00:06:40.449
to adhere to. and decarbonisation and energy

00:06:40.449 --> 00:06:43.110
generally they travel well together but sometimes

00:06:43.110 --> 00:06:44.990
there is a little bit of a tension between the

00:06:44.990 --> 00:06:48.009
two because when you are trying to, let's say,

00:06:48.089 --> 00:06:50.370
reduce our carbon impact for heating systems

00:06:50.370 --> 00:06:53.050
by electrifying them, there'll be a corresponding

00:06:53.050 --> 00:06:55.089
cost increase because the electricity tariffs

00:06:55.089 --> 00:06:57.230
are so much higher than gas. There can be a little

00:06:57.230 --> 00:06:59.209
bit of a tension there. So those are just some

00:06:59.209 --> 00:07:01.290
of the six factors that I've pulled out and in

00:07:01.290 --> 00:07:04.279
order to... really develop our energy management

00:07:04.279 --> 00:07:07.699
strategy and a decarbonisation strategy, but

00:07:07.699 --> 00:07:09.500
also ensuring we have the optimum healthcare.

00:07:09.939 --> 00:07:11.899
We have to make sure that all those six factors

00:07:11.899 --> 00:07:15.060
and those six faces are aligned. So it's really

00:07:15.060 --> 00:07:17.579
running that healthcare and making sure that

00:07:17.579 --> 00:07:20.160
people get the services they need. whilst facing

00:07:20.160 --> 00:07:21.560
all those other pressures that you've talked

00:07:21.560 --> 00:07:24.639
about, like the historic systems. I mean, when

00:07:24.639 --> 00:07:26.519
you mentioned the beetles, that puts it into

00:07:26.519 --> 00:07:28.899
a little bit of time context. And of course,

00:07:29.040 --> 00:07:30.819
all the cost and the pressures around that. And

00:07:30.819 --> 00:07:32.740
of course, the Wales health boards aim to achieve

00:07:32.740 --> 00:07:35.199
34 % reduction, I believe, in carbon emissions

00:07:35.199 --> 00:07:40.220
by 2030. And I think that involves new ambulances

00:07:40.220 --> 00:07:42.720
running on low carbon, et cetera, and lead lighting,

00:07:43.000 --> 00:07:45.980
et cetera. So thank you for explaining those

00:07:45.980 --> 00:07:51.160
challenges because it is no small feat. Is it

00:07:51.160 --> 00:07:54.500
ready to get on top of that and understand that

00:07:54.500 --> 00:07:58.279
and actually create action from all of those

00:07:58.279 --> 00:08:01.660
challenges? Which energy management strategies

00:08:01.660 --> 00:08:04.680
do you think have proven most effective in reducing

00:08:04.680 --> 00:08:07.180
both the carbon emissions and the operational

00:08:07.180 --> 00:08:10.540
costs in your experience with the work that you've

00:08:10.540 --> 00:08:13.050
been doing? Well firstly we have a management

00:08:13.050 --> 00:08:16.149
response which has been we've developed an environmental

00:08:16.149 --> 00:08:17.889
policy, we operate an environmental management

00:08:17.889 --> 00:08:21.069
policy. This details the aims and the objectives

00:08:21.069 --> 00:08:23.370
and themes that we want to achieve and the various

00:08:23.370 --> 00:08:26.810
responsibilities. We've adapted other policies

00:08:26.810 --> 00:08:30.350
to include decarbonisation and sustainability

00:08:30.350 --> 00:08:33.370
themes. From this we've developed action plans

00:08:33.370 --> 00:08:35.669
agreed by the health board which have then been

00:08:35.669 --> 00:08:38.889
developed and approved and then implemented.

