From HTM 05-02, sec 1.15 "Alternative Solutions".
"...It is expected that NHS clients, designers and building controls and fire authorities will exercise judgement based on a full understanding of the problem, taking into account:
type of care provided
mobility of patients
planned staffing levels
age of patients
size of premises
This document describes a way of acheiving an acceptable standard of fire safety.....but it is recognised that there may be other ways of of satisfying the functional requirements.....If such an approach is used, the responsibility is placed on thise promoting the alternative approach to demonstrate that the alternative satisfies the functional objectives of this document"
So like any application to BC, you can either look at it as a check list againt the guidance (for the path of least resistance), or provide a strategy document justifying it, but its not up to BCO's to do this for you.