Health Building Note 00-10

Part B: Walls and ceilings

Health Building Note 00-10
Part B – Walls and ceilings
Health Building Note 00-10: Part B – Walls and ceilings

© Crown copyright 2013

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ii
Preface
About Health Building Notes Care-group-based Health Building Notes provide
information about a specific care group or pathway but
Health Building Notes give “best practice” guidance on cross-refer to Health Building Notes on generic (clinical)
the design and planning of new healthcare buildings and activities or support systems as appropriate.
on the adaptation/extension of existing facilities.
Core subjects are subdivided into specific topics and
They provide information to support the briefing and classified by a two-digit suffix (-01, -02 etc), and may be
design processes for individual projects in the NHS further subdivided into Supplements A, B etc.
building programme.
All Health Building Notes are supported by the
The Health Building Note suite overarching Health Building Note 00 in which the key
areas of design and building are dealt with.
Healthcare delivery is constantly changing, and so too are
the boundaries between primary, secondary and tertiary Example
care. The focus now is on delivering healthcare closer to
people’s homes. The Health Building Note on accommodation for
adult in-patients is represented as follows:
The Health Building Note framework (shown below) is
based on the patient’s experience across the spectrum of “Health Building Note 04-01: Adult in-patient
care from home to healthcare setting and back, using the facilities”
national service frameworks (NSFs) as a model. The supplement to Health Building Note 04-01 on
isolation facilities is represented as follows:
Health Building Note structure “Health Building Note 04-01: Supplement 1 –
The Health Building Notes have been organised into a Isolation facilities for infectious patients in acute
suite of 17 core subjects. settings”

Health Building Note number and series title Type of Health Building Note
Health Building Note 00 – Core elements Support-system-based
Health Building Note 01 – Cardiac care Care-group-based
Health Building Note 02 – Cancer care Care-group-based
Health Building Note 03 – Mental health Care-group-based
Health Building Note 04 – In-patient care Generic-activity-based
Health Building Note 05 – Older people Care-group-based
Health Building Note 06 – Diagnostics Generic-activity-based
Health Building Note 07 – Renal care Care-group-based
Health Building Note 08 – Long-term conditions/long-stay care Care-group-based
Health Building Note 09 – Children, young people and maternity services Care-group-based
Health Building Note 10 – Surgery Generic-activity-based
Health Building Note 11 – Community care Generic-activity-based
Health Building Note 12 – Out-patient care Generic-activity-based
Health Building Note 13 – Decontamination Support-system-based
Health Building Note 14 – Medicines management Support-system-based
Health Building Note 15 – Emergency care Care-group-based
Health Building Note 16 – Pathology Support-system-based

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Health Building Note 00-10: Part B – Walls and ceilings

Other resources in the DH Estates and Activity DataBase (ADB)

Facilities knowledge series The Activity DataBase (ADB) data and software
assists project teams with the briefing and design of the
Health Technical Memoranda healthcare environment. Data is based on guidance given
Health Technical Memoranda give comprehensive advice in the Health Building Notes, Health Technical
and guidance on the design, installation and operation of Memoranda and Health Technical Memorandum
specialised building and engineering technology used in Building Component series.
the delivery of healthcare (for example medical gas 1. Room data sheets provide an activity-based approach
pipeline systems, and ventilation systems). to building design and include data on personnel,
They are applicable to new and existing sites, and are planning relationships, environmental considerations,
for use at various stages during the inception, design, design character, space requirements and graphical
construction, refurbishment and maintenance of a layouts.
building. 2. Schedules of equipment/components are included for
All Health Building Notes should be read in conjunction each room, which may be grouped into ergonomically
with the relevant parts of the Health Technical arranged assemblies.
Memorandum series. 3. Schedules of equipment can also be obtained at
department and project level.
4. Fully loaded drawings may be produced from the
database.
5. Reference data is supplied with ADB that may be
adapted and modified to suit the users’ project-specific
needs.

