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Clinical
wash-hand
basin
Paper roll
dispenser
Sack
holder
Disposal
unit
Health Building Note 00-03
Clinical and clinical support spaces
Health Building Note 00-03 Clinical and clinical support spaces
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
peoples 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 patients 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
iii
Health Building Note 00-03 Clinical and clinical support spaces
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
Health Building Note 00-03 Clinical and clinical In places, the guidance differs from that provided in
support spaces provides evidence-based best practice Approved Document M (2010) and BS 8300:2001
guidance on the design and layout of generic clinical and (2009 edition). Where this is the case, the reasons for the
clinical support spaces for use in healthcare settings. variations are discussed.
Room sizes have been standardised wherever possible. For
clinical support areas where a standard room size is not
appropriate, this document provides a sizing
methodology suitable for briefing purposes. Most of the
indicative room layouts are informed by one or more
ergonomic drawings.
v
Health Building Note 00-03 Clinical and clinical support spaces
vi
Contents
Preface
About Health Building Notes
The Health Building Note suite
Health Building Note structure
Other resources in the DH Estates and Facilities knowledge series
Health Technical Memoranda
Health Technical Memorandum Building Component series
Activity DataBase (ADB)
How to obtain publications
Executive summary
1 Introduction 1
Purpose and scope of this document
Principle of using generic rooms wherever possible
Standardised room sizes
Evidence base
2 Generic clinical spaces: Beds 2
Single-bed room
Room description and layout
Multi-bed room
Room description and layout
3 Generic clinical spaces: Consulting, examination and interview spaces 8
Consulting room
Room description and layout
Separate versus combined consulting and examination rooms
Ergonomic drawings
Consulting/examination room: double-sided couch access
Room description and layout
Separate versus combined consulting and examination rooms
Ergonomic drawings
Consulting/examination room: single-sided couch access
Room description and layout
Ergonomic drawings
Examination/physical therapy room
Room description and layout
Separate versus combined consulting and examination rooms
Ergonomic drawings
Interview room: 4 places
Room description and layout
Ergonomic drawings
Interview room: 7 places
Room description and layout
Ergonomic drawings
4 Generic clinical spaces: Group rooms 38
Free movement exercise room
vii
Health Building Note 00-03 Clinical and clinical support spaces
viii
Contents
ix
Health Building Note 00-03 Clinical and clinical support spaces
x
1 Introduction
1.1 Health Building Note 00-03 provides design 1.6 Clinical and clinical support rooms should be
guidance and indicative room layouts of generic generic wherever possible to maximise flexibility in
clinical and clinical support spaces in healthcare use. Generic rooms make up a high proportion of
buildings. the clinical and clinical support spaces within
healthcare buildings.
Purpose and scope of this document
1.2 Most of the layouts are informed by one or more
Standardised room sizes
ergonomic drawings (the colour-coding on the 1.7 The size (and dimensions) of the indicative room
room layouts relates to ergonomic information). layouts have been standardised wherever possible.
Both the ergonomic drawings and indicative room This may mean sizing up to some extent, but
layouts aim to enable spaces to be designed that are results in rooms that can be adapted (for alternative
fit for purpose, accessible, safe and secure. use) much more easily.
1.3 The indicative room layouts represent example 1.8 For clinical support areas where a standard room
design solutions, not specific recommendations. size is not appropriate, this document provides a
Actual requirements should be determined on an sizing methodology suitable for briefing purposes.
individual project basis. 1.9 Where special departmental requirements warrant a
1.4 Although primarily applicable to new buildings, variation from the spaces described in this
the recommendations contained within this document, information is provided in the relevant
guidance should also be applied, where practical, guidance.
when existing facilities are being upgraded.
Evidence base
Principle of using generic rooms 1.10 This document is based on the professional opinion
wherever possible of healthcare planning and design experts and
1.5 Generic rooms are designed to accommodate a ergonomic research (published and unpublished).
range of activities rather than being tailored for a
single function/specialty or narrow range of
functions.
1
Health Building Note 00-03 Clinical and clinical support spaces
2
2 Generic clinical spaces: Beds
3
4
Figure 1 Example layout for a single-bed room
En-suite
shower
room
2285 Family
2100
zone
Clinical
support
Bedspace zone
3600
Bedhead Touchdown base
services external to
room
3700 Access
Bedspace
This is the clear space required for access around the bed for:
moving and handling of patients
patient transfers into and out of bed (including ceiling-mounted hoists)
Health Building Note 00-03 Clinical and clinical support spaces
5
Health Building Note 00-03 Clinical and clinical support spaces
retardant. When full-height curtains are drawn, the 2.19 Each multi-bed room should have easy access to
bed space should still be well illuminated and informal social space, as the majority of patients,
ventilated. Curtains may be disposable. Highly- although highly dependent, are encouraged out of
patterned curtains should be avoided, as they can bed.
cause visual disturbances in patients who are 2.20 The layout for a multi-bed room is an example
confused or heavily sedated. only. It shows a four-bed room with an assisted
2.17 Each four-bed room should include two clinical shower room and a second semi-ambulant WC,
wash-hand basins for staff use. These should be both en-suite.
located to be highly visible and convenient for staff 2.21 An en-suite with fully opening wall cannot be used
to use, both on entering and leaving the room and in this layout because of the loss of privacy in a
when moving from one patient to another. A multiple-occupancy room. Each en-suite has an
clinical support zone with space for a computer and outward-opening single-leaf door. The two en-
storage for a days supply of linen and clinical goods suites are located inboard, forming a recess at the
is required for each multi-bed bay. entrance to the bed areas, providing some privacy
2.18 Design teams should decide in consultation with to the bed areas. Two clinical wash-hand basins are
the local fire authority whether multi-bed rooms located centrally, one next to the room entrance
should or should not be fitted with doors for fire and the other on the outside wall. There is room
safety reasons, for example to limit the spread of for one clinical support zone.
smoke. The infection control team should also be
consulted on the use of doors in multi-bed rooms.
6
Figure 2 Multi-bed room layout
(3600)
(3600)
from the bed (on foot unaided or using
a walking aid; in a wheelchair; in a
Bedhead
services hoist; on a trolley; on a bed)
Chair Chair
Chair
1750
General admin
900
Preparation of drugs
600
track track
includes clinical disposal; paper
disposal; clinical supplies/
Refer to HBN 00-03
consumables (locked)
for space requirements only
Option for fridge
Curtain
900
track Clinical admin space
600
Worktop
600
See HBN 00-02
(2260)
See HBN 00-02
Service duct
excluding
luggage space
(1200)
See HBN 00-03
Service duct
Service duct
1150 1400 (1500)
(3050)
7
2 Generic clinical spaces: Beds
Health Building Note 00-03 Clinical and clinical support spaces
3 G
eneric clinical spaces: Consulting,
examination and interview spaces
Consulting room 3.2 The room layout provided (see Figure 3) means the
patient/client will be positioned between the
Room description and layout practitioner and the door during consultation.
Consideration may be given to altering the layout
3.1 For future flexibility (adaptability) the size of a to position the practitioner between the patient/
standard consulting room should be around 12 m. client and the door for staff safety.
However, the absolute minimum recommended
area is 8 m.
Sack
Supplies
holder
trolley
Chair
Sack
holder
Consultation Clinical
workstation wash-hand
basin
Chair
Paper towel
Chair dispenser
Glove and
(optional) apron
dispenser
8
3 Generic clinical spaces: Consulting, examination and interview spaces
9
Health Building Note 00-03 Clinical and clinical support spaces
Sp cha nd wi (12
ac ir ed thd 50
1500
e wi , ( ra )
ex
fo th 10 w
ro p 5 n
te
cc ers 0)
up on fo
(6
ie s r le
d
00
Space to withdraw
up leg gs
)
rig s
chair from desk
50
ht
900 (700)
50
0
20
0
50
(900)
Chair
Consultation
workstation
Space for wheelchair access/withdrawal
Space to withdraw
chair from desk
900
Chair
1500
Chair
ai ied
ch up
(500)
up e fo 800
ht cc
r
rig r o
800
ac
Sp
10
3 Generic clinical spaces: Consulting, examination and interview spaces
Clinical wash-hand basin Figure 6 Space requirements for standing use of a clinical wash-hand basin
assembly
3.12 These ergonomic drawings (see Figure 6)
show the space requirements for standing Space to use basin
at high level, ie above
use of a clinical wash-hand basin assembly. 600 mm from floor level
For seated use, the basin will need to be 900
lowered.
3.13 The basin should be fitted with non-touch
Soap dispenser
taps. Hand cream dispenser
Optional scrub solution dispenser
3.14 The recommended fixing height of a lever Paper towel dispenser
high level
apron dispenser
1200
1095mm. Where a lever tap is used, the
fixing height of the dispensers should be
200
chosen to reduce any possible conflicts in
11401350
use. basin at low level,
ie up to 600 mm
from floor level
780800
Space to use
600
3.15 The illustrated clinical wash-hand basin
projects 400 mm from the back panel or
wall. However, clinical wash-hand basins
600
may vary from 350 to 500 mm projection. Space to use basin
Where basins deeper than 400mm are used, at low level, ie up to
600 mm from floor level
the impact on/from other components and/ Elevation (showing sensor tap)
or activities undertaken within any space Minimum Concealed waste
should be considered when evaluating any distance
to side wall
~120 service duct
passing
600
approx 1015 mm.
900
3.18 Lever taps are not illustrated.
3.19 For detailed information on basins, see 750
Comfortable reach to side of basin
Health Building Note 00-10 Part C
Flush concealed services duct
Sanitary assemblies.
11
Health Building Note 00-03 Clinical and clinical support spaces
12
Figure 7 Consulting/examination room: double-sided couch access (option 1) Figure 8 Consulting/examination room: double-sided couch access (option 2)
Engineering services outlet zone
Ceiling-
mounted
Supplies examination
trolley light
workstation
Sack Clinical
holder wash-hand
basin
Chair
Chair
Chair Paper
Clinical Sack
wash-hand towel holder
basin dispenser
0)
(60
e to
d ist anc tween
Sack b
s e
Paper holder pas and
towel k Chair
des ain
dispenser t
cur
Glove
and apron
dispenser Ceiling-
mounted Consultation
examination workstation
light
Chair
Couch with
Chair paper roll
attached
13
3 Generic clinical spaces: Consulting, examination and interview spaces
Health Building Note 00-03 Clinical and clinical support spaces
14
3 Generic clinical spaces: Consulting, examination and interview spaces
Sp cha nd wi (12
ac ir ed thd 50
1500
e wi , ( ra )
ex
fo th 10 w
ro p 5 n
te
cc ers 0)
up on fo
(6
ie s r le
d
00
Space to withdraw
up leg gs
)
rig s
chair from desk
50
ht
900 (700)
50
0
20
0
50
(900)
Chair
Consultation
workstation
Space for wheelchair access/withdrawal
Space to withdraw
chair from desk
900
Chair
1500
Chair
ai ied
ch up
(500)
up e fo 800
ht cc
r
rig r o
800
ac
Sp
15
Health Building Note 00-03 Clinical and clinical support spaces
Clinical wash-hand basin Figure 11 Space requirements for standing use of a clinical wash-hand basin
assembly
3.38 These ergonomic drawings (see
Space to use basin
Figure11) show the space requirements at high level, ie above
for standing use of a clinical wash-hand 600 mm from floor level
900
basin assembly. For seated use, the basin
will need to be lowered.
3.39 The basin should be fitted with non- Soap dispenser
touch taps. Hand cream dispenser
Optional scrub solution dispenser
Paper towel dispenser
high level
apron dispenser
1200
1095 mm. Where a lever tap is used, the
fixing height of the dispensers should be
200
11401350
chosen to reduce any possible conflicts in basin at low level,
ie up to 600 mm
from floor level
use.
780800
Space to use
layout.
3.42 The glove and apron dispenser illustrated
is a combined unit; this is considered the
(50) Minimum clearance
most compact solution although separate between paper towel
units may also be used. Even the most dispenser and duct
800
600
tap is 75mm below elbow height giving a 900
figure height of approx 1015 mm.
