Part B, Operational management, provides guidance for all workers on the fixed wiring and integral electrical equipment used for electrical services within healthcare premises. Specifically, it considers the operational management and maintenance requirements for hard-wired electrical systems and fixed power plant. This document is suitable for use with all forms of electrical maintenance work ranging from testing of plant, such as generators, to the periodic testing and inspection of the electrical network(s) and final circuits.
This documents contains best practice advice on the design and layout of new cardiac facilities within acute general hospitals, and the recommendations should also be applied when existing facilities are upgraded, where practical. It covers the following facilities: dedicated out-patient units for provision of consultation/examination and patient support/information services; non-invasive investigations units (for example for undertaking ECGs and echocardiography, and analysis of pacemakers and other implantable devices; catheter laboratories and associated facilities; minor cardiac procedures rooms; dedicated day case units (for admission, preparation, recovery and discharge of day patients undergoing invasive procedures; cardiac operating theatres and associated facilities. Key legislation affecting the provision of cardiac facilities is also highlighted. This edition of HBN 28 replaces the 2001 edition (ISBN 0113224559).
This document sets out operational guidance on electrical safety requirements for high voltage systems in healthcare premises. It is intended to assist in meeting the requirements of the Electricity at Work Regulations 1989 which detail the precautions to be taken against risk of death or personal injury from electricity in work activities. This document replaces and supersedes all previous versions of Health Technical Memorandum 2021 'Safety code for high voltage systems'.
This document replaces and supersedes all previous versions of Health Technical Memorandum 2020 - Safety code for low voltage systems. On cover & title page: Electrical services
The Waste Electrical and Electronic Equipment (WEEE) Regulations (S.I. 2006/3289, ISBN 9780110754796) introduce a new legal framework for the disposal of electrical and electronic equipment by householders and non-household users. This guidance document explains the requirements of the WEEE Regulations and how they affect NHS trusts as users of non-household equipment. Issues covered include: the objectives and scope of the Regulations; key dates and deadlines; links between procurement and disposal; the need to track EEE purchases made at a department/ward level; considerations involved in accepting end-of-life responsibility from producers in new procurement; and links with other waste management legislation.
This Health Technical Memorandum takes the form of best practice guidance and recommendations. It provides guidance on the design of fire precautions in new healthcare buildings and major extensions to existing healthcare buildings. It supersedes HTM 81 (ISBN 9780113210824), and HTM 85 (ISBN 9780113217335). This publication provides guidance to achieve a satisfactory standard of fire safety, and recognizes the special requirements of fire precautions in the design of healthcare premises and should allow the current statutory regulations to be applied sensibly within a framework of understanding. The guidance in this HTM satisfies all requirements of Part B - Fire Safety of the Building Regulations 2000 (as amended).
The aim of this guidance is to identify best practice in developing travel plans and providing adequate car-parking for NHS trust in England. (Travel plans are measures to manage travel to and from a site, and to reduce reliance on the car as a means of getting to work.) The guidance also assesses the Department for Transport's travel plan evaluation tool against NHS trust travel plans; provides a matrix to estimate a base level of car-parking provision (on the accompanying CD-ROM); identifies links to other assessment tools; suggests how to collect and monitor data; identifies successful partnership working, what encourages and motivates trusts, staff and the public; considers environmentally-friendly transport options. The key elements of best practice are: financial incentives or disincentives; car-parking constraints and management; a range of alternative modes of transport; strong management support; progressive incremental implementation over time; clear objectives; close partnership with local authorities and public transport operators; dedicated staff responsible for travel plans; and, very significantly, designation of a travel plan manager or champion.
This publication provides a framework of best practice guidance on the management of healthcare waste to help healthcare organisations and other producers meet legislative requirements. It replaces the Health Services Advisory Committee guidance document 'Safe disposal of clinical waste' (1999). The guidance has been revised and updated to take account of legislative changes governing waste management, storage, carriage, treatment and disposal, health and safety. Key recommendations include: adopting a new methodology for identifying and classifying infectious and medicinal waste called the 'unified approach'; a revised colour-coded best practice waste segregation and packaging system to promote standardisation across the UK; the use of European Waste Catalogue (EWC) codes for waste documentation; and an offensive/hygiene waste stream to describe non-infectious waste (human hygiene waste and sanitary protection waste such as nappies, incontinence pads etc.).
