Hospitals and Care Homes – Risk and Loss Prevention
Hospitals and care homes permanently house people who cannot self-evacuate in the event of fire, which is why fire protection concepts are designed around staged relocation ("defend in place") rather than immediate evacuation.
Risk drivers
In hospitals and care homes, a significant proportion of occupants are bedridden, have limited mobility or depend on assistance, and cannot bring themselves to safety unaided in an emergency. Fire protection concepts therefore must be based on a “defend in place” approach, under which patients are first moved to an adjacent, fire-separated area rather than immediately evacuating the entire building. At the same time, continuous operation of medical equipment and cold chains requires an uninterruptible power supply whose failure can directly endanger patient safety.
Protection measures
Key measures include fine-grained fire compartmentation with smoke-tight barriers between individual care units, a building-wide fire detection system connected to the fire brigade, redundant emergency power supply for life-sustaining systems, and trained staff able to carry out staged patient relocation in an emergency. Recurring evacuation and relocation drills are particularly important given residents’ limited ability to self-rescue.
Insurance relevance
Beyond property damage, liability exposure toward patients in the event of inadequate fire or operational protection is highly significant for healthcare facilities. Insurers reviewing the risk pay particular attention to the quality of fire compartmentation, the redundancy of emergency power supply and documentation of the staff emergency response organisation.
Standards and codes
- VdS 2226: Hospitals, Nursing Homes and Similar Facilities for Accommodating or Treating Persons
- NFPA 99 – Health Care Facilities Code