3.44 Lever taps are not illustrated. 750
Comfortable reach to side of basin
3.45 For detailed information on basins, see Flush concealed services duct
Health Building Note 00-10 Part C
Sanitary assemblies.
16
3 Generic clinical spaces: Consulting, examination and interview spaces
Suction
height range of couch
bottle
Approximate
bracket
400940
to be
below
patients
chest
(2450)
Space for changing
(1000)
Space for Space for
examination/ examination/
treatment treatment
(800) 650 (800)
100
light
examination/treatment
800 (600)
Space for
17
Health Building Note 00-03 Clinical and clinical support spaces
Treatment chairs (various): double-sided access use of the various methods is subject to local
clinical and/or patient/ client preferences.
3.49 These ergonomic drawings (see Figure 13) show
the space requirements for double-sided access to a 3.52 The podiatry treatment chair incorporates separate
variety of treatment chairs. leg supports, which may be adjusted independently
of one another.
3.50 The reclining treatment/therapy chair provides the
most flexible option for general examinations and 3.53 The activity space for the podiatry treatment chair
treatments. assumes the examination light is attached to the
podiatry trolley. The illustrated chair is mobile.
3.51 The reclining gynaecology chair may be used for
Floor-mounted chairs are also available although
general examinations and treatments or female
these may reduce flexibility in room use.
internal examinations. A variety of attachments are
available to assist internal examinations of females
including stirrups, leg supports or footrests. The
2575 (2450)
Space for
2450
Space for changing
(1000) Space for changing
examination/
(1000)
treatment
800 650900 (800) (800) 650 (800)
650
100
100
Approx length of chair in
Approx length of chair in
reclining position
reclining position
approx 1050
1900
1900
treatment
chair examination chair
light
2800
2800
examination/
treatment
Space for
(900)
800 (600)
Space for
Stool
access
(2450)
Approximate length of
chair in sitting position
reclining position
Podiatry
1900
1550
treatment
2800
chair
Approximate space
for treatment/
examination
1200 (900)
800 (600)
Space for
Stool
access
18
3 Generic clinical spaces: Consulting, examination and interview spaces
Dressing and undressing: ambulant 3.55 An identical space provision is suitable for semi-
ambulant users though it should be located
3.54 These ergonomic drawings (see Figure 14) show
adjacent to a seating area.
the space requirements for ambulant dressing and
undressing.
obstructions
low-level
800
1200
1000
19
Health Building Note 00-03 Clinical and clinical support spaces
Consulting/examination room: single- 3.60 The layout shows the clinical wash-hand basin
within the curtained examination area. However,
sided couch access
its location should be subject to local policy and
Room description and layout infection control advice. It must be easily accessible
from both the consultation and examination areas.
3.56 This room is intended as a flexible space for The curtain should be located to prevent it
consultations and examinations for use by a wide becoming contaminated from use of the clinical
range of specialties. wash-hand basin.
3.57 The following procedures may take place in this 3.61 Piped medical gases are generally not required. In
room: emergency situations it is anticipated that bottled
non-invasive procedures, that is, procedures that oxygen and mobile suction equipment will be
do not break the skin, for example changing a readily available.
dressing; 3.62 The room layout provided mean the patient/client
minimally invasive procedures, that is, will be positioned between the practitioner and the
procedures that break or puncture the skin, for door during consultation. Consideration may be
example injections, taking blood etc. given to altering the layout to position the
practitioner between the patient/client and the
3.58 The room layout provided (see Figure 15) includes door for staff safety.
a two-section couch.
3.63 The layout has the disadvantage of the consultation
3.59 Where it is not necessary to access both sides of the area being located on the inside wall (that is,
couch, the single-sided room layout may be used generally away from natural light) and the
but to maximise flexibility and adaptability double- examination area being located on the outside wall
sided couch access is generally recommended. (that is, requiring privacy control due to the likely
proximity of a window).
Figure 15 Consulting/examination room, single-sided couch access
Engineering services outlet zone
Sack
Couch with Wall-mounted
holder
paper roll examination
attached light
Clinical
wash-hand
basin
Supplies
Sack
trolley
holder Paper towel
dispenser
Glove and
apron
dispenser
Chair
Consultation
workstation
Engineering services outlet zone
Chair
20
3 Generic clinical spaces: Consulting, examination and interview spaces
Sp cha nd wi (12
ac ir ed thd 50
1500
e wi , ( ra )
ex
fo th 10 w
ro p 5 n
te
cc ers 0)
up on fo
(6
ie s r le
d
00
Space to withdraw
up leg gs
)
rig s
chair from desk
50
ht
900 (700)
50
0
20
0
50
(900)
Chair
Consultation
workstation
Space for wheelchair access/withdrawal
Space to withdraw
chair from desk
900
Chair
1500
Chair
ai ied
ch up
(500)
up e fo 800
ht cc
r
rig r o
800
ac
Sp
21
Health Building Note 00-03 Clinical and clinical support spaces
Clinical wash-hand basin Figure 17 Space requirements for standing use of a clinical wash-hand basin
assembly
3.70 These ergonomic drawings (see
Figure17) show the space requirements Space to use basin
at high level, ie above
for standing use of a clinical wash-hand 600 mm from floor level
900
basin assembly. For seated use, the basin
will need to be lowered.
3.71 The basin should be fitted with non- Soap dispenser
touch taps. Hand cream dispenser
Optional scrub solution dispenser
Paper towel dispenser
3.72 The recommended fixing height of a
high level
apron dispenser
1200
1095 mm. Where a lever tap is used, the
fixing height of the dispensers should be
200
11401350
chosen to reduce any possible conflicts in basin at low level,
use. ie up to 600 mm
from floor level
780800
Space to use
800
600
tap is 75mm below elbow height giving a 900
figure height of approx 1015 mm.
3.76 Lever taps are not illustrated. 750
Comfortable reach to side of basin
3.77 For detailed information on basins, see Flush concealed services duct
Health Building Note 00-10 Part C
Sanitary assemblies.
22
3 Generic clinical spaces: Consulting, examination and interview spaces
1800
Approx adjustable
height range
400940
Space for
examination/
treatment
(800) 650 100
100
Couch with
paper roll
attached
1900
2800
Wall-
mounted
examination
light
examination/
800 (600)
treatment
Space for
23
Health Building Note 00-03 Clinical and clinical support spaces
obstructions
low-level
800
1200
1000
24
3 Generic clinical spaces: Consulting, examination and interview spaces
Examination/physical therapy room 3.85 The room layout provided (see Figure 20) includes
a standard three-section couch. However, for
Room description and layout maximum flexibility, of general use, a reclining
treatment/therapy chair that supports patient/client
3.82 An examination/physical therapy space is intended in sitting or supine position is recommended.
as a generic space where a variety of examinations,
tests and therapies (for example physiotherapy, 3.86 Alternatively, the room can accommodate a
acupuncture and massage) may be undertaken. reclining gynaecology chair or bobath plinth (for
physiotherapy treatments) although the clinical
3.83 The following procedures may take place in this workstation would conflict fractionally with the
room: space required around the plinth.
non-invasive procedures, i.e. procedures that do 3.87 A touchdown base may be located nearby in place
not break the skin, for example changing a of the clinical workstation in the room.
dressing;
3.88 Where trolley access is required, a door and a half
minimally invasive procedures, i.e. procedures in a 1500 mm aperture will be required.
that break or puncture the skin, for example
injections, taking blood etc. 3.89 Locating the privacy curtain across the width of the
room will allow an attendant to wait outside the
3.84 It has been sized to accommodate mobile examination area.
diagnostic equipment, for example mobile
ultrasound equipment.
Supplies
trolley
Chair
Sack
holder
Engineering services outlet zone
Clinical
wash-hand
Couch basin
Sack
holder Paper towel
Ceiling- dispenser
mounted
examination
light
Possible location of door & half
Glove and
apron
Optional dispenser
chair
Possible location of privacy curtain
curtain
25
Health Building Note 00-03 Clinical and clinical support spaces
26
3 Generic clinical spaces: Consulting, examination and interview spaces
standing height
Approximate
sitting height
Approximate
920
720
1000 (900)
700
workstation
standing at
Chair
sitting at clinical
Space for
workstation
600
Space for
clinical
900
27
Health Building Note 00-03 Clinical and clinical support spaces
Clinical wash-hand basin Figure 23 Space requirements for standing use of a clinical wash-hand basin
assembly
3.95 These ergonomic drawings (see
Space to use basin
Figure23) show the space requirements at high level, ie above
600 mm from floor level
for standing use of a clinical wash-hand 900
basin assembly. For seated use, the basin
will need to be lowered.
3.96 The basin should be fitted with non- Soap dispenser
touch taps. Hand cream dispenser
Optional scrub solution dispenser
Paper towel dispenser
high level
lever tap on a clinical wash-hand basin is apron dispenser
1200
1095 mm. Where a lever tap is used, the
fixing height of the dispensers should be
200
11401350
chosen to reduce any possible conflicts in basin at low level,
ie up to 600 mm
from floor level
780800
use.
Space to use
400mm are used, the impact on/from Elevation (showing sensor tap)
other components and/or activities Minimum
distance
Concealed waste
~120 service duct
undertaken within any space should be to side wall
Paper towel
(450)
considered when evaluating any room dispenser
layout.
3.99 The glove and apron dispenser illustrated
is a combined unit; this is considered the (50) Minimum clearance
most compact solution although separate between paper towel
dispenser and duct
units may also be used. Even the most
compact unit cannot practically be
located within comfortable reach of the
basin; it should, however, be conveniently
Projecting concealed services duct
located within the room. Minimum distance
to side wall Concealed waste
3.100 The ergonomic advice for the height of (450) ~120 service duct
horizontal elbow operated lever taps is
based on the following data:
400
800
passing
28
3 Generic clinical spaces: Consulting, examination and interview spaces
Suction
height range of couch
bottle
Approximate
bracket
400940
to be
below
patients
chest
(2450)
Space for changing
(1000)
Space for Space for
examination/ examination/
treatment treatment
(800) 650 (800)
100
light
examination/treatment
800 (600)
Space for
29
Health Building Note 00-03 Clinical and clinical support spaces
Treatment chairs (various): double-sided access including stirrups, leg supports or footrests. The
use of the various methods is subject to local
3.105 These ergonomic drawings (see Figure 25) show
clinical and/or patient/client preferences.
the space requirements for double-sided access to a
variety of treatment chairs. 3.108 The podiatry treatment chair incorporates separate
leg supports, which may be adjusted independently
3.106 The reclining treatment/therapy chair provides the
of one another.
most flexible option for general examinations and
treatments. 3.109 The activity space for the podiatry treatment chair
assumes the examination light is attached to the
3.107 The reclining gynaecology chair may be used for
podiatry trolley. The illustrated chair is mobile.
general examinations and treatments or female
Floor-mounted chairs are also available although
internal examinations. A variety of attachments are
these may reduce flexibility in room use.
available to assist internal examinations of females
2575 (2450)
Space for
2450
Space for changing
(1000) Space for changing
examination/
(1000)
treatment
800 650900 (800) (800) 650 (800)
650
100
100
Approx length of chair in
Approx length of chair in
reclining position
reclining position
approx 1050
1900
1900
treatment
chair examination chair
light
2800
2800
examination/
treatment
Space for
(900)
800 (600)
Space for
Stool
access
(2450)
Approximate length of
chair in sitting position
reclining position
Podiatry
1900
1550
treatment
2800
chair
Approximate space
for treatment/
examination
1200 (900)
800 (600)
Space for
Stool
access
30
3 Generic clinical spaces: Consulting, examination and interview spaces
Bobath plinth
3.110 The ergonomic drawing (see Figure 26) shows the
space requirements for doublesided access to a
two-section bobath plinth.
400940
range
2820 (2620)
Space for
changing
(1000)
Mirror
Optional harness
traction
length of plinth
Approximate
1900
Bobath
plinth
2800
Stool
800 (600)
Space for
access
31
Health Building Note 00-03 Clinical and clinical support spaces
Interview room: 4 places example sofas and easy chairs. All upholstered
furniture must be easy to clean and impervious.
