1. EU-HCWM “Developing an EU Standardised Approach to Vocational Educational Training Awards in Healthcare Waste Management” Project No LLP UK-LEONARDO-LNW
PROJECT UPDATE
NHS NPAG Waste
Birmingham
Funded by the EACEA
with the support of the Lifelong Learning Programme of the European Union

2. Work Packages
The project is entering its final phase now and the partners are focused on three main work packages:
Professional Network Development
E:Learning Portal
Exploitation Plan
In terms of dissemination activities the main focus is the final conference in November this year.

3. Professional Networks
The task of developing professional networks in all EU member states is being undertaken by the following project:
EUHP
ISWA
NHS Confed. (HOSPEEM & HOPE)
REC Network
Each EU Member state would have between 6 and 12 members of the professional network who would act as multipliers within that member state.

4. Professional Networks (II)
Examples of professional network core members would be representatives from the following institutions:
Health Authorities
Qualification Authorities
Healthcare Waste Trade Associations
HCWM Professional Bodies
Hospital Associations

5. Professional Networks (III)
The idea of the professional networks was to provide as group of stakeholders across EU member states who would be able to share/transfer skills and knowledge about best practice through an online platform. Participants could include representatives from the following stakeholder groups:
Healthcare Waste Managers – Public/Private Sectors
Healthcare Waste Contractors – Treatment/Transport
Vocational Trainers in HCW
Technology/Equipment Suppliers
Environment/Waste Management Consultants

6. Professional Networks (III)
While the professional networks will consist of a broad range of stakeholders it is hoped that the healthcare waste managers within that group both from the public and private sectors would form a pan European professional body e.g.: European Institute of Healthcare Waste Managers (EIHWM) This would be a suggested output of the project within the Exploitation Plan and would be an accredited professional body solely for healthcare waste managers.

7. E:Learning Portal
The e:learning portal is being developed on Moodle at the moment and it includes two versions as we have a two tier approach to the vocational learning process across the EU. The majority of partners will use the Moodle platform to provide HCWM training as there is an absence of vocational learning in those member states. Those of us who do have a vocational qualification framework established will use Moodle within that formal framework and it will have all the assessment and verification functionality to support this.

8. E:Learning Portal
In the case of the UK version of the Moodle portal we will have three distinct qualifications available:
Healthcare Waste Manager
Healthcare Waste Treatment Manager
Healthcare Waste Transport Manager
These will be degree level vocational qualifications and will be known as Professional Development Awards. More on this at the Final Conference.

9. Exploitation Plan
Currently working on the exploitation plan and are looking at ways of addressing the sustainability of the project outputs. At the moment we are trying to focus on building the professional networks; developing an electronic platform to sit along side Moodle and to allow professional network interaction. In addition intend to propose the professional body for HCWM and provide a web site and newsletters etc. in this regard. This would be hosted for 5 years beyond the life of the project. More on this at the Final Conference.

10. Next Steps

11. IPR Agreement
SC to amend the one provided by Thanasis and circulate for agreement this week

12. Final Conference Project partners to confirm attendance and numbers
Project partners to confirm speakers (4) and subject areas
SC to circulate draft conference agenda by end of the month – 31st July
SC to prepare a SHORT summer newsletter on final conference in August
SC to prepare a final conference flyer end of July circulate in August/September???
Final Conference will be live streamed and participants to sign up a project website – Tal to arrange this

13. Project Newsletters Short Summer Newsletter August
Final Newsletter November

14. Exploitation Plan
SC to check missing contributions and send reminders. July 31st Deadline
SC to prepare a draft of agreement with ISWA for and ISWA administered training award – July 31st deadline.
SC to meet ISWA in December to discuss prior to World Congress
Thanasis and Kate to pursue a meeting with CEDEFOP in either Thessaloniki or Brussels

15. Professional Networks
Aditi working on this at moment and she needs assistance from NHS Confed and REC plus EUHP.
Important that by end of July we have a list of names in the member state boxes of Aditi’s table.
31st July deadline for partners to provide names to Aditi
Scott and Aditi to develop materials for monthly webinars and short film to promote project/professional networks
Scott and Aditi/Maria to look at social media opportunities etc for project dissemination

16. Dissemination NHS NPAG group 4th August – SC to attend
EUHP October Conference
Germany National Workshop October
REC Conference Vienna
ISWA World Congress

17. AOB Agreement on Translations table and SC to circulate with minutes
Issue with sub contracting costs for P10 to 12 may decide to translate outputs to French through Yvonne
Agreed the training package content – Training Handbook; Training modules part II ONLY; Assessment Plans
Viktor to circulate summary version of June newsletter

18. Vocational trainings for medical waste managers in Poland.
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

19. Requirements from Medical Waste Managers
Polish regulations does not specify the requirements
National Occupational Standards has not been developed
Requirements are sometimes specified by the top management of the medical institution
Depend on the size, type of medical institution as well as top management approach to this issue
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

20. Requirements from Medical Waste Managers
Skills on the position of healthcare waste manager are :
knowledge and understanding of current regulations regarding treatment and disposal of medical waste,
knowledge how to proceed and maintain the procedures for waste management in the institution,
ability to organise proper separation of waste in the institution
ability to organise trainings on waste treatment for all relevant staff
ability to manage the budget
ability to manage recording of waste and reporting to the authorities
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

21. Who usually holds the position of Medical Waste Manager
Epidemiological nurses ( after postgraduate course with specialisation of epidemiological nursing)
Graduates in Environmental area (should attend on healthcare waste management training)
Other nurses (trained on healthcare waste disposal)
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

