ing Resources rm h Estate Journal DH TECHNICAL … · design discussions ... Serious consequences...
32
DH TECHNICAL GUIDANCE – WHAT’S NEW? John Prendergast and Sue Holding, Technical Publishing Resources Dr Nick Hill, Chair of IHEEM Water Technical Platform Jonathan Ainley, Radley Ainley Ltd Chaired by Mike Arrowsmith, Technical Editor, Health Estate Journal
Transcript of ing Resources rm h Estate Journal DH TECHNICAL … · design discussions ... Serious consequences...
DH
TE
CH
NIC
AL
G
UID
AN
CE
–
WH
AT
’S N
EW
?Jo
hn
Pre
nd
erg
ast
an
d S
ue
Ho
ldin
g, T
ech
nic
al P
ub
lish
ing
Re
sou
rce
s
Dr
Nic
k H
ill, C
ha
ir o
f IH
EE
M W
ate
r Te
chn
ica
l Pla
tfo
rm
Jon
ath
an
Ain
ley,
Ra
dle
y A
inle
y L
td
Ch
air
ed
by
Mik
e A
rro
wsm
ith
, Te
chn
ica
l Ed
ito
r, H
ea
lth
Est
ate
Jo
urn
al
HB
N/H
TM
up
da
tes
pu
blis
he
d 2
015
-16
Min
or
up
da
tes:
•H
TM
07
-03
Ca
r p
ark
ing
ma
na
ge
me
nt
•H
BN
00
-02
Sa
nit
ary
sp
ace
s
•H
TM
08
-02
Lif
ts
Ma
jor
up
da
tes:
•H
TM
s 0
1-0
1,
01
-04
, 0
1-0
6 D
eco
nta
min
ati
on
•H
TM
04
-01
an
d D
08
Wa
ter
safe
ty
HB
N/H
TM
to
pic
s in
de
velo
pm
en
tM
ajo
r u
pd
ate
:•
HT
M 0
6-0
1 E
lect
rica
l se
rvic
es
Ne
w t
op
ic:
•H
BN
03
-02
Fa
cilit
ies
for
Ch
ild a
nd
A
do
lesc
en
t M
en
tal H
ea
lth
Se
rvic
es
(CA
MH
S)
AD
B t
op
ics
in d
eve
lop
me
nt
Ma
jor
top
ic u
pd
ate
s: H
BN
s: 0
0 –
01;
00
-02
; 00
-10
Pa
rts
A, B
, D; 0
3-0
1; 0
8-0
2; 1
5-0
1H
TM
s: 0
4-0
1; 0
5-0
2 P
roC
ure
21
+ r
ep
ea
tab
le r
oo
ms
So
ftw
are
pro
gra
m u
pd
ate
TO
PIC
S IN
D
EV
EL
OP
ME
NT
HT
M 0
6-0
1 E
lect
rica
l se
rvic
es
sup
ply
an
d d
istr
ibu
tio
n –
up
da
te
HB
N 0
3-0
2 F
aci
litie
s fo
r C
hild
an
d A
do
lesc
en
t M
en
tal H
ea
lth
Se
rvic
es
–n
ew
tit
le
HT
M 0
6-0
1 E
lect
rica
l se
rvic
es
up
da
te
•Im
pro
ve
gu
ida
nce
an
d d
esi
gn
to
ols
to
aid
th
e in
itia
l d
esi
gn
dis
cuss
ion
s b
etw
ee
n d
esi
gn
ers
, est
ate
s te
am
a
nd
clin
icia
ns
•M
od
ern
ise
/sim
pli
fy a
nd
imp
rov
e g
uid
an
ce o
n
dis
trib
uti
on
str
ate
gy
(fo
r e
xam
ple
un
ifie
d a
nd
du
al
un
ifie
d s
up
plie
s, U
PS
, pro
visi
on
of
UP
S s
ock
ets
in
the
atr
e, I
PS
cir
cuit
s, e
tc)
•T
ak
ing
acc
ou
nt
of:
•le
sso
ns
lea
rnt
fro
m E
sta
tes
an
d F
aci
liti
es
Ale
rts,
e
lect
rica
l sa
fety
inci
de
nts
an
d c
linic
al s
afe
ty
inci
de
nts
re
late
d t
o e
lect
rica
l de
sig
n a
nd
in
sta
llati
on
issu
es
•ch
an
ge
s in
re
gu
lati
on
s a
nd
sta
nd
ard
s •
tech
nic
al d
eve
lop
me
nts
in d
esi
gn
an
d m
ate
ria
ls•
CIB
SE
gu
ida
nce
, e.g
. he
alt
hca
re li
gh
tin
g g
uid
e,
me
teri
ng
gu
ida
nce
, etc
•im
pro
vin
g t
he
gu
ida
nce
on
go
vern
an
ce a
sso
cia
ted
w
ith
ma
na
gin
g e
lect
rica
l sa
fety
Alig
nm
en
t w
ith
cu
rre
nt
IET
Wir
ing
R
eg
ula
tio
ns
(BS
7671
)
•A
lign
ing
th
e g
uid
an
ce w
ith
th
e c
urr
en
t ve
rsio
n o
f IE
T W
irin
g R
eg
ula
tio
ns
(BS
76
71
) a
nd
ass
oci
ate
d IE
T g
uid
an
ce n
ote
s/d
ocu
me
nts
Sim
plif
ied
cla
ssif
ica
tio
n o
f p
ati
en
ts’
clin
ica
l ne
ed
s•
Imp
rov
ing
an
d s
imp
lify
ing
th
e g
uid
an
ce o
n c
lass
ific
ati
on
of
clin
ica
l ne
ed
s o
f p
ati
en
ts
an
d h
ow
th
is in
teg
rate
s w
ith
th
e IE
T g
uid
an
ce o
n C
ate
go
ry 0
, 1 a
nd
2 m
ed
ica
l lo
cati
on
s
•R
ev
iew
ing
an
d im
pro
vin
g t
he
gu
ida
nce
on
tr
ain
ing
an
d c
om
pe
ten
cy o
f p
ers
on
ne
l in
volv
ed
w
ith
th
e d
esi
gn
, in
sta
llati
on
, au
tho
risa
tio
n o
f p
ers
on
ne
l, a
pp
oin
tme
nt
of
au
tho
risi
ng
en
gin
ee
rs
(ele
ctri
cal)
an
d t
he
ir r
esp
on
sib
iliti
es,
te
stin
g a
nd
m
ain
ten
an
ce o
f e
lect
rica
l sys
tem
s in
he
alt
hca
re
pre
mis
es,
etc
.
