There have been reports in the media that some buildings in the NHS Estate across Scotland may have been constructed using Reinforced Autoclaved Aerated Concrete (RAAC). This material, which was widely in use between 1960 and 1980, was used mainly for components such as roof and floor planks. It is known to be weaker than other forms of concrete and its use was phased out in the 1990’s.
Work is underway at a national level to check and risk assess all NHS buildings which may potentially contain RAAC.
As part of that work, NHS Lothian has identified those candidate buildings in our Estate and supplied the information to NHS Scotland Assure. We have identified the following buildings as requiring investigation:
• Bonnyrigg Health Centre
• Lauriston Building
• Princess Alexandra Eye Pavilion
• Royal Edinburgh Hospital – Cullen/River Centre Extension
• Royal Edinburgh Hospital – Link Corridor/X-Ray
• Stoneyburn Health Centre
• Tranent Medical Practice
• Western General Hospital – Gas Store
It is worth noting that the risk assessment that took place by NHS Scotland Assure was based on a desktop exercise and does not confirm the presence of RAAC within our buildings.
The next stage of the process will be for discovery surveys to be undertaken by an independent contractor appointed by NHS Assure to confirm or rule out the presence of RAAC within our buildings. This is a national process and the surveys are scheduled to be carried out in Lothian in the Autumn.
The output of these surveys will provide further information on any recommended remedial actions. This work is precautionary and not the result of any known issues in any of our buildings.
New fund to investigate international best practice in the built environment for healthcare
Edinburgh Napier University to administer £1million budget
Administration of a £1m research budget focused on developing international best practice in the built environment for healthcare has been awarded by NHS Scotland Assure to Edinburgh Napier University.
The fund, launched on 1 April, is open to researchers who are looking to work collaboratively to identify ways to deliver safe healthcare environments that are free from avoidable risk.
NHS Scotland Assure has been designed to improve the management of risk in the built environment across Scotland, providing greater confidence to stakeholders, and a key focus is to develop opportunities for multi-disciplinary working within the healthcare-built environment.
This fund aims to provide opportunities to explore development of a consortium of different disciplines which delivers research in line with the identified needs of NHS Scotland Assure. The service will share best practice case studies in standards and models for the built environment.
The buildings and environment in which healthcare is delivered play a large part in preventing and controlling the risk of transmission of infection and other harms, and it is essential that buildings are safe, resilient and not vulnerable to these risks, where these can be prevented.
The guidance and advice generated by NHS Scotland Assure helps to ensure that patients, their carers and those delivering healthcare are in an environment which is not only safe but also effective and person centred. Research plays a pivotal part in supporting this as it ensures that produced guidance and given advice are based not only on best practice but also on best evidence.
It will also ensure that the most up-to-date and robust research is translated into practice to improve future health outcomes.
Over the next two years, the research programme will focus on eight healthcare environments:
· Water systems, including drainage (Design, Installation, Commissioning and Maintenance (DICM))
· Ventilation systems (DICM)
· Pathogens, the microbiome, Antimicrobial Resistance (AMR), transmission risks and burden of disease in the hospital environment
· Hospital design, including size and single room provision
· Lessons learned from Covid-19
· Human factors/Ergonomics and Infection Prevention and Control
· Climate change requirements and the unintended consequences on built environment risks
· The role of safety and harms in relation to medical gases, electrical systems and fire safety.
The closing date for the first round of funding applications, based on research meeting one or more of the eight themes above, will be set for July 2022.
Professor Nick Antonopoulos, Vice Principal, Research & Innovation, Edinburgh Napier University, said: “We are very excited to announce this award, which is a good fit for the University’s experience and ongoing strategy, and reflects our commitment to develop our well-established research and teaching expertise in health and wellbeing.
“The success of the fund will be a priority for our Schools of Applied Sciences and Engineering & the Built Environment, and the University’s Research, Innovation and Enterprise department, who will all play their part in supporting the research programme.”
The Research Service at Edinburgh Napier will also be running regular events over the next two years, to nurture an inclusive approach between professional roles within the built environment and across infection prevention & control (IP&C); healthcare providers; academia; and research institutions.
Further information and relevant pro formas for application can be found here.
