Health technical memoranda

This series brings together all documents relating to Health technical memoranda.

Health Technical Memoranda (HTMs) give comprehensive advice and guidance on the design, installation and operation of specialised building and engineering technology used in the delivery of healthcare.

The focus of Health Technical Memorandum guidance remains on healthcare-specific elements of standards, policies and up-to-date established best practice. They are applicable to new and existing sites, and are for use at various stages during the whole building lifecycle.

Healthcare providers have a duty of care to ensure that appropriate governance arrangements are in place and are managed effectively. The Health Technical Memorandum series provides best practice engineering standards and policy to enable management of this duty of care.

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 HTMs.

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


  1. Building engineering in the health sector (HTM 00)
  2. NHS estates guidance for medical gas pipeline systems (HTM 02-01)
  3. Heating and ventilation of health sector buildings (HTM 03-01)
  4. Safe water in healthcare premises (HTM 04-01)
  5. Managing Healthcare Fire Safety (HTM 05-01)
  6. Fire safety in the design of healthcare premises (HTM 05-02)
  7. Fire safety measures for health sector buildings (HTM 05-03)
  8. Electrical services supply and distribution (HTM 06-01)
  9. Electrical safety guidance for low voltage systems (HTM 06-02)
  10. Electrical safety guidance for high voltage systems in healthcare premises (HTM 06-03)
  11. Management and disposal of healthcare waste (HTM 07-01)
  12. Making energy work in healthcare (HTM 07-02)
  13. NHS car parking management (HTM 07-03)
  14. Water management and water efficiency (HTM 07-04)
  15. Building planning and construction in the health sector (HTM 07-07)
  16. Health sector buildings: acoustic design requirements (HTM 08-01)
  17. Design and maintenance of lifts in the health sector (HTM 08-02)
  18. Management of bedhead services in the health sector (HTM 08-03)
  19. Design and fitting of cubical curtains in the health sector (HTM 66)
  20. Design of laboratories for health sector buildings (HTM 67)

Decontamination HTMs

Published 25 April 2013
Last updated 22 December 2014 + show all updates
  1. Updated to include information about repeatable room arrangements.
  2. Updated to add information about Activity DataBase computer package.
  3. First published.