Quick answer
Healthcare estates carry the full CAR 2012 Regulation 4 duty to manage, alongside HTM 00 estates governance. NHS trusts should hold: current HSG264 surveys per property, an active AMP, permit-to-work systems, and audit-trailed reinspection.
The regime
CAR 2012 applies as it does to any non-domestic building, with additional expectations from NHSE PAM, DHSC HTM guidance and CQC compliance frameworks. Trust boards are expected to hold assurance on the estate's compliance position.
Operational realities
Patient-critical spaces demand out-of-hours surveying, minimal disturbance, and tight contractor control. Live theatre and ward areas cannot pause for asbestos work — programming and phasing are as important as the survey itself.
Frequently asked questions
Common questions
Do CQC inspect asbestos compliance?+
Indirectly, through 'safe' KLOE and premises fitness.
Can surveys be done out of hours?+
Yes — a standard offering for healthcare clients.