waste matters. saving money and the · case study corporate sustainability direction ... isolation...
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Waste Matters.Saving money and the environment
Brendan FatchettUK Sales and Marketing Director
• SRCL – parent company Stericycle
• SRCL is a ‘healthcare services’ business – includes Avanti recycling/hazardous waste and PTS/Courier
• Brendan - currently SRCL’s UK Sales and Marketing Director
• 9 years experience in the NHS
Including Director at an NHS Trust
Commercial Director in an NHS Procurement Hub
The Future of Waste Management
Private Sector –What’s Possible
Private Sector –Case Study
Corporate Sustainability Direction
“IKEA’s business shall have an overall positive impact on people and environment.”
We come from a place which is associated with its hard working people with a reputation for living on small means and making the best possible use of the limited resources.
“Part of our culture since we sawed the legs off the first table”.
How we work with sustainability in our products and operations?
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Smart Packaging Solutions
Tea lights –30% less space used
Loading ledges
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• All stores, warehouses, offices and Swedwood factories
• The direction is to source 100% renewable energy
• Improve energy efficiency by 25%
IKEA Goes Renewable –(IGR)
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IKEA Goes Renewable –(IGR)
Basic Actions
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Positive Waste
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Positive Waste
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Positive Waste
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Communication
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The Future ofWaste Management
NHS – an uncertain future?
• SRCL understand that the NHS is facing is biggest ever challenges in an uncertain environment
• We know that the future is unclear
• We also understand the pressures that this is placing on you as our customers
• We are committed to supporting you through these uncertain times
The Future of Waste Management
Shared challenges
Environmental and Sustainability Agendas
Increasing Financial Pressures Across all Areas of NHS and Public Sector
Compliance Issues Going Green Cost Savings
The Future of Waste Management
“In a low carbon NHS, waste is minimised, and managed to consistently comply with legislation, and is recycled or composted routinely”
Source – NHS Sustainable Development Unit
The Future of Waste Management
How are SRCL adapting?• New senior team committed to change and ongoing improvement• Focus on waste minimisation, recovery and recycling• A genuine commitment to reducing carbon footprint - zero to landfill
target by the end of 2012• Continued development in products and services to support customer
challenges• Ongoing programme of operational efficiency – costs savings for
customers• Ongoing investment in technology across all sites in the UK• Continual research and trials in future waste technologies
The Future of Waste Management
• Guy’s and St Thomas’ is one of the largest NHS Foundation Trusts in Country, and employs 12,000 staff members
• They produce around 2,000 tonnes of domestic and clinical waste per annum
• In the first half of 2011, clinical waste sent for incineration fell by 48%, whilstrecycling increased to 34%
• This year, the Trust have a target to increase recycling to 40%
The Future of Waste Management
Going Green -Environmental
• Modern transport fleet with low emissions/ low fuel costs/ greater reliability
• Regional network of treatment plants = Low carbon footprint
• Backed by a national network of treatment plants
Going Green -Sustainability
• Zero to landfill commitment by the end of 2012
• Recycling programme for flock (by product of AT treatment) as a RDF (Refuse Derived Fuel)
• Recycling programme for ash (by product of incineration process)
Metals are removed and recycled
Remaining ash is reused as an aggregate
Next Generation Incineration• New technology for incineration
– Gasification– Pyrolysis– Induction– Plasma
• More efficient than existing technology producing less residues
• Smaller footprint means lower capital but higher operating costs
• Problems scaling up processes
The Future - Next Generation Incineration
Managing Hospital Waste Streams is a Complex Process
Managing Hospital Waste
Medicinal & Non-Medicinal Sharps Waste
Confidential Documents
Clinical Waste Yellow & Orange
Bags
Domestic WasteCytotoxic &
CytostaticWaste
Non Hazardous Medical Waste Recyclables
Compost
Hazard Waste -Chemical
WEEE WasteWaste electrical &
electrical equipment
Operating Room
A&E Surgery Isolation Lab
PharmacyResearch
DietaryEngineering
Administration
New DH Guidance
• Safe Management of Healthcare Waste (“The Manual”) replaced HTM
• Living document available free from Space for Health.
