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Conceptualisation of the characteristics of advanced practitioners in the medical radiation professions

Professions grapple with defining advanced practice and the characteristics of advanced practitioners. In nursing and allied health, advanced practice has been defined as ‘a state of professional maturity in which the individual demonstrates a level of integrated knowledge, skill and competence that challenges the accepted boundaries of practice and pioneers new developments in health care’. Evolution of advanced practice in Australia has been slower than in the United Kingdom, mainly due to differences in demography, the health system and industrial relations. This article describes a conceptual model of advanced practitioner characteristics in the medical radiation professions, taking into account experiences in other countries and professions. Using the CanMEDS framework, the model includes foundation characteristics of communication, collaboration and professionalism, which are fundamental to advanced clinical practice. Gateway characteristics are: clinical expertise, with high level competency in a particular area of clinical practice; scholarship and teaching, including a masters qualification and knowledge dissemination through educating others; and evidence-based practice, with judgements made on the basis of research findings, including research by the advanced practitioner. The pinnacle of advanced practice is clinical leadership, where the practitioner has a central role in the health care team, with the capacity to influence decision making and advocate for others, including patients. The proposed conceptual model is robust yet adaptable in defining generic characteristics of advanced practitioners, no matter their clinical specialty. The advanced practice roles that evolve to meet future health service demand must focus on the needs of patients, local populations and communities.

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Panel reports session

This section brings together the reports of the 31 panel sessions listed below: - Avoiding the Human Capital Cliff in the DOE (PS22); - Implementing Technically-Based Cleanup; US DOE Balancing Regulatory and Fiscal Complexity (PS24); - United Kingdom - Remediation of Sellafield Legacy Ponds and Silos (PS25); - Aligning Decision-Making to Deliver Timely Results in Large Clean-up Programs (PS38); - Transition to Government Owned-Contractor Operated Site at Canadian Nuclear Laboratories (PS39); - Emerging Middle East Nuclear States' Status and Plans (PS40); - NPP Panel on Waste Management (PS41); - Robotics - International Innovations in Robotic Decommissioning Technology (PS43); - Fukushima Panel (1/2): Japan Fukushima Daiichi Decommissioning Update (PS54); - Fukushima Panel (2/2): Update on the Revitalization of Fukushima and the Surrounding Area (PS55); - US DOE LLW On-Site Disposal: LLW Disposal Facility Federal Review Group Review Process (PS56); - Challenges in DOE HLW Tank Management: Facility Start-up and Waste Disposition (PS57); - Waste Management Planning for Utility Small Modular Reactors (PS58); - US Nuclear Power Plant Waste Management - LLW Disposal Issues (PS59); - DOE-EM Robotics and Emerging Technologies Road-map (4/8) (PS60); - Graduating Students and New Scientists and Engineers - Wants and Needs - Are Companies Even Listening? (PS63); - U.S. Nuclear Robotics: Yesterday, Today, Tomorrow (5/8) (PS74); - US DOE Mixed Waste: Proposals for Dealing with Problematic Waste Streams and Policy Changes (PS76); - Current and Emerging US NRC LLW Regulatory Topics (PS77); - Agency Perspectives (US and International) on the Use of Risk and Dose Assessment Tools (PS80); - Progress on Deep Repository Programs Around the World (PS81); - US DOE Procurement and Contracting Opportunities (PS82); - Collaboration across Borders to Deliver Cleanup and Decommissioning Challenges (PS93a); - DOE Mission Success through Application of Practices and Solutions (PS94); - Challenges in Cask Certification - International Perspectives (PS96); - Robotics: Leveraging Innovations in Science and Technology to Benefit Safety Performance (PS98); - DOE Panel: DOE EM Featured Office - Portsmouth/Paducah Project Office (PS109); - Robotics: Lessons Learned from Industrial Robotics Deployment that can be Applied to the Nuclear Field (PS110a); - Roundtable: DOE Radioactive Management - Energy Facility Contractors Group - Waste Management Working Group (EFCOG WMWG) (PS118); - Thursday Topical Session 'Management of Used Nuclear Fuel: Will the United States Reengage and Align with International Efforts' (PS124); - Remotely Operated Vehicles for Emergency, Disaster, and Operational Upset Response (PS125)