•A
lig
nin
g g
uid
an
ce w
ith
re
lev
an
t H
TM
s in
clu
din
g H
TM
00
; HT
M 0
6-0
2; H
TM
06
-03;
HT
M
07-
02
; HT
M 0
8-0
2 L
ifts
; HT
M 0
8-0
3 B
ed
he
ad
se
rvic
es;
Fir
eco
de
; etc
; HB
Ns
incl
ud
ing
HB
N 0
0-
07;
an
d o
the
r re
late
d D
H g
uid
an
ce d
ocu
me
nts
, e
.g. t
he
NH
S P
rem
ise
s A
ssu
ran
ce M
od
el (
NH
S
PA
M)
Fa
cilit
ies
for
Ch
ild a
nd
Ad
ole
sce
nt
Me
nta
l He
alt
h S
erv
ice
s –
HB
N 0
3-0
2•
Dri
ve
r fo
r th
e n
ew
to
pic
is t
he
lack
o
f b
est
pra
ctic
e g
uid
an
ce f
or
a
pa
tie
nt
gro
up
sp
an
nin
g a
wid
e
ag
e-r
an
ge
wit
h s
pe
cifi
c n
ee
ds
•H
igh
-pro
file
to
pic
: pre
ss c
ove
rag
e,
min
iste
ria
l att
en
tio
n a
rou
nd
qu
alit
y o
f ca
re, a
void
ab
le in
cid
en
ts, t
rave
l ti
me
s fo
r fa
mili
es
an
d c
are
rs
•C
urr
en
tly
aro
un
d 5
0%
of
NH
S
pa
tie
nts
are
tre
ate
d in
pri
vate
se
cto
r fa
cilit
ies
•D
efi
nin
g f
aci
litie
s th
at
will
op
tim
ise
th
e
the
rap
eu
tic
en
viro
nm
en
t
•R
efe
ren
ce s
che
me
s w
ill p
rovi
de
a s
ou
rce
of
insp
ira
tio
n f
or
tho
se p
lan
nin
g a
nd
de
sig
nin
g
mo
de
rn, s
afe
, hig
h-q
ua
lity
care
•T
he
HB
N w
ill c
om
ple
me
nt
HB
N 0
3-0
1, w
hic
h is
th
e c
ore
do
cum
en
t in
th
e s
uit
e o
f te
chn
ica
l g
uid
an
ce r
ela
tin
g t
o m
en
tal h
ea
lth
ca
re
•A
DB
da
ta w
ill b
e d
eve
lop
ed
MIN
OR
UP
DA
TE
S
Sa
nit
ary
sp
ace
s, C
ar
pa
rkin
g m
an
ag
em
en
t, L
ifts
HB
N 0
0-0
2 S
an
ita
ry s
pa
ces
•S
ect
ion
s co
veri
ng
g
rab
rail
s a
nd
se
mi-
am
bu
lan
t W
Cs
ha
ve
be
en
re
inst
ate
d
•T
he
gu
ida
nce
on
“c
ha
ng
ing
ro
om
s w
ith
to
ilet”
(a
nd
a
cco
mp
an
yin
g
dra
win
gs)
ha
s b
ee
n
rep
lace
d w
ith
a n
ew
se
ctio
n o
n t
he
p
rovi
sio
n o
f a
‘C
ha
ng
ing
Pla
ces’
W
C
Spa
ce r
equi
rem
ents
for
sem
i-am
bula
nt to
ilet
and
adja
cent
han
drin
se b
asin
Spa
ce r
equi
rem
ents
for
a se
mi-a
mbu
lant
WC
and
hand
rinse
bas
in
Wh
at
are
Ch
an
gin
g P
lace
s to
ilets
?
Sta
nd
ard
acc
ess
ible
to
ile
ts d
o n
ot
me
et
the
ne
ed
s o
f a
ll p
eo
ple
wit
h a
dis
ab
ilit
y
Pe
op
le w
ith
pro
fou
nd
an
d m
ult
iple
lea
rnin
gd
isa
bili
tie
s, a
s w
ell
pe
op
le
wit
h o
the
r p
hys
ica
l dis
ab
iliti
es
such
as
spin
al i
nju
rie
s, m
usc
ula
r d
ystr
op
hy
an
d m
ult
iple
scl
ero
sis
oft
en
ne
ed
ext
ra f
aci
litie
s to
allo
w t
he
m t
o u
se t
he
to
ilets
sa
fely
an
d c
om
fort
ab
ly
Ch
an
gin
g P
lace
s to
ilets
are
dif
fere
nt
to s
tan
da
rd a
cce
ssib
le t
oile
ts (o
r
"dis
ab
led
to
ilets
") a
s th
ey
ha
ve e
xtr
a f
ea
ture
s a
nd
mo
re s
pa
ce t
o m
ee
t th
e n
ee
ds
of
pe
op
le w
ho
use
th
em
Th
e r
igh
t e
qu
ipm
en
t•
A h
eig
ht-
ad
just
ab
le a
du
lt-s
ize
d
cha
ng
ing
be
nch
•A
tra
ckin
g h
ois
t sy
ste
m, o
r
mo
bile
ho
ist
if t
his
is n
ot
po
ssib
le
En
ou
gh
sp
ace
•A
de
qu
ate
sp
ace
in t
he
ch
an
gin
g
are
a f
or
the
dis
ab
led
pe
rso
n a
nd
u
p t
o t
wo
ca
rers
•A
ce
ntr
ally
-pla
ced
to
ilet
wit
h
roo
m e
ith
er
sid
e
•A
scr
ee
n o
r cu
rta
in t
o a
llow
so
me
p
riva
cy
A s
afe
an
d c
lea
n e
nv
iro
nm
en
t•
Wid
e t
ea
r-o
ff p
ap
