Environmental assessments are the legal requirement.
Effects on the environment should be taken into account at the earliest possible stage in all the technical planning and decision-making processes. Environmental assessments ensure that the environmental implications of PPP healthcare projects are analysed and understood prior to their launch. These assessments provide project developers assurance that their projects are compliant with a variety of regulatory requirements including Directive 2011/92/EU and Directive 2001/42/EC.
PPP healthcare projects financed by the MDBs are expected to be designed and operated in compliance with good international practices relating to sustainable development. Environmental and Social Assessments are also required by:
- the European Bank for Reconstruction and Development (EBRD) Performance Requirements;
- the European Bank for Reconstruction and Development (EBRD) Environmental and Social Policy;
- the International Finance Corporation (IFC) Performance Standards on Social and Environmental Sustainability;
- the International Finance Corporation (IFC) Environmental, Health and Safety General Guidelines;
- and the IFC specific Environmental, Health and Safety Guidelines for Health Care Facilities.
The environmental assessments for hospital PPP could include, for instance, the following key issues:
- traffic impacts during the construction and operation of the hospital;
- noise, dust and vibration associated with the construction;
- sub-contractor management during the construction and operation of the hospital;
- environmental, health and safety management systems during the construction and operation;
- issues associated with the closure of the existing smaller hospitals;
- waste management during the hospital operation, in particular medical/hazardous/radio-active wastes;
- hygiene management during the hospital operation;
- hazardous materials management during the hospital operation;
- life and fire safety of the hospital building.
Fast and Affordable Project Screening
All hospitals shall be low-carbon by 2030,
and zero net carbon by 2050.
The public and private sectors to take immediate action to reach zero net carbon emissions in new hospital projects by 2030, with all buildings retrofitted to zero net carbon by 2050.