Room description and layout 3.113 Telephone and network/internet access should be
3.111 A generic interview room may be used for general provided to allow for future change of use.
discussions, interviews and counselling. It may also 3.114 A clinical wash-hand basin and gel dispenser may
be used as a sitting room for relatives or patients/ be provided to allow for clinical use of the room.
clients. See Figure 27.
3.115 The illustrated space requirements for sitting on a
3.112 A non-threatening ambience should be created sofa are based on space to access a divan bed.
through the use of domestic type furniture, for
Table
Easy Easy
chair chair
Space for
wheelchair
Easy
chair
32
3 Generic clinical spaces: Consulting, examination and interview spaces
Ergonomic drawings 3.117 When seats are pushed together in rows, the
average seat width is 600650 mm for seats
Space to sit on an easy chair without arms and 750 mm for seats with arms.
3.116 These ergonomic drawings (see Figure 28) show
the space requirements for a person to sit on an
easy chair.
Preferred
location
of table
700800
350450
Clearance between
chair and table
for access
600
Space for seating
850 (600)
(450) 450
Space for Restricted leg
ambulant space to allow
passing person to pass
33
Health Building Note 00-03 Clinical and clinical support spaces
Figure 29 Space requirements for wheelchair and ambulant access to a divan bed
Wheelchair
turning
1500
Bedside
700
table
Ambulant
access
900
to bed
Divan bed
1950 700
34
3 Generic clinical spaces: Consulting, examination and interview spaces
Easy Sofa
chair
Possible
location of
Easy clinical
chair wash-hand
basin
Easy
chair
Space
Easy for
Table
chair wheelchair
35
Health Building Note 00-03 Clinical and clinical support spaces
Ergonomic drawings 3.126 When seats are pushed together in rows, the
average seat width is 600650 mm for seats
Space to sit on an easy chair without arms and 750 mm for seats with arms.
3.125 These ergonomic drawings (see Figure 31) show
the space requirements for a person to sit on an
easy chair.
Preferred
location
of table 700800
350450
Clearance between
chair and table
for access
600
Space for seating
850 (600)
(450) 450
Space for Restricted leg
ambulant space to allow
passing person to pass
36
3 Generic clinical spaces: Consulting, examination and interview spaces
Figure 32 Space requirements for wheelchair and ambulant access to a divan bed
Wheelchair
turning
1500
Bedside
700
table
Ambulant
access
900
to bed
Divan bed
1950 700
37
Health Building Note 00-03 Clinical and clinical support spaces
Free movement exercise room 4.2 For sizing exercise rooms, the following allowances
may be used:
Room description and layout 24 m per practitioner;
4.1 The room layout provided (see Figure 33) shows a 4.5 m per large mat or 3.5 m per standard
32 m group room furnished for mat-based exercise mat.
activities. The layout includes three large mats, each
1800mm 1000 mm, and four standard mats,
each 1800 mm 600 mm.
Store
cupboard
Desk
1 standard mat
1 large mat
3
4
38
4 Generic clinical spaces: Group rooms
Ergonomic drawings 4.4 Typically the standard mats are used for exercise
classes (yoga, pilates etc). The larger mat relates to
Exercise mats the standard size of a small birthing mat and should
4.3 This drawing (see Figure 34) illustrates two mat be sufficient for antenatal classes.
sizes with associated space for passing between two 4.5 This space has not been defined by specific
mats. ergonomic research.
Standard mat
600
between
Space
(400)
mats
600
Large mat
between
Space
(400)
mats
1000 (600)
39
Health Building Note 00-03 Clinical and clinical support spaces
Ceiling-
Engineering services outlet zone
mounted Ceiling-mounted
projector Optional
data projector
screen access
to store
Marker
board with
integral
pen holder
Display boards
40
4 Generic clinical spaces: Group rooms
Meeting room: 7 places 4.17 For sizing meeting rooms, the following allowances
may be used:
Room description and layout 2 m per stacking chair (allows for part use of
4.14 Meeting spaces may be distributed throughout a table);
facility or located together in a meeting/conference 4 m per wheelchair place (allows for part of use
suite. See Figure 36. of table).
4.15 A 7-place meeting space may be an enclosed room
or a zone/alcove within an open plan area.
4.16 When the room is full to capacity, there will be
some compromise on the available space for those
sitting at the corners of the table.
Figure 36 Meeting room: 7 places including 1 wheelchair place
Optional
flipchart
Possible 4 Restricted
2
location of working space at
clinical table for chair 3
Engineering services outlet zone
5 Meeting table 1
41
Health Building Note 00-03 Clinical and clinical support spaces
Approx
working
zone at
table
Space for sitting at
Clear space
under table
800 (600)
Space for
600
700
chair
wheelchair access
independent wheelchair
(600) 500 1500
(600)
200
Space for
ambulant
Approx
900 (750)
passing
user at table
wheelchair
working
Space for
zone at
table
42
4 Generic clinical spaces: Group rooms
Meeting room: 16 places 4.24 When the room is full to capacity, there will be
some compromise on the available space for those
Room description and layout sitting at the corners of the table.
4.22 Meeting spaces may be distributed throughout a 4.25 For sizing meeting rooms, the following allowances
facility or located together in a meeting/conference may be used:
suite. 2 m per stacking chair (allows for part use of
4.23 The room layout provided (see Figure 38) shows a table);
32 m group room furnished for use as a meeting 4 m per wheelchair place (allows for part of use
room. of table).
Store
cupboard
2 3 4 5 15
Table space
for occupant
14 of chair 15 6
conflicts with
table space
for occupant
of chair 6
1 7
13
16
12 11 10 9 8
Flip
chart
43
Health Building Note 00-03 Clinical and clinical support spaces
Approx
working
zone at
table
Space for sitting at
Clear space
under table
800 (600)
Space for
600
700
chair
wheelchair access
independent wheelchair
(600) 500 1500
(600)
200
Space for
ambulant
Approx
900 (750)
passing
user at table
wheelchair
working
Space for
zone at
table
44
4 Generic clinical spaces: Group rooms
Store
cupboard
12 21
7 17
2 13 22
8 18
3 14 23
9 19
4 15 24
10 20
5 16
11
45
Health Building Note 00-03 Clinical, clinical support and specialist spaces
Ergonomic drawings the distance from the front row to the screen
should be twice the width of the screen or a
Seminar activities minimum of 3000 mm;
4.33 This ergonomic drawing (see Figure 41) illustrates in large rooms, the bottom of the screen may
space requirements for seminar activities. need to be raised.
4.34 For optimum vision of the screen: 4.35 Where a large number of semi-ambulant users need
rows of seats should be staggered; to be accommodated, the minimum passing space
between rows of chairs should increase to 900
a maximum of five seats in the front row is 1200 mm. See BS 8300 (paragraph 11.2.2).
recommended for an 1800 mm wide screen;
Viewing angle,
1600
preferably 25 deg
600
25
eye line
25
approx 11001200
Minimum height of
450475 preferred
for semi-ambulant
bottom of screen
1150
use
Restricted
leg space Space between Circulation space behind
to allow rows of chairs, back row if required.
Space for Ambulant ambulant not suitable for Minimum 1500 for
lecturer etc passing passing semi-ambulant wheelchair access
(1000) 600800 600 450 500 (500) 500 (600)
Space for extending legs
750 (600)
seated person
Space for
500
700
gle
an
CC
ng
wi
W = width of screen/board
Vie
60
60
30
le
in g ang
View
900 1350
wheelchair space
when parked
900 (900)
Clear space in front for Clear access behind
wheelchair manoeuvring wheelchair space
Distance of front row from screen = 2 W but not less than 3000
46
5 Generic clinical spaces: Recovery spaces
47
Health Building Note 00-03 Clinical and clinical support spaces
Bedside Bedside
locker locker
Stool
Reassurance Reassurance
light light
Clinical
Engineering services outlet zone
Supplies Sack
trolley holder Sack
holder
48
5 Generic clinical spaces: Recovery spaces
Ergonomic drawings Figure 43 Space requirements for standing use of a clinical wash-hand basin
assembly
high level
apron dispenser
1200
5.11 The recommended fixing height of a
lever tap on a clinical wash-hand basin is
200
11401350
1095 mm. Where a lever tap is used, the
basin at low level,
ie up to 600 mm
from floor level
fixing height of the dispensers should be
780800
Space to use
800
600
both male and female use. The 900
ergonomic advice for the height of a lever
tap is 75mm below elbow height giving a
750
figure height of approx 1015mm. Comfortable reach to side of basin
5.15 Lever taps are not illustrated. Flush concealed services duct
49
Health Building Note 00-03 Clinical and clinical support spaces
standing height
Approximate
sitting height
Approximate
920
720
1000 (900)
700
workstation
standing at
Chair
sitting at clinical
Space for
workstation
600
Space for
clinical
900
50
5 Generic clinical spaces: Recovery spaces
Treatment chairs (various): double-sided access including stirrups, leg supports or footrests. The
use of the various methods is subject to local
5.19 These ergonomic drawings (see Figure 45) show
clinical and/or patient/client preferences.
the space requirements for double-sided access to a
variety of treatment chairs. 5.22 The podiatry treatment chair incorporates separate
leg supports, which may be adjusted independently
5.20 The reclining treatment/therapy chair provides the
of one another.
most flexible option for general examinations and
treatments. 5.23 The activity space for the podiatry treatment chair
assumes the examination light is attached to the
5.21 The reclining gynaecology chair may be used for
podiatry trolley. The illustrated chair is mobile.
general examinations and treatments or female
Floor-mounted chairs are also available although
internal examinations. A variety of attachments are
these may reduce flexibility in room use.
available to assist internal examinations of females
2575 (2450)
Space for
2450
Space for changing
(1000) Space for changing
examination/
(1000)
treatment
800 650900 (800) (800) 650 (800)
650
100
100
Approx length of chair in
Approx length of chair in
reclining position
reclining position
approx 1050
1900
1900
treatment
chair examination chair
light
2800
2800
examination/
treatment
Space for
(900)
800 (600)
Space for
800 (600)
Stool
Space for
access
Stool
access
(2450)
Approximate length of
chair in sitting position
reclining position
Podiatry
1900
1550
treatment
2800
chair
Approximate space
for treatment/
examination
1200 (900)
800 (600)
Space for
Stool
access
51
Health Building Note 00-03 Clinical, clinical support and specialist spaces
obstructions
be used:
low-level
800
1200
1000
52
6 Generic clinical spaces: Treatment rooms
Treatment room: all-round couch access 6.6 The following procedures require a treatment room
(that is, with mechanical ventilation):
Room description and layout invasive procedures, that is, procedures that cut
6.1 This room is intended as a flexible clinical space to the superficial layers of the skin, for example
be used by a wide range of specialties. removal of moles, warts, corns, biopsies etc;
6.2 The room has been sized to accommodate mobile use of certain rigid endoscopes including
diagnostic equipment, for example mobile laryngoscopes (used during resuscitation
ultrasound equipment. procedures), otoscopes and ophthalmoscopes.
6.3 It is assumed that sterile instruments and dressings 6.7 Blackout blinds and dimmable lighting are
will be held within the treatment room on an recommended for flexibility in use, for example
instruments/dressings trolley. The trolley may be sessional ultrasound, ENT or eye care use.
prepared in the treatment room or an associated 6.8 The room layout provided (see Figure 47) shows a
clean utility room. standard three-section couch.
6.4 Medical oxygen and vacuum will generally be 6.9 The alternative door location (that is, to match the
required. Medical air, nitrous oxide and gas layout of option 1 of the double-sided couch access
scavenging may also be required. See Health consulting/examination) implies that the window
Technical Memorandum 02-01 for specific would be located behind the couch. This would
requirements. require privacy control, which is not good,
6.5 Treatment rooms should be mechanically psychologically, for patients. However, it would
ventilated, with 10 air changes per hour supply and provide better trolley access to the couch in an
extract. emergency.
