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A practical route to improved performance

With improving the environmental conditions within healthcare estate buildings, while reducing operating costs and carbon emissions, an increasing focus for NHS healthcare engineers, 6RG’s Vincent McGonagle says the need for evidence-led interventions in building performance is ‘more important than ever’.

Improving the environmental conditions within NHS and healthcare estate buildings – while reducing operating costs and carbon emissions – is an increasingly critical focus for NHS Estates teams, healthcare engineers, and Sustainability leads. With the NHS committed to achieving Net Zero by 2040 for direct emissions, Vincent McMonagle, MEP Clerk of Works at 6RG, says the need for precision, evidence-led interventions in building performance is ‘more important than ever’.

For Estates and Facilities managers working across both clinical and non-clinical settings, delivering occupant comfort (especially in patient-facing spaces) while controlling costs is a balancing act. Rising energy prices, tighter capital budgets, and growing scrutiny of public sector performance, demand new approaches.

A practical route begins with understanding how the building's MEP (Mechanical, Electrical, and Plumbing) systems are truly performing. As Lord Kelvin famously said: "If you can measure it, you can improve it." Capturing an accurate 'fingerprint' of an NHS building's services guides performance expectations, and provides the foundation for informed, measurable improvements in comfort, operational efficiency, and carbon reduction.

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