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Dixon, Lord (1)
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asked Her Majesty's Government:Further to the Written Answer by Baroness Thornton on 21 April (WA 245), what guidance has been issued since 1997 to NHS Trusts on the provision of single-sex accommodation in new hospitals; and how they can implement their policy to provide single-sex accommodation in the absence of...
asked Her Majesty's Government:Further to the Written Answer by Baroness Thornton on 21 April (WA 245), what guidance has been issued since 1997 to NHS Trusts on the provision of single-sex accommodation in new hospitals; and how they can implement their policy to provide single-sex accommodation in the absence of...
Asked by
Lord Dixon
(Labour)
Answered by
Lord Darzi of Denham
(Labour)
Type
Written questions
Status
Answered
Answered on
19 May 2008
Since 1997, the department has issued a number of documents relating to the elimination of mixed-sex accommodation and these are set out below. While these do not relate solely to new build, they do make our expectations clear with regard to segregation.
Specific guidance relating to new build has focused on the provision of single rooms. Since 2001, the department's guidance is that the proportion of single rooms in new hospital developments should aim to be 50 per cent but should not fall below 20 per cent and must be higher than the facilities they are replacing. Each trust makes an informed choice regarding the appropriate percentage of single room provision based on practical considerations such as site restrictions and affordability as well as clinical and operational limitations.
While information about the number of hospitals that have single-sex wards is not collected centrally, progress in respect of privacy and dignity is measured through a range of indicators as follows. This includes some information about mixed-sex accommodation:
the Healthcare Commission monitors two relevant national standards via the annual health check assessments. The standards are: healthcare organisations have systems in place to ensure that staff treat patients, their relatives and carers with dignity and respect; and healthcare services are provided in environments which promote effective care and optimise health outcomes by being supportive of patient privacy and confidentiality;
under arrangements of the National Patient Safety Agency, Patient Environment Teams (PEAT) undertake assessment of aspects of privacy and dignity; and
the annual national in-patient survey, undertaken by the Healthcare Commission, contains a question on whether patients shared their sleeping area with members of the opposite sex.
Furthermore, this year's operating framework—The NHS in England: The Operating Framework for 2008-09—requires primary care trusts to set and publish challenging local plans for improvement in respect of single-sex accommodation. The plans will be made public.
Published guidance comprises:
EL97 (43): The Patient's Charter: Privacy and Dignity and the Provision of Single-sex Hospital Accommodation.
Health Building Note 04-01 In-patient Accommodation: Options for Choice, published 1997.
HSC 1998/143: Mixed-sex hospital accommodation monitoring tool.
Safety, Privacy and Dignity in Mental Health Units: Guidance on Mixed-Sex Accommodation for Mental Health Services. Published by the NHS Executive 2000.
Healthcare Capital Investment, supplement to Quarterly Briefing, Volume 12 No 1 2002-03.
Privacy and Dignity—A Report by the Chief Nursing Officer into Mixed-Sex Accommodation in Hospitals. Published 2007.
Privacy and Dignity. The Elimination of Mixed-Sex Accommodation. Good Practice Guidance and Self Assessment Checklist. Published by the NHS Institute for Innovation and Improvement, 2007.
The NHS in England: The Operating Framework for 2007-08; The NHS in England: The Operating Framework for 2008-09.
Subjects
Construction; Hospitals; Gender; Hospital wards; Patients; Privacy; Standards
Date
19 May 2008
Reference
3212; 701 c162-3WA
House
House of Lords