CONTRACT SPECIFICATION

TENDER FOR THE SUPPLY OF WHOLE WASTE DISPOSAL/OR PART - HEALTHCARE WASTE (INCLUDING INFECTIOUS CLINICAL WASTE/HAZARDOUS WASTE/ OFFENSIVE/HYGIENE WASTE/DANGEROUS FOR CARRIAGE), DOMESTIC, HAZARDOUS AND OTHER WASTE DISPOSAL SERVICES TO 4 CORNISH TRUSTS KNOWN AS ROYAL HOSPITALS NHS TRUST, CORNWALL AND ISLES OF SCILLY PRIMARY CARE NHS TRUST, CORNWALL PARTNERSHIP NHS TRUST AND CORNWALL HOSPICE CARE

Tender Reference:

OJEU Reference: 2008/S106-142250

Contract Period: 5 year or 8 years commencing 1 April 2009

Contract Extension On a one year plus one year basis i.e. 1 April 2014 to 31 March Period: 2015 and 1 April 2015 to 31 March 2016 or 1 April 2017 to 31 March 2018 and 1 April 2018 to 31 March 2019

CONTRACT SPECIFICATION CONTENTS:

Part A: Introduction/General information...... 1 Part B: Technical Requirements of the Contract...... 8 Part C: Trust/Consortium Service Schedule/Waste Data ...... 53 Part D: Evidence/Supporting Information required from Tenderers...... 100 Part E: Contract Award Criteria/Weighting...... 115 Appendix A: Legislation and Guidelines ...... 119 Appendix B: Future Regulations and Guidelines to Consider:...... 123

Appendix C: Applicable EWC codes ………………………………………………………… .124 Explanatatory Notes...... 124

Whole Waste Disposal Procurement Specification Final version 3 22 Sept 08 SB PART A: INTRODUCTION/GENERAL INFORMATION

Part D of the Contract Specification provides a full outline of information that must be provided by Tenderers within their tender proposal if they wish to be considered for this contract.

1. INTRODUCTION

1.1 This contract will be for the supply of whole waste disposal - healthcare waste (including infectious clinical waste/hazardous waste/ offensive/hygiene waste/dangerous for carriage), domestic hazardous and other waste disposal including confidential waste services to 4 Cornish NHS organisations known as Royal Cornwall Hospitals NHS Trust, Cornwall and Isles of Scilly Primary Care NHS Trust, Cornwall Partnership NHS Trust and Cornwall Hospice Care plus any commissioned services, as applicable

1.2 It should be noted that whilst this specification is for a Whole Waste Disposal contract the final outcome will be based on set weighting criteria and if the best solutions for the Cornish Trusts is a number of contracts for different waste streams with a 5 or 8 years duration then that will be evaluated and compared with other tenders

1.3 The contract will encompass the segregation, recycling, collection, treatment and final disposal of whole waste disposal - healthcare waste (including infectious clinical waste/hazardous waste/ offensive/hygiene waste/dangerous for carriage), domestic hazardous and other waste disposal services The successful contractor/s will provide contract monitoring information to the Trust elected representative, this will include all waste disposal routes from collection to final disposal, where applicable.

1.4 The contract specification alongside the NHS Terms and Conditions of Contract for Services and Supplementary Terms and Conditions of Contract outlines the service, parameters and requirements of the above named organisations Trusts required from the nominated Contractor(s) during the course of this contract.

1.5 This contract specification details the activities to be carried out throughout the duration of the contract. The overriding principal must be adherence to the intent of the specification to undertake the services, meeting with the satisfaction of each of the trusts authorised officers.

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1.6 The contract specification is split in to five specific sections, these are as follows: a) Introduction/General Information (Part A) b) Technical Requirements of the Contract (Part B) c) Trust Service Schedule/Waste Data (Part C) d) Evidence/Supporting Information Required from Tenderers (Part D) e) Contract Award Criteria/Weighting (Part E)

1.7 If Tenderers cannot perform any of the services or requirements outlined within the contract specification or NHS Terms and Conditions of Contract for the Supply of Services and/or the Supplementary Terms and Conditions of Contract, they must notify the trust in writing via their tender proposal.

1.8 This specification must be read in conjunction with Offer Schedule, for the supply of all labour, waste containers (e.g. wheelie/static bins), materials, transport and associated facilities to provide, for the collection, transportation and re-cycling/disposal of all Healthcare / Hazardous Healthcare / Domestic, General, Hazardous (Non Healthcare) and other waste streams for the Cornwall Healthcare Community.

1.9 The tender will be costed on the basis of a decant bin or a bin exchange arrangement according to the type of waste and collection schedule listed in Part C of this specification.

1.10 Tenderers must complete Offer Schedule in the format provided. Within Part C of the contract specification, are subject to change/alteration during the duration of the contract. The Tenderers who do not complete the Offer Schedule in the format provided will not be considered for the contract.

1.11 Where deemed necessary by any of the participating trusts, the Contractor(s) will be obliged to carry out Criminal Records Bureau (CRB) checks on their operatives who are employed within the contract provision and by any sub- contractors.

1.12 All Tenderers can by arrangement and schedule, visit of all Cornwall Healthcare Community sites applicable to this contract, during the tendering process.

1.13 Locations/collection frequencies and other details specified by Cornwall Healthcare Community are provided within part C of the contract

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specification, are subject to change/alteration during the duration of the contract. Cornwall Healthcare Community reserves the right to add or deduct sites as appropriate. It should be noted that significant development will take place on the Royal Cornwall Hospitals (Treliske) site

1.14 It is expected that adherence to the principles of Reduce, Reuse, Recycle will be explored and implemented as far as is practical during the term of the contract and that significant shifts in waste volume could occur.

2. PARTICIPATING TRUSTS

2.1 The trusts who will be participating within this contract are as follows:

2.1.1 Trust A – Royal Cornwall Hospitals NHS Trust – acute healthcare provider

2.1.2 Trust B – Cornwall and Isles of Scilly Primary Care NHS Trust 2.1.3 Trust C – Cornwall Partnership NHS Trust – mental health and learning disability trust

2.1.4 Trust D – Cornwall Hospice NHS Care Trust – hospice care 2.1.5 All Tenderers are notified that the consortium of these 4 Trusts has no legal identity. All contracts established for the delivery of waste services outlined within this specification will be formed between Contractor/s and the individual organisations as outlined in 2.1 or other commissioned NHS service providers as appropriate.

3. AIMS AND OBJECTIVES OF THE CONTRACT

3.1 The main aim of this specification is to identify all waste streams generated within the Cornwall Healthcare Community with a view to establishing contract/s that can effectively control the expenditure, ensure legal compliance and provide comprehensive data on all waste streams across all sites which will assist in identifying new disposal options as the contract/s develop.

3.2 Healthcare Waste

3.3 Healthcare Waste (includes infectious clinical waste; hazardous waste; offensive/hygiene waste and wastes that are dangerous for carriage). This document uses the unified definitions as set out in the Department of Health

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“Health Technical Memorandum 07-01: Safe management of healthcare waste” and terms used herein are as per that document.

3.4 The contract is for the provision of a healthcare waste collection (as identified) and disposal service across the Cornwall Healthcare Community.

3.5 Hazardous (non healthcare) Waste

3.6 Healthcare Waste (includes; but is not exhaustive; batteries, aerosols, solvents, acids, alkalines, photochemicals, pesticides, florescent tubes and bulbs, oils, paints, detergents, wood containing dangerous substances, fridges/freezers etc). .

3.7 The contract is for the provision of a hazardous (non healthcare) waste collection and disposal service for Cornwall Healthcare Community.

3.8 Some of these services will require a liquid waste collection and disposal

3.9 Standard Domestic and General Waste:

3.10 The contract is for the provision of a Domestic and General waste collection and disposal service for the Cornwall Healthcare Community and includes the recycling of domestic waste where possible

3.11 It should be noted that .all waste (with the exception of clinical waste) generated at a hospital site, inpatient unit or teaching facility is classified as municipal waste under the Environmental Protection Act and therefore Cornwall County Council will be responsible for the disposal of this waste. Systems should be in place for this waste to be reused/recycled where possible in the most cost effective manner.

3.12 Standard Miscellaneous Waste:

3.13 The contract is for the provision of miscellaneous waste collection and disposal services for Cornwall Healthcare Community. This includes items such as catering waste, confidential waste (paper, CD’s, tapes, DVD, video tapes etc), garden waste, scrap metal, sewerage cleaning, septic tank sludge) it is not exhaustive and some of these services may be a liquid collection.

3.14 Option for Whole Waste Disposal Contract:

3.15 There is an option in this contract for the provision of a Whole Waste Disposal service for Cornwall Healthcare Community. The Contractor(s) will manage the disposal (and collection where applicable) of all waste streams

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highlighted within the contract specification on behalf of Cornwall Healthcare Community.

3.16 It is the intention of Cornwall Healthcare Community to work in partnership with the Contractor(s) to develop and demonstrate the following valued adding services during the contract life:

3.16.1 The Introduction of a formal, effective audit and monitoring system for healthcare waste across Cornwall Healthcare Community;

3.16.2 Systems for the effective segregation of waste; 3.16.3 Introducing sustainable systems to minimise waste, meet carbon reduction targets and embrace new technology as appropriate; 3.16.4 Deliver sustainable recycling/reuse opportunities; 3.16.5 Develop effective Key Performance Indicators

4. CONTRACT PERIOD

4.1 The contract period will be initially for 5 or 8 years commencing 1 April 2009 until 31 March 2014 or 31 March 2017

4.2 Cornwall Healthcare Community holds an option to extend the contract for a further 2 years commencing 31 March 2014 or 2017

5. REFERENCES

5.1 Tenderers are required to provide the names, address and contact details of all contracts currently in place, preferably with NHS links. Where possible this should be contracts within a close proximity of the South West of and the Cornwall Healthcare Community. These contracts should provide comparable services required under this specification

5.2 Tenderers should provide details of the approximate value of the reference contracts and the level of services provided to these customers.

6. SUPPLIER INFORMATION

6.1 Tenderers are encouraged to provide any relevant information within the tender proposal, which they believe, will support their application.

7. SUPPLIER(S) CONTACTS

7.1 Tenderers must provide the following contact details of the person who is the lead officer in preparing the written tender proposal/offer for their company:

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Nominated Contact Job Title Address

Mobile/Telephone Number E Mail

7.2 Tenderers must provide the following contact details of the person who will manage this contract:

Nominated Contact Job Title Address Mobile/Telephone Number E Mail

8. TRUST/CONSORTIUM CONTACT INFORMATION

8.1 Tenderers are advised to read all of the tender documentation carefully prior to preparing a formal offer for this contract. Tenderers should ensure that they are fully familiar with the nature and extent of the obligations required by them if their tender is accepted by Cornwall Healthcare Community.

8.2 If you require any further information/clarification regarding the tendering documentation or the procurement process please contact:

Tony Flynn

Contracts Manager Kernow Building, Wilson Way, Pool, TR15 3QE Telephone Number: 01209 310044

E Mail: [email protected]

8.3 If you have any questions of a technical nature regarding the provision of the services outlined within the contract specification, please contact:

Sharon Butler

Waste Manager

Sewing Room Complex, St Lawrence’s, Boundary Rd, Bodmin PL31 2QT Telephone Number: 01208 251491

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E Mail: [email protected]

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PART B: TECHNICAL REQUIREMENTS OF THE CONTRACT

NOTE: Where a section heading is marked with a *, Tenderers are required to provide either a written statement/outline or further information/evidence within their tender proposal document. Part D of the Contract Specification provides a full outline of information that must be provided by Tenderers within their tender proposal if they wish to be considered for this contract.

9. LEGISLATION, REGULATION AND GUIDANCE

9.1 Tenderers must provide full details of any convictions or prosecutions brought against the company for the failure to comply with waste legislation and regulations during the past three years within their tender proposal.

9.2 The Contractor(s) will be required to comply with all current and future legislation, regulations and guidelines during the term of the contract. Cornwall Healthcare Community recognises that legislative and regulative compliance from Contractor(s) does not absolve Cornwall Healthcare Community from their own specific responsibility to comply with legislation and regulations. The Cornwall Healthcare Community will require the appointed Contractor(s) to ensure that it notifies and advises the participating trusts to all relevant current/future legislation, regulation and guidelines in order to ensure that the participating trusts meets their individual Duty of Care as stipulated in the Environmental Protection Act 1990, as amended.

9.3 Attached for information is Appendix A, which is a list of legislation and guidelines that are applicable to this contract. This list is not exhaustive and will be regularly reviewed and updated inline with new legislation, regulation and guidelines during the term of the contract to ensure the participating trusts meets their individual duty of care.

9.4 Tenderers must provide a written statement of conformity within their tender proposal on how they comply with current waste regulations/guidance.

9.5 Attached as Appendix B, is a list of regulations and best practice guidance that will be introduced and/or revised during the term of the contract. Tenderers are requested to provide a written statement within their tender

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proposal on how these changes may affect their ability to operate the contract or if there will be an impact on costs provided within their tender submission in future1:

9.6 The Contractor(s) will be required prepare and present proposals to Cornwall Healthcare Community to encompass new legislation, regulation and best practice as and when enacted.

9.7 If any statutory requirements or regulations are found to be contravened by the Contractor(s) or any sub-contractor working on his behalf, Cornwall Healthcare Community will reserve the right to terminate the contract in accordance with NHS Conditions of Contract for the Supply of Services for any material breach.

9.8 Tenderers must provide details of any trade bodies/associations they are accredited to or members of (Sanitary Medical Disposal Services Association, Chartered Institute of Waste Management, Environmental Services Association etc).

10. LICENCES

10.1 The Tenderers must submit to the Cornwall Healthcare Community copies of all certificates and licences, as relevant to the contract tendered for, in particular:

10.1.1 Waste Carrier Registration Certificate(s)

10.1.2 Waste Broker Registration Certificate 10.1.3 Mobile Plant Licence(s) 10.1.4 Exemption(s) from waste management licensing 10.1.5 Local Authority Authorisation(s)

10.1.6 Transfer Station Licence(s)

10.1.7 Waste Management Licence(s) and/or Environmental Permitting

10.1.8 Integrated Pollution Prevention and Control (IPPC) Permits & Pollution Prevention and Control (PPC) Permit(s)

10.2 Tenderers must provide full details of the primary treatment site(s) (including location, capacity, permits etc) that are proposed to service Cornwall Healthcare Community contract.

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10.3 Tenderers must provide details of the local Environment Agency office that issued the licence(s) for all primary treatment sites proposed to service Cornwall Healthcare Community contract.

10.4 Full details of all backup treatment/disposal sites or facilities to be used by the Tenderer in the event of a primary site being unavailable and a written agreement to this effect.

10.5 Details (copies of) any other licences the Tenderer believes are relevant to the contract.

10.6 The Contractor(s) shall ensure that waste must be treated by methodologies that are authorised by the Environment Agency and/or local authority. Treatment processes operating without appropriate authorisation must not be used.

10.7 The Contractor(s) shall immediately advise Cornwall Healthcare Community of any suspension, withdrawal or refusal to renew any licence, certificate or permissions applicable to carrying out the requirements of this contract during the term of the contract.

10.8 The Contractor(s) will be responsible for all costs associated with finding an alternative Contractor(s)/treatment facility if there is a failure on their part to undertake the services outlined within the specification at any time during the contract period.

10.9 Cornwall Healthcare Community will require sight of the original licences and other relevant documents on a regular basis and will reserve the right to inspect any transit station and disposal facilities at any reasonable time, as implied under the Code of Practice ‘Waste Management the Duty of Care’.

10.10 Tenderers are advised that Cornwall Healthcare Community will not award any part of the contract to a Contractor(s) or Sub-Contractor(s) who are unable to provide formal evidence of any of the required licences necessary to operate this contract within their tender proposal.

11. DUTY OF CARE

11.1 To ensure that the individual trusts Duty of Care in respect of waste is adequately discharged Tenderers are required to:

11.1.1 Visit the sites, prior to tendering in order to establish the suitability of their proposed arrangements for the removal of waste.

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11.1.2 Provide comprehensive written documentation relating to all aspects of the contract. 11.1.3 Provide a fully detailed audit trail relating to the collection of all waste streams - including appropriate method statements where significant risk is identified. 11.1.4 Provide details of weighbridge facilities and waste tracking processes. 11.1.5 Produce a complete procedure, which covers all the requirements of the Environmental Protection Act 1990, as amended, the Environmental Protection (Duty of Care) Regulations 1991, as amended, including Code of Practice on Duty of Care, COSHH and the requirements of the Health and Safety at Work Act. This must include formal Risk Assessment documentation and Method statement/procedures.

11.2 Tenderers are requested to provide a ‘Duty of Care’ report for any organisation that they propose to use during the execution of this contract either frequently or on a contingency basis. Reports provided must be no older than 12 months old.

11.3 Adherence to Duty of Care principles will be a continuing process throughout the duration of the contract. Tenderers are required to amend this procedure and their reporting requirements in line with any regulatory or statutory guidance changes as applicable thorough the life of the contract.

12. WASTE CATEGORIES

12.1 The separate waste streams the Contractor(s) will be required to manage under this contract are specified in sections 13 to 17 (and listed in the EWC list shown in Appendix C) of this specification. This list is not exhaustive and may be subject to change throughout the life of the contract.

12.2 Any changes and potential cost implications will be negotiated between the Contractor(s) and Cornwall Healthcare Community.

12.3 Tenderers are required to provide pricing for each of the separate groups of waste, which are included within the contract specification. All costs and prices must be included within the Offer Schedule attached with this contract specification.

12.4 Tenderers must inform Cornwall Healthcare Community of their intention to sub-contract or the utilisation of a third party to service or manage any of the waste streams included within this contract on their behalf, within their tender

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proposal. Annual audit will be undertaken on contract arrangements with the third party.

12.5 If Tenderers who do not intend to manage individual waste streams covered within the contract specification either by their company or via sub- contracted/third party arrangements, then this should be clearly stated in writing via their tender proposal.

13. HEALTHCARE WASTE

The Definition of Healthcare waste is set out in the Health Technical Memorandum 07-01. As stated in Clause 10.4 Tenderers must provide a written statement of conformity within their tender proposal on how they comply with current waste regulations/guidance and the Health Technical Memorandum 07-01: Safe Management of Healthcare Waste.

13.1 Infectious Waste

13.2 Infectious waste is essentially waste that poses a known or potential risk of infection, regardless of the level of infection posed. Even minor infections are included within the definition of infections.

13.3 Healthcare waste generated from healthcare practices, or produced by healthcare workers in the community is considered to be infectious waste unless assessment has taken place. This assessment is based on item- and patient- specific clinical assessment by a healthcare practitioner.

13.4 Municipal waste from domestic minor first-aid and self-care – of a type that does not involve recourse to a health care practitioner – is assumed to be non –infectious unless a health care practitioner indicates otherwise. Therefore soiled waste such as nappies, sanitary products and plasters are not considered to be infectious unless a healthcare practitioner gives the producer advice to the contrary.

13.5 Similarly, municipal type waste from industrial and commercial premises is assumed to be non-infectious providing that a risk assessment has been conducted. Therefore, soiled waste such as sanitary products and plasters are not considered to be infectious unless a healthcare practitioner gives specific advice to the contrary.

13.6 Waste contaminated with non-infectious bodily fluids is capable of causing offence and therefore requires appropriate packaging to alert those in the

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waste management chain of the contents. This document identifies such waste as offensive/hygiene waste.

13.7 Waste within 4 Cornish Trusts that fall into these categories is colour coded accordingly and in line with disposal options as shown in figure 1

Figure 1

Infectious waste (yellow bag or bin)

Minimum treatment/disposal is incineration in a licensed or permitted facility. Suitable

for lab cultures, body tissue, blood products or Category A infection waste.

Infectious waste (orange bag or bin)

Minimum treatment/disposal required is to be ‘rendered safe’ in a suitably licensed or

permitted facility. Suitable for dressings and any other infectious clinical waste.

13.8 Medicinal waste

13.9 Medicinal waste includes expired, unused, spilt, and contaminated pharmaceutical products, drugs, vaccines, and sera that are no longer required and need to be disposed of appropriately.

13.10 The category also includes discarded items contaminated from use in the handling of pharmaceuticals, such as bottles or boxes with residues, gloves, masks, connecting tubing, syringe bodies and drug vials.

13.11 Memorandum 07-01 divides medicines into three broad groups:

13.11.1 Cytotoxic and cytostatic;

13.11.2 Pharmaceutically active, but not cytotoxic and cytostatic;

13.11.3 Not pharmaceutically active and possessing no hazardous properties (examples include saline and glucose).

13.12 Medicinal waste is listed in both Chapter 18 and Chapter 20 of the EWC. The term “cytotoxic and cytostatic” relates to the classification of waste medicines in the EWC

13.13 Only cytotoxic and cytostatic medicines are classified as a hazardous waste, although other medicines often possess hazardous properties and therefore require appropriate treatment and disposal.

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13.14 A cytotoxic and cytostatic medicine is a medicinal product possessing any one or more of the hazardous properties:

13.14.1 H6: Toxic;

13.14.2 H7: Carcinogenic; 13.14.3 H10: Toxic for reproduction; 13.14.4 H11: Mutagenic.

13.15 Medicines other than cytotoxic and cytostatic medicines may have hazardous properties that should be identified to subsequent holders for the purposes of duty-of-care and for transport.

13.16 To establish whether a medicinal product has the above-mentioned hazardous characteristics, pharmacists should refer to the products material safety data sheets (MSDS; sometimes referred to as “COSHH sheets”).

13.17 In England, Wales and Northern Ireland, the Hazardous Waste Regulations place prohibitions on producers mixing waste types. The mixing of a cytotoxic and cytostatic medicine with any other medicine, including other cytotoxic and cytostatic medicines, is prohibited where: they are chemically incompatible; or the necessary treatment/disposal of the waste is affected.

