• Government releases full list of NHS sites with reinforced autoclaved aerated concrete 
  • At least three trusts have closed areas
  • Lightweight concrete found in patient areas, residential blocks and plant rooms

More hospitals have closed parts of their site after discovering potentially unsafe concrete had been used in the building structures, HSJ has learned.

The government has revealed 18 more hospital sites where reinforced autoclaved aerated concrete has been found after further checks were carried out across the NHS over the summer.

Most have said their RAAC, which can be prone to collapse, is confined to small areas and precautions can be taken to ensure the buildings can still be used. Around half have confirmed the areas are not used by patients.

However, Northern Lincolnshire and Goole FT said it had identified RAAC in three areas of its Scunthorpe General Hospital site, which it has closed while further investigations are carried out. The trust said these are in patient areas but not on any wards, and no appointments had been cancelled as a result.

The Shrewsbury and Telford Hospital Trust revealed last month that it has shut its kitchen area at The Princess Royal Hospital. It has since built a temporary kitchen to resume patient meals.

Cambridgeshire Community Services Trust is also now listed as having found RAAC at North Cambridgeshire Hospital. The trust confirmed to HSJ it had closed a space to patients and staff as a result, while another – only accessible to staff – has put in protective scaffolds.

Solent Trust has installed temporary props at a community hospital.

Meanwhile, South Tees Hospitals FT has identified a section of RAAC in the roof of the maternity unit at James Cook University Hospital. It has been classed as low risk, however, which means there is little sign of deterioration or damage.

Homerton Healthcare FT has found RAAC in a plant room above the main theatres at Homerton University Hospital, which contains water tanks. It said the planks were in good condition with no structural concerns. It said a collapse of the planks would be catastrophic, due to the flooding risk, this has been deemed very low risk.

It said in a statement it was checking the planks regularly and seeking advice over any remedial action required.

The lightweight form of concrete was used extensively between the 1960s and 1980s, and recently sparked widespread attention with the sudden closure of dozens of school buildings where it was present.

NHS England told trusts to check their estates for this concrete in May following updated guidance. While some trusts already confirmed the identification of RAAC, the full list confirms the total number of known sites increased from 24 to 42 following this process (see full list below).

The DHSC has promised around £700m until 2025 for a national programme to mitigate and eradicate RAAC in the NHS estate.

It has committed to eradicating this form of concrete in the NHS by 2035, while the seven worst-affected trusts have been promised new hospitals by 2030. 

DHSC list of sites to join the RAAC eradication programme since May
TrustSiteDetails of RAAC identified
Oxford University Hospitals FT Churchill Hospital  Very small amount’ found and considered safe. In a non-clinical area.
Solent Trust St. Marys Community Hospital Fourth and fifth floors of block A. Temporary props in place.
University Hospitals Sussex FT St Richard’s Hospital No information at time of publication
North Tees and Hartlepool FT University Hospital of North Tees  Residential blocks only. 
South Tees Hospitals FT James Cook Hospital In maternity unit, but low risk as little sign of deterioration or damage
Northern Lincolnshire and Goole FT Scunthorpe General Hospital  Three areas. In patient-facing areas but not wards. Some areas have been closed as precautionary measure. 
The Shrewsbury and Telford Hospital Trust  The Princess Royal Hospital In kitchen area, which has been closed. Temporary kitchen built for hot meals to resume. 
The Dudley Group FT Russell’s Hall Areas of the B Block/West Wing Roof
Royal Free London FT Royal Free Hospital Some areas with Raac. In internal partition walling. Has been judged to be safe. 
Homerton Healthcare FT Homerton University Hospital A plant room. Sits above main theatres and holds water tanks. Planks in good condition and no structural concerns. But ‘low risk’ it were to collapse  would be ‘catastrophic’ 
Wirral University Teaching Hospitals FT Clatterbridge Hospital  One storey office block, in good repair
Royal Devon University Healthcare FT North Devon District Hospital Internal walls in a link corridor, good condition and not load bearing
University Hospitals Plymouth Trust Derriford Hospital Internal walls, floors 4 to 7. Not integral to main structure
Medway FT Medway Maritime Hospital Postgrad Centre, safe to keep using
Barnsley Hospital FT  Barnsley Hospital No information at time of publication
Lewisham and Greenwich Trust University Hospital Lewisham Main boiler house roof. Considered stable and low risk to patients and staff
Barnet, Enfield and Haringey Mental Health Trust Chase Farm Hospital Small amount in Warwick Centre where some services for older people are based. In good condition and engineers say safe to continue using site.
Royal Surrey County Hospital FT Guildford Hospital Small number of plant rooms with equipment that supplies services such as ventilation, water and electricity. Not used by patients and visitors. Not thought to present immediate safety risk but awaiting full survey.

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