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Editor Matt Seex
mattseex@stepcomms.com
Business Manager Sheehan Edmonds
sheehanedmonds@stepcomms.com
Sales Executive Peter Moon
petermoon@stepcomms.com
Publisher Geoff King
geoffking@stepcomms.com
Publishing Director Trevor Moon
trevormoon@stepcomms.com
Journal Administration Katy Cockle
katycockle@stepcomms.com
Journal Design Laurence Hallam
Published 10 times a year by: Step Communications Ltd, Step House, North Farm Road, Tunbridge Wells, Kent TN2 3DR Email:
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Published on behalf of: The Institute of Healthcare Engineering and Estate Management, 2 Abingdon House, Cumberland Business Centre, Northumberland Road, Portsmouth, Hants PO5 1DS
Reg Charity No 257133
©2026: The Institute of Healthcare Engineering and Estate Management UK ISSN 0957-7742
Neither the Institute nor the Publisher is able to take any responsibility for views expressed by contributors. Editorial views are not necessarily shared by the Institute. Readers are expressly advised that while the contents of this publication are believed to be accurate, correct and complete, no reliance should be placed upon its contents as being applicable to any particular circumstances. Any advice, opinion or information contained is published only on the footing that The Institute of Healthcare Engineering and Estate Management, its servants or agents and all contributors to this publication shall be under no liability whatsoever in respect of its contents.
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5 COMMENT: Estate challenges lead to innovation 5 COVER STORY: Healthcare mixers: hygiene, safety, and ergonomics 7
14 23
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29 Healthcare Estates 2026 Awards shortlist 33 Designing for operation, not just construction 39 Wayfinding: hidden costs and challenges 47 MMC brings new Surgical Elective Centre to Oxford 52 Managing RAAC at Airedale General Hospital 57 Water safety risk in healthcare settings 63 Medical gas safety: the new chapter 70 From structural challenge to high-quality facility 76 Is grid capacity the key barrier to NHS Net Zero? 81 Putting the case for vacuum drainage 85 Off-site techniques drive decarbonisation 90 The blind spot in clinical washroom hygiene 97 Electricity and the hospital of the future 103 Roof refurbishment: a Net Zero opportunity 109 An insight into healthcare lighting 113 Laying the groundwork for solar installation 120 The NHS estate is at an inflection point 125 Patient records and the hidden cost of paper 131 How can healthcare hotels help the NHS? 135 Obstetric care in Brazil: design guidelines 139 Patient-focused design in the Wye Valley 144 Early technical checks in clinical equipment installs 149 Ensuring the success of neighbourhood health 153 Managing water safety with Internet of Things 157 Sustainability in cleanroom design 162 Why pest control strategy matters in healthcare 167 The healing potential of green roofs in healthcare 171 Integrating sluice room design into hospital builds 177 The gap between policy ambition and delivery 181 Lighting the way with wellbeing-led design 184 Delivering measurable improvement with AI
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