Author Topic: Design standards for medical centres carrying out minor ops  (Read 4436 times)

Offline kurnal

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Design standards for medical centres carrying out minor ops
« on: April 25, 2007, 10:42:52 PM »
Prior to the new HTM05 was there a design standard for medical centres/ dental surgeries where full anaesthetic was administered?  

I note that we now have guidance on this in HTM05 but cant find an equivalent approach in the old HTMs that I have access to. Just been looking at a medical centre that has no chance of Progressive Horizontal evacuation but is being built to the old Approved document B for assembly buildings. The architect and AI say that it is ok because the initial application was made under the old ADB.

I have been recommending PHE / compartmentation to all such surgeries for years where full anaesthetic is administered but now push has come to shove I cant find any reference document referring to this prior to the new HTM.

Offline Colin Newman

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Design standards for medical centres carrying out minor ops
« Reply #1 on: April 29, 2007, 08:29:14 PM »
Prior to the HTM 05 series the scope of Firecode was mainly hospitals.  However, the term hospital was nevr defined although many took it to refer to premises that either incorporated wards or where anaesthetic was administered.  There's nothing preventing the use of any of the Firecode guidance to premises presenting similar risks.

To my knowledge, you won't find a fire safety document that refers to PHE where anaesthetic is administered.  However, I think the architect and AI are on dubious ground if they try to apply purpose group 5 to this type of premises.  Professionally they must consider the use of the premises and the suitability of the fire precautions to protect the occupants of the premises put to such use, and I'd certainly advise that the "assembly buildings" classification does not cater for anaestetised patients and probably not for the increased proportion of less able occupants.  After all, it's mainly people with illnesses and ailments that go to medical centres!!

Reference document or not I'd stick to my guns.  The risks are foreseeable and both the architect and the approved inspector should be addressing them.

Offline kurnal

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Design standards for medical centres carrying out minor ops
« Reply #2 on: April 30, 2007, 08:42:20 PM »
Thanks Colin, your comments are most helpful.