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Status Note amended March 2013

HEALTH TECHNICAL MEMORANDUM 69

Building Component Series Protection

2005

STATUS IN WALES

APPLIES

This document replaced HTM 69 Building Component Series

Protection 1993

HTM 69Protection

HTM BUILDING COMPONENTS SERIES

HTM

69 – Protectio

n (B

UILD

ING

CO

MPO

NEN

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9 780113 226948

ISBN 0-11-322694-2

www.tso.co.uk

http://www.tso.co.uk

London: The Stationery Office

HTM 69Protection

HTM BUILDING COMPONENTS SERIES

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ISBN 0-11-322694-2

First published 1993; second edition 2005

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1 Introduction page 2

BackgroundScope and statusRelationship to other dataDamage reduction strategy

2 Causes and locations of damage page 4

CausesLocations

3 Design guidance page 5

Categories of performance relating to damage risk/ protection

Type of protection according to category of damage riskWall finishes relating to categories of damage riskCategories of performance for walls, ceilings and floor

finishes and damage risk/protection

4 Guidance on the selection of componentspage 8

Walls and partitionsFlooringDoors and ironmongeryCeilingsInternal glazingServices

5 Planning and ergonomics page 11

6 Protective devices page 12

7 Fire-resisting construction page 14

8 Mobile equipment page 15

9 Management page 16

10 Maintenance page 17

Appendix – Schedule of categories of finishes forwalls, ceilings and floors and damagerisk/protection page 18

References page 26

Contents

1

BACKGROUND

1.1 This is one of a series of Health TechnicalMemoranda which provides specifications and designguidance on building components for health buildings.

1.2 The numbers and titles of the HTMs in the seriesare:

• 54 User manual

• 55 Windows

• 56 Partitions

• 57 Internal glazing

• 58 Internal doorsets

• 59 Ironmongery

• 60 Ceilings

• 61 Flooring

• 62 Demountable storage system

• 63 Fitted storage system

• 64 Sanitary assemblies

• Wayfinding (supersedes HTM 65 Signs)

• 66 Cubicle curtain track

• 67 Laboratory fitting out systems

• 68 Duct and panel assemblies

• 69 Protection

• 71 Materials management modular storage.

1.3 This HTM is intended to be read in conjunction withHBN 40 – ‘Common activity spaces’ and HTM 56 –‘Partitions’; HTM 57 – ‘Internal glazing’; HTM 58 –‘Internal doorsets’; HTM 59 – ‘Ironmongery’; HTM 60 –‘Ceilings’ and HTM 61 – ‘Flooring’. See also BS4322:1968 ‘Recommendations for buffering on hospitalvehicles such as trolleys’.

SCOPE AND STATUS

1.4 This HTM offers guidance on the technical designand output specifications for the avoidance or reductionof damage in health buildings.

1.5 The problems of damage in health buildings areanalysed in this HTM, and proposals are made whichcan reduce the incidence and severity of this damage.

1.6 The content of this HTM does not diminish either the manufacturer’s responsibility for fitness for purposeof products or the design team’s responsibility forselection and application of products to meet projectrequirements. Design teams are also reminded of theirobligations under the Construction, Design andManagement (CDM) Regulations 1994 to ensure safeconstruction.

1.7 This HTM is concerned mainly with new buildingwork, but much of the information is equally applicableto the replacement of components in existing buildings.

RELATIONSHIP TO OTHER DATA

1.8 The main sources of data used in the preparation ofthis HTM are listed in the References section.

1.9 This HTM was prepared for publication in January2005. After this date, readers should ensure that theyuse the latest or new edition of all building legislation,British Standards etc, which may post-date thepublication of this document.

1.10 First preference should be given to products andservices from sources which have been registered underBSI Quality Assurance procedures or other certificationschemes. Suppliers offering products other than toBritish Standards should provide evidence to show thattheir products are at least equal to such Standards.

1.11 Any enquiries regarding the technical content ofthis HTM should be e-mailed to [email protected].

DAMAGE REDUCTION STRATEGY

1.12 Damage is mostly the result of wheeled equipmentcoming into contact with the walls, doors and floors.The priority should be that of preventing suchequipment from reaching the walls in the first place.

HTM 69 – PROTECTION

2

1 Introduction

mailto:[email protected]. gov.uk

1.13 Protection is a balance between the cost ofinstallation and the cost of repairs. Frequently, eventhough protection is provided, damage will occur; hencethe need for a strategic and incremental approach.

A strategic approach to the application ofprotection

1.14 The strategy should be to provide protection usinga “light touch”. This means that, under the buildingcontract, the minimum quantity of protective devices is fitted to cover only the known positions of maindamage. Then, at a later stage, possibly aftercommissioning or at the building contract maintenanceperiod, the mobile equipment actually being used in thebuilding can be inspected, as can any damage whichhas already taken place, and additional protection orother appropriate corrective measures can beundertaken.

1.15 The proposed strategy should be agreed by thetrust and designers in consultation with the FM providerand in line with the guidance given.

Quality of the environment

1.16 It should be borne in mind that good design usingcheerful colours and good-quality materials can have atherapeutic effect on the occupants of hospitals andresult in an increase in local pride in the building (seeWaller and Finn, 2004).

1.17 It has been observed that hospitals with a pleasantenvironment suffer less damage than those with a drabor harsh décor. A hospital that appears over-protectedcan feel institutional, and design quality can bedegraded.

1 INTRODUCTION

3

CAUSES

2.1 The following is a list of possible causes that lead todamage in healthcare buildings:

• reduction in space standards to contain expenditurewithin cost allowances;

• poor planning and detailing;

• reduction in the quality of building materials andconstruction standards, often due to inadequatelyconsidered cost-cutting;

• ineffective protection of buildings, or protectivedevices which can be easily damaged;

• use of unprotected or inadequately protectedequipment: false economies at the equipping stageresulting in resilient buffering/protective features beingomitted from equipment and cheaper, unbuffereditems being purchased, often not complying with therelevant British Standards;

• greater movement of patients and goods;

• use of larger, heavier and more complicated mobileequipment, electrically propelled tugs with their trainsof trolleys, heavy X-ray machines;

• equipment that does not “steer” properly;

• buffering to equipment which, due to lack ofmaintenance, has lost its effectiveness;

• lack of staff management and training in handlingmobile equipment;

• lack of pride in, and care of, public facilities;

• increase in vandalism.

LOCATIONS

2.2 All areas in a hospital are susceptible to damage.However, the areas that incur more damage than anyothers are circulation areas, waiting areas and semi-industrial areas.


4

2 Causes and locations of damage

CATEGORIES OF PERFORMANCE RELATING TODAMAGE RISK/PROTECTION

3.1 Four categories of performance relating to damagerisk and protection have been established as a means ofrelating user requirements to construction and finishes.

3.2 These are shown in the schedule forming theAppendix to this HTM, and complement those used forthe finishes to walls, ceilings and floors in HTM 56 –‘Partitions’, HTM 60 – ‘Ceilings’ and HTM 61 –‘Flooring’ (also shown in the schedule). They should beused to identify protection requirements.

• Light duty (LD) – Areas used by pedestrians, withoccasional light, hand-propelled trolleys. Walls areunlikely to be damaged by mobile equipment. Roomsrather than circulation areas.

• Medium duty (MD) – Areas subject to occasionaldamage from patients’ beds, wheelchairs, light hand-propelled trolleys, light mobile medical equipment,chairs on castors etc. Rooms, lightly traffickedcorridors etc.

• Heavy duty (HD) – Areas subject to regular damagefrom patients’ beds, wheelchairs, food or bodytrolleys, heavy mobile medical equipment. Clinical/nursing areas, treatment rooms, staff bases andcorridors.

• Severe duty (SD) – Areas subject to regular damage from heavily laden hand-propelled trolleys,mechanically propelled tugs and trolleys. Hospitalstreets, circulation areas, entrances, delivery andworks areas, stores and kitchen areas.