13.18 Waste within 4 Cornish Trusts that fall into these categories is colour coded accordingly and in line with disposal options as shown in figure 2

Figure 2

Medicinal waste (yellow bag or bin)

Minimum treatment/disposal is incineration in a licensed or permitted facility.

Cytotoxic/cytostatic waste (yellow bag with purple stripe)

Minimum treatment/disposal is incineration in a licensed or permitted facility. Suitable for waste contaminated with Cytotoxic/cytostatic medicines

13.19 Offensive/Hygiene Waste

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13.20 The term offensive/hygiene waste describes waste which is non-infectious and which does not require specialist treatment or disposal, but which may cause offence to those coming into contact with it.

13.21 Offensive/hygiene waste includes waste previously described as human hygiene waste and “sanpro” waste, and does not need to be classified for transport.

13.22 Examples of offensive/hygiene waste include:

13.22.1 Incontinence and other waste produced from 13.22.2 Human hygiene; 13.22.3 Sanitary waste; 13.22.4 Nappies; 13.22.5 Medical/veterinary items and equipment which do not pose a risk of infection, including gowns, 13.22.6 Plaster casts etc; 13.22.7 Animal faeces and soiled animal bedding 13.22.8 Syringes used for administering food products

13.23 For the purpose of identification under HTM 07-01 the following colour coding is used (shown in figure 3)

Figure 3

Offensive/Hygiene waste (yellow bag with black stripe) Minimum treatment/disposal required is landfill in a suitably licensed or permitted site. This waste should not be compacted. Suitable for any non-infectious incontinence products, nappies, sanpro or uncontaminated plaster casts gloves etc

13.24 Dental amalgam waste

13.25 The term Dental Amalgam Waste is waste amalgam that contains mercury

13.26 It is generated as part of dental procedures and can be unused amalgam or contaminated with bodily fluids

13.27 For the purpose of identification under HTM 07-01 the following colour coding is used (see Figure 4)

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Figure 4 Dental amalgam

It is possible for the mercury element of dental amalgam to be recycled through an authorised facility.

14. HAZARDOUS HEALTHCARE WASTE

14.1 Hazardous Health Care waste included within this contract is that defined by current and any future legislation

14.2 Specific categories of Hazardous Health Care Waste included within this contract include the following and are referenced in the preceding section 13:

• Healthcare waste contaminated with radioactive material

• Infectious waste contaminated with cytotoxic and/or cytostatic medicinal products

• Sharps contaminated with cytotoxic and cytostatic medicinal products

• Infectious and other waste requiring incineration including anatomical waste, diagnostic specimens, reagent of test vials and kits containing chemicals

• Amalgam waste from dental healthcare

14.3 Subject to revised legislation and regulations, these categories are subject to alteration during the course of the contract

15. HAZARDOUS NON HEALTHCARE WASTE

15.1 Hazardous waste included within this contract is that defined by current and any future legislation excluding hazardous healthcare waste as defined by Health Technical -Memorandum 07-01.

15.2 Specific categories of hazardous waste included within the contract include:

15.2.1 Batteries

15.2.2 Chemicals

15.2.3 Electronic/Electrical Equipment (WEEE)

15.2.4 Fluorescent Tubes 15.2.5 Fridges and Refrigeration Equipment 15.2.6 IT Equipment

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15.2.7 Mercury 15.2.8 Mobile Phones 15.2.9 Oils

15.2.10 Paints 15.2.11 Products Containing CFC’s 15.2.12 Solvents 15.2.13 Toner Cartridges

15.2.14 X-ray Chemicals

15.3 Subject to revised legislation and regulations, these categories are subject to alteration during the course of the contract.

15.4 The list provided is an indication and not an exhaustive list. This list may be modified to meet the needs of Cornwall Healthcare Community.

15.5 Whilst some of these are hazardous they are not always hazardous and will not require consignment notes under the Hazardous Waste Regulations 2005.

15.6 Where economically possible consideration should be given to the recycling of these items

16. DOMESTIC AND GENERAL WASTE

16.1 Where appropriate, waste is segregated from other waste streams and subject to separate containment and labelling.

16.2 This consists of Domestic and General Waste and should not be contaminated therefore does not require incineration.

16.3 Specific categories of Domestic and General waste included within this contract include:

16.3.1 Aerosols

16.3.2 Aluminium Products

16.3.3 Cardboard

16.3.4 Flowers

16.3.5 Food

16.3.6 Furniture 16.3.7 Garden Waste

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16.3.8 General Non Confidential Office Waste 16.3.9 Glass 16.3.10 Newspapers

16.3.11 Packaging 16.3.12 Paper Towels 16.3.13 Pallets 16.3.14 Textiles

16.3.15 Tissues

16.4 Subject to revised legislation and regulations, these categories are subject to alteration during the course of the contract.

16.5 The list provided is an indication and not an exhaustive list. This list may be modified to meet the needs of the Cornwall Healthcare Community.

16.6 Consideration must be given to utilising services and disposal sites provided by the County Council where they are responsible for disposal under the Environmental Protection Act 1990. This will include any future Unitary Authority. A list of acceptable sites are shown in schedule C

16.7 Details of which will require approval by the County Council

16.8 Office Paper, newspaper/magazines, plastic bottles/cans and small card is currently segregated into clear bags for recycling

17. MISCELLANEOUS WASTE STREAMS

17.1 Miscellaneous waste streams that have not been included in the categories above are also included within this contract, these include:

17.1.1 Catering Waste, (currently disposed of through a macerator type system) 17.1.2 Confidential Waste

17.1.3 Mattresses

17.1.4 Recording Media (i.e. CD’s, Dictation Tapes, DVD’s, Video Tapes etc)

17.1.5 Scrap Metal

17.2 The list provided is an indication and not an exhaustive list and it is expected that development in these areas will be expanded during the term of the contract. This list may be modified to meet the needs of Cornwall Healthcare Community during the course of the contract.

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18. CONTAINER POLICY

18.1 The colour coding adopted by Cornwall Healthcare Community for containers, is that recommended by Health Technical Memorandum 07-01: Safe Management of healthcare waste and is outlined in Section 7 of that document.

18.2 Existing containers should be replaced as stocks become worn / depleted by new colour coded waste receptacles in line with the colour coding set out in Memorandum 07-01

18.3 All hazardous healthcare waste bags / containers are labelled for identification purposes and ideally should be stored in a uniquely identifiable (bar-coded) container for audit purposes and to reduce any risks associated with its handling.

19. STORAGE OF HEALTHCARE WASTE

19.1 The Contractor(s) is required to provide clean, individually numbered (where appropriate), lockable and wheeled (where appropriate) containers at all times for all areas. The purpose is to store bagged healthcare wastes and sharps containers prior to transportation

19.2 These container specifications must be submitted for approval by the Trust’s Fire Officers

19.3 The containers, subject to the approval of the trust’s authorised officer(s), shall minimise the handling of waste and be compatible with both the trusts and the Contractor’s transportation systems. Tenderers shall fully describe, at the time of tendering, the type, size and estimated number of containers to be provided on site/s to store waste awaiting collection. Included in this should be the availability of wheelie bins with foot-operated pedals to reduce loading difficulties where risk assessment identifies the need. The additional costs associated with this provision must be included in Offer Schedule (additional costs).

19.4 Containers that become unsuitable for continued use through wear, loss or any other reasonable reason shall be withdrawn immediately from service and replaced as necessary at the Contractor’s expense.

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19.5 The containers will remain the property of and be maintained by the Contractor(s) throughout the contract. The containers must be promptly removed from the hospital site on the expiry or termination of the contract.

19.6 The Contractor(s) shall ensure that there are an agreed number of containers available at all times, to meet the requirements of the collection of Healthcare waste across Cornwall Healthcare Community during the length of the contract.

19.7 The Contractor(s) will be required to provide containment in excess of normal requirements to accommodate emergency overflow of Healthcare waste. Documented evidence must be provided of contingency plans in the event of major plant or transport failure.

19.8 All containers used for healthcare waste collection should be colour coded and labelled as per Section 7 of the Health Technical Memorandum 07-01 Safe Management of Healthcare Waste and meet all requirements of current legislation (i.e. UN Guidance and Markings).

19.9 The Contractor(s) shall be responsible for the internal and external cleaning of the containers, with an agreed cleaning schedule established with the Cornwall Healthcare Community prior to the contract commencing that is approved by the Infection control teams.

19.10 Each Tenderer must identify how containers would be cleansed and disinfected before being returned visibly clean and dry to the various collection points for re-use. Tenderers shall include full details of the proposed method of cleansing, which shall comply with the Environment Agency requirements.

19.11 The container shall have no rough or inaccessible surfaces, to ensure total internal and external cleansing. The container should withstand frequent cleansing without deterioration in quality and not be liable to corrosion.

19.12 Tenderers should describe how their cleaning process would minimise cross infection. Tenderers must take into account the relevant Health and Safety Executive and Environment Agency regulatory standards.

19.13 Each container must be uniquely identified by a number / code, as part of the Contractor(s) recording system. This should be detailed in the Tenderer’s tender submission.

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19.14 The Contractor(s) is to provide the agreed number of hooks, towing bars etc where applicable to enable the containers to be towed. The Contractor(s) is also required to provide replacements as required throughout the contract, due to normal wear and tear. The cost is to be included in the contract price, with price details provided in Offer Schedule (Additional Costs).

19.15 The Contractor(s) is to provide the agreed number of container keys, to the trusts/consortiums (delete non applicable) authorised officers and all replacement keys required for the duration of the contract. The cost of issuing an initial set of keys at the commencement of the contract is to be included in the contract price, with price details provided in Offer Schedule (Additional Costs).

19.16 The Contractor(s) is to provide replacement keys as and when required by Cornwall Healthcare Community authorised officers upon request. The Contractor(s) may levy a charge for replacement key(s) (unless otherwise stated in their tender proposal). Costs for replacement keys must be included in Offer Schedule (Additional Costs).

20. STORAGE OF HAZARDOUS HEALTHCARE WASTE

20.1 The Contractor(s) is to provide a collection and disposal service for UN type approved rigid containers containing discarded sharps, chemicals, pharmaceuticals, medicines and radio-isotopes from Cornwall Healthcare Community sites colour coded as indicated in Section 7 of Health Technical Memorandum 07-01: Safe Management of Healthcare waste.

20.2 Hazardous healthcare waste will be collected from Cornwall Healthcare Community sites in appropriate containers in either 60 Litre one-way burn bins or reusable wheelie bins, Tenderers are requested to provide details within their tender submission of containers they believe would best suit the needs of Cornwall Healthcare Community and should include a method of safely keeping the wheelie bin open while being loaded (refer to section 20.3). Cornwall Healthcare Community reserves the right to accept or reject any proposals provided by Tenderers.

20.3 The Contractor(s) will be required to strictly adhere to all documentation in relation to the safe and correct disposal of Hazardous Healthcare waste.

20.4 All Tenderers must provide a comprehensive breakdown of costs associated with the disposal of Hazardous Healthcare waste (i.e. cost of bins,

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transportation, hazardous waste consignment note, disposal etc) within Document 5 – Offer Schedule but provide a simplified billing proposal.

21. STORAGE OF HAZARDOUS (NON HEALTHCARE) WASTE

21.1 The Contractor(s) will be required to provide appropriate containers for the safe storage of these waste streams.

21.2 The Contractor(s) will be required to strictly adhere to all documentation in relation to the safe and correct disposal of Hazardous waste.

21.3 All Tenderers must provide a comprehensive breakdown of costs associated with the disposal of Hazardous waste (i.e. transportation, hazardous waste consignment notes, disposal etc) within Offer Schedule but provide a proposal for a simplified billing proposal.

22. STORAGE OF DOMESTIC AND GENERAL WASTE

22.1 The Contractor(s) will be required to provide appropriate containers for the safe storage of Domestic and General Waste.

22.2 The containers, subject to the approval of the trust’s authorised officer(s), shall minimise the handling of waste and be compatible with both the trusts and the Contractor’s transportation systems. Tenderers shall fully describe, at the time of tendering, the type, size and estimated number of containers to be provided on site(s) to store waste awaiting collection.

22.3 These container specifications must be submitted for approval by the Trust’s Fire Officers

22.4 All containers must be lockable and have facilities to prevent them from being moved inappropriately by vandals or wind blown, i.e. provision of locking posts/restraints, where risk assessment deems this necessary. The additional costs associated with this provision must be included in Offer Schedule (additional costs).

22.5 Containers that become unsuitable for continued use through wear, loss or any other reasonable reason shall be replaced as necessary at the Contractor’s expense.

22.6 The containers will remain the property of and be maintained by the Contractor(s) throughout the contract. The containers must be promptly removed from the hospital site on the expiry or termination of the contract.

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22.7 The Contractor(s) shall ensure that there are the agreed number of containers at all times, to meet the requirements of the collection of domestic/general waste across Cornwall Healthcare Community during the length of the contract.

23. STORAGE OF MISCELLANEOUS WASTE

23.1 The Contractor(s) will be required to provide appropriate containers for the safe storage of miscellaneous waste.

23.2 All containers must be lockable and have facilities to prevent them from being moved inappropriately by vandals or wind blown, i.e. provision of locking posts/restraints, where risk assessment deems this necessary. The additional costs associated with this provision must be included in Offer Schedule (additional costs).

23.3 The containers, subject to the approval of the trust’s authorised officer(s), shall minimise the handling of waste and be compatible with both the trusts and the Contractor’s transportation systems. Tenderers shall fully describe, at the time of tendering, the type, size and estimated number of containers to be provided on site(s) to store waste awaiting collection.

23.4 Containers that become unsuitable for continued use through wear, loss or any other reasonable reason shall be replaced as necessary at the Contractor’s expense.

23.5 The containers will remain the property of and be maintained by the Contractor(s) throughout the contract. The containers must be promptly removed from the hospital site on the expiry or termination of the contract.

23.6 The Contractor(s) shall ensure that there are the agreed number of containers at all times, to meet the requirements of the collection of Miscellaneous waste across the Cornwall Healthcare Community during the length of the contract.

24. SERVICE SCHEDULE

24.1 The service schedule requirements of Cornwall Healthcare Community are listed in Part C of the contract specification.

24.2 Tenderers are advised that Cornwall Healthcare Community seek a decant bin service or a bin exchange service dependant on the type and volume of waste produced

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24.3 Details of existing waste holding/storage equipment either owned or leased by Cornwall Healthcare Community are listed in Part C of the contract specification.

24.4 Cornwall Healthcare Community encourages Tenderers to provide any suggestions to improve the service schedules or the use of alternative waste holding/storage equipment. Proposals should be outlined in writing within the tender proposal and any associated costs should be included in Offer Schedule (Additional Costs).

25. SERVICE VARIATION

25.1 Variations in service requirements will be notified to the Contractor(s) as and when required but will be limited to notification by the contract lead for the Trusts

25.2 The period of notice for variations will be subject to individual service criteria.

25.3 A mechanism for agreeing variations will be agreed between Cornwall Healthcare Community and the Contractor(s) prior to the contract award. Tenderers are required to provide a proposed mechanism for agreeing variations as part of their submission for the trusts to consider.

26. COLLECTION POINTS

26.1 Full details of all sites, collection points and current arrangements for each organisation are shown in Schedule C. Each trust is abbreviated as follows:

RCHT Royal Cornwall Hospitals NHS Trust CIOSPCT Cornwall & Isles of Scilly NHS Primary Care Trust CPT Cornwall Partnership NHS Trust

CHC Cornwall Hospice Care NHS Trust

26.2 In addition to the Trusts there is provision to include commissioned organisations which includes Ramsay Healthcare abbreviated Ramsay

26.3 The clearance of sites must be cleared as per the agreed schedule on each collection.

27. COLLECTION TIMES

27.1 Waste collections at each site must be agreed in advance however, due the size and activity levels on the Royal Cornwall Hospitals – RCH site this will

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need to between 7.00 – 9.00 hours or17.30 and 19.00 hours unless agreed otherwise with the authorised officers for the site

27.2 Due to the location of waste storage areas at St Austell Hospital, waste collections must be undertaken prior to 9.00 and Newquay Hospital access must be gained from the rear access road.

27.3 All other sites should be cleared between 9.00 – 17.00 to ensure paperwork is duly signed

27.4 Waste collections where identified will include collections over 7 day per week

27.5 It is the individual Trusts responsibility to ensure access to site(s) is maintained in accordance with the agreed service schedule.

27.6 Each of the identified Collection Point(s) shown in Schedule C must be cleared on each collection.

27.7 The Contractor(s) will be required to nominate a competent person(s) who can be contacted in the event of an emergency. An out of hour’s phone number will be required.

27.8 The trusts will supply the Contractor(s) with similar out of hours contact names for each of the sites included within the contract.

28. COLLECTION OF HEALTHCARE WASTE

28.1 The Royal Cornwall Hospital Trust shall provide a collection point at each site identified in Schedule C, with the exception of St Michaels Hospital where there are currently 4 locations across site.

28.2 The Contractor(s) shall collect containers and replace them with cleansed empty containers in accordance with an agreed schedule, by each of the authorising officers of the Cornwall Healthcare Community.

28.3 The Cornwall & Isles of Scilly PCT and the Cornwall Partnership NHS Trust requires the Contractor(s) to provide an appropriately sized container at each of the agreed locations as detailed in Part C of the contract specification.

28.4 The Contractor(s) shall collect used containers and replace them with cleansed empty containers as per the agreed schedule.

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28.5 The Contractor(s) must ensure that all replacement empty containers are functional as per relevant legislation prior to their return to the site.

28.6 Healthcare waste will be delivered to the agreed collection / storage areas on each site by the user in accordance with the schedule provided agreed at the start of the contract. The schedule, to be agreed by the Cornwall Healthcare Community, shall reflect the hours of business and needs of the individual trust(s).

28.7 Each Tenderer shall identify a sufficient number of containers to be supplied, to be agreed with the Cornwall Healthcare Community prior to the commencement of the contract.

28.8 Contractor(s) will ensure that exact quantities of Healthcare waste generated can be reported to each of the Cornwall Healthcare Community on a monthly basis.

28.9 The Contractor(s) must provide itemised details of charges on a monthly basis for the disposal of healthcare waste.

28.10 Where sub-contractors/third parties are used to manage various waste streams on behalf of the Cornwall Healthcare Community via the Contractor(s), the Contractor(s) is responsible for managing and coordinating all invoicing arrangements. Proposed methods of managing invoicing arrangements between sub-contracted Supplier(s) and/or third parties must be provided in writing to the Cornwall Healthcare Community within the tender proposal.

28.11 Containers supplied by the Contractor(s) (wheeled carts or rigid plastic/steel) must be UN performance tested to meet the appropriate requirements, and packaged in accordance with the ADR (as set out in Section 8 of Health Memorandum 07-01: Safe Management of Healthcare waste.) It is the contractor’s responsibility to adopt any improvements or changes in regulation, which may supersede this document and provide details of such in writing to the Cornwall Healthcare Community.

28.12 In respect of 28.11 the appointed Contractor(s) to supply a copy of the relevant Test Certificate to each of the trusts and to comply with the conditions stated within the Certificate.

28.13 In respect of 28.11 above the appointed Contractor(s) is required to correctly mark and label the packaging with Proper Shipping Name, UN number and

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Class 6.2 Danger Label before they are loaded onto a vehicle for the purpose of carriage on public roads.

29. COLLECTION OF HAZARDOUS HEALTHCARE WASTE

29.1 The Royal Cornwall Hospital Trust shall provide a central collection point at each site identified in Schedule C, with the exception of St Michaels Hospital where there are currently 4 locations across site.

29.2 The Contractor(s) shall collect containers and replace them with cleansed empty containers in accordance with an agreed schedule, by each of the authorising officers of the Cornwall Healthcare Community.

29.3 The Cornwall & Isles of Scilly PCT, the Cornwall Partnership NHS Trust and Cornwall Hospice Care and commissioned services requires the Contractor(s) to provide an appropriately sized container at each of the agreed locations as detailed in Part C of the contract specification.

29.4 The Contractor(s) shall collect used containers and replace them with cleansed empty containers as per the agreed schedule.

29.5 The Contractor(s) must ensure that all replacement empty containers are functional as per relevant legislation prior to their return to the site.

29.6 Hazardous healthcare waste will be delivered to the agreed collection / storage areas on each site by the user in accordance with the schedule provided agreed at the start of the contract. The schedule, to be agreed by the Cornwall Healthcare Community, shall reflect the hours of business and needs of the individual trust(s).

29.7 Each Tenderer shall identify a sufficient number of containers to be supplied, to be agreed with the Cornwall Healthcare Community prior to the commencement of the contract.

29.8 Contractor(s) will ensure that exact quantities of hazardous healthcare waste generated can be reported to each Cornwall Healthcare Community on a monthly basis.

29.9 The Contractor(s) must provide itemised details of charges on a monthly basis for the disposal of hazardous healthcare waste.

29.10 Where sub-contractors/third parties are used to manage various waste streams on behalf of the Cornwall Healthcare Community via the Contractor(s), the Contractor(s) is responsible for managing and coordinating

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all invoicing arrangements. Proposed methods of managing invoicing arrangements between sub-contracted Supplier(s) and/or third parties must be provided in writing to the Cornwall Healthcare Community within the tender proposal.

29.11 Containers supplied by the Contractor(s) (wheeled carts or rigid plastic/steel) must be UN performance tested to meet the appropriate requirements, in the case of UN3291 Clinical Waste, Unspecified, N.O.S., of packaging instructions P621. IBC 520 and LP621 and meet the requirements of the trusts Fire Officers

29.12 In respect of 29.11 the appointed Contractor(s) to supply a copy of the relevant Test Certificate to each Trust and to comply with the conditions stated within the Certificate.

29.13 In respect of 29.11 above the appointed Contractor(s) is required to correctly mark and label the packaging with Proper Shipping Name, UN number and Class 6.2 Danger Label before they are loaded onto a vehicle for the purpose of carriage on public roads.

