1. Waste Management
Welcome to Frimley Park NHS Foundation Trust
Waste Management Training Course

2. Cost of Waste…
Clinical
Clinical
General Waste
Recycling Waste
Waste Incineratio
Treatment
n
£24.00* £113.38* £365.09* £652.39*
per tonne per tonne per tonne per tonne
Recycling is significantly cheaper, therefore, it is very important to know about
different types of waste produced by the Trust.

3. Duty of Care
As a waste producer, the Trust must ensure waste is not illegally disposed of, does
not escape from a person’s control, and is only transferred, with a transfer note, to an
authorised person - the holder of a Waste Carrier’s Licence, and / or a Waste
Management Licence.
The key to this policy is to ensure the correct actions are carried out by an
appropriately trained person in a safe and timely manor.
The ward/department Manager is responsible for ensuring all staff working within
their area, are aware and capable of performing the following major duties:
Safe and careful handling and disposal of all clinical waste.
Understand and carry out the demands of the policy as relevant.
Understand the correct method of disposal of all waste.
Action to be taken if policies and procedures have not been followed and who to
report to.
Action to be taken in the event of any spillage or leakage from waste
containers/bags observed within the trust.
Implementation of appropriate Infection Control and Health and Safety Policies,
Accident and Incident reporting procedures.

4. Legislation – it’s the law!
 EPA 1990
 Section 34 - Duty of Care
 Hazardous Waste Regs. - no mixing
 Environment Agency
 HTM 07-01 - Unified Colour Code
 Landfill Directive – pre-acceptance
 Waste Policy – helps us achieve compliance

5. Non-Conformances
What is a Non – Conformance ?
External Non-compliance
This results in the Waste contractor
Waste sorted at disposal plant.
informing the Environment Agency
Clinical waste found in the domestic
who in turn can Prosecute the Trust
waste compactor.
and any individual found to be
Reported to the Environment Agency.
responsible.
Incurred costs passed onto producer.
Internal non-compliance
Clinical waste sacks inside domestic
This results in a Non –Conformance
waste sack
Wrong lid on sharps bin notice being raised against the ward /
No tagging / labelling department; this is then logged and
Wrong Waste in the wrong receptacle can be produced as evidence if
Sharps bin lids, temporary closure not needed. Cost of rectifying this may be
charged to ward / department.
in place

6. What not to do!
Offence: Paper placed into Clinical
waste bag.
Risk: High disposal cost to the Trust,
Offence: Clinical waste sacks left mixing of waste streams.
in public area.
Result: Possible prosecution by
Risk: Interference by vermin and Environment Agency.
people.
Result: Possible prosecution by Offence: Medicine bottles in recycling
Environment Agency. bag.
Risk: Medicines being sent to recycling
Offence: Badly fitted sharps bin plant and contamination of water course.
lid.
Result: Prosecution by Environment
Risk: Spillage of sharps.
Agency.
Result: Possible injury to staff
and prosecution by Health and
Safety Executive and Environment Offence: Wrong items in Clinical waste
agency. sack.
Risk: Additional costs for disposal.
Offence: Sharps bin temporary
closure not in place. Result: Possible prosecution by
Environment Agency.
Risk: Possible injury to vulnerable
people, items used as weapon,
spillage of contents.
Result: Prosecution by H&S Offence: Recyclable waste placed into
Executive and Environment
Agency. domestic waste bin.
Result: Higher disposal costs to the
Trust.

7. Colour Coding System
Orange means Alternative Technology
Type of Waste…
Orange bag clinical waste – items
contaminated with infected blood or bodily
fluid:
Soiled swabs, dressings and
bandages
Not for confidential waste
No sharps or pharmaceuticals
Must be tagged – otherwise will not be
removed
What Happens Next…
Autoclave or microwave to make the
waste sterile, shredded and sent for
landfill or ‘Energy from Waste’

8. Where Does an Orange Clinical Waste
Sack Go?
Recycled?
Landfill?
Treated to render safe?
Incinerated?

9. Colour Coding System
Yellow means Incineration Only
Sharps / syringes / broken glass / giving
sets contaminated with pharmaceuticals /
POMs.
- Must be tagged and labelled.
Recognisable anatomical & tissue waste.
- Must be tagged and labelled.
Rigid bins hermetically sealed 30 or 60ltr
(Sulo bins).
Anatomical or human tissue waste.
Suction canisters, high fluid content
items, pharmaceuticals.
Must be tagged and labelled.

10. Where Does Yellow Waste Sack
and Sharps bins go?
Recycled ?
Landfill ?
Treated to
render safe ?
Incinerated ?

11. Colour Coding System
Yellow & Black Stripe Offensive Waste
Type of Waste…
Yellow sacks with black stripe.
Used for Offensive waste, Human Hygiene waste,
Autoclaved waste, Non–Infectious disposable
equipment, Nappies, Health Care waste from non-
infected patients.
What Happens Next…
Offensive waste is sent to the Energy from Waste Incinerator and includes any
Health Care waste that is not from an Infected Patient.

