The periphery of in-premise water systems, especially in healthcare facilities, poses
significant infection risks to vulnerable populations. With the rise of antimicrobial
resistance, a scarcity of new effective antimicrobial agents, and an increased
understanding of the dangers posed by healthcare environments, the need for rigorous
water hygiene management has never been greater.

Why Water Hygiene Matters
The periphery of a water system includes pipework from the main loop to the outlet,
associated wastewater drains, and the plumbing up to a 2-meter splash zone
surrounding the outlet. This zone is highly susceptible to microbial contamination,
leading to significant health risks. The challenges arise from:

Poor System Design & Installation: Faulty design, incorrect specification, and
inadequate installation can create environments conducive to microbial growth.

Material Vulnerability: Components like thermostatic mixing valves, flexible hoses,
and plastic fittings are prone to biofilm growth, which can harbour harmful pathogens.

Stagnation Issues: Infrequent use of water outlets leads to stagnation, which can
result in microbial amplification.

Temperature Control Failures: Without proper insulation and usage, both hot and cold
water can reach ambient temperatures, ideal for microbial growth.

Improper Usage: Disposal of body fluids, antibiotics, and other substances in sinks
increases the risk of antimicrobial resistance within drainage systems.

Our Expertise
We specialise in providing comprehensive water hygiene consultancy services tailored to new builds and capital refurbishment projects. Our services ensure that your facility meets the highest standards of water safety and hygiene from the ground up, preventing the risks associated with poor design, installation, and management practices.

Our Services Include:

Design Consultation: Ensuring your water systems are designed with hygiene as a top
priority, minimising risks from the outset.

Material Specification Guidance: Recommending the best materials to avoid biofilm
growth and ensure long-term system safety.

Installation Oversight: Providing expert oversight during installation to assure
adherence to best practices, the latest NHS Estates Technical Bulletin and Guidance,
and regulatory standards.

Commissioning & Management Support: Assisting with the commissioning process
and ongoing management to maintain optimal system performance.

User Behaviour Training: Educating staff on best practices to prevent contamination
and misuse of water systems.

The Cost of Inaction
Evidence shows that inadequate water throughput can lead to microbial colonisation,
posing severe health risks in healthcare settings. A study revealed that only a third of
healthcare outlets achieve optimal usage, with many failing to meet the daily flushing
requirements necessary to control microbial growth. Neglecting these critical aspects
can lead to costly outbreaks and compromised patient safety.

Partner with Us
Ensure your new build or refurbishment project is equipped with the safest and most
effective water hygiene systems. Our team of experts will work with you every step of
the way (from RIBA Stage 1 and through to RIBA Stage 7) to safeguard your facility
against waterborne risks, ensuring the safety and well-being of your patients and staff.

Contact us today to learn more about how we can help you create a safer
healthcare environment through expert water hygiene consultancy.