53
Health Building Note 00-03 Clinical and clinical support spaces
Ceiling-
mounted
examination
light
Clinical
workstation
Pendant
services
Couch with
paper roll
attached
Glove Paper
and apron towel
dispenser dispenser
54
6 Generic clinical spaces: Treatment rooms
Ergonomic drawings Figure 48 Space requirements for standing use of a clinical wash-hand basin
assembly
high level
apron dispenser
1200
6.12 The recommended fixing height of a
lever tap on a clinical wash-hand basin is
200
11401350
1095 mm. Where a lever tap is used, the
basin at low level,
ie up to 600 mm
from floor level
fixing height of the dispensers should be
780800
Space to use
800
600
both male and female use. The 900
ergonomic advice for the height of a lever
tap is 75mm below elbow height giving a
750
figure height of approx 1015mm. Comfortable reach to side of basin
Flush concealed services duct
6.16 Lever taps are not illustrated.
6.17 For detailed information on basins, see
Health Building Note 00-10 Part C
Sanitary assemblies.
55
Health Building Note 00-03 Clinical and clinical support spaces
standing height
Approximate
sitting height
Approximate
920
720
1000 (900)
700
workstation
standing at
Chair
sitting at clinical
Space for
workstation
600
Space for
clinical
900
56
6 Generic clinical spaces: Treatment rooms
Couch with all-round access 6.22 The type of pendant required will vary depending
upon the level of services being provided (for
6.20 This ergonomic drawing (see Figure 50) shows the
example fixed power and data only, power data and
space requirements for all-round access to a three-
medical gas with vertical adjustment, or with
section couch.
vertical and horizontal adjustment etc). However,
6.21 Pendant services should be provided where all- this document assumes that in a generic treatment
round couch access is required. The type of room only simple services are anticipated.
pendant will vary depending on the services being
provided.
Pendant
services
Approx adjustable
height range
400940
2450 (2250)
Space for
changing
(1000)
Space for Space for
examination/ examination/
treatment treatment
(800) (650) (800)
examination/
Pendant
treatment
Space for
(900)
services
Couch with
paper roll
attached
1900
3600
Ceiling-
mounted
examination
light
examination/
800 (800)
treatment
Space for
57
Health Building Note 00-03 Clinical and clinical support spaces
obstructions
low-level
800
1200
1000
58
6 Generic clinical spaces: Treatment rooms
Treatment room: double-sided couch 6.31 Blackout blinds and dimmable lighting are
recommended for flexibility in use, for example
access sessional ultrasound, ENT or eye care use.
Room description and layout 6.32 Two room layouts have been provided (see
6.25 This room is intended as a flexible clinical space to
Figures52 and 53).
be used by a wide range of specialties. 6.33 Both layouts include a standard three-section couch
6.26 The room has been sized to accommodate mobile
and a privacy curtain separating the couch end of
diagnostic equipment, for example mobile the room. Alternatively, a privacy curtain may be
ultrasound equipment. included inside the door. See Health Building Note
00-04 for further details.
6.27 It is assumed that sterile instruments and dressings
6.34 Option 1 may accommodate an island couch if
will be held within the treatment room on an
instruments/dressings trolley. The trolley may be engineering services are provided using a pendant
prepared in the treatment room or an associated and the privacy curtain is located just inside the
clean utility room. door.
6.35 The alternative door location on option 1 (that is,
6.28 Medical oxygen and vacuum will generally be
required. Medical air, nitrous oxide and gas to match the layout of option 1 of the double-sided
scavenging may also be required. See Health couch access consulting/examination room) implies
Technical Memorandum 02-01 for specific that the window would be located behind the
requirements. couch. This would require privacy control within
the curtained area, which is not good,
6.29 Treatment rooms should be mechanically psychologically, for patients. However, the
ventilated, with 10 air changes per hour supply and alternative door location would provide better
extract. patient trolley access to the couch in an emergency.
6.30 The following procedures require a treatment room 6.36 Option 2 is effectively identical to the consulting/
(that is, with mechanical ventilation): examination room double-sided couch access,
invasive procedures, that is, procedures that cut option 2. The clinical administration space is on
the superficial layers of the skin, for example the inside wall of the room (that is, away from the
removal of moles, warts, corns, biopsies etc; natural light) and the examination space is on the
outside wall (that is, requiring privacy control due
use of certain rigid endoscopes including to the proximity of the window). The room layout
laryngoscopes (used during resuscitation cannot comfortably accommodate an island couch
procedures), otoscopes and ophthalmoscopes. layout.
59
Figure 52 Treatment room: double-sided couch access (option 1) Figure 53 Treatment room: double-sided couch access (option 2)
60
Engineering services outlet zone
Possible window location
Dressing/
Possible window location Supplies
instrument
trolley
Stool trolley
Supplies Dressing/
trolley instrument
trolley
Ceiling-
Sack mounted
holder
Optional
privacy
curtain
attached Paper
Sack
Engineering services outlet zone
towel
holder
dispenser
Sack Sack
Chair
Clinical
Glove Paper workstation
and apron towel
dispenser dispenser
Ergonomic drawings Figure 54 Space requirements for standing use of a clinical wash-hand basin
assembly
high level
apron dispenser
1200
6.39 The recommended fixing height of a
lever tap on a clinical wash-hand basin is
200
11401350
1095 mm. Where a lever tap is used, the
basin at low level,
ie up to 600 mm
from floor level
780800
fixing height of the dispensers should be Space to use
600
chosen to reduce any possible conflicts in
use.
6.40 The illustrated clinical wash-hand basin 600
projects 400 mm from the back panel or Space to use basin
at low level, ie up to
wall. However, clinical wash-hand basins 600 mm from floor level
800
passing
61
Health Building Note 00-03 Clinical and clinical support spaces
standing height
Approximate
sitting height
Approximate
920
720
1000 (900)
700
workstation
standing at
Chair
sitting at clinical
Space for
workstation
600
Space for
clinical
900
62
6 Generic clinical spaces: Treatment rooms
Suction
height range of couch
bottle
Approximate
bracket
400940
to be
below
patients
chest
(2450)
Space for changing
(1000)
Space for Space for
examination/ examination/
treatment treatment
(800) 650 (800)
100
light
examination/treatment
800 (600)
Space for
63
Health Building Note 00-03 Clinical and clinical support spaces
Treatment chairs (various): double-sided access including stirrups, leg supports or footrests. The
use of the various methods is subject to local
6.49 These ergonomic drawings (see Figure 57) show
clinical and/or patient/client preferences.
the space requirements for double-sided access to a
variety of treatment chairs. 6.52 The podiatry treatment chair incorporates separate
leg supports, which may be adjusted independently
6.50 The reclining treatment/therapy chair provides the
of one another.
most flexible option for general examinations and
treatments. 6.53 The activity space for the podiatry treatment chair
assumes the examination light is attached to the
6.51 The reclining gynaecology chair may be used for
podiatry trolley. The illustrated chair is mobile.
general examinations and treatments or female
Floor-mounted chairs are also available although
internal examinations. A variety of attachments are
these may reduce flexibility in room use.
available to assist internal examinations of females
2575 (2450)
Space for
2450
Space for changing
(1000) Space for changing
examination/
(1000)
treatment
800 650900 (800) (800) 650 (800)
650
100
100
Approx length of chair in
Approx length of chair in
reclining position
reclining position
approx 1050
1900
1900
treatment
chair examination chair
light
2800
2800
examination/
treatment
Space for
(900)
800 (600)
Space for
Stool
access
(2450)
Approximate length of
chair in sitting position
reclining position
Podiatry
1900
1550
treatment
2800
chair
Approximate space
for treatment/
examination
1200 (900)
800 (600)
Space for
Stool
access
64
6 Generic clinical spaces: Treatment rooms
obstructions
low-level
800
1200
1000
65
Health Building Note 00-03 Clinical and clinical support spaces
66
7 Generic clinical support spaces: Entrance, reception and waiting
7.21 As well as registering patients and making 7.27 Doors from waiting areas into non-public access
appointments, clinical administration work will areas should be fitted with access control systems.
also take place here. Public access to clinical areas 7.28 Background music and other entertainment
will be controlled from the reception desk. facilities and enclosed notice boards may be
7.22 It is assumed patient records are electronic. The provided.
space allowance does not include space for notes 7.29 No room layout has been provided. For sizing
trolleys. waiting areas, the following allowances may be
used:
Waiting area
1.5 m per ambulant place (that is, in a general
Room description chair);
7.23 Waiting areas should be close to the clinical or 3 m per wheelchair place.
work area served and WC facilities. Main waiting 7.30 For briefing purposes, waiting areas may be sized at
areas should be adjacent to the main reception 1.852.25 m per place (see Table 1 on page 68).
desk. Occupational therapists and/or ergonomists This allows for:
should be consulted on the selection of seating.
Steps should be taken to ensure chairs cannot be 10% of waiting places to be suitable for people
used as potential weapons either by fixing chairs to in wheelchairs;
the floor or to each other. a childrens play area based on 10% of the
7.24 Locating waiting areas together may facilitate number of main waiting places and sized at
overspill arrangements. Large waiting areas may be 2m per child (with a minimum space for three
broken down into smaller areas by the skilful children).
arrangement of seating and by indoor planting. 7.31 Where there is a higher percentage of children and/
7.25 The seating layout should be considered carefully or people in wheelchairs, this allowance will need
to prevent confrontational situations (for example, to increase to 23 m per place. The allowance does
by trying to avoid seats directly opposite each not include:
other). Seating should not be located immediately WCs;
outside clinical rooms.
optional spaces such as self-registrations points,
7.26 Natural light should be provided. Steps should be vending machines, nappy changing rooms, baby
taken to prevent solar heat gain. feeding rooms and telephone booths.
67
Health Building Note 00-03 Clinical, clinical support and specialist spaces
68
8 Generic clinical support spaces: Utility
Clean supply room trolleys along the centre of the room; this is on the
understanding that the tall modular storage
Room description and layout cabinets are accessed from the side.
8.1 This room is effectively a store for sterile supplies 8.4 Option 1 is slightly wider allowing the storage units
and consumables. Empty supplies trolleys and to be arranged so that an additional base cupboard
dressings/instruments trolleys will be held here and and wall cupboard can be accommodated.
restocked for distribution to wards and clinical 8.5 The illustrated space requirements for accessing
areas. It is not for storing medicines. Where clean modular base and upper cabinets is based on space
supply rooms are used, and medicines storage/ to access standard cupboards, not using baskets or
preparation is required outside clinical rooms, each trays. However, adequate space is available for side
clean supply room should be supported by a series access to baskets or trays.
of medicine store/preparation rooms.
8.6 The illustrated space requirements for accessing
8.2 Two room layouts have been provided (see Figures modular racking is based on space to access open
59 and 60). shelves.
8.3 The width of both room layouts is just about
acceptable to include racking and/or supplies
69
Figure 59 Clean supply room (option 1) Figure 60 Clean supply room (option 2)
70
Zone for racking Restricted
and/or supplies front access
trolleys to retracted Zone for racking
(600) basket/tray and/or supplies
Restricted
front access Storage zone trolleys Storage zone
Storage zone Storage zone approx 500 approx 500
to retracted (600)
approx 680 approx 500
basket/tray
Tall Tall
Basket/ Tall Tall
storage storage Basket/
tray storage storage
unit unit tray
unit unit
Supplies
trolley
Racking
Health Building Note 00-03 Clinical and clinical support spaces
Small
Supplies supplies
trolley trolley
Wall
cupboards
Racking
Tall
storage
Base unit
cupboards
with worktop
above
Wall
cupboards
Base
cupboards
with worktop
above
8 Generic clinical support spaces: Utility
Ergonomic drawings 8.8 This ergonomic drawing (see Figure 61) shows the
space requirements to access a cabinet with
Tall modular storage cabinets 600mm wide baskets/trays.
8.7 Tall modular storage cabinets are generally 8.9 Tall modular storage cabinets are generally
constructed to accommodate 600 400 mm 2100mm high; the top shelves are higher than
baskets and trays to provide a variety of fixed or those recommended for normal fixed storage units
mobile storage options. The cabinets may be because the baskets/trays can be angled to enable
constructed to have either 400 mm or 600 mm their contents to be accessed.
wide facing baskets or trays.