• Separate versions for England and Scotland with guides being developed for Wales and NI
• Currently undergoing a major revision with version 2.0 due out in March/April
New Guidance
New EA Guidance
• Environment Agency issued new guidance for clinical waste treatment operators in 2011.
• The guidance requires:– Waste Pre-acceptance audits from all
producers of healthcare waste regardless of disposal technology
– Rigorous Waste Acceptance checks at all treatment facilities
– Revised procedures for validation and demonstration of efficacy for all AT plants
New Guidance
Waste Segregation -Compliance
Waste Segregation and Colour Coding
Categorisation and Segregation of Waste• To make sure that segregation is efficient and safe it must be done at
source
• The Department of Health and Environment Agency published guidance in November 2006 – HTM 07:01 which introduced colour coding and correct segregation, this was replaced in March 2011 with the publication of The Manual - Safe management of healthcare waste
Waste must be correctly segregated to comply with the law, to reduce costs and to ensure that the correct disposal route is used.
Best Practice Colour Coding Best Practice Colour Coding Safe management of healthcare waste Version 1.0
Domestic WasteMinimum treatment/disposal required is landfill in a suitably permitted site.
Infectious WasteIncineration only
Anatomical WasteIncineration Only
Cytotoxic/Cytostatic WasteHigh Temperature incineration (above 1200ºc) in a suitably permitted facility
Offensive WasteMinimum treatment/disposal required is deep landfill in a suitably permitted site.
Non-Hazardous Medicinal WasteIncineration Only
Infectious WasteWaste suitable for alternative treatment
Waste Segregation and Colour Coding
Why do we segregate?1. Environmental Legislation demands waste is segregated
2. Cost
Disposal Costs
• Incineration (Yellow/Purple) £500-£1000+ per tonne
• Treatable clinical waste (Orange) £360-£500 per tonne
• Waste suitable for landfill (Tiger Stripe) £270 per tonne
• Domestic/Trade Waste (Black) Approx £50-£100per tonne
Then there is the cost of non-compliance, fines from the EA can run into £1000s or imprisonment in extreme cases
Waste Segregation and Colour Coding
Waste Segregation -
Common Problems
Waste Segregation – Common Problems
Poor positioning of bins encourages incorrect useClinical waste bins next to sinks will be used for paper hand towels predominantly these are non-hazardous general waste and mixing with clinical is against regulations and clinical disposal is on average between 5-8 times more expensive than general black bag waste.
Poor PracticeA lack of or incorrect information or correct use of the bin at the point of production makes it easier for mistakes to be made and poor segregation
Waste Segregation – Common Problems
Storage ProblemsUnder Duty of Care producers have to ensure waste is stored safely.
• The waste should be:• Secure• Kept clean and tidy
• Not mixed• Labelled• Sealed correctly
Waste Segregation – Common Problems
Storage ProblemsIf waste carts are not stored securely and are left unlocked, it’s not possible to be 100% sure what the contents are.
These carts were found unlocked in a fully accessible area used by many different departments – estates, catering etc.
Ripe for misuse!
Waste Segregation – Common Problems
Integrated Waste Stream
Solutions (IWSS)
Going Green – IWSSIntegrated Waste Stream Solutions (IWSS)
• Focus on waste minimisation, recovery and recycling
• Represents best practice but now a legal requirement on everyone producing waste
• Waste minimisation and waste segregation goes a long way to meeting legal requirements
• The EA may ask you to prove you are complaint during an audit –keep records as proof
Going Green - IWSS
30%
65%
5%
10%
55%
35%
ClinicalWaste
DomesticWaste
Recycling
Waste Diversion Drives Better Economics and Green Initiatives
Going Green - IWSSValue Benefits of IWSS:
• Swift, comprehensive resolution Added• Emphasis on reduction of clinical and domestic waster• Rapid increase in recycling across all waste streams• Best practice waste management across all waste
streams• Reduce cost• Straightforward, consolidated invoicing• Increase legislative compliance• Minimise carbon footprint• Sustainable waste management solutions
Thank you
www.srcl.com