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Changes in environmental legislation and standards governing healthcare waste, such as the Hazardous Waste Regulations are expected to have a significant impact on healthcare waste quantities and costs in England and Wales. This paper presents findings from two award winning case study organizations, the Cardiff and Vale NHS Trust and the Cornwall NHS Trust on 'systems' they have employed for minimizing waste. The results suggest the need for the development and implementation of a holistic range of systems in order to develop best practice, including waste minimization strategies, key performance indicators, and staff training and awareness. The implications for the sharing of best practice from the two case studies are also discussed.

This Process Knowledge Summary Report summarizes the information collected to satisfy the transportation and waste acceptance requirements for the transfer of transuranic (TRU) waste between the Materials and Fuels Complex (MFC) and the Advanced Mixed Waste Treatment Project (AMWTP). The information collected includes documentation that addresses the requirements for AMWTP (23) and the applicable portion of their Resource Conservation and Recovery Act permits for receipt and treatment of TRU debris waste in AMWTP.