Carbon footprint of hospital laundry: a life-cycle assessment.

Joseph John, Michael Collins, Kieran O'Flynn, Tim Briggs, William Gray, John McGrath
Author Information
  1. Joseph John: University of Exeter Medical School, Exeter, UK joseph.john3@nhs.net. ORCID
  2. Michael Collins: Product Sustainability, Environmental Resources Management, Edinburgh, UK.
  3. Kieran O'Flynn: Getting It Right First Time Programme, NHS England, London, UK.
  4. Tim Briggs: Getting It Right First Time Programme, NHS England, London, UK.
  5. William Gray: Getting It Right First Time Programme, NHS England, London, UK. ORCID
  6. John McGrath: University of Exeter Medical School, Exeter, UK.

Abstract

OBJECTIVES: To assess greenhouse gas (GHG) emissions from a regional hospital laundry unit, and model ways in which these can be reduced.
DESIGN: A cradle to grave process-based attributional life-cycle assessment.
SETTING: A large hospital laundry unit supplying hospitals in Southwest England.
POPULATION: All laundry processed through the unit in 2020-21 and 2021-22 financial years.
PRIMARY OUTCOME MEASURE: The mean carbon footprint of processing one laundry item, expressed as in terms of the global warming potential over 100 years, as carbon dioxide equivalents (COe).
RESULTS: Average annual laundry unit GHG emissions were 2947 t COe. Average GHG emissions were 0.225 kg COe per item-use and 0.5080 kg COe/kg of laundry. Natural gas use contributed 75.7% of on-site GHG emissions. Boiler electrification using national grid electricity for 2020-2022 would have increased GHG emissions by 9.1%, however by 2030 this would reduce annual emissions by 31.9% based on the national grid decarbonisation trend. Per-item transport-related GHG emissions reduce substantially when heavy goods vehicles are filled at ≥50% payload capacity. Single-use laundry item alternatives cause significantly higher per-use GHG emissions, even if reusable laundry were transported long distances and incinerated at the end of its lifetime.
CONCLUSIONS: The laundry unit has a large carbon footprint, however the per-item GHG emissions are modest and significantly lower than using single-use alternatives. Future electrification of boilers and optimal delivery vehicle loading can reduce the GHG emissions per laundry item.

Keywords

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MeSH Term

Humans
Carbon Footprint
Greenhouse Effect
Greenhouse Gases
Carbon Dioxide
Hospitals

Chemicals

Greenhouse Gases
Carbon Dioxide

Word Cloud

Created with Highcharts 10.0.0emissionslaundryGHGunithospitalcarbonfootprintitemCOereducegascanlife-cycleassessmentlargehospitalsyearsAverageannual0perelectrificationusingnationalgridhoweveralternativessignificantlyOBJECTIVES:assessgreenhouseregionalmodelwaysreducedDESIGN:cradlegraveprocess-basedattributionalSETTING:supplyingSouthwestEnglandPOPULATION:processed2020-212021-22financialPRIMARYOUTCOMEMEASURE:meanprocessingoneexpressedtermsglobalwarmingpotential100dioxideequivalentsRESULTS:2947t225 kgitem-use5080 kgCOe/kgNaturalusecontributed757%on-siteBoilerelectricity2020-2022increased91%2030319%baseddecarbonisationtrendPer-itemtransport-relatedsubstantiallyheavygoodsvehiclesfilled≥50%payloadcapacitySingle-usecausehigherper-useevenreusabletransportedlongdistancesincineratedendlifetimeCONCLUSIONS:per-itemmodestlowersingle-useFutureboilersoptimaldeliveryvehicleloadingCarbonlaundry:humanresourcemanagementorganisationhealthservices

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