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Waste Management Policy of 52 Version 3.0

Waste Management Policy

Document Author Authorised

Job Title: Waste & Recycling Officer Date: August 2017

Authorised By: Chief Executive Date: 12th December 2017

Lead Director: Associate Director of Estates

Effective Date: 12th December 2017

Review Date: 11th December 2020

Approval at: Corporate Governance & Risk Sub-Committee

Date Approved: 12th December 2017


DOCUMENT HISTORY (Procedural document version numbering convention will follow the following format. Whole numbers for approved versions, e.g. 1.0, 2.0, 3.0 etc. With decimals being used to represent the current working draft version, e.g. 1.1, 1.2, 1.3, 1.4 etc. For example, when writing a procedural document for the first time – the initial draft will be version 0.1)

Date of Issue

Version No.

Date Approved

Director Responsi

ble for Change

Nature of Change

Ratification / Approval

January 2005

1.0 December 2006

Associate Director of Estates

February 2014

1.1 February 2014

Associate Director of Estates

Consolidation of Household Waste Policy / Clinical Waste Policy with Waste Management Policy

Approved at Waste Management Group and Risk Management Committee

March 2014

2.0 March 2014 Associate Director of Estates

Update Policy Management Group

August 2017

2.1 Associate Director of Estates

Update to new policy format

29/11/17 2.1 Associate Director of Estates

Ratified at Health, Safety, Security, Fire and Estates Committee

12/12/17 3.0 12/12/2017 Associate Director of Estates

Approved at Corporate Governance & Risk Sub-Committee

NB This policy relates to the Isle of Wight NHS Trust hereafter referred to as the Trust.


Contents 1. EXECUTIVE SUMMARY ............................................................................................. 6

2. INTRODUCTION ......................................................................................................... 6

3. SCOPE ........................................................................................................................ 6

4. AIMS AND OBJECTIVES ............................................................................................ 6

5. IMPACTS AND RISKS ASSOCIATED WITH WASTE MANAGEMENT ...................... 6

Health & Safety and Fire Safety ..................................................................................... 6

Manual handling ............................................................................................................. 7

Falls and trips ................................................................................................................. 7

Fire safety ....................................................................................................................... 7

Infection Control ............................................................................................................. 7

Environmental impacts ................................................................................................... 7

Environmental Policy statement ..................................................................................... 7

Waste Hierarchy ............................................................................................................. 7

“Zero-landfill” .................................................................................................................. 8

Financial impact .............................................................................................................. 8

6. KEY RESPONSIBILITIES............................................................................................ 9

The Chief Executive ....................................................................................................... 9

All Staff ........................................................................................................................... 9

The Executive Director responsible for Estates .............................................................. 9

The Associate Director of Estates .................................................................................. 9

The Waste Manager ....................................................................................................... 9

The Clinical Waste Operative ....................................................................................... 10

Associate Director ........................................................................................................ 10

The Estates Maintenance Foremen .............................................................................. 10

The Capital Planning and Development Manager ........................................................ 10

The Infection Control Team .......................................................................................... 10

The Health & Safety and Security team ........................................................................ 10

General Managers / Departmental Managers (non-clinical) ......................................... 11

Clinical managers / Ward managers / Modern matrons ................................................ 11

Community teams treating patients in their homes ....................................................... 11

The Chief Pharmacist ................................................................................................... 11

The Hotel Services Manager ........................................................................................ 11

Portering staff ............................................................................................................... 12

Domestics staff ............................................................................................................. 12

Caretakers .................................................................................................................... 12

Trust contractors ........................................................................................................... 12


7. DEFINITION OF WASTE........................................................................................... 13

European Waste Catalogue (EWC) .............................................................................. 13

Controlled Waste .......................................................................................................... 13

Hazardous Waste ......................................................................................................... 13

Radioactive Waste ........................................................................................................ 13

Confidential Waste ....................................................................................................... 13

Clinical wastes .............................................................................................................. 13

8. DUTY OF CARE ........................................................................................................ 14

Waste Transfer Notes (Controlled waste) ..................................................................... 14

Hazardous Waste Consignment Notes (Hazardous waste) .......................................... 15

Duty of Care Audits ...................................................................................................... 15

Clinical Waste Pre-Acceptance Audits ......................................................................... 15

9. OTHER LEGISLATIVE AND REGULATORY REQUIREMENTS .............................. 15

Landfill Tax ................................................................................................................... 15

Waste Management Licensing Regulations 1994......................................................... 15

The Waste (England and Wales) Regulations 2011 ..................................................... 15

Hazardous Waste Regulations 2005 ............................................................................ 15

Waste Electrical and Electronic Equipment Directive ................................................... 16

Landfill directive ............................................................................................................ 16

Batteries directive ......................................................................................................... 16

Carriage of Dangerous Goods (CDG) Regulations ....................................................... 16

10. WASTE GENERATED BY THE TRUST .................................................................... 16

Healthcare Wastes (Appendix A – PART A) ................................................................. 16

Non-Healthcare Wastes (Domestic waste) (Appendix A – PART B) ............................ 16

Non-Healthcare Hazardous Wastes (Appendix A – PART C) ...................................... 16

11. WASTE GENERATED IN THE COMMUNITY ........................................................... 17

Trust Community premises ........................................................................................... 17

Waste generated by community teams in patients homes ........................................... 17

12. WASTE GENERATED BY OTHER ORGANISATIONS ............................................ 17

Contractors working for the Trust ................................................................................. 17

Organisations for which the Trust arranges waste disposal ......................................... 17

13. SEGREGATION OF WASTE ..................................................................................... 17

Waste segregation policy ............................................................................................. 17

Domestic waste segregation – Recycling scheme........................................................ 17

Organisations for which the Trust arranges waste disposal ......................................... 18

14. TRANSPORT OF WASTE ......................................................................................... 18

Internal transport .......................................................................................................... 18

External transport ......................................................................................................... 18


15. HANDLING OF WASTE ............................................................................................ 18

Healthcare Wastes ....................................................................................................... 18

Other wastes ................................................................................................................ 18

16. STORAGE OF WASTE ............................................................................................. 18

Waste bins .................................................................................................................... 18

Choosing waste containers and bags ........................................................................... 19

Purchasing of waste containers and bags .................................................................... 19

Internal storage ............................................................................................................. 19

External storage ........................................................................................................... 19

Spills ............................................................................................................................. 19

17. FLY TIPPING ............................................................................................................. 20

18. DISPOSAL TO DRAINS AND SEWERS ................................................................... 20

19. CLINICAL WASTE TRANSFER STATION ................................................................ 20

Waste Management Licence – Environmental Permit .................................................. 20

Technically Competent Manager (TCM) cover ............................................................. 20

Quarterly Returns to the Environment Agency ............................................................. 21

Access and ingress, building alterations ....................................................................... 21

20. AUDITING ................................................................................................................. 21

21. TRAINING AND AWARENESS-RAISING ................................................................. 21

22. REVIEW AND REVISION ARRANGEMENTS ........................................................... 21

23. MONITORING / KEY PERFORMANCE INDICATORS ............................................. 22

24. LINKS TO OTHER ORGANISATION POLICIES/DOCUMENTS ............................... 22

25. REFERENCES .......................................................................................................... 22

26. DISCLAIMER ............................................................................................................. 22

27. APPENDICES ........................................................................................................... 22

Appendix A Financial and Resourcing Impact Assessment on Policy Implementation 23 Appendix B Equality Impact Assessment (EIA) Screening Tool 25 Appendix C Waste Data Sheets (WDS) 28 Appendix D Standard Operating Procedures 52


1. EXECUTIVE SUMMARY

This policy is a necessary requirement to ensure the Trust fulfils its moral and legal duties for safe, compliant, environmentally and financially sustainable Waste Management. This policy provides guidance to all staff, and defines responsibilities in all aspects of Waste Management with clear standards for appropriate waste segregation, storage, handling, transport and disposal.

2. INTRODUCTION

Waste Management is the generic term given to the whole spectrum of activities associated with waste, namely, its generation, segregation, storage, handling and transportation from point of source (ward/department) to final place of disposal (recycling/landfill/incinerator). This policy details the Trust’s arrangements, including responsibilities, for the classification, segregation, collection, storage, handling, transportation and disposal of all waste produced as a consequence of the Trust’s activities.

3. SCOPE

This policy applies to all services directly provided by the Trust and all staff should familiarise themselves with the policy. This policy encompasses the activities and responsibilities of all Trust staff, including in patients’ homes, Dental Surgeries and Community clinics when applicable. This policy applies also to all contractors and temporary workers who are engaged to work on the Trust premises.

4. AIMS AND OBJECTIVES

This policy has been prepared with the objectives of: Ensuring full legislative compliance for Waste Management activities at the Trust at all

time, and when possible lead on best practice; Reducing and mitigating the Health & Safety, Fire Safety and Infection Control risks

associated with Waste Management activities at the Trust; Reducing and mitigating the environmental impacts associated with Waste

Management activities at the Trust; Ensuring robust controls and assurances are in place for all Waste Management

activities at the Trust.

5. IMPACTS AND RISKS ASSOCIATED WITH WASTE MANAGEMENT

Health & Safety and Fire Safety

The Trust recognises the Health & Safety and Fire Safety risks associated with Waste Management.


Manual handling

The improper manual handling of waste presents a risk to Trust staff and contractors. The Trust is committed to minimise and mitigate these risks as far as practically reasonable. This includes the conduct of risk assessments when new waste management equipment or practices are introduced.

Falls and trips

The inappropriate storage of waste can create falls and trips hazards. Refer to the STORAGE OF WASTE section for appropriate waste storage protocols.

Fire safety

The inappropriate storage of waste can create fire hazards or impact fire evacuation procedures. Refer to the STORAGE OF WASTE section for appropriate waste storage protocols.

Infection Control

It is important to adopt appropriate handling and storage protocols which minimise the Infection Control risks associated with infectious waste. Refer to the STORAGE OF WASTE section for appropriate waste storage protocols.

