Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022

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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
Mid-Essex Hospital Services NHS Trust

             Travel Plan
             2018 – 2022

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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
Executive Summary

During 2016, over 75% of staff travelled to work by car with over 60% driving alone in single
occupancy journeys. Since 2007 business mileage has also consistently been the second
highest contributor to Scope 3 carbon emissions. In 2016, business miles added in excess
of 410,000 road miles with the Trust’s van fleet tallying a further 235,000 miles (Figure 1).

Experiencing a 78% increase of patient activity since 2007 (published within 2017/18 Carbon
Footprint Report), together infrastructure and service pressures are already being felt.

        Business Mileage                                    2014/15     2015/16 2016/17
        Mileage claimed (miles)                             503,107     454,853 418,987
        Carbon emissions generated (tonnes CO2)               168         152     140
        Expenditure on mileage claims (£ sterling)          281,740     239,985 222,969

        Trust Van Fleet Mileage
        Mileage (miles)                                     148,934     240,032 235,147
        Carbon emissions generated (tonnes CO2)                58         71      70
        Expenditure on mileage claims (£ sterling)*          83,403     127,216 124,628
Figure 1: Table of business and Trust van mileage, emissions and cost. *For comparisons the same
   cost for business miles has been attributed to the van fleet. The van fleet was switched in 2015.

Essex County Council predicts a further 7% increase in the Chelmsford area alone by 2025.
If the Trust does not continue to invest in reducing the amount of road traffic it will be
negatively contributing to increased pollution, parking pressures, congestion affecting the
health and wellbeing of the community and environment. Associated costs will also rise.

A Travel Plan (TP) is one approach that can aid in the reduction of infrastructure stresses. A
TP is a package of actions designed by an organisation that encourages sustainable travel
options. This document sets out Mid-Essex Hospital Service NHS Trust’s approach in
reducing single car journeys by 15% over the next 5 years. It builds upon the Access to
Broomfield Strategy set in 2012, spreading across to all sites.

The objectives of this TP are:

   1. To decrease the use of single occupancy vehicles where appropriate.
   2. To encourage, promote and facilitate the use of more sustainable modes of transport.
   3. To improve the choice of alternative transport available to staff.
   4. To optimise use of staff and patient parking facilities.
   5. To assess, and improve accessibility to the Trust sites for additional sustainable
      transport modes.
   6. To support technological advances in reducing the need to travel whilst maintaining
      quality care to patients, visitors and staff (care closer to home, video conferencing).

Proposed actions include an enhanced cross-site communications strategy, reviewing
technological advances for telephone/video conferencing and reviewing the feasibility of
electric vehicle charging points and a dedicated electric car pool fleet.

The TP sits alongside the Trust’s Sustainable Development Management Plan (SDMP),
working towards the NHS Carbon Reduction target of a 34% reduction by 2020, and 80% by
2050 (based on a 2007 baseline).

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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
Table of Contents
Table of Contents.................................................................................................... 3
  1.    Introduction .................................................................................................. 3
  2.    The Importance of Travel Plans in the NHS ..................................................... 4
  3.    Developing MEHT’s Travel Plan ...................................................................... 4
  4.    MEHT Site Locations and Access .................................................................... 5
  5.    Trust Sustainable Initiatives ......................................................................... 11
  6.    Staff Travel Survey & Transport Modal Shift .................................................. 13
  7.    Objectives & Targets .................................................................................... 16
  8.    Measures & Actions ..................................................................................... 17
  9.    Monitoring & Review .................................................................................... 22
  10.      References ............................................................................................... 22
  11.      Appendix ................................................................................................. 23

1.       Introduction

The NHS is the single largest organisation in the UK, and accounts for 3% of national
emissions and 5% of all UK road travel. Population growth increases infrastructure and
service pressure making it imperative for the NHS to reduce its impacts on its servicing
community. In Chelmsford and the surrounding areas, populations have been increasing for
the past 10 years, and are set to continue; Essex County Council predicts a 7% increase in
the Chelmsford area alone by 2025 (~180,000).

A Travel Plan (TP) is one approach that can aid in the reduction of infrastructure stresses.
A TP is a package of actions designed by an organisation that encourages sustainable travel
options. By reducing car travel, the NHS can improve health and wellbeing, reduce
congestion, and make a positive contribution to its community and environment.

A successful TP will depend on a positive modal shift:
  A modal shift is the percentage of commuters using a particular type of transportation or
    number of trips using said type. Modal shift is an important component in developing
sustainable transport initiatives in congested areas to realise a change between modes, and
 usually encompasses an increase in the proportion of trips made using sustainable modes.

1.1      National & Regional Policies

In 2008, the UK adopted The UK Climate Change Act that set emission reduction targets
for all organisations. Internationally, further advances came in the 2015 United Nations
Paris Agreement, setting out a global ambition to limit climate temperature increase to no
higher than 2oC. It supports legally binding commitments aimed at every organisation to
achieve an emission reduction of 80% by 2050, as set out in the Climate Change Act (2008).

Nationally, the Planning Policy Guidance Note 13: Transport (PPG13) aimed to integrate
planning and transport at all levels. Now superseded by the National Planning Policy
Framework (NFPP – Paragraphs 29-41) and NFPG (Policy Guidance); these documents
detail the advantages of Travel Plans on sustainable travel. They state that Travel Plans will
vary in content and objectives, but will be a key component in the reduction of journeys
made by unsustainable modes of transport.

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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
Regionally, The Essex Transport Strategy (LTP3 for Essex) has a vision for a transport
system that supports sustainable economic growth and helps deliver the best quality of life
for the residents of Essex. It consists of a Transport Strategy and an implementation plan
setting out long-term goals with detail of how outcomes will be achieved.

