This May, we brought together infection control nurses, architects, healthcare scientists, decontamination specialists, and healthcare estates leaders for our first IPC Breakfast Forum.
What followed was an open, urgent, and highly practical discussion on patient safety in healthcare construction, a very insightful conversation. Here’s what we learned.
There’s a phrase that kept surfacing across every thread of our morning discussion: too late, too little, too expensive. It describes the pattern that IPC professionals across the NHS know well - infection prevention and control is brought into healthcare projects after the critical decisions have already been made, and by the time the problems become visible, the cost of correction has multiplied.
Unlike a fire, contamination and infection are invisible. It can’t be traced to a single moment of failure, a single specification decision, or a single corner cut. It accumulates, disperses, and claims harm quietly. That invisibility has allowed the issue to be deprioritised for a long time. Our forum was, in part, an attempt to make it visible.
When I prevent an outbreak in a hospital, I’ve prevented an outbreak. I’ve saved millions, but nobody sees it. Infection control has always been tasked with proving something that never happens.
- Alyson Prince, Infection Control Nurse & Built Environment Specialist.

The scale of the opportunity and the risk has never been larger. The New Hospital Programme will deliver eleven new hospitals. It is a once-in-a-generation chance to build infection-resilient environments from the ground up. It is also an equally extraordinary risk if the lessons of the past are not applied now, while design decisions are still being made.
Seven key insights:
Infection control specialists must be in the room from Stage 2, not called in after procurement has advanced. Late involvement means rooms too small, ventilation systems that compromise fire compartmentalisation, and products that can’t be effectively cleaned.
A paediatric ward’s highest-contact surface is the floor. In an adult environment, it’s door handles and tap fittings. Designing everything to the highest specification is unaffordable; designing too low creates risk.
Many specialist nurses may only work on one capital project in their career, whereas
IPC nurses often provide valuable continuity and long-term insight through their involvement across multiple projects throughout their time in post. Post-pandemic, significant numbers of experienced practitioners left the sector entirely. The forum drew a direct parallel with fire safety: just as Grenfell exposed the competence gap in fire compliance, the New Hospital Programme is exposing an equivalent gap in IPC expertise.
Healthcare buildings operate around the clock for 30 to 50 years. Products that clean well on installation may fail after years of exposure to clinical-grade agents, creating cracks and crevices where microorganisms can persist. FM strategies, cleaning protocols, and decant planning must be part of the design conversation from the outset.
Cleaning staff are the last line of defence against infection, yet they are frequently under-trained and working from generic guidance that doesn’t reflect their specific environment. Scenario-based, environment-specific training creates lasting behaviour change in a way that one-off workshops simply cannot.
Door specifications, ventilation strategy, and fire compartmentalisation must be considered in parallel. Derogations between competing compliance requirements must be resolved through documented, multi-disciplinary risk assessment.
Health Technical Memoranda and Health Building Notes (HTMs and HBNs), which form the backbone of NHS design standards, are widely considered outdated. They don’t reflect current clinical practice, emerging organisms, or modern construction. Without current, credible guidance, practitioners default to outdated standards or local interpretation.
Find out more.
We would like to thank all the speakers and attendees for their contributions to this rich discussion.
If you’d like to dive deeper into the discussion, you can watch the full session recording here and read our detailed summary paper providing an overview of the key outcomes and insights from the forum.
Download the IPC Breakfast Forum summary.
The complete summary of key insights, panel discussion, and recommendations from our May 2026 forum.
Continuing the conversation.
We’re committed to continuing these conversations and bringing the industry together to help navigate the Infection Prevention Control with confidence, whether through forums like this or through the support we provide every day on healthcare projects across the UK.
If you’d like to join our next event or find out more about how SDS is supporting healthcare partners, please get in touch at sales@specialistdoorsolutions.com.