Environmental impacts

Disposing of waste has very significant environmental impacts. Throwing away things is a waste of resources. It wastes the raw materials and

energy used in making the items and contributes to global resources depletion. Landfilling waste generates methane gas, which is explosive and contributes

significantly to Climate Change. Leachate produced as waste decomposes in landfill causes land or water pollution. Incinerating waste produces toxic substances, such as dioxins which have an effect

on local air quality. Gases from incineration cause air pollution and contribute to acid rain, while the

ash from incinerators may contain heavy metals and other toxins. Transporting waste is very carbon intensive, contributes to Climate Change and

has an effect on air quality.

Environmental Policy statement

As stated in the Trust Environmental Management Policy, it is the policy of the Isle of Wight NHS Trust to:

Use the waste hierarchy at all time.

Aim for “zero landfill”.

Use local waste management treatment and disposal solutions when possible.

Monitor, report and set targets on our management of domestic and clinical waste.

Minimise the creation of waste particularly in medicines, food and ICT.

Ensuring we have robust systems for recycling wherever possible.

Waste Hierarchy

The waste hierarchy is a classification of preferred waste management options in order of their environmental impact.


“Zero-landfill”

Practice wherein wastes are reused; recycled or undergo alternative treatment processes with the aim of avoiding the use of landfills for disposal. This is particularly relevant for the residual fraction of domestic waste (later referred as Non-Healthcare General waste, i.e. black bags).

Financial impact


Different types of waste attract different disposal price rates and as a result good waste segregation generates substantial costs-savings.

6. KEY RESPONSIBILITIES

The Chief Executive

The Chief Executive ultimately has overall responsibility for safe, effective and compliant Waste Management throughout the Trust.

All Staff

All Staff have a responsibility and legal duty of care to comply with this policy and associated procedures. All staff are responsible for:

Observing the waste policy and waste management procedures. Most particularly in regard to correct waste segregation.

Reporting accidents and any incidence of non-compliance with this policy. Considering any untapped opportunities for waste reduction, minimisation in

recycling in their area/department. Actively participating and supporting waste reduction, minimisation and recycling

initiatives undertaken in their area/department. Minimising waste production including:

Ensuring double sided printing (duplex) printing is enabled as the default setting for all printing (where local printers allow);

Reusing office stationery or waste paper that has been printed on one side only as scrap paper when appropriate;

Reviewing the need to purchase items so that future waste is avoided (i.e. not over-ordering items with a shelf life or where there is limited storage capacity);

Advertising fit for purpose redundant items in the e-bulletin prior to disposal;

Considering purchasing options that minimise waste including leasing;

Requesting that suppliers take unwanted items or packaging back where possible (e.g. pallets).

The Executive Director responsible for Estates

The Executive Director responsible for Estates has delegated responsibility for safe, effective and compliant Waste Management throughout the Trust and is responsible to the Chief Executive for ensuring systems are in place to this effect.

The Associate Director of Estates

The Associate Director of Estates has delegated responsibility for safe, effective and compliant Waste Management throughout the Trust. The Associate Director of Estates is responsible:

To the Executive Director responsible for Estates for establishing systems to this effect and ensuring sufficient resources are allocated.

For delegating some of these responsibilities and duties to a nominated Estates officer with a Waste Manager responsibility.

The Waste Manager

The Waste Manager has a delegated responsibility for managing and monitoring systems for safe, effective and compliant Waste Management at the Trust. The Waste Manager is responsible:

For providing advice and guidance on all matters related to Waste Management at the Trust.

For the development, up-keeping and implementation of the Waste Management Policy and associated Procedures throughout the Trust.


For ensuring waste legislative requirements are satisfied at all Trust sites including applications for environmental permits or exemptions and registration with the Environment Agency as a Hazardous Waste Producer

For ensuring that all relevant new and upcoming waste legislative requirements are identified and when appropriate communicated to managers and staff, in a timely manner to ensure the Trust remains compliant at all times.

For reporting breaches of regulatory compliance, the reason for non-compliance, and the measures taken to regain compliance and prevent further incidents.

For acting as the principal point of contact with regulatory bodies and ensuring that all communications are maintained on file.

For managing St Mary’s clinical waste transfer station in line with its permit licence. For procuring waste management services contracts in a sustainable and legally

compliant manner. For managing the Trust waste budget in a sustainable and cost-effective manner. For producing pre-acceptance reports for clinical waste contractors and

undertaking Duty of Care audits of the Trust waste contractors. For managing all waste contractors employed by the Trust. For conducting a rolling schedule of waste audits throughout the Trust. For staff training and raising awareness on this policy and associated procedures.

The Clinical Waste Operative

The Clinical Waste Operative is responsible for all clinical waste transport operations at St Mary’s Hospital, the up-keeping of the Waste Transfer Station and waste yard and the day to day operational management of the clinical waste transfer station.

Associate Director

Associate Directors have overall responsibility for the implementation of this policy within their Directorate.

The Estates Maintenance Foremen

The Estates Maintenance Foremen are responsible for ensuring that all the Estates Maintenance Teams are aware of the right procedures and protocols for disposing of waste arising from maintenance and refurbishment works. The Estates Maintenance Foremen are responsible for ensuring all contractors working on projects managed by the maintenance team are made aware and adhere to SOP 404 – Contractors’ waste procedure.

The Capital Planning and Development Manager

The Capital Planning and Development Manager is responsible for ensuring all contractors working on projects managed by the capital team are made aware and adhere to SOP 404 – Contractors’ waste procedure.

The Infection Control Team

The Infection Control Team is responsible for ensuring Infection Control policies/procedures are aligned with this Waste Policy and associated procedures. The Infection Control Team is responsible for providing advice and support to the Waste Manager to minimise the risks from exposure to infections caused by waste.

The Health & Safety and Security team

The Health & Safety and Security team is responsible for providing pro-active advice and support to the Waste Manager to minimise the H&S (manual handling, falls and trips), and fire safety risks caused by waste.


General Managers / Departmental Managers (non-clinical)

General Managers / Departmental Managers in non-clinical areas are responsible for: Ensuring that this policy and the procedures it contains, particularly regarding

waste segregation are brought to the attention of and observed by all staff in the area under their responsibility. For non-clinical areas this includes segregating wastes for recycling and ensuring that correct Trust procedures are followed for any hazardous domestic waste (E.g. batteries, toners), electrical waste, bulky waste etc.

Ensuring that there is a proactive approach to adhering to this policy and for staff under their management to be encouraged to participate in implementing this Waste Policy and associated procedures.

Actively cooperating with the Waste Manager to ensure the effective and compliant management of waste arising in their area of responsibility.

Clinical managers / Ward managers / Modern matrons

Ward/Department managers are responsible for: Ensuring that this policy and the procedures it contains, particularly regarding

waste segregation are brought to the attention of and observed by all staff in the area under their responsibility. For clinical areas this relates particularly to clinical waste (infectious waste, sharps, medicines wastes, offensive wastes) and domestic waste.

Responsible for ensuring that Waste Segregation posters are displayed in appropriate places to inform staff on adequate waste segregation (available from the Waste team).

Ensuring that waste bins in their area are kept clean. Lockable metal yellow clinical waste cabinets and external clinical bins can be cleaned by Estates on demand.

Ensuring that their designated waste storage areas (internal or external) are kept clean and tidy and free from loose waste, bulky items and items for storage.

Ensuring any lockable waste bins/ are kept locked shut at all times except when being filled.

Community teams treating patients in their homes

Community teams treating patients in their homes have a responsibility to comply with this policy and most importantly SOP 201- Clinical waste – Community teams.

The Chief Pharmacist

The Chief Pharmacist is responsible for Providing guidance on pharmaceutical matters relevant to waste management. Maintaining a list of cytostatic and cytotoxic pharmaceuticals dispensed at the

Trust. Supporting departments/wards in identifying cytostatic and cytotoxic medicines

when required. Facilitating the return of unused, faulty, expired or surplus pharmaceuticals to the

pharmacy department. Ensuring Pharmacy’s waste is segregated in accordance with this policy.

The Hotel Services Manager

The Hotel Services Manager is responsible for ensuring effective systems are in place for the general portering staff, domestics staff and caretakers to fulfil their responsibilities and that they have received adequate training in order to comply with this policy.


Portering staff

General portering staff are responsible for: Collecting and the basic segregation of domestic waste (black bags, clear recycling

bags, cardboard, Waste Electronic & Electrical Equipment (WEEE) etc.) in all internal areas with waste cupboards at St Mary’s Hospital phase III (and some external areas where applicable).

Operating the Trust’s waste compactor after receiving the necessary training. Operating the Trust’s cardboard balers after receiving the necessary training.

Departmental portering staff are responsible for:

Collecting and the basic segregation of domestic waste (black bags, clear recycling bags, cardboard, WEEE etc.) in their areas.

Operating the Trust’s waste compactor after receiving the necessary training. Operating the Trust’s cardboard balers after receiving the necessary training.

Departmental portering staff managers are responsible for ensuring effective systems are in place for their portering staff to fulfil their responsibilities and that they have received adequate training in order to comply with this policy.

Domestics staff

Domestic’s staff are responsible for: Emptying domestic/recycling office bins across the Trust sites at a frequency set by

Hotel Services. Ensuring the correct bin bags are placed in the relevant bins (clear for recycling

waste, black for domestic waste). Ensuring waste is placed in the correct external waste bins. Reporting any areas showing poor segregation practice (food waste in recycling

bins, recycling waste in domestic waste bins) to the Waste team so that the area involved can be advised and training provided.

Domestic’s staff in clinical areas are responsible for: Supporting clinical staff in emptying domestic and clinical waste bins, and

transporting the waste to the correct internal cupboard or external bin.

Caretakers

Caretakers are responsible for: Collecting redundant equipment and other bulky items (WDS208, 209, 210, 211,

213, 214) which have been identified and reported for disposal. Transferring waste (Redundant equipment and other bulky items as defined above)

from its collection point to the Trust main waste compound (at Estates) and placing the waste items in the correct bay or container.