2.      The Importance of Travel Plans in the NHS

In the NHS, the sustainable ambition is likewise taken seriously, with the NHS Sustainable
Development Unit (NHS SDU) publishing the NHS Carbon Reduction Strategy - Saving
Carbon, Improving Health to ensure emission reductions in line with legal requirements.

The latest Carbon Footprint Report (January 2016 based on 2015 data) has the NHS carbon
footprint in England as 22.8 million tonnes of carbon dioxide equivalents (MtCO2e).
However, between 2007 and 2015 the NHS England footprint has reduced by 11%.

Even though this is encouraging, all healthcare providers must continue reducing their
impact on the environment to reduce the effects of climate change.

Transport plays an important part, if the NHS does not continue to control and reduce the
amount of road traffic to its sites multiple risks could be faced including;
    Increased congestion causing delays, stress to all road users and degrading the
      Trust’s relationship with local residents
    Increase in road related accidents and related cost pressures
    Increased parking issues, causing additional stress to patients, visitors and staff
    Increased noise pollution, lowering the quality of life locally
    Decreased air quality, and possible increase in respiratory health problems
    Perpetuation of a low exercise culture in staff and patients, with increased related
      health problems and related cost pressures
    Carbon footprint increases with additional emissions emitted to the atmosphere.

3.      Developing MEHT’s Travel Plan

The Trust meets with both Essex County and Chelmsford City Councils to discuss issues
with congestion, road improvement, sustainable travel and future needs. The Trust formally
supported the Essex County Council’s bid to the South East Local Enterprise Partnership
(SELEP) for proposed improvements along the A131 (Chelmsford – Braintree corridor). In
2014 the Trust contributed £240,000 towards S106 transport schemes.

The Trust’s largest site, Broomfield Hospital, has seen infrastructure development in two
onsite multi-storey car parks and the creation of the ‘Access to Broomfield Strategy’ in
2012; aimed at improving access, managing parking demand and encouraging alternative
modes of transport.
                                                         This strategy also supported the
                                                         Essex County Council’s Sustainable
                                                         Modes of Travel Strategy that
                                                         focusses on trying to alleviate some
                                                         of the strain on the local road
                                                         networks. Having six key pillars (see
                                                         Figure 1), working in four distinct time
                                                         phases and it’s currently in the third
                                                         and fourth (Appendix 1).

     Figure 1: Six pillars of the Access to Broomfield
     Strategy that lead to an initial travel plan review.
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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
The strategy links into MEHT’s Sustainable Development Management Plan (SDMP) where
Travel & Transport is embedded into the sustainable agenda, outlining objectives;
    Having policies to support the promotion of sustainable methods of transport
    Working closely with strategic partners to provide healthy and safe travel options
    Developing plans minimise traffic, promote active travel and use of public transport.
    Adopting targets to reduce the need for business travel and mileage

Setting out the Trust vision and goals for “Making a Difference
to Secure Our Future” a TP will now aid in this overall focus.

A Travel Plan is therefore being adopted across the Trust.
Objectives and measures identified in this plan will, where
appropriate, have developed from the ‘Access to Broomfield
Strategy’, national and local policies and guidance.

It focuses on the Trust’s largest site, Broomfield Hospital, with
inclusion of the smaller sites. This Travel Plan is a living
document from 2018-2022.

4.     MEHT Site Locations and Access

The Trust manages three sites spread over the Essex region;
    4.1 – Broomfield Hospital in Chelmsford
    4.2 – St Peter’s Hospital in Maldon,
    4.3 – St Michael’s Hospital & Braintree Community Hospital in Braintree.

4.1    Broomfield Hospital

The Trust provides the majority of services at the Broomfield Hospital site based in
Chelmsford (Figure 2).

                            Figure 2: Ariel view of Broomfield Hospital

The hospital is situated off the B108 between Broomfield and Little Waltham, surrounded by
services including Farleigh Hospice, Chelmer Valley High School and Nursing Home with
Seymour House Nursery located on site. The city of Chelmsford is approximately 4miles
away, with the A12 5miles and in relation to other Trust sites; 9miles from Braintree
Community Hospital and 15miles from St. Peter’s in Maldon.

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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
Modes of transport to site

  A ‘wayfinding’ map is displayed throughout the site and incorporated into an easy to read
  leaflet widely distributed.

  By Car
  Car parking is available for patients and visitors’, however with limited spaces
  recommendations are given to leave in plenty of time as it may be difficult to park.

  Car parking spaces on site comprise of;
                        Ordinary Spaces             Liftshare Spaces          Disabled Spaces
  Staff Parking            1328                     28                        5
  Patient Parking          710                      N/A                       60
  Total                    2038                     28                        65

  Car parking charges apply to staff, and operate through either of several options;
      Scratchboard £4.35 for 5 days (non-consecutive)
      Monthly payment £17.34 for full-time staff
      Monthly payment £8.67 for part-time staff

  Car parking charges to apply to patients, and operate through a pay and display system;
      Up to 15minutes – Free
      15minutes to 3hours - £3.00
      3 to 5 hours - £4.00
      5 to 24 hours - £6.00

  Concessionary parking is available (see Figure 3);

                                    Car Parking Concessions
         Type of concession                                         Details
                                               Patients
Disabled Blue Badge Holders              Dedicated, priority car parking bays – free of charge
                                         Patients receiving treatment for three or more
Frequently returning patients
                                         consecutive days. £3 daily ticket / £15 seven day ticket
                                         On proof could claim travel expenses and car parking
Recipient of benefits
                                         cost through the “Healthcare Travel Cost Scheme”
                                                Carers
                                         A carer’s pass must be presented to the cashiers’
Carers of patients with cognitive
                                         office (one pass per patient). £3 daily ticket / £15 seven
impairment
                                         day ticket
Parents of children that has been        One pass per parent – tickets available from the cashiers
admitted                                 office. £3 daily ticket / £15 seven day ticket
                                               Visitors
Visitors of inpatients expecting to be
                                       £15 Seven day ticket
in hospital for longer than 7 days
Visitors of patients that has been an
                                       Two passes per patients - free of charge
inpatient for longer than four weeks
Swan Initiative (families of patients  Concessionary tickets available for two cars per patient.
on the end of life pathway)            £3 daily ticket / £15 seven day ticket
*Concessionary tickets are non-refundable
            Figure 3: Concessionary parking table for the concessions available at Broomfield Hospital