12. Waste bin / Sharps Bin Colour Code
Yellow bin, with Yellow label and Yellow lid
Used for:- All sharps. All syringes. Small Prescription only medicine
bottles. All ampoules. All giving sets and all items contaminated with
medical waste.
Yellow bin, Purple label Purple lid
Used for:- Cytotoxic, Cytostatic Sharps, Syringes. All items
contaminated with Cytotoxic, Cytostatic products.
Green bin, with Green label Green lid
Used for:-Placenta Waste Only.
Limb bins / Burn bins, Yellow bin, with Yellow lid
Used for:- Anatomical waste/ Pathological waste, used instruments,
C.J.D. waste. Prescription only medicine bottles.
Pharmaceutical waste. Large giving sets, heavy blood loss.

13. Correct Use of Sharps Bins
Sharps bin management is the responsibility of staff
using the bins NOT of Domestic’s.
 Choose correct bin size – lid and label
colour must match
 Assemble – ensure lid is properly secured
 Complete label - name, date, location -
must be legible
Temporary closure must be in place while bin
is in use
 Do not overfill – no more than ¾ full
 Seal & dispose of one month after assembly,
unless ¾ full at earlier time.
 Close sliding window securely (click)
 Sign and date
 Tag

14. Domestic Waste and Recycling
Domestic waste Black lidded bin containing a clear bag.
Used for NON-recyclable general domestic waste items.
Food Waste & Food contaminated waste.
STRICTLY NO PATIENT CARE WASTE OR SHARPS
Recycling bins containing clear bags.
Used for ALL recyclable materials.
Red lidded….Plastics, clean milk bottles, drink bottles,
plastic wrapping, plastic cups.
Blue lidded…..Non-confidential office paper,
newspaper, paper towels, thin cardboard boxes,
magazines, old menu cards.
Grey Lidded… Empty drinks cans, clean food cans.
Green lidded… Glass, NO MEDICINE BOTTLES

15. Other Waste Streams…
Batteries;- Blue battery boxes Batteries are classed as Hazardous
waste and must be disposed of separately by emailing
waste@recyclinghelpdesk
Confidential waste;- Blue hessian sack available by emailing
waste@recyclinghelpdesk
Medical equipment;- emailing waste@recyclinghelpdesk
IT & Electrical equipment;- email waste&recyclinghelpdesk

16. Amount of Waste Produced by Frimley Park and
How Much it Costs…
Waste Stream Tonnage per Total cost per
annum* annum*
Mixed Recycling 326.80 £7,843.20
Energy from Waste (General) 540.06 £61,232.00
Alternative Treatment (Clinical) 437.5 £159,726.88
Incineration (Clinical) 143.7 £93,748.44
*Costs Based on 2010-2011 figures

17. Environmental Awareness
Green Light Campaign
Out of Hours Surveys
Waste minimisation / reuse / recycling
Double side wherever possible
How many paper towels does it take to dry your hands?
Energy Efficiency
Turn computers and monitors off
If air con is on, close the window
Too hot? Turn radiator down/off before opening window
Switch off lights

18. Thank you
Waste Quiz
&
Questions
On next slide place the correct waste items into the correct
receptacle

19. 1 12
2 or 3 10 3
7 10
11
2 9 12 11
4 5
9
6 1 10
10
9
1
3
4 1 8 9
8 12
5 6 7 8

20. Waste Questions?
How many tonnes of Orange Clinical waste does the Trust produce per year?
A 1251 tonnes B 437.5 tonnes C 1027 tonnes D 329 tonnes
Where would you place a needle contaminated with Cytotoxic medicine?
A Purple lidded Sharps bin B Yellow lidded Sharps bin
C Orange Bag D Blue lidded bin.
What should you do with all waste streams?
A Place into any receptacle B Segregate into correct receptacle C Leave it
for some one else to sort
What is the cheapest disposal route for waste?
A Incineration B Alternative treatment C Land fill D Recycling
What would you have to do to dispose of a piece of electrical equipment?
A Place into waste bin B email waste@recyclinghelpdesk
C Leave in corridor
What would you do with waste paper?
A Place in red lidded bin B Place into Blue lidded Bin
C Place into Black lidded bin

21. Waste Questions Continued…
Where would you go to seek advice on waste management?
A Speak to Ward manager B Check Waste Policy
C Contact Waste Manager
What would you do with an empty medicine bottle?
A Place in Green Glass recycling bin B Return to Pharmacy
C Place into sharps bin
Some one on ward spills contents of Sharps bin on floor what could have been
the cause?
A Lid incorrectly fitted B Bin not secured
C Temporary closure not in place
Who is responsible for correctly assemble sharps bin?
A House keeper B Porter C Person using the bin
What is confidential waste?
A Any waste paper B Waste that has been seen by other people
C Paper / disks etc that contain information relating to Patients, Staff etc.
Do you think you could correctly segregate all waste streams?
A Yes B No

22. You have now completed the Waste Training; you can obtain
any further information from either…
Mark Sutherland Gillian Brown
Waste Manager Environment Officer
Mark.sutherland@fph-tr.nhs.uk gillian.brown@fph-tr.nhs.uk
Waste and Recycling Help Desk
waste@recyclinghelpdeskfph-tr.nhs.uk Trust Waste Policy