• Suffix (v) – Areas designated thus may be subject tovandalism. Public toilets, accident and emergencyareas. Vandal-proof fittings and finishes normallyrequired.

TYPE OF PROTECTION ACCORDING TOCATEGORY OF DAMAGE RISK

3.3 The type of protection needed for walls will varyaccording to whether the location is in a room or acorridor. Damage is normally more severe in corridorsdue to the greater movement of mobile equipment.

Light duty

3.4 No additional protection is required; the decorativefinish should be selected according to durability and useof room. Chair rails may be required in committee roomsetc (see Figure 1).

Medium duty

3.5 Mid-height buffer rail and/or durable finish on middleor lower part of wall, bed locators in bedrooms (seeFigure 2).

5

3 Design guidance

chairrail

decorativefinish

Figure 1 Light duty

handrail/crash raildurablematerial

Figure 2 Medium duty

Heavy duty

3.6 Mid-height handrail or crash rail and either durablematerial on lower part of walls, or lower height crash rail, and with splayed skirtings in main corridors (seeFigure 3).

Severe duty

3.7 Mid-height handrail or crash rail, lower height crashrails and splayed skirtings. Corridors designated ascategories MD, HD and SD require some form of cornerprotection; the type varies according to vehiclesexpected. External angles in large rooms may alsorequire corner protection (see Figure 4).

Other areas

3.8 In some special areas, such as operating theatres,considerations of hygiene may take precedence over theprotection recommended for areas where beds and

trolleys are present. Rails may be omitted in favour ofoverall durable, washable finishes. In practice thegreater care shown by the theatre users appears tocompensate for the lower level of protection.

3.9 Areas such as workshops, storerooms and corridorsmay be constructed of materials which are notnecessarily given a decorative finish, or appliedprotection. These materials include brickwork, block-work and concrete.

3.10 These areas may still require corner protection andhandrail/crash rails, splayed skirtings etc if used bymechanically propelled tugs and heavy trolleys (seeFigure 5).

WALL FINISHES RELATING TO CATEGORIES OFDAMAGE RISK

3.11 Wall finishes relating to categories of risk areshown in Table 1.

TABLE 1 WALL FINISHES RELATING TOCATEGORIES OF DAMAGE RISK


6

handrail/crash rails durablematerial

deep skirting

Figure 3 Heavy duty

Figure 5 Corner protection

handrail/crash rails

splayed skirting

Figure 4 Severe duty and heavy duty, main corridors

Categories of damage risk LD MD HD SD

Liquid coverings/paintsemulsion paintsemi-gloss, eggshell paintgloss paintmulti-colour glossepoxy coatingpolyurethane coatingelastomeric compound

••••

••••••

••••

•

Flexible pre-formed coveringswallpaperwallpaper with spongeable surfacepaper-backed vinylcloth-backed vinyl1 mm plastics sheet, with sealed joints2 mm plastics sheet, with sealed joints

•••• •

• •• •

Hard pre-formed coverings2 mm plastics rigid sheet • •

3.12 Sealed joints can be formed by heat or solventwelding or by using suitable sealants such as epoxyresin, polysulphide or acrylic materials.

3.13 Certain rooms designated as light duty will requirefinishes which can resist abrasion and frequent washingor which are moisture-resistant.

3.14 Protective devices can raise the category of the wall from the values shown for damage risk; forexample, committee rooms can have light duty wallfinishes, but need a mid-height chair or buffer rail toprotect against chair backs etc.

CATEGORIES OF PERFORMANCE FOR WALLS,CEILINGS AND FLOOR FINISHES AND DAMAGERISK/PROTECTION

3.15 A full schedule of activity spaces from HTM 56 –‘Partitions’, HTM 60 – ‘Ceilings’ and HTM 61 –‘Flooring’ showing categories of performance for finishes to walls, ceilings and floors, and categories ofperformance relating to damage risk/protection, isincluded as an Appendix at the end of this HTM.

3 DESIGN GUIDANCE

7

WALLS AND PARTITIONS

4.1 The strength of partitions will vary according tolocation and category of duty required. HTM 56 –‘Partitions’ and BS 5234-2:1992 give recommendationsfor grading partitions by performance, together with testrequirements; grades should be specified. BS 5234-2:1992 includes a test for crowd pressure in addition tothe usual heavy-body impact tests; these may giveuseful information on the performance of partitionsagainst the heavy impacts from electric tugs.Manufacturers and sponsors of partition systems shouldbe consulted regarding the performance of theirproducts.

4.2 Masonry walls and partitions designed andconstructed in accordance with the relevant guidancegiven in BS 5628 Parts 1–3 and BS 5234:1992 shouldbe able to withstand the dynamic loads imposed onthem by impacts from heavy tugs and trolleys. Sponsorsof systems of construction for masonry partitions shouldbe asked to provide test or calculation evidence of thestrength of their partitions.

4.3 Similarly, hollow plasterboard partitions designed inaccordance with HTM 56 – ‘Partitions’, BS 8212 andBS 5234:1992 are also capable of resisting the impactforces involved. It is essential that hollow plasterboardpartitions are faced with at least two layers of 9.5 mmgypsum board on each side if they are used in areaswhere damage is expected. Metal studs may need to beof the heavy gauge or I-stud type, or specially reinforcedwhere partitions are in areas of severe duty. Fixings athead and floor must allow for impact forces expected.

4.4 In hollow plasterboard or soft lightweight concretepartitions, it will normally be necessary to reinforcecorners.

4.5 Calculations or test certification of impact resistanceand crowd pressure resistance should be inspected bythe specifier.

FLOORING

4.6 HTM 61 – ‘Flooring’ gives advice on this subject andon the general problems of flooring in health buildings.

4.7 Structural floor slabs designed in accordance withthe relevant structural codes should provide sufficient

strength to resist the loads imposed by internal hospitaltraffic. Deflection should be limited to avoid cracking ofthe floors and partitions.

4.8 Screeds should be chosen to suit the loadingexpected. Where tugs, heavy trolleys, operating tablesor other heavy equipment are to travel, it may benecessary for heavy duty screeds to be used.

DOORS AND IRONMONGERY

4.9 Doors should be in accordance with the guidancegiven in HTM 58 – ‘Internal doorsets’.

4.10 Grades and widths are recommended to suit theuse. Clear openings should be wide enough to allow the widest vehicles and equipment to pass through withplenty of clearance, and depending on circumstances,sometimes to pass another vehicle or pedestrians.Doors, when standing open at right-angles, can reduceclear openings by up to 300 mm (see HBN 40 –‘Common activity spaces’, which gives guidance on the additional space which may be required at dooropenings and junctions to permit turning of wheelchairsand other vehicles, together with advice on generalwidths of corridors and streets).

4.11 Vision panels in the doors in corridors and heavily-trafficked areas are essential to permit early views ofoncoming traffic and pedestrians.

4.12 External doors are often subjected to heavydamage; they should be of robust construction andfitted with protective plates and full-height pull/pushhandles.

4.13 Automatic doors should be provided in accidentand emergency (A&E) and main entrances. In entrancesto stores and works areas, heavy plastic, flexible “flap”doors should be fitted.

4.14 Door edges are frequently damaged by sides oftrolleys; it is not easy to prevent this. Delayed-actionclosers, electromagnetic hold-open devices andautomatic doors should be considered. Plastic doorlippings resist scoring but can sometimes be torn off;hardwood lippings are the easiest to repair. Curvedpost-formed edges to plastic laminate-faced doors mayprevent some damage.


8

4 Guidance on the selection ofcomponents

4.15 Resilient plastic buffer rails mounted vertically atdoor edges and full-height pull handles can often reducedamage. In severe cases, stainless steel channel facingsto door edges may be required (see Figure 6).

4.16 If the doors are of fire-resisting construction, theedges may be fitted with intumescent seals. With theincreasing use of smoke seals in edges, it is difficult toprovide edges which can survive damage; hold-opendevices should therefore be considered.

