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@GeoffWilkinson @SadiqKhan @NightingaleLDN @fionatwycross @LondonFire @NFCC_FireChiefs @JuliaHB1 As Geoff points out we don’t see approvals or full robust fire safety strategy for @NightingaleLDN

Concerning the basis of HTM05-02 progressive horizontal evacuation - during a fire incident moving patients from a fire area to adjacent safe zone appears to be abandoned.
@GeoffWilkinson @SadiqKhan @NightingaleLDN @fionatwycross @LondonFire @NFCC_FireChiefs @JuliaHB1 In very high dependence units progressive evacuation may result in a fatality so fire tight boxed by compartmentation & sub-compartments permits defend in place + evacuation only as a last resort.

It’s unclear how this will be achieved in @NightingaleLDN
@GeoffWilkinson @SadiqKhan @NightingaleLDN @fionatwycross @LondonFire @NFCC_FireChiefs @JuliaHB1 With such expansive uncompartmented floor areas clearly not complying with the core requirements of HTM05-02

More over where very high dependancy areas such as ICU / ACU patient areas are designated & requiring a smaller sub-compartments units to limit fuel load + fire spread
@GeoffWilkinson @SadiqKhan @NightingaleLDN @fionatwycross @LondonFire @NFCC_FireChiefs @JuliaHB1 As mentioned previously hospitals are predominately designed on the premises of progressive evacuations.

Again it’s unclear from the @NightingaleLDN press release images how maximum travel distances are not breached.
@GeoffWilkinson @SadiqKhan @NightingaleLDN @fionatwycross @LondonFire @NFCC_FireChiefs @JuliaHB1 Evacuation of hospitals are complex undertakings.

Fires are not unknown - the 2009 five london hospital fires report hammers home the challenges

So why are important HTM 05-02 evacuation concepts not built into @NightingaleLDN eg hospital streets?

preventionweb.net/files/13954_re…
@GeoffWilkinson @SadiqKhan @NightingaleLDN @fionatwycross @LondonFire @NFCC_FireChiefs @JuliaHB1 Fire fatalities in hospitals are rare but not unknown.

2019 Brazil, a fire behind an ICU unit resulting in 11 fatalities, Most victims died from asphyxiation as smoke filled the wards, & some died when life support equipment stopped working in the fire.

nbcnews.com/news/world/bra…
@GeoffWilkinson @SadiqKhan @NightingaleLDN @fionatwycross @LondonFire @NFCC_FireChiefs @JuliaHB1 Fire risks in health facilities are well documented:

2019 Algeria: 8 infants
2018 Korea: 41 fatalities
1968 Warwick: 24 females
1949 USA: 77 Fatalities

Why risk building mega field hospitals, with huge open expanses for fire spread & ignore warnings

opendemocracy.net/en/ournhs/expo…
@GeoffWilkinson @SadiqKhan @NightingaleLDN @fionatwycross @LondonFire @NFCC_FireChiefs @JuliaHB1 Only last week @HSJnews issues #covid19 #firerisk warnings to hospitals

Approvals & fundamental hospital #firesafety principals appear abandoned @NightingaleLDN

Whats the contingency or is it simply another compounding disaster waiting to happen?

hsj.co.uk/patient-safety…
@GeoffWilkinson @SadiqKhan @NightingaleLDN @fionatwycross @LondonFire @NFCC_FireChiefs @JuliaHB1 @HSJnews @labcuk Even if we can accept @LABC @NFCC_FireChiefs @NewhamLondon soft touch to @NightingaleLDN #firesafety approvals.

Fire fatality case history demonstrates why we cannot accept the fire risk of large uncompartmented spaces in these mega field hospitals!

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