Skip to content
HES.
Contact Us
Solutions
Clean WaterControl pathogens, biofilm and cost where conventional treatment failsAir & Infection ControlReduce airborne pathogens and infection risk, with no ozoneEnergyCut energy and recover it from the systems you already runAgriculture & SoilUse less water and fertiliser while protecting yield and soil
Sectors
Healthcare & HospitalsKeep patients safe and your accreditation secure, with infection, Legionella and AMR risk reducedWater & WastewaterStay in consent, and cut the energy and chemicals it takes to get thereCommercial & FacilitiesMeet your EPC and disclosure obligations while running cost and carbon fallAgriculture & Urban FarmingProtect your yield and soil while using less water and fertiliserLocal AuthoritiesMove your estate towards net zero with compliant assets, funded to saveEmerging MarketsBuild investable, accreditation-ready infrastructure on reliable water, sanitation and powerHotels, Hospitality & LeisureKeep guests safe and pools open, with Legionella risk controlled and pool-hall cost cutData CentresCut the cost and water your cooling burns, and harden Legionella control, without touching uptimeFood & Beverage ProcessingCut your trade-effluent bill and hold consent, without touching food safety or uptime
Tools
Where You'd Gain MostPick your sector and what is driving you, and see where you would gain and where to startTrade Effluent Bill EstimatorEstimate your annual trade-effluent bill and see how much is driven by strength, the part you can reduceWater Safety Risk ScorecardAnswer eight quick questions and see your indicative Legionella and waterborne risk band, and where to startCompliance Readiness CheckerPick the duty you answer to, from Legionella to net zero, and see your readiness band and the gaps to closeAeration Energy Cost CalculatorSize the annual energy, cost and carbon of aeration, the single largest energy load in wastewater treatmentCooling Tower Water & Cost CalculatorEstimate the annual water and chemical cost of a cooling tower, and the share that treatment can reduce
Case StudiesInsightsAbout
Contact Us
Compliance GuideAMR NAP 2024-29

Antimicrobial resistance: the National Action Plan and your duty

6 min read · Last updated 11 June 2026

Antimicrobial resistance is one of the largest health threats of the century, and the UK's 5-year National Action Plan commits the health system to slowing it. For providers, the practical centre of gravity is infection prevention: stopping resistant organisms spreading in the first place, where water and air safety play a direct role.

At a glance
Applies to
Healthcare providers and the wider health system, with infection prevention duties reaching estates, water safety and air quality.
The plan
The UK 5-year AMR National Action Plan 2024 to 2029, published in May 2024, sets the national strategy to contain antimicrobial resistance.
Key targets
Prevent any increase in gram-negative bloodstream infections against a 2019 to 2020 baseline, and cut total human antibiotic use by 5 percent.
The scale
Antimicrobial resistance is linked to more than 1.2 million deaths a year now, with around 10 million projected annually by 2050 if unchecked.
Why infection prevention
The fewer infections that occur, the fewer antibiotics are used and the less resistance is driven, so prevention is a frontline AMR control, not just a safety measure.
Where water and air fit
Resistant organisms shelter in biofilm in water systems and travel in the air; controlling both reduces the infection load that fuels resistance.

What does the National Action Plan ask for?

The UK's 5-year AMR National Action Plan 2024 to 2029, published in May 2024, sets the national strategy to slow antimicrobial resistance. Two of its targets are concrete for providers: prevent any increase in gram-negative bloodstream infections against a 2019 to 2020 baseline, and cut total human antibiotic use by 5 percent.

Both point in the same direction. The most reliable way to use fewer antibiotics, and to hold resistant bloodstream infections down, is to stop the infections happening in the first place.

Why is this such a serious threat?

Antimicrobial resistance is already linked to more than 1.2 million deaths a year worldwide, and on current trends that figure is projected to reach around 10 million a year by 2050. As resistance spreads, infections that were once routine to treat become dangerous again.

For a healthcare provider, that turns infection prevention from a quality metric into a strategic priority, and a regulated one.

Where do water and air safety come in?

Resistant organisms do not only pass person to person. Many shelter in biofilm, the protective layer inside water systems, where they are roughly a thousand times more resistant to conventional disinfection, and others travel in the air of clinical spaces. Both are routes that infection-prevention effort can close.

That is why water safety and air quality are not separate from the AMR agenda, they are part of it: every infection prevented is an antibiotic course avoided and a chance for resistance to spread removed.

How do you reduce the infection load?

On the water side, the target is the biofilm itself. Approaches that go after biofilm directly are independently shown to remove 99.99 percent of it using a recognised standard method (ASTM E2799), which is precisely the reservoir conventional dosing leaves behind. At one major UK site, a recurring waterborne pathogen problem was brought to 0 cfu/g in four days, confirmed by a UKAS-accredited laboratory.

On the air side, removing airborne pathogens from clinical spaces, without introducing ozone or other harmful by-products, reduces the airborne route. Together, demonstrably clean water and air lower the infection load that drives antibiotic use and resistance.

Questions answered

Frequently asked

What is the UK AMR National Action Plan?

The UK 5-year AMR National Action Plan 2024 to 2029, published in May 2024, is the national strategy to contain antimicrobial resistance. It includes targets to prevent any rise in gram-negative bloodstream infections and to cut human antibiotic use by 5 percent.

Why does infection prevention matter for AMR?

Because every infection prevented is an antibiotic course avoided. Fewer infections means less antibiotic use and less pressure driving resistance, which is why infection prevention is treated as a frontline AMR control.

How do water and air safety relate to antimicrobial resistance?

Resistant organisms shelter in biofilm inside water systems and travel in the air of clinical spaces. Controlling both closes infection routes, reducing the infection load that drives antibiotic use and resistance.

How serious is antimicrobial resistance?

It is linked to more than 1.2 million deaths a year now, with around 10 million projected annually by 2050 if unchecked, as previously treatable infections become resistant to antibiotics.

Speak to the Team

Carrying an infection-prevention duty?

Run the free water safety scorecard, or tell us where infection risk sits hardest in your estate and we will show you, in confidence, how we would reduce it.

Start the conversation