er
roll
to c
ove
r th
e b
en
ch
•A
larg
e w
ast
e b
in f
or
dis
po
sab
le p
ad
s
Spa
ce r
equi
rem
ents
for
a C
hang
ing
Pla
ces
toile
t –fr
om B
S 8
300:
200
9
HT
M 0
7-0
3 N
HS
ca
r p
ark
ing
ma
na
ge
me
nt:
e
nvi
ron
me
nt
an
d s
ust
ain
ab
ility
•H
TM
07-
03
up
da
te r
efl
ect
s ch
an
ge
s to
th
e N
HS
Pa
tie
nt,
Vis
ito
r a
nd
S
taff
Ca
r P
ark
ing
Pri
nci
ple
s in
O
cto
be
r 20
15
•T
he
ca
r p
ark
ing
pri
nci
ple
s w
ere
u
pd
ate
d t
o in
clu
de
ca
rers
as
an
a
dd
itio
na
l exp
licit
gro
up
th
at
are
e
ligib
le f
or
the
pro
visi
on
of
con
cess
ion
s
Th
e H
osp
ita
l Pa
rkin
g C
ha
rge
s (E
xem
pti
on
fo
r C
are
rs)
Bill
•A
Pri
vate
Me
mb
er'
s B
ill w
as
intr
od
uce
d in
to t
he
C
om
mo
ns
by
Julie
Co
op
er
MP
•T
he
Bil
l ma
ke
s p
rov
isio
n f
or
ex
em
pti
ng
"q
ua
lify
ing
" ca
rers
fro
m h
osp
ita
l ca
r p
ark
ing
ch
arg
es
•It
wo
uld
pla
ce a
du
ty o
n h
ea
lth
au
tho
riti
es
to
exe
mp
t ca
rers
wh
o a
re c
urr
en
tly
in r
ece
ipt
of,
or
ha
ve a
n u
nd
erl
yin
g e
nti
tle
me
nt
for
Ca
rer’
s A
llo
wa
nce
fro
m p
ayi
ng
ca
r p
ark
ing
ch
arg
es
at
he
alt
hca
re f
aci
litie
s in
En
gla
nd
•T
he
Bill
als
o p
rovi
de
s fo
r e
xem
pti
ng
"e
ligib
le"
care
rs f
rom
ho
spit
al c
ar
pa
rkin
g c
ha
rge
s. T
he
se
du
tie
s w
ou
ld a
pp
ly t
o N
HS
ho
spit
als
, w
alk
-in
ce
ntr
es
an
d G
P p
ract
ice
s, a
s w
ell
as
pri
va
te
ho
spit
als
HT
M 0
8-0
2 L
ifts
–2
016
up
da
te
•S
ince
th
e p
ub
lica
tio
n o
f H
TM
08
-02
in 2
010
, a n
um
be
r o
f m
ajo
r ch
an
ge
s to
Eu
rop
ea
n D
ire
ctiv
es,
UK
Act
s a
nd
Re
gu
lati
on
s a
nd
in p
art
icu
lar
to t
he
BS
EN
81
su
ite
of
sta
nd
ard
s h
ave
o
ccu
rre
d
•D
uri
ng
th
e d
eve
lop
me
nt
of
BS
EN
81
-20
an
d B
S E
N 8
1-5
0 a
s re
pla
cem
en
ts t
o t
he
lon
g-s
tan
din
g B
S E
N 8
1-1
an
d B
S E
N8
1-2
, it
wa
s re
alis
ed
th
at
the
sca
le o
f ch
an
ge
s b
ein
g r
eq
uir
ed
of
ma
nu
fact
ure
rs in
th
eir
pro
du
ct r
an
ge
s w
ou
ld n
ece
ssit
ate
a
pe
rio
d o
f g
race
wh
ere
ne
w d
esi
gn
s co
uld
be
de
velo
pe
d, t
est
ed
a
nd
ce
rtif
ied
•T
he
fin
al d
ate
of
wit
hd
raw
al o
f B
S E
N 8
1-1
an
d
BS
EN
81
-2 w
ill b
e t
hre
e y
ea
rs a
fte
r th
e p
ub
lica
tio
n o
f B
S E
N 8
1-2
0 a
nd
BS
EN
81
-50
–th
at
is, o
n 3
1 A
ug
ust
20
17
HT
M 0
8-0
2: i
mp
lica
tio
ns
of
the
sta
te
of
flu
x d
uri
ng
th
e p
eri
od
of
gra
ce
•F
or
thre
e y
ea
rs,
ma
nu
fact
ure
rs m
ay
u
se e
ith
er
of
the
se s
tan
da
rds
to
bu
ild
th
eir
pro
du
cts,
bu
t o
n
1 S
ep
tem
be
r 20
17 t
he
old
er
sta
nd
ard
s w
ill b
e f
ull
y w
ith
dra
wn
•A
co
nse
qu
en
ce o
f th
e p
ub
lica
tio
n
of
BS
EN
81-
20
:20
14 a
nd
B
S E
N 8
1-50
:20
14 is
th
at
the
su
pp
ort
ing
ha
rmo
nis
ed
sta
nd
ard
s a
nd
su
pp
ort
ing
no
n-h
arm
on
ise
d
sta
nd
ard
s a
lso
ne
ed
re
vis
ion
. T
he
ti
me
sca
le f
or
the
co
mp
leti
on
of
this
ta
sk is
to
be
31
Au
gu
st 2
01
8
•U
sers
of
HT
M 0
8-0
2 m
ust
be
a
pp
rise
d o
f th
e c
riti
cal d
ate
s a
nd
th
e
con
seq
ue
nce
s o
f n
ot
com
ply
ing
wit
h
the
re
leva
nt
sta
nd
ard
s a
t th
e t
ime
a
ne
