Waste Stories 12/11/2014

Symp2

1. Consultation on Environment Agency charges from 2015

This consultation, which closes on November 20, sets out Government’s charging proposals for the Environmental Permitting, Abstraction and EU Emissions Trading Schemes.

See the consultation here: EA consultation documents

2.Academy of Medical Royal Colleges’ report on costs savings in the NHS

A new report issued by the Academy of Medical Royal Colleges has identified nearly 2bn pounds worth of cost savings the NHS could be making if it provided more appropriate care. The report entitled Protecting resources, promoting value: a doctor’s guide to cutting waste in clinical care, provides a framework for doctors to think critically about waste from a clinical perspective and provides examples of doctors improving the value of health care by reducing waste. It looks at the different types of clinical waste and covers how doctors should be leaders in its reduction. It looks at everything from reducing physical waste, such as medicines, to saving NHS resources, estimating that around 20 percent of mainstream clinical practice brings “no benefit to the patient”, as there is widespread overuse of tests and interventions.

Using data obtained by the National Institute of Clinical Excellence and first-hand accounts from doctors, the document reveals:

  • improving doctor’s awareness of the possibility of adverse drug reactions (ADRs), particularly among the frail and elderly could save the NHS £466m a year. One analysis showed that over half of the patients being treated could safely have their medication reduced or stopped altogether. ADR’s account for 4 in every 100 hospital bed days
  • the simple measure of increasing the frequency of ward rounds means patients can often go home sooner. At the Royal Liverpool University hospital ward rounds were increased from two a week to twice daily. It reduced bed occupancy by 7.8 percent
  • maximising the use of operating theatres and managing operating schedules better, saved the University Hospital Bristol Trust £2m a year. There are 160 acute trusts in England.

The report recognises that operating at 100 percent efficiency, round-the-clock would be impossible in an organisation as large and of necessity, as flexible as the NHS, but calls for a change in culture by England’s 150,000 doctors, arguing they have an ethical duty to protect resources and promote value.

It suggests they should ask not simply if a treatment or procedure is possible, but, whether it provides real value to the patient and genuinely improves the quality of their life or their prospects for recovery.

Academy Chair Professor Terence Stephenson said: “Maintaining NHS services in the future depends on doctors ensuring the best use of resources today. Quality of care is a doctor’s prime concern. But, delivering quality care and promoting value are really two sides of the same coin. One doctor’s waste is another patient’s delay; potentially it could be another patient’s lack of treatment.”

Read the report here: Academy of Medical Royal Colleges’ report

3. CIWM 2014 award winners (including two University of Northampton students) announced

The 2014 winners of the CIWM Awards have been unveiled, representing the pinnacle of best practice and innovation in the waste and resources industry. Over 400 attendees gathered at the ceremony held at the London Marriot, which was hosted this year by TV presenter and adventurer, Helen Skelton, who’s widely known for presenting BBC’s Blue Peter and Countryfile.

The CIWM Awards recognise the achievements and innovations made by companies, local authorities, professionals and academics, and cover all aspects of the industry – from waste and resource management, to sustainability and energy recovery.

Read about the winners here: CIWM 2014 award winners (including John Dururu and Rob Reinhardt)

4. Scotland’s 2012 waste arisings revealed

Newly compiled data has been published by the Scottish Environment Protection Agency (SEPA) that provides a breakdown of all waste generated and managed in Scotland during 2012. The data brings together information on the waste collected from all sources, such as commercial enterprises, the construction industry and households, including detailed information on the waste generated, recycled and disposed to landfill.

Publicly available on the Scotland’s Environment website, the data is presented for the first time through the new interactive Waste Discover Data tool. It allows users to analyse and display data in greater detail, while filters are available to isolate key information by waste management method, origin, hazard, location and specific waste material.

See the tool here: Scotland waste arisings tool

5. Green Investment Bank has invested more than £200m in waste projects

More than £200 million has been invested by the Green Investment Bank (GIB) in waste projects since the Bank opened two years ago. The GIB was set up with around £3 billion of government funding in 2012 and identified waste as one of its priority sectors. A specific team was set up within the GIB aimed at identifying investment opportunities within the waste sector. The GIB’s waste and bio-energy team has funded a series of projects in the sector, of which the majority are energy-from-waste and anaerobic digestion projects. The Bank’s aim is to attract private funding for projects, with GIB funding intended to act as an incentive for private sectors to step in. To date the GIB has invested a total of £1.6 billion in 37 different projects across all sectors.
Visit the Bank’s site here: GIB website

Waste stories 5/11/2014

Healthcare

1. New health and safety guidance for waste and recycling collection

The Health and Safety Executive (HSE) and The Waste Industry Safety and Health Forum (WISH) have published guidance on managing the risks from waste and recycling collection services. According to HSE, collection activities account for the largest proportion of accidents in the waste and recycling industries.

