Waste Management Policy

Waste Management Policy
Document Author Authorised

Job Title: Waste & Recycling Officer Authorised By: Chief Executive
Date: August 2017 Date: 12th December 2017

Lead Director: Associate Director of
Estates
Effective Date: 12th December 2017 Review Date: 11th December 2020
Approval at: Corporate Governance & Date Approved: 12th December 2017
Risk Sub-Committee
Waste Management Policy Page 1 of 52

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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 Versio Date Director Nature of Ratification /

Issue n No. Approved Responsi Change Approval
ble for
Change
January 1.0 December Associate
2005 2006 Director of
Estates
February 1.1 February Associate Consolidation of Approved at Waste
2014 2014 Director of Household Waste Management
Estates Policy / Clinical Group and Risk
Waste Policy with Management
Waste Committee
Management
Policy
March 2.0 March 2014 Associate Update Policy Management
2014 Director of Group
Estates
August 2.1 Associate Update to new
2017 Director of policy format
Estates
29/11/17 2.1 Associate Ratified at Health, Safety,
Director of Security, Fire and
Estates Estates Committee
12/12/17 3.0 12/12/2017 Associate Approved at Corporate
Director of Governance & Risk
Estates Sub-Committee
NB This policy relates to the Isle of Wight NHS Trust hereafter referred to as the Trust.

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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

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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
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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

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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.

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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.

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“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

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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.

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 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.

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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.

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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.

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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),

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 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

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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.

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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.…
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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
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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.

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 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.
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 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).

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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.

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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

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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
Waste Management Policy
title
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 Page 23 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 A – FRI Assessment Page 24 of 52

Appendix B
Equality Impact Assessment (EIA) Screening Tool
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

Brian Meszynski (waste & recycling officer)
the Equality Impact Assessment
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.
Positive Impact Negative Impact Reasons
Men
Gender
Women
Asian or Asian
British People
Black or Black
British People
Race
Chinese
people
People of
Mixed Race
WASTE MANAGEMENT POLICY – APPENDIX B – EIA Screening Tool Page 25 of 52

White people
(including Irish
people)
People with
Physical
Disabilities,
Learning
Disabilities or
Mental Health
Issues
Transgender
Sexual
Orientat Lesbian, Gay
ion men and
bisexual
Children
Older People
Age (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

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 Heading European Waste Y: Hazardous More detailed

Colour-coding
reference description of the Catalogue code (* if N: Non-hazardous description of
of containers
number waste stream hazardous) LB: Landfill ban 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
WASTE MANAGEMENT POLICY – APPENDIX C – Waste Data Sheets Page 28 of 52

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
Infectious clinical waste for

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

102 Clinical waste - Orange stream 18 01 03* Y
for alternative treatment
Clinical waste not identified as

103 Offensive waste - Tiger stream 18 01 04 N
infectious
104 Anatomical waste 18 01 03* Y Anatomical waste
Non-Medicinally Contaminated
105 Sharps - Orange lidded Sharps 18 01 03 Y
Sharps
18 01 03* / 18
106 Sharps - Yellow lidded Sharps Y Medicinally Contaminated Sharps
01 09
18 01 03* / 18 Cytotoxic and cytostatic

107 Sharps - Purple lidded Sharps Y
01 08* contaminated Sharps
Medicines waste - Pharmacy Medicines waste suitable for

108
returns transport to Pharmacy
Medicines / Medicines
109 Medicines waste - Blue stream 18 01 09 N
contaminated waste (Non-cyto)
Medicines waste - Purple Cytotoxic and cytostatic medicines

110 18 01 08* Y
stream / contaminated waste
111 Controlled Drugs Controlled Drugs denaturing kits
Non-infectious gypsum (plaster)

112 Plaster / Gypsum 18 01 04 N
wastes
Mattresses classed as infectious

113 Infectious mattresses 18 01 03* Y
clinical waste
Very low level radioactive waste

114 Lymph biopsy waste 18 01 03* Y
for incineration only
Amalgams, teeth,
115 Dental Wastes Misc. Y
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*  Fixer 09 01 04*
 Teeth 18 01 10*  Developer 09 01 01*
 Crowns/bridges 20 01 40  Lead Foils 15 01 04
 Sludge 18 01 10*  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
Confidential paper 20 01 01 N
204
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 (waste@iow.nhs.uk). Store those securely
(under lock if required) until the contractor’s next due collection.

