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Sustainable decontamination


How can sterile services become greener?


Alison Arnold says that sustainable healthcare is no longer a “nice to have” – it’s an essential part of delivering safe, cost-effective and responsible services. In this article, she discusses the way forward.


Sterile Services Departments (SSDs) sit at the heart of infection prevention and patient safety, but they also face growing pressure to cut waste, reduce environmental impact and support NHS Net Zero targets. The question is: how can SSDs go greener without compromising compliance, quality or safety?


A pressing challenge Healthcare’s environmental footprint is significant, and decontamination is one of the most resource-intensive areas. SSDs consume water, energy, chemicals and packaging on a vast scale, and every reprocessed instrument carries both an environmental and financial cost. Pressure is growing for SSDs to address this impact. The NHS has committed to Net Zero, and similar pledges exist worldwide. Yet departments can’t reduce their standards. Every tray must be cleaned, disinfected and sterilised with absolute reliability. Any solution has to preserve compliance while reducing environmental impact. Sustainability and safety aren’t opposing


forces. Smarter products, better processes and improved education can reduce waste and carbon while strengthening patient safety.


Where can improvements be made? There are several areas where meaningful change is possible: Chemical choice: Selecting highly effective, concentrated formulations allows departments to reduce packaging, water and energy use


while still delivering validated decontamination outcomes. The right detergent works across different water qualities, at lower doses, and is gentle on delicate instruments, extending their life and avoiding unnecessary reprocessing. Concentrated formulations also mean fewer deliveries and reduced storage requirements, lowering both carbon footprint and logistical complexity. Packaging: Rigid plastics are a persistent


problem. By moving to pouch systems or recyclable formats, SSDs can dramatically cut plastic waste. Serchem’s shift to eco-friendly pouches for endoscopy flushing solutions, for example, reduces plastic by around three- quarters without affecting performance. Reducing reliance on single-use containers lowers costs, storage needs and environmental impact while maintaining compliance. Central dosing systems: Central dosing


represents one of the most effective innovations for greener sterile services. By moving from per-machine or per-sink dosing to a central chemical store with metered distribution, departments eliminate multiple small containers, improve dosing precision and minimise staff exposure to chemicals. Central dosing reduces plastic waste, improves


50 www.clinicalservicesjournal.com I June 2026


consistency and streamlines workflow. Maintenance and refilling can take place outside sterile zones, reducing disruption and enhancing safety. Remote alarms notify staff when stock is low, preventing downtime or last-minute reprocessing. Process validation: Validated processes


reduce unnecessary reprocessing. Robust monitoring prevents chemical overuse, saves water and energy, and extends instrument lifespan. Continuous analysis supports improvements and helps demonstrate compliance to regulatory bodies. Education and training: Change only succeeds if staff feel confident that greener products and processes won’t compromise safety. Technicians and managers need to understand how to use new formulations, dosing systems and packaging correctly, and why these changes matter. When teams are confident in their practices, they’re more likely to embed them into daily routines. Sharing best practice across departments and Trusts ensures lessons learned in one setting benefit many more. Small changes, big impact: From eco-friendly


pouch packaging to tailored advice on workflow improvements, Serchem supports SSDs in achieving compliance and sustainability. Its


Brigitte - stock.adobe.com


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