Health Technical Memorandum 00: Policies and principles …

1 Health Technical Memorandum 00. Policies and principles of healthcare engineering 2014 edition March 2014. Health Technical Memorandum 00. Policies and principles of healthcare engineering 2014 edition Health Technical Memorandum 00: Policies and principles of healthcare engineering (2014 Edition). Crown copyright 2014. You may re-use this information (not including logos) free of charge in any format or me- dium, under the terms of the Open Government Licence. To view this licence, visit www. nationalarchives. or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: This document is available from our website at tions/ Health - Technical - Memorandum -disinf ection-and-sterilization Front cover photograph courtesy of Chelsea and Westminster Hospital NHS Foundation Trust ii Preface About Health Technical Memoranda It is not the intention within this suite of documents to unnecessarily repeat international Health Technical Memoranda (HTMs) give or European standards, industry standards or comprehensive advice and guidance on the UK Government legislation.

2 Where appropriate, design, installation and operation of specialised these will be referenced. building and engineering technology used in the delivery of healthcare. Healthcare-specific Technical engineering guidance is a vital tool in the safe and efficient The focus of Health Technical Memorandum operation of healthcare facilities. Health guidance remains on healthcare-specific Technical Memorandum guidance is the main elements of standards, Policies and up-to-date source of specific healthcare-related guidance established best practice. They are applicable for estates and facilities professionals. to new and existing sites, and are for use at various stages during the whole building The core suite of nine subject areas provides lifecycle (see diagram below).

3 Access to guidance which: Healthcare providers have a duty of care to is more streamlined and accessible;. ensure that appropriate governance encapsulates the latest standards and arrangements are in place and are managed best practice in healthcare engineering, effectively. The Health Technical Memorandum technology and sustainability;. series provides best practice engineering standards and policy to enable management of provides a structured reference for this duty of care. healthcare engineering. DISPOSAL CONCEPT. RE-USE. DESIGN & IDENTIFY. OPERATIONAL OPERATIONAL. MANAGEMENT REQUIREMENTS. Ongoing SPECIFICATIONS. MAINTENANCE Technical & OUTPUT. Review PROCUREMENT. COMMISSIONING. CONSTRUCTION. INSTALLATION. iii Health Technical Memorandum 00: Policies and principles of healthcare engineering (2014 Edition).

4 Structure of the Health Technical Health Technical Memorandum 05. Fire safety Memorandum suite The series contains a suite of nine core Health Technical Memorandum 06. subjects: Electrical services Health Technical Memorandum 00 Health Technical Memorandum 07. Policies and principles (applicable to all Environment and sustainability Health Technical Memoranda in this series). Health Technical Memorandum 08. Choice Framework for local Policy and Specialist services Procedures 01. Decontamination All Health Technical Memoranda are supported by the initial document Health Technical Health Technical Memorandum 02 Memorandum 00 which embraces the Medical gases management and operational Policies from previous documents and explores risk Health Technical Memorandum 03 management issues.

5 Heating and ventilation systems Some variation in style and structure is reflected Health Technical Memorandum 04 by the topic and approach of the different water systems review working groups. FIC DOC. SPECI UM. L TH EN. A TS. HE. HTM 08. HTM 01. Specialist Services Decontamination S T R Y S TA N D A. DU RD. IN S. & EUROPEAN. NAL ST. HTM 07. IO HTM 02. T. AN. NA. Environment & Medical DA. H E A LT H S P E. INTER. CUMENTS. Sustainability Gases RDS. HTM 00. RDS. INTER. Policies and principles DA. NA. AN. IO. ST. T. NA. DO. HTM 06 L& N HTM 03. Electrical IN EUROPEA S Heating &. DU RD. C. Services STR Ventilation DA. IF I. IC. Y S TA N Systems IF. C. EC. D. HTM 05 HTM 04. O. Fire SP. U water C. M Safety Systems H. EN T. TS AL.

6 HE. iv DH Estates and Facilities Division wishes to design of the healthcare environment. Data is acknowledge the contribution made by based on guidance given in the Health Building professional bodies, engineering consultants, Notes and Health Technical Memoranda. healthcare specialists and NHS staff who have contributed to the production of this guidance. For ADB Technical queries only, contact the ADB Helpdesk. Telephone number: 01939. 291684; email: Other resources in the DH Estates and Facilities knowledge series For new ADB customers and licence renewals only, email: Health Building Notes Health Building Notes give best practice How to obtain publications guidance on the design and planning of new Health Technical Memoranda are available healthcare buildings and on the adaptation/.

7 From the UK Goverment's website at: extension of existing facilities. They provide information to support the briefing Health - Technical - Memorandum -disinfection - and design processes for individual projects in and-sterilization the NHS building Health Building Notes are available from the All Health Technical Memoranda should be read same site at: in conjunction with the relevant parts of the Health Buidling Note series. Health -building-notes-core-elements Activity DataBase (ADB). The Activity DataBase (ADB) data and software assists project teams with the briefing and v Health Technical Memorandum 00: Policies and principles of healthcare engineering (2014 Edition). Executive summary Preamble advocates may be appropriate to follow in all locations where healthcare is provided.

8 This is the 2014 edition of Health Technical Memorandum (HTM) 00 Policies and Dependent on the requirements, this document principles of healthcare engineering'. The should be read in conjunction with the relevant document has been revised to reflect changes HTMs and Health Building Notes (HBNs). in legislation, guidance, the structure of the NHS, and government policy and direction on Health and social care. The order of chapters Aim of the guidance has also been revised to address a wider The aim of HTM 00 is to ensure that everyone audience. A summary of major changes since concerned with the management, design, previous editions is provided at the end of this procurement and use of the healthcare facility Executive Summary.

9 Understands the requirements of the business- critical building and engineering technology in This 2014 edition supersedes all previous order to ensure optimum safety for all who are versions of HTM 00. present in the building. Only by having knowledge of these Introduction requirements can the organisation's board and HTM 00 gives best practice advice and senior managers understand their duty of care provides a generic overview for DH's HTM to provide safe, efficient, effective and reliable series. systems which are critical in supporting direct patient care. When this understanding is It is provided as a guide to issues relating to the achieved, it is expected that appropriate management of engineering and Technical governance arrangements would be put in service provision that can be applied to NHS place, supported by access to suitably qualified and other healthcare facilities, that is, wherever staff to provide this informed client role, which NHS patients are treated.

10 Reflect these responsibilities. By following this guidance and applying it to the Scope particular needs of their local healthcare HTM 00, and the series it supports, provides organisation, boards and individual senior specific advice and guidance on the design, managers should be able to demonstrate installation and effective operation of a compliance with their responsibilities and healthcare facility from an engineering thereby support a culture of professionalism. technology perspective. While it is not intended to cover every possible scenario, for example the concept of hospital at home (in a domestic dwelling), the standards and principles it vi Users of the guidance Policies and advocates service-user involvement.