Note
The sequence of numbering within each subject area does not necessarily indicate the order in which the Health Building
Notes were or will be published/printed. However, the overall structure/number format will be maintained as described.

iv
Executive summary

This Health Building Note (HBN) outlines the policy This HBN allows choice in the materials and methods of
and performance requirements for walls and ceilings used construction – provided they satisfy the performance
in healthcare facilities. These requirements are a set of requirements outlined.
essential standards of quality and safety that flooring
The walls and ceilings used should be appropriate for the
must comply with.
type of premises in which they are being fitted (for
HBN 00-10 Part B outlines the policy and performance example, primary care facilities may have different design
requirements for walls and ceilings used in healthcare requirements from acute care facilities).
facilities. These requirements are a set of essential
standards of quality and safety that walls and ceilings Note
must comply with. It supersedes Health Technical
Mental health facilities have their own specific design
Memoranda 56 and 60.
requirements. These are addressed in Health Building
This HBN outlines the relevant standards that Note 03-01 – ‘Adult acute mental health units’.
commissioning organisations will need to include in their
contracts with healthcare providers.

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Health Building Note 00-10: Part B – Walls and ceilings

vi
Contents

Preface
Executive summary
1 Introduction 1
Regulatory framework and policy drivers
Regulator requirements: essential standards of quality and safety
Infection prevention and control
Quality, innovation, productivity and prevention (QIPP)
Life-cycle and maintenance
Sustainability
NHS Premises Assurance Model (PAM)
NHS Constitution
Relationship to other data
2 Walls/partitions 5
Performance requirements
Radiation areas
Requirements for impact protection
Performance requirements
3 Ceilings 7
Performance requirements
Coordination of services
Ceiling heights/ceiling void depth
Radiation areas
4 Selection process for finishes 9
5 Types of finish by room space 10
6 Glossary 11
7 References and evidence base 12

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Health Building Note 00-10: Part B – Walls and ceilings

viii
1 Introduction

Regulatory framework and policy provider is not compliant. These include the issue
of a warning notice that requires improvement
drivers
within a specified time, prosecution, and the power
1.1 One of the Government’s key priorities is delivering to cancel a provider’s registration, removing its
better health outcomes for patients. ability to provide regulated activities.
1.2 The quality and fitness-for-purpose of the NHS 1.9 Outcome 10 of the CQC’s ‘Guidance about
estate is vital for high quality, safe and efficient compliance’ focuses on the “safety and suitability of
healthcare, and this Health Building Note seeks to premises” and decrees that “people receive care in,
set out the quality and standards of certain work in or visit safe surroundings that promote
components used in the construction of the estate. their wellbeing”.
1.3 Quality and fitness for purpose of the estate are 1.10 Health Building Notes and Health Technical
assessed against a set of legal requirements and Memoranda are specifically referenced in the
standards. Adhering to the performance CQC’s “schedule of applicable publications” as a
requirements outlined in this Health Building Note means of compliance with Outcome 10.
will be taken into account as evidence towards
1.11 Commissioning organisations, specifiers, project
compliance with these legal requirements and
teams, design teams and those responsible for
standards.
construction and maintenance of health buildings
Regulator requirements: essential standards of should therefore consider the performance
quality and safety requirements in this Health Building Note, as they
relate to the CQC’s essential standards of quality
1.4 The Care Quality Commission (CQC) regulates all and safety.
providers of regulated health and adult social care
activities in England. The CQC’s role is to provide Infection prevention and control
assurance that the care people receive meets
1.12 A complex range of issues distinguishes healthcare
essential requirements of quality and safety.
environments from most other building types. One
1.5 The registration requirements are set out in the of the most important of these relates to the control
Health and Social Care Act 2008 (Regulated of infection. Hospital environments in particular
Activities) Regulations 2010 and include a are subject to spillage of a range of potentially
requirement relating to safety and suitability of dangerous substances in areas of general use such as
premises. circulation areas and in wards. The choice of
1.6 The CQC is responsible for developing and finishes is important in determining cleaning
consulting on its methodology for assessing regimes.
whether providers are meeting the registration 1.13 Infection prevention and control teams should be
requirements (see the CQC’s (2010) ‘Guidance consulted in design decisions and a risk analysis
about compliance’). conducted on many issues of design (see Health
1.7 The CQC also uses PEAT (Patient Environment Facilities Note 30 – ‘Infection control in the built
Action Teams) data to inform 37 indicators across environment’).
five essential standards of quality and safety.
1.8 Failure to comply with the requirements is an
offence, and under the 2008 Act, CQC has a wide
range of enforcement powers that it can use if the