Trust contractors

Trust contractors are responsible for ensuring all wastes they produce whilst on site are managed and disposed of in accordance with the Trust’s policy and SOP 404. Contractors who transport Trust waste must be suitably licensed waste carriers or where required, waste brokers, with evidence provided (waste carriers licences). Paperwork for any waste streams leaving the Trust’s control must be obtained in the form of consignment notes (for hazardous waste) and waste transfer notes (non-hazardous wastes). Contractors affected would include those undertaking refurbishment projects, routine or non-routine maintenance activities. Generally contractors are NOT permitted to use Trust facilities and these can only be used with prior consent of the Trust’s contract manager and then in full accordance with this Policy.


7. DEFINITION OF WASTE

Under the Waste Framework Directive (European Directive (WFD) 2006/12/EC), waste is “Any substance or object the holder discards, intends to discard or is required to discard".

European Waste Catalogue (EWC)

The European Waste Catalogue (EWC) classifies waste materials and categorises them according to what they are and how they were produced. The EWC uses a 6 digits code (EWC code) to reference waste streams. The EWC is used on Waste Transfer Notes and Hazardous Waste Transfer Notes in all waste transfer operations.

Controlled Waste

Controlled Waste is waste that is subject to legislative control in either its handling or its disposal under the Controlled Waste Regulations 1992. The types of wastes covered include all domestic, commercial and industrial waste. All waste produced by the Trust is classed as controlled commercial waste.

Hazardous Waste

Hazardous waste is waste that poses substantial or potential threats to public health or the environment. Waste is legally classified as hazardous if it is covered under the Hazardous Waste Regulations 2005 and it will be listed with a star (*) in the European Waste Catalogue (EWC).

Radioactive Waste

Radioactive wastes are wastes that contain radioactive material. Radioactive waste typically comprises a number of radioisotopes: unstable configurations of elements that decay, emitting ionizing radiation which can be harmful to humans and the environment. See radionuclide contaminated waste (lymph biopsy – WDS 114).

Confidential Waste

Confidential waste are wastes that contain confidential information. Confidential information can be defined as;

Any material that contains information of a personal nature - that can identify a living individual or relates to an individual under the 1998 Data Protection Act e.g. patient names, details of medical condition & treatment, staff personal details.

Any information classed as ‘Business Sensitive’ e.g. financial data. If there is any doubt regarding whether the information contained is ‘confidential’, disposal as confidential waste is advisable therefore reducing any potential risk. All information has a life cycle and the Trust has adopted the NHS Code of Practice: Records Management (available on the intranet) which gives guidance on how long the different types of information should be kept for.

Clinical wastes

The following healthcare wastes have specific disposal requirements which are detailed in Appendix A – Healthcare Wastes:

Anatomical wastes (WDS104), Sharps wastes (WDS 105, 106 and 107), Medicines wastes (WDS 108, 109, 110), Medicinally contaminated wastes (WDS 109 and 110), Controlled drugs (WDS 111), Plaster/gypsum (WDS 112),

http://en.wikipedia.org/wiki/Radioisotopes

http://en.wikipedia.org/wiki/Radioactive_decay

http://en.wikipedia.org/wiki/Ionizing_radiation


Dental wastes (WDS 115), Radionuclide contaminated waste (Lymph biopsy – WDS 114).

General definition of clinical waste Wastes not listed above and known or believed to be contaminated with body fluids (blood, urine, sputum, vomit, faeces) are classed as either infectious clinical or offensive (non-infectious clinical) waste. Wastes that have not come into contact with blood or body fluid are neither infectious nor offensive, and are thus classed as domestic waste. As a result packaging (including sterile items packaging), paper towels from hand washing, bed rolls not contaminated with body fluids, and other domestic type wastes must not be disposed of in the infectious (orange bags) or offensive (tiger bags) clinical waste streams. These wastes must be disposed of in domestic waste bins (black bags) or if suitable and facilities exist recycling waste bins (clear bags). Definition of “Known or suspected infectious patient” For the purpose of this policy a patient is known or suspected to be infectious if the answer is YES for ANY of the following questions:

Is the patient being isolated for any infection? Is the patient being treated for any infection, e.g. on antibiotics? Is the patient having diarrhoea or vomiting, where the cause is not certain

and infection has not been excluded? Is the patient suspected to have an infection?

Infectious clinical waste Wastes contaminated with body fluids from a patient known or suspected to be infectious is classed as infectious waste (orange bags). Some areas may be using yellow bags which are another classification of infectious clinical waste. See WDS 101 and 102. Offensive waste (i.e. Non-infectious clinical waste) Wastes contaminated with body fluids but from a non-infectious patient is classed as offensive waste (waste causing offence but not infectious). Such wastes are not hazardous and can be disposed of in tiger bags. The use of tiger bags will be introduced in targeted areas after an assessment has been undertaken jointly by the Waste and Infection Control teams. In areas where tiger bags are not available, offensive wastes (non-infectious clinical waste) must be disposed in orange bags. See WDS 103.

8. DUTY OF CARE

As a producer of waste the Trust has a legal ‘Duty of Care’ to make sure its waste is handled safely and only passed to people authorised to receive it. For any waste removed from Trust premises, the designated waste contractor will have to supply a Waste Transfer Note (WTN) for controlled waste, and a Hazardous Waste Consignment Note (HWCN) for hazardous waste. No waste may leave the Trust without a Waste Transfer Note or Hazardous Waste Consignment Note.

Waste Transfer Notes (Controlled waste)

Before any Controlled waste leaves the Trust a Waste Transfer Note (WTN) must be produced ensuring all the required information is put onto the form. The form must be signed by an authorised Trust officer and be given to the waste carrier when they come to collect the waste. For regular collections an annual waste transfer note can be set up in


advance of the first collection. Waste transfer notes must be retained for two years following the disposal of the waste.

Hazardous Waste Consignment Notes (Hazardous waste)

Before any hazardous waste is removed from the Trust a Hazardous Waste Consignment Note (HWCN) must be completed ensuring all relevant information is put onto the form. This form cannot be completed annually but must be completed for each load. Waste consignment notes must be retained for three years following the disposal of the waste.

Duty of Care Audits

It is the Trust responsibility to make sure its waste contractors are registered waste carriers and are taking the waste to legitimate sites. As a result the Trust has a legal responsibility to conduct Duty of Care audits to ensure the facilities receiving the waste handle and treat our waste in a safe, compliant and sustainable manner.

Clinical Waste Pre-Acceptance Audits

Facilities authorised to incinerate or treat clinical wastes are required to assess and have access to detailed information on the composition of the waste from the producer before they receive it. As a result the Trust has a legal obligation to produce and provide its clinical waste contractor detailed and thorough clinical waste annual pre-acceptance audits for both St Mary’s Hospital and its community premises producing clinical waste, in line with the requirements of the Environment Agency Additional guidance for clinical waste - EPR 5.07 (2011).

9. OTHER LEGISLATIVE AND REGULATORY REQUIREMENTS

The Trust is committed to following all applicable waste legislation, statutory guidance, and other environmental requirements to which it subscribes, as well as to adhere to industry best practice when possible. The Associate Director of Estates is responsible for ensuring that the Trust adheres to all such legislation through the active support and guidance of the Waste Manager. The Trust is fully committed to cooperating with regulators, such as the Environmental Agency, the Water Authority, the Health & Safety Executive and DEFRA.

Landfill Tax

This is a tax on the disposal of waste. It aims to encourage waste producers to produce less waste, recover more value from waste and to use more environmentally friendly methods of waste disposal.

Waste Management Licensing Regulations 1994

The Waste (England and Wales) Regulations 2011

This regulation provides the requirements for using the waste hierarchy. The waste hierarchy is a classification of waste management options in order of their environmental impact, such as: reduction, reuse, recycling and recovery.

Hazardous Waste Regulations 2005

Hazardous waste is essentially waste that contains hazardous properties which if mismanaged has the potential to cause greater harm to the environment and human health than non-hazardous. As a result, strict controls apply from the point of its production, to its movement, management, and recovery or disposal.


Waste Electrical and Electronic Equipment Directive

Waste Electrical and Electronic Equipment (WEEE) directive aim to reduce the quantity of waste from electrical and electronic and increase its re-use, recovery and recycling.

Landfill directive

This directive aims to prevent or reduce as far as possible negative effects on the environment from the landfilling of waste, by introducing stringent technical requirements for waste and landfills and setting targets for the reduction of biodegradable municipal waste going to landfill.

Batteries directive

This directive aims to improve the environmental performance of batteries and minimise the impact waste batteries have on the environment by banning the disposal batteries in landfill or by incineration.

Carriage of Dangerous Goods (CDG) Regulations

The CDG Regulations are the UK’s transposition of the EU ADR 2009 Regulations. •Correctly classify the waste •Package the waste according to specific standards •Label the waste correctly •Provide the collector with a consignor’s declaration Under the CDG and as a consignor of hazardous waste, the Trust may require an annual Dangerous Goods Safety report.

10. WASTE GENERATED BY THE TRUST

The Trust produces a very wide variety of waste streams. These can be broadly classed as Healthcare and Non-healthcare wastes.

Please refer to Appendix A – Waste Data Sheets for a detailed break-down of all waste streams and associated transport/disposal procedures.

Healthcare Wastes (Appendix A – PART A)

This category covers all the wastes specifically produced in a healthcare environment, such as clinical waste, offensive waste, anatomical waste, sharps wastes, etc. Healthcare waste can be defined as: 1. “. . . any waste which consists wholly or partly of human or animal tissue, blood or other body fluids, excretions, drugs or other pharmaceutical products, swabs or dressings, syringes, needles or other sharp instruments, being waste which unless rendered safe may prove hazardous to any person coming into contact with it; and 2. any other waste arising from medical, nursing, dental, veterinary, pharmaceutical or similar practice, investigation, treatment, care, teaching or research, or the collection of blood for transfusion, being waste which may cause infection to any person coming into contact with it.”

Non-Healthcare Wastes (Domestic waste) (Appendix A – PART B)

This category covers all the wastes which could typically be produced in a domestic / household setting such as general (black bag) waste, dry mixed recycling, bulky items, etc.

