Public Board of Directors papers 27.01.22

patient Care Health Building Note 04-01: Adult in-patient facilities

ventilation systems. In patient care areas ‘constructed or refurbished prior to 2007, the areas are likely to have been designed (with derogations as agreed) to the previous version to the 2007 or 2021 versions of Health Technical Memorandum 03-01 Specialised ventilation for healthcare premises Part A: The concept, design, specification, installation and acceptance testing of healthcare ventilation systems.

validation of the performance of the ventilation systems. Wards 2, 10, 11 and 12 are largely naturally ventilated which based on current guidance is unlikely to be effective in spaces without cross ventilation beyond ~ 3m from the openable windows. Validation of audit. Review of audit by the key stakeholders and agreement of priority for refurbishment to include mechanical ventilation system to current standards. Agreement of long- term mitigation. To be reviewed in the consideration of new schemes.

affected through temporary reduction in occupancy, reduced numbers of patients in 4-bed bays, continuous review of occupancy by clinical leads. and use of PPE. Mitigations also include patient risk assessments and use of small scale works or alternative strategies such as air scrubbers.

In ‘yet to be constructed or refurbished’ patient care areas the areas shall meet 2021 national recommendations for minimum air changes (refer to country specific guidance) unless otherwise derogated. For these schemes, the design briefs shall at the appropriate stage adequately prescribe the performance standards required and such requirements shall be included within the design as part of the contractual requirements on the design and construction team. During the design development, design submissions will be reviewed and consulted with the key stakeholders and acceptance of the design and any derogations, shall be recorded. Upon completion of the works, as part of the pre-handover processes and validation, the actual performance

To be reviewed in the consideration of new schemes.

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

111