4.17 When replacing glazing in fire-resisting doors, caremust be taken to ensure that replacement glass, beadsand intumescent seals comply with the details on thefire certification to avoid the fire resistance of the doorbeing impaired.

4.18 Finishes of doors should be chosen to suit thecategory of duty of the location; HTM 58 – ‘Internaldoorsets’ gives advice on this.

4.19 Ironmongery should be selected in accordancewith the guidance given in HTM 59 – ‘Ironmongery’.

4.20 Closers and floor springs should comply with BS EN 1154:1997 and should be of the appropriate sizenumber. Doors in hospital streets or main circulationroutes may open and close between 100,000 and200,000 times in a year. Delayed-action or stand-opentypes should be chosen where appropriate (delayed-action is not normally permitted for fire-resisting doors).

Closers and floor springs must be properly adjusted and maintained in full working order. It is important thathinges and pivots function properly, and these shouldcomply with BS EN 1935:2002.

4.21 Furniture such as pull handles and lever handlescan suffer damage and should be chosen accordingly.Bolt-through fixings are the strongest type of fixing andshould be specified.

4.22 Protection plates should be made from materialswhich are not easily gouged or cut, leaving sharp edgesor snags. Easily replaceable, dimpled or textured,resilient plastic sheet may often be the most suitablematerial. Protection plates may be fixed with adhesive orsmall screws. The entire lower half of a door may requireprotection in many instances.

4.23 Full-height tubular pull handles have been foundeffective in resisting impacts from wheeled traffic, assuggested previously (see Figure 7).

CEILINGS

4.24 Ceilings are not normally subjected to impactdamage of the kind which occurs on other surfaceswithin easy reach of traffic. However, it is common to find considerable damage from the actions ofmaintenance personnel removing and replacing tiles; insome cases the tiles may not be replaced at all or maybe broken. It is important that ceilings in circulationroutes are selected with this in mind. Tiles should belabelled for use as inspection openings, or special trapsfitted (see HTM 60 – ‘Ceilings’).

INTERNAL GLAZING

4.25 Many internal glazing units will suffer damage. Theyshould be designed and constructed in accordance with

4 GUIDANCE ON THE SELECTION OF COMPONENTS

9

Figure 6 Vertical buffer rails fitted to protect door edges

1000

2100

Figure 7 Doors with full-height pulls

the guidance given HTM 57 – ‘Internal glazing’. Inparticular, fire-resisting glazing can be vulnerable, as theglass in fire-resisting units is mostly 6 mm wired glass,which is less impact-resistant than standard glass. Analternative is to use safety glass which is both fire- andimpact-resisting, but this is expensive. An alternative isto limit the sizes of glass panes used as shown fordoorsets in HTM 58 – ‘Internal doorsets’, and to provideprotective rails to prevent direct impact. HTM 57 –‘Internal glazing’ and BS 6262:1982 giverecommendations on this.

4.26 When replacing fire-resisting glazing, care must betaken to ensure that replacement glass, beads andintumescent seals comply with the details on the firecertification so as not to compromise the fire resistanceof the unit.

SERVICES

4.27 Radiators, ducts and exposed pipes can be badlydamaged if they are positioned where they can bestruck by tugs and trolleys, apart from the additionalcleaning and painting which is necessary when they areleft exposed. They should be concealed behind suitablepanels to avoid direct impact from mobile equipmentand vandalism.


10

5.1 HBN 40 – ‘Common activity spaces’, Volume 2 –‘Corridors’ offers guidance on the dimensionalrequirements for the proper planning of circulationspaces in hospitals. Hospital streets and corridorsshould be of a width to permit trolleys and tugs to passwith room for pedestrians as well. Projections should beavoided. Junctions should allow easy turning space fortugs and their trains of trolleys without the risk of thetrailing trolleys striking the walls. Splaying the corners ofjunctions helps to avoid this. Short spur corridors shouldbe avoided.

5.2 Clear openings of doors should follow the advice in HTM 58 – ‘Internal doorsets’, bearing in mind thereduction in width resulting from the thickness of doorleaves and any projecting ironmongery, particularlywhere doors only open to right-angles. This is referredto in paragraphs 4.9–4.23 above.

5.3 Protective devices on walls should be positioned togive the maximum defence against mobile equipment.

5.4 It is not easy to position protection so that allsituations are covered. A thorough investigation shouldbe made of the dimensions of equipment which it isproposed to purchase, before final positioning ofprotection is made. The shapes and sizes of trolleyscover a wide range of dimensions (see HBN 40 –‘Common activity spaces’).

5.5 The vertical range of protection can extend over awide band from near floor level to about 1600 mm oreven higher depending on the types of vehicle andlocations. Most, however, will be fitted in the range fromfinished floor level up to 1000 mm.

11

5 Planning and ergonomics

6.1 There is no commonly agreed terminology forprotective devices.

6.2 The descriptions shown in Figure 8 are in generaluse and are given in an attempt to encourage the use ofsome common terms for the subject.

6.3 Protective devices include the following:

• Handrails: mid-height rails, 100 mm to 200 mmdeep, usually mounted about 1000 mm above floorlevel, fixed with a gap between rail and wall; they mayalso serve as crash rails.

• Crash rails: mid- or low-height rails, 200 mm to250 mm deep, usually mounted from 200 mm to1000 mm above floor level, singly or in banks of twoor three; they may be fixed direct to walls or with a

gap between rail and wall face. They may be of theenergy-absorbing type.

• Buffer rails: mid- or low-height rails, 75 mm to100 mm deep, usually mounted from 200 mm to1000 mm above floor level, singly or in banks of twoor three; they may also be fixed vertically to protectopening edges of doors and as bed locators. Theymay be of the energy-absorbing type.

• Chair rails: the lighter types of buffer rail may beused as chair rails.

• Corner guards: 50 mm to 100 mm in eachdimension, usually fixed from the top of the skirting to about 1000 mm, but sometimes up to 2100 mmabove floor level. They may be of the energy-absorbing type.

• Large splayed skirtings: 200 mm x 200 mm, whichmay be covered with a floor finish.

• Protective plates and sheeting: fixed with adhesiveand/or screws to faces of doors, walls and partitions.

6.4 Protective devices may be specially designed forindividual projects, of traditional construction, or bespecialist proprietary devices.

6.5 The principal design criteria for protective devices is,first, to prevent the object likely to cause damage fromcoming into contact with the surface of the element tobe protected and, second, to resist the likely damage ifthe vehicle does make contact with the partition etc.

6.6 Energy-absorbing devices should be fitted whereverpossible, especially where heavy impacts are expected.

6.7 The severe duty areas in health buildings are similarto circulation areas in airports and railway stations.These suffer the same sort of damage as in hospitalstreets and entrances. Recent examples use crash rails,rubber or plastic buffer rails (in effect mini motorwaycrash barriers) and large splayed skirtings.

6.8 It is recommended that this should also be carriedout in hospitals, at least in entrances, hospital streetsand main corridors.

6.9 Trolleys with four wheels can be kept away fromwalls by splayed skirtings or curbs; this has proved


12

6 Protective devices

splayed skirting

handrail/buffer rail

handrail/crash rail

bufferrail

chairrail

crash rail

bed locator

30–40

100

200 200

20–2530–4035–5030–40

35–50 35–5030–40

200 x 200

cornerguards

Figure 8 Types of protective device

effective in a number of buildings. Splayed coves shouldbe at least 200 mm by 200 mm.

6.10 Many of the electrically propelled tugs so widelyused in hospital streets and corridors – in general, theitems responsible for so much of the heavy damage –normally have only three wheels. The single wheel isusually at the front, which permits the overhanging bodyto strike the wall even if a cove or curb is provided.

6.11 Other trolleys, and certain types of bed, may haveoverhanging parts which can inflict severe damage.Crash and buffer rails to keep the vehicles away fromthe vulnerable surfaces appear to be the onlypracticable answer.

