Building better healthcare 3 a CD-ROM of policy guidance, May 2003

1 GENERAL Accommodation for adults with acute mental illness Ambulatory care and diagnostic centres ; HFN 13 Ambulatory care in the USA Better by design Design protocol Diagnostic and treatment centres development tool Buildings for the day care of older people ; HFN 02 Day facilities for people with severe learning disabilities Day surgery case study ; HFN 07 Design against crime ; HFN 05 Design of day nurseries with particular reference to district general hospitals Design of community hospitals Design of hospital main entrances Design for patient-focussed care ; HFN 01 Design of residential care and nursing homes for older people ; HFN 19 Diagnostic and treatment centres : ... an evaluation Diagnostic and treatment centres : the way forward Infection control in the built environment ; HFN 30 Medium secure psychiatric units Refurbishment for natural ventilation ; HFN 26 Strategic asset management working group report Architectural healthcare environment and its effects on patient health outcomes Minimal access therapy ; HFN 08 Access audits of primary healthcare facilities ; HFN 20 Car parking ; HFN 21 Disability access ; HFN 14 Wayfinding

2 HEALTH BUILDING NOTES (HBNs) Buildings for the Health Service ; HBN 01 Whole hospital briefing and operational policies ; HBN 02 In-patient accommodation ; HBN 04 Facilities for diagnostic imaging and interventional radiology ; HBN 06 Facilities for rehabilitation services ; HBN 08 Catering department ; HBN 10 Out-patients department ; HBN 12 Out-patients department ; supplement 1 : genito-urinary medicine clinic Out-patients department ; supplement 2 : oral surgery, orthodontics, restorative dentistry Out-patients department ; supplement 3 : ENT and audiology clinics, hearing aid centre Out-patients department ; supplement 4 : opthalmology Sterile services department ; HBN 13 Sterile services department ; supplement 1 : ethylene oxide sterilization section Accommodation for pathology services ; HBN 15 Office accommodation in health buildings ; HBN 18 Facilities for mortuary and post-mortem room services ; HBN 20 Maternity department ; HBN 21 Accident and emergency facilities ; HBN 22 Accident and emergency facilities ; supplement 1 : trauma care and minor injury Hospital accommodation for children and young people ; HBN 23 Laundry ; HBN 25 Operating department ; HBN 26 Facilities for cardiac sevices ; HBN 28 vol.1 Accommodation for pharmaceutical services ; HBN 29 Estate maintenance and works operations ; HBN 34 Accommodation for people with mental illness ; HBN 35 Local healthcare facilities ; HBN 36 Local healthcare facilities ; supplement 1 : accommodation for professions allied to medicine Common activity spaces ; HBN 40 Accommodation for ambulance services ; HBN 44 External works for health buildings ; HBN 45 Health records department ; HBN 47 Accommodation at the main entrance of a district general hospital ; HBN 51 Accommodation at the main entrance of a district general hospital ; supplement 1 : miscellaneous spaces in a district general hospital Accommodation for day care ; HBN 52 Accommodation for day care ; supplement 1 : day surgery : review of schedules of accommodation Satelite dialysis unit ; HBN 53 Facilities for cancer care centres ; HBN 54 Facilities for critical care ; HBN 57 Radiology department ; HBN 06 Radiology department ; supplement 1 : accommodation for magnetic resonance imaging Mortuary and post-mortem room ; HBN 20 Accident and emergency department in an acute general hospital ; HBN 22 Intensive therapy unit ; HBN 27 Telephone services ; HBN 48

3 FIRECODE Firecode : reporting defects and failures Firecode policy and principles Fire risk assessment in nucleus hospitals Fire safety : cost or benefit ; HFN 09

4 HEALTH TECHNICAL MEMORANDA (HTMs) Fire precautions in new hospitals ; HTM 81 Alarm and detection systems ; HTM 82 Fire safety in healthcare premises ; HTM 83 Fire precautions in existing hospitals ; HTM 85 Fire risk assessment in hospitals ; HTM 86 Textiles and furniture ; HTM 87 Fire precautions in housing providing NHS-supported living in the community ; HTM 88 Supplement to HTM 85 and HTM 86

5 FIRE PRACTICE NOTES (FPNs) Escape bed lifts ; FPN 03 Hospital main kitchens ; FPN 04 Commercial enterprises on hospital premises ; FPN 05 Arson prevention and control ; FPN 06 Fire precautions in patient hotels ; FPN 07 NHS healthcare fire statistics 1995 ; FPN 09 Laboratories on hospital premises ; FPN 10 Reducing unwanted fire signals ; FPN 11

6 HEALTH GUIDANCE NOTES (HGNs) Safe hot water and surface temperatures Pressure systems and transportable gas containers regulations, 1989 Clinical waste incineration Safe disposal of clinical waste High voltage training Structural cabling for IT systems Static discharges Telemedicine

