Jerome Baddley CEnv FIEMA

Demonstration and evaluation of a novel 'hybrid' approach for calculating the carbon footprints of healthcare organizations and their supply chains.

The footprints produced with this method by 11 healthcare operations of AKDN across 8 LMICs.
Comparison of carbon footprints generated from top-down (EE-MRIO) vs bottom-up and hybrid methodologies.

Encoragement and support for healthcare procurers in LMICs to join the push for net zero carbon emissions in the supply chain.

A… Show more

Demonstration and evaluation of a novel 'hybrid' approach for calculating the carbon footprints of healthcare organizations and their supply chains.

The footprints produced with this method by 11 healthcare operations of AKDN across 8 LMICs.
Comparison of carbon footprints generated from top-down (EE-MRIO) vs bottom-up and hybrid methodologies.

Encoragement and support for healthcare procurers in LMICs to join the push for net zero carbon emissions in the supply chain.

A tool for healthcare organizations to calculate their carbon footprints without the need to employ experts or purchase costly data sets. Show less

[Joint 1st Author],Healthcare in low and middle-income countries has a high carbon footprint. Reducing emissions should be integral to plans for universal health coverage.

Considerable attention has been paid to the role that healthcare systems have in combating climate change.1 Recent analysis has calculated the global carbon footprint of healthcare as equivalent to 2-2.4 Gt of CO2, about 4-5% of total global emissions.

The focus is often on reducing emissions in high-income… Show more

[Joint 1st Author],Healthcare in low and middle-income countries has a high carbon footprint. Reducing emissions should be integral to plans for universal health coverage.

Considerable attention has been paid to the role that healthcare systems have in combating climate change.1 Recent analysis has calculated the global carbon footprint of healthcare as equivalent to 2-2.4 Gt of CO2, about 4-5% of total global emissions.

The focus is often on reducing emissions in high-income countries (HICs) and adaptation in low and middle-income countries (LMICs). Few LMICs are included in studies on carbon emissions from healthcare.

This imbalance is understandable, given the greater relative contribution to greenhouse gas emissions from health systems in HICs and the disproportionate burden of climate change impacts on LMICs. Nevertheless, healthcare in LMICs is a carbon-intensive activity and is likely to grow with the delivery of commitments to universal health coverage (UN Sustainable Development Goal 3.8). Show less

The Aga Khan Development Network’s (AKDN) Carbon Management Tool has been developed to provide an all-in-one resource - which we refer to as the ‘Tool’, to calculate and track the carbon footprint of healthcare operations. It has been developed by the Aga Khan Health Services and the Aga Khan University of the Aga Khan Development Network. For a copy of the latest version of the Tool, please contact [email protected] This Tool was designed for and is in use in, Low- and… Show more

The Aga Khan Development Network’s (AKDN) Carbon Management Tool has been developed to provide an all-in-one resource - which we refer to as the ‘Tool’, to calculate and track the carbon footprint of healthcare operations. It has been developed by the Aga Khan Health Services and the Aga Khan University of the Aga Khan Development Network. For a copy of the latest version of the Tool, please contact [email protected] This Tool was designed for and is in use in, Low- and Middle-Income Countries. However, it can be used by healthcare organizations anywhere. Most functionality in the Tool is also appropriate for use by non-healthcare organizations. The Tool was specifically designed to help managers both calculate the carbon footprint of their operations and to use this information to build and track the progress of actions to reduce those emissions. Show less

Interview on my professional journey as an environmentalist with The Society for the Environment

Our analysis considered two hypothetical situations in which a proportion of inhaler users voluntarily swapped from their currently prescribed pMDI to a DPI: swap to the lowest cost clinically equivalent DPI (scenario 1); swap proportionally to a clinically equivalent DPI according to the current market share of each DPI (scenario 2). We also conducted a sub-analysis where patients currently using the Ventolin Evohaler (a widely prescribed salbutamol pMDI), swapped to a lower carbon alternative… Show more

Our analysis considered two hypothetical situations in which a proportion of inhaler users voluntarily swapped from their currently prescribed pMDI to a DPI: swap to the lowest cost clinically equivalent DPI (scenario 1); swap proportionally to a clinically equivalent DPI according to the current market share of each DPI (scenario 2). We also conducted a sub-analysis where patients currently using the Ventolin Evohaler (a widely prescribed salbutamol pMDI), swapped to a lower carbon alternative generic salbutamol pMDI. Show less

In depth near future focussed analysis of the opportunities for meeting the sustainability challenges in the public sector. A focus on health.