See guidance here: HSE and WISH guidance

2. Boosting business resource efficiency through End-of Waste

11th November | 8.30am – 10.30am | Jubilee Room, Palace of Westminster

Speakers include:

Dr Paul Leinster – Chief Executive, Environment Agency

Gary Crawford – Vice President – Emerging Markets, Veolia Environmental Services

Peter Young – Chairman, Aldersgate Group

On behalf of the Environment Agency and its Equal (Ensuring Quality waste-derived products) programme partners, this event will launch the IsItWaste? programme’s support tool. The free online tool empowers businesses to assess and make informed decisions about whether a waste-derived material is a by-product, achieves End-of-Waste criteria or remains a waste. The Equal LIFE+ programme aims to promote the re-use and recycling of waste materials whilst protecting human health and the environment. The IsItWaste? webtool will help businesses to derive value from waste materials by demonstrating that they are safe, high quality products. The programme partners are the Environment Agency, CIWM, ESA, the Northern Ireland Environment Agency, the Dutch Ministry of Infrastructure & the Environment, the Organics Recycling Group, and Energy UK.

This event will be chaired by Barry Sheerman MP. Please email apsrg@policyconnect.org.uk for more information and to register.

3. Defra EU and UK footprinting update

Defra is running an event on November 24, from 1:30 – 5pm, to update UK businesses about the ongoing work on environmental footprinting led by the European Commission.   The EC has published two generic footprinting methods – one for products and one for organisations, and has recommended their use by Member States and by companies.  The aim is that the methods will be used to measure environmental performance on a life cycle basis, and will counteract the proliferation of different methodologies.   A 3 year pilot of these methods began in November 2013 and includes work to develop product- and sector-specific rules and to test communications vehicles.   Further background information is on the EC PEF website.

At this session you will hear from the European Commission directly on the progress of the pilot work, and from businesses involved in individual pilots on their experiences so far.  There will be an opportunity to ask questions and to contribute your views on the potential future impacts and issues for UK business.  Defra are keen to gather views in this area to help us develop our policy on how footprinting methodologies can most usefully be developed and how they might contribute to environmental policy in the future. If you are interested in attending this event, please contact Defra to request a place:

Ruth Coward |  Sustainable Products  | Resource, Atmosphere and Sustainability | DEFRA

ruth.coward@defra.gsi.gov.uk  |  0207 238 5281

Please note that numbers are limited by the venue size and places will be confirmed according to availability.

4. Free subscription to Waste Management World

Waste Management World Magazine delivers the latest news and global developments on international projects, best practices, technological developments, trends and legislation. Each issue covers biological waste treatment, collection and transport, recycling and waste minimization, sanitary landfill and thermal treatment of waste.

Click here: Waste Management World

Waste Stories 30/10/2014

 

Symp2

1. Launch of CIWM’s Circular Economy Report

4th November | 2.30pm – 4.00pm | CPA Room, Palace of Westminster

Speakers include:

The Rt Hon the Lord Deben – Chairman, Climate Change Committee

John Quinn – Chief Executive, Arc21 and President of CIWM

Ray Georgeson – Report Author

This parliamentary event will launch the Chartered Institution of Wastes Management’s (CIWM) Circular Economy Report. This report explores how well the circular economy concept is understood across the waste and resources sector and what it means for professionals within the sector.

This event will be chaired by Barry Sheerman MP. Please email apsrg@policyconnect.org.uk for more information and to register.

2. National waste planning policy consultation

The national waste planning policy consultation report has been published, accompanied by the new “National Planning Policy for Waste”, which suggests councils should work “jointly and collaboratively” with other planning authorities to collect and share data and information on waste.

The Department for Communities and Local Government (DCLG) launched its consultation on an updated national waste planning policy in July this year. The Department said the new policy document means councils can no longer give special consideration to locational needs, or wider economic benefits the site could bring, over other considerations, as justification for building waste facilities on green belt land.