30. COLLECTION OF HAZARDOUS NON HEALTHCARE WASTE

30.1 The Royal Cornwall Hospital Trusts shall provide a central collection area for each site shown in Schedule C.

30.2 The Contractor(s) shall collect containers and replace them with cleansed empty containers in accordance with an agreed schedule, by each of the authorising officers of the Cornwall Healthcare Community.

30.3 The Cornwall & Isles of Scilly PCT, the Cornwall Partnership NHS Trust, Cornwall Hospice Care and commissioned services requires the Contractor(s) to provide an appropriately sized container at each of the agreed locations as detailed in Part C of the contract specification.

30.4 The Contractor(s) shall collect used containers and replace them with cleansed empty containers as per the agreed schedule.

30.5 The Contractor(s) must ensure that all replacement empty containers are functional as per relevant legislation prior to their return to the site.

30.6 Hazardous waste will be delivered to the agreed collection / storage areas on each site by the user in accordance with the schedule provided agreed at the start of the contract. The schedule, to be agreed by the Cornwall Healthcare

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Community, shall reflect the hours of business and needs of the individual trust(s).

30.7 Each Tenderer shall identify a sufficient number of containers to be supplied, to be agreed with the Cornwall Healthcare Community prior to the commencement of the contract.

30.8 Contractor(s) will ensure that exact quantities of Hazardous waste generated can be reported to each Cornwall Healthcare Community on a monthly basis.

30.9 The Contractor(s) must provide itemised details of charges on a monthly basis for the disposal of Hazardous waste.

30.10 Where sub-contractors/third parties are used to manage various waste streams on behalf of the Cornwall Healthcare Community via the Contractor(s), the Contractor(s) is responsible for managing and coordinating all invoicing arrangements. Proposed methods of managing invoicing arrangements between sub-contracted Supplier(s) and/or third parties must be provided in writing to the Cornwall Healthcare Community within the tender proposal.

30.11 Containers supplied by the Contractor(s) (wheeled carts or rigid plastic/steel) must be UN performance tested to meet regulatory requirements of Hazardous waste.

30.12 In respect of 30.11 the appointed Contractor(s) to supply a copy of the relevant Test Certificate to the trust/consortium (delete non applicable – please note if a consortium each participant must receive a copy), and to comply with the conditions stated within the Certificate.

30.13 In respect of 30.11, above, the appointed Contractor(s) is required to correctly mark and label the container in accordance to regulations for the Hazardous waste collected.

31. COLLECTION OF DOMESTIC/GENERAL WASTE

31.1 The Royal Cornwall Hospitals NHS Trust shall provide a central collection area at each site identified in Schedule C

31.2 The Contractor(s) shall collect containers in accordance with an agreed schedule, by each of the authorising officers of the Cornwall Healthcare Community.

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31.3 Contractor(s) shall clean all bins at every clearance in accordance with an agreed schedule by each of the authorising officers of the Cornwall Healthcare Community. Tenderers are requested to provide a cleaning schedule within their tender proposal. The additional costs associated with this provision must be included in Offer Schedule (additional costs).

31.4 . The Cornwall Healthcare Community reserves the right to accept or reject proposals provided by Tenderers.

31.5 The Cornwall & Isles of Scilly Primary Care Trust, the Cornwall Partnership NHS Trust, Cornwall Hospice Care and commissioned services requires the Contractor(s) to provide an appropriately sized container at each of the agreed locations as detailed in Part C of the contract specification.

31.6 The Contractor(s) shall collect containers in accordance with an agreed schedule, by each of the authorising officers of the Cornwall Healthcare Community2.

31.7 The Contractor(s) must ensure that all replacement empty containers are functional as per relevant legislation prior to their return to the site.

31.8 Domestic and General waste will be delivered to the agreed collection / storage areas on each site by the user in accordance with the schedule provided agreed at the start of the contract. The schedule, to be agreed by the Cornwall Healthcare Community, shall reflect the hours of business and needs of the individual trust(s).

31.9 Each Tenderer shall identify a sufficient number of containers to be supplied, subject to the agreement of the Cornwall Healthcare Community prior to the commencement of the contract.

31.10 The Contractor(s) must provide itemised details of costs on a monthly basis for the disposal of Domestic and General waste.

31.11 Where sub-contractors/third parties are used to manage various waste streams on behalf of the Cornwall Healthcare Community via the Contractor(s), the Contractor(s) is responsible for managing and coordinating all invoicing arrangements. Proposed methods of managing invoicing arrangements between sub-contracted Supplier(s) and/or third parties must be provided in writing to the Cornwall Healthcare Community within the tender proposal.

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32. COLLECTION OF MISCELLANEOUS WASTE

32.1 The Royal Cornwall Hospitals NHS Trust shall provide a central collection area(s) for each site identified in Schedule C.

32.2 The Contractor(s) shall collect containers and replace them with cleansed empty containers in accordance with an agreed schedule, by each of the authorising officers of the Cornwall Healthcare Community

32.3 The Cornwall & Isles of Scilly PCT, Cornwall Partnership Trust and Cornwall Hospice Care requires the Contractor(s) to provide an appropriately sized container at each of the agreed locations as detailed in Part C of the contract specification.

32.4 The Contractor(s) shall collect used containers and replace them with cleansed empty containers as per the agreed schedule.

32.5 The Contractor(s) must ensure that all replacement empty containers are functional as per relevant legislation prior to their return to the site.

32.6 Miscellaneous waste will be delivered to the agreed collection / storage areas on each site by the user or delivered to an agreed disposal site according to the schedule provided agreed at the start of the contract. The schedule, to be agreed by the Cornwall Healthcare Community, shall reflect the hours of business and needs of the individual trust(s).

32.7 Each Tenderer shall identify a sufficient number of containers to be supplied, to be agreed with the Cornwall Healthcare Community prior to the commencement of the contract.

32.8 Contractor(s) will ensure that exact quantities of miscellaneous waste(s) generated can be reported to each Cornwall Healthcare Community on a monthly basis.

32.9 The Contractor(s) must provide itemised details of charges on a monthly basis for the disposal of miscellaneous waste(s).

32.10 Where sub-contractors/third parties are used to manage various waste streams on behalf of the Cornwall Healthcare Community via the Contractor(s), the Contractor(s) is responsible for managing and coordinating all invoicing arrangements. Proposed methods of managing invoicing arrangements between sub-contracted Supplier(s) and/or third parties must

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be provided in writing to the Cornwall Healthcare Community within the tender proposal.

32.11 Containers supplied by the Contractor(s) (wheeled carts or rigid plastic/steel) must be UN performance tested to meet regulatory requirements.

32.12 Containers used for the transportation of confidential waste must be kept secure

32.13 In respect of 32.11 the appointed Contractor(s) to supply a copy of the relevant Test Certificate or documents to each trust, and to comply with the conditions stated within the Certificate.

32.14 In respect of 32.11 above the appointed Contractor(s) is required to correctly mark and label the container in accordance to the relevant regulations for the Miscellaneous waste(s) collected.

33. RECORDING OF WASTE COLLECTION AND DISPOSAL

33.1 All waste collected will be covered by a Waste Transfer Note in accordance with the Environmental Protection Act 1990 and show the applicable European Waste Catalogue number (EWC). Details of applicable charges for the provision of Waste Transfer Notes must be stated in Offer Schedule (Additional Costs).

33.2 All Hazardous waste collected will be covered by a Hazardous Waste Consignment Note and in accordance with the Environmental Protection Act 1990 and the Hazardous Waste (England and Wales) Regulations 2005. Details of applicable charges for the provision of Hazardous Waste Consignment Notes must be stated in Offer Schedule (Additional Costs).

33.3 A certificate of destruction must be provided as appropriate for confidential material

33.4 All Waste Transfer Notes and Hazardous Waste Consignment Notes must be signed by the NHS Trusts representative(s) before waste is removed from the Cornwall Healthcare Community premises.

33.5 The weight of each consignment must be established by the use of a weighbridge or other approved and calibrated weighing method which is weights and measures endorsed by HM Customs and Excise.

33.6 A consignment note system is to be used for each collection and consignment data must be provided to the named representative for the Trust

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but consignment notes must be left and signed at the collection premise. The Contractor(s) shall provide a receipt recording the time and date of collection, the identification of bags/containers collected, the registration number of the vehicle and the final destination of the waste.

33.7 After the delivery of each load the operator of the waste treatment facility shall issue to the Contractor(s) a receipt recording the time, date and disposal method/point of the load and the weight of the individual containers. A copy of the previous month’s receipts shall be forwarded together with the monthly invoices to the trust/consortiums representative(s) (delete non applicable).

33.8 All consignment and receipt notes shall be numbered

33.9 Consignee returns should be sent quarterly to the Trusts representative

33.10 All tonnage data and invoicing for MSW (hospitals and teaching units) must be provided to the County Council

34. TRANSPORTATION OF WASTE

34.1 Contractor(s) shall at all times maintain a comprehensive Transportation Plan giving details of routes, collection points, timetables, vehicles and driver details. The Transportation Plan should allow sufficient flexibility to accommodate any reasonable special needs that the Cornwall Healthcare Community may have. The Contractor(s) shall consult the Cornwall Healthcare Community regarding any alterations.

34.2 Tenderers must provide details within their written proposal details of how they propose to transport waste from collection points to waste treatment facilities and if applicable how treated waste is transported to final disposal sites.

34.3 All vehicles used for providing the services are to be roadworthy in accordance with the Road Traffic Acts and as appropriate be properly licensed by the Local Authority and where appropriate be of a type that conforms to current Motor Vehicle Regulations (i.e. Motor Vehicles (Construction and Use) Regulations, the Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations 2004 etc) and future regulations during the course of the contract.

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34.4 Vehicles must be maintained to a high standard of reliability and roadworthiness and will be subject to inspection at any reasonable time and may (but not unreasonably or vexatiously) instruct the Contractor(s) not to use the said vehicles in the provision of the services. All vehicles used must conform to the Motor Vehicles (Construction and Use) Regulations.

34.5 The interior and exterior of all vehicles must be kept clean and tidy.

34.6 The Contractor(s) will be required to demonstrate that they can provide adequate cover for the non-availability of vehicles for any reason.

34.7 The vehicles shall at all times, at the expense of the Contractor(s), be appropriately licensed and insured.

34.8 The Contractor(s) shall provide evidence of insurance and breakdown cover for all vehicles. Evidence of insurance and breakdown cover provision will be required to be produced to the Cornwall Healthcare Community representative(s) upon request.

34.9 The Contractor(s) shall provide evidence of current registration by the appropriate authority, as a waste carrier for the transportation and disposal of all of the waste streams covered by this contract.

34.10 Tenderers shall provide details of their company’s Dangerous Goods Safety Advisor (DGSA) including evidence of qualifications, certification and technical competence together with a copy of their most recent Dangerous Goods Safety Advisor Report within their tender submission.

34.11 Contractor(s) will provide the Cornwall Healthcare Community representative(s) with a copy of the Dangerous Goods Safety Advisor report on an annual basis.

34.12 The Contractor(s) shall ensure that the necessary Transport Documentation required to support the carriage of UN3291, Clinical Waste, Unspecified and N.O.S. (as required under the CDG Road Regulations 13(2) is completed in order to ensure that each trust are not in breach of their Duty of Care.

35. VEHICLE ACCESS

35.1 The Cornwall Healthcare Community will ensure that adequate access and space for the Contractor(s) for the collection of waste streams in accordance with the agreed service schedule.

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35.2 All contractors or sub contractor vehicles must comply with Site Rules on transportation which will be provided at implementation of the contract

35.3 Vehicle access for all sites will be between 8.00-17.00 unless other wise identified. In particular the Royal Cornwall Hospitals Trust (Treliske site) will require collection between 7.00 – 9.00 or 17.30 – 19.00 and St Austell Hospital prior to 9.00. Site parking will only be permitted during the period of loading and unloading.

35.4 Access to Newquay Hospital must be from the rear entrance.

35.5 The Contractor(s) will ensure vehicles used to collect waste/serve this contract will avoid the blocking/disruption to vehicles or public access to any site

35.6 Any necessary Site Rules will be circulated to the successful Tenderer prior to implementation and must be adhered to at all times.

36. WASTE TRANSFER/TREATMENT/DISPOSAL FACILITIES

36.1 Tenderers are required to provide full details of the Healthcare waste/Hazardous Healthcare Waste/Hazardous non Healthcare Waste/ Domestic and General, Miscellaneous waste transfer, treatment and disposal processes they propose to use during the course of the contract

36.2 Where MSW is collected for billing to County Council, disposal sites must clearly indicate usage of .current PFI contracted services

36.3 Sites used for the Secure destruction of confidential material must conform to the Code of Practice and BS8470:2006

36.4 Tenderers must provide copies of licences/permits of any disposal/treatment sites that are proposed for use to service this contract – as stipulated in Section 11 (Licences) of the contract specification

36.5 Tenderers are required to provide full details regarding the performance history of all proposed facilities (including contingency facilities) that will be used to service the contract. Information should include:

36.5.1 Use and performance;

36.5.2 Efficiency testing; 36.5.3 Ash residue (if incinerator/if appropriate); 36.5.4 Microbiological treatment standard (non incineration only);

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36.5.5 Material testing (non incineration only); 36.5.6 Storage and testing of shredded material (non incineration only).

37. DISPOSAL OF HEALTHCARE WASTE*

37.1 Tenderers must confirm within their tender proposal full details of where healthcare waste will be disposed of/treated. Tenderers must advise the Cornwall Healthcare Community of the full name and address(s) of the site(s) / facilities that apply to the contract.

37.2 Tenderers must provide copies of licences/permits of any disposal/treatment sites that are proposed for use to service this contract – as stipulated in Section 11 (Licences) of the contract specification

37.3 The Tenderer is to comply with the current relevant legislations relating to the disposal of healthcare waste, in accordance with Department of Health guidelines including Health Technical Memorandum 07-01: Safe Management of Healthcare Waste.

37.4 In the event that the Contractor(s) wishes to utilise alternative site(s)/facilities the Cornwall Healthcare Community must be notified in writing. Prior notification must be received at least one month before the alternative site/facility is utilised

37.5 All waste management operations must be carried out in accordance with all current relevant legislation. Evidence to this must be auditable and available on demand by the authorised officers of the Cornwall Healthcare Community.

37.6 The Cornwall Healthcare Community reserves the right to visit the specified site(s)/facilities(s) in accordance with its “Duty of Care” responsibilities under the Environmental Protection Act 1990.

37.7 In the event of a waste facility being unavailable, all Tenderers must provide clear and detailed contingency plans within their tender proposal. The successful Contractor(s) will be expected to continue to fulfil their obligations to the Cornwall Healthcare Community in such circumstances without any further increase in cost, unless identified at the outset of this contract.

37.8 If the Contractor(s) contingency plans are reviewed/updated during the course of the contract, written confirmation must be provided to the Cornwall Healthcare Community.

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37.9 Tenderers shall provide written confirmation that any designated waste disposal plant/facility or standby facilities named within their tender proposal are permitted/authorised by the Environment Agency/Local Authority to receive Healthcare waste from the Cornwall Healthcare Community.

38. DISPOSAL OF HAZARDOUS HEALTHCARE WASTE

38.1 The Tenderer is to allow for the separate collection of hazardous healthcare wastes and provide suitable disposal systems to ensure their safe disposal, details to be included in the tender.

38.2 Tenderers must confirm within their tender proposal full details of where hazardous healthcare waste will be disposed of/treated. Tenderers must advise the Cornwall Healthcare Community of the full name and address(s) of the site(s)/facilities that apply to the contract.

38.3 Tenderers must provide copies of licences/permits of any disposal/treatment sites that are proposed for use to service this contract – as stipulated in Section 11 (Licences) of the contract specification.

38.4 The Tenderer is to comply with the current relevant legislations relating to the disposal of Cytotoxic and other drugs, foetal tissue and part or whole limbs, in accordance with Department of Health guidelines including Health Technical Memorandum 07-01: Safe Management of Healthcare Waste. In particular this waste must be incinerated

38.5 In the event that the Contractor(s) wishes to utilise alternative site(s)/facilities the Cornwall Healthcare Community must be notified in writing. Prior notification must be received at least one month before the alternative site/facility is utilised3.

38.6 In relation to radioactive waste the Royal Cornwall Hospitals Trust is authorised for disposal at Viridor Waste Management, Derriford, Plymouth and Grundon Waste Management, Lakeside Rd, Colnbrook, Slough SL3 OEG

38.7 All waste management operations must be carried out in accordance with all current relevant legislation. Evidence to this must be auditable and available on demand by the authorised officers of the Cornwall Healthcare Community.

38.8 The Cornwall Healthcare Community reserves the right to visit the specified site(s)/facilities(s) in accordance with its “Duty of Care” responsibilities under

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the Environmental Protection Act 19904 and the Hazardous Waste (England and Wales) Regulations 2005.

38.9 In the event of a waste facility being unavailable, all Tenderers must provide clear and detailed contingency plans within their tender proposal. The successful Contractor(s) will be expected to continue to fulfil their obligations to the Cornwall Healthcare Community in such circumstances.

38.10 If the Contractor(s) contingency plans are reviewed/updated during the course of the contract, written confirmation must be provided to the Cornwall Healthcare Community.

38.11 Tenderers shall provide written confirmation that any designated waste disposal plant/facility or standby facilities named within their tender proposal are permitted/authorised by the Environment Agency/Local Authority to receive hazardous healthcare waste from the Cornwall Healthcare Community.

39. DISPOSAL OF HAZARDOUS NON HEALTHCARE WASTE

39.1 The Tenderer is to allow for the separate collection of hazardous wastes and provide suitable disposal systems to ensure their safe disposal, details to be included in the tender.

39.2 The Tenderer must provide suitable containment for a range of hazardous materials from each site, this includes UN packaging where applicable

39.3 Tenderers must confirm within their tender proposal full details of where hazardous waste will be disposed of/treated/recycled. Tenderers must advise the Cornwall Healthcare Community of the full name and address(s) of the site(s)/facilities that apply to the contract5.

39.4 Tenderers must provide copies of licences/permits of any disposal/treatment sites that are proposed for use to service this contract – as stipulated in Section 11 (Licences) of the contract specification.

39.5 In the event that the Contractor(s) wishes to utilise alternative site(s)/facilities the Cornwall Healthcare Community must be notified in writing. Prior notification must be received at least one month before the alternative site/facility is utilised6.

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39.6 All waste management operations must be carried out in accordance with all current relevant legislation. Evidence to this must be auditable and available on demand by the authorised officers of the Cornwall Healthcare Community.

39.7 The Cornwall Healthcare Community reserves the right to visit the specified site(s)/facilities(s) in accordance with its “Duty of Care” responsibilities under the Environmental Protection Act 1990 and the Hazardous Waste (England and Wales) Regulations 2005.

39.8 In the event of a waste facility being unavailable, all Tenderers must provide clear and detailed contingency plans within their tender proposal. The successful Contractor(s) will be expected to continue to fulfil their obligations to the Cornwall Healthcare Community in such circumstances.

39.9 If the Contractor(s) contingency plans are reviewed/updated during the course of the contract, written confirmation must be provided to the Cornwall Healthcare Community.

39.10 Tenderers shall provide written confirmation that any designated waste disposal plant/facility or standby facilities named within their tender proposal are permitted/authorised by the Environment Agency/Local Authority to receive Hazardous waste from the Cornwall Healthcare Community.

40. DISPOSAL OF DOMESTIC AND GENERAL WASTE

40.1 In accordance with existing relevant legislation Domestic and General waste classified as MSW should be disposed of at licensed waste disposal site(s) and / or transfer station(s). that form part of the County Council PFI arrangement.

40.2 Tenderers must provide copies of licences/permits of any disposal/treatment sites that are proposed for use to service this contract – as stipulated in Section 11 (Licences) of the contract specification.

40.3 The Cornwall Healthcare Community reserves the right to visit the specified site(s) in accordance with its “Duty of Care” responsibilities under the Environmental Protection Act 1990.

40.4 Tenderers must advise the Cornwall Healthcare Community of the full names and address(s) of the proposed waste disposal site(s)/facilities(s) and / or transfer station(s) in writing within their written tender proposal.

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40.5 In the event that the Contractor(s) wishes to utilise alternative site(s)/facilities(s) the Cornwall Healthcare Community must be notified in writing. Prior notification must be received at least one month before the alternative site/facility is utilised.

40.6 In the event of a waste facility being unavailable, all Tenderers must provide clear and detailed contingency plans within their tender proposal. The successful Contractor(s) will be expected to continue to fulfil its obligations to the Cornwall Healthcare Community in such circumstances.

40.7 If the Contractor(s) contingency plans are reviewed/updated during the course of the contract, written confirmation must be provided to the Cornwall Healthcare Community.

40.8 Tenderers shall provide written confirmation that any designated waste disposal plant/facility or standby facilities named within their tender proposal are permitted/authorised by the Environment Agency/Local Authority to receive Domestic and General waste from the Cornwall Healthcare Community.

41. DISPOSAL OF MISCELLANEOUS WASTE

41.1 In accordance with existing relevant legislation miscellaneous waste should be disposed of at licensed waste disposal site(s) and / or transfer station(s).

41.2 Sites used for the Secure destruction of confidential material must conform to the Code of Practice and BS8470:2006 and shredded material should be pulped

41.3 Tenderers must provide copies of licences/permits of any disposal/treatment sites that are proposed for use to service this contract – as stipulated in Section 11 (Licences) of the contract specification.

41.4 The Cornwall Healthcare Community reserves the right to visit the specified site(s) in accordance with its “Duty of Care” responsibilities under the Environmental Protection Act 1990.

41.5 Tenderers must advise the Cornwall Healthcare Community of the full names and address(s) of the proposed waste disposal site(s)/facilities(s) and / or transfer station(s) in writing within their written tender proposal.

