This research briefing paper was prepared in collaboration with the Institutional Rhythms and Energy Demand Working Group and presented to the Northern England Sustainability and Health Network. It provides ideas and suggests potential opportunities for energy and mobility demand management in the NHS.
The paper examines two examples of ordinary working arrangements that hold in place particular patterns of demand for energy and travel: the first is the discharge process and the second patient transport.
It describes the sequences and synchronisations of the ordinary working activities involved that result in energy-intensive pinch points in ways of working and the boundaries of responsibility that hold them in place. Potential opportunities are identified in reconfigurations that are already taking place in hospitals, that might be adapted and adjusted, to shape patterns and profiles of demand for energy and travel and reduce associated carbon emissions.