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Health Building Note 00-10: Part B – Walls and ceilings

Code of Practice on infection prevention and • ‘ The national specifications for cleanliness in
control the NHS: a framework for setting and
measuring performance outcomes’.
1.14 The guidelines outlined in this Health Technical
Memorandum follow the general principles given • The ‘Revised healthcare cleaning manual’.
in ‘The Health and Social Care Act 2008: Code of
• H
ealth Facilities Note 30 – ‘Infection control in
Practice on the prevention and control of infections
the built environment’.
and related guidance’ (the healthcare-associated
infection (HCAI) Code of Practice). This code of Note on antimicrobial-impregnated
practice sets out criteria by which healthcare products
organisations are to ensure that patients are cared
for in a clean environment and where the risk of Whilst antimicrobial-impregnated products (such as
HCAIs is kept as low as possible. surface coatings, paints and curtains) and anti-
microbial materials are available, there are, at present,
1.15 The CQC assesses healthcare organisations against
no definitive data to support their efficacy in reducing
aspects of the code of practice, to monitor whether healthcare-associated infection.
they are complying with the registration
requirements related to cleanliness and infection
control. Quality, innovation, productivity and prevention
(QIPP)
1.16 The HCAI Code of Practice also contains a
comprehensive list of the Department of Health’s 1.21 This Health Building Note is underpinned by the
guidance on the prevention of HCAIs. requirement to improve quality whilst achieving
value for money. Key drivers are:
Hygiene and cleaning
• s tandardisation and pre-assembly of
1.17 The control and prevention of healthcare-associated components;
infection (HCAI) is a priority issue in terms of not
• infection prevention and control issues;
only the safety and well-being of patients and staff,
but also the resources consumed by potentially • patient safety;
avoidable infections. It is important that the design • durability, life-cycle and maintenance costs;
of the building facilitates good infection prevention
and control practices, and has the quality and • flexibility and adaptability;
design of finishes and fittings that enable thorough • s ustainability including low energy design, waste
access, cleaning, disinfection and maintenance to minimisation and water conservation;
take place.
• security.
1.18 All finishes in healthcare facilities should be chosen
with cleaning in mind, especially where 1.22 Patient-safety-focused design can reduce costs
contamination with blood or body fluid is a through:
possibility (that is, smooth, non-porous and water- • reducing hospital stay durations;
resistant). Early and sustained involvement of the
infection prevention and control (IPC) team is • r educing the costs associated with patient safety
essential and will lead to the minimisation of incidents.
infection risks. 1.23 By following the performance requirements
1.19 Requirements for frequency of cleaning may outlined in this Health Building Note,
impact on the use of rooms, circulation and waiting commissioning organisations, specifiers and
areas at various times of the day. Cleaning regimes healthcare providers will be able to demonstrate
including frequency of cleaning should be evidence of alignment to the challenges of quality
addressed in line with current national guidance and productivity required in QIPP.
together with any additional local management
requirements. Life-cycle and maintenance
1.24 Early consideration of maintenance and
1.20 Relevant provisions of current guidance are
embodied in the following documents: replacement of building elements will help to
achieve compliance with all the policy drivers.

