Environment

In addition to reliable care and the well-being of our patients and employees, it is also important to us as a healthcare group to minimise our impact on the environment and the climate. This is a challenge, as hospitals consume comparatively large quantities of electricity, heat and materials due to their 24-hour operations, energy-intensive medical technology and extremely high hygiene requirements.

In view of rising energy prices and uncertainties in energy procurement, we have dealt intensively with the issue of reliable supply – while at the same time we want to reduce our environmental impact and conserve resources. We therefore work to make the operation of our healthcare facilities as energy-efficient and low-emission as possible. We use water, food and materials efficiently and steadily reduce our waste volumes.

Environmental management

The environmental management policy at Asklepios aims to reduce the negative impacts of our business activities on the environment, thereby making a contribution to environmental and climate protection. As part of our materiality analysis, we identified the action areas in which Asklepios has the greatest leverage and validated these in 2022. These action areas are: energy and emissions, waste as well as water. To optimise our environmental management in these areas, we automate the compilation of our set of key figures so that we can systematically pursue our stated goals and explain our progress transparently in the future.

Overall responsibility for environmental management rests with the Asklepios Management Board. The ESG Board, which was established in 2021 and meets as part of the regular Management Board meetings, is responsible for strategic organisation and project management. The Service Technology division handles strategic and operational environmental management centrally. After approval by the ESG Board, the technical management at the respective healthcare facilities deals with implementation. Support for specific questions is provided by the Service Technology and Purchasing & Supply divisions. Technical management monitors the operation of all equipment and devices. It also oversees various construction and renovation projects. In relation to the latter, advice is given by the Group Architecture and Construction division, which is also responsible for developing company-wide standards for new buildings and renovations.

Reducing CO2 emissions

As a healthcare group, Asklepios is aware of its responsibility to protect and conserve natural resources. One major lever here is energy-efficient, low-emission operation of our roughly 170 healthcare facilities. Central goals include continuously reducing CO2 emissions as well as increasing the purchase of energy from renewable sources. We want to achieve through measures such as renovations to improve energy efficiency, reducing electricity consumption and promoting sustainable mobility.

Our sustainability activities in the area of energy and emissions are based on an intelligent, comprehensive energy and building management system, which we intend to implement at all locations by the end of 2023. In 2022, we carried out inspections at a total of 52 locations, developed meter concepts at 39 locations and introduced the energy management software at seven locations.

In five steps, we want to utilise the greatest CO2 savings and cut costs but without impairing our security of supply:

Measuring and monitoring

the current consumption side with regard to energy quantities (electricity, gas, water, heat), costs and CO2 emissions (Scope 1 and 2)

Analysing

the measured data for anomalies, deviations, benchmarks

Deriving measures

to increase efficiency and reduce the carbon footprint including profitability calculations and sensitivity analyses

Implementing

the agreed measures with success controlling

Success controlling

Starting from 2023: Success controlling of the energy quantities taking into account the energy-efficiency measures implemented or to be implemented during the supply period

CO2 footprint for Scope 1 and 2

We are aware that having a data pool that is as exact as possible forms the basis for all measures to save CO2. For this reason, we prepared a CO2 assessment at Group level in 2021. In the first step, CO2 emissions in Scope 1 (direct emissions, e.g. from boilers, cogeneration plants and the vehicle fleet) and Scope 2 (indirect emissions from external procurement of energy) were calculated. In the second step, we want to design and continuously implement detailed measures on this basis in order to reduce our CO2 footprint (Scope 1 and Scope 2) verifiably. The collection of data on Scope 1 and 2 emissions laid the foundations to be able to fulfil our responsibility for climate protection in the future.

CO2 reduction measures at many locations

In 2022, we already defined measures to reduce CO2 and implemented smart energy management software at 30 locations, including those covered in 2021. At the same time, we examined the locations for savings and efficiency potential. This work will form the basis for the next energy audit in 2023. We have identified three areas that offer high savings potential: lighting, ventilation and heating technology. Based on this, we have derived recommendations and actions that have already been implemented at numerous locations – such as lowering the temperature in server rooms and optimising the alignment between flow and return temperatures when heating buildings.

Recommended actions for employees

By way of an information campaign, we raised awareness of the responsible use of resources among our employees. Posters were put up in the hospitals and stickers were distributed.

Reducing waste

As a hospital operator, we often use sterile instruments and disposable materials due to the strict hygiene requirements that apply in our sector, which leads to high material consumption. In addition, the delivery of food to our patients also results in large quantities of food waste, which adds to our overall waste volumes. Since we have a responsibility to conserve resources as much as possible throughout the Group, we have defined the reduction of waste as a key sustainability topic.

Surgical instruments can also be recycled

In 2022, the hospitals in Altona, Barmbek, Heidberg and Harburg continued the project to recycle surgical instruments that was launched in 2020. The hospitals use a digitally supported return system for powered staplers, which for hygiene reasons have to be disposed of after being used once. In contrast to the incineration of these instruments as usual, valuable raw materials are not lost in this process. Instead, metals and plastics are recycled and returned to the material cycle. Together with Ethicon, a division of Johnson & Johnson, and the start-up Resourcify, we intend to roll out the pilot project as a standard process at the Asklepios hospitals in Hamburg.

Reducing water consumption

Water is a precious resource that is indispensable for the operation of healthcare facilities. Our hospitals use water to supply patients in the hospital wards, for washbasins for hand hygiene in all areas and for conversion into technical water in the technical centres. Our water consumption is highest in the kitchens and in the preparation unit for medical products. Therefore, we must pay special attention to reducing our consumption of clean water. A detailed breakdown of our hospitals’ consumption figures is planned for 2023.

