Applicability, potential and limitations of staff-centred energy conservation initiatives in English hospitals
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Increasing energy costs and climate change legislation have prompted efforts to reduce energy consumption in UK hospitals. In addition to technological conservation strategies focussing on buildings and building services, staff-centred initiatives such as energy awareness campaigns are increasingly being considered by National Health Service (NHS) trusts due to their potential cost-effectiveness. However, hospitals are complex buildings with unique energy requirements, and it is unclear to what extent these requirements are influenced by clinical staff. This paper combines a review of staff-centred energy conservation initiatives in organisations in general and in hospitals in particular with the results of a survey-based study among NHS energy managers (N = 70). The study findings highlight that staff-centred energy conservation initiatives are currently of interest to a majority of NHS trusts in England and may become an increasingly important part of carbon reduction strategies in hospitals in the future. Policy assumptions regarding their savings potential, however, appear to be undifferentiated, and it seems advisable to relate behavioural efforts more closely to the physical context of the respective hospital building and its service infrastructure as well as the health care processes relevant to different departments.
KeywordsHospitals Energy managers Energy behaviours NHS Organisational energy use Energy awareness
- Aune, M., Berker, T., & Bye, R. (2008). The missing link which was already there: building operators and energy management in non-residential buildings. Facilities, 27(1), 44–55.Google Scholar
- Baird, G. (2010). Sustainable buildings in practice: What the users think. London: Routledge.Google Scholar
- Banks, N., Redgrove, Z., Gunn, M., Mullen, J., Ryle, J., Fawcett, T., Ristic, L., & Bird, S. (2012). What are the factors influencing energy behaviours and decision-making in the non-domestic sector? London: Centre for Sustainable Energy (CSE), Environmental Change Institute (ECI).Google Scholar
- Barts Health NHS Trust. (2013). Changing energy behaviours in the NHS: Operation TLC. http://www.sduhealth.org.uk/news-events/news/214/Barts-Health-NHSTrust-saves-100000-with-a-bit-of-TLC. Accessed 10 Nov 2013.
- Benke, G., Leutgöb, K., Varga, M., Kolpek, M., & Greisberger, H. (2009). Das energieeffiziente Krankenhaus. Realistische Ansatzpunkte und Maßnahmenidentifikation (in German). Wien: Bundesministerium für Verkehr, Innovation und Technologie. http://www.nachhaltigwirtschaften.at/results.html/id5726. Accessed 05 May 2013.Google Scholar
- Brayford, L. (2004). Carbon/energy management in healthcare. Best practice advice for the NHS in England on meeting the mandatory carbon/energy targets. Leeds: NHS Estates.Google Scholar
- Building Research Energy Conservation Support Unit (BRECSU). (1992). Energy efficiency in hospitals by good housekeeping. Health Estate Journal, 48(8), 4–6.Google Scholar
- Building Research Energy Conservation Support Unit (BRECSU). (1995). Energy savings in NHS hospitals. Good Practise Case Study, 202, 1–6.Google Scholar
- Carbon Trust. (2008). Introducing NHS carbon management. Tech. rep. London: Carbon Trust.Google Scholar
- Carbon Trust. (2010). Hospitals. Healthy budgets through energy efficiency. Guide CTV024. London: Carbon Trust.Google Scholar
- Cox, A., Higgins, T., Gloster, R., Foley, B., & Darnton, A. (2012). The impact of workplace initiatives on low carbon behaviours. Scottish Government Social Research. London: Crown.Google Scholar
- Creswell, J. W., & Plano Clark, V. L. (2011). Designing and conducting mixed method research (2nd ed.). London: SAGE.Google Scholar
- Department of Energy and Climate Change (DECC). (2011). The carbon plan: Delivering our low carbon future. London: Crown.Google Scholar
- Department of Health (DoH). (2006a). EnCO2de- making energy work in healthcare. Environment and sustainability. London: The Stationery Office.Google Scholar
- Department of Health (DoH). (2006b). Statistics on energy performance and carbon and CO2 emissions, NHS England, 1999/00 to 2004/05 (with prediction to 2009/10). London: The Stationary Office.Google Scholar
- Diez, K., & Lennerts, K. (2010). Benchmarking im Krankenhaus – Schwerpunkte Energie und Instandhaltung (in German). In Facility Management Messe und Kongress (pp. 377–385). Frankfurt (Main). www.tmb.kit.edu%2Fdownload%2FBenchmarking_im_Krankenhaus_-_Schwerpunkte_Energie_und_Instandhaltung.pdf&ei=jmUgVdWWHsX6oQSavoGgDg&usg=AFQjCNHxUaIvenyoYAOKcB5MwsZDy1xVpA&bvm=bv.89947451,d.cGU. Accessed 21 Jan 2013
- Dillman, D. A., Smyth, J. D., & Christian, L. M. (2008). Internet, mail, and mixed-mode surveys: The tailored design method. New York: John Wiley & Sons.Google Scholar
- Emmerson, C., Frayne, C., & Goodman, A. (2000). Pressures in UK Healthcare: Challenges for the NHS. The Institute for Fiscal Studies. www.ifs.org.uk/comms/nhsspending.pdf. Accessed 05 Oct 2014.