2
 1 Introduction

1.25 Materials and finishes are to be selected to 1.31 All new healthcare development projects and
minimise maintenance and be compatible with refurbishments are required to use BREEAM
their intended function and lifespan/duration of Healthcare to demonstrate that facilities are built
use. with sustainability in mind. The Department of
Health requires that all new builds achieve an
1.26 Some spaces require more maintenance than others
“excellent” rating and all refurbishments achieve a
due to usage and traffic, and recognition of this is
“very good” rating under BREEAM Healthcare.
required during the design stage so that, for
example, more robust flooring can be specified in
NHS Premises Assurance Model (PAM)
potential problem areas. Maintenance is critically
important in the prevention and control of 1.32 The NHS Premises Assurance Model (PAM) has
infection, avoiding cracks and tears in finishes been designed to deliver public assurance that NHS
where dirt etc can build up. Good maintenance can services are commissioned and provided from
also aid the ease of cleaning, ensuring that physical environments that comply with national
cleanliness is maintained. The life-cycle cost of standards and requirements to support high quality
materials is affected by these criteria. outcomes.
1.27 Organisations responsible for building and 1.33 It further aims to provide evidence that the NHS
engineering maintenance should have access to Constitution pledge is being delivered by providers
original copies of all building and engineering and to ensure that the NHS Constitution is at the
commissioning data, including as-fitted drawings heart of commissioning strategies in respect of
and records of any changes implemented since the healthcare premises.
building was originally built and commissioned. 1.34 Using PAM, healthcare organisations carry out
Maintenance personnel should have access to evidence-backed self-assessments to show that they
operation and maintenance manuals (including have met the required statutory and nationally
BIM systems) containing building and engineering agreed standards on patient safety, effectiveness and
information such as the suppliers of the materials, patient experience.
fittings and equipment installed during
construction, including instructions on cleaning 1.35 Complying with the performance requirements in
and maintenance. this Health Building Note will serve as supporting
evidence in these self-assessments.
1.28 A useful whole life-cycle document that will aid
designers and NHS organisations in both design NHS Constitution
and choice of materials when designing new
schemes or refurbishments is the British Standards 1.36 The NHS Constitution sets out the rights to which
Institute’s (BSI) ‘Standardized method of life cycle patients, public and staff are entitled. It also
costing for construction procurement: a outlines the pledges that the NHS is committed to
supplement to BS ISO 15686-5 Buildings & achieve, together with responsibilities that the
constructed assets – Service life planning – Part 5: public, patients and staff owe to one another to
Life cycle costing’. ensure that the NHS operates fairly and effectively.
All healthcare organisations will be required by law
Sustainability to take account of this Constitution in their
decisions and actions.
1.29 Health Technical Memorandum 07-07 –
‘Sustainable health and social care buildings’ 1.37 Healthcare organisations need to “ensure that
provides relevant advice on how to embrace services are provided in a clean and safe
sustainability protocols throughout the design and environment that is fit for purpose, based on
build process and should be read in conjunction national best practice (pledge)”.
with undertaking the BREEAM Healthcare
assessment. Relationship to other data
1.30 The Building Research Establishment 1.38 The main sources of data used in the preparation of
Environmental Assessment Method for healthcare this Health Building Note are listed in Chapter 7,
facilities (BREEAM Healthcare) is the standard ‘References and evidence base’.
tool for assessing the environmental impact of a
healthcare facility.

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Health Building Note 00-10: Part B – Walls and ceilings

1.39 Readers should ensure that they use this Health

Building Note in conjunction with all current
A note on the Equality Act 2010,
building legislation, British and European Approved Document M of the
Standards etc. Building Regulations and BS 8300
1.40 All products should conform to the relevant Where the guidance outlined in this manual proposes
provisions of an appropriate British or European requirements that differ from those in Approved
Standard. Suppliers offering products other than to Document M or BS 8300:2009, these special
these standards should provide evidence to show requirements should apply as they take into account
that their products are at least equal to such specific healthcare building issues. The occupier of the
standards. healthcare premises should prepare an access statement
in support of their argument that the premises comply
1.41 This Health Building Note’s content does not
with the requirements of the Equality Act.
diminish:
• a specifier’s responsibility for selection and
application of appropriate products to meet
project requirements;
• a supply chain’s responsibility for fitness for
purpose of products;
• a contractor’s responsibility for correct product/
system installation;
• t he need to comply with statutory requirements,
including the Building Regulations.

