Climate Change Data

Environmental Metrics

ESG Focus Areas

• Healthy Work
• Healthy Communities
• Healthy Environment

Environmental Achievements

• 18.33% reduction in gas carbon emissions year-on-year
• 35.46% reduction in combined carbon emissions year-on-year
• 100% of electricity from renewable sources (99% natural, 1% nuclear)

Social Achievements

• Launched a Hardship Fund for employees in financial difficulty
• Trained 180 Emotional Wellbeing Champions to support employee mental health
• Created the Equity Forum to address workplace inequalities
• Welcomed 60 nurses from the Philippines to address nursing shortages
• Expanded apprenticeship programs to 300 employees (increased by 115 from 2019), aiming for 400 by April 2021
• Nursing Times awarded Nuffield Health Preceptorship Programme 'Preceptorship Programme of the Year'

Governance Achievements

• Created the Central Sustainability Forum in 2019, expanding participation in 2021
• Developed a supplier Code of Conduct focusing on supply chain sustainability
• Produced the first Streamlined Energy and Carbon Report (SECR)

Climate Goals & Targets

Environmental Challenges

• COVID-19 pandemic impacting operations and employee wellbeing
• Inequalities experienced by minority employees
• Not all sites are access-friendly for people with disabilities
• Need to increase data collection on workforce diversity (only 42% completed new data fields)
• Need to improve recycling rates (target of 50% in 2021)

Mitigation Strategies

• Implemented various support measures for employees during the pandemic (Hardship Fund, Emotional Wellbeing Champions, communication)
• Created the Equity Forum to address inequalities and foster discussion
• Planning to address accessibility issues at sites in 2021
• Focusing on increasing participation in workforce diversity data collection in 2021
• Implementing measures to improve recycling rates (posters, working with suppliers)

Supply Chain Management

Responsible Procurement

• Developed a supplier Code of Conduct focusing on sustainability

Climate-Related Risks & Opportunities

Reporting Standards

Frameworks Used: Streamlined Energy and Carbon Reporting (SECR)

Sustainable Products & Innovation

• Fully compostable recycled packaging

Awards & Recognition

• Nursing Times 'Preceptorship Programme of the Year'

Environmental Metrics

ESG Focus Areas

• Carbon emissions reduction
• Diversity and inclusion
• Patient safety
• Employee wellbeing
• Sustainability

Environmental Achievements

• Plans to reduce carbon emissions by 5% in 2022, with a commitment to be carbon net zero for Scope 1 and 2 emissions by 2030, and Scope 3 emissions by 2040.
• Launched an internal sustainability campaign focused on energy reduction.

Social Achievements

• Launched COVID-19 Rehabilitation programme benefiting over 1.8K participants, delivering a social return on investment (SROI) of £18m.
• Equity Forum launched two years ago now boasts over 100 members.
• Preceptorship Programme won Nursing Times 2021 Workforce Award for Preceptorship Programme of the Year for the second year running.
• Sixty nurses from the Philippines successfully registered with the Nursing and Midwifery Council (NMC).

Governance Achievements

• All hospitals in England and Wales received the ‘Quality Data Provider’ award from the National Joint Registry (NJR).
• Chichester Hospital received an Outstanding CQC rating.
• Cleaning team received the British Institute of Cleaning Science Award for ‘excellence in education and training’.

Climate Goals & Targets

Environmental Challenges

• Supply chain disruptions (implied due to the pandemic)
• Maintaining high patient satisfaction scores amidst a shift to online surveys
• Managing the long-term effects of COVID-19 on patients and staff.

Mitigation Strategies

• Launched COVID-19 Rehabilitation programme.
• Investigating ways to improve participation levels in online patient satisfaction surveys.
• Investing in improving operating model and redesigning customer contact journeys.
• Implementing a new Quality Management System to improve incident reporting and investigation.