7 HEALTH TECHNICAL MEMORANDA (HTMs) User manual ; HTM 54 User manual update ; HTM 54.1 Windows ; HTM 55 Partitions ; HTM 56 Internal glazing ; HTM 57 Internal doorsets ; HTM 58 Ironmongery ; HTM 59 Ceilings ; HTM 60 Flooring ; HTM 61 Demountable storage systems ; HTM 62 Fitted storage systems ; HTM 63 Sanitary assemblies ; HTM 64 Cubicle curtain track ; HTM 66 Laboratory fitting-out systems ; HTM 67 Duct and panel assemblies ; HTM 68 Protection ; HTM 69 Fixings ; HTM 70 Materials management modular storage ; HTM 71 Building management systems ; HTM 2005 Electrical services supply and distribution ; HTM 2007 Pneumatic air tube transport systems ; HTM 2009 Sterilization ; HTM 2010 Emergency electrical services ; HTM 2011 Abatement of electrical interference ; HTM 2014 Bedhead services ; HTM 2015 Electrical safety code for low voltage systems ; HTM 2020 Electrical safety code for high voltage systems ; HTM 2021 Medical gas pipeline systems ; HTM 2022 Access and accommodation for engineering services ; HTM 2023 Lifts ; HTM 2024 Ventilation in healthcare premises ; HTM 2025 Hot and cold water supply, storage and mains services ; HTM 2027 Washer-disinfectors ; HTM 2030 Clean steam for sterilization ; HTM 2031 Mains signalling ; HTM 2035 Control of legionellae in healthcare premises ; HTM 2040 Acoustics ; HTM 2045 Risk management in the NHS estate ; HTM 2050 Healthcare waste management : segregation of waste streams in clinical areas ; HTM 2065 Estates emergency and contingency planning ; HTM 2070 Clinical waste disposal and treatment technologies : alternatives to incineration ; HTM 2075

8 MODEL ENGINEERING SPECIFICATIONS (MESs) : ELECTRICAL Guidance manual General clauses common to building services, plant and equipment ; B01 Common services : electrical low and extra low voltage ; C41 Electric traction lifts ; C42A Hydraulic ; C42B Service lifts ; C42C External lighting ; C43 Diesel engine driven automatic standby generator sets ; C44 Electrical sub-station equipment extensions : high voltage ; C45 Fire detection and alarm system ; C46 Telephone exchange ; C47 Radio paging systems ; C48 Nurse call systems ; C49 Cordless telephone systems ; C50 Electrical requirements for specified equipment ; C51 Lightning protection systems ; C53 Building management systems ; C54 SPC telephone systems ; C55 Internal security systems ; C56 Security of access and control ; C57 Closed circuit television systems ; C58 Colour coding for identification of building services ; C82

9 MODEL ENGINEERING SPECIFICATIONS (MESs) : MECHANICAL Guidance manual Common services : mechanical ; C01 Thermal insulation ; C02 Mechanical ventilation and air conditioning systems ; C04 Heating, hot and cold water equipment ; C07 Contral heating and LTHW boilers ; C09 Refrigeration ; C10 Body stores and cold rooms ; C10A Medical gases ; C11 Sterilizers ; C14 Boilers and firing appliances ; C16 Oil and dual fuel firing equipment ; C17 Steel chimneys ; C22 Fire extinguishing installations ; CC24 Washer-disinfectors for surgical instruments ; C30 Above ground sanitation systems ; C81 Colour coding for identification of building services ; C82 Thermostatic mixing valves ; D08

10 SECURITY NAHS security training manual HTM 2022 ; supplement 1 : dental compression air and vacuum systems Telecommunications ; HTM 2055

11 COMMISSIONING Operational commissioning strategy ; HFN 06 Assets in action : an asset management guide Capital investment manual : private finance guide

12 CONCODE Contracts and commissions for the NHS estate : policy Guide to contract procedures Guide to procedures for commissioning building and engineering consultants Guide to requirements of European Community public procurement directives Guide to requirements of the construction regulations, 1994 Guide to the JCT agreement for minor building works Guide to the JCT standard form of building contract, 1998 Guide to the JCT standard form of building contract with contractor's design, January 1998 Guide to building, engineering and grounds maintenance contracts for the NHS estate Agreement for the appointment of architects, surveyors and engineers Agreement for the appointment of project managers Guide to the agreement for the appointment of architects, surveyors and engineers Guide to the agreement for the appointment of project managers Agreement for the appointment of architects, surveyors and engineers for commissions of minor works

13 ENERGY, WATER and WASTE Encode 1 Encode 2 Achieving energy efficiency in new hospitals Effective heat and power strategies for healthcare premises ; HFN 03 Reducing energy consumption in oversized plant ; HFN 27 Strategic guide to combined heat and power Strategic guide to water and sewerage policy Strategic guide to clinical waste management Strategic guide to energy management Reducing food waste in the NHS

14 ENVIRONMENT Strategic guide to environment policy Environment management in healthcare ; HFN 11 New environmental strategy in the NHS Sustainable development in the NHS Healthcare waste minimisation : a compendium of good practice

15 ESTATECODE Estatecode : essential guidance on estates and facilities management Environments for quality care : health buildings in the community Historic buildings and the health service

16 ESTATE STRATEGY and COSTING Developing an estate strategy Exemplar operational risk management strategy How to cost a hospital Rapid construction ; HFN 10 Healthcare capital investment ; version 2.1

17 FACILITIES MANAGEMENT Re-engineering the facilities management service ; HFN 16 Business approach to facilities management ; HFN 17 Materials management in healthcare facilities ; HFN 29

18 MISCELLANEOUS NHS use of commercial premises ; HFN 04 Acute care at home : estate implications ; HFN 12 Estatecode : essential guidance on estates and facilities management Guide to contract strategies on estates and facilities management Guide to GC works edition 3 Guide to the JCT intermediate form of building contract for works of simple content, 1998 Guide to the engineering and construction contract Agreement for the appointment of clerks of works for construction projects in the NHS, 1996 Review of the decontamination of surgical instruments Enhancing privacy and dignity : achieving single sex accommodation Housekeeping : a first guide to modern and dependable ward housekeeping NHS recipe book NHS menu National standards of cleanliness for the NHS National standards of cleanliness for the NHS : implementation guidance toolkit Standards for environmental cleanliness in hospitals Sold on health Sold on health : progress report Developing bedside communications Starter home initiative Art of good health Impact of the built environment on care within the accident and emergency department SDC : healthcare planning : design brief guidance

1