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Estates and facilities

As part of our future-facing digital strategy aimed at creating a SMART building, we're integrating sustainability from the outset. Our new centre in Camden is fossil fuel free and harnesses renewables through photo-voltaic panels and ground and air source heat pumps.  

Our progress so far

Moorfields continues to develop its environmental performance with its use of technology-driven air monitoring across its surgical operating suite at City Road. An example of progress since the last green plan is the ability to measure and monitor air change rates continuously, allowing us to be flexible with our fan speeds. By switching them to lower speeds or off completely when it is safe to do, we are saving as much energy as possible.

Estates And Facilities Greenplan Icon

As part of our future-facing digital strategy aimed at creating a SMART building, we have partnered with BYUK to deliver our new centre in Camden, integrating sustainability from the outset. The new facility, aiming for BREEAM (Building Research Establishment Environmental Assessment Method) excellence, is fossil fuel free and harnesses renewables through photovoltaic panels and ground and air source heat pumps.

Since the last green plan, we have instigated utilities monitoring with real time energy reporting at our City Road site. When moving to our new facility, we will align with a smart work ordering system which ensures prompt action should any parameters be detected as outside of the commissioned values.

At our City Road site, which is scheduled for decommissioning within the next two years, we have adopted a high scrutiny approach to further infrastructure investment. Given diminishing returns, such as a £75 annual saving from installing LED lighting at 15p per kilowatt-hour, any upgrades are evaluated through a cost-benefit lens aligned with long-term value and carbon savings.

Alongside our focus on the sustainable development of our new facility we have made significant improvements at our current sites:

  • 80% of all lighting fittings at City Road have already been transitioned to LED.
  • At Brent Cross, Hoxton, and Stratford, LED installations reached 100% coverage within the last three to four years.
  • At our Stratford site, we removed the fossil fuel boilers and replaced with air source heat pumps and solar systems alongside electric cooling systems.

In support of cleaner energy sourcing, Moorfields purchases electricity through the Renewable Energy Guarantees of Origin (REGO) scheme, ensuring our supply chain aligns with national net zero commitments.

Our waste streams are a target for continuous improvement, and at present we are achieving the highest recycling rate within the North Central London Integrated Care System (NCL ICS) at over 85% for offensive waste and 75%-80% for domestic recycling. We are working closely with Bywaters, our waste parter, to improve on-site waste segregation via bin audits and developing clearer signage.

In 2018, we also began working with CollectEco, an organisation that redistributes surplus,high- quality office furniture and equipment to avoid waste. Through this partnership, we sourced refurbished furnishings across the trust, to significantly reduce procurement costs and carbon associated with the purchase of new kit while supporting circular economy principles.

City Road’s environmental achievements were also quantified through its SmartCarbon rating of 23.24, a clear benchmark demonstrating our energy performance relative to sector peers.

Estates and facilities plan

Action KPIs
Improve energy efficiency of buildings
Maintain utilities dashboard. 
  • Ongoing monitoring of utilities usage at portion of main site with focus on efficiencies and sustainability.
Improve energy efficiency of current main site.
  • For occasional replacement of bulbs, opt for LED at City Road until our move in 2027.
With the new Camden site, achieve BREEAM (Building Research Establishment Environmental Assessment Method) Excellence Status indicating improved environmental impact of Moorfields estate. 
  • Receive BREEAM certificate of 80% or above and submit to local authority by end of construction stage (March 2027).
Maximise the environmental benefits of our new site. 
  • For example, install windows with high performance glazing and shading to reduce heat transfer whilst allowing good light transmittance and appropriate levels of winter heat gain by 2027. 
Develop a heat carbonisation plan to replace fossil fuel heating systems with lower carbon alternatives
Identify and prioritise the phasing out of all existing fossil-fuel primary heating systems by 2032 and seek to remove all oil primary heating systems by 2028. 
  • Replace all fossil fuel systems with either ground- source or air source heat pumps, or refrigerant as we have done in our new renovation at Stratford.
  • For any new site that we take over to provide services in (rather than being hosted) ensure heating systems are fossil fuel free where we can.
  • For Hoxton and Brent Cross which are leased sites with gas boilers, explore opportunities to influence owners to replace with lower carbon alternatives.
Consider Local Area Energy Plans and opportunities from heat networks and other low-carbon solutions. 
  • Our new building has pre-installed connection points to future-proof the heating/cooling network options. 
Identify any installations in scope of the UK Emissions Trading Scheme and outline plans to reduce emissions in line with allocated targets. 
  • Identify relevant KPIs and measurement approach by 2027. 
Invest in on-site or near-site renewable energy generation to meet NHS energy demand
By moving to the new site, we will have renewable energy e.g. solar panels on the roof.
  • Install approximately 300 panels providing 10% of the total maximum load. 
Explore opportunities in entering PPAs (Private Power Agreements) to get access to renewable energy. 
  • Incorporate either a PPA or fixed futures pricing in Energy Efficiency and Renewable Energy plan for 2027.
Develop business cases for estates and facilities sustainability initiatives
Develop business cases to deliver energy efficiency interventions.
  • Based on energy monitoring – cases will be prioritised against returns on investment. 
Develop business cases to deliver renewable energy interventions.  
  • Via the business case review group, deputy director of estates and facilities will review for possible renewable energy schemes as part of new site strategies. Any development work will include for renewable and/or energy efficiency interventions. 
Ensure all applicable new building and major refurbishment projects are compliant with the NHS Net Zero Building Standard. 
  • Achieve carbon savings of 383.7tCO2 annually, which is 27% of site regulated carbon emissions of 1401 tCO2/year. This will be tested at PC, when the As Built Asset is tested by the energy consultant. 
Reduce waste by improving on-site waste segregation
Transition from single- use products to reusables. 
  • Through clinical and infection control working groups – products will be tested for suitability.
Continue roll out of green recycling bins.
  • Install in City Road theatres by October 2025.
  • Continue roll-out across the rest of City Road site in November 2025.
  • Continue roll out across other sites, starting with our Stratford site in October 2025.
Transition to reusable sharps bins. 
  • Roll out across City Road site in late 2025.  
Improve food waste segregation.
  • KPIs covered in Food and Nutrition section. 
Engage in waste education
/ communication to patients and staff. 
  • Signage to be fully reviewed in October 2025.
  • Run waste segregation education campaign in 2026.
Implement waste initiatives at new Camden centre.
  • Build on lessons learned at existing sites re. education, signage, and bin placement.