We have a project that is struggling to meet the prerequisite requirements of a 20% reduction from the LEEDv4 baseline as the fixtures and fittings are required to be minimum flow rates and flush volumes as required by the English Care Quality Commission (to reduce spread of infection, etc.).  Can anyone recommend what steps we could take to achieve the prerequisite if we cannot change the flow rates/flush volumes of fixtures or fittings?  Has anyone had experience of the GBCI altering the baseline flow rates/flush volumes for certain projects?