Hot water safety in health and social care settings
Contents |
[edit] Introduction
Hot water is generally an essential building service. Section G3 of Approved Document G defines ‘domestic hot water’ as water that has been heated for cooking, food preparation, personal washing or cleaning purposes. The approved document provides general guidance in relation to hot water supplies. There are also several resources that specifically address hot water safety in health and social care environments.
[edit] Health and Safety Executive guidance
Guidance for the risks associated with hot water and hot surfaces in health and social care premises can be found in the Health and Safety Executive (HSE) Health Services Information Sheet No 6, ‘Managing the risks from hot water and surfaces in health and social care’. This guidance aims to help health and social care providers comply with their legal duties. The information sheet examines the risks vulnerable people may be exposed to when bathing or showering. It also provides guidance regarding places where there are hot surfaces such as pipes or radiators.
Published by HSE, HSG274 Part 2 provides specific guidance for healthcare facilities, care homes and other environments where the population may be susceptible to scalding or burns. This population may include elderly people, people with disabilities or children. Risk assessments can be undertaken to help decision makers evaluate which aspects of the guidance are relevant.
This guidance also includes considerations that could be used to address to Legionnaires’ disease in these settings as well as information regarding water safety groups and water safety plans.
[edit] NHS guidance
The NHS Health Technical Memorandum (HTM 04-01) Safe water in healthcare premises gives guidance on the legal requirements, design, maintenance and operation of hot and cold water supply, storage and distribution systems in all types of healthcare premises. It provides advice and guidance on the control and management of the risk posed by Legionella and other waterborne pathogens that may occur in healthcare settings.
A companion document for Scotland, Scottish Health Technical Memorandum 04-01 Water safety for healthcare premises Part B: Operational management, is also available.
An older NHS Health Guidance Note, “SAFE’ hot water and surface temperatures’, Reference document 34 in Appendix A (published in 1998 and updated in 2013), explains measures that employers should take as part of their duty of care regarding safety measures associated with hot water and hot surfaces. These recommendations are applicable to all healthcare facilities as well as facilities covered under the Registered Homes Act 1984. Some of the recommendations may apply to certain other types of special accommodation where residents could be considered at risk.
[edit] Related articles on Designing Buildings
- A guide to installing thermostatic mixing valves: what, why and how.
- Approved Document G.
- Care Standards Act 2000.
- Health and Safety Executive.
- Health and safety.
- Hot water.
- Hot water safety.
- HSG 274 Legionnaires' disease, Technical guidance.
- Legionnaires' disease.
[edit] External resources
- HSE, Health Services Information Sheet No 6, Managing the risks from hot water and surfaces in health and social care.
- HSE, HSG274 Part 2.
- NHS, Health Technical Memorandum (HTM 04-01), Safe water in healthcare premises.
- NHS, 'SAFE’ hot water and surface temperatures’ (Reference document 34 in Appendix A).
- NHS Scotland, Scottish Health Technical Memorandum 04-01 Water safety for healthcare premises Part B: Operational management.
Featured articles and news
Future Homes Standard Essentials launched
Future Homes Hub launches new campaign to help the homebuilding sector prepare for the implementation of new building standards.
Building Safety recap February, 2026
Our regular run-down of key building safety related events of the month.
Planning reform: draft NPPF and industry responses.
Last chance to comment on proposed changes to the NPPF.
A Regency palace of colour and sensation. Book review.
Delayed, derailed and devalued
How the UK’s planning crisis is undermining British manufacturing.
How much does it cost to build a house?
A brief run down of key considerations from a London based practice.
The need for a National construction careers campaign
Highlighted by CIOB to cut unemployment, reduce skills gap and deliver on housing and infrastructure ambitions.
AI-Driven automation; reducing time, enhancing compliance
Sustainability; not just compliance but rethinking design, material selection, and the supply chains to support them.
Climate Resilience and Adaptation In the Built Environment
New CIOB Technical Information Sheet by Colin Booth, Professor of Smart and Sustainable Infrastructure.
Turning Enquiries into Profitable Construction Projects
Founder of Develop Coaching and author of Building Your Future; Greg Wilkes shares his insights.
IHBC Signpost: Poetry from concrete
Scotland’s fascinating historic concrete and brutalist architecture with the Engine Shed.
Demonstrating that apprenticeships work for business, people and Scotland’s economy.
Scottish parents prioritise construction and apprenticeships
CIOB data released for Scottish Apprenticeship Week shows construction as top potential career path.
From a Green to a White Paper and the proposal of a General Safety Requirement for construction products.
Creativity, conservation and craft at Barley Studio. Book review.
The challenge as PFI agreements come to an end
How construction deals with inherited assets built under long-term contracts.
Skills plan for engineering and building services
Comprehensive industry report highlights persistent skills challenges across the sector.
Choosing the right design team for a D&B Contract
An architect explains the nature and needs of working within this common procurement route.
Statement from the Interim Chief Construction Advisor
Thouria Istephan; Architect and inquiry panel member outlines ongoing work, priorities and next steps.