View source for Decommissioning and Disposal of Health Facilities and Health Technology/Tables



{| style="border-spacing:0;width:17.193cm;"
|- style="background-color:#dbe5f1;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| align=center| '''LOW RISK'''
| align=center| '''MODERATE RISK'''
| align=center| '''HIGH RISK'''
| align=center| '''HIGHEST RISK'''
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * <div style="margin-left:0.635cm;margin-right:-0.058cm;">Office areas </div>
* <div style="margin-left:0.635cm;margin-right:-0.058cm;">Service areas </div>
* <div style="margin-left:0.635cm;margin-right:-0.058cm;">Plant rooms </div>
* <div style="margin-left:0.635cm;margin-right:-0.058cm;">Kitchens </div>


| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * <div style="margin-left:0.635cm;margin-right:1.011cm;">Rehabilitation Unit </div>
* <div style="margin-left:0.635cm;margin-right:1.011cm;">Endoscopy Units </div>
* <div style="margin-left:0.635cm;margin-right:1.011cm;">Nuclear Medicine </div>
* <div style="margin-left:0.635cm;margin-right:1.011cm;">Physical Therapy </div>
* <div style="margin-left:0.635cm;margin-right:0.06cm;">Diagnostic radiology/MRI </div>
* <div style="margin-left:0.635cm;margin-right:0.058cm;">Procedure Rooms </div>


| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * <div style="margin-left:0.635cm;margin-right:0.06cm;">High Care Units/Wards </div>
* <div style="margin-left:0.635cm;margin-right:0.06cm;">Surgical Units/Wards </div>
* <div style="margin-left:0.635cm;margin-right:0.06cm;">Trauma / Resuscitation Room </div>
* <div style="margin-left:0.635cm;margin-right:0.06cm;">Eye Centre </div>
* <div style="margin-left:0.635cm;margin-right:0.06cm;">Laboratories (specimen)</div>
* <div style="margin-left:0.635cm;margin-right:0.06cm;">Theatre-non surgical areas </div>
* <div style="margin-left:0.635cm;margin-right:0.06cm;">Paediatric Units/Wards</div>
* <div style="margin-left:0.635cm;margin-right:0.06cm;">Pharmacy </div>
* <div style="margin-left:0.635cm;margin-right:0.06cm;">Surgical Stores </div>


| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * Operating Rooms 
* CSSD Central Sterile Supply Department 
* Cardiac Catheter Lab 
* Intensive Care Units 
* Medical Unit/Wards 
* Any area caring for immuno-compromised patients
|-
|}



{{anchor|Ref383083379}} {{anchor|Toc383424592}} '''Table 2: Activity Classification'''


{| style="border-spacing:0;width:15.903cm;"
|+ '''Activity Classification'''
|- style="background-color:#dbe5f1;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
!| TYPE
!| ACTIVITIES
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| align=center| '''TYPE A'''
|| '''Inspection and Non-Invasive Activities'''

Includes, but is not limited to:* <div style="text-align:center;">Removal of ceiling tiles for visual inspection limited to 1 tile per 10 square meters</div>
* <div style="text-align:center;">Painting (but not sanding)</div>
* <div style="text-align:center;">Wall covering electrical trim work minor plumbing and activities which do not generate dust or require cutting of walls or access to ceilings other than for visual inspection.</div>


|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| align=center| '''TYPE B'''
|| '''Small scale, short duration activities which create minimal dust'''

Includes, but is not limited to:* <div style="text-align:center;">Installation of telephone and computer cabling</div>
* <div style="text-align:center;">Access to chase spaces</div>
* <div style="text-align:center;">Cutting of dry walls or ceiling where dust migration can be controlled</div>


|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| align=center| '''TYPE C'''
|| '''Work that generates a moderate to high level of dust or requires demolition or removal of any fixed building components or assemblies'''

Includes, but is not limited to:* <div style="text-align:center;">Sanding of walls for painting or wall covering</div>
* <div style="text-align:center;">Removal of floor coverings, ceiling tiles and casework</div>
* <div style="text-align:center;">New wall construction</div>
* <div style="text-align:center;">Minor duct work or electrical work above ceilings</div>
* <div style="text-align:center;">Major cabling activities</div>
* <div style="text-align:center;">Any activity which cannot be completed within a single workshift</div>


|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| align=center| '''TYPE D'''
|| '''Major demolition and construction projects'''

Includes, but is not limited to:* <div style="text-align:center;">Activities which require consecutive work shifts</div>
* <div style="text-align:center;">Requires heavy demolition or removal of a complete cabling system</div>
* <div style="text-align:center;">New construction</div>




|-
|}
<div style="margin-left:1.771cm;margin-right:0cm;"></div>

{{anchor|Toc383424593}} '''Table 3: Classification matrix'''


