"Inadequate ventilation and poor cleaning facilities"

I am writing to express my concerns regarding the conditions in Ward 207, where I am currently a patient. Despite the best efforts of your excellent staff, there are several issues that are significantly affecting the quality of care and overall patient experience.

1. **Excessive Heat:** The temperature in our room consistently reaches 30 degrees Celsius every day. This is not only uncomfortable but also a violation of the Health and Safety at Work Act. High temperatures can exacerbate health issues and hinder infection prevention.

In the UK, the Workplace (Health, Safety and Welfare) Regulations 1992 do not specify exact minimum or maximum working temperatures. However, they do require employers to ensure that the temperature in all workplaces inside buildings is reasonable during working hours.

- **Minimum Temperature:** The Approved Code of Practice suggests that the minimum temperature in workrooms should normally be at least 16 degrees Celsius. If the work involves rigorous physical effort, the temperature should be at least 13 degrees Celsius.

- **Maximum Temperature:** There is no legal maximum temperature. Instead, employers are required to take action to reduce temperatures if they become too high and cause discomfort or pose health risks. The Health and Safety Executive (HSE) recommends that employers should assess the risks and take appropriate measures, such as providing fans, installing air conditioning, and ensuring there is adequate ventilation.

In practice, employers should ensure that the temperature is comfortable and safe for employees, taking into account the nature of the work and the specific conditions of the workplace.

2. **Non-Functional Shower:** The shower in our room has been out of order for several months. This is unacceptable as personal hygiene is crucial for patient health and recovery.

3. **Poor Toilet Ventilation:** The toilets have inadequate ventilation, making them very unpleasant to use. This lack of ventilation also poses a risk of infection.

4. **Lack of Air Circulation:** There are no opening windows in the wards, and the air conditioning is inoperable. This further contributes to the uncomfortable and unhealthy environment.

5. **Dietary Concerns:** As a lactose intolerant patient, I find the lack of clarity on food menus regarding allergens very concerning. Additionally, the menu is heavily focused on red meat, with little consideration for patients with bowel issues who require specific diets for recovery. Proper dietary management is essential for facilitating patient recovery and ensuring bed turnover for new patients.

6. **PICC Line Services:** During my previous stay three years ago, I required a PICC line and was dismayed to learn that there was only one specialist available who was on holiday at the time. Consequently, I ended up with an infection after an alternative line was placed. Shockingly, there are currently only two nurses in training to assist with this vital service, which is crucial for patient recovery and efficient use of staff resources.

While I understand the financial constraints faced by the health service, I feel the inefficiencies and inadequacies in the system are staggering and need urgent attention.

I would appreciate a prompt response outlining the measures that will be taken to address these issues. Thank you for your attention to this matter.