metal recycling trial - hfs.scot.nhs.ukpaven... · metal recycling trial dr pavan raju consultant...
TRANSCRIPT
Metal Recycling Trial
Dr Pavan Raju
Consultant Anaesthetist
NHS Tayside
4th November 2016
“With great power comes great responsibility”
Voltaire, Churchill and
Spiderman’s uncle.
NHS GG&C & NHS Fife
• In 18 months over 54 tonnes of metal recovered
• 9.5 tonnes of plastic avoided
Background
Single use metal instruments
Current Journey
Disposable laryngoscope blades & metal instruments
Sharps bin
Incinerator
Landfill
Damaged/old metal instruments
Current Journey
Metal instruments (old and damaged)
Sterile Services
Waste yard
Scrap metal dealer for a price
Can we make it better?
YES
AIMS
• Single use metal instruments
– Recycling potential
– Sustainable
– Economical benefits
– Environmental benefits**
CHALLENGES
HOW?
• Metal recycling trial
– Core team
– Meetings
– Recruit
– Communication****
– Education
– Preparation
Part of National waste Management steering
group work plan
Ninewells Hospital
• Main theatre complex
• West block theatre complex
• Paediatric theatre complex
• Day Surgery area
• Twin theatres
• Mobile theatres
Waste Journey
• Theatres
• Common area
• Waste yard
• Taken away
Single use metal instruments • Laryngoscope blades • Magill forceps • Single use scissors • Tonsillectomy instruments • Scalpels • Eye surgery instruments
Re-usable plastic sharp bins
During the trial…
• Morning briefs
• Troubleshooting
• Rounds
• Resources
Results
• Material collection – 3 weeks and 6 weeks
• Dundee treatment plant
• Analysis – Hasockrigg in Shotts
• Need for larger containers
Numbers
• Theatre complex
– 29 containers – 136 Kg
• Sterile Services
– 234Kg
Annually…
Theatres
251 containers – 1.18 tonnes
Sterile Services
3 tonnes
Economical & Environmental impact
• 1.39 tonnes saved from incineration
• 0.21 tonnes plastic reused
• 1.18 tonnes metal recycled
• 3 tonnes from sterile services
Savings…
• Reuse of containers
• Rebate value of metal
• VAT redeemable service
• Metal processing
• Single use containers weight processing
Sustainable…
• Second trial at NHS Lothian
• Further trials
• Some considering this option
Future plans…
• Planning and discussion stage
• Trial to routine practice
• Other areas
• Other products
Please remember, there is no
“PLANET B”
“PLAN A”
Go to “PLAN B”
Not working!
Acknowledgements
• Dr Grant Rodney, Consultant Anaesthetist
• Mr Philip Wilde, Environmental Lead, Tayside
• NHS Tayside Theatre Staff
• HES – Mr David Bradon and Mr Steven Boyle
• Mrs Wendy Rayner
• Sterile Services, Tayside
• Porter Services, Tayside
• Drs O Hayes, A Sadler and C Hoy
