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Clinical Waste

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Clinical Waste

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Clinical Waste Disposal

“Up to 600,000 tonnes of clinical waste is produced each year by the NHS - more than 1 per cent of all domestic UK waste” (DEFRA).


LITTA waste management provides a clinical waste collection and clinical waste disposal service that strictly complies with controlled waste regulations for:

Hospitals

GP Surgeries

Clinics and health centres

Nursing and Residential care homes

Pharmacies

Veterinary practices

Dental practices


Healthcare waste collection teams operate nationwide

Our expert, experienced healthcare waste collection teams operate nationwide, including all London and Greater London postcodes, and across the south-east.


What is clinical waste?

Clinical waste primarily refers to medical waste, nursing waste, pharmaceutical waste, veterinary waste and dental waste. Plus, clinical waste from similar healthcare environments may also pose harm through injury or infection.

Under the Controlled Waste Regulations Act 2012, clinical waste is defined as any waste which consists, wholly or partly of:

Human or animal tissue, blood or other body fluids, and excretions.

Drugs or other pharmaceutical products.

Swabs and dressings.

Syringes and needles.

Other items defined as ‘sharps’ including, lancets,

pipettes, scalpels, trocars and cannulas.

Any waste which may prove hazardous to any person who comes

into contact, unless made safe.

Healthcare waste can also be classified into three risk types of waste clinical materials:

Risk of infection

Risk of a chemical hazard

Contaminated medicine and medicinal waste


Clinical waste disposal solutions

How we can help you

Every healthcare or similar setting will often have different needs demanding their own unique, clinical waste disposal solutions.

Our ON-DEMAND waste management service teams are experienced in providing clinical waste disposal solutions for key clinical waste services, including:

Controlled clinical waste disposal for healthcare sector premises such as, hospitals, clinics, doctors, dentists, veterinary practices and medical laboratories.

Sharps waste for sectors proving healthcare activity such as, medical and dentistry, nursing and care homes, and veterinary practices.

Incontinence waste solutions for health and social care businesses such as, nursing and care homes, children’s nurseries, medical and dental practices.

Sanitary waste disposal service for any type of private or public premises that provide toilet facilities for employees and visitors.

Clinical waste services

Our professional waste management of clinical waste collections and waste disposal is streamlined to efficiently handle all categories of healthcare waste from medical, chemical, surgical, dental and social care environments.

Offensive waste

Non-infectious, non-clinical waste not containing pharmaceutical or chemical substances. However, any contact is generally categorised as ‘unpleasant’ or offensive waste.

Common offensive waste clinical items include:

Outer dressings

Gowns, masks, and gloves, and other PPE not contaminated

with bodily fluids.

Infectious waste

Healthcare waste contaminated with blood and other bodily fluids, including:

Used diagnostic samples.

Infectious patient waste, such as swabs, bandages and

disposable medical devices.

Infectious laboratory cultures and stocks.

Cytotoxic waste

Cytostatic or cytotoxic waste is any material contaminated with toxic residues or preparations.

Also refers to medicines defined as:

Carcinogenic – causes cancerous tumours

Mutagenic – causes mutations in cell DNA

Teratogenic - causes irreversible,

abnormalities in the foetus

Highly hazardous cytostatic or cytotoxic waste include:

Medicines and Tablets

Medicinal creams or aerosols

Most hormonal preparations

Some anti-viral drugs

Anatomical waste

Refers to body parts, organs, blood bags and blood preserves,

all considered potentially hazardous clinical waste, including:

Chemically-preserved infectious, anatomical waste.

Non-hazardous, non-infectious, and non-chemically preserved

anatomical waste.

Dental waste

Different types of hazardous clinical waste are specifically

produced by dental waste, as follows:

Dental amalgam - contains toxic mercury used as a

bonding agent. At least 95 per cent of dental amalgam waste must be retained

for dental waste disposal using an Amalgam Separator.

Amalgam capsules - a mix of silver alloy and mercury,

used amalgam capsules are to be treated as hazardous dental waste and must be deposited

into dedicated dental waste containers.

Teeth - containing amalgam are also considered hazardous clinical waste and be disposed of in their own separate container.

X-ray fixer and developer solution -  high silver content and considered potentially harmful, which must also be separated from other types of dental waste.

Lead foil – a highly toxic substance, lead was used to shield dental staff and patients from the dangers of low level radiation in x-ray machines still in existence despite modern digital x-ray equipment.


Clinical waste collection

Covid test disposal

Infectious covid test disposal waste includes gloves, aprons, overalls, face masks, paper towels and swabs.

