In the UK, the majority of offensive waste is disposed of at landfills. However, producers have a duty of care under the Waste Hierarchy to divert waste away from landfill. Using case studies from the East of England, the East Midlands and West Midlands in England, this study sought to quantify the waste arisings disposed of to landfill and to understand the reasons why. The findings show that offensive waste arisings, treatment method and costs varied by region, only a fraction of the waste disposed of to landfill in the East of England, compared with the majority being disposed of to landfill in the East Midlands and West Midlands. Despite the financial implications of landfilling being the lowest cost per tonne option, the key barriers to moving away from disposal to landfill was a lack of available alternatives, and it being the only option offered by the waste contractor.
Keywords: East of England; Healthcare waste; National Health Service; medical waste; offensive waste.