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National Adolescent Secure Inpatient Service – Authority Requirements Incorporating Employer’s Information Requirements (EIRs)

Title:

Revision:

Date:

Description:

Authority’s Technical Brief

Rev 10

11 September 2018Consolidated comments incorporated

Author: Iain Fairley/Hazel Smith

NHS Ayrshire and Arran (the Authority)

NHS Ayrshire & ArranCorporate Support ServicesCapital Planning DepartmentTurnberry BuildingAilsa HospitalDalmellington RoadAyrKA6 6DX

Telephone: 01292 513 021

National Adolescent Secure Inpatients Service – Requirements inc. EIRs

The Authority’s Requirements

Introduction

The Authority’s Requirements, which incorporate the Employers Information Requirements (Building Information Modelling (BIM) and construction requirements of the Authority and is divided into the following Sub-Sections and Appendices:

Sub-Section A Introduction

Sub-Section B Definitions and Abbreviations

Sub-Section C General RequirementsThis Sub-Section contains overall philosophy and standards for the design, construction and finish and associated infrastructure, both internal and external to the Facilities.

Sub-Section D Specific Clinical RequirementsThis Sub-Section contains design philosophy and specific requirements for each of the Clinical Services to be provided from the Facilities.

Appendix 1 Clinical Output Specification

Appendix 2 Schedule of Accommodation

Appendix 3 Environmental Matrix – TBC

Appendix 4 Finishes Matrix - TBC

Technical Brief - Page 1 of 223


Authority’s Technical BriefSub Section B – Definitions and Abbreviations



Section 3: The Authority’s Technical Brief

Sub-Section B: Definitions & Abbreviations

The following abbreviations have been used in Section 3 (Authority’s Technical Brief):

24/7/365 Twenty four hours a day, seven days a week, 365 days a year

AAMHUM Adult Acute Mental Health Unit Manuals

ACH Ayrshire Central Hospital

AEDET Achieving Excellence – Design Evaluation Toolkit

AHP Allied Health Professionals

AHU Air Handling Unit

AMH Adult Mental Health

ANP Advanced Nurse Practitioner

ARP Area Reception Point

ATM Auto Teller Machine

BBV Blood Born Viruses

BMS Building Management System

BRE Building Research Establishment

BREEAM British Research Establishment Environmental Assessment Method

BS British Standard

BSRIA Building Services Research & Information Association

C(C)HP Combined (Cooling,) Heat & Power

CAMHS Child and Adolescent Mental Health Services

CAT Community Addiction Team

CCTV Closed-Circuit Television

CDM Construction (Design & Management) Regulations 2015

CEL Scottish Government Chief Executive Letters



CEN European Committee for Standardisation

Certified Wood Timber certified by Forest Stewardship Council

CIBSE Chartered Institution of Building Services Engineers

CIRIA Construction Industry Research and Information Association

CMHT Community Mental Health Teams

COSHH Control of Substances Hazardous to Health

CP Code of Practice

DfT Department for Transport

DHW Domestic Hot Water

DoE Department of the Environment

DoH Department of Health

DSR Domestic Services Room

DTI Department of Trade and Industry

ECT Electroconvulsive Therapy

EMS Environmental Management System

EN Euronorm Standards

EPC Energy Performance Certificate

EPO Environment Protection Officer

EQA Equality Act Scotland 2010 (DDA)

FM Facilities Management

FRU Forensic Rehabilitation Unit

GCCAM Good Corporate Citizenship Assessment Model

GP General Practitioner

HACCP Hazard Analysis and Critical Control Points

HBN Health Building Notes

HDL Scottish Government Health Directorates Letters

HEI Healthcare Environmental Inspectorate



HFN Health Facilities Notes

HFS Health Facilities Scotland

HGN Health Guidance Notes

HSE Health & Safety Executive

HTM Health Technical Memoranda

HTN Health Technical Notes

HVAC Heating Ventilation & Air Conditioning

HWS Hot Water Supply

ICE Institute of Civil Engineers

ICT Information & Communication Technology

IDS Intruder Detection System

IEE Institution of Electrical Engineers

IES Integrated Environmental Solutions

IPCU Intensive Psychiatric Care Unit

IT Information Technology

LAN Local Area Network

LEV Local Exhaust Ventilation

LPS Loss Prevention Standard

MDT Multi-Disciplinary Team

MH Mental Health

MHPT Mental Health Pharmacy Team

MSC Matters of Specified Conditions

NAC North Ayrshire Council

NACH North Ayrshire Community Hospital

NBS National Building Specifications

NDC National Distribution Centre

NHS National Health Service



O&M Operations and Maintenance

OFTEL The Office of Telecommunications

OP Older People

OPD Out Patients Department

OT Occupational Therapy

PCAT Primary Care Addiction Team

PCMHT Primary Care Mental Health Teams

PIR Passive Infra-red

PoE Power-over-Ethernet

PPCL Patients Personal Clothing Laundry

PPE Personal Protective Equipment

PPG Planning Policy Guidance

PSCP Principal Supply Chain Partner

ROSC Recovery Oriented System of Care

SEPA Scottish Environment Protection Agency

SFPN Scottish Fire Practice Notes

SFT Scottish Futures Trust

SGHSCD Scottish Government Health and Social Care Directorates

SHBN Scottish Health Building Notes

SHFN Scottish Health Facilities Notes

SHGN Scottish Health Guidance Notes

SHoTN Scottish Hospital Technical Notes

SHPN Scottish Health Planning Notes

SHS Scottish Healthcare Supplies

SHTM Scottish Health Technical Memoranda

SHTN Scottish Health Technical Notes

SI1 International System of Units



SI2 Site Investigation

SLT Speech and Language Therapy

SNH Scottish National Heritage

SPP Scottish Planning Policy

SUDS Sustainable Urban Drainage System

TAS Thermal Assessment Simulation

TPO Tree Preservation Order

UPS Un-interruptible Power Supplies

VDU Visual Display Unit

VoIP Voice over Internet Protocol (or Voice Over IP)

WC Water Closet

WEEE Waste Electronic and Electrical Equipment Regulations

WRAP Waste & Resources Action Programme



For the avoidance of doubt, the following list of definitions does not repeat defined terms etc. identified in the Technical Brief.

The following definitions have been used in this compilation of the Technical Brief:

ACH Site Means the Authority’s Ayrshire Central Hospital site as whole, as defined in Site boundary plans in Appendix F of the Technical Brief.

Adaptability Strategy

Means the Adaptability Strategy, to be proposed by PSCP (for agreement by the Authority at Concept Design Stage) to define their strategy for ensuring appropriate provision for adaptability and flexibility of the Facilities.

Adjacency Matrix and Ground Floor Considerations

Means the Adjacency Matrix, which sets out the adjacency requirements i.e. inter-departmental relationships (both definite and preferable) of the Authority for the Facilities, and the Ground considerations, which sets out the Authority’s requirements (both definitive and preferable) for the location of rooms, as defined in Appendix B of the Technical Brief.

Corporate Greencode

Corporate GREENCODE® is a suite of software, templates and support materials developed by the NHS for the NHS. It is maintained by Health Facilities Scotland (HFS) to:

guide you through the development and implementation of a corporate Environmental Management System (EMS); and

provide tools to help you run and maintain your corporate EMS.

Council Means North Ayrshire Council.

Environmental Matrix

Means the Environmental Matrix, which details the indicative room environmental condition requirements of the Authority required within each department / unit / space / area as defined in Appendix C of the Technical Brief.

Finishes Matrix Means the Finishes Matrix, which details the indicative room finishes requirements of the Authority required within each department / unit / space / area as defined in Appendix D of the Technical Brief.

Firecode Firecode and legislation for the premises will conform to the following:

SHTM 81 Fire Precautions in new healthcare premises. Statutory compliance requirements of the Fire (Scotland )

Act 2005 Non- domestic Technical Handbook Building Scotland

Regulation 2004



Fire Policy for Scotland NHSScotland 2011

Following completion and the subsequent occupation of the newly built premises the primary fire standards to be applied are those contained within:

The Practical fire safety guidance for healthcare premises.

SHTM 85; Fire precautions in existing healthcare premises.

SHTM 83 General Fire Precautions. SHTM 86; Part 2 : Fire risk assessment in health care

premises. Other NHSScotland Firecode documents where

applicable to the circumstances being considered.

Good Practice Guidance for selecting materials

The edition of the publication entitled “Good practice in the selection of construction materials” (British Council for Offices (BCO): 2011) or any amended or updated version as at Financial Close

Green Travel Plan Means the Green Travel Plan for the Ayrshire Central Hospital Site, detailed by the Authority.

HEAT Means Health Improvement Efficiency and Governance, Access to Service, and Treatment Appropriate to Individuals

RPP3 Scottish Government’s Climate Change Plan RPP3

Identikit Means NHS Scotland Identity Guidelines

NHS Requirements

Means the requirements defined in chapter 2.3 of this Sub-Section C of the Technical Brief. These may be amended from time to time.

Safety Actions Notices

Safety Action Notes were standard priority safety warnings issued in Scotland from 1995 to 2018 in conjunction with Medical Devise Alerts (from the MHRA – Medicine and Healthcare Products Regulatory Agency) and Estates & Facilities Alerts.

Schedule of Accommodation (SoA)

Means the Schedule of Accommodation, which details the type, size and number of rooms within the new facility, which can be found in Appendix A of the Technical Brief.

Secured by Design

Os the official UK Police flagship initiative supporting the principles of ‘designing out crime’

Touch Down Base

A workstation space where staff can access a PC, Telephone, Printer, patient monitoring systems, emergency



nurse/patient call system and other administrative tools to assist the clinical practitioner in executing their job.

Vistamatic Glazed secure vision panel



Technical Brief – Sub Section CGeneral Requirements



Section 3: The Authority’s Technical Brief

Sub-Section C: General Requirements

1 Introduction

Sub-Section C (General Requirements) of the Technical Brief sets out the key design and construction requirements of the Authority in the provision of the new National Adolescent Inpatient Service within Ayrshire Central Hospital, Kilwinning Road, Irvine.

The PSCP shall satisfy all the requirements under this Sub-Section C, which shall be read in conjunction with, but not limited to:

Clinical Brief; and

NHS Scotland Sustainability Policy and the Scottish Government’s Change Plan 2018;

Drafting has been included in italics in this document. This is text which has been included to provide information to the PSCP. This text shall be deleted prior to handing over this brief

Section C is divided into the following chapters noted in page below.

Chapter Title Page

1 Introduction 11

2 Project Wide Requirements 19

2.1 Approach to Design 19

2.2 NHS Requirements Error! Bookmark not defined.2.3 Hierarchy of Standards 24

2.4 Information Technology & Record Information Error! Bookmark not defined.

3 General Design Requirements 27

3.1 General Design Philosophy 27

3.2 Character & Innovation 283.2.1 Vision 283.2.2 Healthcare Excellence 283.2.3 Architectural Vision 313.2.4 Therapeutic Environment 313.2.5 Design Innovation 313.2.6 Recognisable Quality 32


Contents


3.3 Internal Environment 323.3.1 Quality Environment 323.3.2 Light, Colour & Texture 333.3.3 Wayfinding and Signposting 34

3.4 Urban & Social Integration 353.4.1 Sense of Place 363.4.2 Neighbourhood & Community 363.4.3 Existing Site Users 363.4.4 Hard & Soft Landscaping including Garden Spaces 36

3.5 Citizen Satisfaction 373.5.1 Design Concept 373.5.2 Scale & Proportion 373.5.3 Composition 373.5.4 Aesthetics 373.5.5 The Arts 37

3.6 Uses (Spare) 373.6.1 Service Philosophy 383.6.2 Clinical & Non Clinical Functionality 383.6.3 Design for Therapy 393.6.4 Human Dignity 393.6.5 Spare 403.6.6 Single Room Accommodation 403.6.7 Functional Relationships 403.6.8 Work Flows & Logistics 413.6.9 Manual Handling 413.6.10 Adaptability & Expansion 42

3.7 Spaces 433.7.1 Accommodation Requirements 433.7.2 Floor Layouts 433.7.3 Equipment Requirements 443.7.4 Room Data Sheets 453.7.5 Interior Design 463.7.6 Space Standards 463.7.7 Ward Configuration 47

3.8 Infection Control 47

3.9 Staff and Patient Safety / Anti-Ligature / Self Harm 47

3.10 Anti Vandalism 48

3.11 Security & Control 493.11.1 Secured by Design 493.11.2 Safer Parking Scheme 50

3.12 Design for Disability 50

4 Site Specific Requirements 51

4.1 Site Boundary 51

4.2 Green Travel Plan 51

4.3 Existing Services 52



4.4 Demolition Works Requirements 53

4.5 Phasing / Occupation 544.5.1 Additional Phase Works 55

4.6 Construction Period Requirements 554.6.1 General 554.6.2 Emergency Contingency Plans 574.6.3 Construction Works outside of the Site 574.6.4 Control of Noise and Dust 584.6.5 Meetings with Immediate Neighbours 594.6.6 Meetings with the Authority during the Construction of the Works 594.6.7 Restrictions on Images and Videos during Construction of the Works 604.6.8 Restrictions and requirements on continuity of existing services 604.6.9 Site boundary and signage treatment requirements 604.6.10 Outside of Site – “Access to Site” signage restrictions 604.6.11 Restrictions and requirements on Site 604.6.12 Restrictions and requirements on vehicles accessing the ACH Site 614.6.13 Clean Roads and Footpaths 614.6.14 Workmanship, Construction Accuracy & Tolerances 614.6.15 Continuity of Existing Services 624.6.16 Control of Construction Site and Storage of Tools, Equipment and Materials 624.6.17 Crane Activities 634.6.18 Completion Requirements 63

4.7 Health and Safety 644.7.1 Site Information 64

4.8 Operational Disruption & Continuity of Service 64

5 General Construction Requirements 65

5.1 Schedule of Life Expectancies 65

5.2 Infection Prevention & Control 65

5.3 Building Air Tightness 66

5.4 Thermal Requirements 67

5.5 Acoustics Error! Bookmark not defined.5.6 Room Mock-ups and Clinical Testing Error! Bookmark not defined.

5.6.1 Clinical and Security Testing (by the Authority) 685.6.2 Mock Up Rooms and Samples Error! Bookmark not defined.5.6.3 Build Quality 71

5.7 Integration with Engineering Services 71

5.8 Building Envelope 72

5.9 Internal Areas 73

5.10 Ceilings, including Heights & Voids 74

5.11 Corridor Widths and Heights 765.11.1 Handrails 78

5.12 Doors and Frames 78



5.13 Vision Panels 81

5.14 Windows 815.14.1 Clinical Considerations 815.14.2 Window Types 825.14.3 Further General Design Requirements 835.14.4 Curtain Walling 85

5.15 Finishes 855.15.1 General Finishes 855.15.2 Walls / Partitions 875.15.3 Flooring 885.15.4 Finishes Quality 90

5.16 External Materials 90

5.17 Architectural Hardware 905.17.1 Ironmongery 905.17.2 Locks and Locking 905.17.3 Blinds & Curtains 90

5.18 Sanitary Ware 905.18.1 Generally 905.18.2 Hand Washing Facilities 905.18.3 Medium Secure Areas and Public Area WCs 905.18.4 Not Used 905.18.5 Not Used 905.18.6 Non patient accessible areas 90

5.19 Staircases, Ramps, Balustrades, Walkways, Balconies & Lifts Error! Bookmark not defined.5.20 Soft Landscaping Requirements 90

5.21 Wayfinding & Signposting 90

5.22 Protection 90

5.23 Static Discharges 90

5.24 Standardisation & Prefabrication 90

5.25 Materials 90

5.26 Sustainability 905.26.1 BREEAM 90

5.27 Energy Strategy 90

5.28 Fire Planning Strategy 90

5.29 Storage of Gas Cylinders 90

5.30 Facilities Maintenance 90

5.31 Pest Control 90

6 Civil & Structural Engineering Requirements 90

6.1 General Requirements 90

6.2 Architectural / Structural Interface 90

6.3 Performance Standards 90



6.4 Loadings & Structural Flexibility 90

6.5 Foundations & Sub-structure 90

6.6 Earthworks 90

6.7 Movement Joints 90

6.8 Building Super-Structure & Envelope 90

6.9 Fire & Corrosion Protection 90

6.10 Durability & Maintainability 90

6.11 Drainage 90

7 External Works 90

7.1 Soft Landscaping Requirements 907.1.1 General 907.1.2 Soil Preparation & Topsoil 907.1.3 Trees Error! Bookmark not defined.7.1.4 Shrubs & Groundcover Error! Bookmark not defined.7.1.5 Planting & Watering 907.1.6 Turf 907.1.7 Health & Safety Considerations 90

7.2 Private Open Space / Courtyards 90

7.3 External Equipment and Furniture 90

7.4 Public Open Space 90

7.5 Site Boundary Requirements 90

7.6 Site Access & Circulation 907.6.1 Vehicular Access 907.6.2 Emergency Vehicle Access 907.6.3 Service Vehicle Access 907.6.4 Pedestrian Access 90

7.7 Roads, Footpaths, Cycleways and Car Parking 907.7.1 Road Markings & Signage 907.7.2 Cycleways and Cycle Storage 907.7.3 Car and Motor Bike Parking Error! Bookmark not defined.7.7.4 Disabled Parking Error! Bookmark not defined.7.7.5 Drop-off / Pick-up Arrangements 90

7.8 Hard Landscaping Requirements 90

8 Mechanical & Electrical Engineering Requirements 90

8.1 Minimum Engineering Standards 90

8.2 Energy Centre and Plant Areas 90

8.3 Infection Control 90

8.4 Engineering Services Interface with Building Fabric 90

8.5 Unrestricted Access to Patients 90



8.6 Performance Standards 908.6.1 Energy Performance 908.6.2 Dynamic Simulation Modelling (DSM) 908.6.3 NHS Scotland Design Assessment Process (NDAP) 908.6.4 Operational Energy 908.6.5 Energy Material and Design 908.6.6 Building Form amd Facade 908.6.7 Displaying Energy Performance (DEP) 908.6.8 Regulated Energy 908.6.9 Scottish Energy Performace Certificate (EPC) 908.6.10 Thermal Comfort 908.6.11 Air Quality 908.6.12 Vibration 908.6.13 Acoustics Error! Bookmark not defined.

8.7 Incoming Services 908.7.1 General 908.7.2 Security of Incoming Supplies 908.7.3 Provision for Isolation 90

8.8 Mechanical Systems 908.8.1 Building Management Systems & Controls 908.8.2 Main Water Connection to the Site 908.8.3 Site Mains Water, Fire Water, Quality & Distribution 908.8.4 Fossil Fuels 908.8.5 Heating System 908.8.6 Domestic Water Services 908.8.7 Hot Water Supply 908.8.8 Mechanical Ventilation & Comfort Cooling 908.8.9 Combined Heat and Power Error! Bookmark not defined.8.8.10 Medical Gasses Error! Bookmark not defined.8.8.11 Medical Vacuum – Not Used 908.8.12 Bedhead Services 908.8.13 Local Exhaust Ventilation Systems 908.8.14 Drainage 908.8.15 Diesel Storage Tanks Error! Bookmark not defined.

8.9 Electrical Systems 908.9.1 Main & Sub-Main Distribution 908.9.2 Standby Generation 908.9.3 Electrical Small Power 908.9.4 Lighting 908.9.5 Interior Lighting 908.9.6 Exterior Lighting 908.9.7 Lighting Control & Wiring 908.9.8 Emergency Lighting 908.9.9 Standby Lighting 908.9.10 Lifts 90

8.10 Induction Loop 90

8.11 Intercoms 90

8.12 Patient Monitoring / Telemetry System Error! Bookmark not defined.



8.13 Security 908.13.1 General 90

8.14 Outline of the Requirements of the System Error! Bookmark not defined.8.15 Control of PAs Error! Bookmark not defined.8.16 Construction of the PA unit 90

8.17 The Technology and Reporting of Alarms from the PA unit 90

8.18 Control equipment installed in Patient areas 90

8.19 Wireless or RF Frequency Band Operation 90

8.20 Personal Alarm Performance 90

8.21 Generation and Annunciation of Alarms 90

8.22 PA Alarm Unit Functionality 90

8.23 Security Office/ Room Equipment 90

8.24 Recording and Storage of Alarm Data 90

8.25 Personal Alarm and Audio System Cabling 90

8.26 Installation and Function of Receiving Equipment 90

8.27 Back up Power 90

8.28 Password Protection 90

8.29 Frequency Operation Options 90

8.30 Reliability Service and Maintenance requirements 90

8.31 Environmental Requirements Outdoor Equipment 90

8.32 PA Alarm Units to be Worn Indoors and Outside 90

8.33 Indoor Control equipment 90

8.34 Power Requirements Control Equipment 90

8.35 Personal Alarm System Capacity 90

8.36 Support and documentation 90

8.37 Warranty, Call out Response and Repairs 90

8.38 Installation 90

8.39 Conditions for Performance Test 90

8.40 Training 90

9 DESIGN BRIEF 90

9.1 Audio Response System: Function 90

9.2 Description of Work 90

9.3 Finishes 90

9.4 Testing 90

9.5 Warranty and Maintenance 90



9.6 Support and Documentation 90

9.7 Training 909.7.1 Alarms & Intruder Detection System Error! Bookmark not defined.9.7.2 Security Access Control Error! Bookmark not defined.9.7.3 CCTV Error! Bookmark not defined.9.7.4 Clinical Equipment 909.7.5 Car Park Barriers – Not Used 90

9.8 TV & Radio Facilities Error! Bookmark not defined.9.9 Lightning Protection & Earthing Error! Bookmark not defined.9.10 Fire Detection & Supression Systems Error! Bookmark not defined.9.11 Engineering Flexibility & Zoning Error! Bookmark not defined.9.12 Services Capacity Reserve Error! Bookmark not defined.9.13 Commissioning & Testing Error! Bookmark not defined.

10 Information and Communications Technology (ICT) Requirements Error! Bookmark not defined.

10.1 Introduction 90

10.2 Overall Requirements 90

10.3 Minimum Engineering Standards 90

10.4 Responsibilities Matrix 90

10.5 Structured Cabling System 9010.5.1 Cabling closets 9010.5.2 Fibre Optic Cabling 9010.5.3 Cabling 9010.5.4 Ancillaries 9010.5.5 Data Patch Panels 9010.5.6 Data Outlets 9010.5.7 Telephony Tie Cables 9010.5.8 Outlet Identification Definition 90

10.6 Authority Node Rooms Error! Bookmark not defined.10.7 Wireless Network 90

10.8 External Services 90

10.9 Communication & Connectivity with ACH Site 9010.9.1 Infrastructure 90



2 Project Wide RequirementsThis chapter sets out the Authority’s overarching requirements for the new National Secure Adolescent Inpatient Service for Scotland (NSAISS).

The new Facilities shall provide services for Adolescent inpatients. The accommodation for this new facility is detailed the Schedule of Accommodation, which can be found in Appendix A

The new Facilities shall integrate with the master plan and strategies for the whole ACH Site. This shall include engineering services, traffic management, and the shared services which currently operate across the ACH Site.

2.1 Approach to Design

The Scottish Parliament has articulated the desire that Scotland becomes “the best small country in the world” and has further asserted that the quality of our built environment is a key factor in achieving this. The Scottish Government Health and Social Care Directorates (SGHSCD) believe that improving the quality of our caring environments is crucial to delivering a confident, compassionate Scotland.

Specific to mental health, the Scottish Government has further described its vision for Scotland where “our flourishing mental health and mental wellbeing contributes to a healthier, wealthier, fairer, smarter, greener and safer Scotland”.

The Authority places the highest importance on the approach to the design of the Facilities consistent with its vision to provide world class Facilities that are fit for purpose, meet all regulatory standards and provide a therapeutic environment. The design strategy shall respond to the needs and aspirations of a variety of service providers including the NHS Scotland (NHSS), local authorities and other community based services. The wish of the Authority is to create a centre of excellence that shall be an inspiration to others and set a benchmark of quality of design.

The PSCP shall ensure the design complies with the general ethos detailed here, whilst also addressing the detailed requirements listed in the clinical brief. It shall be noted that the requirements detailed are not exhaustive, and should provide flexibility and future adaption to changes in clinical models of care and patient pathways the nature and design of Facilities in some areas.

The Authority shall be seeking innovative design proposals from PSCP for this new national Facility.

Where individual circumstance warrant amendments to the specification this shall be positively considered and approved where PSCP can demonstrate that the required level of standards encompassed within the Authority’s Construction Requirements are not compromised.



The Authority requires the following matters to be addressed as part of its requirements:

The need for The PSCP to maintain leadership between the aspirational stage and the agreed final design; and

The Authority’s management team to be actively involved and support both the project team and clinicians.

PSCP shall support the Authority’s vision as stated in the Authority’s Requirements and develop a partnership with the Authority to assist in the delivery of the vision.

The design process is managed by the Authority Representative, and the Project Board; comprising representatives from the Authority, Mental Health and Education services and other significant users and patient involvement groups. Through an Authority Representative and Project Board. An Authority review team shall be set up in order to ensure that the design remains sensitive to the needs of users and is complementary to the ACH Site.

PSCP shall allow for a formalised review by Architecture and Design Scotland (A+DS) and Health Facilities Scotland (HFS) at all stages of the design. The design shall further be evaluated using the NHS Estates Achieving Excellence Design Evaluation Toolkit (AEDET refresh). The Authority’s review team shall use AEDET as a structure to monitor agreed standards through all stages from design to completed construction and operation.

PSCP shall ensure that the design of the Facilities draws upon and endeavours to further develop and improve current best practice (and Good Industry Practice) standards achieved in other similar schemes, and meets the requirements of the prospective patient groups, staff and public. This philosophy of design shall be extended across all parts of the Facilities including landscaped and external areas as well as the essential patient areas.

PSCP shall take cognisance of all the architectural and building services implications of the requirements described in Specific Clinical Requirements and Authority’s Construction Requirements.Minimum Design and Construction Standards and Requirements

PSCP shall design and construct the Facilities to comply with Good Industry Practice, government legislation, relevant statutory requirements (including highways) and required consents, including, but not limited to, the following (including all amendments):

Construction (Design and Management) Regulations 2015;

Management and Safety at Work Regulations 1999;

Health and Safety at Work etc Act 1974 and Subordinate Regulations;

Recommendations contained in the Health and Safety Executive Approved Codes of Practice and Guidance documents;

BS OHSAS 18000:2007;

Quality Assurance System to ISO 9000 Series;

Disability Discrimination Act 2005;



The Equality Act 2010;

The Climate Change (Scotland) Act 2009;

The Building (Scotland) Act 2003 and its most recent amendments;

The Fire (Scotland) Act 2005 and its most recent amendments;

The Fire Safety (Scotland) Regulations 2006;

The Building (Scotland) Regulations 2004 and its amendments;

The Non-Domestic Technical Handbook to The Building (Scotland) Regulations 2016 and its amendments;

Chartered Institute of Building Services Engineers (CIBSE) publications, Institute of Civil Engineers (ICE) and Institute of Electrical Engineer (IEE) publications;

Gas Safety (Installation and Use) Regulations and Approved Code of Practice and guidance;

Scottish Fire & Rescue and the Authority’s Fire Officer’s requirements and fire safety requirements, including, Fire Safety for NHSScotland 2011, CEL 11(2011), Practical Fire Safety Guide for Healthcare Premises by Scottish Government and NHS Scotland Firecode series;

Requirements of the relevant Utilities companies, and the Authority;

Requirements of the Council’s Building Control Officer, Fire Officer and Environmental Health Officer;

Relevant British Standards, Codes of Practice, or equivalent European industry recognised standards;

Eurocodes;

Building Research Establishment Digest Recommendations;

Local Bye-Law and Regulations;

Scottish Centre for Infection and Environmental Health guidance / recommendations;

Water Research Centre Codes.

All standards, guidance, codes of practice and all other titled requirements that The PSCP shall comply with are to be the current version of the requirement or its replacement requirement at Financial Close, without the need for a Change.

2.2 NHS Requirements

PSCP Co shall design and construct the Facilities to comply with the following NHS Requirements

In addition to the standards listed in chapter of this Technical Brief unless the Authority has expressed elsewhere in the Authority’s Construction Requirements a specific and different requirement, the Facilities shall comply



with but not be limited to the provisions of the NHS Requirements as the same may be amended from time to time:

The themes, issues and recommendations in “Better by Design: Pursuit of Excellence in Healthcare Buildings” by the Department of Health;

New Policy on Design Quality for NHSScotland published by SGHSCD;

Firecode;

HAI SCRIBE;

Health Building Notes;

Health Facilities Notes and Scottish Health Facilities Notes;

Health Guidance Notes and Scottish Health Guidance Notes;

Health Technical Memoranda and Scottish Health Technical Memoranda;

Health Technical Notes and Scottish Health Technical Notes ;

Scottish Hospital Technical Notes;

Scottish Fire Practice Notes;

Scottish Government Health and Social Care Directorates Circulars

Scottish Health Planning Notes;

Forensic Network Medium Security Standards;

Primary and Social Care Premises (Planning and Design Guidance);

NHS publication 'Performance requirements for building elements used in healthcare facilities’;

NHS Scotland & NHS Policies;

The Authority’s Policies;

Health Department Letters (or Management Executive Letters) as appropriate published by SGHSCD;

Safety Action Notices published by NHS Scotland;

Healthcare Improvement Scotland (HIS) NHS Model Engineering Specifications;

Department of Health publication “Better by Design”;

HBN03-02 Facilities for Child and Adolescent Mental Health Services (CAMHS);

Department of Health (DoH) Adult Acute Mental Health Unit Manuals (AAMHUM)

Corporate Green Code;

NHS Scotland Fire Safety Management, incorporating NHS Scotland Firecode

Hazard Notices issued by NHS Scotland;

Architecture & Design Scotland – Personal Space (Interior design approach to bedrooms in mental health developments);



Royal College of Psychiatrists College Research Unit, Management of imminent violence: clinical practice guidelines to support mental health services, Occasional Paper OP41, London, 1998;

Application of the principles contained in the SHPN 35 Adult Acute Mental Health Wards;

Application of the principles contained within “A Policy on Architecture for Scotland, 2001”, “A Policy on Architecture for Scotland, Public Consultation, Review of Policy” 2006 and “A Policy On Architecture And Placemaking For Scotland Public Consultation” 2012 published by the Scottish Government;

Adherence to the requirements set out in CEL 19 (2010) “A Policy for Design Quality for NHS Scotland, 2010 Revision published by the Scottish Government;

Application of the principles contained in “Improving Standards of Design in the Procurement of Public Buildings”, 2002 published by the Office of Government Commerce;

Application of the principles contained in “Healthier Places” – Architecture & Design Scotland;

Scottish Executive Health Department, Scottish Infection Manual – “Managing the Risk of HAI in NHS Scotland” (2001);

Department for Communities and Local Government’s “Planning and access for disabled people: a good practice guide” (2006);

Application of the principles contained in National Patient Safety Agency’s “ The National Standards for cleanliness in the NHS” (2007) and implementation of the guidance toolkit; and

NHS Estates Publications, including, but not limited to:

- Housekeeping - a first guide to modern and dependable ward housekeeping (2001);

- Enhancing privacy and dignity-achieving single sex accommodation (2002);

- ‘Improving the Patient Experience’ publications including:

o Sharing Success in Mental Health and Learning Disabilities: The King's Fund's Enhancing the Healing Environment Programme (2008).

The PSCP shall provide to the Authority, at the Phase Actual Completion Date, a certificate confirming that the Facilities comply with the requirements of NHS Scotland Firecode.

For the avoidance of doubt, The PSCP shall provide all fixed fire fighting equipment to comply with statutory requirements and the requirements and recommendations of NHS Scotland Firecode and in locations as agreed with the Authority’s fire officer.



2.3 Hierarchy of Standards In any event and notwithstanding any other provision of this Technical Brief the PSCP shall comply at all times at no additional cost to the Authority with the NHS Requirements set out in chapter 2.3, making such design choices as are permitted therein provided such choices are notified to the Authority in writing in advance and are consistent with the Authority’s general requirements and objectives as set out in this Brief.

Where contradictory standards / advice are apparent within the terms of this Brief and the Appendices then subject to the foregoing paragraph (1) the most onerous standard / advice shall take precedence and (2) the most recent standard / advice shall take precedence. When the more onerous requirement is to be used the Authority shall have the right to decide what constitutes the more onerous requirement.

Where there is a conflict of interest resulting from the use of the standards / advice the PSCP shall involve the Authority in the decision making process. The Authority shall be entitled to make the final decision regarding the standards / advice to be used for the Facilities including any contradictions that may arise between items (1) and (2) above.

NHS Scotland standards shall take precedence over equivalent NHS England and Wales standards unless noted otherwise.

In certain instances, NHS publications include a number of options or alternative solutions. Where the Authority has defined their preference specifically, PSCP shall adopt these preferences as a mandatory requirement. Where no Authority preference is stated, PSCP shall engage the Authority in the design development process to seek and incorporate the Authority’s preference within the Facilities.

While the Authority has placed a clear obligation on The PSCP in relation to NHS publications, it also wishes to acknowledge that in certain cases the subject matter, guidance and advice included therein has been further developed and improved since the date of publication. The Authority does not wish to limit the use of current best practice or innovation in relation to the adoption of design standards. Consequently, the Authority wishes the PSCP to actively engage the Authority in an on-going dialogue during the design process in order for the Authority to review and agree to any proposed alternatives which shall be submitted to the Authority for agreement.

For the avoidance of doubt, the Authority considers NHS publications reflect minimum standards and any alternatives proposed by the PSCP Co shall provide a similar or enhanced level of service and quality.

2.4 Information Technology & Record Information

Where applicable, computer aided design shall be applied to the following:

Calculations and principle energy flow analysis for plant simulation;

Building Information Modelling (BIM);

Energy and Thermal Modelling;



All drawn information layouts, schematics, etc.;

“As fitted” and record documentation and drawings;

Electrical, mechanical and communication services;

Landscaping and site planning;

Traffic modelling and;

All other design or design information which The PSCP is obliged to provide the Authority.

The systems used for computer aided design, including Building Information Modelling (BIM), shall be available for use by the Authority from the point of commencement of the design for the Facilities and all of the information listed above shall be made available on such systems and maintained fully up to date throughout the Works and as applicable during the Operational Term and made available at all times to the Authority. This is required in order to assist with the transfer and integration of new and existing information between the Authority and the PSCP.

The use of (BIM) is actively encouraged by the Authority.

At the Completion Date of the Facilities, the PSCP shall provide to the Authority two complete hard copy and electronic records representing the design, construction, testing and commissioning and completion of the “as-constructed” Facilities that include the routes of all building services. This shall include, but not be limited to, a full set of as-built records, drawings, specifications and the like and the documents in the Works Information, incorporating all changes to the design and all remedial works during construction. The documents and drawings format(s) and number of copies are to be agreed by the PSCP and the Authority prior to completion of the Authority’s Full Business Case. All final as-built records for the Facilities shall include, as a minimum: Design Manual containing all relevant design calculations, parameters,

assumptions, standards, specifications, product data sheets for all components and parts, including details of the influence on the design of actual construction methods), including any change or remedial works during construction.

As built drawings for all component parts of the Facilities, a detailed schedule of which shall be agreed with the Authority;

Testing & Commissioning records for all discrete components, subsystems, systems and the Facilities as a whole;

Operating and Maintenance manuals; Health and Safety File; Full set of design, construction, testing and commissioning and completion

records/certification; and All other information that is required to be collated under the Construction

(Design and Management) Regulations 2015 as amended from time to time.



The PSCP Co shall provide to the Authority, at Actual Completion Date, a certificate confirming the Facilities comply with the requirements of NHS Scotland Firecode Construction records and all information relevant to the construction of the Facilities shall be stored in a secure electronic Data Room created specifically for this purpose by the PSCP for access after completion. The format of the data room shall be designed by the PSCP for approval by the Authority in advance of its implementation for the Project. The PSCP shall be responsible for management and administration of the data room for the Project Term.

The system for storage of data and information shall be designed by the PSCP for approval by the Authority, and shall generally be compatible with the Authority’s existing systems.

3 General Design RequirementsThis chapter sets out the general design requirements of the Authority in the PSCP’s design and construction of the proposed National Adolescent Inpatient Service. The general design requirements are set out in the following documents:

SoA

Adjacency Matrix

Finishes Matrix


3.1 General Design PhilosophyThe PSCP shall design the Facilities to ensure they embrace the following design principles:

Integrated, discreet and supportive safety and security measures; Creating a non institutional environment; The benefits of co-location of the clinical services shall be enabled and

encouraged by the Facilities; The impression of the Facilities shall be welcoming and reassuring; The overall design shall provide a safe service for all, patients, carers,

visitors and staff; Accommodation shall be arranged such that patient groupings are of a

reasonable social scale and segregation by gender is easily managed; A therapeutic environment is achieved with ease of access to supporting

therapy provision; There shall be ready access to external spaces and landscaped areas; Proposals shall provide inherent flexibility in terms of space utilisation and

configuration of service needs; There is recognition and respect for private areas and individuals’ personal

space;



Proposals shall provide a suitable and attractive place to work that ensures functional compliance;

Proposals shall respect the orientation to maximise sunlight and minimise overshadowing; and

Proposals shall take due cognisance of the importance of interior design and artwork.

The PSCP shall further ensure their design addresses the requirements set out in the following sub-chapters:

3.2 Character & Innovation

3.2.1 VisionThe new building shall be welcoming and reassuring, but not attract undue attention. The design should be valued by the patients, staff, visitors, other users and the local community. It shall have an enduring quality that shall outlive transient trends and shall provide a landmark building of which future generations shall be proud.

The building shall feel welcoming, therapeutic, modern and efficient. Each part shall have its own visual identity.

The design shall reinforce a strong positive image of the NHS and be identifiable with its function of care. It shall represent the standards of excellence that the teams of staff at all levels are working to achieve and must be an attractive place to work, providing up to date Facilities to assist in attracting and maintaining the calibre of staff required.

3.2.2 Healthcare ExcellenceThe Specific Clinical Requirements has been developed to meet the national quality strategy which sets of the six dimensions of quality. These are that the service shall be patient-centred, safe, effective, efficient, equitable and timely.

The PSCP shall provide design solutions that meet the requirements of the six dimensions of quality as discussed below: http://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/sixdomains.html

(i) Patient Centred The Facilities shall have positive impacts on the environmental quality

by provision of 100% single, en-suite bedrooms;

A discrete inpatient entrance to enable specific admissions to be made avoiding main public thoroughfares;

Simplification of the patient journey through efficient and effective design;


http://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/sixdomains.html

http://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/sixdomains.html


Fit for purpose clinical assessment consultation areas

Education area;The design of the facility should have adequate private and communal space, designed for effective staff/patient interaction and observation;

Provision of an Medium Secure Facility designed specifically for the purpose it is meant to serve; and

Outdoors, grounds shall be landscaped and each cluster shall have access to a private and secure courtyard/garden/terrace.

(ii) SafeThe PSCP’s proposals shall impact on all of these issues in many ways, and the Facilities shall:

Ensure the overall design and layout reduces the risk of harm to patients and staff and provide a safe environment;

Avoid ligature points in all clinical and common areas which are accessible by patients at risk, areas as identified in the Schedule of Accommodation;

Domestic service rooms shall be adequately located and designed to facilitate control of infection;

Provide a high level of safety measures incorporated into the build;

Interconnect young person’s private area with therapy areas;

Provide ample quiet areas shall reduce potential for tension; and

Improve safety at night.

(iii) EffectiveThe PSCP shall provide a new build environment that shall support future capacity requirements and approved clinical strategies. It shall enable the development of new services and models of care including:

Reduced length of stay;

Utilise staff time more effectively;

Helping patients to sustain and improve their health; and

Support new pathways of care.

(iv) EfficientThe PSCP shall incorporate design requirements and modelling strategy to ensure efficiencies are included from the design stage through to project completion. This is in accord with the requirements set out within the sustainability section of the document and the NHS Scotland Sustainability Strategy Document SEL12(2012). The strategy follows the Scottish Government’s National Policy as set out in the Climate Change Plan 2018.



(v) EquitableThe PSCP shall enable the following:

The standard of Facilities shall assist the promotion of services to all sectors of the community;

Proposals shall facilitate the access and circulation of traffic. Pedestrian and cycle access shall, where possible, be segregated from vehicular movement, and there shall be shared pedestrian/ cycle paths throughout the Site; and

Facilities shall provide equity of access to people with disabilities, of ethnic groups and with other specific requirements through.

(vi) TimelyThe provision of Facilities shall promote timely service and delivery, reduced delays and speedy diagnosis, treatment and discharge.

3.2.3 Architectural VisionThe PSCP shall develop building design solutions that create an ordered composition of building elements in a stimulating form that successfully combines good standards of space, height, form, scale and use of materials, natural daylight and colours / images with associated functional requirements.

Expansion on the Authority’s Architectural vision for the Facilities is detailed in the following chapters of this Brief.

3.2.4 Therapeutic EnvironmentThe PSCP shall develop building design solutions which create a high quality, good working environment, both externally and internally, which shall provide a reassuring, enjoyable, and convenient building for all patients, their families, visitors and staff. Consideration should be given to alleviating fear and anxiety, maximising security and safety, reducing boredom and creating a therapeutic environment. These objectives shall not be in conflict with the desire to produce a stimulating design.

To aid in the provision of providing a therapeutic environment, The PSCP should take cognisance of the following design requirements:

Ease of access to outside recreational facilities and natural space; Artwork integral to the building and external areas; and Appropriate use of colour and texture to key areas as identified in chapter

3.3.2 of this Technical Brief.

The PSCP shall meet these objectives and shall develop a design which shall be capable of coping with future changes in a way that does not destroy the original design vision / concept.

3.2.5 Design InnovationInnovation in design can range from whole concepts of hospital planning, distribution of functions etc to detail design of components, materials, spaces, use of technology etc.



The PSCP shall reflect current and developing innovations in mental healthcare, rehabilitation and translate these into innovative building solutions. The Authority shall not accept, however, prototype building elements in the design of the Facilities. All building elements proposed shall be proven in use in existing facilities with a recognisably similar purpose.

3.2.6 Recognisable QualityThe Authority expects high quality design to match the best national standards of healthcare provision it intends to implement.

Materials shall be substantial and of high quality. They shall be carefully detailed and constructed such that the quality is appreciated throughout the life of the Facilities. They shall retain their appearance within a compatible maintenance regime. For example, detailing of external materials shall be resistant to and shall not cause unsightly staining.

The whole life costing and design detailing shall allow for replacement of elements of the buildings in a way that does not impair the design quality or adversely affect the service provision.

3.3 Internal Environment

3.3.1 Quality EnvironmentThe Facilities shall contain a mixture of public, semi-public and restricted areas which should be thoughtfully designed and articulated to create a hierarchy of spaces, clearly identified and linked imaginatively by clearly observable circulation routes. It is important that the interior environment and external environment should be welcoming, comfortable, safe and enjoyable for patients, their families, visitors and staff, thereby limiting the institutional atmosphere typical of many mental healthcare facilities.

The design of the building shall create clearly individual identities in key areas within the overall building design. This shall not only help patients identify and orientate themselves within the Facilities but also help foster a sense of ownership and a community spirit within individual areas of the building.

Spaces shall be designed to encourage social interaction for patients, visitors and staff. Spaces for impromptu discussions should be integrated into the design. Social spaces shall be configured to suit the needs of the clinical areas they serve. Flexibility is important in the design of social spaces to ensure alternative usage in the future. Socialisation spaces shall meet the specific requirements of different patient groups whilst maintaining an optimal relationship with bedroom and support accommodation.

Public spaces shall be used to integrate the various parts of the building, and shall be designed without blind spots and to avoid being long, narrow and dark corridors.

Communal patient areas shall be domestic in design and ambience (whilst ensuring that measures to reduce the risk of transmission of infection and are not compromised and the requirements of anti-ligature design, as discussed in chapter of this Technical Brief are met. Public areas such as waiting and



reception areas shall be restful, open and well lit with natural light as far as is practicable. They shall, as a rule, have views out to landscaped spaces to add quality and orientation.

The design shall provide quiet, comfortable areas with pleasing outlooks where young people and their families / visitors can spend quality time together. Such areas may facilitate informal discussions with health professionals in the future, and be equipped for recreation.

It is anticipated that ward layouts shall maximise natural light and views out, particularly from communal areas. Sight lines shall be optimised for all users to enable outward visibility with consideration being given to sill heights such that views can be achieved even when seated.

The internal finishes must be effectively and expertly designed and co-ordinated, and furnishings, furniture and equipment must be of suitable construction and high standard, matching the furniture, furnishings and equipment being procured by the Authority. User representatives must be consulted at appropriate points throughout the design, construction and operational phases to ensure that the processes and solutions are responsive to specific needs, both operationally and aesthetically, as well as maintaining corporate requirements.

The quality of the complete Facilities internal and external environment shall be such that the full complement of Clinical and Non-Clinical Requirements can be met.

3.3.2 Light, Colour & TextureThe use of colour, light and texture is very important in the design of the Facilities, in particular in the interest of creating a therapeutic environment and meeting the needs of a younger patient group.

Colour, decoration, works of art and motifs shall be used to facilitate identity of the Facilities; and its designated areas / zones and in addition improve wayfinding. It shall also be used to create an immediate and distinct ‘image’ of the Facilities to visitors, which is interesting and stimulating. The use of colour shall be co-ordinated with the lighting and be appropriate for the activities in each area; toned down in certain areas e.g., recovery, rehabilitation and quiet areas; but bright and welcoming in others, such as entrances.

The Authority shall be entitled to choose the colour scheme in consultation with the PSCP. Colour/sample boards of proposals shall be provided to the Authority for agreement and approval.

The effective use of light is an essential component of the building design. Light should be used creatively both within the building and externally to light the building and create a sense of presence and beauty. The external lighting is to be designed to illuminate main entrances to the building, for wayfinding in the dark and to enhance external design features. The use of external lighting to enhance security arrangements is essential.

The use of both natural daylight and artificial light should contribute towards a high quality environment and also be efficient. It shall be possible to adjust lighting for reading, close and clinical work, to suit mood and condition of



patient, time of day etc. Emergency lighting is required throughout the Facilities.

Natural light should be provided in public spaces and in occupied private and staff spaces within the building as far as is practicable. Natural and artificial light sources shall be designed to avoid glare and thermal gain. Changes in level shall be well lit and abrupt changes in illumination should be avoided, unless specified as a clinical requirement. Glare on reception desks, signs and notice boards must be avoided. Artificial lighting layouts shall be designed to avoid the creation of a stroboscopic lighting effect.

Where deep plan spaces are unavoidable, the layout must be relieved by the penetration of daylight and sunlight from adjacent courtyards or roof and light shafts.

3.3.3 Wayfinding and SignpostingWay-finding is a critical part of the building functionality.

Design solutions shall incorporate an integrated, comprehensive wayfinding and signposting strategy that enables patients, visitors and staff to self-navigate with ease and lack of stress to and through the Facilities.

It should be borne in mind that people using health buildings may be easily disorientated due to illness and / or upset; they may be in unfamiliar surroundings; they may have difficulties with sight, hearing, mobility or learning; they may not have English as their first language; or they may need information presented at a lower level because they are in a wheelchair.

Signs are an integral part of enhancing the accessibility and usability of the building and its environment, and should be used effectively and efficiently to identify circulation directions, rooms, spaces, amenities, accessible entrances, emergency information, and also to indicate where help may be available.

The PSCP shall incorporate the following criteria:

The Facilities shall incorporate the recommendations of "Effective Wayfinding and Signing Systems - Guidance for Healthcare Facilities" 2nd

Edition 2005, NHS Scotland Signage Guidelines, NHS Scotland Identity Guidelines and BS8501:2002. “Graphic symbols and signs – Public information symbols” and have a co-ordinated décor and sign-posting scheme to create a safe and readily-understood patient environment.

All signage must strictly comply with the recommendations of the relevant SHTM’s, HTMs, HBNs, Design Guides and the Equality Act, and follow the RNIB/GDBA Joint Mobility Unit guidelines;

Way finding shall be so designed to meet the needs of different groups of people visiting or making deliveries to the Facilities, including service delivery purposes and contractors;

Proposals shall be developed which acknowledge the multi-sensory process used in wayfinding and which address the needs of people with impairment in touch, sight, sound or literacy. Non-specialist language shall be used, including consideration of using iconic and pictorial as alternative methods to written word;



In conjunction with the Authority, The PSCP will develop a wayfinding strategy that shall interface seamlessly with the Authority’s retained buildings on the ACH Site. The PSCP shall ensure liaison with the Authority is made to maintain standards across the complete ACH Site;

Journeys within the Site shall be safe, secure and pleasant, with clear visual signals (both in the form of the building, views out and the use of art) to provide identity and aid orientation and wayfinding;

All doors shall have the respective room number and title identified via clear and robust signage with durable fastenings. The door signage shall have the capacity to interchange title information, should room functionality change during the Project Term;

Door signage will require to be agreed with the client to ensure that its fabric and fastening do not present a safety or security risk;

Signs shall be consistent to the end of the journey, identify functional specialities e.g. ‘General Medical Practices’ etc to facilitate the separation of different clinical zones;

The incorporation of artwork in wayfinding and signposting to enhance the overall therapeutic environment of the building;

Signposting from parking areas to entrances shall be clear and unambiguous;

Clear signage shall be provided to outside spaces; and

Colour contrasted flooring clues shall be provided to main reception area to guide visually impaired people to reception desk points. Clear orientation markers/signals are required at changes in direction at all entrance routes and main entrance.

The PSCP shall present their wayfinding and signposting design proposals for Authority approval during stage 1B

3.4 Urban & Social Integration

3.4.1 Sense of PlaceThe Facilities shall be designed to complement and enhance the quality of the design in the locality in which it is sited. It shall create a welcoming and inclusive environment, and shall enable easy access by the communities and groups who shall use it.

Main reception and entrance areas shall be bright and easily identifiable from entrance roads, with good signage.

The Facilities shall be organised to establish a continuity of building frontage and a clear definition of public and private spaces.

3.4.2 Neighbourhood & CommunityThe PSCP shall ensure they are considered as a ‘good neighbour’ throughout design, construction and commissioning periods. The Facilities shall add value to the neighbourhood, not detract nor be a nuisance.



The design shall reflect the importance of the Project in healthcare terms and it shall compliment the Ayrshire Central site and reflect the quiet calming nature of the site and serve the needs of young people in Scotland.

The PSCP shall provide Facilities whose overall visual impact contributes to improving civic design, and is sensitive to their relationship with the surroundings.

Careful consideration shall be given to the height of the building, boundaries and fencing in relation to adjacent developments.

3.4.3 Existing Site UsersInsofar as they may be affected by the Works, The PSCP shall ensure safety and quality of environment is provided to patients, visitors and staff at all times and as part of the construction programme. Refer to chapter 4 of this Technical Brief for Site specific requirements regarding operational disruption and service continuity.

New buildings, parking areas, other infrastructure and services shall be located with regard to the existing landscape and topography. Amenity space shall be planned around the buildings at appropriate places.

3.4.4 Hard & Soft Landscaping including Garden Spaces Refer to chapter 7 of this Technical Brief for all Hard and Soft Landscaping requirements.

3.5 Citizen Satisfaction

3.5.1 Design ConceptThe visual forms shall enhance the sense of place and shall exploit to best advantage the environmental qualities of the Facilities and existing ACH Site.

3.5.2 Scale & ProportionAppropriate scale and proportions shall reflect the human scale, adjoining urban surroundings and the existing buildings / structures on the ACH Site. Plant rooms, lift and stair towers shall express form and function, but they shall be designed so that they are not perceived as dominating and oppressive.

3.5.3 CompositionThe composition of the buildings shall be complete, cohesive and well balanced in massing. The visual form shall enhance the Site and sense of place.

The overall form of the buildings shall be designed to demonstrate the individual functional needs of each part of the Facilities.



3.5.4 AestheticsThe overall visual form of the buildings shall combine good standards of space, height, form and scale. The form of the building shall appeal to the aesthetic senses of patients, visitors and staff as follows:

The lines of the design shall clearly define forms and surfaces of the buildings;

The skyline shall reflect the mass of the buildings but not be out of scale and dominating;

The sky line shall not be monotonous;

The solid forms shall be in scale and have harmonious shapes; and

The interplay of light and shade shall add to the definition of the building form and the balance between solid and glazed elements shall be carefully considered.

3.5.5 The ArtsThe integration of art into the architecture and landscape to enhance the hospital environment is an essential requirement of the design. The Authority will appoint an Arts Co-ordinator who will develop an Art Procurement Framework which will describe how art will be incorporated into the Project from initial artworks ideas through to briefing and commissioning artists, creation of the artwork, and installation working alongside the PSCP/PSC. The Arts Co-ordinator will also manage, (through the Project governance arrangements) a predetermined budget provided by the Authority, to design and create the artworks projects.