Supply Chain Management

Climate-Related Risks & Opportunities

Awards & Recognition

• Nursing Times 2021 Workforce Award for Preceptorship Programme of the Year
• British Institute of Cleaning Science Award
• Chief Nursing Officers’ Silver Award

Environmental Metrics

ESG Focus Areas

• Healthy environment
• Healthy community
• Healthy work
• Ethical

Environmental Achievements

• 16.5% carbon reduction for Scope 1 and 2 against 2019 baseline

Social Achievements

• Reached 1.72 million people, including a growing proportion living on lower resources
• Delivered £72.0m social value
• 3.4% gender pay gap (lowest since reporting began)

Governance Achievements

• 100% of hospitals rated Good or Outstanding by national regulators (excluding one hospital awaiting assessment)

Climate Goals & Targets

Environmental Challenges

• Energy inflation
• Impact of employee pay increases on adjusted EBITDA

Mitigation Strategies

• Energy usage campaigns
• Re-thinking service delivery to beneficiaries

Supply Chain Management

Climate-Related Risks & Opportunities

Environmental Metrics

ESG Focus Areas

• Healthy Community
• Healthy Work
• Healthy Environment

Environmental Achievements

• Reduced emissions by 11.4% across Scopes 1, 2, and 3 against a 2022 baseline.
• 69% of clinical waste recycled through Tiger Stripe bags (target 80% in 2024).
• 27 new Building Management Systems (BMSs) installed, enabling energy efficiencies.
• Sheffield Fitness & Wellbeing Centre achieved a 25% reduction in energy usage.

Social Achievements

• Launched Learning Foundation to develop employee skills.
• More than 70 active apprenticeship programmes.
• 257 personal trainers upskilled as rehabilitation specialists.
• Programmes For All reached over 83,700 people, 27% of whom were from lower-resource communities.
• 11,400 reached by free rehabilitation programmes.
• Reduced gender pay gap to 2.2% (2022: 3.4%).
• Launched Employee Forum for employee feedback and engagement.
• Launched Neurodiversity employee network.

Governance Achievements

• Board of Governors discussed climate change as a standing agenda item.
• Board members participated in climate-related competency building sessions.
• Executive Compensation Linked to ESG: Yes (partially linked to Purpose & Public Benefit targets).

Climate Goals & Targets

Environmental Challenges

• Balancing funding distribution across the Charity, potentially impacting the timing of net-zero investments.
• Meeting ambitious net-zero targets while navigating external market conditions.
• Achieving 35% general waste recycling rate (achieved 32%).
• Supply chain disruptions and data reporting challenges impacting waste recycling.

Mitigation Strategies

• Developed a decarbonisation roadmap outlining key actions.
• Implemented initiatives to improve energy efficiency (BMS, LED lighting, lagging).
• Engaged suppliers to understand their carbon footprint and align practices.
• Launched recycling campaigns and provided resources to increase recycling rates.
• Implemented commodity hedging for energy, gas, and electricity.
• Monitored energy and water usage per site to identify anomalies and implement efficiency measures.
• Established a sustainable procurement process considering climate impact.

Supply Chain Management

Supplier Audits: 59% of Tier 1 suppliers responded to sustainability survey in 2023.

Responsible Procurement

• Revised Supplier Code of Conduct and Procurement policy.
• Prioritising sustainability in contract negotiations.
• Use of REGO-backed electricity contracts.

Climate-Related Risks & Opportunities

Physical Risks

• Wildfires
• Flooding

Transition Risks

• Carbon pricing mechanisms
• Increased cost of energy and raw materials
• Mandates on and regulation of existing products and services
• Costs to transition to lower emissions technology

Opportunities

• Use of lower emission sources of energy
• Consumer shift towards sustainable healthcare options and treatments
• Market leadership in sustainable healthcare

Reporting Standards

Frameworks Used: SECR, CFD

UN Sustainable Development Goals

• Goal 3: Good Health and Well-being
• Goal 7: Affordable and Clean Energy
• Goal 8: Decent Work and Economic Growth
• Goal 11: Sustainable Cities and Communities
• Goal 13: Climate Action

Initiatives contribute to these goals through community health programmes, energy efficiency measures, job creation, community engagement, and carbon emission reduction.

Sustainable Products & Innovation

• Shift from desflurane to sevoflurane anaesthetic.
• Reusable sharps bins.
• Reduced single-use plastics.