Select Committee on Environmental Audit Written Evidence


Annex 1

EXAMPLES OF NHS BEST PRACTICE IN REUSABLE NAPPIES

Royal Devon and Exeter NHS Trust

    —  Supply reusable nappies and wraps

    —  Laundry facility

    —  Poster displays on reusable nappies and landfill information highlighting environmental benefits of nappies.

  Since 1999 all mothers in Exeter Maternity Unit have a cotton nappy in the cot at delivery, so the first nappy worn is a reusable nappy. Devon County Council approached Cotton Bottoms, a Nappy Alliance member, to set up an agreement to supply reusable nappy and the outer wraps, in order to reduce hospital waste, in particular from disposable nappies.

  They allow mothers to have a choice during their stay of which nappy they use to suit their lifestyle. The reusable nappies are collected by Cotton Bottoms and taken to a trust laundry. The scheme applies to Heavitree, Honiton, Okehampton and Tiverton Maternity Units. Cotton Bottoms also has a community scheme to provide nappies and laundry services to Exeter, although this is a separate venture.

  Heavitree Hospital holds an Early Bird Session in the Maternity Unit for women and their partners to visit early on in their pregnancy where a display of reusable nappies is provided. This gives them time to consider their options in this regard. The hospital also has poster displays showing how long a disposable nappy takes to disintegrate on a landfill site, which surprises many mothers. They believe that pregnancy is a good time to give environmental information as women focus on the world their baby will grow up in.

Sussex Downs and Weald NHS Trust

    —  Work with local councils

    —  Work with Sussex Real Nappy Network and individual suppliers of real nappies

    —  Cotton Bottoms supply Real Nappies

    —  Community Centre display stand

    —  Outside health visitors advise and promote real nappy use

    —  Real nappy starter packs

    —  Nappy Loan Scheme

    —  Visits from Real Nappy Network coordinators

  The Trust is very proactive in the area of re-usable nappies. It works with local councils, Brighton and Hove Sussex Real Nappy Network and individual suppliers of washable nappies.

  The High Weald, Crowborough Birthing Unit is supplied with Cotton Bottoms by Wealden District Council and all mothers are supplied with them for their new born babies. There is therefore a high uptake of re-usable nappies which is subsequently encouraged by health visitors.

  There is a Real Nappy display stand at Heathfield Community Centre and health visitors in the Ouse Valley area have arranged for more displays to be produced on a permanent basis. In Lewes and Newick outside speakers attend ante-natal groups and demonstrate and promote reusable nappies. In the Ouse Valley clients can also purchase real nappy starter packs for £5.

  The Havens Sure Start area runs a nappy loan scheme where, for a token sum of £10, parents can purchase a whole set of reusable nappies and wraps. This has proved successful and increased the number of parents opting for the scheme, especially in deprived areas.

  Their health visitors access training from local nappy suppliers or via the Real Nappy Network co-coordinator, who visits clinics regularly.

17 October 2005



 
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