HEALTH CENTRE POLICY

Transcription

1 HEALTH CENTRE POLICY ANNUAL UPDATE OF ENERGY COSTS TO GENERAL PRACTITIONERS IN HEALTH CENTRES J D DUNLOP CHAIRMAN ENERGY & NATURAL RESOURCES SUB-GROUP 1

2 CONTENTS 1. Introduction. 2. Health Centre used in analysis. 3. Number of General Practitioners. 4. Gross floor area. 5. Distribution of ceiling heights. 6. Analysis of Energy Consumption. 7. Upper, second and bottom quartile. Annual total energy. 8. Annual energy costs. 9. Annual energy costs. Upper and bottom quartiles. 1. Summary. Appendices List of Health Centres Used in Analysis No. I Pages 6 & 7 Distribution of Health Centres by GP Practices No. II Page 8 Distribution of gross Floor Areas No. III Page 9 Distribution of Health Centres Ceiling Heights No. IV Page 1 Annual Total Energy V Gross Floor Area (New Build) No. V Page 11 Annual Total Energy (Electricity) V Gross Floor Area (New Build) No. VI Page 12 Annual Total Energy (Fossil) V Gross Floor Area (New Build) No. VII Page 13 Annual Total Energy V Gross Floor Area (All Sites) No. VIII Page 14 Annual Total Energy (Electricity) V Gross Floor Area (All Sites) No. IX Page 15 Annual Total Energy (Fossil) V Gross Floor Area (All Sites) No. X Page 16 Annual Total Energy V Gross Floor Area (Upper quartile) No. XI Page 17 Annual Total Energy V Gross Floor Area (Second quartile) No. XII Page 18 Annual Total Energy V Gross Floor Area (Bottom quartile) No. XIII Page 19 Annual Total Energy Costs V Gross Floor Area (All Sites) No. XIV Page 2 Annual Total Energy V Gross Floor Area (Upper quartile) No. XV Page 21 Annual Total Energy V Gross Floor Area (Bottom quartile) No. XVI Page 22 2

3 1. INTRODUCTION This is the first annual review of the Standard Energy charges for the provision of Heat, Light and Power to General Practitioners in Health Centres. It follows on from the original work undertaken last year by Strathclyde University. The main differences in this analysis of energy usage and costs is the use of a much larger sample up from 34 health centres to 134 sites. For comparative purposes the New Build sample used last year has again been analysed. 2. HEALTH CENTRES USED IN THE ANALYSIS The names of the health centres and their respective Trusts are detailed on appendix I. It is the groups intention that the number of sites analysed will be gradually increased until all sites are included. 3. NUMBER OF GENERAL PRACTITIONERS The number of General Practitioner practices located in each site range from 1 to 1. As last year the majority (84%) are in the band of 1 to 3 practices. Details are given in appendix II. 4. GROSS FLOOR AREA The distribution of the gross floor areas is not weighed as heavily in favour of the less than 5m² band. This only accounts for 37% of all sites in the larger sample. In the original sample last year it was 5%. This is due to the larger influence of the majority of sites coming from the central belt compared to the proportionately higher number from the north areas. Details are given in appendix III. 5. DISTRIBUTION OF CEILING HEIGHTS Appendix IV shows the distribution of ceiling heights of the total sample with an average height of 2.45 metres. 3

4 6. ANALYSIS OF ENERGY CONSUMPTION The analysis of energy is provided as follows: 6.1 New Build Annual Total Energy (all fuels) V Gross Floor Area (Appendix V) Annual Total Energy (electricity) V Gross Floor Area (Appendix VI) Annual Total Energy (fossil) V Gross Floor Area (Appendix VII) 6.2 New Larger Sample (134 Sites) Annual Total Energy (all fuels) V Gross Floor Area (Appendix VIII) Annual Total Energy (electricity) V Gross Floor Area (Appendix IX) Annual Total Energy (fossil) V Gross Floor Area (Appendix X) The energy consumption of the New Build shows a slight overall rise from 1.6 to 1.25 gigajoules per square metre. Within this the electricity usage has increased slightly from.2252 gigajoules per square metre while the heating component has fallen from.7877 to.7687 gigajoules per square metre. The energy consumption of the new larger samples (all sites) shows a slightly lower total energy usage of 1.28 against gigajoules per square metre last year. 7. UPPER, SECOND AND BOTTOM QUARTILE ANNUAL TOTAL ENERGY The larger sample has shown a reduction of energy usage in all quartiles compared to the smaller sample used last year. The figures are: Upper quartile down from.8627 to.7437 Second quartile down from to.9622 Bottom quartile down from 1.65 to Again the larger sample is indicating a better overall energy performance, the first given by the smaller sample last year. Appendices XI to XIII detail each quartile. 4