Internal transport Confidential waste contractor
Final disposal Shredding and recycling (materials recovery)
Other confidential Other confidential media: Either destroy before disposal in black bag (e.g. cut CD
media (non-paper) in 2). If not suitable, for small quantities send back to Estates in internal post, or if
volume too high arrange collection waste@iow.nhs.uk 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
PortersLodge@iow.nhs.uk)
Final disposal Landfill
WDS 209 – Metals

EWC 20 01 40
Definition All scrap metals items
Examples Trolleys, chairs, bed frames etc.
Containers Loose
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
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
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
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.
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
08 01 11* - 08
305 Paints Y
01 12
306 Chemicals / gas cylinders Misc. Y
Printer toners and inkjet

307 08 03 17* Y
cartridges
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 waste@iow.nhs.uk 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 PortersLodge@iow.nhs.uk
Always make disposal arrangements in advance. Do not fly-tip items in

corridors/disposal cupboards/external locations.
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 – itservicedesk@iow.nhs.uk - 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 waste@iow.nhs.uk 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.

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
Management of Explanted Pacemakers and
202
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
WASTE MANAGEMENT POLICY – APPENDIX D – Standard Operating Procedures Page 52 of 52

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Waste Management Policy

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Date: August 2017 Date: 12th December 2017

Waste Management Policy Page 1 of 52

Date of Versio Date Director Nature of Ratification /

Waste Management Policy Page 2 of 52

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

Waste Management Policy Page 3 of 52

Appendix A Financial and Resourcing Impact Assessment on Policy Implementation 23

Waste Management Policy Page 5 of 52

4. AIMS AND OBJECTIVES

5. IMPACTS AND RISKS ASSOCIATED WITH WASTE MANAGEMENT

Health & Safety and Fire Safety

Waste Management Policy Page 6 of 52

Falls and trips

Environmental Policy statement

Waste Management Policy Page 7 of 52

Waste Management Policy Page 8 of 52

The Chief Executive

The Executive Director responsible for Estates

The Associate Director of Estates

The Waste Manager

Waste Management Policy Page 9 of 52

The Clinical Waste Operative

The Estates Maintenance Foremen

The Capital Planning and Development Manager

The Infection Control Team

The Health & Safety and Security team

Waste Management Policy Page 10 of 52

Clinical managers / Ward managers / Modern matrons

Community teams treating patients in their homes

The Chief Pharmacist

The Hotel Services Manager

Waste Management Policy Page 11 of 52

Departmental portering staff are responsible for:

Waste Management Policy Page 12 of 52

European Waste Catalogue (EWC)

Waste Management Policy Page 13 of 52

General definition of clinical waste

Definition of “Known or suspected infectious patient”

Infectious clinical waste

Offensive waste (i.e. Non-infectious clinical waste)

Waste Transfer Notes (Controlled waste)

Waste Management Policy Page 14 of 52

Hazardous Waste Consignment Notes (Hazardous waste)

Duty of Care Audits

Clinical Waste Pre-Acceptance Audits

9. OTHER LEGISLATIVE AND REGULATORY REQUIREMENTS

Waste Management Licensing Regulations 1994

The Waste (England and Wales) Regulations 2011

Hazardous Waste Regulations 2005

Waste Management Policy Page 15 of 52

Carriage of Dangerous Goods (CDG) Regulations

10. WASTE GENERATED BY THE TRUST

Healthcare Wastes (Appendix A – PART A)

Healthcare waste can be defined as:

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

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

Trust Community premises

Waste generated by community teams in patients homes

12. WASTE GENERATED BY OTHER ORGANISATIONS

Contractors working for the Trust

Organisations for which the Trust arranges waste disposal

13. SEGREGATION OF WASTE