Sewage treatment works are designed to treat and clean sewage and waste water before they are released into the environment. 

Properly treating sewage is essential for protecting public health and the environment, and sewage treatment works play a vital role in maintaining the health and safety of communities.

The sewage treatment process involves several stages, including: 

•  When you flush the toilet or empty the sink, the wastewater goes down the drain and into a pipe which takes it to a larger sewer pipe under the road. The sewer then joins a network of other sewers and takes the wastewater to a sewage treatment works
• Removing large objects including items that should never have been put down the drain in the first place, such as wet wipes, nappies, sanitary items and cotton buds.
• To separate human waste from the water it's put into large settlement tanks, which causes the solids to sink to the bottom of the tank. This is called settled solids or sludge. In a circular tank, large arms or scrapers slowly move around the tank and push the sludge towards the centre where it is then pumped away for further treatment.
• Most of the sludge is recycled as fertiliser on farms, but it can also be heated to produce energy.
• Once the wastewater is clean, it is returned to rivers or the sea. The quality of the cleaned wastewater is strictly regulated and companies thoroughly test it (see below). If the river that it will be returned to is particularly sensitive the cleaned water can be further slowly filtered through a bed of sand.

Sewage treatment works are doing a much better job at treatment than ever before. For example, key pollutants discharged into rivers like phosphorus and ammonia have been significantly reduced (67% less phosphorus and 79% less ammonia than in 1995). This is important because phosphorus can deprive water of oxygen, and ammonia can harm aquatic life. As a result of these efforts, there has been a notable increase in snails, worms and insects in rivers across England, indicating an improvement in water quality. In addition, many rivers that were heavily polluted in the past (during the industrial revolution) are now home to salmon and otters, further demonstrating the positive impact of these measures. 

A key measure of the quality of sewage treatment is 'biological oxygen demand', which tracks one of the biggest immediate impacts on rivers from discharged sewage.

The water industry is addressing four separate challenges:

1. Aging infrastructure. Water companies have invested £47billion* since the 1990s to improve wastewater infrastructure, but some of the legacy still remains from previous generations. Industry is bringing forward the largest ever infrastructure programme to upgrade storm overflows, including wastewater treatment works, but also wants to see a step-up in investment in sewer networks.
2. Climate change. Not only is wastewater treatment a significant cause of greenhouse gas emissions, treatment works are themselves heavily affected by climate change. Increased storm events and rainfall intensity can overwhelm processes and make it harder for bacteria to break down the sewage. Companies are planning long-term investment and treatment work upgrades to respond to this threat, as well as tackling the additional demands on the system from population growth and runoff from urban expansion.
3. Emerging contaminants. Treatment works do a good job of removing newer contaminants that they weren't originally designed to deal with. For example, they are believed to remove up to about 99% of microplastics present in sewage from things like nylon clothes. However, we need to remain vigilant to new chemicals.
4. Energy consumption: Sewage treatment works require a significant amount of energy to operate, leading to high operational costs and greenhouse gas emissions.

Permits and Monitoring

The Environment Agency sets strict permits for each sewage treatment works, controlling the exact amount of chemicals that can be put back into nature. This includes levels of phosphorus and nitrates which are the main causes of algal blooming and excess weed growth, which harm fish and other species. 99% of sewage works now comply with their legal permits, up from 77% in the 1980s, and 88% in the early 1990s. The EA then oversees a regime of monitoring against those permits including:

• Effluent Quality: the quality of the treated effluent discharged from the sewage treatment works to prevent pollution of water bodies. This includes measurements such as biochemical oxygen demand (se the graph above).
• Sampling, Analysis & Compliance Inspections: These inspections are to verify compliance with environmental regulations and may be scheduled or unannounced.
• Operational Monitoring: This ensures that the treatment works are properly operated and maintained to achieve effective treatment and minimise environmental impacts.
• Environmental Impact Assessment: assessing the potential environmental impacts associated with the discharge of treated effluent.

In addition to the above permit audits, water companies must comply with the Operator Self Monitoring (OSM) regime. This requires water companies to monitor and report on specific aspects of their operations and environmental performance.

* Source: Ofwat Long Term Data Series