4
2 Walls/partitions

2.1 Partitions are required to enclose spaces and, at the 2.8 Partitions are to be designed to withstand loading
same time, facilitate activities to be carried out imposed by equipment, fixtures and fittings, and
whilst protecting adjacent spaces from those protection.
activities to defined environmental conditions and
2.9 Smooth, hard, seamless and impervious surfaces are
defined life-cycle replacement periods.
required in clinical areas as they are easier to clean.
2.2 Finishes are applied to partitions not only for
2.10 Wall surfaces are to be free from fissures, open
functional reasons but also to enhance the
joints or crevices.
healthcare environment.
2.1 Walls penetrated by pipes, ducts and conduits are
2.3 The product/system ranges available to achieve the
to be sealed tightly to stop entry of pests, to
requirements are extensive and no guidance is
maintain acoustic integrity, to maintain fire
offered relating to appropriate product selection.
resistance and for reasons of hygiene.
Performance requirements 2.12 Wall finishes should not comprise materials that
promote or sustain the growth of fungi and
2.4 For the appropriate selection of wall/partition microorganisms.
finishes by room space, see Chapter 4, ‘Selection
process for finishes’ and Chapter 5, ‘Types of finish 2.13 Wall finishes should be able to withstand the
by room space’. expansion and contraction of the wall/partition.
2.5 Partitions are to achieve the periods of fire 2.14 Wall finishes are to meet the performance
resistance and construction requirements specified classifications given in Health Technical
in Health Technical Memorandum 05-02. Memorandum 05-02.
2.15 Wall finishes are to be durable and able to
Note withstand minor impacts without the need for
Many in-patient hospitals are designed on the additional wall protection.
principle of horizontal evacuation where bed-bound 2.16 Wall finishes are to be impermeable and easily
patients are moved from the fire compartment where wiped over if necessary and not be physically
the fire is located to the safety of an adjacent affected or degraded by detergents and
compartment on the same level where they either disinfectants.
remain until the fire is dealt with or are evacuated
further from the location of the fire. This places greater 2.17 Partitions should be suitably reinforced in areas
importance on the integrity of fire-rated partitions in where damage is expected.
healthcare facilities than in all other building types 2.18 Areas with security requirements (such as
where the whole building is immediately evacuated pharmacies, laboratories) should be secured to meet
when a fire alarm is activated. the requirements of local security services.
2.19 Consideration should be given to possible future
2.6 Partitions are to meet the acoustic requirements
requirements of the healthcare facility.
specified in Health Technical Memorandum 08-01
– ‘Acoustics’. Radiation areas
2.7 Partitions are to be capable of meeting the 2.20 The choice of construction materials for walls/
requirements of BS 5234 Parts 1 and 2 to the partitions must be agreed with the radiation
appropriate duty category. protection adviser (RPA), who must also be

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Health Building Note 00-10: Part B – Walls and ceilings

consulted on overall radiation protection standards, 2.27 The type of material used should be suitable for its
including aspects of design and room layout. intended location (for example stainless steel in
kitchens; hygienic surfaces in labs).
Requirements for impact protection 2.28 Materials and colours should comply with the
2.21 Impact protection is intended to help reduce the requirements of the Equality Act 2010, where
incidence and severity of damage to walls and appropriate.
partitions in healthcare buildings so that their 2.29 Protective devices on walls should be positioned to
performance is maintained. give the maximum defence against mobile
2.22 Protection fittings include: equipment. The type of mobile equipment to be
used in the area and the correct siting of protective
• handrails; devices in terms of location and height is critical in
• crash rails; assessing where they should be fitted.
• buffer rails; 2.30 In some special areas, such as operating theatres,
considerations of hygiene may take precedence over
• chair rails;
the protection recommended for areas where beds
• corner guards; and trolleys are present. Rails may be omitted in
favour of overall durable, washable finishes.
• splayed skirtings;
2.31 Areas such as workshops, storerooms, service
• protective plates and sheeting;
corridors and hospital streets may be constructed of
• bed buffers. materials that are not necessarily given a decorative
finish, or applied protection. These materials
Note include brickwork, blockwork and concrete. These
areas may still require corner protection and
This section does not cover the need for handrails as
handrail/crash rails, splayed skirtings etc if used by
part of a protection system, as this is covered by the
mechanically propelled tugs and heavy trolleys.
client’s project-specific needs and the Equality Act
2010 (see also Health Building Note 00-04 –
‘Circulation and communication spaces’).
Nevertheless, this does not preclude the use of
handrails as part of a protection system.

2.23 Early consultation between the healthcare provider,

designers and facilities management teams should
be undertaken to ensure an appropriate strategy on
damage avoidance is put in place (based on a full
risk assessment of potential damage). This should
be reviewed regularly (no longer than 12 months)
to ensure prompt action is taken to prevent future
damage.