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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
By Motorcycle
Motorcycle bays are free of charge with a total of 69 available, incorporating;
    10 secure motorcycle parking bays with lockable storage and integrated chains
    59 normal motorcycle spaces in patient areas

Chelmer Park & Ride
Park & Ride services are available from Chelmer Valley to Broomfield Hospital routinely Monday to
Friday.
     Standard park and ride charges (£3.60 per adult, free to concessionary pass holders
        after 9.00am and a subsidy to 87p for staff).
Chelmer Valley Park and Ride is located on the A130 east of Essex Regiment Way,
accessed from the Pratts Farm Roundabout, around 5miles in distance.

By Community Transport
Chelmsford Community Transport provides a voluntary door-to-door services for individuals
with mobility issues or lack of own transport;
     Operating Monday – Friday 9am – 5pm
     Concessionary bus pass may be used for journeys in a minibus only.
     For multiple passengers at the same address and travelling to the same destination:
       1st passenger pays full price, 2nd and subsequent passengers pay half price.
     Single journeys start at £3.00 and vary depending on journey distance.

By Bus
Broomfield Hospital is serviced by 7 regular bus routes, operated by First Bus, and travelling
through various areas of Chelmsford and further afield throughout the Essex region;
     70: Colchester – Chelmsford
     70X: Colchester – Chelmsford
     42: Howe Street – Broomfield Hospital
     42A: Stansted Airport – Broomfield Hospital
     542: Great Dunmow - Broomfield Hospital
     40: Chelmsford - Great Baddow
     47: Chelmsford - Broomfield Hospital.

By Rail
Direct buses can be caught from the central bus station which is a few minutes’ walk away
from the mainline Chelmsford Station. Regular services to stations between London
Liverpool Street and Ipswich are every 20 minutes; all provided by Greater Anglia.

A frequently populated taxi rank is situated outside the station’s back entrance and is
approximately 4miles away from the hospital, with a taxi fare commonly £10-£20.

By Cycling
A dedicated cycle lane runs alongside hospital approach road. For cycling facilities, there are 28
lockable storage bays with an additional 92 across the site, totaling 120 (see Figure 4).

Essex County Council has produced a Chelmsford Cycling Map, available at Broomfield identifying
cycle friendly routes and those dependent on the cyclist’s experience. The map provides benefits of
cycling in addition to safety tips.

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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
Figure 4: Cycling bay parking facilities available at Broomfield Hospital.

By Walking
No maps or clear signage of routes are available, however pavements are around the hospital
approach roads for a safe walking route. Gravel footpaths also run within the woodland areas, joining
up to cycle routes locally. The benefits of walking are communicated with events and a twilight bat
walk programme on site.

4.2    St. Peter’s Hospital

St. Peter’s Hospital (Figure 5) is located in the town centre of Maldon, operating maternity
and outpatient clinics, approximately 14miles away from the main Trust site at Broomfield
and . ‘A’ roads A414 and A12 are 4miles and 11miles respectively.

             Figure 5: Photograph looking at the front entrance of St. Peter’s Hospital.

Modes of transport to site

By Car
Car parking is free of charge, 163 parking bays are available with 11 disabled spaces.

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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
By Community Transport
Viking Community Transports provides a voluntary door-to-door service for individuals with
mobility issues or lack of own transport;
     Operating Monday to Friday
     Single journeys start at £3.00 with a 50p increase per mile

By Bus
St. Peter’s Hospital is serviced by 6 regular routes, operated by First Bus and travelling from
surrounding towns and villages that can be taken to the hospital;
     31X: Chelmsford – Burnham on Crouch
     73/73A: Maldon – Chelmsford
     75: Maldon – Colchester
     90: Witham Blackwater link via Wickham Bishops
     95: Tollesbury – Maldon

Extra services also run on specified days of the week linking Maldon with surrounding rural
areas including Asheldham, Tillingham, St Lawrence, Woodham Walter and Southminster.

By Rail
There is no railway station in Maldon, with Chelmsford the nearest and is approximately
30minutes away by car or taxi (see above).

By cycling
Essex County Council has produced a Maldon Cycling Map, accessible online to identify cycle friendly
routes and those dependent on the cyclist’s experience. On-road cycle routes travel close in proximity
to St. Peter’s and lead through the town centre. The map provides benefits of cycling in addition to
safety tips.

By Walking
No maps or clear signage of routes are available, however pavements are around the hospital
approach roads for a safe walking route.

4.3    St. Michael’s & Braintree Community Hospital

Located on the outskirts of Braintree, both St. Michaels & Braintree Community Hospitals
(Figure 6) back onto one another, a few 100feet a park and therefore have similar transport
facilities. St. Michael’s has a specialist birthing centre, a range of therapy services, with no
inpatient wards on site. Braintree Community Hospital offers a variety of scanning facilities
alongside physiotherapy and rehabilitation services.

      Figure 6: Photographs of St. Michael’s above, with Braintree Community Hospital below.

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Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
Modes of transport to site

By Car
Car parking is free of charge, 182 parking spaces available, with 11 disabled bays.

