ABSTRACT
The environmental
performance of National Health Service Scotland's (NHSScotland) smaller
healthcare buildings were investigated with a view to identifying ways
of reducing the environmental impacts of energy, waste, water and transport.
Energy emerged as
one of the prominent issues. This was based on data taken from an energy
audit of 180 buildings randomly selected from all NHSScotland health boards.
A wide variance in energy consumption throughout the sample was discovered,
which could not be explained by variations in fabric, structure, elevation
and orientation of the buildings. It was believed a benchmark or similar
suitable energy target could be an appropriate tool to help lower energy
use in buildings of this class. Therefore, based on Building Research
Establishment (BRE) baseline and good practice data for similar buildings,
and including an allowance for patients' needs, an energy target was developed.
Research into waste
and water issues showed that the disposal of prescription, and over the
counter, medicines is highlighted as a problem area in Scotland. The research
showed there could be over 300 tonnes of medicines being disposed of in
Scotland every year with over 40% of these flushed into
sewerage systems where sewage treatment plants have no means of removing
them before emitting them into surface water systems.
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The
impacts of these pharmaceuticals alone can have serious adverse affects
on non-target species but there is little known about the effects cocktail
mixtures of these chemicals may have on the environment.
Further
research was carried out on the awareness of management and staff of
environmental issues and their behaviour towards such issues while at
their place of work.
Results
from a randomly selected group of 71 health centres and clinics showed
that many healthcare workers who responded believe that climate change
is happening with the majority of those blaming human society as the
main cause; many also believe the trend can be reversed. A high proportion
of respondents believe that power generation contributes to impacts
on human health.
Given
that NHSScotland's negative impacts on the environment are substantial,
due mainly to poor environmental performance, investigation was carried
out into how best to approach changing the culture within the organisation
to help reach environmental targets and become sustainable in the long
term.
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