Performance requirements
2.24 The appropriate structure needs to be determined
before fixing.
2.25 Protection fittings should not be prone to splinter,
and neither should they have any sharp snags or
dirt traps.
2.26 Protection fittings must not invalidate the fire-
resistance periods of building elements given in
Health Technical Memorandum 05-02.

6
3 Ceilings

3.1 Ceilings enclose space and facilitate activities to be 30 minutes’ fire resistance (or the designated period
carried out whilst separating adjacent spaces from of resistance as required by the fire strategy) when
those activities. This is within defined subjected to tests in accordance with BS 476 Parts
environmental conditions and for agreed life-cycle 20–23.
replacement periods.
3.11 Ceiling finishes are to meet the performance
3.2 Strategic ceiling design is determined by acoustic classifications given in Health Technical
and fire strategies for the building. Memorandum 05-02.
3.3 Detailed ceiling design is determined by humidity 3.12 Components and cavity barriers should limit the
level, services access, infection prevention and surface spread of flame and contribute to achieving
control, ease of cleaning, aesthetics and patient a compliant fire strategy.
well-being, and light reflectance values.
3.13 Proprietary ceiling finishes and site-applied ceiling
3.4 The product/system range available to achieve the finishes will need to meet the surface spread of
requirement is extensive and no further guidance is flame requirements outlined in Health Technical
offered relating to appropriate selection. Memorandum 05-02, that is:
a. small rooms (maximum 4 m2) are to meet Class
Performance requirements 1 (C-s3, d2);
3.5 For the appropriate selection of ceiling finishes by b. circulation spaces and all other rooms are to
room space, see Chapter 4, ‘Selection process for meet Class 0 (B-s3, d2).
finishes’ and Chapter 5, ‘Types of finish by room
space’. The definitions of national Class 0 and Class 1, and
3.6 Ceilings should be selected using the data in the the equivalent European classes, are given in the
‘Types of finish by room space’ section. Building Regulations.

3.7 Smooth surfaces on concealed suspension systems 3.14 Ceiling finishes in clinical areas should be easily
should be impervious and able to withstand hard cleaned and not physically affected or degraded by
cleaning regimes. detergents and disinfectants.
3.8 A ceiling system should be able to support dead 3.15 Completed assemblies are to contribute to
loading from a range of surface-mounted or achieving a compliant acoustic strategy (see Health
recessed ceiling fixtures. Technical Memorandum 08-01 – ‘Acoustics’).
3.9 Ceilings must be able to achieve the periods of fire 3.16 The specification should reflect low, normal and
resistance specified in Health Technical high humidity spaces and be able to withstand
Memorandum 05-02 when subjected to tests in intermittent contact with water and water vapour.
accordance with BS 476 Parts 20–23.
3.17 Ceilings should be designed and constructed to
3.10 Demountable ceiling systems must not be required provide patients with a safe environment especially
to provide or contribute to the fire resistance of the in unsupervised areas, with consideration to anti-
elements of structure or to the fire containment ligature points (see estates alert notice NHSE
principles such as the enclosure of hazard rooms, (2004) 05: ‘Suspended ceilings as ligature points’).
because access requirements to services in the
ceiling void may render them incompatible with 3.18 Ceiling voids should be designed to allow primary
achieving the fire-resisting performance. Fire-rated and secondary services distribution, access and
ceilings should be capable of achieving at least support of ceiling-mounted services.

7
Health Building Note 00-10: Part B – Walls and ceilings

Coordination of services 3.24 In operating theatres/areas, aseptic suites and

laboratories, access through the ceiling should be
3.19 All lighting services should comply with CIBSE’s
avoided. A local risk assessment should be
Lighting Guide 2: ‘Hospitals and healthcare
undertaken as this list is not exclusive.
buildings’.
3.20 Areas acceptable for enhanced ceiling design (for Ceiling heights/ceiling void depth
example public areas or circulation routes) should,
3.25 Guidance on appropriate ceiling heights to
wherever possible, enhance the patient experience.
functional rooms is given in the range of specific
3.21 Access points should be designed to allow panels Health Building Notes.
and tiles to be removed without damage or
disfiguration and should be clearly identified. They Radiation areas
should not change the overall design/appearance of 3.26 The choice of construction materials for walls/
the ceiling. partitions must be agreed with the radiation
3.22 Access through jointless membranes should be protection adviser (RPA), who must also be
avoided where possible. consulted on overall radiation protection standards,
including aspects of design and room layout.
3.23 Service access points should not be located over
patient bed positions.