Community Transport
Braintree Community Transport provides a voluntary door-to-door service for individuals with
mobility issues or lack of own transport.
    Operates 7 days a week
    Single journeys cost £3.50 up to 5 miles or 70p per mile over 5 miles
    Return journeys are available, with one way drop offs on offer to the other Trust sites

By Bus
St. Michael’s & BCH are serviced by 8 regular bus routes operated by First Bus and
travelling from surrounding towns and villages:
     21: Braintree via Bocking and Black Notley
     30 & 34: A 6 day circular service covering Braintree
     70/70X: Colchester – Chelmsford
     89/89B Covering Braintree
     133: Stansted Airport – Great Dunmow via Braintree

Other services run on specified days of the week, linking Braintree to the surrounding towns
and villages such as Terling, Saffron Walden, Hatfield Peverel and Stisted

By Rail
Braintree has a railway station in the town centre, less than a mile away with hourly trains on
the London to Ipswich line, giving access to both sites.

By cycling
Essex County Council has produced a Braintree Cycling Map, accessible online to identify cycle
friendly routes and those dependent on the cyclist’s experience. An off-road cycle routes is available
to the back of the hospitals. The map provides benefits of cycling in addition to safety tips.

By Walking
No maps or clear signage of routes are available, however pavements are around the hospital
approach roads for a safe walking route.

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5.     Trust Sustainable Initiatives

Implementation of alternative sustainable forms of transport is outlined below.

5.1    Staff Liftshare

Car sharing is when there is more than one occupant in a private car. Cars are shared on a
regular basis with friends and family, without thinking about it. However, there are often
times when a driver has empty seats simply because they don't know anyone who needs a
lift or they might not be aware of the benefits of sharing.
Liftshare, the UK’s leading car sharing provider, enables organised car sharing by
connecting people travelling in the same direction to travel together and share the costs,
reducing congestion and pollution. The Trust has partnered with Liftshare to provide this
travel incentive at the largest Broomfield Hospital site. There are currently 329 members
and 70 activated ‘Budi Groups’ representing a 22% success rate in finding a compatible
match. 28 allocated parking bays are available to accommodate these ‘Budi Groups’, with
review as the uptake increases.
5.2    Cycling
Cycling is known to have a variety of health benefits whilst also reduces travel expenditure,
carbon emissions and congestion; the Trust promotes cycling throughout its sites. Cycle
route maps, produced by Chelmsford Council are available for accessible and cycle friendly
ways to the Trust sites (see Figure 7).
                                                          Figure 7: Cycle bay facilities located
To encourage increased staff participation in this         outside Broomfield’s main entrance
mode, a salary sacrifice scheme is available
through Cycle Solutions whereby new equipment
can be purchased with a 32%-42% saving.
Interest free salary advances for cycling
equipment is likewise available. For those who
haven’t cycled for a long period, adult cycle
training at discounted prices is accessible
through Essex Highways.

A partnership has been established with Dr. Bike for frequent attendance at Broomfield
Hospital offering discounts for bicycle repairs, ensuring there’s a variety of initiatives to
encourage, and keep staff utilising alternative modes of transport.

5.3    Bus Travel
Recognising both full-time, part-time and shift workers within the Trust, 10 subsidised
options are available that started in 2009. Subsides can rise to 50%, with a convenient 12
journey ticket also available for staff working shifts available at a discounted rate of £1 per
journey. First bus staff are on site to sell tickets and provide information bus routes/services
frequently. Interest free salary advance is available for bus travel.

During 2017/18, 7799 discounted tickets were sold having a normal value of £330,643.
However, the allocated subsidies equated to a £77,093.25, or 25% saving.

Since November 2015, a Shuttle Bus service has run between Broomfield Hospital and the
Chelmer Valley Park and Ride Station. Running every 23minutes Monday – Friday, this
service encourages staff to take the bus for part of their commute.

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Figure 8: Secure motorcycle
                                                                    facilities located outside
5.4    Motorcycle Bays                                            Broomfield’s main entrance

Motorcycle bays are free of charge. In 2016, 10 secure
motorcycle parking units were installed at the front of
Broomfield Hospital’s main entrance (Figure 8). These
units, supplied by MotoParking UK are the first of their kind
in any healthcare organisation and provide free, secure
parking and equipment storage. 59 additional staff spaces
are available within the multi-storey car park.

5.7    Transport Purchase Discounts
Discounts are available at local retailers to Trust staff to purchase cycles, motorcycles and
associated equipment. Incentives are through direct contact in shop, it is not known how
many have taken up these discounts.

5.6    Walking

Pavements around the roads on each site ensure of a safe walking route. At Broomfield
Hospital, gravel footpaths run within the woodland areas, joining up to routes locally. The
benefits of walking are communicated; eight events took place between 2017 and 2018 to
support national initiatives (National Walking Month, European Mobility Week). A Twilight
Bat Walking programme has been established at Broomfield Hospital, promoting active
lifestyles with benefits of walking in partnership from the local Heart & Sole walking group.

5.7    Personal Travel Plan

If a member of staff is unsure about what transport options are available, they can apply for
a Personal Travel Plan. By using postcodes and shift/work pattern a personal plan can be
generated to ensure all suitable methods are known. Broomfield Hospital is currently the
only site where this plan is available.
The Travel Team host travel stands during new staff induction days to also highlight those
options available, with detailed information easily located on intranet pages.

                                       5.8     Travel Centre & Awareness
                                       5.8.1 Travel Centre (Broomfield)
                                       Since 2015, the Travel Centre (Figure 9) provides
                                       comprehensive information, and support for
                                       commuting alongside personal travel plans to choose
                                       more sustainable travel options. The range of
                                       available permits, public transport and salary loans
                                       are all accessible from this location.
  Figure 9: Travel Centre opening in
                2015

5.8.2 Social Media
The Trust’s Sustainability Team promotes alternative modes of transport across their three
social media platforms (Facebook, Twitter & Instagram). Having over 500 followers, with
~15k views a month, these serve as increasinly popular ways to convey information.
5.8.3 Online Resources
Information on the Trust’s internal internat and external internet pages are kept up-to-date
for easily accessible information.