The PSCP shall liaise with the Authority’s Arts Co-ordinator and shall, as part of the PSCP’s proposals, allow for all builders work and building services, including lighting designs, in connection with the installation of the artworks.

The Authority will be responsible for approving the whole art content in the Project and The PSCP shall be responsible for ensuring that the agreed arts projects are incorporated into the final build solution. Artworks shall be considered to be Group 1 or Group 2 items of Equipment..

3.6 Uses (Spare)

3.6.1 Service PhilosophyThe Project shall promote integrated ways of working and delivering services for both primary and secondary care, and for the NHS, Health and Social Care Partnerships, local authorities and other community based services.

The PSCP shall deliver a solution that fully reflects the special needs for each patient group whether they are attending hospital on a planned or on an unplanned basis. Clinical activity is considered further under the below main headings:

Child and Adolescent Mental Health Services;

Education;

Mental Health Rehabilitation;



3.6.2 Clinical & Non Clinical FunctionalityThe Facilities shall be designed to accommodate the clinical, non-clinical and other functions ascribed to them in terms of space, environment and the efficient and safe operation of equipment, as defined in the Clinical Brief and this Technical Brief.

The Facilities shall:

Function efficiently, effectively and economically to achieve the optimum balance between capital cost of the Facilities and the Authority’s operating costs and to meet and satisfy all of the requirements and obligations set out in this Technical Brief to ensure that the Facilities are sustainable well into the future;

Minimise the Authority’s operating costs;

Demonstrate that the design fully reflects the special needs for the patient group in terms of access, functional relationships and planning;

Interface easily with other service providers in particular the wider services provided by the Authority;

Enable the Authority to develop services with greater service integration between primary and specialist care and between the Authority and across Scotland,

Foster the provision of young person focussed acute secure services; and

Permit and encourage service integration across the care spectrum/community.

The PSCP shall be able to do this in terms of environment, scale, comfort privacy, reassurance, style and security.

3.6.3 Design for TherapyThe Authority places a high priority on how the design of the Facilities impacts, both mentally and physically, on the treatment experience for patients, visitors and staff. In addition to this, the Authority believes that the design of the environment has a direct effect on the staff who are employed to work within the Facilities. It is therefore essential that the PSCP develops a clear strategy which is interpreted through the design of the Facilities and focuses on providing an environment that takes every opportunity to enhance the experience of every person who comes in to contact with it.

This chapter shall be read in conjunction with the requirements for infection control. Whilst it is expected that there is a balance to be drawn between design for therapy and infection control requirements, the requirements of one over the other shall not preclude the use of well thought out design and good quality solutions.

3.6.4 Human DignityTo achieve appropriate levels of privacy, the PSCP shall provide Facilities which allow adequate space around patients. This may include space for relatives to sit with patients, adequate space between chairs, and seating in



rest bays along corridors to provide rest places along the route of the patient / visitor journey. The privacy afforded to patients, staff and visitors shall not be compromised by inappropriate or inadequate sound reduction measures in the design or in the build standard.

Sill heights for windows shall enable outward visibility for patients in wheelchairs and in beds. Special consideration shall be given to the needs of those with impaired mobility and those with poor sight. Some doors and internal glazed screens shall require vision panels or other glazing systems, which may be obscured or controlled for privacy. The ability to use vision panels which allow patients on the other side to be viewed, are required in those areas as defined in the Clinical Brief.

3.6.5 Spare

3.6.6 Single Room AccommodationAll inpatients shall be in single rooms, which shall facilitate the management of the privacy and dignity of patients and families, and infection control.

There are challenges in the design of single room accommodation, particularly within longer term inpatient facilities.

The rooms are private but need to have appropriate means for discrete observation. The PSCP’s position of the en-suites shall not compromise the observation of bedrooms. The design of the bedroom and en-suite must deliver the optimal combination of two-way observation, light ingress, travel distances and economy of the footprint within these environments.

The space must function correctly with the relationship between bed position, furniture, door access, en-suite access etc. To enable agreement on the design of single room accommodation, including en-suites, The PSCP shall provide designs as part of stage 1B and in subsequent design finalisation e.g. mark ups. Mock ups of typical bedrooms shall be provided by the PSCP for Authority review and approval, refer to chapter Error: Reference source not found of this Technical Brief. The bedroom facilities need to have flexibility to meet the demands of the various patient groups. There is no specific provision for Bariatric patients, and should a Bariatric patient be admitted then the larger rooms identified in the Schedule of Accommodation shall be adapted for their use. This shall most likely involve the provision of a Bariatric WC frame over the WC. The PSCP shall be aware of this requirement, and shall ensure that the principles of the en-suite design enable the Bariatric WC to be installed with relevant ease.

3.6.7 Functional RelationshipsThe PSCP shall offer the highest level of efficiency in their operations by way of efficient relationships and adjacencies between functional units.

The general inter-relationship of wards and departments is fundamental to good design, ensuring patients and families can receive effective care and that staff can go about their business efficiently. The PSCP shall develop an Adjacency Matrix in conjunction with the Authority. Considerations will be:



The grouping and disposition of departments shall take into account the importance of enabling easy flow of the main groups of traffic:

Patient, family, visitor and staff traffic arriving at the hospital i.e. staff, in-patients coming for admission, patients’ visitors, business visitors, outpatients, day-patients etc;

Service traffic – The PSCP shall ensure that distances for service traffic are kept to a minimum with innovative use of horizontal routes;

Patient and staff traffic between clinical departments; and

Patient and staff traffic between the Facilities and departments located elsewhere on the ACH Site e.g. catering and dining facilities.

Further detailed information regarding circulation requirements, traffic separation etc. for each department are contained in the Schedule of Accommodation, Adjacency Matrix and Ground Floor Considerations.

3.6.8 Work Flows & LogisticsWorkflows within and between departments shall be direct and the routes for patients and staff as short as possible.

The movement of people and the distribution of supplies and waste shall be carefully considered and the circulation routes shall be clear and appropriately sized.

Patterns of movement within the hospital shall be clear, unambiguous and logical for patients, families and staff. The adjacency patterns shall minimise travel time and distances for patients and staff, with clear and coherent signposting to support a natural flow of pedestrian traffic.

Use shall be made of art in creating focal points, and supporting wayfinding both for internal and external areas.

Provision shall be made for deliveries being accommodated. These will arrive in a range of different vehicle types, and the deliveries will be off-loaded into an appropriate area. To be fully discussed with the Authority during the design phase.

The PSCP shall submit a coherent strategy for managing different categories of movement within the hospital as part of the design proposal. Segregation of FM flows shall be maximised.

3.6.9 Manual Handling The PSCP shall ensure that the working environment of staff shall be designed in such a way that where they are required to manually handle inanimate objects / patients and / or transport patients, due consideration shall be given to the obligations within the Manual Handling Operations Regulations 1992 (as amended). This shall extend to the provision of mechanical devices or mobile hoists including appropriate allocation of space and structural capacity.



3.6.10 Adaptability & ExpansionThe PSCP shall ensure that the physical arrangement of the buildings allows for growth and change of clinical services in the future, as far as is practical. The provision for such shall be detailed in the Adaptability Strategy developed by The PSCP, which shall be submitted for the Authority’s review during the design stage.

The design shall consider the means for departments to be adapted or expanded. Although inpatient clusters are specific in function and elements of configurations, the design shall as far as possible comprise core generic elements in order that they may flex optimally over time. This flexibility is required in order to respond to clinical and demographic changes in patient population without the need for major re-configuration. To facilitate this, the design shall allow individual cluster boundaries to change in the future if required. This shall require a range of approaches to be taken including the use of swing beds or the allocation of soft space adjacent to clinical or inpatient spaces.

National policy, clinical advancements and technological changes shall impact on the way services are provided in the future, and the Facilities need to be sufficiently flexible to handle these advances. The design shall demonstrate that potential change or expansion has been considered by the provision of adequate space either at the external perimeter and / or between functions and departments.

The building shall be capable of being managed efficiently and effectively to cope with seasonal and strategic variations in activity.

The structural grid, construction technique, structure, service penetrations and engineering services strategy shall demonstrate that the design proposals for expansion, adaptation and flexibility are co-ordinated.

The provision of engineering, telecommunications and building services shall be appropriate for the provision of anticipated changes in medical equipment.

The Adaptability Strategy for the Facilities shall take full account of, but not be limited to:

a) National and Local planning frameworks;

b) Changes in technology both clinical and non-clinical (e.g. systems of care and volume of work); and

c) The needs of this specific patient group, e.g. the need to adapt an en-suite for bariatric patients as described in chapter 3.6.6.

The architectural flexibility shall reflect the overall Adaptability Strategy, as developed by the PSCP and included in Section 4.

Building structures shall be designed by the PSCP to facilitate ease of alteration to the internal layout of the buildings, or to its plant, services or equipment, during the lifetime of the buildings.

The internal divisions and environmental servicing strategy shall provide a co-ordinated and consistent approach throughout and shall readily accept change with the minimum disruption to the building structure and main mechanical, electrical, plant and security installations. In particular, it shall be possible to



install or relocate fittings, fixtures, equipment and service outlets with minimum disruption to the use of the Facilities.

3.7 Spaces

3.7.1 Accommodation RequirementsThe PSCP shall provide the accommodation in line with the Schedule of Accommodation (SoA), Adjacency Matrix and Ground Floor Relationship Requirements.

These documents shall be developed by the PSCP and agreed with the Authority prior to commencing Stage 2. The full accommodation requirements shall be supported by Room Data Sheets.

The Authority’s SoA is mandatory for the clinical and functional rooms that are scheduled and are required for operational functionality. The minimum room areas of the scheduled clinical and functional rooms are considered to be Mandatory Design Requirements.

Allowances for communications, circulation, planning, and engineering, are indicative and therefore are at the PSCPs discretion. Any corridor widths specified will however be treated as minimum requirements. Areas such as the Energy Centre, Distributed Plant (including risers) and Hard FM spaces will also be for the PSCP to determine.

Any courtyards and terrace spaces are to be treated as communications spaces. These should be indicated on the SoA submitted by the PSCP but excluded from the measure of Gross Internal Floor Area (GIFA).

For the avoidance of doubt, the areas quoted in the Authority’s schedule are based on clear internal wall to wall dimensions. The PSCP’s SoA shall be derived and defined on the same basis. A variation of 5% over or under the briefed area of each room shall be permitted, subject to the PSCP the functionality of such rooms. A reduction in net departmental areas shall not be permitted. The PSCP will be required to demonstrate what variance exists between the Authority’s SoA and the PSCP’s SoA.

3.7.2 Floor Layouts The design of departmental and unit layouts shall reflect the demand for space and co-location of services as detailed in the Schedule of Accommodation and the Adjacency Matrix and Ground Considerations. The Facility shall further be defined by occupancy, and clinical and operational requirements as described in the Clinical Brief.

Where areas and shape of rooms results in undesirable spaces, the PSCP shall discuss with the Authority alternative solutions, which may or may not result in shared space providing a more appropriate environment as well as optimising the available use of space. These may include locker rooms, sitting areas, seminar rooms etc



3.7.3 Equipment Requirements The equipment requirements will be developed in full during production of the room data sheets.

The PSCP shall identify and provide all necessary connections and infrastructure (including supply, extraction and removal of waste) for all items of Equipment identified in Room data sheets. For the avoidance of doubt, this obligation specifically includes specialist service requirements, including for example 3-phase electrical supply, surge protection and separation of clinical and domestic contaminated waste.

The PSCP shall provide a suitable environment for each item of Equipment; this shall take into account lighting, temperature and ventilation requirements. The PSCP shall design the Facilities to allow for the provision and safe use of the Group 1, 2 and Group 3 Equipment.

For reasons relating to standardisation, compatibility, staff familiarity,product quality, resilience, anti-ligature design, safety and security the Authority expects to be fully involved in the choice of certain items of equipment. The choice of equipment will be fully discussed at stage 1B and confirmed during production of the room data sheets..

Irrespective of the party responsible for the supply, installation, maintenance and replacement of each item of Equipment, The PSCP shall provide Facilities that satisfy the following criteria:

Allow equipment and associated systems to be installed, commissioned, operated, maintained and replaced in accordance with:

Good Industry Practice;

Manufacturer’s instructions; The Authority’s specific supplementary requirements; and

The Authority’s, and statutory health and safety requirements;

In order to:

Allow Equipment and associated systems to operate efficiently, effectively and in accordance with their intended function for the whole of its design life;

Take due account of the impact on the environmental conditions within the Facilities. For the avoidance of doubt, this obligation includes (but is not limited to) impact of heat gain and loss, and ventilation; and

Take due account of the potential impact of future Equipment changes through replacement. In particular, allowance for equipment of different sizes, weights, service requirements or environmental impacts.

Allow the Authority to provide their Clinical and Non-Clinical services with a minimum of disruption during installation, commissioning, operation, maintenance and replacement.



A number of specialist engineering and security systems shall be required within the Facilities and each shall be fully integrated within the design proposals. Specialist systems shall be incorporated where appropriate to enhance the operation of the equipment and the Facilities.

The construction, structure, plant and services shall be designed to meet the Authority’s Technical Brief and the specific requirements for special equipment and associated services. The design of the Facilities shall meet these requirements with regards to wall, ceiling and floor loads, structural movement and deflections, the need for special floors, wall and ceiling supports, ceiling grids and other such measures to allow for the installation of special equipment and associated services.

3.7.4 Room Data Sheets The PSCP provide Facilities that, as a minimum, meet all the requirements specified in the Room Data Sheets included in this Technical Brief.

The Authority’s requirements detailed within the Environmental Matrix and Finishes Matrix, to fully develop the Room Data Sheets, including text based sheets and fully loaded 1:50 scale layout drawings for review at Stage 1B. The PSCP shall further develop a complete set of completed Room Data Sheets for Authority review before construction commences, inclusive of text based sheets and loaded 1:50 room layouts.

As part of the commissioning process, The PSCP shall be responsible for demonstrating compliance with the requirements included within the Room Data Sheets.

For the avoidance of doubt, the PSCP shall provide mechanical ventilation, heating, comfort cooling and air conditioning to suit the functional requirements of each of the rooms in the Facilities as detailed on the Environmental Matrix.

Irrespective of the ventilation requirements agreed in the Room Data Sheets, where rooms are clearly intended to be occupied and / or become internal spaces during design development and natural ventilation is not possible, mechanical ventilation and / or extract ventilation shall be provided as appropriate to suit the function of the space. This appropriate level must be agreed with the Authority.

3.7.5 Interior DesignThe PSCP shall develop an interior design strategy to cover all areas of the Facilities and shall present this to the Authority for its consideration. The integration of works of art is considered by the Authority to be an essential element of any such interior design strategy.

Proposals shall be presented by the PSCP in room-by-room schedules with samples of finishes, colours, lighting fittings, materials as appropriate, and signage, supplemented by colour sketches or coloured computer images for agreement with the Authority.



Final proposals for the Interior Design Strategy shall be submitted by the PSCP to allow sufficient time for consultation with the users, and for incorporating feedback into the final scheme.

Where the PSCP includes internal planting displays, associated irrigation and atmospheric controls shall be provided.

3.7.6 Space Standards“Many factors can contribute to engendering a sense of ease, for instance:- the degree of natural light, brightness and airiness, colour and texture, an easily understood layout with clearly defined focal points, uncluttered signage and a clear distinction between the realms of public and private space, maintaining patient dignity”. SGHSCD 2006

The PSCP shall provide the accommodation in line with the Schedule of Accommodation (SoA), Adjacency Matrix and Ground Relationship Requirements.

The PSCP shall provide designs which are efficient, economical and flexible for immediate and future use, and which can be managed efficiently to cope with seasonal and strategic variations in activity.

The internal and external space provision shall be equal to or greater than that prescribed in codes of practice, regulations and guidance related to hospital buildings.

Appropriate space provision shall be made for circulation, waiting and sub-waiting space and for the movement of patients, pedestrians and the storage and transportation of goods.

Individual departments shall be designed to allow formal and informal discussion, therapy and interaction within each clinical environment - such as in consultation rooms, therapy and rehabilitation rooms, waiting areas and receptions. The design shall also support the creation of a therapeutic environment.

The PSCP shall provide safe, well lit and easily observed space to allow informal discussion, therapy and interaction within open and reception areas in the clinical environment, such as areas of rehabilitation, consultation and main waiting / reception areas. Consideration shall also be given to making use of open areas such as courtyards and corridor recesses within clinical areas and main circulation routes for ‘break-away’ space.

The PSCP shall recognise that patients’ and staff’s perception of the spaces created may assist with their feeling of belonging and of not being intimidated, and may help with their reassurance, orientation, mobility, confidence, privacy and their ability to socialise.

3.7.7 Ward ConfigurationThe PSCP shall meet or exceed the space standards and environmental quality contained in the Clinical Brief and Appendix A (Schedule of Accommodation).



The Authority requires that the distribution of single en-suite bedrooms shall be as the Schedule of Accommodation. The beds shall be configured to enable them to be managed, and patients nursed, in flexible systems.

The layout of the ward shall facilitate the separation and zoning of patients into clinical groups to respond to seasonal variations in activity, case mix, and practice and to deal with infectious conditions. Opportunities within the designs for ‘swing beds’ to give greater flexibility on patient group numbers would be welcomed and should be explored.

The ward should be configured to promote the sense of progression from public to semi-private, to private spaces. This progression shall also be reflected by the ease with which staff can observe patients ranging from open observation in the public and semi-private areas to only discreet observation in the private spaces.

3.8 Infection Control

The PSCP shall recognise the importance of prevention and control of infection requirements in the design of the Facilities as defined in SHFN 30 and Health Care Associated Infection: Systems for Controlling Risk in the Built Environment (HAI SCRIBE).

The PSCP shall comply with and implement prevention and control of infection measures to meet the requirements contained within the Clinical Requirements and Non-Clinical Requirements and to the satisfaction of the Authority’s Control of Infection Team.

3.9 Staff and Patient Safety / Anti-Ligature / Self HarmThe PSCP shall recognise the importance of anti ligature and self harm considerations in the proposals of any aspect of the Facilities. To reflect this, The PSCP, in conjunction with the Authority, shall fully consider and limit ligature and self harm risks in the design of the Facilities insofar as practical.

The Schedule of Accommodation details the rooms and areas where anti-ligature design considerations are a must within the facilities.

The overall design and layout of all areas should aim to reduce the risk of harm to patients and staff. The design of the Facilities shall ensure risks are reduced through the safe design of the building and its Fixed Furniture & Equipment (FF&E). This should include, but not be restricted to:

Ligature points being avoided in clinical/common areas through the selection of fittings and materials that reduce risk;

Patient accessible door handles must conform to current guidance.

The room shall be designed to allow the clinician to be positioned closest to the exit door of the room when consulting with, or treating, a patient;

Sharp edges should be avoided;

All mastic used throughout the Facilities to be anti-pick;



It should be possible for staff to lock-off en-suites and manually override any locks applied by patients as appropriate; consideration should be given to either hold back or lock back doors. The mechanism for this should not constitute ligature risk; and

Anti-barricade doors approved by the client shall be used in all patient accesible areas. These may require to be of a more robust construction than that of some commercially available products

3.10 Anti VandalismThe PSCP shall recognise the importance of anti vandalism considerations in the design of the Facilities. To reflect this, the PSCP shall fully consider and limit vandalism risks as far as reasonably practicable.

Guidance is provided in HFN05 ‘Design against a crime – a strategic approach to hospital planning’. The PSCP shall note that sources of vandalism to be addressed may arise from both external sources and patients. Where immediate prevention cannot be readily achieved, the PSCP shall ensure that the design of the Facilities allows for sufficient robustness and resistance to potential mistreatment, and for remediation of them with minimal cost and disturbance to the operation of the Facilities and its users. The PSCP shall also comply with the Clinical Brief and Technical Brief in determining the extent and scope of these measures.

The PSCP shall ensure they make themselves aware of known past vandalism on the ACH Site and in similar facilities elsewhere in the UK to inform their design solutions.

3.11 Security & ControlSecurity of patients, staff, families and visitors is of the utmost priority. The design of the Facilities shall ensure maximum protection and minimise exposure to crime in internal and external areas.

Special care shall be given by the PSCP to the control and monitoring of access points used by the public and staff from public circulation spaces particularly those which may be quiet and sparsely populated during out-of-hours services.

Particular attention shall be given to the security of routes used during the hours of darkness by staff between pedestrian access points to the Site, car-parking areas and entrances to the Facilities.

Access control systems shall be provided to restrict access to certain areas of the facility to relevant staff members, patients and families as appropriate.

Refer to chapter 8 of this Technical Brief for access control and CCTV requirements.

Security systems shall be consistent with other Authority facilities in Ayrshire Central Hospital including CCTV.

Points of entry and reception points shall be minimised and allow for natural supervision and/or monitoring of movement and entry.



There shall be minimal isolated vistas and dead-end spaces to design out the potential for crime. The provision of security lighting must be effective but not overbearingly bright.

Design of roadways, paths and parking areas shall take into account the safety of staff, patients and the public. Landscaping shall soften the Site, be attractive and calming but be designed with security and safety in mind.

External areas and courtyards must be safe, secure and capable of being used in varying weather conditions.

3.11.1 Secured by DesignThe PSCP shall meet the requirements of “Secured by Design”, and in particular the recommendations of the Secured by Design - Hospitals guide.

The PSCP shall endeavour to ensure that their approach to security and control of the Facilities shall be structured in a way which shall allow the Authority the flexibility to seek compliance with the requirements of the Secured by Design initiative at a later date.

The PSCP and the Authority shall consult with Strathclyde Police’s Architectural Liaison Officer during their “Secured by Design” design proposals.

3.11.2 Safer Parking SchemeThe PSCP shall where possible adhere to the principles of the British Parking Association’s Safer Parking Scheme Documents and Guidelines.

The PSCP shall endeavour to ensure that their approach to security and control of the parking facilities shall be structured in a way which shall allow the Authority the flexibility to seek compliance with the requirements of the Safer Parking Scheme initiative at a later date, and achieve the “Park Mark Safer Parking Award”.

3.12 Design for DisabilityThe design shall comply with the requirements of the Equality Act, and take full consideration of HBN 00-02 “Sanitary Spaces”, SHFN14 "Disability access", SHFN20 "Access audits for primary healthcare facilities", HFN 21 “Car Parking”. Further guidance is provided in the Equality for disabled people in the new NHS - Access to services” and in BS 8300:2009 Design of buildings and their approaches to meet the needs of disabled people - Code of practice The design must be sensitive to the needs of those with acute mental health needs, and their families.

The PSCP shall ensure that the design and functionality of the Facilities exceeds the requirements of the Equality Act 2010 and set standards of best practice to enable full access and use of the services and facilities available.

Entrances to the Facilities shall be clearly identified to promote ease of wayfinding and distinctive ‘landmarks’ shall be incorporated into the design particularly for the main entrances.



The Facilities’ environment, both externally and internally, shall be designed to be accessible to everyone. The journey on to the Site, from pedestrian / vehicle routes, through the main receptions, into the Facilities and to the desired locations shall follow a safe, logical and clear system.

Attention shall be paid in the design to all aspects of the physical environment relating to the accessibility of the Facilities as follows:

Access to buildings, such as level or ramped entry;

Emergency evacuation arrangements, in particular for the visually impaired, the disabled and the frail, such as fire refuges or alternative escape routes for people with mobility impairments. Specific requirements for various patient categories shall need to be agreed with the Authority, particularly in reference to Mental Health inpatients;

The accessibility of external paths and landscaping and the location of “rest areas” on all external routes;

Circulation within buildings, including their interior layout;

Effective lighting and signage and colour or tone contrast on doors to aid orientation;

Desks, work surfaces and reception desks at varying or flexible heights;

Appropriate seating;

Accessible toilets and en-suite facilities; and

Convenient and controlled proximity parking.

The PSCP shall ensure the design complies with the accessibility requirements detailed above, whilst also addressing the detailed requirements listed elsewhere. It shall be noted that the requirements detailed are not exhaustive, and it is also recognised that specific clinical needs shall determine the nature and design of Facilities in some areas.

BS8300:2009 “Design of buildings and their approaches to meet the needs of disabled people – Code of practice”; is also the document most widely referred to by consultants advising on general building design in relation to the Equality Act (2010). The PSCP shall therefore refer to this document and give full regard to its standards. It shall, however, be necessary to match the standards of BS8300:2009 “Design of buildings and their approaches to meet the needs of disabled people – Code of practice” with others laid down in NHS guidance notes and for the avoidance of doubt, any specific accessibility requirements listed in this Technical Brief shall take precedence over the standards laid down in BS8300:2009 “Design of buildings and their approaches to meet the needs of disabled people – Code of practice”.

4 Site Specific RequirementsThis chapter sets out the Site specific requirements of the Authority in The PSCP’s’s design and construction of the Facilities

4.1 Site BoundaryThe Site is within the existing ACH Site.



4.2 Green Travel PlanIn line with the Authority’s obligations under Policy Statement 3 of SGHSCD’s” “A Sustainble Development Strategy for the NHS Scotland 2012”, the Authority shall prepare a Green Travel Plan for the Facilities, which aims to reduce the impact on the environment of travel by staff, patients and visitors to and from the Facilities, and travel by staff during work at the Facilities. A copy of the Green Travel Plan will be provided in the reception.

The scope of this Green Travel Plan will be in line with the Scottish Governments Climate Change Plan RPP3 2018 – A road map to 2032. Contained within the document are targets to achieve towards active travel and emissions from transport.

The PSCP shall assist the Authority in developing the integrated Green Travel Plan to take account of the impact of the Facilities.

The PSCP shall ensure that their proposals for Site access and circulation, pathways, cycleways and car / cycle parking are discussed and agreed with the Authority in the context of the Green Travel Plan

Guidance is available within the SEHD document, ‘Travel Plans: An Overview, September 2002’ and the NHS Scotland Travel Plan Guidance document, Health Facilities Scotland 2007

For the avoidance of doubt, the Authority is responsible for the development and implementation of the Green Travel Plan.

The Authority shall submit the Green Travel Plan as part of the full planning application suite of documents.

4.3 Existing Services The Authority has undertaken enabling works in connection with the existing buildings within the Site, as detailed in chapter 4.4. to divert these prior to the Commencement Date.

Whilst the Authority has previously carried a number of enabling works in connection with Woodland View, the PSCP shall satisfy themselves through a full set of survey works, including subtronic surveys, that such services as listed are sufficient and shall carry out any protection and diversion works associated with any further existing services located within the Site boundary. This may include (but not be restricted to) electric cables; telecommunications cables and equipment; gas mains and apparatus; sewerage mains / drainage pipes; and water mains.

Existing services drawings, as known by the Authority, can be found in the Data Room

. This information is indicative only.

The PSCP shall be aware that a number of the Authority’s services that exist within the footprint of the Site, most notably surface water drainage services will be live at the Commissioning Date. From the Commissioning Date, the PSCP shall hand over to the Authority’s Estates dea\prtment the existing live services and their works in association within the Site, including their protection, maintenance, diversion, isolation and removal of those services where made redundant. For the avoidance of doubt, the PSCP shall protect all live services and Utilities serving Woodland View



including all live surface water drainage, within the Ayrshire Central Site within the Site.

Further details in relation to the Authority’s current understanding of existing services, and The PSCP’s responsibilities in identifying and protecting/diverting existing services are detailed in the following chapters.

4.4 Demolition Works Requirements The Authority has undertaken to demolish the existing bed store, including the break up and removal off-site of foundations, and other below ground and surface obstructions

The Authority will included relevant information of the demolition work in the Data Room whether provided by other sources or via investigative works undertaken under instructions of the Authority. Whilst the Authority believes that the information presented here is representative of the position on Site, the PSCP are required to draw their own conclusions with respect to overall allowances required and the accuracy of the information provided. Other obstructions, contamination and services not yet identified may be present.

Save as the enabling works undertaken by the Authority as detailed above, the PSCP shall be responsible for identifying and undertaking all necessary early construction activities in order to ensure the Site is suitable for the development of the Facilities.

These works shall be undertaken prior to, or integrated with the commencement of, the main construction period.

This obligation covers but is not limited to:

The identification, decommissioning, removal and / or protection / relocation of any live (and used), live (and redundant) or redundant (and disconnected) services in, under, on , over, crossing the Site;

The identification and removal of old foundations, drainage runs, basement structures and other below ground obstructions present following demolition of previous structures occupying the Site. This includes the service duct that crosses the Site;

The completion of a full joint dilapidation survey (in the presence of and with the agreement of the Authority) and reporting of the same for all existing areas adjacent to the Works which may be affected by the PSCP during the Works;

The identification of all protected trees to be removed from the Site by virtue of their condition and/or position in relation to the proposed Facilities. The PSCP shall be responsible for seeking the approval of the Council for any such removal proposals, and the proposed mitigation / replacement strategy, in accordance with any conditions of the Planning Permission; and

The identification and implementation of protective measures required to remaining trees, including their root systems, in accordance with BS 5837:1991, “Guide for trees in relation to construction”;



Following the PSCP’s own Site investigations, The PSCP shall carry out all enabling works as necessary in accordance with BS 6187:2000 “Code of Practice for Demolition” and the following:

Issue a method statement identifying the scope and methodology for undertaking the enabling works, for approval by the Authority;

Break up and remove off-site all foundations, temporary accommodation, and other below ground and surface obstructions in accordance with, but not limited to, BS5228, 2009 “Code of practice for noise and vibration control on construction and open sites.”

Decommission and / or break up and remove all redundant underground structures, chambers and redundant surface water and foul water drains, telecommunications, electric cables, gas mains, water mains and ducts within the Site. For the avoidance of doubt, this obligations includes for making safe all redundant works left in-situ, and sealing of voids, where left, against vermin;

Protect remaining live services against damage or disruption; and

Minimise vibration and noise produced by the demolition works, and agree appropriate limits for such with the Authority and neighbours.

For the avoidance of doubt, the Authority has not removed buried isolated services, or all abandoned foundations, pipework, cabling and ducts and voids within the Site as part of their enabling works. The PSCP shall be responsible for the identification, grubbing up, removal from Site and making good for all such abandoned infrastructure as part of their enabling works.

The PSCP shall allow the Authority to carry out independent monitoring that shall include but not be limited to air pollution, noise, and vibration.

4.5 Phasing / Occupation

Early HandoverIt is recognised that any proposal by the PSCP to phase construction and commissioning of elements of the Facilities may allow the Authority to commence their operations in these initial departments / units / areas (as appropriate).

If a phased approach to construction and commissioning is suggested by the PSCP and agreed in writing by the Authority, this shall allow for early commencement of Service provision in elements of the Facilities. The PSCP shall ensure ongoing works associated with the construction and commissioning of the remainder of the Facilities do not impact on the operational capabilities of the initial Services made available to the Authority.

The PSCP’s proposals for the construction and commissioning programme, and the date(s) for partial and / or complete operation of the Facilities shall interface with the Authority’s operational requirements if the Authority elects to take early handover to areas of the Facilities.

In addition, the PSCP’s proposals shall interface with the Authority’s operational requirements of existing services.



4.5.1 Additional Phase WorksThe landscaping works shall fully integrate with the adjacent Facilities.

4.6 Construction Period Requirements

4.6.1 GeneralThe PSCP shall be responsible for identifying and implementing all necessary working practices to satisfy statutory requirements in relation to their construction activities. The construction of the Facilities shall be registered with the Considerate Constructors Scheme. The PSCP shall be registered with the Considerate Constructors Scheme.

The PSCP shall at all times, in addition to their statutory obligations, respect the requirements and reasonable wishes and safety of the immediate Ayrshire Central Hospital neighbours and any parties affected by the construction of the Works. To facilitate compliance with this obligation, The PSCP shall establish a Site liaison group with the Authority and Authority’s Representative, which shall meet at regular intervals, at a time and frequency to be agreed with the Authority, in the immediate period prior to commencement, and during, all site-works.

The PSCP shall undertake the role of Client and appoint a Principle Designer under the Construction (Design & Management) Regulations 2015 and appropriate amendments for the duration of the Works.

The PSCP shall ensure that it and any PSCP member or part of their supply chain shall not bring on to the Site, or ACH Site, any unauthorised substances or materials which (whether illegal or not) are, or are likely, to be harmful to or have an influence on the behaviour of any patient or visitor of the Authority.

The PSCP shall be responsible in all respects for identifying and adhering to any statutory safety requirements, codes of conduct, guidance and safety requirements. The PSCP shall also comply with the obligations of the “Contractor” as laid down in the National Services Scotland, Health Facilities Scotland Pro Code 1.11 Vetting and control of Contractors & NHS Ayrshire & Arran’s Control of Contractors (PN37).

The PSCP shall at all times work within the hours permitted by the Council in granting planning permission for the Facilities, in addition to any specific requirements as set out by the Authority.

The PSCP shall demonstrate a waste management programme for the Works to minimise all Site waste disposal to landfill, and to maximise reuse/recycling of timber, metal, plastic, paper and other waste arising.

The PSCP shall liaise with all suppliers to ensure the minimum of packaging is used for deliveries of goods and materials to Site. Any unavoidable packaging waste is to be recycled through an authorised waste recycler. When surplus excavated material, building spoil and rubbish cannot be recycled it shall be dealt with in accordance with statutory regulations. Where waste is to be taken to landfill, the landfill site shall licensed by the Local Authority, and be transported by an approved waste transportation company.



The PSCP shall meet all statutory waste management regulations and local byelaws in relation to the controlled storage of waste on the Site, and controlled disposal of waste from the Site, including but not limited to: The Waste (Scotland) Regulations 2012, the Environmental Protection Act, Environmental Protection (Duty of Care) Regulations 1991, Hazardous Waste Regulations 2005 and Waste Electrical and Electronic Equipment (WEEE) Directive, as well as the Authority’s own “Health and Safety Manual - Waste Management Procedure”

The storage of waste during construction of the Works shall cause no harm to immediate ACH neighbours.

Waste storage areas must be secure and shall be constructed such that they limit the possibility of leakages and contamination.

The PSCP shall provide a Site traffic and management plan detailing proposed Site traffic routes, timings and for the duration of the construction of the Works. The Site traffic and management plan shall be subject to Authority review and acceptance, taking in to consideration continuity of Authority operations.

Precautions shall be taken to avoid infestation of the Works by rats, mice and other vermin. When drains are being laid, precautions shall be taken to avoid the entry of rodents, including providing temporary stoppers to pipe ends and setting manhole covers in position as the work proceeds. Pipes and cables passing through the foundation walls shall be properly built in.

The PSCP shall take all necessary precautions to prevent the outbreak and spread of fire and the prevention of false alarms of fire in adjacent premises as a result of a construction or demolition activities the PSCP shall minimise on-site accumulations of combustible waste materials which may be vulnerable to acts of deliberate fire-raising. The PSCP shall provide and maintain suitable and adequate fire fighting equipment at points within and adjacent to the Works. The PSCP shall comply with the requirements of the Fire Protection Association: Joint Code of Practice :Fire Prevention on Construction Sites and Buildings Undergoing Renovation UKTFA guidance for design and construction. Controlled burning on the Sites shall not be permitted.

The PSCP shall not use the Site during the Works for any purpose other than carrying out the Works.

Dilapidation of the ACH Site caused by the PSCP’s works, as agreed in consultation with the Authority and in reference to the joint dilapidation surveys undertaken prior to commencement of the Project Term, shall be rectified in a timely manner by the PSCP. Claims arising from dilapidation, for instance pot holes, shall be passed to the PSCP as the cause and risk was not rectified.The PSCP shall satisfy themselves as part of their pre-commencement proposals that adequate space is available for on Site car parking for their staff and visitors during all stages of construction

The PSCP shall provide, for the duration of the construction phase, Personal Protective Equipment for visiting Authority staff (and other approved visitors), and use of the PSCP facilities for meetings etc.



Specifically relating to Site accommodation, the PSCP shall seek agreement with the Authority during the Pre-Construction stage, specific requirements in terms of temporary Site provision and co-location of Authority staff and advisors.

4.6.2 Emergency Contingency Plans

The PSCP shall be fully aware of all fire evacuation policies for all remaining operational buildings within the ACH Site, and ensure, in discussion with the Authority, that no PSCP activities impede on the location and activities of any evacuation procedures.

4.6.3 Construction Works outside of the Site

The PSCP shall be responsible for all Utilities connections to the Retained Estate Site infrastructure as defined in chapter 8.7 of this Technical Brief., including but not limited to electricity, water, sewers and gas, which may require works outside of the Site Boundary .

To facilitate these works the PSCP shall provide an interface proposal for the works, submitted for agreement and approval by the Authority.

The PSCP’s interface proposal shall be complete with all relevant proposed wayleaves, programme(s) of work, method statements and any required works by the Authority to enable the construction/connection works outwith the Site.

No works shall be undertaken outwith the Site without prior written consent from the Authority, which shall not be reasonably withheld.

The PSCP shall be responsible for the making good of all works outwith the Site in connection with any works carried out by the PSCP under the Contract to the Authority’s satisfaction.

The PSCP shall be responsible for the design and construction of any required infrastructure serving the Facilities within the Site Boundary during the Project Term, (including DLP).

4.6.4 Control of Noise and DustThe PSCP shall comply with the provisions of Sections 60 and 61 of the Control of Pollution Act 1974, with reference to the control of noise in relation to any demolition or construction of the Works.

The PSCP shall fit all compressors, percussion tools and vehicles with effective silencers of a type recommended by the manufactures of the compressors, tools or vehicles but in any event to the requirements of BS 5228: Part 1: 2009.

Any equipment of a semi-permanent nature used by the PSCP, which produces noise on a regular basis, shall be positioned to cause the minimum disturbance to adjacent areas.



The PSCP shall work within the planning noise constraints placed upon the Site by the Council and shall also inform the Authority, in a timeframe agreed with the Authority, of any proposed works that may create excessive noise disruption.

The PSCP shall inform the Authority of works that shall cause vibration, such as vibro-compaction, to ensure the Authority can plan/maintain local operations.

The PSCP shall ensure care is taken at all times throughout the course of the Works to prevent the egress of water, dust, debris or any microbiological contamination out of the Site and into adjacent buildings. In particular, the PSCP shall establish any specific requirements for the control of dust, particularly in relation to Aspergillus.

The PSCP shall assist the Authority to undertake HAI Scribe Stage 1, 2, 3 and 4 risk assessments, including full reporting, at the relevant stages of the Works.

The PSCP shall set out all proposed mitigation measures on environmental, air borne and noise pollution issues for Authority approval including:

Monitoring proposals, contingency measures and emergency plans that include an environmental checklist, to monitor and plan the timing of the Works to avoid disruption to patient activities within the Authority’s retained ACH Site. This should cover:

o Daily visual inspections and the recording of required environmental actions (eg in relation to noise and air borne debris management);

o Proposals for planning activities in relation to heavy noise or air borne debris (up to 3 day forecast);

o Details of how the Works shall be programmed to avoid any adverse impact on Hospital activities. A timetable of works that takes into account all environmental sensitivities, such as noise, airborne debris and other environmental issues which have been raised by SEPA, SNH or other stakeholders.

Dust Management:o Proposals for dust management including dust sprays. Excavation

works, particularly through drilling and blasting, may cause nuisance to adjacent buildings and neighbours due to the generation of dust and noise. Comments from local authority Environmental Health Officers should be sought on the potential nuisance to adjacent buildings and neighbours during the construction and decommissioning phases of the project.

Concrete production/use:o Environmental impacts resulting from concrete batching plant

operations, use of blinding cement on roadways, wash-out during construction, poor integrity of shuttering. Discharge to waterbodies and pH impact on peatland (where relevant) should be avoided.

Mineral oils, fuel transport and storage:o Environmental impacts resulting from spillages, refuelling and burst

cables. Contingency plans for large oil spills that cannot be dealt with at a local level, details of designated bunded fuel stores and mobile



bunded stores. Maintenance of vehicles and plant should be carried out only on impermeable areas where any oil spillages can be contained. Additional information pertaining to the storage of oil can be found in PPG 7 Refuelling facilities, PPG 8 Safe storage and disposal of used oils.

Road and crane hardstanding:o Environmental impacts resulting from construction, use, and

decommissioning of buildings, evidence shall be required of additional consideration of specific measures necessary to deliver best practice should be included.

4.6.5 Meetings with Immediate Neighbours The PSCP shall attend meetings with the Authority and all immediate neighbours during the construction of the Works, where it is considered good practice and good public relations by the Authority to do so. The Authority shall manage the meetings including chairing and preparing the minutes. The PSCP shall provide any drawings and other such materials or visual aids. The PSCP shall have the same lead person, or a named deputy, at any such meetings.

4.6.6 Meetings with the Authority during the Construction of the Works The PSCP and the Authority shall agree the day-to-day; week-to-week meetings to be attended by the PSCP and the Authority. The purpose, timing, structure, management and content of the meetings are to be agreed by the Authority and the PSCP. The PSCP shall have the same lead person at all meetings as far as possible or a named deputy.

4.6.7 Restrictions on Images and Videos during Construction of the WorksThe PSCP are required to obtain the Authority’s agreement prior to the use of CCTV cameras, webcams and the like to take images, videos and the like of the Works whether on or outside the Site.

4.6.8 Restrictions and requirements on continuity of existing services

Procedures to be followed for reporting any accidental damage to or loss of services.

The PSCP shall ensure it provides all necessary precautions to negate any damage incurred to any existing live services serving the existing ACH Site.

Should any damage or loss of services occur to the existing ACH Site due to the PSCP’s activities, the PSCP shall inform the Authority’s Estates department at the earliest opportunity. The PSCP shall work with the Authority’s Estates department to ensure full service is resumed as quickly as possible.

The PSCP shall cover all costs incurred with the damage or loss of services to the existing ACH Site.



4.6.9 Site boundary and signage treatment requirementsAll Site boundary hoarding and signage upon and surrounding the Site shall conform to NHS standard signage guidance. The PSCP shall provide the hoarding boards for the Site and the Authority shall provide the documented NHS labelling that shall be adhered to. No unauthorised signage or advertising shall be allowed.

All signage proposals, consultant nameboards etc. must be approved by the Authority.

4.6.10 Outside of Site – “Access to Site” signage restrictions Industry standard “Access to Site” signage shall be provided by the PSCP. The location of all signs outwith the PSCP’s Site shall be agreed with the Authority prior to installation.

4.6.11 Restrictions and requirements on Site accommodation including heights, connections to existing services, services supplies availableThe PSCP shall ensure the height and location of temporary Site accommodation is in accordance with the conditions of any Statutory Approvals/Permissions. The PSCP shall be responsible for sourcing temporary statutory services connections for all Site accommodation and construction of the Works, including, but not limited to, drainage, water, electricity, gas and communications.

The PSCP shall provide, remove and pay for all associated consumption of the temporary Utilities required to construct the Works.

4.6.12 Restrictions and requirements on vehicles accessing the ACH Site road networkThe PSCP shall be aware that the hospital shall remain operational at all times, 24/7/365. The PSCP shall ensure their activities do not impede the full operation of the ACH Site at any time.

The PSCP shall discuss with the Authority contingency plans prior to any closure or disruption to the road network

4.6.13 Clean Roads and FootpathsThe PSCP shall adequately maintain approaches to the Site and/or any other roads and/or footpaths within the ACH Site which it is using or accessing and keep such free from mud and debris or materials to the Authority’s satisfaction. The PSCP shall provide facilities for washing down vehicles before leaving the Site, to avoid contamination of the surrounding roads. All vehicles must be cleaned, with any mud or loose debris removed, prior to the vehicles leaving the Site. Any contamination of surrounding roads, pavements, cycle paths etc. by Site traffic shall be removed by the PSCP. A full dilapidation survey is required to be undertaken by both the authority and the PSCP of the red line boundary and surrounding area. Authority to provide plan showing extent of dilapidation survey.



4.6.14 Workmanship, Construction Accuracy & Tolerances The PSCP shall ensure that general workmanship conforms to current revisions of BS 8000: Series “Workmanship on Building Sites”, which covers typical building construction activities. Where specialist design proposals require construction activities outside the scope of this document, the PSCP shall propose specific quality procedures relating to these activities based on Good Industry Practice current at the time, as a minimum.

The PSCP shall ensure that workmanship for all construction and component assemblies is to the highest standards in every respect. Work is to be true to detail with sharp profiles, straight and free from defects, marks, waves or flaws of any nature impairing strength, performance or appearance.

The buildings and the external works shall be designed and set out by the PSCP in accordance with BS 5606:1990 “Guide to Accuracy in Building”, BS EN13670:2009 “Execution of concrete structures” and BS EN 1090:2008 “Execution of steel structures and aluminium structures. Technical requirements for steel structures”. unless noted otherwise by the PSCP and the PSCP shall consider the recommended procedure set out in Figure 8, Section 3, Appendix B, of BS 5606

In some situations the tolerances identified in BS 5606 may not be appropriate for the particular elements or combination of elements in the Facilities. Where special levels of accuracy are required in relation to the PSCP’s proposals these shall be stated by the PSCP. The PSCP shall consider the recommended procedure set out in Figure 8, Section 3, Appendix B, of BS 5606.

The PSCP shall identify critical dimensions and setting out points on all its drawn information.

4.6.15 Continuity of Existing Services The PSCP shall plan and execute the Works to ensure that the operational continuity of the ACH Site is maintained at all times.

The PSCP shall ensure that all reasonable safeguards are incorporated to ensure continuity of Utilities supplies to the ACH Site and adjacent users of the Site in-so-far as they may be affected by the Works. Utilities supplies include, but are not limited to, gas, electricity, water, foul and surface water drainage and communications services.

The PSCP shall endeavour, as far as reasonably practicable, that the retained ACH Site Car Parking and ACH Site road network are not impeded by the PSCP’s activities. Where required, the PSCP shall clearly demonstrate with design proposals any temporary vehicle and pedestrian management required including any proposals for the temporary re-routing of access roads and footpaths in order to ensure continued operation of the retained estate. The PSCP shall define and seek agreement with the Authority of any proposals relating to the operation of the vehicles access and footpath during construction. The PSCP shall not disrupt, and shall maintain those within the Site, existing services to clinical and hospital activities throughout the duration of the Works.



4.6.16 Control of Construction Site and Storage of Tools, Equipment and MaterialsThe PSCP shall take into account the nature of the patients of the Authority and shall ensure that the Construction Site is at all times secured with fully controlled access in order to prevent unauthorised persons entering the Construction Site. The PSCP shall ensure that at no time shall any tools, equipment or materials be left unattended outside of, the Construction Site boundary.

4.6.17 Crane ActivitiesDuring the operation of any cranes in connection with the Works the PSCP shall:

Take all reasonable steps to ensure that the security of the ACH Site or Site is not compromised by the existence of any crane and that all cranes are kept secure and that all reasonable steps are taken to prevent unauthorised access and/or vandalism to all cranes including removing ladders and other means of access thereto when any crane is not in use;

Ensure no crane loads shall be suspended above existing ACH Site buildings; and

Ensure that at such times as any crane is at the Site but is not in use it is left secure, immobilised, and is parked in accordance with the operating instructions and shall not be parked in a position oversailing the existing ACH Site unless required for health and safety reasons.

4.6.18 Completion Requirements On completion of the Works, the PSCP shall provide the Facilities as clean to comply with the Corporate Support Services “builders clean standards” or better.

The PSCP shall demonstrate how their proposals facilitate the control and management of an outbreak and spread of infectious diseases in accordance with SHTM 03-01 and SHFN 30.

The PSCP shall undertake commissioning to satisfy the requirements of the Authority’s Outline Commissioning Programme, including the commissioning and testing requirements laid down in chapter 8 of this Technical Brief.

The PSCP shall adopt a systematic and thorough approach to the commissioning of the Facilities including the setting to work, testing and providing the handover documentation for the same.

The PSCP shall approach the commissioning activities as an entirely separate procedure undertaken by the PSCP and ensure all activities interface with the buildings themselves, building services and equipment provisions.

The PSCP shall ensure that the ability to commission the systems and installations is considered at an early stage and is designed into the Facilities and is an inherent part of the overall buildings solution.



During the design stage the PSCP shall detail outline commissioning periods required on-site such that these are built into the Programme and Outline Commissioning Programme.

During construction the PSCP shall ensure that installations comply with the design intent of the Design Data and that all installations and commissioning activities at the Facilities are performed correctly. This shall include ensuring physical access is easily achievable to all commissioning stations and devices.

The PSCP shall liaise with the Authority to ensure that the Fire Safety considerations relating to commissioning/handover as per CEL 11 (2011) Fire Safety Policy for NHS Scotland 2011, are complied with.

4.7 Health and Safety The recommendations of Health and Safety Executive Guidance Notes GS29/1, 3 and 4 shall be followed. The Authority will undertake a full demolition refurbishment survey and remove any asbestos resultant of that survey.

The PSCP will demonstrate they have the necessary skills, knowledge, training and experience" to undertake this project.

Any work carried out to or which affects new or existing services must be in accordance with the bye-laws or regulations of the relevant utility company.

The PSCP must comply with their duties under Health and Safety at work Act and subordinate regulations, namely The Construction (Design and Management) Regulations 2015

4.7.1 Site InformationThe PSCP shall ensure that all available existing information is obtained and that a survey of the structures, site and surrounding area is prepared as detailed above. This must include necessary investigation and testing to identify whether any contaminants exist below buildings which have been demolished. Where contaminants are identified, the PSCP shall comply with appropriate remediation of the land.

4.8 Operational Disruption & Continuity of ServiceFor the avoidance of doubt, this chapter 4.8 does not offer guidance or instruction on the construction and commissioning programme to be proposed by the PSCP, nor the date(s) for the commencement of operation of the Clinical and Non-Clinical Services.

The PSCP shall ensure that safe and secure access for staff, patients, visitors and all persons requiring access to the Facilities and / or Site is maintained at all times. The PSCP shall be aware that the Authority must be operational, including but not limited to the admittance of patients, 24 hours a day, 7 days a week and the PSCP shall be required to take all action to avoid disruption to the Authority in this respect.



The PSCP shall propose, discuss and agree with the Authority, during the Pre-construction stage, a strategy for providing unimpeded access to existing retained ACH Site departments /units during construction and commissioning of the Facilities.

The PSCP shall plan and execute the construction of the Facilities such that, at all times, continuity of all of the Authority’s clinical and non-clinical services is maintained. This applies to services in the existing retained ACH Site and in completed elements of the Facilities (i.e. whilst other elements of the Facilities remain under construction and/or are being commissioned).

The PSCP shall ensure that all reasonable safeguards are incorporated to provide continuity of Utilities supplies to the Facilities at all times. Utility supplies include, but are not limited to, gas, electricity, water, sewerage and communications services.

5 General Construction Requirements

5.1 Schedule of Life Expectancies The buildings, including building services components, shall be designed with materials, components and techniques that are readily available, reliable, sustainable and easily maintainable in use. The Authority supports buildings constructed using components with proven technology, with high life expectancy, leading to minimum cost in use.

At the Certification Date, The PSCP shall provide Project Facilities with the following design lives, as a minimum, based on normal maintenance following manufacturer’s recommendations and Good Industry Practice such as ISO 15686 – “Buildings and Constructed Assets – Service Life Planning”:

Structure, including substructure 70 years

Floor Structure 70 years

Roof Structure 70 years

Drainage and below ground civil engineering infrastructure 70 years

External Walls 70 years

External Openings, windows and door 25 years

Roof Finishes 25 years

External finishes 25 years*

External Hard Surfaces 20 years

Internal partitions including openings 25 years

Internal Doors 25 years

Internal finishes (excluding soft flooring) 15 years*

Soft flooring 12 years

Internal fixtures and fittings 15 years



Engineering plant as CIBSE Guidance

Engineering services distribution systems as CIBSE Guidance

*excluding painted finishes

Materials and components forming part of the Facilities, which require maintenance and replacement within the life of the Facilities, shall be selected, located and fixed in such a way as to minimise future inconvenience, disruptions and to avoid temporary closure of the Facilities.

5.2 Infection Prevention & ControlPrevention and control of infection shall remain a primary consideration of the PSCP in the design of the Facilities.

The whole facility planning shall place a highest priority on infection prevention and control in relation to the movement of goods and in particular the segregation as far as is reasonably practical of clean linen, food trolleys and the removal of waste, soiled linen and empty food trolleys.