41.6 In the event that the Contractor(s) wishes to utilise alternative site(s)/facilities(s) the Cornwall Healthcare Community must be notified in

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writing. Prior notification must be received at least one month before the alternative site/facility is utilised.

41.7 In the event of a waste facility being unavailable, all Tenderers must provide clear and detailed contingency plans within their tender proposal. The successful Contractor(s) will be expected to continue to fulfil its obligations to the Cornwall Healthcare Community in such circumstances.

41.8 If the Contractor(s) contingency plans are reviewed/updated during the course of the contract, written confirmation must be provided to the Cornwall Healthcare Community.

41.9 Tenderers shall provide written confirmation that any designated waste disposal plant/facility or standby facilities named within their tender proposal are permitted/authorised by the Environment Agency/Local Authority to receive Miscellaneous waste from the Cornwall Healthcare Community.

42. RECYCLING/WASTE MINIMISATION*

42.1 All Tenderers are required to provide a proposal within their tender submission, which will address the issue of recycling and waste minimisation within the Cornwall Healthcare Community. A key aim for the successful Contractor(s) will be their ability to develop existing recycling activity as well as proposals to increase the recycling activity in all waste streams.

42.2 It should be remembered that educational establishments and hospital inpatient units are considered to generate household waste/MSW and council arrangements should be followed using existing PFI registered sites.

42.3 Recycling credits and tonnages should be clearly identified for the respective organisations to claim

42.4 Tenderers must provide copies of licences/permits of any disposal/treatment sites that are proposed for use to service this contract – as stipulated in Section 11 (Licences) of the contract specification.

42.5 The Cornwall Healthcare Community welcome proposals from Tenderers on alternative methods of disposal (i.e. Materials Reclamation Facility (MRF) route or alternative procedures) of un-segregated Domestic and General waste to landfill or other immediate disposal.

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42.6 The Cornwall Healthcare Community reserves the right to visit the specified site(s) in accordance with its “Duty of Care” responsibilities under the Environmental Protection Act 1990.

42.7 The Cornwall Healthcare Community must be advised of the locations of the proposed recycle site(s) and or transfer station(s). Any subsequent changes during the contract period must be notified in writing in advance to the Cornwall Healthcare Community. This prior notification must be received at least one month before the subsequent changes take place.

43. DISPOSAL OF MISCALLANEOUS WASTE STREAMS

43.1 There is the opportunity for Tenderers to submit proposals for the disposal of items that do not currently form part of the contract specifications above, so long as such proposals are in accordance with current relevant legislation, and contain full details of the disposal sites and/or transfer stations.

43.2 Examples of such waste items would be:

43.2.1 Catering Waste (currently macerated and disposed of to sewer)

43.2.2 Confidential waste 43.2.3 Feminine Hygiene waste (to be treated as non infectious healthcare waste but the additional costs of containers associated with this provision must be included in Offer Schedule (additional costs). 43.2.4 Gardening waste

43.2.5 Mattresses 43.2.6 Recording Media (i.e. CD’s, Dictation Tapes, DVD’s, Video Tapes etc) 43.2.7 Scrap Metal 43.2.8 X-ray films (current arrangements exist for the sale of these)

43.3 Tenderers must provide copies of licences/permits of any disposal/treatment sites that are proposed for use to service this contract – as stipulated in Section 11 (Licences) of the contract specification.

43.4 Confidential waste and other recording media must meet the minimum security to the standard BS 8470:2006 and be accredited with the BSIA or UKSSA

43.5 The Cornwall Healthcare Community reserves the right to visit the specified site(s) in accordance with its “Duty of Care” responsibilities under the Environmental Protection Act 1990.

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43.6 The Cornwall Healthcare Community must be advised of the locations of the proposed waste disposal site(s)/facilities(s) and / or transfer station(s). Any subsequent changes during the contract period must be notified in writing in advance to the Cornwall Healthcare Community. Prior notification must be received at least one month before the alternative site/facility is utilised.

44. EQUIPMENT

44.1 Tenderers shall indicate within their tender submission a written proposal of additional equipment (i.e. waste storage/holding/baling/compacting), which could form part of the contract. The Cornwall Healthcare Community reserves the right to accept or reject all or part of the proposals submitted.

44.2 Written proposals for additional equipment should include the following information:

44.2.1 Perceived benefits / opportunities for each Trust if equipment is utilised. 44.2.2 Service / Maintenance Schedule for each piece of equipment proposed 44.2.3 Call out / response rates if equipment out of use or temporary unavailable

44.3 Tenderers must provide full cost details of any costs for additional equipment within Offer Schedule (Additional Costs).

45. MAJOR INCIDENTS

45.1 In the event of a major incident occurring the Contractor(s) will be responsible for disposing of the waste generated by the Cornwall Healthcare Community.

45.2 Waste generated during a major incident may consist of healthcare/ hazardous healthcare/ hazardous non healthcare/ Domestic and General and Miscellaneous waste

45.3 The Cornwall Healthcare Community in conjunction with emergency services and the Environment Agency will advise the Contractor(s) of the nature of the waste.

45.4 Contractor(s) should note that subject to the major incident in question, additional bins/containers maybe required in addition to bins/containers already on site(s).

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46. SUB-CONTRACTING

46.1 Tenderers shall indicate within their tender proposal aspects of the contract they would intend to sub-contract and/or employ a third party to fulfil the service(s) specified within the contract specification.

46.2 Tenderers shall provide name(s), addresses(s) and contact details of proposed sub-contacted suppliers and/or third parties to be employed within the contract in their tender proposal together with all relevant licences and requirements as detailed in Section 11.

46.3 The Contractor(s) shall not sub-contract the collection, transportation or disposal of waste with out the prior consent in writing of the Cornwall Healthcare Community.

46.4 Where sub-contracting arrangements do exist, the Contractor(s) shall arrange for all invoices to be co-ordinated with the each Trust receiving one consolidated monthly invoice.

46.5 Any associated administration charges for the management of third parties and/or sub-contracted services (including the consolidation of collections, invoicing arrangements etc) must be indicated in Offer Schedule in the (Additional Costs).

47. CONTRACT IMPLEMENTATION ACTION PLAN

47.1 Tenderers are required to provide a comprehensive Contract Implementation Action Plan within their tender proposal describing how they propose to implement the contract if they are successful and liaise with the outgoing contractor for a streamlined change over.

47.2 The Contract Implementation Action Plan will outline the following:

47.2.1 The proposed collection schedule for each individual site within the Cornwall Healthcare Community once the contract commences 47.2.2 Must clearly demonstrate that Cornwall County Council disposal sites are utilised

47.2.3 Proposed plan for the ordering, delivery of new bins/containers to the Cornwall Healthcare Community and the collection of existing bins 47.2.4 The method of transportation to be used for the collection of waste 47.2.5 Details of recruitment, training and development and mobilisation of staff to service/deliver the contract

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47.2.6 The co-ordination of any sub-contracting/third party arrangements required to fully service the contract as specified 47.2.7 Proposed timetable to complete duty of care visits for the relevant Cornwall Healthcare Community representatives

47.3 Tenderers are at liberty to nominate a revised collection frequency if this suits the Cornwall Healthcare Community and does not adversely affect the overall cost of the contract. Proposals will be agreed in with the Cornwall Healthcare Community prior to the contract commencing.

47.4 The Contractor(s) is at liberty to nominate a revised collection frequency during the course of the contract. Proposals will not adversely affect the overall cost of the contract and must be provided in writing to the Cornwall Healthcare Community a month before the proposal is due to commence. The Cornwall Healthcare Community reserves the right to reject requests to alter collection frequencies.

47.5 The Implementation Plan provided by Tenderers is subject to alteration and agreement between the successful Contractor(s) and the Cornwall Healthcare Community.

48. SPILLAGE/ACCIDENTS

48.1 Spillages and/or accidents must be immediately reported to the Cornwall Healthcare Community contact/s and confirmed in writing within 48 hours.

48.2 Tenderers must provide a method statement for dealing with any spillage, burstage or accident within their proposal.

48.3 Costs arising to clear spillages, burstages or accidents that occur shall be included within the Offer Schedule (Additional Costs).

48.4 Costs associated with clearing spillages, burstages or accidents were the Contractor(s) has been at fault, must be met by the Contractor(s).

49. NOISE CONTROL

49.1 The Contractor(s) shall ensure that all measures are taken to control the noise levels produced by his operations on the Cornwall Healthcare Community site(s) required under or by virtue of any enactment, regulation or Codes of Practice or by the working rules of any industry.

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49.2 The Contractor(s) attention is drawn in particular to Part III of the Control of Pollution Act 1974, Part III of the Environmental Protection Act 1990 and any Regulation made or Codes of Practice approved there under, the Noise and Statutory Nuisance Act 1993 and Directive 92/97/EEC amending Directive 70/157/EEC on the approximation of the laws of the Member States relating to the permissible sound level and the exhaust system of motor vehicles and the UK regulations made there under.

49.3 The Contractor(s) is to note that they will be working in a hospital environment. All noise levels are to be kept down to a minimum.

50. CONTRACTOR’S STAFF

50.1 The Contractor(s) shall ensure that every person employed by the Contractor(s) and / or sub-contractor(s) employed for the provision of waste management services, is at all times properly and sufficiently trained by having participated in a formal training programme prior to commencing work. Details of training records should be available as requested by the Cornwall Healthcare Community.

50.2 All staff involved with the handling of clinical waste shall be offered the appropriate immunisation, including hepatitis B and tetanus. The Tenderer shall establish arrangements for dealing with staff that decline the immunisation.

50.3 All staff who are likely to come into contact with patients or confidential waste must be vetted by the Criminal Records Bureau and copies provided to each Trust

50.4 The contractor and his staff must not disclose to any person (other than a person authorised by the Trust) any information acquired by them in the course of the contract. Without prejudice to the generality of this condition, the contractor and his staff must not disclose to any unauthorised person any information which concerns –

50.4.1 The trust, it’s staff or procedures

50.4.2 The identity of any patient at any of the Trust’s hospitals or other sites

50.4.3 the medical condition of, or treatment received by, any patient

50.5 Staff appointed by the Contractor(s) and / or sub-contractor(s) and / or temporary staff must be aware of all relevant rules and procedures

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concerning Health and Safety at Work and the recording of all accidents and untoward occurrences involving waste disposal procedures from the Cornwall Healthcare Community sites.

50.6 Reportable incidences (i.e. RIDDOR) whilst undertaking work on behalf of the Cornwall Healthcare Community, must be reported on the appropriate Accident/Incident Form and copies forwarded to the authorised officer(s) for the Cornwall Healthcare Community.

50.7 The Contractor(s)’s staff shall be required to carry and display a form of identification for any period during which they are working on the Cornwall Healthcare Community premises.

50.8 The Contractor(s) shall provide suitable uniforms for their staff at all times while on the trusts premises and ensure that staff are dressed in appropriate protective uniforms/work wear and use any personal protective equipment provided.

50.9 The Cornwall Healthcare Community expect the highest standards of personal hygiene, courtesy and consideration from all of the Contractor(s)/sub-contractor(s) staff at all times.

50.10 The Contractor(s) shall prohibit their staff from smoking on Cornwall Healthcare Community property.

50.11 The Contractor(s) shall ensure that mobile phones or radio devices will not be used within Cornwall Healthcare Community properties without first securing the permission of the relevant trust representative(s).

50.12 The Cornwall Healthcare Community reserves the right to request the removal of staff who fail to carry out the service to the standards required by the Cornwall Healthcare Community as outlined within the contract specification.

50.13 The Contractor(s) shall fulfil the requirements of the contract with a minimum of disruption. Specific attention should be drawn to the following:

50.13.1 Not to convey any articles to or from a patient or have any dealing with any patient unless so requested by the authorised officer.

50.13.2 Not to trespass on Cornwall Healthcare Community property but confine themselves strictly to the locality of their work.

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50.13.3 The Contractor(s) attention is drawn to the provisions of the Mental Health Act 1983 which, lays down penalties to which persons employed in Mental Health Hospitals are liable upon conviction for misconduct with patients. A copy of the Act may be seen in the office of the Unit Manager and Contractor(s) are reminded that ignorance of the law is not regarded as a defence in the Courts. 50.13.4 The Contractor(s) and relevant staff employed on this contract must at all times be mindful of the need to respect patient confidentiality, and should not interact verbally or physically with patients.

50.14 The Contractor(s) shall be liable for both authorised and unauthorised acts of its employees whilst carrying out their duties in line with the contract specification whilst they are on the Cornwall Healthcare Community premises.

50.15 The Contractor(s) shall ensure that:

50.15.1 Every person newly recruited to be employed by the Contractor(s) and / or sub-contractor(s) in and about the provision of the services shall, at the Contractor(s)’s expense, at the commencement of the contract period or that person’s employment (whichever shall be the latter) be medically screened. 50.15.2 Any employee shall be excluded from the site when suffering from any infectious or communicable disease.

50.16 In the event of Contractor’s staff who have, or who may have, access to the Cornwall Healthcare Community sites during the course of the Contract being criminally prosecuted for a serious offence (as defined in the Police and Criminal Evidence Act 1984), the Contractor(s) must immediately supply the authorised officer with a full report of the circumstances and, ultimately, of the outcome of any judicial procedures.

51. MONITORING OF THE CONTRACT

51.1 The Contractor(s) and the authorising officers of the Cornwall Healthcare Community will be responsible for monitoring the quality and effectiveness of the service. This may include authorised officers from Cornwall County Council for minitoring of MSW. All Tenderers must submit with their tender a statement on how these standards will be achieved and monitored in

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practice. This will be agreed between the Contractor(s),the Cornwall Healthcare Community And Cornwall County Council

51.2 Tenderers must provide a written outline of how they propose to monitor, trace and audit the contract during the life of the agreement within their tender proposal.

51.3 The Cornwall Healthcare Community, in accordance with its Duty of Care principles will agree a formal monitoring system with the Contractor(s), to commence at the start of the contract and be based on a continuous assessment process throughout the life of the contract.

51.4 The Cornwall Healthcare Community, reserves the right to inspect with or without prior notice, all records relating to the performance of the contract.

51.5 The Cornwall Healthcare Community reserves the right to visit any specified holding / waste disposal site (s) with or without prior notice during the contract period.

51.6 A contract review meeting will be held on a quarterly basis between the Contractor(s) and the Cornwall Healthcare Community representatives. This review meeting can be increased or decreased according to the issues arising at the time

51.7 Tenderers must provide a method of arbitration for any or all such matters that may cause dispute between both parties under this contract, within their tender proposal. The Cornwall Healthcare Community reserves the right to accept or modify this method prior to acceptance of the agreement with the successful Contractor(s).

52. PRICE, PAYMENT AND SUPPORTING INVOICE/MANAGEMENT INFORMATION

52.1 Each trust will require the following management information pertaining to their waste collections in support of the monthly invoice.

52.1.1 Site Location

52.1.2 Date of Uplift

52.1.3 Number and size of each container collected from each site 52.1.4 Total weight for each site per collection 52.1.5 Any bin or other equipment rental where appropriate

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52.1.6 All the above data for all waste uplifts 52.1.7 Copies of all waste transfer notes/hazardous waste consignment notes (either electronic or paper)

52.1.8 Where relevant certificates of destruction

52.2 All invoices must quote the current price per tonne/unit, or unit cost, for the collection and relevant Waste Transfer Notes / Consignment Notes and Certificates of Destruction but should be simplified and minimise waste with supporting documents available by disk or email, as agreed. This includes invoices submitted to Cornwall County Council

52.3 Where sub-contracting arrangements do exist, the Contractor(s) shall arrange for all invoices to be co-ordinated with the trust receiving one consolidated monthly invoice.

52.4 Any associated administration charges for the management of third parties and/or sub-contracted services (including the consolidation of collections, invoicing arrangements etc) must be indicated in Offer Schedule (Additional Costs).

52.5 The Contractor(s) must have in place a fully auditable identification and tracking system from point of collection to disposal

52.6 The provision of individually numbered tags for the closure of confidential waste will also be the responsibility of the successful Contractor(s) and form part of this offer

52.7 A computerised/web-based tracking system is desirable albeit not essential.

53. QUALITY ASSURANCE/ENVIRONMENTAL POLICY

53.1 Tenderers shall provide details of the quality assurance system and/or accreditations (including copies of certificated evidence) operated by their company, which are applicable to this contract.

53.2 Tenderers shall provide details of the quality assurance system and/or accreditations (including copies of certified evidence) for the proposed sub- contractors who form part of the Tenderers offer to deliver this contract.

53.3 Tenderers shall provide details of any environmental policies and/or accreditations (including copies of certificated evidence) developed/received by their company, which are applicable to this contract.

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53.4 Tenderers shall provide details of the environmental policies and/or accreditations (including copies of certified evidence) for the proposed sub- contractors who form part of the Tenderers offer to deliver this contract

53.5 Tenderers shall provide details of any carbon reduction plans proposed for the contract duration.

54. SERVICE RESPONSE TIMES

54.1 In addition to scheduled waste collections services the tender shall provide a reactive collection service on an emergency, urgent, routine/planned basis. The Tenderer shall respond to such service requests as indicated in the table below:

54.2 Expected response times

Response category Response/rectification time

Emergency 90 minutes

Urgent 2 hours

Routine 1 day

Planned/schedules Within 30 minutes of scheduled times

54.3 A future User Group will define the response category and a approved format for urgent and emergency response

55. PUBLIC HOLIDAYS

55.1 The Contractor(s) must ensure that service schedules and staffing levels are unaffected by Public Holidays.

56. CONTRACT MANAGEMENT

56.1 All Tenderers are asked to provide a written proposal within their tender submission for the provision of a Contract Manager, together with their current qualifications and experience, who will be a single point of contact for the Cornwall Healthcare Community.

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56.2 In the absence of the Contract Manager the contractor(s) will notify the authorised officer, in writing, of a named representative who is nominated to deputise, together will their current qualifications and experience.

56.3 The Contractor(s) will be required to nominate a competent person(s) who can be contacted during operational hours.

56.4 The Contractor(s) will be required to nominate a competent person(s) who can be contacted in the event of an emergency. An out of office out of hour’s phone number will be required.

56.5 The Cornwall Healthcare Community will supply the Contractor(s) with similar out of hours contact names for each of the sites included within the contract.

57. INNOVATIONS/ADDITIONAL SERVICES

57.1 The Cornwall Healthcare Community welcome any initiatives/innovations from Tenderers to help minimise waste levels, embrace recycling and help to progress carbon reduction within the service provision as it emerges with a progressive carbon Management plan. These initiatives should be sustainable and cost effective in the provision of environmental best practice. Tenderers should include all proposals in writing via their tender proposal and will be reviewed annually

57.2 Tenderers are encouraged to provide written proposals for any additional services they believe should be added to the contract. Proposals should be provided in writing via their tender proposal.

57.3 Costs associated with the development/inclusion of these services should be included in the Other Costs section of Offer Schedule (Additional Costs).

57.4 The Cornwall Healthcare Community reserves the right to accept or reject any proposed innovations/additional services prior to acceptance of an offer.