Non-Healthcare Hazardous Wastes (Appendix A – PART C)

This category covers wastes not specific to a healthcare setting but which have a particular property making them hazardous such as asbestos, Waste Electrical and Electronic Equipment, chemicals, etc.…


11. WASTE GENERATED IN THE COMMUNITY

Trust Community premises

This Policy and associated procedures fully apply to Trust community premises such as Health Centres and Community Clinics.

Waste generated by community teams in patients homes

Trust staff generating patients’ homes should be familiar and adhere to SOP 201 – Clinical Waste - Community teams.

12. WASTE GENERATED BY OTHER ORGANISATIONS

Contractors working for the Trust

All contractors employed or working on behalf of the Trust on the Trust’s premises will make the necessary arrangements to comply with this policy, but most especially SOP 404 – Contractors’ waste procedure. Waste carriers / contractors are required to follow on site rules for vehicle parking, loading/unloading, security and speed limit whilst on the Trust premise.

Organisations for which the Trust arranges waste disposal

If the Trust arranges any waste disposal services through its waste contractor(s) for other organisations, those organisations have to adhere to this Waste Policy and are responsible for ensuring their staff are aware and apply the policy and associated procedure. Compliance might be audited by the Waste Manager or any other authorised officer.

13. SEGREGATION OF WASTE

Waste segregation policy

All wastes produced at the Trust are segregated in accordance with the Waste Data Sheets supplied in Appendix A of this policy. There may be specific local circumstances which require to adopt adapted or different segregation procedures, but only if agreed in advance with the Waste team.

Waste segregation in line with this policy is not optional but MANDATORY.

Domestic waste segregation – Recycling scheme

Estates are gradually phasing in the provision of recycling facilities (i.e. bins) throughout the Trust. Departments which have not been supplied with recycling facilities do not need to separate dry mixed recyclables (in clear bags) until supplied with the facilities to do so.

When recycling facilities are deployed to an area, different communication channels will be used to make staff aware of the new segregation procedure. Every effort will be made to adapt to local circumstances but there is no requirements for Estates to formerly consult with the area staff prior to roll-out.

Once supplied by Estates with facilities for recycling (recycling bins), then full segregation of dry mixed recyclables is required by all staff at all time.

In office areas supplied with both recycling bins and general waste bins in shared locations (on same principle as confidential waste consoles), Hotel Services has full


authority to instruct Domestics to only empty the provided shared bins. Staff can keep under desk bins but their emptying becomes the full responsibility of the bin owner.

Organisations for which the Trust arranges waste disposal

If the Trust arranges any waste disposal services through its waste contractor(s) for other organisations, those organisations have to adhere to this Waste Policy and are responsible for ensuring their staff are aware and apply the policy and associated procedure. Compliance might be audited by the Waste Manager or any other authorised officer.

14. TRANSPORT OF WASTE

Internal transport

Healthcare (Clinical) and Non-healthcare (Domestic) wastes may under no circumstances be mixed for transport.

Waste bins / trolleys used for the movement of clinical waste within premises shall be designed and constructed so they are easy to manually handle.

Waste bins/trolleys must be regularly cleaned and drained to prevent infestation.

Trolleys and carts must be disinfected when spillages occur before reuse.

External transport

The only scenarios when waste may be carried in vehicles or out-of-site by Trust staff are:

Estates, Transport or Portering staff transporting waste from one area to another within St Mary’s site; or

Estates, Transport or Portering staff transporting non-hazardous waste between Trust premises (subject to review); or

Trust staff generating waste at patients homes and carrying the waste back to base in line with SOP 201.

15. HANDLING OF WASTE

Healthcare Wastes

Refer to SOP 102 – Handling of clinical waste and the Appendix A of this policy for each specific clinical waste stream (Part A – Healthcare Wastes).

Other wastes

Refer to Appendix A of this policy for each specific waste stream.

16. STORAGE OF WASTE

Waste bins

Waste bins purchased by wards/ clinical departments must be as specified in the latest version of SOP 103 - Waste bins for clinical areas in line with the recommendations of the Waste Management Group.

Clinical waste bins must be pedal operated, fire proof, easy to clean and disinfect to prevent risk of infection, odour and offence. They must be in a good state of repair (pedal and lid working properly etc.) and carry the right colour-coding.


The Waste Manager has final authority on the chosen type and model of recycling waste bin supplied when recycling is introduced to any area. The type and model of recycling waste bins supplied by Estates are the default option throughout the Trust for both clinical and non-clinical areas.

Should departments purchase waste bins for domestic waste, these must be compatible with the Trust Recycling scheme and meet the approval of the Waste Manager.

Choosing waste containers and bags

Subject to securing the relevant and appropriate assurances, the Waste Manager has final authority on the type of waste containers (e.g. sharps bins) and bags used by department/wards, so to ensure containers and bags are compatible with the Trust policy and procedures, internal transport arrangements, our waste contractors’ requirements, and the Carriage of Dangerous Goods.

Purchasing of waste containers and bags

All waste containers and bags in clinical areas are purchased by the ward/department (through Supplies).

Broken glass/crockery buckets in all areas are purchased by the ward/department.

Bags for domestic (black) and recycling (clear) waste in all non-clinical areas (including public areas, such as corridors) are purchased and supplied by Hotel Services.

Confidential waste bags (for clear-outs/office moves) are supplied by the Waste team at Estates

Internal storage

Healthcare (Clinical) and Non-healthcare (Domestic) wastes may under no circumstances be mixed in storage areas.

Waste must not accumulate in corridors, lobbies, wards or other unsuitable places.

Waste must not under any circumstances obstruct access routes, fire escape routes or fire doors.

Waste items must not be placed in areas that are likely to cause a tripping hazard.

Waste containers, waste cupboards and waste bins must be kept shut and locked when not in use to prevent unauthorised access or access to waste by vermin.

Clinical waste bins shall be sited away from food preparation, general storage and route used by the public.

Access to clinical waste storage shall be for authorised personnel only.

External storage

Waste must not be stored loose in any external areas – See fly-tipping section below.

Waste wheelie bins or any other containers must be kept shut and locked when not in use to prevent unauthorised access or access to waste by vermin.

Access to clinical waste storage shall be for authorised personnel only.

Spills

It is the responsibility of all staff within a work area, to be aware of any procedure regarding any ‘Spillage’ of substance in their area of work, if applicable. To know where the spill kit is located and what course of action is required to clean up the spillage.


Further guidance on blood or other body fluids spills can be found in the Infection Prevention & Control – Clean Patient Environment Policy available on the intranet.

Further guidance on chemicals can be found in the COSHH Policy available on the intranet.

Any materials used in the containment and absorption of spills should be treated for disposal as the material spilled. For instance contaminated materials used to clean cytotoxic/cytostatic medicines spills should be disposed as cytotoxic/cytostatic waste. Same applies to chemicals.

17. FLY TIPPING

It is the responsibility of the person or department producing the waste to ensure a suitable waste disposal route is identified in line with this policy and associated procedures. Any waste left unattended in internal areas or on grounds with no arrangements for disposal will be considered fly-tipping.

Fly-tipping of waste, including by Trust staff, be it internal to the Trust premises, or on Trust grounds will not be tolerated, and all occurrences will be fully investigated.

18. DISPOSAL TO DRAINS AND SEWERS

Under no circumstances can any discharges to sewer other than domestic sewage be made. The following are also suitable for disposal to drains: body fluids, glucose / saline, sterile water and nutritional supplements. Currently the Trust it is not permitted to discharge anything to sewer other than the above. Any uncontrolled releases to sewers put us in breach of the Trade Effluent Regulations (Water Industry Act 2003) and expose us to prosecution from the regulatory body (Southern Water). Should a spill occur which results in chemicals, oils and other toxic materials to be released to drains or sewers, contact the Waste Manager immediately.

19. CLINICAL WASTE TRANSFER STATION

The Trust operates a Clinical Waste Transfer Station under licence from the Environment Agency at St Mary’s Hospital in Newport.

Waste Management Licence – Environmental Permit

Environmental permit for the site is EPR/JP3494HJ (replacing Waste management Licence 19784) and is equivalent to Standard rules SR2008No25_75kte V5 – clinical waste & healthcare waste transfer station. An annual licence fee has to be paid to the Environment Agency and Estates meets this cost.

Technically Competent Manager (TCM) cover

As part of its licence condition, the Trust is required to ensure a Technically Competent Manager cover as specified by the Environment Agency. This is currently set at 15% of the station operating time (or 1 working day per calendar week). The required qualification is Certificate of Technical Competence Level 4 in the Transfer of Hazardous Waste (as awarded by WAMITAB).

It is the responsibility of the Associate Director of Estates to ensure there is appropriate TCM cover at any time. In general the member of staff with designated Waste Manager responsibility will be the TCM.

The TCM is responsible for all communications with the Environment Agency, including hosting audits, quarterly returns and consignee returns (see below).


Quarterly Returns to the Environment Agency

As part of its licence condition, the Trust is required to submit Quarterly data returns to the Environment Agency. SOP 404 – Returning EA returns lay out the standard protocol at Estates for this. The TCM is responsible for quarterly returns.

Quarterly Waste Return This is a record of waste tonnages handled at the Transfer Station, being waste received and waste removed over the period of time reported for. Quarterly Consignee Return This is a record of all Hazardous Waste consignments accepted at the Transfer station over the period of time reported for.

Access and ingress, building alterations

Access to the Clinical Waste Transfer Station is strictly limited to authorised personnel and at the discretion of the Waste Manager. No waste whatsoever can be deposited in the Clinical Waste Transfer Station without prior authorisation from the Waste manager. Any alterations or building works undertaken inside or within immediate vicinity of the Clinical Waste Transfer Station and which could affect its use or access cannot be undertaken without prior written authorisation of the Waste manager.

20. AUDITING

It is the responsibility of the Waste & Recycling Officer to conduct a monitoring and auditing programme for all clinical areas for waste management to ensure the correct implementation of this policy.

The monitoring and auditing programme will follow a pro-format audit schedule with a wide scope ranging from adequate waste segregation at ward level, staff awareness of operational procedures for waste management, to opportunities for waste minimisation.

