Not fully. Healthcare premises are managed under HTM 04-01 (Safe water in healthcare premises), which sits alongside ACoP L8 and HSG274 and goes considerably further. It expects a documented Water Safety Plan, a multidisciplinary Water Safety Group with named Responsible and Authorised Persons, and control regimes for specific healthcare risks: calorifiers, TMVs, low-usage outlets, and augmented care areas. A standard commercial Legionella risk assessment is a starting point, not the full obligation.

Augmented care covers clinical areas where patients are particularly vulnerable to waterborne infection, typically ICU, neonatal, renal, transplant, oncology, and burns units. Under HTM 04-01 Part B, these areas require specific Pseudomonas aeruginosa sampling and control, tighter outlet management, and, in many cases, point-of-use filtration. The monitoring frequency and corrective action standards are stricter than the rest of the estate, because the consequences of a contaminated outlet are far more serious.

Low-usage and redundant outlets are one of the biggest Legionella and Pseudomonas risks in healthcare. Water sitting stagnant in dead legs and rarely used taps creates ideal conditions for bacterial growth. The answer is a structured, documented flushing regime, removal of genuinely redundant outlets, and, where flushing isn’t reliable, remote temperature monitoring telemetry to provide automated evidence of temperatures and usage. We help estates build a regime that’s both compliant and realistically deliverable by ward staff.

Yes. For healthcare manufacturing and life sciences sectors, we engineer and manage high-purity water systems, including multi-stage Reverse Osmosis (RO), configured strictly to satisfy cGMP, USP, and European Medicines Agency (EMA) compliance thresholds. This covers comprehensive feedwater laboratory profiling and validation data trails to prevent batch invalidation.

Specialised ventilation systems serving critical areas – such as operating theatres, ultra-clean ventilation (UCV) canopies, and isolation suites – must undergo performance verification testing at least annually under HTM 03-01 Part B. This confirms that parameters like airflow rates, pressure cascades, and filtration integrity are functioning safely. Formal validation refers to initial testing at handover of new or majorly modified assets under Part A.

CQC inspections under inspection frameworks routinely look for robust governance arrangements and clear audit trails. Inspectors expect to see a current Water Safety Plan, evidence of an active Water Safety Group, up to date risk assessments, monitoring and sampling records, augmented care controls and ventilation verification reports, along with evidence that identified actions have actually been closed out. Gaps in documentation, not just failures in monitoring, are where most sites get caught. For private healthcare settings, meeting HTM guidance is the primary benchmark used to satisfy CQC Regulation 15 inspections.

For contracted healthcare clients, we provide 24-hour emergency response. On receipt of a positive result, we initiate our protocol: initial remote risk assessment, same-day specialist attendance where required, and immediate disinfection or outlet control with a full documented evidence trail. We produce the investigation report, corrective action records and updated monitoring plan – everything needed for your Water Safety Group, HSE or CQC.