See document here: Waste policy consultation

3. ISWA TRP+ hazardous waste project

The TRP+ Project (Training Resources Pack for Hazardous Waste Mangement) had its third Expert Workshop in Vienna at the United Nations Industrial Development Organisation (UNIDO), alongside the UNEP/ISWA Mercury Expert Group Meeting.  From 25 to 26 August, six participants worked on 8 sub-chapters of the TRP+ and had very interesting and effective discussions. Topics discussed included: Mercury Wastes, PoPs, Asbestos, Physical-chemical Treatment, Waste Handling, Storage and Waste Handling, Management Systems for Safety, Environment and Social Factor.  It is expected to have the final draft of these sub-chapters ready and uploaded to the online expert forum, in order to be finally compiled into the complete package next year in 2015.

Read about the project here: TRP+ project

4. Interactive map of UK recycling

National recycling and resource management company, SITA UK, has released an interactive digital map of local authority recycling data across the UK, allowing for a clear view on where low lowest and highest recyclers live.

See the map here: UK map of recycling

5. Water, wastewater and environmental monitoring seminar (November 5 – 6)

The 6th WWEM seminar will be held on November 5 and 6, at the Telford International Centre. It is focused on measurement, testing and analysis for the water and wastewater and environmental industry. From test kits to process measurement, laboratory analysis right through to fixed and portable gas detection.

See full programme here: WWEM seminar

Waste Stories 22/10/2014

 Symp2

1.Scottish landfill Tax set to be the same as the rest of the UK

The Scottish Environmental Services Association (SESA) has welcomed the Scottish Government’s draft Budget for 2015/16, which sets the Scottish rate of landfill tax at the same level as the rest of the UK.

Finance Secretary, John Swinney, confirmed that when the new Scottish landfill tax takes effect from April 2015, the standard rate of landfill tax would be £82.60/tonne, and the lower rate at £2.60/tonne.

Read the story here: Scottish Landfill Tax

2.Healthcare waste management in Vietnam

The video is part of the report by the Project Management Unit of World Bank after they reviewed the first stage of the financial program. This program aims at improving Hospital Waste Management in Vietnam.

See the video here: Vietnamese healthcare waste management

3.NHS Forest Conference

A number of awards were recently presented to various NHS sites at the NHS Forest Conference.

See the list of winners here: NHS Forest awards

4.NHS sustainability days roadshows

Over the coming months, the NHS will be holding a number of sustainability day roadshows, in cities across England.

See the list of dates and cities here: NHS sustainability dates

5.British Medical Journal blogs on sustainability

A series of blogs were commissioned for the BMJ website to coincide with the CleanMed Europe conference in 2013 around sustainability.

Read the blogs here: BMJ sustainability blogs

Waste stories 10/10/2014

 

Healthcare

1.The Regulatory Position Statement (RPS160): a case study of Addenbrookes Hospital

RPS (160) relates to the onsite sterilisation of single use instruments, which can then be sent for metal recovery.

“Adoption of the approach has meant that we capture the single use instruments at point of source, send to our onsite CSSD Dept for decontamination, hold in a secure stillage, and then send for recycling via our scrap metal merchants, which earns us >£650 per tonne as the instruments are stainless steel. The implications are 3 fold for us; reduced weight in sharps bins, stopping a waste commodity from end of use disposal in the bottom ash, reduced cost and tonnage of bottom ash disposal as well as earning an income”.
 
Read the RPS here: RPS 160
If you wish to get more information about the case study or the RPS in general, please contact Vicki Sawford:
victoria.sawford@addenbrookes.nhs.uk

2.NHS finances – pressures, deficits and challenges

A growing population and increasing demands on the NHS are trends which are thrown into sharper relief month by month. The financial consequences are laid bare in a new report by the regulator Monitor, which oversees the work of flagship health trusts in England with greater freedom to manage their affairs. For the first time the foundation trusts have chalked up an overall quarterly deficit…

Read the stories here: NHS finance challenges and NHS finances worsening

3.EU healthcare waste project

Even though healthcare waste is very heavily regulated across Europe there is a considerable range of levels of waste management depending on national strategy and infrastructure. This project is seen as an opportunity to improve the skills of the existing workforce as well as training people in the appropriate skills prior to them entering the sector. The aim of this EU funded project under the LDV Grant is to develop an EU Standardised Approach to Vocational Educational Training Awards in Healthcare Waste Management.

