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.
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 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 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.
This title is a supplement to the Health Building Note 11-01 "Facilities for primary care and community services" (2009, ISBN 9780113228539) and builds on the guidance in the Health Building Note by: Describing and evaluating a range of recently complete primary and community facilities; Providing real examples of the key design principles set out in the Health Building Note 11-01; Making recommendations for the future development of facilities. This document focuses on the physical nature of facilities and is not intended to be a comprehensive evaluation of primary and community care services. Ten primary and community care schemes are examined within this document. They illustrate a variety of service models, ranging from those delivering largely integrated primary care services for a specific neighbourhood through to those delivering hospital services for a wider catchment area. All are forward-looking in terms of service delivery and each one has been planned to meet local needs. Three themes emerged during analysis of the schemes: the key features of service delivery and their impact on the building type; the opportunity for each project to develop a sense of place in their design; the extent to which flexible and sustainable design was sought or achieved.
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 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.).
This HBN provides guidance for NHS-funded providers on designing and planning for a resilient healthcare estate. It aims to help NHS-funded providers to determine appropriate levels of resilience for sites, buildings and installations against a wide range of emergencies, hazards and threats and their impacts and consequences including resilience to the impacts of climate change. This document focuses on: the strategic approach to resilience planning for healthcare estates; procuring resilient healthcare estates; design and planning considerations for a resilient healthcare estate; resilience of building services engineering.
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 provides best practice guidance on the selection and zoning of facilities for delivering primary and community care services. The guidance is applicable to the following building types: GP premises; Health centres; Primary care centres; Resource centres; Urgent care centres (including walk-in centres and minor injuries units); Community hospitals (also known as intermediate care hospitals). It describes the following: the range of services that may be delivered from primary and community care buildings; the types of space needed to deliver these services (many of which are generic); the way to quantify these spaces for briefing purposes; the way spaces can be organised into zones to create efficient, flexible, user-friendly environments.
HBN 00-10 Part C outlines the policy and performance requirements for sanitary assemblies used in healthcare facilities. These requirements are a set of essential standards of quality and safety that sanitary assemblies must comply with. It supersedes Health Technical Memorandum 64.This HBN outlines the relevant standards that commissioning organisations will need to include in their contracts with healthcare providers. It allows choice in the materials and methods of construction - provided they satisfy the performance requirements outlined
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.
This Health Technical Memorandum (HTM) provides general guidance on the engineering, technical and environmental aspects of healthcare building design. It addresses the general principles, key policies and factors common to all engineering services within a healthcare organisation. Key issues include: general health and safety; professional support; operational and training requirements; emergency preparedness; workforce planning and capability; maintenance.
This Health Building Note (HBN) sets out general design principles for health and community care buildings. Specific guidance for individual clinical settings is available within the clinical topic itself
This Health Building Note (HBN) sets out general design principles for health and community care buildings. Specific guidance for individual clinical settings is available within the clinical topic itself
HBN 00-10 Part B outlines the policy and performance requirements for walls and ceilings used in healthcare facilities. These requirements are a set of essential standards of quality and safety that walls and ceilings must comply with. It supersedes Health Technical Memoranda 56 and 60.This HBN outlines the relevant standards that commissioning organisations will need to include in their contracts with healthcare providers. It allows choice in the materials and methods of construction - provided they satisfy the performance requirements outlined
During 2002/2003, the NHS in England consumed 40.3 million cubic metres of water and produced 34.4 million cubic metres of sewage. This comes at a cost - not just financial, but at a cost to the environment. Financial savings of up to 20% may be achieved through water-efficiency measures, with little or no cost in investment. This translates to a possible saving of £9.5 million per year. Much of these savings can be immediately realised through minor repairs to existing infrastructure and through staff behaviour, while others may require an initial capital investment that can be recovered within a specified payback period. This Health Technical Memorandum encourages investigating these possible savings. Additionally, it examines water-managementdecisions in the context of: patient health and well-being; social and behavioural aspects; and available and appropriate technology. Methods for auditing facilities are outlined, with common areas of high water use discussed and technical solutions proposed. Guidance on establishing necessary social and behavioural aspects such as staff awareness, appropriate use of technology and a clear definition of responsibilities are also outlined
This Health Building Note (HBN) provides evidence-based best practice guidance on the design and layout of sanitary spaces for use in healthcare settings. Room sizes have been standardised wherever possible. For areas where a standard room size is not appropriate, this document provides a sizing methodology suitable forbriefing purposes. Most of the indicative room layouts are informed by one or more ergonomic drawings. In places, the guidance differs from that provided in Approved Document M (2010) and BS 8300:2001 (2009 edition). Where this is the case, the reasons for the variations are discussed.
This Health Building Note is a guide to the planning and design of a main renal unit, which comprises facilities for: haemodialysis; teaching peritoneal dialysis; renal in-patients; the renal ward; renal out-patients; the maintenance and repair of haemodialysis machines; the administration of renal services; and training patients who would like to undertake independent haemodialysis in their own homes
Bed spaces and their environment have a significant impact upon patient experience and delivery of care. With patients able to choose their provider of healthcare service and the increased complexity of clinical techniques and procedures provided at bed spaces, it is now even more important to ensure that bedhead facilities are fit-for-purpose in all respects. This guidance covers the management policy for, operational management of, and design considerations for bedhead services. It applies to the range of engineering services and equipment provided at in-patient areas and bed spaces within healthcare premises. Other systems (such as intruder or personal attack alarms), although not strictly part of a bedhead unit or used at the bed space, are included within the scope of this document by way of their interaction with other bedhead-service systems.
The text provides guidance on developing NHS facilities that are resilient to a range of threats and hazards. Resilience is considered to be the ability of the building to withstand the empact of an incident or emergency. The guide offers a strategic approach to reilience planning and a a technical guidance on measures to enhance resilience.
This Health technical memorandum provides guidance on fire safety when laboratory facilities are about to be, or have been, established on hospital premises. It also provides organisational and managerial guidance in the areas of accountability for fire safety, fire safety policy, emergency plans and staff training. Technical recommendations are given for emergency and escape lighting, flammable and hazardous substances, data storage and electrical equipment.
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
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.).
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 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.
Health Building Note 40 - 'Common activity spaces' is being republished as three documents. This document, Health Building Note 00-03, provides evidence-based best practice guidance on the design and layout of generic clinical and clinical support spaces for use in healthcare settings. Room sizes have been standardised wherever possible. For clinical support areas where a standard room size is not appropriate, this document provides a sizing methodology suitable for briefing purposes. This guidance was previously provided in Volumes 1, 2 and 3 of Health Building Note 40 ('Public areas', 'Treatment areas' and 'Staff areas', respectively).
This document sets out fire safety recommendations, advice and guidance for the purchase, use and donation of textiles, furniture and furnishings in hospitals and other healthcare premises in England. The guidance is also suitable for the independent health sector. It replaces HTM 87 'Firecode: textiles and furniture' (1999, ISBN 9780113221394). The guidance has been revised in accordance with the requirements of EC legislation and European technical specifications, in particular in relation to the Medical Devices Directive (93/42/EEC) and the General Product Safety Directive (2001/95/EC). It also recognises present Government policy in supporting areas such as: the Keymark (the CEN mark of conformity); the use of eco-labels in textile and end--use applications; and the use of the CE Mark.
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.
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.
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