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PART C: TRUST/CONSORTIUM SERVICE SCHEDULE/WASTE DATA

58. LIST OF ALL SITES AND CONTACTS. (The following tables have been summarised and abbreviated for each organisation as follows:

RCHT – Royal Cornwall Hospital Trust, CIOS – Cornwall and Isles of Scilly PCT, CPT – Cornwall Partnership NHS Trust, CHC - Cornwall Hospice Care, Ramsay Healthcare

SITE ID Trust Site Type Address Add2 Town Postcode Telephone Site Manager

534 CHC Inpatient Mount Edgecumbe Hospice Porthpean Rd St Austell PL26 6AD 01726 65711 T Bould

CHC Inpatient St Julias Hospice Foundry Hill Hayle TR27 4JA 01736 759070 T Bould

CHC Industrial Unit 1 Lytton Place Clifden Road St Austell PL25 4PE 01736 759070 T Bould

147 CIOS Service Cornwall Health for Homeless 11 Bassett Road, Camborne TR14 8SE 01209 613088 Norma House

6J3 CIOS Service Cornwall Health for Homeless 8 City Road, TR1 2JJ 01872 242294 Norma House

634 CIOS Health office Alverton Terrace, Penzance (Bellair) Penzance Health Office Penzance TR18 4TA 01736 575513 Fran Brewer

55B CIOS Service Beacon Care Centre 9 dracaena view Falmouth TR11 2PY 01326 436630 Alice Hoskin

658 CIOS Health centre Bodmin Health Centre Dennison road Dennison Road Bodmin PL31 2LB 01208 73722 Diane Sleeman

525 CIOS Inpatient Bodmin Hospital Boundary Road Bodmin PL31 2QT 01208 251300 Fran Vosper

6K8 CIOS Service Cornwall Health for Homeless Bread Street Penzance TR18 2EQ 01209613088 Norma House

6065 CIOS Doctors Bridge Medical Centre, Wadebridge Harbour Road Wadebridge PL27 7AY 01208 812342 J Sutherland

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SITE ID Trust Site Type Address Add2 Town Postcode Telephone Site Manager

666 CIOS Health centre Callington community Clinic Haye Road Callington PL17 1AA 01579 384589 Janet Bell

511 CIOS Hospital Camborne and Redruth Hospital Barncoose Terrace Redruth TR15 3ER 01209 881688 Hillary Davey

635 CIOS Health office Camborne Health Office Rectory Road Camborne TR14 7DL01209 88650 M C Uren

Treatment 60E CIOS centre Carrick day treatment & therapy centre 9 castle Street Truro TR1 3AF 01872 354488 Jane Cassidy

665 CIOS Doctors Community Nurses - Stennack Surgery Stennack Hill St Ives TR26 1RU 01736 576 131 G Humphries

Treatment 115 CIOS centre Cornwall Macmillan Service 3 St Clement Vean Truro TR1 1RN 10872 354397 Sue Graham

502 CIOS Inpatient Edward Hain Memorial Hospital Albany Terrace St Ives TR26 2BS 01736 576100 L Day

664 CIOS Health centre Falmouth Health centre Trevaylor Road Falmouth TR11 2LH 01326 210090 Enid Hatton

52G CIOS Inpatient Falmouth Hospital Trescobeas Road Falmouth TR1 2JA 01326 424700 S Eustice

519 CIOS Inpatient Fowey Hospital Green Lane Fowey PL23 1EE 01726 832241 Y Stephens

694 CIOS Health centre Gunnislake Health Centre The Orchard Gunnislake PL18 9JZ 01822 832641 K M Appleby

503 CIOS Inpatient Helston Community Hospital Meneage Helston TR13 8DR 01326 435800 J Carter

530 CIOS Inpatient Launceston General Hospital Link Rd Launceston PL15 9JD 01566 765650 Pete Wyatt

Tony/Glenis 269 CIOS Inpatient Liskeard Community Hospital Clemo Road Liskeard PL14 3XB 01579 335600 GSA

654 CIOS Doctors Mevagissey Surgery River Street Mevagissey PL26 6UE 01726 843701 Alison Egan

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SITE ID Trust Site Type Address Add2 Town Postcode Telephone Site Manager

6048 CIOS Doctors Narrowcliff Surgery, Newquay Narrowcliff Newquay TR7 2QF 01637 873 363 J D Hill

518 CIOS Inpatient Newquay Hospital St Thomas's Road Newquay TR7 1RR 01637 893600 Judith Simeons

714 CIOS Doctors Nursing Team, Camelford 11 Fore Street, Camelford PL32 9PG 01840 213162 A Stacey

64B CIOS Doctors Par Health centre Eastcliffe Rd Par PL23 2AJ 01726/813656 P Shuttlewood

637 CIOS Doctors Penryn Surgery Saracen Way Penryn TR10 8HX 01326 372 502 D Hosen

6007 CIOS Doctors Polkyth Surgery, St Austell 14 Carlyon Road St Austell PL25 4EG 01726 75555 D R Purser

506 CIOS Inpatient Poltair Hospital Heamoor Penzance TR20 8SR 01736 575570 J Sheldon

6003 CIOS Doctors Porthscatho Surgery Gerrans Hill Portscatho TR2 5EE 01872 580345 D Baines

6004A CIOS Doctors Probus Surgery Tregony Road Probus TR2 4JZ 01726 882745 W George

650 CIOS Doctors Redruth clinic forth noweth Forth Noweth Redruth TR15 1AU 01209 881850 A Hatch

652 CIOS Health centre Saltash Health centre Callington Road Saltash PL12 6DL 01572 842281 Lynn Chenery

CIOS Inpatient St Austell Community Hospital Porthpean Rd St Austell PL26 6AA 01726 291100 Y Stephens

529 CIOS Inpatient St Barnabus Hospital Higher Port View Saltash PL12 4BU 01752 857400 F Butler

504 CIOS Inpatient St Marys Hospital St Marys Isles of Scilly TR20 OLE 01720 422392 M Pickup

52F CIOS Inpatient Stratton Hospital Hospital Road, Stratton Bude EX23 9BR 01288 287700 W Sechatis)

64B CIOS Doctors Sunnyside Surgery Hawkins Road Penzance TR18 4LT 01736 363340 L J Rees

J Hamley- 673 CIOS Doctors Threemilestone Surgery Threemilestone Truro TR3 6DP 01872 272266 Jenkin

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SITE ID Trust Site Type Address Add2 Town Postcode Telephone Site Manager

668 CIOS Health office Tintagel Health Office Oadby House,Fosters Lane Tintagel PL34 0BT 01840 770794 C A Would

638 CIOS Health office Truro Health office The Leats Truro TR13 3AH 01872 354305 B J Duck

6064 CIOS Health office Wadebridge Health Office Brooklyn, Fernleigh Road Wadebridge PL27 7AT 01208 256800 J B Bradbury

West Cornwall Primary Care Health Centre, 6067 CIOS Health centre Pool Station Road Redruth TR15 3DU 01209717471 Stephen Holby

6008 CIOS Doctors Woodland Surgery 18 - 20 Woodland Surgery St Austell PL25 4QY 01726 63311 Leslie Brown

6006 CIOS Doctors Park Medical Centre 19 Bridge road St Austell PL25 5HE 01726 73042 D Marshell

653 CIOS Doctors Old Bridge Surgery Station road Looe PL13 1HA 01503263195 Ron Dutton

695 CIOS Doctors Oak Tree Surgery Clemo Road Liskeard PL14 3XA 01579 335 320 E Holdcroft

6043 CIOS Doctors The Medical Centre Church field Camelford PL30 4PN 01840 213894 A Goodman

716 CIOS Doctors Neetside Surgery, Methodists Church Hall Leven Road Bude EX23 8LB 01288 368809 M Chenoweth

620 CIOS Health centre Bodriggy Health Centre 60 Queensway Bodriggy Hayle TR27 4PB 01736 753136 Irene Luzmore

6055 CIOS Doctors Port Isaac Practice/The Surgery Hilson Close Port Isaac PL29 3RT 01208 880222 N Brenton

6096 CIOS Service The Community Centre For Healthy Living Wheal Leisure Perranporth TR6 0EY 01872 573809 k Bellchamber

66D CIOS Doctors Torpoint Community Health Clinic Hooper Street Torpoint PL11 2AG 01752 812850 Trish Cooper

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D Trust Address Add2 Town Postcode Telephone SITE MANAGER

CIOS Office Health promotions kernow building pool Wilson Way Redruth TR15 3QE 01209 313419 Susie James

524B CPT Office Banham/Belligham BODMIN Boundry Road Bodmin PL31 2QT 01208 251408 Mike riddell

507 CPT Office Bolitho House Child & Family Centre 1 Laregan Hill Penzance TR18 4NY 01736 5755524 Jane Pitts

CPT Office Business Services - St Lawrence's Boundary Road Bodmin PL31 2QT 01208 251355 John Reed

Carrick Mental Health team Pydar street 66T CPT Office Truro 57 Pydar Street Truro TR1 2SS Ext4413 Bill Haining

T1C7 CPT Office Chy Govenek Threemilestone Industrial Estate Nr Truro TR4 9LD 01872 272494 A Ritchie

Unit 2 BODMIN Business Park 726 CPT Service Community Rehab team Harleigh Road Bodmin PL31 1AQ 01208 256299 J Vickers

531 CPT Service Drug and Alcohol Team, Tolvean House West End Redruth TR15 2SP 01209 881925 V Boeden

CPT Office Estates department St Lawrence’s site Boundary Road Bodmin PL31 2QT 01208 251344 Fred Butler

719 CPT Service Josiah Thomas Memorial Hall Trevethick Road Camborne TR14 8LQ 01209 888260 J Berryman

135 CPT Resourse centre LDD Unit 10 harleigh road Harleigh road Bodmin PL31 1AQ 01208 256230 Bev Read

10B CPT Inpatient Longreach House Barncoose Terrace Redruth TR15 3ER 01209 881880 Julie Benjamin

19J CPT Inpatient Roston Crane Childrens Respite Off Crane Road Camborne TR14 7PW 01209 710706 Claire Franklin

258 CPT Office Sewing Room Complex, St Lawrence's Boundary Road Bodmin PL31 2QT 01208 251491 Sharon Butler

728 CPT Service Threemilestone Primary Care Centre Pengelly Way Threemilestone Truro TR3 6DP 01872 354492 Mandy Perryman

Training Department St Aubyn Villa St 213 CPT Training Facility Lawrences Site Boundry Road Bodmin PL31 2QT 01208 251467 Sue Garner

527 CPT Office Trengweath, Penryn Street, Redruth TR15 2SP 01209 881888 Dawn Chittock

Page 57 of 133

D Trust Address Add2 Town Postcode Telephone SITE MANAGER

523 CPT Office Trevillis House Lodge Hill Liskeard PL14 4EN 01579 335226 Martin Bray

55A CPT Inpatient Selwood House 60 Alexander Road St Austell PL25 4QN 01726 291250 Richard Kelly

55C CPT Inpatient Lower cardrew House North Street Redruth TR15 1HJ 01209 881831 Y Raiffinac

122 CPT Inpatient Learning Disabilities 13 Moorland Road Par PL24 2PA 01726 817942 G S Samuels

19G CPT Inpatient Childrens Respite Gywn Dowr Higher Pendra gon Camborne TR14 7T2 01209 715215 Margaret Alford

157 CPT Office Cornwall Supplies Service Willson Way Redruth TR15 3QE 01209 310040 L Symons

CPT Office Estates Camborne/Redruth Workshop Barncoose Terrace Redruth TR15 3ER 01209 881718 David James

CPT Office Trust Headquarters Porthpean Rd St Austell PL26 6AD 01726 291069 Judi Powel

Ramsay Inpatient Duchy Hospital Penventinnie Lane RCH Truro TR1 3UP 01872226100 Paul Lightfoot

Ramsay Service Bodmin Treatment centre Boundary Road Bodmin PL31 2QT 01872226100 Paul Lightfoot

Ramsay Inpatient Mount Stewart Hospital St Vincent road Torquay TQ1 4UP 01872226100 Paul Lightfoot

RCHT Office Bedruthan House RCH Penventinnie Lane Truro TR1 3LJ 07872253470 David Hastings

RCHT Office Carlyon House RCH Penventinnie Lane Truro TR1 3LJ 01872 356022 P Tresidder

RCHT Service Central Food Production Unit, Camborne Barncoose Industrial Estate Redruth TR15 3RQ 01872 252966 Mike Pearson

RCHT Service Diabetic Centre RCH Penventinnie Lane Truro TR1 3LJ 01872 254571 P Tresidder

513B RCHT Service GU Clinic RCH Penventinnie Lane Truro TR1 3LJ 01872 255044 P Tresidder

710 RCHT Teaching Facility Knowledge Spa RCH Royal Cornwall Hospital Truro TR1 3DH 01872 256400 K Wain

540 RCHT Inpatient Loading bay RCH (Bulk Carrier) Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

540 RCHT Inpatient Loading bay RCH (Compactor) Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

RCHT Inpatient Marie Teresa House Road Hayle TR27 4JA 01736 758875 V Daniels

Page 58 of 133

D Trust Address Add2 Town Postcode Telephone SITE MANAGER

RCHT Service Megashed site RCH Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

RCHT Accommodation Mevagissey House RCH (Residencies 1) Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

RCHT Service Mobility Site RCH (Residencies 1) Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

RCHT Accommodation Pendeen RCH ( Residencies 1) Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

RCHT Office Pendragon House RCH (Residencies 1) Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

RCHT Laboratories PHLS Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

RCHT Teaching Facility Post Grad Centre RCH (Residencies 1) Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

Technical Services Rear of mega shed RCHT Service RCH Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

541 RCHT Inpatient St Michael's Hospital Trelissick Road Hayle TR27 4JA 01736 753234 Phaedra Paige

RCHT Accommodation The Garage RCH ( Residences 2) Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

RCHT Accommodation Trevose RCH ( Residences 2) Penventinnie Lane Truro TR1 3LJ 01872252298 P Tresidder

542 RCHT Inpatient West Cornwall Hospital St Clare Street Penzance TR18 2PF 01736 362382 Jules Cooper

1F5 RCHT Office IT Department Drump Road Redruth TR151LU 01209 881717 A Wearne

RCHT Office St Ingunger Offices Lanivet St Ingunger Lanivet PL30 5HS 01208252525

Page 59 of 133

59. ROYAL CORNWALL HOSPITALS TRUST (TRELISKE) –DATA

ROYAL CORNWALL HOSPITALS NHS TRUST –

ROYAL CORNWALL HOSPITAL (RCH) HOSPITAL, PENVENTINNIE LANE, TRURO TR1

Est. Vol. Per Annum Type of Quantity Collection (Tonnes unless Size of Bins Collection Times Waste/Category of Bins Frequency otherwise stated)

Every 24 Hrs daily, 6 times per Healthcare Waste 521 70 770L between 17.30 – week 19.00 pm

770L, 1100L, 2x 26.8 Various across site Various across site cu m one with See (domestic See (domestic waste Domestic/General 681 compactor waste section for section for full full details details)

Hazardous Healthcare

Waste 770L 10 weekly Cytotoxic Approx 26 Between 9.00 – Variable, Average every 2-3 Radioactive .222 One way 30L/60L 17.00 provided months

Page 60 of 133

Est. Vol. Per Annum Type of Quantity Collection (Tonnes unless Size of Bins Collection Times Waste/Category of Bins Frequency otherwise stated)

in house

Hazardous non Healthcare Waste (Categories Listed below)

Variable, see list of For this type of waste hazardous waste – it is often a one Batteries 240/360L wheelie off/as required service

Chemicals

Electronic/Electrical

Equipment (WEEE)

Fluorescent tubes 2 tube

Fridges and refrigeration equipment

IT Equipment

Mercury

Mobile Phones

Oils Oil tank clearance, liquid waste tank 330L Annually, as req’d

Page 61 of 133

Est. Vol. Per Annum Type of Quantity Collection (Tonnes unless Size of Bins Collection Times Waste/Category of Bins Frequency otherwise stated)

Paints

Products containing

CFC’s

Solvents

Toner cartridges Sent for recycling as req’d approx 2346 per annum

X-ray chemicals

Other miscellaneous waste streams (categories listed below)

Catering Waste Est. 120 tonnes Currently disposed of via macerator and drainage (South West water)

15.3 enclosed skip Between 9.00 - Confidential waste 63 24L Hessian sacks As required 17.00 hours but consider 120L sealed bins

Feminine Hygiene Included in clinical

Between 9.00 – Garden Waste 1.5 1 26.8 cu m As required 17.00

Mattresses Included in clinical

Page 62 of 133

Est. Vol. Per Annum Type of Quantity Collection (Tonnes unless Size of Bins Collection Times Waste/Category of Bins Frequency otherwise stated)

Between 9.00 – Scrap Metal 4 1 Builders skip As required 17.00

Page 63 of 133

60. CORNWALL & ISLES OF SCILLY PRIMARY CARE TRUST, CORNWALL PARTNERSHIP TRUST, CORNWALL HOSPICE CARE

60.1 Bin exchange – Healthcare Waste

Number OF Weight in Tonnes SITES Approximate Collection times Bins Per annum Frequency

FALMOUTH HOSPITAL AM 3 10.098 Monday and Thursday

HELSTON HOSPITAL AM/PM 3 7.503 Monday and Thursday

WEST CORNWALL HOSPITAL AM 6 45.591 Monday to Friday

ST JULIAS HOSPICE PM 2 5.200 Monday to Friday

ST MICHAELS HOSPITAL PM 6 40.154 Monday to Friday

MARIE TERASE HOUSE PM 2 6.453 Monday to Friday

CAMBORNE & REDRUTH HOSPITAL PM 3 28.664 Monday to Friday

LONGREACH HOUSE PM 3 7.972 Monday Wednesday and Friday

BODMIN HOSPITAL AM 4 28.492 Monday to Friday

ST AUSTELL COMMUNITY HOSPITAL AM 3 18.513 Monday Wednesday and Friday

MOUNT EDGUCUMBE HOSPICE AM 4 9.347 Monday and Friday

Page 64 of 133

Number OF Weight in Tonnes SITES Approximate Collection times Bins Per annum Frequency

NEWQUAY HOSPITAL PM 3 11.992 Monday and Thursday

BOLITHO HOUSE as required 1 0.031 As required

EDWARD HAIN HOSPITAL AM 3 4.996 Friday

FOWEY HOSPITAL AM 3 2.108 Friday

LAUNCESTON HOSPITAL AM 2 5.770 Tuesday

LISKEARD HOSPITAL PM 4 15.589 Monday to Friday

POLTAIR HOSPTAL AM 3 5.798 Friday

ST BARNABUS HOSPITAL PM 2 3.517 Monday

STRATTON HOSPITAL PM 6 4.830 Tuesday and Wednesday

ST MARYS HOSPITAL AM as required 1.572 As required

ROYAL CORNWALL HOSPITAL AM/PM 2 COLLECTIONS 70 520.834 Monday to Friday

PROBUS SURGERY AM 2 4.329 Friday

789.353

SEE COMMISSIONED SERVICES FOR DUCHY HOSPITAL, BODMIN TREATMENT CENTRE AND MOUNT STEWART HOSPITAL

60.2 Healthcare Waste delivered directly to disposal site by Cornwall Healthcare Estates and Support Services

No of vehicles and frequency Tonnage per annum

Page 65 of 133

2 daily (Monday – Friday) 185.873

60.3 Dental Amalgam- provision and collection of disposal receptacles as identified

Srab 99B 500ml Amalgam 1000 Capsules 20L Fixer & 10kg Lead foil 6.4L Sludge 250ml Bridges Amalgam SITE Guard 300ml Cap Guard Capguard Drum Developer Bin Drum 2L Tooth Box & Crown Box Separator

1 collection Cornwall & Isles of Scilly PCT 2 collections per annum per annum

Bodmin Dental Clinic, Bodmin Hospital. Boundary Road,PL31 2QT,Tel01208 251543, 2 2 1 1of Each 1 1 2 2 2

Bude Dental Clinic, Stratton Hospital Road,StrattonEX23 9BP,Tel 01288 287711 1 1 1 1of Each 1 1 1 1 1

Camborne Dental Clinic, Health Centre, Rectory Road, Camborne TR147DL,Tel 01209 886532, 2 2 1 2 of Each 1 1 2 2 2

CRCH Dental Clinic, Camborne/Redruth Hospital, Redruth TR15 3ER,Tel 01209 881604, 0 0 1 1of Each 11 1 1 1

Falmouth Dental Clinic, Health Centre, Trevaylor Road,Falmouth,TR112LH,Tel 1 1 12 of Each 111 11

Page 66 of 133

Srab 99B 500ml Amalgam 1000 Capsules 20L Fixer & 10kg Lead foil 6.4L Sludge 250ml Bridges Amalgam SITE Guard 300ml Cap Guard Capguard Drum Developer Bin Drum 2L Tooth Box & Crown Box Separator

01326 434780,

Hayle Dental Surgery, St Michaels Hospital, Trelissick Road Hayle,TR27 4JA,Tel 01736 751315, 1 1 1 1of Each 1 1 1 1 1

Helston Dental Clinic, Trengrouse Way, Helston,TR13 8AX,Tel 10326 435874, 2 2 1 1of Each 1 1 2 2 2

Launceston Dental Clinic, Launceston General Hospital, Link road Launceston,PL15 9JD,Tel 01566 765713, 2 2 1 1of Each 1 1 2 2 2

Liskeard Dental Clinic, Liskeard Community Hospital, Clemo road, Liskeard PL14 3XB Tel 01579 335208 2 2 1 1of Each 1 1 2 2 2

Newquay Dental Clinic, Newquay Hospital, St Thomas road Newquay,TR7 1RQ Tel 01637 893627 2 2 1 1of Each 1 1 2 2 2

Penzance Dental Clinic, Bellair Health Centre Alverton,Penzance,TR18 4TA 2 2 1 1of Each 1 1 2 2 2

Page 67 of 133

Srab 99B 500ml Amalgam 1000 Capsules 20L Fixer & 10kg Lead foil 6.4L Sludge 250ml Bridges Amalgam SITE Guard 300ml Cap Guard Capguard Drum Developer Bin Drum 2L Tooth Box & Crown Box Separator

Tel 01736 575533

Dental Clinic The Lescudjack Centre, Penmere Close, Penzance,TR18 3PE,Tel 01736 575533 2 2 1 1of Each 1 1 2 2

Redruth Dental Clinic, Health centre, Forth Noweth, Redruth, TR15 2BY,Tel 01209 881860, 2 2 1 2of Each 1 1 1 1 2

Saltash Dental Clinic Health Centre, Callington Road, Saltash, PL12 6DL, Tel 01752 857459, 1 1 1 1of Each 11 1 1 1

St Austell Community Hospital (Penrice)Porthpean Road, St Austell,PL26 6AD,

Tel 01726 296321, 4 4 1 2 of Each 1 2 4 2 5

St Mary's Dental Surgery, Hospital Lane, St Mary's, Isles of Scilly TR21 0LQ,Tel 01720 422694 1 0 1 2 X 20Lof Each 1 0 1 1 0

Torpoint Dental Clinic Council Chambers,4 York Road,Torpoint,PL11 2LG Tel 1 1 1 1of Each 1 1 1 1 1

Page 68 of 133

Srab 99B 500ml Amalgam 1000 Capsules 20L Fixer & 10kg Lead foil 6.4L Sludge 250ml Bridges Amalgam SITE Guard 300ml Cap Guard Capguard Drum Developer Bin Drum 2L Tooth Box & Crown Box Separator

01752 812457,

Truro Dental Clinic Cudmore House,Oak Lane,TR1 3LP,

Tel 01872 354469 1 1 1 1of Each 1 1 1 1 1

Truro Dental Clinic Truro Health Office, The Leats Truro,TR1 3AH,Tel01872 354375 2 2 1 1of Each 1 2 2 2 2

Wadebridge Dental Clinic Brooklyn,Wasebridge,PL27 7AT,Tel 01208 256809, 1 1 1 2 of Each 1 1 1 1 1

Royal Cornwall Hospitals Trust 2 collections per annum

Oral Surgery, Trelawney Wing, RCH Treliske,Truro TR1 3LJ Tel:01872 254915 1 0 1 0 0 0 26 1 0

Head & Neck Surgery, Trelawney Wing, RCH Hospital, Truro TR1 3LJ Tel: 01872 253919 1 2 0 0 00 26 1 0