00:08:39.289 --> 00:08:42.309
And also we have a review process whereby we

00:08:42.309 --> 00:08:44.730
review what we've achieved in the last year to

00:08:44.730 --> 00:08:48.350
make sure that our program and our strategy is

00:08:48.350 --> 00:08:51.169
still fit for purpose. That's kind of our management

00:08:51.169 --> 00:08:53.830
response. We've also had a technical response

00:08:53.830 --> 00:08:56.509
as well. And for our technical response, we've

00:08:56.509 --> 00:09:01.129
had like a three tier approach to that. Firstly,

00:09:01.190 --> 00:09:03.470
we have an energy monitoring and targeting bureau

00:09:03.470 --> 00:09:06.639
system. whereby we've identified and targeted

00:09:06.639 --> 00:09:09.759
uncharacteristic energy usage and profiles through

00:09:09.759 --> 00:09:12.299
the data, we've identified and addressed the

00:09:12.299 --> 00:09:14.620
issues with our estate's colleagues, and the

00:09:14.620 --> 00:09:17.000
findings have been really constructive, as areas

00:09:17.000 --> 00:09:19.919
of good practice have been highlighted, in addition

00:09:19.919 --> 00:09:22.940
to opportunities for improvement. Many of the

00:09:22.940 --> 00:09:24.740
improvements have been made by simple adjustments

00:09:24.740 --> 00:09:27.919
or changes, but have resulted in big benefits,

00:09:27.980 --> 00:09:30.059
for example, equipment left on overnight or at

00:09:30.059 --> 00:09:32.779
weekends. control panels left in hand instead

00:09:32.779 --> 00:09:35.059
of automatic control, and heating and cooling

00:09:35.059 --> 00:09:38.240
set points needing correction. That's the first

00:09:38.240 --> 00:09:40.740
stage of our technical response. It's really

00:09:40.740 --> 00:09:43.779
monitoring and targeting the data and finding

00:09:43.779 --> 00:09:47.600
out where anomalies are present there. Next thing,

00:09:47.720 --> 00:09:50.059
we have projects. These are generally standalone

00:09:50.059 --> 00:09:52.500
projects or smaller projects where we've sought

00:09:52.500 --> 00:09:54.980
funding within the health board. And these include

00:09:54.980 --> 00:09:58.059
things like re -burnering our boilers, addressing

00:09:58.059 --> 00:10:00.539
the control systems where they've needed replacement

00:10:00.539 --> 00:10:04.840
and also installing pipework and fabric insulation.

00:10:05.480 --> 00:10:09.179
And so that's a second stage of the tier process.

00:10:09.720 --> 00:10:11.720
And then finally, we've got a major strategic

00:10:11.720 --> 00:10:15.080
program and this is called Refit. And in 2016,

00:10:15.259 --> 00:10:17.919
the Health Board wanted to significantly reduce

00:10:17.919 --> 00:10:21.419
energy usage, costs and carbon emissions on a

00:10:21.419 --> 00:10:24.970
strategic scale. And in 2017, we were introduced

00:10:24.970 --> 00:10:27.730
to the Refit framework. And in summary, Refit

00:10:27.730 --> 00:10:30.850
is a government framework whereby large scale

00:10:30.850 --> 00:10:33.870
energy conservation measures are developed, they're

00:10:33.870 --> 00:10:37.470
designed and delivered via a third party. Funding

00:10:37.470 --> 00:10:39.909
is provided through the SALEX program and is

00:10:39.909 --> 00:10:42.490
paid back from the energy savings over an agreed

00:10:42.490 --> 00:10:45.490
time scale. Our service provider was selected

00:10:45.490 --> 00:10:49.250
after a mini competition exercise in 2018 -19

00:10:49.250 --> 00:10:53.460
and works commenced in 2020. And Refit has enabled

00:10:53.460 --> 00:10:56.179
Cardiff and Vale Health Board to really deliver

00:10:56.179 --> 00:10:58.139
the scale of the energy conservation measures

00:10:58.139 --> 00:11:01.059
needed to achieve the magnitude of the benefits

00:11:01.059 --> 00:11:04.519
we wanted to realise. Refit also gave us access

00:11:04.519 --> 00:11:07.139
to resources and expertise through the service

00:11:07.139 --> 00:11:09.820
provider to implement newer renewable technologies

00:11:09.820 --> 00:11:12.460
and systems in a healthcare setting within the

00:11:12.460 --> 00:11:15.220
Health Board. That's been really, really helpful

00:11:15.220 --> 00:11:18.960
to us. And then... Refit has also given us access

00:11:18.960 --> 00:11:21.139
to the expertise of SALECS and we're so grateful

00:11:21.139 --> 00:11:23.620
to the SALECS team and the SALECS program for

00:11:23.620 --> 00:11:26.100
the funding mechanism to fund the Refit program.