- Gray, S. M. (2011). Sustainable healthcare, health knowledge. http://www.healthknowledge.org.uk/interactive-learning/sustainable-healthcare.
- Jeffries, I., & Rowlands-Rees, T. (2013). Energy efficiency trends annual report 2012/2013. Essential insight for consumers and suppliers of non-domestic energy-efficiency., EEVS Bloomberg New Energy Finance. http://about.bnef.com/white-papers/energy-efficiency-trends-annual-report-201213/ Accessed 10 Nov 2014.
- Jensen, A. H., & Petersen, P.M. (2011). Energy efficiency in hospitals and laboratories. In Energy efficiency first: The foundation of a low-carbon society: ECEEE 2011 Summer Study. Conference proceedings, 6-11 June 2011, Belambra Presquile de Giens, France.Google Scholar
- Kattenstein, T., Unger, H., & Wagner, H. (2002). Handlungskonzepte zur Optimierung des Energiebedarfs und der Energieversorgung der Ruhr-Universität Bochum. Abschlussbericht zum Vorhaben: IV A4-20600298 Optimierung der bestehenden wirtschaftlichen Energieversorgung der Ruhr-Universität Bochum (in German). Ruhr-Universität: Lehrstuhl für Energiesysteme und Energiewirtschaft.Google Scholar
- Leaman, A. J. (2000). Usability in buildings: the Cinderella subject. Building Research and Information, 28(4), 296–300.Google Scholar
- Littleford, C. (2013). Energy use by individual office workers: Psychological and contextual influences on behaviour. PhD, Loughborough University.Google Scholar
- NHS England. (2013). Putting patients first. The NHS England business plan for 2013/14 - 2015/16. http://www.england.nhs.uk/pp-1314-1516/4-1516/. Accessed 04 Aug 2014.
- NHS Jobs. (2014). Working in the NHS. https://www.jobs.nhs.uk/about_nhs.html. Accessed 21 Nov 2014.
- NHS Sustainable Development Unit (NHS SDU). (2010). Save money by saving carbon. Decision making in the NHS using marginal abatement cost curves. Cambridge: NHS Sustainable Development Unit.Google Scholar
- NHS Sustainable Development Unit (NHS SDU). (2013). Carbon footprint update for NHS in England 2012. Cambridge: NHS Sustainable Development Unit. http://www.sduhealth.org.uk/policy-strategy/reporting/nhs-carbon-footprint.aspx. Accessed 04 Aug 2014.Google Scholar
- NHS Sustainable Development Unit (NHS SDU). (2014). Case studies. [online] www.sduhealth.org.uk/resources/case-studies.aspx. Accessed 05 Mar 2014.
- Nye, M., & Hargreaves, T. (2010). Exploring the social dynamics of proenvironmental behavior change. Journal of Industrial Ecology, 14(1), 137–149.Google Scholar
- Pencheon, D., Cointet, S., Brown, J., Howley, J., Tennison, I., Greensmith, H., & Wright, S. (2009). Saving carbon, improving health. NHS carbon reduction strategy for England. Cambridge: NHS Sustainable Development Unit.Google Scholar
- Saunders, M., Lewis, P., & Thornhill, A. (2012). Research methods for business students (6th ed.). Harlow: Pearson.Google Scholar
- Schahn, J. (2007). Projekt Energiemanagment am Psycholgischen Institut der Universiät Heidelberg: Ein erfolgreicher Fehlschlag. [in German]. Umweltpsychologie, 11(2), 138–163.Google Scholar
- Schonlau, M., Fricker, R. D., & Elliott, M. N. (2002). Conducting research surveys via e-mail and the web. Santa Monica: RAND Corporation.Google Scholar
- Silvermann, D. (2011). Interpreting qualitative data: Methods for analysing talk, text and interaction. London: Sage.Google Scholar
- Socolow, R. H. (1978). Saving energy in the home: Princeton's experiments at Twin Rivers. Cambridge: Ballinger Pub. Co.Google Scholar
- The King’s Fund. (2012). Public expectations and experience of services. http://www.kingsfund.org.uk/time-to-think-differently/trends/public-attitudes-and-expectations/public-expectations-and-experience-services#references. Accessed 09 Apr 2013.
- Tippköter, R., & Schüwer, D. (2003). Leitfaden Energieeffizienz für Krankenhäuser (in German). NRW, Germany: Energie Agentur.Google Scholar