West Cornwall Hospital, St Clare St, Penzance Tel: 01736 874157 0 20 0 00 26 0 0

Page 69 of 133

61. RECORDED HAZARDOUS WASTE VOLUMES – ALL SITES (HAZARDOUS HEALTHCARE AND NON HEALTHCARE HAZARDOUS)

Total Weight Kg Trust Site Item EWC Code per annum Total weight in tonnes

Fridge 20 01 23 120

Light Tubes 20 01 21 160

Batteries 20 01 33 38

CIOS Bodmin Hospital Electrical Equipment 20 01 36 180

CPT Boslowick Road, Falmouth Fridge 20 01 23 80

Light Tubes 20 01 21 100

Electrical Equipment 20 01 36 370

CIOS Camborne and Redruth Community Hospital Batteries 20 01 33 14

Thermometers (mercury) 20 01 21 122

CRT / Monitor 20 01 36 40

Fridges 20 01 23 120

Electrical Equipment 20 01 36 42

CIOS Edward Hain Mercury 20 01 21 10

CIOS Falmouth Hospital Light Tubes 20 01 21 20

mattresses 18 01 04 120

Page 70 of 133

Total Weight Kg Trust Site Item EWC Code per annum Total weight in tonnes

oil radiators 20 01 26 50

Fridges 20 01 23 116

Fridge 20 01 23 80

Batteries 20 01 33 17

CIOS Helston Hospital Electrical Equipment 20 01 36 157

CIOS Launceston Hospital mattresses 18 01 04 76

CIOS Liskeard Hospital mattresses 18 01 04 110

CPT Longreach House Electrical Equipment 20 01 36 123

CPT Lower Cardrew House, Redruth Disposal of Cooker 20 01 36 100

Light Tubes 20 01 21 20

Batteries 20 01 33 67

Electrical Equipment 20 01 36 45

CIOS Newquay Hospital Fridges 20 01 23 40

CIOS Poltair Hospital Electrical Equipment 20 01 36 122

CIOS St Austell Hospital Incineration of Confidential Waste 20 01 01 11

Light Tubes 20 01 21 60

Fridge 20 01 23 160

CCTV tape incineration 5

Batteries 20 01 33 3

Page 71 of 133

Total Weight Kg Trust Site Item EWC Code per annum Total weight in tonnes

Electrical Equipment 20 01 36 28

Xray Fluid 18 01 06 77

CIOS St Marys Hospital, Isles of Scilly Amalgam Waste 18 01 10 1

CIOS Stratton Hospital Batteries 20 01 33 14

3017 3.0165

Trust Site Item EWC Code Total Weight Kg Total weight in tonnes

Radio Active Waste Disposal & RCHT RCH Treliske cytotoxic 18 01 06/08 26.222

Disposal Battery Pack 20 01 33 729

Light Tubes 20 01 21 530

Disposal Fridges 20 01 23 2120

Electrical Equipment 20 01 36 8735

Misc items 1

Cleaning Products 20 01 30 953.5

Mercury Disposal 20 01 21 1

Chemicals 18 01 06 449

Gas Cylinders 12 01 13 22

Page 72 of 133

Total Weight Kg Trust Site Item EWC Code per annum Total weight in tonnes

Disposal oil 20 01 26 68

Disposal Diesel 13 07 01 111.5

Misc items 130

Sodium Bulbs 20 01 21 1

Disposal Bedpans 20 01 36 2732.5

Bulbs 20 01 21 1

Disposal Fridges 20 01 23 40

Disposal Battery Pack 20 01 33 1

St Michaels Light Tubes 20 01 21 40

Battery Pack 20 01 33 136

Disposal Fridges 20 01 23 200

Electrical Equipment 20 01 36 1049

Disposal Chemicals 18 01 06 37

West Cornwall Pharmaceuticals 18 01 06 19

44329 44.329

Page 73 of 133

62. DOMESTIC WASTE AND RECYCLING REQUIREMENTS

Container Size Collection SITEID SITE Litres Number of Bins frequency per wk

634 Alverton Terrace Bellair 660 1 1

524B Banham/Belligham BODMIN 1100 1 2

55B Beacon Care Centre 9 dracaena view 240 1 0.5

135 LDD Unit 10 Harleigh road 1100 1 1

658 Bodmin Health Centre Dennison road 1100 2 1

525 Bodmin Hospital 1100 3 1

525 Bodmin Hospital 8 m³ 1 1

507 Bolitho House Child & Family Centre 1100 1 1

Business Services Bodmin 1100 1 0.25

66T CMHT 57 Pydar Street Truro 1100 1 1

666 Callington community Clinic 660 1 1

T1C7 Chy Goveneck 1100 1 1

19G Children’s Respite Gywn Dowr 660 1 1

635 Camborne Health Office 1100 2 2

Page 74 of 133

Container Size Collection SITEID SITE Litres Number of Bins frequency per wk

511 Camborne/Redruth Community Hospital 4 m³ 2 1

Central Food Production Unit 1100 2 1

Estates Camborne/Redruth Workshop 6.1m³ 1 1

60E Carrick Day Treatment & Therapy Centre, 9 castle road 1100 1 1

726 Community Rehab team unit 2 Bodmin Business park 660 1 0.5

115 Cornwall Macmillan Service 3 St Clement Vean 660 1 1

Cornwall & Isles of Scilly PCT, Compare Holman 1100 2 1

CPT Trust Headquarters 1100 2 1

502 Edward Hain Hospital 660 2 1

524 Estates Department, St Lawrence’s Site 1100 1 1

650 Redruth Clinic, Forth Noweth 660 1 1

52G Falmouth Hospital 1100 4 1

519 Fowey Hospital 660 3 1

Child & Family Centre, Gloweth 1100 1 1

664 Falmouth Health Centre 1100 1 1

Health Promotions, Kernow Building, Pool 1100 1 1

Page 75 of 133

Container Size Collection SITEID SITE Litres Number of Bins frequency per wk

503 Helston Community Hospital 1100 4 2

IT Department, Drump Road, Redruth 6.1³ 1 1

719 Josiah Thomas Memorial Hall 660 2 1

10B Longreach House 1100 5 6

55C Lower Cardrew House 660 1 1

530 Launceston Hospital 1100 3 1

122 LDD 13 Moorland Road Par 660 1 1

638 Truro Health Office - The Leats 1100 1 2

Liskeard Hospital 1100 7 2

Lytton Place St Austell 14 yd closed skip 1 1

Mount Edgcumbe Hospice, Porthpean Rd, St Austell 1100 3 1

518 Newquay hospital 1100 3 2

64B Par Health centre 660 1 1

St Austell community Hospital 8 m³ 1 1

St Austell community Hospital 1100 9 2

529 St Barnabus Hospital 1100 2 1

Page 76 of 133

Container Size Collection SITEID SITE Litres Number of Bins frequency per wk

St Julia’s Hospice, Hayle 1100 1 3

506 Poltair Hospital 1100 3 1

66T Carrick Mental Health team Pydar street Truro 1100 1 1

19J Roston Crane 660 1 1

St Ingunger Offices Lanivet 1100 2 2

652 Saltash Health centre 660 2 1

52F Stratton Hospital 1100 2 1

Training Department St Aubyn Villa St Lawrences Site 1100 2 1

6096 The Community Centre For Healthy Living Wheal Leasure 660 1 1

531 Tolvean House 1100 1 2

541 St Michaels Hospital 1100 6 3

728 LDD Threemilestone Industrial Estate, Truro 1100 1 1

Community Mental Health Team, Threemilestone, Truro 660 1 1

Bedruthan House, RCHT 1100 1 1

Carlyon House, RCHT 1100 1 3

Diabetic Centre, RCHT 1100 1 2

Page 77 of 133

Container Size Collection SITEID SITE Litres Number of Bins frequency per wk

The Garage, RCHT (Residences 2) 1100 1 3

513B GU Clinic, RCHT 1100 1 3

710 Knowledge Spa. RCHT 660 3 1

Loading Bay, RCHT (Bulky waste - enclosed) 26.8m³ 1 1

Loading Bay RCHT (Compactor) 26.8m³ 1 1-2

Megashed site, RCHT 1100 3 2

Rear of Megashed, RCHT 1100 1 1

Mevagissey House, RCHT (Residencies 1) 1100 3 2

Mobility Site, RCHT (Residencies 1) 1100 1 2

Pendeen, RCHT (Residencies 1) 1100 2 3

Pendragon House, RCHT (Residencies 1) 1100 2 2

PHLS, RCHT 120 12 2

Post Grad Centre, RCHT, (Residencies 1) 1100 1 2

Sewing Room Complex, St Lawrence’s Site 1100 1 0.25

55A Selwood House 660 1 1

527 Trengweath 1100 2 2

Page 78 of 133

Container Size Collection SITEID SITE Litres Number of Bins frequency per wk

Trevose RCH (Residences 2) 1100 3 3

6064 Wadebridge Health Office 240 1 1

542 West Cornwall Hospital, Penzance – by mortuary 1100 7 3

West Cornwall Hospital - OPD 1100 1 3

542 West Cornwall Hospital 26.8m³ 0 As reqd

6067 C & IoS pct, Health Centre, Pool 660 1 1

Duchy Hospital, Truro

Mount Stewart, Torquay

Bodmin Treatment Centre Refer to details in commissioned services

It should be noted that alternative size containers can be used provided this is agreed with the representative for the Cornwall Healthcare Community

Page 79 of 133

62.2 Domestic Recycling

NHS Site List Address CONTAINER SIZE FREQUENCY WASTE

Woodland Surgery Woodland Rd, St Austell PL25 4QY 24L Sacks On Call Confidential/ Office Waste

Truro Health Office The Leats, Truro TR1 3AH 24L Sacks On Call Confidential Waste

Sunnyside Surgery Hawkins Rd, Penzance TR18 4LT 24L Sacks On Call Confidential/ Cardboard

Stratton Hospital Stratton, Bude EX23 9BR 24L Sacks On Call / 1per week Confidential /News

Stennack Surgery Stennack, St.Ives TR26 1RU 24L Sacks On Call / 1per week Cardboard / Office Waste

Higher Porth View, Saltash PL12 St Barnabus Hospital 4BU 24L Sacks On Call Cardboard / Office / Confidential

Redruth Health Clinic Forth Noweth, Redruth TR15 1AR 24L Sacks On Call Cardboard / Office Waste

Probus Surgery Tregony Road, Probus TR2 4JZ 24L Sacks 1 per week Cardboard / Office Waste

Porthscatho Surgery Gerrans Hill, Truro TR2 5EE 24L Sacks On Call Confidential Waste

Higher Porth View, Saltash PL12 Porth View Surgery 4BU 24L Sacks On Call Cardboard / Office Waste

14 Carlyon Rd, St.Austell PL25 Polkyth Surgery 4EG 24L Sacks On Call / 1per week Office Waste / Cardboard

Perranporth Surgery Beach Road, Perranporth TR6 0PS 24L Sacks 1 per week / On call Office Waste / Confidential

Penryn Surgery Saracen Way, Penryn TR10 8HX 24L Sacks On Call Cardboard / Office / Confidential

Park Medical Centre 19 Bridge Rd, St.Austell PL25 5HE 24L Sacks Per 4 Weeks Office Waste

Old Bridge Surgery Station Road, Looe PL13 1HA 24L Sacks On Call Confidential/ Office Waste

Page 80 of 133

NHS Site List Address CONTAINER SIZE FREQUENCY WASTE

Oak Tree Surgery Clemo Rd, Liskeard PL14 3XA 24L Sacks Per 2 weeks Cardboard

1 per week/per 2 Narrow Cliff Surgery Narrow Cliff, TR7 2QF 24L Sacks wks Office Waste / Cardboard

1 per week/per 2 Saltash Clinic Callington Road, Saltash PL12 6DL 24L Sacks wks Cardboard / Office Waste

The Medical Centre Camelford Church Field, Camelford PL32 9YT 24L Sacks Per 2 weeks Office Waste

Trescobeas Rd, Falmouth TR11 Falmouth District Hosp 2JA 24L Sacks Per 2 weeks Cardboard / Office Waste

Gunnislake Surgery Gunnislake No services currently

Per 2 weeks/ On Callington Health Centre Hayes Rd, Callington PL17 7AW 24L Sacks Call Cardboard / confidential

On Call/1per wk/On Child Health Department Pendragon House, Truro TR1 3XQ 24L Sacks Call Confidential / Office / Card

Neetside Community Centre, Bude Bude Surgery EX23 8LB 24L Sacks 1 per week Office Waste

Bodriggy Health Centre 60 Queensway, Hayle TR27 4PB 24L Sacks Per 2 weeks Cardboard

Cardboard / confidential

Alverton Terrace, Penzance, TR18 Bellair Health Clinic 4TA 24L Sacks 1 per week / On call

Page 81 of 133

NHS Site List Address CONTAINER SIZE FREQUENCY WASTE

Cornwall Partnership Trust:

1 per wk/per 2 St. Aubyn Villa, Boundary Rd, Bodmin 1100L Euro/24L Sacks wks/On Call Cardboard / Office / Confidential

The Sewing Room, Boundary Road 1100L Euro/24L Sacks 1 per week/ On Call Cardboard / Office / Confidential

Chy Govenek, Truro 24L Sacks 1 per week/ On Call Office / Confidential

Cornwall Supplies, Wilson Way, Redruth 1100L Euro Per 2 weeks Office / Cardboard

Edward Bolitho Hs, 1Laregan Hill, PZ 1100L Euro Per 2 weeks Office Waste

CPT HQ, Porthpean Road, St. Austell 24L Sacks On Call Confidential Waste

Banham Hs, Boundary Rd, Bodmin 24L Sacks On Call Confidential Waste

Bellingham Hs, Boundary Rd, Bodmin 24L Sacks On Call Confidential Waste

On Call / Per 2 Harleigh Road Unit 2 Harleigh Road 24L Sacks weeks Confidential / Office Waste

Trevillis House Lodge Hill, Liskeard PL14 4EN 24L Sacks On Call Office Waste

Trengweath Penryn Street, Redruth TR15 2SP 1100L Euro On Call Cardboard / Office Waste

Royal Cornwall Hospital Trust:

RCH Treliske Hospital Truro TR1 3LJ 15.3cm Module On Call Paper/plastic/cans/Confidential

RCH Trelliske Hospital Truro TR1 3LJ 15.3 Daily cardboard

1 per week / On St. Michaels Hosp, Hayle TR27 4JA 1100L Euro / 15.3cm / Sacks call/ 1 per wk Cardboard / confidential / office

Page 82 of 133

NHS Site List Address CONTAINER SIZE FREQUENCY WASTE

Childs Health Dept, Truro TR1 3JL 24L Sacks On Call Confidential

On Call / 1 per West Cornwall Hosp, Penzance TR18 2PF 24L Sacks week Confidential / Office / Card

Cornwall IT Services, Drump Rd, Redruth 24L Sacks On Call Office Waste

City Hospital Infirmary Hill, Truro 24L Sacks On Call Confidential / cardboard

Cornwall Food Processing Barncoose Industrial Estate, Unit Redruth 1100L Euro On Call Cardboard / Office waste

Cornwall & Isles of Scilly PCT:

Health for Homeless 11 Bassett Road 24L Sacks On Call Confidential

Health for Homeless, Bread St, Penzance 24L Sacks On Call Confidential

8 City Road, Truro TR12 2JJ 24L Sacks On Call Confidential

On Call / 1 per Bodmin Hospital, Boundary Rd, Bodmin 15.3cm Module / Sacks week Confidential / Office / Card

Newquay Hosp, St. Thomas Rd Newquay 1100L Euro/24L Sacks 1 per week/ On Call Cardboard / Office / Confidential

Compair Holman, Foundry Rd, Camborne 24L Sacks On Call Confidential / Cardboard

Macmillan Nurses, 3 St. Clements Vean, TR 1100L Euro On Call Office Waste

Camborne Health Centre, Rectory Rd, Cam 24L Sacks / 1100L Euro On Call Office Waste / Cardboard

Bridge Medical Centre. Harbour Rd, Wadebridge PL27 1100L Euro On Call Office Waste

Mevagissey Surgery, River Street, Mevagissey 24L Sacks On Call Confidential

Page 83 of 133

NHS Site List Address CONTAINER SIZE FREQUENCY WASTE

Helston Hospital, Meneage Rd, Helston 24L Sacks 1 per week Office Waste / Cardboard

On Call / 1 per wk/ Liskeard Hospital Clemow Rd, Liskeard 24L Sacks 1per wk Confidential / card / Office

Per 2 weeks / On Launceston Hospital Link Road PL15 9JD 24L Sacks Call Cardboard / Confidential

St. Austell Hospital Porthpean Rd, St. Austell 24L Sacks On Call Confidential

Wadebridge Health Office Fernleigh Rd 24L Sacks On Call Confidential

Nursing Team 11 Fore St, Camelford 24L Sacks On Call Confidential

NHS Storage Unit Green Bottom, Truro 24L Sacks On Call Confidential

Helston Health Centre Trengrouse Way, Helston 1100L Euro On Call Cardboard

Poltair Hospital Heamoor, Penzance 1100L Euro On Call Cardboard / Office waste

Threemilestone Surgery Pengelly Way, Threemilestone 24L Sacks 1 per week Office Waste / Cardboard

Port Issac Surgery Hillson Close, Wadebridge 24L Sacks On Call Confidential / Office Waste

Tintagel Health Clinic Fosters Lane, Tintagel 24L Sacks On Call Office Waste

Joshia Thomas Memorial Trevithick Road, Camborne 1100L Euro On Call Office Waste

Camborne & Redruth Hospital Barncoose, Illogan Highway 24L Sacks On Call Confidential / cardboard

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63. MISCELLANEOUS WASTE VOLUMES

63.1 IT WEEE (hazardous and non hazardous)

SITE PC’s monitors and other IT related waste with confidential information removed

Drump Road, Redruth 1800Kg per month

Other sites adhoc but some included in hazardous Waste data.

63.2 GREEN WASTE

SITE WEIGHT IN TONNES

RCHT 1.5

CPT 2.9

CIOS 14.7

TOTAL 19.1

By provision of adhoc skip for large volume or estates staff taking directly to site for composting.

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63.3 TONER CARTRIDGE RECYCLING

TRUST NUMBER OF CARTRIDGES

CIOS PCT & CPT 1005

RCHT 2346

64. COMMISSIONED SERVICES

64.1 Ramsay Healthcare

Healthcare

waste Trade waste Recyclates Collections Collection Per Collection Per Container Site Per Week Container Size Week Container Size Week Size

Duchy Hospital, Penventinnie Lane, RCH Truro TR1 3UP 2 1100 lt 3 770lt 2 1100 lt

Bodmin Treatment Centre, Boundary Road,Bodmin,PL30 5PT 3 770lt 3 1100 lt 0

Mt Stuart Hospital, St Vincent Road,Torquay,Devon,TQ1 4UP 2 1100 lt 3 770lt 2 1100 lt

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64.2 Pharmacy

64.2.1 In addition to the requirements in this specification the individual service requirement is for the collection and disposal of redundant/unused/out of date pharmaceuticals and/or chemicals returned to chemists (identified in the table below), by patients. 64.2.2. This could include hazardous and non hazardous pharmaceuticals 64.2.3 This should be a minimum of quarterly collections, increased frequency collection price should also be submitted

64.2.4 Provision of suitable containment 22L or 50L bin for solid formations, 11.5L cytotoxic/hazardous waste container and containment for limited, various aerosols and liquids 64.2.5 Table of indicative volumes per collection

Chemist / Pharmacy Location Postcode 50 Litre 22 Litre Cyto Liquid Weight

Alliance Pharmacy St Austell PL25 4QF 4 20

Day Lewis plc St Austell PL25 5PE 6 25

Boots St Austell PL25 45EP 1 19 4 133

Alliance Pharmacy St Blazey PL24 2JG 2 10

Alliance Pharmacy Par PL24 2AQ 5 20

Alliance Pharmacy St Austell PL25 4LD 3 13

Drs Hotton, Tiley, James & Keast (The Surgery) Mevagissey PL26 6UE 2 18

Alliance Pharmacy Mevagissey PL26 6UQ 2 2 23

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Chemist / Pharmacy Location Postcode 50 Litre 22 Litre Cyto Liquid Weight

Alliance Pharmacy Fowey PL23 1AQ 2 4

Mountchase Pharmacy Lostwithiel PL22 0BW 1 2

Lostwithiel Medical Practice Lostwithiel PL22 0EF 1 4

Drs Maling, French-Constant & Caldicott (The Surgery) Carnon Downs TR3 6JD 3 12

Kernow Urgent Care Services Truro TR1 2YZ 2 6

Michael Meagher Ltd (No 10) Truro TR1 3DN 0 0

Boots Pydar Street TR1 2LQ 16 2 85

Alliance Pharmacy Lemon Street TR1 2LQ 7 28

Superdrug Boscawen Street TR1 2QU 2 7

Victoria Pharmacy Threemilestone TR3 6DP 3 1 11

Drs Gripper and Partners Chacewater TR4 8QS 2 4

Drs Round, Tisdale . . . Probus TR2 4JZ 3 1 18

Your Local Boots Pharmacy Perranporth TR6 0JL 5 2 37

Tesco Pharmacy Truro TR1 2TN 4 1 21

Alliance Pharmacy St Agnes TR5 0TH 1 6

Dr Julian St Agnes TR5 0TN 1 3

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Chemist / Pharmacy Location Postcode 50 Litre 22 Litre Cyto Liquid Weight

Hendra’s @ Penryn Ltd Penryn TR10 8BH 3 10

Hendra’s @ Penryn Ltd Penryn TR10 8HX 3 10

Boots Falmouth TR11 3AB 0 0

Superdrug Falmouth TR11 3AB 2 10

Boots Falmouth TR11 3AB 7 1 36

Day Lewis plc Falmouth TR11 3PU 8 1 1 43

Trescobeas Surgery Falmouth TR11 2UN 2 6

Alliance Pharmacy Trescobeas TR11 2UN 8 37

St Mawes Pharmacy St Mawes TR2 5DH 1 3

Drs Campbell . . . Portscatho TR2 5EE 2 5

Baden House Pharmacy Marazion TR17 0AP 2 2

Drs Hamilton Marazion TR17 0HW 2 1 4

Dr Davis Penzance TR18 3AP 1 4

Boots Penzance TR18 2LE 8 70

Day Lewis plc Penzance TR18 2JA 8 1 35

Dr Long Penalverne TR18 2RE 1 2

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Chemist / Pharmacy Location Postcode 50 Litre 22 Litre Cyto Liquid Weight