Read about the project here: EU-HCWM

4. Free NHS premises and facilities management procurement workshop

WRAP working in collaboration with the Department of Health and the Sustainable Development Unit (SDU) invites NHS Procurement, Estates and Sustainability professionals to attend a practical workshop to learn more about opportunities to deliver resource efficiency and cost savings through improved service delivery and procurement.  This workshop is free of charge and will cover:

  • Opportunities for resource and cost savings in premises and service delivery
  • Catering and food services in the NHS
  • Energy excellence – when to refurbish, when to replace, when to change behaviours
  • Introduction to WRAP FM guidance and resources to support service procurement
  • Appropriate clauses in tenders and contracts to deliver cost and environmental savings, with examples of use in practice
  • Working with service providers to deliver against efficiency and environmental drivers
  • Data management and KPIs – improving monitoring and measurement to ensure environmental and associated cost savings can be delivered through contracts
  • Quantifying cost and environmental savings.

Read about the event here: WRAP NHS event

5. CIWM looking for experienced waste trainers

CIWM is looking for experienced waste trainers to join its assocaite team. They are especially looking for trainers to deliver their ‘Waste legislation’ and ‘Duty of care’ courses, as well as a soon to be launched course on ‘Implementing a waste audit’. Anyone interested should submit their full CV, indicating areas of specialist/subject expertise and training experience, along with your training rate. Information should be sent to rebecca.penberthy@ciwm.co.uk.

Waste Stories 30/9/2014

 

Healthcare1.The Ontario Medications Return Program and the Ontario Sharps Collection Programme

The Ontario Medications Return Program (OMRP) and the Ontario Sharps Collection Program (OSCP). The two programs are the first and only extended producer responsibility (EPR) programs to be regulated under the Ontario Environmental Protection Act and are administered by HPSA on behalf of the health products industries.

HPSA’s network of almost 3,400 community pharmacy collection sites across Ontario accepted 407 tonnes of pharmaceuticals and 259 tonnes of sharps from residents and managed the disposal in a safe and secure manner. HPSA also provided close to 200,000 free sharps containers to Ontario residents. The size of the HPSA collection network allows for convenient consumer access which results in improved safety in the home, helps prevent misuse of drugs, keeps drugs and sharps out of municipal curbside collection and keeps pharmaceuticals out of wastewater treatment systems.

Residents of Ontario returned 750 tonnes of pharmaceuticals and sharps from households for proper disposal between Oct. 1, 2012 and December 31, 2013. Almost 90% of the unused/expired pharmaceuticals and used sharps were returned by residents to retail pharmacies registered as collection locations in the OMRP and the OSCP.

Read more about the programmes here: Ontario medications returns programme

2.IHEEM annual conference

See event details here: IHEEM conference 2014

3.Report on medical waste management by market

The hospital and pharmaceutical waste management can be further categorized as regular medical waste, anatomical waste, manufacturing waste, and clinical trial waste. The medical waste management market is attracting significant investments and developments. The market is expected to reach a value of $10.3 billion by 2018, at a CAGR of 4.9%. Pharmaceutical waste management leads the market and is estimated to reach a market size of $5.8 billion by 2018.

Read the overview of the report here: medical waste markets

4.Updated NIOSH list of antineoplastic and other hazardous drugs in healthcare settings

There have been 27 new drugs added and 12 drugs removed.

See full document here: NIOSH list of hazardous drugs

5.The Rushlight Awards

Entries for the Rushlight Awards 2014-15 close on 31 December 2014 and the Rushlight Awards Party will follow the Rushlight Show on Thursday 29 January 2015 at the Royal College of Surgeons of England, Lincoln’s Inn Fields, London.
Now in their 8th year, they have become an established event recognising the cleantech stars and sustainability champions of today.  They are the only set of awards designed specifically to support and promote all the latest clean technologies, innovations and initiatives for businesses and other organisations throughout UK and Ireland. There are 25 separate categories covering renewable energy, clean fuels and transport, energy efficiency, power generation, green products and services, sustainable agriculture, forestry and biodiversity, water, waste, sustainable manufacturing and services and environmental measurement and management.