w li
ft is
pla
ced
in s
erv
ice
•S
eri
ou
s co
nse
qu
en
ces
cou
ld r
esu
lt
fro
m o
ve
rlo
ok
ing
th
is s
tate
of
flu
x,
esp
eci
ally
wh
en
pro
ject
s o
verr
un
th
e
crit
ica
l da
tes
MA
JOR
UP
DA
TE
SD
eco
nta
min
ati
on
HT
Ms
01-
01,
01-
04
an
d 0
1-0
6
Wa
ter
safe
ty H
TM
04
-01
Up
da
te o
f D
eco
nta
min
ati
on
HT
Ms
HT
M 0
1-0
1 P
art
s A
-E:
De
con
tam
ina
tio
n o
f su
rgic
al i
nst
rum
en
ts•
Up
da
te b
ase
d o
n t
he
Ad
viso
ry C
om
mit
tee
on
Da
ng
ero
us
Pa
tho
ge
ns'
Tra
nsm
issi
ble
S
po
ng
ifo
rm E
nce
ph
alo
pa
thy
(AC
DP
-TS
E)
sub
gro
up
gu
ida
nce
, th
e v
iew
s o
f th
e S
oci
ety
of
Bri
tish
Ne
uro
log
ica
l Su
rge
on
s a
nd
to
alig
n w
ith
UK
de
volv
ed
ad
min
istr
ati
on
s
HT
M 0
1-0
4:
De
con
tam
ina
tio
n o
f li
ne
n f
or
he
alt
h a
nd
so
cia
l ca
re•
Up
da
ted
to
re
fle
ct c
ha
ng
es
to B
riti
sh a
nd
Eu
rop
ea
n s
tan
da
rds
HT
M 0
1-0
6 P
art
s A
-E:
Ma
na
ge
me
nt
an
d d
eco
nta
min
ati
on
of
fle
xib
le e
nd
osc
op
es
•U
pd
ate
d t
o r
efl
ect
re
vise
d g
uid
an
ce f
rom
th
e A
dvi
sory
Co
mm
itte
e o
n D
an
ge
rou
s P
ath
og
en
s'
Tra
nsm
issi
ble
Sp
on
gif
orm
En
cep
ha
lop
ath
y su
bg
rou
p, a
nd
to
en
sure
alig
nm
en
t w
ith
UK
d
evo
lve
d a
dm
inis
tra
tio
ns
All
co
nv
ert
ed
fro
m C
FP
P f
orm
at
to H
TM
s
Min
imis
ing
th
e r
isk
•T
he
Ad
vis
ory
Co
mm
itte
e o
n D
an
ge
rou
s P
ath
og
en
s –
Tra
nsm
issi
ble
Sp
on
gif
orm
E
nce
ph
alo
pa
thie
s (A
CD
P-T
SE
) Su
bg
rou
p
–a
n e
xpe
rt c
om
mit
tee
of
the
De
pa
rtm
en
t o
f H
ea
lth
–fr
eq
ue
ntl
y a
na
lyse
s th
e
pre
vale
nce
of
vCJD
in t
he
po
pu
lati
on
an
d
pu
blis
he
s a
dv
ice
on
ho
w t
o m
inim
ise
th
e
risk
of
vC
JDa
nd
oth
er
tra
nsm
issi
ble
d
ise
ase
s
•A
s p
rio
n p
rote
ins
are
pa
rtic
ula
rly
re
sist
an
t to
sta
nd
ard
ph
ysi
cal a
nd
ch
em
ica
l me
tho
ds
of
ina
ctiv
ati
on
an
d d
eco
nta
min
ati
on
, th
e
AC
DP
-TS
E S
ub
gro
up
em
ph
asi
ses
tha
t e
ffe
ctiv
e c
lea
nin
g is
of
gre
at
imp
ort
an
ce
in t
he
re
mo
va
l of
the
se a
ge
nts
•T
his
is t
he
re
curr
en
t m
ess
ag
e o
f th
e c
urr
en
t u
pd
ate
s to
He
alt
h T
ech
nic
al M
em
ora
nd
a
01-
01,
01-
04
an
d 0
1-0
6
•T
o r
ed
uce
re
sid
ua
l pro
tein
leve
ls, t
he
d
ocu
me
nts
fo
cus
on
imp
rov
ing
th
e
wa
shin
g a
nd
cle
an
ing
pro
cess
an
d
mo
nit
ori
ng
th
e c
lea
nin
g e
ffic
acy
of
au
tom
ate
d c
lea
nin
g
•T
he
re is
als
o n
ew
gu
ida
nce
on
mo
nit
ori
ng
th
e le
vels
of
resi
du
al p
rote
in o
n s
urg
ica
l in
stru
me
nts
an
d e
nd
osc
op
es
•T
his
tw
o-p
ron
ge
d a
pp
roa
ch –
imp
rov
ed
cl
ea
nin
g e
ffic
acy
an
d o
ng
oin
g m
on
ito
rin
g
of
resi
du
al p
rote
in le
ve
ls –
is k
ey
to
re
du
cin
g t
he
ris
k o
f cr
oss
-in
fect
ion
HT
M 0
1-0
1 d
eco
nta
min
ati
on
o
f su
rgic
al i
nst
rum
en
ts•
Th
e d
eb
ate
as
to h
ow
cle
an
inst
rum
en
ts s
ho
uld
b
e h
as
led
to
th
e A
CD
P-T
SE
Su
bg
rou
p is
suin
g
ne
w g
uid
an
ce o
n t
he
up
pe
r li
mit
of
acc
ep
tab
le
pro
tein
co
nta
min
ati
on
–th
at
is,
≤ ≤≤≤5
ug
pe
r in
stru
me
nt
sid
e.
Bu
t h
ow
is t
his
to
be
me
asu
red
?