The PSCP shall consider that all aspects of the Facilities allow for the control and management of an outbreak and spread of infectious diseases. in accordance with the following:

Infection Control in the Built Environment: Design and Planning (SHFN 30);

Health Protection Scotland Control of Infection Manual – “Managing the Risk of HAI in NHS Scotland”;

Health Facilities Scotland – Healthcare Associated Infection – System for Controlling Risk in the Built Environment (2007)

Guidance provided by Clinical Standards Authority NHS QIS;

Textiles and Furniture (SHTM 87);

Ventilation in Healthcare Premises (SHTM 03-01);

“Guidance on Prevention and Control of Clostridium difficile Infection (CDI) in healthcare settings in Scotland” Health Protection Scotland, 2009;

NHS Scotland Infection Prevention and Control web based manual, provided within the Data Room; and

Control of Substances Hazardous to Health (COSHH) 2002;

5.3 Building Air TightnessA building air tightness test shall be carried out by the PSCP. prior to the Actual Commissioning End Date. The building shall be required to achieve an air permeability performance of less than or equal to 5m3/h/m2 when tested for an internal to external pressure difference of 50 Pascal. The PSCP’s ventilation and heating installation shall take account of the respective air permeability performance.

The air tightness test shall be carried out at a standard door / window opening. Building fabric elements such as roller shutters shall not be used as the location for the fan test as they are a potential source of high air flow leakage.



Unless the building achieves the required performance at the first test, the PSCP shall undertake remedial measures and future tests shall be carried out until the specified value is reached, to include for smoke tests during each air test to assist with identifying air leakage. The test shall be certified on satisfactory completion.

The testing of the Buildings Air Tightness shall follow the requirements set out in the Building Regulations and in CIBSE TM23: Testing Buildings for Air Leakage.

5.4 Thermal RequirementsThe PSCP shall ensure the buildings’ envelopes complies with Section 6 of the Non-domestic Technical Handbook to The Building (Scotland) Regulations 2017 and its amendments, and the following criteria:

The entire building envelope shall be thermally broken and no details that allow cold bridging shall be used;

The whole building envelope shall be provided with a continuous air and vapour tight skin layer with a vapour resistance of not less than 200 Mns/g when tested in accordance with BS 3177;

This barrier shall be on the accommodation side of any insulation and may be formed of differing materials at different parts of the construction provided that continuity is maintained in all places. The vapour barrier material shall be non-combustible;

The building fabric shall include passive design measures to limit summer temperatures to figures given within the Environmental Matrix; and

The work to the fabric to achieve the above standards shall include but not be limited to enhanced window performance, high solar performance glazing systems, brise soleil and enhanced thermal insulation value.

5.5 Acoustics

The PSCP shall define the acoustic criteria to be adopted on a room-by-room, and corridor-by-corridor basis with reference to SHTM 08-01: Acoustics The acoustic criteria shall be agreed with the Authority, in advance of these requirements being adopted for incorporation into the Project. The PSCP shall be responsible for demonstrating compliance with these criteria once they have been agreed by the Authority.

The PSCP shall make specific proposals as to how noise reverberation in the facilities is to be minimised. There is a high prevalence of hard wall and floor finishes required, coupled with the likelihood of areas with high ceilings. This could lead to excessive reverberation levels, and specialist acoustic ceiling boards, baffles or other means should be considered.

The PSCP shall demonstrate in their design how it shall address the issue of noise transmission, including speech transmission in, and between, patient areas.



The PSCP shall endeavour to maintain a calming atmosphere. The PSCP shall ensure that their design takes account of the following requirements of the Authority in this particular regard:

The acoustic design of the Facilities shall give due consideration to the requirements of the deaf and hard of hearing. In particular the level of background noise shall be such that it does not cause particular difficulty for those with such conditions; and

Acoustic ceiling tiles shall be used where HAI-SCRIBE considerations permit, to reduce echo and assist people with impaired hearing. The use of soft furnishings and plants (which must not present obstacles to people using wheelchairs or people who are blind or partially sighted) can also improve the acoustics for people who are deaf or hard of hearing.

In addition, The PSCP shall ensure all noise levels within rooms generated by HVAC plant does not exceed the maximum permissible levels as identified in SHTM 03-01 and SHTM 08-01.

5.6 Room Mock-ups and Clinical Testing

A fundamental requirement of the Facilities, and as described in the general architectural approach, is that the Facilities and the components inherent within them are suitably robust, do not pose a danger to the patients or staff, and are proven prior to installation (via the process described in chapters 5.6.1, 5.6.2 and 5.6.3 of this brief) as robust and appropriate within each area considering the nature of each patient group. Particular emphasis has been placed on room mock-up and component or clinical testing. The Authority’s requirements are described as follows:

5.6.1 Clinical and Security Testing (by the Authority)Clinical testing shall aim to determine the following characteristics:

Product quality/ease of operation

Build quality

Robustness

Ease of detachability

Ligature risk

Weapon risk

Security risk

Safety risk

Aesthetics

Product suitability.

5.6.2 Mock Up Rooms and Samples

The PSCP shall provide the design of the room mock-ups including the 1:50 floor plan with loaded floor, walls and ceiling details showing Equipment. The



PSCP shall provide full scale mock-up of the following rooms, as a minimum, for use in the design development and approval process:

Standard bedroom built to medium Secure Single variant standards with en-suite.

To enable the assessment and testing by the Authority of the mock up room building fabric, The PSCP shall build the corridor, external and one side wall, and ceiling, to medium secure construction standards.

The Authority shall manage the location of the mock up room assemblies.

The PSCP shall provide the following items listed below to allow for Authority product testing.

Product Tests to be carried outDoor Furniture and locks (including depressable stops, hinges, self-closing devices and electro-magnetic hold open devices as appropriate)

Ligature / robustness / ease of operation

Bedroom door adjustable observation unit

Ligature / robustness

Internal glazing Aesthetics / robustness

Typical window units (both with and without contraband mesh) to secure bedroom


Typical window units (both with and without contraband mesh) to be used elsewhere


External glazing Aesthetics / robustness

Bedroom heating control unit (if applicable)

Ligature / robustness / ease of operation

Anti-Ligature Shower rail (if applicable)

Ligature / weapon

Anti-Ligature Curtain track, hooks and fixings


Standard self catering kitchen cabinet carcass

Ligature / robustness / removability

Lockable cabinet door Robustness / ligature

Fitted bedroom furniture Ligature / robustness

Lockable cabinet drawer Ligature / robustness

Sanitary ware Robustness security of fittings / suitability for users / ligature

Taps, cistern levers, shower controls Ligature / robustness / suitability for users



Product Tests to be carried outPush button/touch sensitive taps + controls

Ligature / robustness / suitability for users

Shower heads Ligature / robustness / suitability for user groups

Ceilings Ligature / robustness/ Acoustic performance

Internal walls / stud partitions system Robustness / Acoustic performance

Ventilation and other grilles Ligature / robustness

Light fittings and controls Ligature / robustness

Access control, emergency call, staff attack systems, nurse call

Ligature / robustness / suitability for user groups

Signage, mirrors, floor and wall finishes

Robustness / suitability for location / Aesthetics

Power and data sockets Location / robustness / suitability for location

Smoke detector heads Location / robustness / suitability for location

Any other features identified through the design or construction process

As required

Table 5.1: Product Quality Tests

Tests shall be conducted by the Authority on the products within the mock up rooms where appropriate or as separate components, and the results recorded on a quality log, by the Authority’s clinical team.

The Authority shall not be liable for any costs incurred or arising out of such testing.

The PSCP shall be given unrestricted access to the specific quality log together with details of suggested modifications which would bring each product to a satisfactory quality.

5.6.3 Build QualityThe Authority shall require access to a test sample of mock-up rooms in a timely manner, to be agreed with the Authority, to ensure they add value to the design development and approval process.

The testing of mock up rooms shall include, but not be limited to, architraves (if fitted), skirting, window boards, window frame (including contraband mesh if fitted), glazing, sanitary ware, mirrors, fitted furniture, door and frame (including any glazed panel, hinges, keeps and any other ironmongery), ability to remove ceiling or wall mounted fittings including lights and socket outlets.



The testing of en-suite shower rooms shall include, but not be limited to, the integrity of all types of sanitary fittings, removability of taps and tap heads, Integrated Panelling System (IPS)-type panelling, other shrouding, flooring, wall finishes, ventilation grilles and light fittings.

The testing of each area shall be carried out by various members of staff including clinical, estates, hotel services, infection control, health and safety and capital planning. No tools shall be used for the testing, but items of non-fixed furniture may be utilised as well as items that determined patients could reasonably access.

It should be noted that fire extinguishers shall be used as a test item on windows and walls.

The PSCP Representative, together with the Authority Representative, and tAECOM’s building supervisor must all be present to ensure that the tests are fairly conducted and the results recorded accurately.

Unless otherwise agreed in writing by the Authority prior to the testing, The PSCP shall be responsible for all repairs to the tested rooms as well as the making good of all inherent defects identified by the tests throughout the Facilities.

The testing methodology and the criteria to determine whether the component has passed or failed shall be established between the PSCP and the Authority prior to the test being carried out.

For the avoidance of doubt, testing shall also include the ligature potential of any component.

5.7 Integration with Engineering ServicesInternal walls, partition systems, ceiling voids and service risers shall be capable of integrating services, e.g. wiring, plumbing, medical gases and service terminals as required without detriment to the performance of any building services and other Facilities performance criteria such as fire resistance or acoustic properties. Engineering Services shall be co-ordinated such that satisfactory means of maintenance access is provided which minimises the potential for disruption to Patients and the Authority’s operations. Refer to chapter of this brief for Engineering Services Routes for maintenance access to Engineering Services.

Means of access to services must be carefully considered to ensure solutions do not detract from the appearance, security and safety requirements of the space.

The PSCP shall ensure there is no unrestricted access to Engineering Services i.e. service locations shall be secure to ensure patients cannot gain access to Services which may be unsafe or provide ligature risks. All access panels, including any IPS panels shall be secured with security screw fixings, Pin Hex or similar.



5.8 Building EnvelopeThe building envelope includes all external wall, façade and roof cladding elements associated with the Project. The PSCP shall design the building envelope to provide a high quality enclosure to the accommodation and shall provide resistance to impact damage and intruder break-in, either by cutting or disassembly of the wall components. Whilst selection of all materials and construction techniques is the responsibility of the PSCP, there are a number of key criteria which must be satisfied by the PSCP, as follows:

All selected materials shall be compatible with each other;

All materials prescribed under the relevant planning condition shall be subject to the approval of the Council as part of the overall planning approval process;

The selected materials shall have a verifiable life expectancy in line with the criteria set out in chapter 5.1 of this brief and certain specific elements, such as sealants, which may have a design life of less than the period stated, shall be identified and agreed with the Authority, and shall be the subject of a planned maintenance programme for replacement; and

Any cladding systems chosen for use on this Project shall be designed and constructed to minimise noise without detriment to the required performance or appearance, to resist the action of the local elements including wind, rain, hail, snow, ice, solar radiation, temperature changes, moisture movement, structural movements, construction tolerances, thermal movements, the internal environment of the buildings and dead or imposed loads. The systems shall include the necessary provisions to enable regular cleaning from outside and regular routine maintenance to take place with minimal disturbance to the activities within the building.

The PSCP shall ensure that the buildings are constructed and the design is detailed to limit air infiltration to minimum levels to reduce energy consumption and improve internal environmental conditions.

Performance demonstration tests for all roof and wall elements shall be carried out by the PSCP in accordance with the following:

The PSCP shall ensure all testing of mock-up assemblies of parts of the buildings construction are completed satisfactorily before work starts on the Site in relation to the building envelope.

The PSCP shall arrange for the testing of all completed wall and roof assemblies to prove compliance with the requirements of The Building (Scotland) Regulations 2017 and its amendments

The PSCP shall ensure that the external hard and soft landscaping around the buildings shall allow access for the appropriate maintenance / cleaning system and equipment utilising the hierarchy of control measures included within the Work at Height Regulations 2005 as amended. Appropriate provisions shall be incorporated by the PSCP to allow the safe use of the appropriate maintenance / cleaning system including but not limited to safe access to the workplace and equipment, and respect of privacy of building users.



The structural frame and external skin of the buildings shall be designed by the PSCP to accommodate the loading requirements of access equipment and operatives, where the cleaning and maintenance system uses this method. The PSCP are to achieve these access requirements without detriment to the landscape proposals agreed by the Authority.

The PSCP shall design the buildings’ envelope to prevent rainwater entry into the building structure and the internal accommodation. Where water penetrates cladding elements, as part of the functional design and construction techniques, The PSCP shall ensure it is controlled and drained externally.

The PSCP shall take cognisance of the need to mitigate damage to the building by persons. The building envelope should be designed in such a manner to prevent individuals climbing and accessing roofs. This applies to both patients and potential intruders. Particular consideration therefore should be given to the detailing of downpipes, eave heights and overhangs, intersections with boundary walls etc.

The building’s facade shall be easily maintained.

The PSCP shall take cognisance of the prevalence of seabirds, including gulls, local to the Site. The design of the building should discourage nesting and perching.

5.9 Internal AreasThe PSCP shall ensure that the internal areas of the buildings allow access for the appropriate maintenance / cleaning systems and equipment utilising the hierarchy of control measures included within the Work at Height Regulations 2005 as amended.

Appropriate provisions shall be incorporated by the PSCP to allow the safe use of the appropriate maintenance / cleaning systems including but not limited to safe access to the workplace and equipment. The internal frame and internal skins of the buildings shall be designed by the PSCP to accommodate the loading requirements of access equipment and operatives, where the cleaning and maintenance system uses this method.

5.10 Ceilings, including Heights & VoidsCeiling heights are important in creating a sense of space, reducing the risk of patient damage and access to ligature points.

Ceiling heights in circulation areas should generally not be less than 2.7m. Furthermore, ceiling heights within the secure envelope of the building ceiling heights shall be not less than 3m. Where areas of certain rooms allow the ceiling profile to be below 2.7m, these areas

Shall be clearly identified by The PSCP, and be “signed off” as acceptable by the Authority during the detailed design stage. However such “sign-off” shall not create any greater liability to the Authority than that detailed in the Project Agreement; and



Shall not incorporate any engineering services or other such apertures which could be tampered with, or constitute a ligature risk, unless specifically agreed with the Authority.

The PSCP shall adopt an approach to anti-ligature and anti-tamper design as detailed in the anti-ligature matrix.

Consideration should be given to vaulted ceilings in certain areas (e.g. Day spaces), where this is achievable, single storey units for example. High vaulted ceilings have a number of benefits, not only in creating a sense of space and light but also aid in keeping spaces cooler in summer. This is particularly relevant in the care of people with mental illness, where excessive temperatures may cause aggressive behaviour.

Ceiling construction is a further important consideration. Suspended tile and grid type ceilings shall not be acceptable in areas where patients may be unsupervised and in areas defined for anti-ligature requirements. There is however some suspended ceiling systems available that could be considered for corridor spaces and supervised areas. Perforated metal concealed grid systems can offer good acoustic absorption qualities, and the Authority would consider the use of these systems provided they were satisfied under chapter 5.6 of this brief and that there was no threat introduced when measured against the criteria of Ligature/robustness/acoustic performance. Ceiling construction proposals shall be agreed with the Authority prior to construction.

Suspended ceilings in any form are not suitable within the medium secure areas. Ceiling construction within the medium secure areas, shall consist of a layer of not less than 18mm exterior grade water and boil proof (WBP) plywood to the roof void side and a final layer of not less than 15mm plasterboard to the room side to avoid holes being punctured in to the ceiling creating ligature points, and to prevent the risk of absconding. The plywood layer shall be taken through to the frame of the building to ensure complete coverage of the ceiling.

Solid plasterboard ceilings in all other wards and departments should also be 18mm plywood backed to the roof void side to give added resilience and to avoid holes being punctured into the ceiling.

The PSCP shall provide ceilings that interface between the mechanical and electrical services installations and the accommodation below, with the integration of service outlets, lighting, grilles and other fittings.

A void depth above all ceilings shall be provided, including appropriate and safe points of access for maintenance of services. These shall be subject to written agreement obtained from the Authority. The void allowed shall be adequate for the proper co-ordination and installation of engineering, cabling (including ICT) and other services. The PSCP shall provide L1 fire detection in voids of 800mm depth. Co-ordination with the electrical, mechanical and communication services shall be an inherent part of the ceiling and building design. Within each area the installation of the engineering services provision shall be co-ordinated with the ceiling layout and allow simple relocation if required.

Accessed voids in non-tile and grid type suspended ceilings shall be fitted with robust hinged secured doors or hatches with anti tamper locks/fixings, types



agreed with the Authority during detailed design stage. Locations of access panels shall be co-ordinated in an aesthetically pleasing manner.

Randomly placed hatches positioned immediately adjacent to the item they serve shall not be accepted. The PSCP must determine alternative solutions where this likelihood occurs, such as appropriate, safe and secure, demountable fixture and fittings i.e. lights/grilles etc.

The PSCP shall ensure that the void above the ceiling is adequate for the proper installation and co-ordination of the services, and for their future maintenance. The PSCP shall configure the design, wherever possible, to accommodate future flexibility.

For the purposes of future maintenance, repair and replacement of services, the PSCP shall ensure that all service maintenance points within the void above the ceiling are fully accessible. .

Service access points should be avoided in plasterboard/plywood ceilings within in-patient areas. Where this is genuinely unavoidable, access points shall be fixed securely utilising anti-tamper security screws and locks

The PSCP shall demonstrate to the Authority how the design of access hatches and voids shall not allow for unauthorised access or as undetected means of absconding.

The PSCP shall ensure that the ceiling layouts are co-ordinated with the drainage, mechanical and electrical services installations. The PSCP shall demonstrate its solution to this requirement prior to the commencement of construction.

Fully co-ordinated Reflected Ceiling Plans showing all services and access requirements shall be provided by the PSCP as part of the detailed design process.

The PSCP shall be required to submit ceiling samples to the Authority for quality testing in accordance with chapter Error: Reference source not found of this brief.

The PSCP shall ensure that the ceiling voids are designed to accommodate the specific requirements of the fire strategy for the Facilities – and in particular, the provision of cavity fire-barriers within compartments.

The following criteria shall also be incorporated by the PSCP:

The protrusion of light fittings or any other fittings should be prevented where possible;

Consideration should be given to making use of the ceilings to provide additional natural light by way of roof-lights. However, careful consideration should be given to the implications of incorporating these and to how they shall be cleaned;

Ceilings may be constructed in a proprietary suspended plasterboard system in areas demanding specific hygiene criteria;

Ceiling or roof void hatches must not be accessible to patients and manway access to attic spaces shall be fitted with a self-contained Ramsey-style ladder or other similar approved to facilitate access for



maintenance purposes. Any manway access to a maintenance level above must be segregated from patient access areas, with a lockable door between the access area and patients as a minimum requirement;

Emergency egress from roof void areas into patient areas is not acceptable; and

The PSCP shall configure the design, wherever possible, to accommodate future flexibility.

5.11 Corridor Widths and Heights Corridor widths and heights shall satisfy the relevant guidance provided by:

BS8300:2009;

The Equality Act 2010;

SHFN14 “Disability Access”;

HBN 00-04 Circulation;

SHTM 81 Fire Precautions in. New Hospitals; and

Other statutory guidance.

All corridor widths shall be as required by the nature and use of the accommodation and should be carefully assessed in conjunction with all relevant guidance and operational needs. Minimum widths shall apply along the whole length of the corridor. All corridors in patient areas must allow the comfortable passage of 3 people abreast. Cognisance should be given to the requirement for a patient travelling in a bed, bed movement in general (in particular, in and out of bedrooms), and the infrequent need for beds to be transported along corridors.

Taking all of the above into consideration, corridor widths shall be discussed and agreed with the Authority prior to the completion of detailed design: The following criteria shall be incorporated:

The utilisation of corridor widths and profiles is an integral element of the Specific Clinical Requirements. This may be achieved through the use of informal seating areas;

Corridors in private areas shall not be less than 1800mm (clear between handrails or other protrusions), with corner protection to be provided and handrail to both side;

All corridors in patient areas must allow the comfortable passage of 3 people abreast.

Width of corridor at doors to patient bedrooms to be wide enough to allow beds to be manoeuvred into the room;

Where corridor widths are proposed to be narrower than the above (excluding widths at corridor doors and any integrated art work), these areas shall be clearly identified in the detailed design stage, and be “signed off” as acceptable by the Authority;



The corridors width and height shall allow the installation, removal or replacement of clinical and non clinical equipment as detailed on the Room Data Sheets.

Isolated columns in circulation routes shall be avoided;

Corridors must maintain good sightlines and should maximise use of natural light. Long corridors shall not be used in ward areas. 90° corners should be avoided, the use of 45° angles is preferred;

The shallow angling/recessing of bedroom corridors may be considered provided that the angle and depth of recess does not restrict visibility. Corridors should be designed to make best use of natural light. Roof lights shall be uniform in design and positioning throughout patient corridors;

Minimum widths and heights shall apply along the whole length of the corridor unless agreed with the Authority; and

All stairs to comply with the Technical Standards and have contrasting colour nosings for visual identification.

5.11.1 HandrailsThe PSCP shall provide handrails to circulation and public areas within the Facilities.

The PSCP’s design shall consider and balance the health and safety design aspects and anti-ligature risks. Handrail designs shall be rounded in design and be contrasting in colour to surrounding finishes.

5.12 Doors and FramesClear widths of all door openings in addition to satisfying the requirements of The Building (Scotland) Regulations 2016 and its amendments, shall comply with the guidance of BS 8300:2009, SHTM 81, SHTM 58 and the relevant section of HBN 40 and HBN 00-04 Chapter 8 .

Notwithstanding the above, the PSCP shall be responsible for establishing, through detailed consultation with the Authority, additional specific requirements for door widths in all areas of the Facilities. Consideration shall be given to providing sufficient door width in areas where the Authority’s operations rely on the use of larger items of equipment such as waste containers, beds, food trolleys and regeneration trolleys.

Door widths and door configuration shall allow for the delivery and removal of equipment to each area as detailed on the Room Data Sheets.

The following criteria shall be incorporated:

Main entrance/reception doors shall lock shut in the event of fire. Patient evacuation shall be managed through an evacuation policy, as agreed with the Authority;

All internal door leaves to patient accessible areas shall be of solid timber core construction with damage protection plates or finished with heavy duty laminate. They must be resistant to all damage which would be expected for the building use;



All internal door leaves in staff only areas shall be of hollow core construction, again reinforced where necessary with damage protection plates or finished with heavy duty laminate ;

All door frames must be of solid wood or metal construction, and must be very securely fixed to prevent and withstand sustained patient attack. The door standard and fixing is to be demonstrated at the mock up.

All controlled doors in secured areas will be single leaf. Reference to be added re British standards.

All ironmongery on doors to bedded areas shall be as detailed on the anti-ligature Matrix.

In areas identified in the Finishes Matrix, doors to patient accessible areas shall be required to be anti-barricade design. Anti-barricade facility may be achieved by a combination of door swing proposals and ironmongery solutions. Inward opening anti-barricade type are preferable to reduce an institutional feel. If inward opening type is used, they shall be fitted with lockable hinged stops to facilitate outward opening in an emergency. Stop-less frames are considered to be not suitable;;

The Authority will need to be satisfied that all risks of barricade have been addressed. Removable lock keeps or other such means to gain access to a locked room may need to be considered, if the total door and ironmongery solution still does not prevent this risk;;

Doors to en-suites should have the door head cut to a sloped angle to prevent ligature risk and also be undercut to a minimum of 100mm enable clinical staff to discretely observe young persons without entering the en-suite. En suite doors also to have the facility to be locked back.

All doors to fire hazard rooms shall be fitted with self closing devices unless functionality is affected. Where doors are required to be held open due to functional requirements, The PSCP shall, as a general rule, provide electro-magnetic devices linked to the fire and security alarm systems and designed to fail closed in an emergency or power failure. The PSCP shall however address the potential for relaxation of automated fire interfaced hold open devices with the Building Control Officer and Authority Fire Safety Advisor;

Consideration should be given to using “Perkomatic” type door closers that are rebated into the door/frame and which pose a lesser ligature risk where the use of door closers is unavoidable;

Door closers to patient bedrooms shall be fully compatible with the Authority’s anti-barricade and anti-ligature requirements, as well as allowing ‘free swing’ to all bedrooms, similar to a ‘Dorma’ floor spring model or equal approved and equivalent

Door edge protectors, fire/smoke rated where identified as required in the fire strategy, shall be provided to doors. Door edge protectors shall be anti-ligature design type in areas identified in as ‘anti-ligature’ in the anti-ligature strategy matrix;



All doors must be master-keyed, with allowance for an agreed quantity of sub-master suites to facilitate the required security zoning arrangements within the building; as detailed in the locking strategy and schedule

Secure and ‘staff only’ areas shall be controlled by proximity card readers and an approved access control system as detailed in chapter 8 of this brief ;

All interview and consulting room doors to have a suitable level of acoustic performance to achieve the dB rating agreed. Test certificates shall be provided. No air transfer grilles shall be permitted;

Doors must be fire resistant in line with fire regulations. Any alarm system linked to doors must not be compromised by even a short term power loss or surge;

Corridor doors shall mitigate the ability for persons to hide behind opened doors without being detected e.g. no space to be left behind open doors, or appropriate vision panels incorporated in to the door;

External doors shall be alarmed and linked to an approved alarm system capable of being monitored by ward staff.

External doors to non-public access areas should be metal-faced, solid timber core construction, other than louvered doors to plant areas, where ventilation is required;

External doors to private courtyards shall be designed to take cognisance and mitigate environmental aspects such as drafts, sudden heat loss and water ingress through the use of ironmongery such as self-closers, ensuring Operational Functionality is not affected; and

As detailed in the anti-ligature strategy matrix, architraves must be securely fitted to those places determined by the Authority. Architraves to doors in anti-ligature areas shall be chamfered back to the walls to give maximum 5mm projection to minimise ligature risk.

Additionally, consideration should be given to the following:

Doors closing with excessive noise shall not be tolerated;

Ensuring that door edges do not present a hazard to visually impaired people when in hold open position. Contrasting texture flooring should be considered to guide people into the line of doors, as an integral part of the wayfinding strategy;

Light pressure delay check door closers should be provided to self-closing doors;

Colour contrasted easy grip lever furniture and ironmongery;

Any fully glazed doors or associated screens to have additional visual identification, for example applied manifestations;

Level access to all doors, including escape doors;

Pinch-points at rooms and corridors shall be avoided;



900mm minimum clear width is preferred for single leaf doors or individual leaves within double doors. Door and half sets may be used in preference to double doors;

826mm minimum clear width is preferred for single leaf doors to ambulant toilet areas as detailed on the Room Data Sheets;

Generally, intermediate doors across main circulation routes should be held open on wall mounted electro-magnetic devices linked to the fire and security alarm systems and designed to fail closed in an emergency or power failure; and

Particular attention needs to be given to the implications of corridor doors on hold open devices to heating/cooling/ventilation strategies. The operational needs of the unit with regards to needing doors on hold open devices takes precedence and environmental solutions shall be designed with these requirements in mind.

5.13 Vision Panels The PSCP shall provide vision panels in locations and of a type as detailed in the Finishes Matrix, within and/or adjacent to doors, to meet the requirements of this brief, enabling the maximisation of natural light within the Facilities and allow for patient observation.

Where identified for patient observation, i.e. bedrooms, vision panels shall allow observation without the need to enter the rooms. Vision panels shall be complete with a controlled method to obscure the panel for privacy reasons i.e. vistamatic or similar. Where vistamatic or similar are used they shall be to a minimum size of 400mm sq. Privacy control shall be operated by Staff from outside the room, using a key. High integrity glazing should be used in vistamatics.

Internal glazed panels to patient areas shall be designated as “A” Class Safety Glass to BS6206. Glazing beads to patient areas shall be hardwood, glued, screwed and pelleted. Glued and pinned beads are not acceptable.

Protective, fire tested cladding shall be provided to glazing beading on fire rated doors to maintain the integrity of the beading and minimise future maintenance requirements.

5.14 Windows

5.14.1 Clinical ConsiderationsThe windows to mental health and medium Secure facilities are one of the most important building components to establish an appropriate design.

Statistical evidence indicates that opening windows are particularly susceptible to ligature attempts by patients, yet there is benefit to the patient in being able to open a window to control the environment. Bedrooms are the patients’ personal retreat, where they are largely unobserved by staff and accordingly the windows must be safe from a ligature or self harm perspective, but also secure to prevent any absconding or escape. At the same time the windows



need to be able to open to access fresh air and to assist in temperature control. To further minimise the risk of the window opening light itself being used to secure a ligature, the windows should be able to be locked shut or locked open by staff using a key.. There is a further risk of contraband being passed to patients through open windows. Where this risk is greatest, contraband mesh should be used, where the window is easily accessible by the public. To maintain uniformity, future flexibility, and the aesthetic appearance of the Facilities, one standard window style that meets all of the above criteria may be the preferred solution. Whilst challenging, these requirements are to be met by the PSCP’s designers.

Given the importance of the window design and the numerous permutations or options which exist to achieve a satisfactory solution, it is a component which shall require close consideration and liaison between the PSCP’s designers and the Authority’s user/clinical team.

Prototype window design solutions shall not be accepted. The window must be proven in use in comparable facilities

The design solution shall ultimately be subjected to clinical and product quality testing as detailed in chapter Error: Reference source not found of this brief.

5.14.2 Window TypesThe following descriptive specification is provided as a guide to designers, subject to full consideration of the clinical considerations in chapter 5.13.1 of this brief:

Window Type 1- All bedrooms Action Notice T6-22 21 08 2013), :

Double Glazed Units;

Outer: 7.4mm laminated glass;

Cavity: 10mm Argon filled Silver Spacer;

Inner: 10mm Toughened Safety Glass;

Horizontal sliding opener, complete with 3 Point locking unit with key control- lock closed/ lock open;

Unit size subject to natural ventilation requirements;

Aluminium Frame;

1.5mm Steel perforated contraband/ security mesh;

External beading with glazing locks;

Maximum 150mm gasket lengths; and

External sloped window sills

Window Type 2 - All non-patient accessed areas

Opening and Fixed lights where applicable to the ventilation design, to be agreed with Authority as appropriate;

Opening light specification: Horizontal pivot or alternative arrangement to meet natural ventilation requirements.



Double Glazed Units: build up to suit security, thermal & solar requirements

Aluminium Frame;

Lockable; and

Internal beading.

5.14.3 Further General Design RequirementsThe PSCP’s design shall provide natural daylight to contribute towards the achievement of a high standard of environmental quality.

Natural light shall be provided in public spaces and in occupied private and staff spaces within the Facilities as far as is practical and shall be so designed to avoid or minimise glare.

The PSCP shall ensure that due consideration is given to the location and extent of glazing on external walls with regard to solar gain and heat loss. Solar control glazing, or appropriate solar shading, shall be used on windows on east, west and south facing elevations. The use of blinds or other device placed between secondary glazing or double sashes shall not be considered appropriate solar shading

Windows on the ground floor shall require special attention in relation to privacy and security. Account shall be taken of external environmental conditions, such as stronger winds at higher levels and window designs shall manage and control these environmental effects. Window design and specification must meet the requirements of The Building (Scotland) Regulations 2016 and its amendments and adhere to all relevant minimum NHS Requirements.

Courtyards, and courtyard elevations, shall be designed by PSCP so that daylight to usable room spaces at the lowest level of the courtyards is maximised.

Window area and sill height, privacy and security requirements shall require special consideration for accommodation to allow sufficient daylight and views out, even when occupants are sitting, whilst maintaining privacy from people outside the building.

Where transparent window glass requires to be rendered translucent for reasons of privacy by obscure glazing, then consideration shall be given to the effect of internal artificial lighting during the hours of darkness. This particularly, but not exclusively, applies to all patient areas situated at or adjacent to external public spaces.

The PSCP shall provide all windows with a security rating classification of 3 for manual intervention attack when tested in accordance with Loss Prevention Standard LPS 1175 : Issue 6 : Table 4: May 2007 and shall meet the relevant performance standard in the appropriate British Standard.

The PSCP shall ensure no portions of windows, either fixed or opening shall come below the level of worktops or desks included in the equipment schedule.



The PSCP shall ensure opening windows are provided with good quality well-fitting seals and shall be fitted with restrictors to give a maximum clear opening of not more that 100mm in normal use. The effect of such restrictors shall be taken into account by The PSCP when calculating the effect on efficient and effective natural ventilation requirements for the room.

In line with the Department of Health’s Estate and Facilities Alert notice EFA/2010/002, the PSCP shall provide dual window restrictors, or robust fittings to the satisfaction of the Authority during the design stage, to all openable windows to minimise the ability to overcome restrictors.

The PSCP shall ensure all windows required for ventilation shall be provided with controllable trickle ventilators within the head of the frame or with two stage key lockable handles giving 5 – 10mm ventilation gap. The opening lights of the windows, and any control devices, shall not interfere with the location or operation of blinds.

All windows and fittings shall be compliant with the anti-ligature requirements of the given space, as identified in the anti-ligature strategy matrix.

Window sills shall be sloped externally to prevent climbing and birds roosting.

The PSCP shall ensure all sides of glazed elements shall be accessible for cleaning. Where contraband mesh is installed in windows, the PSCP shall also ensure the design of the window facilitates ease of cleaning of both sides of the mesh.

The PSCP shall ensure that locking devices, to enable the windows to be released for cleaning purposes, shall be by key or other device such that the locks cannot be released by unauthorised persons. The PSCP shall ensure that all handles or control gear shall be placed at levels which enables them to be operated by staff standing on the floor without the use of loose poles, and which do not conflict with the location of the adjoining construction elements, including blinds and curtains. Where windows are placed over worktops or desks, or where the operation as described above is not achievable, mechanical or electrical means of opening shall be provided by the PSCP with controls located in a suitable position within the room concerned.

The PSCP shall test the windows and other external opening assemblies (louvres and doors) in accordance with the following.

BS EN 1027:2000 Windows and Doors – Watertightness – Test Method;

BS EN 12210:2000 Windows and Doors – Resistance to Wind Load - Classification; and

The Test Report Format contained in the withdrawn standard - BS 5368, Part 4: 1986 (EN86)

The PSCP shall provide principle window specifications for review by the Authority during the design stage. The PSCP shall provide fully developed window proposals for agreement with the Authority during Stage 3, prior to Stage 4 (Construction).



5.14.4 Curtain WallingWhere curtain walling is proposed, the design shall be consistent with the window type glazing specification.

Curtain walling to be polyester powder coated aluminium type, or natural anodised aluminium.

Curtain walling shall have sloping cills.

Curtain walling into patient occupied gardens and courtyards shall have a maximum transom/mullion projection of 20mm, which shall also be sloped.

Opening lights in curtain walling should have restricted opening as per window types.

5.15 Finishes

5.15.1 General FinishesThe PSCP shall select finishes on the basis of the following:

Accessibility;

Appropriateness;

Durability;

Robustness;

Compatibility;

Maintainability;

Suitability for life cycle replacement;

Co-ordination with other finishes;

Suitability for infection control;

Health and Safety attributes;

Life Expectancy set in chapter 5.1 of this brief;

Future maintenance;

Appearance; and

Slip resistance.

All finishes and backgrounds shall be selected and installed in accordance with the standards and guidance identified in chapter 2 of this brief, appropriate British and European Harmonised Standard Specifications and Codes of Practice.

The PSCP finishes proposals shall be provided timeously to enable Authority review.

A selection of the Authority’s finishes requirements are identified in the Finishes Matrix in Appendix D of this brief. The Room Data Sheets, as developed by the PSCP in consultation with the Authority, shall incorporate the Authority’s finishes requirements in a room by room basis.



External corners on all circulation routes shall be rounded or angled to minimise damage or injury. Walls on all circulation routes to be protected to a height of 1.2 metres.

Areas of the Facilities that are subject to potential damage from trolleys, vehicles, beds or other similar traffic shall have adequate protection to comply with SHTM 69 (Protection) as a minimum. The PSCP shall provide a schedule (product and layout) for all protection finishes for Authority approval adhesive type protection may be more suitable than metal mountings with plastic clip on sections for example.

The requirements of Table of Finishes shall demonstrate the finished quality standards of certain specific fittings and finishes which shall be constructed by the PSCP during the design and construction stages. These samples shall form the benchmark for quality control of Site operations.

The PSCP shall also select finishes which do not give rise to offensive odours developing. Accordingly, finishes shall be selected with due regard to usage, potential spillage and cleaning regimes and health and safety issues in relation to performance and cleaning regime.

Water based matt to wood finishes or varnish shall be provided. Washable Acrylic Egg Shell shall be used for the walls.

The PSCP shall ensure that all floor, wall and ceiling finishes include adequate provision for movement joints, in accordance with current recommendations, to cater for any movements of the structure and/or the background material of the finish. The PSCP shall ensure that the location and detail of the joints shall be fully co-ordinated with the overall interior design. The PSCP shall notify the position of all movement joints on drawings to the Authority. for approval.

The use of inspirational colour patterning, motifs and texture shall be considered by the Authority and PSCP in appropriate areas throughout the building. Where possible, internal surfaces shall allow cleaning of vandalised elements, e.g. graffiti, with the minimum of effort.

Finishes generally shall be selected by the PSCP and agrred by the Authority and shall be robust and appropriate for use in each area, which can be interpreted as meaning:

Ability to withstand the rigorous and demanding patient environment, this having been proven prior to installation (via the process described in chapter 5.6 of this brief).

Enhance the internal environment for users, staff and visitors; and

Enhance the aesthetic quality and functionality throughout the life of the Facilities.

For the avoidance of doubt, the PSCP shall also be required to address the above criteria in the selection of light fittings, controls, sockets and faceplates as appropriate to their location within the Facilities. The PSCP shall agree with the Authority during the design stage those specific areas which require a higher level of robustness.



5.15.2 Walls / PartitionsThe PSCP shall to take into account the finishes requirements for walls/partitions in relation to the areas they are serving, taking in to consideration the following criteria:

Structural strength of overall partition/wall, and adequacy of support for fittings, fixtures and equipment, both planned and future;

Sound reduction;

Fire resistance;

Moisture resistance;

Biological resistance;

Protection from damage and vandalism; and

Standards for Medium Secure Services.

Partition/wall types and finishes shall be in accordance with the relevant SHTM’s, HTMs HBNs, Design Guides and the Scottish Building Standards and the Finishes Matrix and should also be appropriate to the activity space that they serve, in terms of: imperviousness; hygiene; joints; smoothness; moisture resistance; resistance to cracking; and resistance to abrasion.

Generally, the PSCP shall provide wipeable paint finishes to walls. No paper coverings shall be proposed. Walls in wet areas e.g. to bathrooms and en-suites shall have an impervious wall finish, such as “whiterock “or equivalent. Current paint used on Ayrshire Central Site is Johnstone’s White Aqua Gloss and Johnstone’s White Aqua Undercoat, and Leyland Brilliant White Hard Wearing Matt emulsion.

Generally partitions shall be non-loadbearing, where feasible, to aid future flexibility in design.

The medium secure “shell” areas shall require a solid construction (no voids), generally concrete blockwork, to a minimum 7Nm.

Timber frame solutions would be considered subject to testing, (refer to chapter Error: Reference source not foundof this brief). The construction methodology should reflect the ceiling requirements described in chapter 5.10 of this brief.

Tiled walls/partitions shall not be acceptable.

Internal wall faces to all patient accessible areas shall have a high impact resistant plasterboard finish to BS EN 13279-1, suitable to the wall construction. In non-patient accessible area, i.e. staff offices, a standard plasterboard finish to BS EN 13279-1shall be provided.

All partitions, shall be full height to the underside at soffit/slab and shall be fully sealed for acoustics, fire and security purposes as necessary.



5.15.3 FlooringThe PSCP shall ensure all level, stair treads and nosings, and inclined flooring shall meet the following minimum slip resistance requirements:

“Pendulum Test Value” of 36 or greater (when either dry or contaminated); R10 text to be added

“Rz surface micro-roughness (microns µm)” of 20 µm or greater for water-wet, low activity pedestrian areas; and

Screed should be appropriate to type of vinyl.

The pendulum test shall be performed using a pendulum-coefficient of friction instrument with “Four-S” rubber (Standard Simulated Shoe Soil) and Slider 55 rubber, in accordance with approved HSE test methodology.

For the avoidance of doubt, the obligation to follow the pendulum-coefficient of friction methodology is a specific obligation and is derived from the HSE, which is their preferred method of test.

The PSCP shall ensure that all entrances to the Facilities, including those from private courtyards to ward areas, incorporate appropriate floor matting designed to remove contaminants including water, dirt and leaves from footwear, trolley wheels etc. and which does not create a trip hazard due to shrinkages, stretching or folds in the matting material. Floor matting shall be installed within matt wells to mitigate tripping hazards of loose floor matting. A water evaporation system such as a hot air curtain shall be provided at each main public entrance. The design should be such that there is no through flow of cold air from outside to internal areas. All floor finishes shall comply with SHTM 61 and have low absorption, low radius of ignition and low dirt retention.

The PSCP shall comply with all of the recommendations provided in SHS Safety Action Notice SAN(SC)05/08 as far as reasonably practicable, particularly in regard to barrier matting at doors to Private Courtyards where consideration may also be given to the use of external barrier matting.

The PSCP shall prepare a Flooring Finish Selection Matrix in accordance with SHTM 61, 2009 in order to demonstrate to the Authority that the selected finishes are suitable for their locations.

The PSCP shall take in to account the following criteria in their proposals:

Floor finishes shall take into account impact loads and damage;

Floor finishes must be in accordance with the relevant SHTM’s, SHPN’s, HTMs, HBNs, Design Guides, and the Scottish Building Standards, and should be appropriate to the activity space they serve in terms of imperviousness; hygiene; joints; smoothness; anti-static; slip resistance; absorption of liquids; radius of ignition;

Care must be taken in the selection of the appropriate soft floor coverings;

All entrances to the Facilities shall incorporate an entrance flooring system, as “Coral duo” or approved equivalent;

Entrance flooring systems shall extend for 6m into the Facilities.



Where carpets are proposed, the PSCP Co shall provide impervious backing. The PSCP shall provide due consideration for the use of durable wool-rich, loop pile carpets if appropriate to the room function;

The layout of flooring shall minimise cuts and seams;

Loose laid barrier matting shall not be permitted;

Central welds or welds down the length of a corridor shall not be permitted;

Visually contrasting texture flooring surfaces should be utilised, wherever appropriate, as an integral part of the way-finding strategy;

In any one area the PSCP shall ensure that only coverings from the same production batch is used to avoid patchiness and/or colour variation;

Zero profiles shall be required at external access points, including access routes to any garden/courtyard areas;

Joints, where required, between rooms shall be situated on the door centre;

Consideration must be given to the use of hard flooring in areas that may be subject to frequent soiling e.g. ward areas. Experience has shown that soft floor coverings in such areas, despite regular cleaning, rapidly become stained and have to be replaced frequently in order to maintain a cared-for appearance;

All joints between sheet floor finishes and between cove skirtings are to be hot seam welded with care taken particularly at doorways (all welded joints and set in coves, no open joints or sit on cove);

Vinyl finishes should be turned up at skirting level with cove formers which is sealed at the top edge with an approved manufacturers mastic;

Where vinyl finishes with timber skirting is identified on the Finishes Matrix, an anti-pick mastic seal is to be applied at the skirting/vinyl joint;

Early cognisance should be taken in the positioning of construction joints in flooring bases to avoid seams in floor finishes in the centre of rooms or circulation areas; and

Continuous flooring shall be provided, patching shall be avoided. Where movement joints are required these are to be identified on the layout drawings and not to be provided through clinical areas or other infection control sensitive rooms.

5.15.4 Finishes QualityThe PSCP shall provide the Authority with the opportunity to review all construction methods, materials and workmanship for the Facilities building fabric and finishes, during the construction of the Works. The PSCP shall allow for the Authority’s inspection at certain “hold points” in the construction of the Facilities to enable the Authority’s Representative to witness the workmanship. The number, location and extent of inspection for these “hold points” shall be agreed with the Authority during the final design stage.



5.16 External MaterialsThe PSCP shall ensure that selected materials are robust and durable. The choice of materials for cladding and external surfaces shall comply with the performance levels of the Authority’s Technical Brief and provide an appropriate design solution in terms of quality, safety, scale, colour, statutory and environmental requirements.

All External Materials shall comply with the requirements laid out within chapters 5.8 Building Envelope and 7 External Works of this brief.

5.17 Architectural HardwareThe locking system shall be fully suited across the Facilities, and shall interface with access control systems where provided. The locking system shall interface with the Authority’s existing access control systems, as advised by the Authority. Particular requirements with respect to electronic door access / security requirements are contained in chapter of this brief.

5.17.1 IronmongeryThe PSCP shall provide ironmongery which shall enhance the overall quality of the interior design concept. The PSCP shall ensure ironmongery is of robust construction suitable for its specific purpose and usage characteristics. The PSCP’s proposals for ironmongery shall be submitted for the Authority’s review during final design stage.

Ironmongery should be of reduced ligature type where patients shall be in unobserved areas, e.g. (including but not limited to) bedrooms, en-suites. Thumb pull plates, clutch thumb turns, etc should be used in these areas to avoid patient barricade. En-suite bathrooms shall have a privacy lock, with access to unlock from the bedroom side, together with a ball catch to locate the door leaf.

Full height robust, approved and tested “piano” hinges shall be fitted to all en-suite doors and wardrobe doors within patient areas.

Pivot hinges shall be fitted to all bedroom doors. Make and type of hinge to be agreed with the authority.

The designs shall maximise standardisation in patient areas to allow for greater future flexibility.

In day spaces, which are observed areas, “standard” type ironmongery may be acceptable.

No “D” handles should be used throughout the facilities

Ironmongery to staff only areas should be from a co-ordinating range, but not reduced ligature type.

225mm high kick plates shall be fitted to push side of all doors, and both sides on corridor doors. Push plates and pull handles shall be provided on all corridor doors, all face fixed (anti tamper screwed and glued) with radiused edges and rounded corners with pull handle on the lead door only. Kick and



push/plates may not be required where heavy duty laminate type doors are proposed.

All fixings to patient accessible areas shall be anti-vandal type. In areas as identified on the Schedule of Accommodation as being anti-ligature, all fixtures and fittings shall be appropriate to the anti-ligature strategy, such as the provision of anti-ligature fittings by Primera Life, or equal.

5.17.2 Locks and LockingIn common with window design, the locking/security strategy for the Facilities needs close consideration and liaison between the PSCP and the Authority user/clinical team. The Specific Clinical Requirements details the current Authority requirements. As a general guide the following principles are required:

Doors to ward entry points, circulation routes and selected rooms shall have proximity card activated locking mechanisms. mechanisms..

Doors to individual rooms in both inpatient accommodation, therapy and office accommodation shall have deadlocks;

Plant rooms/areas shall have deadlocks;

Doors to bedrooms shall have individual locks with clutch control override;;

All public sided security doors within the medium secure area – e.g. access from main entrance to the secure side, should have additional release from the Security Office/reception complete with an air lock facility;

Air lock designs shall be designed with interlocking doors i.e. only one door shall be capable of opening at any one time. Air lock door mechanisms shall close in a timely manner, acceptable to Operational Functionality. Air locks shall be complete with a manual staff override in the Security Office/reception for instances where doors are automatically disabled; and

A full suiting system shall be provided across the Site with various sub suites to each ward and department.

The PSCP shall submit principle locks and locking proposals for review by the Authority during the design stage. The PSCP shall provide fully developed locks and locking proposals for agreement with the Authority.

5.17.3 Blinds & Curtains The PSCP shall select blinds and curtains to relate to the overall interior design concept and to the specific performance requirements for each area in relation to colour, pattern, material, fire resistance, non-flammability, opacity, light reflectance and light absorption. Blinds and Curtains shall be Class 0 rated.

The PSCP shall ensure that materials for blinds and curtains shall also comply with the requirements of the Authority’s Head of Service Infection Control for cleaning, washing and maintenance, and comply with SHFN 30 (Infection Control in the Built Environment) and SHTM 87 (Textiles and furniture) and relevant Safety Action Notices.



In areas in requirement of anti-ligature fixtures and fittings, all blinds and curtains shall be compliant with the anti-ligature strategy, such as the provision of anti-ligature fittings (e.g. magnetic suspension systems) by Kestrel, or equal approved.

The locations and fixings for both blinds and window curtain tracks shall be co-ordinated by the PSCP with the window and internal window sill design from the outset of the building design development and the fixings shall be designed by the PSCP to take the proposed maximum loadings possible for the tracks concerned. Curtain tracks shall be designed by the PSCP to overlap the window openings so that they do not allow light to pass into the room when drawn.

Controls for blinds and curtains shall be co-ordinated by the PSCP with the window design and its opening gear, including any operating handles, levers, stays or anti-ligature type poles that may be required and shall be located conveniently for staff or patients to operate as appropriate.

The PSCP shall fix curtain tracks, where required i.e. treatment rooms, at a height recommended in the relevant guidance. The PSCP shall ensure curtain tracks are co-ordinated with other service outlets and the window positions, where applicable.

Tracks shall either be fitted to battens over windows, or fixed to a solid backing behind plasterboard.

Where the PSCP are required to provide “vistamatic” blind type controls to observation panels, doors and screens, appropriate sight lines shall be maintained into single bedrooms and counselling / interview rooms.

5.18 Sanitary Ware

5.18.1 GenerallyThe PSCP shall ensure that all sanitary ware conforms to the most current version of SHTM64 Sanitary Assemblies in all relevant respects.

En-suite and bathroom areas shall have a domestic appearance as far as is possible, designed to prevent attempted self harm or ligature.

All mirrors shall be set in to walls with pick proof sealants. They shall not be manufactured from any material that breaks with sharp edges or shards.

The final choice of components shall require close consideration and liaison between the PSCP designers and the Authority users/clinicians.

Design/component choice and solutions shall ultimately be subjected to clinical and product testing as detailed in chapter Error: Reference source not found of this brief.

The PSCP shall submit principle sanitary ware proposals for review by the Authority during the detailed design process. The PSCP shall provide fully developed sanitary ware proposals for agreement with the Authority.

The following descriptions are provided as a guide to designers and are not intended to be conclusive of the Authority’s requirements:



5.18.2 Hand Washing FacilitiesHand washing facilities shall have:

Single spout mixer to achieve correct temperature;

Water temperature thermostatically controlled using TMV 3 .Thermostatic mixing valves should comply with the standards of the MES D08: ‘Thermostatic mixing valves (healthcare premises)’. Thermostatic valves should be tested and accepted by the Build Cert TMV Scheme; and

Supply and waste connections to concealed services.

Where identified on the Schedule of Accommodation as being an anti-ligature area, hand drying facilities shall be reduced ligature type, i.e. paper towel holders on reduced ligature mounts.

Any hand gel dispensers (Group 2 Equipment) shall be fitted with drip tray and located in secure, non patient areas.

Impervious wall lining splash backs shall be provided at all handwashing locations.

5.18.3 Medium Secure Areas and Public Area WCs Anti-ligature type wash hand basin and WC pan, as Dart Valley or equal

approved;

Toilet seat integral to WC pan;

Recessed toilet flushing mechanism;

Sensor operated taps;

Captive swivel bevel edged plug;;

Wall mounted anti-ligature type shower head; and

Sensor operated shower control unit on a timer.

Ability to quickly, easily and selectively isolate services from outside of the room

5.18.4 Not Used

5.18.5 Not Used

5.18.6 Non patient accessible areas Porcelain wash hand basins and WC pan;

Recessed push button toilet flushing mechanism;

Bib, push or lever type taps – tio be fully discussed with the Authority at design stage.;

Captive swivel bevel edged plug;

Wall mounted type shower heads; and

Sensor operated shower control unit on a timer.



5.19 Staircases, Ramps, Balustrades, Walkways, Balconies & Lifts

Where staircases, ramps’ balustrades walkways, balconies and lifts are provided in addition to those required to satisfy means of escape criteria, these shall be designed to relate to the anticipated capacity of use and clearly designated for public, staff or service circulation.

Where ramps are provided in addition to those required to satisfy means of escape criteria these shall be suitable for independent and/or assisted wheelchair users, trolleys and ambulant disabled people.

Dependent on the nature and configuration of the PSCP’s design proposals, the PSCP may be required to provide staircases for fire fighting access, smoke control, dry and wet riser provision agreed with the Council’s Building Control Department and the Scottish Fire and Rescue Service

The provision for unhampered bariatric bed movement should also be considered.

5.20 Soft Landscaping RequirementsThe PSCP shall incorporate areas of soft landscaping into the Facilities to complement both buildings and hard landscaped areas’ of the Site and the adjacent areas of the ACH Site in accordance with the requirements of chapter 7.1 of this brief.

5.21 Wayfinding & Signposting The PSCP shall incorporate the following criteria:

In conjunction with the Authority, the PSCP will develop a wayfinding strategy that shall interface with the Authority’s retained buildings on the ACH Site. The PSCP shall ensure liaison with the Authority is made to maintain standards across the complete ACH Site;

All doors shall have the respective room number and title identified via clear and robust signage with durable fastenings. The door signage shall have the capacity to interchange title information, should room functionality change.