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6.         Staff Travel Survey & Transport Modal Shift

With the aim of establishing the transport used for travelling to Trust sites – identifying
success of implemented sustainable travel schemes alongside avenues of improvement.

The most recent staff travel survey data (see Figure 10) is from all Trust sites but
predominantly focussed on Broomfield Hospital:

                                                 2014          2016                      Variance
                                Annual Travel Survey Responses
     Amount of survey responses received        1,253          1,414                       +161
                                                                                        responses
     Annual survey response rate                    27.86%                30%
                                                                                       +2.14%
                                           Modes of transport
     Drive (alone)                               845 (67.4%)          937 (66.2%)
                                                                                        -1.20%
     Bus                                          139 (11.1%)         190 (13.4%)
                                                                                       +2.30%
     Car Share (as driver or passenger)           126 (10.1%)          90 (6.4%)
                                                                                        -3.70%
     Car dropped off by family or friend           34 (2.7%)           39 (2.8%)
                                                                                       +0.10%
     Cycle                                         41 (3.3%)           33 (2.3%)
                                                                                        -1.00%
     Walk                                          41 (3.3%)           93 (6.6%)
                                                                                       +3.30%
     Rail plus other form of transport             19 (1.5%)           19 (1.3%)
                                                                                        -0.20%
     Motorcycle/Moped                               8 (0.6%)            14 (1%)
                                                                                        +0.40%
                Figure 10: A table illustrating the 2014 & 2016 staff travel survey results

The 2016 data concluded that over 66% of staff drive to work alone (see Figure 11), a 1.2%
decrease from 2014 and though this represents a positive reduction, further analysis
revealed the reasoning’s behind their choice to drive at Broomfield and scope for further
reductions.

      Figure 11: A pie chart illustrating the reasoning behind single car journeys for staff in 2016

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Key findings from the travel survey feedback data (2016):

         An increase of participation (+2.14%) is a positive indication of staff taking travel
          seriously, wanting to comment on current, and recommending initiatives.
         A reduction in staff driving to work alone has been achieved – the 1.2% reduction
          equates to approximately 92 people per survey data.
         Bus use has increased with various discounts and subsidies offered to staff.
         The number of staff who walk to work has doubled (+3.3%).
         Motorcycle/moped use has increased (+0.4%), coinciding with the installation of the
          10 secure parking and storage facilities.
         The survey results suggest that the number of staff car sharing has reduced,
          however the survey feedback data was not found to be relative to the membership
          performance data of the Liftshare Scheme. Compared to 2018 data, there are now
          329 members and 70 sharing groups. 22% have been able to find a sharing group.
         The survey results suggest that staff cycling to work has reduced

6.1       Parking Pressures & Requirements

The Trust has experienced a 78% increase of patient activity since 2007 (published within
2017 Carbon Footprint Report), with 2011 calculations on Broomfield Hospital indicating an
average of over 1,900 additional people on site per day.

At Broomfield Hospital, the largest site with highest activity, physical vehicle counts were
undertaken over a two week period in 2015 and 2016 and identified the total number of
vehicles parked on site at any one time, both inside and outside of formal car park spaces.
The counts were compared to increases in patient activity and the rise in staff numbers over
the same period to provide a percentage highlighting modal shift (Figure 12).

                  Parking bays           Total Cars Parked on-site          *Daily patient and
                  (staff and patient     (Total Average between             staff combined
                  & visitor)             the two counts)                    activity
 2015             1,934                  2,222                              7,823
 2016             1,934                  2,246                              8,438
 Numerical        0                      24 additional cars per day         615 additional people
 Increase                                                                   per day
  Figure 12: Table highlighting the parking space counts in 2015 and 2016. *Patient activity was
   calculated from A&E activity figures, admissions and outpatient activity, while staff activity was
               obtained from HR headcount data, November 2015 and October 2016.

Lower than expected vehicle increases for the increases in activity numbers suggest that
staff and patients may be choosing alternative modes of transport. Without this modal shift
an additional 150 cars would be coming on to site on a daily basis.

Staff numbers have likewise increased travelling a variety of distances but putting additional
pressures on infrastructure (see Figure 13).

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Broomfield                                                               Chelmer Valley
       Hospital                                                                 Park & Ride

      3 mile radius

      2 mile radius

      1 mile radius

        Figure 13: A map of staff postcode mapping data undertaken by Essex County Council

The postcode mapping statistics highlights that:
    338 staff (5.4%) live within 1 mile
    1,101 staff (17.5%) live within 2 miles
    1,938 staff (30.9%) live within 3 miles

Roughly half the Trust staff live within a 9.3km (5.8) miles median - roughly the distance to
Great Notley, Hatfield Peverel or Galleywood. The Trust requested that the postcode data
be mapped over the public transport infrastructure map, however this was not possible.

6.2      Enforcement

The only site that has parking charges and enforcement is Broomfield. The remaining sites
had past visits to establish parking misuse but no formal review plans have been created.

At Broomfield, a team of parking attendants conduct regular checks of all parking facilities,
with enforcement undertaken by contractor Gemini. A Parking Charge Notice (PCN) will be
issued to anyone who fails to comply with the parking policy.
     A charge of £80 if not paid within 14 days
     A reduced £40 if paid within 14 days
     Details of how to pay will be provided on the notice
     Appeals can be made to any PCN received
     Appeals will need to be addressed directly to the Trust’s enforcement agent
     Failure to comply repeatedly would be in breach of the Trust’s Disciplinary Policy

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6.3      Business Mileage

Investing in outreach clinics and telemedicine has allowed a relative reduction of patients
visiting our site, with ‘Care Closer to Home’ and services by phone and the internet.
Technological advances will allow these systems to become more efficient and increasingly
accessible; business mileage can like reduce with these advances. Innovations in
conferencing, webinars and encouragement of alternative forms of transport can likewise
assist in the impacts associated with business mileages.

