Mid-Essex Hospital Services NHS Trust Travel Plan 2018 2022
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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). 2
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. 3
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. 4
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. 5
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 6
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. 7
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. 8
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. 9
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. 10
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. 11
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. 12
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 13
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). 14
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 15
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 22
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 23
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