•P
revi
ou
s g
uid
an
ce h
as
relu
cta
ntl
y a
dvi
sed
th
e u
se
of
swa
bb
ing
te
chn
iqu
es
such
as
nin
hy
dri
n t
o d
ete
ct
pro
tein
leve
ls o
n in
stru
me
nts
. Th
is is
no
lon
ge
r re
com
me
nd
ed
•C
om
me
rcia
l te
chn
olo
gie
s th
at
can
de
tect
th
e 5
μg
limit
are
no
w b
ein
g d
eve
lop
ed
. Ho
we
ver,
HT
M 0
1-0
1's
ad
vice
is n
ot
to u
se t
he
se t
ech
no
log
ies
to
de
tect
wh
eth
er
an
inst
rum
en
t h
as
sim
ply
pa
sse
d o
r fa
iled
th
e 5
μg
limit
, bu
t ra
the
r to
use
th
em
to
co
llect
an
d b
uild
up
da
ta o
n t
he
cle
an
ing
eff
ica
cy o
f w
ash
er-
dis
infe
cto
rs o
ver
a p
eri
od
of
tim
e –
the
reb
y
en
suri
ng
re
sult
s a
re b
ein
g m
on
ito
red
an
d a
ctio
ns
are
be
ing
ta
ken
ba
sed
on
th
ose
re
sult
s
•A
ne
w f
low
cha
rt in
HT
M 0
1-0
1 P
art
D h
elp
s to
sh
ow
ho
w s
teri
le s
erv
ice
s d
ep
art
me
nts
ca
n
ide
nti
fy t
ren
ds
an
d c
on
tin
uo
usl
y m
on
ito
r re
sid
ua
l p
rote
in o
n s
urg
ica
l in
stru
me
nts
. T
he
gu
ida
nce
a
dvi
ses
tha
t th
is p
roce
ss is
pe
rfo
rme
d a
s a
n
on
go
ing
inte
rmit
ten
t se
rie
s th
rou
gh
ou
t a
th
ree
-m
on
th c
ycl
e
•A
pp
en
dix
B f
urt
he
r e
lab
ora
tes
on
th
is b
y
pro
vid
ing
an
ex
am
ple
sa
mp
lin
g s
tra
teg
y. It
d
esc
rib
es
firs
t h
ow
to
est
ab
lish
ba
selin
e d
ata
an
d
the
n g
oe
s o
n t
o s
ho
w h
ow
to
co
nti
nu
ou
sly
mo
nit
or
ag
ain
st t
his
ba
selin
e d
ata
, wh
at
typ
es
of
inst
rum
en
t to
te
st a
nd
ho
w m
an
y t
o in
stru
me
nts
to
te
st d
uri
ng
th
e t
hre
e-m
on
th c
ycl
e
Ch
ief
Me
dic
al O
ffic
er
Pro
fess
or
Da
me
S
ally
Da
vie
s –
fore
wo
rd t
o H
TM
01-
01:
“Th
e a
mb
itio
n is
th
at
all
he
alt
hca
re p
rovi
de
rs e
ng
ag
ed
in t
he
ma
na
ge
me
nt
an
d d
eco
nta
min
ati
on
of
surg
ica
l in
stru
me
nts
use
d in
acu
te c
are
will
be
e
xpe
cte
d t
o h
ave
imp
lem
en
ted
th
is g
uid
an
ce b
y 1
Ju
ly 2
01
8.
Ho
we
ver,
pro
vid
ers
wh
ose
inst
rum
en
ts a
re li
kely
to
co
me
into
co
nta
ct w
ith
h
igh
er
risk
tis
sue
s, f
or
exa
mp
le n
eu
rolo
gic
al t
issu
e, a
re e
xpe
cte
d t
o g
ive
th
is
gu
ida
nce
hig
he
r p
rio
rity
an
d m
ove
to
in-s
itu
pro
tein
de
tect
ion
m
eth
od
olo
gie
s b
y 1
st J
uly
20
17
.”
HT
M 0
1-0
4 d
eco
nta
min
ati
on
o
f lin
en
•C
lari
fica
tio
n h
as
be
en
pro
vid
ed
on
ce
rtif
ica
tio
n t
o B
S E
N 1
40
65
an
d t
he
st
atu
s o
f ce
rtif
ica
tio
n b
od
ies.
E
sse
nti
all
y,
org
an
isa
tio
ns
are
fre
e t
o
use
an
y n
ati
on
all
y-a
ccre
dit
ed
ce
rtif
ier
fro
m a
ny
Eu
rop
ea
n
me
mb
er
sta
te
•A
de
fin
itio
n o
f lin
en
ha
s b
ee
n
pro
vid
ed
to
cla
rify
th
e s
cop
e o
f th
e
do
cum
en
t
•C
on
vert
ed
fro
m C
FP
P f
orm
at
to H
TM
HT
M 0
1-0
6 d
eco
nta
min
ati
on
o
f fl
exi
ble
en
do
sco
pe
s•
Th
e g
uid
an
ce r
e-e
mp
ha
sise
s a
nd
re
info
rce
s th
e
imp
ort
an
ce o
f im
pro
vin
g t
he
wa
shin
g a
nd
cl
ea
nin
g p
roce
ss, r
ed
uci
ng
th
e t
ime
fro
m
pa
tie
nt
use
to
th
e d
eco
nta
min
ati
on
pro
cess
, a
nd
mo
nit
ori
ng
th
e c
lea
nin
g e
ffic
acy
of
en
do
sco
pe
wa
she
r-d
isin
fect
ors
•A
ne
w A
pp
en
dix
on
ge
ne
ral p
rin
cip
les
of
de
con
tam
ina
tio
n h
as
be
en
incl
ud
ed
to
re
info
rce
th
e im
po
rta
nce
of
the
be
dsi
de
cle
an
a
nd
th
e r
ed
uct
ion
in t
ime
fro
m u
se o
f th
e
en
do
sco
pe
on
a p
ati
en
t to
its
rou
te t
hro
ug
h t
he
d
eco
nta
min
ati
on
pro
cess
•H
TM
01-
06
Pa
rt D
als
o in
tro
du
ces
a p
roce
ss c
ha
lle
ng
e d
ev
ice
cl
ea
nin
g e
ffic
acy
te
st a
s a
we
ek
ly
test
in t
he
pe
rio
dic
te
sts.
