The UK's Clean Air Hospital Framework: The Role of Hospitals as Anchor Institutions in Achieving Improved Air Quality Within the Communities They Serv

英国清洁空气医院框架：医院作为关键机构在改善其服务社区的空气质量方面的作用

• 批准号: 2743070
• 金额: --
• 依托单位: Northumbria University
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2743070
• 关键词: UK; Clean; Air; Hospital; Framework

Air pollution has been associated with an increase in the number of health cases such as asthma, stroke, cardiovascular diseases, lung cancer, and others, in hospitals (Kampa and Castanas 2008, Great Ormond Street Hospital and Plan 2021). The UK government acknowledges poor air quality as the largest environmental risk to public health and gave a lower limit financial estimate of £8 billion as the cost of its impact on the UK economy in 2010 (Brunekreef and Holgate 2002, House of Commons Environmental Audit Committee 2010). The healthcare system, which is responsible for catering to the health care needs within society, is itself responsible for about 4-5% of global Greenhouse Gas emissions and associated ambient air pollutants (Watts, Amann et al. 2019). The situation is made worse with over 2000 health centres and 200 hospitals are in areas with average fine particulate matter (PM2.5) levels above World Health Organisation recommended annual average of 10ug/m3(British Lung Foundation 2018). Consequently, the NHS has seen a need to look inwards to reduce air pollution and carbon emissions, and in 2019 Newcastle upon Tyne Hospitals NHS Foundation Trust (NuTH) declared a Climate Emergency becoming the first healthcare institution in the world to make such commitment. This declaration commits the NuTH to actively reducing their carbon footprint and improving on air quality towards a sustainable healthcare system.As part of NuTH Climate Emergency Strategy and in compliance with UK government regulatory requirements (e.g Health and Care Act 2010), the NuTH is implementing the Clean Air Hospital Framework (CAHF) to effectively address its indoor and ambient air pollution. This project, therefore, seeks to monitor implementation and evaluate the effectiveness of CAHF as a tool towards achievement of clean air within two member hospitals of the NuTH, the Royal Victoria Hospital and the Freeman.This project will seek to answer the following questions.1.What are the strengths and weaknesses of the CAHF as an effective and sustainable model for air pollution and carbon reduction within the NHS and other high human resource organizations using the participating hospitals as case studies?2.What is the impact of CAHF implementation on air quality at the NuTH hospital sites and in the wider locality?3.What are the health improvement opportunities for hospital staff, patients, visitors, and the wider community that is provided by the CAHF implementation?The overall aim of this project is to study, for the first time, how an integrated net-zero carbon, and clean air strategy, based on the CAHF, can improve ambient and indoor air quality at major urban hospital sites, whilst at the same time contributing to achievement of the hospitals' net-zero carbon targets. Further, it will investigate the role of hospitals as anchor institutions in improving air quality within the communities that they serve, and the health benefits this will bring. This project will draw on computational analysis of data from activities that are informed by the seven focus areas of the CAHF guideline: Travel, Procurement & Supply, Design & Construction, Energy Generation, Local Air Quality, Communication & Training, and Outreach & Leadership. Methodologies based on air quality modelling and monitoring will be developed to evaluate the impact of CAHF implementation on air quality in the local and wider areas. Overall, the work will allow the estimation of health improvements (in terms of Daily Adjusted Life Years) to staff, patients, and the wider community. The project will also consider opportunities and challenges of integrating the CAHF strategies into the wider NHS and Newcastle city strategies for improving air quality.This study is aligned with the EPSRC's transforming health and healthcare strategic priority through its contribution to the development of a sustainable healthcare future,a clean air environment,and achievement of the UK's net-zero target

空气污染与医院中的哮喘，中风，心血管疾病，肺癌等人的健康病例数量增加有关（Kampa和Castanas 2008，Great Ormond Street医院和计划2021年）。英国政府承认，空气质量差是公共卫生的最大环境风险，并给出了80亿英镑的下限财务估计，因为其对2010年英国经济的影响成本（Brunekreef and Holgate 2002，2002年，下议院环境审计委员会2010年）。负责满足社会内部医疗保健需求的医疗系统本身是全球温室气体排放和相关环境空气污染物的约4-5％（Watts，Amann等人，2019年）。由于2000多个卫生中心，在平均颗粒物水平（PM2.5）水平高于世界卫生组织的地区的地区，情况更加严重，因此有200家医院建议的年平均水平为10ug/m3（英国肺基金会2018年）。因此，NHS已经有必要调查减少空气污染和碳排放，并在2019年纽卡斯尔对泰恩医院NHS基金会信托基金（NHS Foundation Trust）（NUTH）宣布气候紧急情况成为世界上第一个做出这种承诺的医疗机构。诺斯（Nuth）承诺积极地减少其碳足迹并改善空气质量对可持续的医疗保健系统。作为Nuth气候紧急策略的一部分，并符合英国政府监管要求（例如，2010年的Health and Care Act），NUTH正在实施清洁空气医院（CAHF），以有效地解决其陆上和环境空气污染。因此，该项目试图监视实施并评估CAHF作为在NUTH，皇家维多利亚医院和弗里曼的两个会员医院中实现清洁空气的工具的有效性。该项目将寻求以下问题。1。 studies?2.What is the impact of CAHF implementation on air quality at the NuTH hospital sites and in the wider locality?3.What are the health improvement opportunities for hospital staff, patients, visitors, and the wider community that is provided by the CAHF implementation?The overall aim of this project is to study, for the first time, how an integrated net-zero carbon, and clean air strategy, based on the CAHF, can improve ambient and indoor air quality at major urban hospital站点，同时为实现医院的净零碳目标做出贡献。此外，它将调查医院作为锚固机构在改善其服务社区中的空气质量方面的作用，以及这将带来的健康益处。该项目将借鉴来自CAHF指南的七个焦点领域的活动的数据分析：旅行，采购与供应，设计与建筑，能源产生，本地空气质量，交流与培训以及外展与领导力。将开发基于空气质量建模和监测的方法，以评估CAHF实施对本地和广泛区域空气质量的影响。总体而言，这项工作将允许对员工，患者和更广泛社区的健康改善（根据每日调整的生命年）进行估算。该项目还将考虑将CAHF策略整合到更广泛的NHS和纽卡斯尔城市策略以改善空气质量的机遇和挑战。这项研究与EPSRC的转型健康和医疗保健策略优先级一致。