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Given rising spend on the provision of healthcare services, the sustainable management of waste from healthcare facilities is increasingly becoming a focus as a means of reducing public health risks and financial costs. Using data on per capita healthcare spend at the national level, as well as a case study of a hospital in Italy, this study examined the relationship between trends in waste generation and the associated costs of managing the waste. At the national level, healthcare spend as a percentage of gross domestic product positively correlated with waste arisings. At the site level, waste generation and type were linked to department type and clinical performance, with the top three highest generating departments of hazardous healthcare waste being anaesthetics (5.96 kg day -1 bed -1 ), paediatric and intensive care (3.37 kg day -1 bed -1 ) and gastroenterology-digestive endoscopy (3.09 kg day -1 bed -1 ). Annual overall waste management costs were $US5,079,191, or approximately $US2.36 kg -1 , with the management of the hazardous fraction of the waste being highest at $US3,707,939. In Italy, reduction in both waste arisings and the associated costs could be realised through various means, including improved waste segregation, and linking the TARI tax to waste generation.

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This article is concerned with the development of a conceptual framework of the key antecedents that lead to sustainable environmental behavior amongst employees within a large organizational setting. A range of quantitative and qualitative methods was employed in the study to examine behavior. Using the Cornwall National Health Service (NHS) in the United Kingdom as a case study, the research demonstrated that both organizational and individual/cognitive factors served as key predictors for sustainable waste behavior. However, these factors did not work in isolation but rather, within a dynamic, holistic, intrarelated, and interrelated conceptual framework to ultimately determine individual behavior. The results suggest the need to address both categories of variables when developing policies to achieve greater sustainability in the behavior of employees within large organizations.

This paper examines the nature of the relationship between sustainable waste management behaviour between the 'home' and 'work' settings. A questionnaire survey of 566 employees of the Cornwall NHS (National Health Service) was used to examine the nature of the behaviour between the two settings and to understand the main factors influencing the behaviour. The results indicate that there is strong link in the behaviour of individuals between the two settings, with employees who practised recycling activities at home also being more likely to practise a similar behaviour at work. There was also some similarity in the level of sustainability of the behaviour between the two settings. These behaviours were strongly influenced by the underlying attitudes and beliefs of the staff towards the environment. The implications for policy-making to improve sustainable waste management behaviour amongst individuals in England and Wales are also discussed.

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