See details on the Awards here: Rushlight Awards 2014/15

Waste Stories 23/9/2014

 

P1000527

1. Seminar on September 25

The Healthcare Waste and Resources Research Group will be hosting a seminar focusing on treatment technologies and recovering value from healthcare waste, on Thursday September 25.

It will be held at the Bywaters’ recycling facility, in East London. The morning session will be dedicated to presentations from a range of speakers. While in the afternoon, delegates will have the opportunity to tour the facility.

The event is being sponsored by Frontier Medical GroupSharpsmart and Bywaters. Additional sponsors include GV Health, SRCL, MITIE, Econix and Independent Safety Services Ltd.

Registration forms and booking details, including early bird discounts are available at the link below. When you book, can you let us know: (1) if you would like to do the site tour in the afternoon, (2) if you require a car parking space and (3) if you have any disability requirements?

 Online registration form for the seminar

 2. Consultation on London waste infrastructure

A consultation on future waste infrastructure needs for London was launched on 30th July 2014. It closes on 31st October 2014.

Access the consultation document here: London infrastructure

3.US DEA ruling on the disposal of controlled drugs

This Department of Justice Drug Enforcement Administration (DEA) ruling governs the secure disposal of controlled substances by registrants and ultimate users. These regulations will implement the Secure and Responsible Drug Disposal Act of 2010 by expanding the options available to collect controlled substances from ultimate users for the purpose of disposal, including: take-back events, mail-back programs, and collection receptacle locations.
Read the ruling here: disposal of controlled drugs

 

4.Emory’s Ebola experience in managing healthcare waste

WASHINGTON – When two Ebola-infected patients were airlifted to Emory University Hospital in Atlanta in early August, dedicated staffers were prepared to care for the patients. But those staffers had to act quickly to deal with unanticipated challenges that came from regulators and some of the hospital’s contractors, who initially refused to dispose of the mountains of medical waste generated by the patients and the clinicians who cared for them, according to Dr. Aneesh Mehta.

Read the article here: Emory’s ebola experience

5.WHO’s global health initiative for needle safety

At the TEDMED conference in Washington, DC, Dr. Marie-Paule Kieny, assistant director general of the World Health Organization (WHO), revealed that the organization will announce its third-ever global health initiative and policy in October. The initiative this time is around needle safety.

Read the story here: WHO needle initiative

6.Food Waste: The Challenges

15th October | 2.00pm – 3.30pm | Committee Room 9, Palace of Westminster

Speakers include:

Mike Walters– Group Manager Waste & Water Resource, The John Lewis Partnership

Representative – Feeding the 5000

Keith James – Special Advisor, Waste & Resources Action Programme

Stephen Roscoe – Technical Director, Grundon Waste Management (tbc)

This parliamentary seminar will explore current food waste policy and the challenges which the UK still faces in this area. With much research showing the extent of food waste in the UK and its economic, environmental and as social impacts, this event will seek to examine the ways in which Government can respond to these concerns and support businesses, local authorities and households in reducing their food waste in a time of increasing pressure on finances and the environment.

This event will be chaired by Kerry McCarthy MP.

 Please email apsrg@policyconnect.org.uk for more information and to register.

 

Waste Stories 15/9/2014

 

P1000527

1. Seminar on September 25

The Healthcare Waste and Resources Research Group will be hosting a seminar focusing on treatment technologies and recovering value from healthcare waste, on Thursday September 25.

It will be held at the Bywaters’ recycling facility, in East London. The morning session will be dedicated to presentations from a range of speakers. While in the afternoon, delegates will have the opportunity to tour the facility.

The event is being sponsored by Frontier Medical Group, MITIE, Sharpsmart and Bywaters. Additional sponsors include GV Health, SRCL, Econix and Independent Safety Services Ltd.

Registration forms and booking details, including early bird discounts are available at the link below. When you book, can you let us know: (1) if you would like to do the site tour in the afternoon, (2) if you require a car parking space and (3) if you have any disability requirements?

 Online registration form for the seminar

2. OSHA Consultation

The Occupational Safety and Health Administration (OSHA) ahs set out a consultation document to amend its injury and illness reporting requirements. The consultation closes on October 14, 2014

The document can be found here: OSHA consultation document

3. NERC-funded student helps analyse Ebola genome sequence

The virus, which is currently spreading through West Africa in the largest outbreak yet, has no known cure. Sequencing the genome and understanding the evolution of the disease may help researchers understand the disease and the risks it may pose in the future. Ultimately, this could help with vaccine development or therapies to treat the disease…..