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Final Surrender of Radioactive Substances (Environmental) Permits on UK Nuclear Licensed Sites - 16646

This paper is split into three, linked, parts; each part explains work being taken forward by the United Kingdom (UK) Government and/or the nuclear site regulators to apply proportionate regulatory controls before, during and after nuclear site decommissioning and clean-up. Part I of the paper describes work led by UK Government to examine credible options for a step-wise removal of those safety, security and environmental protection regulations that apply to nuclear site decommissioning and clean-up. Any removal of regulations will have to take due account of and be proportionate to the residual risk following cessation of all clean-up works. Part II of the paper describes the approach used by the UK Environment Agencies to regulate final site clean-up of UK nuclear licensed sites. Ultimately, clean-up will result in nuclear sites being released from radioactive substances regulation. Part III of the paper links Parts I and II of the paper together by describing how the UK Environment Agencies will apply proportionate regulation to the clean-up of the 140-acre Dounreay site in Caithness which is the largest nuclear clean-up project in Scotland and the second largest in the UK, after Sellafield. (authors)

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Economic Analyses in Squamous Cell Carcinoma of the Head and Neck: A Review of the Literature From a Clinical Perspective

The purpose of this review was to describe cost-effectiveness and cost analysis studies across treatment modalities for squamous cell carcinoma of the head and neck (SCCHN), while placing their results in context of the current clinical practice. We performed a literature search in PubMed for English-language studies addressing economic analyses of treatment modalities for SCCHN published from January 2000 to March 2013. We also performed an additional search for related studies published by the National Institute for Health and Clinical Excellence in the United Kingdom. Identified articles were classified into 3 clinical approaches (organ preservation, radiation therapy modalities, and chemotherapy regimens) and into 2 types of economic studies (cost analysis and cost-effectiveness/cost-utility studies). All cost estimates were normalized to US dollars, year 2013 values. Our search yielded 23 articles: 13 related to organ preservation approaches, 5 to radiation therapy modalities, and 5 to chemotherapy regimens. In general, studies analyzed different questions and modalities, making it difficult to reach a conclusion. Even when restricted to comparisons of modalities within the same clinical approach, studies often yielded conflicting findings. The heterogeneity across economic studies of SCCHN should be carefully understood in light of the modeling assumptions and limitations of each study and placed in context with relevant settings of clinical practices and study perspectives. Furthermore, the scarcity of comparative effectiveness and quality-of-life data poses unique challenges for conducting economic analyses for a resource-intensive disease, such as SCCHN, that requires a multimodal care. Future research is needed to better understand how to compare the costs and cost-effectiveness of different modalities for SCCHN.

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A survey of radiographers' confidence and self-perceived accuracy in frontline image interpretation and their continuing educational preferences

The provision of a written comment on traumatic abnormalities of the musculoskeletal system detected by radiographers can assist referrers and may improve patient management, but the practice has not been widely adopted outside the United Kingdom. The purpose of this study was to investigate Australian radiographers' perceptions of their readiness for practice in a radiographer commenting system and their educational preferences in relation to two different delivery formats of image interpretation education, intensive and non-intensive. A cross-sectional web-based questionnaire was implemented between August and September 2012. Participants included radiographers with experience working in emergency settings at four Australian metropolitan hospitals. Conventional descriptive statistics, frequency histograms, and thematic analysis were undertaken. A Wilcoxon signed-rank test examined whether a difference in preference ratings between intensive and non-intensive education delivery was evident. The questionnaire was completed by 73 radiographers (68% response rate). Radiographers reported higher confidence and self-perceived accuracy to detect traumatic abnormalities than to describe traumatic abnormalities of the musculoskeletal system. Radiographers frequently reported high desirability ratings for both the intensive and the non-intensive education delivery, no difference in desirability ratings for these two formats was evident (z = 1.66, P = 0.11). Some Australian radiographers perceive they are not ready to practise in a frontline radiographer commenting system. Overall, radiographers indicated mixed preferences for image interpretation education delivered via intensive and non-intensive formats. Further research, preferably randomised trials, investigating the effectiveness of intensive and non-intensive education formats of image interpretation education for radiographers is warranted.

