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David Williams, Senior Environmental Manager, SRCL
Why does it matter?
• Why is the future of healthcare waste so important?
- Produced by all...
AND
- Matters to all ...
Changing landscapes
• Delivery of healthcare is changing
• Not just secondary care
• More community-led primary care
• Improved out-of-hours care to
reduce preventable attendance
• Removing barriers between health
and social care
• Integrated care is needed
• Activity is up significantly in all
areas
Recycled cardboard boxes
Reusable sharps containers
Flock as an alternative
fuel source
Flock as an alternative
fuel source
=
60,000 tonnes flock 245,900 barrels of oil
prevented from being used
Regulators
• The Care Quality Commission (CQC) is the main independent
regulator of all health and social care services in England.
• CQC inspection covers all healthcare activities including
waste.
• Examples of where poor waste handling could affect an
outcome during the CQC audit are:
- Outcome 10: Safety and suitability of premises
- Outcome 14: Supporting workers
Changes to CQC inspections
• The CQC is making radical changes to the way they inspect
and regulate health and social care services to make sure they
provide people with safe, effective, compassionate and
high-quality care, and to encourage them to make
improvements
• “Experts by Experience”
• Introducing “national teams” in NHS hospitals
Cutting regulation: One-in, two-out
The ‘Seventh statement of new regulation’ (January to June
2014) sets out the:
• Incoming regulation that the government intends to
implement over the next 6 months
• Our performance under one-in, two-out up to the end of 2013
From 1 January 2014 to 30 June 2014 the government intends to
bring in 73 measures (16 regulatory, 27 deregulatory and 30 zero
net cost). The net cumulative saving to business from 1 January
2011 to 31 December 2013 is currently around £1.2 billion.
Cutting Red Tape
Vastly reduced guidance
• 380 pages of waste management rules dropped
• The Government’s Red Tape Challenge: 80,000 pages of
environmental guidance slashed by March 2015
DEFRA
• DEFRA’s reform on waste management guidance
“The government and its regulators are simplifying all
environmental guidance to make it quicker to
understand and easier to use. Environmental rules
are not being changed – the idea is to explain the
law and policy more clearly.”
EA Job Cuts
• 1700 job losses in the next 12 months
• Follows on from 36% real terms budget reduction from 2010
for DEFRA
What is the industry doing
• The emergence of more specific, practical tools by industry
leaders and stakeholders.
• They are bridging the gap
Work smarter
• Work smarter, not harder to manage your waste
• Segregation – Don’t over complicate it - It still has to be
practical
• Internal audit works
• Buy-in is required at ward level, not just board level and vice
versa
Delivering it all
• Healthcare activity will continue to increase, but control will
increasingly be transferred to the primary/community care
sector, with new providers entering the marketplace
• Waste management needs will become more complex as a
result, but services will have to be compliant, commercially
and environmentally sustainable.
• Government will reduce regulatory guidance and support, but
will still expect compliance.
• The industry is adapting to meet these needs with a range of
measures.
Join us

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NHS Sustainability Day Waste Webinar

  • 1. David Williams, Senior Environmental Manager, SRCL
  • 2. Why does it matter? • Why is the future of healthcare waste so important? - Produced by all... AND - Matters to all ...
  • 3. Changing landscapes • Delivery of healthcare is changing • Not just secondary care • More community-led primary care • Improved out-of-hours care to reduce preventable attendance • Removing barriers between health and social care • Integrated care is needed • Activity is up significantly in all areas
  • 4.
  • 7. Flock as an alternative fuel source
  • 8. Flock as an alternative fuel source = 60,000 tonnes flock 245,900 barrels of oil prevented from being used
  • 9.
  • 10. Regulators • The Care Quality Commission (CQC) is the main independent regulator of all health and social care services in England. • CQC inspection covers all healthcare activities including waste. • Examples of where poor waste handling could affect an outcome during the CQC audit are: - Outcome 10: Safety and suitability of premises - Outcome 14: Supporting workers
  • 11. Changes to CQC inspections • The CQC is making radical changes to the way they inspect and regulate health and social care services to make sure they provide people with safe, effective, compassionate and high-quality care, and to encourage them to make improvements • “Experts by Experience” • Introducing “national teams” in NHS hospitals
  • 12. Cutting regulation: One-in, two-out The ‘Seventh statement of new regulation’ (January to June 2014) sets out the: • Incoming regulation that the government intends to implement over the next 6 months • Our performance under one-in, two-out up to the end of 2013 From 1 January 2014 to 30 June 2014 the government intends to bring in 73 measures (16 regulatory, 27 deregulatory and 30 zero net cost). The net cumulative saving to business from 1 January 2011 to 31 December 2013 is currently around £1.2 billion.
  • 14. Vastly reduced guidance • 380 pages of waste management rules dropped • The Government’s Red Tape Challenge: 80,000 pages of environmental guidance slashed by March 2015
  • 15. DEFRA • DEFRA’s reform on waste management guidance “The government and its regulators are simplifying all environmental guidance to make it quicker to understand and easier to use. Environmental rules are not being changed – the idea is to explain the law and policy more clearly.”
  • 16. EA Job Cuts • 1700 job losses in the next 12 months • Follows on from 36% real terms budget reduction from 2010 for DEFRA
  • 17. What is the industry doing • The emergence of more specific, practical tools by industry leaders and stakeholders. • They are bridging the gap
  • 18. Work smarter • Work smarter, not harder to manage your waste • Segregation – Don’t over complicate it - It still has to be practical • Internal audit works • Buy-in is required at ward level, not just board level and vice versa
  • 19. Delivering it all • Healthcare activity will continue to increase, but control will increasingly be transferred to the primary/community care sector, with new providers entering the marketplace • Waste management needs will become more complex as a result, but services will have to be compliant, commercially and environmentally sustainable. • Government will reduce regulatory guidance and support, but will still expect compliance. • The industry is adapting to meet these needs with a range of measures.