00:11:26.840 --> 00:11:28.879
So those are our three sort of technical approaches

00:11:28.879 --> 00:11:32.000
of how we've implemented our energy conservation

00:11:32.000 --> 00:11:35.120
measures. They have been proved to be successful.

00:11:35.799 --> 00:11:38.149
So firstly, management response but we've also

00:11:38.149 --> 00:11:40.450
had a technical response as well. And thank you

00:11:40.450 --> 00:11:42.230
for explaining that and I think you touched there

00:11:42.230 --> 00:11:44.809
on a little bit of technological advance and

00:11:44.809 --> 00:11:46.870
obviously the data which I'm going to talk, hopefully

00:11:46.870 --> 00:11:49.610
we'll talk about in a moment. So we've got all

00:11:49.610 --> 00:11:53.289
of this, it's exceptionally ambitious and driven

00:11:53.289 --> 00:11:55.409
and especially when you talk about the technical

00:11:55.409 --> 00:11:59.009
and then the management advancements there. But

00:11:59.009 --> 00:12:02.070
let's talk a moment for about people because

00:12:02.070 --> 00:12:05.769
you've got a large number of staff, you've got

00:12:05.769 --> 00:12:08.990
teams, um across the organization and you've

00:12:08.990 --> 00:12:11.750
got something called organizational culture what

00:12:11.750 --> 00:12:15.970
what part do teams and people play in achieving

00:12:15.970 --> 00:12:19.929
your energy and carbon targets and and how interested

00:12:19.929 --> 00:12:23.730
are they in terms of why are we doing this is

00:12:23.730 --> 00:12:29.149
it in in their investment in active kind of climate

00:12:29.149 --> 00:12:32.250
change measures well the team approach is vital

00:12:32.250 --> 00:12:35.740
to the success of any energy and decarbonisation

00:12:35.740 --> 00:12:38.519
management programme. Within Cardiff and Vale

00:12:38.519 --> 00:12:40.580
University Health Board there are approximately

00:12:40.580 --> 00:12:44.240
17 ,000 employees and they will have a significant

00:12:44.240 --> 00:12:47.700
impact on energy usage as they will know how

00:12:47.700 --> 00:12:50.559
their departments operate and how their departments

00:12:50.559 --> 00:12:54.039
use energy and we are so grateful for their support

00:12:54.039 --> 00:12:55.879
and their enthusiasm and their encouragement.

00:12:56.460 --> 00:12:59.620
We've operated a range of initiatives regarding

00:12:59.620 --> 00:13:02.179
staff awareness and staff encouragement and this

00:13:02.179 --> 00:13:04.720
is an area that we wish to develop further as

00:13:04.720 --> 00:13:07.220
it closes the loop between how we import and

00:13:07.220 --> 00:13:09.879
distribute energy in the health board and how

00:13:09.879 --> 00:13:13.360
it is used in practice for patient care. Furthermore,

00:13:13.740 --> 00:13:16.320
many of the ideas are readily available to trial

00:13:16.320 --> 00:13:19.379
and to implement. with no or low cost. So there

00:13:19.379 --> 00:13:22.480
really are readily available projects out there.

