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<p>Decisions about how cleaning is managed and delivered on the National Health Service
estate in England are made locally.</p><p> </p><p>Hospitals must have an effective
local pest control policy to ensure that buildings are kept clean and safe for patients.
Patient satisfaction with the cleanliness of hospital wards, toilets and bathrooms
is measured via the Care Quality Commission’s in-patient and accident and emergency
department surveys.</p><p> </p><p>Cleanliness is also measured via Patient Led Assessments
of the Care Environment (PLACE). The aim of PLACE is to provide a snapshot of how
an organisation is performing against a range of non-clinical activities that impact
on the patient experience of care. The assessment of cleanliness covers all items
commonly found in healthcare premises including patient equipment; baths, toilets
and showers; furniture and other fixtures and fittings.</p>
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