A new Clinical Waste Strategy has been published by NHS England which aims to deliver a 30% reduction in carbon emissions.

The document sets out NHS England’s ambition to transform the management of clinical waste by eliminating unnecessary waste, finding innovative ways to reuse, and ensuring waste is processed in the most-cost-effective, efficient, and sustainable way. It comes as figures show NHS providers in England produce around 156,000 tonnes of clinical waste every year that is either sent for high-temperature incineration (HTI) or alternative treatment (AT) – equivalent to over 400 loaded jumbo jets of rubbish. And this has a significant environmental impact and is associated with high running costs and carbon emissions. The new strategy, when implemented, aims to reduce future waste volumes, helping to generate approximately £11m in revenue savings every year for the next 10 years.

THE DIRECTION OF TRAVEL

It will also lead to a 30% reduction in carbon emissions, helping to deliver the NHS’s ambition to be net zero in its estate by 2040. The strategy sets a bold direction of travel for reforming the management of clinical waste, including specific actions for NHS estates teams:

• Ensuring 100% of NHS providers, including primary care managing agents, have fully-trained waste managers to ensure waste is managed effectively and appropriately. The NHS is supporting this by establishing the first-ever professional qualification in NHS waste management this year

• Improving waste segregation and compliance by aiming for a 20-20-60 waste split – 20% incineration (yellow bag) waste, 20% infectious (orange bag) and 60% offensive waste

• Making the management of waste contracts a priority for NHS trusts

• Enabling NHS ownership and control of its own processing assets, including making use of innovative technologies to treat infectious waste onsite In his foreword, Simon Corben, director of estates and head of profession at NHS England, said: “As one of the largest producers of waste in the country, it is vital that the NHS disposes it in a safe, efficient, and sustainable manner, and that we are only creating waste when absolutely necessary.

A STEP CHANGE

“This strategy has been created to support NHS providers in making the necessary step change in waste management practices.” The strategy was published alongside the revised Health Technical Memorandum (HTM) 07-01: Safe and sustainable management of healthcare waste, which provides technical guidance and best practice for the safe management of healthcare waste and to ensure waste is segregated appropriately. There is also a new tool to support trusts with waste management decisions, improve waste segregation, and help reduce waste-related carbon emissions. Welcoming the publication, Donald Macphail, chief operating officer for treatment at waste management company, Veolia UK, said: “From our operations, which serve over 200 healthcare facilities, we know that innovation and infrastructure, backed by training, is key to implementing this strategy and these new processes are already set to exceed the target of 50% carbon reduction by 2026.”