Signs shall be consistent to the end of the journey, identify functional specialities e.g. ‘General Medical Practices’ etc to facilitate the separation of different clinical zones;

Signposting from parking areas to entrances shall be clear and unambiguous;

Clear signage shall be provided to outside spaces; and

Colour contrasted flooring clues shall be provided to main reception area to guide visually impaired people to reception desk points. Clear orientation markers/signals are required at changes in direction at all entrance routes and main entrance.



5.22 ProtectionThe PSCP shall establish, and demonstrate, the most suitable form of protection at the most effective height / location and orientation that shall prevent direct impact with the building fabric, its fixtures and fittings. HTM 57 and BS 6262 provide guidance and recommendations on this subject.

The PSCP shall undertake a detailed review of those pieces of mobile equipment, both clinical and non-clinical, that are expected to be used by the Authority within the Facilities. This review shall include a process of risk assessment and shall be organised to determine the type and extent of protection that is required to the building fabric. The timing of the review is to be agreed by the Authority and the PSCP. This review shall be made available to the Authority as requested. The PSCP shall comply with the findings of the review.

Mobile equipment currently used by the Authority includes (but is not limited to) the following, however the PSCP shall be responsible for establishing a comprehensive schedule of all mobile equipment and associated dimensions sufficient to inform the design:

Beds / Patient Trolleys / Mobile X Ray Machines / Resuscitation Trolleys / Medication Trolleys / Waste Containers / Mail Trolleys/ Mobile Hoists / Wheelchairs / Food Trolleys / Mortuary Box / Supply Delivery Trolleys / Cleaning Equipment - Hoovers/Washers / Disposal Holder Collection Trolleys / Linen Trolleys / Sterile Supply Trolleys

The PSCP shall endeavour to minimise the extent of impact damage incurred by ensuring corridors are free of awkward corners / obstructions. The PSCP shall ensure that doors in corridors are of sufficient width to accommodate all forms of traffic and shall, where necessary, be designed to be held in the open position where appropriate.

A combination of some or all of the following forms of protection would be deemed appropriate in corridors:

Crash rails;

Defensive coves;

Corner treatment and reinforcement; and

Defensive covers.

As a minimum, wall protection shall be provided to 4 feet above finished floor level, or where handrails are provided, to the underside of handrails.

The PSCP shall ensure building fabric protection is provided in bedrooms where mobile beds are proposed.

Exposed services such as radiators can be badly damaged when struck by trolleys etc. the PSCP shall incorporate measures to avoid damage to these elements.

The PSCP shall protect doors on hold open devices such that trolleys, beds etc. are stopped by other means, such as floor mounted stops, prior to striking the door.



5.23 Static Discharges The PSCP shall seek to eliminate, by choice of material coupled with control of the environment the release of static charge, in accordance with the recommendations contained in HGN Static Discharge (1996).

The PSCP shall co-operate with the Authority in the production of relevant risk assessments in accordance with HTM 2050.

All floors within ICT rooms shall be antistatic. The flooring and pedestals that the antistatic flooring sit upon shall to comply with BS EN 50310:2006.

5.24 Standardisation & PrefabricationThe use of standardised / prefabricated elements and building components to achieve good quality control, ease and speed of installation and flexibility for future use is welcomed. Their use shall not constrict the Authority from achieving Operational Functionality and offering value for money.

In order to take advantage of the repetitive nature of construction, maximise productivity and efficiency and minimise construction periods and waste, consideration shall be given to off-site prefabrication. It shall specifically be applied to repetitive elements e.g., sanitary assemblies, bathrooms or complex equipment such as plant assemblies.

The PSCP shall adopt standardised and / or pre-fabricated components and elements of construction which improve product quality, guarantee consistency of performance enhance efficiency of maintenance, and provide flexibility for future changes, ease of replacement and value for money.

5.25 Materials The PSCP shall ensure that all materials incorporated into the Works shall comply with the requirements of The Construction Products (Amendment) Regulations 1994, and all other parts of the Authority’s Construction Requirements.

The PSCP shall ensure that all products and materials to be incorporated into the Facilities shall be new and of sound and satisfactory quality unless otherwise agreed by the Authority. The PSCP shall not construct the Works utilising substances which are hazardous to health, including but not limited to substances referred to as being hazardous to health and safety in The Control of Substances Hazardous to Health Regulations 2002 and The Control of Substances Hazardous to Health (Amendment) Regulations 2004.

Where possible materials procured should be able to be reused and recycled. An example of this would be in the selection of flooring material where it could be reused instead of going to landfill.

Where materials and components are not specifically identified as complying with The Construction Products (Amendment) Regulations 1994, the PSCP shall ensure that they comply with the relevant British Standards, Eurocodes and Codes of Practice. Where materials and components are available in varying qualities complying with two or more of the relevant regulations or standards, the higher quality products shall be used.



The PSCP shall ensure that the whole quantity of each product and material required to complete the Works is of a consistent type, size, quality and overall appearance and is fit for its intended purpose. The PSCP shall ensure all products and materials are handled, stored, prepared and used or fixed strictly in accordance with the manufacturers’ written instructions or recommendations and not be damaged when incorporated into the Works.

The PSCP shall not use any substance that could subsequently vent, gas, leeach or release into the as-built environment, that is known to cause harm as defined in CoSHH and supporting EH40, including but not limited to substances referred to as being hazardous to health and safety in “The Control of Substances Hazardous to Health Regulations 2002”.

The PSCP shall ensure that:

The materials selected or specified by or on its behalf for use in the Project and/or the provision of the Services (or any part or parts thereof) are in accordance with the guidance contained in the Good Practice Guidance for selecting materials and this chapter 5.25 of this brief and

There shall not be specified for use nor shall there be incorporated or used in connection with the Project any materials or substances which are expressly prohibited by this Agreement or which are generally known not to be in accordance with British or European Standards and Codes of Practice at the time of specification or use (as applicable), or any materials or substances which are deleterious to health and safety or to the durability of buildings and/or other structures and/or finishes and/or plant and machinery in the particular circumstances in which they are used, or any materials or substances identified as deleterious, unsatisfactory or unsuitable in the relevant circumstances in the Good Practice Guidance for selecting materials and, in addition to and separate from the foregoing, any substances or combination of substances publicised prior to the time of construction in any Building Research Establishment Limited (“BRE”) publications issued as part of the BRE Professional Development service which the BRE recommend are not used for building purposes or for the type of buildings comprised in the Project.

The PSCP shall certify at the Actual Completion Date that none of the materials, products or constructions listed have been used in the construction of the Facilities, or incorporated in them, other than where specific written consent from the Authority has been obtained.

The PSCP Co shall also notify the Authority of any other material, which may become designated as prohibited at any time after incorporation into the project, during the Project Term.

The PSCP shall obtain confirmation that all timbers are “Certified Wood”.

5.26 Sustainability Sustainability should be viewed as the key theme for this projects management, design, methodologies and practices, as the same way as cost, delivery and efficiency. Sustainability makes up one of the NHS Scotland’s three pillars.



The PSCP should deliver sustainability throughout all aspects of the project from everyone involved in the project, ranging from the design team, architects, builders, material purchasers, cost controllers, lighting designers, everyone who has a part to play in the project shall contribute to the overall sustainability goals.

This will be achieved through a set of sustainability principles which will be integrate, monitor, and report on sustainability during the design stages, construction, delivery and operation of the building.

This approach to sustainability will ensure that all parties involved in the building will participate and contribute to the overall goals of providing sustainable healthcare.

One of the issues that arise is the disconnect between the engineering, procurement and construction disciplines. It is relatively straight forward to produce a sustainable design however the principles can either be diluted or lost once the project moves from design into procurement and construction phase, unless the requirements are embedded in the supply chain.

The original aims of the design must be integrated into the PSCP’s documents as specific Key Performance Indicators (KPI’s) or deliverables that can then be used to track the design through various stages of the project.

This different approach incorporates the requirements of other stakeholders and the operation of the asset – using whole life costing.

Sustainable program management looks at the local and wider societal context of a development and provides a collaborative and integrated approach to deliver the benefits beyond the life cycle of the project.

SPM is identified as “The organised management of change in policies, assets or organisations, integrating the economic, social and environmental aspects of the project, its result and its effect, for now and future generations.” To ensure the successful delivery of sustainability, it is important that it is embedded in:

project and programme management processes and methodologies;

project and programme reporting; and

project and programme management competencies.

The reporting mechanism must provide a clear performance report, which summarises the status of a particular sustainability theme or issue in a similar way to how financial performance or safety is displayed.

Sustainable Programme Management’s

‘single source of truth’

Quarterly Reports

Project Risk Register

Program Risk Register



Other ad-hoc reports

Program status Dashboard

Program Board Slides

All Project and program reports

Review and Approval Process

Project Status Summary

(Tracks project status both at objective level and at overall performance level)

Client Design Reviews

Reports on intellectual property

Monthly Construction Data

Environmental incident reports

Design model data

Environmental management plan reviews

Project audit reports

Outcomes of meeting / workshops

The report should be informed by a variety of tools, audits, KPI’s, and monitoring reports of individual aspects of the NHS’s sustainability policy, such as material selection, diversity of workforce and resource efficiency.

When reporting on performance it is essential that scoring criteria is clearly defined and quantified to avoid any personal opinion influence.

There are several potential benefits to adopting a SPM approach. These include:

clear and consistent communication of expectations;

progress is measured objectively and consistently;

validated data are used as a “single source of truth” to generate multilevel and audience outputs;

helps to establish a strong governance function;

assists in the identification and management/mitigation of unsustainable trends;

enhances reputation and stakeholder satisfaction;

ensures alignment throughout supply chain;



human resources, development and training (job creation, competencies retention, etc.); and

a motivated workforce benefitting from shared culture and objectives.

Integrating sustainability into project and programme management involves the entire project delivery process and generates added value for project managers, communities, stakeholders and the natural environment.

The PSCP shall promote sustainable Facilities by demonstrating an integrated approach to the social, environmental and economic well-being of the area served, now and for future generations. The Facilities shall also reflect the objectives of any local agenda strategy supported by the Council.

The PSCP shall design the Facilities to support the environmental services and to conserve and utilise energy in line with the Climate Change Scotland Act 2009 and the public sector duty to meet national targets as outlined in the Change Plan RPP3 Feb 2018.

The PSCP proposals shall take cognisance of the Authority’s Policies including CEL 2 (2012), A Policy on Sustainable Development for NHSScotland 2012 and “A Sustainable Development Strategy for NHSScotland 2012”, “Sustainable Development in the NHS”, 2001 and, “NHS Estates, Sustainable Development: Environmental Strategy for the National Health Service,” 2005Cognisance shall also be taken of any Matters Subject to Conditions laid out in Planning Permission granted by the Council.

The PSCP shall ensure that the design and completed Facilities comply with the recommendations of Local Agenda 21, including reflecting the objectives of any Local Agenda 21 strategy supported by the Council.

The Facilities shall, as far as reasonably possible, deliver benefits to the environment. The PSCP shall:

Design the building using detailed modelling including actual data from existing NHS estate to be used instead of the NCM data. Recent studies with the NHS, IES and Mabbetts have shown that the real world energy consumption if 6 times greater than the NCM data. https://www.cibsejournal.com/general/model-patient-tackling-overheating-at-nhs-scotland/

BIM process - Identify the project team member best able to mitigate known risks and responsible for providing the modelling evidence at each stage in the design process

Standardised Approach – at each stage in the design of new buildings identify what analysis is needed and the format required for results to enable direct comparison across projects and analyses of similar types

Knowledge Base – Designers’ must demonstrate the right modelling capabilities and verify this through auditing their analysis models at key milestone stages. For instance, project mentoring could be customised to train each team member in the analysis of particular design aspects, e.g. for the Architect (correct windows selection and daylighting) and for the M&E designer (plant sizing and ventilation controls)



Modelling Scenarios – Use of real time data from NHS Scotland estates - This will provide more realistic data that designers can use to identify and manage out risks in their designs, particular with regard to overheating and operational energy.

Overheating Analysis - Create and implement design modelling procedures integrated across design team members based on more representative input data and identify the measures that need to be considered at each stage in the Design Process, e.g. overheating. If NCM data is used, this will result in the building overheating.

Non Summer Overheating - design teams look at every month of the year, not just the summer months. Designers should be aware how the occupants will behave with regard to areas such as window opening, control of thermostats etc. to help mitigate any design risks at the early stages. The Designers’ must demonstrated the right modelling capabilities and verify this through 3rd party auditing of their analysis models at key milestone stages. For instance, project mentoring could be customised to each team member, e.g. for architect (e.g. correct windows selection).

Implications of mechanical and electrical service design on overheating – The distribution losses of hot pipework and other services should be accounted for in models, including modelling the zone that they are contributing heat to. Designers will be required to consider alternative approaches to minimise uncontrolled heating, such as using lower water temperature distribution systems.

Ceiling Void Space Temperatures - With well insulated and air tight spaces that have to be maintained to over 20°C, combined with the low turnover of water per outlet it may no longer be possible to guarantee safe water temperatures using the conventional method of turnover and insulation. A range of innovative solutions need to be identified to ensure that designers address this issue.

Natural Ventilation - avoid ambiguity in targets for natural ventilation and take into account new practices in assessing overheating in buildings

Space Ventilators - Consider adding the requirement for permanently open or automatic ventilators, designed to avoid draughts.

Daylighting - CBDM should be considered as the new standard in daylight modelling approach to measure daylight capture and this extends to its ability to filter the hours of analysis. This approach would assess when daylight is actually being used and analysis can define more accurate benchmarks when assessing design scenarios.

Comparing In-Use Energy to the Design Stage - M&V / MVHR using a model based commissioning approach may be useful in areas thought to have stable operations. The design operation must be realised in the finished building. Once a reliable model of the building is created it can be used to fine tune the operation.

In-use energy - Use accurate modelling to identify how best to control each building, use sensitivity analysis to fine tune this and also use a soft



landings approach to feed real performance data back into the model to compare predicted with actual operation.

Application of Dynamic Simulation Models - Identify a protocol for use of DSM models to obtain maximum value at each stage in the building lifecycle. Through training and provision of approved templates improve consistency of modelling to mitigate risks of buildings failing in operation for reasons that could easily have been predicted.

Modellers must demonstrate suitable levels of competence. The modelling input and outputs will be checked by the NHS to ensure standards are maintained.

Implement a strategy to meet the BREEAM aspirations of the Authority as set out below;

Minimise waste during construction and operation;

Reduce the use of fuels which contribute to ozone depletion, global warming, air and water pollution and non-renewable resource depletion;

Respect the local landscape and protect natural habitat and species;

Enhance the natural biodiversity of the landscape in line with the Public Sector Duties outlined in the “Natural Conservation Act 2004” and the “2020 Challenge for Scotland’s biodiversity - A Strategy for the conservation and enhancement of biodiversity in Scotland”

Avoid sources of ionising and electromagnetic radiation to the extent determined by the relevant HTM;

Avoid any design features associated with sick building syndrome;

Maximise the opportunity for waste minimisation and re-cycling;

Maximise efficient and effective removal and transport of waste;

Adopt maintenance regimes which maintain optimum performance;

Where possible avoid the use of harmful building products and processes; and

Explore the use of prefabricated elements to achieve good quality control, ease and speed of installation and flexibility for future use.

The PSCP shall comply with the relevant NHS Requirements, including, but not limited to:

1. Use table 10 – HTM 07-02 EnCOde as the baseline for comparison on energy reduction and emissions reductions. Table 10 highlights energy consumption across various NHS buildings which mirrors the NHS Scotland estate energy consumptions.

2. The development of a Local Environmental Strategy in line with sustainable development in NHS;

3. New environmental strategy for the National Health Service;

4. Corporate Greencode;

5. NHS Scotland Sustainable Health Assessment



6. Carbon/ energy management in healthcare;

7. Consultation with SHINE: Alliance for sustainable buildings; and

8. When delivered the building shall achieve the energy usage rating for a building of this type and shall not exceed the target set in chapter 8.64 of this brief.

The PSCP shall design the Facilities to support the environmental services and to conserve and utilise energy. The design of the environmental control system shall be co-ordinated and integrated with the design of the structure and the occupied areas in order to maximise the control and flexibility of the installations.

WasteAll contractors should use the Waste Management Plan reporting template for reporting during the construction phase of the project. CCS best practice hub

This will assist builders to comply with waste management legislation and also to allow them to monitor their costs and environmental performance in relation to management of construction waste.

The simple Excel spreadsheet, already populated with a list of Waste Codes for common wastes associated with construction works.

The WMP can be used to document waste carriers and disposal facilities, as well as provide a record of wastes generated, re-used, recycled and disposed, giving final quantities of wastes and the percentage diverted from landfill.

A regular update of the WMP should be provided to the board for review.

Although the WMP must be sufficient to meet the individual needs and the waste streams that will be produce by the contractor.

This has the advantage of over purchasing materials which are not used, thus reducing waste and cost for the project.

Where applicable a materials passport should be provided to assist in increasing uptake of a circular economy. Letting users identify value potential throughout the building cycle, from planning and construction through occupancy, repairs, renovations, repurposing and decommissioning, and by providing a continuous capacity to track component and materials quality & modifications.

5.26.1 BREEAM

Dialogue meetings will take place with the PSCP, NHSA&A advisors, Health Facilities Scotland teams to discuss a way forward with the new BREEAM 2018 requirements for Healthcare. At the time of writing the BREEAM 2018 standards have not been set for a Healthcare environment.

Emphasis on building modelling along every stage of the process involving architects, designers, MHVR engineers, will take precedence to provide a building which does not overheat and provides low cold water end of line internal temperatures. Using real life data over the NCM data, looking at all



sources of heating in the building including occupation, natural lighting and solar gains, and void spaces, will all play a part in providing an accurate model of the building.

Sustainability reporting from all parties involved in the project using the Sustainable Programme Management’s ‘single source of truth’ will assist in ensuring that Sustainability is taken on board, and the reports will help keep the project on track to its goals.

5.27 Energy Strategy The PSCP shall provide, using reasonable endeavours, Facilities that achieve an optimum level of energy and utility conservation. The PSCP shall:

The following hierarchy shall be applied:

a. Energy conservation

Passive techniques

Maximize and optimize the use of passive measures to respond to local climate and site specific conditions, for heating, cooling, ventilating and daylighting.

Passive measures will include, but are not limited to:-

Building:- orientation, shading, massing and materials selection;

Landscape strategy: planting, shading, windbreaks, absorbent and reflective materials;

The positioning of openings to allow the penetration of solar radiation, daylight, and for ventilation.

b. Energy efficient equipment and systems selected to meet or better:

The recommended minimum energy efficiency standards for building services provided in the Non-domestic Building Services Compliance Guide for Scotland 2015 Edition;

The Technical Handbook 2015 Non-Domestic – Energy: ‘notional’ building fabric and glazing values (National Calculation Methodology (NCM) Modelling Guide for Non-Domestic Buildings in Scotland 2015)

c. Energy Sources

Environment quality is affected by the emission of pollutants and the dispersion, reaction and deposition of the substances emitted. Beyond Greenhouse gas emissions; human health issues are described in Health Protection Scotland document “Air Quality - Mortality in Scotland”. PSCP shall:

Minimise use of polluting energy sources

Maximize use of clean energy techniques

Generate energy from sustainable sources



Low pollutant energy sources are best applied when they are used to satisfy an energy demand already minimised through use of conservation measures and efficient design (as described above);

The ODPM document “low or zero carbon energy sources: strategy guide (May 2006)” provides methods to calculate the potential of several energy sources to contribute towards lowering CO2 emissions.

The PSCP design team shall produce for discussion with the Authority a report describing their assessments of the technical, environmental and economic feasibility of high-efficiency alternative systems in accordance with Scottish Building Standards “Consideration of high-efficiency alternative systems in new buildings”.

Also see BREEAM Ene 04 Low carbon design - Low and zero carbon technologies.

To identify the optimal balance of energy conservation and energy sources it is necessary to understand properly the heating, cooling, lighting and ventilation needs of the building. Accurate Dynamic Simulation Modelling (DSM) will aid such understanding and is a fundamental requirement throughout the projects. Patently, the accuracy of the building model depends on the knowledge, skill and input of a number of disciplines and it is desirable that the whole design team are involved in the production of an accurate computer model of all buildings as part of the project.

An Energy Strategy is to be agreed between PCSP project team & the Authority.

The Energy Strategy document will detail the actual heating and power equipment for the project, including capacity, responsiveness, operating parameters, operating hierarchy, agreed downtime for maintenance, and for environment monitoring. The strategy should be evidenced through the thermal modelling, design and specification of equipment, the commissioning and thermal and energy efficiency testing procedure results.

Guidance on preparing an Energy Strategy is provided via the SFT website.

Guidance Note on Energy Solutions on hub DBFM Projects [2014].

http://www.scottishfuturestrust.org.uk/files/publications/Energy_Strategy_Guidance_Note_on_hub_DBFM_projects.pdf

Schedule Part 6 Section 7 - Thermal and Energy Testing Procedure

http://www.scottishfuturestrust.org.uk/files/publications/Schedule_Part_6_Section_7_-_Guidance_Note.pdf

5.28 Fire Planning StrategyThe PSCP shall demonstrate in the design for the Facilities a clear understanding of the policies and principles underlying fire safety in NHS premises.

In all cases the proposed fire strategy shall be fully co-ordinated and be agreed with the Scottish Fire and Rescue Service, the Council’s Building Standards Department and the Authority’s Fire Safety Advisers . Any







proposals which deviate from the stated requirements of The Building (Scotland) Regulations 2016 and The Building (Scotland) Amendment Regulations 2016, SHTM 81 and SHTM 82, shall be supported by a specialist fire engineer’s report which provides a clear understanding of the risks and protection measures to be included. Calculations and supporting information shall also be provided.

5.29 Storage of Gas Cylinders The PSCP shall ensure that all gas cylinders, whether they are connected to external supplies or not, are stored in accordance with SHTM 2023.

Signage must be sited and designed in accordance with the Health and Safety (Safety Signs and Signals) Regulations 1996, BS 5499-10:2006 Safety signs, including fire safety signs - Part 10: Code of practice for the use of safety signs, including fire safety signs and the Health and Safety at Work Act 1974.

5.30 Facilities MaintenanceThe PSCP shall provide Facilities that ensure that the maintenance and replacement of services, finishes, components, elements, systems, furniture and equipment can be carried out effectively within the requirements of clinical operations and functionality.

The PSCP shall provide fixtures suitable for the mounting of fire extinguishers and associated bracketry.

The PSCP shall ensure that the access routes within the buildings shall allow access for the appropriate maintenance / cleaning system, and equipment utilising the hierarchy of control measures included within the Work at Height Regulations 2005 as amended. Appropriate provisions shall be incorporated by the PSCP to allow the safe use of the appropriate maintenance / cleaning system including but not limited to safe access to the workplace and equipment. The structural frame, floors and internal walls of the buildings shall be designed by the PSCP to accommodate the loading requirements of access equipment and operatives, where the cleaning and maintenance system uses this method.

5.31 Pest Control

The PSCP shall incorporate pest control measures and measures to prevent pest entry including seagulls and other nesting birds to the Facilities.

6 Civil & Structural Engineering Requirements The PSCP shall, in carrying out the Works, comply with the following non-exhaustive list of civil & structural engineering requirements.

The PSCP shall take cognisance of all the civil engineering and structural implications of the requirements described in the Clinical Requirements and this brief.



6.1 General RequirementsThe PSCP shall ensure that the design and construction of the civil and structural engineering elements of the buildings and external works meets the following criteria:

Be fit for their intended purpose;

Be fully co-ordinated with the design of the building fabric, finishes, services, facades, internal walls, medical equipment and existing ACH Site features, including buildings / structures;

Include the design and construction of any secondary framing necessary for the support of plant, services, ceiling mounted tracking hoist systems, other lifting equipment or medical equipment;

Provide adequate space for the distribution of services, while maintaining the required finished floor levels and the floor to ceiling heights called for in the Room Data Sheets, and elsewhere in this brief;

Provide a clear zone above the ceilings for services where feasible;

Provide fire resistance in accordance with the NHS Requirements, and the requirements of the Building Regulations;

Be adaptable to meet changing clinical needs;

Be designed to accommodate maintenance requirements for services, equipment and building fabric; and

Structural design shall ensure that structures are co-ordinated with the building services distribution philosophy in order to ensure the logical and sequential installation and maintenance of services. For example the use of columns adjacent to vertical service voids shall be minimised.

6.2 Architectural / Structural InterfaceStructural floors shall be designed to have penetrable zones co-ordinated with the modular framework for partitions and services.

The PSCP shall, as far as practical, ensure there are no columns in, or protruding into, corridors. The PSCP shall also ensure that the relationship of columns, ducts and walls permits clear internal room surfaces and not obstruct equipment or fittings.

As far as practical, the walls to vertical service shafts shall be non-load bearing and therefore maximising opportunity for future services installation, alteration and maintenance.

The elevation design shall facilitate distribution of services at the building perimeter.

6.3 Performance StandardsUnless otherwise agreed with the Authority, The PSCP shall ensure that all structural elements are designed in accordance with current revisions of the following standards:

Eurocode 0 – BS EN 1990:2002 – Basis of structural design;



Eurocode 1 Series – BS EN 1991 Actions on structures;

Eurocode 2 Series – BS EN 1992 Design of concrete structures;

Eurocode 3 Series – BS EN 1993 Design of steel structures;

Eurocode 4 Series – BS EN 1994 Design of composite steel and concrete

structures;

Eurocode 5 Series – BS EN 1995 Design of timber structures;

Eurocode 6 Series – BS EN 1996 Design of masonry structures;

Eurocode 7 Series – BS EN 1997 Geotechnical design;

BS 8500-1:2006 – Concrete: Complementary British Standard to BS EN

206-1. Part 1 Method of specifying and guidance for the specifier;

BS 8500-2:2006 – Concrete: Complementary British Standard to BS EN

206-1. Part 2 Specification for constituent materials and concrete;

BS 8102:2009 – Code of practice for protection of below ground structures

against water from the ground;

BS 8204 – Screeds, bases and in-situ floorings;

BS 5606:1990 – Guide to accuracy in building;

BS EN 13670:2009 - Execution of Concrete Structure;

BS EN 1090:2008 - Execution of steel structures and aluminium structures.

Technical requirements for steel structures;

BS 8000 – Workmanship on building sites;

BS8002:1994 – Code of practice for earth retaining structures;

BS8004: 1986 – Code of practice for foundations;

BS 8102: 1990 – Code of practice for protection of structures against water

from the ground;

BS8007:1987 – Code of practice for design of concrete structures for

retaining aqueous liquids;

BRE Special Digest 1:2005 Concrete in aggressive ground;

BS8500 – Workmanship on building sites;

BS8500 – Guide to specifying concrete;

Roads Development Guide;



Design Manual for Roads and Bridges;

Specification of Highway Works, published by the Stationary Office as

Volume 1 of the Manual of Contract Documents for Highway Works;

Sewers for Scotland 2nd Edition;

BS EN 752:2008 – Drain and sewer systems outside buildings;

BS EN 12056 – Gravity drainage systems inside buildings;

BS EN 1825 – Grease Separators;

BS EN 1295 0 Structural design of buried pipelines under various

conditions of loading;

CIRIA C624: Development and Flood Risk – Guidance for the Construction

Industry;

CIRIA C635: Design for Exceedance on Urban Drainage – Good Practice:

2006;

CIRIA C697: The SUDS Manual: 2007;

CIRIA R168: Culvert Design Guide;

The Water Environment (Controlled Activities) (Scotland) Regulations

2005;

SPP – Planning and Flooding;

North Ayrshire Council – Flood Prevention and Land Drainage Guidance;

ICE Specification for piling and embedded retaining walls, 2nd Edition;

CIRIA 66S: Assessing Risks posed by hazardous ground gases to

buildings: 2008; and

WRAS information and Guidance Note No. 9-04-03. The selection of

Materials for water supply pipes to be laid in contaminated land.

Note: Eurocodes 0 to 9 – Corresponding National Annexes shall be used where applicable for Nationally Determined Parameters (NDP).

Construction tolerances, unless otherwise stated by the Authority shall be no greater than those specified in Tables 1 and 2 of BS 5606. Where the operational constraints of the buildings require special levels of construction accuracy then the PSCP shall be responsible for establishing and designing for these.

The performance of components shall be in accordance with the appropriate British Standards and Eurocodes.



The PSCP shall ensure that building structures are designed to resist imposed, roof and wind loads not less than those required by current revisions of Eurocode 1 Series – Actions on structures. The PSCP shall ensure that building structures are designed to carry the loads of heavy plant and medical equipment in their permanent positions and any loads that shall be imposed upon the structures during the installation, removal or replacement of such heavy items. This requirement may involve the design of ‘strong routes’ through the buildings and / or specially strengthened areas of the roof onto which heavy items can be lifted. These areas and routes shall be identified by the PSCP in their design and agreed with the Authority. Consideration by the PSCP shall also be given to selection of floor screeds which shall have adequate strength and resilience to resist abrasion and indentation from the use of medical equipment.

The PSCP shall ensure that any measures considered necessary shall be taken to protect the buildings from ingress of naturally occurring ground gases.

6.4 Loadings & Structural FlexibilityThe Facilities’ structural flexibility shall reflect the overall Adaptability Strategy designed by the PSCP. Despite any connection to the existing ACH Site the Facilities are to be free standing and must not rely on any other buildings outwith the Site for support.

The PSCP’s structures shall be designed to cater for the dead loadings associated with the chosen materials for the structure, finishes, partitions and cladding to the buildings. As a minimum, it shall also be designed for the imposed loads as specified in current British Standards and Eurocodes. The design shall also take into account the need for specialist measures to allow for the installation of special equipment and associated services. Structural deflections shall be limited as necessary for the proper installation and functioning of specified equipment.

The PSCP shall account for (but not be limited to) the following loading schedule:

General floor loadings;

Point loads for Clinical equipment and Services;

Impact loads;

Vibration loads;

Special plant foundation loads; and

Service loads.

The PSCP shall take account of concentrated point loads from both mobile and stationary plant and equipment. The structure shall incorporate reasonable measures to accommodate updated versions of such machinery without major disruption. In addition, the PSCP shall ensure that floors and supporting structures have the capacity for retro fitting lifting devices for all fixed items of plant and equipment weighing 35kg or more.

The Room Data Sheets will have details on anticipated items of heavy equipment.



The PSCP shall provide structures within these areas which are capable of withstanding a minimum moving point load of 375kg where ceiling mounted tracking hoist systems are proposed. The structure supporting the ceiling mounted tracking hoist system shall meet the requirements of BS EN10535 Section 6.3 whereby deflection shall be no more than 1mm for every 200mm of track length. The structural capability and configuration of these areas shall allow the Authority complete flexibility for re-configuration and extension of this equipment and / or retro-fitting of future lifting equipment in these areas. For the avoidance of doubt, the PSCP shall ensure that the provision of ceiling mounted tracking hoist systems do not constitute a ligature risk.

The PSCP shall take account of the need for special screeds, raised or lowered floors, ceiling grid support grids and other such measures to allow for the installation of special equipment and associated services.

Relevant constraints may include but are not limited to maximum allowable structural deflections, differential settlement, vibration and the meeting of any specific tolerances. The PSCP shall be responsible for liaising with the Authority to establish and agree constraints.

The PSCP shall take account of dynamic loads from general movement of people through to activities such as aerobics, dance or other rhythmic activities that can give rise to adverse harmonic effects that affect the design.

Lateral stability bracing systems shall not obstruct or hinder clinical or non-clinical or any other use and/or operations at the Facilities and without limitation and shall not obscure the windows or doors.

The vibration response of the buildings shall comply with the requirements of SHTM 08-01 and be compatible with the requirements of the equipment to be installed.

With respect to the Facilities, the PSCP shall:

Take due account of future flexibility of the Facilities (in terms of future change of use and / or relocation of equipment);

Make specific allowance for items of particularly heavy equipment and / or other onerous loading conditions; and

Make specific allowance for installation, transfer and / or removal routes for heavy equipment throughout the Facilities.

Parts of the structure potentially subject to damage from trolleys or vehicles shall be designed with adequate protection to prevent such damage from occurring.

Structural deflections shall be limited as necessary for the proper installation and functioning of special mobile, rail mounted, or fixed equipment.

The PSCP shall include, within their design, provision for removal, replacement and upgrading of installed plant and equipment.

6.5 Foundations & Sub-structureThe PSCP shall provide foundations for the Facilities to Eurocodes to comply with current Codes of Practice taking into account the loadings to be



sustained, prevailing ground conditions and the effects of any settlement on new superstructure and on links to adjacent buildings. Proposed solutions shall take account of adjacent foundations or structures and engineering services below ground. Despite any connection to the existing ACH Site the Facilities are to be free standing and must not rely on any other buildings outwith the Site for support.

An initial and subsequent geotechnical investigation reports for the Site have been produced, provided within the Data Room. These factual reports may be relied upon and a collateral warranty for factual information shall be provided by the Geotechnical Investigation by the PSCP in favour of the Authority.

The foundations shall be designed and constructed in accordance with Eurocode BS EN 1997-1:2004 to suit the ground conditions and superstructure loading above. They shall be designed and constructed to be compatible with the prevailing ground conditions and with all structural elements, cladding material and finishes used to construct the building.

Foundations shall be designed in order to achieve overall stability of the structure and to avoid deformations to the superstructure to ensure structure performs to meet serviceability requirements.

Settlement and differential settlement shall be limited to ensure no re–distribution of load which would cause overstressing to any element of the structure. Settlement shall be restricted to ensure that no visible distress is caused to the structure and that no damage is caused to internal finishes or services. Foundations shall require to take account of and be designed to accommodate any existing Site features that are to be retained.

Building settlement shall be limited such that it does not affect the continued operation or serviceability of the Facilities.

The influence of depth and proximity of underground services shall be given due care and attention and shall be protected against as necessary.

The PSCP shall ensure that all building elements and retaining structures shall incorporate appropriate means to resist the passage of dampness, both into the building structure and fabric, and into the accommodation, including the resistance to any hydrostatic pressure.

Where there is a need to construct retaining walls to form part of the building, basements, lift pits, service entry pits and other elements that form an interface between the building and external ground, they shall be protected against water from the ground in accordance with BS 8102 and Code of Practice CP 102 for Protection of Buildings against Water from the Ground and other current relevant British Standards.

6.6 EarthworksEarthworks shall be carried out in accordance with all relevant British Standards and Codes of Practice and earthmoving operations shall ensure the continuing stability of the Site. Where possible the use of earth retaining structures shall be kept to a minimum with the emphasis on finished contoured ground profiles suitably landscaped.



Excavated soils shall be retained on Site where possible for appropriate re-use in order to minimise importing and exporting of soil. Unsuitable arisings shall be removed/suitably disposed of, or remediated accordingly, in accordance with SEPA and EPO requirements.

6.7 Movement JointsThe position of structural movement joints must be agreed with the Authority through the PSCP’s Adaptability Strategy. Structural movement joints shall not be located through:

Bedrooms;

Treatment Room and dispensary

Kitchens and food preparation areas;

Any patient room doorway;

Any room with (now or in the future) with ceiling mounted tracking hoists or other similar lifting equipment;

Any other room requiring a sterile environment; and

Any rooms where there is a risk of biological or other hazard, or risk of penetration by water, grease / oil, or other hazardous or detrimental substance.

Lateral stability bracing systems shall not obstruct or hinder clinical or non-clinical operations and shall not obscure the windows or doors.

6.8 Building Super-Structure & Envelope Vertical, oblique and lateral loadings from the external walls must be safely transmitted through the structure to the load bearing strata. When under maximum design stress, joints shall maintain full water exclusion properties and design appearance. The Facilities are to be free standing and must not rely on any other buildings outwith the Site for support.

In addition to providing safe, aesthetically pleasing and durable structures, the structural design must enable the required clear spaces to be achieved with adequate provision of services taking into account maintenance and replacement during the operational life of the buildings. The design must consider construction methods and future maintenance and demolition of the structures and make provision for these to be carried out safely.

The environmental criteria to be applied in confirming the design performance shall be assessed and confirmed by the PSCP. Formal testing of elements of the construction by a recognised testing authority shall be required as part of the approval process.

The design shall ensure that the completed structure is suitably robust and durable throughout its design life.

The Building structure shall be fully integrated with building services and shall provide flexibility for future changes to services and service routes.

Potential movement of the structure and / or its elements shall be provided for by inclusion of appropriate control joints and use of materials. The method of



movement control, spacing and width control joints etc shall be appropriate to the construction methods and materials adopted for the building and the anticipated movement.

External walls and internal partitions shall be provided with movement control joints, appropriate to their material, method of construction and anticipated movement.

The roof construction shall be suitably braced and held down to resist the influence of gusting winds appropriate to their locations.

The PSCP shall provide designs appropriate to the type of buildings and in accordance with all SHBN’s, SHTM’s. The design of each building should demonstrate.

Ability to withstand loads and load combinations imposed on the building, vertical, horizontal, dynamic, temporary etc.;

Designs must demonstrate compliance with robustness (tieing) requirements of current Codes of Practice and Technical Standards (Scotland) i.e. progressive collapse requirements;

Provision of movement must be included in designs, horizontal, vertical, shrinkage, temperature effects etc.;

Vibration sensitive equipment shall be in use throughout the Facilities. Designs should take cognisance of vibration categories;

Integration of building services with structure shall be a highly important part of the design process. The PSCP shall demonstrate how design coordination shall be achieved: and

All material used in the design of structures shall be compatible with each other and such things as finishes (e.g. Painted).

6.9 Fire & Corrosion ProtectionThe PSCP shall provide fire protection to all elements of structure and ensure fire performance is in compliance with space use and Building Regulations / the Firecode requirements.

All civil and structural elements shall have a fire resistance performance in accordance with Regulation 2 of the Building (Scotland) Regulations Technical Handbook.

Any externally applied fire protection must be durable and in accordance with the design life of the members in question.

Applied fire protection systems must be durable, appropriate to the environmental conditions in which they shall exist and compatible with the base material to which they are applied. All protected surfaces shall be suitable for decoration.

The PSCP shall provide a corrosion protection system appropriate to the various structural elements and their location of the buildings.

The corrosion protection system used shall be relevant to type of structure and its structural function and its material and location within the overall building



frame. All materials used shall be compatible with each other and with surface finish materials. Reference should be made to the design life of the building structures and finishes, refer to chapter 5 of this brief.

6.10 Durability & MaintainabilityAll elements of the structure shall be capable of withstanding potential deterioration due to weather, ground conditions, wear and tear, and accidental damage relevant to their location and environment.

Where the requirement for maintenance is less than the required life expectancy of the element(s) practical and realistic arrangements shall be designed into the construction of the Facilities to allow for any necessary repairs, replacements, and painting etc. to be carried out safely without compromising the operational activities within and around the Facilities.

6.11 Drainage The PSCP shall prepare a drainage strategy which should be prescriptive in outlining the requirements which are to be met in respect of the wastewater and surface water drainage from the Facilities. The report shall cover:

A surface water drainage strategy and the resulting surface water drainage network design considerations;

A waste water strategy, projected foul flows and the drainage network anticipated;

Sustainable Urban Drainage Criteria which require to be met;

The management and maintenance of the designed drainage systems, accompanied by a summary which details the residual requirements for maintenance of each element; and

Criteria for assessment of flood risk for the designed drainage networks and the Facilities. The requirements for mitigation of the assessed flood risk and the appropriate building floor levels for access / egress shall also be identified.

In development of the drainage strategy, the PSCP shall be responsible for liaison with the relevant stakeholders, including the Authority, in agreeing connection requirements to the surrounding public and private sewers, watercourses and drainage.

The PSCP shall be aware that all existing surface water infrastructure within the Site shall be live at commencement of the Project. The PSCP shall be responsible for all works in relation to maintaining, diverting, isolating, capping and removing existing surface water services within the Site as necessary, to ensure the continued safe operation of the service throughout the construction period.

The PSCP is responsible for the design and construction of a drainage network that meets the requirements of the Authority, the Council, SEPA and Scottish Water. The PSCP shall undertake due process to obtain agreement with Scottish Water for discharge into the public sewers which shall



necessitate obtaining confirmation of the system’s capacity to cope with the proposed discharge.

Prior detailed written approval of the proposed surface water scheme shall be obtained from the Local Planning Authority, the Scottish Environment Protection Agency (SEPA) and Scottish Water.

Prior detailed written approval shall be obtained from Scottish Water, to discharge foul sewage or surface water to the public sewerage systems. Such approval shall include confirmation that the existing systems have adequate capacity to accept the increased foul and surface water discharges from the Facilities.

The PSCP shall be responsible for negotiating any wayleaves required for installation of the new foul and surface water drainage systems. This shall include any wayleaves with the Authority for works within the existing ACH Site, outwith the PSCP’s Site, including all method statements and the programme for proposed works.

The PSCP shall design and provide for separate surface and wastewater drainage systems in accordance with the requirements of the Buildings (Scotland) Regulations 2016 and its amendments. Foul sewage shall be designed in accordance with Scottish Water adoptable standards as outlined in the latest edition of Sewers for Scotland.

All drainage shall be designed to avoid the risk of local flooding and flooding of the systems into which they discharge.

Drainage shall be sufficient to ensure that no areas of standing water occur outwith the extreme storm events. The drainage systems shall, as a minimum, be capable of accommodating the surface loadings for the storm event of 1:1000 years.. This shall include any storage required on the public network to offset the assessed impact of the Facilities.

Surface water discharges from roofs and hardstandings (roads and car parking) shall be designed to be contained within the Site. It shall be the PSCP’s responsibility to ensure that surface water from the Site shall be dealt with using Sustainable Urban Drainage System (SUDS) techniques in consultation with Local Authority and in accordance with the principles of ‘The SUDS’ Manual Report’ No C697 published by CIRIA (March 2007). SUDS features shall be designed as an integral part of the landscaping.

Provision shall be made for the diversion of any existing buried drainage, access chambers or other components, which may be necessary to enable construction of the Facilities.

The foul and surface water drainage systems shall include all necessary access chambers, rodding facilities etc. necessary for inspection and maintenance of the systems.

A free passage of air shall be maintained through the foul drainage system.

The PSCP shall design the drainage system in such a way as to avoid the requirement for manholes that are located within buildings. All external manholes shall be co-ordinated with the landscaping design in an aesthetically



pleasing manner. Where manholes are in hard surfaces there should be hard covers and the surface level carried through.

As a security precaution, The PSCP shall ensure that all manhole covers within patient accessible areas are recessed, lockable with a lock approved by the client and kept locked at all times when not being assessed. For the avoidance of doubt, manhole covers outwith patient areas, such as car parks and the road network, need not be lockable. No internal manholes shall be provided.

7 External WorksThis chapter sets out the Authority’s requirements in the design and construction of external works for the Facilities, including landscaping, Site access and car parking requirements.

The PSCP shall design, as an integral part of the Facilities, a hard and soft landscaping scheme that shall enhance the environment of the Facilities through provision of private gardens and courtyards.

These shall form an essential clinical part of the external environment, and must be integrated with the other aspects of the external environment, building entrance areas; car parking; access roads; pavements / footpaths; and service / delivery areas.

The PSCP shall design and construct an external environment for the facilities that fully integrates with the requirements of the Facilities and with the existing retained ACH Site. The PSCP shall appoint an appropriately qualified professional and prepare a comprehensive hard and soft landscaping scheme that shall, as an overall strategy, aims to:-

Provide a landscape framework and structure for the Facilities proposals to ensure a consistent and cohesive approach to the Site and to ensure an appropriate therapeutic environment suitable for the sites role as a mental health and community hospital;

Take cognisance of the existing landscape and built designations and protect and augment them in the new proposal;

Consider the use of any external features as climbing aids, toxins, weapons, self harm aids, aids to hiding persons or items, and possibility of use to undermine safety or security

Create a high quality, attractive and diverse hard and soft landscape treatment that reflects the status of the Facilities, complements the architecture of the buildings and strengthens the existing landscape character;

Provide a hierarchy of public and private spaces and their appropriate landscape treatment;

Provide a rich and inspirational environment, with seasonal interest and attractive usable spaces for all users including hospital staff, patients and the community;



The soft landscape design and choice of species shall be sympathetic to the character of the existing landscape and enhance the existing woodlands without affecting the long term integrity of the same; and

Optimise the use of NHS greenspace for patients, staff, visitors and the wider community.

The landscaping scheme shall be of a high quality. It shall assist in “bedding” the Facilities into its surroundings, and provide an interlinked network of attractive public spaces for amenity and circulation for use by patients, staff and visitors.

External hard and soft landscaping (including courtyards) shall be designed for therapeutic use and provide patient access. The landscape scheme shall be developed to support the security strategy for the Site. The design shall contribute to improving the environment of the local community. A clear strategy shall be developed for appropriate formal and informal treatment of public and private areas.

External landscaping (including courtyards) shall be accessible from individual wards and shall be designed for therapeutic use. The landscaping should include accessible social and recreation areas appropriate to patient groups, their families and staff. The landscape scheme shall facilitate security of pedestrians and avoid ‘No-Go’ areas.

The landscape shall be appropriately designed for the patient group accessing each area, e.g. anti-ligature issues with Mental Health patients, and the avoidance of open water courses or features. Only temporary surface water attenuation would be provided and located away from areas which were accessible for patients.

As far as reasonably practicable, The PSCP shall provide security to patient courtyards and recreational areas through the design of the, adopting an approach of ‘security without fences’. Where fencing is required for external access to courtyards, anti-climb security fences shall be provided. The visual impact of this should be softened without compromising security. Furthermore, objects which can be climbed on shall be kept away from fences, walls and roof eaves. Special attention shall be given to roof eaves in terms of height and design to prevent people climbing onto roofs. Doors to courtyards shall open inwards to prevent a climbing risk

The PSCP shall seek advice from North Ayrshire’s Crime Prevention Officer on the proposals for external works to minimise the risk of crime and vandalism of the Facilities, and the principles agreed, and those of the ‘Secured by Design’ standards, shall be applied.

Where possible, The PSCP shall ensure that external surfaces allow easy cleaning of vandalised elements, with the minimum of effort.

In preparing the hard and soft landscaping scheme for the external works, the PSCP shall ensure that due account is taken of the Authority’s requirements with respect to the integration of artwork.

The PSCP shall ensure any service element, inspection cover etc within a patient amenity area shall be securable and tamperproof. Any hard landscape surface / material shall not be readily lifted, thrown or ingested by patients.



External furniture shall be securely fixed and sufficiently robust to avoid damage or movement.

The PSCP shall provide external door thresholds which are flush. The following criteria require to be incorporated in the Facilities, and require to be generated in compliance with any relevant Planning Conditions / Sections:

7.1 Soft Landscaping RequirementsThe PSCP shall design, as an integral part of the Facilities, a soft landscaping scheme that shall enhance the environment of the Facilities.

The soft landscaping shall be practical to maintain, and plants and shrubs shall reach a state of maturity within three years of Actual Completion Date.

The design of landscaping and selection of plants and shrubs shall not increase the risk of crime.

Principles to be followed by the PSCP include the following;

The landscape proposal should aim to provide a vibrant and colourful environment that is reflected through the seasons;

Plants species specified must be environmentally suitable for the local growing conditions including climate and soils;

Planting areas must be located to allow plants to establish well and where feasible allow for surface water discharge to reduce the need for formal drainage ;

Plants and cultivation materials shall be non-poisonous and non-injurious (e.g. berries, spikes and the like) in areas of use of by patients;

Proposals must accommodate the requirements of BREEAM “Very Good”

Shrub beds, trees and planting areas shall be designed with appropriate future maintenance requirements wherever possible;

Imaginative soft landscaping proposals for entrances and secure gardens shall be provided, beyond the minimum requirements are welcomed;

The construction, materials and plant selections must be environmentally appropriate drainage shall be designed to allow safe use of the grounds;

Anti-ligature provisions within all courtyards to be developed in conjunction with the Authority; and

Shrubbery, planters and other fixed features should be located to allow access for tower/mobile platforms/ladders etc to carry out routine maintenance to the roof edges, guttering and wall elevations etc

7.1.1 GeneralThe PSCP shall involve the Authority in the decision making process for all proposed planting for the Facilities.

The PSCP shall carry out accurate surveys of their construction site prior to design of soft landscape to determine Site levels and identify on survey drawings all existing features including any existing mature trees.



The PSCP shall by reference to their own ground investigation data; confirm the need for imported topsoil or whether amelioration and reuse of existing soil is sufficient to support their soft landscaping proposals. The PSCP shall then provide new or utilise existing soils, as appropriate.

The PSCP shall carry out any necessary remedial measures to suit planted areas and hard landscaped areas.

7.1.2 Soil Preparation & TopsoilSoil preparation shall be carried out by the PSCP in accordance with BS 4428:1989, Code of practice for general landscape operations (excluding hard surfaces). The PSCP shall ensure care is taken with the use of weed-killers. The PSCP shall ensure that all topsoil complies with BS 3882:2007, Specification for topsoil and requirements for use.

7.1.3 Trees

The PSCP shall ensure that any work to existing trees, whether or not covered by Tree Preservation Orders, shall only be undertaken with the appropriate licence as stipulated by the TPO or with the approval of North Ayrshire Council.

The PSCP shall ensure that tree protection complies with BS 5837:2012, Trees in relation to design, demolition and construction recommendations. Before construction commences The PSCP shall take photographic records of the existing trees on and adjacent to the Site. The photographs shall record the trees’ unique number A Site plan shall be provide by the Authority that records the position of the existing trees and notes their unique number.

7.1.4 Shrubs & Groundcover

The PSCP shall ensure that all shrubs shall comply with BS 3936 Part 1:1992, and shall be planted to BS 4043: 1989.

The PSCP shall ensure that shrub and groundcover protection complies with BS 5837:2012, Trees in relation to design, demolition and construction - Recommendations. A register of the existing shrubs and groundcover shall be made including a shrub and area of groundcover a unique number. Before construction commences The PSCP shall take photographic records of the existing shrubs and areas of groundcover on and adjacent to the Site. The photographs shall record the shrubs and areas of groundcover’s unique number A Site plan shall record the position of the existing shrubs and areas of groundcover noting their unique number.

7.1.5 Planting & WateringThe PSCP shall ensure that planting and watering is carried out while soil and weather conditions are suitable for relevant operations.



7.1.6 TurfThe PSCP shall ensure that turf is in accordance with BS 3969:1998, Recommendations for Turf for general purposes. Turf shall be free from undesirable grasses and weeds.

The PSCP shall consider the use of 4G turf in courtyards, unless the courtyard is very large. If provided as part of the external landscape scheme, the PSCP must ensure there is a suitable, sufficiently wide access away from occupied areas for bringing mowing machinery to the turfed areas.

7.1.7 Health & Safety ConsiderationsThe PSCP shall ensure that all weed-killer / pesticides and herbicides and any other chemicals used in association with the landscape works preparation comply with SEPA regulations, the COSHH Regulations, and any other relevant regulations applying to hospital sites.

7.2 Private Open Space / CourtyardsSecure gardens containing soft and hard landscaped courtyard(s) are intrinsic to the building environment and must be provided by the PSCP as an integral part of the design solution proposed.

The design of the private open space shall reflect the importance of well-designed, useful private space on the quality of life of patients

The PSCP shall provide private open spaces which meet the needs of the Clinical Brief. The landscape schemes shall generally:

Create a calm and restful atmosphere and an environment which is non-threatening;

Maximise therapeutic opportunities and the ability to relieve boredom;

Provide opportunities for exercise, leisure and education;

Be sensitive to the needs of physically disabled patients, visitors and staff;

Consider space and environment and recognise that this shall be important from both the external and internal perspective; and

Be appropriate to the patient group(s) accessing each area, e.g. anti- ligature issues with Mental Health patients, and the avoidance of open water.

Access must be allowed to discreet internal landscaped space that is designated specifically to each ward and designed to provide contrasting textures and colours of plants, providing sensory stimulation and promoting sense of calm and relaxation. The PSCP shall provide private open spaces which are accessible for both the able bodied and those with mobility problems. Handrails shall be provided as appropriate.

The PSCP shall ensure dead ends are avoided in landscaped designs. Wander routes shall be easily seen and accessed from wards, leading to places of interest but always leading back to the wards and/or areas that may be observed by clinical staff. by clinical staff.



Contrasting ground finishes, including differing materials, colours and textures, shall be provided, in line with the varying needs and guidance for the patient group served, to provide multi-sensory interest.

The PSCP shall provide layouts that respond to the microclimate with respect to private outdoor space, indoor-outdoor connection, Site planting and organisation of the built form

The landscape scheme must provide sheltered areas (both for sun and inclement weather), suntraps and comfortable seating within the overall proposals. Sheltered areas shall be accessible without users being exposed to the elements i.e. through use of canopies. adjacent to the building and enclosed walkways.

