1. MANAGING HEALTHCARE WASTE IN ENGLAND.
Presented by Paul Williams

2. Key Issues In Waste Management
Environment Impact
Duty Of Care - Environmental
- Health and Safety
Segregation
Recycling
Waste Minimisation
Storage
Packaging

3. Environmental Protection Act1990
S34:Duty of care regarding handling of waste. Which includes S34(b)Prevent escape of waste and S34(c) on transfer of waste to ensure only to an authorised person.

4. Health and Safety At Work Etc Act 1974
S2:Duty of Employers to Employees
S3:Duty of Employers and Self Employed to Others than their Employees
S7:Duty of Employees at Work to Co-operate with Employer
S8:Duty of Employee not to interfere or misuse things provided In interests of H&S

5. What is a Duty Of Care ?
Duty placed upon all persons to exercise reasonable care that their acts or omissions do not harm their neighbour.
Harm = Physical, Mental ,Visual, Smell , Perception.

6. Statistics For Thought ! An Inner City Acute Trust
1047 Occupied beds every day
764,310 Visitors a year.
Outpatients
A&E Patients
Minor Ops 30000
Births 6630
Staff 6500
Waste Equivalent to 5500 Households.

7. Internal Areas To Consider
Wards
Theatres
Maternity
Pathology
Mortuary
X-Ray
Nuclear Medicine
Pharmacy
Administration
Estates
Domestics
Porters
Transport
Procurement
I.T.Department
Catering

8. Waste Statistics (Tonnes) 1.4.2006-31.03.2007
Clinical %
Household %
Cardboard %
Paper %

9. Methods Of Disposal

10. Distance To Final Waste Disposal Point

11. Waste Statistics (Tonnes) Potential ? (1.4.06-31.3.07)
Clinical (933) 20% (44% )
Household 1322 (1042) 63% (50% )
Cardboard (95) 9.5%( 5% )
Paper (27) % (1% )

12. Clinical Waste ?

13. Think Again ! Typically 50% but up to 90% of waste
entering the clinical stream is domestic waste

14. Household Waste needs to be disposed of in Black Bags

15. Clinical waste must be disposed of in Yellow Bags

16. Mix And Match

17. How we are changing

18. Correct Bins

19. Why Do We Have Needlestick Injuries?

20. Close Up

21. Where Did It Come From ?

22. Tag Recording System Date Issue/Receipt No. From No. To Location
Quantity Issued
Quantity Received
24/11/2006
E65601
E66600
Renal
1000
E64601
E65600
E61601
E62600
Main Theatres
E62601
E63000
Ortho Theatres
400
25/11/2006
E63701
E63800
Delivery
100
E63601
E63700
E63801
E63900
ITU
E63901
E64000
E64201
E64300
Post Room
E64101
E64200
28/11/2006
E63001
E63300
Ward 14
300
E63301
E63600
Ward 15
E64301
E64600
Ward 16
01/12/2006
F00001
F10000
Stock In
10000
E64001
E64100
Ward 1
E60601
E60800
200

23. TAGGING

24. Sharps should be disposed of in Rigid Specified Containers
Sharps disposal
Sharps should be disposed of in Rigid Specified Containers

25. Cytotoxic Sharps Only

26. WASTE IDENTIFICATION

27. LABELLING OF BOXES

28. Magpie Box !

29. Find A Place For Me !

30. Blending with Buildings

31. Blending in

32. Compound Safety

33. Site Plan

34. Internal Storage Areas

35. Internal Storage-Getting it right!

36. Waiting For A Taxi !

37. Sluice Room Issues

38. Sluice Storage

39. The System Hospital Store Hospital Sub store Factory Ward Area
Rubbish Storage Area
Rubbish Collection
Compactor

40. Castle Vale-Renal Unit
2 Clinical Waste £21.42 Daily for Six days.
Annual Cost £
Household Waste Bins £5.15 once a week
Annual Cost £

41. Potential Castle Vale Clinical Waste £6701.42 Household £537.07
Saving £ (48.2%)

42. Removable Items

43. Baling Plastic -Before

44. Baling

45. Effective Bailing

46. Success Due To. Staff Co-Operation Lead by Senior Staff
Obvious Financial Benefit
Savings £7000 Machine Cost £3000
Excellent Service from Machine Supplier
Supported by Recycling Company
Building Relationships Internally and Externally.

47. Compaction

48. Compaction The Machinery

49. Cost Of Compaction Skips12 Per Week @ £30 (168 Cubic yards)
Annual Cost £18720
Waste To landfill
Capital Cost £14000
Emptied (38 Cubic yards)
Annual Cost £1040
Cardboard Recycled

50. Getting The Message Across

51. THE NEED FOR SAFETY TOOLS.

52. SAFETY TOOLS

53. Recycling Schemes

54. Other Recycling

55. Results Of Computer Amnesty
150 Monitors

56. Refurbished Products.

57. Benefits Of Refurbishment
Scarcity Of Product
Waste reduction
Financial
10 New Chairs £200 +VAT =£2350
10 Refurbished Chairs £80 + VAT = £940*
* VAT Reclaimable as a service
(Nearly 2 more chairs for V.A.T.)

58. Alternative Products

59. Summary Duty of Care
Environmental - Visits to Contractors Licensing Paperwork
Health and Safety - Sharps Safety
-Storage
- Traceability

60. Visits To Contractors Date of visit Location Contact names
Sign in to prove visit
Records of waste receipts
Photographic evidence of visit

61. Ward Departmental Audit To Include
The Way Forward
Ward Departmental Audit To Include
Analysis of Waste Stream
Environmental Champions
Any Specialities to Your Area
Develop Intranet Site With Guidance
Green Days Monthly Basis
Ensure People Know Where The Waste Policy Is

62. Final Thought ! “Our environment was not given to us
by our ancestors, it has been loaned
to us by our children”

63. Contact Details Paul Williams 8 Bonneville Close, Millisons Wood,
Coventry
CV5 9QH
U.K.