Waste Streams & CQC

Waste Streams

Separate waste streams are currently seen as the most efficient way for waste generators to meet the standards required. They are also more affordable as waste is processed according to the required need.

Waste separation must be maintained throughout the waste disposal chain, from the generator to the final processor. Waste sorting and separation has to start right at the top of the chain, when a nurse, doctor, health worker or patient decides to throw anything into a bin.

Organisations must ensure that all staff receive proper training. The appropriate disposal streams must be available in all the places where waste is generated. Only by following all processes can accurate, end-to-end track and trace documentation be provided.

tiger holder
Yellow
Yellow

Clinical Waste. Must be burned or incinerated.(Incinerated under code 180103).

Orange
Orange

Clinical Waste. Can be treated by any acceptable alternative method which renders safe - can then be disposed in landfill. (Waste classification code 180103).

Tiger
Tiger

Offensive / Hygiene Waste. Sent to landfill or municipal treatment centres for waste for energy. Stripes can be multiple, the more the better and if possible on both sides. (Waste classification code 180104).

ADR
Bulk ADR

Bags tested to ADR 7.3.2.6.2 (c) for carriage of up to 25KG.

Black Clear
Black & Clear

Domestic Waste. Mixed municipal waste Clear will be sent to landfill or municipal incineration/ energy from waste facility. (Waste classification code 200301).

Purple
Purple

Cytotoxic & Cytostatic. Incineration for a longer duration or longer retention time to reduce harmful omissions. Some sites do not have permits to incinerate this waste. A site visit would avoid any misunderstanding. (Waste classification code 180108).

Blue
Blue

Medicinal. Rigid bins are used for medicinal bottles, pharmaceuticals, tablets. Waste that is non-hazardous. (Waste classification code 180109.

Red
Red

Anatomical Waste. Rigid bins are usually used, bags are permitted – must then be placed in a bin thereafter. Unless pathology tests or clinical assessments have confirmed there is no risk of infection – incineration. (Incineration only under the code 180103).

 

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Compliance & CQC Oversight

Waste generators must now by law ensure that all healthcare waste they generate is processed according to the latest guidance. In the UK this is currently Health Technical Memorandum 07-01: Safe Management of Healthcare Waste.

  • Many other countries have similar legally enforceable codes of practice in place
  • Guidance applies to all types of healthcare waste producers including hospitals, clinics, care and nursing homes and local authority and independent care providers
  • Failure to comply with the guidelines opens organisations and individuals up to prosecution and heavy fines or worse

In the UK the Care Quality Commission (CQC) has an active role in offering guidance, inspection and enforcement. Organisations exist with similar roles in other countries.

Alternative Treatment for Disposal

More clinical waste is now transported to central processing facilities operated by independent specialist contractors. As a result new processing methods have been developed for some types of clinical waste.

Alternative Treatment can involve chemical processing of some types of clinical waste, followed by deep burial.

Offensive Waste (formerly known as ‘Sanpro’) is the fastest growing new healthcare waste processing category.

Much of what is now designated ‘Offensive Waste’ would in the past have been classified as ‘Clinical Waste’ and put through the incineration process. Waste Streaming makes this possible.

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