Care should be taken to limit noise penetration by use of planting and walls.

Water supplies for irrigation purposes shall be located within a secure housing, complete with suitable backflow prevention devises.

The lines of demarcation between private/semi-private and public space should be attractive and clearly but sensitively delineated, making use of changes of material and other innovative design devices to eliminate the potential for outsiders to access these spaces.

Ease of maintenance terms of layout and access and detail design of both soft and hard landscape features should be a key factor in finalising the layout.

7.3 External Equipment and FurnitureThe PSCP shall provide external equipment required for the external areas. The extent, type and location of such equipment shall be agreed with the Authority during the design phase. The PSCP shall further provide supporting infrastructure for external equipment provided by the Authority, as detailed in the Authority’s Equipment list. Notwithstanding the foregoing, the Authority reserves the right to fund specific equipment.

The PSCP shall make provision for the following requirements:

The PSCP shall allow for securely fixing all equipment and furniture and should not promote access to roofs, fences etc.

Positioning of equipment should not create areas where persons can gather, unobserved by staff.

All Site furniture must be visually pleasing and co-ordinated, robust, safe, easily maintained and securely fixed to the ground;

Benches and other seating arrangements are required to all external garden/ courtyard areas and in public spaces;

Positioning of benches should not create areas where persons can gather, unobserved by staff;

Planters may be incorporated, and shall require drainage and irrigation provided as appropriate;

Grit and salt stations/bins shall be provided and located outwith patient areas;



Litter-bins shall be provided with at all public/ staff entrances;

Permanent fencing shall be incorporated to assist in security of the facility and the secure garden areas. Fences should be secure and robust in construction and of pleasing design. Height shall vary according to functional requirement the Authority in conjunction with the PSCP will assess security risks associated with the facility during the design stages and submit proposals;

Adequate, safe, secure, visually supervised parking provision for cycles should be provided at appropriate locations; and

An identified location for an external tree which may be illuminated shall be established as part of the PSCP’s Proposals. Adjacent to this location the PSCP shall provide a suitably protected, lockable, external power point.

7.4 Public Open SpaceA clear hierarchy of connected and usable open space provision throughout the Site has been be provided including access for use by the community as well as hospital staff and patients where appropriate, the PSCP will use their best endeavours to ensure that this is not compromised during construction of the new facility.

The use of the mature tree belt protected by a TPO is seen as an important element within the public open space hierarchy including therapeutic use by patients.

The provision of open space within the Site shall be well-defined, vibrant and colourful all year round and reflect the local context in its detail. The PSCP will use their best endeavours to ensure that this is not compromised during construction of the new facility.

Boundaries should be discreetly designed but easily recognised.

Robust hard and soft landscape features must be introduced to add value and interest and to influence the use of the space.

7.5 Site Boundary Requirements No work shall commence on Site until the details of the proposed boundary treatment have been submitted to and approved by the Council and the Authority.

The PSCP shall provide boundaries to the Facilities, which provide security, appropriate visual screening and essential maintenance access. The PSCP shall engage the Authority in the design process for all boundaries.

Where appropriate, proposals for the Site boundary treatment shall comply with the relevant parts of BS1722: Fencing.

7.6 Site Access & Circulation A traffic assessment has been undertaken on behalf of the Authority to ascertain and evaluate the impact of the Facilities on transport patterns. The



PSCP shall comply with any conditions outlined in the Planning Permission application.

The Authority strongly desire to see, as far as reasonably practical, the clear separation of access for services, supplies, and waste removal vehicles from patients’ and visitors’ access points and entry points for the Facilities. In the planning of the Facilities and of the Site layout, the PSCP shall endeavour to ensure as far as is reasonably practical that routes used by pedestrians are segregated from routes used by moving road vehicles and any tug trains or similar deployed in the operation and maintenance of the Facilities.

The defined routes for construction plant and construction access roadways shall be agreed by the PSCP with the relevant current users, including the Authority, the Council and Scottish Fire and Rescue Service.

The entrances and exits to the Facilities shall be clearly defined and signed; their design shall enhance ease of movement from and to the public roads. The road system within the Site shall be designed to facilitate safe, convenient routes separating transportation groups as far as practical. Attention is to be given to provide clear and well defined routes for emergency vehicles, fire, police and ambulance. The requirements of the Firecode in relation to ‘Site Access’ shall be considered.

External wayfinding refer to chapter 3.3.3 of this Technical Brief.

The PSCP shall define and seek agreement with the Authority and the Council for the creation of any additional pedestrian and / or emergency road access points to suit the specific requirements of the final design.

The PSCP shall ensure all of the access requirements within the Site shall satisfy the requirements of the Authority and the Council.

The PSCP shall also provide signage for Site navigation during construction and operational phases associated with the Works.

The PSCP shall undertake all necessary works associated with the following specific requirements:

7.6.1 Vehicular AccessRoad widths, turning circles, waiting bays and lay-bys shall be designed so that they are suitable for hospital and emergency traffic including service vehicles and are designed for the convenience of staff and the public. It shall be noted that some of these routes may be required to connect seamlessly into and be compatible with roads, turning circles, bays and lay-bys which are outside the Site boundary.

Vehicular access shall further be designed in a manner to minimise unauthorised parking.

7.6.2 Emergency Vehicle AccessThe PSCP shall provide clear and well defined routes for emergency vehicles such as ambulance, fire and police.



Ambulances shall be separately routed to the Facilities Secure Entrance. Access shall permit Ambulances to enter and exit the Facilities in forward motion.

A dedicated secure vehicle bay shall be provided by the PSCP for the Ambulance Entrance.

7.6.3 Service Vehicle AccessService traffic shall be separately routed to the Facilities delivery/access area(s). Service areas shall permit waste collection vehicles and delivery vehicles to enter and exit the Facilities in forward motion.

A dedicated external loading/delivery area shall be provided by the PSCP.

7.6.4 Pedestrian AccessThe PSCP shall endeavour to provide routes to the Facilities. These routes shall be clearly defined and segregated from vehicle routes where possible and link, where practicable to the main access points at Woodland View and to the principle patient, visitor and staff entrance points to the Facilities. It shall be noted that some of these routes may be required to connect seamlessly into and be compatible with and reflect pedestrian desire lines and pathways which are outside the Site boundary and which the PSCP shall require to discuss and agree with the Authority.

Pedestrian routes to the building shall be as direct as possible to reduce the temptation to use or create unauthorised entrances and exits.

Pedestrian emergency exits from the buildings shall be used for that purpose only and appropriate measures shall be taken by the PSCP to ensure that they cannot be used for accessing the buildings.

7.7 Roads, Footpaths, Cycleways and Car Parking The PSCP shall ensure the following;

Parking for vehicles is as close as possible to Facilities served and the diminishing of the visual impact of parking by appropriate planting shall not impinge on individual parking places;

Direct routes from parking areas to the building entrances are provided;

Appropriate and secure cycleways and cycle storage; and

Appropriate and secure motor bike storage.

The PSCP shall provide a network of internal roadways providing access to;

The delivery entrance(s) to the Facilities, waste compounds and service infrastructure; and

A taxi / car / ambulance drop off and layover bay(s).

The PSCP shall ensure that, delivery and refuse collection areas have sufficient headroom above them to allow for the passage and to allow efficient manoeuvring of such vehicles without undue difficulty or risk of impact or adverse effect of exhaust fumes on occupants of the buildings. The PSCP



shall ensure that all roads, car parks and other areas that may be used by fire appliances shall have sufficient headroom for such vehicles and are designed to allow their efficient manoeuvring.

Facilities for vehicle access and egress should allow quick and easy searching of vehicles if necessary

Where areas of car parks are required to be traversed by vehicles heavier than 2500kg for maintenance or access purposes, the sub-base, base and surfacing of these areas shall be specifically designed by the PSCP for these heavier loads.

Roads, delivery and refuse collection areas, and car parks, together with their supporting groundworks and structures, shall be designed by the PSCP to provide full and sufficient access for inspection, maintenance and repair of roads, car parks, delivery and refuse collection areas, structures, underground drainage, including existing drainage items such as manhole covers and drains. Where access for maintenance, repair or replacement of underground services is required under the terms of an easement, the design of all elements affecting the exercise of such an easement shall also be in accordance with the requirements of the company that has the right to exercise the easement.

The PSCP shall also comply with the following criteria:

Finish: to be macadam, hot rolled asphalt or, if agreed with the Authority, block paving. (subject to agreement with the Council);

Kerbs: to comply as a minimum standard with BS.1339:2003 “Concrete paving flags - Requirements and test methods”. Dropped, flush, kerbs shall be provided at all pedestrian crossing locations;

Pedestrian crossings: types, locations, lighting and controls shall be agreed with the Authority;

Markings: to The Traffic Signs Regulations and General Directions 2002 and all chapters of The Traffic Signs Manual and for the Authority’s approval;

Gradients: All gradients shall comply with the provisions of The Building (Scotland) Regulations 2016 and its amendments as applicable. No gradient in excess of 1:20 shall be allowed in parking areas (other than access roadways), and 1:15 on pedestrian staff, patient and visitor access paths from parking areas to the building entrances;

Parking bays: comply with the SHFN 20 and the item on gradients above. Variation from the standard (to make optimum use of the space for example) may be desirable and allowed subject to agreement with the Authority; and

Traffic and parking management is to be agreed with the Authority.

The PSCP shall, in their design of vehicular access and parking, eliminate the need for vehicle reversing where practicable.

Designs shall cater for the access and parking needs of pedestrians and the physically disadvantaged. This shall involve catering for visitors and staff using



different modes of transport in adapted vehicles and with multiple aids / equipment.

7.7.1 Road Markings & SignageThe PSCP shall design and provide appropriate signage external to the Facilities associated with the Works to ensure ease of navigation around the Site.

The PSCP shall undertake all necessary road markings within the Site boundary.

7.7.2 Cycleways and Cycle StorageThe PSCP shall give attention to the creation, and maintenance and extension of existing, safe cycle routes on the Site, further identified in the Authority’s Green Travel Plan.

Secure staff cycle parking and general public cycle parking shall be provided in line with the requirements of the Planning Authority, the Green Travel Plan and designed in line with Transport for Scotland’s Cycling by Design 2010. There is no requirement for the provision of public shower facilities within the Facilities.

7.7.3 Car and Motor Bike ParkingParking for the transport requirements of deliveries and waste disposal, ambulances, fire appliances (where required by Scottish Fire and Rescue) and other specialist and emergency vehicles shall be segregated from public and staff parking.

Car parking provision shall take into account the following requirements:

Drop off points;

Portering Service and FM vehicles (drop off only); and

Dedicated parking for those with disabilities, the elderly and those with small children located close to the clinical areas, especially for those with limited mobility and eyesight.

Car parking spaces should be optimised within the limitations of both Site and cost constraints. Provison of vehicle parking spaces will be dependent on the requirements of the planning authority. For the avoidance of doubt, these parking spaces are for the Facilities only.

All parking shall be discretely integrated in to the landscape.

Staff and visitor car parking spaces shall be a minimum 2.5m wide by 5m long.

The PSCP shall take cognisance of existing parking strategies on the ACH Site and allow for integration of such strategies with those for the Site.



7.7.4 Disabled ParkingThe design of the Facilities shall recognise the importance of providing sufficient accessible parking spaces and drop-off points as close to the entrances as possible. The PSCP shall provide as a minimum 5% of the total car parking spaces as accessible parking spaces for the Site. Each accessible parking space is to be provided with a sign that indicates that the parking space is for Disabled visitors.

Accessible parking bays shall incorporate a minimum additional 1.2m section to the sides and end of each bay with level access. This is to allow tailgate access by disabled people without the need to set down ramps or lifts within the main circulation routes of car parks.

7.7.5 Drop-off / Pick-up ArrangementsThe PSCP shall provide designated, covered “drop-off / pick-up” area(s) directly adjacent to the principle entrances to the Facilities. This shall allow direct access to the Facilities, for a wide range of vehicles including private cars, taxis, ambulances and patient transport vehicles.

7.8 Hard Landscaping RequirementsThe PSCP shall incorporate into the Facilities all associated hard landscaping for the Site, including but not limited to the following:

Access and hardstanding for emergency and delivery vehicles;

Access for building maintenance and window cleaning;

Access and circulation for, visitors and patients both on foot, bicycles, in cars or on public transport;

Parking for vehicles and bicycles including disabled facilities;

Drop-off facilities including lay-bys and bus/transport stops;

Service areas, as appropriate;

Accommodation for building services plant, waste and materials management, as appropriate;

Amenity areas for staff, patients and visitors;

Suitable pathways and paving;

Protection against noise and environmental pollution;

Security provisions, as appropriate;

Appropriate Site boundary treatment;

Walls, fencing, gates / barriers and hedgerows as appropriate along the Site Boundary and at particular locations inside the Site;

CCTV surveillance of the building perimeter and car park.

External lighting;



Suitable means of shelter against adverse weather conditions at entrances, bus / transport waiting, and drop off locations and covered links provided, as appropriate;

Automatic vehicle access barriers, as appropriate;

Fire hydrants;

Waste receptacles.

All hardstanding, Site roads, paths, car parks, cycleways, and footpaths etc shall be designed and constructed so as to be free from standing water unless, in areas of pourous paving, it is a requirement of SUDS during a ‘designed-for’ state.

The PSCP shall select hard landscape finishes in order to provide an appropriate, clean and serviceable finish.

The PSCP shall provide measures to protect pathways and grassed areas from unauthorised parking.

Hard landscaping shall be designed with consideration to the security measures detailed within this technical brief, and shall not lessen the effect of these in any way.

8 Mechanical & Electrical Engineering RequirementsThe PSCP shall in carrying out the Works comply with the following non-exhaustive list of mechanical & electrical requirements.

The PSCP shall provide mechanical and electrical systems that help create a modern building with innovative design. The PSCP shall provide an engineering system that utilises the latest technology to create a high quality working environment that shall provide a reassuring, secure and convenient hospital for all patients, their families, visitors and staff. The PSCP shall ensure the services network is efficient, effective, flexible and unobtrusive to the clinical functions. The PSCP shall ensure that the system is easy to maintain and shall maximise the opportunities for flexible adaptation and extension of the Facilities.

Electrical, mechanical and communication services shall be designed to be an integral and co-ordinated part of the design. Services shall be clearly identified at regular intervals and at all locations where maintenance access is required.

The location of engineering and utility services shall be co-ordinated with the structure and not constrain or conflict with Operational Functionality. Access to all services shall facilitate ease of maintenance which shall be safe and able to be effectively undertaken. There shall be provision for space to give flexibility for future re-planning and / or re-modelling of the services.

The Authority requires the buildings to be designed to achieve an optimum level of autonomy along with energy and utility utilisation.

The PSCP shall take due cognisance of The Authority’s Environmental Matrix.

The PSCP shall take cognisance of all the building services implications of the requirements described in the Clinical Brief and this technical brief.



8.1 Minimum Engineering StandardsIn addition to the publications in chapter 2 of this technical brief the PSCP shall ensure that the design, construction and selection of components for the mechanical and electrical works comply with, including but not limited to, the performance required by the following design reference documents:

NHS Scotland Firecode;

All current relevant legislation, guidance and Codes of Practice by CIBSE;

All current relevant legislation, guidance by B&ES (HVCA);

All current relevant British Standards;

European Harmonised Standard Specifications and Codes of Practice;

ACS Accreditation (formerly CORGI Regulations);

Gas Safety Regulations;

Water Research Centre Codes;

The Water Supply (Water Quality) (Scotland) Regulations 2010;

Electricity at Work Regulations1989;

BS 7671:2008) (IEE Wiring Regulations);

The control of Legionella bacteria in water systems approved Code of Practice;

The Electrical Equipment (Safety) Regulations 1994;

Electromagnetic Compatibility Regulations 2006; and

Water Bye-Laws.

The design of the environmental control system shall be co-ordinated and integrated with the design of the structure and the occupied areas as to maximise the control and flexibility of the Facilities.

The following is a non-exhaustive list of SHTM’s and HBN’s that the PSCP shall comply with that are applicable to the Facilities SHTM 64: Building Components Series Sanitary Assemblies:

SHTM 2010: Parts 1 to 6 Sterilization;

SHTM 2030: Washer-disinfectors

SHTM 2031: Clean steam for sterilization

SHTM 2035: Mains signalling;

SHTM 02-01: Parts A and B Medical gas pipeline systems SHTM 2023: Access and accommodation for engineering services;

SHTM 03-01: Ventilation in Healthcare Premises;

SHTM 04-01 Parts A-G: The control of Legionella, hygiene, ‘safe’ hot water, cold water and drinking water systems;

SHTM 06-01: Parts A and B Electrical services supply and distribution

SHTM 06-02: Electrical safety guidance for low voltage systems



SHTM 06-03: Electrical safety guidance for high voltage systems;

SHTM 07-02:EnCO2de - making energy work in healthcare Environment and sustainability;

SHTM 08-01: Specialist Services – Acoustics;

SHTM 08-02: Specialist Services – Lifts;

SHTM 08-03: Specialist Services - Bedhead Services;

SHTM 08-05: Parts A to D Building Management Systems; and

HBN 00-07: Resilience Planning for Healthcare Establishments;The PSCP shall provide anti-ligature fittings and fixings within the building services provision in appropriate areas (identified or otherwise in the Specific Clinical and Non-Clinical Requirements and Schedule of Accommodation in the anti-ligature strategy matrix), and generally in keeping with Good Industry Practice.

8.2 Energy Centre and Plant AreasThe Schedule of Accommodation identifies proportional area proposals for Mechanical and Electrical engineering plant spaces. The PSCP shall provide designs to suit the proposed areas. . Workshop areas shall be further accommodated within the area dedicated for plant.

8.3 Infection ControlMechanical and Electrical equipment selections and designs shall take cognisance of HAI-SCRIBE in its entirety.

8.4 Engineering Services Interface with Building FabricThe PSCP shall ensure that co-ordination of the electrical, mechanical and communication services shall form an inherent part of the Facilities design.

Services provision, e.g. luminaires, fire alarms, and mechanical services, shall be co-ordinated with the ceiling layout and allow simple relocation if required.

Access to services shall be provided and the services clearly identified at regular intervals and at all locations where maintenance access is required, for example at valves and electricity connection points.

The positioning of sockets, light switches, alarm buttons and fire “break--glass”” panels etc shall be consistently located throughout the Facilities and to specifications set out in BS8300 (unless specific clinical needs take precedence or otherwise agreed with the Authority, Building Control and Scottish Fire and Rescue Service). Controls shall be provided subject to approval from the Authority.

The PSCP shall ensure that structures are co-ordinated to allow the logical and sequential installation and maintenance of services. For example the positioning of vertical service voids adjacent to columns shall be minimised. The PSCP shall take in to account all necessary builder’s work in connection



for the building services installations, including all supports and structural holes.

8.5 Unrestricted Access to PatientsThe PSCP shall take due consideration of the servicing strategy for highly serviced areas. This shall be inclusive of but not limited to bed areas where clinical staff require free access. The PSCP shall not gain access to services above beds for maintenance purposes, other than lamp replacement.

8.6 Performance Standards

8.6.1 Energy Performance

PSCP - energy performance will be measured against the following:-

Operational energy,

Regulated energy,

Building standards section 6 compliance, and

BREEAM ENE 01 credits

(though this uses NCM data and is not representative of a real life healthcare building)

8.6.2 Dynamic Simulation Modelling (DSM)DSM for NHS Scotland buildings shall be undertaken throughout the design, to identify energy demand and energy consumption; daylighting, and thermal comfort. The DSM software shall be compliant with section 6 of the Scottish Building Standards Non-Domestic Handbook 2015 as a minimum, and CIBSE Application manual AM11.

In accordance with BREEAM ENE01 Prediction of operational energy consumption section;

prior to completion of the Concept Design relevant members of the design team shall hold a preliminary design workshop focusing on operational energy performance.

DSM will be undertaken to determine:

Operational energy and Operational Greenhouse Gas (CO2e) emissions,

Thermal conditions of occupants comfort, temperature in void spaces, and distributed cold water temperature,

BREEAM HEA 01 Visual comfort

BREEAM HEA 04 Thermal Comfort – to match Board requirements

BREEAM ENE 01 Prediction of operational energy consumption - to match Board requirements

BREEAM ENE 04 Low carbon design – to support recommendations



The modelling will be based on :

- architect drawings

- room specific data provided by the board

- The CIBSE future Design Summer Year (DSY) shall be used as the basis for overheating analysis and design assessments.

1. 2020s (2010 – 2039) – Low, medium and High emissions scenario

2. 2050s – Low, medium and High emissions scenario

3. 2080s – Low, medium and High emissions scenario

At key stages, the design team shall provide a copy of the dynamic modelling files supporting the project, and descriptive reports for review. The Board will review the model with a Technical Advisor or impartial 3rd party organisation to assist ProjectCo with design and construction information and model accuracy.

Descriptive reports shall be provided and include the following:-

• Energy systems and operational strategy to meet the emissions objective, supported by:

• Recommendations e.g. see BREEAM ENE 04 Low carbon design

• Life cycle assessment e.g. see BREEAM Man 02 Life cycle cost and service life planning

• Notes on how the recommendations will be carried through the design

Key stages

- Pre OBC

- mid OBC

- pre-FBC

To be agreed by board and design team

Final ‘as built’ complete DSM files for the project are to be provided to the Board as part of the O&M handover documentation.

Project brief and design – stakeholder consultation should be undertaken. Relevant members of the design team should organise a design workshop on operation energy as part of the design process.

Descriptive Energy reports should include the following:-

Executive summary

Recommendations

Notes on how the recommendations will be carried through the design



BRUKL .inp files

Full DSM model file (e.g. .cab file)

8.6.3 NHS Scotland Design Assessment Process (NDAP)

NDAP design assessment is a requirement under the Scottish Capital Investment Manual.

PCCP design team will provide to the Authority for Health Facilities Scotland NDAP verification at key stages (including pre-OBC, mid-FBC and pre-FBC):-

1. Energy and emissions reports as described in 8.6.1 with evidence of

a. Building standards section 6 compliance (regulated energy - BRUKL),

b. operational energy assessment,

c. operational emissions assessment based on BEIS conversion factors.

2. DSM input/output comparison data for Actual & Notional buildings

3. Life Cycle Analyses documentation

4. TM52 and TM59, and any other, overheating analyses reports

5. BREEAM status showing achieved, likely achievable, and unlikely achievable credits

8.6.4 Operational EnergyThe PSCS Target - operational energy consumption should be not greater than:

kWh/m2 CF Kg CO2

Heat 91 0.0777 7.14

Electricity 100 0.0777 7.7

Total 191 14.91

Note that the BEIS 2032 factor has been used for the carbon factor in the table.

The PSCS will meet the targets set in the table above.

Heating target – 91kWh / m2

Electricity target – 100kWh/m2

The design team will be required to demonstrate that in operation the building meets the energy performance corresponding to the projected 2032 emissions reductions.



To be able to demonstrate meeting the operational energy performance (kWh/m2), necessary and sufficient metering of services will be necessary. Metering is addressed in the metering section.

PSCS design team shall provide a breakdown of how the target operational energy consumption values shall be achieved, or bettered. In particular, PSCS design team shall provide details of the anticipated energy sources and their consumptions for each proposed building, and end users, and key activities. PSCS will be required to demonstrate that in operation the building meets the performance standard (kWh/m2).

If this level of performance is not achieved, PSCS design team will be required to undertake remedial works to meet this performance standard.

8.6.5 Energy Material and DesignHTM 07:02 EnCO2De 2015 – making energy work in healthcare To provide patients and staff wellbeing thermal comfort

Natural Stack Ventilation – H stack

Minimum 100mm insulation roof and external overclad

Use of natural cross ventilation

Perimeter heating

Little to no mechanical ventilation

Active trickle vents below windows

High level air outlets

Grills above windows, high level air outlets

External shades

Cross ventilation by threading crossover ducts in alternating directions across the width of the floor plate

Removal all suspended ceilings to expose concrete

Night ventilation to cool ceiling down

8.6.6 Building Form and FacadeThe building shape, orientation, location of access doors, and window position will all have an impact on the buildings energy demand. It is essential that the design team look at several façade options through modelling with the options presented to the design team. This modelling along the building specifications above will assess the thermal comfort in winter time and summertime, along with daylighting to be used to displace artificial lighting requirements. The building standards only effect some of the basic principles, where there are many other factors to consider that will influence energy in use that should be locked down at this stage.



8.6.7 Displaying Energy Performance (DEP)A Display Energy Certificate (DEC) or equivalent and NDAP approved DEP record, shall be prepared and displayed adjacent to the building Scottish EPC.

It is not a requirement to lodge the DEC.

The DEP/ DEC shall be annually updated for the greater of 3 years or the duration of the contract period following construction stage handover.

At handover, an initial DEP/ DEC shall use the modelled energy consumption, and annually thereafter, total annual energy consumption will be used.

The DEP/ DEC shall, for each energy source, show modelled energy consumption and actual energy consumption as recorded annually over periods up to the last three years.

For smaller facilities, the NHSS benchmarks are: (Table 10 HTM07:01 Encod2e)

Consumption should be weather corrected based on the relevant Scottish region Degree Days.

PSCS design team will monitor the actual consumption figure against the designated DEP/ DEC figure; and

o provide an annual Advisory Report to assist the Authority to meet Scottish Government policy, and NHS specific energy reduction and carbon abatement targets;

o report any significant discrepancy to the Authority to allow remedial works to be agreed;

o provide a copy of the annual DEP/ DEC and advisory Energy Report to the Authority Energy Environment and Sustainability Manager;

o copy to [email protected]

8.6.8 Regulated EnergyPSCS design team will be required to undertake Building Regulations energy modelling, and assessment of the results in line with the requirements for building standards compliance, and to produce a Scottish Energy Performance Certificate, and for BREEAM section ENE01.

PSCS shall provide a breakdown of how the Buildings regulated energy consumption values shall be achieved, or bettered. In particular, PSCS design team shall provide details of the anticipated energy sources and their consumptions for each proposed building. PSCS design team will be required to demonstrate that in operation the building meets the performance level (kWh/m2).

8.6.9 Scottish Energy Performace Certificate (EPC)The Technical Handbook 2015 Non-Domestic section 6.9 requires production and display of an EPC.



PSCS should aspire to build a A/A+ rated EPC to meeting the zero, or nearly zero carbon rated buildings in compliance with the EU target. Directive 2010/31/EU on the Energy Performance of Buildings (EPBD). EPBD Article 9: after 31 December 2018, new buildings occupied and owned by public authorities are nearly zero-energy buildings.

To be able to demonstrate (kWh/m2) compliance, necessary and sufficient kWh metering of services will be necessary. Metering is addressed in section 7.1 below

8.6.10 Thermal Comfort PSCS design team shall provide environmental systems which enable room temperatures to be maintained in line with the requirements laid out in the Room Data Sheets (RDS) and where this is not provided the following hierarchy shall be applied:

SHTM guidance;

CIBSE guidance;

Generic RDS.

The CIBSE future Design Summer Year (DSY) 2020s, 2050s, and 2080s, shall be used as the basis for overheating analysis and design assessments.

Also see: BREEAM Hea 04 Thermal comfort.

All non-specialised ventilated areas (e.g. naturally ventilated rooms; mixed-mode rooms), shall also be evaluated against CIBSE TM52 criteria.

Patient Specific areas : TM52 room occupant category will be Type I. EN15251 High level of expectation and is recommended for spaces occupied by very sensitive and fragile persons with special requirements like handicapped, sick, very young children and elderly persons.

PSCS design team shall provide the Authority with descriptive reports of the above analyses, and where analyses indicate that internal temperatures exceed guideline values; propose sustainable measures to mitigate affects and effects and for the Authority to consider.

Descriptive reports should include the following:

Executive summary

Mitigation measures

Notes on how the sustainable measures will be carried through the design

If this level of performance is not achieved, PSCS design team will be required to undertake remedial works to meet this performance standard.

The PSCP shall provide environmental systems which enable room temperatures to be maintained in line with the requirements laid out in the Environmental Matrix.

All bedroom spaces shall be evaluated against CIBSE TM59 2017 temperature and hours criteria..



For bedrooms it is appropriate to use room equipment, lighting, and occupancy patterns, windows opening, and so forth; as for the specific healthcare room and not per TM59.

SHTM 03-01 can be used to quantify service void heat gain and service void typical operative temperature for the assessment of cold water temperature.

Corridors and intervening spaces should be assessed, and may be assessed per SHTM 28C / ≥50 hours.

It is important to note that full details of the TM52 & TM59 assessments are required, not simply Pass/Fail statements.

PSCP shall provide the Board with descriptive reports of the above analyses, and where analyses indicate that internal temperatures exceed guideline values; propose sustainable measures to mitigate the effects and effects for the Board to consider.

8.6.11 Air Quality

(i) Internal

Air quality in all areas shall take account of occupancy levels, internal pollutants, heat gains, external pollutants and atmospheric conditions and shall be controlled to provide adequate comfort and fresh air levels appropriate to the functions of each department area.

Particular attention shall be given to the risk of cross infection within the hospital / healthcare environment and shall be such as to minimise the spread of infection. The PSCP shall demonstrate how their proposals facilitate the control and management of an outbreak and spread of infectious diseases, and in particular shall comply with the requirements of SHTM 03-01 (Ventilation in Healthcare Premises). In order to reduce cross-contamination, the design of the Facilities shall incorporate 100% fresh air supply systems only.

Heat recovery can potentially be used here to recover heat for processing, domestic hot water, cooling and heating requirements.

The PSCP demonstration is to cover all aspects of the building, its services, spatial relationships, soft and hard FM proposals and incorporate requirements of the Authority’s Infection Control Team.

The PSCP shall provide natural ventilation wherever possible, except where:

The level of outside noise is unacceptable;

Safety or security features which affect the natural ventilation design must be provided;

Unpleasant smells are generated either inside or outside the building;

Where inflows of air are undesirable;

Where through environmental calculation/simulation it is shown that natural ventilation alone shall not meet the minimum air flow compliance of limit



the internal summer time temperatures to those specified in the Environmental Matrix; and

Areas which are comfort cooled.

For the avoidance of doubt, the PSCP shall mechanically ventilate all wholly internal rooms with fresh air systems to maintain adequate air quality, i.e. air transfer from adjacent areas through transfer grilles shall not be acceptable. This excludes areas with extract only ventilation systems, e.g. en-suite bathrooms, WCs and Dirty Utility.

Where deemed applicable the control of ventilation should utilise CO2 sensors in areas of prevalence, in order to control and reduce energy.

(ii) ExternalThe PSCP shall comply with the requirements of the Council and other statutory bodies regarding airborne emissions from the Site and shall undertake all studies necessary to prove that emissions and their dispersal shall not have any adverse impact on the local community or staff, patients and visitors to the Site or existing retained ACH Site buildings.

8.6.12 VibrationThe PSCP shall ensure that building services plant and equipment are suitably isolated from the building structure in order to prevent the transmission of vibration. The PSCP shall comply with the guidance on the satisfactory magnitude of building vibration with respect to human response given in BS 6472-1:2008 Guide to evaluation of human exposure to vibration in buildings Part 1 Vibration sources other than blasting. The PSCP shall comply with the following vibration limits detailed below:

Plant rooms on occupied floors 0.015 m/s2;

Plant rooms above and below occupied floor levels 0.050 m/s2;

Remote plant rooms 0.100 m/s2;

Isolation of equipment from distribution routes via flexible connections;

Isolation of plant from structural supports via anti-vibration mounts;

Correct sizing of distribution routes which avoids vibration caused by water hammer and similar occurrences; and

No structure borne vibration is perceptible within any nearby living apartment

Plant and equipment noise levels are important considerations where in-patients are concerned. Transmitted noise and vibration is not acceptable. Particular attention should be paid to the construction of hardstandings adjacent to the building to minimise noise and vibration.

8.6.13 Acoustics

To allow the effective control of building services noise in the provision of a satisfactory acoustic environment the PSCP shall satisfy the following criteria



(with reference to British Standards and Minimum Health Planning Standards in particular SHTMs 03-01 and 08-01.

Careful selection of plant and equipment;

Good installation;

Appropriate design of mechanical services pipework and ductwork with regard to flowrates and velocity;

Appropriate design of mechanical and electrical noise emitting terminal devices such as lights, grilles, diffusers, radiators, etc. The design of which should not result in noise nuisance;

Appropriate selection of actuators for natural ventilation which allow for effective operation and control but do not result in noise nuisance;

Installation of flexible connections and isolation pads where required;

Use of acoustic louvers where required;

Attenuation measures applied where applicable;

Correct operation and maintenance; and

Be such that any associated noise complies with NR25 when measured within any nearby living apartment

The PSCP shall also take into account all planning and future development both externally and internally to prevent noise transmission.

HVAC transmitted noise tolerances for each room shall be in line with SHTMs 03 -01 and 08-01 and shall comply with the acoustic criteria identified in CIBSE Guide B “Heating, ventilating, air conditioning and refrigeration” and other acoustic requirements specified elsewhere in this document.

8.7 Incoming Services

8.7.1 GeneralThe PSCP shall be responsible for the provision of all Utilities and the energy supply infrastructure to and from the Facilities (whether this is internal or external to the Site boundary)Utilities supplies may connect in to the existing Ayrshire Central Hospital Site Utilities infrastructure, subject to confirmation of the condition and adequacy of the existing infrastructure to serve the Facilities, In providing Utilities and energy supply infrastructure connections to the Facilities, The PSCP shall be responsible for all works in association respective of each service, including:

Confirmation of the condition, capacity and adequacy of the proposed system liaison with potential suppliers, including the Authority;

System development and planning;

Agreement of location of connections with the Authority;

All supplies modifications to the periphery of the Site;

All supplies modifications within the Site;



Metering and sub-metering of supplies;

Strategic planning;

Emergency systems; and

Power factor correction.

All necessary reinforcement of existing public utilities, and where necessary the Authority’s existing infrastructure, to support the new development.Gas, water, electricity and drainage Utilities services shall be of sufficient capacity to meet the energy demands of the Facilities. The electrical supply shall include 25% spare capacity for future expansion.

A separate water service shall be provided of sufficient capacity to serve fire hydrants and shall be provided at the Site boundary, or interconnected with the existing Site fire main at a point approved with the Authority.

8.7.2 Security of Incoming SuppliesThe PSCP shall provide back up to respond to the failure of the incoming supply of electricity, gas and water supplies to the Facilities.

The PSCP shall make provision to connect to existing generator set to provide 100% standby generator capacity for electrical services in accordance with the requirements and recommendations of SHTM 06-01. For the avoidance of doubt, The PSCP shall also ensure that the Facilities are provided such that all the requirements detailed in SHTM 06-01 are satisfied.

The PSCP shall ensure their water, gas, electrical and data/telecommunication connections to the Site maintains an adequate and robust service and shall submit full connection details with their proposals.

8.7.3 Provision for IsolationThe PSCP shall ensure that all sections of the supply mains installed under the Contract, whether supplying electricity, gas or fluids, can be taken out of service for maintenance without interrupting the service to the Facilities or the supply to the existing ACH Site buildings. Standby facilities will ensure continuity of service to the Facility e.g. water tanks, oil fired boilers and emergency generator.

The PSCP shall provide external isolation of water supplies to the new Facilities. Local isolation of the water supply to all sanitary appliances, and at the final equipment connection points, shall also be provided.

All services, including power, water and heating, serving a patient bedroom and en-suite shall be capable of being easily, individually isolated. This isolation shall be from outwith the patient bedroom and en-suite, and accessible internally by staff. Secure anti-tamper access to the all isolation points shall be provided. The PSCP shall submit design proposals for isolation points, including how these are accessed and monitored, for Authority review during the design stage.



8.8 Mechanical Systems The PSCP shall design, supply, install, test and commission, all mechanical building services necessary to support the clinical activities of the Facilities.

Systems shall be design, supplied, installed, tested, commissioned, operated and maintained all in accordance with the regulations and standards.

8.8.1 Building Management Systems & Controls The PSCP shall provide a dual synchronised building management system (BMS) to be installed to allow easy, remote, monitoring of measured values and control set points. Communication with (and between controllers) shall utilise a dedicated communications network All BMS systems generally have the same functionality and therefore the choice of manufacturer shall be considered in conjunction with the Authority..

Should multiple BMS systems/suppliers be considered by the PSCP they shall require to fully integrate into a single ‘master’ BMS system. Appropriate training for the Authority for all individual systems will be required.

The PSCP shall ensure all plant can be operated in automatic mode (via a BMS) or manual mode should a corruption in BMS software occur. Furthermore, physical bypasses shall be provided where appropriate for maintaining service, for example at control valves.

The PSCP shall install a new digital BMS that controls all mechanical systems, lighting systems, security, CCTV, lifts and interfaces with other systems which have their own control systems which may include but not limited to any lighting systems, security systems, CCTV, lifts, fire systems, generators, CHP/biomass, oil storage, chiller & HVAC plant etc. It shall assist in minimising energy consumption.

The PSCP shall ensure that the Facilities have a hard-wired link between the BMS and fire alarm and other life safety systems to enable plant shutdown if required during fire situations. The BMS shall have a key switch to inhibit plant/lift shut downs during fire alarm testing.

The PSCP shall ensure that the BMS is capable of producing energy consumption reports to the Authority’s requirements. The Authority shall have full access to all new graphics which shall be fully controllable visible to the Authority..

The BMS system shall be designed, installed and commissioned in accordance with the manufacturers’ instructions and industry best practise. The following documents shall also be taken into consideration:

Standard Specifications for BMS, AG 9/2001, BSRIA;

Library of system control strategies, AG 7/98, BSRIA;

Automatic control, CIBSE Commissioning Code C: 2001;

Specifying building management systems, TN 6/98, BSRIA; and

SHTM 08-05.



The Authority controls philosophy is to provide a safe, healthy and comfortable environmental condition in the Facilities, whilst focusing on energy conservation measures. The PSCP shall ensure that the controls effectively deliver the requirements of the Authority. The PSCP shall adopt Good Industry Practice in the application of BMS controls in order to achieve the stringent new energy target for the Facilities.

The PSCP shall ensure that an energy and life cycle cost conscious approach is adopted for all stages of the BMS. The PSCP shall ensure that this includes the initial design of a system through to final commissioning; the planned maintenance; and the servicing of the plant.

The PSCP shall ensure that the programming of the outstations shall be carried out in a consistent, structured manner. The PSCP shall ensure that strategies shall be kept as simple and as uniform as possible. The PSCP shall ensure that the BMS incorporates the following non-exhaustive list of full functionality and monitoring points;

All temperature control strategies shall control flow temperature based on maintaining the return temperature.

The control and timing of heating, cooling and ventilation plant to ensure optimum energy and environmental performance, including multiple temperature zone controls, zone valves and individual area and room temperature sensors.

Optimum start of heating, cooling and ventilation plant to minimise the operational costs of achieving desired values by occupation time.

Optimum stop of heating, cooling and ventilation plant to minimise the operational costs of running plant during the required occupancy period.

Facility to program night set back set points for individual areas, individual optimisers, individual time schedules and areas that require heating continuously but not consistently.

Protection for the mechanical plant and building fabric during external frost conditions.

Protection for the building fabric, from condensation, when the mechanical plant is timed off.

Protection for the mechanical plant and building fabric during severe external air low temperatures by speed/damper control before complete shut down.

Provision to automatically shut off heating plant when the external air temperature has risen above a pre-determined set value. The plant shall automatically restore normal operation when the external air temperature falls to below a separate pre-determined value.

Weather compensation of any heating circuit dependant on external air temperature. This compensated set value shall be accessible for easy adjustment.

Weather compensated heating circuits shall also have room temperature influence to raise (and lower) the calculated set point with reference to a room temperature set point.

Temperature adjustment of the primary heating circuit flow temperature when any zone/control valve >90% open.

Where dual plant has been installed this shall be able to be automatically duty cycled by the BMS on a weekly or hours-run basis. Failure of the duty



plant shall notify the system and automatically (after a short period of time) bring on the standby plant.

All ventilation plant and air handling units shall be individually monitored and controlled through the BMS.

All extract fans serving more than one room shall be individually timeclock controlled and monitored through the BMS.

Representative graphic slides shall be required for all the controlled plant on the system. A hierarchical structure shall be adopted that allows other relative slides to be directly accessed from the current slide. These slides shall match the standard slides for the respective existing systems and be agreed with the Authority.

The system shall automatically flag-up alarms for remote interrogation. Essential critical alarms shall be also routed via SMS texts to an out-of-hours “on call” mobile phone. Great care shall be given to selection of the alarms that are deemed to be essential critical alarms.

The current state of plant, temperatures, set-values etc shall be accessible from a simple, intuitive index tree structure on the BMS “front-end” interface.

Application of energy metering, via the BMS, shall allow Renewable Heat Incentive and energy saving schemes and to be implemented. This shall require heat meters to be installed on each plate heat exchanger and heating circuit and connected into the BMS via MODBUS type interface. These meters may be used for fiscal purposes and would assist in providing information as to energy use.

The BMS shall monitor but not control the fire alarm system. The fire alarm system shall be hard-wired to the heating/ventilation plant to switch the plant off when required. The BMS input from the fire alarm system would mirror the action of the fire alarm hard-wired connection to also switch the plant off to prevent nuisance alarms from being generated.

The BMS shall monitor the control circuit state within each control panel and on failure of the control circuit would switch off the demands for the connected plant. This shall assist in identifying the control circuit state and also in preventing the system from being swamped by nuisance alarms. Care shall be taken that the control circuit failure does not give the impression that a fire alarm event has happened.

The automatic start-up of plant (timed on, restoration of fire alarm or control circuit) shall be staged in over a period of a few minutes to prevent surges on the supply to the control panels.

The BMS shall status monitor other systems such as, fire alarm fault, security system fault etc but shall NOT be expected to carry out any function with this information. All the systems connected shall have their own strategy that shall not be affected by the operation of the BMS.

The BMS shall monitor common fault alarms for security, smoke dampers, CCTV, staff attack, disabled alarms and nurse call.

Heating and cooling Plant independent control systems shall have electronic interfaces to connect to the respective BMS. This is envisaged to be a MODBUS connection that shall allow operational data – such as temperatures, conditions, set values, run-times and alarms to be “mapped” onto the BMS as real values.



Fans and pumps shall be inverter driven and speed set via an analogue output from the BMS. This shall allow trim to be applied to reduce operational costs as and when possible

The BMS shall be programmed with settable operational user levels to allow the filtering of functionality to be determined dependant on users experience and training.

Where BMS local room temperature controllers are utilised they shall be integrated with the BMS to allow the BMS to monitor the current characteristics of the controller. Characteristics such as current room temperature, actual room set-point, controller state, valve positions etc. It should also be possible to set values into the controllers remotely from the BMS. Examples of the set values are: Enabling the controller, main set values, lower set point limit, upper set point limit. Every room controller shall be represented individually on the BMS to allow specific rooms default conditions to be set remotely. The BMS software shall be written to allow for night set-back room temperature set points to be applied if required.

Electricity metering shall be provided on specific distribution boards and connected into the BMS via MODBUS type interface.

All renewable/LZC technology systems shall be individually metered and connected into the BMS via MODBUS type interface to permit the Authority to monitor record and maximise financial benefits from each system.

The BMS shall be capable of monitoring the hot and cold water temperatures, including stored cold water and volume records.

The BMS shall be capable of monitoring and logging the external conditions, including the ambient outside temperature. A weather station shall be provided by The PSCP and interfaced with the BMS and The PSCP’s’s design proposals. Any external temperature probes shall be installed away from direct sunlight and effects of wind.

The BMS shall include all the required control equipment (Fan / pump starters, sensors, valve actuators, pressure switches, pressure transducers, relays, power wiring, control wiring, network wiring, hand over-ride switches, panel indicator lamps, all other associated control panel items, Site specific software including graphic slides) to provide a complete working system control system.

The PSCP shall ensure the BMS is set up in a way that enables the monitoring of points on a continuous basis by the Authority in order to facilitate trend analysis. The PSCP shall ensure that this includes temperature profiles, valve positions and plant operation periods. The PSCP shall ensure that it is possible to obtain historic data on specified points for a period of at least 14 days in order to facilitate fault diagnosis in the event of a problem.

The PSCP shall ensure that the monitoring of domestic hot water and cold water (including tanks and end-of-line outlets) is carried out throughout the Facilities (not just at central plant) in order to demonstrate compliance with the Authority’s Legionella prevention strategy.

The PSCP shall ensure that the BMS is installed to control all plant where there is an operational requirement or a life cycle cost benefit, including but not limited to:

Heating plant;



Air handling plant;

Ventilation plant;

Cooling plant;

Domestic hot water plant;

Duty/Standby control; and

Lighting interior and exterior (localised control shall also be considered).

The PSCP shall ensure that all major plant items shall be designed and controlled to provide “real time” status monitoring, including run, fault, and alarm reporting. The PSCP shall ensure that this includes boilers, pumps, pressurisation units, air handling plant, fans and air conditioning. The PSCP shall provide a modular boiler system for the Facilities.

The PSCP shall ensure that the requirements of the following chapters are incorporated into the proposed Building Management System for the Facilities;

(i) Zone Control

The PSCP shall ensure the Facilities are capable of individual temperature control for all patient areas; to be achieved with the use of zone controls. Areas of 24-hour operation shall be independently controlled from non 24 hour areas to ensure optimum efficiency and in discrete areas consideration shall be given to localised zoning depending on the orientation of the buildings. Proper consideration is required to the level and extent of temperature sensing and monitoring devices to provide both accurate and cost effective zonal control.

(ii) Optimisation & CompensationThe PSCP shall ensure Good Industry Practice is adhered to regarding control regimes incorporating time, optimisation and weather compensation.

(iii) Smart Metering To ensure that systems are operating to design criteria and thus meeting the agreed performance standards or to support PSCP design team justify any extraordinary deviation from those performance standards, it is incumbent on PSCP design team to keep detailed supporting evidence.

It is expected that this will require PSCP design team to follow current best practice on metering and sub-metering following the guidance provided by:-

Technical Handbook 2015 Non-Domestic – Energy section 6.10 Metering;

CIBSE TM39 Building Energy Metering;

BREEAM NC SD5076: 5.0 - 2018 (Scotland) section ENE02 Energy monitoring;



OFGEM – metering requirements for the Renewable Heat Incentive technologies;

OFGEM - metering requirements for the Feed in Tariff or equivalent technologies;

Combined heat and power quality assurance (CHPQA) – Scheme monitoring ;BEIS - RD - Heat Network (Metering and Billing) 2014 Regulations.

National Contracts.

It is recommended that prior to handover, that the facility is signed up to all existing National Contracts, currently via:-

Scottish Procurement: Electricity, Gas, (and Water and Waste Water);

Crown Commercial Services: Liquid Fuels (Oils and LPG);

NSS National Procurement: Metering Services (Meter Operator, and Data Collection);

Biomass should use ISTA metering to collect the meter data from the heat meter and linked to the BEMS.

The PSCP shall ensure the use of meters giving high accuracy at low flow rates and that metering points give consumption in SI units including any time bands as appropriate. The PSCP shall ensure data collection and report production is by electronic systems. This data output must be compatible with the upload files for the various national and local M+T systems.

All incoming utilities shall be metered: gas, water and electricity.

The PSCP shall allow sub-metering of electricity, heating and domestic water usage for each individual department / unit.

As a minimum all incoming utilities shall be metered. In addition, any relatively large use of electricity, such as external and internal lighting, or mechanical plant, shall be metered separately and in line with BREEAM stipulations, separate from small power.

The metering equipment shall be located at the most appropriate location for an accurate reading of the load and readings shall be relayed to a central meter station in the energy centre. All meters must be connected up to the BMS or to a metering platform so data can be collected and interrogated for improving performance and fault determining.

The PSCP shall be responsible for implementing regular monitoring and reporting procedures. The installation of sub-metering is essential and must be introduced to obtain accurate departmental energy usage and costing information.

The Authority believes that the feedback of information on consumption levels is essential to ensure that any adverse variances are recognised and a course of remedial action initiated. Feedback shall be on a continuous basis or as otherwise agreed in writing, to enable energy consumptions to be data logged and profiled in a half hourly basis.



The PSCP shall undertake during the Defect Liability Period (DLP) calibration/accuracy checks on all meters (primary and sub) as an integral part of the services commissioning and prior to project completion to ensure BMS accuracy.

The BMS shall be installed to automatically read and provide trend analysis to a range of energy / water meters. All meters including those of the utility supply companies and internal sub-meters shall be automatically read by the BMS at pre-determined intervals. The PSCP shall ensure that the BMS is capable of reading utility meters on a continuous basis in order to facilitate trend analysis.

Heat metering will be applied for all renewable sources of energy. Flow metering around primary heating loop and on all secondary output heating circuits shall be included in order to measure and control the BMS strategy of the primary loop.

The PSCP shall undertake during the Defect Liability Period (DLP) calibration/accuracy checks on all meters (primary and sub) as an integral part of the services commissioning and prior to project completion to ensure BMS accuracy.

The energy metering shall include (but not limited to):

ElectricityMain incoming HV supply;

Each main LV Switchboard;

All process loads, e.g. catering, laundry, pharmacy etc.

External lighting (separate sub-meter for car park lighting);

All distribution boards with separate meters for power and lighting;

Departmental power and lighting;

HVAC control panels;

Cooling plant; and

Tenant areas (if provided).

For the purpose of energy estimates, hours run meters shall be provided for all Air Handling Unit (AHU) fans.

WaterHeat meters to DHWS to process departments e.g. laundry;

Main incoming water supply; and

Internal sub-meters

Cold feed to calorifiers.

(iv) Smart Meter TypeThe new smart meters must be capable to store measured energy consumption data for multiple time periods; and at least half hourly and they



must provide remote access to such data by the licensee. The meter shall allow access to data to be available in a day + one.

The metering shall be provided by an independent provider of metering and data services. This shall allow the supplier to be changed without being bound by any metering and data services, and without losing meter data during the supplier change over.

Metering data should use the NHS Scotland national contracts for MOP DC/AC for electricity. The data can be extracted to the national M+T system.

(v) Communication ProtocolIn recognition of the advances being made in building management systems, the PSCP shall ensure that the BMS platform is fully open protocol compatible with a range of diversified core systems and standard protocols such as BACnet, LonTalk, Modbus, and OPC. The use of these standard communication protocols shall allow for more effective integration and help prepare for future devices and technologies. It shall also facilitate the use of communication between different manufacturers control equipment.

(vi) User InterfaceThe PSCP shall ensure that once installed and commissioned the ‘smart’ meters have a BMS user interface that is sufficiently user friendly to facilitate multi-user access, without the need for the users to be controls or software specialists. The PSCP shall meet the requirements of the Authority in so far as that; the Authority envisages that navigation around the BMS, via the “front end” shall be by a combination of floor plans, plant & equipment graphics and drop down menus or “software” knobs.

The PSCP shall provide the Authority with a system capable of remote off-site access through the BMS from a number of locations, in order that it can monitor internal and utility consumptions / trends. Software access to be security password controlled.

The PSCP shall prepare and present sample software tutorial on BMS graphics (Graphical User Interface) to the Authority/end user for comment/approval at a time suitably in advance of project completion to allow software/graphic modifications in line with the Authority comments.

(vii) System SelectionThe PSCP shall ensure that all materials and equipment used are standard components, regularly manufactured for this and/or other systems and not custom designed especially for this project. The PSCP shall ensure that all systems and components have been thoroughly tested and proven in actual use, for at least two years, within other NHS establishments of a similar size and complexity to this one. All components and/or systems shall be type tested and carry the CE mark.

The PSCP shall confirm that both the hardware and software shall be provided by a controls manufacturer capable of providing product support and future compatibility from the Completion Date and will be fully supported for a



minimum period of 15 years from the Completion Date. Future compatibility shall be supported for no less than 10 years from the Completion Date. Compatibility shall be defined as the ability to upgrade existing field panels to current level of technology, and extend new field panels on a previously installed network.

8.8.2 Main Water Connection to the SiteThe PSCP shall provide a single main water connection to the Site, The PSCP shall undertake all works in relation to the mains water connection to the facility in line with the requirements of chapter 8.7 of this technical brief.

The PSCP may connect to the Authority’s existing ACH Site water infrastructure for potable and fire water services, at locations agreed with the Authority. All works in connection with the Authority’s existing water infrastructure shall be agreed in advance with the Authority including all design, construction and maintenance proposals, working method statements, and programmes of work. The PSCP shall meter the potable supply at the point of connection.

The PSCP shall be responsible for, and shall include for, all works in connection with the mains water supply, including liaison with the Authority and Scottish Water, procurement of the supply, connection of the mains supply to the Facilities and all associated ground works and making good, including those outwith the Site boundary.

