SUSTAINABLE HEALTHCARE WASTE & RECYCLING MANAGEMENT (SBS10219)

The Bidder shall provide services supporting the Approved Organisation(s) in optimising recycling and waste management in terms of sustainability, cost, and overall efficiency with a focus of healthcare environment.

Provision for the collection and processing of residual and commercial household wares including but not limited to the following: • Non-recyclable commercial household (NRCH) • Dry Mixed Recycling (DMR) • Bulky waste (including furniture) • Crockery • Glass (mixed) • Plasterboard (gypsum based) • Plastics • Polystyrene

Service provision for the collection and processing of baled cardboard from various sites within the Trust.

Provision for the collection and disposal of food waste from but not limited to the following areas: • Wards • Kitchens • Canteens • Offices • Food stock rooms • Commercial outlets

To process human anatomical waste that is collected in various sized, approved "single use" red lidded rigid waste containers. Typical contents will be body parts (large and small), organs, full blood and plasma bags. There will be the occasional requirement to dispose of animal body parts arising from medical training practices. To process cytotoxic and cytostatic waste which is collected via purple coloured (soft) waste bags and various sized, purple lidded approved, single use sharps containers. Typical contents will include medicines, sharps, creams, tablets and associated material contamination (soft waste) through the delivery of cytotoxic and cytostatic drugs. It is anticipated the majority of this waste stream will transfer over to using reusable containers. To process pharmaceutical waste (liquid and solid) which is collected in various sized, approved "single use" rigid waste containers. Typical contents will include medicines, controlled drugs and their associated, contaminated packaging conforming to EWC 18 01 09. There will exist no contamination from cytotoxic or cytostatic processes. It is anticipated the majority of this waste stream will transfer over to using reusable containers. Although the Trust currently uses various sized single use hard burn bins for all sharps and pharmaceutical waste disposal, the Trust now wishes to move to using re-usable sharps & pharmaceutical waste containers where practicably possible. We encourage the supply of reusable containers to capture recyclable waste from theatres etc., such as single use devices, stainless steel tools and associated metal equipment for recycling. To process sharps waste currently collected in approved orange lidded, yellow bodied, various sized, single use sharps containers. Typical waste contents will include sharps, including blades, scalpels, scissors etc., that may be contaminated with blood residues only, along with fixed or attached associated materials (handles, syringes etc.) generated mainly from Phlebotomy services, Outpatients, Theatres etc., conforming to EWC 18 01 01. There will exist no contamination from medicines, cytotoxic or cytostatic processes. It is anticipated the majority of this waste stream will transfer over to using reusable containers. To process sharps waste currently collected in yellow lidded, yellow bodied, various sized, approved, single use sharps containers. Typical waste contents will include sharps contaminated with residues of administered drugs, along with associated material contamination (syringes) conforming to EWC 18 01 01 and 18 01 09. There exists no contamination from cytotoxic or cytostatic processes. It is anticipated the majority of this waste stream will transfer over to using reusable containers.

To process gypsum waste, mainly generated via clinical activity from Orthodontic services and Plaster rooms (plaster mouth moulds, removed plaster casts, unused plaster and captured plaster sludge from wastewater filters). This waste stream is currently captured in offensive waste bags and approved rigid waste containers. Tenderers are actively encouraged to seek opportunities to recycle this waste stream. To process lead waste which is mainly generated via clinical activity from Radiology and Radio pharmacy Services (used lead aprons and redundant lead containers, previously holding tiny radioactive rods). Although this waste stream is occasionally disposed of via a specialist waste collection, Tenderers are actively encouraged to seek opportunities to recycle this waste stream, as a potentially cost neutral or income generation scheme. When required, to dispose of mattresses from wards and clinical areas that require disposal due to their natural end of life; or from breaches and tears of the outer lining or foam. Such items need to be safely disposed of and may need to be destroyed via an appropriately permitted site. To collect and dispose of waste material referred to as "Offensive" waste or "Tiger Bag" soft waste and whose collection and disposal is not subject to special requirements in order to prevent infection, conforming to EWC 18 01 04, and is currently the Trust's largest clinical waste stream at all of our hospital sites. No soft infectious clinical waste should be disposed of in this waste stream.

To provide a disposal service for amalgam waste (primarily associated with dentistry) which is currently stored safely in approved, amalgam suppressant, single use rigid waste containers to prevent exposure to toxic mercury vapours. When required, to dispose of mattresses from wards and clinical areas due to breaches, tears, or contamination of the outer lining or foam. Such items need to be safely disposed of and will need to be destroyed via an appropriately permitted site and transported under ADR regulations. Section 62 documentation must accompany the process, if applicable. Referred to as "Orange Bag" soft infectious clinical waste, this clinical waste stream is treated via lower temperature destruction processes. Typically, this infectious waste will not be contaminated with chemicals, medicines or sharps conforming to EWC 18 01 03. Care should be taken to ensure that only "infectious" soft clinical waste is disposed of. Referred to as "Yellow Bag" soft waste or "Yellow" WIVA rigid hard burn bin" waste containment, this clinical waste stream is treated via higher temperature incineration and is typically contaminated with chemicals generated via diagnostic processes conforming to EWC 18 01 03, 18 01 04, 18 01 06 and 18 01 07, however there exists no contamination from cytotoxic or cytostatic processes. It is anticipated that the majority of this waste stream will transfer over to reusable containers.