Th
ese
a
re r
eco
mm
en
de
d t
o b
ala
nce
th
e
ove
rall
test
ing
of
rou
tin
e
pe
rfo
rma
nce
of
bo
th t
he
cle
an
ing
p
roce
du
res/
wa
shin
g m
ach
ine
s a
nd
th
e c
on
sist
en
t w
ash
ing
p
erf
orm
an
ce a
ga
inst
th
e
veri
fica
tio
n o
f th
e p
roce
ss
HT
M 0
4-0
1 P
art
s A
-C a
nd
Do
8:
Sa
fe w
ate
r in
he
alt
hca
re p
rem
ise
s•
Re
vis
ed
into
th
ree
pa
rts
–A
, B
an
d C
•G
ive
s a
dvi
ce a
nd
gu
ida
nce
on
th
e le
ga
l re
qu
ire
me
nts
, de
sig
n a
pp
lica
tio
ns,
m
ain
ten
an
ce a
nd
op
era
tio
n o
f h
ot
an
d
cold
wa
ter
sup
ply
, sto
rag
e a
nd
d
istr
ibu
tio
n s
yste
ms
in a
ll ty
pe
s o
f h
ea
lth
care
pre
mis
es
to:
•h
ea
lth
care
ma
na
ge
me
nt
•W
ate
r S
afe
ty G
rou
ps
(WS
Gs)
•d
esi
gn
en
gin
ee
rs
•e
sta
te m
an
ag
ers
•o
pe
rati
on
s m
an
ag
ers
•co
ntr
act
ors
•th
e s
up
ply
ch
ain
•T
he
HT
M p
rovi
de
s a
dvi
ce a
nd
gu
ida
nce
on
th
e c
on
tro
l an
d
ma
na
ge
me
nt
of
the
ris
k p
ose
d b
y L
eg
ion
ell
a,
Pse
ud
om
on
as
ae
rug
ino
saa
nd
oth
er
wa
terb
orn
e p
ath
og
en
s w
ith
in a
he
alt
hca
re
sett
ing
.
•P
art
A c
ove
rs t
he
de
sig
n, i
nst
alla
tio
n a
nd
co
mm
issi
on
ing
•P
art
B c
ove
rs o
pe
rati
on
al m
an
ag
em
en
t
•P
art
C f
ocu
ses
on
sp
eci
fic
ad
dit
ion
al m
ea
sure
s th
at
sho
uld
be
ta
ken
to
co
ntr
ol a
nd
min
imis
e t
he
ris
k o
f P
seu
do
mo
na
s a
eru
gin
osa
in a
ug
me
nte
d c
are
un
its
•It
sh
ou
ld b
e r
ea
d in
co
nju
nct
ion
wit
h t
he
HS
E’s
Ap
pro
ve
d C
od
e
of
Pra
ctic
e (
L8
) a
nd
HS
G2
74 P
art
2.
It is
eq
ua
lly
ap
pli
cab
le t
o
bo
th n
ew
an
d e
xis
tin
g s
ite
s
Pre
vio
us
ed
itio
ns
of
HT
M 0
4-0
1 h
av
e
ma
inly
fo
cuse
d o
n m
ain
tain
ing
sa
fe w
ate
r te
mp
era
ture
s a
nd
th
e c
on
tro
l of
Le
gio
ne
lla
•R
esp
on
sib
ility
fo
r th
ese
cru
cia
l are
as
ha
s tr
ad
itio
na
lly b
ee
n t
he
pre
serv
e o
f d
isci
plin
es
such
as
bu
ildin
g s
erv
ice
s e
ng
ine
eri
ng
an
d e
sta
tes/
faci
litie
s m
an
ag
em
en
t; c
on
seq
ue
ntl
y t
he
se e
arl
ier
ed
itio
ns
we
re a
ime
d p
rim
ari
ly a
t th
is
spe
cifi
c a
ud
ien
ce
•B
ut
wh
ile
Le
gio
ne
lla
an
d s
cald
ing
ris
ks
stil
l re
ma
in k
ey
co
nsi
de
rati
on
s in
H
TM
04
-01
, o
the
r w
ate
r sa
fety
issu
es
ha
ve
co
me
to
th
e f
ore
–p
art
icu
larl
y t
he
ri
se o
f o
the
r o
pp
ort
un
isti
c w
ate
rbo
rne
p
ath
og
en
s in
th
e h
ea
lth
care
en
vir
on
me
nt
such
as
Pse
ud
om
on
as
ae
rug
ino
sa
•T
he
sco
pe
of
the
20
16 e
dit
ion
of
HT
M 0
4-0
1 h
as
the
refo
re b
roa
de
ne
d t
o e
nco
mp
ass
th
e
thre
at
of
all
wa
terb
orn
e p
ath
og
en
s, n
ot
just
Leg
ion
ella
Dif
fere
nt
con
tro
l me
asu
res
are
ne
ed
ed
fo
r d
iffe
ren
t ty
pe
s o
f m
icro
org
an
ism
s
•F
or
exa
mp
le, m
ain
tain
ing
a t
em
pe
ratu
re
con
tro
l re
gim
en
is t
he
HT
M's
tra
dit
ion
al
ap
pro
ach
to
Leg
ion
ella
con
tro
l (w
hic
h c
an
b
e s
up
ple
me
nte
d b
y b
ioci
da
l wa
ter
tre
atm
en
ts)
•F
or
the
co
ntr
ol o
f P
seu
do
mo
na
s a
eru
gin
osa
, th
ese
me
asu
res
are
th
ou
gh
t to
be
less
re
leva
nt.
He
re t
he
HT
M o
utl
ine
s th
at
it is
p
rim
ari
ly m
an
ag
em
en
t o
f th
e w
ate
r sy
ste
m a
rou
nd
th
e o
utl
et
–in
clu
din
g t
he
co
rre
ct m
ain
ten
an
ce o
f th
e t
ap
, th
e
me
tho
d o
f cl
ea
nin
g t
he
wa
sh-h
an
d b
asi
n
it s
up
pli
es,
an
d t
he
pre
ve
nti
on
of
dis
card
ing
an
y f
luid
po
ten
tia
lly
co
nta
min
ate
d w
ith
Pse
ud
om
on
as
ae
rug
ino
sain
to t
ha
t b
asi
n –
tha
t is
cru
cia
l to
re
du
cin
g t
he
ris
k t
o p
ati
en
ts
•T
he
HT
M n
ow
de
lve
s in
to a
rea
s th
at
will
b
e o
f in
tere
st t
o o
the
r d
isci
plin
es
such
as
mic
rob
iolo
gis
ts a
nd
infe
ctio
n p
reve
nti
on
a
nd
co
ntr
ol t
ea
ms.