8.8.3 Site Mains Water, Fire Water, Quality & DistributionThe PSCP shall develop the facilities potable and fire water networks as separate systems. The fire main is to be arranged in a ring with adequate valving to achieve robustness in continuity of supply, unless alternative arrangements for the fire main are agreed with the Authority and Scottish Fire and Rescue Service.

The PSCP shall filter the Site potable water to the criteria set out in SHTM 04-01 parts A-G and commensurate with the piping material proposed.

Should the PSCP propose connection to the Authority’s existing ACH Site fire mains water infrastructure, The PSCP shall be responsible for satisfying the Scottish Fire and Rescue Service in relation to the adequacy of the fire main for its intended use on Site and for the Facilities

In determining the pipework material the PSCP shall take cognisance of the latest best practice in the Scottish NHS.

8.8.4 Fossil FuelsThe PSCP shall undertake all works in relation to fossil fuel connections to Site in line with the requirements of chapter 8.7 of this technical brief.

The PSCP shall be responsible for, and shall include for, all works in connection with the supply of fossil fuel services to the Site, including liaison with the Authority and statutory authorities, procurement of the supplies,



connection of the mains supplies to the Facilities and all associated ground works and making good, including those outwith the Site boundary.

The PSCP shall connect to the Authority’s existing ACH Site gas infrastructure, at locations agreed with the Authority.

All works in connection with the Authority’s existing gas infrastructure shall be agreed in advance with the Authority including all design, construction and maintenance proposals, working method statements, and programmes of work. The PSCP shall sub-meter the gas service to the Facilities at the point of connection to the Authority’s existing infrastructure.

Where oil is proposed as a standby heating fuel, the Authority accepts that oil storage may be shared with that proposed for standby generators. Oil storage volumes may be shared between the two systems, with the total volume being calculated as the most onerous for either the standby generators or standby heating source.

8.8.5 Heating SystemThe PSCP shall provide all heating systems required to support the facility and meet the minimum room temperature requirements as identified in the Environmental Matrix.

Where areas of ‘circulation’ are proposed to be occupied by staff or patients for more than transient means and communications, the space shall be heated to a minimum 21°C, and not 18°C as per general corridor spaces. This requirement is to ensure that where staff are observing or working in “circulation” spaces, or where patients have the option to sit in “circulation” spaces, they are not subjected to temperatures which are more associated to active situations i.e. used only to move from A to B .

The PSCP shall ensure the following considerations are applied to the heating system:-

The following room types, as a minimum, shall have the facility for individual room temperature control:

Inpatient bedrooms;

Examination/ treatment rooms;

Consulting rooms;

Diagnostic and treatment spaces;

Nurse bases and reception areas;

Offices and support accommodation; and

Main entrance, corridors and waiting areas.

Inpatient bedroom local heating controls shall be remote type, installed outwith the patient bedroom and en-suite, and accessible internally by staff only. It is envisaged these controls shall be provided within the areas dedicated for service isolation for each bedroom, as identified in chapter 8.7.3 of this technical brief.

The PSCP shall provide a heating system to:



Provide local heating control, as identified above;

Zone and control heating circuits, through the BMS, to provide an efficient and comfortable environment;

Provide valve isolation such that isolation of circuits/sub-circuits shall have minimal disruption to the remaining departments;

Provide non-24 hour occupied (and unoccupied) wards and departments with a night set-back facility; and

Provide temperature and ventilation night set-back facilities so that when departments are unoccupied they shall have frost and anti-condensation protection.

The PSCP shall allow for the following requirements:

All Low Temperature Hot Water (LTHW) circuits serving space heat emitters shall include a 3 port mixing valve with compensated flow temperature controls and pumped secondary circuits. In addition, circuits serving areas with night set back facilities shall have optimum start/stop controls with boosted temperature heating on start up and after start up be controlled by means of a compensator scheduling heating system flow temperature against outdoor temperature;

All heat emitter shall be LST radiators (not shield type), convectors or radiant panels where applicable, suitable to the patient, staff and visitor group(s) the area serves;

All heat emitters shall be fitted with thermostatic controls to allow individual room control for areas as identified above. Where temperature sensors are direct coupled with the valve the sensor heads shall be fitted horizontally. Remote sensors shall be employed where the valve is concealed inside a low surface temperature casing or as required to avoid tampering;

Controls shall be provided to switch off heating secondary pumps when heating is not required in response to indoor and outdoor ambient temperature sensors;

Consideration shall be given to the use of variable speed pumps;

All boiler plant and domestic hot water heating systems shall be controlled by the building BMS system;

In the case of LST radiators and convectors, particular attention shall be paid to their fixings to the building fabric with due cognisance to the client / patient group (i.e. challenging behaviour, anti-ligature etc.);

Heating circuits shall be designed with due cognisance to building / area use and occupancy (24hr / 12hr) to avoid unnecessary space heating and facilitate set-back conditions at predetermined times through the BMS;

In the case of LST radiators, the PSCP shall submit written confirmation to the Authority that no part of the LST casing (grilles or panels) exceeds the HGN ‘Safe Hot Water and Surface Temperatures’ parameters when operating at the design LTHW flow / return temperatures and room condition;



In treatment room or rooms where infection is issue radiators/heaters must not form an area where dust/dirt can accumulate; and

Use of warm air curtains over main building entrances, including speed and output control, to provide a barrier to the ingress of cold air and drafts, and aid the evaporation of water at entrance locations.

All Medium Temperature Hot Water (MTHW) pipework shall be in medium grade steel with welded joints and fittings

All LTHW pipework 65mm diameter and above shall be medium grade steel welded and/or prefabricated with a mechanical jointing system (e.g. flanged or grooved). Pipework 50mm diameter and below will be the pressfit crimped system, screwed joints and fittings, consideration shall be given to light grade crimped pipe.

The PSCP shall provide high efficiency heat generation and heating water distribution plant, serving good quality heat emitters to ensure satisfactory heat distribution within the area served. The PSCP shall arrange heat emitters and all heating pipework such that in all areas, the surface temperature limits as laid down in SHTM 04-01 are not exceeded. The PSCP shall pay particular attention to effective use of warm air curtains in entrance / draft lobbies.

Heating Plant shall be arranged as N+1 to enable maintenance of a service without affecting the operation of the Facilities.

The PSCP shall arrange heat emitters and all heating pipe work such that in all areas, the surface temperature limits as laid down in Health Guidance Note "Safe Hot Water and Surface Temperatures" are not exceeded.

The PSCP shall not utilise heating pipe work as a heat emitter within patient areas.

8.8.6 Domestic Water ServicesThe water supply system for the Facilities shall be derived from the existing estate infrastructure and also incorporate on-site bulk water storage (12-hours).

Treatment of potable cold water supplies is considered undesirable and the provision of a wholesome supply from Scottish Water’s mains via the existing infrastructure with the minimum of storage and handling is the preferred approach.

For the avoidance of doubt, the complete cold water supply installation, including storage tanks, pumps, ancillaries, sanitaryware etc. shall be wholesome in nature.

The PSCP shall design and install the domestic cold and hot water supply installations to fully comply with the requirements of SHTM 04-01 Parts A to G. The PSCP shall include for all specialist treatment plant that may be necessary. The PSCP shall provide water sampling points as required by SHTM 04-01 Parts A to G with due regard for clinical requirements.

Secure local isolation shall be provided by the PSCP at all sanitary appliances, and at final connection points to equipment. The PSCP shall provide secure external isolation to the buildings.



The PSCP shall provide water connection points with ballofix valves for isolation purposes, and drainage for plumbed in water dispensers in rooms as required.

The PSCP shall provide plumbed water to specialist services such as, but not limited to, washing machines in laundry’s and dishwashers in kitchen areas.

The PSCP shall provide plumbed water to all vending machines as required throughout the Facilities

The PSCP’s attention is drawn in particular to SHTM 04-01 Parts A-G concerning pipework materials and standards of filtration to be used in Scottish health care facilities.

All handwashing and shower facilities shall be provided with automatic timed flow control mechanisms, which shall be set up to minimise the risk of deliberate flooding in the Facilities.

Sanitary ware shall be as per the requirements laid out in chapter 5.18 of this technical brief.

As required within SHTM 04-01 parts A-G, no flexible or braided hoses shall be permitted for final connections between domestic water distribution pipework and appliances/outlets, with the exception of adjustable height baths, which by the manner of their operation require flexible hose final connections for both the water supply and drainage.

The PSCP shall provide a cold water supply to all courtyards, compliant with all statutory authority requirements including backflow prevention relevant for the category of supply.

8.8.7 Hot Water SupplyAppropriate operational engineering systems for hot water shall be included in the design of the Facilities.

Domestic hot water systems shall be designed to provide adequate flow to satisfy maximum demand and including appropriate storage volume in support of the overall energy strategy utilising low carbon heating system.

The control of Legionella and other bacteria within the systems is critical and is considered mandatory.

The PSCP shall install Type 3 (in accordance with NHS Model Engineering Specification D08) thermostatic mixing valves at all HWS outlets to comply with SHTMs and SHGNs except where 60°C water is a particular requirement , as identified in the Environmental Matrix.

Hot water boilers shall be provided in all pantry and kitchen areas.

8.8.8 Mechanical Ventilation & Comfort CoolingThe PSCP shall provide heating, ventilation and comfort cooling systems for the Facilities which maintain the Facilities in line with the Authority’s temperature and air quality requirements identified in the Environmental Matrix.



The need to maintain acceptable comfort conditions in all areas but particularly in clinical areas is of paramount importance and the PSCP shall develop strategies for achieving optimum comfort together with minimum energy consumption.

The PSCP shall look to maximise the use of natural ventilation however mechanical ventilation and comfort cooling systems shall be provided where necessary to suit the Facilities and clinical requirements, or where the design configuration leaves these rooms wholly internal. The PSCP shall ensure heat gain from all equipment and personnel is allowed for in sizing and selection of systems.

Where required, mechanical ventilation and comfort cooling systems shall be logically designed to operate efficiently incorporating energy recovery.

The PSCP shall provide a local and centrally adjustable climate control facility in clinical and staff areas which are provided with comfort cooling (if applicable).

The environmental systems shall be appropriately designed to provide fully integrated designs in terms of the incorporation of engineering services into the building fabric and external spaces.

Where corridor doors have hold open devices, the PSCP shall ensure the heating/cooling/ventilation strategies allow for the environmental issues this creates. The operational needs of the unit with regards to needing doors on hold open devices takes precedence over environmental zoning, and environmental solutions shall be designed with these requirements in mind.

All mechanical ventilation system air discharges and intakes shall be designed and located with due cognisance to prevailing wind direction and to reduce risk to naturally ventilated spaces and ‘short-circuiting’ of stale air.

All refrigerants utilised in mechanical cooling systems shall be selected with due cognisance to their inherent GWP and ODP, generally in accordance with Green code. Care shall be taken that the arrangement of supply air inlet and extract air outlet provisions maintains the required relative air movements from "clean" to "dirty" areas.

The PSCP’s design shall take cognisance of the level of noise from ventilation and comfort cooling such that aggregate noise level in any room does not exceed the Noise Criteria indicated in the SHTMs.

The PSCP’s design of the ventilation and comfort cooling systems shall fully satisfy the project BREEAM requirements identified within the PSCP’s Proposals.

The PSCP shall demonstrate how their proposals facilitate the control and management of an outbreak and spread of infectious diseases in accordance with SHTM 03-01, SHFN 30 and HAI-SCRIBE.

The PSCP demonstration is to cover all aspects of the building, its services, spatial relationships, Soft and Hard FM proposals (as appropriate) and incorporate requirements of the Authority’s Infection Control Team.

The PSCP shall ensure that ventilation systems installed in areas classified as hazardous are designed to relevant standards.



Where grilles or diffusers are used within rooms the PSCP shall ensure they are:

Arranged to avoid draughts; and

Designed to minimise noise intrusion into the space or leakage from the space.

All mechanical ventilation ductwork shall retain suitable devices (fusible link fire damper / automated fire and smoke damper) at the appropriate locations to achieve the performance required by the building fire compartmentation, Firecode, SHTM 03-01 and the current Scottish Technical Standards. Where applicable, the PSCP shall install a fire and smoke damper system connected to a dictated LAN back to a central control panel, adjacent to the main Fire Alarm Panel in the building.

8.8.9 Medical Gases

The PSCP shall discuss the provision of all medical gases with the Authority’ such as but not limited to:-

a) Piped oxygen, where identified as a requirement;

b) Medical gas bottles, plant areas and stores shall be accommodated within suitably designed buildings / rooms / enclosures with safe access, natural ventilation and satisfactory security and noise emissions control.

All medical gas installations which serve clinical departments shall be connected to essential electrical supplies.

The status of the medical gas plant shall be monitored by an alarm system with a status signal to an alarm panel located in a 24/7 manned location. The panel shall also report the alarm to the BMS.

The PSCP shall install the piped medical gases in accordance with SHTM 02-01 and “Model Engineering Specification C11”.

The PSCP shall provide a medical gas distribution system sized to accommodate the demand of the Facilities at completion and handover, with the capacity to accommodate an increase in demand (flow and consumption) of no less than 25%).

The PSCP shall ensure that the provision of medical gases to the point of use is continuous. Where the system is providing medical gases via cylinders, provision of manifold systems with automatic change over from duty to standby to no less than two equal banks of cylinders shall be supplied.

The PSCP shall ensure that adequate points of isolation exist to all medical gas systems.

8.8.10 Medical Vacuum – Not Used

8.8.11 Bedhead ServicesThe PSCP shall provide bed head services as detailed in the detailed design.



The PSCP shall ensure that bedhead services are designed and installed in accordance with SHTM 08-03.

8.8.12 Local Exhaust Ventilation SystemsThe PSCP shall provide all LEV systems including but not limited to that required to support the provision of catering and maintenance facilities on Site.

8.8.13 DrainageThe PSCP shall provide all necessary drainage which shall include but not be limited to:

a) General foul water drainage (including all sanitaryware and Equipment, such as washing machines etc.);

b) General surface water drainage;

c) Kitchen drainage, inclusive of grease traps;

d) Bedpan disposal system; and

e) Drainage from oil bund areas, inclusive of oil interceptors.

The PSCP shall ensure all drainage discharges from Site are strictly in accordance with the limits set by SEPA.

The above ground foul drainage system shall be designed fully in compliance with BS EN 12056. The pipe work and system components shall be installed in strict compliance with the manufacturers written instructions.

The PSCP shall be responsible for obtaining written approval from the local building control department covering the new foul drainage installation.

On completion, the PSCP shall carry out full system testing. These tests, including performance testing, shall be demonstrated to the Authority’s Representative.

The drainage systems shall include all necessary rodding and access points to facilitate system maintenance.

Drainage system stacks and branches shall not act to the detriment of the building fire strategy and shall retain all necessary fire collars and intumescent seals in line with the performance required by Firecode and current Scottish Technical Standards.

Floor drains, drainage pipes, and water pipes should not be located above or cross through rooms of importance (i.e. bedrooms) or over important equipment (e.g. computer rooms, ICT node rooms, water storage tanks, UPS, etc).

Drainage systems shall be provided which function reliably with the minimum of blockages, leaks etc including materials and jointing systems with a proven track record.

The design of the system shall be such as to create the minimum disruption in the event of blockages.



All above ground internal drainage and associated pipework in clinical areas shall be concealed but accessible.

8.8.14 Diesel Storage Tanks – Not Used

8.9 Electrical Systems

8.9.1 Main & Sub-Main DistributionThe PSCP shall provide a main and sub-main distribution system for the new Facilities incorporating all connections from the existing estate infrastructure HV ring supply, transformers, LV main switchgear, sub-main cabling and distribution cupboards as required, to provide separate essential and non-essential supplies to power and lighting throughout the Facilities.

The PSCP shall provide an adaptation of the existing HV ring infrastructure to serve the Site.

The PSCP shall undertake all works in relation to the mains electricity connection to Site in line with the requirements of chapter 8.7 of this technical brief.

The PSCP shall connect to the Authority’s existing ACH Site HV electricity infrastructure, at a location agreed with the Authority. All works in connection with the Authority’s existing HV infrastructure shall be agreed in advance with the Authority including all design, construction and maintenance proposals, working method statements, and programmes of work. The PSCP shall meter the electricity service to the Facilities at the point of connection to the Facilities.

A new LV switchboard will be installed to serve the Facilities and LV standby generators shall be housed within the plant room.

The design of the LV Distribution shall ensure that redundancy is provided throughout the Facilities and include features such as dual fed distribution cupboards where required.

The PSCP shall incorporate no less than 25% spare capacity (for the Facilities as designed) to the main distribution switchgear, standby generator etc within the Facilities and size the installations (all distribution panels, containment, risers etc.) to accommodate additional future spare requirements.

The PSCP shall provide automatic power factor correction equipment in accordance with SHTM 06-01 and shall achieve a minimum power factor correction of 0.98.

8.9.2 Standby GenerationThe PSCP shall provide a standby mains failure generator for the Facilities to provide 100% power in the event of loss of the mains supply.

The generator design shall be based on an N+1 arrangement.



The system shall include for controls to operate and maintain the generator inclusive of facilities to automatically synchronise with each other and the main switchboard.

The provision of services to modern healthcare facilities is critical to its continuous operation and proposals shall include adequate resilience and support systems in all areas of the design.

The PSCP shall ensure all critical services shall be maintained in the event of:

A primary supply failure.

The Authority does not require dual provision of the mains LV section board and associated dual infrastructure therein. This is the Authority's minimum requirements and does not relieve the PSCP undertaking risk assessments appropriate to their design solutions to maintain Operational Functionality for the Facilities.

Loss of any critical service shall not disrupt the operation of the Facilities and sufficient back-up systems shall be included to assure continuity of services.

In sizing the generators the PSCP shall include the 25% spare electrical capacity identified for the general power distribution systems.

The generators shall be provided with G59 protection and facilities to automatically synchronise with the switchboard and be approved for long term parallel operation with the National Grid for testing purposes.

The PSCP shall ensure the quality of generated supply is to be compatible with the requirements of specialist clinical equipment.

8.9.3 Electrical Small PowerThe PSCP shall provide socket outlets throughout the Facilities to provide for general facilities, cleaner’s requirements and for connection of particular items and portable equipment as required throughout the Facilities. The PSCP shall provide power supplies suitable for personal domestic appliances (e.g. hairdryer). Segregation shall be provided between “clean” and “dirty” power supplies.

The PSCP shall provide all necessary single and three phase power supplies for plant and equipment.

A high integrity earthing system is to be installed in rooms where there is potential for high earth leakage (i.e. computer rooms).

Power supplies for items of equipment that are located below worktops shall include engraved switches located above the worktop wired to a spur outlet point located below e.g. refrigerators, dish washers etc.

The installation shall include, but not be limited to, wiring and fittings for general and special lighting, small power, heating and ventilation power control, nurse call, security and alarm systems, special equipment i.e. cooker, disposal unit, telephone and TV/radio systems.

For safety reasons, toasters shall be interlinked with a dedicated PIR system to turn the power off to the unit when occupancy is not detected within the



direct vicinity. For the avoidance of doubt, the PIR shall be dedicated to the toaster unit.

The installation must comply with the current fully amended edition of the regulations for the Electrical Equipment of Buildings and Wiring Regulations issued by the Institution of Electrical Engineers.

All socket outlets shall be double gang, recessed type, with outboard rockers, flush with the wall, unless agreed in writing with the Authority.

Local switchgear and distribution boards shall be sited to minimise the length of circuit wiring. They must be in well ventilated positions, sited for ease of access and safety during maintenance and repair operations in designated, lockable enclosures only assessable to authorised maintenance engineers. They must have ample space around the switchgear for additional equipment and a defined allowance for future expansion. These areas must be identified as maintenance areas fitted with suitable locks and doors with approved European signage.

The PSCP shall provide Isolated Power Systems, and respective UPS systems, for electrical services serving Group 1 and 2 medical locations identified in the Facilities, in accordance with SHTM 06-01.

8.9.4 LightingThe lighting installation shall be designed by the PSCP to comply with the latest versions of Designing for the Disabled and BSEN 12464-1, and all other relevant guidance including CIBSE Lighting Guides, in particular Lighting Guide 2.

The design shall also comply with the Chartered Institution of Building Services Engineers Lighting Guide, "Hospitals and Health Care Buildings".

The PSCP shall provide the lighting levels and uniformity of light suitable for the task to be carried out and in accordance with the appropriate guidelines and the Environmental Matrix. The Authority requires a lighting design / installation which provides good uniformity over the task area i.e. ≥ 80%.

The PSCP shall incorporate the use of daylight into the lighting design. The PSCP shall design and orientate the building such that the daylight can be used to best effect, supplemented by the artificial lighting system to provide the appropriate levels of illumination.

The lighting installation shall be designed for economy in running and maintenance costs.

Automatic lighting controls shall be provided where agreed to ensure that the electrical energy consumption figures detailed in energy modelling is achieved.

Lighting shall be provided in a manner that enhances the quality of the accommodation contributing to a relaxed character, thus avoiding an institutional atmosphere. Where appropriate, lighting of a domestic character shall be installed. (All luminaries shall be low energy, efficient type). The PSCP shall ensure that luminaries are complete with an appropriate high efficiency diffuser / controller and be suitable for the application for which they are proposed.



Lighting shall be planned so that lamps can easily be cleaned, with no ledges or ridges where dust can gather. The use of sealed units shall be considered.

The PSCP lighting designs shall take due cognisance of any anti-ligature requirements of each respective area served and shall also ensure appropriate robustness of fittings for the nature of patient care (i.e. robust for respective patient behaviour).

8.9.5 Interior Lighting All access routes to plant areas shall be lit to provide safe access for maintenance.

Hazardous areas shall be provided with the appropriate classified luminaires.

All light switches for public areas shall be provided such that they cannot be operated by unauthorised persons.

The PSCP shall provide and install high efficiency luminaires. LED lighting shall be provided internally throughout the Facilities unless it is proved in the PSCP’s Proposals that such luminaires do not meet Operational Functionality. Areas where LED lighting is not incorporated in the PSCP’s Proposals shall be agreed in writing with the Authority prior to signing of the design. Whilst the lighting design must be functional for clinical use, the PSCP shall ensure that the overall lighting concept shall produce an aesthetically pleasing environment. All lighting equipment shall be co-ordinated with the building structure. The PSCP shall aim to use a mixture of fittings and lighting techniques to create a welcoming atmosphere and balanced visual environment.

The PSCP shall ensure that corridor lighting is multi circuited to facilitate use of 100% or 50% and dimmable. The PSCP shall provide night lighting in corridors. The PSCP shall ensure night lighting does not spill into patient bedrooms, or other bedded areas.

Where the corridor is over 15 metres in length, consideration shall be given by the PSCP to zoned lighting.

Luminaires shall be located to provide ready access for lamp changing and maintenance, whilst still providing the recommended level and quality of illumination to the area.

Artificial illumination shall be provided to Treatment (activity / consulting) Rooms, etc by fully recessed, hermetically sealed modular light fittings, switched at the room door positions. Treatment Room luminaires which provide the general lighting shall be controlled by at least two circuits depending on the arrangement of fluorescent tubes in each fitting. The design of these luminaires by the PSCP must provide ease of access for lamp changing.

Luminaires, their colour and material finish shall be selected to co-ordinate with the architectural intent throughout the circulation areas. Luminaires to be used in particular rooms shall be selected on their ability to create a calm and “homely” atmosphere. Low wattage 2700K shall be the PSCP’s first choice.



The PSCP shall consider the inclusion of wall mounted luminaires and /or uplighters.

All lamps used in clinical areas shall have as a minimum a colour rendering capability of ≥ 85 Colour Rendering Index. For practical reasons consideration shall be given by the PSCP to using the same luminaire in both clinical and non-clinical spaces within the same ward.

Where luminaires of the fully recessed type (modular and / or downlighter) are installed within fire rated ceilings, they shall be provided with a rated fire canopy to ensure that the performance of the ceiling is not compromised. The PSCP shall also ensure that they maintain the integrity of the ceiling and that the canopies are tested to “BS 476 Fire tests on building materials and structures Parts 20 and 23, clause 5”. The PSCP shall also ensure that all canopies meet the requirements of Class 0 materials.

Luminaires with prismatic diffusers installed on fire escape routes shall be fitted with flame retardant diffusers to TP(a) classification, minimum Class 3 surface spread of flame.

Night lighting shall be provided within patient bedrooms to provide low level light coverage in the bedrooms for clinical observational purposes, as identified in the Environmental Matrix and to meet the requirements of the Clinical Requirements.

Local bed head lighting shall be provided by the PSCP for patient use in bedrooms.

Where food is prepared, the PSCP shall provide luminaires which are suitable for the cleaning regimes proposed.

The PSCP shall ensure that in the entrance areas, functional lighting is supplemented by additional lighting to enhance the interior and create an aesthetically pleasing environment.

Plant areas, roof void areas, ducts, lift motor rooms, shafts and similar utility areas shall be additionally illuminated utilising suitably IP rated luminaires.

Minimum lux levels for each room, including night and observational lighting, are detailed with the Environmental Matrix.

8.9.6 Exterior LightingThe perimeter, including any main entrance canopies and pedestrian walkways, to all buildings shall be lit by the use of energy efficient luminaires mounted on walls, columns and/or bollards to provide external lighting for safety and security purposes. Any lighting shall not provide a climbing aid. All on-site access roads, footpaths and cycle ways shall be lit to levels compatible with the adjacent roads. The lighting shall satisfy the requirements of BS EN 13201 and BS 5489:2003 Code of practice for the design of road lighting. Lighting shall be provided to all direction signs around the Site where these are not adequately illuminated by external lighting.

The PSCP’s external lighting proposals shall interface with the existing street lighting immediately adjacent to the Site boundary. Street lighting to the road alongside the Estates, Procurement buildings shall remain operational during



the construction phase. The PSCP shall replace these lights during an appropriate stage in their construction programme without affecting operation of the Retained Estate.

All lighting shall be fast restrike in the event of power failure

All access routes to plant areas shall be lit to provide safe access for maintenance.

All wall mounted luminaries shall be fed by back entry. Cable runs on the outside of buildings shall not be permitted.

All external columns, bollards etc. shall be provided with fused cut-outs and termination facilities for cabling.

The PSCP shall provide light fittings that cannot be used to assist in gaining access to the roof. The PSCP shall achieve this either via the appropriate specification of light fittings or by design.

Luminaries shall be wired on multiple circuits to avoid loss of light to whole areas in the event of a mains/circuit failure.

The PSCP shall control external lighting to minimise energy consumption, by integrating the lighting to the boards external lighting management platform. (CMS system) photocell, the lamp type selected must be sympathetic to frequency of switching dictated by the control means. A minimum background lux (10-15 lux) level shall also always be maintained for security purposes, increased on motion sensing.

LED lighting shall be provided externally throughout the Facilities unless it is proved in the PSCP’s Proposals that such luminaires do not meet Operational Functionality. Areas where LED lighting is not incorporated in the PSCP’s Proposals shall be agreed in writing with the Authority prior to design sign off.

The PSCP shall provide external lighting to provide adequate light levels for the effective operation of CCTV surveillance.

8.9.7 Lighting Control & WiringThe PSCP shall provide automatic control of lighting control using natural light level sensing where possible throughout the Facilities.

All lighting control shall be interlinked with the BMS, or a single online platform to enable a scheduling capability to reduce/switch off lighting in unoccupied periods.

The PSCP shall provide a safe minimum light level at all times in all circulation routes.

The PSCP shall arrange the circuiting of luminaires to control groups of fittings in order to provide flexibility of switching arrangements to allow for varying activities within each room and for cleaning purposes. Such a facility is particularly important in large spaces where the level of daylight is not uniform and artificial lighting is likely to be needed for long period in areas remote from windows.

Switches for public areas shall be positioned by the PSCP so that unauthorised persons cannot switch the lighting.



Lighting within clinical areas shall be generally manually controlled, including bedrooms and en-suites.

Patients shall be able to manually switch the main bedroom lights and the en-suite lighting inside their bedroom door, local to the entrance to the bedroom. At the bedhead, the patient shall be able to manually switch the main lighting and the bedhead lighting. A further manual switch shall be provided at the en-suite door for switching of the en-suite lighting. lighting.

Where identified on the Environmental Matrix, night time observational lighting shall be provided for the bedroom. Staff shall have the ability to switch the main bedroom lights and the observational night lights separately outwith the bedroom, from the staff corridor side. The switches shall be secure, anti-tamper proof to avoid nuisance switching by patients and visitors i.e. key controlled.

Lighting within all public WC’s, Staff WC’s and changing rooms shall be controlled via passive infrared sensors/movement detectors or similar, with adjustable time control facilities.

All PIR sensors shall be installed to suit the respective areas identified in the PSCP’s lighting zoning strategy, and to stop nuisance activation through movement in adjacent areas.

Circulation areas shall be provided with dimmable lighting, controlled via passive infrared sensors/movement detectors or similar, with adjustable time control facilities. Circulation area lighting shall not switch off during hours of darkness, but shall be dimmed to lower levels for safety reasons, where presence is not detected.

The PSCP shall provide alternative circuits together with two-way or intermediate switching at all section doors and corridor direction changes for lighting in corridors and circulation areas.

The PSCP shall provide dimmable fittings in other areas where deemed appropriate, where such fittings do not affect the clinical operations or where patients cannot access dimmable controls, such as Touchdown Bases.

Where multi-gang lighting control switches are required the PSCP shall provide a label fixed to the grid under the switch plate, indicating the switches are fed from different supplies.

The PSCP shall wire lighting circuits within rooms/areas on the same phase as the general power circuits.

Dynamic tuneable white lighting should be provided in areas of high dependency to aid health and wellbeing, especially in areas where no natural daylight is present.

8.9.8 Emergency LightingThe PSCP shall connect the emergency lighting to addressable self-monitoring control panels with each luminaire containing an interface unit that shall be monitored and controlled by the control panel which shall report to the BMS system. The PSCP shall ensure that the emergency luminaires are



automatically tested in accordance with the requirements of the British Standards.

An emergency lighting control and monitoring system shall be capable of running on a windows platform within a standard computer. The system shall be capable of monitoring all emergency luminaires within the building and able to be zoned if required. Easily programmable test schedules can be programmed to suit the occupancy and use of any ward or department. Luminaires shall be tested individually or in groups. Each luminaire should be easily and uniquely identifiable. Any failures shall be indicated locally and at the central controller. All faults and test results shall be held within a text file on the central controller.

Emergency luminaires shall be powered by a suitable battery supply connected by an auto-changeover switch or utilise self-contained battery packs within luminaires (3-hour rated). Emergency luminaires shall automatically energise in the event of a failure to the local lighting circuit. Regardless of how they are powered, all emergency luminaires shall be centrally monitored and controlled.

The emergency luminaires may be of either the maintained or non-maintained variety. The PSCP shall ensure the emergency lighting installation allows for adequate definition of emergency exits.

The PSCP shall comply with the requirements of BS 5266 Emergency Lighting and European Legislation CEN/TC 169 WG3 Emergency Lighting of Buildings.

8.9.9 Standby LightingThe PSCP shall provide 100% standby lighting via the generator to enable normal activities to continue during the loss of a normal mains supply.

The PSCP shall ensure that the quality of standby lighting is equal to that of the normal lighting at the task points.

8.9.10 Lifts – Not Used

8.10 Induction LoopThe PSCP shall provide induction loop systems for the Facilities to meet the requirements of BS 8300 and SHTM 14 & 20. 20.

The design of the Facilities shall include a number of induction loops systems with signage in areas such as reception areas, bedded bays, single, treatment, consulting, counselling and interview rooms. Additionally, the design shall reflect these requirements in areas such as offices where staff may require this facility. The design shall reflect where the provision of portable induction loops would increase the flexibility of the provision.

The PSCP shall provide induction loop or infrared systems in accordance with the Equality Act and DDA requirements which provide Facilities wide coverage without compromising patient confidentiality.

The final provision and locations are to be agreed with the Authority, dependent upon the final design solutions.



The “ear” symbol denoting the presence of an induction loop shall be prominently displayed. A sign shall explain clearly to people using hearing aids how they can benefit from the induction loop.

8.11 IntercomsThe PSCP shall provide audio and video intercom system for the Facilities and other areas highlighted in the Equipment Schedule. All video entry cameras shall be suitable for viewing of visitors in wheel chairs.

8.12 Patient Monitoring / Telemetry System

The PSCP shall provide a telemetry infrastructure system within the Facilities in the rooms identified.

The PSCP shall provide a patient bed movement / monitoring system to all bedrooms The system should alert staff to when a patient has left their bed.

The system should be capable of being isolated on a room by room basis. The system shall be monitored at Nurse Stations within each respective ward.

The full extent of the telemetry system shall be agreed with the Authority during design.

8.13 Security

8.13.1 GeneralThe PSCP shall provide security systems specifically designed to meet the requirements of a medium secure facility as detailed in Standards for Forensic Mental Health Services: Low and Medium secure Care.

The systems shall present a secure reassuring environment for patients, staff, families and visitors by providing appropriate security measures within the particular restraints imposed by clinical demand and personal freedom. The design of the Facilities shall ensure maximum protection and minimize exposure to crime in internal and external areas.

The PSCP shall provide the required control, monitoring and recording equipment within the Administration OfficeOffice. Office.

The design for all security systems shall be in line with the general principles of the approach suggested by Secured by Design.

Local alarm annunciation shall be provided within wards, Administration office and Ward office.

The Authority shall monitor the CCTV system, including controlling access to, and the disclosure of, CCTV images.

8.14 Outline of the Requirements of the Staff Attack System The personal alarm system should, as much as possible, use modern Personal Attack Alarm (PA) equipment units, integrated cable or wireless communications and 2-way (duplex) audio facility to all areas of the facility



with PA and not with audio capability in the grounds. The alarm receiving and control equipment should be integrated to ensure ease of use for staff.

The personal alarm system shall provide a means of locating a member of staff from the Administration office and Ward office and at repeater stations located throughout the facility when the person wearing the PA initiates a duress call.

The system shall also provide a prompt notification to the ward or department in which the activation has occurred that an alarm has been activated. This shall be by means of overdoor locators (flashing light) and an audio tone that is audible throughout the ward and silenced at the administration office, wrad office or repeater panel.

All system equipment and installation shall comply with all British and European standards.

8.15 Control of Personal AlarmsThere shall be 50 staff PAs

All PAs will be stored in the Administration office in an area adjacent to the Security Keys. All equipment necessary for storage and charging should be included in the design.

Every member of staff (management, nursing, administrative and support) entering the facility will be required to collect and carry a PA whilst inside the secure area of the hospital. On leaving the secure area they will return the PA to the storage area.

Alarms must stay on site; there must be an alert to security/reception staff and the wearer if they are being taken off site. Pedestrian staff leaving the site will all leave by a common exit; staff leaving in a vehicle will all leave by a common vehicle exit.

It is not intended that staff members should be allocated a unique PA; all PAs should operate in all areas of the facility.

The personal alarm system shall consist of PAs, capable of being comfortably carried on a belt by staff. The PSCP shall provide suitable pouches for all PA units if required.

8.16 Construction of the PA unitThe PA unit shall be compact in construction and made of high quality durable and impact resistant material. It shall not have any detachable or protruding aerials that could be broken off revealing the aerial wire which might be utilized as a weapon. 2 PA units must be provided to The Authority so that destructive testing can take place.



8.17 The Technology and Reporting of Alarms from the PA unit The system shall consist of a wireless and RF receiving system that determines the unique identification and location of each PA transmitting a duress call, and a reporting system which is capable of displaying both the unique identification and the location of an activated PA which has generated a duress call onto a display map.

The personal alarm system shall have the ability to simultaneously display the identity and the location of multiple PAs that are reporting duress alarms in the facility and the personal alarm system shall record and archive the history of all duress calls from all PA’s, including alarm ID, location, date and time of alarm, date and time alarm was accepted and date and time alarm was reset.

The personal alarm system shall record all alarm history in an industry standard format (i.e. Microsoft Excel or Access) so that the data can be exported and accessed for archiving and analysis.

The personal alarm system shall not employ any technology that can be blocked or disrupted by the human body, clothing, furniture, fixtures, fittings, building fabric, smoke, sunlight, ambient noise or electrical \ electronic devices including high frequency fluorescent lighting.

8.18 Control equipment installed in Patient areasNo installed control equipment for the system shall be located in patient accessible areas of the facility if there are pipe chases, false ceilings, or other locations where the equipment can be located. Where any equipment is to be located in patient accessible areas, samples of this equipment must be supplied to the Authority for destructive testing and approval.

8.19 Wireless or RF Frequency Band Operation The personal alarm system shall operate in a licensed frequency band that will not be shared by other wireless or RF equipment at the same location. The personal alarm system must carry the appropriate wireless or RF registrations for use in the UK and Scotland specifically where it will be installed.

Transmission of PA alarm signals back to the Administration, Ward Office and from areas within the facility or gathering points will be using fibre or cable networks.

The transmitting system for the PA alarm system shall be wireless in operation between the PA unit initial alarm receiving equipment. Thereafter, from the initial receiver back to the Administration Office, the transmission can operate on a fibre or cable or coax backbone cable system returning to the Administration Office..



8.20 Personal Alarm PerformanceThe personal alarm system shall audibly and promptly report the occurrence of a duress alarm by the PA at the Administration Office, Ward office and repeater panels. The maximum time taken for any alarm to be notified to the locations noted above should be specified to the Authority and demonstrated before purchase and installation. A key performance criteria will be the time taken to identify the location of an activated alarm.

The audible notification of the PA shall be loud and clear and different from any other alarm within the facility.

The personal alarm system shall activate overdoor lights where appropriate e.g. bedrooms and sounders promptly following the transmission of an alarm by the PA. The maximum time taken for lights and sounders to activate should be specified.

The overdoor lights shall be a flashing amber light. The sounders shall be loud and clear and different from any other audible alarm in the facility.

As an alternative to local sounders, the alarm device may be used as a pager activating for those in the area of the alarm, or site wide.

The personal alarm system shall promptly display the location of a duress alarm on a digital graphic site plan of the facility at the Administration Office and Ward office. The maximum time taken for any alarm location to be identified in the Administration Office and Ward Office should be specified.

The personal alarm system shall be able to identify and locate PAs both inside buildings and in the hospital grounds.

The personal alarm system shall be able to locate PAs to a particular area of a building, or an outdoor location in the open grounds of the facility, by using pre-defined zones.

The personal alarm system shall be able to report the identification and location of PA’s in any outdoor area, regardless of size, by installing appropriate personal alarm system equipment.

A valid alarm from a PA shall be reported by the personal alarm system anywhere within the defined area of indoor and outdoor coverage of the facility grounds. An alarm shall never fail to be reported because of the presence of nearby walls, metal structures, or other environmental considerations inside or outside of buildings if such considerations were in place at the time of installation of the system.

The personal alarm system shall provide both indoor and outdoor identification and location in multi-building configurations.

The system must be able to accurately determine if an alarm has been activated internal or external of a building (i.e. the correct side of an exterior wall/door).

The system shall provide coverage of all exterior areas of the facility grounds and identifying correctly the area/zone or pinpoint position from which the alarm is being transmitted.



A valid alarm from a PA shall never fail to be reported by the personal alarm system because the PA was covered by a person’s body.

A valid alarm from a PA shall never fail to be reported by the personal alarm system anywhere within the defined area of indoor and outdoor coverage as a result of doors to patient rooms, corridors, or other rooms or areas being closed or opened.

Locating accuracy and alarm reporting reliability shall not be degraded by smoke, sunlight, artificial infrared or visible light sources, or by sonic or ultrasonic noise. Locating accuracy and alarm reporting reliability shall not be degraded by the presence of metal in concrete or block walls, in floors, or in other structures. Locating accuracy and alarm reporting reliability shall not be degraded by the presence of nearby electrical equipment including computers, radios, UPS and other devices, provided the equipment meets current regulatory requirements for RF emissions.

8.21 Generation and Annunciation of Alarms Each person using the personal alarm system shall wear (or carry) a PA. A user shall cause an activation of a duress alarm by pressing a flush or recessed button on the PA.

An alarm shall always be reported to one unique location, and it shall never be reported as existing in more than one location or in one of several possible locations.

Alarms shall be presented visually in the Administration Office and Ward Office on a graphic floor plan of all or part of the ward or building. The boundary of the zone in alarm shall be displayed.

The acknowledgement and clearing of alarms, plus all other alarm handling functions, shall be possible using a computer touch screen with PC mouse click backup. It shall be possible for staff to control the personal alarm system without the need for a keyboard.

The personal alarm system shall be able to display alarms from multiple PAs, up to the number of PAs used in the personal alarm system.

The system shall be able to display accurately simultaneous (within 1 second) multiple activations.

The system shall continuously monitor the health of all personal alarm system hardware. A maintenance or diagnostic alarm shall be reported immediately upon the detection of a failed piece of hardware or a system problem.

The failure of AC power, resulting in the operation of any installed equipment on battery power, shall result in a warning alarm. The system shall incorporate an on-line UPS with four hour capacity in the Switch room to ensure continued operation. A failure will be logged as an event by the system.

All equipment failure alarms shall be reported immediately to the Administration Office, both audibly and visually.



The system shall automatically archive all alarm data after 30 days and shall have a facility to download data to CD or DVD disc drives. The system shall activate an alarm message if the automatic archiving is unsuccessful. The archive shall include:

Alarm ID and location.

Date and the time of each duress call for all alarm occurrences.

Time at which each duress call was acknowledged and the time it was cleared.

Date and time of any power interruptions.

Archive reports should be easily printed on any standard computer printer using A4 paper.

8.22 PA Alarm Unit Functionality The PA shall have a flush or recessed coloured button that activates an alarm.

Each PA shall be configurable by the personal alarm system administrator to report any desired identification code, without return to the factory. This will enable any PA to be used as a replacement for another PA that is damaged or lost.

If the Alarm units are powered by rechargeable batteries:

all charging equipment must be supplied to allow 120 number of units to be available at any time.

Charging equipment must be suitable for normal electrical supply.

There must be no deterioration in the performance of the battery over the specified minimum period of its lifespan.

Batteries must have a minimum life of at least 2 years in normal use, and replacements must be reasonably priced and commercially available.

The time to fully charge a battery must not exceed 12 hours.

A fully charged battery must last for at least 18 hours in normal operation (15 operations between charges). If the Alarm units are powered by non-rechargeable batteries:

The PA shall automatically report a low battery to the user.

The PA shall be able to operate for at least one week after a low battery is reported.

Batteries shall be commercially available, non-rechargeable items that can be replaced by the user or by the personal alarm system administrator.

Non rechargeable batteries shall have a life of at least one year under normal operating conditions.



There must be no deterioration in the performance of the battery over the specified minimum period of its lifespan.

8.23 Administration Office/ Room Equipment

Within the Administration Office, one operator position is to be provided using “touch screen” technology.

There shall be one main PC server with an additional hot start back up server. The two PC servers shall be interchangeable and automatically change their status (from live to back-up) on a weekly basis. The changeover from one server to another shall be instantaneous.

When an alarm occurs, the Administration Office terminal shall produce an audible alarm and a graphic display showing the building, or site layout, and an enlargement of the area in alarm. The system is to allow for the audible alarm to be silenced while still displaying the alarm location on the monitor. The system shall be capable of providing at a minimum, a history of all events staff locations for a minimum of 30 days. After 30 days of event storage by the server, automatic down loading via CD or DVD is required.

A printer shall be provided to record all real time changes of state. Changes of state include but are not limited to anomalies, errors, lost signal and any other reading indicating a change from standard system functioning. A security system password program shall be included allowing 3 different levels of access to the system. Levels of access will be determined by The Authority.

The Administration Office systems shall have system back up UPS for a minimum of four hours of normal operation in the event power is lost.

8.24 Recording and Storage of Alarm DataThe personal alarm system shall log and store for analysis all duress alarms, equipment failure alarms, and warning alarms to computer hard disk.

Duress alarms shall be displayed as a distinct log, separate from equipment failure and other alarms.

The data logged for each alarm shall include the identification and location of the alarm, the date and time of the alarm, and the times that the alarm condition was acknowledged and cleared from the system.

All logged data shall be stored in a current Windows® compatible, industry standard data format (i.e. Microsoft Excel or Access) from which data can be exported or retrieved by the personal alarm /security office administrator or others for further analysis or to archive.



The personal alarm /security office administrator shall be able to select and print any or all alarms from the alarm logs on demand. Logs should be selected by time, date, event or individual PA. Bidders are to provide examples of alarm logs.

It shall be possible to convert, edit, and use AutoCAD™ files that might be supplied by the Authority for use as overlays \ floor plans in the control computer.

8.25 Personal Alarm and Audio System Cabling The personal alarm system shall support communications between the RF receivers and the control computer using Cat 5 wiring, or fibre links.

The bandwidth and media required to transport communications between receivers and the Administration Office shall be stated at the design stage.

8.26 Installation and Function of Receiving EquipmentThe personal alarm system shall be able to locate PAs accurately within pre-defined zones in all parts of the facility without requiring the installation of locating hardware in every room, closet, and other discrete location in the facility.

The wireless or RF receivers shall function correctly when mounted in cable chases, above false ceilings, and in other areas which are not accessible or visible to patients.

8.27 Back up Power Each wireless or RF receiver and all other installed electrical devices shall include emergency battery backup to provide a minimum of 4 continuous hours of operation in the event of a loss of AC power.

8.28 Password Protection The personal alarm system shall provide a minimum of three levels of password protection, allowing successively greater levels of access to operating, maintenance, and diagnostic functions.

8.29 Frequency Operation Options The personal alarm system shall not create or be affected by wireless or RF interference from or to pre-existing wireless of RF sources on or near to the site. The Supplier will ensure when setting up that an appropriate frequency is selected.



8.30 Reliability Service and Maintenance requirements Demonstrated Mean Time Between Failures (MTBF) for the personal alarm system (excluding consumable items such as batteries) shall be less than one failure per 2 years per 50,000 square feet of indoor coverage and less than one failure per two years per 200,000 square feet of outdoor coverage. Demonstrated MTBF for a single RF receiver shall be greater than 130,000 hours.

MTBF can be demonstrated by maintenance records from existing installed systems.

The wireless or RF receivers, transmitters and other hardware items shall be microprocessor based and shall be designed such that software reconfigurations and software upgrades can be accomplished without removing the units from the site. Installed equipment shall be able to receive any necessary software patches or software upgrades from the head end computer at the site without the need to physically access each piece of equipment.

The personal alarm system shall run regular diagnostic checks on all installed pieces of equipment, and it shall report any exceptions or failures as alarms on the control computer.

The personal alarm system shall automatically perform a complete locating accuracy and RF receiver functionality verification at least twice per day to ensure that all calibrations are within specifications and that ALL equipment is functioning correctly.

The personal alarm system shall provide notification of the failure of any backup battery by means of a failure alarm or warning alarm.

8.31 Environmental Requirements Outdoor Equipment

All elements of the portable alarm location system that are located or used outdoors shall operate over the following range of environmental conditions:

Temperature: -10°to +55°C; Humidity: Up to 100%; and Location: Extremes of winds, driving rain, snow and prolonged ice.

Outdoor wireless sensors and any associated mounts, towers, cabling, etc. shall operate satisfactorily and without damage in a combination of 160 km/hr. wind and 1.3 cm radial ice load.

8.32 PA Alarm Units to be Worn Indoors and Outside The PAs shall be water resistant (IP rating 54) such that they will not malfunction after being exposed to 30 seconds of heavy rain. Suppliers should note that the weather in Scotland can be exceedingly inclement.



Other than for cosmetic damage, the PAs shall not be damaged or malfunction after 6 drops onto a tiled floor from a height of five feet, with one drop on each of the six sides on three orthogonal axes.

The PAs shall have an operating temperature range of -10°C to +50°C.

8.33 Indoor Control equipment All elements of the portable alarm location system that are located or used indoors shall operate over the following range of environmental conditions:

Temperature: 0°to 50°C; Humidity: 20 to 95%; and Location: Sheltered environment.

8.34 Power Requirements Control EquipmentThe portable alarm location system monitor and control equipment shall be powered from the standard UK commercial power supply network within the following range:

Voltage: 240 Volts AC ±10%; Frequency: 50 Hz ±1.5%; and Power: not to exceed 500 watts.

Input power fluctuations up to five times nominal voltages for up to 100 msec durations shall not cause damage to the unit.

Emergency backup power shall be provided to the sensors and the control equipment to sustain operations for at least four hours.

8.35 Personal Alarm System CapacityThe personal alarm system shall support at least 600 unique identification codes for PAs.

The personal alarm system shall support at least 400 unique locations (zones). Any or all of these zones may be either indoor or outdoor locations.

8.36 Support and documentation The personal attack alarm system shall be supplied with the following types of documentation (electronic and hard copy):

Operator’s Manual

Maintenance Manual

Technical Manual

The personal alarm system shall be supplied with the following training materials and support documents:

Course Materials for operator training

Course Materials for maintenance training



Course Materials for technical training

Presentation of an on-site training course for each of operators, maintenance staff, and technical staff.

8.37 Warranty, Call out Response and Repairs The PSCP shall ensure that the alarm provider can:

Provide an unconditional guarantee that parts and experienced/component trained labour can be provided and that a four-hour on-site response time (calculated from the time of the first call received from (the Authority) for emergency call-in repairs for any failure of the system or components that prevents full operational usage of the system during the warranty period.

The PSCP shall give consideration to the impact of training Estates staff in basic repair and maintenance.

8.38 Installation The PSCP shall install the System components in a manner that conceals them from the patients. Where equipment is sited within the patient rooms/areas it shall be enclosed in secure tamper-proof boxes. (Details of proposed tamper proof boxes must be provided with the tender submission.) It is preferred that the boxes be located on the ceiling, or in a concealed location. Exposed conduit within the reach of patients will not be allowed.

The PSCP shall install the system components in locations using tamper-proof equipment. Equipment cannot be installed on the inside fence where patients have accessibility to use as a method of climbing the fence. The equipment shall not interfere with other security systems in the facility. Free standing equipment in exterior locations must be placed on existing light poles, buildings, or other structures over ten feet above finish grade. The boxes containing the equipment must be vandal and tamper proof and IP rated (IP rating 54).

If building modifications are required to make the system operational or to meet security needs, the costs associated with the modifications are to be at the PSCP’s expense.

8.39 Conditions for Performance Test Final testing and commissioning will be evaluated by designated representatives on behalf of The Authority. A representative of the PSCP will carry out the formal test, commission and demonstration of the System. The PSCP will have fully tested the system and completed commissioning results sheets for verification by The Authority representatives. Should any of the commissioning results fail to be demonstrated by the PSCP, the final commissioning shall be terminated.



Once the PSCP is satisfied that the system is fully functioning they will invite the The Authority representatives to witness the Final Commissioning again, from the beginning.

Testing will be in accordance with the procedures described below:

All tests will be carried out in the presence of nominated Estate or Clinical staff

The PA must go into alarm as soon as the button is activated.

An alarm must be generated and received in the Administration and Ward Office each time the PA is activated.

The alarm notification must be received within the specified time period at the Administration and Ward Office.

Local sounders and beacons must be activated within the specified time period.

The alarm received in the Administration and Ward Office must accurately identify the building or zone from which the signal originated.

Tests are to be initiated to ensure full coverage and accurate area identification; these must include:

tests in every 4 m2 throughout a building or zone tests at 2m intervals around the inner and outer perimeter of each building

and zone 2 tests at each linear metre of external window, glazed panel or door at

100 mm and 1 metre high 30 tests using 3 separate units as close as possible and a minimum of

within 2m of any and all locating equipment in an adjacent zone Each alarm unit shall be tested 30 times in 20 different locations within

one charging cycle

All data logging and reports will be demonstrated as accurate and correct.

The PSCP is to provide a full methodology and time table at least 21 calendar days prior to the proposed start date of testing and commissioning.

8.40 TrainingTraining is to be divided into three components, operator training, user training and maintenance training.

Prior to commencing training, the PSCP shall discuss and finalise the Supplier’s proposed training plan with The Authority to ensure that the training delivered is appropriate.

Operator Training



The PSCP is to provide the necessary training to ensure that all relevant staff (approx 4) can operate the system to a competent standard. The operator training will cover all aspects of system operation as well as all user inputs, security levels, and system administration set up and error messaging.This training will include instruction in the Software needed to successfully operate the complete System and its component parts.

User training

The PSCP is to produce and deliver training material for disseminating to all staff on site (approx 700) that explains the way in which alarm users are to operate alarm units.

Maintenance Training

The maintenance training shall cover all technical aspects of the system and include all system-engineering principles, detailed troubleshooting, parts replacement, and all system administration procedures.

8.40.1 Alarms & Intruder Detection System

The PSCP shall provide an Intruder Detection System (IDS) within the Facilities to provide out of hours security cover.