            Business Mileage         2014/15    2015/16 2016/17        Variance (between
                                                                       2014/15 & 2016/17)
        Annual mileage               503,107    454,853 418,987
                                                                            -16.72%
        claimed
        Annual CO2 emissions           168         152        140
                                                                            -16.67%
        generated (tonnes CO2)
        Annual expenditure on        281,740    239,985 222,969
                                                                            -20.86%
        mileage claims (£)
Figure 14: Table illustrating the business mileage claimed with associated cost and emissions for the
                                           past three years.

Since reporting on the Trust’s carbon footprint began in 2007 business mileage has been the
second highest contributor to Scope 3 emissions at the Trust (after procurement/operational
activities). However, positive reductions have occurred during the past three years, with
over 16% fewer miles and generated CO2 emissions alongside a near 21% reduction of
claim expenditure (see Figure 14).

In 2016 the Trust moved across to an online expense management system coordinated by
payroll. Descriptions are required, with sign-off from the line manager to ensure legitimate
claims.

7.       Objectives & Targets

7.1      Objectives

      7. To decrease the use of single occupancy vehicles where appropriate.
      8. To encourage, promote and facilitate the use of more sustainable modes of transport.
      9. To improve the choice of alternative transport available to staff.
      10. To optimise use of staff and patient parking facilities.
      11. To assess, and improve accessibility to the Trust sites for additional sustainable
          transport modes.
      12. To support technological advances in reducing the need to travel whilst maintaining
          quality care to patients, visitors and staff (care closer to home, video conferencing).

7.2      Targets

The success of the plan will be measured through its performance in reducing the modal
share of staff travelling to Trust sites by single occupancy car.

Taking guidance from partnered Trusts, in addition to Essex County Council, modal shift
targets have been derived in-house for the next five years (see Figure 15). Set against the
2016 staff travel survey results, alongside proposals and parking review a 15% reduction
target of single car journeys has been set, with increments in alternative transport modes to
match the 15%.

                                                                                                  16
Mode of Transport         Baseline      Target       Target      Target       Target      Target     Targeted
                           2016          2018         2019        2020         2021        2022      Variance
                                                                                                   after 5 years
Drive (alone)               66.2%        61%          57%          53%         49%         45%       15%
Bus
                            13.4%       13.4%        14.4%        15.4%       16.4%       17.4%       4%
Car Share (as driver
                            6.4%         6.6%         7.8%         9%         10.2%       11.4%       5%
or passenger)
Car dropped off by
                            2.8%         2.8%          3%         3.2%         3.5%        3.8%       1%
family or friend
Cycle
                            2.3%         2.4%          3%         3.7%         4.2%        4.8%      1.5%
Walk
                            6.6%         6.2%         6.8%        7.4%          8%         8.6%       2%
Rail plus other form
                            1.3%         1.4%         1.6%        1.7%         1.9%        1.8%      0.5%
of transport
Motorcycle/Moped
                             1%          1.2%         1.4%        1.6%         1.8%         2%        1%
                        Figure 15: Modal shift targets for the next 5 years, derived in house.

      8.         Measures & Actions

      A set of measures have been derived and broken down into core actions is required to
      develop implementation success. A list of measures, followed by an action plan can be
      found below. Individual Action Points can be subject to change, brought around by changing
      technology, expertise and review, however it allows a visual guide for target achievement.

      Where actions have already been implemented, they will be highlighted alongside future
      proposals and current success of the point.

      8.1        Measures

            1.   Communications & Awareness
            2.   Increasing public transport
            3.   Increasing car share
            4.   Increasing cycling
            5.   Increasing walking
            6.   Parking facilities
            7.   Supporting technological advances to reduce travel needs
            8.   Business travel

                                                                                                           17
8.2     Action Plan
     Stakeholder Key:
            C = Communications Department              CP = Car Parking Team
            EF = Estates & Facilities                  G = Grounds & Gardens
            O = Other department as yet identified     S = Sustainability Team
            EX = External organisation
                                                                       Communications & Awareness
      Action Point                                        Description                                      Stakeholders   Timeframe                 Status
CA1 – Communications       Updating internal & external webpages frequently. Developing further              C, CP, S      Ongoing    Continually developed to service
Strategy                   communication as appriopriate using a variety of media channels                                            & transport needs.
                           (including social media) to enhance awareness and benefits from
                           alternative transport. Feeding strategy to the Sustainability Strategy
                           Group for review, comment & any new trave incentives as identified.
CA2 – Travel Centre        Located at Broomfield Hospital, continue to operate, providing                     CP, S        Ongoing    Achieved & ongoing.
Operations                 comphrensive information on personal travel plans and transport modes
                           available.
CA3 – Travel to work       Produce travel to work leaflet highlighting incentives for staff at               C, CP, S      Summer     Achieved at Broomfield, still to
leaflets for staff         Broomfield, & assess feasibility & need at the smaller sites.                                    2019      review other sites
CA4 – Campaigns            Organise events for National campaigns (European Mobility Week,                   C, CP, S      Ongoing    Achieved & ongoing
                           National Liftshare/Bike to Work Days), providing increased emphasis.
CA5 – Staff induction      Hosting induction stands for new staff (both generally & local                   C, CP, O, S    Ongoing    Stands hosted at each induction.
                           departments), and assessing how to increase uptake during these                                            Need to assess local inductions &
                           essential periods.                                                                                         technology available for greater
                                                                                                                                      awareness
CA6 – Patient/visitor      Showcase and increase awareness to available options for all facility             C, CP, S      Summer     Yet to review and establish
awareness                  users. Such as atrium totem screens, leaflets and patient appointments.                          2019      feasibility.
CA7 – Annual Staff         Review current staff travel surveys to assess impact of initiatives, identify     C, CP, S      Annually   The 2018 survey is due to be
Survey                     areas of success and that to improve. Previous surveys were every two                                      issued November/December.
                           years, Travel accrediations require annual surveys.
CA8 – Personal Travel      Increase awareness of PTP, adding smaller Trust sites with Broomfield so         C, CP, O, S    Spring     Broomfield the only site as yet to
Plan                       all staff can assess the available options. Increase induction information.                     2019       be included on the PTP Widget.