Alliance Pharmacy Penzance TR18 2QU 6 1 23

Alliance Pharmacy Penzance TR18 2QW 5 1 26

Newlyn Pharmacy Newlyn TR18 5HH 8 31

Alliance Pharmacy Carbis Bay TR26 2LJ 11 2 81

Boots St Ives TR26 1RR 2 1 9

Alliance Pharmacy St Ives TR26 1RU 4 4 23

Day Lewis plc St Ives TR26 1AB 1 3 8

Alliance Pharmacy Hayle TR27 4BQ 7 1 29

Alliance Pharmacy Hayle TR27 4DY 9 32

Ramsey Pharmacy St Just TR19 7LJ 3 14

Boots Hayle TR27 4PN

Tesco Pharmacy Helston TR13 8PJ 7 26

Helston Medical Centre Helston TR13 8AU 2 1 6

Boots Redruth TR15 2AE 4 1 24

Superdrug Pharmacy Redruth TR15 2AF 3 10

Alliance Pharmacy Redruth TR15 2BL 6 1 29

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Chemist / Pharmacy Location Postcode 50 Litre 22 Litre Cyto Liquid Weight

Bastions Chemist Redruth TR15 2DB 3 19

Alliance Pharmacy Redruth TR15 1AU 7 1 29

Alliance Pharmacy Illogan TR16 4SS 3 4 20

Dr Gethin Harris Memorial Surgery Illogan TR16 4RX 1 3

Dr Wilson Homecroft Surgery Illogan TR16 4ET 1 1 8

Green Lane Chemist Redruth TR15 1JT 5 1 22

Alliance Pharmacy Redruth TR15 3DU 5 1 34

Day Lewis plc Camborne TR14 8AD 15 63

Boots Camborne TR14 8AA 5 1 24

Dr Fairlie … The Surgery Camborne TR14 0LB 1 3

Moss Pharmacy Camborne TR14 7SD 4 1 23

Your Local Boots Pharmacy Camborne TR14 8JY 4 16

Mullion & Constantine Group Practice Constantine TR11 5AP 3 1 11

Hall Pharmacy Helston TR13 8RB 6 17

Your Local Boots Pharmacy Porthleven TR13 9HJ 2 6

Boots Helston TR13 8QY 7 1 32

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Chemist / Pharmacy Location Postcode 50 Litre 22 Litre Cyto Liquid Weight

Dr Cuff . . . The Health Centre Mullion TR12 7DQ 1 3

Alliance Pharmacy Mullion TR12 7BT 3 8

Alliance Pharmacy St Columb TR9 6AP 3 1 19

Dr Grundy . . .The Surgeries St Columb TR9 6RS 3 5

Dr Grundy . . .The Surgeries St Columb TR9 6QY 1 3

St Dennis Pharmacy St Dennis PL26 8AD 3 1 18

Drs Burke . . . Brannel Surgery St Stephen PL26 7RL 2 1 11

Kayes Chemist Newquay TR7 2PG 2 7

Drury and Nicekels Newquay TR7 1RU 5 22

Kaye and Sons Newquay TR7 1BH 4 3 43

Boots Newquay TR7 1DH 1 5

Drs Grundy . . . Petroc Group Practice Padstow PL28 8ER 3 10

Drs Saioth .. . Wadebridge & Camel Estuary Practice Wadebridge PL27 7BS 5 1 26

Your Local Boots Pharmacy Padstow PL28 8AL 3 1 16

DAT Lewis plc Wadebridge PL27 7DH 5 1 36

Your Local Boots Pharmacy Wadebridge PL27 7AQ 5 20

Dr Evans . . Carnewater Practice Bodmin 1 5

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Chemist / Pharmacy Location Postcode 50 Litre 22 Litre Cyto Liquid Weight

Boots Bodmin PL31 2HL 6 1 36

Alliance Pharmacy Bodmin PL31 2JL 4 1 26

Day Lewis plc Bodmin PL31 2HT 10 1 48

Dr Maguire . . . Stillmoor House Bodmin PL31 2JJ 1 1

Drs Lunny . . . The Surgery Port Isaac PL29 3TR 4 24

Lloyds Pharmacy Saltash PL12 6EB 5 1 31

Dr Kratky . . . The Health Centre Callington PL17 7AW 5 1 35

Dr Kratky . . . The Health Centrre Gunnislake PL18 9JZ 5 1 1 28

Lloyds Pharmacy Callington PL17 7AE 7 1 34

Your Local Boots Pharmacy Saltash PL12 6JW 4 1 27

Lloyds Pharmacy Saltash PL12 6AF 6 2 43

Dr Moore . . .Quarry Lane Surgery St Germans PL12 5LH 2 1 16

Alliance Pharmacy Torpoint PL11 2AD 6 2 44

Millbrook Pharmacy Ltd Millbrook PL10 1AP 2 9

Boots Liskeard PL14 4BG 7 1 81

Oak Tree Surgery Liskeard PL14 3XD 3 1 26

Day Lewis plc Liskeard PL14 6AQ 0

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Chemist / Pharmacy Location Postcode 50 Litre 22 Litre Cyto Liquid Weight

Dr Piper …Dean Street Surgery Liskeard PL14 4AQ 6 26

Dr Macfarlane … The Health Centre Pensilva PL14 5RP 5 19

Boots Looe PL13 1DT 4 1 27

Looe Pharmacy Looe PL13 1DT 2 5

Dr Fagg . . . Old Bridge Surgery Looe PL13 1HA 0

Roberts Pharmacy Polperro PL13 2RG 1 3

Tesco Pharmacy Launceston PL15 9AG 1 1 10

Alliance Pharmacy Launceston PL15 8AE 8 46

Day Lewis plc Launceston PL15 7AA 2 9

Alliance Pharmacy Camelford PL32 9PD 5 1 20

Dr Nash Camelford PL32 9YT 1 4

Dr Jarvis . . . Bottreaux Surgery Boscastle PL35 0BG 2 6

Alliance Pharmacy Tintagel PL34 0DA 3 9

Lloyds Pharmacy GP Practice Bude EX23 8JL 14 66

Alliance Pharmacy Torpoint PL11 2LG 4 1 41

Boots Bude EX23 8JL 8 6

Lloyds GP Practice Stratton EX23 9BP 8 26

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Chemist / Pharmacy Location Postcode 50 Litre 22 Litre Cyto Liquid Weight

Dudley Taylor Pharmacies Bude EX23 8JS 6 1 36

64.3 In addition this service should include a monthly provision for the collection of a needle exchange service to the following chemists.

Chemist/Pharmacy Location Postcode

Day Lewis, 7 Fore St Bodmin PL31 2HT

Lloyds Pharmacy, 9 Belle Vue Bude EX23 8JL

Day Lewis, 21 Trelowarren St Camborne TR14 8AD

Boots the Chemist, 47-49 Market St Falmouth TR11 3AB

Alliance Pharmacy, 44-46 Fore St Hayle TR27 4DX

Steven hall Pharmacy, 77 Meneage St Helston TR13 8RB

Alliance Pharmacy, 28 Broad St Launceston PL15 8AE

Boots the Chemist, 21 Baytree Hill Liskeard PL14 4BG

Newlyn Pharmacy, 5 The Strand Newlyn TR18 5HH

S Kaye and Sons, 6-8 East St Newquay TR7 1BH

Boots the Chemist, 100-102 Market Jew St Penzance TR18 2LE

Alliance Pharmacy, 3 Alverton St Penzance TR18 2QW

The Pharmacy, 12 Green Lane Redruth TR15 1JT

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Bastions Chemist, Chapel St (TBC Sept 08) Redruth TR15 2DB

Day Lewis PLC, 1-3 Victoria Place St Austell PL25 5PE

Day Lewis PLC, 7 Fore St St Ives TR26 1AB

Lloyds Pharmacy, 19 Fore St Saltash PL12 6AF

A J Reed, 10 Frances St Truro TR1 3DN

Alliance Pharmacy, 16 Fore St Torpoint PL11 2AD

Alliance Pharmacy, 4 New Court House, The Platt Wadebridge PL27 7AG

65. DISCLAIMER ON DATA PROVIDED

65.1 Figures provided are only a guide/estimate, based on information currently available and are correct according to the trusts best knowledge and understanding. The Cornwall Healthcare Community is not liable for any additional costs incurred due to the inaccuracy of data provided. In particular due to the switch to the unified definitions contained Health Technical Memorandum 07-01 these figures may vary slightly over the next 12 months due to improvements in segregation.

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Consolidated/Total Figures:

Trust Healthcare Waste Hazardous non Domestic/General (including Healthcare Waste Waste hazardous Tonnes Per Year Tonnes Per Year healthcare waste) Tonnes Per Year

Royal Cornwall Hospitals Trust 656 15 881 (RCHT)

Cornwall and Isles of Scilly Primary 323 2 323 Care Trust (CIOS PCT)

Cornwall Partnership Trust 29 1 93

Cornwall Hospice Care 14 Not known Not known

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66. DETAILS OF WASTE STORAGE/HOLDING EQUIPMENT ON SITE

Tenderers are advised that the Cornwall Healthcare Community currently has access to the following waste storage/holding equipment on its site/s in addition to the requirements of individual contractual collection points: Royal Cornwall Hospitals

Approx Approx Contact Details of Type of equipment Size Date Site of Equipment Lease Expiry Date Age Lease Company Installed

Pakawaste, To 2001 7-8 Treliske loading bay Singer & Friedlander July 2009 PowerKrush accommodate years Compactor a 26.8 cu m skip

Electric tugs Various 1990’s- 1-18 Treliske Currently owned 2007 years

Wheelie bins for use 5 x 1000L 2001 7-8 West Cornwall Hospital Owned but repair and replacements required on sites – various 3 x 1100L years St Michaels Hospital colours to aid 70+ 770L Treliske segregation and

collection

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67. SITES ACCEPTABLE FOR MSW

Connon Bridge, Liskeard transfer station Launceston transfer station

St Erth

United Mines MRF’s

Newquay transfer station Callywith Industrial Estate, bodmin

St Austell transfer station Wilson way pool or any other sites that may become available

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PART D: EVIDENCE/SUPPORTING INFORMATION REQUIRED FROM TENDERERS

68. INFORMATION REQUIRED BY TENDERERS

68.1 As indicated throughout the contract specification, Tenderers are required to provide either a written statement or further information where indicated

68.2 Tenderers are requested to structure their tender proposal as follows:

PART A: INTRODUCTION/GENERAL INFORMATION

Information Required Tick List Section Number in Offer document

Clause 1.7: Statement if Tenderer cannot perform any part of this contract or agree with NHS Terms and Conditions of Contract for the Supply of Services and/or the Supplementary Conditions of Contract.

Clause 5.1/6.1 List of names, addresses and contact details of current contracts in place, (preferably with NHS links) including annual value of contract

Clause 7.1: supplier contact details of lead person

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PART B: TECHNICAL REQUIREMENT OF THE CONTRACT

Information Required Tick List Section Number in Offer document

9. Legislation and Guidance

Clause 9.1: Provide full details of any convictions or prosecutions brought against the company for the failure to comply with waste legislation and regulations during the past three years.

Clause 9.4: Statement of conformity to existing waste regulations.

Clause 9.5: Statement regarding potential effects/impact to the Tenderer of revised/future waste legislation.

Clause 9.8: Provide details of any trade bodies/associations they are accredited to or members of (Sanitary Medical Disposal Services Association, Chartered Institute of Waste Management, Environmental Services Association etc).

10. Licences

Clause 10.1 (including clauses 10.1.1 to 10.1.9): Copies of all certificates and licences for primary treatment/disposal sites to service this contract and details of back up treatment/disposal sites applicable to the contract.

11. Duty of Care

Clause 11.1.2: Provide comprehensive written documentation relating to all aspects of the contract.

Clause 11.1.3: Provide a fully detailed audit trail relating to the collection of all waste streams – including appropriate method statements where significant risk is identified.

Clause 11.1.4: Provide Details of weighbridge facilities/or other weighing processes that will be used for this contract.

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Information Required Tick List Section Number in Offer document

Clause 11.1.5: Produce a complete procedure, which covers all of the requirements of the Environmental Protection Act, including Code of Practice on Duty of Care, COSHH and the requirements of the Health and Safety at Work Act (including risk assessment documentation).

Clause 11.2: Provide a ‘Duty of Care’ report for any organisation that they propose to use in the execution of this contract either frequently or on a contingency basis.

12. Waste Categories

Clause 12.4: Statement regarding the Tenderers intention to use a third party or sub-contract any aspect of this contract.

Clause 12.5: Statement clarifying if a Tenderer intends not to manage various waste streams (even via sub-contracting/third party arrangements) included within the specification.

13. Waste Categories

Clause 13 Statement of conformity with current legislation and HTM 07-01: Safe Management of Healthcare Waste

19. Storage of Healthcare Waste

Clause 19.3 container specification for Trust Fire Officers

Clause 19.4: Statement on the type, size and estimated number of healthcare waste containers to be provided on site(s) to store waste awaiting collection.

Clause 19.10: Statement on how bins/containers would be cleansed before being returned to for reuse.

Clause 19.12: Description on how cleansing process proposed would minimise cross infection.

Clause 19.13: Details of Tenderers container recording system.

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Information Required Tick List Section Number in Offer document

20. Storage of Hazardous Healthcare Waste

Clause 20.2: Tenderers to provide details of containers they propose to use for Hazardous Healthcare Waste if they are successful, including safe methods for keeping bins open

22. Storage of Domestic and General Waste

Clause 22.2: Statement on the type, size and estimated number of Domestic and General waste containers to be provided on site(s) to store waste awaiting collection.

Clause 22.3 container specification for approval by Trust Fire Officer

24. Service Schedule

Clause 24.5: Suggestions from Tenderers on how the Cornwall Healthcare Community can improve its service schedule(s) and/or waste storage/handling equipment.

25. Service Variation

Clause 25.3: A proposed mechanism for agreeing variations as part of their submission

28. Collection of Healthcare Waste

Clause 28.7: Provide details of the number of bins/containers to be supplied as part of the contract.

Clause 28.10: Proposed written statement on how third party/sub- contracted invoice payments would be managed by the Tenderer.

29. Collection of Hazardous Healthcare Waste

Clause 29.6: Provide details of the number of bins/containers to be supplied as part of the contract.

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Information Required Tick List Section Number in Offer document

Clause 29.10: Proposed written statement on how third party/sub- contracted invoice payments would be managed by the Tenderer.

30. Collection of Hazardous non Healthcare Waste

Clause 30.7: Provide details of the number of bins/containers to be supplied as part of the contract.

Clause 30.10: Proposed written statement on how third party/sub- contracted invoice payments would be managed by the Tenderer.

31. Collection of Domestic Waste

Clause 31.3 Provide details of the proposed cleaning schedule of all Domestic and General bins/containers provided as part of the contract.

Clause 31.9: Provide details of the number of bins/containers to be supplied as part of the contract.

Clause 31.11: Proposed written statement on how third party/sub- contracted invoice payments would be managed by the Tenderer.

32. Collection of Miscellaneous Waste

Clause 32.7: Provide details of the number of bins/containers to be supplied as part of the contract.

Clause 32.10: Proposed written statement on how third party/sub- contracted invoice payments would be managed by the Tenderer.

34. Transportation of Waste

Clause 34.2 Provide details of how they propose to transport waste from collection points to waste treatment facilities and if applicable how treated waste is transported to final disposal sites.

Clause 34.6 Demonstrate adequate cover for non availability of vehicles

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Information Required Tick List Section Number in Offer document

Clause 34.10: Provide contact details of Tenderers Dangerous Goods Safety Advisor (DGSA) – including:

• evidence of qualifications, certification and technical competence

• a copy of the most recent Dangerous Goods Safety Advisor Report

36. Waste Treatment Facilities

Clause 36.1: Full details of waste treatment process proposed by the Tenderer, to be used during the course of the contract.

Clause 36.2 Provide evidence that proposed Secure destruction of confidential material will be to BS8470:2006

Clause 36.4: Full details regarding the performance history of all proposed facilities (including contingency facilities) that will be used to service the contract.

37. Disposal of Healthcare Waste

Clause 37.1: Full details of where healthcare waste will be disposed of – including addresses of site(s)/facilities.

Clause 37.2: Copies of all licences as stipulated in section 11 of the contract specification.

Clause 37.7: Full details of contingency plans for the treatment of the Cornwall Healthcare Community healthcare waste in the event of a waste facility being unavailable.

Clause 37.9: Written confirmation that any designated waste disposal plant/facility or standby facilities named within the tender proposal are permitted / authorised by the Environment Agency/Local Authority to receive healthcare waste.

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Information Required Tick List Section Number in Offer document

38. Disposal of hazardous healthcare waste

Clause 38.1: Details of how the Tenderer will undertake separate collection arrangements of hazardous healthcare waste and provide suitable disposal systems to ensure their safe disposal.

Clause 38.2: Full details of where hazardous healthcare waste will be disposed of – including addresses of site(s)/facilities.

Clause 38.3: Copies of all licences / permits as stipulated in section 11 of the contract specification.

Clause 38.9: Full details of contingency plans for the treatment of the Cornwall Healthcare Community hazardous healthcare waste in the event of a waste facility being unavailable.

Clause 38.11: Written confirmation that any designated waste disposal plant/facility or standby facilities named within the tender proposal are permitted / authorised by the Environment Agency/Local Authority to receive hazardous healthcare waste.

39. Disposal of Hazardous non Healthcare Waste

Clause 39.1: Details of how the Tenderer will undertake separate collection arrangements of Hazardous waste and provide suitable disposal systems to ensure their safe disposal.

Clause 39.3: Full details of where Hazardous waste will be disposed of – including addresses of site(s)/facilities.

Clause 39.4: Copies of all licences / permits as stipulated in section 11 of the contract specification.

Clause 39.8: Full details of contingency plans for the treatment of the Cornwall Healthcare Community Hazardous waste in the event of a waste facility being unavailable.

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Information Required Tick List Section Number in Offer document

Clause 39.10: Written confirmation that any designated waste disposal plant/facility or standby facilities named within the tender proposal are permitted / authorised by the Environment Agency/Local Authority to receive Hazardous waste.

40. Disposal of Domestic/General Waste

Clause 40.2: Copies of all licences as stipulated in section 11 of the contract specification.

Clause 40.4: Full details of where Domestic and General waste will be disposed of – including addresses of sites(s)/facilities.

Clause 40.6: Full details of contingency plans for the treatment of the Cornwall Healthcare Community Domestic and General waste in the event of a waste facility being unavailable.

Clause 40.8: Written confirmation that any designated waste disposal plant/facility or standby facilities named within the tender proposal are permitted / authorised by the Environment Agency/Local Authority to receive Domestic and General waste.

41. Disposal of Miscellaneous Waste

Clause 41.2 Sites used for the secure destruction of confidential material must conform to BS8470:2006

Clause 41.3: Copies of all licences as stipulated in section 11 of the contract specification.

Clause 41.5: Full details of where Miscellaneous waste will be disposed of – including addresses of sites(s)/facilities.

Clause 41.7: Full details of contingency plans for the treatment of the Cornwall Healthcare Community Miscellaneous waste in the event of a waste facility being unavailable.

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Information Required Tick List Section Number in Offer document

Clause 41.9: Written confirmation that any designated waste disposal plant/facility or standby facilities named within the tender proposal are permitted / authorised by the Environment Agency/Local Authority to receive Miscellaneous waste.

42. Recycling/Waste Minimisation

Clause 42.1: Provide a proposal which will address the issue of recycling within the Cornwall Healthcare Community.

Clause 42.4: Copies of all licences / permits as stipulated in section 11 of the contract specification.

Clause 42.7: Full details of recycling sites and/or disposal site locations proposed for this contract.

43. Other Waste Streams

Clause 43.1: Proposals from Tenderers on other waste streams that do not form part of the current contract specification.

Clause 43.3: Copies of all licences as stipulated in section 11 of the contract specification.

Clause 43.6: Full details of waste facility and/or disposal site locations proposed for other waste streams.

Clause 43.4 Confidential waste accreditation to BSIA or UKSSA standards (see other sections)

44. Equipment

Clause 44.1: Proposal from suppliers of additional equipment which could form part of the contract.

46. Sub-contracting

Clause 46.1: Confirmation of sub-contacting/third party arrangements – including name, addresses and contact details of suppliers.

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Information Required Tick List Section Number in Offer document

Clause 46.2: Name(s), Addresses and contact details of proposed sub- contracted suppliers and/or proposed third parties to be employed within the contract together with all relevant licences and requirements as detailed in paragraph 11.

47. Contract Implementation Action Plan

Clause 47.1: Provide a comprehensive statement on how the contract will be implemented / managed by the Tenderer.

48. Spillages/Accidents

Clause 48.2: Provide a method statement on how spillages, burstages or accidents are managed by the Tenderer.

51. Monitoring of the Contract

Clause 51.1: Provide a statement on how the Tenderer will monitor and achieve a quality and effective service for the Cornwall Healthcare Community.

Clause 51.2: Provide a written outline of the system that will be used to monitor, trace and audit the contract.

Clause 51.7: Tenderers method of arbitration.

53. Quality Assurance/Environmental Policy

Clause 53.1: Tenderers Quality assurance system and/or accreditation (e.g. ISO 9001/2 certificate.

Clause 53.2: Proposed Subcontractors Quality assurance system and/or accreditation (e.g. ISO 9001/2 certificate.)

