INPATIENT ACCOMMODATION


introduce innovations that improve patient experience and outcomes, and deliver efficiency benefits for hospitals and staff. Trusts should involve a variety of perspectives at an early stage, learn from early adopters of single patient rooms – both in and outside the NHS – and collaborate with the wider health system and local communities.


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2 Moore A. NHS single rooms: preferences and privacy. HSJ February 2009 [Internet]. https://tinyurl.com/yp9w7uf4


3 Hospitals ‘need mixture of wards’. BBC News [Internet]. 5 February, 2013. https:// tinyurl.com/4zrzjcjj


4 Single hospital rooms - a good idea? BBC News [Internet]. 24 August, 2015. https:// tinyurl.com/4yyb4874


5 Thorp L. Royal Liverpool Hospital’s A&E department to move to new site [Internet]. Liverpool Echo 18 October, 2022. https://tinyurl.com/yfh574yu


6 Royal Liverpool Hospital: New design unveiled. BBC News [Internet]. 2 May, 2013. https://tinyurl.com/atsea25t


7 Illman J. October 2021. Single rooms should be ‘default’ in hospitals, says Powis [Internet]. HSJ 19 October, 2021. https:// tinyurl.com/mr2teh76


8 Carding N. All new hospitals must have single rooms only, government rules [Internet]. HSJ 13 December, 2022. https://tinyurl.com/36azyyy7


9 Taylor E, Card AJ, Piatkowski M. Single Occupancy Patient Rooms: A Systematic Review of the Literature Since 2006. HERD 2018 Jan 1; 11 (1): 85–100.


10 van de Glind I, van Dulmen S, Goossensen A. Physician-patient communication in single bedded versus four-bedded hospital rooms. Patient Educ Couns 2008 Nov;73 (2): 215–9.


11 Maben J, Griffiths P, Penfold C, Simon M, Anderson JE, Robert G et al. One size fits all? Mixed methods evaluation of the impact of 100 per cent single room accommodation on staff and patient experience, safety and costs. BMJ Qual Saf 2016; Apr 1; 25 (4): 241–56.


12 Hsu T, Ryherd EE, Waye KP, Ackerman J. Noise pollution in hospitals: Impact on patients. Journal of Clinical Outcomes Management 2012 Jul; 19 (7): 301–9.


13 Blandfort S, Gregersen M, Rahbek K, Juul S, Damsgaard EM. Single bed rooms in a geriatric ward prevent delirium in older patients. Aging Clin Exp Res 2020; Jan; 32 (1):141–7.


14 van der Schoor AS, Severin JA, van der Weg AS, Strepis N, Klaassen CHW, van den Akker JPC et al. The effect of 100 per cent single occupancy rooms on acquisition of extended-spectrum beta- lactamase-producing Enterobacterales and intra-hospital patient transfers: a


34 Health Estate Journal March 2023 Smriti Singh


Smriti Singh, Associate partner at The PSC, provides strategic advice, and designs and delivers change programmes in the health and care sector. Her projects include business cases for capital investments, development of integrated care systems, process improvement and change, and transformation programmes. Smriti is passionate about making health and care services more responsive and person-centred. She has had articles published on health policy and future health system design in the British Journal of Nursing, Community Care, Health Estate Journal, and Building.


David Chappell


David Chappell, Consultant, is an experienced management consulting professional and qualified accountant (ACA), with a strong passion for deriving insights from data. Since joining The PSC, he has worked primarily on developing business cases, finance and activity models, and data strategies in healthcare.


Sesha Nicholson-Lailey


Sesha Nicholson-Lailey, Associate consultant, has an interest in evidence-led design in both processes and infrastructure. As part of The PSC team, she has worked across strategy and process transformation in health and care settings, including clinically-led options development, and business case development for hospital redevelopment.


prospective before-and-after study. Antimicrobial Resistance & Infection Control 2022; Jun 2;11 (1):76.


15 Boncea EE, Expert P, Honeyford K, Kinderlerer A, Mitchell C, Cooke GS et al. Association between intrahospital transfer and hospital-acquired infection in the elderly: a retrospective case–control study in a UK hospital network. BMJ Qual Saf. 2021 Jun 1;30(6):457–66.


16 Blay N, Roche M, Duffield C, Xu X. Intrahospital transfers and adverse patient outcomes: An analysis of administrative health data. J Clin Nurs 2017. Dec; 26 (23–24):4927–35.


17 Graves N, Mitchell B, Kiernan J. The cost- effectiveness of temporary single patient rooms to reduce risks of healthcare associated infection. J Hosp Infect 2021; Jul 1;116.


18 Healthcare associated infection: what else can the NHS do? [Internet]. National Health Executive 9 March, 2011. https:// tinyurl.com/yckccjan


19 Halaby T, al Naiemi N, Beishuizen B, Verkooijen R, Ferreira JA, Klont R et al. Impact of single room design on the spread of multi-drug resistant bacteria in an intensive care unit. Antimicrob Resist Infect Control 2017: Nov 15; 6:117.


20 Pennington H, Isles C. Should hospitals provide all patients with single rooms? BMJ (Clinical research ed). 2013 Sep 24; 347: f5695.


21 Santry C. Single rooms pose safety risk, warn nurses [Internet]. Nursing Times 2010. https://tinyurl.com/yck4s228


22 Ugboma I, Drahota AK, Higgins B, Severs M. Effect of Bedroom Size on Falls in Hospital: Does One Size Fit All? J Am Geriatr Soc 2011; 59 (6):1153–4.


23 Reid J, Wilson K, Anderson K E, Maguire C P J. Older inpatients’ room preference: single versus shared accommodation. [Internet]. Age and Ageing March 2015: 44 (2): 331–333.


24 The Bevan Ward [Internet]. maap. https://www.maaparchitects.com/the- bevan-ward-single-room-accom


25 Stall N. Private rooms: The fiscal advantage. CMAJ 2012 Jan 10; 184 (1): E47–8.


26 Boardman A. A Cost-Benefit Analysis of Private Versus Semi-Private Inpatient Rooms in a New Hospital. Political Science 2007. https://tinyurl.com/4jmadjf3


27 New Pembury Hospital, Tunbridge Wells, Kent, United Kingdom [Internet]. The Center for Health Design, September 2011. https://tinyurl.com/mwhydjdu


28 Health Spaces Single patient rooms: Webinar recording 28 July, 2022 [Internet]. https://health-spaces.com/ resources/health-spaces-webinars/


29 Basford T, Schaninger B. A model for effective change management: The four building blocks of change. McKinsey [Internet]. https://tinyurl.com/5brbzdwk


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