A guaranteed savings case study. Fixing the NHS estate in a broken economy

Transcription

1 A guaranteed savings case study Fixing the NHS estate in a broken economy

2 Schneider Electric, The global specialist in energy management Making energy: Energy production & transmission > Safe > Reliable > Efficient > Productive > Green Energy usage billion sales in 2010 % of sales in new economies people in 100+ countries of sales devoted to R&D 2

3 Agenda Why we need to act Overview of NHS Scotland estates and energy situation Case study Musgrove Park Hospital, Taunton 3

4 Why we need to act

5 World Population, 1500 to 2050: Today I was born Source: United Nations, 31/12/11; Jeremy Grantham, GMO Newsletter April

6 Our growing world. Time to double wealth - Yrs Britain 100 Germany 80 Japan 20 South Korea 15 China 10 Source: Jeremy Grantham, GMO Newsletter April

7 Time to double wealth Yrs Population at start - Millions Britain Germany Japan South Korea China 10 1,300 Source: Jeremy Grantham, GMO Newsletter April

8 Overview of NHS Scotland Estate & Energy Situation

9 Key facts and figures for NHS Scotland > Health efficiency access & treatment (HEAT) targets - phase 2, CO2 emissions reduction target of 3% year on year on all fossil fuel use 1% energy efficiency target from 63GJ/100m3 to 43GJ/100m3 > Climate Change Act (Scotland) % reduction in greenhouse gases by % reduction in greenhouse gases by 2050 Source Annual National Environment Report 9

10 Climatically adjusted national energy performance Reduction of 43.79% versus Source Annual National Environment Report 10

11 EPC ratings for buildings 2009/10 Source Annual National Environment Report 11

12 An NHS estates perspective 100% 100% 80% 80% 60% 60% 40% 40% 20% 20% Reactive Reactive Maintenance (Breakdowns) Planned Maintenance Planned Maintenance Utility Utility 0% 0% /

13 The challenge 13

14 The challenge Income Workload Expenditure bn

15 What keeps you awake at night? > In tests 8 out of 10 estate directors said Backlog maintenance > NHS Scotland Risk-Adjusted backlog maintenance is 928 million > Moreover, capital expenditure has been cut in Scotland by 40% for next 3 years and rate of asset depreciation far exceeds this capital availability 15

16 Guaranteed savings unlock funds Energy consumption MWh Baseline -20% 160m Guaranteed savings Example Years Source 2011/2 Health Facilities Scotland 10 yrs Over performance Yearly energy > Yearly energy cost cost c 80m c 80m gives Yearly savings of > 16m Yearly savings 16 million 16

17 Taunton and Somerset NHS Foundation Trust Case study

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19 Life before project > Estate condition deteriorating due to long-term under-investment > Estate backlog circa 6m and rising > Corporate risk increasing now significant > Mandatory CO 2 targets (34% by 2020; 80% by 2050) > Rising energy costs ( 1.8m p.a.) > Trust high on NHS energy-consumption metrics > Carbon taxes ( 108,000 p.a.) 19

20 Strategic Buildings Solution Process Detailed audit and project development Project implementation Guarantee phase 6 months 18 months 10 years Single procurement 20

21 Life after project. Customer Contract sum Taunton & Somerset NHS Trust 7.2m Number of measures 200 Backlog maintenance addressed Annual energy & CRC savings Annual savings on reactive maintenance Simple return on investment 2.5m Net cash surplus 20 yrs 17m 756k, rising with energy inflation 43% carbon saving 74k p.a. (recycled) 6 years (inc. backlog) 10 years (excl. backlog) 21

22 Corporate risk Hospitals use standard mechanism for risk evaluation: Consequences (1 5) Likelihood x = (1 5) Risk score (1 25) The Trust estimated its 2015 estate-related risk to fall from 118 to 29, as a direct result of a self-funding estate refurbishment project. This provided a vital link between estate concerns and those of the board of directors. 22

23 Positive effect of the energy reduction project 100% 100% 80% 80% 60% 60% 40% 40% 20% 20% Reactive Maintenance (break downs) Reactive Maintenance Planned Maintenance Planned Maintenance Utility Utility 0% 0% /

24 3,000 k Cash Savings 2,500 2,000 1,500 1, > Savings guaranteed as part of 7.2m project (inc-vat). > Based principally on guaranteed energy savings and reduced CRC energy efficiency scheme costs Years 24

25 Subtract cash costs k 3,000 2,500 2,000 1,500 1, ,000-1,500-2, Years Costs include financing and lifecycle maintenance costs. 25

26 Net cash saving 3,000 k 2,500 2,000 1,500 1, , Years -1,500-2,000 Green line shows net position each year 26

27 Cumulative Net cash saving k 20,000 15, m 10,000 5, Years -5,000 In addition, the project offered savings of 2.5m in capital-avoidance. Net cash savings shown after financing. 27

28 For the future.. I think there is a fantastic opportunity for the partnership that Schneider Electric have got with us to be scalable right across the NHS Jo Cubbon, Chief Executive Taunton and Somerset NHS Foundation Trust Iain France Strategic Building Solutions Schneider Electric iain.france@schneider-electric.com 28

29 Make the most of your energysm