5 8. ANNUAL ENERGY COSTS The Annual Total Energy Costs per square metre is given on appendix XIV. This shows an increase in total costs from 6.95 last year to 7.4 this year. This is due to both a slight increase in the overall energy usage of the larger sample and a reflection of the increases in both gas and oil prices. 9. UPPER AND BOTTOM QUARTILES The upper quartile detailed on appendix XV shows a cost of 6.7 per square metres compared to 6.67 last year while appendix XVI detailing the bottom quartile shows an increase from last years cost of 8.95 to 9.14 per square metre. 1. SUMMARY While comparisons are given to compare with the initial work completed in 1999/2 the use of the larger sample, 134 sites, has shown an overall improvement in accuracy. This can only get better as the sample size grows to include all sites. The analysis has also shown that the upper quartile costs have reduced from 6.67 last year to 6.7 this year. However the difference between upper and bottom quartiles has also widened. This reduction is mainly due to the increased sample size, which includes a larger number of more efficient health centres. The overall average cost for the full sample of 134 sites was 7.4 per square metre. 5

6 List of Health Centres Used in Analysis Appendix I Ayrshire & Arran Acute Hospitals NHS Trust Greater Glasgow Primary Care NHS Trust Grampian Primary Care NHS Trust Highland Primary Care NHS Trust Lanarkshire Primary Care NHS Trust Ardrossan Baillieston HC Aberlour Health Centre Aviemore Health Centre Abronhill H.C. Auchinleck Bridgeton HC Aboyne Health Centre Brora Health Centre Adam Ave. Beith Castlemilk HC Ballater Clinic Dingwall Health Centre Airdrie H.C. Bourtreehill Clydebank HC Banff Health Centre Dornoch Health Centre Alison Lea Cl. Catrine Drumchapel HC Braemar Clinic Dunbeath Health Clinic Biggar H.C. Crosshouse Easterhouse HC Bridge of Don Health Centre Dundonnel Health Facility Blantyre H.C. Cumnock Gorbals HC Bucksburn Health Centre Dunvegan Health Centre Carluke H.C. Dalmellington Govan HC Cove Bay Clinic Durness Health Centre Carnwath Cl. Dalry Govanhill HC Cuminestown Health Centre Golspie Health Centre (ld) Central H.C. Darvel Maryhill HC Denburn Health Centre Helmsdale Health Centre Coatbridge H.C. Girvan Parkhead HC Dufftown Health Centre Invergordon Health Centre Condorrat H.C. Kilbirnie Pollock HC Dyce Health Centre Kinlochbervie Health Centre Greenhills H.C. Mauchline Possilpark HC Elgin Health Centre Lairg Health Centre Harthill H.C. Maybole Shettleston H C Ellon Health Centre Robertson Health Centre Hunter H.C. Muirkirk Springburn HC Foresterhill Health Centre Tain Health Centre Kildrum H.C. Patna Thornliebank HC Forres Health Centre Thurso Health Centre Kilsyth H.C. Saltcoats Woodside HC Fyvie Health Centre Tongue Health Centre Lanark H.C. Stevenston Huntly Health Centre Ullapool Health Centre Motherwell H.C. 6