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Outcome of Primary Desmoid Tumors at All Anatomic Locations Initially Managed with Active Surveillance

Background: The behavior of desmoid tumors is unpredictable and varies from spontaneous remission to symptomatic and radiologic progression. This study aimed to evaluate the radiologic and symptomatic course of the disease in patients initially managed with active surveillance. Methods: Patients with a primary desmoid tumor at any anatomic location diagnosed between 1998 and 2016 were identified in a prospectively maintained database from a single sarcoma reference center in the United Kingdom. Inverse univariate Cox proportional hazard regression analyses were conducted to evaluate the course of the disease and indications for initiating treatment. Results: The study identified 168 patients with a primary desmoid tumor initially managed with active surveillance. The tumors were located in the abdominal wall (n = 61, 36%), an extremity (n = 51, 30%), chest wall (n = 30, 18%), intra-abdominal site (n = 15, 9%), or elsewhere (n = 11, 6%). Of all the patients, 36% experienced radiologic progressive disease, 36% had stable disease, and 27% regressed. The patients younger than 50 years were more likely to progress (p = 0.046), whereas the patients with chest wall or upper-extremity tumors reported significantly more pain (p = 0.01). Eventually, 46% of the patients proceeded to treatment. The median time to start of treatment after initial surveillance was 31 months, whereas the median follow-up time for the patients not receiving any treatment was 40.5 months. The indications for initiation of treatment were pain (32%), progression (31%), or both (13%). Conclusions: Patients with desmoid tumors can be managed with initial active surveillance, although almost half of patients may eventually need treatment. Pain, tumor progression, or both are the most common indications for the initiation of treatment.

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On-line monitoring for static and dynamic performance verification of I and C systems at Sizewell B nuclear power station - 329

Plant operations and maintenance (O and M) activities account for nearly 75% of the generation cost of a modern nuclear power plant (NPP). This is largely due to time-based maintenance strategies that are expensive, time-consuming, prone to error, and sometimes detrimental to plant equipment. In contrast, condition-based maintenance via on-line monitoring (OLM) can reduce costs, increase equipment availability, and improve safety. OLM uses signals from existing plant sensors to verify the performance of plant instrumentation and equipment while the plant is operating. The Sizewell B nuclear power station in the United Kingdom, a four-loop pressurized water reactor (PWR), uses OLM techniques for several condition-based performance verification activities including pressure, level, and flow transmitter calibration monitoring, resistance temperature detector (RTD) cross calibration, and dynamic performance monitoring of pressure, level, and flow sensing systems. The implementation of OLM has enabled the plant to extend the calibration intervals of its pressure, level, and flow transmitters from 18 to 54 months and has significantly reduced the amount of critical path time needed to perform RTD cross calibration testing (up to 36 hours). Dynamic performance monitoring of its pressure, level, and flow transmitters with OLM has enabled the plant to monitor transmitter and sensing line response degradation while the plant is operating at 100% power and has dramatically reduced testing time versus the traditional hydraulic ramp testing method. The Sizewell B OLM implementation provides valuable insights into on how to overcome the technical and regulatory challenges for widespread OLM adoption by the nuclear industry. This paper describes the technical and regulatory aspects of this implementation and includes detailed examples of static and dynamic performance testing results to demonstrate the types of capabilities of OLM. Analyzing existing signals with OLM technologies can provide significant cost and safety benefits for the existing fleet of nuclear power plants. (authors)