{| style="border-spacing:0;width:15.903cm;"
|- style="background-color:#dbe5f1;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
!| TYPE
!| LOW RISK
!| MODERATE RISK
!| HIGH RISK
!| HIGHEST RISK
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | '''TYPE A'''

'''(Non-Invasive/Inspection)'''
| style="background-color:#eaf1dd;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | I
| style="background-color:#c2d69b;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | II
| style="background-color:#f2dbdb;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | II
| style="background-color:#e5b8b7;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | III/IV
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | '''TYPE B'''

'''(Minimal Dust)'''
| style="background-color:#eaf1dd;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | I
| style="background-color:#c2d69b;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | II
| style="background-color:#f2dbdb;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | III
| style="background-color:#d99594;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | IV
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | '''TYPE C'''

'''(Moderate Dust)'''
| style="background-color:#eaf1dd;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | I
| style="background-color:#c2d69b;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | II
| style="background-color:#e5b8b7;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | III/IV
| style="background-color:#d99594;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | IV
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | '''TYPE D'''

'''(Major Demolition)'''
| style="background-color:#c2d69b;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | II
| style="background-color:#e5b8b7;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | III/IV
| style="background-color:#e5b8b7;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | III/IV
| style="background-color:#d99594;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | IV
|-
|}


{{anchor|Ref383175870}} {{anchor|Ref383175860}} 

{{anchor|Ref383176004}} {{anchor|Toc383424594}} '''Table 4: Minimum routine precautionary measures guidelines'''


{| style="border-spacing:0;width:15.903cm;"
|- style="background-color:#dbe5f1;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
!| 
!| Precautionary Measures â€“ Before and During Activity 
!| Precautionary Measures Upon Completion of Activity 
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | '''Class I'''
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * Execute work by methods to minimize liberating dust from construction operations
* Immediately replace a ceiling tile displaced for visual inspection


| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
 | '''Class II'''
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * Provide active means to prevent airborne dust from dispersing into atmosphere 
* Water mist work surfaces to control dust cutting 
* Seal unused doors with tape
* Block off and seal air vents 
* Place dust mat at entrance and exit of work area 
* Remove or isolate HVAC system in areas where work is being performed 


| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * Wipe works surfaces with disinfectant 
* Contain construction waste before transport in tightly covered containers 
* Wet mop and/or vacuum with HEPA filtered vacuum before leaving work area. 
* Remove isolation of HVAC system in areas where work is being performed 
* 


|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | '''Class III'''
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * Remove or isolate HVAC system in area where work is being done to prevent contamination of duct system
* Complete all critical barriers i.e. sheetrock, plywood, plastic, to seal area from non-work area or implement control cube method (cart with plastic covering and sealed connection to work site with HEPA vacuum for vacuuming prior to exit) before construction begins 
* Maintain negative air pressure within work site utilizing HEPA filter equipped fan-filter units
* Contain construction waste before transport in tightly covered containers 
* Cover transport receptacles or carts. Tape covering unless solid lid.


| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * Do not remove barriers from work area until completed project is inspected by the ownerâ€™s Safety Department and Infection Control
* Department and thoroughly cleaned by the ownerâ€™s Environment Services Department 
* Remove barrier materials carefully to minimize spread of dirt and debris associated with construction
* Vacuum work area with HEPA filtered vacuums 
* Wet mop area with disinfectant 
* Remove isolation of HVAC system in areas where work is being performed 


|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | '''Class IV '''
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * Isolate HVAC system in area where work is being done to prevent contamination of duct system 
* Complete all critical barriers i.e. sheetrock, plywood, plastic, to seal area from non-work area or implement control cube method (cart with plastic covering and sealed connection site with HEPA vacuum for vacuuming prior to exit) before construction begins
* Maintain negative air pressure within work site utilizing HEPA filter equipped fan-filter units
* Seal holes, pipes, conduits and punctures appropriately
* Construct an anteroom and require all personnel to pass through this room so they can be vacuumed using a HEPA vacuum cleaner before leaving work site they can wear a cloth or paper coverall that is removed each time they leave the work site
* All personnel entering work site are required to wear shoe covers. Shoe covers must be changed each time the worker exits the work area
* Do not remove barriers from work area until completed project is inspected by the ownerâ€™s Safety Department and Infection Control Department and thoroughly cleaned by the ownerâ€™s Environmental Services Department 
* Perform periodic particle count tests in adjacent occupied spaced during construction as well as bacteriological tests using Agar plates.


| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | * Remove barrier material carefully to minimize spreading of dirt and debris associated with construction 
* Contain construction waste before transporting tightly covered containers 
* Cover transport receptacles or carts. Tape covering unless solid lid 
* Vacuum work area with HEPA filtered vacuums 
* Wet mop area with disinfectant 
* Remove isolation of HVAC system in areas where work is being performed 
* Perform deep cleaning and carry out Particle Count testing in completed areas where required.




|-
|}


{{anchor|Toc383424595}} '''Table 5Stakeholder engagement checklist'''


{| style="border-spacing:0;width:15.032cm;"
|- style="background-color:#dbe5f1;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
!| No
!| Question
!| Commentary/Why is this important
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 1
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | Have you notified affected providers and offered to meet to explain the rationale and process?
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | Engaging with affected providers throughout the process is not only good practice may mitigate a legal challenge to the process and decisions at a later stage.
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 2
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | Have you analysed the outcome of any such meetings?
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | Following your meeting (or other form of communication) with the provider you should be able to answer and document the following

what is their response?

do they want to keep strictly to the terms of the contract?

is there any indication of their willingness to agree to a variation in the contractual terms?
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 3
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | Have the providers in question attended any workshops that you have run on outcomes bases service/ infrastructure?
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | If not then they may not be able to understand the change in policy, direction and the context for service delivery. Analyse this and if necessary provide and communicate relevant information.
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 4
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | Having gone through these stages, what is your assessment of the providerâ€™s attitude and the chances of reaching a negotiated solution?
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | It will be important to â€˜take stockâ€™ at regular intervals through the process and to analyse and adjust plans according to the responses and attitudes of provider(s). The objective should always be to reach a negotiated position.
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 5
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | Is the provider inflexible?
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | If no negotiated solution can be found and the provider intends to stick strictly to the terms of the contract, and the contract does not provide any of the flexibility required to achieve services of the required nature, then a risk assessment and impact analysis should be undertaken.
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 6
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | Do you need to undertake a risk assessment and impact analysis?
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | This should include:

a cost/benefit analysis

Impact of decommissioning the service - effect on service users, provider organisation and on your ability to deliver services.
|-
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 7
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | What is the advice of your legal department?
| style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | The facility ownerâ€™s legal department should be involved in the process.
|-
|}


{{anchor|Toc383424596}} '''Table 6Stakeholder Financial Review Checklist'''


{| style="border-spacing:0;width:15.032cm;"
|- style="background-color:#dbe5f1;border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
!| No
!| Question
!| Commentary/Why is this important?
|-
! style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 1
! style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | What will be the cost of decommissioning a service/ infrastructure?
!
 style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | This needs to be considered in terms of the potential cost (e.g. breaching or buying out a contract) if the consequences of continuing with the existing contract is limiting or risky in terms of performance or service quality.
|-
! style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 2
! style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | What will the cost be of not decommissioning the service?
! style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | Against this needs to be set the adverse effect on performance judgement if the facility is not making progress with policy initiatives, or is not taking incisive action over services that can be considered of an adequate quality but may be of a poor or outdated service model.
|-
! style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | 3.
! style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | If a provider is completely inflexible have you considered working and discussing this with other facilities that do business with them?
! style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;" | This may help a provider to reconsider their stance and enter into discussion and negotiation to find common ground and agreed solutions.
|-
|}


'''Table 7Additional Stakeholder Review'''


{| style="border-spacing:0;width:15.032cm;"
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
!| No
!| Question
!| Commentary/Why is this important?
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 1
|| What is the quality of the service/ infrastructure?
|| Is service quality good or acceptable? Is there a risk that if the contract is changed then it might deteriorate? It is important to pay particular attention to process quality (i.e. the service user experience of receiving the service)
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 2
|| How effective is the service/ infrastructure, particularly in terms of outcomes? Or has the service/ infrastructure service got the potential and adaptability to be effective in terms of outcomes?
|| Although the service may not at this point be delivering the outcomes required you need to apply your analytical skills to evaluate whether the service, if changed, has the potential to be effective. 



|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 3
|| Is performance, against agreed measurables, meeting the requirements of, and standards set out in, the service specification? 
|| If this is the case it will bode well for future delivery and effectiveness of services, taken together with other factors that will be looked at as part of any decommissioning / re-commissioning / re-tendering process.



|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 4
|| Is the demand for the service/ infrastructure commensurate with the service/ infrastructure that the facility is committed to paying for (particularly if this is locked into a block contract)?
|| If there is no longer the demand for the service, or if the block purchasing of services need to be reduced within the contract period due to the development and implementation of the personalisation agenda, then consider whether there is scope for negotiating with the provider on this point.
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 5
|| Do you need to terminate a current contract?

