DH health building notes

This series brings together all documents relating to health building notes (HBN).

Health building notes give best practice guidance on the design and planning of new healthcare buildings and on the adaptation or extension of existing facilities.

They provide information to support the briefing and design processes for individual projects in the NHS building programme.

Activity DataBase is a computer package to assist healthcare planners, architects, and teams involved in the briefing, design and equipping of healthcare environments.

The ProCure21+ Framework is the recommended procurement method for publicly-funded capital projects over £1 million. The Principal Supply Chain Partners have developed a number of repeatable room arrangements for use in NHS Acute and mental health facilities, all of which are fully compliant with HBNs and Health Technical Memorandas (HTM).

You might also be interested in the HTM document series. Or you may wish to view a complete list of NHS estates related guidance past and present.


  1. Designing health and community care buildings (HBN 00-01)
  2. Designing sanitary spaces like bathrooms (HBN 00-02)
  3. Designing generic clinical and clinical support spaces (HBN 00-03)
  4. Designing stairways, lifts and corridors in healthcare buildings (HBN 00-04)
  5. Resilience planning for NHS facilities (HBN 00-07)
  6. The efficient management of healthcare estates and facilities (HBN 00-08)
  7. Infection control in the built environment (HBN 00-09)
  8. Design for flooring, walls, ceilings, sanitary ware and windows (HBN 00-10)
  9. Designing and planning cardiac facilities (HBN 01-01)
  10. Cancer treatment facilities: planning and design (HBN 02-01)
  11. Adult mental health units: planning and design (HBN 03-01)
  12. Facilities for child and adolescent mental health services (HBN 03-02)
  13. Adult in-patient facilities: planning and design (HBN 04-01)
  14. Critical care units: planning and design (HBN 04-02)
  15. Designing facilities for diagnostic imaging (HBN 6)
  16. Satellite dialysis units: planning and design (HBN 07-01)
  17. Main renal unit: planning and design (HBN 07-02)
  18. Dementia-friendly health and social care environments (HBN 08-02)
  19. Maternity care facilities: planning and design (HBN 09-02)
  20. Neonatal units: planning and design (HBN 09-03)
  21. Facilities for day surgery units (HBN 10-02)
  22. Facilities for primary and community care services (HBN 11-01)
  23. Designing an out-patients department (HBN 12)
  24. Planning and design of sterile services departments (HBN 13)
  25. Designing pharmacy and radiopharmacy facilities (HBN 14-01)
  26. Planning and designing facilities for pathology services (HBN 15)
  27. Planning and designing accident and emergency departments (HBN 15-01)
  28. Designing hospital accommodation for children (HBN 23)
  29. Facilities for surgical procedures in acute general hospitals (HBN 26)
Published 11 June 2013
Last updated 30 June 2017 + show all updates
  1. Added 'HBN 03-02: Facilities for child and adolescent mental health services (CAMHS)'.
  2. Updated to include information about repeatable room arrangements in NHS Acute and Mental Health
  3. Updated to add information about Activity DataBase computer package.
  4. added the guidance for the health service on the design of windows (HBN 00-10D)
  5. Added guidance for the health service on the design of windows (HBN 00-10D)
  6. First published.