00:13:22.820 --> 00:13:24.940
Again, we're so grateful to the staff and teams

00:13:24.940 --> 00:13:28.000
who help us with that. So let's go turn our attention

00:13:28.000 --> 00:13:30.919
to the emerging technologies and innovations

00:13:30.919 --> 00:13:33.460
happening in the sector, specifically obviously

00:13:33.460 --> 00:13:37.299
in engineering and energy. What do you think

00:13:37.299 --> 00:13:40.879
has had the biggest impact, particularly on reducing

00:13:40.879 --> 00:13:44.440
healthcare carbon footprint? I believe that we're

00:13:44.299 --> 00:13:47.399
currently living through history from a technology

00:13:47.399 --> 00:13:51.100
and energy aspect. There are many new ideas and

00:13:51.100 --> 00:13:53.039
technologies which are now available such as

00:13:53.039 --> 00:13:55.700
electric vehicles, electric heat pumps, hybrid

00:13:55.700 --> 00:13:58.759
systems, improvements in controls and new controls

00:13:58.759 --> 00:14:01.519
technology and it may take a little longer to

00:14:01.519 --> 00:14:03.519
see how these systems develop in the next few

00:14:03.519 --> 00:14:06.639
years including their success in practical applications.

00:14:07.440 --> 00:14:10.019
But the biggest impact in reducing the carbon

00:14:10.019 --> 00:14:12.679
footprint on healthcare will probably be a blend

00:14:12.679 --> 00:14:15.639
of differing approaches and technologies, a hybrid

00:14:15.639 --> 00:14:18.519
solution, which will include existing proven

00:14:18.519 --> 00:14:21.879
tech technologies and conservation ideas, but

00:14:21.879 --> 00:14:24.580
blending these with new emerging systems. So

00:14:24.580 --> 00:14:26.820
we'll see a range of systems and methodologies,

00:14:26.899 --> 00:14:30.379
but working together to deliver a common goal.

00:14:31.440 --> 00:14:34.600
Firstly, that we've seen, as I've mentioned earlier,

00:14:35.539 --> 00:14:38.360
staff engagement has a key role in reducing energy

00:14:38.360 --> 00:14:40.960
and carbon emissions. And by working together,

00:14:41.240 --> 00:14:43.679
we will ensure that there is a positive and encouraging

00:14:43.679 --> 00:14:46.940
culture in ensuring that local initiatives and

00:14:46.940 --> 00:14:50.419
sustainable daily practices are being adopted.

00:14:50.720 --> 00:14:53.019
And we really do have an encouraging culture.

00:14:53.220 --> 00:14:55.500
It really, really is excellent. Next, we have

00:14:55.500 --> 00:14:57.720
our monitoring and targeting bureau and exception

00:14:57.720 --> 00:15:00.200
reporting process, as I mentioned earlier, including

00:15:00.200 --> 00:15:03.139
the automated metering and data collection. We've,

00:15:03.139 --> 00:15:05.539
again, trialed new technology in that area, which

00:15:05.539 --> 00:15:08.220
has proved very successful. And this is fed into

00:15:08.220 --> 00:15:11.350
an energy database. And monitoring and targeting

00:15:11.350 --> 00:15:14.789
systems with half hourly data helps us understand

00:15:14.789 --> 00:15:18.149
in flight how our systems are performing and

00:15:18.149 --> 00:15:20.850
help us identify and address control problems.

00:15:21.190 --> 00:15:23.950
Again, in flight and not after a problem has

00:15:23.950 --> 00:15:28.169
arisen and then developed. Early identification

00:15:28.169 --> 00:15:31.049
and intervention can prevent much bigger issues

00:15:31.049 --> 00:15:34.490
from rising and that's been really successful

00:15:34.490 --> 00:15:38.480
for us. Thirdly, and we've been doing small to

00:15:38.480 --> 00:15:41.139
medium scale projects including building fabric

00:15:41.139 --> 00:15:43.080
and engineering infrastructure improvements,

00:15:43.679 --> 00:15:45.659
for example controls for our heating, ventilating

00:15:45.659 --> 00:15:48.240
and air conditioning systems, our steam and compressed