                                                                                                                                                               18
Increasing Public Transport
     Action Point                                        Description                                       Stakeholders   Timeframe                Status
PT1 – Bus stop            Ensure all bus stops well maintained – including free of graffiti, litter, and     EF, G, EX     Ongoing    Continually maintained.
maintenance               displaying up to date times.
PT2 – Promote             Review technology to assist in communications campaign (CA1) and in               S, CP, EX      Ongoing    Achieved & to continue. First Bus
awareness & benefits      how subsidy/discounts can be obtained.                                                                      attend weekly to sell tickets &
                                                                                                                                      purchase available via app. Trust
                          Ensure First Bus have continually updated information & provide sales.                                      in discussion to sell tickets as
                          Link into CA4 & CA5.                                                                                        agent, providing daily availability.

PT3 – Subsidised &        Review current subsidies for both bus and rail.                                    CP, EX        Autumn     Achieved, subsidies in place with
discounted public                                                                                                           2019      communication to travel
transport                 Maintain communication with Greater Anglia & First Bus over needs of all                                    companies. Review to be set for
                          facility users. Conduct review of all Community transport services and                                      all incentives.
                          uptake.
PT4 – On-demand bus       Review feasibility of introducing an on-demend bus service, Essex County           CP, EX        Spring     Research and review yet to be
service                   Council have provided details of Ride, an Uber style service.                                    2020       undertaken.
                                                                            Increasing Car Share
     Action Point                                          Description                                     Stakeholders   Timeframe               Status
CS1 – Promote             Link into CA4 & CA5.                                                                 CP, S       Ongoing    Achieved & ongoing with CA4 &
awareness & benefits                                                                                                                  CA5.
CS2 – Maintain suitable   As liftshare members and budi groups grow, ensure sufficient parking                 CP          Ongoing    Achieved & continuing. Currently
parking locations         space is allocated. Conduct occupancy rates.                                                                28 bays are available only for
                                                                                                                                      liftshare users.
                                                                             Increasing Cycling
     Action Point                                          Description                                     Stakeholders   Timeframe                 Status
C1 – Promote              Link into CA4 & CA5.                                                                 CP, S        Autumn    Achieved & ongoing with CA4 &
awareness & benefits                                                                                                         2019     CA5. Review of Dr. Bike and
                          Refresh Dr. Bike scheme to encourage use. Assess seat cover ‘freebie’                                       additional incentives to take
                          for all bicycles in bays to promote Dr. Bike or equivalent repair                                           place.
                          shops/discounts.
C2 – Map cycle bays &     Review cycle bay & shower maps, making easily available to users.                  CP, C, S      Spring     Leaflets are available but not

                                                                                                                                                                19
shower facilities       Conduct occupancy rates of current bays.                                                      2019      widely distributed as yet.
C3 – Cycle route maps   Providing cycle route maps of the surrounding areas, to the Trust sites.       CP, EX        Summer     Maps are currently available from
                        Essex County Council currently provide maps for around the Broomfield                         2019      Essex County Council; need to
                        Hospital site.                                                                                          review current cycle routes
                                                                                                                                around Trust sites and other
                                                                                                                                available resources.
C4 – Maintain Cycle     Review uptake of the Cycle to Work Salary Sacrifice scheme.                   CP, EX, S      Ongoing    Bi-annual windows for cycle to
Schemes                                                                                                                         work salary sacrifice. Information
                        Salary advance scheme to maintain.                                                                      provided through CA5 for all
                        Research into new possibilities                                                                         schemes. Yet to review any new
                                                                                                                                incentives.
CA5 – Adult cycle       Reintroduce cycle training facilities, Essex County Council can provide        CP, EX        Summer     Was previously available,
training                training.                                                                                     2020      feasibility not yet known.
                                                                         Increasing walking
     Action Point                                     Description                                    Stakeholders   Timeframe               Status
W1 – Promote            Link into CA4 & CA5. Educational opportunities such as bat walks can           CP, C, S      Ongoing    Achieved & ongoing with CA4 &
awareness & benefits    lead to benefits and enjoyment of walking.                                                              CA5.
W2 – Produce walking    Review and assess whether walking maps, with easily accessible routes         CP, S, EX      Winter     Feasibility not yet known.
maps                    can be provided for all Trust sites to encourage, and incorporate benefits                   2019
                        of walking.
W3 – Improve            Review site access for pedestrians, at all locations considering              CP, E, EX      Summer     Footpath between Broomfield &
pedestrian access           Movement through a site                                                                  2020      Farleigh Hospice opened 2017.
                            Potential vehicle conflicts                                                                        Footpath leading to hospital
                            DDA compliance                                                                                     approach (Broomfield) opened
                            Lighting                                                                                           2017. Feasibility not known at
                                                                                                                                other sites.
                                                                         Parking Facilities
     Action Point                                      Description                                   Stakeholders   Timeframe                Status
PF1 – Parking           Complete staff parking consultation and permit reallocation system with         CP, EX        Spring    Consulation complete, application
consultation            weighted points Conduct occupancy rates of all car parks.                                      2019     phase closed and weighting
                                                                                                                                system commenced.

                                                                                                                                                         20
PF2 – Road                   Roadway maintenance, resurfacing, markings and signage undertaken as                 E, CP       Ongoing     Achieved and ongoing as
maintainence                 required.                                                                                                    required.
PF3 - Enforcement            Control measures to ensure compliance and accessibility to all sites. Such          CP, EX       Ongoing     Commenced 2015 at Broomfield
                             as barriers, signage, markings.                                                                              Hospital, tender for renewal 2018.