Departments/Wards managers will have full responsibility for addressing any negative audit findings and taking adequate corrective actions.

21. TRAINING AND AWARENESS-RAISING

This Waste Management Policy does not have a mandatory training requirement but the following non-mandatory training will be available:

Waste management e-learning training will be available. Undertaking the e-learning module will be risk driven. Should an area display poor practice or understanding of waste segregation, the Waste Manager may require the Department/Ward manager to train their staff using the module.

Waste management awareness will be actively promoted through a number of communication channels.

22. REVIEW AND REVISION ARRANGEMENTS

The Waste Manager will be responsible for reviewing and revise as appropriate this Policy no later than 3 years after its publication. Should legislation or any other changes of circumstances arise; this Policy will be updated accordingly prior to the 3 year’s timeframe.


23. MONITORING / KEY PERFORMANCE INDICATORS

For the successful implementation of this policy, the following key performance indicators will be measured:

ERIC (Estates Return Information Collection) data

Waste risk register for compliance to the relevant legislation

24. LINKS TO OTHER ORGANISATION POLICIES/DOCUMENTS The following policies and procedures should be consulted alongside this Policy document:

Health & Safety Policy

Environmental Management Policy

Safe Handling and Disposal of Sharps Policy

Decontamination of Reusable Medical Devices Policy

Clean Patient Environment Policy

COSHH Policy

25. REFERENCES

(HTM 07/01) Safe Management of Healthcare Waste – Version 3 Department of Health, 2013.

Hazardous Waste Regulations 2005

Health & Safety at Work Act 1974

The Environmental Protection Act 1990

Waste Management Licensing Regulations 1994 ( amended 1995, 1996, 1997 and 1998)

The Waste Management (Miscellaneous Provisions) Regulations 1997.

Environmental Protection (Duty of Care) Regulations 1991.

Environmental Protection (Prescribed Processes and Substances) Regulations 1991

Controlled Waste Regulations 1992 as amended 1993.

Environmental Act 1995

Control of Pollution (Amendment) Act 1989

Controlled Waste (Registration of carriers and seizure of vehicles) Regulations 1991

Transport of Infectious Substances Revision 2 March 2006

Landfill Tax Regulations 1996 as amended 1996 & 1998.

Waste Minimisation Act 1998

Carriage of Dangerous Goods Regulations

Waste of Electrical & Electronic Equipment (WEEE) Regulations.

HTM 07/05 - The Treatment, recovery, recycling and safe disposal of WEEE

26. DISCLAIMER It is the responsibility of all staff to check the organisation intranet to ensure that the most recent version/issue of this document is being referenced.

27. APPENDICES

WASTE MANAGEMENT POLICY - APPENDIX A – FRI Assessment of 52

Appendix A

Financial and Resourcing Impact Assessment on Policy Implementation

NB this form must be completed where the introduction of this policy will have either a positive or negative impact on resources. Therefore this form should not be completed where the resources are already deployed and the introduction of this policy will have no further resourcing impact.

Document title

Waste Management Policy

Totals WTE Recurring £

Non- Recurring £

Manpower Costs 0 0 0

Training Staff 0 0 0

Equipment & Provision of resources 0 0 0

Summary of Impact: Risk Management Issues:

Benefits / Savings to the organisation: Equality Impact Assessment Has this been appropriately carried out? YES Are there any reported equality issues? NO If “YES” please specify:

Use additional sheets if necessary. Please include all associated costs where an impact on implementing this policy has been considered. A checklist is included for guidance but is not comprehensive so please ensure you have thought through the impact on staffing, training and equipment carefully and that ALL aspects are covered.

Manpower WTE Recurring £ Non-Recurring £

Operational running costs

Totals:

WASTE MANAGEMENT POLICY - APPENDIX A – FRI Assessment of 52

Staff Training Impact Recurring £ Non-Recurring £

Totals:

Equipment and Provision of Resources Recurring £ * Non-Recurring £ *

Accommodation / facilities needed

Building alterations (extensions/new)

IT Hardware / software / licences

Medical equipment

Stationery / publicity

Travel costs

Utilities e.g. telephones

Process change

Rolling replacement of equipment

Equipment maintenance

Marketing – booklets/posters/handouts, etc.

Totals:

Capital implications £5,000 with life expectancy of more than one year.

Funding /costs checked & agreed by finance:

Signature & date of financial accountant:

Funding / costs have been agreed and are in place:

Signature of appropriate Executive or Associate Director:

WASTE MANAGEMENT POLICY – APPENDIX B – EIA Screening Tool of 52

Appendix B

Equality Impact Assessment (EIA) Screening Tool

1. To be completed and attached to all procedural/policy documents created within

individual services.

2. Does the document have, or have the potential to deliver differential outcomes or affect in an adverse way any of the groups listed below?

If no confirm underneath in relevant section the data and/or research which provides evidence e.g. JSNA, Workforce Profile, Quality Improvement Framework, Commissioning Intentions, etc.

If yes please detail underneath in relevant section and provide priority rating and determine if full EIA is required.

Gender

Positive Impact Negative Impact Reasons

Men

Women

Race

Asian or Asian British People

Black or Black British People

Chinese people

People of Mixed Race

Document Title: Waste Management Policy

Purpose of document To provide clear guidance to all staff regarding waste management

Target Audience All Staff

Person or Committee undertaken the Equality Impact Assessment

Brian Meszynski (waste & recycling officer)


White people (including Irish people)

People with Physical Disabilities, Learning Disabilities or Mental Health Issues

Sexual Orientation

Transgender

Lesbian, Gay men and bisexual

Age

Children

Older People (60+)

Younger People (17 to 25 yrs.)

Faith Group

Pregnancy & Maternity

Equal Opportunities and/or improved relations

Notes: Faith groups cover a wide range of groupings, the most common of which are Buddhist, Christian, Hindus, Jews, Muslims and Sikhs. Consider faith categories individually and collectively when considering positive and negative impacts. The categories used in the race section refer to those used in the 2001 Census. Consideration should be given to the specific communities within the broad categories such as Bangladeshi people and the needs of other communities that do not appear as separate categories in the Census, for example, Polish. 3. Level of Impact If you have indicated that there is a negative impact, is that impact:

YES NO

Legal (it is not discriminatory under anti-discriminatory law)

Intended

If the negative impact is possibly discriminatory and not intended and/or of high impact then please complete a thorough assessment after completing the rest of this form. 3.1 Could you minimise or remove any negative impact that is of low significance? Explain how below:

3.2 Could you improve the strategy, function or policy positive impact? Explain how below:


3.3 If there is no evidence that this strategy, function or policy promotes equality of opportunity or improves relations – could it be adapted so it does? How? If not why not?

Scheduled for Full Impact Assessment Date:

Name of persons/group completing the full assessment.

Date Initial Screening completed

WASTE MANAGEMENT POLICY – APPENDIX C – Waste Data Sheets of 52

Appendix C WASTE MANAGEMENT POLICY WASTE DATA SHEETS (WDS)

For ease of use, the Waste Management Policy is divided into Waste Data Sheets (WDS) for all waste streams generated by the Trust. WDS are indexed below, headings give the following details:

WDS Waste Stream Colour EWC Code Haz Description

WDS reference number

Heading description of the

waste stream

Colour-coding of containers

European Waste Catalogue code (* if

hazardous)

Y: Hazardous N: Non-hazardous LB: Landfill ban

More detailed description of waste stream

Each WDS gives the following details for each waste stream when applicable: EWC code European Waste Catalogue code

Definition Definition of the waste materials

Examples Relevant examples

Container(s) Details of waste container(s) / packaging to be used including colour coding.

Handling (If required) Requirements for handling the waste stream.

Internal Storage Details of correct storage for the waste

Internal Transport Details of transport arrangements for the waste to storage before disposal.

Final Disposal Details of disposal route / treatment process for waste stream.

INDEX PART A – HEALTHCARE WASTES WDS Waste Stream

101 Clinical waste - Yellow stream

102 Clinical waste - Orange stream

103 Offensive waste - Tiger stream

104 Anatomical waste

105 Sharps - Orange lidded

106 Sharps - Yellow lidded

107 Sharps - Purple lidded

108 Medicines waste - Pharmacy returns

109 Medicines waste - Blue stream

110 Medicines waste - Purple stream

111 Controlled Drugs

112 Plaster / Gypsum

113 Infectious mattresses

114 Lymph biopsy waste

115 Dental Wastes


PART B – NON-HEALTHCARE – NON-HAZARDOUS WASTES WDS Waste Stream

201 General Waste

202 Dry Mixed Recycling

203 Cardboard

204 Confidential paper

205 Crockery / Broken glass

206 Sanitary / Fem hygiene

207 Green/Garden waste

208 Non-infectious mattresses

209 Metals

210 Furniture - Bulky items

211 Pallets

212 Rubble / Inert

213 Wood

214 Textiles

215 Catering oil

PART C – NON-HEALTHCARE – HAZARDOUS WASTES WDS Waste Stream

301 Asbestos

302 Plasterboard - plaster

303 Drain sludges

304 Oils / oil contaminated waste

305 Paints

306 Chemicals / gas cylinders

307 Printer toners and inkjet cartridges

WEEE (Waste Electrical & Electronic Equipment)

308 WEEE - Domestic type

309 WEEE - IT Equipment

310 WEEE - Medical Equipment

311 Batteries

312 Lamps & Bulbs


PART A - Healthcare Wastes

PART A - HEALTHCARE WASTES

WDS Waste Stream Colour EWC Code Haz Description

101 Clinical waste - Yellow stream 18 01 03* Y Infectious clinical waste for incineration only

102 Clinical waste - Orange stream 18 01 03* Y Infectious clinical waste suitable for alternative treatment

103 Offensive waste - Tiger stream 18 01 04 N Clinical waste not identified as infectious

104 Anatomical waste 18 01 03* Y Anatomical waste

105 Sharps - Orange lidded Sharps 18 01 03 Y Non-Medicinally Contaminated Sharps

106 Sharps - Yellow lidded Sharps 18 01 03* / 18

01 09 Y Medicinally Contaminated Sharps

107 Sharps - Purple lidded Sharps 18 01 03* / 18

01 08* Y

Cytotoxic and cytostatic contaminated Sharps

108 Medicines waste - Pharmacy returns

Medicines waste suitable for transport to Pharmacy

109 Medicines waste - Blue stream 18 01 09 N Medicines / Medicines contaminated waste (Non-cyto)

110 Medicines waste - Purple stream

18 01 08* Y Cytotoxic and cytostatic medicines / contaminated waste

111 Controlled Drugs Controlled Drugs denaturing kits

112 Plaster / Gypsum 18 01 04 N Non-infectious gypsum (plaster) wastes

113 Infectious mattresses 18 01 03* Y Mattresses classed as infectious clinical waste

114 Lymph biopsy waste 18 01 03* Y Very low level radioactive waste for incineration only

115 Dental Wastes Misc. Y Amalgams, teeth, fixers/developers, lead foils etc.


WDS 101 – Infectious clinical waste – Yellow stream

EWC 18 01 03*

Definition Waste known or believed to be contaminated with body fluids (blood, urine,

sputum, vomit, faeces) from a patient known or suspected to be infectious with

category A pathogens (as defined in section 8.6 of this Policy). A list of Category A

pathogens can be found as an Appendix to SOP 101.