Using water responsibly

We pursue various approaches to ensure that we use the resource water responsibly:

  • Detecting leaks: By documenting water meter readings at the hospitals on a regular basis, we can detect leaks in the supply network promptly.
  • Digital water meters: By the end of 2023, we are aiming to digitalise our water meters and monitor them with our software. In some cases, their replacement is tied to the legal time limits for replacing hot and cold water meters.
  • Control of technical water parameters: We dismantle seldom used tapping points and water pipes that are no longer required, and we regularly train our employees.
  • Clean water from the region: We source our clean water from local utility companies.
  • Water treatment: To treat wastewater for the sewage system, we use suitable filter media such as grease separators and decay plants for radioactive wastewater from nuclear medicine departments. This is in line with the regulatory requirements.

Key figures for the area of the environment

Parameter Unit 2022 2021 2020 GRI
Cogeneration plant Number 41 40 36 302-1
Total energy consumption GWh 534.4 518.31 425.12 302-1
External procurement
Electricity consumption3 (not including cogeneration plant and PV power4) GWh 157.7 127.2 131.0 302-1
Natural gas consumption5 (not including electricity/heat cogeneration plant) GWh 207.0 229.1 258.06 302-1
District heating GWh 60.9 48.0 36.17 302-1
Self-generated
Electric output produced by cogeneration plant GWh 47.1 48.3 34.48 302-1
Heating produced by cogeneration plant GWh 61.3 65.0 no data 302-1
Photovoltaic power GWh 0.3 0.79 no data 302-1
Mix of energy sources (according to energy providers)10
Renewable energy sources % no data 57.2 65.4 302-1
Nuclear power % no data 8.4 7.0 302-1
Hard coal/lignite and natural gas % no data 32.9 26.8 302-1
Other fossil fuels % no data 1.5 0.8 302-1
Direct emissions (Scope 1) Tonnes of CO2e 66,365.3 74,723.411 no data 305-1
Indirect emissions from purchased electricity (Scope 2) Tonnes of CO2e 54,460.8 45,171.412 30,101.013 305-2
Waste14 Tonnes 19,391.0 19,626.615 8,067.016 306-3
Water withdrawal17 (clean water) Millions of litres 1,471.8 1,453.318 551.9 303-5
1 The data was requested from 100% of Asklepios units in 2021. 6 of the 59 hospitals asked (10%) and 5 of the 20 medical centres asked (25%) did not report any data. The project to automate data collection has already been initiated. The aim is to request and report data for all units.
2 Includes all locations supplied by the primary energy supplier MVV.
3 In 2022, data was requested from 100% of the units. This corresponds to 129 properties (65 hospitals and 64 other facilities). We can report an electricity figure for 100% of the hospitals (65). We can also report an electricity figure for 45% of the other facilities (29).
4 Photovoltaic power
5 In 2022, data was requested from 100% of the units. This corresponds to 129 properties (65 hospitals and 64 other facilities). We can report a natural gas figure for 98% of the hospitals (64). We can also report a natural gas figure for 22% of the other facilities (14).
6 The value for 2020 is based on the available consumption figures of all locations supplied by MVV except for: Borsteler Chausee 85-89a, Alphonsstr. 14, Alphonsstr. 4, Wördemannsweg 27, Tangsteder Landstr. 400/15. For these locations, the consumption of a total of 1.1 GWh was simulated and included in the overall consumption of all locations.
7 The value for 2020 includes the following locations: Asklepios Klinik Barmbek, Asklepios Rissen, Bad Oldesloe, Asklepios Fachklinikum Stadtroda, Regional Office Greiz (Wichmannstr. 12), Regional Office Pößneck (Kurzackerstr. 12), Regional Office Gera (W.-Petzold-Str. 17)
8 The value for 2020 includes the total output of electricity generated by all cogeneration plants, excluding Asklepios Klinik Goslar, Asklepios Klinik Nord-Heidberg (1) and Asklepios Klinik Nord-Heidberg (2)
9 The figure for 2021 is reported too high due to a measurement error.
10 The information was not available by the end of the report preparation period and can therefore only be provided retrospectively for the previous year.
11 Scope 1 emissions factor in 2021: If no individual emissions factors were available, the average factors for Germany were used: fuel used in cogeneration plant, natural gas 182 g/kWh, heating oil 2.665 kg/l
12 Scope 2 emissions factor in 2021: If no individual emissions factors were available, the average factors for Germany were used: electricity 310g/kWh, district heating mix 182g/kWh
13 Indirect emissions from purchased electricity: emissions factor in 2020: 230g/kWh
14 In 2022, data was requested from 100% of the facilities. This corresponds to 129 properties (65 hospitals and 64 other facilities). We can report a waste figure for 86% of the hospitals (56). Among the other facilities, we can report this for 28% (18).
15 The data was requested from 100% of Asklepios units in 2021. 3 of the 59 hospitals asked (5%) and 6 of the 20 medical centres asked (30%) did not report any data. The project to automate data collection has already been initiated. The aim is to request and report data for all units
16 The value for 2020 includes the locations St. Georg, Barmbek, Altona, Wandsbek, Nord (both locations), Rissen, Harburg
17 In 2022, data was requested from 100% of the facilities. This corresponds to 129 properties (65 hospitals and 64 other facilities). We can report a water figure for 83% of the hospitals (54). Among the other facilities, we can report this for 33% (21).
18 The data was requested from 100% of Asklepios units in 2021. 4 of the 59 hospitals asked (7%) and 5 of the 20 medical centres asked (25%) did not report any data. The project to automate data collection has already been initiated. The aim is to request and report data for all units

Further action areas