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.
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 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 publication examines the fire incident data reported to the Department of Health during the period 1994/95 to 2004/05. In this period: 10,662 fire incidents were reported; the cost of the fires amounted to £14.6 million; there have been 17 fatalities and 651 injuries. The overall conclusion is that the prevalence of fire over the past ten years in the NHS in England has remained relatively constant.
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
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 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 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 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)
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
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
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 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 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 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 document provides best practice guidance on the selection and zoning of facilities for delivering primary and community care services. The guidance is applicable to GP premises, health centres, primary care centres, resource centres, urgent care centres (including walk-in centres and minor injuries units) and community hospitals. It describes the range of services that may be delivered, the type of space needed, the way to quantify these spaces for briefing purposes, and the way spaces can be organised into zones to create efficient, flexible, user-friendly environments.
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)
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 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.
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.).
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
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).
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.
This HBN supersedes and replaces all versions of Health Facilities Note 30 (HFN30). It discusses the various stages of a capital build project from initial concept through to postproject evaluation and highlights the major infection prevention and control (IPC) issues and risks that need to be addressed at each particular stage to achieve designed-in IPC. The principles of this guidance can be applied to all healthcare facilities, mental health settings are included. The most important points raised by the document are the need: for an awareness of appropriate Health Building Notes and Health Technical Memoranda pertinent to new build or refurbishment projects; for timely, comprehensive and collaborative partnership between all parties to achieve IPC goals specific to each construction project; for all stakeholders to understand the basic principles of 'designed-in' IPC; to understand and assess the risks of infection relating to construction projects and the physical environment; for robust project management in relation to IPC considerations for all new-build and refurbishment projects; for a system of signing-off plans and meeting notes to include all participating parties including the IPC team; for quality control throughout the duration of the construction project; to regularly consult with and update all relevant parties throughout the project; to continually monitor developments.
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)
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 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) 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.
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 Health Technical Memorandum (HTM) addresses sustainable development within health and social care facilities by looking at the main issues that should be addressed throughout a building's life - highlighting key actions, commitments and responsibilities at every stage. It also explores the reuse of existing buildings and provides advice on possibilities for sustainable refurbishment. The guidance in this document is based on the principle that unsustainable development has a detrimental impact on the health of our communities and consideration should be given to the social, environmental and economic context with every decision made
This Health Building Note covers the policy and service context, and planning and design considerations for maternity care facilities. It covers the following: 1 antenatal clinics, early pregnancy assessment units, pregnancy (fetal and maternal) assessment units; 2 birthing facilities and in-patient areas, including the requirements for the routine care of neonates; 3 obstetric theatres.It covers facilities provided in: 1 midwife-led units, often known as birth centres which may be located alongside a consultant-led unit on an acute hospital site, co-located with a community healthcare facility, or exist as a standalone centre; 2 consultant-led units. The guidance recognises that the services and facilities provision will be different between CLUs and MLUs. It also recognises that MLUs located alongside a CLU may have differences in provision to those that are separate
This Health Building Note provides specific planning and design considerations for chemotherapy and radiotherapy units. It describes spaces that are unique to those units. It also describes any variations to common hospital spaces and clarifies requirements for these spaces, where necessary. For a full list of space components, see the example schedules of accommodation for a chemotherapy unit serving a population of 400,000 and for a two and four linear accelerator radiotherapy unit. Links to guidance on common spaces are provided from the example schedules. Upgrades Health Building Note (HBN) 54 (2006)
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