The European Commission and the European
Environment Agency (EEA) launched the European Climate Adaptation Platform (Climate-ADAPT) (1) in 2012. Its aim is to provide a common European knowledge base to support the target audience of
governmental organisations and those supporting them in developing and implementing climate change adaptation strategies and actions, complementary to
adaptation platforms at other levels of governance.

The need for such a platform was… Show more

The European Commission and the European
Environment Agency (EEA) launched the European Climate Adaptation Platform (Climate-ADAPT) (1) in 2012. Its aim is to provide a common European knowledge base to support the target audience of
governmental organisations and those supporting them in developing and implementing climate change adaptation strategies and actions, complementary to
adaptation platforms at other levels of governance.

The need for such a platform was recognised in the 2013 EU strategy on adaptation to climate change or adaptation strategy, which is being evaluated by the European Commission in 2017-2018, as a key element of better informed decision-making that should be developed further.

The objectives of Climate-ADAPT are (1) to facilitate the collection, sharing and use of information on climate change impacts, vulnerability and adaptation, and build a consistent and updated knowledge base; (2) to assist the effective uptake of the relevant knowledge by decision-makers; and (3) to contribute to a greater level of coordination among sectors and institutional levels. Show less

As one of the biggest organisations in the world, the National Health Service (NHS) in England can contribute considerably to the United Nations’ Sustainable Development Goals (UN’s SDGs). In order to optimise this, this study evaluated and reconceptualised a sustainable development assessment tool for health and care settings in England.

User/expert involvement has enabled an informed approach to a reconceptualisation of a sustainable assessment tool for health and care settings. The… Show more

As one of the biggest organisations in the world, the National Health Service (NHS) in England can contribute considerably to the United Nations’ Sustainable Development Goals (UN’s SDGs). In order to optimise this, this study evaluated and reconceptualised a sustainable development assessment tool for health and care settings in England.

User/expert involvement has enabled an informed approach to a reconceptualisation of a sustainable assessment tool for health and care settings. The tool will support organisations to build their mandatory Sustainable Development Management Plans, as part of the National Public Health Outcomes Framework. Alignment of the tool to the UN’s SDGs provides an opportunity for health and care organisations to demonstrate accountability and progress against the UN’s set of transformational goals. Furthermore, the tool could be adapted to other public service providers. Show less

NHS Staff survey with 6200 responses on action and attitudes to sustainability

I was an acknowledged contributor to this EEA Climate-ADAPT report. The report collects and shares information on climate change impacts, vulnerability, and adaptation, and builds a consistent and updated knowledge base. The purpose was to assist the effective uptake of the relevant knowledge by decision-makers and contribute to a greater level of coordination among sectors and institutional levels.

This report measures the environmental footprint of the NHS, public health and care system across four key impacts: water, waste, air pollution and carbon emissions. It helps to build a broader understanding of the sector’s impacts beyond a focus on carbon emissions. This information helps the health and care system and the SDU in targeting activities to reduce these impacts and develop a more sustainable health and care system.

Multinational economic actors, particularly corporations, play a defining role in the response to the climate change or warming debate and the emerging scientific consensus. This book describes, explains, and predicts how multinational firms will rise to the multiple challenges posed by global climate issues and the organizational and behavioral various responses of the international corporate community

Evidence was given before UK Govt Environmental Audit Committee on the potential to reduce UK carbon emissions through a shift from Metered Dose Inhalers to Dry Powder Inhalers.
11:28:18

I commissioned and led the development of The Health Outcomes of Travel Tool (HOTT) for the SDU. The tool itself was produced by Mike Holland (https://wca-environment.com/our-people/mike-holland/). It supports NHS organizations to quantify the total health impact from travel and transport through air pollution and other quantifiable health impacts (e.g. road trauma) from their activities and supply chain. It also quantifies the impact on greenhouse gas emissions. The tool estimates how many… Show more