It h
as
con
seq
ue
ntl
y o
pe
ne
d u
p t
o a
wid
er
au
die
nce
. P
erh
ap
s, m
ore
imp
ort
an
tly,
it w
ill b
e
ess
en
tia
l re
ad
ing
fo
r Wa
ter
Sa
fety
Gro
up
s (W
SG
s)
•T
he
Ad
de
nd
um
to
HT
M 0
4-0
1 p
ub
lish
ed
in
20
12 in
tro
du
ced
th
e c
on
cep
t o
f WS
Gs,
a
nd
no
w t
he
cu
rre
nt
ed
itio
n o
f th
e H
TM
in
clu
de
s u
pd
ate
d g
uid
an
ce o
n t
he
re
mit
a
nd
aim
s o
f th
e W
SG
. A h
ea
lth
care
o
rga
nis
ati
on
's W
SG
wil
l co
me
to
ge
the
r a
nd
cre
ate
an
act
ion
pla
n f
or
all
wa
ter
safe
ty is
sue
s –
wh
eth
er
ide
nti
fyin
g
ha
zard
s o
r a
pp
rop
ria
te c
on
tro
l m
ea
sure
s
•O
ne
of
the
ma
in t
ask
s o
f th
e W
SG
is t
o
de
velo
p a
Wa
ter
Sa
fety
Pla
n (
WS
P),
w
hic
h p
rovi
de
s a
ris
k-m
an
ag
em
en
t a
pp
roa
ch t
o t
he
sa
fety
of
wa
ter
an
d
est
ab
lish
es
go
od
pra
ctic
es
in lo
cal w
ate
r u
sag
e, d
istr
ibu
tio
n a
nd
su
pp
ly
•T
he
WS
G h
as
to m
ake
su
re t
ha
t th
ere
is
the
ap
pro
pri
ate
ex
pe
rtis
e a
va
ila
ble
to
e
nsu
re t
ha
t a
ll p
art
s o
f th
e W
SP
are
pu
t in
to p
ract
ice
•T
he
de
velo
pm
en
t o
f th
e in
clu
sive
m
ult
i-st
ake
ho
lde
r W
SG
is o
ne
of
the
m
ost
sig
nif
ica
nt
de
velo
pm
en
ts f
or
pa
tie
nt
safe
ty –
so m
uch
so
th
at
it
ha
s b
ee
n m
an
da
ted
by
th
e H
ea
lth
a
nd
So
cia
l Ca
re A
ct C
od
e o
f P
ract
ice
o
n t
he
pre
ve
nti
on
an
d c
on
tro
l of
infe
ctio
ns
"Hy
gie
nic
plu
mb
ers
"
•A
no
the
r a
rea
of
con
cern
th
at
the
2
016
ed
itio
n h
as
fla
gg
ed
up
is a
rou
nd
th
e c
om
pe
ten
cy o
f in
sta
lle
rs/p
lum
be
rs w
ork
ing
on
h
ea
lth
care
wa
ter
syst
em
s
•T
he
refo
re, H
TM
re
com
me
nd
s th
at
all
in
sta
lle
rs n
ee
d t
o h
av
e c
om
ple
ted
a
wa
ter
hy
gie
ne
tra
inin
g c
ou
rse
b
efo
re w
ork
ing
on
a h
ea
lth
care
wa
ter
syst
em
–o
the
rwis
e t
he
y ru
n t
he
ris
k
of
see
din
g t
he
en
tire
sys
tem
wit
h
ba
cte
ria
an
d u
ltim
ate
ly p
utt
ing
p
ati
en
ts' l
ive
s a
t ri
sk
Use
ap
pro
ve
d c
on
tra
cto
rs•
Un
de
r cu
rre
nt
leg
isla
tio
n, h
ea
lth
care
p
rovi
de
rs m
ust
ass
ess
th
e r
isk
of,
an
d
pre
ven
t, d
ete
ct a
nd
co
ntr
ol t
he
sp
rea
d o
f,
infe
ctio
ns.