Any category A pathogen outbreak must immediately be reported to the

Infection Control Doctor/ Consultant microbiologist and the relevant Infection

Control policies and procedures followed. The Infection Control team will

liaise with the Waste Manager to deploy appropriate waste disposal

procedures.

OR

Infectious clinical waste (category A or B pathogens) with any of the following

additional property:

Containing anatomical waste (recognisable body parts and placenta); or

Chemically contaminated samples and diagnostic kits; or

Medicinally-contaminated infectious waste.

OR Large volumes of liquid infectious clinical waste (category A or B pathogens)

(E.g. suction bags).

Due to the very high costs associated with the disposal of the yellow stream,

it is Trust policy to use the orange stream (WDS102) whenever possible with

the exception of local procedures developed in consultation and approved by the

Waste Manager.

Examples Diagnostic specimens, reagents or test vials and kits containing chemicals. Suction

bags.

Containers

Yellow bags / Yellow containers

Handling Refer to SOP102

Internal storage Disposal cupboards – place loose (inside the dedicated lockable clinical waste

cabinet or bin when available).

External bins – place in the bin dedicated for clinical waste bags

Internal transport Estates – Clinical Waste operative

Final disposal Incineration only

WDS 102 – Infectious clinical waste – Orange stream

EWC 18 01 03*

Definition Waste known or believed to be contaminated with body fluids (blood, urine,

sputum, vomit, faeces) from a patient known or suspected to be infectious with

category B pathogens (as defined in section 8.6 of this Policy). See WDS 101 for

category A pathogens.

Examples Incontinence/sanitary/nappy waste, Couch roll, catheter bags, Protective clothing

(gloves, aprons, gowns), dressings, swabs, Non-medicated IV bags/giving sets


Containers

Orange bags

Handling Refer to SOP102





Final disposal Suitable for Alternative Treatment (Autoclave) / Incineration

WDS 103 – Offensive (non-infectious clinical) waste – Tiger stream

EWC code 18 01 04

Definition Wastes contaminated with body fluids but not from a known or suspected infectious

patient. Also defined as waste items and materials which have not been identified

as infectious but are recognisable as healthcare waste or may cause offensive due

to their nature.

Examples Incontinence/sanitary/nappy waste, Couch roll, catheter bags, Protective clothing

(gloves, aprons, gowns), dressings, swabs, Non-medicated IV bags/giving sets

Any material listed above and soiled with body fluids should not be contaminated

with Infectious waste or with medicines.

Containers

Tiger bags





Final disposal Suitable for deep landfill

WDS 104 – Anatomical waste

EWC 18 01 03*

Definition Body parts or other recognisable anatomical items

Examples Placenta. Recognisable human tissues. Limbs. Bones.

Containers

Red-lidded containers / Yellow-lidded with an Anatomical waste label (supplied by

the Waste team).

Internal storage Important: Ensure anatomical waste containers are very clearly recognisable. If

the use of red-lidded containers is not possible (e.g. items too large), then the

containers should be very clearly labelled Anatomical waste with printed tape

(supplied by the Waste team).


Red-lidded containers should never be placed in clinical waste bags

Disposal cupboards – place loose (inside the dedicated lockable clinical waste


External bins – place in the bin dedicated for sharps/rigid containers


Final disposal Incineration

WDS 105 – SHARPS – Orange-lidded

EWC 18 01 03*

Definition Non-Medicinally Contaminated Sharps

Sharps are items that could cause cuts or punctures.

Due to the difficulty to segregate non-medicinally sharps, it is Trust policy to

use yellow-lidded sharps bins as standard. Subject to review and with the

exception of local procedures developed in consultation and approved by the

Waste Team.

Examples Plastic single use instruments and phlebotomy sharps.

Containers

Orange-lidded sharps bins

Handling All sharps bins should be disposed of when the fill line is reached. Seal and label

with your name, ward/department name and date. DO NOT OVERFILL.

If any sharps are protruding through the container or opening, do not attempt to

push the items inside, but call the Waste team on x4524 for safe removal.

At no time should sharps wastes be contaminated with domestic, medicinal waste,

tubes, swabs, anatomical or electronic waste.

Internal storage Sharps containers should never be placed in clinical waste bags






WDS 106 – SHARPS – Yellow-lidded

EWC 18 01 03* / 18 01 09

Definition Medicinally Contaminated Sharps Sharps are items that could cause cuts or punctures.

Examples Needles, syringes with needles, scalpels, infusion sharps, glass ampoules, guide

wires, blades, air inlets, intravenous cannulae, single use instruments (scissors,

clip removers...) ...


Containers

Yellow-lidded sharps bins





At no time should sharps wastes be contaminated with domestic waste, tubes,

swabs, anatomical or electronic waste.







WDS 107 – SHARPS – Purple-lidded

EWC 18 01 03* / 18 01 08*

Definition Sharps waste contaminated with cytotoxic and/or cytostatic medicines

Sharps are items that could cause cuts or puncture.

Cytotoxic and/or cytostatic medicines: products displaying toxic, carcinogenic, toxic

for reproduction or mutagenic properties (E.g. Cancer and hormone therapy drugs,

live vaccines).

A list of cytotoxic / cytostatic medicines can be found as an Appendix to SOP101.

Examples Needles, syringes with needles, scalpels, infusion sharps, glass ampoules, guide

wires, blades, air inlets, intravenous cannulae, single use instruments (scissors,

clip removers, laryngoscopes) ...

Containers

Purple-lidded sharps bins





At no time should sharps wastes be contaminated with domestic, medicinal waste,

tubes, anatomical or electronic waste.


Do not place in waste cupboards/external bins.

Arrange collection with the Clinical Waste operative

Internal Transport Estates – Clinical Waste operative

Disposal Incineration


WDS 108 – Medicines waste – Pharmacy returns

EWC

Definition Medicines suitable for transport

All medicines suitable for transport, e.g. blister packs. Leave medicines in their

original packaging. Also includes medicinal aerosols (i.e. inhalers) – metal part only

(dispose of plastic part as black bag waste). Used Controlled Drugs denaturing kits.

Excludes: loose tablets, patches, liquids.

Containers

Green Pharmacy box / Green Pharmacy padded bag

Internal storage Sluice ready for collection by Pharmacy

Internal transport Pharmacy porters

Final disposal Re-use when appropriate, Incineration

WDS 109 – Medicines waste – Blue stream (Non cyto)

EWC 18 01 09

Definition Medicines or medicines contaminated waste (non cyto)

Examples Empty or part-full medicated IV's - with/without giving sets (but no glucose,

saline)

Medicated syringes (NO sharps)

Medicines not suitable for return to Pharmacy (e.g. Loose tablets, capsule,

medicated patches)

Empty or part-full medicine bottles

Other non-sharp items contaminated with medicine

Not suitable for any cytotoxic or cytostatic waste (see WDS 110 below).

Containers

Blue-lidded rigid container / Blue cardboard container

Internal storage Blue containers should be placed in non-patient areas. 5 litres containers for

treatment rooms. 50 litres rigid containers for sluices. Cardboard containers are

only approved for use at Pharmacy at this stage.

Blue-lidded containers should never be placed in clinical waste bags

Disposal cupboards – place loose




WDS 110 – Medicines waste - Purple stream (Cyto)

EWC 18 01 08*

Definition Cytotoxic and cytostatic medicines / medicines contaminated waste.

Cytotoxic and/or cytostatic medicines: products displaying toxic, carcinogenic, toxic

for reproduction or mutagenic properties (E.g. Cancer and hormone therapy drugs,


live vaccines).

An indicative list of cytotoxic and cytostatic medicines can be found as an Appendix

to SOP101.

Examples Absorbing materials used to contain a cytotoxic medicines spill.

Containers

Purple-lidded container / Purple striped yellow bag

Effectively sharps purple lidded container can be used for this waste stream

Internal storage Purple-lidded containers should never be placed in clinical waste bags





WDS 111 – Controlled Drugs

EWC

Definition Controlled Drugs are any drug identified within the Misuse of drugs regulations 2012 and Misuse of drugs (safe custody) regulations 2007. Denaturing kits are required for Controlled Drugs which are not suitable for return to Pharmacy for denaturing – i.e. liquids

Examples Part-used CD vial

Containers

Controlled Drugs denaturing kits

Internal storage Once full return to Pharmacy as per WDS 108

Internal transport

Final disposal

WDS 112 – Plaster / Gypsum waste (Non-infectious)

EWC 18 01 04

Definition Gypsum and plaster wastes are not permitted in mixed landfill with general

domestic waste as it generates hydrogen sulphide gas.

The vast majority of plaster casts and models are not infectious and should not be placed in the clinical waste stream. Gypsum plaster casts should not be placed in the offensive waste stream either. These should be segregated and labelled as a gypsum waste stream and disposed of separately. Infectious plaster/gypsum is disposed of as Clinical - Orange stream.