I commissioned and led the development of The Health Outcomes of Travel Tool (HOTT) for the SDU. The tool itself was produced by Mike Holland (https://wca-environment.com/our-people/mike-holland/). It supports NHS organizations to quantify the total health impact from travel and transport through air pollution and other quantifiable health impacts (e.g. road trauma) from their activities and supply chain. It also quantifies the impact on greenhouse gas emissions. The tool estimates how many deaths and lost years of life are as a result of each NHS organization's transport impact, from the fleet, staff travel, and patient travel. In the push to embed sustainability as a core strategic priority for the NHS, this work helped drive change in the health and economic value attributed to sustainability by the NHS in England informed Chapter 2 of the 2018 Chief Medical Officers report https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/690846/CMO_Annual_Report_2017_Health_Impacts_of_All_Pollution_what_do_we_know.pdf Show less

The importance of partnerships between business schools, local companies and other organisations has grown in recent years and is the basis of Principle 5 (Partnerships) of the United Nations’ (UN) Principles for Responsible Management Education (PRME). This chapter offers a replicable model that other business schools and universities could integrate into their core curriculum while also enriching their educational methods (PRME Principle 3). The focus of the described Greenhouse Gas… Show more

The importance of partnerships between business schools, local companies and other organisations has grown in recent years and is the basis of Principle 5 (Partnerships) of the United Nations’ (UN) Principles for Responsible Management Education (PRME). This chapter offers a replicable model that other business schools and universities could integrate into their core curriculum while also enriching their educational methods (PRME Principle 3). The focus of the described Greenhouse Gas Management project is on the UN Sustainable Development Goal (SDG) #13 (Climate Action), but the partnership model could also be used to address other SDGs. The model is based on the assumption that students can contribute to solving sustainable challenges. Instead of learning frameworks for later use in life, students directly apply the concepts they encounter in a real-life business. In this chapter, the deployment of such work-based learning in the core curriculum at Nottingham Business School is described, along with details of how this aids the development of employability skills of the participating students Show less

UN publication on opportunities for sustainable procurement to save money, help the environment and boost local economies and communities.

Health Check 2017 Report
This report is the first in a series of annual publications from the SDU looking at progress of sustainable development across the health and care system.

Summary of findings
Overall organisations are cutting their carbon footprint and saving money through reducing energy use, but having less success in addressing water use and the increased costs from waste disposal. Progress in sustainable approaches to commissioning, procurement and across the social… Show more

Health Check 2017 Report
This report is the first in a series of annual publications from the SDU looking at progress of sustainable development across the health and care system.

Summary of findings
Overall organisations are cutting their carbon footprint and saving money through reducing energy use, but having less success in addressing water use and the increased costs from waste disposal. Progress in sustainable approaches to commissioning, procurement and across the social care sector is more difficult to measure and more needs to be done in this area. Sustainable development is increasingly becoming a core part of work. More organisations have board approved Sustainable Development Management Plans (SDMPs) and are reporting annually on their work.

National Organisation Commitments
The report also includes - for the first time - commitments from nine major health organisations to deliver an environmentally and socially care system. The national organisations making their pledges are the Department of Health, NHS England, Public Health England (PHE), NHS Improvement, the Care Quality Commission, Health Education England, the National Institute for Health and Care Excellence (NICE), NHS Digital and NHS Property Services – in partnership with the Department of Health. Show less

Work by ERM for the NHS to identify high carbon devices in the NHS supply chain

New research and analysis from the SDU and supporting partners has calculated the NHS and wider health sector has already saved over £1.85bn, reducing operating costs by £190m per year since 2008 from sustainability measures. The report also identifies how the system could save up to £414m and cut 1 million tonnes of carbon emissions every year by 2020. The analysis selected 35 areas and calculated their financial and environmental benefits.

The Securing healthy returns report outlines… Show more

New research and analysis from the SDU and supporting partners has calculated the NHS and wider health sector has already saved over £1.85bn, reducing operating costs by £190m per year since 2008 from sustainability measures. The report also identifies how the system could save up to £414m and cut 1 million tonnes of carbon emissions every year by 2020. The analysis selected 35 areas and calculated their financial and environmental benefits.

