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The benefits of this project
Benefits for Your Patients
- Tips to save energy at home
- Knowing the practice is pushing for positive change
Benefits for Your Practice
- Financial savings from reduced energy use
Benefits for The Planet
- Reduced carbon emissions by moving away from fossil fuel heating
Opportunity for improvement
- GP practice buildings can be heated using different methods. Gas and oil heated properties burn fossil fuels when used to heat the premises. Electric heating - such as air source heat pumps (ASHP) - can make use of low carbon, renewable electricity sources e.g. solar, wind etc - creating possibilities for low carbon heating options.
- Practices use heating in the delivery of patient care and to provide a comfortable working environment for staff. Some heating is essential, but some is used unnecessarily and without patient or staff benefit. Practices can become familiar with the Energy Hierarchy which classifies the options towards the least environmentally impactful at the top:
Energy Saving | Switch off Reduce use Eliminate waste | Leaner |
Energy Efficiency | Better heating appliances Lower heating energy losses | Keener |
Renewables | Sustainable energy production (aim for more wind, solar and hydro +/- nuclear) | Greener |
Low Emission | Lower carbon generation: biomass>solar> nuclear>wind> hydro | Cleaner |
Conventional | Sources of last resort e.g. burning gas and coal | Meaner |
- This quality improvement project aims to identify the environmental impact of the GP practice heating use and help the practice optimise the heating system so it’s better financially and for the planet (see disclaimers).
How to carry out this project
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Review GP practice heating use
Identify current heating system fuel type and heating energy use (kWh). Ideally by month. This information can be found on practice energy bills.
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Energy efficiency recommendations
Review your practice’s EPC/DEC for recommendations to improve energy efficiency, including projected payback periods. EPC register – https://www.gov.uk/find-energy-certificate
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Check heat efficiency and fabric of the building
- Checking current heat loss from rooms and the whole building can help determine if there are remedial actions needed.
- Is the building fabric suitably maintained e.g. correct levels of insulation? Check insulation levels, and number/types of windows and doors as all can affect heat loss.
- Ensure temperatures are appropriately regulated in the building. Ask staff where the cold spots are in the winter or over heated areas in the practice.
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Discuss
Look at the energy bills and findings from steps 2 & 3 with your practice lead team. Discuss and plan improvements (see below).
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Outside help
You might like to team up with a local energy charity or company to have a professional energy audit done. The financial savings can often be significant and repeated annually so could potentially cover the initial cost of the audit.
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Remedy building fabric issues
- Improve insulation (floor, walls, loft) by taking simple steps such as using radiator backing and refreshing ceiling lagging and more extensive steps e.g. cavity wall insulation, under floor heating.
- Improve windows e.g. installing double or triple glazed windows if not currently used (where possible).
- Improve doors e.g. ensuring well-fitting doors, using draught excluders etc.
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Energy saving and efficiency
- Building Energy Management Systems (BEMS) are used by building owners, operators and end-users to improve the energy performance of buildings. This is achieved by providing users with measurement, recording, trending, and alarming capabilities and diagnosis of unnecessary energy use.
- If unable to install a BEMS, install heating timers.
- Reducing inappropriately wasted heat through correct temperature settings by room type. for example, radiators are turned down where possible e.g. corridors which have lower temperatures than clinical rooms.
- Replacing – Replace heating equipment with most energy efficient at the end of its life.
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Electricity based heating
- Replacing – ‘Electrify when it dies’ mantra to replacing gas fired equipment e.g. heaters/boilers with electric versions e.g. Air Source or Air to Air Heat Pumps.
- Install an air source heat pump (ASHP) steps include such as reviewing (and possibly increasing) the capacity of the fuse board, swapping radiators to enable lower temperature flow rates and investing in insulation and building fabric to reduce heat loss.
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Use renewable electricity for heating
- Purchasing 100% renewable electricity – See Switching Energy Provider project.
- Producing own renewables e.g. solar PV. The UK solar industry body is Solar Energy UK – https://solarenergyuk.org/.
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Heating Plan
Tailor this Heating plan for your practice.
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Behaviour Change Programme
- Advertise the plan and tips for energy saving to patients and staff using newsletters, posters, stickers, videos and incentives.
- Ensure staff are aware of their responsibilities.
- Provide regular reminders.
- Here is a Newsletter article on saving energy and helpful resources which can be adapted for patients and staff.
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Monitor Heating Use
Keep an eye on the energy bills to see if use has reduced. You might like to do occasional sweeps of the heating system e.g. radiators left on? Drafts? Hot spots?
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Study
Review the results, summarise learning, share with practice team + decide if any changes are needed to improve the process. Use the Project Monitoring form to keep track of the project and when it might need reviewing.
How to scale this project up or down
Please note - Use of this project requires NetworkPLUS membership. If you would like to share this project with others, please invite them to purchase their own membership—access must not be shared with non-members. |
Larger organisations such as PCNs, ICBs and Health Boards all have the opportunity for negotiating better tariffs and rates through combined purchasing power.
Have you completed this QIP?
Tell us a little about your project in order to generate a certificate showing the probable benefits. This project may help with CQC evidence submission (see disclaimers).
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