Figure 61 Space requirements to access tall modular storage cabinets with 600 mm wide baskets/trays
Baskets/trays
may be angled to
assist access
Optional door
71
Health Building Note 00-03 Clinical and clinical support spaces
Standard base and wall cupboards worktops or other obstructions project more than
500 mm, the reach dimensions illustrated relate to
8.10 This ergonomic drawing (see Figure 62) shows the
the front edge of the wall cupboard (that is,
space requirements to access standard, floor
reaching into the cupboard would proved difficult).
mounted, base and wall cupboards. Where
Figure 62 Space requirements to access standard, floor mounted base and wall cupboards
2100
1700
72
8 Generic clinical support spaces: Utility
Open shelves 8.14 The shelf intervals (that is, space between two
shelves) should at least equal the depth of the
8.11 This ergonomic drawing (see Figure 63) shows the
shelves.
space requirements to access high open shelves. The
same principles apply to modular open racking. 8.15 The illustrated access space is for general use (with
shelves up to 450 mm deep). Where items are large
8.12 The height and dimensions of the shelves should
or heavy the access space may need to increase by
relate to the size and weight of items stored and
up to 500 mm.
frequency with which they will be handled.
8.16 Where heavy or otherwise difficult to move items
8.13 Frequently used items should be stored on shelves
are stored at the end of shelves a 200 mm clearance
positioned at 3001500 mm above floor level.
is required to the side of the object for safe access.
Frequently used small items should be stored on
shallow shelves at or near worktop height (that is,
900 mm). Heavy object should be stored below
worktop height.
Maximum
reach
550
300
Space between shelves to be equal to
or greater than shelf depth, except
200
1700
full reach into shelf
1250
height (for small
Minimum shelf
items only)
700
300
73
Health Building Note 00-03 Clinical and clinical support spaces
Clean utility room without controlled 8.18 Empty supplies trolleys and dressings/instruments
trolleys will be held here and restocked for
drugs cupboard
distribution to wards and clinical areas.
Room description and layout 8.19 The illustrated space requirements (see Figure 64)
8.17 This room is for storing sterile supplies and for accessing modular base and upper cabinets is
consumables, excluding infusion fluids, and for based on space to access standard cupboards, not
storing and preparing medicines, excluding using baskets or trays. However, adequate space is
controlled drugs. available for side access to baskets or trays.
Figure 64 Space requirements for accessing modular base and upper cabinets
Wall cupboards
Drugs Cupboard
fridge for
flammable
items
Tall
storage
unit
Clinical
wash-hand
basin
Sack Sack
holder holder
74
8 Generic clinical support spaces: Utility
Ergonomic drawings 8.21 This ergonomic drawing (see Figure 65) shows the
space requirements to access a cabinet with
Tall modular storage cabinets 600mm wide baskets/trays.
8.20 Tall modular storage cabinets are generally 8.22 Tall modular storage cabinets are generally
constructed to accommodate 600 400 mm 2100mm high; the top shelves are higher than
baskets and trays to provide a variety of fixed or those recommended for normal fixed storage units
mobile storage options. The cabinets may be because the baskets/trays can be angled to enable
constructed to have either 400 mm or 600 mm their contents to be accessed.
wide facing baskets or trays.
Figure 65 Space requirements to access tall modular storage cabinets with 600 mm wide baskets/trays
Baskets/trays
may be angled to
assist access
Optional door
75
Health Building Note 00-03 Clinical and clinical support spaces
Standard base and wall cupboards worktops or other obstructions project more than
500 mm, the reach dimensions illustrated relate to
8.23 This ergonomic drawing (see Figure 66) shows the
the front edge of the wall cupboard (that is,
space requirements to access standard, floor
reaching into the cupboard would proved difficult).
mounted, base and wall cupboards. Where
Figure 66 Space requirements to access standard, floor mounted base and wall cupboards
2100
1700
76
8 Generic clinical support spaces: Utility
Clinical wash-hand basin Figure 67 Space requirements for standing use of clinical wash-hand basin
assembly
8.24 These ergonomic drawings (see
Figure67) show the space requirements Space to use basin
at high level, ie above
for standing use of a clinical wash-hand 600 mm from floor level
900
basin assembly. For seated use, the basin
will need to be lowered.
8.25 The basin should be fitted with non-
Soap dispenser
touch taps. Hand cream dispenser
Optional scrub solution dispenser
Paper towel dispenser
8.26 The recommended fixing height of a
high level
apron dispenser
1200
1095 mm. Where a lever tap is used, the
fixing height of the dispensers should be
200
11401350
chosen to reduce any possible conflicts in
basin at low level,
ie up to 600 mm
use.
from floor level
780800
Space to use
600
8.27 The illustrated clinical wash-hand basin
projects 400 mm from the back panel or
wall. However, clinical wash-hand basins
600
may vary from 350 to 500 mm Space to use basin
at low level, ie up to
projection. Where basins deeper than 600 mm from floor level
400mm are used, the impact on/from Elevation (showing sensor tap)
other components and/or activities Minimum Concealed waste
distance
undertaken within any space should be to side wall
~120 service duct
Paper towel
considered when evaluating any room (450) dispenser
layout.
8.28 The glove and apron dispenser illustrated
is a combined unit; this is considered the
(50) Minimum clearance
most compact solution although separate between paper towel
units may also be used. Even the most dispenser and duct
800
600
tap is 75mm below elbow height giving a 900
figure height of approx 1015mm.
8.30 Lever taps are not illustrated. 750
Comfortable reach to side of basin
8.31 For detailed information on basins, see Flush concealed services duct
Health Building Note 00-10 Part C
Sanitary assemblies.
77
Health Building Note 00-03 Clinical and clinical support spaces
Clean utility room access will be from the side). However, option 1 is
slightly wider allowing the tall storage units to be
Room description and layout arranged so that the room can accommodate an
extra storage unit and racking as opposed to just
8.32 This room is for storing sterile supplies and
mobile trolleys down the centre of the room.
consumables, including infusion fluids, and for
storing and preparing medicines, including 8.36 The illustrated space requirements for accessing
controlled drugs. modular base and upper cabinets is based on space
to access standard cupboards, not using baskets or
8.33 Empty supplies trolleys and dressings/instruments
trays. However, adequate space is available for side
trolleys will be held here and restocked for access to baskets or trays.
distribution to wards and clinical areas.
8.37 The illustrated space requirements for accessing
8.34 Two room layouts have been provided (see
modular racking is based on space to access open
Figures68 and 69). shelves.
8.35 Both layouts provide limited access to the tall
storage units from the front (i.e. it is assumed
78
Figure 68 Clean supply room (option 1) Figure 69 Clean supply room (option 2)
Zone for racking Zone for racking
and/or supplies Restricted and/or supplies
Storage zone Storage zone
trolleys front access trolleys
approx 500 approx 500
(600) to retracted (600)
basket/tray
Storage zone Storage zone
approx 680 approx 500
Tall
storage
unit
Restricted
Racking
front access
to retracted
basket/tray
Tall
storage
unit
Tall
storage
unit
Supplies
trolley
Cupboard
for Supplies
flammable trolley
items
Cupboard
Drugs
for
fridge flammable
items
Clinical Drugs
wash-hand fridge
Clinical
basin
wash-hand
basin
Sack Sack
Wall-mounted twin
Controlled Drugs cupboard
holder holder Controlled
Drugs Sack Sack
cupboard holder holder
79
dispenser
8 Generic clinical support spaces: Utility
Health Building Note 00-03 Clinical and clinical support spaces
Ergonomic drawings Figure 70 Space requirements for standing use of a clinical wash-hand basin
assembly
high level
apron dispenser
1200
8.40 The recommended fixing height of a
lever tap on a clinical wash-hand basin is
200
1095 mm. Where a lever tap is used, the
11401350
basin at low level,
fixing height of the dispensers should be ie up to 600 mm
from floor level
780800
Space to use
800
passing
600
both male and female use. The 900
ergonomic advice for the height of a lever
tap is 75mm below elbow height giving a
figure height of approx 1015mm. 750
Comfortable reach to side of basin
8.44 Lever taps are not illustrated. Flush concealed services duct
80
8 Generic clinical support spaces: Utility
Tall modular storage cabinets 8.47 This ergonomic drawing (see Figure 71) shows the
space requirements to access a cabinet with
8.46 Tall modular storage cabinets are generally
600mm wide baskets/trays.
constructed to accommodate 600 400 mm
baskets and trays to provide a variety of fixed or 8.48 Tall modular storage cabinets are generally
mobile storage options. The cabinets may be 2100mm high; the top shelves are higher than
constructed to have either 400 mm or 600 mm those recommended for normal fixed storage units
wide facing baskets or trays. because the baskets/trays can be angled to enable
their contents to be accessed.
Figure 71 Space requirements to access tall modular storage cabinets with 600 mm wide baskets/trays
Baskets/trays
may be angled to
assist access
Optional door
81
Health Building Note 00-03 Clinical and clinical support spaces
Standard base and wall cupboards worktops or other obstructions project more than
500 mm, the reach dimensions illustrated relate to
8.49 This ergonomic drawing (see Figure 72) shows the
the front edge of the wall cupboard (that is,
space requirements to access standard, floor
reaching into the cupboard would proved difficult).
mounted, base and wall cupboards. Where
Figure 72 Space requirements to access standard, floor mounted base and wall cupboards
2100
1700
82
8 Generic clinical support spaces: Utility
Open shelves 8.53 The shelf intervals (that is, space between two
shelves) should at least equal the depth of the
8.50 This ergonomic drawing (see Figure 73) shows the
shelves.
space requirements to access high open shelves. The
same principles apply to modular open racking. 8.54 The illustrated access space is for general use (with
shelves up to 450 mm deep). Where items are large
8.51 The height and dimensions of the shelves should
or heavy the access space may need to increase by
relate to the size and weight of items stored and
up to 500 mm.
frequency with which they will be handled.
8.55 Where heavy or otherwise difficult to move items
8.52 Frequently used items should be stored on shelves
are stored at the end of shelves a 200 mm clearance
positioned at 3001500 mm above floor level.
is required to the side of the object for safe access.
Frequently used small items should be stored on
shallow shelves at or near worktop height (that is,
900 mm). Heavy object should be stored below
worktop height.
Maximum
reach
550
300
Space between shelves to be equal to
or greater than shelf depth, except
200
1700
full reach into shelf
1250
height (for small
Minimum shelf
items only)
700
300
83
Health Building Note 00-03 Clinical and clinical support spaces
Dirty utility room for bedpan processing 8.60 The room layout provided (see Figure 74) is based
on the use of a macerator or washer.
Room description and layout 8.61 Where a macerator is used, consideration should be
8.56 This room will fulfil the same functions as the dirty given to providing both a macerator for the
utility room with the addition of the disposal of the disposal of the liners and waste products and a
contents of bedpans and urine bottles into a washer for the subsequent cleaning of bedpan
macerator or bedpan washer. holders etc. This arrangement is currently a topic
for discussion on the basis of perceived improved
8.57 It will also be used for storing clean urine bottles,
infection control but is not specifically
bedpans (or bedpan liners) and vomit bowls, and recommended.
for holding dirty linen where used. Commodes and
sani-chairs may be stored here. 8.62 The illustrated space requirements for accessing
modular base and upper cabinets is based on space
8.58 The location of the dirty utility rooms should
to access standard cupboards, not using baskets or
minimise travel distances for staff from patient trays. However, adequate space is available for side
areas to reduce the risk of spillages and cross access to baskets or trays.
contamination, and to increase working
efficiencies. 8.63 The layout has taken on board research from the
Loughborough University Healthcare Ergonomics
8.59 Local policy will determine whether to use
& Patient Safety unit, DH research report B(05)02,
disposable or reusable urine bottles and vomit Dec 2007.
bowls and/or whether to use bedpans with liners.
