Public Board of Directors papers 27.01.22

shall be recorded against the designed performance. The areas will only be accepted for use if the actual performance exceeds the agreed design standards. Assessments have been undertaken with specialist estates, IPC and ventilation groups and will be reviewed in the consideration of new schemes.

The assessment is carried out in conjunction with organisational estates teams and or specialist advice from ventilation group and or the organisations, authorised engineer A systematic review of ventilation and risk assessment is undertaken to support location of patient care areas for respiratory pathways Where possible air is diluted by natural ventilation by opening windows and doors where appropriate Where a clinical space has very low air changes and it is not possible to increase dilution effectively, alternative technologies are considered with Estates/ ventilation group When considering screens/partitions in reception/ waiting areas, consult with estates/facilities teams, to ensure that air flow is not affected, and

Where possible windows are opened for periods of time following local risk assessment taking into consideration external hazards i.e. building works for immunocompromised patients. This will remain under review in the consideration of new schemes. Windows and doors are opened where possible to dilute air by natural ventilation. This have been risk assessed on a risk versus benefits due to e.g. the immunocompromised vulnerability of our patients, external building works, winter months. This will remain under review in the consideration of new schemes. If the area does have low ac/h, alternative strategies may be appropriate, but as part of the mitigation. This will remain under review in the consideration of new schemes with specialist estates, IPC and ventilation teams. In the first instance, estates are to undertake an audit of reception and waiting areas to collate details of all the addition screens. Review meeting to be held with IPC to agree mitigation measures.

Estates do not currently hold details of all the incidental screens erected by departments.

To be agreed.

C1501: Infection prevention and control board assurance framework (24 December 2021 Version 1.8) – January 2022

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