Health building notes

This page brings together all documents relating to health building notes.

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.

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 Memoranda (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.


Designing health and community care buildings (HBN 00-01)
3 June 2014: Guidance

Designing sanitary spaces like bathrooms (HBN 00-02)
25 May 2016: Guidance

Designing generic clinical and clinical support spaces (HBN 00-03)
20 March 2013: Guidance

Designing stairways, lifts and corridors in healthcare buildings (HBN 00-04)
16 April 2013: Guidance

Resilience planning for NHS facilities (HBN 00-07)
30 April 2014: Guidance

The efficient management of healthcare estates and facilities (HBN 00-08)
19 March 2015: Guidance

Infection control in the built environment (HBN 00-09)
26 March 2013: Guidance

Design for flooring, walls, ceilings, sanitary ware and windows (HBN 00-10)
20 March 2013: Guidance

Designing and planning cardiac facilities (HBN 01-01)
20 March 2013: Guidance

Cancer treatment facilities: planning and design (HBN 02-01)
20 March 2013: Guidance

Adult mental health units: planning and design (HBN 03-01)
20 March 2013: Guidance

Facilities for child and adolescent mental health services (HBN 03-02)
30 June 2017: Guidance

Adult in-patient facilities: planning and design (HBN 04-01)
1 December 2009: Guidance

Critical care units: planning and design (HBN 04-02)
20 March 2013: Guidance

Designing facilities for diagnostic imaging (HBN 6)
1 January 2001: Guidance

Satellite dialysis units: planning and design (HBN 07-01)
20 March 2013: Guidance

Main renal unit: planning and design (HBN 07-02)
20 March 2013: Guidance

Dementia-friendly health and social care environments (HBN 08-02)
25 March 2015: Guidance

Maternity care facilities: planning and design (HBN 09-02)
20 March 2013: Guidance

Neonatal units: planning and design (HBN 09-03)
20 March 2013: Guidance

Facilities for day surgery units (HBN 10-02)
1 May 2007: Guidance

Facilities for primary and community care services (HBN 11-01)
20 March 2013: Guidance

Designing an out-patients department (HBN 12)
1 January 2004: Guidance

Planning and design of sterile services departments (HBN 13)
2 January 2004: Guidance

Designing pharmacy and radiopharmacy facilities (HBN 14-01)
20 March 2013: Guidance

(HBN 14-02) Medicines storage in clinical areas
28 May 2021: Guidance

Planning and designing facilities for pathology services (HBN 15)
28 April 2005: Guidance

Planning and designing accident and emergency departments (HBN 15-01)
11 June 2013: Guidance

(HBN 15-02) Facilities for same day emergency care/ambulatory emergency care
28 May 2021: Guidance

Designing hospital accommodation for children (HBN 23)
1 January 2004: Guidance

Facilities for surgical procedures in acute general hospitals (HBN 26)
2 January 2004: Guidance