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Testing of Novel Application of GOTHIC{sup TM} to Modelling of Hydrogen Distribution in Intermediate Level Waste Storage Facilities - 16499

One of the strategies for treatment of intermediate level waste in the United Kingdom is to retrieve the waste from the legacy storage area, condition in a suitable storage container and then hold on-site in an intermediate level waste store until permanent storage in a geological disposal facility becomes available. During storage, hydrogen may be generated inside the containers at a slow rate by a number of mechanisms. The containers can be equipped with vents that release hydrogen and other gasses into the intermediate level waste store, a building which would be constructed to high standards to minimise ingress of moisture. With the low number of air changes associated with the building design there is the potential for gas to accumulate over time. There is, therefore, a requirement to be able to predict future gas concentrations inside the building over a range of operating conditions to ensure that a safe operating envelope is maintained. The usual approach to this problem is to model the evolution of the hydrogen distribution by use of computational fluid dynamics tools. In a situation where weeks of real time need to be simulated in order to understand the slow build-up of a very small volumetric concentration of hydrogen, the use of computational fluid dynamics is not practicable within the time scales demanded by industry. This paper investigates a new approach to tackling this problem using the thermal hydraulic code GOTHIC{sup TM} (GOTHIC{sup TM} incorporates technology developed for the electric power industry under the sponsorship of EPRI, the Electric Power Research Institute). (authors)

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Recent activities of the UK working party on criticality - 14334

The Working Party on Criticality (WPC) in the United Kingdom (UK) is the non-executive national committee that focuses on criticality safety issues up to, but not including, experimental and in-core power reactor operations. The current membership includes representatives from all relevant UK Site Licensee Companies and Regulators together with a small number of other key companies with interests in this area. In recent times, the primary focus of the committee has been to provide a forum for the discussion and distribution of information of relevance to criticality safety in the UK, particularly the sharing and development of good practice. However, it also serves as a useful forum to (i) disseminate regulatory issues of relevance to criticality safety and facilitate the development of a UK criticality community view on such matters, (ii) guide, promote, coordinate and encourage cooperation on high priority activities of common interest to the UK criticality community, (iii) promote international collaboration in the field of criticality safety, and (iv) provide opportunities for the professional development of criticality safety personnel. This paper gives a detailed overview of the activities of the WPC in the years since the last International Conference on Nuclear Criticality (ICNC), held at Edinburgh in 2011. It undoubtedly continued to be a challenging time for the UK criticality community, not least because of difficulties with the central coordination (and hence funding) of strategic issues in the UK as the nuclear industry has become increasingly fragmented. However, despite these issues, the committee has still been able to fulfil its objectives during that time and successfully supported the UK criticality community. A particular focus of the paper will be the success of the Continued Professional Development workshops and the potential benefits of other countries adopting a similar initiative. (author)

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A Model from the Mind to the Operating Facility - 16448

The reprocessing of Spent Magnox fuel has been undertaken at the Sellafield site in the United Kingdom (UK) for more than 50 years and is now entering the final few years of its operating programme. The age of this facility has resulted in additional operational challenges which have led to the need for a sustained programme of continuous improvement. It has therefore been necessary to assess what potential plant improvements are key to delivering a successful end to the operating programme. In 2003 the UK National Nuclear Laboratory (NNL) (then Nexia Solutions) worked with Sellafield Ltd to produce a visual discrete event simulation (DES) model. The DES approach models plant equipment (such as a storage pond crane or fuel element processing equipment), and the key processes that these items undertake. Process times, availability and process logic are all combined to provide a prediction of the plant performance. Through the use of 'what-if' scenarios, changes to any model parameter can be undertaken. The benefits of such an approach have been in the ability for Sellafield Ltd to understand which changes to make and which do not add value. This then allows the operating facility to focus the improvement programme on quantitatively underpinned benefits, thus increasing the potential to complete the reprocessing programme ahead of schedule, which is a key aim for Sellafield Ltd. Maximising the benefit of this model has required a close working relationship between NNL, Sellafield Ltd Technical and the Sellafield Ltd Operations teams to ensure that the model is using the correct information and is addressing the real issues at hand. Over the past 12 years many ideas have been assessed and three examples have been selected to demonstrate the range of use of the model, and the different approaches used to identify issues and opportunities, agree an approach and provide solutions. (authors)