The Securing healthy returns report outlines areas that offer potential cash savings and environmental benefits. These include providing mental health services to people being treated for physical health needs in hospitals, encouraging staff to travel to work by bike or foot and increasing use of technology for communication – for instance between staff and for patients with long term conditions. Show less

National progress update on the embedding of sustainable development in the Health Sector.
The NHS and wider health and care sector have exceeded the first target in the bid to reach carbon reduction targets and help limit the effects of climate change set by the Climate Change Act 2008. The Report shows the NHS has reduced its carbon emissions by 11% between 2007 and 2015 - exceeding the 10% target set in 2009. The wider sector, which also includes public health and social care, has seen… Show more

National progress update on the embedding of sustainable development in the Health Sector.
The NHS and wider health and care sector have exceeded the first target in the bid to reach carbon reduction targets and help limit the effects of climate change set by the Climate Change Act 2008. The Report shows the NHS has reduced its carbon emissions by 11% between 2007 and 2015 - exceeding the 10% target set in 2009. The wider sector, which also includes public health and social care, has seen a 13% reduction over the same period.
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Data processing and transmission consumes 2% of the world’s energy and by 2020 will generate as much carbon as the airline industry. This article summarises work carried out to establish a low carbon energy supply approach for data centre company 2BM.

Key Words: National Healthcare Services, Sustainability, Low-carbon technologies, Energy conservation, Healthcare facilities, UK

DG is Nottingham’s largest private hire taxi service with around 700 vehicles under several brands. The report and analysis supported DG to position it's services in the context of an increasing demand for low carbon public transport, environmental regulation and increasingly volatile fossil fuel prices.

"Chapter 8: Sustainable competitiveness: powering ‘sustainability’ through Investors in the Environment initiative at Riverside Bakery". In CSR and Climate Change Implications for Multinational Enterprises. Cheltenham, UK: Edward Elgar Publishing. Baddley, J., Arora, A., Arora, A., McIntyre, J. R., Molthan-Hill, P., & Leseane, R. (2018).
Case study paper looking at how students from Savannah Georgia (US), on a Nottingham Business School Summer programme, assisted and NEP client Pork Farms… Show more

"Chapter 8: Sustainable competitiveness: powering ‘sustainability’ through Investors in the Environment initiative at Riverside Bakery". In CSR and Climate Change Implications for Multinational Enterprises. Cheltenham, UK: Edward Elgar Publishing. Baddley, J., Arora, A., Arora, A., McIntyre, J. R., Molthan-Hill, P., & Leseane, R. (2018).
Case study paper looking at how students from Savannah Georgia (US), on a Nottingham Business School Summer programme, assisted and NEP client Pork Farms, in implementing the Investors in the Environment Standard. Presented at the AIB-SE conference in October 2014 in Miami (US) Show less

Report by ERM for NHS England on high carbon pharmaceuticals

As a growing aging population means greater demand for residential care, The article considers whether environmentally sustainable care services are possible and even offer cost, health and wellbeing co-benefits.

The article covers the environmental impact of residential care in the UK

The Local Energy Assessment Fund aimed to support communities across England and Wales to play an
active role in the development of a low carbon society where energy supply is both secure and
affordable. The fund has resourced work by community groups to understand their potential for
improvements in energy efficiency and local deployment of renewable energy, alongside
demonstrations of solid wall insulation.
The grant fund provided by the programme was intended to help… Show more

The Local Energy Assessment Fund aimed to support communities across England and Wales to play an
active role in the development of a low carbon society where energy supply is both secure and
affordable. The fund has resourced work by community groups to understand their potential for
improvements in energy efficiency and local deployment of renewable energy, alongside
demonstrations of solid wall insulation.
The grant fund provided by the programme was intended to help communities prepare for new
opportunities in sustainable energy and climate change arising from the Green Deal, Renewable Heat Incentive and Feed in Tariffs. The grants could be used to fund projects that follow the Energy Hierarchy (reduce energy use, use energy efficiently and generate renewable energy). This report supported Derby I. accessing funding through this government programme. Show less

Following on from my article in CIWM's July issue, this discusses with, the Nottingham DH network as a worked example, how a changing waste mix will impact on EfW's carbon emissions