6.12 All materials should be those which are not proneto splinter or produce sharp snags. Traditional materialsused for handrails (often serving a dual purpose also asa crash rail) are sometimes of wood; splintering can bea problem, and damage may be easily visible if painted.Aluminium can be gouged by projecting sharp steelparts of badly designed trolleys, as can some plasticrails. Wood- or MDF-based rails faced with high-impactplastic, sometimes with hardwood top and bottomedges, have proved a satisfactory solution for hand/crash rails.

6.13 Proprietary handrails, crash rails and buffer rails ofvarious shapes and sizes can be obtained and can beeffective. These are often of high-impact plastic. Energy-absorbing forms should be selected in preference tostatic rails wherever possible.

6.14 Steel tubes may be suitable for rails in areas suchas kitchens, stores and works units.

6.15 In extreme cases, bollards of steel or concretehave been used in hospital streets where very heavytrolley damage has occurred.

6.16 Protective plates and sheeting may be made ofmetal or plastic. Metal can be dented and sometimesripped into jagged edges, which can be dangerous to pedestrians. Inexpensive sacrificial plastic or high-impact and/or resilient plastic, frequently with a texturedfinish, can be used; both can be effective.

6.17 If the damage is likely to be scratching andabrasion rather than heavy impact, an abrasion-resistantsurface should be used.

6 PROTECTIVE DEVICES

13

7.1 Many doorsets, partitions and glazed screens inhospital streets and corridors are of fire-resistingconstruction. It is essential that damage does not impairthese qualities. The detailed construction should bedesigned or selected with a view to resisting or avoidingdamage to intumescent or smoke seals, glazing beads,door edges, ironmongery etc which might reduce theeffectiveness of the components’ fire protection. Appliedprotective devices should not invalidate fire resistance.

7.2 Certification to cover the design and construction offire-resisting doorsets with complete glazing details andthe full range of ironmongery required for the buildingshould be inspected (see also ‘Firecode: Part 1 –functional standards’).


14

7 Fire-resisting construction

8.1 Mobile equipment is one of the major causes ofdamage to the building fabric. Therefore, carefulselection of suitable mobile equipment is essential. All mobile equipment should comply with BS 4322.

15

8 Mobile equipment

9.1 The avoidance of heavy damage to the hospitalbuilding is very much affected by the actions andattitude of management.

9.2 Only management can select the proper equipment,recruit and train the staff, help to engender a sense ofpride in patients and staff, and persuade them to takecare of their building.


16

9 Management

10.1 Regular inspections of doors and ironmongeryshould be carried out to ensure proper functioning.Protective devices should also be inspected to ensurethat they are in good working order, correctly positioned,and of adequate strength and size to fulfil their purpose.Damaged construction, especially any with splintering orhazardous fractures, should be repaired quickly.

10.2 Ironmongery must be kept in proper working order.

10.3 Mobile equipment must be regularly inspected and serviced. If not kept in proper condition, with free-running wheels, all buffering devices in place andfunctioning correctly, additional damage could result.

10.4 A maintenance register, which gives advice onmaintenance or the need for inspections from productsuppliers, should be kept for the maintenance manuals.Keeping on top of damage will encourage care of theaccommodation. Badly maintained accommodationalways conveys the message of not caring.

17

10 Maintenance

A full schedule of activity spaces showing categories ofperformance relating to damage risk/protection and withwall, ceiling and floor finishes, taken from HTMs 56, 60and 61, is set out in the following pages.

Where a room is not specifically shown, the most similarroom should be used as a basis for selection.


18

Appendix – Schedule of categories offinishes for walls, ceilings and floors anddamage risk/protection

Department/Activity Space CategoriesFloor Wall Ceiling Protection

Accident & EmergencyCirculation Space 5 5 4 HDCleaners’ Room 2 5 5 HDCleansing Room, Shower 4 4 2 LDClean Utility 3 3 5 MDConsulting 3/6 6 6 LDDirty Utility 2 3 5 MDDisposal 2 3 5 HDDrugs and Alcohol Recovery 4 3 3 MDInterview Room 5/6 6 6 LDMajor Treatment 1 1 1 MDOffice 5/6 6 6 LDReception, Records 5/6 6 6 LDResuscitation 3 5 2 MDStaff Base 3 5 4 MDStore 5 5 6 MDTreatment 3 5 3 MDWC 2 5 5 LD(v)

AdministrationCirculation Space 5/6 6 4 LDCleaners’ Room 2 6 5 LDCommittee Room 6 6 6 LDCommon Room 6 6 6 LDInterview Room 6 6 6 LDLibrary 6 6 6 LDOffice 5/6 6 6 LDReception 6 6 6 LDRest Room 6 6 6 LDStore 5 5 6 MDWC 2 5 6 LD


Adult acute – Day care and treatmentBathroom 4 4 2 LDCirculation Space 5/6 5 4 HDCleaners’ Room 2 5 5 MDClean Utility 3 3 5 MDConsulting/Examination/

Doctors’ Office 3/6 6 6 LDDirty Utility 2 3 5 MDDisposal 2 3 5 MDMajor Treatment 1 3 3 MDMulti-bed Room 3/6 5 5 MDOffice 5/6 6 6 LDPatient Changing Cubicle 5/6 5 4 LDPatient Waiting 5/6 5 4 LDShower 4 4 2 LDSingle-bed Room 3/6 5 5 MDSitting/Recovery 3/6 5 5 MDStaff Base 5/6 5 4 HDStaff Changing 5 6 6 LDStore 5 5 6 MDTreatment 3 5 3 MDWC 2 5 5 LD

Adult acute – nursing sectionBathroom 4 4 2 LDCirculation Space 5/6 5 4 HDCleaners’ Room 2 5 5 LDClean Room 3 3 5 LDCloakroom 5 6 6 LDDay Room 5/6 5 5 MDDining Room 5/6 5 5 MDDirty Utility 2 3 5 MDDisposal 2 3 5 MDFlower Bay 5/6 5 4 MDLinen Bay 5/6 5 4 MDMulti-bed Room 3/6 5 5 MDOffice 5/6 6 6 LDPantry 2 4 3 MDRelatives’ Room 6 5 6 LDSeminar 5/6 6 6 LDShower 4 4 2 LDSingle-bed Room 3/6 5 5 MDStaff Base 5/6 5 4 HDStore 5 5 6 MDSwitchroom 5 6 6 LDTreatment Room 3 5 3 MDWC 2 5 5 LDWheelchair Park 5/6 5 4 HD


Ambulance stationCirculation Space 5 5 4 MDCleaners’ Room 2 5 5 MDControl Room 5/6 3 6 MDDrying Room 2 2 2 MDGarage Area 3 2 6 –Kitchen 2 1 2 MDMess Room 5/6 6 5 LDOffice 5/6 6 6 LDShower 4 4 2 LDSluice Room 4 2 2 MDStaff Changing 5 6 6 LDStore 5 5 6 MDWC 2 5 5 LD

Boiler houseBoiler Room 3/5 5 6 –Calorifier Room 3/5 5 6 –Circulation Space 5 5 4 MDFuel Store 5 1 6 –Staff Accommodation 5 6 6 LDStaff WC and Washroom 2 5 5 LDSwitchroom 5 6 6 LD

Children – Day-patient accommodationCirculation Space 5/6 5 4 HDClean Utility 3 3 5 MDDirty Utility, Disposal 2 3 5 MDMulti-bed Room 3/6 5 5 MDPantry 2 4 3 MDSingle-bed Room 3/6 5 5 MDTreatment, Examination 3 5 3 MDWaiting, Play 5/6 6 4 MDWC 4 5 5 LD

Children – In-patient accommodationBathroom 4 4 2 LDCirculation Space 5/6 5 4 HDClean Utility 3 3 5 MDDirty Utility 2 3 5 MDFlower Bay 5/6 5 4 MDLinen Store 5/6 5 6 MDMulti-bed Room 3/6 5 5 MDOffice 5/6 6 6 LDPantry 2 4 3 HDPlay, Dining, Education 5/6 5 5 LDShower 4 4 2 LDSingle-bed Room 3/6 5 5 MDStaff Base 5/6 5 4 MDStore 5 5 6 MDWC 2 5 5 LD

