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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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EA S

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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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Communication

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© Inter IK

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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


Shared challenges

Environmental and Sustainability Agendas

Increasing Financial Pressures Across all Areas of NHS and Public Sector

Compliance Issues Going Green Cost Savings


“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


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


• 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%


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


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 -

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


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


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!


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