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Built Environments

Introduction

The provision of a safe environment for those receiving healthcare is essential and has an important role in preventing healthcare associated infections (HAI’s).

The built environment in healthcare covers the construction and adaptation of healthcare buildings, as well as the design and provision of healthcare services in all clinical areas. It is essential that infection prevention and control (IPC) is included throughout these processes.

This section of the IPC Manual will highlight a number of documents that should be considered for IPC in the Built Environment.

  • In-patient care Health Building Note 04-01: Adult in-patient facilities. London: Dept. of Health, 2013.

https://www.england.nhs.uk/wp-content/uploads/2021/05/HBN_04-01_Final.pdf

  • Health Building Note 04-01 Supplement 1 Isolation facilities for infectious patients in acute settings. London: Dept. of Health, 2013.

https://hberm.com/wp-content/uploads/2015/10/HBN-04-01-Supplement-1-Isolation-facilities-for-infectious-patients-in-acute-settings-20131.pdf

  • Health Building Note 00-01 General design guidance for healthcare buildings. London: Dept. of Health, 2014

https://www.england.nhs.uk/wp-content/uploads/2021/05/HBN_00-01-2.pdf

  • Health Building Note 00-09 – Infection control in the built environment. Leeds:DH, Estates & facilities, 2013.

https://www.england.nhs.uk/wp-content/uploads/2021/05/HBN_00-09_infection_control.pdf

  • Health Building Note 00-08 Part A: Strategic framework for the efficient management of healthcare estates and facilities. 2014.

https://www.england.nhs.uk/wp-content/uploads/2021/05/HBN_08_Part_A.pdf

  • Health Technical Memorandum 03-01 Specialised ventilation for healthcare premises Part A: The concept, design, specification, installation, and acceptance testing of healthcare ventilation systems. London: NHS England and NHS Improvement, 2021.

https://www.england.nhs.uk/wp-content/uploads/2021/05/HTM0301-PartA-accessible-F6.pdf

  • Health Technical Memorandum 03-01 Specialised ventilation for healthcare premises Part B: The management, operation, maintenance, and routine testing of existing healthcare ventilation systems. London: NHS England and NHS Improvement,2021.

https://www.england.nhs.uk/wp-content/uploads/2021/05/HTM0301-PartB-accessible-F6.pdf

  • Health Technical Memorandum 04-01: Safe Water in healthcare premises Part C: Pseudomonas aeruginosa – advice for augmented care units. Dept. of Health, 2014.

https://www.england.nhs.uk/wp-content/uploads/2021/05/DH_HTM_0401_PART_C_acc.pdf

  • Water Systems Health Technical Memorandum 04-01: Addendum

Pseudomonas aeruginosa – advice for augmented care units. Dept of Health, 2013.

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/140105/Health_Technical_Memorandum_04-01_Addendum.pdf

  • Health Technical Memorandum 04-01: Safe Water in healthcare premises

Part C: Pseudomonas aeruginosa – advice for augmented care units. Dept of Health, 2016.

https://www.england.nhs.uk/wp-content/uploads/2021/05/DH_HTM_0401_PART_C_acc.pdf

  • Guidance for neonatal units (NNUs) (levels 1, 2 & 3), adult and paediatric intensive care units (ICUs) in Scotland to minimise the risk of Pseudomonas aeruginosa infection from Water.Health Protection, Scotland: 2018.

https://www.nipcm.hps.scot.nhs.uk/media/1676/2018-08-pseudomonas-v23.pdf

FGI. Guidelines for Design and Construction of Hospitals. Dallas: Facility Guidelines Institute, 2022.

https://fgiguidelines.org/

  • Guidelines for Design and Construction of Outpatient Facilities. Dallas: Facility Guidelines Institute, 2022.

FGI. Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Dallas: Facility Guidelines Institute, 2022.

  • Roadmap to improve and ensure good indoor ventilation in the context of COVID-19. World Health Organization, 2021.

https://iris.who.int/bitstream/handle/10665/339857/9789240021280-eng.pdf?sequence=1