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Fit for Purpose Remote Technology Decommissioning Solutions - 18630

The Magnox Decommissioning Project is actively progressing clean-up and decommissioning of 12 reactor sites across England, Scotland and Wales. Funded and directed by the United Kingdom's Nuclear Decommissioning Authority (NDA) and managed by the Cavendish Fluor Partnership (CFP), the Magnox Decommissioning Project introduces a wide range of radiological and industrial hazards warranting deployment of remote technologies to safely de-inventory, decontaminate and decommission a vast array of nuclear facilities. The Magnox Decommissioning Project encompasses 22 former Magnox nuclear power production reactors across 10 reactor sites and five research/test reactors at two former research sites. Decommissioning activities have been underway at some sites for nearly 20 years with early focus on retrieving and stabilising wastes and draining and stabilising spent fuel ponds. The Magnox decommissioning strategy invokes a programme perspective to drive consistency in tackling similar decommissioning and waste challenges across multiple sites. Programme central teams have worked with technology suppliers to foster learning from industry experience to develop and deploy tooling and robotics. The programme approach has also facilitated learning from one site to the next. In many cases, this central programme approach has promoted an evolution of technologies resulting in optimisation of simple remote tooling. In other instances, collaboration with suppliers is producing state-of-the-art technologies to tackle more unique challenges including, most recently, early demonstration of laser cutting for reactor vessel dismantling. This paper will outline the programme management approach and the scalable optioneering process Magnox employs to select the engineered controls and technologies used in decommissioning and waste management activities. It will provide an overview of the broad range of remote tooling and robotics deployed across the 12 Magnox sites by exploring some specific examples. Lastly, the paper will summarise key lessons learned in the now extensive history of selecting and using remote technologies to decommission Magnox nuclear facilities. (authors)

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Innovative Approaches to the Decommissioning of a Redundant Plutonium Processing Facility - 20147

At Sellafield, in the North West of the United Kingdom (UK), there are a number of redundant plutonium processing facilities. Over the past three decades several decommissioning strategies have been deployed to clean up these redundant facilities. Whilst there have been many successes previously reported, there remain many challenges. As previously presented at WM2017 (Paper Ref 17081) some of these challenges have recently been addressed through a new approach which introduced a number of innovations. The purpose of these innovations is to seek ways to significantly reduce risks to both decommissioning personnel and the environment by minimising the extent of physical 'hands on' decommissioning activities and by simplifying the waste production process. This paper provides an update on the progress of these innovations since 2017. Additionally, the paper also provides details of the new decommissioning technologies which have been introduced over the past 2 years to enable the most challenging aspects of the redundant plutonium processing facility to be decommissioned. These new decommissioning technologies address challenges associated with the preparation of process vessels and pipework to enable their safe in-situ size reduction by remote means: - New decommissioning techniques have been introduced to allow penetrations to be remotely cut into process vessels and pipework to provide a means of accessing and controlling the venting of any potential hydrogen gas present. - Additionally, a new large scale bespoke remote diamond wire cutting machine has been designed and manufactured to enable the process vessels to be size reduced in situ. Both of these new cutting technologies have involved collaborative working with specialist equipment suppliers including extensive development, trialling demonstration and commissioning prior to bringing the equipment into operational service. Several years of work have now culminated in reaching the final stages of decommissioning of the redundant plutonium processing facility with decommissioning of the final process vessels now underway and completion expected by the end of 2019. (authors)

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British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry

Purpose: The British Society of Interventional Radiology (BSIR) Inferior Vena Cava (IVC) Filter Registry was produced to provide an audit of current United Kingdom (UK) practice regarding placement and retrieval of IVC filters to address concerns regarding their safety. Methods: The IVC filter registry is a web-based registry, launched by the BSIR on behalf of its membership in October 2007. This report is based on prospectively collected data from October 2007 to March 2011. This report contains analysis of data on 1,434 IVC filter placements and 400 attempted retrievals performed at 68 UK centers. Data collected included patient demographics, insertion and retrieval data, and patient follow-up. Results: IVC filter use in the majority of patients in the UK follows accepted CIRSE guidelines. Filter placement is usually a low-risk procedure, with a low major complication rate (<0.5 %). Cook Gunther Tulip (560 filters: 39 %) and Celect (359 filters: 25 %) filters constituted the majority of IVC filters inserted, with Bard G2, Recovery filters, Cordis Trapease, and OptEase constituting most of the remainder (445 filters: 31 %). More than 96 % of IVC filters deployed as intended. Operator inexperience (<25 procedure) was significantly associated with complications (p < 0.001). Of the IVC filters initially intended for temporary placement, retrieval was attempted in 78 %. Of these retrieval was technically successful in 83 %. Successful retrieval was significantly reduced for implants left in situ for >9 weeks versus those with a shorter dwell time. New lower limb deep vein thrombosis (DVT) and/or IVC thrombosis was reported in 88 patients following filter placement, there was no significant difference of incidence between filter types. Conclusions: This registry report provides interventional radiologists and clinicians with an improved understanding of the technical aspects of IVC filter placement to help improve practice, and the potential consequences of IVC filter placement so that we are better able to advise patients. There is a significant learning curve associated with IVC filter insertion, and when a filter is placed with the intention of removal, procedures should be in place to avoid the patient being lost to follow-up.

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Collaborative working is driving progress in hazard and risk reduction delivery at Sellafield - 16387

A new way of working has been adopted at the Sellafield site in the United Kingdom which is delivering benefits in terms of accelerating hazard and risk reduction safely and securely at the site. This new way of working involves a collaborative approach on crucial aspects of the plan of work for Sellafield between: - Sellafield Ltd (the site's management and operations contractor), - The Nuclear Decommissioning Authority (the site's owner and Sellafield Ltd's customer), - The Office for Nuclear Regulation (the UK's nuclear safety and security regulator), - The Environment Agency (England's environmental regulator), - The UK Government's Department of Energy and Climate Change, - The UK Government's Shareholder Executive, part of the Department of Business, Innovation and Skills. The new way of working is founded upon fully aligning the individual strategies of each of these six organisations towards the common goal of accelerated risk and hazard reduction and then ensuring good communications so these strategies remain fully aligned. To this end a number of issues were identified by the six organisations which were considered to be slowing the progress of the risk and hazard reduction work, from which a set of 'strategic themes' was developed to facilitate different ways of thinking and so solve these issues. The strategic themes are: - Looking for blockers and how they can be removed, - Avoiding overly complex solutions by utilising the concept of fit for purpose, - The effective use of resources, - Prioritisation arrangements, - Incentivisation, - The appetite for risk, - Avoiding distractions and diversions, - Effective use of communications so that the more effective and efficient ways of working, and the improvements that are generated, are promulgated throughout Sellafield Ltd. These strategic themes have been applied with great effect in a number of areas delivering risk reduction benefits. For example: - The removal of ageing fuel from Sellafield's oldest pond, the Pile Fuel Storage Pond; a significant milestone in the site's hazard and risk reduction agenda. - Implementing an alternative ILW approach. - Managing stocks of Highly Active Liquor (HAL). - 'Re-purposing' existing Waste Management Facilities. (authors)

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Improving PCM Waste Management Through New Approaches to Screening for LLW Treatment and Disposal - 20145