A medical gas pipeline system (MGPS) is installed to provide a safe, convenient and cost-effective system for the provision of medical gases to clinical and nursing staff at the point-of-use. It reduces the problems associated with the use of gas cylinders, such as safety, storage and noise. This health technical memoranda is divided into two parts; part A (ISBN 0113227426) focuses on issues involved in the design and installation, validation and verification (testing and commissioning) of an MGPS. This document covers operational management issues, including: operational policy and procedures, and the permit-to-work system; training and communication; cylinder management; general safety; and maintenance.
This publication outlines the principles involved in design, installation and testing of hot and cold water supply, storage and distribution systems for health care premises It is apllicable to both new and existing sites. A companion volume, Part B, Operational management (ISBN 0113227450) is also available. HTM 04-01 supersedes HTM 2027 (1995) and HTM 2040 (1994)
This report provides cost and performance statistics in relation to the NHS estate and facilities management (efm) services in England, sourced from Trust annual returns and other data between the years 1999/00 to 2005/06. Data for the report has been collected using the Department of Health's online Estates Returns Information Collection (ERIC) system. Chapters cover: factors affecting efm data collection and analysis; key components of efm performance assessment; financial results for NHS trusts; energy performance results for NHS trusts for 2005/06; Strategic Health Authority (SHA) results for 2005/06; example models for measuring efm data.
With an amendment slip which incorporates the Directions relating to the register of public sector land. Supersedes the document 'Estatecode: essential guidance on estates and facilities management' (2002, ISBN 9780113225491). On cover and title page: Core elements
This publication contains guidance on the standards and principles applicable to all health technical memoranda in this series in relation to the management of engineering and technical service provision in the NHS and other healthcare facilities. It seeks to ensure that everyone concerned with the management, design, procurement and use of the healthcare facility understands the requirements of the specialist, critical building and engineering technology involved, in order to provide effective and reliable systems and a safe and caring environment for patient care. It is divided into nine chapters and topics covered include: an overview of the Health technical memoranda (HTM) series; statutory and legislative requirements; appropriate professional and technical support; operational policies; emergency preparedness; staff training; design and access availability.
Health building notes give "best practice" guidance on the design and planning of new healtcare buildings and on the adpatation/extension of existing facilities. They provide information to support the briefing and design processes for individual projects in the NHS building programme. Health Building Note 40, vol. 4, Common activity spaces is being republished into 3 documents. This document forms Health Building Note 00-04 and replaces HBN 40, vol. 4 (ISBN 9780113221875). Circulation spaces provide access within hospital departments whereas communication spaces provide access between departments and may include main hospital streets. This document provides guidance on the design of circulation and communication spaces in hospitals and other healthcare buildings, including corridors, internal lobbies and stairs, and lifts. It also provides supporting information on doors and handrails. The guidance is based on ergonomic research, including a study that investigated space requirements for bed movement along corridors and through doors.
This document gives best practice advice on the design and layout of cancer facilities within acute hospitals, primarily chemotherapy and radiotherapy facilities. Although it is aimed at new builds, the recommendations should be applied, where possible, when existing facilities are being upgraded. It describes a chemotherapy unit for the delivery of intravenous and intrathecal chemotherapy, and a radiotherapy unit for the delivery of external beam radiotherapy (teletherapy), as well as facilities for undertaking unsealed source radiotherapy and sealed source radiotherapy (brachytherapy). It also describes a dedicated out-patients unit (OPU) for cancer patients, although it is acknowledged that some trusts will use a shared out-patients facility. Reference is made to facilities that are not used exclusively by people with cancer but have a particular relevance.
This Health Technical Memorandum contains guidance to assist the design team in the selection, specification and application of sanitary assemblies in health buildings. Design and specification notes and selection criteria are followed by detailed assembly and component data sheets, and data sheets for taps, traps, wastes and floor outlets used in assemblies. This 3rd edition supersedes the 2nd edition (1995, ISBN 0113217625)
This document describes the achievements of 23 projects in the King's Fund Enhancing the Healing Environment Programme. It includes case studies of nine of the projects and a summary of an evaluation that was commissioned to assess the improvements to the environment, the benefits to patients and staff, and value for money. This evaluation applied a recognised methodology to the case studies, and substantial environmental improvements have been measured in all of the schemes studied. There is already evidence of high user satisfaction, as well as a reduction in stress, increased use of the project areas, changes in working practices, and the therapeutic benefit that can be derived from environments that are designed by patients and staff to be fit for a purpose.
This publication sets out guidance on the technical design and output specifications of flooring in healthcare buildings, and although it is mainly concerned with new building work, the information is also applicable to the renewal of flooring in existing buildings.
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