Children – Shared accommodationAdmission, Examination 3/6 5 5 MDAdolescents’ Day Room 5/6 5 5 HDBaby Feed Store 5 5 6 MDCirculation Space 5/6 5 4 HDCleaners’ Room 2 5 5 MDDisposal 2 3 5 MDEducation Space 5/6 5 6 LDEquipment Bay 5/6 5 4 MDOffice Interview 5/6 6 6 LDParents’ Bedroom 6 6 5 LDParents’ Sitting Room 6 6 6 LDSeminar 5/6 5 6 MDShower 4 4 2 LDStaff Changing 5 5 6 LDStaff Locker Room 5 5 6 LDSwitchroom 5 5 6 LDTeachers’ Base 5/6 5 6 LDTreatment 3 5 3 MDWC 2 5 5 LD


DentalCirculation Space 5/6 5 4 MDLaboratory and Darkroom 3 3 5 LDOffice 5/6 6 6 LDRecovery Room 3 5 3 MDStore 5 5 6 MDSurgery 3 3 5 MDSwitchroom 5 5 4 LDWaiting Area 5/6 6 4 LDWC 2 5 5 LD

Dining roomCirculation Space 5/6 5 4 MDCleaners’ Room 2 5 5 MDCloakroom 5/6 5 6 LDCoffee Room 6 5 6 LDDining Room 5/6 5 6 LDOffice 5/6 6 6 LDSandwich Room 5/6 5 6 LDServery 2 4 2 MDStaff Changing Room 5 5 6 LDStore 5 5 6 MDWC 2 5 5 LD

Educational accommodationAudio-visual 6 5 6 LDClassroom 5/6 5 6 LDCommon Room 6 6 6 LDDemonstration 5/6 5 6 LDDining 5/6 5 6 LDEntrance, Reception and

Waiting Area 5/6 5 4 LDLecture/Seminar/Discussion 5/6 6 6 LDLibrary 6 6 6 LDOffice 5/6 6 6 LDServery 2 4 2 MDStaff Room 6 6 6 LDStore 5 5 6 MDWC 2 5 5 LD

Fracture clinicAppliance Fitting Room 3 5 5 MDClean Supplies and

Preparation 3 5 5 MDCleaners’ Room 2 5 5 MDConsulting, Examination

Room 3/6 5 5 LDCirculation Space 5/6 5 4 MDDirty Utility 2 3 5 MDDisposal Holding 2 3 5 MDPlaster Room 3 3 3 MDReception, Sub-Waiting Area and

Wheelchair Park 5/6 5 4 HDStore 5 5 6 MDWC 2 5 5 LD

APPENDIX – SCHEDULE OF CATEGORIES OF FINISHES FOR WALLS, CEILINGS AND FLOORS AND DAMAGE RISK/PROTECTION

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Geriatric care – Day hospitalBathroom 4 4 2 LDBedroom 6 5 6 LDCirculation Space 3/6 5 4 HDCleaners’ Room 2 5 5 MDClean Utility 3 3 5 MDClothes Hanging, Waiting and

Wheelchair Park 3/6 5 4 HDConsulting and Examination

Room 3 5 5 LDDining 3 5 6 LDDirty Utility 2 3 5 MDDisposal 2 3 5 MDGeneral Sitting Space 3/6 5 6 LDInterview Room 6 6 6 LDKitchen 2 4 3 MDOccupational Therapy 3/6 5 6 MDOffice 5/6 6 6 LDPantry 2 4 3 MDPhysiotherapy 3/6 3 6 MDQuiet Room 3/6 5 6 LDShower 4 4 2 LDStaff Seminar Room 6 6 6 LDSpeech Therapy/Consultants/

Examination Room 6 6 6 LDStaff Cloakroom 5 6 6 LDStore 5 5 6 MDSwitchroom 5 5 6 LDTreatment Room 3 5 3 MDUtility and Laundry 4 4 2 MDWC 2 5 5 LD

Geriatric care – Nursing sectionBathroom 4 4 2 MDBathroom, Treatment 4 4 2 MDCirculation Space 3/6 5 4 HDCleaners’ Room 2 4 5 MDClean Utility 3 3 5 MDCloakroom 5 6 6 LDDay Room 3/6 5 5 LDDining Room 3 5 5 LDDirty Utility 2 3 5 MDDisposal 2 3 5 MDFlower Bay 3/6 5 4 MDLinen Bay 3/6 5 4 MDMulti-bed Room 3/6 5 5 MDOccupational Therapy 3/6 5 6 LDOffice 5/6 6 6 LDPantry 2 4 3 MDPhysiotherapy 3/6 5 5 MDRelatives’ Room 6 6 6 LDSeminar 5/6 5 6 LDShower 4 4 2 LDSingle-bed Room 3/6 5 5 MDStaff Base 3/6 5 4 HDStore 5 5 6 MDSwitchroom 5 5 6 LDWaiting Area 3/6 5 4 MDWC 2 5 5 LDWheelchair Park 3/6 5 4 HD


Health centreChild Assessment 5/6 6 6 LDChiropody 3 5 6 LDCirculation Space 5/6 5 4 MDCleaners’ Room 2 5 5 MDConsulting, Examination

Room 3/6 5 5 LDConsulting Room – Audiology 6 5 5 LDDental Surgery 3 3 5 LDDispensary 3 3 3 LDDisposal 2 3 4 MDHealth Education 5/6 5 6 LDInterview Room 6 6 6 LDKitchen/Teabar 3 4 3 MDLaboratory and Darkroom 3 4 5 LDNurses’ Service Room 5 3 6 LDOffice 5/6 6 6 LDPharmacy 3 3 3 LDPhysiotherapy 3/6 3 5 MDPhysiotherapy (Utility Area) 3 5 5 MDPlayroom 5/6 5 6 LDPram Shelter (inside) 3/5 6 4 HDRecovery Room 3 5 6 MDSeminar, Library 5/6 6 6 LDSpeech Therapy 6 6 6 LDStaff Common Room 6 5 6 LDStore 5 5 6 MDSwitchroom 5 5 6 LDTreatment 3 5 3 MDWC 2 5 5 MD

Intensive therapy unitCirculation Space 3 5 4 HDCleaners’ Room 2 5 5 MDClean Utility 3 3 5 MDDirty Utility 2 3 5 MDDisposal 2 3 5 MDLaboratory 3 3 3 LDMulti-bed Room 3 5 5 MDOffice 5/6 6 6 LDPantry 2 4 3 MDRelatives’ Room, Doctors’ Room,

Overnight Stay 6 5 6 LDSingle-bed Room 3 5 5 MDStaff Base 3 5 4 HDStaff Changing 5 6 6 LDStaff Rest Room 5/6 6 6 LDStore 5 5 6 MDSwitchroom 5 5 6 LDWC 2 5 5 LD


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KitchenBulk Provisions Store 2 4 5 HDCentral Beverage Preparation

Space 2/4 2 2 HDCentral Cooking 2/4 2 2 HDCentral Tray Preparation

Space 4 2 2 HDCentral Tray Service Space 4 2 2 HDCentral Wash-up 4 2 2 HDCleaners’ Room 5 5 5 MDCooling Room or Larder 2 4 3 MDDay-to-day Store 2 4 3 MDDiet Preparation 4 2 3 HDDisposables Store 5 4 5 HDEquipment Store 5 4 6 HDFish Storage special special special –General Preparation 4 2 3 HDKitchen Cold Room special special special –Kitchen Deep Freeze special special special –Meat Cold Store special special special –Office 5 5 6 LDPan Wash 4 2 2 HDPastry and Sweets

Preparation 4 2 3 HDRaw Meat and Fish

Preparation 4 2 3 HDSandwich Preparation 4 2 3 HDStaff Changing 5 5 6 LDStaff Rest Room 5/6 5 6 LDTrolley Parking Space 2/5 2 3 HDTrolley Wash 4 2 2 HDVegetables, Salad and Fruit