Examples Plaster casts, back slabs and related materials (chiropodists/podiatrists) and

plaster study models in dental.


Containers

Gypsum cardboard container or yellow bags with a

Gypsum waste label (supplied by the Waste team).

Internal storage Disposal cupboards – place loose

External bins – arrange collection with the Clinical Waste operative


Final disposal Recycling or incineration

WDS 113 – Infectious mattresses

EWC 18 01 03*

Definition In the event a mattress is contaminated with body fluids beyond that which can be removed by decontamination methods, then the mattress will need to be disposed of as clinical infectious waste. A yellow mattress disposal bag will need to be used (ordering code MVN003, supplied by Hotel Services). Mattresses not identified as infectious are disposed of as domestic waste – please refer to WDS 208.

Containers

Mattresses yellow bags – ordering code MVN003

Internal storage Not suitable for internal storage, Portering to bring direct to the Clinical waste

transfer station.

Internal transport Hotel Services


WDS 114 – Lymph biopsy waste

EWC 18 01 03*

Definition All theatre waste from patients undergoing sentinel node biopsy involving the use of Technetium-99 Please refer to the Protocol for Sentinel Node Studies

Containers

Yellow bags with a completed sentinel node label

Internal storage Not suitable for internal storage in an unlocked or any area accessible by the

public. If needed pre-arrange collection by the Clinical Waste Operative.


Final disposal 7 days storage and Incineration


WDS 113 – Dental wastes

EWC Misc. - See below

Definition Wastes produced as a result of dentistry which require specialist disposal.

Examples Amalgam 18 01 10*

Teeth 18 01 10*

Crowns/bridges 20 01 40

Sludge 18 01 10*

Fixer 09 01 04*

Developer 09 01 01*

Lead Foils 15 01 04

Plaster models 18 01 04

Containers Range of specific containers as provided by the Waste Contractor


PART B - Non-Healthcare – Non-hazardous Wastes

WDS Waste Stream Colour EWC Code Haz

201 General Waste 20 03 01 N

202 Dry Mixed Recycling 20 03 01 N

203 Cardboard 20 01 01 N

204

Confidential paper 20 01 01 N

Other confidential media

205 Crockery / Broken glass 20 03 01 N

206 Sanitary / Fem hygiene 20 03 99 N

207 Green/Garden waste 20 02 01 N

208 Mattresses 20 03 01 N

209 Metals 20 01 40 N

210 Furniture - Bulky items 20 03 01 N

211 Pallets 20 01 38 N

212 Rubble / Inert 20 02 02 N

213 Wood 20 01 38 N

214 Textiles 20 03 01 N

215 Catering oil 20 01 25 N


WDS 201 – General Waste

EWC 20 03 01

Definition Non-recyclable domestic wastes. Domestic waste is defined as waste items commonly produced in a private household.

Examples Hand towels, waste food, shrink wrap, polystyrene, foil, sterile items packaging,

flowers or food contaminated items.

Containers

Black bags

Internal storage General waste cannot be left loose in corridors, public areas or other unsuitable

places & must not obstruct access routes or form a potential fire hazard.


External bins – RED with BLACK LID General waste bins or Waste compactor

OR

Internal transport Porters or Domestics

Final disposal Energy recovery (Gasification)

WDS 202 – Dry Mixed Recycling

EWC 20 03 01

Definition Fractions of domestic waste which can be recycled. Alcohol hand gels empty bottles are suitable for recycling but need to be rinsed out with clear water first. For other chemical containers please check with the waste team.

Examples Tins / cans. Domestic glass. Plastic bottles / containers. Paper, card, magazines.

Containers

Clear bags


External bins – GREEN Dry Mixed Recycling bins

Internal transport Porters or Domestics

Final disposal Recycling (materials recovery)


WDS 203 – Cardboard

EWC 20 01 01

Definition Corrugated cardboard

Examples Cardboard boxes

Containers

Flattened

Internal storage Always flatten cardboard prior to disposal Put any packaging foam, polystyrene, and plastic in black bags


External bins – Cardboard baler or RED with BROWN LID Cardboard bins. If not

available GREEN Dry Mixed Recycling bins

OR

Internal transport Porters (disposal cupboard) – collected and taken to the cardboard baler for

recycling.

Domestics – collected and taken to the


WDS 204 – Confidential paper / other confidential media

EWC 20 01 01

Definition Documents containing Personal Confidential Data (PCD) or business sensitive information. No need to remove staples or small paper clips. Any other non-paper items have to be removed prior to disposal (E.g. plastic binding).

Examples Patients case files, procurement documents, meeting minutes, empty medicines

boxes with patient details etc.

Containers

Confidential paper waste consoles or confidential

waste paper heavy-duty bags

Internal storage Put any packaging foam, polystyrene, and plastic in black bags

Day-to-day – place in the provided confidential paper waste consoles

Office clear-out / large quantities – confidential waste paper heavy-duty bags

can be obtained from the waste team ([email protected]). Store those securely

(under lock if required) until the contractor’s next due collection.

mailto:[email protected]


Internal transport Confidential waste contractor

Final disposal Shredding and recycling (materials recovery)

Other confidential media (non-paper)

Other confidential media: Either destroy before disposal in black bag (e.g. cut CD in 2). If not suitable, for small quantities send back to Estates in internal post, or if volume too high arrange collection [email protected] Do not mix with confidential paper

CDs / DVDs

Video tapes, Dictaphone tapes

X-rays

Fax ribbons

WDS 205 – Crockery / Broken glass

EWC 20 03 01

Definition Crockery, broken glass and glass items not suitable for recycling. All disposed as black bag waste (WDS 201). Important: Any glass contaminated with medicines is disposed of as medicines contaminated waste (Blue stream – WDS 109). Domestic glass (e.g. coffee jars, glass bottles etc.) is suitable for recycling in clear bags (WDS 202). However, due to the weight, if you produce large quantities of glass please consult with the waste team on a safe disposal process. Some glass items are not suitable for recycling, such as PYREX (hardened glass dishes), mirrors and glass panes. Please make sure to package/wrap those safely for transport by the porters or domestics, clearly indicating the nature of the waste (CAUTION- GLASS, with a permanent marker).

Examples Mugs and cups, any broken glass, glass panes, mirrors etc.

Containers

Orange bucket (ordering code FSL413) or packaged/wrapped

safely for disposal as black bag waste


External bins – RED with BLACK LID General waste bins or waste compactor

Internal transport Porters or domestics

Final disposal Landfill

WDS 206 – Sanitary / Feminine hygiene

EWC 20 01 99

Definition Sanitary and feminine hygiene waste (Sanpro)

Examples Feminine hygiene products, nappies.

Containers

Sanibins – tiger bags

Internal storage Sanibins available in female toilets. Nappy bins available in toilets with baby-



changing facilities

Internal transport Sanitary Waste Contractor

Final disposal Deep landfill or incineration

WDS 207 – Green / Garden waste

EWC 20 02 01

Definition Biodegradable green waste (excluding rubble, soil and food)

Examples Gardening waste materials from the clearance and up keep of the hospital sites

including leaves and twigs, tree trimmings and grass cuttings

Containers Loose

Internal storage As above

Internal transport Estates Grounds Maintenance staff to transport to the Garden waste skip at the

Estates Recycling Yard

Final disposal Composting

WDS 208 – Non-infectious mattresses

EWC 20 03 99

Definition Mattresses. Please note potentially infectious mattresses need to go through decontamination first.

Containers Loose

Internal storage Always make disposal arrangements in advance

Internal transport Caretakers (arranged through the Portering Coordinator on x 4603 or via email to [email protected])

Final disposal Landfill

WDS 209 – Metals

EWC 20 01 40

Definition All scrap metals items

Examples Trolleys, chairs, bed frames etc.

Containers Loose


Internal transport Caretakers (arranged through the Portering Coordinator on x 4603 or via email to

[email protected])

Transported to the Scrap metal skip at the Estates Recycling Yard


WDS 210 – Furniture / Bulky items

EWC 20 03 99

Definition All items too big for disposal in internal cupboards or external waste bins

Examples Desks, chairs, cupboards etc.

Containers Loose



[email protected])

Transported to the Scrap metal skip at the Estates Recycling Yard





Final disposal Re-use though Charity when possible. Recycling (materials recovery). Landfill.

WDS 211 – Pallets

EWC 20 01 38

Definition Pallets – wood pallets / plastic pallets

Containers Loose



[email protected])

Transported to the Pallets recycling bay at the Main waste yard (back catering)

Final disposal Recycling (materials recovery).

WDS 212 – Rubble / Inert

EWC 20 02 02

Definition Inert materials – such as arising from construction and demolition

Examples Brick, soil, cement, tiles etc.

Containers Loose


Internal transport Estates Maintenance staff to transport to the Rubble waste skip at the Estates

Recycling Yard

Final disposal Inert landfill

WDS 213 – Wood

EWC 20 01 38

Definition Wood

Examples Wood trimmings, furniture part

Containers Loose



[email protected])

Transported to the General waste skip at the Estates Recycling Yard

Final disposal Landfill. Subject to review.

WDS 214 – Textiles

EWC 20 03 01

Definition Textiles and fabrics

Examples Curtains, uniforms etc.

Containers Very small quantities suitable for black bag waste (WDS 201). Larger quantities

arrange collection as below.



[email protected])

Transported to the Sewing Room, storage in clear bags before collection.






WDS 215 – Catering oil

EWC 20 01 25

Definition Kitchen oil (Catering Department)

Containers Suitable leak-proof containers.

Internal storage All containers to be securely stored to prevent any risks of spills.