A major step forward in the management of Plutonium Contaminated Material (PCM) Waste has been taken at the Sellafield site with the introduction of new capabilities to enable wastes previously conservatively designated as PCM Intermediate Level Waste (ILW) to be re-classified for treatment as Low Level Waste (LLW). The Sellafield site, located in the North West of England, within the United Kingdom (UK), has operated plutonium processing plants and waste facilities for almost 70 years. During this time management of the raw PCM waste produced has presented a variety of challenges. The waste is currently processed by high force waste compaction in the Waste Treatment Complex (WTC). The WTC converts 200 litre drums of raw PCM waste into a compacted, grout encapsulated monolith form within stainless steel containment, ready for emplacement within the UK's Geological Disposal Facility (GDF) when it becomes available. To help progress some of the wastes waiting for treatment, recent improvements have been made with the introduction of new waste assay instrumentation which enables the identification of a 'candidate' waste potentially suitable for disposal via the LLW treatment route. Opening a new LLW route for previously designated PCM has been a major advance in PCM waste management policy. It has required a range of technical assessment arrangements to be developed, tested and commissioned and involved the engagement of a wide range of stakeholders. In particular, very detailed technical analysis methods have been developed to ensure that there is a robust and conservative approach to the final sentencing of waste. Following completion of commissioning tests, the first 86 m{sup 3} of previously designated PCM waste was successfully treated through the LLW route and consigned to LLW disposal in June 2019. The direct benefit of sentencing waste to the correct waste route (LLW) is the significant cost savings across the complete range of waste management activities. This work is also strategically important for demonstrating to a range of stakeholders including workforce and regulators, that waste previously designated as PCM can be re-classified in a systematic and justifiable way without increasing risk to personnel or the wider environment. By ensuring that waste is being managed appropriately it will be possible to carry out more remediation work safely, in less time, and at a lower cost. (authors)

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Applying Technology and Experience to Ensure Safe In Situ Decommissioning - 19587

Permanent entombment of a radioactively contaminated facility as a decommissioning option (In Situ Decommissioning, ISD) has been completed for DOE facilities at the Savannah River Site (P and Reactors, HWCTR reactor), Hanford (U Canyon) and Idaho (CP-601/604),and is currently being considered for implementation at a limited number of selected DOE facilities as well as for the NPD and WR-1 reactors in Canada and various facilities in the United Kingdom. A general description of an ISD project encompasses an entombed facility which in some cases is limited to just the below-grade portion of a facility with the above-ground portion being decommissioned, packaged and disposed in a conventional manner. The entombed portions of the facility are of robust construction, generally of reinforced concrete exterior, that provides a migration barrier between internal contamination and the environment with significant internal void spaces backfilled or grouted. The scope of entombment may include ancillary equipment and structures and may contain radioactive and hazardous materials and contamination within the facility and waste imported from outside the facility. ISD is most often a permanent decommissioning end-state although in some instances (e.g. the U.K.) there may be a need to revisit the ISD facility after 300 years to effect traditional decommissioning. The defined completion (the end-state) of the decommissioned facility is therefore project-specific and in conformance with environmental approval processes and planned future activities. In all cases however, the final condition is passive, meaning that there are no requirements for ongoing operational systems or equipment within the decommissioned facility. ISD projects in the USA are presumed to be under indefinite institutional control of the U.S. Government. The regulatory framework in the U.S. is currently in place to provide assurance that the risk posed by an ISD facility is within regulatory acceptance criteria. (The framework in the U.K. and Canada is evolving towards that in the USA). Special emphasis is placed on the fact that an entombed facility is not considered a waste disposal facility; rather it is a decommissioning end-state option. ISD does not eliminate the need for effective and careful management of contaminated materials and structures, nor does it serve to abandon contaminated buildings in place. Further, ISD is safe and cost-effective for a relatively small number of facilities across the DOE Complex. This paper explores the current programmatic considerations and technical aspects of the ISD process and discuss the measures taken to ensure that an 'entombed' facility is safe for both site workers and the general population. (authors)

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The UK's National Policy and Programme for the Management of Spent Fuel and Radioactive Waste - 16574

