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In Attendance. David StorryCommercial Director SRCLBernadette MorrisonRegional Account Manager. Why is it important?. To protect the health and safety of staff, patients and othersTo protect the environmentTo comply with legislationTo save moneyThese factors are all interlinked
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2. In Attendance David Storry
Commercial Director SRCL
Bernadette Morrison
Regional Account Manager
4. Section 34 of the Environmental Protection Act requires accountability from all who produce or handle waste – this is the Duty of Care and it is policed by the Environment Agency
The Duty of Care is a chain of responsibility which extends from the source of waste right through to final disposal. Waste producers cannot wholly delegate responsibility to waste contractors. We all have to ensure that we do our part properly. This may be making sure we put waste in the right bin, or ensuring that our waste contractors are competent or making sure we supply waste contractors with sufficient information about the waste to be able to treat it properly.
If we do not look after waste and take our duty seriously then we risk pollution – this could be as simple as litter from poorly contained waste or it could be that waste is not disposed of properly because we entrusted it to a waste contractor who was unscrupulous or incompetent.
The Environment Agency can take legal action and this can result in fines. Fines of up to Ł20,000 or prison terms up to 6 months are possible.
Additionally there would be very damaging publicity for any hospital that was convicted of not handling clinical waste correctly
The Risk manager has asked that you make it clear in the training session – that” Independent contractors “I.e. GP’s are themselves liable for prosecution if they are in Breach of the waste regulations.
Although the PCT pays for the collection of clinical waste from GP practices could we make it clear they are not liable for the mistakes made by them. The GP’s will use any opportunity to lay the blame with the PCT. The Practice managers will be attending the training sessions as well as PCT clinical staff, so they can feed this information back to the GP’s
Section 34 of the Environmental Protection Act requires accountability from all who produce or handle waste – this is the Duty of Care and it is policed by the Environment Agency
The Duty of Care is a chain of responsibility which extends from the source of waste right through to final disposal. Waste producers cannot wholly delegate responsibility to waste contractors. We all have to ensure that we do our part properly. This may be making sure we put waste in the right bin, or ensuring that our waste contractors are competent or making sure we supply waste contractors with sufficient information about the waste to be able to treat it properly.
If we do not look after waste and take our duty seriously then we risk pollution – this could be as simple as litter from poorly contained waste or it could be that waste is not disposed of properly because we entrusted it to a waste contractor who was unscrupulous or incompetent.
The Environment Agency can take legal action and this can result in fines. Fines of up to Ł20,000 or prison terms up to 6 months are possible.
Additionally there would be very damaging publicity for any hospital that was convicted of not handling clinical waste correctly
The Risk manager has asked that you make it clear in the training session – that” Independent contractors “I.e. GP’s are themselves liable for prosecution if they are in Breach of the waste regulations.
Although the PCT pays for the collection of clinical waste from GP practices could we make it clear they are not liable for the mistakes made by them. The GP’s will use any opportunity to lay the blame with the PCT. The Practice managers will be attending the training sessions as well as PCT clinical staff, so they can feed this information back to the GP’s
5. Waste producers are solely responsible for the care of their waste while they hold it. Producers bear the main responsibility for packing waste to prevent its escape in transit.
Waste leaving producers should be packed in a way that subsequent holders can rely on. It is not possible to draw a line at the gate of producers' premises and say that their
responsibility for waste ends there. A producer is responsible according to what he knows or should have foreseen. So if he hands waste to a carrier not only should it be properly packed
when transferred, but the producer should take account of anything he sees or learns about the way in which the carrier is subsequently handling it.
The producer shares the blame for illegal treatment of his waste if he ignores evidence of mistreatment. A producer should act on knowledge to stop the illegal
handling of waste (see paragraphs
See the EA website for the Code of PracticeWaste producers are solely responsible for the care of their waste while they hold it. Producers bear the main responsibility for packing waste to prevent its escape in transit.
Waste leaving producers should be packed in a way that subsequent holders can rely on. It is not possible to draw a line at the gate of producers' premises and say that their
responsibility for waste ends there. A producer is responsible according to what he knows or should have foreseen. So if he hands waste to a carrier not only should it be properly packed
when transferred, but the producer should take account of anything he sees or learns about the way in which the carrier is subsequently handling it.
The producer shares the blame for illegal treatment of his waste if he ignores evidence of mistreatment. A producer should act on knowledge to stop the illegal
handling of waste (see paragraphs
See the EA website for the Code of Practice
6. So far, we have seen how managing waste properly is important for health, safety, environmental and legal reasons.
Here you can see how it is important also to reduce costs. Very much ball-park figures – depend on location etc
Domestic waste is normally disposed of by landfilling and although this is getting more expensive it is still relatively cheap.
If some of the domestic waste can be recycled then the costs become less and some types of waste can generate a little bit of income.
Clinical waste is usually incinerated and this is an expensive route as increasingly incinerators have to have state of the art technology to prevent pollution.
Confidential waste is more expensive largely because of administration costs – once shredded it can be recycled.
The practice of putting confidential waste in clinical bags is wrong because it is not strictly a confidential service and it costs more.So far, we have seen how managing waste properly is important for health, safety, environmental and legal reasons.
Here you can see how it is important also to reduce costs. Very much ball-park figures – depend on location etc
Domestic waste is normally disposed of by landfilling and although this is getting more expensive it is still relatively cheap.
