COMMENTS ON THE NEW EN-SUITE DESIGN
RESPONSE FROM HBN TEAM
This document details some of the design issues that were being considered by the Building Note team following feedback on the mock up. It is
included here to provide a ‘snapshot’ of the design development process.
The size and layout of facilities for independent use and those for assisted use
differ fundamentally and are not compatible or interchangeable. Some
disabled patients cannot be assisted satisfactorily in a facility designed for
independent use and conversely some patients cannot independently use a
facility designed for assisted use.
We are not interfering with the Statutory requirements
governing the public areas of the hospital under part M of the
The en-suite bathroom is for use by in-patients. The
assumption is that any patient admitted to hospital is
potentially ‘assisted’. However, we have tried to ensure
independent wheelchair access as well to ensure the same
concept of independence granted to anyone else who may not
require or wish for assistance. It should be recognised,
however, that full independence may not be so much of a
priority in a single bedroom where privacy is not as paramount
as, say, in a public toilet. Essentially, this design aims to
preserve the dignity and identity of ANY patient using it, and
enables them to control their own environment.
It has been acknowledged that many aspects of independent
and assisted use are not compatible. Consideration has been
given to each issue independently and together as a complete
facility (ie, in areas proposed for inclusive access, adjustable-
height wash basins have been included).
It should be noted that the DH approach is that facilities
specifically designed for independent access are NOT
appropriate for assisted access for anybody.
The Department of Health should reconsider its brief and commission some
research into the size and layout of two types of single room en-suite
bathrooms to ident