Abstract
Objective
Are Australian hospitals moving towards renewable energy sources for
their electricity, and aligning energy choices with core business, i.e.
protecting and promoting health?
Design
Cross-sectional analysis of Australian state/territory amalgamated
energy data
Setting
Healthcare’s carbon footprint is approximately 7% of Australia’s total
carbon footprint. It is unknown if Australian public hospitals are
decoupling energy needs from carbon emissions over and above state/territory
based renewable energy targets.
Participants
693 Australian public hospitals direct energy usage (renewable &
non-renewable electricity [produced/purchased], natural gas, liquefied
petroleum gas, for the three consecutive years from 2016/17 to
2018/19.
Main outcome measures
All direct energy produced/purchased and consumed (converted to
kilowatt-hours).
Results
Australian public hospitals consumed 4,122 gigawatt-hours of energy in
2018/19. Electricity use was 2,504 (61%) GWh, natural gas 1,436 (35%) GWh
and renewable energy 94 GWh (2.3%). Victoria and New South Wales combined
consumed 2,494/ 4,122 GWh (60%) of total Australian public healthcare energy
but each produced/purchased less than 1% renewable electricity. For
Queensland, a Health GreenPower purchase comprised the majority (71/94 GWh;
76%) of renewable energy production/purchase by all Australian public
hospitals. By comparison, individual tertiary education institutions
produced/purchased more renewable energy than all Australian public
hospitals combined (University of NSW 124 GWh/yr, Swinburne University 90
GWh/yr, 2018/19).
Conclusions
Australian public hospitals obtain approximately 2.3% of total energy
from renewable electricity. One third of hospital energy use stems from
fossil gas use. The Australian public hospital system has no documented
plans to transition to renewable energy, contrasting with the University
sector.
The known
Australian healthcare contributes approximately 7% of
Australia’s total carbon footprint with public hospital energy use a
major source of healthcare associated carbon emissions.
The new
Australian public hospitals consumed 4122 gigawatt-hours in
2018/2019. Approximately 2.3% (94/4,122 gigawatt-hours) of hospital
energy was sourced from renewables, beyond state-wide renewable
electricity penetration.
The implications
Australian public hospitals are large emitters of greenhouse
gases. Hospital fossil fuel energy use and subsequent pollution
continues unabated. Such increasing pollution is at odds with the
ethos ‘first do no harm’.