Any and all clinical waste generated from a potential or confirmed case of Coronavirus must be disposed of as Category B waste, under the NHS England 'COVID-19 waste management standard operation procedure'.

Covid test disposal items are identified as ‘orange-stream’ infectious waste - known or suspected to contain Category B pathogens – and should be placed in UN3291 orange clinical waste bags.

Vaccination sites

Needles used for Coronavirus vaccinations at vaccination

sites are considered highly infectious sharps waste for contained clinical

waste disposal.

Testing sites

Different types of Coronavirus tests will require different clinical

waste streams, whether carrying out PCR or lateral flow tests.

What happens to clinical waste, how is it disposed of?

Clinical waste should be assigned by category using the

colour-coded waste disposal system. It is designed to clearly and easily identify

and separate health waste, in accordance with the ‘Safe Management of

Healthcare Waste’, issued by The Department of Health..

What is the clinical waste disposal system?

The colour-coded clinical waste disposal system is a national standard, also used in Scotland and Northern Ireland. Designed for ease of use, each category of clinical waste is assigned a different colour coded lidded container.

Colour-coded lidded containers

Yellow - partially used sharps and clinical waste

which require incineration.

Blue – medicinal and pharmaceutical waste in original

or similar packaging to be sent for incineration.

Orange – sharps, wipes, dressings, and gloves contaminated

with bodily fluids suitable for alternative cleansing treatment.

Purple – waste contaminated with cytostatic and

cytotoxic medicinal products requiring incineration.

Red – Anatomical waste,  including recognisable body parts to be disposed

by incineration

Colour-coded container bags

Yellow & Black – Offensive waste

White – Dental waste


Why is it important to dispose of clinical waste properly?

Correct clinical waste disposal is essential to ensure the health and safety of all working or visiting in medical, healthcare and social care environments.

Strict regulations are also designed for robust clinical waste management and the correct classification of waste streams to reduce the impact of hazardous waste on the environment. Mixing clinical waste with other categories of waste is prohibited in England and Wales under Duty of Care and the Hazardous Waste Regulations.  

Disposal of untreated clinical waste in landfill can lead to the release of chemical substances and toxic groundwater contamination when treated.

Incineration of unsuitable waste can also result in the release of airborne pollutants. Incinerated materials treated with chlorine can generate human carcinogens associated with a range of adverse health effects.

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Clinical Waste Disposal

“Up to 600,000 tonnes of clinical waste is produced each year by the NHS - more than 1 per cent of all domestic UK waste” (DEFRA).


LITTA waste management provides a clinical waste collection and clinical waste disposal service that strictly complies with controlled waste regulations for:

Hospitals

GP Surgeries

Clinics and health centres

Nursing and Residential care homes

Pharmacies

Veterinary practices

Dental practices


Healthcare waste collection teams operate nationwide

Our expert, experienced healthcare waste collection teams operate nationwide, including all London and Greater London postcodes, and across the south-east.


What is clinical waste?

Clinical waste primarily refers to medical waste, nursing waste, pharmaceutical waste, veterinary waste and dental waste. Plus, clinical waste from similar healthcare environments may also pose harm through injury or infection.

Under the Controlled Waste Regulations Act 2012, clinical waste is defined as any waste which consists, wholly or partly of:

Human or animal tissue, blood or other body fluids, and excretions.

Drugs or other pharmaceutical products.

Swabs and dressings.

Syringes and needles.

Other items defined as ‘sharps’ including, lancets,

pipettes, scalpels, trocars and cannulas.

Any waste which may prove hazardous to any person who comes

into contact, unless made safe.

Healthcare waste can also be classified into three risk types of waste clinical materials:

Risk of infection

Risk of a chemical hazard

Contaminated medicine and medicinal waste


Clinical waste disposal solutions

How we can help you

Every healthcare or similar setting will often have different needs demanding their own unique, clinical waste disposal solutions.

Our ON-DEMAND waste management service teams are experienced in providing clinical waste disposal solutions for key clinical waste services, including:

Controlled clinical waste disposal for healthcare sector premises such as, hospitals, clinics, doctors, dentists, veterinary practices and medical laboratories.

Sharps waste for sectors proving healthcare activity such as, medical and dentistry, nursing and care homes, and veterinary practices.

Incontinence waste solutions for health and social care businesses such as, nursing and care homes, children’s nurseries, medical and dental practices.

Sanitary waste disposal service for any type of private or public premises that provide toilet facilities for employees and visitors.

Clinical waste services

Our professional waste management of clinical waste collections and waste disposal is streamlined to efficiently handle all categories of healthcare waste from medical, chemical, surgical, dental and social care environments.

