23We were impressed by the proactiveness of the team at Spire Healthcare. They listened and took on board our requirements. ""

24Spire Healthcare Annual Review 2010. We are working closely with Schneider Electric to produce new monthly energy consumption reports to benchmark similar sites and highlight any high energy users. The reports will also monitor progress against our reduction targets. TM44 Air Conditioning Inspections have been completed in line with Energy Performance of Buildings DirectiveWasteEstablishing Spire's National Distribution Centre (NDC) has enabled us to make significant progress against a number of carbon reduction commitment targets, including:. reducing cardboard and packaging waste. Our own vehicles collect cardboard and packaging from hospitals and bring it to our NDC, avoiding the need for extra fuel by making practical use of the return trip on existing supply runs. In 2010 we recycled 310 tonnes of cardboard and 1.5 tonnes of plastic, generating an income for the business of £20,000. Approximately 3,421 trees would need to be felled to produce this amount of virgin cardboard. 152 tonnes of security shredding was also returned from hospitals using the Spire transport fleet. It was subsequently destroyed and recycled through the NDC, and equates to approximately 1,672 trees that would need to be felled to produce the same amount of virgin cardboard. The shredded paper is sent on to UK mills and recycled into tissue products. installation of wormeries at the NDC and Spire Parkway and Tunbridge Wells hospitals aid with reducing organic waste produced from sitesAs a business founded on looking after people, we believe we have a duty to care for the environment and the local communities around our hospitals. We are also fortunate to be able to use our expertise and medical supplies to help others, both in the UK and abroad. Carbon reductionWe are committed to reducing our carbon footprint by becoming even more efficient in the way we manage four key areas: buildings, procurement, transportation and waste. We have stated our aims and reduction targets in our Carbon and Environmental Policy, which is woven throughout our Group operations. A Carbon Management Group is in place, with representation at Board level, to ensure progress is made against a Group-wide action plan. During 2010 we particularly focused on buildings and waste management. BuildingsCarbon reduction targets have been agreed and are now in place. We are working to closely monitor and reduce usage of electricity, natural gas, water and refrigerants that heat, light and run our 37 hospitals, London Fertility Centre, various satellite clinics and three support services offices.. Energy Remote Monitoring (ERM) system has been installed at all of our sites to provide us with real consumption information on electricity and gas, which we can use to monitor and identify changes that may be necessary to conserve more energy. We are in the process of adding water meters to the ERM systemAs a business founded on looking after people, we believe we have a duty to care for the environment and the local communities around our hospitals. Corporate social responsibility