                                                          Supporting technological advances to reduce travel needs
     Action Point                                         Description                                        Stakeholders   Timeframe                   Status
STT1 – Remote patient        Supporting advances in care closer to home.                                     CP, S, O, EX    Summer     Ongoing. St. Andrew’s Burn unit in
care                                                                                                                           2021     2016 created an outreach clinic for
                                                                                                                                        care closer to home, reducing
                                                                                                                                        congestion.
STT2 – Home working          Look further into home working as an appropriate oractice for specific               O          Ongoing    Feasibility to be looked into.
                             groups.
                                                                                   Business Travel
      Action Point                                           Description                                     Stakeholders   Timeframe                   Status
BT1 – Video                  Identify high business travel user groups (e.g. execs/NEDS/Finance)                 S, O        Spring     Linking into MSB Trusts into current
conferencing                 and assess video conferencing feasibility                                                       2019       systems and feasibility
BT2 – Review the             Current mileage claim figures to be reviewed. Figures vary according to              O          Autumn     Yet to be reviewed.
current mileage clain        a vareity of factors, streamlining may make single car journeys less                             2019
policy                       attractive.
BT3 – Revise the             Create a need for travel justification and appriopriate authorisation.               O          Ongoing    Achieved; line manager/budget
expense claims form                                                                                                                     holder sign-off required &
                                                                                                                                        justification needed.
BT4 – Investigate            Identify a the possibility of having a dedicated electric fleet, either for a   S, CP, E, EX    Summer     Initial investigations underway.
electric car fleet options   specific travel group (e.g. midwives) or transport vans or generic                               2019      Midwives new leased fleet is not
                             business travel requirements                                                                               electric, but best fuel efficient model
                                                                                                                                        for finances.
BT5 – Investigate            Indentify feasibility of installing charging units for facilities user cars     S, CP, E, EX    Summer     Proposal drafted for 2 charging units
electric charges points      (staff, patients, visitors) to charge whilst on site. Weigh against BT4 for                      2019      in 2016 but no implemented fresh
                             best option, or if both are viable.                                                                        review needed, and for more units.

                                                                                                                                                                    21
9.      Monitoring & Review

The implementation of this Travel Plan will allow measurements of greater investment to be
evaluated against potential financial, social and environmental benefits. The Travel Plan is
living document, rather than a one-off event. The travel survey is to be undertaken annually
as a requirement for travel plan accreditations.

A summary document will be produced every year, providing a condensed view of this
overarching plan, but highlighting action point progress, achievement and amendment so
readers can gain a clear insight into the plans’ overall progress to achieve the set objectives
and modal shift targets.

10.     References

     1. Helping you to create a Business Travel Plan (September 2017), Essex County
        Council

     2. Health Technical Memorandum 07-03; NHS car-parking management: environment
        and sustainability, (2015), Department Of Health & Social Care

     3. Sustainable Modes of Travel Strategy (SMoTS), (February 2017), Essex County
        Council

     4. NHS Sustainable Travel, (2011), NHS Sustainable Development Unit

     5. UK Department of Energy and Climate Change, (2008), Climate Change Act.
        http://www.legislation.gov.uk/ukpga/2008/27/contents

     6. Saving Carbon, Improving Health: NHS Carbon Reduction Strategy, (2009), NHS
        Sustainable Development Unit:
        http://www.sdu.nhs.uk/documents/publications/1237308334_qylG_saving_carbon,_i
        mproving_health_nhs_carbon_reducti.pdf

     7. Sustainable development strategy for the NHS, Public Health and Social care
        System (2014). http://www.sduhealth.org.uk/policy-strategy/engagement-
        resources.aspx

     8. The NHS Carbon Reduction Strategy, (2010), Sustainable Development Unit, NHS

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11.    Appendix

Appendix 1 – Indicative timeline and phasing – ‘Access to Broomfield

       Phase 1 (2013 – 2015)                 Phase 2 (2016 – 2016)               Phase 3 (2017 – 2018)             Phase 4 (2018 onwards)

      Board approval – strategy /           Know the rules, enforce &          Implement new charging
       funds agreed                           pay                                 & exclusion zone
      Communications and launch             Formal dialogue with local         Pay to park at Braintree
       – overarching strategy                 authorities                         Community Hospital
      Governance arrangements /             Investment in and                  CCTV campus wide
       Set up operational team                promotion of alternative            strategy developed
      Improved road markings and             means of transport                 Healthy travel plan & car
       signage                               Paper to Board re Soft              parking strategy in place
      Provided additional car                Market testing                     Charges in line with
       parking spaces / additional           Paper to Board re parking           review timeframe
       ways to pay                            charging recommendation            Map dedicated car parks
      Annual Travel Survey (2013                                                                                   CCTV strategy
                                              – including exclusion zone          for dedicated groups
                                                                                                                     implemented
       & 2014)                               Site Safety Improvements           Utilisation of technology
                                                                                                                   Barriers on all car parks
       Site SafetyAudit                      Review locations of                 i.e. barriers (exclusion
      Initiatives launched: Travel                                               zone)/car park allocation         Develop longer term
                                              patient & visitor parking
                                                                                                                     master plan for
       centre, Liftshare, additional         Operational                        New car park permit
       bus subsidies, additional                                                                                     infrastructure
                                              improvements - car                  system for staff
                                                                                                                    Partnership working
       motorcycle parking,                    parking at Braintree               Site Safety Improvements
       promotion of sustainable                                                                                     Investment in and
                                              Community Hospital                 Investment in and
       travel options                        Annual Travel Survey                                                   promotion of alternative
                                                                                  promotion of alternative
      Staffside engagement                   2016                                means of transport
                                                                                                                     means of transport
      S106 – obligations funded

Car parking demand effectively managed and traffic congestion minimised by improved campus access and encouraging other means of transport

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