This paper provides a broad overview of the United Kingdom's (UK's) national policies and national programme for the management of spent fuel and radioactive waste. The aim of the paper is to ensure a clear understanding of the approach taken in the UK so that opportunities for learning lessons and joint working, where they exist, can be identified and to ensure a general understanding of the interdependencies between the various approaches taken in the UK. With a legacy that dates back to the late 1940's/early 1950's the UK have a range of complex and difficult issues to resolve that have evolved over time. What was considered to be acceptable in the past is not thought of in the same way today. We therefore need to be forward thinking, innovative and above all ready to adapt our practices and policies to address previously unknown issues and complications. Due to the wide range of types of radioactive wastes and materials to be managed in the UK we have needed to establish a set of high level principles to cover all radioactive waste types while at the same time ensure that specific approaches for specific issues are developed within that framework. In the UK we have also had to consider the issue of integration to ensure that an approach that addresses one issue does not inadvertently cause a problem elsewhere - for example: in disposing of the high volumes of very low level waste we needed an approach to ensure that other low level waste has a disposal route. Financing of decommissioning and future waste management is clearly one of the biggest challenges to be addressed. As mentioned above ensuring that the legacy left for future generation is not one of a burden - we need to ensure that measures are in place to fund and manage long lived radioactive wastes. Finally, it is clear that not all radioactive wastes are the same and therefore different approaches are needed for managing the different types of material. This requires a proportionate and prioritised approach so while the same ultimate goal is applied (i.e.: the safe and responsible management of radioactive waste) some radioactive wastes are more equal than others and need to be treated accordingly. In the UK we believe that we have a broad programme in place that allows the right balance to be struck in managing all our radioactive waste and spent fuel in a proportionate, safe and responsible manner.

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Combined Assay Systems for the Characterisation of Historical ILW at of the Dounreay Shaft and Silo-18140

In 1955 the Dounreay nuclear power development establishment was created on the northern coast of Scotland primarily to pursue the UK Government policy of developing Fast Breeder Reactor (FBR) technology. The site operated then by the United Kingdom Atomic Energy Authority (UKAEA) saw the development, test and operation of 3 nuclear reactors, two of them FBRs, alongside fabrication and reprocessing facilities for the FBR fuel elements. From the late 1950's until 1977 Intermediate Level radioactive Waste (ILW) generated on site was disposed of into a 65 m deep, 4.6 m diameter shaft. In January 1977, an explosion thought to be caused by hydrogen generated from sodium and potassium wastes reacting with water occurred in the upper part of the shaft, thus stopping any further waste disposal. A second ILW storage facility, the ILW-Silo, started operation in 1971 to deal with the increasing volume of intermediate level waste generated on site in the mid-1960's and continued receiving waste until 1998. The decommissioning of the Shaft and Silo facilities is a challenging engineering task due to the complexity and potential hazards linked with the retrieval and handling of historical waste. Following recovery it is intended to shred the majority of the waste and load it into 200-l assay drums. Sludges would be separated and solidified within a special annulus drum to make them suitable for assay. To support the decommissioning strategies put forward by Dounreay Site Restoration Limited (DSRL), Mirion Technologies Canberra UK Ltd have designed and completed the manufacture of a pair of combined non-destructive waste assay (NDA) systems. The two identical automated ILW counters are intended to provide a means to characterise the waste materials by performing active and passive neutron measurement as well as segmented high resolution gamma spectrometry (HRGS) of 200-l sacrificial waste drums. The active neutron technique is based on the Differential Die Away (DDA) technique using a pulsed Deuterium-Tritium neutron generator to interrogate fissile material present in the waste. The active neutron measurements support, as well as the passive neutron coincidence measurements, a matrix correction capability by use of an Add-a-Source mechanism. The publication will describe in broad lines the approach proposed by DSRL in the processing of the waste retrieved from both the Shaft and Silo facilities. It will also present a description of the overall design of the NDA counters, illustrating how the measurements to be performed will allow DSRL to safely characterise the retrieved waste materials. (authors)

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