This shall be provided by PIR Detectors located within the corridors, rooms with external accessible windows and internally adjacent to any roof access points. The PSCP shall consider dual PIRs in high risk areas. In addition The PSCP shall ensure that entry, exit and restricted areas doors have contacts available for monitoring unauthorised entry.

The Intruder Detection System (IDS) within the Facilities need only be installed in areas where occupation is not 24 hours a day/7 days a week; room/department occupancy hours Where areas of the Facilities are to be 24 hours a day/7 days a week operation, only door activation alarms shall be required to entry and exit doors to alert staff when these have been activated by unauthorised means. The type and specification of the IDS shall be agreed as part of the Secure by Design requirements for the Facilities.

Unauthorised door activation and IDS alarms shall be zoned to enable alarms to be communicated at both the Administration and Ward Office.

The PSCP shall ensure that the proposed alarm systems for the Facilities include, BMS, refrigeration equipment and other critical plant. The PSCP shall ensure that the alarm systems can be monitored on Site and also remotely outwith the Facilities.

The PSCP shall provide a separate manually activated, hard wired alarm system at the following locations: To be Agreed

The alarm system shall be tamperproof, installed in locations to be agreed with the Authority during the Design phase. Activation of the alarm shall be silent and it shall notify the Security Office.



The alarm call from the Cashiers office shall also notify the nearest police station automatically. The police notification alarm system shall be monitored and controlled centrally in the Security Office, with an override facility to turn off the alarm on accidental activation.

8.40.2 Security Access Control

The PSCP shall provide a comprehensive access control system that is to be fully discussed with the Authority.

Secure and ‘staff only’ areas, as identified in the Finishes Matrix, shall be controlled by proximity card readers linked to electrical locking devices in the doors. Continuity with existing system would be preferred. The PSCP shall provide software and hardware to enable alterations to cards

The PSCP shall ensure the complete Access Control System includes all locking suites, necessary power supplies, card readers, actuators, egress buttons and emergency “break-glass” release units.

All emergency “break glass” release units in patient accessible areas shall be anti-tamper, i.e. alarm covered or key operated by staff to avoid nuisance activation and maintain security of wards.

It shall be possible to lock down the different areas within the Facilities through the Security Access Control system.

A central override to lock/unlock doors remotely shall be provided at the Security Office.

The system installed by The PSCP shall be connected to the Authority’s data network for database management and back up.

8.40.3 CCTV

The PSCP shall provide a comprehensive, standalone, high definition colour CCTV system for the facility to deter intruders, vandalism and also the passing on of contraband items; this extends to all external access points including windows, car parking, external pedestrian circulation routes around the Site, building access points within the Facilities and in general public areas including reception areas and main circulation routes, leading to the wards and departments. External cameras shall switch to black and white at low light levels.

The PSCP shall ensure that the system comprises a multi-channel digital recorder with minimum 30 day storage of footage to a computer hard drive, with a recording frame per second for each camera which is in accordance with a detailed engineering specification to be agreed with the local Police Authority. The digital recorder shall also control playback of images onto a CCTV monitor and be able to download to a DVD.

The PSCP shall ensure the security CCTV system provides a level of detail to an evidential standard and will allow identification and recording of car registration numbers on the Site, (which may be a dedicated camera at a main entry/exit point). The PSCP shall also investigate the potential for, and where appropriate make provision for, the inclusion of pan, tilt and zoom cameras to



improve functionality and coverage of the system. External cameras shall be installed in suitable environmental housings.

The PSCP shall provide the means for monitoring CCTV cameras associated with the security CCTV system (including building access points within the Facilities) from a central point located in the Security Office. Exceptions to this relate to:

External security CCTV to the discreet entrance, shall also feed back to the ward office in the IPCU and Low Secure Unit, in addition to the central point located in the Administration Office.

The PSCP shall design the security CCTV system within the Site to prevent operators of the CCTV system overlooking adjacent private properties, or to prevent observation of the internal clinical/ward spaces of the Facilities. The CCTV system shall be capable of 'masking' out areas of the field of vision. Areas requiring 'masking' shall be agreed with the Authority. Disabling such 'masking' shall be by password/PIN only, in accordance with the levels of security and access to be agreed with the Authority.

All security internal and external CCTV camera images shall be transmitted back to the CCTV monitoring equipment located within the Security Office to be provided within the Facilities.

Camera locations shall be co-ordinated with internal and external lighting installations. The PSCP shall provide and fix in agreed locations all required CCTV signage.

Existing ACH Site CCTV The PSCP shall allow for the connection of all the Authority’s CCTV infrastructure within the existing retained ACH Site to be recorded and monitored within the Facilities Security Office. The recording and monitoring of the existing retained ACH Site CCTV system shall be compatible with the requirements of the Facilities CCTV system, as detailed above.

The PSCP shall undertake all works in connection with routing the existing Authority ACH Site CCTV cabling, capped at the Site boundary, through the Site to the Facilities, and all internal infrastructure to connect the cabling to the new CCTV system in the Security Office.

For the avoidance of doubt, The PSCP’s Facilities CCTV system shall be able to be standalone in function and operation from the CCTV system for the existing retained ACH Site. The Facilities CCTV system, inclusive of its design, commissioning and operation, shall not rely on any interconnection of the existing retained ACH Site wide system.

8.40.4 Clinical Equipment The PSCP shall provide the infrastructure for alert sounders and visual identification out of the room indicating when controlled drug cabinets within each ward are being accessed.

The PSCP shall provide the infrastructure for the Pharmacy drug fridge to send unauthorised access and common fault alarms back to a remote monitoring station.



8.40.5 Car Park Barriers – Not Used

8.41 TV & Radio Facilities

The PSCP shall provide the infrastructure for reception and distribution of television and radio for use by patients, visitors and staff in rooms as identified in the Environmental Matrix, This shall include external aerials / dishes, containment and cabling / distribution and the like to enable Freeview TV services and radio services to be distributed throughout the Facilities. The infrastructure shall be capable of allowing patients to bring in and connect their own televisions and radios.

8.42 Lightning Protection & Earthing

The PSCP shall provide a lightning protection system for the protection of the structure, the contents and occupants. The lightning protection installation shall be in accordance with the latest version of BS EN62305 Protection against lightning. The lightning protection system shall comprise of air termination network, down conductors, test points, earth termination network and all required equi-potential bonds.

The PSCP shall provide a system of earthing that shall ensure sufficient and fast operation of protective systems in the case of earth faults.

Consideration shall be given to material selection, copper is not recommended.

The earthing system shall comply with BS7671:2008 Requirements for electrical installations (IEE Wiring Regulations), BS7430:1998 Code of Practice for earthing and with the Electricity at Work Regulations 1989.

The earthing system shall comprise of earth electrode system, main and supplementary earth bars, main and supplementary equi-potential bonding.

Transient over-voltage protection shall be provided to protect mains power, generator power and controls in accordance with BS2914. Suitable transient over-voltage protection shall be provided to protect mains power, data, communications, CCTV, and any UPS systems.

Copper tape shall not be provided in the lightning protection design due to security issues and potential for theft and building damage.

The protection system shall be specialist designed and installed, and shall be unobtrusive in appearance as far as possible.

The PSCP shall ensure that any straps used on the lightning protection system cannot be used for climbing.

8.43 Fire Detection & Suppression Systems The PSCP shall ensure that the fully addressable automatic fire detection system for the Facilities is fully compliant with the performance criteria laid down under SHTM 82 (including Supplement A) and the latest revisions to BS 5839. The design of the Facilities shall be in full accordance with HTM 05-02,



including both vertical and horizontal compartmentation and evacuation routes. All circulation doors shall be installed with integrated electro-magnetic door hold open devices with all security door locks interlocked for evacuation in a fire condition.

The PSCP shall ensure that the system must be an L1 fully addressable analogue system incorporating an auto-dialler / monitoring facilities with the capability for remote site monitoring via an internet PC connection. The system shall alert the Authority’s designated telephonist who shall set off pages to required staff.

Fire alarm heads shall be fully programmable and addressable, multi-sensor combination smoke, heat and CO type detectors, as installed throughout the Authority’s Retained Estate.

The system shall be equipped with sufficient sounders to maintain sound outputs in different areas in accordance with SHTM 82, and incorporate visual strobe indicators for a fire condition in accordance with the requirements of the Disability Discrimination Act and Equality Act. The PSCP shall ensure that the Facilities are divided into zones by ward / department / unit area as well as by floors with mimic or repeater panels at each nurse station (or equivalent), located in a central circulation area. In the event of fire the Facilities shall be capable of individual zone evacuation with all other zones receiving awareness signalling. A fireman’s override panel shall be located next to the main fire alarm panel to allow the fire officer the option of shutting down the individual ventilation plant, lifts and smoke vents etc. The Authority will provide a cause and effect brief.

The PSCP shall ensure that all fire alarm panels are capable of giving details of system status for fire, fault, and alarm conditions including full text descriptions of location. All panels shall be capable of data / event logging and report generation.

The PSCP shall ensure that the fire alarm system shall send a fire alarm or fault notification to the Authority’s 24 hour manned telephonist switchboard at Crosshouse Hospital on activation in the Facilities. The fire alarm/fault signal shall be sent via the Authority’s existing ACH pager system link to Crosshouse Hospital. The PSCP shall allow for all connections to and from the Facilities fire alarm system to the Authority’s existing pager and fire alarm system, which is situated in the Authority’s ‘Hub Room’ in the Horseshoe Building. Connection shall be via an 8 core single mode fibre. The communication shall notify the telephonist switchboard of the location of the activated alarm/fault to inform the Fire and Rescue Service of the specific location of the activation (i.e. at the Facilities, rather than the Horseshoe Building).

Unless otherwise agreed with the Authority, Building Control and Scottish Fire and Rescue Service, manual call points must be provided at every exit and staircase with no point in the building being more than 30m travel from a call device. All emergency “break glass” call points in patient accessible areas shall be anti-tamper, i.e. alarm covered or key operated by staff to avoid nuisance activation and maintain security of wards.

Materials and equipment shall be the catalogued products of manufacturers regularly engaged in production and installation of automatic fire detection systems and shall be manufacturer's latest standard design that complies with



the Authority’s Construction Requirements. The PSCP shall also take cognisance of the fire panel construction to ensure that panels are fixed and secure and cannot be smashed or unlocked whereby they could provide a safety risk to patients.

The PSCP shall confirm that this system shall be provided by a manufacturer capable of providing product support and future compatibility from the Completion Date. Compatibility shall be defined as the ability to upgrade existing systems to current level of technology, and extend new field panels on a previously installed network.

The PSCP shall take into account the need for maintaining patient security during alarm testing i.e. the testing regime shall not allow for ordinarily secure doors to open as a result of routine testing.

The PSCP shall provide fixtures suitable for the mounting of fire extinguishers and associated bracketry.

Fire hose reels are not acceptable within the Facilities.

The PSCP shall review requirements for fire hydrants with the Council’s Building Standards Department and Scottish Fire and Rescue Service The Authority will provide Fire Extinqushers to the PSCP for fitting. The secure boxes to be discussed with the Authority.

8.44 Engineering Flexibility & Zoning

The location of engineering and utility services shall be co-ordinated with the structure and as far as is reasonably practicable shall not constrain or conflict with clinical functionality. Heating, ventilation, electrical and medical gas zoning shall be configured to promote flexibility in order to enable re-modelling and re-planning to be undertaken at a future date.

All engineering services shall be zoned with isolation and safety provision, for the whole of the Facilities and for individual wards and departments. The PSCP shall also ensure that zoning accounts for:

The requirement for “dirty” / “clean” separation;

Solar movement;

Standard operating hours of the various departments (i.e. 24 hour vs. 12 hour and 7 day vs. 5 day a week); and

The necessity for isolation of part of the Facilities without affecting the entire Facilities.

8.45 Services Capacity Reserve

In accordance with Good Industry Practice, all plant, plant spaces and building services systems shall be specifically designed and provided with defined reserve capacity allowances and future expansion capabilities for the Facilities (e.g. distribution boards with 25% spare capacity for the buildings as designed).



In addition to the reserved capacity allowances in relation to the building as defined in this Sub-Section C, The PSCP shall also ensure reserve capacity, service termination, zoning and general arrangement supports any future extension of the building that may be an optional feature of The PSCP’s Facilities.Service Routes

All service voids, risers and other spaces shall allow for installation of additional services and shall provide a defined reserve of a minimum 25% of useable area through routing cross sectional area. All isolating valves and other items requiring particular access shall be positioned at convenient locations with permanent access provision and which do not impede execution of the clinical functions of the space. It should be noted that Service voids or risers should have fire detection fitted, if the space is deemed to be more than 1 m².

Services shall be arranged in a clearly zoned spatial hierarchy in ceiling voids, risers and plant spaces.

All service voids, risers, plant rooms and other service / plant spaces shall be designed to easily facilitate the future removal of building services within each space.

All services' plant, local distribution boards, etc., shall be located within secure, lockable, Plant Rooms and other appropriate enclosures, separated and independent of any patient and non-maintenance staff area. Access to services contained within voids shall be by way of secure, controlled, lockable access routes separated and independent of any patient area. Access to services shall not be given in clinical areas. The design of ceiling voids and integration with services therein shall be in line with the requirements detailed in chapter 5.10 of this Technical Brief.

In order to minimise potential disruption to the Authority due to maintenance of building services, The PSCP shall where practicable route services through common spaces such as corridors and avoid through routing within department areas. No services shall pass above bedroom areas.

As an integral part of the building design, plantrooms shall be located, sized and arranged to provide areas of access and egress for routine / emergency maintenance access as well as major plant replacement given typical life circles for installed plant items.

All new ductwork shall be provided to allow cleaning of internal surfaces and components to be undertaken in accordance with the Health and Safety Approved Code of Practice 33 and as detailed in the HVCA Document TR19 Cleanliness of Ventilation Systems.

8.46 Commissioning & Testing

Notwithstanding the requirements to satisfy the Supervisor, The PSCP shall satisfy the requirements of the Outline Commissioning Programme, to the relevant standards and codes.

All buildings, services and equipment shall be commissioned by The PSCP to ensure that they are all compliant with the quality and performance



specifications, including manufacturer’s recommendations, and that all systems operate to the Authority’s satisfaction.

The PSCP shall as a minimum commission the Facilities in accordance with CIBSE Commissioning Codes and BSRIA guidance and the full requirements of the Outline Commissioning Programme.

The PSCP shall be responsible for demonstrating and certifying to the Authority the successful completion of all commissioning testing, and compliance with all relevant standards at Actual Commissioning End Date. For the avoidance of doubt, The PSCP shall retain on Site at all times, for the inspection by (and issue to) the Authority or its representatives at any time, a full copy of all commissioning test procedures, results and certificates.

The PSCP shall provide a comprehensive set of Operation and Maintenance Manuals (two electronic format copies) for all installed and commissioned equipment in a format which is acceptable to the Authority.

The Operation and Maintenance Manuals shall contain:

Record of and including (as fitted) drawings that identify new works plus modifications to existing services;

Operating and maintenance instructions for new plant/equipment;

Test certificates and commissioning results for Medical Gases, ventilation, water services, electrical installation, fire alarms and Emergency lighting; and

Emergency telephone numbers.

A separate copy of the Operating & Maintenance Manual, together with a separate copy of test certificates and drawings for the fire alarm, and emergency lighting is to be supplied at Practical Completion.

The PSCP shall provide such staff training as is deemed necessary by the Authority.

9 Information and Communications Technology (ICT) Requirements

9.1 IntroductionThe Authority recognises the importance of information and communication in the provision of clinical and non-clinical services in the modern health care environment; having the right information available and efficient means of communication enables improved efficiency.

This specification is intended to co-ordinate the various aspects of ICT provision within the Facilities to ensure complete and seamless interoperability with the rest of the Authority’s operations. The specification does not describe all individual systems and their operation in great detail, but identifies the various information and communication systems, the Authority’s current strategies for their development and maintenance and defines the obligations placed on The PSCP.



9.2 Overall RequirementsThe PSCP shall design, construct, manage and maintain a comprehensive, resilient and robust ICT infrastructure for the Facilities. For avoidance of doubt, this includes the detailed requirements set out in the Equipment Schedule.

Particular attention should be given to how the ICT can aid patient and staff flow, their safety and efficiency use of their time in the Facilities.

The PSCP shall provide only those ICT systems that are fully compatible with the Authority’s operational systems. It is the responsibility of The PSCP to ensure full integration and compatibility of ICT systems.

Although this section shall be of prime interest to the ICT designer, there is information contained here that Building Services designers and Architects may require for their designs.

9.3 Minimum Engineering StandardsIn addition to the publications in chapter 2 of this Sub-Section C of Section 3 (Authority’s Construction Requirements). The PSCP shall ensure that the design, construction and selection of components for the ICT works comply with, but not limited to, the following design reference documents:

All current relevant British Standards;

European Harmonised Standard Specifications and Codes of Practice;

NHS Scotland guidance notes and recommendations in section;

Applicable Scottish Health Technical Memorandums (SHTM’s)

Electromagnetic Compatibility Regulations 2006;

BS EN 50173-1: 2011 (Information Technology – Generic Cabling Systems)

BS EN 50174-1: 2009+A1:2011 (Information Technology – Cabling Installation Part 1 Specification and Quality Assurance)

BS EN 50174-2: 2009+A1:2011 (Information Technology – Cabling Installation Part 2 Installation Planning and Practices inside Buildings)

BS EN 50174-3:2003 (Installation technology. Cabling installation. Installation planning and practices outside buildings)

BS 6701:2010 Telecommunications equipment and telecommunications cabling. – Specification for installation operation and maintenance.

BS 7718: 1996 Code of Practice for Installation of Fibre Optic Cabling.

BS 7430: 2011 Code of Practice for protective earthing of electrical installations.

BS EN 50310: 2010 Application of Equipment Bonding and Earthing in Buildings with Information Technology Equipment

TIA/EIA-606-A-1: 2008 (Administration Standard for commercial Telecommunications Infrastructure)

TIA/EIA-607: 1994 (Commercial Building Grounding and Bonding Requirements for Telecommunications)



TIA TIA-568-C SET (Commercial Building Telecommunications Cabling Standards - Set Includes: TIA-568-C.0, TIA-568-C.0-1, TIA-568-C.0-2, TIA-568-C.1, TIA-568-C.1-1, TIA-568-C.1-2, TIA-568-C.2, TIA-568-C.2 Errata, TIA-568-C.3, TIA-568-C.3-1, and TIA-568-C.4).

ISO/IEC 11801-04-CAN/CSA AMD 2 (Information Technology – Generic Cabling for Customer Premises)

BS ISO/IEC 27001:2005/BS 7799-2:2005 (Information technology - Security techniques - Information security management systems - Requirements)

BS ISO 22301:2012 (Societal security. Business continuity management systems. Requirements)

BS ISO/IEC 27013: 2012 (Information technology - Security techniques – Guidance in the integrated implementation of ISO/IEC 27001 and ISO/IEC 20000-1)

Relevant technical specifications (or equivalent) in the following order of precedence:

British Standards transposing European Standards;

European technical approvals;

common technical specifications;

International Standards; or

other technical reference systems established by the European standardisation bodies.

If the technical specifications referred to above) are insufficient to meet the ICT requirements, The PSCP shall make reference to the following technical specifications (or equivalent):

British Standards;

British technical approvals;

British technical specifications relating to the design, calculation and execution of the Works and use of the products; or

DfT Publications, standards and technical memoranda.

Relevant OFTEL and DTI Standards, Publications and Regulations.

Relevant Legislation.

In complying with any standard, The PSCP shall equally comply with any published amendments and revisions issued up to Financial Close.

9.4 Responsibilities MatrixResponsibilities for the delivery of aspects of the various ICT systems are set out in the table below:

Service / Technology

System Design Construction / Provision

Management Maintain/Lifecycle Replace






1. Information Communications Technology (ICT)System management

N/A N/A Authority (equipment) / Authority (infrastructure)

Authority

System architecture, design

The PSCP to Authority approval

The PSCP Authority Authority

Hardware (inc. PCs, printers)

Authority Authority Authority Authority

Hubs, servers/switches


Authority Node Rooms



Containment The PSCP to Authority approval


Cabling and faceplates



Testing & Commissioning of The PSCP Equipment

N/A The PSCP (with Authority in attendance)

Authority Authority

Testing & Commissioning of Authority Equipment

N/A Authority Authority Authority

ICT dedicated UPS The PSCP to Authority approval


Final connections to hardware, hubs, UPS, external links and other equipment


Facilities for seminar rooms, presentation spaces, reception areas, offices

The PSCP (infrastructure only) to Authority approval, refer Equipment Schedule

The PSCP (infrastructure only) / Authority (equipment)

Authority Authority






Links to Other Organisations

The PSCP (infrastructure only) to Authority approval


Authority Authority

Video Conferencing links/ facilities – external, internal

The PSCP (infrastructure only) to Authority approval, refer Schedule Part 11, Equipment Schedule


Authority Authority

2. Telephone SystemSystem management

N/A N/A Authority Authority

System architecture/design


PBX System Authority Authority Authority AuthorityOperator Console Authority Authority Authority AuthorityHand sets Authority Authority Authority AuthorityPagers / staff location system

Authority (PSCP to provide infrastructure)

Authority (PSCP to provide infrastructure as per para 8.43)

Authority Authority

Containment The PSCP to Authority approval


Cabling and faceplates



Testing & Commissioning of The PSCP Equipment


Authority Authority

Testing & Commissioning of Authority Equipment


Final connections to PBX system


Telephone System dedicated UPS

The PSCP (infrastructure only) - Authority to provide as a

The PSCP (infrastructure only)

Authority Authority






part of Hardware

3. Bedhead ServicesSystem management




The PSCPAuthority

Authority

Nurse Call The PSCP to Authority approval (see 4. Nurse Call)

The PSCP (see 4. Nurse Call)

Authority Authority

Medical gases (if required)

The PSCP The PSCP Authority Authority

Electrical supply The PSCP The PSCP Authority Authority

Bed lighting The PSCP The PSCP Authority Authority

ICT – Clinical (Data Outlet(s))


ICT – Patients/Public (Data Outlet(s))


Testing & Commissioning


Authority Authority

4. Nurse Call

System management





Nurse Call System N/A The PSCP Authority Authority

Containment and cabling





Authority Authority






5. Fixed Induction LoopsSystem management





System provision N/A The PSCP to install complete system with potential for expansion

Authority Authority



Authority Authority

6. Security Systems

6.1 CCTVSystem management


System architecture / design



CCTV cameras, detectors, scanners, access units



Monitors, multiplexes, control equipment hardware and software, recording equipment, servers



CCTV Equipment Room(s)








Authority Authority






Final connections to hardware



6.2 Access systems (to be integrated with alarm system)Doors and restricted areas


Hold open devices to minimise door damage & fire risk, and optimise “openness” of internal spaces


6.3 Alarms (to be integrated with access control system)Intruder The PSCP to

Authority approval

The PSCP Authority The PSCP

Personal safety alarms



Equipment alarms (Authority)



Equipment alarms (The PSCP equipment)

The PSCP The PSCP The PSCP The PSCP

Lift alarms, link to emergency base (REM or similar)


The PSCP The PSCP / Authority

The PSCP

7. Wireless NetworkSystem management

N/A N/A Authority The PSCP

System architecture / design including wireless surveys


PSCP to Authority Approval

Authority Authority

Wireless Network Cabling Infrastructure


The PSCP The PSCP The PSCP


The PSCP to Authority

The PSCP The PSCP The PSCP






approvalWireless Access Points


Authority to supply. PSCP to install

Authority Authority

Wireless Access System (LAN Controllers, Wireless Control System and network interface/firewalls. This list is not exclusive).




Authority Authority

Final connections to wireless network


8. IntercomSystem management



The PSCP to Authority approval, refer Specific Clinical Requirements


Intercom System The PSCP to Authority approval







Authority Authority

9. TelemetrySystem management



The PSCP to Authority approval, refer Specific Clinical Requirements


Telemetry System The PSCP to Authority Approval












Authority Authority

10. Others Public Area Phones The PSCP

(infrastructure only) / Authority (handset)

The PSCP (infrastructure only) / Authority (handset)

Authority Authority

Television / radio, common areas/patient information systems – Group 1 Equipment as per, Equipment Schedule



9.5 Structured Cabling SystemThe Structured Cabling System (SCS) shall be a single fully integrated design to provide the physical connectivity for the following systems, as a minimum:

a) data network;

b) voice network.

The PSCP shall provide a data network infrastructure capable of supporting as a minimum but not limited to the following systems:

On-line clinical and non-clinical information systems.

Internet, intranet and email services;

Nurse call system; and

Paging system

The PSCP shall provide a voice network infrastructure that is capable of supporting, but not limited to the following systems:

Conventional voice;

Voice over internet protocol;

Modem and fax services; and

Public area telephones.



The PSCP shall provide the necessary resilience within the voice and data network designs.

The PSCP shall provide sufficient data networking equipment for their own requirements.

The PSCP shall provide cable test results for all Cat6a and fibre optic cables to demonstrate compliance with appropriate standards.

9.5.1 Cabling closets Node cabinets for ICT rooms shall be 42U high and measuring 800mm x 800mm and shall require front and rear access. Note Each cabinet side requires internal access of 1200mm of clear space at the front. Where internal access is not required, either side can be joined to an adjacent cabinet or wall and should be configured as below.

The PSCP shall provide all necessary structured cabling cabinets. All cabinets shall be 42U in height and 800mm x 800mm in size.

The PSCP shall supply all patch panels.

Fibre patch panels shall contain no more than 24 ports and RJ45 patch panels shall contain no more than 48 ports.

For each patch panel The PSCP shall supply a 1U cable management panel with at least 4 supports per panel.

Patch panels shall be identified with the Cabinet Number and the patch panel number.

Cable runs internal to cabinets shall be kept clear of central storage areas for the whole depth of the cabinet to allow free installation of data networking equipment etc.



Cables shall access the cabinet from below in Data centres and from above or below in Cabling Closets.

9.5.2 Fibre Optic CablingThe PSCP shall provide the necessary resilience within the fibre backbone network. This shall be achieved by the use of:

Separately routed diverse fibre runs between the main fibre Node Room and each separate Node Room.

Fibre runs shall be terminated in separate cabling cabinets located at least 100 metres apart.

Fibre runs shall be co-located with core data switches. The PSCP to liaise with the Authority to determine exact locations.

Fibre runs shall utilise blown fibre with 4 tube cabling. First tube shall be equipped with 16 fibre cables (8 pairs) leaving spare tubes for future technology refresh/expansion.

Fibre cable runs shall be supported on dedicated cabling trays.

Fibre cables shall be terminated on The PSCP supplied 24 port patch panels equipped with LC connectors.

Each fibre patch panel shall be supported by a 1U cable management panel which shall have suitable support arrangements fitted.

Fibre runs shall be single mode cable in accordance with relevant current specification.

All fibre cable runs shall be brought through the base of the rack.

Cables which pass through the infrastructure of a building, shall be suitably protected against damage. Through walls and floors this shall involve an appropriate type of sleeve, through any form of metalwork or stiff plastic then a rubber grommet shall be used.

Where basket is used for cable containment, matting shall be provided for protection of the fibre

The PSCP shall supply cabinets in node rooms as specified and agreed with Authority. Authority.

9.5.3 CablingThe Authority’s requirement for structured cabling is Cat 5e, this is consistent across the Authority’s retained estate.

All cabling installed shall allow for a minimum of 25% spare capacity.

The structured cabling systems shall be future proofed to ensure technological development can be accommodated by the system.

The jacket construction of the cable must be suitable for the application. Cables that pass through the infrastructure of a building shall be suitably protected against damage. Through walls and floors this shall involve an



appropriate type of sleeve, through any form of metalwork or stiff plastic then a rubber grommet shall be used.

9.5.4 AncillariesCable trays, conduit drops and 3 chamber containment shall be fit for purpose and capable of allowing a 25% spare capacity.

Cable trays must cross all other cable trays at 90° angle.

9.5.5 Data Patch PanelsThe PSCP shall take cognisance of the ICT requirements and provide patch panels accordingly. accordingly.

9.5.6 Data OutletsThe data and voice outlets shall be RJ45 and shall utilise lead-frame technology for improved performance and reduced depth. The outlet contacts shall be silver-plated and positioned at 45º to the copper core of the cable to increase the number of possible re-terminations and provide a gas tight seal.

The outlets shall be appropriate to meet the requirements of the Authority’s Technical Brief and specification for and the rooms / spaces identified.

Data Outlets shall be provided within rooms as identified in the Room Data Sheets.

The outlets shall be presented flush with the face plate.

9.5.7 Telephony Tie CablesTelephony tie cables shall be terminated on The PSCP supplied RJ45 patch panels at each end.

Telephony tie cables shall be four wire terminated to pins 1, 2, 4 and 5 at each end.

Telephony tie cables patch panels shall be clearly identified and separate and easily distinguishable from other patch panels.

Telephony tie cables shall be brought from below the cabinet. (only if there is a raised floor)

Telephony tie cables shall be CW1308.

Telephony tie cables may be mounted on cable trays alongside Cat5e cabling.

Each tie cable shall be identified with a unique numbering scheme.

9.5.8 Outlet Identification DefinitionOutlets shall be identified with Node number, panel number and port number. Thus a port labelled as N1P4-34 shall be connected to port 34 on patch panel 4 in node room 1.



9.6 Authority Node RoomsThe PSCP shall provide all Authority Node Rooms and any other ICT equipment rooms required to serve the ICT systems to be provided for the Facilities.

The Authority Node Rooms have been given an indicative size and location in the Schedule of Accommodation. The final size and location shall be dependent upon The PSCP’s’s final design (e.g. physical restrictions of cable run lengths etc).

The PSCP shall ensure that the environmental conditions in the Authority Node Rooms are sufficient to allow for safe operation and working on plant and equipment, as identified on the Environmental Matrix.

The PSCP should also avoid the use of basement spaces due to the risk of flooding. No water, steam or waste services shall be located either in or directly above Authority Node Rooms due to risk of water damage. The PSCP shall install security bars / shutters on the windows.

The PSCP shall ensure that the design and construction of Node Rooms are in accordance with the physical controls stipulated in ISO 27001. In particular compliance with the controls in section A9 should be provided.

9.7 Wireless NetworkThe PSCP shall provide 100% wireless network coverage throughout the Facilities.

The PSCP shall establish the required number of Wireless Access Points by means of a comprehensive wireless access survey of the Facilities.

Each Wireless Access Point shall utilise Power-over-Ethernet (PoE) technology and be compatible with the Authority’s Wireless Management Systems.

Each Wireless Access Point shall be provided with a double data outlet flush mounted with the ceiling, with all cabling recessed within the wall. Within all patient areas, and elsewhere where surface mounted Wireless Access Points may be considered a ligature point, Wireless Access Points shall be provided above the ceiling within the void, with a suitable access panel. The PSCP shall take cognisance of the installation of Wireless Access Points within ceiling voids in their wireless access surveys.

The Authority shall provide the wireless equipment at each Wireless Access Point, with the cabling used to connect the Wireless Access Points to the Authority’s Wireless Access System.

9.8 External ServicesThe PSCP shall utilise existing cable ducts provided by the Authority from the Server room in the Horseshoe building to Woodland View. At a suitable location to be agreed these ducts shall then be extended by The PSCP to the new facility to serve as one route to the new building to support the primary service route to the new facility. Separate independent external access points (ducts) following a diverse route shall be provided from the Authority’s Server



Room in the Horseshoe to the new Facilities to support the secondary service route. . The ducts shall be of a size suitable for an external grade 24 single-core fibre cable and 100 pair CW 1308 copper cable respectively.

The PSCP shall ensure that the Authority is granted free access to these ducts at all times so that it may access communications services provided by any third party it wishes to nominate.

9.9 Communication & Connectivity with ACH Site

9.9.1 InfrastructureThe PSCP shall provide two number 24 core single mode fibre optic cables and two number 100 pair CW 1308 copper cables from the Authority’s Server Room (diversely routed as noted above) to The PSCP’s main Node Room (Dialogue Discussions).

12 core single mode fibre optic cables (diversely routed) and 100 pair copper cables shall be provided to each separate internal Node Room from the Facilities main Node Room as a minimum.



Appendix 1

Clinical Output Specification

This part of the Technical Brief is the Clinical Output Specification i. The PSCP shall satisfy all the requirements under this Appendix.

It contains design philosophy and specific requirements for each of the clinical services to be provided from the Facilities.

National Secure Adolescent In-patient Service

High-Level Clinical Output Specification

Document History

Version Date Author Comments

1 24/5/18 N Sutherland (HG) Early draft outline only

2 19/9/18 N Sutherland (HG) First full client issue working draft

3 29/10/18 N Sutherland (HG) Update only: not issued

4 11/2/19 N Sutherland (HG) Added capacity modelling text. General tidy up. Issued to client.

Final Sign Off by Group:

Approved by:



1. WHAT DO WE HAVE? (BASELINE SERVICES & FACILITIES)

1.1 COS Overview

This Clinical Output Specification (COS) relates to the built element of a new National Secure Adolescent In-patient Service (NSAIS) that is to be developed at a defined location on the existing Woodland View site, Irvine.

Specifically it describes a 12 bed national unit

The main areas/zones within this development include:

A small entrance hub and administrative area

A staff area

A visiting area

Day, dining and local activity areas

Patient bedroom areas (In 3 x blocks of 4 beds with Unit support & storage areas

Clinical support & consulting areas

Group/therapy areas

A school/further education/vocational training area

Patient bedroom areas

These areas are as scheduled in the relevant project Schedule of Accommodation.

The concept of how these areas/zones relate to each other is shown in Diag. 1. (Below)

Diag. 1. NSAIS: Concept Layout

1.2 Service Function & Overview



9.9.2The purpose of the new unit will be to provide in-patient support for Child and Adolescent Mental Health (CAMHS) service across Scotland, whilst meeting the in-patient needs of a population of young people whose complexity of presentation and severity of risk is currently not met within NHS Scotland.

In overview, the National Secure Adolescent Inpatient Service (NSAIS) will admit adolescents who are liable for detention, for assessment or treatment of a mental disorder under relevant sections of Mental Health (Care & Treatment) (Scotland) Act 2003, or Criminal Procedure (Scotland) Act 1995 and whose risk of harming others, or themselves is beyond that which can be provided by other mental health services.

The ultimate aim is to return these young people to their community following therapeutic intervention, however, by definition, the risk of harm, to themselves or others renders these young people outwith the scope of community services, at the time of need to admit.

Key roles agreed for the national inpatient service are:

To provide assessments of suitability for admission to adolescent medium secure care.

To deliver specialist secure inpatient assessments of young people referred from other specialist mental health services.

To co-ordinate a national referral system.

To establish and maintain links with key stakeholder organisations and referrers to ensure a robust referral pathway and appropriate admissions within specified timeframes.

To provide consistent and equitable access to appropriate services for young people across Scotland.

To plan for and deliver an appropriate range of clinical interventions that address young people’s mental health needs within a medium security environment.

To actively support on-going engagement between a young person and their referring team including health, education and partner agencies, thereby ensuring that they “stay connected” to local systems in order to make transitioning to and from the unit easier and quicker.

To deliver responsive, individualised care coordinated through the use of Care Programme Approach (CPA) framework, including liaison with other services, agencies and facilities as appropriate.

To promote service user engagement and involvement.

To promote best practice in the field of Adolescent Secure Mental Health through teaching, research and service development.

To deliver high quality care and treatment within the appropriate legislative and a robust governance framework.

To ensure that special care is taken of the welfare of under 18’s - in accordance with the United Nations Rights of the Child, as enshrined in the principles of the Mental Health (Care and Treatment) (Scotland) Act 2003 and Children and Young People (Scotland) Act 2014.

To provide a safe, secure, supportive therapeutic environment, which promotes self management and is the least restrictive necessary to ensure the welfare of patients, staff and visitors.



1.3 Baseline Configuration & Physical CapacityThere is currently no secure adolescent inpatient service for young people in Scotland who require it. Consequently, this patient group is managed via an established Scottish National Services Division (NSD) commissioned contract. NSD also manage a risk share scheme on behalf of the NHS Board Chief Executives, which covers out of NHS Scotland referrals for specialist services.

The current commissioned service is provided by NHS England’s National Secure Forensic Mental Health for Young People network. This clinical network consists of seven forensic adolescent units spread across England, which provide medium secure inpatient services for young people aged between13 to 18yrs (and in some cases up to 19yrs depending on clinical and/or educational needs).

Changes in the central commissioning strategy, has led to young people from Scotland being dispersed across England, when originally they were all referred to a single preferred provider located in Newcastle Upon Tyne. (Originally named Roycroft, now Alnwood Clinic). This presents practical challenges relating to distance and geography, as the other delivery locations are Manchester, Birmingham, Northampton, Southampton, Middlesex and Kent.

At present, clinicians from NHS England National Secure Forensic Mental Health for Young People also provide assessments and consultation on complex cases not requiring admission. This features an out-reach model that includes recommendation on a defined clinical placement that can lead to further delays to admission, e.g. through requiring additional assessments by a different service.

The current service model has an average three-year spend of £2.2million (based on years 2014-2016).

If a young person is unable to access the commissioned medium secure units in England for any reason then individual arrangements can be made via unplanned activity and expenditure requests (UNPACS) for admission to NHS low secure in England or independent providers in Scotland and England. Recent developments in have aimed to tackle perceived lack of low secure provision. The largest and most commonly used alternative provider remains the charitable service, St Andrew’s Hospital, Northampton. Others are located in different locations across England. At times, treatment is provided via this unplanned route or, as an alternative, young people remain in Scotland inevitably within less appropriate care provision.

As stated previously, there is no secure inpatient service for young people within Scotland at present. There are however a range of general tier 4 facilities that must be seen as part of an overall cohesive pathway. These facilities provide specialist care for young people with a range of severe mental health problems, but are not secure (for example, generally unlocked except under special circumstances). In summary, NHS Scotland currently provides and commissions the following services for under 18’s:

Three regional general adolescent inpatient services in Dundee, Edinburgh and Glasgow: 48 beds for young people aged between 12-18 years.

National Child Unit, Glasgow: 6 bedsfor young people aged 12 years).

Other nationally or UNPACS commissioned services across the United Kingdom will be accessed in exceptional circumstances.

1.4 Assessment & Admission Criteria

When young people from Scotland are being referred to the medium secure services in England there is a referral process, an agreed admission criteria and peer review process



that prioritises admissions. Consideration in the placement of young people is their risk and vulnerability. National referral meetings for entry into English services take place weekly.

The process for transfer is often lengthy and can leave the young person, family/carers and the multi-agency team around the young person in a state of limbo feeling anxious and uncertain of their destination.

The current pathway is shown in Diag. 2. (Below)

Diag. 2. Current Care Pathway To Access Secure In-patient Services

1.5 Baseline Activity Metrics, Utilisation & Performance

As previously stated, NSD currently commissions a CAMHS secure service on behalf of the NHS Board Chief Executives, which covers out of NHS Scotland referrals.

The commissioned service for CAMHS patients in Scotland is the NHS England National Secure Forensic Mental Health for Young People. This clinical network consists of seven forensic adolescent units spread across England, which provide medium secure inpatient services for young people aged between13 to 18yrs (and in some cases up to 19yrs depending on clinical and/or educational needs).

Diag. 3 (Below) summarises current cross-border referrals by referring Board and receiving unit. As can be seen, Scottish patients are currently distributed widely throughout England.



Diag. 3. Cross-border Referrals For Secure Adolescent Care

1.6 StaffingNHS Scotland Community CAMHS currently has no inpatient secure workforce.

Under the current arrangements, support for young people within secure services in England is provided by NHS Scotland community CAMHS in conjunction with a multiagency team, ensuring continuity of care for young people admitted to commissioned services. This includes regular visits to the patient, attendance at inpatient reviews and managing rehabilitation to Scotland. There is currently no data on actual resources used in this pathway. However, it is typically managed by community CAMHS teams who do not have dedicated resources for this vital and complex task.

It is important to recognise that all of the clinical staffing associated with the proposed in-patient service is effectively new to the service in Scotland.

1.7 Negative Elements of Baseline Configuration/RisksIn summary, negative elements associated with existing service provision and the facilities currently used to support this (in no particular order) include:

The obvious lack of any appropriate, secure facilities for young people in Scotland which means that they have to travel further away from their homes than should be necessary.

That NHS England prioritises admission of English patients to their facilities, which inevitably disadvantages young people from Scotland.



Due to geographical distance and clinical time commitments, English services typically take up to a month from date of referral to a decision being made about suitability for admission to a service in England before the lengthy legal process can begin.

Scotland and England have separate legal systems with different mental health legislation, meaning that special regulations must be followed before any young person can be moved across the border in either direction.

Application must be made to the Scottish Ministers for a transfer warrant, with fixed time frames and a built-in appeal process.

Due to the particular vulnerabilities of young people, clear processes must be followed before a warrant is granted; including gaining informed consent of the young person and views of their family.

Remand prisoners cannot be moved across the border until their case is concluded which can result in prolonged delays in them receiving the appropriate assessment and treatment.

Discharge planning arrangements are complex but are made even more difficult by the long-distance nature of the relationships between existing in-patient units and the Boards/services and agencies required to procure and fund appropriate packages. This can have a negative impact on lengths of stay and the quality of packages subsequently provided.

Whilst a key commitment in the Mental Health Strategy for Scotland (2017 – 2027) is improved access to Child & Adolescent Mental Health Services (CAMHS), existing deficiencies have made it difficult for CAMHS to meet the needs of high-risk young people with secure needs.

In NHS Scotland, young people under the age of 18 years requiring urgent psychiatric admission may be admitted into an adult inpatient setting until a suitable age appropriate bed can be obtained (Mental Welfare Commission statistical monitoring Young Person Monitoring Report 2017/18).

On occasion the challenging presentation of the young person can be such that they are deemed inappropriate for the current NHS Scotland CAMHS inpatient settings and require to remain within an adult inpatient setting, subject to enhanced observations or, in extreme circumstances, a placement within an Intensive Psychiatric Care Unit (IPCU).

Admissions of young people to an inappropriate setting places immense stress on the young person and their families. These admissions are also expensive in relative terms and problematic for other patients and services. In addition young people are usually unable to access the age appropriate treatments that they require in such settings.

Young people requiring secure inpatient care typically have increased risk of disrupted education and learning difficulties. These can be exacerbated by the need to adjust to an English education system, with different curriculum and examinations. Similar problems arise on return to Scotland.

The goal of inpatient treatment is recovery and eventual return to their community of origin. Young people need considerable supervision to support their safe transition from secure to open settings. This is particularly challenging over long distances and different jurisdictions, (for example, a young person on leave from their English hospital is not “detained” when they visit Scotland.



Overall, “time to treatment” which is a strong predicator of outcome in mental illness is affected adversely by the complexity of current process and arrangements, with delayed commencement of treatment leading to slower and less complete recovery.

These elements must all be addressed through updated processes and the new facilities provided through the NSAIS project.

In addition, a national clinical workshop held in Stirling Court on 19 April 2018 determined a number of key principals that will be adopted and embedded within the Model of Care, these are:

Clarity of referral criteria and pathway;

Active planning for discharge;

Outcomes and benchmarking;

Maximising assessment prior to admission;

Minimising length of stay;

Reducing variation and promoting consistency;

Capacity modelling.

1.8 Positive Elements of Baseline Configuration/OpportunitiesPositive elements associated with existing service provision and the facilities used to deliver this (in no particular order) include that:

Where treatment can be/is commenced rapidly, young people with mental illness can and do recover.

Existing, effective pathways exist.

Access to services is supported and enhanced through robust referral processes.

Care, if fragmented due to the geography involved, is multi-disciplinary.

CAMHS services receive support from adult services as/when required.

Joint working between adult, CAMHS and forensic services is generally very good.

The role of specialist forensic teams in the care of young people is very good.

Prison healthcare, when required, is very good.

Families are financially supported to travel and accessovernight accommodation to facilitate visits/overall recovery programmes.

Video-conferencing is available and used effectively.

The range of facilities/units/services currently accessible through the NSD arrangements mean that young people can be referred to units with highly specialised teams and facilities.

These positive elements should all be retained, irrespective of how processes change, and must be deliverable by the new facilities provided.



2. WHAT DO WE WANT? (TO REALISE PROJECT & WIDER OBJECTIVES)2.1 Philosophy of CareThe national secure adolescent inpatient service will be part of a continuum of NHS Scotland care, involving other inpatient provision and intensive community services.

In order to achieve continuity of care across community and hospital settings, a “whole system approach” will be adopted.

The proposed national secure adolescent inpatient service will be hosted by NHS Ayrshire & Arran and North Ayrshire Health and Social Care Partnership, which has experience of whole system working across several services, including mental health for high risk youth. Through development of this proposal, the Project Team have engaged with a range of stakeholders to ensure the national unit will be embedded within a network of supporting services. These supporting services can be characterised as:

The “National” component: Services across Scotland that are a component of the overall “model of care” with a role in managing young people who may be referred to the national service/unit; and/or have a role to play in supporting their management during an in-patient stay at the national unit; and/or may have a role to play in supporting their effective discharge and/or subsequent care/support.

The “Local” component: Services, largely within Ayrshire & Arran, intended to support the widespread, varied and often intensive needs of young people whilst in the unit such as clinical support; medical care; education; vocational training; domestic needs; therapeutic interventions; etc.

The aim of the service will be to provide care and treatment within a highly prescribed set of physical, relational and procedural security measures. The predominant need for care and treatment will be related to the young person’s assessed risk of harm to others in the context of their mental disorder.

The objective of the unit will be to provide safe and effective acute in-patient mental health care to those patients who have undergone the required assessment process and been deemed to require admission. It will provide a range of therapeutic interventions, which are planned, co-ordinated and provided from a multi-disciplinary and user/carer perspective, based on comprehensive on-going assessment. A key aim will be to provide a platform for social inclusion.

Working towards rehabilitation/discharge/recovery will be the underpinning objective at all times within the unit in order to prevent inappropriate lengths of stay and promote independence and self-reliance. Effective integrated working and communication with community based health services and other agencies will also be a key service objective to ensure that a young person “stays connected” to their own locality – making transitions easier.

Whilst there will be no “normal” length of stay within the unit, a key aim will be realise an overall shorter length of stay than at present – due to the positive impact of earlier access to appropriate treatments than at present and enhanced communication between the unit and discharge destination.

All interventions undertaken will be evidenced-based or based on national consensus good practice and will be under-pinned by national standards and clinical guidelines.

2.2 Model of CareFor patients, families and staff who use and work in the service, the secure adolescent inpatient unit will deliver:

Safe, effective, efficient, equitable, timely, person-centred care



Recovery-focussed practice

Minimally restrictive rights-based care

Care which reduces health inequalities

Right help at the right time from the right people in the right place – as close as possible to patient’s community of origin.

This will be delivered, in keeping with:

Policy and frameworks for planning and delivering integrated services for child patients in Scotland

Principles of children’s and mental health legislation in Scotland

Relevant Good Practice Guidance and current best available evidence base.

The secure adolescent inpatient mental health services will provide care and treatment balanced across the following three domains:

developmentally appropriate care to facilitate adolescent emotional, cognitive, moral, educational and social development;

a secure and safe environment that can effectively manage high-risk behaviours and high levels of vulnerability;

a highly specialist multidisciplinary mental health service which provides comprehensive evidence-based treatments and evaluates their effectiveness.

Since treatment will be informed by best available evidence, the Model of Care will develop in accordance with Quality Improvement. The secure unit will therefore have sufficient flexibility in design to allow for adaptations as the Model evolves.

2.2.1 Assessment & TreatmentThe secure inpatient service will provide the following specialist, multidisciplinary mental health interventions:

Assessment and monitoring of mental and physical health

Assessment and formulation of risks and needs

A range of mental health treatments as indicated and in accordance with best available evidence

Proactive management of aggression and self harm

Psychological and social interventions to reduce risk of future offending

Substance misuse work and other treatments as indicated

Interventions to support the young person in achieving developmentally appropriate independence

Family / carer therapy

Consultation with agencies involved with the patient’s care and risk management

A structured activity programme that includes physical exercise



Other recreational opportunities

Where necessary, referrals will be made to other disciplines and specialist services to ensure safe, effective management of presenting needs and risks.

2.2.2 Physical Healthcare The service will promote positive health and wellbeing. It will ensure that young people have access to routine and regular physical health needs assessment and treatments for emerging and on-going physical health issues in a timely and effective manner.

Routine physical healthcare will be provided by “on site” medical staff with access when necessary to paediatric and more specialist medical provision as required.

2.2.3 Education All patients admitted to the service will be encouraged to become successful learners, confident individuals, responsible citizens and effective contributors. This will be achieved through the curriculum for excellence framework and via a programme of therapeutic and recreational activities, as well as formal education.

Service teaching staff will liaise with the patient’s enrolled school and educational psychologist to ensure that their learning needs are appropriately assessed and met.

There will be an “on site” secondary school provided by the host local authority education services (North Ayrshire Council). Educational sessions will be timetabled during the normal academic term. Arrangements will be made for older young people to access further education via links with local colleges.

2.2.4 RehabilitationSo far as possible depending on patient’s clinical condition and presenting risks, there will be opportunities for young people to participate in activities outwith the hospital campus. Arrangements will be made to allow access to local facilities.

The secure service will also liaise with the responsible locality team to arrange visits to home, school and other community resources.

The secure service will involve the young person, family/carers and other agencies in planning leave to ensure safety during suspensions of detention. For patients subject to criminal procedures, , approval for leave will be sought from the Ministers as required.

2.2.5 Evidence-based CareThere is growing evidence for the safety and effectiveness of mental health treatments and offence-focussed interventions for under 18’s. All therapeutic interventions employed in the service will draw from the available evidence base, with particular reference to available National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN) guidelines. However, the limits of available evidence for this complex patient group must be recognised. This includes “off licence” prescribing of medicines and psychological therapies requiring modification to meet patient’s communication or other developmental needs.

When working outside the evidence base, innovative interventions will be theoretically sound and robustly evaluated. Patients and parents/carers will be provided with accessible information about recommended treatments and supported in making decisions about accepting therapies.

2.2.6 Therapeutic milieu



The national service will provide these interventions in a secure environment where young people can address their problems in safety and with dignity.

All elements of the assessment and treatment programme will be child-centred and recovery-focussed.

The service will be resilient in the face of serious “challenging behaviour” and have a capacity to effectively deliver interventions for protracted periods of time a robust safeguarding approach will balance therapy delivery and safety of patients, staff and visitors.

2.2.7 Secure Environment & ProceduresPatients admitted to this service will present a level of risk of harm to others, which cannot be effectively managed in any other setting. The unit must provide a robust level of security to ensure safety for everyone being cared for, working in, and visiting the service.

Current services for adults in Scotland, and young people in England, differentiate between different levels of security. The physical, procedural and relational elements are specified for each level of security. This includes detail on the physical environment (such as perimeter, gate locks, fixtures), and procedures employed (personal searches, use of seclusion, policy of drugs and offences, response to alarms, etc.) to minimise risk of absconding and personal injury.

Scottish secure inpatient services for adults are clearly specified and designated in a hierarchy of high, medium and low levels of security.

In Scotland, applications can be made to the Mental Health Tribunal for Scotland for an order declaring that the patient is being detained in conditions of excessive security.

In order to meet known patient need, the proposed national adolescent inpatient service will be modelled primarily on a medium level of security.

There will also be inbuilt flexibility in the design to ensure that patients admitted to the service can be cared for at a level of security, which meets their needs throughout their recovery. For example, as a patient progresses toward discharge, their ability to cope safely with a lower level of procedural security may be “tested”. This can be seen as “a key design challenge” within the facilities created.

2.2.8 SeclusionThe secure service will have appropriate facilities for the management of young people who require periods of care in seclusion, or otherwise separated from the main patient group, in order to appropriately manage the level of risk they pose to others.

Evidence from existing services in NHS England suggests that at least one seclusion facility is an essential element of the range of therapeutic options available to safely care for this very high-risk patient group. Used appropriately, seclusion can be the least restrictive means of caring for vulnerable high-risk patients.

The effectiveness of this approach is evidenced by the fact that high security is not routinely used for under 18’s in the United Kingdom.

2.2.9 Patient SafetyCare in the national service will be underpinned by children’s rights to freedom and protection.

Young people admitted to the national service will present significant risks of harm toward themselves and/or others. In order to care for them effectively, the unit will use periods of enhanced observations in line with good practice.

Ensuring that facilities are able to strike an appropriate balance between providing a therapeutic environment with opportunity for reflection and peace whilst also supporting



enhanced observation – on occasions by multiple staff members – should be seen as a “key design challenge”.

Use of physical restraint and “as required” medication will be used with caution and only when necessary, in keeping with good practice.