8
4 Selection process for finishes

9
10
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Health Building Note 00-10: Part B – Walls and ceilings

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6 Glossary

Accessories: Associated items related to the total Services: Hot and cold water, drainage, medical gases,
component assembly, such as mirrors, soap holders etc electrical and communication services, supply fittings etc
Assembly: Combination of component, panel, support Smooth, textured and perforated: Range of ceiling
system and appropriate accessories and services combined surfaces and tiles for use in appropriate types of space (for
to form a practical product example, administrative, non-clinical, clinical support
and clinical)
Clinical (of sanitary assemblies): For use by clinical
staff undertaking clinical procedures Smooth: No coarser than brush-applied matt emulsion
paint on a flat plastered surface without projections,
Component: Prime constituent supported by the panel
indents or holes part-way through the material
assembly
Soil appliance: An appliance for the reception and
Duct: Space formed or used to contain services and
discharge of excretory matter
related fittings
Supply fitting: A fitting to control or regulate the supply
Handrail: A rail required to enable unassisted walking by
of water, commonly used with an appliance
patients
Suspension system: Ceiling comprising hangers, primary
Impervious: Able to resist the penetration of liquids
and secondary support grids and tiles or boards
likely to be encountered in healthcare buildings
suspended from structural soffits
Jointless: A surface that presents a continuous unbroken
Thermostatic mixing valve: a valve, with one or more
surface
outlets, which mixes hot and cold water and
Non-clinical (of sanitary assemblies): For use by automatically controls the mixed water to a user-selected
hospital staff, patients and the public in general or pre-set temperature (see also Health Technical
Panel: Fixed or removable section supporting mounted Memorandum 04-01)
components Waste appliance: An appliance for the reception of water
Pre-plumbed assembly: Framed duct panel unit with for ablutionary, cleansing, or culinary purposes and its
sanitaryware factory-fitted and tested before delivery discharge after use

Sanitary assembly: An assembly comprising a soil or Waste fitting: A fitting to conduct the discharge from an
waste appliance and appropriate supply and waste fittings appliance and to connect to pipework

11
Health Building Note 00-10: Part B – Walls and ceilings

7 References and evidence base

BS 476:1970-7. Fire tests on building materials and BS EN 1935:2002 Building hardware. Single-axis hinges.
structures. Method of test to determine the classification Requirements and test methods. British Standards
of the surface spread of flame of products. British Institution, 2002.
Standards Institution 1997.
BS EN ISO 140 Acoustics. Measurement of sound
BS 4322:1968 Recommendations for buffering on insulation in buildings and of building elements. British
hospital vehicles such as trolleys. British Standards Standards Institution, 1998.
Institution, 1968.
BS 476:1970 Fire tests on building materials and
BS 5234-1:1992 Partitions (including matching linings). structures. British Standards Institution.
Code of practice for design and installation. British
Part 4: Non-combustibility test for materials, 1970
Standards Institution, 1992.
Part 6: Method of test for fire propagation for products,
BS 5234-2:1992 Partitions (including matching linings).
1989.
Specification for performance requirements for strength
and robustness including methods of test. British Part 7: Method of test to determine the classification of
Standards Institution, 1992. the surface spread of flame of products, 1997.
BS 5628-1:1992 Code of practice for use of masonry. Part 20: Method for determination of the fire resistance
Structural use of unreinforced masonry. British Standards of elements of construction (general principles), 1987.
Institution, 1992. Part 21: Methods for determination of the fire resistance
BS 5628-2:2000 Code of practice for use of masonry. of loadbearing elements of construction, 1987.
Structural use of reinforced and prestressed masonry. Part 22: Methods for determination of the fire resistance
British Standards Institution, 2000. of non-loadbearing elements of construction, 1987.
BS 5628-3:2001 Code of practice for use of masonry. Part 23: Methods for determination of the contribution
Materials and components, design and workmanship. of components to the fire resistance of a structure, 1987.
British Standards Institution, 2001.
BS 1191-1:1973 Specification for gypsum building
BS 6262:1982 Code of Practice for glazing for buildings. plasters. Excluding premixed lightweight plasters. British
British Standards Institution, 1982. Standards Institution, 1973.
BS 7719:1994. Specification for water-borne emulsion BS 1230-1:1985 Gypsum plasterboard. Specification for
paints for interior use. British Standards Institution, plasterboard excluding materials submitted to secondary
1982. operations. British Standards Institution, 1985.
BS 8212:1995 Code of practice for dry lining and BS 5250:2002 Code of practice for control of
partitioning using gypsum plasterboard. British Standards condensation in buildings. British Standards Institution,
Institution, 1995. 2002.
BS 8481 Design, preparation and application of internal BS 6100-6.6.2:1990 Glossary of building and civil
gypsum, cement, cement/lime plastering systems engineering terms. Concrete and plaster. Products,
specification. British Standards Institution, 2006. applications and operations. Plaster. British Standards
BS EN 1154:1997 Building hardware. Controlled door Institution, 1990.
closing devices. Requirements and test methods. British BS 6150:1991 Code of practice for painting of buildings.
Standards Institution, 1997. British Standards Institution, 1991.