Preparation 4 2 3 HDVegetable Store 2 4 3 HDWashing-up Materials Store 5 4 6 HDWC/Washroom 2 5 5 LD

LaundryAssembling, Packing and

Despatch 5 6 5 HDBarrier Room 3 4 2 MDColandering 3 4 2 MDCalorifier 5 4 2 HDCentral Disinfection Area 4 4 2 HDClassification 3 5 6 MDCleaners’ Room 2 5 5 MDDrying 4 4 2 MDMachine Cloth Store 5 5 6 MDMess Room 5/6 5 6 LDOffice 5/6 6 6 LDPlantroom 5 6 6 LDPressing 3 4 2 MDReception 3 5 6 MDRest Room 5/6 6 6 LDSolution Preparation, Storage

Area 4 4 3 MDStore 5 5 6 MDSwitchroom 5 5 6 LDWashing 4 5 2 MDWashing Materials Store 5 5 6 MDWC 2 5 5 LD

Maternity – AdministrationCirculation 5/6 5 4 LDClassroom 5/6 5 6 LDDisposal 2 3 5 MDOffice 5/6 6 6 LDStaff Cloaks 5 6 6 LDStore 5 5 6 MDWC 2 5 5 LD


Maternity – Central delivery suiteAbnormal Delivery Room 1 1 1 MDAdmission Suite 3 1 3 MDBathroom 4 4 2 LDChanging Room 5 5 3 LDCirculation Space 3 5 4 HDCleaners’ Room 2 5 5 MDClean Utility 3 3 5 MDDay Room 5/6 5 5 LDDelivery Room 3 1 1 MDDirty Utility 2 3 5 MDDisposal 2 3 5 MDEquipment Store 5 5 6 MDLinen Room 5 5 5 MDOffice 5/6 6 6 LDPantry 2 4 3 MDScrub-up and Gowning 4 1 2 LDShower 4 4 2 LDStaff Base 3 5 4 MDTrolley Space 3 5 4 HDWC 2 5 5 LD

Maternity – Nursing sectionAssisted Shower, WC, Wash 4 4 2 LDBaby Feed, Demonstration

Room 2 5 5 LDBathroom 4 4 2 LDCirculation Space 5/6 5 4 HDCleaners’ Room 2 5 5 MDClean Utility 3 3 5 MDDay Room, Dining Room 5/6 6 5 LDDirty Utility 2 3 5 MDDisposal Room 2 3 5 MDEquipment Store 5 5 6 MDFlower Bay, Linen Store 5/6 5 4 MDMulti-bed Room 3/6 5 5 MDNursery 3 5 5 MDOffice 5/6 6 6 LDPantry 2 4 3 MDSeminar Room 5/6 5 6 MDSingle-bed Room 3/6 5 5 MDStaff Base 5/6 5 4 HDStaff Changing 5 6 6 LDSwitchroom 5 5 6 LDWC 2 5 5 LD

Maternity – Special care baby unit and central babyfeed kitchenBedroom 3/6 5 5 LDBeverage Point, Baby Feed

Demonstration 3 5 5 MDBlood Gas Analysis Room 3 5 5 LDCentral Milk Kitchen 3 4 3 MDCirculation Space 3 6 4 HDCleaners’ Room 2 6 5 MDClean Utility 3 3 5 MDDay Room and Play Room 5/6 5 5 LDDirty Utility 2 3 5 MDDisposal 2 3 5 MDEntrance, Visitors’ Gowning 3 3 3 MDIncubator Nursery 3 3 1 MDLinen Room 5 5 5 MDNursery 3 5 3 MDOffice, Interview, Seminar

Room 5/6 5 6 LDReception, Breast Milk 3 5 5 MDShower 4 4 2 LDStaff Base 3 5 4 HDStaff Changing 5 5 6 LDStore 5 5 6 MDSwitchroom 5 5 6 LDWC 2 5 5 LD


21


Medical photography and illustrationChanging Cubicle 5/6 5 5 LDCirculation Space 5/6 5 4 MDCleaners’ Room 2 5 5 LDDarkroom 3 3 5 LDDisplay 3 5 6 LDEditing 3 5 6 LDFinishing Room 3 5 6 LDOffice 5/6 6 6 LDReproduction and Copying

Room 3 5 6 LDStaff Room 6 6 6 LDStore 5 5 6 MDStudio 3 6 6 MDWC 2 5 5 LD

Mental illness – Day hospitalArt Room 3 5 6 LDBeauty, Hairdresssing 3 5 6 LDBehavioural Therapy 3/6 5 6 LDCirculation Space 5/6 5 4 MDCleaners’ Room 2 5 5 MDCloakroom 5 6 6 LDDining Room 5/6 5 5 LDDisposal Room 2 3 5 MDGames Room 5 6 6 LDGroup Therapy, Library, Music,

Quiet, Sitting 6 6 6 LDHeavy Workshop 5 6 6 MDHobbies Room 5/6 6 6 LDHorticulture 3 5 6 LDInterview Room 6 6 6 LDKiln Room 3 5 6 LDKitchen 2 2 2 LDLaundry 4 2 2 LDLight Workshop 5 5 6 MDObservation Room 6 5 6 LDOffice 5/6 6 6 LDPatients’ Washroom 2 5 5 LDPottery Room 3 5 6 LDRecreation Store 5 6 6 LDServery 2 2 2 LDSitting 6 6 6 LDStaff, Seminar Room 6 6 6 LDStore 5 5 6 MDSwitchroom 5 5 6 LDTimber Store 3 6 6 LDTreatment, Clean Utility 3 3 5 MDWC 2 5 5 LD

Mental illness – ECTAnte-room 5/6 5 6 MDCirculation Space, Reception 5/6 5 4 MDDisposal Room 2 3 5 MDRecovery Room 3 5 5 MDStore 5 5 6 MDTreatment Room 3 5 5 MDWashroom, Assisted WC 2 5 5 LD


Mortuary and post-mortemAttendants’ Room 3/6 5 6 LDBier Room 2/4 5 5 LDBody Store, Trolley Bay 2/4 5 5 HDCirculation Space 2/4 5 4 HDCleaners’ Room 2 5 5 LDClean Stock 3 5 5 LDCompressor and Switchroom 5 5 6 LDInstruments 3 5 6 LDLinen Room 5 5 5 MDMedical Observation Room 3 5 6 LDOffice 5/6 6 6 LDPathologists’ Changing Room 3 5 6 LDPost-mortem Room 2/4 1 1 MDRefrigerated Chambers special special special –Shower 4 4 2 LDSluice 2/4 3 2 MDSpecimen Room 3 5 5 MDViewing Cubicle 3 5 6 LDViewing Room 5/6 5 6 LDVisitors’ Entrance 3/6 5 4 LDWaiting Room 3/6 5 6 LDWC 2 5 5 LD

OperatingAnaesthetic Room 1 1 1 LDBeverage Bay 3 5 4 MDCentral Store 3 5 3 MDChanging Room 3 5 3 LDCirculation Space 3 3 4 HDClean Corridor 3 3 4 HDClean Utility 3 3 3 MDDirty Utility 2 3 3 MDDisposal, Holding or Collection 2 3 3 MDEntrance, Reception, Transfer

Area 3 3 4 HDEquipment Store 3 5 3 MDExit Bay 3 3 4 HDOffice 3 5 6 HDOperating Theatre 1 1 1 LDOuter Corridor 2 3 4 HDPlaster Room 2 3 1 MDPost-operative Recovery Area 2 3 1 MDPreparation 2 1 1 MDScrub-up 4 1 1 LDShower 4 3 2 LDStaff Control Base 3 5 1 HDStaff Rest Room 3/6 5 6 MDSwitchroom 5 5 6 LDWC 2 5 5 LDX-ray Processing 3 5 5 MD