All physical seclusion facilities and patient management practices will comply with standards and requirements. Decisions and rationale will be clearly documented and reviewed regularly over the period it applies, to ensure minimal restriction to young people’s freedom.

2.2.10 Family and Carer Involvement Children and young people will be supported in contact with their family/carers throughout their stay, by visits, phone calls and written communications, as appropriate.

The service will liaise with social work services from patients’ communities of origin to agree appropriate contact with parents, siblings and other relatives, and to support travel arrangements. Access by families to accommodation near the unit will be ensured to facilitate visits.

Efforts will be made to maximise involvement of families and carers in all aspects of care planning as appropriate.

2.2.11 Advocacy and Independent Legal AdviceAll patients will be facilitated in accessing independent advocacy and legal advice throughout their period of care in the service.

Patients and families will be provided with accessible information about the nature and implications of their detention under mental health legislation and other aspects of their legal status.

If required, mental health tribunals will be undertaken within the scheduled accommodation.

2.2.12 WorkforceThe secure service will ensure that its multidisciplinary workforce is suitably trained and skilled to meet the needs and risks presented by patients in its care. This includes training in everyday care of young people with a range of complex behaviours and developmental needs. It also includes staying up to date with specific evidence-based therapies and medical treatments. The service will work closely with universities, colleges and other learned societies to ensure it has a competent multidisciplinary team. Professional development will be supported by staff supervision, revalidation and other systems of appraisal.

The multidisciplinary staff group will include teachers, social workers and other youth workers who are primarily employed by the local authority. Efforts will be made to ensure that non-NHS staff are sufficiently supported in their professional development and supervision.

2.2.13 Clinical Standards The secure adolescent inpatient mental health services will provide care and treatment balanced across the following three domains:

developmentally appropriate care to facilitate adolescent emotional, cognitive, moral, educational and social development;

a secure and safe environment that can effectively manage high-risk behaviours and high levels of vulnerability;

a highly specialist multidisciplinary mental health service which provides comprehensive evidence-based treatments and evaluates their effectiveness.

Since treatment will be informed by best available evidence, the Model of Care will develop in accordance with Quality Improvement. The secure unit will therefore require sufficient flexibility in design to allow for adaptations as the model evolves.



This should be seen as a “key design challenge”.

2.2.14 QualityAdherence with these and other applicable standards will be assured by benchmarking with other related adolescent and/or secure inpatient services.

As far as possible and where relevant, the Model of Care provided by the secure inpatient service will be consistent with that offered in existing Scottish regional adolescent services and comparable secure inpatient services in NHS England.

Once the unit is operating, a national referrer group will be established, with a key function of ensuring equity of access for all young people in Scotland.

A national practice exchange forum will also be established to support referrers in developing best practice in managing high-risk youth with mental disorders.

2.2.15 Outcome MonitoringThe service will monitor clinical outcomes using a minimum dataset in accordance with current policy around quality indicators for specialist mental health services, including anticipated recommendations from the Children & Young Mental Health People’s Taskforce. In addition, quality indicators will be consistent with Royal College of Psychiatrists Quality Network for Inpatient CAMHS standards, allow contribution to the Scottish Forensic Network Census database and facilitate benchmarking with NHS England Medium Secure Network for Young People. Use of other measures relating to the care of children and treatment in conditions of security will be considered as appropriate.

A minimum dataset would include:

(i) Clinical measures SDQ (self-report, parent/carer and teacher),

HoNOS-CA,

HoNOS-Sec and CGAS.

These measures will be collected on admission, every six months and at discharge.

(ii) Physical healthThe physical health history and condition of patients will be routinely assessed. Key parameters will include BMI, and those relating to monitoring of lithium and other psychotropic drugs

(iii) Wellbeing indicatorsThe extent to which the service meets the welfare and safeguarding needs of each patient will be assessed using the 8 “SHANARRI” indicators of wellbeing, in accordance with GIRFEC principles.(iv) Offending riskUsing best available tools, risks of physical/sexual violence and other harm to others will be assessed and monitored throughout each patient’s period of care in the service.

(v) Parent / carer and young person feedback Young people and carer’s experience of the service will be routinely sought during each episode of care and on discharge.

(vi) Recovery-orientated practice



Indicators will be employed to monitor the extent to which the service implements recovery-oriented practices.

(vii) EducationThe unit school will monitor the following (in accordance with policy and guidance from education authorities):

Attendance, Attainment and Leaver destinations

Literacy & numeracy

Achievement of Curriculum for Excellence Levels

School inclusion (Additional support needs) Literacy & numeracy

(viii) Referrer feedbackReferrers will be invited to participate in surveys of their experience of the service.

(ix) Corporate performanceIn addition, the unit will employ a range of additional measures, as required, as an indication of on-going performance in order that any remedial actions can be taken as required. These are likely to include but not be restricted to:

Waiting times: Referred patients will be assessed, and admitted where appropriate; in a timely manner and in keeping with NHS Scotland access standards (currently 90% of patients will start treatment within 18 weeks of referral).

Equity of access: Demographic indicators will be routinely collected to ensure that the service is equally accessed by young people from all communities.

2.2.16 Interdependencies with Other Services and Providers The national secure inpatient service will be integrated into NHS Scotland care pathways involving:

Child and adolescent community mental health services

The three regional adolescent inpatient units

The national child inpatient unit

General adult community mental health service

General adult inpatient services

Adult community forensic services

Adult forensic inpatient units

Due to its location within Woodland View Campus, a key interdependence will be with existing and future inpatient and community and support services based on that site. The unit will also form part of a spectrum of services which meet the needs of young people with high-risk behaviours and/or who need care in secure environments. These include:

Criminal Justice services provided by local authority / third sector

Specialist residential care

Secure accommodation

Young Offenders Institutions.

The care pathway will support transitions into less restrictive environments as soon as possible, in keeping with current policy and best practice.



2.2.17 Alternatives To Secure Hospital CareRecent policy for the care, treatment and education of children in Scotland, emphasises the need for provision in the right place, at the right time and as close to home as possible. In relation to mental health care, there has been emphasis on clear evidence-based pathways for community-based care to avoid unnecessary admissions to inpatient care. To varying extent across CAMHS in Scotland, there has been development of intensive treatment teams, which have resulted in reduced lengths of stay, and hence improved access to, the three regional adolescent inpatient services.

Intensive mental health treatment can be provided for high-risk youth wherever they live: in their family home, residential home, school, secure accommodation or custody. Descriptions are available of good practice for mental health provision in secure accommodation and community settings.

However, it is recognised that there will always be some children and young people who require a period of more intensive and specialised inpatient care as delivered by the unit.

2.3 The Operational EnvironmentThe operational environment will seek to implement this philosophy of care through:

Involving patients as active participants in their care, contributing in a meaningful way to treatment decisions;

Providing access to information on the service and their care package which will promote the greatest degree of self-determination, informed choice and equity;

Respecting the individual and recognising their full rights and responsibilities as a citizen;

Presenting a culture of support in which staff actively promote a sense of hope, well-being and self-esteem in their patients;

Acknowledging that therapeutic interventions, social and recreational activities all play a part in the overall patient experience;

Validating and affirming each patient’s individuality supported by a structure of person-centred care;

Focusing on active discharge planning and minimising lengths of stay in-keeping with the principles of shifting the balance of care;

Providing innovative, evidence based treatment and care to individuals and their families underpinned by a strong values base;

Identifying, containing and controlling potentially dangerous behaviours through consistent staff practices that assist patients to moderate their behaviour and develop internal coping and control skills;

Providing security and observation at the least restrictive level, appropriate to the patients needs;

Aligning it with relevant national drivers for example: QIS standards, HEAT targets, etc.

2.4 The Physical Environment (Key Design Statement Elements)



The physical environment created should seek to support this philosophy and model of care through providing fixed assets that are capable of supporting its operationalisation. Specifically through:

Recognising strategic context, the specific role of the NSAIS and unit and how it relates to the other facilities and services that support/are supported by it;

Delivering the optimal configuration of scheduled accommodation on a single clinical level without ramps/steps;

Providing identified accommodation that does not require visitors to travel any further into the unit than is required;

Ensuring the safety and security of staff, patients and visitors alike;

Providing an environment that is “calming”;

Appropriately balancing the need for safety and security with the provision of a therapeutic environment;

Minimising observational “blind spots”;

Recognising that the therapeutic environment and ambience of the ward is a crucial element in how service users experience their in-patient stay and how they benefit from it;

Recognising the importance of ready access to safe and secure external areas;

Meeting all required standards and guidelines regarding the built environment;

Ensuring that the new build component “works” optimally in the context of the existing Woodland View estate.

2.5 Key planning guidance, SHPN’s technical guidance, whole hospital policies, etc.

Developing the required NSIAS facility at Woodland View is consistent with national and local clinical strategy.

Attention is also drawn to the specific design guidance contained in the following documents:

SHPN 35 Accommodation for People With Mental Illness (Part 1) SHPN 35 Accommodation for People With Mental Illness (Part 2) SHPN 04 Adult In-patient Facilities Do The Right Thing: How To Judge A Good Ward (2011) The Royal College of

Psychiatrists HBN 03-01 (Which has the status of “best practice” guidance in NHS

Scotland)

In addition, attention is drawn to a number of additional documents that include:

“CR78. Safety For Trainees in Psychiatry: Report of the Collegiate Trainees’ Committee Working Party on the Safety of Trainees” (1999) London. Royal College of Psychiatrists.



Forensic Network (2004) Definition of security levels in psychiatric inpatient facilities in Scotland Carstairs. Forensic Network

Quality Network for Forensic Mental Health Services (2014) Standards for medium secure services. CCQI178 London. Royal College of Psychiatrists

Quality Network for Inpatient CAMHS (2016) Service standards, 8 th edition. CCQI113 London. Royal College of Psychiatrists

The relevant schedule of accommodation has been developed based on this guidance with modifications as appropriate. It should be regarded as the primary document for all indications of activity space requirements associated with the accommodation briefed.

NB This should be amended to include any additional guidance being used in support of the design!!!!

2.6 Environmental and Services Requirements

Environmental and service requirements should correspond to the standards described in the relevant technical documentation related to this project (SHPN’s and SHTM’s) in particular SHPN 35 (Part 1 and 2) regarding design/configuration issues.

NB This should be amended to include any additional guidance being used in support of the design!!!!



3. WHAT IS CHANGING? (THAT WE NEED TO CONSIDER)

3.1 Pathways

In future, referrals to the new service will be accepted from a consultant psychiatrist with direct responsibility for the care of the young person. This would typically be a specialist in child & adolescent psychiatry from an outpatient or other inpatient CAMHS team. Alternatively, the referrer may be a consultant in general or forensic psychiatry, if the young person is in an adult ward or custodial setting.

In order to ensure specialist multidisciplinary input and continuity of care for all young people, the locality CAMHS team from the young person’s community of origin must be involved prior to, and throughout, their admission. (For example, a 16 year old remanded from Kilmarnock into a young offender’s institution in a different heath board area, may be initially referred by the prison forensic psychiatrist but would need timely input from NHS Ayrshire & Arran community CAMHS).

Given the implications of assessment for a secure inpatient service, it would be expected that the referring consultant would consult widely with the family and relevant professionals. As the referred young person would need to be detained under civil or criminal mental health legislation, views of any Named Person and the designated Mental Health Officer must be sought.

Responsibility for the care of the young person remains with the referring mental health service until the point of admission to the secure inpatient unit.

3.2 Acceptance CriteriaKey acceptance criteria for the unit are that:

The young person is under 18 at the point of referral

And

Liable to be detained under the relevant civil or criminal sections of the Mental Health (Care and Treatment) (Scotland) Act 2003

And

Presents significant risk to others

And/or

Is an untried or sentenced prisoner

And

There is clear evidence prior to referral that serious consideration of less secure provision has been made and/or tested and discounted as the young person’s needs/risk exceed the threshold for and the ability of those services to manage.

As with all specialist mental health services, certain young people will clearly meet the described acceptance criteria. Others may not, yet still present significant clinical and risk management challenges for the referring clinicians. For example:

Young persons approaching their 18th birthday.



High-risk young people with a mental disorder for which inpatient treatment is unlikely to be effective or even unhelpful (such as primary emerging antisocial personality disorder).

Where there is limited evidence of offending risk (such as unsubstantiated accounts of sexual aggression)

Where there is limited local access to intensive community alternatives (such as in a remote community or a local authority which does not “place” young people in secure accommodation).

The latter issues in particular presents risk of variation in referral patterns across Scotland.

From the outset, the Project Team have engaged with potential referrers and wider networks across Scotland, to achieve agreement around acceptance criteria. The Project Team will continue to work with existing regional and national networks to ensure risks are fully discussed and potential solutions considered. In particular, these include:

The three regional CAMHS networks which have well developed oversight of “Tier 4” intensive community CAMHS and the three existing adolescent mental health inpatient units;

Scottish Practice Exchange for Children, hosted by the national child mental health inpatient service;

Scottish Government CAMHS Lead Clinicians Group, which has oversight of CAMHS services from all Health Boards areas;

Forensic Network, which has oversight of the secure hospital estate and related forensic community services across Scotland.

By the time the secure service becomes operational, it will be embedded in a well-functioning network of referring and associated services. As a whole, this wider network will continue to develop a Model of Care for assessing and treating mental disorder in high-risk young people in all settings across Scotland. Ideally, the capacity of the network to effectively manage high-risk young people out with the national secure inpatient service will also be enhanced.

The proposed care pathway to access secure adolescent in-patient services is summarised in Diag. 4. (Below)



Diag. 4. Proposed Care Pathway To Access Secure In-patient Services

The first point of contact for a referral to the National Secure Adolescent Inpatient Service (NSAIS) will be either a consultant psychiatrist, senior charge nurse or service manager from NSAIS. At least one will be available Monday to Friday 9am-5pm to discuss referrals.

During this process all essential information about the young person and their current situation will be discussed including a description of their current mental state and their perceived risks of harm to self and others. A standard referral form will be developed to ensure consistency and that sufficient information is available to the service in order to consider each referral. Due to the highly specialist nature of the service, and need for careful planning of admissions, it will not be appropriate to admit any young person as an emergency “out of hours” admission.

On receipt of the referral the senior NSAIS clinician will triage the case according to urgency. The majority of the cases will be taken to the regular referral meeting staffed by senior representatives from the multi-disciplinary team but urgent cases will be discussed as a matter of priority with as many senior clinicians as is practicable. At the referral meeting, if the young person meets the referral criteria an assessment team will be formed and plans made to initiate the next stage. For those that do not meet the criteria the referrer will be informed within 24 hours, with an offer of further consultation with the NSAIS. Cases will be prioritised according to level of risk and need.

In the first instance senior decision makers from NSAIS (as a minimum a psychiatrist and nurse) will undertake an assessment visit to the young person in their current setting and will share information about the available treatment and facilities with the young person, family/carers around the time of that visit. The assessing team will discuss the outcome of the visit with other senior clinicians from the national secure service at its regular referral meeting. If the decision of the service is that the young person is suitable for admission a plan would be initiated to liaise with all parties concerned to make timely arrangements to do so.

If the young person does not meet the criteria for admission to the secure service, the assessing team will feedback to the referrer verbally within 24 hours of the referral



meeting and provide a written assessment report as soon as possible for the referrer. The assessing team will provide advice on management or risk including alternative options for meeting the needs of the young person. Efforts will be made to admit the young person as soon as possible after it is agreed that they may benefit from the national secure service.

The secure service will liaise with the referring team to:

Ensure that they receive all relevant documents and information about the patient

Remain up to date about the patient’s condition, treatment and risks Obtain feedback about the young person’s legal status and circumstances Provide guidance where appropriate on treatment and risk management whilst

awaiting admission Plan safe transfer of young person to secure service, including legal status,

escort, vehicles and risk management Agree a clear discharge plan

Once the young person is admitted to NSAIS, they will be provided with a range of specialist, multidisciplinary mental health interventions including:

Assessment and monitoring of mental and physical health Assessment and formulation of risks and needs Mental health treatments as indicated and in accordance with best available

evidence Proactive management of aggression and self-harm Psychological and social interventions to reduce risk of future offending Substance misuse work and other treatments as indicated Interventions to support the young person in achieving developmentally

appropriate independence Family/carer therapy Consultation with agencies involved with the young person’s care and risk

management Structured activity programme including physical exercise Other recreational opportunities

Where necessary, referrals will be made to other disciplines and specialist services to ensure safe, effective management of presenting needs and risks. The service will promote positive health and wellbeing. It will ensure that young people have access to regular physical health needs assessment and treatments for emerging and ongoing physical health issues in a timely and effective manner. Active health promotion will be incorporated into the service. Routine physical healthcare will be provided by “on site” medical staff with access when necessary to paediatric and more specialist medical provision as required. The model for rehabilitation for young people requiring more intensive support will be significantly improved within the new facility. Patients will be supported in an environment that enables a graduated recovery, building on their strengths in managing their activities



of daily living. Easy access to the activity areas and safe external grounds will promote quicker recovery and improved opportunities to engage with the community. As an outcome patient length of stay in rehabilitation will reduce and this will further impact on the improved wellbeing of patients.

Discharge planning will start at admission and be supported by a network of community-based services; ensuring young people are able to take advantage of a range of services to meet their individual needs. Accessing social, leisure and employment opportunities will be a distinct part of every discharge plan. Before admission, consideration will be given to likely timing and pathway for discharge. The secure service will work with the responsible locality CAMHS team around achieving an optimum outcome, including rehabilitation. This will incorporate managing the patient’s care during suspensions of detention whilst preparing for discharge.

Young people, who are in the secure service within 6 months of their 18th birthday, will be referred to the most suitable adult mental health service. The secure service will liaise closely with adult community or inpatient services to ensure the most appropriate transition. This may require assessment of the patient by the accepting team – especially if transfer to another secure inpatient service is considered. It is recognised that transition to adult services is a big step for vulnerable young people; NSAIS will ensure that the young person is given the appropriate support.

3.3 Capacity Modelling

3.3.1 The Historical Perspective

Two previous reports to the Scottish Govt. (2009 and 2014) proposed a medium secure unit for adolescents (Aged 12 – 18) with between 8 and 12 beds. This included capacity for patients who are detained or liable to hospital detention under civil or criminal mental health legislation, where:

Treatment in a secure in-patient setting is necessary because the patient: Presents serious risk of harm to others, and/or Is in custody on remand/sentence

The 2014 report identified that “activity levels appear broadly in line with the 8-12 beds noted in the 2009/10 report”, although this was in turn based on an even earlier 2005/6 study that identified 7 patients referred to English secure beds and a further 17 considered for transfer (24 in total) over a 2 year period. A key objective of the capacity modelling exercise was therefore to collect up to date data on actual capacity required through the needs assessment exercise described earlier.

3.3.2 The Capacity Modelling Challenge

The specific challenges associated with capacity modelling for this unit included:

There was no single process for managing patients who will be cared for within the new unit in future.



There was no single information repository to help us understand the specific care needs of this patient group that is complete and comparable.

There was no single existing dataset relating to this patient group that would support a traditional capacity modelling methodology based on likely admission numbers over time and length of stay based on an alternative/enhanced model of care.

There was no published data relating to patients who might benefit from the proposed unit in Scotland but who have not been referred to existing services because these are deemed unsuitable/inappropriate for whatever reason. (Unmet need)

3.3.3 The Capacity Modelling Process/Scenario Planning

The capacity modelling process employed therefor sought to:

Collect/collate information from multiple referral sources in order to establish a historical baseline of referral numbers and patterns. (The “demand” side – which was supported by the commissioned needs assessment study described previously)

Test information from multiple existing units in order to establish a baseline relating to historic interventions. (The “supply” side – which was supported by literature search, visits to other units, informal interviews and formal bench-marking)

Consider “variables” that could/should change that would have a consequential impact on capacity required and present these as a series of credible alternative futures with alternative capacity requirements.

Identify/agree a preferred future scenario for capacity planning purposes that is best able to meet the challenges of these alternative futures.

These baseline scenarios developed an agreed a range of evidence-based estimates for the three key variables identified that will have the most significant impact on capacity required. (Pt. numbers, length of stay and occupancy) Overall they:

Varied patient numbers likely to present who would benefit from admission to the unit from 23 – 31 over 5 years. This was based on a known historical of 27 patients from the needs assessment study undertaken +/- 15% based on an assessed range of factors that could change.

Varied average length of stay from 9 to 18 months. This was based on published English data for an equivalent population that cited an average length of stay of 14.2 months (Range 9 – 24 months) and further consideration of other factors likely to have a positive effect on duration of stay for a local unit within Scotland.

Varied occupancy from 67 – 92% based on beds available as a factor of staff budgets and patient acuity. This reflected the fact that baseline staffing for the new unit is based on a 1-1 staffing model and that any increase in staff: patient staffed ratios would have a consequential impact on staffed beds available and recorded occupancy levels. The occupancy levels actually



modelled were based on those emanating from an overall patient acuity that ranged between a single patient requiring 2:1 nursing and 4 patients requiring 2:1 nursing (or equivalent)

The 27 potential scenarios modelled as a consequence of considering these three defined variables are presented in Diag. 5. (Below) which reflects and overall bed complement required of between 4 and 14 beds.

Diag. 5. Beds Required By Scenario

It is noted that these projections have not been inflated to reflect any specific demographic trends based on the data available. Also, that there is a strong correlation between level of security and lengths of stay. i.e. Secure services are not seeing the same reducing length of stay as some other services.

3.3.4 Additional Capacity Modelling Considerations

Additional challenges and opportunities identified through capacity and wider discussions that have had a direct impact on the number of beds now proposed for the new unit include:

That the low patient, bed and activity numbers anticipated inevitably result in a higher variance and consequentially higher risk, with very small changes in activity levels and patient numbers having a huge impact on capacity available and potentially swamping it very quickly if not controlled.

The high variability of care needs (Staffing and physical capacity) that will have a major impact on day to day staffing and the number of places within the unit actually available.

The positive impact of a local (Scottish) service, with fewer barriers, earlier interventions, potentially shortened lengths of stay and improved outcomes.

The need for maximum service and facility flexibility to cope with service demands likely to change from day to day.



Capital and revenue affordability – most notably the need to understand the model of care and metrics required to deliver the volume of care now understood within the budget previously determined.

In addition, the emerging preferred physical layout of the unit (3 x equal bedroom “clusters”) has allowed the team to factor in the impact of economies of scale associated with capacity change based on actual alternative versions of the project’s schedule of accommodation. Most notably the impact of varying “bed cluster” size between 3 and 4 beds (9 and 12 beds in total).

Overall, this demonstrates that increasing bed numbers by 33%, from 9 to 12 beds, can be realised based on an increase in built area of only 7%. Furthermore, as highlighted in Diag. 6 (below) this minimal increase in area represents the difference between a capacity model that is able to cope with 19 and a capacity model that is able to cope with 26 of the alternative future bed scenarios modelled – an increase of 37%.

Diag. 6. Beds Required By Scenario: Impact of Alternative Cluster Sizes

3.3.5 Bench-marking Capacity

The project team have also sought to benchmark how the bed capacity proposed within the new Scottish unit relates to wider capacity within the UK system. This is summarised in Diag. 7. (Below).

Overall, this bench-marking has identified that, whilst the new facility will mean Scotland having more medium secure beds/head of school age population than England (1.31/100,000 as compared to 0.96/100,000), it will still have considerably fewer secure adolescent beds overall as a consequence of having no low secure provision compared to England’s 1.47 beds/100,000 population.



Benchmarking also acknowledges that Scotland still has no access to PICU and HDU beds, which are not included within the proposed provision.

Diag.7. Locked In-patient Adolescent Capacity Bench-marking

3.3.6 Proposed Bed Capacity In Summary

In summary, the project team have concluded that:

This unique facility has presented a unique capacity planning challenge. Beds are an important – but not the only – a measure of “capacity” for this unit as

staffed capacity available on a daily basis is likely to have the biggest single impact on “space available” rather than physical bed numbers.

Facility design will need to be sufficiently flexible to meet constantly changing needs. (This should be seen as a “key design challenge”)

3 x equally sized bedroom “clusters” is seen as the optimal facility configuration. All things considered, it appears appropriate to plan for a unit with 3 x 4 bedroom

“clusters” (12 bedrooms in total). This will equate to 36% more adolescent medium secure beds in Scotland compared

to England but still 85% fewer adolescent secure beds overall (by population)



4. WHAT DO WE THEREFORE REQUIRE?Since treatment will be informed by best available evidence, the Model of Care will develop in accordance with Quality Improvement. The secure unit will therefore have sufficient flexibility in design to allow for adaptations as the Model evolves.

4.1 The Proposed Facilities: Overview

All of the accommodation within the proposed facilities is as specified in the attached Schedule of Accommodation which should be considered as the primary reference document relating to areas required. This document was originally developed by HGHCP but has been significantly modified since our involvement as the design has developed. Text within this section should therefore be regarded as general/presenting core principles of operation only.

In reflection of the requirements of clients, service users and the services themselves the care environment should, in overview:

Be attractive, uplifting and interesting in terms of décor, fabric, furnishings and interior and exterior design, as well as the use of natural materials, colour and textures;

Create a feeling of well ventilated space, maximising the use of natural light and minimising the reliance on artificial light;

Create a calm and restful atmosphere throughout and an environment which is non-threatening;

Optimise staff observation/monitoring of patients at all times (Specifically, minimise the opportunities for patients to engage in activities/behaviours that may place themselves/others at harm/risk whilst out with the direct vision/supervision of staff)

Afford no undue separation of staff from patients; Provide a range of central clinical and shared spaces to support both informal socialisation as

well as structured one to one and wider group activity Provide opportunities for exercise, leisure and education; Include easily maintained/accessed outdoor spaces; Be sensitive to the needs of physically disabled patients, visitors and staff; Be “operationally flexible” enough (on a day to day basis) to:

o meet the changing care needs of individuals throughout their episode of care, e.g. through the movement/removal of furniture, ability to “lock off en-suites”, control observation levels and movement, etc.)

o provide an equality sensitive service, e.g. Through identifying gender-specific areas with “gender-flexible” spaces between to support changing gender-mix

o Ensure that all accommodation allows conversations at normal levels to take place in privacy but also allows raised voices/shouting to be overheard from adjacent rooms/areas;

o Provide sufficient telephone access and IT infrastructure for patients and staff. (Specifically, in consideration of a move towards electronic health records, it should be assumed that an IT connection will be required everywhere that a clinical interaction may take place)

o Provide areas suitable for social dining o Consider the needs of staff and the impact that the working environment has on job

satisfaction, recruitment and retention. o Address gender, cultural and religious diversity whilst meeting the needs of relatives,

carers and visitors o Conform to the requirements of the Disability Discrimination Act 2005 including

wheelchair access into rooms, provision for those who have hearing or visual impairments and for obese patients.

4.2 The Proposed Facilities: Configuration



The unit should be laid out so that a clear progression can be identified from public areas (outside) to increasingly private areas upon entering the facility. Key “zones” within the ward are as identified in the relevant “bubbles” in Diag. 8. (Below)

Diag. 8. NSAIS: Block Relationships & Flow from Public to Private Space

Key “zones” most relevant to the concept of progression from “public” to “private” and their relative order include:

The main entrance hub

The visiting area

The shared day/dining and activity area

Group/therapy areas

The school/education area

Local day/socialisation spaces associated with bedroom “wings”

Bedrooms

En-suites

4.2.1 The Entrance Hub

The entrance hub includes only minimal scheduled areas. It is intended to act purely as an entrance/airlock to the ward, small waiting area and also to be the location of the single disabled toilet for visitor use. As it is in an “uncontrolled area” this toilet will be lockable and accessible only through the use of a key/code or some other secure means only accessible in agreement with ward staff.

The “waiting area” has been included to allow the short-term waiting of small numbers of visitors who arrive before scheduled visiting times have begun.

The entrance hub will be connected to the ward by a locked door with entry buzzer and video link that it will be possible to open remotely.



In addition it is noted that:

Visiting will be at pre-arranged times – always at least 24 hours in advance with a notice of who is to be involved (may be within core hours)Provided interview rooms may have secondary role as an additional visiting areaAll entrances controlled and observed (Main entrance and FM entrance)Visitor screening e.g. for drugs.

4.2.2 Patient Day/Activity Areas Patient day/activity areas should be close to the entrance of the unit and distal to the bedrooms

both to support appropriate social interaction and aid the operational control/observation of access to/from bedrooms and hierarchy of zones that reflects increasing levels of privacy with travel into the unit.

These areas include a mixture of sitting, dining, activity and quiet areas intended to provide

alternative options for daytime activities and patient separation where required. 4.2.3 Group/Therapy Areas Dedicated spaces will be provided for delivery of a range of therapies as determined by

individualised careplans. These will include psychoeducation, offence reduction programmes and rehabilitation therapies.

To be added based on current thinking! 4.2.4 The School/Education Areas A dedicated school will be provided which will be the education centre during the academic

day and term. As for most campuses in our communities, this school space will also be available for use as therapy / structured recreation outwith school hors; for example for music, art and other creative therapies.

To be added based on current thinking!

4.2.5 Local Day/Socialisation Spaces Associated with Bedroom “Wings”

Additional day/socialisation spaces will be associated with bedrooms in order to provide local “living/recreational” space. These area will primarily be used in the evenings and at weekends but will also be available to support the day to day operation of the unit.

4.2.6 Patient Bedroom Areas

Overall, bedrooms within the ward should be configured in 3 equally sized “groupings” or “wings” to support the appropriate separation of patient groups by gender or on a condition-specific basis as/when required and recognise the comments made by the Royal College of Psychiatrists regarding optimal unit sizes. (Do The Right Thing: How To Judge A Good Ward (2011) The Royal College of Psychiatrists)

This should include the identification of notional future “ends” which might be demarcated according to clustered need and risks, for example, around gender, developmental age/stage, progress toward discharge. Where required, this will allow operational separation



of patients who require physical separation, with centrally located bedrooms that can flex between particular operational needs (such as for females/males). Where demarcated patient needs areas are identified (such as for females/males), these should

be accessible from the appropriate “end” of the bedroom areas – specifically without having to pass bedrooms/other areas likely to be occupied by the opposite group (eg gender) - as per Diag. 2. (Below)

Diag.9. Gender Separation vs. Operational Flexibility: Layout ConceptIn addition, all bedrooms should have natural light via a large window and ideally a pleasant view to external soft landscaped areas or attractive spaces beyond.

Where ward design requires bedroom views to overlook courtyards, the courtyard dimensions and shape must be taken into consideration in order to optimise privacy. Specifically, it should not be possible to look directly into bedrooms from outside areas.

Consideration should also be given as to how good passive observation levels can be achieved from corridors and staff bases. As regards environmental control, it is important that all services (including power and water) can

be isolated from outside bedrooms. 4.2.7 Local Clinical Support Areas

Although frequently used support rooms, such as dirty and clean utilities and disposal holds should be as near as possible to the clinical areas served, in general clinical support space may be used to create “buffer zones” between other scheduled spaces as required or to enhance overall design and functionality.

The Charge Nurses office and other staff areas (such as the MDT room) should be close to day spaces and the entrance to wards to maximise observational opportunities, support appropriate access control and ensure that staff are never far from patient areas – even when engaged in non-direct activities, e.g. Meetings, administration, etc.

Areas requiring FM access/servicing such as the clean utility, dirty utility, linen room, etc.) should be close to the defined FM entrance to reduce the distances travelled with fresh stores/dirty items. In addition defined clean/dirty “routes” should be identified that minimise all travel distances whilst maintaining an appropriate separation between “clean” and “dirty” goods/services.

4.2.8 External (Garden) AreasTherapeutic external space that is readily accessible from shared day spaces is an essential element of the overall unit. This external space must:



Maintain the same level of patient safety as within internal areas, e.g. Anti-ligature

Maintain the same level of “anti-pass” as within internal areas, e.g. It should not be possible to pass, throw or otherwise supply any goods/substances to patients whilst they are using/accessing external areas

Maintain the sense of calmness within the unit, particularly related to passive noise

Deliver the same level of security (discouraging attempts to leave) without appearing overly oppressive

Include areas of shade

Provide spaces that comply with NHSGG&C’s policy on e-cigarettes

Be easily maintained and accessible with any tools required to support maintenance

The unit will also require access to a defined number of pick up/drop off spaces located immediately adjacent to the main entrance as a significant amount of patient transport is managed through a taxi service.

4.3 The Proposed Facilities: Specialist Technical Infrastructure

Although the specifics of the technical infrastructure required will vary according to the delivery systems identified, the following specific issues must be addressed:

It should be possible to “lock down” the entire facility as/when required with all entry systems security controlled and remotely operable (Out of hours entry will be controlled through the single entry point in the central hub area)

Security entry systems with video and audio intercoms should feature at all entrances

It must be possible to activate a personal alarm anywhere within the scheduled areas in order to receive immediate assistance from more than one clinical area

It must be possible for all patients/visitors to summon staff assistance from within all patient areas via an appropriate nurse-call system

“Slow door systems” should be used where appropriate

IT access should be available everywhere that a clinical interaction is likely to take place (wireless connectivity would be preferred for this functionality)

Patient internet access should be provided at designated locations in day/activity spaces

It should be possible for patients to control the lighting levels within individual bedrooms from within the room

All patient areas should have “anti-ligature” fixtures, fitting and infrastructure as far as possible with any areas potentially compromising this directive identified to the Board during the design process for approval

All doors in patient areas should be “anti-barricade”

All windows in patient areas should be “anti-pass”

All facilities should correspond to and be compliant with the relevant technical and security standards as laid out in the project’s technical reference documentation

It is noted that there is NO requirement for any piped gas within the facility and that O2 will only feature on emergency trolleys/grab bags.



4.4 The Proposed Facilities: Access, Door & Corridor Requirements

Patients and relatives will require to access the facility throughout an extended day, as will other members of the clinical team; this poses particular challenges and should be considered within the design/location of the facility. The hospital-wide security policy should inform access control requirements for the areas out of hours.

In hours all patient and visitor access should be through a main entrance door that will be locked on the outside and only operable by staff with the appropriate access or remotely from inside the ward.

FM access will be via a separate dedicated FM entrance that will also be locked and require specific access privileges.

Regarding corridor sizes:

A minimum of 2.15m clear width is required in all clinical corridors - taking into account wall protection and any other obstacles. This will include all corridors in patient day/bedroom areas and access routes to/from that are required for bed supply/change

Additional corridor width may be required to allow entry of a bariatric bed without requirement for disassembly into identified bariatric bedrooms.

A minimum of 1.5m clear width is required in all “staff only” corridors - taking into account wall protection and any other obstacles

All corridors should be kept free of obstacles with essential items, e.g. Fire extinguishers fully recessed

It is noted that the requirement for anti-barricade doors extends throughout the clinical areas. In addition, all doors will require to be lockable. If electronic systems are used (to minimise manual key requirements – which is desirable) these should compatible with systems used on related facilities elsewhere on the site.

4.5 The Proposed Facilities: Hours of Service & Work Patterns

The unit will operate 24 hours/day, 365 days/year.



As administrative and some support areas are unlikely to be staffed out with office hours the implications of this should also be considered within the design. Specifically this should allow for these areas to be locked when un-staffed with a separate provision for out of hours visitors (such as “duty clinicians”) to make contact with ward/clinical staff before being allowed access to clinical areas.

4.6 The Proposed Facilities: Soft FM Considerations

All aspects of Hotel Services provision to the new facilities will be based on an integrated services model that will be provided via NHS Ayrshire & Arran. This includes the provision of:

Core cleaning/housekeeping services Patient personal clothing laundry (where scheduled) Catering services including patient meal/dish wash Linen services Portering/messenger services Grounds maintenance Etc.

These services will be designed and delivered in conjunction with clinical service users in order to ensure that they complement direct patient care. Key considerations that will impact upon the effectiveness of these services that must be taken into consideration throughout the design process include:

Overall site layout/configuration Defined internal and external FM delivery routes External landscaping Access in/out of facilities for FM service delivery Room layouts/relationships Environmental finishes

4.6.1 Core Cleaning/Housekeeping Services

Environmental Cleaning Services must be compliant with NQIS HAI Standards and the National Cleaning Services Specification, 2004 (revised 2009). Cleaning outcomes will be monitored and reported in line with the National Monitoring Framework (2006) requirements.

Specific infrastructure requirements include; the provision of dedicated Domestic Services Rooms (DSR’s or “cleaner’s rooms”) within all areas as identified in SHFN 30; the provision of adequate separated waste storage areas; the provision of defined accessible entrance/exit routes for stores deliveries and waste collection.

4.6.2 Patient’s Personal Clothing Laundry

In accordance with their clinical condition, risks and developmental stage, patients within the unit will primarily be responsible for undertaking their own laundry including washing; drying and ironing. A patient utility room has been scheduled for this purpose.

4.6.3 Catering Services



Main catering services will be delivered via the existing infrastructure on the Woodland View site. In addition, areas have been scheduled to support local catering provision within the unit as an element of the overall model of care.

All catering services must be compliant with NQIS Food Fluid and Nutritional Care Standards.

In addition it is noted that:

Visitors will have tea and coffee made for them Meals will be served the same way as in other wards Children will, on occasions, prepare their own meals Snacks will be delivered on a scheduled run and stored locally Patients own food will be restricted. Some will be held locally (in bedrooms) others

will be in central pantry area/fridge. Take-aways may be supported as events – but all food will be checked and suppliers

will only be selected from a locally approved list. “Fake-aways” will also be supported as an event/educational element

4.6.4 Linen Services

Flat linen including sheets, pillowslips, blankets, counterpanes and towels will be provided via NHS A&A laundry services.

Required supply will be calculated to best match demand on the basis of local bed changing practice and bed occupancy projections/trends.

Specific infrastructure requirements include; storage areas for clean linen; storage areas for dirty linen; the provision of defined entrance/exit routes for clean/dirty linen.

It is noted that laundry-holding arrangements require to be accessible for the central laundry delivery/uplift service model and facilitate health and safety manual handling criteria.

4.6.5 Portering / Messenger Service

The services provided are designed around specified/scheduled tasks that include; waste removal, food trolley delivery/collection; stores delivery; pharmacy delivery; specimen uplift; mail delivery/uplift; etc.

In so far as these activities reflect the requirements of those services already identified they present no further specific infrastructure requirements related to these facilities. They do however underline the requirement for clearly defined and accessible collection/delivery routes that are capable of supporting all service elements and accommodating established delivery methods, vehicles, delivery routes, etc.

4.6.6 Grounds Maintenance

Arrangements for season specific grounds maintenance and proactive winter pre gritting and snow clearance are already in place on the site that would be extended to include the new facilities.

Specific infrastructure requirements include; the provision of external winter grit storage bins; the provision of easily maintained external areas where these are provided, e.g. Gardens, where specified, should be “low maintenance”.



It is noted that any “internal” garden model presents specific garden maintenance challenges and that consequently any such area should be manageable through the use of hand tools only that can be safely transported through the ward as required.

4.7 Specific Technical Requirements4.7.1 Information Technology Requirements

IT is seen as fundamental to the efficient functioning of the new unit and must be considered at every stage of the design process. In particular the use of IT to reduce workload, repetition and errors is key, as is its ability to support the safety & security of patients, staff and visitors.

Access to all relevant IT networks is essential for clinicians to carry out their duties. This access should extend to all clinical areas, office areas and treatment/interview rooms.

Specifically, in consideration of a move towards electronic health records, it should be assumed that an IT connection will be required everywhere that a clinical interaction may take place. i.e. everywhere that a patient and a clinician may need to interact and/or everywhere a clinician may need to interact with another clinician.

In addition, patients rely more and more on electronic contacts with other people via social networking, email etc. Whilst in hospital they may not have access to this facility. The provision of a public wireless network where they could connect their own devices is essential in helping them maintain their social contacts. It is noted however that no access to electronic devices or phones will be available within patient bedrooms and that internet access will be strictly controlled whilst adhering to the the “least restrictive” principle.

? is that the case Many staff will be moving to new facilities from more traditional style wards (multi-bed bays) with technology seen as crucial to supporting their clinical observation of patients in a 100% single room model. Specifically, the IT network should therefore include an infrastructure for telemetry facilities for each ward, with the receiver at the main staff base and the capacity for telemetry to be used on any patient within the ward. Ideally telemetry information should also be capable of being relayed to staff throughout the ward in recognition of the desire to move away from a centralised nursing station.

Telemetry facilities shall enhance the case-specific monitoring of individual patients/groups who are confused, at risk of harm to themselves or others and/or who may try to leave their bedroom/ward unassisted and/or without permission.

Overall, IT networks should be flexible and assignable, thereby allowing decisions on future hardware requirements to be unencumbered by the need to have access to hard-wired connections – except as a back-up. They should also not restrict the Board’s future procurement decisions unduly, meet all required technical specifications and be extendable to other parts of the facility at a later date if required.

4.7.2 Acoustic RequirementsSHTM 08-01 has been written for healthcare professionals to understand acoustic requirements and to help those involved in the development of healthcare facilities.

Acoustic design is fundamental to the quality of healthcare buildings as sound affects us both physiologically and psychologically through the introduction of unwanted noise and also, beneficially, e.g. the effect of music.



Good acoustic conditions improve patient privacy and dignity as well as promoting essential sleep patterns. Such conditions are key to healing. It also brings other benefits in terms of patient and staff comfort and morale, as well as improved efficiency and usability of equipment.

The relevant acoustic design parameters and the standards to be achieved are set down in SHTM 08-01 with the parameters most relevant to this unit:

Noise levels in rooms – both from mechanical services within the building and from noise coming from outside. It is important to create an acoustic environment that allows rooms to be used for resting, sleeping, treatment, consultation and concentration. There are also statutory limits for noise levels that individuals can be exposed to whilst working; which should be adhered to;

External noise levels – noise created by the healthcare building and operation shall not unduly affect those that live and work around it, including those utilising garden spaces;

Sound insulation between rooms – allows rooms to exist side by side. Noisy activities shall not interfere with the requirements of adjacent rooms, and private conversations should not be overheard outside the room. It shall however be possible to hear raised voices/shouting from an adjacent room and this is seen as an important security/observation requirement.

Impact sound insulation – prevents footfall noise of people walking over rooms interfering with the use of rooms below;

Room acoustics – guidance is given on quantities of acoustically‐absorbent material to provide a comfortable acoustic environment;

Audio systems – announcements to patients, visitors and staff shall be intelligible;

Vibration caused by plant, medical equipment and activities shall not affect the use of the building. Some medical equipment is sensitive to vibration, and so are people.

4.7.3 Security Considerations All patients admitted to the secure adolescent inpatient service will be detained under relevant sections of the Mental Health (Care and Treatment) (Scotland) Act. All patients will have their care and risk management plans facilitated via the Care Programming Approach.

Providing a safe and secure environment for patients, staff and visitors is integral to the provision of clinical care, with security determined to have three interdependent domains in the clinical context:

Physical security: the internal and external perimeters, security mechanisms and technologies (e.g. manual/electronic lock systems, CCTV) and other physical barriers (e.g. airlocks) that exist in the unit and the service as a whole.

Relational security: the understanding and use of knowledge about individual patients, the environment and the population dynamic

Procedural security: the timely, correct and consistent application of effective operational procedures and policies

It is essential that the three domains are developed and managed jointly, can withstand physical or behavioural challenge and are used to inform decisions about individual/population care.



4.7.4 Staff Call/Alert RequirementsA comprehensive staff call system shall be required at all clinical service delivery locations (including but not restricted to bedrooms, en-suites, treatment areas and consultation spaces) as well as all other areas frequented by patients. The system must be addressable and capable of emitting both audible and/or visual warnings for the following situations:

to summon a nurse (“Patient to Clinician”); and

to highlight a medical/staff emergency (“Clinician to Clinician”)

Both visual and audible warnings should be sited in positions that enable the appropriate staff to respond to the exact location of the call both efficiently and effectively and shall ideally be relayed to individual staff members remotely. Warnings, both visible and audible, shall be specific to the type of emergency and must be consistent throughout all areas of the facilities. In the event of an emergency they shall also repeat to all wards within the same “cluster” to ensure that sufficient additional assistance is summoned efficiently.

There is a requirement to ensure that the staff call system meets the needs of all of the patient groups that may be required to use the facilities recognising that they may have cognitive problems or have difficulties with mobility. In addition, it must fully comply with the requirements of relevant SHTM’s and SHBN's and interface fully with the information technology system to enable on-screen alerts at assignable locations.

In addition, from a clinical perspective:

Security entry systems with video and audio intercoms shall feature at all entrances

It must be possible to activate a personal alarm anywhere within the scheduled areas in order to receive immediate assistance from more than one clinical area

It must be possible for all patients/visitors to summon staff assistance from within all patient areas via an appropriate nurse-call system

“Slow door systems” shall be used where appropriate

A safe should be provided in each bedroom for the personal use of patients

All facilities/spaces must be designed with security in mind – and support the immediate evacuation of clinical staff without restriction if required as per the relevant RCP guidelines.

4.7.5 Future Flexibility Throughout all of the planning, modelling and design work undertaken thus far, the key priority identified has always been future flexibility. Specifically, it is acknowledged that many variables exist that may have an impact on actual future facility requirements and, that as a result of this, facilities must be flexible enough to manage any patient group in the future with the minimal of cost/disruption/changes to contractual arrangements.

One such issue is the variability in care needs anticipated, with staff modelling activity identifying that the nurse: patient ratio within the unit is likely to vary hugely from patient to patient (range 1:1 to 5:1) which will present a very specific management challenge. This variance will also affect the physical space required to support individual patients on a day-to-day basis and challenge the traditional measure of bedrooms as the primary measure of physical capacity. E.g. Whilst one patient may require/be most appropriately managed in a domestic sense within a single bedroom, another may require additional space in the form of a dedicated day and/or “extra care area” to support their needs and those of the nursing team supporting them.

This challenge is exacerbated in this small size of the unit, and means that the accommodation delivered requires an even more flexible design layout, able to respond to



fluctuating demand within all, gender, care, risk and vulnerability groups within a defined physical area.

Future flexibility is therefore seen as a key design challenge.

A physical expansion strategy should be developed alongside any design that recognises building options for future development/growth/expansion of the facility or the co-location of an additional ward(s).

Future flexibility must remain at the forefront of all design activity and the facility MUST be able to demonstrate how function can change/develop operationally (day to day) and over time with zero/minimum impact on services, costs and contracts.

4.8 Functional Relationships & AdjacenciesThroughout the planning process to date, the new development has been planned as a geographically discrete facility on an identified site at Woodland View. Consequently only internal relationships and the impact of services not available locally have been considered.

Attention is however drawn to the links to other services identified throughout this document in consideration of the impact these will have on local infrastructure including pavements, cycle routes, parking, vehicular access and delivery routes.

4.9 Patient/Process Flow Through The Proposed FacilitiesThe physical environment should take into consideration the anticipated patient flows described elsewhere in this document, reflecting this in both the design and configuration of the scheduled areas.

4.10 Schedule of AccommodationThe current S of A should be seen as the primary reference document regarding all required areas.

It is important to note that:

Every opportunity to appropriately rationalise scheduled areas through design should be identified

Accommodation should be as flexible as possible



APPENDIX A

A “Day In The Life” of A Patient in the Unit

NB This example is from an adult AAU – it should be replaced and is presented for reference only!

Mr A has been assessed by the community mental health team. From their assessment and referral on to the crisis resolution team it was decided that a short admission to an acute adult mental health ward may be necessary for a period of assessment and development of a collaborative treatment plan to aid his recovery process.

Mr A is consequently referred to the Acute Admissions Unit.

Mr A is accompanied to the AAU by his family; he is greeted at the entrance to the AAU by a registered nurse who is supporting the assessment process. The RN leads Mr A into a safe consulting room environment whilst asking his family to remain within the external waiting area. (This has access to toilets that are accessible using a key that is available from the ward).

The interview room that Mr A is taken to for the assessment process is also just off the main waiting area, at the entrance to – but not inside – the adjacent ward. It is anti-ligature with anti-barricade door and includes comfortable chairs and a low table. It is configured as per best practice guidelines with staff members always positioned closest to the door to aid exit and includes “staff-call” and emergency buzzers. These are essential to be able to quickly summon assistance from the adjacent ward if required.

A doctor and other members of the MDT are involved in the assessment process.

Following the assessment process and a brief MDT discussion and consultation with his family it is agreed that Mr A should be admitted to the unit. The reasons for this decision are shared with Mr A who agrees that it is the best course of action. Had Mr A disagreed with this decision, then he may have required to be detained in line with the Mental Health Act.

Following the decision to admit, the process of what happens next is explained to Mr A. He is then escorted to the adjacent ward and introduced to the person who has been allocated as his named nurse. This will ideally be the same nurse who supported his assessment prior to admission.

The RN and Doctor will speak with the family to obtain their views and any additional information required.

The admitting Medic/RN will also carry out a full physical examination in addition to the routine bloods etc. that have been taken by the named nurse.

The named nurse will orientate Mr A to the AAU ward environment and offer a clear explanation of what will happen during his time here – as well as an indication of how long this is likely to be and where he will go thereafter. The named nurse remains with Mr A and Family and gives an explanation as to the admission process, the aims of admission and offers information as to the ward and contact details.

Mr A’s family are offered a tea or a coffee in the defined visiting area (ward dining room) and told that all visiting is restricted to this area while Mr A is escorted through to his room where his named nurse will go through the admission procedure with him using a hand-held electronic device, checking the details already held from his assessment and involvement



with the CMHT. The Consultant Psychiatrist will have been alerted to Mr A’s admission. A clear treatment and management plan will be developed in collaboration with Mr A including risk assessment which will be discussed in his presence and his views sought.

Mr A will be orientated to the ward, shown his en-suite toilet/shower and how to access the free Wi-Fi should he wish to do so. The model of care based on therapeutic activity will be described to him and initial discussions entered into re his anticipated activity programme and the members of the wider Multi Disciplinary Team that he can expect to be involved in his care. He will be introduced to the other staff on shift and an explanation given as to how he can summon assistance from staff should he require to do so.

Mr A will be shown the personal laundry, the smaller quiet sitting room as well as the larger sitting room and the outside garden space surrounding the ward with tables/chairs and decorative planting and features.

He will also be shown those areas of the ward that he is not allowed to enter, including the Female only day area and some of the bedroom areas as well as being informed regarding any other advice that is specific to the environment or his treatment goals.

Mr A will be offered a meal as he has not had the chance to eat at home prior to admission and given the opportunity to make himself some tea and toast. His named nurse will describe the likely events of the next 24-48 hours and agree specific times that she will see Mr A on a one-to-one basis to further develop his therapeutic care plan and activity programme.

Mr A will be observed by nursing staff at the least restrictive level in a calm, therapeutic, safe and ligature free environment which will encourage and engage his journey of recovery. This will include engaging in various therapies including an art group, lifestyle sessions, individual psychosocial sessions, ADL assessment and relaxation within the designated activity rooms within and outwith the ward and also in the therapeutic garden area.

Mr A is offered a choice of having his meals in a shared dining area or within his own room. Throughout the day he will have access to ward based area where he can prepare tea, coffee and cold drinks or access drinking water.

The staff who have come on shift for night shift introduce themselves to Mr A and again remind him of how he can request assistance from staff should he have any concerns and explain that they will look into his room from time-to-time overnight using the vistamatic panels on the window of his bedroom door to check on his well-being.

Mr A retires to the bed for the evening, feeling safe, calmer, hopeful for his future and assured that he has been listened to and his views are crucial in how he will be assisted to recover from the recent stresses and pressures in his life.

Within his room Mr A will have access to a control panel to adjust lighting to allow him to read when the lighting is dimmed at night to promote restful sleep.

He will remain within the AAU for the minimum amount of time required before being discharged to community based care or transferred to a more appropriate longer-term in-patient environment. Mr A will ideally not remain with the AAU area for any more than 7 days.



References

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https://education.gov.scot/Documents/CfE2016-17SummaryImplementationPlan.pdf7. Gough, A (2016) A Safe Future? Finding a way forward for the secure care sector in

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2015.13. Mental Welfare Commission for Scotland (201) Visit and Monitoring Report. Joint

Mental Welfare Commission and Care Inspectorate visits to young people in secure care settings MWCScot, Edinburgh.

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Appendix 1

Schedule of Accommodation

This Appendix sets out the Schedule of Accommodation (both definite and preferable) of the Authority for the Facilities.



Appendix 2


he Authority has provided an indicative Environmental Matrix as part of this Technical Brief. The PSCP shall confirm acceptance of the Authority’s Environmental Matrix, highlighting any proposed changes on an exception basis.

.



Appendix 3

Finishes MatrixThe Authority has provided an indicative Finishes Matrix as part of this Technical Brief documentation. The PSCP shall use the Finishes Matrix to inform their design solutions. The PSCP shall confirm acceptance of the Authority’s Finishes Matrix, highlighting any proposed changes on an exception basis.


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