Metal Recycling Trial - hfs.scot.nhs.ukPaven... · Metal Recycling Trial Dr Pavan Raju Consultant Anaesthetist NHS Tayside 4th November 2016

Metal Recycling Trial

Dr Pavan Raju

Consultant Anaesthetist

NHS Tayside

4th November 2016

“With great power comes great responsibility”

Voltaire, Churchill and

Spiderman’s uncle.

NHS GG&C & NHS Fife

• In 18 months over 54 tonnes of metal recovered

• 9.5 tonnes of plastic avoided

Background

Single use metal instruments

Current Journey

Disposable laryngoscope blades & metal instruments

Sharps bin

Incinerator

Landfill

Damaged/old metal instruments

Current Journey

Metal instruments (old and damaged)

Sterile Services

Waste yard

Scrap metal dealer for a price

Can we make it better?

YES

AIMS

• Single use metal instruments

– Recycling potential

– Sustainable

– Economical benefits

– Environmental benefits**

CHALLENGES

HOW?

• Metal recycling trial

– Core team

– Meetings

– Recruit

– Communication****

– Education

– Preparation

Part of National waste Management steering

group work plan

Ninewells Hospital

• Main theatre complex

• West block theatre complex

• Paediatric theatre complex

• Day Surgery area

• Twin theatres

• Mobile theatres

Waste Journey

• Theatres

• Common area

• Waste yard

• Taken away

Single use metal instruments • Laryngoscope blades • Magill forceps • Single use scissors • Tonsillectomy instruments • Scalpels • Eye surgery instruments

Re-usable plastic sharp bins

During the trial…

• Morning briefs

• Troubleshooting

• Rounds

• Resources

Results

• Material collection – 3 weeks and 6 weeks

• Dundee treatment plant

• Analysis – Hasockrigg in Shotts

• Need for larger containers

Numbers

• Theatre complex

– 29 containers – 136 Kg

• Sterile Services

– 234Kg

Annually…

Theatres

251 containers – 1.18 tonnes

Sterile Services

3 tonnes

Economical & Environmental impact

• 1.39 tonnes saved from incineration

• 0.21 tonnes plastic reused

• 1.18 tonnes metal recycled

• 3 tonnes from sterile services

Savings…

• Reuse of containers

• Rebate value of metal

• VAT redeemable service

• Metal processing

• Single use containers weight processing

Sustainable…

• Second trial at NHS Lothian

• Further trials

• Some considering this option

Future plans…

• Planning and discussion stage

• Trial to routine practice

• Other areas

• Other products

Please remember, there is no

“PLANET B”

“PLAN A”

Go to “PLAN B”

Not working!

Acknowledgements

• Dr Grant Rodney, Consultant Anaesthetist

• Mr Philip Wilde, Environmental Lead, Tayside

• NHS Tayside Theatre Staff

• HES – Mr David Bradon and Mr Steven Boyle

• Mrs Wendy Rayner

• Sterile Services, Tayside

• Porter Services, Tayside

• Drs O Hayes, A Sadler and C Hoy

Thanks for your attention!

pbangalore@nhs.net