INFECTION PREVENTION AND CONTROL
Altnagelvin Hospital in Londonderry in Northern Ireland. The standout feature of this project is the eight-bed cluster layout for the 144 single bedrooms, a unique concept within healthcare design leading to more efficient and carefully considered space, but crucially based around the nested en-suite. While the design allows for eight beds per two-staff nurse base – all bedheads being easily observable – each cluster is easily accessible to its neighbour, allowing staff to support adjacent rooms if required. While it’s important to not try to create a base design that encourages ongoing understaffing, one that can accommodate efficient staff models, and provides the best patient and working environment, must be the ideal balance for a service which needs to cope with both peaks and troughs in its provision.
Learning from the French experience Always striving to improve our healthcare designs, here at HLM we have found the most controversial challenge to regulations could be a way to solve many IPC issues: that of the single bedroom clinical washhand basin. In France patient bedrooms are not always fitted with these in addition to the patient-only en-suites, such as the layouts provided at Metz Hospital for example. This saves not only the capital cost of construction, but also operational maintenance costs. More importantly, such bedrooms remove the single largest cause of infection spread. Data collected during the pandemic shone a light on infection transmission rates between multi-bed and single-bed wards with or without clinical basins. The more recent HTM 04-01: Safe water in healthcare premises – clause 1.9 – encourages design teams to consider a reduction in handwashing facilities, which feels counter- intuitive, as surely handwashing is good?
The standout feature of the new North Wing development at Altnagelvin Hospital in Londonderry in Northern Ireland is the eight-bed cluster layout for the 144 single bedrooms, a unique concept within healthcare design leading to more efficient and carefully considered space, but crucially based around the nested en-suite
As ever, where a cultural shift is required, education is needed. In view of widely publicised infection control issues emerging from hospitals across the UK, HLM arranged for a series of infection control education sessions leading up to Christmas 2023. On the back of these we are developing a protocol for managing risks related to infection control during design, and afterwards in use. Our aim is to place patient safety front and centre through the initial engagement and approach, right through to occupancy. By utilising the specialist skills of the IPC consultant and upskilling the design team with a strategic understanding of infection prevention, we are actively contributing to not merely a compliant facility, but one with an emphasis on wellbeing for staff and patients, where everyone feels safe. In our next article we will delve deeper into our internal education sessions to review the subject, ‘What does good infection control education look like?’
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