00:15:48.240 --> 00:15:51.080
air systems and processes, and many improvements

00:15:51.080 --> 00:15:54.340
can be low and no cost measures that can provide

00:15:54.340 --> 00:15:58.139
quick wins and savings. But finally our strategic

00:15:58.139 --> 00:16:01.759
schemes including existing system optimization

00:16:01.759 --> 00:16:04.320
and traditional energy conservation measures

00:16:04.320 --> 00:16:06.759
and the traditional conservation measures includes

00:16:06.759 --> 00:16:09.720
pipework insulation and double glazing. These

00:16:09.720 --> 00:16:12.379
have been blended with new technologies including

00:16:12.379 --> 00:16:15.779
solar PV schemes and these include a solar PV

00:16:15.779 --> 00:16:18.820
roof for one of our main multi -story car parks,

00:16:19.340 --> 00:16:21.799
two solar car ports at other sites and other

00:16:21.799 --> 00:16:25.000
solar PV systems as well. We've invested very

00:16:25.000 --> 00:16:27.299
heavily in replacing a lot of our traditional

00:16:27.299 --> 00:16:30.720
lighting systems with LED and we replaced over

00:16:30.720 --> 00:16:33.799
100 ventilation systems with direct drive high

00:16:33.799 --> 00:16:36.519
efficiency fan unit motors which is again proved

00:16:36.519 --> 00:16:39.120
very very successful. So again in conclusion

00:16:39.120 --> 00:16:40.620
for the question really I just feel it's going

00:16:40.620 --> 00:16:43.799
to be a blend of traditional technologies with

00:16:43.799 --> 00:16:45.860
newer technologies working together to achieve

00:16:45.860 --> 00:16:48.179
that common goal and that's what we found most

00:16:48.179 --> 00:16:50.519
successful in our programme. You mentioned obviously

00:16:50.519 --> 00:16:53.820
the solar PV, the LED lighting but of course

00:16:53.820 --> 00:16:57.539
that important issue of data collection and monitoring

00:16:57.539 --> 00:17:00.179
and making sure that you're seeing what's happening

00:17:00.179 --> 00:17:02.460
as a result so presumably you can be flexible

00:17:02.460 --> 00:17:05.599
and change things where needed. Absolutely, I

00:17:05.599 --> 00:17:10.119
mean the data is key and what I always say is

00:17:10.119 --> 00:17:13.579
let the data be the anatomy or the DNA around

00:17:13.579 --> 00:17:15.779
which you build your technical solution because

00:17:15.779 --> 00:17:18.140
it really will guide you into where there are

00:17:18.140 --> 00:17:20.599
all those opportunities. Yes, do you think that

00:17:20.599 --> 00:17:22.039
because you've got those you mentioned I think

00:17:22.039 --> 00:17:27.700
17 ,000 employees across yes it's quite a large

00:17:27.700 --> 00:17:31.039
number how is that data if it is at all being

00:17:31.039 --> 00:17:33.980
shared with those people and is there much interest

00:17:33.980 --> 00:17:37.859
in that wider from the team that's operating

00:17:37.859 --> 00:17:42.579
it? A lot of the data is shared through various

00:17:42.579 --> 00:17:44.759
management meetings and management reports as

00:17:44.759 --> 00:17:48.339
well and we are looking at pioneering more of

00:17:48.339 --> 00:17:50.700
that onto our intranet side and other mechanisms

00:17:50.700 --> 00:17:54.000
as well for our staff to engage in, but also

00:17:54.000 --> 00:17:56.180
we're keen to learn from our staff and obviously

00:17:56.180 --> 00:17:58.180
learn from departments to see what they would

00:17:58.180 --> 00:18:00.279
like to see in the information that they would

00:18:00.279 --> 00:18:02.619
like us to develop for them. So we're kind of

00:18:02.619 --> 00:18:05.299
currently working on that. Yes, thank you. Now,

00:18:05.400 --> 00:18:07.819
you've got a huge, as I said, I alluded to your

00:18:07.819 --> 00:18:10.500
experience when I did the intro, you've got about

00:18:10.500 --> 00:18:13.880
30 years of experience. What drives your commitment

00:18:13.880 --> 00:18:17.420
to sustainability and carbon reduction? in healthcare

00:18:17.420 --> 00:18:20.400
for you personally? I've always been interested

00:18:20.400 --> 00:18:22.960
in making systems more efficient and economical

00:18:22.960 --> 00:18:25.900
to run and also in college again drawn into those

00:18:25.900 --> 00:18:29.660
subjects of energy and fuel related aspects.

