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Hospital Waste in County Monaghan. Nial O’Connor LAPD Project Monaghan Co. Co. Hospital waste in Ireland. Report by Comptroller and Auditor General into value for money and waste management in hospitals Summary of findings Two types of waste risk and non risk waste

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hospital waste in county monaghan

Hospital Waste in County Monaghan

Nial O’Connor

LAPD Project

Monaghan Co. Co.

hospital waste in ireland
Hospital waste in Ireland
  • Report by Comptroller and Auditor General into value for money and waste management in hospitals
  • Summary of findings
    • Two types of waste risk and non risk waste
    • Cost of handing waste is significant – especially risk waste
    • Level of recycling poor in comparison to other countries
    • Different levels of waste in different types of hospitals
background to prevention project in county monaghan
Background to Prevention Project in County Monaghan.
  • Currently working with 3 hospitals
  • Did not have agreement with hospitals before submission to EPA
  • Considerable effort required from LAPD team to get projects up and running.
  • Level of environmental management different in each hospital ranging from poor to medium
  • Must go through the waste management hierarchy first. In developing Prevention Plans – recycling still a key element – walk before you run
st davnets
St. Davnets
  • St. Davnitts Hospital
    • Mental Health service along with other services e.g. disability etc. spread out over a number of different buildings. Mostly 9-5 now.
  • Environmental improvements being undertaken include waste, energy use and water use.
  • Finance a driver for change but also some staff are motivated by environmental considerations
st davnets phase 1
St. Davnets Phase 1.
  • Established working committee – admin and maintenance
  • Sub committee of nurses aides then established. They deal with the waste!
  • Benchmarking completed – waste characterisation study and desktop analysis of energy and water use.
  • Walk around survey with CTC
waste in st davnitts
Waste in St. Davnitts
  • Total landfill weight for 2006 was 101554 kg. figure from waste contractor
  • BDU = 100 beds* 365 = 36500 bdu
  • 101554/36500 = 2.78 kg per bed day unit
  • Water 2.34m3/sq. metre floor area/annum
  • Small acute or long stay hospital with personal laundry facility – 1.56 m3/sq. metre floor area/annum
  • Heating 635kwh/m2/year (excluding pool) 22% above typical (carbon trust)
  • Electricity 75 kWh/m2/yr – compare with offices circa 50 kWh/m2/yr
waste management
Waste management
  • Waste management currently done on an ad hoc basis costing metal health circa €50,000 a year. (non risk only + 6k for risk waste)
  • Standard weekly charge
  • Other services also paying for collection
  • 70% of waste being landfilled
  • Some recycling talking place on an ad hoc basis
  • Different levels of recycling talking place in different areas of hospital
  • Not enough receptacles for recycling in hospital
  • No management policy on waste
waste characterisation study
Waste Characterisation study
  • Difficult to undertake – incontinence wear, food waste, no central location foe bins
  • Weighed landfill waste
  • Characterised recycled waste
  • Bank Holiday week
  • Data not great
  • learnt from our mistakes.
energy and water
Energy and Water
  • Significant cost associated with Energy
  • 1,035,480 litres of 3500 sec fuel oil costing over €380,000 per annum
  • Additional costs – labour, insurance, chemicals, etc
  • Electricity costs are €172,958
  • Water circa €40,000 p.a. (water in only)
phase 2
Phase 2
  • Prevention Plan given to management from that the following tasks where identified
    • Review current waste collection service
    • Improve levels of recycling and diversion away from landfill
    • Awareness for staff on waste related issues
    • Monitoring of waste, water and energy
    • Prevention opportunities in waste management especially on wards and kitchen - accounts for roughly ½ landfill 1/3 recyclables
    • Water and energy use in swimming pool and kitchen
    • Training on risk waste
    • Good housekeeping in water and energy management
st mary s phase 1
St. Mary’s Phase 1
  • Community Hospital “care of elderly”
  • Working more with management than committee
  • Pre intervention everything being landfilled
  • Benchmarking complete in energy and water
  • Waste characterisation study complete – incontinence wear!
  • Prevention Plan given to management
waste in st mary s
Waste in St. Mary’s
  • Landfill in 2006 137.14 tonne
  • 2.6 kg per bdu
  • Costs €23971 (€174 p/t)
  • Risk waste 2.2 tonne costing €2384 in total (€1083 p/t)
  • Risk waste accounts for 1.5% of overall waste but 10% of the overall cost
waste study
Waste study
  • Asked for food waste to be Segragted
  • Incontinence wear!

Total waste









energy management
Energy Management

Total cost of energy 2006 =€188,278.40

Electricity = €59878

Oil = €128,399.58

water management
Water Management
  • Using 60m3 per day (equivalent of 100 houses)
  • €41,829 per year
st mary s phase 2
St. Mary’s Phase 2
  • Awareness with all staff poster, fliers etc
  • New waste collector hired wheelie bins – saving €8,000 – 10,000 p.a.
  • Recycling scheme introduced on wards
  • New measures for ordering dinners from wards introduced – prevention of food waste
st mary s phase 21
St. Mary’s Phase 2
  • Water flow logged – leak detection
  • Energy monitoring in kitchen and laundry
  • Moving through the waste management hierarchy
  • Review meeting with management on regular basis
monaghan general hospital
Monaghan General Hospital
  • Working with management to improve environmental performance which is currently good
  • Good segregation of waste but could be improved
  • Level of recyclables going to landfill still considerable
waste in monaghan general
Waste in Monaghan General
  • 122. 697 in 2006 tonne non risk waste
  • = 3.4 kg non risk waste/bdu (below benchmark)
  • .5 kg risk waste/bdu
  • Recycling 20% of non risk waste – more can be achieved
monaghan general
Monaghan General
  • Prevention Plan given to management
  • Some tasks undertaken by Hospital Administrator
  • Awaiting the establishment of committee
  • Central Procurement
    • Buy the cheapest – does not always represent the best value for money
  • Disposable nature of a lot of products
    • Gloves, medical products, hand wipes, latex gloves
  • Nature of waste – incontinence wear!
  • Infection control
  • Training for risk waste for staff needed
  • Prevention possible in some areas through better housekeeping
  • Need to Keep momentum going
  • Getting access to key personnel
  • Moving from Recycling to Prevention
  • Budgets and time constraints in health sector
  • Awareness vs. motivation for staff