Question to the Department of Health and Social Care:

To ask His Majesty's Government what plans they have to integrate an understanding of antimicrobial resistance in the design of health and social care facilities, veterinary practices, and farms, as specified in their five-year action plan for antimicrobial resistance 2024 to 2029.

The Government continues to work with a range of stakeholders towards the successful completion of the commitment to prioritise infection prevention and control (IPC), the management of infections and biosecurity in the built environment, ensuring that an understanding of antimicrobial resistance is integrated into health and social care estate design, veterinary practices, and farm settings, as specified in the UK AMR National Action Plan 2024-2029. The plan recognises the importance of the healthcare environment, not only as a potential source of infection, but also how building design can facilitate effective IPC practices.

Despite a growing body of evidence to suggest that the hospital-built environment, its fabric, layout, and equipment, can contribute to the spread of infection, the mechanisms are still not fully understood. The UK Health Security Agency has unique expertise and capabilities for investigating how the indoor environment contributes to the spread of infection, including aerobiology expertise deployed during various outbreaks, for example in COVID-19 and Mpox, and a dedicated research facility designed and built to simulate a hospital ward.

The age of much of the National Health Service estate means there is an ongoing need for repair, renovation, or replacement. Decisions made during the design, build, or refurbishment process are informed by the latest evidence, considering the spread of infection alongside a range of other factors.

The Department for the Environment, Food and Rural Affairs works with the veterinary sector and livestock industry to promote good practices and ensure the farm environment and design enables the rearing of healthy animals, reducing the need for antibiotics.