Fiona Daly ignites debate on sustainable development in the NHS

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Implementing Sustainable Systems – Health and Care – may seem like a routine topic for a conference, but Fiona Daly from NHS Improvement brought it to light with her passion and commitment to change. In her own words, she said she joined NHSI because “I care. I care about the NHS, I care about people, and I care about our future.”

Fiona is National Sustainability Lead and EFM Workforce Lead/ Operational Productivity at NHS Improvement. That sounds like a mouthful. She works across the provider sector which amounts to 236 NHS trusts. This involves helping the NHS to meet its short-term challenges and secure its future which means meeting the NHS 2020 objectives. Her priorities are in quality, finance, operational performance, strategic change, and leadership and improvement capability. Even half of that would be enough for most people.

Her brief takes a strong steer from Lord Carter’s Review in 2016 on efficiency in hospitals and how large savings can be made in the NHS, but Daly and her colleagues must use a sports person’s phrase picked up the ball and run with it. She has 16 years’ experience in EFM (mainly hard FM) and sustainability as well has having worked in both the public and private sectors together with eight years in a provider trust.

Data-driven change and behavioural change

Fiona is far from overwhelmed by the task she faces believing that sustainability can respond. This involves data driven change, engagement with national and local behaviour change programmes,


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