To contract with a provider to service numerous female toilets and baby change facilities across the Trust to exchange dedicated feminine hygiene and nappy waste bins (full for empty) on an agreed frequency and to provide a clean and pleasant washroom environment, disposing of the waste material as offensive waste.

The Barts Hospital NHS Trust is committed to reducing its impact on its surroundings by embracing emerging technologies, driving innovation, and demonstrating best practice and excellence and in this regard, is looking for partners to support it achieve its ambitions and as such, this Lot is for the provision of independent waste contract management support.

To contract with a supplier to provide a waste auditing team that will actively engage with ward staff, infection control teams and producers and movers of recycling and waste across the Trust estate. The team will provide a monitoring, electronic recording, reporting, training and support service to ensure contamination of waste at source is kept to minimum, maintaining waste compliance to HTM 07-01 standard and attaining high levels of waste segregation in all waste streams. The team will identify, escalate, and rectify occurrences of all waste non-compliance, in all waste streams and will be expected to formally report all Serious Untoward Incidents [SUI's].

The collection, transportation, minimisation, and appropriate disposal method for general domestic waste, including but not limited to, non-confidential office waste, offensive healthcare waste, hazardous non-healthcare waste, ferrous and non-ferrous metals, WEEE waste, mattresses, and miscellaneous waste for a specified number of NHS trusts in Greater Manchester.

The Sustainable Asset Management/Waste Re-purposing Solutions and Technologies Lot is comprised of a bespoke, environmentally friendly end-to-end clearance and disposal solution that facilitates the collection and decommissioning of unwanted goods by re-purposing and/or rehousing the unwanted goods thereby reducing waste and supporting a circular economy primarily from a healthcare setting. This may include, but not be limited to, the facilitation of reuse, repurpose, upcycling or recycling of assets such as IT, machinery, clinical equipment, or disability equipment, through removal, storage, and re-sale or auctioning.

The collection, transportation, minimisation and appropriate disposal method at agreed locations for incineration, alternative treatment, pyrolysis and or landfill of clinical healthcare waste in accordance with legislation and waste regulation. The specification shall include (but is not exclusive to) clinical waste, offensive (hygiene) waste, pharmaceutical waste (including cytotoxic and cytostatic medicines), anatomical waste, sharps and laboratory wastes (cultures and chemicals used in the diagnosis, provision and treatment of human healthcare) and wastes that are dangerous for carriage. All such waste streams may cause infection or prove hazardous to any person coming into contact with them. Landfill solutions should be avoided wherever possible.

For the provision of a safe, sustainable, and compliant managed solution for the implementation, supply, collection, return and cleaning of reusable sharps containers according to HTM 07-01.

This Lot is for the provision of washroom services. The services that are available under the framework are the collection and disposal of sanitary waste. The aim of this Lot is to provide washroom visitors with a discreet and hygienic way to dispose of sanitary waste this is vital consideration for the provision of a clean and pleasant washroom environment.

The collection, transportation, minimisation and appropriate recycling and disposal method for general domestic waste, including but not limited to offensive waste, aerosols, aluminium products, cardboard, flowers, food, furniture, garden waste/green waste, general non-confidential office waste, glass, newspapers, packaging, paper towels, pallets, textiles, tissues, offensive waste, plastic bottles, dry mixed recycling. Where appropriate, waste will be segregated from other waste streams.

The provision of services to sustainably minimise food waste sent to landfill or Energy from Waste. This includes but is not limited to a managed service provision of anaerobic and aerobic waste processors, digestors, and related services and training.

The provision of services for collection, removal, storage, and/or treatment of wastes that are dangerous for carriage. Such waste streams which may (or the material or substances it contains) be harmful to humans or the environment. This includes, but is not limited to, nonmedical hazardous waste such as asbestos, chemicals, such as brake fluid or print toner, batteries, solvents, pesticides, oils (except edible ones), such as car oil, equipment containing ozone depleting substances, like fridges, and hazardous waste containers.

Includes provision to handle all confidential waste, allowing Approved Organisations to comply with legislation and best practices surrounding the handling of confidential waste and ensuring that the client, employee, and confidential business information is kept secure at all times for destruction or destroyed as defined by legislation. This Lot includes provision for both on- and off-site shredding and lockable consoles, bins and sacks.

Includes the provision of bio-waste digestors allowing Approved Organisations to manage food waste, and other biological waste matter.

Includes the provision of Aerobic Waste Digestors allowing Approved Organisations to manage food waste on site.

Includes the provision of compactors allowing Approved Organisations to store and manage waste.

Includes the provision of bins, boxes internal and external waste and recycling bins, allowing Approved Organisations to store and manage waste.

Includes compliant waste management by way of pyrolysis treatment. Including delivery, construction/installation, training, and maintenance of the pyrolysis plant. The scope will include additional related services to support installation and utilisation of pyrolysis derived heating and other sustainable end product utilisation.

Includes compliant waste management service by way of the use of microwave technology for the treatment of biohazardous waste. The scope will include additional related services to support any storage, set-up and installation, maintenance, transport, or training required.

The scope of the Total Waste Managed Solution Service will include at least two of the above service areas (Lots 1 - 8), classified under Sustainable Healthcare Waste & Recycling Management, which will be agreed at call-off stage. The agreed service may include 2 or more of the individual service areas as a bundled service, or all of the above service areas as a fully managed service.