Th
ere
fore
it is
incu
mb
en
t o
n
the
m t
o m
ak
e s
ure
th
at
the
y s
ou
rce
co
mp
ete
nt
inst
all
ers
an
d t
he
reb
y p
reve
nt
inci
de
nts
su
ch a
s th
ose
de
scri
be
d a
bo
ve
fro
m h
ap
pe
nin
g
•H
TM
04
-01
reco
mm
en
ds
tha
t o
nly
inst
alle
rs
wit
h t
he
ap
pro
pri
ate
qu
ali
fica
tio
ns,
re
gu
lato
ry k
no
wle
dg
e a
nd
co
mp
ete
nce
sho
uld
be
use
d t
o in
sta
ll a
nd
ma
inta
in
wa
ter
inst
alla
tio
ns
•T
he
HT
M o
utl
ine
s th
at
the
re a
re s
eve
n
Ap
pro
ve
d C
on
tra
cto
r sc
he
me
s a
uth
ori
sed
th
rou
gh
th
e W
ate
r S
up
ply
(W
ate
r F
itti
ng
s)
Re
gu
lati
on
s 19
99
. A
ll se
ven
sch
em
es
req
uir
e a
pp
rop
ria
te q
ua
lific
ati
on
s a
nd
k
no
wle
dg
e o
f th
e r
eg
ula
tio
ns
as
pa
rt o
f th
eir
me
mb
ers
hip
cri
teri
a
•A
PH
C
•A
plu
s
•C
IPH
E
•S
nip
ef
•T
ap
s
•W
ate
rMa
rk
•W
IAP
S)
Th
e W
ate
rSa
fe r
eg
iste
r
Th
e r
eg
iste
r h
old
s d
eta
ils o
f a
ll se
ven
A
pp
rove
d C
on
tra
cto
rs s
che
me
s fo
r b
usi
ne
sse
s w
ith
re
gis
tere
d a
nd
qu
alif
ied
p
lum
bin
g in
sta
llers
AD
B U
PD
AT
ES
Co
nte
nt
an
d s
oft
wa
re p
rog
ram
Co
nte
nt
up
da
tes
DH
ha
s co
mm
issi
on
ed
an
up
da
te t
o
the
AD
B d
ata
, to
bri
ng
it in
lin
e w
ith
re
cen
t H
TM
an
d H
BN
gu
ida
nce
u
pd
ate
s, in
re
spe
ct o
f d
ep
art
me
nts
/ ro
om
s/ e
qu
ipm
en
t/ c
od
ing
Th
e p
roce
ss in
volv
es
cre
ati
on
an
d
inco
rpo
rati
on
of
de
sig
n c
ha
ract
er
info
rma
tio
n, e
nvi
ron
me
nta
l da
ta a
nd
n
ew
sch
ed
ule
s w
he
re r
eq
uir
ed
, as
we
ll a
s p
rod
uct
ion
of
RD
S la
you
ts o
nce
th
e
ne
w r
oo
m d
ata
info
rma
tio
n h
as
be
en
in
corp
ora
ted
into
th
e p
rog
ram
Wh
en
DH
ha
s q
ua
lity-
ap
pro
ved
th
e
ne
w in
form
ati
on
, it
will
ad
vise
on
th
e
rele
ase
da
te o
f th
e n
ew
da
tase
t
•H
BN
00
–0
1 G
en
era
l de
sig
n p
rin
cip
les
•H
BN
00
–0
2 S
an
ita
ry s
pa
ces
•H
BN
00
–1
0 P
art
A: F
loo
rin
g
•H
BN
00
–1
0 P
art
B: W
alls
an
d c
eili
ng
s
•H
BN
00
–1
0 P
art
D: W
ind
ow
s a
nd
ass
oci
ate
d h
ard
wa
re
•H
BN
03
–0
1 A
du
lt a
cute
me
nta
l he
alt
h u
nit
s
•H
BN
08
–0
2 D
em
en
tia
fri
en
dly
he
alt
h a
nd
so
cia
l ca
re
en
viro
nm
en
ts
•H
BN
15
–0
1 A
ccid
en
t a
nd
em
erg
en
cy
•H
TM
04
–0
1 A
dd
en
du
m: P
seu
do
mo
na
s a
eru
gin
osa
–a
dvi
ce f
or
au
gm
en
ted
ca
re u
nit
s
•H
TM
05
–0
2 F
ire
cod
e –
Gu
ida
nce
in s
up
po
rt o
f fu
nct
ion
al
pro
visi
on
s
•S
tud
y o
f P
roC
ure
21
+ r
ep
ea
tab
le r
oo
ms
an
d a
pp
lica
ble
d
ata
inco
rpo
rate
d in
to A
DB
ge
ne
ric
da
ta s
he
ets
AD
B s
oft
wa
re u
pd
ate
–k
ey
fe
atu
res
AD
B p
rod
uct
up
da
te,
rele
ase
d 1
stO
cto
be
r 20
16
:
•F
ull
com
pa
tib
ility
wit
h W
ind
ow
s 7
/8/8
.1 a
nd
10
•L
eg
acy
su
pp
ort
fo
r A
uto
de
sk 2
01
0-2
01
6
•F
ull
com
pa
tib
ility
wit
h A
uto
CA
D 2
017
32
& 6
4b
it
•F
ull
com
pa
tib
ility
wit
h R
ev
it 2
017
64
bit
•3
D v
isu
ali
sati
on
, R
oo
m D
ata
Sh
ee
ts,
2D
an
d 3
D g
eo
me
try
ou
tpu
ts
•C
OB
iee
xp
ort
via
th
e A
DB
AP
I
•R
ep
ort
s e
xpo
rte
d in
Wo
rd,
PD
F a
nd
Ex
cel f
orm
ats
•R
ev
it:
De
sig
n O
pti
on
s, P
ha
ses,
Au
tom
ate
d C
Sh
ee
t e
leva
tio
n o
utp
uts
(3
D/R
efl
ect
ed
Ce
ilin
g/L
oca
tio
n P
lan
/Sch
ed
ule
s),
sup
po
rts
Lin
ked
Mo
de
ls, R
evi
t A
sse
mb
lies
(Ne
ste
d f
am
ilie
s), V
iew
Te
mp
late
s, P
ara
me
tric
pa
ram
ete
rs, a
lte
rna
tive
fa
mily
file
na
me
s fo
r B
IM L
eve
l 2 r
eq
uir
em
en
ts a
s se
t o
ut
by
the
NB
L
Q&
AD
ow
nlo
ad
th
is p
rese
nta
tio
n a
t w
ww
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chn
ica
lPu
blis
hin
gR
eso
urc
es.
com
Ple
ase
ge
t in
to
uch
Te
chn
ica
l Pu
blis
hin
g R
eso
urc
es
info
@T
ech
nic
alP
ub
lish
ing
Re
sou
rce
s.co
m
Arr
ow
smit
h &
Ass
oci
ate
sm
.arr
ow
smit
h.t
21@
bti
nte
rne
t.co
m
Dr
Nic
k H
ill
nic
k@
Wa
terQ
ua
lity.
lon
do
n
Jon
ath
an
Ain
ley
jon
ath
an
@R
ad
ley
Ain
ley.
com
Ta
lon
So
luti
on
s L
td (
for
AD
B)
info
@T
alo
nS
olu
tio
ns.
co.u
k
Te
chn
ica
l Pu
blis
hin
g R
eso
urc
es
Ltd
su
pp
ort
s
DH
wit
h it
s T
ech
nic
al G
uid
an
ce p
rog
ram
me
in
pa
rtn
ers
hip
wit
h T
SO
(p
art
of
Will
iam
s L
ea
Ta
g)