If some of the domestic waste can be recycled then the costs become less and some types of waste can generate a little bit of income.
Clinical waste is usually incinerated and this is an expensive route as increasingly incinerators have to have state of the art technology to prevent pollution.
Confidential waste is more expensive largely because of administration costs – once shredded it can be recycled.
The practice of putting confidential waste in clinical bags is wrong because it is not strictly a confidential service and it costs more.
7. Read through – remember that the Hazardous Waste Regs can includes all types of waste, not just hazardous clinical wastes.
But for this presentation we are concentrating on clinical wastes.
Note that the List of Waste Regs introduces the European Waste Catalogue and the EWC codes, which we need to be familiar with to some extent.Read through – remember that the Hazardous Waste Regs can includes all types of waste, not just hazardous clinical wastes.
But for this presentation we are concentrating on clinical wastes.
Note that the List of Waste Regs introduces the European Waste Catalogue and the EWC codes, which we need to be familiar with to some extent.
9. Read through. Audience should note that infectious clinical waste is EWC code 18.01.03
Emphasise the need to segregate clinical and domestic!!!!Read through. Audience should note that infectious clinical waste is EWC code 18.01.03
Emphasise the need to segregate clinical and domestic!!!!
11. Read through
So how do we determine which medicines are cytotoxic or cytostatic?Read through
So how do we determine which medicines are cytotoxic or cytostatic?
12. Non-hazardous waste must not be mixed with hazardous waste
Clearly, to prevent someone downstream from having to attempt to separate waste types, it is essential to segregate at source.Non-hazardous waste must not be mixed with hazardous waste
Clearly, to prevent someone downstream from having to attempt to separate waste types, it is essential to segregate at source.
13. Inform the audience that there sites have been registered with the EA as producers of hazardous wasteInform the audience that there sites have been registered with the EA as producers of hazardous waste
14. Facilities staff sign consignment notes on behalf on the hospital. They must have the confidence that the waste is as they describe it, and this is dependant on all staff getting segregation right.
Facilities staff sign consignment notes on behalf on the hospital. They must have the confidence that the waste is as they describe it, and this is dependant on all staff getting segregation right.
15. Under the Special Waste Regs the EA could inspect premises, but this role is reinforced under the Hazardous Waste Regs, and it is likely that sooner or later they will visit your hospital and check how we manage hazardous waste
The regulations require payment of fees – yearly fee for site registration and a Ł10 fee for each consignment
The EA can bypass all the red tape of the regulations to prevent danger – not likely to be relevant to clinical waste – e.g. in the case of spillage of a road tankerUnder the Special Waste Regs the EA could inspect premises, but this role is reinforced under the Hazardous Waste Regs, and it is likely that sooner or later they will visit your hospital and check how we manage hazardous waste
The regulations require payment of fees – yearly fee for site registration and a Ł10 fee for each consignment
The EA can bypass all the red tape of the regulations to prevent danger – not likely to be relevant to clinical waste – e.g. in the case of spillage of a road tanker
18. So clearly we need to ensure that waste is categorised and segregated to avoid paying too much and to ensure correct and safe disposal.
It is a legal requirement that we get it right.
It is safest and easiest to make sure waste is segregated properly at source.
Most waste will fit into one of these descriptions, though there are a few exceptions and there are sub-categories.
Now we will look at the categoriesSo clearly we need to ensure that waste is categorised and segregated to avoid paying too much and to ensure correct and safe disposal.
It is a legal requirement that we get it right.
It is safest and easiest to make sure waste is segregated properly at source.
Most waste will fit into one of these descriptions, though there are a few exceptions and there are sub-categories.
Now we will look at the categories
20. Some wastes are classed as Hazardous – this means there are additional controls in place for these materials which are more difficult to deal with and more likely to give rise to pollution or harm.
Clinical waste can be hazardous due to their infectious properties or due to toxicity
Some wastes are classed as Hazardous – this means there are additional controls in place for these materials which are more difficult to deal with and more likely to give rise to pollution or harm.
Clinical waste can be hazardous due to their infectious properties or due to toxicity
21. Some wastes are classed as Hazardous – this means there are additional controls in place for these materials which are more difficult to deal with and more likely to give rise to pollution or harm.
Clinical waste can be hazardous due to their infectious properties or due to toxicity
Some wastes are classed as Hazardous – this means there are additional controls in place for these materials which are more difficult to deal with and more likely to give rise to pollution or harm.
Clinical waste can be hazardous due to their infectious properties or due to toxicity
22. Some wastes are classed as Hazardous – this means there are additional controls in place for these materials which are more difficult to deal with and more likely to give rise to pollution or harm.
Clinical waste can be hazardous due to their infectious properties or due to toxicity
Some wastes are classed as Hazardous – this means there are additional controls in place for these materials which are more difficult to deal with and more likely to give rise to pollution or harm.
Clinical waste can be hazardous due to their infectious properties or due to toxicity
25. Here are the don’tsHere are the don’ts
26. Here are the don’tsHere are the don’ts
27. Here are the don’tsHere are the don’ts
28. In addition to the general duty to look after wastes, there are specific duties for waste producersIn addition to the general duty to look after wastes, there are specific duties for waste producers