BMJ blog

Health services should contribute to a healthy society by exemplifying fair and sustainable use of finite resources and encouraging individuals and communities to live healthier, more sustainable lifestyles. To achieve this change is needed; but top down restructuring on the basis of no evidence, privatisation, and fragmentation should not be in the equation. A healthy transition would protect core NHS values and actively protects and promotes the health of current and future… Show more

BMJ blog

Health services should contribute to a healthy society by exemplifying fair and sustainable use of finite resources and encouraging individuals and communities to live healthier, more sustainable lifestyles. To achieve this change is needed; but top down restructuring on the basis of no evidence, privatisation, and fragmentation should not be in the equation. A healthy transition would protect core NHS values and actively protects and promotes the health of current and future generations. Show less

With Nottingham's incinerator having received planning permission to extend it's operating capacity from 150Kt to 250Kt MSW per annum,the article discusses the varying social economic and environmental responses to the development.

The first carbon footprint for any NHS region in the UK
This report has identified a baseline regional carbon footprint for the East Midlands using bottom-up Trust level data to complement the national footprint produced by the NHS Sustainable Development Unit.
The footprint for 07/08 has been calculated as 967,900 tonnes CO2 equivalent (tCO2e) and for 08/09 as 1,070,000 tCO2e. The 07/08 footprint represented around 5% of the national NHS carbon footprint. By comparison, around 8% of the… Show more

The first carbon footprint for any NHS region in the UK
This report has identified a baseline regional carbon footprint for the East Midlands using bottom-up Trust level data to complement the national footprint produced by the NHS Sustainable Development Unit.
The footprint for 07/08 has been calculated as 967,900 tonnes CO2 equivalent (tCO2e) and for 08/09 as 1,070,000 tCO2e. The 07/08 footprint represented around 5% of the national NHS carbon footprint. By comparison, around 8% of the national NHS budget (including salaries) was spent in the East Midlands in 07/08.
While the national footprint was based largely on 07/08 financial data, it has been found however that to produce a bottom-up footprint from NHS organizations data, the 07/08 data was not of sufficiently good quality to produce a reliable footprint, so the 08/09 footprint is recommended as a better representation of the regional baseline.
In general, the spread of the region's CO2e emissions across emissions areas is broadly in line with the spread shown at the national level. Buildings emissions in the region however show a higher prominence than the national picture reflecting a higher than typical coal consumption in NHS organizations in the region. Coal accounts for 15% of the region's waste and utility-related emissions. These emissions are focussed on a small number of large coal-fired heat plants. Working to reduce the NHS use of coal in the region is thus covered in one of the recommended regional Phase II pilot projects.
While the regional picture produces some useful results in itself, this work has drilled down further to an organization by organization and site by site analysis, to identify hotspots and areas for future work within NHS organizations. The level of data within the report should be of use to individual NHS organizations in this regard. Show less

The first full carbon footprint and management plan for any NHS organization in the UK.

One of the first full carbon end energy strategies for any Local Authority in the UK

This Strategy and the associated Action Plan identifies the key technologies and programmes required to enable Nottingham to play its part in meeting the national and local targets on carbon reduction and low or zero-carbon energy generation. The Strategy sets the headline targets and key strategic priorities; the Action Plan details how the City can meet these targets. Implementation of the Strategy… Show more

One of the first full carbon end energy strategies for any Local Authority in the UK

This Strategy and the associated Action Plan identifies the key technologies and programmes required to enable Nottingham to play its part in meeting the national and local targets on carbon reduction and low or zero-carbon energy generation. The Strategy sets the headline targets and key strategic priorities; the Action Plan details how the City can meet these targets. Implementation of the Strategy will accelerate Nottingham’s development as the UK’s leading City in low carbon energy security. Show less

Bio-oils have to be one of the more complex areas of carbon accounting Biodiesel, pure plant oil or bio-oils are also big business. With government targets for carbon and renewable energy, developers are desperate for low capital cost renewable energy solutions to fulfill their brief. The article discussed the true carbon impact of biodiesel.

I worked for 6 months following and documenting the sustainable design elements in the construction of this groundbreaking building. This resource remained available on the CAT website until 2018