Offensive waste

Non-infectious, non-clinical waste not containing pharmaceutical or chemical substances. However, any contact is generally categorised as ‘unpleasant’ or offensive waste.

Common offensive waste clinical items include:

Outer dressings

Gowns, masks, and gloves, and other PPE not contaminated

with bodily fluids.

Infectious waste

Healthcare waste contaminated with blood and other bodily fluids, including:

Used diagnostic samples.

Infectious patient waste, such as swabs, bandages and

disposable medical devices.

Infectious laboratory cultures and stocks.

Cytotoxic waste

Cytostatic or cytotoxic waste is any material contaminated with toxic residues or preparations.

Also refers to medicines defined as:

Carcinogenic – causes cancerous tumours

Mutagenic – causes mutations in cell DNA

Teratogenic - causes irreversible,

abnormalities in the foetus

Highly hazardous cytostatic or cytotoxic waste include:

Medicines and Tablets

Medicinal creams or aerosols

Most hormonal preparations

Some anti-viral drugs

Anatomical waste

Refers to body parts, organs, blood bags and blood preserves,

all considered potentially hazardous clinical waste, including:

Chemically-preserved infectious, anatomical waste.

Non-hazardous, non-infectious, and non-chemically preserved

anatomical waste.

Dental waste

Different types of hazardous clinical waste are specifically

produced by dental waste, as follows:

Dental amalgam - contains toxic mercury used as a

bonding agent. At least 95 per cent of dental amalgam waste must be retained

for dental waste disposal using an Amalgam Separator.

Amalgam capsules - a mix of silver alloy and mercury,

used amalgam capsules are to be treated as hazardous dental waste and must be deposited

into dedicated dental waste containers.

Teeth - containing amalgam are also considered hazardous clinical waste and be disposed of in their own separate container.

X-ray fixer and developer solution -  high silver content and considered potentially harmful, which must also be separated from other types of dental waste.

Lead foil – a highly toxic substance, lead was used to shield dental staff and patients from the dangers of low level radiation in x-ray machines still in existence despite modern digital x-ray equipment.


Clinical waste collection

Covid test disposal

Infectious covid test disposal waste includes gloves, aprons, overalls, face masks, paper towels and swabs.

Any and all clinical waste generated from a potential or confirmed case of Coronavirus must be disposed of as Category B waste, under the NHS England 'COVID-19 waste management standard operation procedure'.

Covid test disposal items are identified as ‘orange-stream’ infectious waste - known or suspected to contain Category B pathogens – and should be placed in UN3291 orange clinical waste bags.

Vaccination sites

Needles used for Coronavirus vaccinations at vaccination

sites are considered highly infectious sharps waste for contained clinical

waste disposal.

Testing sites

Different types of Coronavirus tests will require different clinical

waste streams, whether carrying out PCR or lateral flow tests.

What happens to clinical waste, how is it disposed of?

Clinical waste should be assigned by category using the

colour-coded waste disposal system. It is designed to clearly and easily identify

and separate health waste, in accordance with the ‘Safe Management of

Healthcare Waste’, issued by The Department of Health..

What is the clinical waste disposal system?

The colour-coded clinical waste disposal system is a national standard, also used in Scotland and Northern Ireland. Designed for ease of use, each category of clinical waste is assigned a different colour coded lidded container.

Colour-coded lidded containers

Yellow - partially used sharps and clinical waste

which require incineration.

Blue – medicinal and pharmaceutical waste in original

or similar packaging to be sent for incineration.

Orange – sharps, wipes, dressings, and gloves contaminated

with bodily fluids suitable for alternative cleansing treatment.

Purple – waste contaminated with cytostatic and

cytotoxic medicinal products requiring incineration.

Red – Anatomical waste,  including recognisable body parts to be disposed

by incineration

Colour-coded container bags

Yellow & Black – Offensive waste

White – Dental waste


Why is it important to dispose of clinical waste properly?

Correct clinical waste disposal is essential to ensure the health and safety of all working or visiting in medical, healthcare and social care environments.

Strict regulations are also designed for robust clinical waste management and the correct classification of waste streams to reduce the impact of hazardous waste on the environment. Mixing clinical waste with other categories of waste is prohibited in England and Wales under Duty of Care and the Hazardous Waste Regulations.  

Disposal of untreated clinical waste in landfill can lead to the release of chemical substances and toxic groundwater contamination when treated.

Incineration of unsuitable waste can also result in the release of airborne pollutants. Incinerated materials treated with chlorine can generate human carcinogens associated with a range of adverse health effects.

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Over 200 Drivers

On Demand Service

Ethical & Responsible

We Recycle 93%

Over 200 Drivers

On Demand Service

Ethical & Responsible

We Recycle 93%

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