Internal transport Catering staff



PART C - Non-Healthcare – Hazardous Wastes

WDS Waste Stream Colour EWC Code Haz

301 Asbestos 17 06 05* Y

302 Plasterboard - plaster 17 08 02 LB

303 Drain sludges 13 05 03* Y

304 Oils / oil contaminated waste Misc. Y

305 Paints 08 01 11* - 08

01 12 Y

306 Chemicals / gas cylinders Misc. Y

307 Printer toners and inkjet cartridges

08 03 17* Y

WEEE (Waste Electrical & Electronic Equipment)

308 WEEE - Domestic type Misc. Y

309 WEEE - IT Equipment Misc. Y

310 WEEE - Medical Equipment Misc. Y

311 Batteries 20 01 33* Y

312 Lamps & Bulbs 20 01 21* Y


WDS 301 - Asbestos

EWC 17 06 01* - 17 06 05*

Definition Asbestos is the term used for fibrous forms of several naturally occurring silicate minerals used in many construction materials for fireproofing, thermal insulation, electrical insulation, sound insulation, decorative plaster, gaskets and friction products.

Responsibilities For all asbestos waste removed from Trust premises, Hazardous Waste

Consignment Notes and consignee returns are kept at Estates for 3 years

It is the responsibility of the relevant project manager at Estates to ensure

the documentation above is obtained from contractors.

Containers Specialist containers will be used for the removal of asbestos in line with the latest

environmental and Health & Safety guidance.

Internal storage Contact Estates if you come across any asbestos products.

Do not handle asbestos or suspected asbestos, as this must be done by specially

trained personnel under controlled conditions.

Staff finding asbestos or suspected asbestos are to vacate the area and cordon off

the area and immediately contact Estates

Storage Secure storage areas for asbestos will be arranged by the responsible project

manager at Estates.

Transport Specialised contractors will be arranged for safe transport

Final disposal It is the responsibility of the project manager with support from the Waste Manager

to ensure asbestos waste is collected and transported by a licensed and authorised

contractor, and appropriately disposed at a permitted facility.

WDS 302 – Plasterboard – plaster - gypsum

EWC 17 08 02

Definition Any materials containing plaster/gypsum

Examples Materials from maintenance/refurbishments works, including plasterboard off-cuts

and waste, plaster materials for demolition and construction.

Containers Heavy duty grab bag


Internal transport Estates Maintenance staff to transport to the Plaster container at the Estates

Recycling Yard

Final disposal Recycling or separate landfill cell

WDS 303 – Drains sludges

EWC 13 05 03*

Definition Liquid materials from the clearing of drains, interceptors and fat traps.

Examples Ambulance station wash bay interceptor

Containers Waste Contractor Tanker vehicle


Internal transport Estates Maintenance Foreman to liaise with waste contractor

Final disposal Treatment

WDS 304 – Oils / oils contaminated waste

EWC Misc.

Definition Any oils or items contaminated with oil

Examples Waste engine oil, oily rags, etc.


Containers Original container or suitable leak proof container.

Internal storage Special care must take taken to ensure all risks of spills have been mitigated and

adequate bunding has been put in place (i.e. use of a secondary container, bund or

drip tray to catch any accidental leaks or spills).

Internal transport Estates Maintenance staff to transport to the Estates Recycling Yard and store

undercover.

Final disposal Treatment

WDS 305 – Paints

EWC 08 01 11* - 08 01 12

Definition 08 01 11* waste paint and varnish containing organic solvents or other dangerous substances Select

08 01 12 waste paint and varnish other than those mentioned in 08 01 11

Examples Paint tins (solvent base or water based) with remaining contents.

Containers In original containers

Internal storage Chemicals container or storage area at the Estates Recycling Ward

Internal transport Estates Maintenance staff to transport to the dedicated storage area at the Estates

Recycling Yard

Final disposal Treatment.

WDS 306 – Chemicals / gas cylinders

EWC Misc.

Definition Chemicals, including amongst others

Household chemicals

Solvents

Acids and alkalis

Aerosol containers containing residues of hazardous substances

Mercury thermometers

Alcohol gels

Pesticides

Solvent paints

Antifreeze If in doubt refer to your COSSH file. Aerosols with the following symbols are disposed of as chemicals (even if empty):

Gas cylinders

16 05 04* gases in pressure containers (including halons) containing dangerous substances

16 05 05 gases in pressure containers other than those mentioned in 16 05 04

Examples Oil drum, part full chemical container, mercury thermometer

Containers Loose

Internal storage Must be stored in accordance with related COSHH requirements

Internal transport Estates. Contact the waste manager on [email protected] with all details of the product, quantities/volumes and your location for advice on disposal

Final disposal Treatment/incineration



WDS 307 – Toners and cartridges

EWC 08 03 17*

Definition All printer toners and cartridges. Please note fax machine ribbons are classed as confidential waste and should be returned to Estates for destruction.

Containers Put in the outgoing mail in original packaging or in an envelope. Clearly indicate

“Post room – recycling” on the label. Fax machine ribbons – send back to Estates

Internal storage Dedicated cage located by Post room for collection by Solent Supplies staff and

bulking before dispatch for recycling.

Internal transport Post room staff

Final disposal Recycling at a specialised facility

Waste Electrical and Electronic Equipment’s (WEEE)

WDS 308 – WEEE – Domestic type

WDS 309 – WEEE - IT and Telecommunications Equipment

WDS 310 – WEEE – Medical Equipment

WDS 311 - Batteries

WDS 312 – Lamps & Bulbs

WDS 308 – WEEE – Domestic type

EWC Misc.

Definition All items with an electrical or electronic aspect (including if running on batteries). With the exception of IT & Telecommunications equipment (see WDS 309) and some medical equipment (see WDS 310).

Mixed items 16 02 14

Fridges 16 02 11*

TVs / Monitors 16 02 13*

Examples Large items: Television sets, fridges/freezers, macerators, etc.

Small items: Microwave ovens, kettles, fans, mobile phones, cabling, smoke

detectors, thermostat, etc.

Containers WEEE bin at Estates Recycling Ward

Internal storage Contact Portering for disposal – x4603 or email to [email protected]

Always make disposal arrangements in advance. Do not fly-tip items in

corridors/disposal cupboards/external locations.


[email protected])

Transported to the WEEE bin at the Estates Recycling Yard


WDS 309 – WEEE - IT and Telecommunications Equipment

EWC Misc.

Definition All IT equipment items with an electrical or electronic aspect (including if running on batteries).


Printers / faxes 16 02 14

Comms items 16 02 14

Computers 16 02 14




Monitors 16 02 13*

Cables 17 04 11

Responsibilities The IT department is responsible for all data erasing prior to disposal.

Examples Computers, monitors, hard drives, printers, fax machines, telephones, keyboards,

cabling etc.

Containers IT department WEEE containers

Internal storage Contact the IT helpdesk for disposal – [email protected] - x4401



Internal transport IT staff


WDS 310 – WEEE – Medical Equipment

EWC Misc.

Definition All medical equipment items with an electrical or electronic aspect (including if running on batteries).


Responsibilities The Medical Devices department is responsible for ensuring equipment’s are fully

decontaminated in line with the Decontamination of Reusable Medical Devices

Policy prior to disposal or resale to/re-use by a third party (in accordance with the

Redundant Equipment Procedure), and bear the appropriate decontamination

tagging.

If porters/caretakers transport medical devices to the Waste yard for disposal, it is

their responsibility to ensure the Medical Devices department lead the condemning

procedure. Any items left in the Waste yard without appropriate decontamination

tagging will be fully investigated.

Pacemakers and Implantable Cardioverter Defibrillators (ICDs)

ALL pacemakers removed from patients are returned to the manufacturer by the

department undertaking the procedure in accordance with the Management of

Explanted Pacemakers and Implantable Cardioverter Defibrillators (ICDs) Standard

Operating Procedure.

Examples Dialysis machine, Patient Monitors, Infusion Devices, Electric Profiling Beds,

Patient Movement Alarms, Defibrillators, ECG Machines, Incubators, Pressure

Relieving Mattresses, Dental Equipment, etc.

Internal storage Contact the Medical Devices team for disposal – x2161



Internal transport Consult with the Medical Devices Co-ordinator prior to disposal. Refer to the

Redundant Equipment procedure.


WDS 311 - Batteries

EWC 20 01 33*

Definition All waste batteries, including alkali-manganese, zinc-carbon, nickel-metal hydride and nickel- cadmium batteries

Containers Containers for batteries recycling are located in a large number of areas both at St

Mary’s and in the community.

Internal storage Only used issued containers for storing batteries. Do NOT use sharps bins.

Batteries should be kept dry at all time. If storing specialised batteries, do not mix

with domestic batteries

Internal transport Waste team – email [email protected] indicating your exact location




Final disposal Recycling at a specialised facility.

WDS 312 – Lamps & Bulbs

EWC 20 01 21*

Definition All lamps and bulbs

Examples Incandescent bulbs, lamp tubes, low-energy bulbs, etc.

Containers In packaging of new tube/bulb for internal transport.

Internal storage Estates recycling yard. Lamp tubes: green coffin. Bulbs: bulbs bins.

Internal transport Estates Maintenance staff to transport to the Estates Recycling Yard.

Final disposal Recycling at a specialised facility.

WASTE MANAGEMENT POLICY – APPENDIX D – Standard Operating Procedures of 52

Appendix D WASTE MANAGEMENT POLICY Standard Operating Procedures

All Standard Operating Procedures can be found on the Trust Intranet at: Homepage > Corporate > Environmental and Waste INDEX

SOP Name Version

Clinical Waste

101 Waste Segregation Procedure 1.1

Appendix A - List of Category A pathogens

Appendix B - List of cytotoxic / cytostatic medicines

102 Clinical Waste Handling 1.3

103 Waste bins for clinical areas 1.0

104 Medicines contaminated waste Poster 1.2

105 Identification Tape Ordering Procedure 1.0

Local Procedures

201 Clinical Waste - Community Teams 1.0

> Trust Clinical waste collections - Referral form

> IoW Council Clinical waste collections - Referral form

202 Management of Explanted Pacemakers and Implantable Cardioverter Defibrillators (ICDs) 1.0

Clinical Waste Transfer Station

301 Haz Waste Consignment Notes - Transfer Station 2.0

302 Consigning Clinical Waste - Transfer Station 1.1

303 Submitting EA returns 1.0

Domestic Waste

401 Cardboard Baler - Operating Procedure 1.0

402 Domestic Hazardous Waste Disposal 1.0

403 Redundant Equipment Procedure 1.1