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What’s Happening-Documents, Guidelines and Standards |
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1) Confused about new Health Technical Memoranda or Health Building Notes? This may help. In summary:
Health Technical Memoranda The new structure for HTMs will be rolled out over time as HTMs are updated. There will be eight core subjects and one overriding HTM (00):
Health Technical Memorandum 00 Policies and principles Health Technical Memorandum 01 Decontamination Health Technical Memorandum 02 Medical gases Health Technical Memorandum 03 Ventilation systems Health Technical Memorandum 04 Water systems Health Technical Memorandum 05 Fire safety Health Technical Memorandum 06 Electrical services Health Technical Memorandum 07 Environment Health Technical Memorandum 08 Specialist services
Some subject areas may be further developed into topics shown as -01, -02 etc and further subdivided into Parts A, B etc. The various parts of HTM 01, for example will include over time the following guidance’s that are currently under development:
HTM 01-01, Decontamination of reusable medical devices Part A Management and environment (Published 2007) Part B Additional management guidance and common elements (under consultation) Part C Sterilizers (under consultation) Part D Washer-disinfectors and ultrasonic cleaners (under consultation) HTM 01-02, Laboratory HTM 01-03, Pharmacy HTM 01-04, Laundry HTM 01-05, Decontamination in primary care dental practices (Published 2009) HTM 01-06, Endoscopy
Health Building Notices The new structure for HBNs will be rolled out over time as HBNs are updated (as with the new HTM series). The new Health Building Note framework (17 subjects, shown below) is based on the patient’s experience across the spectrum of care from home to healthcare setting and back, using the national service frameworks (NSFs) as a model. 17 subjects
All Health Building Notes are supported by the overarching Health Building Note 00 in which the key areas of design and building are dealt with. Core subjects will be subdivided into specific topics and classified by a two-digit suffix (-01, -02 etc), and may be further subdivided into Supplements A, B etc.
Health Building Note 00 – Core elements Health Building Note 01 – Cardiac care Health Building Note 02 – Cancer care Health Building Note 03 – Mental health Health Building Note 04 – In-patient care Health Building Note 05 – Older people Health Building Note 06 – Diagnostics Health Building Note 07 – Renal care Health Building Note 08 – Long-term conditions/long-stay care Health Building Note 09 – Children, young people and maternity services Health Building Note 10 – Surgery Health Building Note 11 – Community care Health Building Note 12 – Out-patient care Health Building Note 13 – Decontamination Health Building Note 14 – Medicines management Health Building Note 15 – Emergency care Health Building Note 16 – Pathology
2) HTM 00: Policies and principles-Best practice guidance for healthcare engineering
3) The HTMs 2010 (sterilisation), 2030 (washer-disinfectors) and 2031 (clean steam) have been combined into to a new series of Health Technical Memorandums titled 01-01 'Decontamination’. Part A was released in October 2007 and subsequent parts are pending publication in 2009.
Health Technical Memorandum 01-01 Part A (Management and Environment)
4) In November 2007 the Department of Health released new guidance on specialized ventilation for healthcare premises (HTM 03-01). They give advice and guidance on the legal requirements, design implications, maintenance and operation of specialised ventilation in all types of healthcare premises. These documents supersede HTM 2025.
Health Technical Memorandum 03-01: Part A (Design and Validation) Health Technical Memorandum 03-01: Part B (Operational management and performance verification)
5) The new EPIC guidelines (Updated National Evidence-based Guidelines for Preventing Healthcare Associated Infections in NHS Hospitals in England 2007) were published as a supplement to the February 2007 issue of the ‘Journal of Hospital Infection’. The guidelines are now available for download from the EPIC website.
6) Guidance on Reducing the Risks of vCJD/Prion Transmission NICE (UK) Guidance (November 2006) ESAC-Pr (UK) 2006 Report (February 2007) ESAC-Pr (UK) 2007 Stakeholders Meeting Report (April, 2007) ESAC-Pr (UK) 2007 Stakeholders Meeting Questions (April, 2007) DH Clarification and Policy Summary (May, 2007) Potential vCJD transmission risks via dentistry (December 2007) Update from the CMO regarding NICE guidance on CREUTZFELDTJAKOB DISEASE (March 2008)
7) New US CDC Guidelines Disinfection and Sterilization (2008)
9) IDSc Standards and Practice 3rd Edition (2007) 10) Equipment in the UK. The decontamination equipment trading website is available for use by the NHS free of charge to advertise surplus decontamination equipment to other NHS organisations. The website has been established as part of the national decontamination initiative and is http://www.pasa.nhs.uk/PASAWeb/Guidance/Decontamination/Decontaminationequipmentetradingsite.htm
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