Have you sought advice from legal and contract service/ infrastructure?
|| Has the provider unilaterally changed any elements of the service, withdrawn service or failed to provide services that it is contractually bound to do to any significant or substantial degree?

If any of these apply then they can be used as leverage to either ensure compliance or to get the provider to become more flexible and responsive to change contractual requirements.
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 6
|| Where you terminate a contract:

Are you able to develop decommissioning / transfer / transition plans in conjunction with the provider?
|| This is vital to effect a smooth transfer and to minimise the impact on service users and staff.
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 7
|| Have you got a communication plan?
|| It is important to communicate well in advance with service users and the press / media, as well as other stakeholders.
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 8
|| Have you briefed elected members and other key stakeholders? 

Who else should you inform or consult with?

- Link to stakeholder engagement section 
|| It is important to brief anybody within the governance structure, other stakeholders who might be affected, or where there might be an impact on other services 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 9
|| Have you developed a decommissioning / transition / transfer plan?
|| This should be managed by a programme/project management approach:-Link to decommissioning / transition / transfer plan 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 10
|| Have you considered future contracts to ensure that they do not constrain you unduly?
|| Your contracts may need to be revised to be more flexible and include scope for periodically revising the service specification. Legal advice should be sought and examples sought from other facility.
|-
|}


{{anchor|Toc383424598}} '''Table 8Laboratory Equipment Decommissioning Checklist'''


{| style="border-spacing:0;width:15.903cm;"
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="2" | '''Serial Number:'''
| colspan="2" | '''Model:'''
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="2" | '''Manufacturer'''
| colspan="2" | '''Description'''
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="2" | '''Installation Date'''
| colspan="2" | '''Decommissioning date'''
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| '''Acceptance Check'''
| colspan="2" | '''Comment'''
|| '''Pass (yes/no)'''
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Is equipment documentation available (acceptance certificate, calibration certificates, service records and final tests) 
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Hazardous material exposure possible? (Biological, chemical, radioactive and others)
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Decontamination procedure
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Does the equipment planned maintenance schedule exist
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Has the equipment been tested for electrical safety
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Does the equipment pass all of the above conditions
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Will the equipment be disposed or re-used for other/laboratory purposes
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="4" | Make sure that all hazards material are disposed as per the disposal procedure for all equipment due for disposal and all equipment to be reused should comply with regulations and license requirements.
|-
|}


{{anchor|Toc383424599}} '''Table 9Laboratory Facility Decommissioning Checklist'''


{| style="border-spacing:0;width:15.903cm;"
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="2" | '''Building Number '''
| colspan="2" | '''Room Number'''
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="2" | '''License Number'''
| colspan="2" | 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| '''Acceptance Check'''
| colspan="2" | '''Comment'''
|| '''Pass (yes/no)'''
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
||
 Inform the department of health of the intended decommissioning of the LAB 
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Decontaminate the room(s) and all exposed facilities of all the hazards?
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Will the room(s) be disposed or re-used for other purposes?
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="4" | Make sure that all hazards material are disposed as per the disposal procedure and all rooms to be reused should comply with regulations and license requirements.
|-
|}


'''Table 10Health Care Technology Decommissioning Checklist'''


{| style="border-spacing:0;width:15.903cm;"
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="2" | Serial Number:
| colspan="2" | Model:
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="2" | Manufactures
| colspan="2" | Description
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="2" | Installation Date
| colspan="2" | Decommissioning date
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Acceptance Check
| colspan="2" | Comment
|| Pass (yes/no)
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Is equipment documentation presented (acceptance certificate, service record, final test )
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| 

Has this item been identified for decommissioning by a clinical technician
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Reason for decommissioning
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Is the equipment functional
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Is the equipment CE market
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Is the equipment class and type indicated
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Does equipment have the instruction manual
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Does the equipment planned maintenance schedule exist
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Has the equipment been tested for electrical safety
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Does the equipment contain any hazards substance such a radiation isotopes, mercury and/or other harmful materials
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Does the equipment pass all of the above conditions?
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
|| Will the equipment be disposed or re-used for medical purposes
| colspan="2" | 
|| 
|- style="border:0.5pt solid #000000;padding-top:0cm;padding-bottom:0cm;padding-left:0.191cm;padding-right:0.191cm;"
| colspan="4" | Make sure that all hazards material are disposed as per the disposal procedure for all equipment due for disposal and all equipment to be reused should comply with regulations and licence requirements.
|-
|}