Out-patient – AudiologyReceptionWaiting AreaChildren’s Play SpaceToilet FacilitiesAudiometric Testing AreaVestibular Test RoomAudiology Equipment StorePrincipal Audiologist’s OfficeStaff Office


22


Out-patient – ChildrenCirculation Space 5/6 5 4 MDConsulting, Examination 3/6 5 5 LDDirty Utility 2 3 5 MDMother and Baby Room 3/6 5 5 LDOffice 5/6 6 6 LDPram, Wheelchair Area 5/6 5 4 HDTreatment Room 3 5 3 MDWC 2 5 5 LDWeighing, Measuring Room 2 5 5 MD

Out-patient – Children’s Comprehensive AssessmentAssessment, Observation, Remedial/

Therapy, Treatment 3 5 5 LDCirculation Space 5/6 5 4 MDConsulting, Examination

Room 3/6 5 5 LDDirty Utility 3 3 5 MDOffice 5/6 6 6 LDOffice, Seminar 5/6 6 6 LDPram Store, Wheelchair Park 5/6 5 5 HDStaff Locker Room 5 6 6 LDStore 5 6 6 MDSwitchroom 5 6 6 LDViewing Room 3/6 5 6 LDWaiting, Dining Room 5/6 5 6 LDWC 2 5 5 LD

Out-patient – GeneralConsulting, Examination

Room 3/6 5 5 LDChanging Cubicle 5/6 5 4 LDCirculation Area 5/6 5 4 HDCleaners’ Room 2 5 5 MDClean Utility 3 3 5 MDDirty Utility 2 3 5 MDDisposal 2 3 5 MDOffice 5/6 6 6 LDOphthalmic Room 3/6 5 5 LDPorters’ Room 5/6 6 6 LDReception 5/6 5 6 HDStore 5 6 6 MDTest Room 3 5 5 LDTreatment Room 3 5 3 MDTrolley and Wheelchair Area 5/6 5 4 HDWC 2 5 5 LD


Out-patient – Mental illnessAssisted Washroom and WC 4 5 5 LDCirculation Space 5/6 5 4 MDCloakroom, Patients’ 5 6 6 LDConsulting, Examination

Room 3/6 5 5 LDDirty Utility, Disposal 2 3 5 MDInterview Room 6 6 6 LDMedical Records 5/6 6 6 LDOffice 5/6 6 6 LDPsychological Testing Room 3/6 5 6 LDStaff Changing 5 6 6 LDStore 5 6 6 MDTreatment, Clean Utility 3 3 5 MDWC 2 5 5 LD

Out-patient – OphthalmicCirculation Space 5/6 5 4 MDCleaners’ Room 2 5 5 MDClean Utility 3 3 5 MDConsulting, Examination

Room 5/6 5 5 LDDarkroom 3 3 5 LDDirty Utility 2 3 5 MDDispensing Optician 5/6 5 6 LDFluorescein, Angiography 5/6 5 5 LDOffice 5/6 6 6 LDOrthoptist 3/6 5 6 LDStaff Base 5/6 5 4 MDLocker Room 5 6 6 LDStore 5 6 6 MDSwitchroom 5 6 6 LDTreatment Room 3 5 3 MDWaiting, Recovery Area 5/6 5 4 MDPatients’ WC 2 5 5 LDStaff WC 2 5 5 LD

PathologyBlood Bank 3 special special –Centrifuge Room 3 3 5 MDCirculation Space 3/5 5 4 MDCleaners’ Room 2 5 5 MDCloakroom 5 6 6 MDDisposal Room 2 3 5 MDExamination Room 3 3 3 MDHot or Cold Room 3 special special MDLaboratory 3 3 3 MDMedia Room 3 5 3 MDMounting, Preparation 3 5 3 MDMuseum 3 5 6 LDOffice 5/6 6 6 LDStaff Room 6 6 6 LDSterilizing Room 3 3 2 MDStore 5 6 6 MDWaiting Area 5/6 5 4 MDWash-up 3 5 2 MDWC 2 5 5 LDWorkshop 5 5 6 MD


23


PharmacyAdvisory Cubicle 5/6 5 6 MDAseptic Filling 2 1 1 MDAseptic Room 2 1 1 MDBalance Room 3 1 1 MDBottle Preparation 4 1 5 MDChanging Room, Robing/

Interchange Area 2 1 3 LDChemicals Store 3 5 6 MDCirculation Space 3 5 4 HDCleaners’ Room 2 5 5 MDCloakroom 5 6 6 LDContainer Preparation 2 5 5 MDContainers – clean 3 5 5 MDDispensary 3 3 3 HDDressing Store 3 5 3 MDDrug Information Library 5/6 5 6 LDEmergency Store 5 6 6 MDEquipment Cleaning 2 6 6 MDFinished Products Store 5 5 6 MDFinished Products Quarantine

Store 5 3 6 HDFlammable Store special special special HDGoods Reception 5 5 6 HDIncubation 3 1 3 MDIncoming Materials

(Quarantine) 5 1 3 MDInspection, Label Preparation,

Labelling 3 3 5 MDLaboratory 3 3 5 MDLaundry Facility 4 4 2 HDMaterials Store 5 5 6 HDMedia Kitchen 3 4 3 MDMedical Gas Cylinder Store 5 5 special HDMicrobiological Media Store 3 5 5 MDOffice 5/6 6 6 LDPackaging and Overwrap 5 5 6 MDPatient Waiting 5/6 5 6 MDPorters’ Room, Base 5/6 5 6 LDPreparation, Filling Area 2 1 3 MDPreparation Room 2 1 3 MDReference Samples Store 5 5 6 HDRepackaging 5 5 6 MDRe-usable Container

Collection 5 5 6 HDSecurity Store 5 5 6 HDSeminar 5/6 6 6 LDStaff Entrance 5/6 6 4 LDSterilization 3 1 2 MDStill Room 3 1 2 MDStore 5 5 6 MDTrolley and Equipment Park 5 5 4 HDWard Service Area 3 5 5 MDWC 2 5 5 LD


RadiodiagnosticCirculation Space 5/6 5 4 HDCleaners’ Room 2 5 5 MDClean Utility 3 3 5 MDDarkroom 3 2 5 MDDirty Utility 2 3 5 MDDisposal 2 3 5 MDDressing Cubicle 5/6 5 4 LDLavage Room 4 4 5 MDLinen Store 5 5 6 MDMobile X-ray Store 5 6 6 HDOffice 5/6 6 6 LDRadiodiagnostic Room 3 5 5 MDRadiographer 5/6 6 6 LDRecords 5/6 6 6 LDRecovery Room 3 5 5 LDStaff Room 6 6 6 LDStore 5 6 6 MDTrolley Space 5/6 5 4 HDUltrasound 3 5 5 MDViewing and Sorting Room 3 5 5 LDWC 2 5 5 LD

RehabilitationApparatus Bay 5 5 6 MDApparatus Bay – Hydrotherapy 4 4 2 MDApparatus Store 5 5 6 MDBathroom 4 4 2 LDBedroom 6 6 6 LDChanging Cubicle –

Gymnasium 5/6 5 6 LDChanging Cubicle –

Hydrotherapy 4 4 2 LDChanging Cubicle –

Treatment 5/6 5 5 LDCirculation Space 5/6 5 4 HDCleaners’ Room 2 5 5 MDClinical Room 3 3 5 LDConsulting, Examination

Room 3/6 5 5 LDDisposal Room 2 3 5 MDElectronyography Room 3/6 5 5 MDGymnasium 2 5 6 LDHeavy Workshop 3 5 6 MDHydrotherapy 4 4 2 MDIndividual Open Exercise Area 5/6 5 6 MDInterview Room 6 6 6 LDKitchen 3 4 2 MDLaundry 4 4 2 MDLight Workshop 5 5 6 MDMain Waiting 5/6 5 4 MDPatients’ Shower 4 4 2 LDPlaster and Plaster Splints 3 5 5 MDPorters’ Base 5/6 5 6 MDPreparation Bay 5 5 5 MDReception, Records Office 5/6 5 6 LDRecovery Room 5/6 5 5 MDSpeech Therapy 6 6 6 MDStaff Changing 5 6 6 LDStaff Changing Cubicle –

