Lawrence Webster Forrest (LWF), Fire Engineering and Fire Risk Management Consultants
Lawrence Webster Forrest (LWF), Fire Engineering and Fire Risk Management Consultants



Navigation

Client login
Forgotten password
Follow us on Twitter Follow us on Facebook Subscribe to our blog

Lawrence Webster Forrest
Legion House
Lower Road
Kenley
Surrey
CR8 5NH

Tel: +44 (0)20 8668 8663 Fax: +44 (0)20 8668 8583
E-mail: fire@lwf.co.uk

Fire Safety for Healthcare Premises - In-Patient Mental Health & Learning Disability Facilities - Part 8

Posted by LWF: 08/02/2018 13:15

Fire Safety for Healthcare premises is a blog series by LWF, aiming to give guidance on healthcare-based standards and best practice in fire safety. In part 7 of this series, we looked at health centres and GP surgeries which may have facilities for minor invasive procedures and how that should impact upon the safety provisions and protocols in place. In part 8, those facilities which provide inpatient mental health care and accommodation for people with learning disabilities are looked at from a fire safety point of view, with reference to HTM 05-02.

An inpatient service is one where hospital beds and 24-hour care is provided. Such facilities can be found in NHS premises or may be the provision of one of the independent private sector providers.

An inpatient bed service differs from placements registered for the provision of care as provided by local authorities and independent sector providers, registered with the CQC. A placement may involve accommodation in a multiple occupancy facility with a care and support package funded by social services. In this circumstance, it is not an inpatient service and so is not a part of the guidance given in HTM 05-02. 

Inpatient mental health services can be categorised as follows:
Acute inpatient beds comprise wards for working-age adults which provide support for patients through intensive medical and nursing provision. Such facilities are for patients who are experiencing acute psychiatric illnesses.

A psychiatric intensive care unit is typically a secure psychiatric ward. Secure in this instance refers to the ward being locked, with the entry and exit of patients controlled. Such units have higher levels of staff, sometimes with one-to-one clinician/patient ratios. The patients on a psychiatric intensive care ward could not be cared for on an acute ward due to the level of risk they may pose to themselves or other people. There is a potential for some patients to have been transferred from prisons or rehabilitation wards, although it is likely all patients will be detained under the Mental Health Act.

Forensic Services is related to criminology and covers high, medium and low-security units. Only medium and low-security units are covered by HTM 05-02.
Low secure services provide care to patients with long-term and complex issues which cannot be catered for on an acute ward. Patients in low secure services wards are often detained under the Mental Health Act.

Medium secure services are provided for those adult patients with a severe mental illness who require their treatment in a secure environment. The secure management of medium secure services patients is necessary for their own safety and that of others and in most instances, the occupants will have committed a criminal offence. As well as the provision of security for protection, the potential for escape is also a concern.

Part 9 of this series will continue to look at the categorisation of inpatient mental health services. In the meantime, if you have any queries about fire safety in healthcare premises or wish to discuss this blog series, please contact Peter Gyere in the first instance on 0208 668 8663.

Lawrence Webster Forrest is a fire engineering consultancy based in Surrey with over 25 years' experience, which provides a wide range of consultancy services to professionals involved in the design, development and construction and operation of buildings. 

While care has been taken to ensure that information contained in LWF's publications is true and correct at the time of publication, changes in circumstances after the time of publication may impact on the accuracy of this information.



Leave a reply

  *

  *

 


CAPTCHA Image

[ Change the image ]


*Required

Subscribe to our fire safety blogs

Bulletins
Email Format
* indicates required

FIRE SAFETY BLOGS

  • Fire Safety for Healthcare Premises - Vertical Escape - Part 23

    In LWF’s blog series for healthcare professionals, we look to give information on best practice in fire safety for hospitals and other healthcare premises. In part 22 of this series, we looked at the issue of vertical escape in relation to stairways and ascertained that in effect, all stairways in a hospital must be considered escape stairways as they would be used for escape in case of fire. In part 23, we will continue looking...

    Read more...

  • Facilities Management & Fire Safety - Inspection, Testing and Maintenance - Part 1

    In LWF’s blog series for Facilities Managers or those with an interest in or responsibility for fire safety, we aim to give an overview of best practice and methods of applying or maintaining fire prevention provision. In part 1, the importance of inspection, testing and maintenance of fire protection measures is discussed.Once fire protection measures are installed in a building, it would be comforting to think that they were simply waiting in case they...

    Read more...

  • Fire Engineering Design and Risk Assessment - Foam Proportioning - Part 4

    In LWF’s fire engineering blog series for Architects and others in the building design business, we have been looking at fire suppression systems and in particular, foam systems. In part 3, it was ascertained that foam proportioning is the means by which foam concentrate is mixed with water at the necessary ratio. An overview of inductors (also known as line proportioners) was given. In...

    Read more...

  • Fire Safety for Healthcare Premises - Vertical Escape - Part 22

    In LWF’s blog series for healthcare professionals, the aim is to give information on best practice of fire safety in hospitals and other healthcare premises. In part 21 of this series, LWF looked at the necessary considerations of hospital streets and escape route widths. In part 22, we will look at vertical escape using stairways.While it is possible for organisations to denote certain staircases as escape stairs (and therefore, certain staircases are not classed...

    Read more...

  • Fire Engineering Design and Risk Assessment - Foam Systems - Part 3

    In LWF’s Fire Engineering blog series for Architects and others in the building design business, we have been looking at fire suppression systems and, in particular, foam concentrate systems. In part 2, we began an overview of the different types of foam concentrate and part 3 will continue from that point before discussing foam proportioning.Synthetic, or high expansion foam is produced from detergents and, as a result, can produce great quantities of ‘bubbles’ making...

    Read more...

Case Studies

The Wohl Neuroscience Institute - Fire Safety, Strategy & Engineering
Key Facts: Client: King’s Clinical Neuroscience Institute Project Manager: MACE Ltd Designers: Devereux Architects/Allies and Morrison Approximate Size: 7,400m2 Description of the Project:...

Read more..

General Bulletins

Fire - The External Risk
When we consider fire safety, our focus is normally from within, what can we do to prevent the occurrence of fire and how we can limit its damage.  Whilst this is the correct stance to take, we m...

Read more..

Technical Bulletins

Evacuation Modelling - Factor in Human Behaviour
Evacuation of buildings can be analyzed in different ways. Approved Document B (ADB) which provides guidance on meeting the requirements of the England and Wales Building Regulations with regard to fi...

Read more..

Site map | Web development London