84
8 Generic clinical support spaces: Utility
Figure 74 Space requirements for dirty utility room for bedpan processing
Worktop with
base cupboards
underneath
and wall
Service duct
cupboards/
Disposal shelves above
unit
Urine bottle
dispenser
Vomit bowl
dispenser
Bedpan
washer or Bedpan
macerator dispenser
Linen
Clinical skip
wash-hand
basin
Linen
Sack skip
holder
85
Health Building Note 00-03 Clinical and clinical support spaces
Ergonomic drawings Figure 75 Space requirements for standing use of a clinical wash-hand basin
assembly
high level
apron dispenser
8.66 The recommended fixing height of a
1200
lever tap on a clinical wash-hand basin is
200
1095 mm. Where a lever tap is used, the
11401350
fixing height of the dispensers should be
basin at low level,
ie up to 600 mm
from floor level
780800
Space to use
passing
600
both male and female use. The
900
ergonomic advice for the height of a lever
tap is 75mm below elbow height giving a
figure height of approx 1015mm. 750
Comfortable reach to side of basin
8.70 Lever taps are not illustrated. Flush concealed services duct
86
8 Generic clinical support spaces: Utility
Figure 76 Space requirements for disposal unit comprising combined sink and hopper
150200
450
50 50
approx 900
1100
600
infrequent
Space to use slop
Standing
level ie 600 mm
close to
(400)
passing
hopper at high
600 mm from
allow
(600)
level ie up to
800
floor level
1000
stands close
to the sink
infrequent
Space for
600
someone
passing
while
(600)
Space to use slop
hopper at low
level ie up to
600 mm from
floor level
900
Space to use slop
hopper at high
level ie 600 mm
above floor level
1000
Space to use sink
87
Health Building Note 00-03 Clinical and clinical support spaces
Washers and macerators 8.79 Electricity supply requirements for the washer or
macerator are subject to manufacturers
8.74 Washers are available in tall and low profile models.
information.
Tall models are front loading, with the loading
door generally at working height. Low profile units 8.80 Drainage requirements vary. They may be located
may be top or front loading. in rear, side or bottom of the unit but are generally
110 mm for washers and 50 mm for macerators.
8.75 Most washers can process three bedpans and three
The indicative room layout assumes a 110 mm
urine bottles per cycle, with each cycle taking just
waste located in the rear.
under 10 minutes.
8.81 It is important to consider the spatial requirements
8.76 Consideration should be given to the safe storage of
and services for the equipment as early as possible
the detergents used in the cleaning process.
in the planning process. Failure to do so can result
8.77 Macerators are generally low profile and top in a loss of functional space within the room (for
loading. example to allow for service ducts), which may be
8.78 When macerators are used, local infection control
detrimental to safe and efficient working.
advice should be sought on the appropriate 8.82 This ergonomic drawing (see Figure 77) illustrates
cleaning regime for the bedpan itself since the the space requirements for a macerator or washer.
macerator will only deal with the bedpan liners.
88
8 Generic clinical support spaces: Utility
approx 14501650
Washer
approx 600
Service duct
Front-loading tall washer
600
600 mm from
Space to
level ie up to
Space to use
Space to use
load
600
900
floor level
washer
Space to from the side
load
washer
from the front
9001040
Macerator
or washer
approx 150
Top-loading washer/macerator
Service duct
800
600
washer/macerator
600 mm above
from floor level
at high level ie
up to 600 mm
at low level ie
Space to use
Space to use
Space to Space to
macerator
floor level
900
800
washer/
600
Space to use
washer/
macerator
at low level ie
up to 600 mm
from floor level
900
Space to use
washer/macerator
at high level ie
600 mm above
floor level
89
Health Building Note 00-03 Clinical and clinical support spaces
Standard base and wall cupboards worktops or other obstructions project more than
500 mm, the reach dimensions illustrated relate to
8.83 This ergonomic drawing (see Figure 78) shows the
the front edge of the wall cupboard (that is,
space requirements to access standard, floor
reaching into the cupboard would proved difficult).
mounted, base and wall cupboards. Where
Figure 78 Space requirements to access standard, floor mounted base and wall cupboards
2100
1700
90
8 Generic clinical support spaces: Utility
91
Health Building Note 00-03 Clinical and clinical support spaces
Zone for
wall cupboards
or shelves
Worktop with
base cupboards Glove
underneath and apron
Sack dispenser
holder
Clinical
wash-hand
basin
Paper roll
dispenser
Paper towel
Sack dispenser
holder
Disposal
unit
Service duct
Sack
Clinical waste holder
bin by sink
Sack
holder
92
8 Generic clinical support spaces: Utility
Ergonomic drawings Figure 80 Space requirements for standing use of a clinical wash-hand basin
assembly
high level
apron dispenser
1200
8.92 The recommended fixing height of a
lever tap on a clinical wash-hand basin is
200
11401350
1095 mm. Where a lever tap is used, the
basin at low level,
ie up to 600 mm
fixing height of the dispensers should be
from floor level
780800
Space to use
800
600
both male and female use. The 900
ergonomic advice for the height of a lever
tap is 75mm below elbow height giving a
figure height of approx 1015mm. 750
Comfortable reach to side of basin
8.96 Lever taps are not illustrated. Flush concealed services duct
93
Health Building Note 00-03 Clinical and clinical support spaces
Figure 81 Space requirements for a disposal unit comprising a combined sink and hopper
150200
450
50 50
approx 900
1100
Standing
level ie 600 mm
close to
(400)
passing
hopper at high
600 mm from
allow
(600)
level ie up to
800
floor level
1000
stands close
to the sink
infrequent
Space for
600
someone
passing
while
(600)
Space to use slop
hopper at low
level ie up to
600 mm from
floor level
900
Space to use slop
hopper at high
level ie 600 mm
above floor level
1000
Space to use sink
94
8 Generic clinical support spaces: Utility
Standard base and wall cupboards worktops or other obstructions project more than
500 mm, the reach dimensions illustrated relate to
8.100 This ergonomic drawing (see Figure 82) shows the
the front edge of the wall cupboard (that is,
space requirements to access standard, floor
reaching into the cupboard would proved
mounted, base and wall cupboards. Where
difficult).
Figure 82 Space requirements to access standard, floor mounted base and wall cupboards
2100
1700
95
Health Building Note 00-03 Clinical and clinical support spaces
Wall-mounted twin
Controlled Drugs cupboard
Drugs Cupboard
fridge for
flammable
items
Wall-mounted twin
Controlled Drugs cupboard
Clinical
wash-hand
basin
Sack Sack
holder holder
96
8 Generic clinical support spaces: Utility
Ergonomic drawings Figure 84 Space requirements for standing use of a clinical wash-hand basin
assembly
high level
apron dispenser
1200
8.104 The recommended fixing height of a
lever tap on a clinical wash-hand basin is
200
11401350
1095 mm. Where a lever tap is used, the
basin at low level,
ie up to 600 mm
from floor level
fixing height of the dispensers should be
780800
Space to use
800
600
both male and female use. The 900
ergonomic advice for the height of a
lever tap is 75mm below elbow height
750
giving a figure height of approx Comfortable reach to side of basin
1015mm. Flush concealed services duct
Tall modular storage cabinets 8.111 This ergonomic drawing (see Figure 85) shows the
space requirements to access a cabinet with
8.110 Tall modular storage cabinets are generally
600mm wide baskets/trays.
constructed to accommodate 600 400 mm
baskets and trays to provide a variety of fixed or 8.112 Tall modular storage cabinets are generally
mobile storage options. The cabinets may be 2100mm high; the top shelves are higher than
constructed to have either 400 mm or 600 mm those recommended for normal fixed storage units
wide facing baskets or trays. because the baskets/trays can be angled to enable
their contents to be accessed.
Figure 85 Space requirements to access tall modular storage cabinets with 600 mm wide baskets/trays
Baskets/trays
may be angled to
assist access
Optional door
98
9 G
eneric clinical support spaces: Facilities
management
Cleaners room 9.5 The room layout provided (see Figure 86) indicates
a wet zone with a combined bucket sink and hand-
Room description and layout rinse basin (janitorial unit) and a separate sink. The
bucket sink is for emptying buckets and the
9.1 This room is used to deliver day-to-day cleaning separate sink is for filling buckets. There should be
services for a defined area. Cleaning materials and unrestricted access to the sink and janitorial unit.
equipment in daily use should be stored in this
room. 9.6 Space has been provided for a vacuum cleaner and
scrubbing/polishing machine (for hard floors). It is
9.2 The number of cleaners rooms required within a assumed that the mop and bucket are stored on the
healthcare building will depend on: cleaners trolley.
the operational policy of domestic services; 9.7 If large/bulky equipment is stored elsewhere (that
the need to locate cleaning spaces close to areas is, in a central cleaners room), the size of this room
served balanced against the need to avoid can be reduced. Exact space requirements for
duplication of space and equipment. trolleys, cleaning materials and equipment should
be determined locally.
9.3 The scope for sharing cleaners rooms between
departments/functional units should be explored. 9.8 Consideration must be given to the CoSHH
Project teams should discuss this matter with requirements for the storage of cleaning materials.
domestic services staff and infection control No specific provision has been included within the
advisors. Sharing may alter basic equipment needs. room layout.
9.4 The equipment and materials to be stored will 9.9 A locker may be provided for storing personal
depend upon the finishes within the belongings.
accommodation and the domestic services policies.
This in turn will determine space requirements.
99
Health Building Note 00-03 Clinical and clinical support spaces
1350
Janitorial Sink
unit
200
Sack
holder
Cleaners
Space for trolley
Size of space for equipment will
depend upon policy for central
loading/ trolley
trolley
1600
unloading
scrubbing/
equipment
Space for
polishing
Maintenance
600
steps
600 800
Space for Space for suction
scrubbing/ cleaner; may need
polishing fittings for wall-
equipment hung hoses
100
9 Generic clinical support spaces: Facilities management
Optional soap
Optional
dispenser
paper roll
dispenser Optional paper
towel dispenser
Optional water
boiler
Optional water
boiler to be
100150
located over
drainer
1350
950
General/domestic areas
180
85
600
infrequent
Space for working at sink
Standing
close to
passing
400
sink to
allow
1000
Ambulant
passing
600
passing when
1000
sink in use
Ambulant
600
101
Health Building Note 00-03 Clinical and clinical support spaces
Central cleaners room be provided for clinical and domestic waste. Space
should be provided for recyclable waste. Cytotoxic
Room description waste should be held in special containers.
9.13 Central cleaners rooms provide space for storing 9.15 The disposal hold should be lockable and secure.
bulky items of cleaning equipment. Requirements It should be located adjacent to a main circulation
will depend upon: route and may be accessible from outside the area it
serves to allow removal of waste by FM staff
the type of equipment to be stored, which will without entering the clinical zone.
be determined by the size and nature of the
building and the way cleaning services are 9.16 It should contain different zones/containers for
delivered; different types of waste, for example general,
incineration (clinical), hazardous.
the degree to which cleaning equipment can be
centralised. 9.17 The size of a disposal hold will depend on the size
and type of bins used and the frequency of
Disposal hold: 1700 litres collections. See Figures 88 and 89. Typical bin sizes
are as follows:
Room description and layout 120 litre = 900 mm 480 mm 550 mm;
9.14 The disposal hold provides space for the safe 240 litre = 1060 mm 585 mm 730 mm;
holding of waste and/or equipment prior to its
disposal and/or reprocessing. Separate bins should 360 litre = 1110 mm 590 mm 895 mm;
(200)
cardboard) or for
120360 litre bin
approx 1400
(200)
1100 litre
wheelie bin
approx 600
240 litre
wheelie bin
(200)
(200)
102
9 Generic clinical support spaces: Facilities management
(200)
approx 1400
770 litre 770 litre
wheelie bin wheelie bin
(200)
Space for Space for recycling
cytotoxic waste (eg cardboard)
container, cage for or for
bags or for 2 120 litre
2 120 litre or
approx 1450
or 1 360 litre
1 360 litre or
or 1 770 litre
1 770 litre wheelie bin
wheelie bin
(200)
103
Health Building Note 00-03 Clinical and clinical support spaces
104
10 Generic clinical support spaces: Refreshments and rest
Optional
Optional water boiler
microwave or cupboards
Fridge
Worktop or Worktop or
drainer to drainer to
side of sink side of sink
800 600 800
Hand-rinse
basin
105
Health Building Note 00-03 Clinical and clinical support spaces
Optional soap
Optional
dispenser
paper roll
dispenser Optional paper
towel dispenser
Optional water
boiler
Optional water
boiler to be
100150
located over
drainer
1350
950
General/domestic areas
180
85
600
infrequent
Space for working at sink
Standing
close to
passing
400
sink to
allow
1000
Ambulant
passing
600
passing when
1000
sink in use
Ambulant
600
106
10 Generic clinical support spaces: Refreshments and rest
Standard base and wall cupboards 500 mm, the reach dimensions illustrated relate to
the front edge of the wall cupboard (that is,
10.13 This ergonomic drawing (see Figure 92) shows the
reaching into the cupboard would proved
space requirements to access standard, floor
difficult).
mounted, base and wall cupboards. Where
worktops or other obstructions project more than
Figure 92 Space requirements to access standard, floor mounted base and wall cupboards
2100
1700
107
Health Building Note 00-03 Clinical and clinical support spaces
Hand-rinse basin: ambulant 10.15 Hand-rinse basins are generally only suitable for
rinsing hands under running water. They should
10.14 This ergonomic drawing (see Figure 93) shows the
have a single mixer tap.
space requirements for a 300 mm deep hand-rinse
basin. It is suitable for ambulant and semi-
ambulant use.