00:18:30.299 --> 00:18:32.980
I have a pattern to protect and reduce the use

00:18:32.980 --> 00:18:35.599
of our fossil fuels where possible and reduce

00:18:35.599 --> 00:18:38.359
costs as well as because when we reduce costs

00:18:38.359 --> 00:18:40.799
this can be invested in the clinical needs of

00:18:40.799 --> 00:18:43.799
the health board and patient care. Finally, we

00:18:43.799 --> 00:18:46.259
have a beautiful world and we need to protect

00:18:46.259 --> 00:18:49.180
and reduce the impact of climate change and reduce

00:18:49.180 --> 00:18:52.259
our environmental impacts. And again, finally

00:18:52.259 --> 00:18:54.299
though, just again, another final comment. I'll

00:18:54.299 --> 00:18:56.279
go back to a previous comment. It's a real privilege

00:18:56.279 --> 00:18:58.380
that I can contribute in a small, humble way

00:18:58.380 --> 00:19:00.980
to healthcare of our patients and ensuring that

00:19:00.980 --> 00:19:03.779
healthcare is being delivered in the most sustainable

00:19:03.779 --> 00:19:06.859
and environmental manner. And this is a huge

00:19:06.859 --> 00:19:10.640
driver for me. And my final question, John. is

00:19:10.640 --> 00:19:12.599
what advice would you give to other healthcare

00:19:12.599 --> 00:19:15.720
leaders trying to implement impactful climate

00:19:15.720 --> 00:19:18.480
change initiatives? We've got a long way to go,

00:19:18.559 --> 00:19:22.180
haven't we, and a lot to achieve in relatively

00:19:22.180 --> 00:19:25.960
short periods. Absolutely. I think firstly it's

00:19:25.960 --> 00:19:28.900
to determine what your baseline is and what your

00:19:28.900 --> 00:19:31.440
energy usage is and you have to get the data

00:19:31.440 --> 00:19:34.700
or as much of it as possible and also understand

00:19:34.700 --> 00:19:37.019
your estate and clinical requirements for energy

00:19:37.019 --> 00:19:39.640
usage because as the saying goes if you can't

00:19:39.640 --> 00:19:42.359
measure it you really can't manage it. This will

00:19:42.359 --> 00:19:45.500
show you where you are from the aspect of performance

00:19:45.500 --> 00:19:48.420
and also where the potential opportunities that

00:19:48.420 --> 00:19:51.019
are available to you. From this you can then

00:19:51.019 --> 00:19:54.079
develop your outline strategy for your organization.