7 Stewarton Lothian Primary Care NHS Insch Health Centre Wick Mental Health Centre Newmains H.C. Trust Symington Bathgate HC Inverurie Health Centre Shotts H.C. (New) Tarbolton Blackburn HC Keith Health Centre Strathaven H.C. Blackridge HC MacDuff Clinic Viewpark H.C. Lomond & Argyll Primary Care NHS Trust Broxburn HC Mastrick Clinic Renfrewshire & Inverclyde Primary Care NHS Trust Wishaw H.C. Dumbarton Health Centre Carmondean HC New Deer Clinic Barrhead H C Garelochhead Medical Craigshill HC Northfield Clinic Bishopton H C Centre John Street Clinic, Renton Dedridge HC Peterhead Health Centre Gourock H C Kilcreggan Health Centre East Calder HC Torphins Clinic Greenock H C Fauldhouse HC Turriff Health Centre Johnstone H C Howden HC (part of St Linwood H C John's) Linlithgow HC Port Glasgow H C Stoneyburn HC Renfrew H C Whitburn HC & DH Winchburgh HC 7

8 Appendix II Distribution of Health Centres by GP Practices Number of Health Centres Number of GP Practices 8

9 Appendix III Distribution of Gross Floor Areas Number of Health Centres to to to plus Gross Floor Areas in Square Metres 9

10 4.5 Distribution of Health Centres Ceiling Heights Ceiling Height (Metres) John street Clinic, Renton Dundonnel Health Facility Torphins Clinic Lairg Health Centre Catrine Blackridge HC Fyvie Health Centre Durness Health Centre Symington Harthill H.C. Auchinleck Kinlochbervie Health Centre Alison Lea Cl. Kildrum H.C. Bishopton H C Stewarton Kilbirnie Aviemore Health Centre Greenhills H.C. Bridge of Don Health Centre Newmains H.C. Kilsyth H.C. Johnstone H C Peterhead Health Centre Maybole Dedridge HC Parkhead HC Howden HC (part of St John's) Govan HC Shettleston H C Hunter H.C. Wishaw H.C. Denburn Health Centre Springburn HC Health Centres Appendix IV 1

11 Total Site Annual Energy (Gjs) Annual Total Energy (All Fuels) v Gross Floor Area (New Build) y = 1.25x R 2 = Appendix V 11

12 1 Annual Total Energy (Electricity) v Gross Floor Area (New Build) Total Site Annual Energy (Gjs) y =.2518x R 2 = Appendix VI 12

13 3 Annual Total Energy (Fossil) v Gross Floor Area (New Build) Total Site Annual Energy (Gjs) y =.7687x R 2 = Appendix VII 13

14 Total Site Annual Energy (Gjs) Annual Total Energy (All Fuels) v Gross Floor Area (All Sites) y = 1.28x R 2 = Appendix VIII 14

15 12 Annual Total Energy (Electricity) v Gross Floor Area (All Sites) Total Site Annual Energy (Gjs) y =.235x R 2 = Appendix IX 15

16 4 Annual Total Energy (Fossil) v Gross Floor Area (All Sites) Total Site Annual Energy (Gjs) y =.7929x R 2 = Appendix X 16

17 45 Annual Total Energy v Gross Floor Area (Upper Quartile) 4 Total Site Annual Energy Cost y =.7437x R 2 = Appendix XI 17

18 Total Site Annual Energy Cost Annual Total Energy v Gross Floor Area (Second Quartile) y =.9622x R 2 = Appendix XII 18

19 35 Annual Total Energy v Gross Floor Area (Bottom Quartile) Total Site Annual Energy Cost y = x R 2 = Appendix XIII 19

20 35, Annual Total Energy Costs v Gross Floor Area (All Sites) Total Site Annual Energy Cost 3, 25, 2, 15, 1, y = x R 2 =.891 5, Appendix XIV 2

21 3, Annual Total Energy Costs v Gross Floor Area (Upper Quartile) Total Site Annual Energy Cost 25, 2, 15, 1, y = 6.652x R 2 = , Appendix XV 21

22 25, Annual Total Energy Costs v Gross Floor Area (Bottom Quartile) Total Site Annual Energy Cost 2, 15, 1, y = x R 2 = , Appendix XVI 22