Figure 93 Space requirements for a 300 mm deep hand-rinse basin
Space for arm movements
when washing and drying
1000
Space between
centreline of
grabrails
600700
(50)
Vertical grabrails
300
10251350 dispensers
780800 basin
600
800
Space at low level
to use basin
Soap dispenser
Paper towel
400 dispenser
Basin
300
basin, 600 at
Space to use
low level
800
450600
1000
Space to use basin, 800 at low
level
Comfortable Comfortable
reach to side reach to side
of basin of basin
750 750
108
10 Generic clinical support spaces: Refreshments and rest
Figure 94 Space requirements for ambulant and semi-ambulant access to pantry/refreshment room
Water boiler
over worktop/
drainer Wall
cupboard
Paper towel
roll
Optional
microwave
Optional
Fridge
dishwasher
Hand-rinse
basin
Sack Sack
holder holder
Paper towel
dispenser
109
Health Building Note 00-03 Clinical and clinical support spaces
Optional soap
Optional
dispenser
paper roll
dispenser Optional paper
towel dispenser
Optional water
boiler
Optional water
boiler to be
100150
located over
drainer
1350
950
General/domestic areas
180
85
600
infrequent
Space for working at sink
Standing
close to
passing
400
sink to
allow
1000
Ambulant
passing
600
passing when
1000
sink in use
Ambulant
600
110
10 Generic clinical support spaces: Refreshments and rest
Standard base and wall cupboards 500 mm, the reach dimensions illustrated relate to
the front edge of the wall cupboard (that is,
10.26 This ergonomic drawing (see Figure 96) shows the
reaching into the cupboard would proved
space requirements to access standard, floor
difficult).
mounted, base and wall cupboards. Where
worktops or other obstructions project more than
Figure 96 Space requirements to access standard, floor mounted base and wall cupboards
2100
1700
111
Health Building Note 00-03 Clinical and clinical support spaces
Hand-rinse basin: ambulant 10.28 Hand-rinse basins are generally only suitable for
rinsing hands under running water. They should
10.27 This ergonomic drawing (see Figure 97) shows the
have a single mixer tap.
space requirements for a 300 mm deep hand-rinse
basin. It is suitable for ambulant and semi-
ambulant use.
Figure 97 Space requirements for a 300 mm deep hand-rinse basin
Space for arm movements
when washing and drying
1000
Space between
centreline of
grabrails
600700
(50)
Vertical grabrails
300
10251350 dispensers
780800 basin
600
800
Space at low level
to use basin
Soap dispenser
Paper towel
400 dispenser
Basin
300
basin, 600 at
Space to use
low level
800
450600
1000
Space to use basin, 800 at low
level
Comfortable Comfortable
reach to side reach to side
of basin of basin
750 750
112
10 Generic clinical support spaces: Refreshments and rest
Rest room with mini kitchen 10.36 Where wheelchair users can be expected, 3 m per
wheelchair space needs to be provided for sitting
Room description and layout or dining and the beverage space will need to be
increased. See BS 8300 and Approved Document
10.29 A rest room is intended as a generic space that may M.
be used by staff, visitors or patients.
10.37 For briefing purposes, rest rooms for ambulant use
10.30 Where rest rooms are provided for staff, they with 1550 seating places may be sized at 1.8 m
should be located away from public areas. per place. This allows for any combination of
10.31 The size of the space should be based on the dining places and seating places and for a mini
maximum number of users that will need to be in kitchen or pantry/refreshment area.
the room at any one time. 10.38 For rest rooms with fewer than 29 seats, it has
10.32 Local policy will determine the choice of furniture. been assumed that a mini kitchen will be used.
A TV may be provided. For rest room with 30 or more seats, it has been
assumed that a separate pantry/refreshment area(s)
10.33 Natural light and ventilation should be provided.
will be used.
10.34 The room layout provided (see Figure 98) is
10.39 The allowance of 1.8 m is the average figure from
suitable for ambulant use only. It includes separate
the calculations below.
zones for sitting (14 places) and dining (4 places).
10.40 Where a rest room with fewer than 15 seats is
10.35 For sizing rest rooms (for ambulant use only) the
required, the option of creating a larger shared
following allowances may be used:
space should be considered for efficiency and
1.5 m per easy chair or dining chair (and part flexibility.
use of table);
5 m for the mini kitchen.
Figure 98 Space requirements for ambulant access to rest room with mini-kitchen
1 2
1
Table
Low
table
Notice
2
board
4 3
4 3
5 14
6 13
Low
table
7 12
Low Low
table 8 9 10 11
table
114
10 Generic clinical support spaces: Refreshments and rest
Ergonomic drawings 10.42 When seats are pushed together in rows, the
average seat width is 600650 mm for seats
Space to sit on an easy chair without arms and 750 mm for seats with arms.
10.41 These ergonomic drawings (see Figure 99) show
the space requirements for a person to sit on an
easy chair.
Preferred
location
of table
700800
350450
Clearance between
chair and table
for access
600
Space for seating
850 (600)
(450) 450
Space for Restricted leg
ambulant space to allow
passing person to pass
115
Health Building Note 00-03 Clinical and clinical support spaces
Space for
place setting
600
place setting
Space for
1500
ambulant
Space for
passing
600
116
10 Generic clinical support spaces: Refreshments and rest
(50) (50)
Vertical grabrails
300
Mirror
10251350 dispensers
300
300 x 900
1805
780800 Basin
850 bottom
(50)
of mirror
500
600
800
Clear space to use basin
Shaver at low level (up to 600)
outlet
Soap dispenser
Shelf Mirror Paper towel dispenser
Basin
400
SS 8
50
basin, 600 at
Space to use
800
low level
600 (450)
ambulant
Space for
passsing
1000
Space to use basin,
800 at low level
Comfortable Comfortable
reach to side reach to side
of basin of basin
750 750
117
Health Building Note 00-03 Clinical and clinical support spaces
Near patient testing room 11.6 Two room layouts have been provided (see
Figures102 and 103).
Room description and layout 11.7 Both layouts show an outward opening door. The
11.1 This room is used to carry out tests on body fluids need to include a door depends on the location and
(for example urea, electrolytes, blood sugar, blood security of the space. Where an outward opening
gases etc) that require instant results. door is provided, it must not open onto a
circulation route.
11.2 The sink will be required if demineralised water is
needed. Requirements for demineralised water will 11.8 Both layouts also include zones for blood sample
depend on the type of equipment used. testing, computer access and clinical hand washing.
11.3 A dedicated pneumatic tube link to the main 11.9 A sharps bin should be located on the laboratory
pathology laboratory may be provided to allow bench. A stool may be provided in place of the
specimens to be sent for more complex analysis. laboratory chair.
11.4 A specimen fridge will be required where samples 11.10 The illustrated space requirements for accessing
have to be stored before sending to the main modular base and upper cabinets is based on space
pathology laboratories. to access standard cupboards, not using baskets or
trays. However, adequate space is available for side
11.5 Specialist advice should be sought to ensure
access to baskets or trays.
compliance with CoSHH Regulations.
118
Figure 102 Near patient testing room (option 1) Figure 103 Near patient testing room (option 2)
Wall
cupboard Wall
cupboard
Blood gas
analyser
Blood gas
analyser
Optional
Optional Engineering services outlet zone Supplies trolley
laboratory
lab sink under lab bench
fridge
Lab chair
Optional
Optional
laboratory
lab sink
fridge
Lab chair
holder holder
Display board
119
storage dispenser
11 Generic clinical support spaces: Miscellaneous
Ergonomic drawings Figure 104 Space requirements for standing use of a clinical wash-hand basin
assembly
high level
apron dispenser
1200
11.13 The recommended fixing height of a
lever tap on a clinical wash-hand basin is
200
1095 mm. Where a lever tap is used, the
11401350
basin at low level,
fixing height of the dispensers should be ie up to 600 mm
from floor level
780800
Space to use
800
passing
600
both male and female use. The 900
ergonomic advice for the height of a
lever tap is 75mm below elbow height
giving a figure height of approx 750
Comfortable reach to side of basin
1015mm. Flush concealed services duct
11.17 Lever taps are not illustrated.
11.18 For detailed information on basins, see
Health Building Note 00-10 Part C
Sanitary assemblies.
120
11 Generic clinical support spaces: Miscellaneous
Standard base and wall cupboards 500 mm, the reach dimensions illustrated relate to
the front edge of the wall cupboard (that is,
11.19 This ergonomic drawing (see Figure 105) shows
reaching into the cupboard would proved
the space requirements to access standard, floor
difficult).
mounted, base and wall cupboards. Where
worktops or other obstructions project more than
Figure 105 Space requirements for access to standard, floor mounted base and wall cupboards
2100
1700
121
Health Building Note 00-03 Clinical and clinical support spaces
Figure 106 Space requirements for relatives overnight stay, single divan bed and separate single sofa bed
Table
Settee bed
Access to
room or
en-suite
Bedside
B
Be
eedside
d id
dside
t bl
table Mirror
Divan bed
Access to
room or
en-suite
122
11 Generic clinical support spaces: Miscellaneous
Ergonomic drawings
Wheelchair
turning
1500
Bedside
700
table
Ambulant
access
900
to bed
Divan bed
1950 700
123
Health Building Note 00-03 Clinical and clinical support spaces
124
12 Generic clinical admin spaces: Open-plan admin areas
Figure 108 Space requirements for eight dedicated workstations, administration area
Possible Possible
Notice/ Notice/ Notice/
window window
display board display board display board
for engineering
service outlets
Possible zone
S1 S2 S5 S6
Visitors D2 Visitors D6
Desk space @ 4.5 sq m per desk
2000
chair chair
D1 D5
F1 F3 F5 F6
F2 F4 F7 F8
Visitors Visitors
2000
chair D4 chair
D3 D7
S3 S4 S7 S8
Access zone
to desks
450
2250 2250
Desk space @ 4.5 sq m per desk S = Personal storage
D = Desk or desktop
F = Filing cabinet
125
Health Building Note 00-03 Clinical and clinical support spaces
126
12 Generic clinical admin spaces: Open-plan admin areas
Privacy
screen
2250
Approximate
storage unit
Noticeboard
Mobile
550
under-desk
storage
(1400)
Filing
cabinet
or bookcase
900 600
Space to withdraw Space for ambulant
chair from desk passing when chair
withdrawn
127
Health Building Note 00-03 Clinical and clinical support spaces
128
12 Generic clinical admin spaces: Open-plan admin areas
Possible Possible
Notice/ Notice/ Notice/
window window
display board display board display board
for engineering
service outlets
Possible zone
S1 S3 S1 S1 S3 S1
S4 S4
Desk space @ 4.5 sq m per desk
D2 D6
2000
D1 D5
S3 S3
S2 S4 S2 S2 S4 S2
S2 S3 S2 S2 S3 S2
S4 D4 S4
2000
D8
D3 S3 D7 S3
Access zone
S1 S4 S1 S1 S4 S1
to desks
450
129
Health Building Note 00-03 Clinical and clinical support spaces
130
12 Generic clinical admin spaces: Open-plan admin areas
Privacy
screen
2250
Approximate
storage unit
Noticeboard
Mobile
550
under-desk
storage
(1400)
Filing
cabinet
or bookcase
900 600
Space to withdraw Space for ambulant
chair from desk passing when chair
withdrawn
131
Health Building Note 00-03 Clinical and clinical support spaces
Figure 112 Space requirements for a breakout space within an administration area
approx 2300
approx 2700
132
12 Generic clinical admin spaces: Open-plan admin areas
Ergonomic drawings 12.37 When seats are pushed together in rows, the
average seat width is 600650 mm for seats
Space to sit on an easy chair without arms and 750 mm for seats with arms.