Clause 53.3: Tenderers Environmental policies and/or accreditation (e.g. ISO 14001 certificate).

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Information Required Tick List Section Number in Offer document

Clause 53.4: Proposed Subcontractors Environmental policies and/or accreditation (e.g. ISO 14001 certificate).

56. Contract Management

Clause 56.1: Provide a written proposal for the provision of a Contract Manager, together with their qualifications and experience.

57. Innovations/Additional Services

Clause 57.1: Provide written proposals for any initiatives/innovative and carbon reduction services that could be added to the contract.

Clause 57.2: Provide written proposals for any additional services that could be added to the contract.

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ADDITIONAL INFORMATION REQUIRED:

Information Required Tick List Section number in Offer documents

Details of capacity - both in terms existing average throughput and maximum capacity at site(s) and facilities which will be used to manage all the participating Trusts/organisations, healthcare / hazardous / domestic waste.

Sites owned by the Tenderer.

Sites utilised / available to the Tenderer for contingency purposes.

Statement on the Tenderers conformance to Waste Incineration (England and Wales) Regulations 2002; Directive on the incineration of waste (00/76/EC); relevant IPPC and any LAPPC permits and the potential effect on sites that would be utilised for this contract (both nominated site/s and contingency site/s).

Written statement on how the Tenderer will propose to manage the treatment/disposal of Prescription Only Medicine (POM) Contaminated Sharps.

Provide example copies of transfer notes that the Tenderer will use on the Cornwall Healthcare Community contract.

Provide an outline of services that will be provided by the Tenderer.

Provide an outline of how the contract will be managed – details of staff (both contract manager and drivers/operators), organisation structure applicable to the contract, competency/experience of key staff and how escalation procedures will operate.

Provide an outline of how new staff are vetted prior to their recruitment.

Provide details on staff appraisal and training (content/frequency undertaken by the Tenderer.

Provide details on how new and existing staff are medically screened.

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Information Required Tick List Section number in Offer documents

Provide details on staff uniforms and protective clothing that will be used by staff undertaking this contract.

69. COST/PRICE CLARIFICATION REQUIRED ON OFFER SCHEDULE

69.1 As indicated throughout the contract specification, Tenderers are required to provide additional cost/price clarification for various elements of the contract within Offer Schedule.

Information Required Check List

1. Introduction

Clause 1.8: Supply of labour, waste containers, materials, transport and associated facilities to provide a waste collection, transport and recycling/disposal service.

Clause 1.10: Offer Schedule must be completed in the format provided by the Cornwall Healthcare Community – alternative methods will not be considered.

12. Waste Categories

Clause 12.3: Tenderers are required to provide prices/costs for each of the separate groups of waste, which are included within the contract specification.

19. Storage of Healthcare Waste

Clause 19.14: Costs for Hooks, Towing Bars, foot operated wheelie bins, restraining posts (including installation where applicable) etc need to be provided in the Additional Costs section of Offer Schedule – both in terms of initial costs at the start of the contract and for the replacement of these items due to wear/tear and loss.

Clause 19.15: Costs for Waste Container Keys at the start of the contract need to be provided in the Additional Costs section of Offer Schedule.

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Information Required Check List

Clause 19.16: Costs for Waste Container Keys replacement keys (to replace lost keys) during the course of the contract need to be provided in the Additional Costs section of Offer Schedule.

20. Storage of Hazardous Healthcare Waste

Clause 20.4: Breakdown of costs associated with hazardous Healthcare Waste (cost of bins, transportation, hazardous waste consignment notes, disposal etc) must be provided in Offer Schedule.

21. Storage of Hazardous non Healthcare Waste

Clause 21.3: Breakdown of costs associated with Hazardous Waste (cost of bins, transportation, hazardous waste consignment notes, disposal etc) must be provided in Offer Schedule.

22. Storage of Domestic and General Waste

Clause 22.4 Costs of locking/restraining posts

23. Storage of Miscellaneous Waste

Clause 23.2 Costs of locking/restraining posts

24. Service Schedule

Clause 24.4: Any costs associated with service schedule/ service level improvements (i.e. use of new/alternative waste holding/storage equipment) must be provided in the Additional Costs section of Offer Schedule.

33. Recording of Waste Collection and Disposal

Clause 33.1: Charges for Controlled Waste Transfer Notes must be provided in the Additional Costs section of Offer Schedule.

Clause 33.2: Charges for Hazardous Waste Consignment Notes must be provided in the Additional Costs section of Offer Schedule.

44. Equipment

Clause 44..3: Costs for additional equipment must be provided in the Additional Costs section of Offer Schedule.

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Information Required Check List

46. Sub-Contracting

Clause 46.5: Administration charges for third party/sub contractor arrangements (consolidated collections, invoicing etc) must be provided in the Additional Costs section of Offer Schedule.

48. Spillage/Accidents

Clause 48.3: An outline of any costs arising to clear spillages, burstages or accidents need to be provided in the Additional Costs section of Offer Schedule.

52. Price, Payment and Supporting Invoice/Management Information

Clause 52.4: Administration charges for third party/sub contractor arrangements (consolidated collections, invoicing etc) must be provided in the Additional Costs section of Offer Schedule.

57. Innovations/Additional Services

Clause 57.3: Costs associated with suggested additional services and/or innovations and /or carbon reduction plans must be included within the Additional Costs section of Offer Schedule.

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PART E: CONTRACT AWARD CRITERIA/WEIGHTING

70. CONTRACT AWARD CRITERIA AND WEIGHTING

73.1 The contract award criteria/weighting that will be used to evaluate bids for this contract will be as follows:

GENERAL CRITERIA: FOR ALL CONTRACTS:

Sub Category Weight Weight

Contingency Planning 3

Quality of contingency plan submitted and number of alternative sites i.e. 2 fuel crisis, major incidents, insolvency

Access to alternative supplier facilities in event of plant failure* 1

Duty of Care/Visit to Suppliers Premises 2

Condition of technology/facility to be used 0.5

Facility operating within permitted/regulatory requirements 0.5

Health and safety conformance of staff 0.5

Evidence of audit trail relating to the collection of waste streams 0.5

Environmental Systems/Policy 8

ISO14001:2004 certified or equivalent 1

Environmental Policy 1

Carbon Management Reduction Plans/Opportunities - progressive plans 6

Financial Capability 3

Dun & Bradstreet Financial Appraisal 1.5

Financial performance based on 3 years financial accounts 1.5

General Information 2

All information requested in tender has been provided/overall quality of 0.5 documentation received

Good corporate citizenship and Statement of Considered TUPE 0.5

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implications

Health and Safety procedures/policy 1

Implementation Plan 2

Details & Quality of implementation plan received & timescales 2

Waste Reduction, Re-use, Recycling and Innovations/Proposals 8

Relevance of ideas, solutions and innovations 1

Quality of innovations and solutions proposed 1

Affordability of ideas, solutions and innovations 1

Quality and relevance of waste reduction, re-use and recycling proposals 2

Proposed income and recycling credits to Trusts 3

Price/Running Costs 50

Acute Trust Costs:

Healthcare Waste Tonnage Rate 6

Hazardous Healthcare Waste Tonnage Rate 6

Hazardous Waste Costs 3

Domestic Waste Tonnage Rate 3

Miscellaneous Wastes - costs 2

Transportation Costs 2

Admin and paperwork costs 1

Bin Rental/Cleaning 1

Invoicing proposals 1

Community/PCT Trust Costs:

Healthcare Waste Tonnage Rate 6

Hazardous Healthcare Waste Tonnage Rate 6

Hazardous Waste Costs 3

Domestic Waste Tonnage Rate 3

Miscellaneous Wastes - costs 2

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Transportation Costs 2

Admin and paperwork costs 1

Bin Rental/Cleaning 1

Invoicing proposals 1

Quality Assurance/Audit Systems 2

ISO9001/2 certified or equivalent 1

Proposed systems to manage & audit waste collection and disposal 1

Service Characteristics 3

Outline and coverage of services to be provided 1

Quality and relevance of additional services proposed 0.5

Proposed contract management infrastructure for contract 0.5

Relevance and quality of management information/data proposed 1

Reference site/s for Whole waste Disposal contract 2

Relevance of site/s identified in relation to the requirements/needs of 1 participating trusts

Evidence of experience of Whole Waste Disposal in the NHS or managing 1 waste in the NHS

Technical Capability 15

Methods of disposal/technology proposed to service contract - Healthcare 2 Waste

Methods of disposal/technology proposed to service contract - Hazardous 2 Waste

Methods of disposal/technology proposed to service contract - Domestic 1 Waste

Methods of disposal/technology proposed to service contract - 1 Miscellaneous Waste

Capacity levels of proposed facilities/ability to treat participating trusts 2 waste

Evidence of conformity to existing legislation 2

Statement regarding how the supplier will address new and future waste regulations 0.5

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Evidence of membership to accredited trade/professional associations 0.5 (SMDSA, CIWM, ESA etc)

Evidence of appropriate waste licences / permits for collection, transfer 3 stations and disposal facilities

Quality/relevance of Dangerous Goods Safety Advisor Report provided 1

TOTAL SCORE 100

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APPENDIX A: LEGISLATION AND GUIDELINES

The following legislation and guidelines list is not exhaustive and the 4 Cornish NHS Trusts will require the appointed Contractor(s) to ensure that it notifies and advises each Trust to all relevant current/future legislation, regulation and guidelines in order to ensure that the each Cornish NHS Trust meets their individual duty of care:

PLEASE NOTE: THE FOLLOWING LIST OF LEGISLATION AND GUIDELINES APPLIES TO ENGLAND ONLY.

Carriage of Dangerous Goods by Road Regulations 1996 SI 2095 Clean Neighbourhoods and Environment Act 2005 Control of Pollution (Amendment) Act 1989 Control of Substances Hazardous to Health Regulations 2002 SI 2677 Controlled Waste Regulations 1992 SI 588

Controlled Waste (Amendment) Regulations 1993 SI 566 Controlled Waste (Registration of Carriers and Seizure of Vehicles) Regulations 1991SI 1624 and Amendment (SI1998/605) Directive 00/76/EC on the incineration of waste

Directive 1999/36/EC on Transportable Pressure Equipment Directive 2001/7/EC adapting for the third time to technical progress Council Directive 94/55/EC on the approximation of the laws of the Member States with regard to the transport of dangerous goods by road Directive 2002/96/EC on waste electrical and electronic equipment as amended by EU Directive 2003/108/EC. Directive 2003/28/EC applying the European Agreement concerning the International Carriage of Dangerous Goods by Road

Carriage of Dangerous Goods, Packaging & Labelling Regulations

Directive 2004/35/CE on Environmental Liability

Directive 2006/121/EC amending Directive 67/548/EEC on the approximation of laws, regulations and administrative provisions relating to the classification, packaging and labelling of dangerous substances in order to adapt it to Regulation (EC) No 1907/200

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Directive 75/442/EEC on waste as amended by - (i) Directives 91/156/EEC and 91/692/EEC; (ii) Commission Decision 96/350/EC; and (iii) Regulation (EC) No 1882/2003

Directive 91/155/EEC on safety sheets Directive 91/689/EEC Hazardous Waste Directive as amended by Council Directive 94/31/EC Directive 94/62/EC of the European Parliament and the Council on packaging and packaging waste amended by Directive 2004/12/EC, Commission Decision 1999/177/EC, Commission Decision 2001/171/EC& Commission Decision 2006/340/EC amending Decision 2001/171/EC Directive 96/29/EURATOM on basic safety standards for the protection of the health of workers and the general public against the dangers arising from ionising radiation

Directive 96/49/EC on the approximation of the laws of Member States with regard to the transport of dangerous goods by rail (as amended by Directive 2000/62/EC and Directive 2003/29/EC) Directive 96/61/EC on Integrated Pollution Prevention and Control (the "IPPC Directive") Directive00/76/EC on the incineration of waste End of Life Vehicles Regulations 2003 (SI 2003/2635) End of Life Vehicles (Producer Responsibility) Regulations 2005 SI 263 Environment Act 1995

Environmental Protection Act 1990 Environmental Protection (Disposal of Polychlorinated Biphenyls and other Dangerous Substances) (England and Wales) Regulations 2000 SI 1043 Environmental Protection (Duty of Care) Regulations 1991 (SI1991/2839)

Environmental Protection (Duty of Care) (England) Amendment) Regulations 2003 (SI2003/63). NB: SI2003/1720 in Wales)

Environmental Protection Act 1990 (Amendment of Section 57) (England and Wales) Regulations 2005 No. 3026

Environmental Protection Act 1990 (Extension of Section 140) Regulations SI 1999 No 396

Environmental Protection Act 1990 (Modification of section 112) Regulations 1992 No. 2617 EU Regulation 259/1993 on the Supervision and Control of Shipments of Waste

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Hazardous Waste Directive 91/689/EEC as amended by Council Directive 94/31/EC Hazardous Waste (England and Wales) Regulations 2005 SI 894 Health and Safety at Work Act 1974

Health and Safety at Work etc 1974 (Application to Environmentally Hazardous Substances) (Amendment) Regulations 2005 (SI 2005/1308) Ionising Radiations Regulations 1999 SI 3232 Landfill (England and Wales) Regulations 2002 SI 1559

Landfill (England and Wales) (Amendment) Regulations SI2004/1375) Landfill (Scheme Year and Maximum Landfill Amount) Regulations 2004 SI 1936 Landfill Tax Regulations 1996 SI 1527 Landfill Tax (Amendment) (No 2) Regulations 2003 SI 2313 Landfill Tax (Amendment) Regulations 2003 SI 605

Landfill Tax (Qualifying Material) Order 1996 List of Wastes (England) Regulations 2005 SI 895 Noise and Statutory Nuisance Act 1993 Packaging (Essential Requirements) Regulations 2003, SI 1941

Packaging (Essential Requirements) (Amendment) Regulations 2004, SI 1188 Pollution Prevention and Control (Unauthorised Part B Processes) (England and Wales) Regulations 2004 SI434 Pollution Prevention and Control Act 1999 Producer Responsibility Obligations (Packaging Waste) Regulations 1997, SI 648

Producer Responsibility Obligations (Packaging Waste) (Amendment) Regulations 1999, SI 1361 Producer Responsibility Obligations (Packaging Waste) (Amendment) (No2) Regulations 1999, SI 3447

Producer Responsibility Obligations (Packaging Waste) (Amendment) (England and Wales) Regulations 1999, SI 3375

Producer Responsibility Obligations (Packaging Waste) (Amendment) (England) Regulations 2002, SI 732

Producer Responsibility Obligations (Packaging Waste) (Amendment) (England/Wales/Scotland) 2003 SI 3294 / 613 / 3238 Radioactive Material (Road Transport) (Amendment) Regulations 2003, SI 1867 Radioactive Material (Road Transport) Regulations 2002, SI 1093

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Radioactive Substances Act 1993, as amended Road Transport Directive (2002/15/EC) as implemented by the Road Transport (Working Time) Regulations

The Environmental Information Regulations 2004 (SI3391/2004) The Environmental Protection (Prescribed Processes and Substances) (Amendment) (Hazardous Waste Incineration) Regulations 1998 The Pollution Prevention and Control (England and Wales) (Amendment) (England) Regulations 2006

The Pollution Prevention and Control Act 1999 The Radioactive Substances Act 1993 The Waste Electrical and Electronic Equipment Regulations SI 2006 /3289 The Waste Incineration (England and Wales) Regulations 2002 No. 2980

Waste and Emissions Trading Act 2003 Waste and Emission Trading Act 2004 Order 2004 (SI 2004/1874 and 1488) Waste Management Licensing (Amendment) (England) Regulations 2003 (SI 2003/595)

Waste Management Licensing Regulations 1994 (SI1994/1056) as amended Waste Management Licensing (England and Wales) (Amendment and Related Provisions) (No. 2) Regulations 2005 (SI 2005/1528) Waste Incineration (England and Wales) Regulations 2002, SI 2980 Waste Management Licences (Consultation and Compensation) Regulations 1999, SI 481 Source: Environment Agency (www.environment-agency.gov.uk) and NetRegs www.netregs.gov.uk 2 March 2007

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APPENDIX B: FUTURE REGULATIONS AND GUIDELINES TO CONSIDER:

• Budget adjustments to the rate of Landfill Tax and potential changes to the exemption regime

• Batteries Regulations (implementing the Batteries Directive)

• Changes to DoH guidance on safe management of healthcare waste

o The DoH web pages on waste contain template and example: local clinical waste disposal procedure within a total waste management regime; total waste management policy and strategy; waste manager job description as well as briefing notes on relevant topics such as WEEE and diabetic care (sharps disposal) and guidance on healthcare waste minimisation)

• Environmental Liability Regulations (implementing the Environmental Liability Directive)

• Environment Agency Technical Guidance Document WM2 - Interpretation of the definition and classification of hazardous waste Technical Guidance’7

• Environment Agency web pages on waste

o Outcome of the EA and DEFRA consultation on amendments to the Duty of Care for waste and revision to statutory guidance

o Outcome of the EA consultation on site waste management plans for the construction industry

o Outcome of the EA consultation on trans frontier shipment of waste • NetRegs

• NHS Estates Health Techncial Memorandum 07-01: Safe Management of Healthcare Waste, November 2006

• NHS Estates “Total Waste Management Best Practice Advice on Local Waste Management for the NHS in England”. London, 2004. ISBN 0-11-322493-1. (Only available in hard copy from the Stationary Office.)

• PASA pages on waste including access to waste management and sustainable development training framework (NHS only)

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APPENDIX C TYPES OF WASTE AND APPLICABLE EUROPEAN WASTE CATALOGUE CODES

European Waste Type of Waste Classification Tick all that will apply in your tender

Sharps (except 18 01 03) 18 01 01

Body parts and organs including blood bags and blood preserves(except 180103) 18 01 02

Wastes whose collection and disposal is subject to special *18 01 03 requirements in order to prevent infection

Wastes whose collection and disposal is not subject to special requirements in order to prevent infection (e.g. plaster casts, 18 01 04 dressings, linen, disposable clothing, diapers)

Chemicals consisting of or containing dangerous substances *18 01 06

Chemicals other than those contained in 180106 18 01 07

Cytotoxic and cytostatic medicines *18 01 08

Medicines other than those mentioned in 180108 18 01 09

Amalgam waste from dental care *18 01 10

Animal healthcare waste

18 02 03

Non- infectious

Aerosol containers – empty 15 01 04 (containing residues of non hazardous products)

Aerosol containers – empty *15 01 10 (containing residues of hazardous products like ethanol)

Treated clinical waste for landfill 19 03 05

Paper and cardboard 20 01 01 This will include CONFIDENTIAL WASTE

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Glass 20 01 02

Biodegradable kitchen and canteen waste 20 01 08

Clothes 20 01 10

Textiles 20 01 11

Solvents *20 01 13

Acids *20 10 14

Alkalines *20 01 15

Photochemicals *20 01 17

Pesticides *20 01 19

Florescent tubes and other mercury containing waste *20 01 21

Discarded equipment containing chlorofluorocarbons *20 01 23

Edible oil and fat 20 01 25

Oil and fat other than that mentioned in 200125 *20 01 26

Paint, inks, adhesives and resins containing dangerous substances *20 01 27

Paint, inks and adhesives other than those mentioned in 200127 20 10 28

Detergents containing dangerous substances *20 01 29

Detergents other then mentioned in 201029 20 01 30

Batteries and accumulators and unsorted batteries and accumulators *20 01 33 containing these batteries

Batteries and accumulators other than mentioned in 20 01 33 20 01 34

Discarded electrical equipment and electronic equipment other than those mentioned in 20 01 21 and 20 01 23 containing hazardous *20 01 35 components

Discarded electrical and electronic equipment other than those 20 01 36 mentioned in 20 01 21,20 01 23, 20 01 35

Wood containing dangerous substances *20 01 37

Wood other than mentioned in 20 01 37 20 01 38

Plastics 20 01 39

Metals 20 01 40

Wastes from chimney sweeping 20 01 41

Garden and park biodegradable waste 20 02 01

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Soil and stones 20 02 02

Other non biodegradable waste from garden and park 20 02 03

Mixed municipal waste (black bags) 20 03 01

Street cleaning residues 20 03 03

Septic tank sludge 20 03 04

Waste from sewage cleaning 20 03 06

Bulky waste 20 03 07

* indicates a hazardous waste

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EXPLANATORY NOTES

The Cornwall Healthcare Community is made up of the following organisations:

• The Royal Cornwall Hospitals Trust (RCH) which is an acute treatment provider

• The Cornwall and Isles of Scilly Primary Care Trust (CIOS) which is a community care provider and also a commissioner of Healthcare services

• The Cornwall Partnership Trust is a provider of specialist services for mental health and learning disabilities. They also host Cornwall Healthcare Estates and Support Services who provide healthcare waste services to GP’s, Dentist and other small producers. This waste is collected and delivered directly to disposal site

• The Cornwall Partnership Trust are a charity organisation providing support and pallative care to terminally ill patients

In addition, for this contract specification the following have been included as commissioned services:

• Ramsay Healthcare, (who also run Mount Stewart Hospital in Torquay)

• Collection of patient returned redundant drugs from identified chemists/pharmacies

Whilst this contract specification includes all waste streams identified for disposal within the organisations listed above these individual waste streams may be tendered for separately to ensure that the evaluation process can identify ‘best value’

Please note that the site St Mary’s Hospital on the Isles of Scilly transports all but domestic waste by sea to the Docks at Penzance. Subsequently documentation for hazardous waste must meet IMDG (International Maritime Dangerous Goods) Regulations. Domestic waste is incinerated on the island

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In addition, domestic waste designated as Municipal Solid Waste (MSW) produced by inpatient units or teaching facilities where disposal is paid for by the County Council must be disposed of at PFI providor (SITA) disposal sites in accordance with contractural arrangements within the County. This however does not apply to waste streams outside of that criteria.

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