00:19:54.400 --> 00:19:56.299
so that you can get senior management and board

00:19:56.299 --> 00:19:59.440
approval with a targeted approach and contact

00:19:59.440 --> 00:20:01.220
other health boards and trust for their advice

00:20:01.220 --> 00:20:03.279
as we will have a range of common opportunities

00:20:03.279 --> 00:20:06.880
and challenges and we can assist others as others

00:20:06.880 --> 00:20:09.920
can assist us. Thirdly, then develop the actions

00:20:09.920 --> 00:20:12.079
that you're going to be undertaken. Please ensure

00:20:12.079 --> 00:20:14.660
that they are achievable and deliverable. There's

00:20:14.660 --> 00:20:17.920
nothing more encouraging than when you set an

00:20:17.920 --> 00:20:19.680
objective and you achieve it. So make sure they

00:20:19.680 --> 00:20:21.440
are achievable and deliverable. So you need to

00:20:21.440 --> 00:20:24.900
have smart objectives. Try where possible to

00:20:24.900 --> 00:20:27.119
keep the action simple as they can yield really

00:20:27.119 --> 00:20:30.970
really strong benefits communication communicate

00:20:30.970 --> 00:20:32.930
the strategies and plans, the length and breadth

00:20:32.930 --> 00:20:35.730
of your organisation and identify and recruit

00:20:35.730 --> 00:20:38.109
the champions and resources you need to deliver

00:20:38.109 --> 00:20:40.990
it as many great ideas can be birthed through

00:20:40.990 --> 00:20:43.450
discussion and we're so grateful for all the

00:20:43.450 --> 00:20:45.829
encouragement within Cardiff and Vale from all

00:20:45.829 --> 00:20:48.309
the staff and all the management and the total

00:20:48.309 --> 00:20:49.710
health board as well because it really really

00:20:49.710 --> 00:20:53.170
is a massive program for us and I'm very grateful

00:20:53.170 --> 00:20:55.769
to our director who leads capital estates and

00:20:55.769 --> 00:20:58.170
facilities for all his enthusiasm and encouragement

00:20:58.170 --> 00:21:00.500
and then finally just go for it. and implement

00:21:00.500 --> 00:21:02.359
the planned projects and measures and capture

00:21:02.359 --> 00:21:04.720
and monitor the results of the actions. Again,

00:21:04.779 --> 00:21:07.019
if you can't measure it, you can't manage it.

00:21:07.619 --> 00:21:09.779
So also capture any lessons learned, which can

00:21:09.779 --> 00:21:12.700
be helpful when you come to replicate any initiatives

00:21:12.700 --> 00:21:16.869
in other sites as well. So that will be my advice

00:21:16.869 --> 00:21:19.089
going forward for anybody else. Thank you very

00:21:19.089 --> 00:21:21.490
much John and I do love that idea of finding

00:21:21.490 --> 00:21:25.490
the champions because they will lead the way,

00:21:25.930 --> 00:21:29.650
as well as all that good communication. Thank

00:21:29.650 --> 00:21:33.579
you very much to John today for joining me. from

00:21:33.579 --> 00:21:35.799
the Cardiff and Vale University Health Board.

00:21:36.099 --> 00:21:38.019
There can be no doubt that climate change is

00:21:38.019 --> 00:21:40.220
the biggest challenge of our time. Today we must

00:21:40.220 --> 00:21:42.559
reduce greenhouse gas emissions to slow global

00:21:42.559 --> 00:21:45.400
warming. Today we must act for tomorrow, adjusting

00:21:45.400 --> 00:21:47.319
our lifestyles to current and future impacts

00:21:47.319 --> 00:21:50.039
of climate change. Today we must use our collective

00:21:50.039 --> 00:21:52.400
wisdom to deliver on our climate commitments.

00:21:52.759 --> 00:21:55.480
Today we work for tomorrow's world. Don't forget

00:21:55.480 --> 00:21:57.859
to subscribe to our podcast channels and please

00:21:57.859 --> 00:22:01.759
do email us at podcast at salixfinance .co .uk.

00:22:02.380 --> 00:22:05.019
us know what you think and also any ideas for

00:22:05.019 --> 00:22:06.980
future guests. Thank you very much and thank

00:22:06.980 --> 00:22:09.119
you very much again to John. Thank you so much,

00:22:09.200 --> 00:22:10.339
Hannah, for the privilege. It's been a privilege

00:22:10.339 --> 00:22:12.000
to be here and talk to you. Thank you so much.

00:22:12.039 --> 00:22:15.140
Thank you. You've been listening to the Decarbonisation

00:22:15.140 --> 00:22:19.160
Dialogue, a podcast from Salix. For more information

00:22:19.160 --> 00:22:22.440
about our work and to find more content, please

00:22:22.440 --> 00:22:27.220
visit salixfinance .co .uk forward slash podcasts.