Hydrotherapy 4 4 2 MDStaff Room, Seminar 6 6 6 LDStore 5 6 6 MDSwitchroom 5 6 6 LDTimber, Materials Store 3 6 6 LDTreatment Cubicle 3/6 5 5 LDWax Treatment Room 3 5 5 LDWC 2 5 5 LDWheelchair Bay 5/6 5 4 HD


24


Residential accommodationBathroom 3 4 2 LDBedroom 6 6 6 LDBed-sitting Room 6 6 6 LDCirculation Space 6 5 4 LDCleaners’ Room 2 5 5 LDCloakroom 5 6 6 LDCommon Room 6 6 6 LDKitchen 3 4 3 LDLiving Room 6 6 6 LDOffice 5/6 6 6 LDShower 4 4 2 LDSitting Room 6 6 6 LDUtility Store 5 6 6 LDWC 2 5 5 LD

Secure unitBathroom 4 4 2 LDCirculation Space 5/6 5 4 HDClassroom 3 6 6 LDClinical, Examination Room 3 5 5 LDCleaners’ Room 2 5 5 MDCommunal Area 5/6 6 6 MDDuty Room 5/6 6 6 LDGroup Therapy Room 6 6 6 MDGymnasium 2 6 6 MDInterview, Conference 6 6 6 LDKitchen 2 4 3 MDLaunderette, Utility Room 4 3 2 MDLibrary 5/6 6 6 LDLinen Store 5 5 6 LDOffice 5/6 6 6 LDOT Hobbies Room 5 6 6 MDQuiet Room 6 6 6 LDSecure Room 3 3 special HDShower 4 4 2 LDSingle-bed Room 3/6 6 5 MDStaff Rest Room 6 6 6 LDStore 5 6 6 MDStudy Room 5/6 6 6 LDTraining Room 5/6 6 6 MDVisitors’ Room 6 6 6 LDWC 2 5 5 LD

Sterilizing and disinfecting unitCirculation Space 3 5 4 HDCleaners’ Room 2 5 5 MDDisposal Collection 2 5 5 MDDisposal Holding Area 2 5 5 MDMaterials Holding Store 5 5 6 MDMedical Equipment Test Area,

Service, Work Area 3 5 6 HDOffice 5 6 6 LDReception – Clean Supply 3 5 5 MDReception – Soiled Goods 3 5 5 MDStaff Changing 5 6 6 LDStaff Room 5/6 6 6 LDSterile Goods Store 3 5 6 MDSterilizer Working Area 3/5 1 2 HDTrolley Unloading, Maintenance

Area 3/5 5 6 HDTrolley Wash 4 4 2 HDWash Room 4 5 2 HDWC 2 5 5 LDWork Area 3 5 5 HD


StreetCirculation 5/6 6 5 SDSub-waiting 5/6 6 4 HDStairs 5/6 6 5 LDLift Lobby 5 6 5 SDDisposal Room 2 3 4 MD

Main entranceEntrance Lobby 5/6 5 4 SDEntrance Foyer/Waiting 5/6 6 4 SDQuiet Room 5/6 6 6 LDReception/Enquiries 5/6 6 4 LDShop 4 5 4 LDStore 5 5 6 MDOffice 5/6 6 6 LDAdmissions 5/6 6 4 LDDuty Room 5/6 6 6 HD

Works unitCirculation Space 5 5 4 HDOffice 5/6 6 6 LDStaff Accommodation 5/6 6 6 LDStaff Changing 5 6 6 LDStore 3 6 6 MDWC 2 5 6 LDWorkshop 3 5 6 MD

Younger disabled unitBathroom 4 4 2 LDBedroom 5/6 6 5 LDCirculation Space 5/6 5 4 MDClean Utility 3 3 5 MDCleaners’ Room 2 5 5 MDClinical, Examination 3 5 5 LDDay Space 6 5 5 LDDining Room 5/6 5 5 LDDirty Utility 2 3 5 MDHobbies Room 5 5 6 LDOffice 6 6 6 LDPantry 2 4 3 MDQuiet Room 6 6 6 LDShower 4 4 2 LDStore 5 6 6 MDVisitors’ Room 6 6 6 LDWC 2 5 5 LD


25

ACTS AND REGULATIONS

(The) Building Regulations 2000 (SI 2000: 2531).HMSO, 2000.http://www.hmso.gov.uk/si/si2000/20002531.htm

Disability Discrimination Act 1995. HMSO, 1995.http://www.legislation.hmso.gov.uk/acts/acts1995/Ukpga_19950050_en_1.htm

Construction (Design and Management) Regulations1994, SI 1994 No. 3140. HMSO, 2000.http://www.hmso.gov.uk/si/si1994/Uksi_19943140_en_1.htm

Construction (Design and Management)(Amendment) Regulations 2000, SI 2000 No. 2380.HMSO, 2000.http://www.legislation.hmso.gov.uk/si/si2000/20002380.htm

DEPARTMENT OF HEALTH PUBLICATIONS

Activity DataBasehttp://195.92.246.148/nhsestates/adb/adb_content/introduction/home.asp

Firecode: Part 1 – functional standards (formerly HTM 81). The Stationery Office, 2004 (forthcoming).

HBN 40: Common activity spaces. Volumes 1–4.HMSO, 1995.

HTM 56: Partitions. The Stationery Office, 2005.

HTM 57: Internal glazing. The Stationery Office, 2005.

HTM 58: Internal doorsets. The Stationery Office,2005.

HTM 59: Ironmongery. The Stationery Office, 2005.

HTM 60: Ceilings. The Stationery Office, 2005.

HTM 61: Flooring. The Stationery Office, 2005.

BRITISH STANDARDS AND CODES OFPRACTICE

BS 4322:1968 Recommendations for buffering onhospital vehicles such as trolleys. British StandardsInstitution, 1968.

BS 5234-1:1992 Partitions (including matching linings).Code of practice for design and installation. BritishStandards Institution, 1992.

BS 5234-2:1992 Partitions (including matching linings).Specification for performance requirements for strengthand robustness including methods of test. BritishStandards Institution, 1992.

BS 5628-1:1992 Code of practice for use of masonry.Structural use of unreinforced masonry. BritishStandards Institution, 1992.

BS 5628-2:2000 Code of practice for use of masonry.Structural use of reinforced and prestressed masonry.British Standards Institution, 2000.

BS 5628-3:2001 Code of practice for use of masonry.Materials and components, design and workmanship.British Standards Institution, 2001.

BS 6262:1982 Code of practice for glazing for buildings.British Standards Institution, 1982.

BS 8212:1995 Code of practice for dry lining andpartitioning using gypsum plasterboard. BritishStandards Institution, 1995.

BS EN 1154:1997 Building hardware. Controlled doorclosing devices. Requirements and test methods. BritishStandards Institution, 1997.

BS EN 1935:2002 Building hardware. Single-axishinges. Requirements and test methods. BritishStandards Institution, 2002.

OTHER PUBLICATIONS

Waller, S and Finn, H (2004), Enhancing the healingenvironment. A guide for NHS trusts. King’s Fund,London.


26

References

http://www.hmso.gov.uk/si/si2000/20002531.htm

http://www.legislation.hmso.gov.uk/acts/acts1995/Ukpga_19950050_en_1.htm

http://www.hmso.gov.uk/si/si1994/Uksi_19943140_en_1.htm

http://www.legislation.hmso.gov.uk/si/si2000/20002380.htm

http://195.92.246.148/nhsestates/adb/adb_content/introduction/home.asp

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STATUS IN WALES - Health in Wales 69 2005.pdf · For queries on the status of this document contact...

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Transcript of STATUS IN WALES - Health in Wales 69 2005.pdf · For queries on the status of this document contact...