12.36 These ergonomic drawings (see Figure 113) show
the space requirements for a person to sit on an
easy chair.
Preferred
location
of table
700800
350450
Space for Space for
extended legs easy chair
800 600800 100
Clearance between
chair and table
for access
600
Space for seating
850 (600)
(450) 450
Space for Restricted leg
ambulant space to allow
passing person to pass
133
Health Building Note 00-03 Clinical and clinical support spaces
Approx
working
zone at
table
Space for sitting at
Clear space
under table
800 (600)
Space for
600
700
chair
wheelchair access
independent wheelchair
(600) 500 1500
(600)
200
Space for
ambulant
Approx
900 (750)
passing
user at table
wheelchair
working
Space for
zone at
table
134
12 Generic clinical admin spaces: Open-plan admin areas
Quiet workspace 12.43 The room has been sized to discourage users from
feeling too comfortable and wishing to monopolise
Room description and layout the space.
12.42 This room provides a quiet space for confidential 12.44 The design (including finishes) see Figure 115
telephone conversations or laptop/deskwork by a should ensure privacy and a quiet environment.
single person. 12.45 It should contain power, data and telephone
services.
Space to withdraw
chair from desk
(700) 900
Noticeboard
Minimum 1400 working space required
135
Health Building Note 00-03 Clinical and clinical support spaces
Staff communication base 12.59 The security of the base when not manned/out-of-
hours may be achieved by either placing it within a
Room description and layout total locked zone of the building or by providing a
lockable security grille or similar device to enclose
12.46 A staff communication base is a workstation,
the base.
typically with a split-level counter, intended as a
clinical management base within a clinical area. 12.60 Care needs to be taken when determining the
counter design; high counters can make it difficult
12.47 It replaces the nurses base from previous
for staff and clients to communicate, especially
guidance; changes in working practices means the where the client is of short stature, a child, in a
base will be used by a multidisciplinary team wheelchair, or if the client or staff member is
rather than just nurses. hearing impaired. High and particularly wide
12.48 It should provide good observation of the clinical counters can also create ergonomic risks for staff,
area served. Staff emergency call facilities should be particularly short staff.
provided at the desk. 12.61 A low counter is typically around 720 mm above
12.49 A telephone and computer should be provided. the floor and is suitable for wheelchair/seated users
Task lighting should be considered. and children. In some circumstances consideration
may be given to allowing both the member of staff
12.50 Lamp repeat calls for controlled drugs cupboards
and client to sit as it may create a more intimate
(if used) will be located here. An alarm panel may
situation.
be provided.
12.62 A high counter, also known as a parcel shelf, may
12.51 Access to a safe room/space must be provided
be provided to shield equipment etc from outside
behind the base to ensure staff safety. This could
view, to provide a convenient writing surface for
be access to a safe corridor.
visitors or staff or to provide an additional safety
12.52 A local printer and fax machine may be located in barrier without the use of intimidating safety glass.
a room behind the base or other nearby secure
12.63 A high counter designed for direct interaction
area.
between staff and clients should not result in
12.53 A space for private discussions should be provided excessive reach across the work surface. The
nearby. This may form a discrete part of the base recommended height of a high counter is around
with glass screens or an interview room may be 1200 mm and it should be designed to permit the
provided for this purpose. location of a flat panel monitor on the work
surface below (note: BS 8300 recommend a
12.54 The number of workstations should be based on
1100mm high counter to support standing users).
maximum staff usage at any one time.
12.64 Staff communication bases with both high and low
12.55 Space around the base should ensure free
sections are generally recommended.
movement of traffic when someone is standing in
front of the base. 12.65 The recommended minimum working width for a
member of staff at the base is 800 mm per person.
12.56 The layout provided (see Figure 116) illustrates the
A width of 1200 mm per person is generally only
generic design issues and space requirements for a
required for prolonged use but has been included
staff communication base. Actual design
in the examples for flexibility.
requirements will depend upon local requirements.
12.66 BS 8300 recommends, and Approved Document
12.57 The main issues to consider when evaluating the
M requires, that the minimum width of the low
requirements for a staff communication base are:
level section of counter is 1500 mm, preferably
the safety of staff at the base and security of the 1800 mm, to allow for a wheelchair user and
base out-of-hours; attendant on one side or two wheelchair users to
the height and size of the desk, which will face each other diagonally.
relate to its access and use. 12.67 In addition to staff emergency call, power and data
12.58 Staff security may be achieved by providing a services, the following controls and/or indicators
vertical or horizontal barrier in front of the base may be located at the base as appropriate:
and a safe place behind the base.
136
12 Generic clinical admin spaces: Open-plan admin areas
controls for general lighting, heating, medical 12.68 For more details of the space requirements for
gas isolation and entry systems; access to the desk for wheelchair users see
BS8300.
indicator panels for call systems, fire alarm and
controlled drugs cupboards.
Access to
staff only Optional
area for protective hood,
parcel shelf/top
(800)
safety
counter
(800)
approx 1200
(700)
(1500)
2050
ENCLOSED BASE
500
600 600
Space for
Access to 900 600 approx 800 ambulant passing
staff only
1200
ambulant/semi-ambulant passing
from desk passing
2150
Space for bed movement 1500
Space for wheelchair
user access
Low-level counter for wheelchair user
or childrens access minimum overall
width of low-level section 1500
(800)
(1500)
PART OPEN BASE
(800)
Alarm
panel
Mobile
storage
1200
8001200
(1500)
Access to
staff only
(800)
area for
safety
1200
137
Health Building Note 00-03 Clinical and clinical support spaces
Maximum projection
of optional wall-
mounted storage
300
observation window
into clinical space
Approx 1420, eye level small person
Approx 1750, eye level tall person
Optional
900920
Optional
stool
Working area length
1500
(1300) 2150
1600 for sitting at Space for bed movement
touchdown base
138
12 Generic clinical admin spaces: Open-plan admin areas
standing height
Approximate
sitting height
Approximate
920
720
1000 (900)
700
workstation
standing at
Chair
sitting at clinical
Space for
workstation
600
Space for
clinical
900
139
Health Building Note 00-03 Clinical and clinical support spaces
13 G
eneric clinical admin spaces: Offices
Office/meeting room 13.3 Lamp repeat calls for controlled drug cupboards (if
used) and a key cupboard may be located here.
Room description and layout 13.4 A small safe, an alarm panel (see Bedhead services)
13.1 An office/meeting room is intended as a and cube lockers for the storage of staff personal
multipurpose office within a clinical environment belongings may also be provided.
for handover meetings and technical reviews. 13.5 A printer may be provided in each office if a shared
13.2 The room layout provided (see Figure 119) printer is not available nearby. However,
includes two workstations and a table and chairs for consideration must be given to the negative
informal meetings/handovers in an enclosed office. sustainability issues relating to the provision of
many small local printers.
Figure 119 Space requirements for enclosed office, two workstations, table and chairs
Noticeboard
desktop cabinet desktop
Mobile Mobile
Office zone
under-desk under-desk
storage storage
Stacking
chairs
Chair Chair
Table
Meeting zone
Chair Chair
140
13 Generic clinical admin spaces: Offices
Privacy
screen
2250
Approximate
storage unit
Noticeboard
Mobile
550
under-desk
storage
(1400)
Filing
cabinet
or bookcase
900 600
Space to withdraw Space for ambulant
chair from desk passing when chair
withdrawn
141
Health Building Note 00-03 Clinical and clinical support spaces
Approx
working
zone at
table
Space for sitting at
Clear space
under table
800 (600)
Space for
600
700
chair
wheelchair access
independent wheelchair
(600) 500 1500
(600)
200
Space for
ambulant
Approx
900 (750)
passing
user at table
wheelchair
working
Space for
zone at
table
142
13 Generic clinical admin spaces: Offices
Mobile
under-desk
storage
Visitors
chair
Visitors
chair
Filing cabinet
or bookcase
143
Health Building Note 00-03 Clinical and clinical support spaces
Privacy
screen
2250
Approximate
storage unit
Noticeboard
Mobile
550
under-desk
storage
(1400)
Filing
cabinet
or bookcase
900 600
Space to withdraw Space for ambulant
chair from desk passing when chair
withdrawn
144
13 Generic clinical admin spaces: Offices
Mobile
under-desk
storage
Noticeboard
Noticeboard
Mobile
under-desk
storage
Engineering services outlet zone
Filing
cabinet or
mobile
storage
145
Health Building Note 00-03 Clinical, clinical support and specialist spaces
Privacy
screen
2250
Approximate
storage unit
Noticeboard
Mobile
550
under-desk
storage
(1400)
Filing
cabinet
or bookcase
900 600
Space to withdraw Space for ambulant
chair from desk passing when chair
withdrawn
146
14 Specialist spaces
Plaster room 14.2 The room layout provided (see Figure 126) is based
on option 2 of the double-sided couch access
Room description and layout treatment room with the inclusion of a plaster sink
and associated ventilation for plaster dust.
14.1 A plaster room is used for the fitting and removal
of plaster casts. 14.3 The computer must be suitable for use in a dusty
environment.
Figure 126 Space requirements for a plaster room
Plaster
sink
Sack
holder Chair
Glove
and apron
dispenser Large
sack
holder
Privacy curtain
Chair
Clinical
workstation
Engineering services outlet zone
147
Health Building Note 00-03 Clinical and clinical support spaces
Ergonomic drawings Figure 127 Space requirements for standing use of a clinical wash-hand basin
assembly
high level
apron dispenser
1200
14.6 The recommended fixing height of a
lever tap on a clinical wash-hand basin is
200
11401350
1095 mm. Where a lever tap is used, the basin at low level,
ie up to 600 mm
from floor level
780800
fixing height of the dispensers should be
Space to use
800
passing
148
14 Specialist spaces
Paper
Soap towel
dispenser
150200 dispenser
900
100
1200
600
Standing close
to plaster sink
infrequent
ambulant
to allow
passing
400
Ambulant
passing
600
1000
Space to work at
plaster sink
149
Health Building Note 00-03 Clinical and clinical support spaces
standing height
Approximate
sitting height
Approximate
920
720
1000 (900)
700
workstation
standing at
Chair
sitting at clinical
Space for
workstation
600
Space for
clinical
900
150
14 Specialist spaces
Couch-based plaster activities 14.16 The space is slighter larger than that allowed for
general examinations or treatments to allow for
14.15 This drawing (see Figure 130) shows the space
plastering activities.
requirements for double-sided access to a three-
section couch for plaster activities. 14.17 This space has not been defined by specific
ergonomic research.
Figure 130 Space requirements for double-sided access to a three-section couch for plaster activities
Ceiling-mounted
500 hook
Mirror
600
(2550)
Space for
changing
(1000)
Mirror
Chair
Ceiling-
1900
mounted
hook
Couch with
paper roll
attached Plaster
bucket
on stand
800 (600)
plastering
Space for
activities
151
Health Building Note 00-03 Clinical, clinical support and specialist spaces
obstructions
low-level
800
1200
1000
152
References
153