12
 7 References and evidence base

BS 6750:1986 Specification for modular coordination in CQC’s ‘Guidance about compliance’.

building. British Standards Institution, 1986.
Patient Environment Action Teams (PEAT).
BS EN 1365-2:2000 Fire resistance of loadbearing
Health Facilities Note 30 – ‘Infection control in the built
elements. Floors and roofs.
environment’.
BS EN 10143:1993 Continuously hot-dip metal coated
HCAI Code of Practice.
steel sheet and strip. Tolerances on dimensions and shape.
British Standards Institution, 1993. The national specifications for cleanliness in the NHS: a
framework for setting and measuring performance
BS EN 13501-1:2002 Fire classification of construction
outcomes.
products and building elements. Classification using test
data from reaction to fire tests. The Revised healthcare cleaning manual.
BS EN 13501-2:2007. Fire classification of construction Standardized method of life cycle costing for construction
products and building elements. Classification using data procurement: a supplement to BS ISO 15686-5
from fire resistance tests, excluding ventilation services. Buildings & constructed assets – Service life planning –
Part 5: Life cycle costing’.
BS EN 13823:2002 Reaction to fire tests for building
products – building products excluding flooring exposed Health Technical Memorandum 07-07 – ‘Sustainable
to the thermal attack by a single burning item health and social care buildings’.
BS EN 13964:2004 + A1:2006 Suspended ceilings. BREEAM Healthcare.
Requirements and test methods. NHS Premises Assurances Model (PAM)
BS EN ISO 354:2003 Acoustics. Measurement of sound NHS Constitution.
absorption in a reverberation room.
The Equality Act.
BS EN ISO 717-2:1997 Acoustics. Rating of sound
insulation in buildings and of building elements. Impact Approved Document M.
sound insulation. British Standards Institution, 1997. Health Technical Memorandum 05-03: Part C – ‘Textiles
BS EN ISO 1182:2002 Reaction to fire tests for building and furnishings’.
products – non-combustibility test. Health Building Note 00-02 – ‘Sanitary spaces’.
BS EN ISO 1716:2002 Reaction to fire tests for building Health Technical Memorandum 04-01 – ‘The control of
products – determination of the gross calorific content. Legionella, hygiene, “safe” hot water, cold water and
BS EN ISO 11925:2002 Reaction to fire tests for drinking water systems’, Part A: Design, installation and
building products – ignitability when subjected to direct testing. Part B: Operational management.
impingement of flame.
Health Technical Memorandum 08-01 – ‘Acoustics’.
Health Technical Memorandum 05-02 – ‘Guidance in
support of functional provisions for healthcare premises’.
Health Building Note 00-04 – ‘Circulation and
communication spaces’.
Equality Act 2010.
Health Technical Memorandum 05-02 – ‘Guidance in
support of functional provisions for healthcare premises’.
CIBSE Lighting Guide 2: ‘Hospitals and healthcare
buildings’.
NHSE (2004) 05: ‘Suspended ceilings as ligature points’.
Approved Document B2 of the Building Regulations.
Health and Social Care Act 2008 (Regulated Activities)
Regulations 2010.