22. Available Vacational trainings for Medical Waste Managers
National Occupational Standards have not been developed in Poland
1. Specialisation course for epidemiological nurses - framework training programs by CPENM*
2. Qualification course in nursing epidemiology - framework training programs by CPENM*
3. Training on healthcare waste management
* - Centre for Postgraduate Education of Nurses and Midwives (CPENM) public institution established by Ministry of Health
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

23. Available Vacational trainings for Medical Waste Managers
18 to 24 months course for bachelors of nursing with at least 2 years work experience. contains module: supervising of segregation, removal and disposal of medical waste
3 to 6 months course for bachelors of nursing, contains module: Safe disposal of medical waste
18 institutions / training organisers offering above courses for nurses.
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

24. Available Vacational trainings for Medical Waste Managers
1 day open training with no exam.
Organised by training institutions few times a year. No framwork programme
The usual subjects are:
Waste management and environmental law in medical practice
Medical waste in public and private healthcare centres - rules and procedures, required documents, reporting, inspections
Training on medical waste handling
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

25. 2nd Coordination meeting, Berlin, Germany,
Conclussion
The requirements for medical waste managers not standarised
Program of vacational trainings for medical waste managers not standarised
Skills in medical waste management are narrowed to the knowledge of treating the waste of in accordance with the regulations.
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

26. Healthcare Sector and Healthcare Waste Legislatation in Poland
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

27. 2nd Coordination meeting, Berlin, Germany,
Healthcare Sector
At the end of 2012 in Poland there were 913 general hospitals offering 188 800 beds, used during the year by nearly 7.9 million patients.
Approximately 90% of beds were in public hospitals, but the number of non-public hospitals has been rising in the past decade (from 38 in 2000 to 228 in 2009), partially as a result of the transformation of public hospitals into commercial companies.
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

28. 2nd Coordination meeting, Berlin,Germany,
Healthcare Sector
Since the majority of private hospitals were established after 1999, the physical condition of their facilities is, on average, better and maintenance is less costly.
Most of the ambulatory care provision is in private hands, while the majority of hospital beds are public.
2nd Coordination meeting, Berlin,Germany,
September 1st & 2nd 2014

29. 2nd Coordination meeting, Berlin,Germany,
Healthcare Sector
According to the 2014 National Waste Management Plan in 2008, there were produced nearly 35 500 Mg of medical waste, of which Mg were hazardous medical waste. This indicates that almost 85 % of all medical waste were potentially infectious.
Forecast for the following years: the production of medical waste will be about 28   500 Mg per year.
2nd Coordination meeting, Berlin,Germany,
September 1st & 2nd 2014

30. 2nd Coordination meeting, Berlin, Germany,
Quantity of medical waste generated in Poland in the years (based on data from the Central Waste System from Ministry of Environment) – waste * and all group 18 01)
2nd Coordination meeting, Berlin, Germany,
September 1st & 2nd 2014

31. 2nd Coordination meeting, Berlin,Germany,
Examples of medical waste accumulation factor by type of health care facility (there are about 2-4 kg of all kinds of waste produces by patient per day)
2nd Coordination meeting, Berlin,Germany,
September 1st & 2nd 2014

32. Healthcare Waste – Legislative Overview
The basic legal act on all aspects of environmental protection in Poland is the Environmental Protection Law from The EPL is a set of rules on the general principles of environmental protection.
Waste management in Poland is regulated by a separate Act from 2012 on waste. Waste Act implements EU law featuring Directive 2008/98/ EC on waste.
2nd Coordination meeting, Berlin, Germany, September 1st & 2nd 2014

33. Healthcare Waste – Legislative Overview
Waste Act contains the basic rules for the management of the medical waste:
refers to the principle of proximity in relation to medical waste and prohibits the disposal of medical and veterinary infectious waste outside the voivodeship (states) in which they are produced.
infectious medical waste may be treated only by thermal treatment in hazardous waste incineration plants.
2nd Coordination meeting, Berlin, Germany, September 1st & 2nd 2014

34. Healthcare Waste – Legislative Overview
Regulation of the Minister of Health from 2010 Concerning specific procedures for medical waste, introduced the division of medical waste into three groups:
[1] codes * * and *
[2] codes * * *
[3] codes , , ,
In group [1] are medical waste with properties potentially infectious, in group [2] hazardous medical waste not showing the infectious properties, and in group [3] other medical waste.
2nd Coordination meeting, Berlin, Germany, September 1st & 2nd 2014

35. Healthcare Waste – Legislative Overview
Detailed rules for the handling of medical waste are set out in the Regulation of the Minister of Health from 2010 on the detailed procedures of medical waste handling .
This Act regulates issues such as:
handling of medical waste arising from the provision of medical services at the place of call,
rules for the collection and temporary storage of medical waste prior to submission to the process of final treatment or for transport to the final treatment site,
conditions for the transport of medical waste at the place of generation.
2nd Coordination meeting, Berlin, Germany, September 1st & 2nd 2014

36. Healthcare Waste – Legislative Overview
The Regulation provides:
detailed guidance on how to collect different types of medical waste - defined are the types of bags, containers, permissible filling, marking, the frequency of exchanges, the proceedings in case of damage.
determines how a room for temporary storage of medical waste should be prepared .
defines the acceptable temperature and time of storage of medical waste; principles of internal transport system and method of cleaning, disinfection and storage.
2nd Coordination meeting, Berlin, Germany, September 1st & 2nd 2014

37. 2nd Coordination meeting, Berlin, Germany, September 1st & 2nd 2014
Methods for collecting different types of medical waste in accordance with the regulation of the Minister of Health from 2010 on the detailed procedures of medical waste handling .
2nd Coordination meeting, Berlin, Germany, September 1st & 2nd 2014

38. Thank You for your attention.
Pawel Wowkonowicz
Land Protection and
Waste Management Center
2nd Coordination meeting, Berlin, Germany, September 1st & 2nd 2014