Read the article here: NERC funded student analyses Ebola genome sequence

4. CDC advice on Ebola

The link below to the Centres for Disease Control and Prevention (CDC) provides advice on maanging the risks associated with Ebola Hemorrhagic Fever.

CDC advice on Ebola

5. New England Journal of Medicine articles on Ebola

Read the articles here: Ebola

 

Waste Stories 08/9/2014

 

P1000527

1. Seminar on September 25 (The University of Northampton: transforming lives: inspiring change UoN environmental science courses)

The Healthcare Waste and Resources Research Group will be hosting a seminar focusing on treatment technologies and recovering value from healthcare waste, on Thursday September 25.

It will be held at the Bywaters’ recycling facility, in East London. The morning session will be dedicated to presentations from a range of speakers. While in the afternoon, delegates will have the opportunity to tour the facility.

The event is being sponsored by Frontier Medical Group, MITIE, Sharpsmart and Bywaters. Additional sponsors include GV Health, SRCL, Econix and Independent Safety Services Ltd.

Registration forms and booking details, including early bird discounts are available at the link below. When you book, can you let us know: (1) if you would like to do the site tour in the afternoon, (2) if you require a car parking space and (3) if you have any disability requirements?

 Online registration form for the seminar

2. Consultation on the Environmental Regulation of healthcare risk waste storage and treatment

The Environmental Protection Agency (EPA) has decided to consult on whether the current regulatory model for the storage and treatment of healthcare risk waste is appropriate given the scale of some of the storage and treatment activities and emerging technologies and their potential for environmental impact. An alternative mode of regulation is proposed for smaller scale activities and views are sought on this. The closing date for the consultaton is September 19, 2014

View the consultation here: EPA consultation on waste storage

3. Setting European standards

Anne Woolridge describes an Eramus+ funded project to develop a healthcare qualification framework and e-learning platform.

Read the CIWM Magazine article here: Woolridge Sept 2014

Read the Magazine online here: CIWM Magazine

4. International Solid Waste Association (ISWA) World Congress 2014 research articles

The ISWA Special Issue of the Journal of Waste Management and Research (WM&R) contains the best research articles submitted for the ISWA World Congress 2014, in Sao Paulo, Brazil. One article focuses on managing healthcare waste in Brazil.

Read the articles here: ISWA special issue of WM&R

Waste Stories 3/9/2014

 

P1000546

1. Seminar on September 25 (Bywaters: recycling made easy Bywaters)

The Healthcare Waste and Resources Research Group will be hosting a seminar focusing on treatment technologies and recovering value from healthcare waste, on Thursday September 25.

It will be held at the Bywaters’ recycling facility, in East London. The morning session will be dedicated to presentations from a range of speakers. While in the afternoon, delegates will have the opportunity to tour the facility.

The event is being sponsored by Frontier Medical Group, MITIE, Sharpsmart and Bywaters. Additional sponsors include GV Health, SRCL, Econix and Independent Safety Services Ltd.

Registration forms and booking details, including early bird discounts are available at the link below. When you book, can you let us know: (1) if you would like to do the site tour in the afternoon, (2) if you require a car parking space and (3) if you have any disability requirements?

 Online registration form for the seminar

2.Concern about 2020 waste treatment capacity gap

More waste infrastructure will be needed by 2020 or risk a capacity gap, according to respondents of an opinion poll, the majority of which agreed with a recent Green Investment Bank (GIB) report, setting out the investment opportunity in the UK waste market.

The recent GIB report, The UK residual waste market: A market report by the UK Green Investment Bank, stressed more waste infrastructure will be needed in the UK by 2020 or risk a capacity gap.

Read the story here: worry about 2020 waste treatment capacity gap

3.Energy investment report

The report shows the significant progress made against the energy investment challenge inherited in 2010 where energy projects accounted for nearly 60% of the UK National Infrastructure Plan (£218bn out of the £377bn).

Since 2010, investment worth more than £45 billion has been secured in electricity infrastructure alone – the majority of this investment has been in renewable technologies..

Read the report here: energy investment report

4.Energy efficiency in hospitals

Read the report here: Carbon Trust energy efficiency in hospitals report

5.National Institutes of Health’ waste disposal guide

Read the guide here: Waste disposal guide