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Mental Health

Keep the ward safe, and covered, without the hand gel on the wall.

A broad-spectrum hand-hygiene option that covers the norovirus and C. difficile gaps standard sanitiser leaves, with none of the ingestion, fire or ligature risk the regulator has flagged.

We give you hand hygiene that is independently tested to and passes the recognised European standards, including the sporicidal and virucidal standards for C. difficile and norovirus, and is alcohol-free, so it closes the gap gel leaves while removing the ward-safety hazard. You meet your IPC duty without carrying a new patient-safety risk.

Independently tested to and passes the standards gel cannot meet, including the sporicidal and virucidal standards for C. difficile and norovirus, and alcohol-free by formulation.

The challenge

Your primary hand-hygiene tool is both a hazard and a gap

On a mental-health ward, alcohol hand gel is not a neutral commodity. It is an ingestion, fire and ligature risk the regulator has acted on, and it still does not kill the pathogens that drive ward outbreaks.

UK psychiatric units have recorded patient deaths from ingesting alcohol-based hand gel, and UK hand-sanitiser poisoning enquiries to the National Poisons Information Service rose sharply over a single year. NHS England responded by updating the PLACE audit to require alcohol gel to be stored securely. The tool the rest of the NHS leaves on the wall is, on your ward, a danger to be locked away.

It is also a flammable liquid in an environment where fire-setting and self-harm are live risks, which pulls it into COSHH and DSEAR assessment and adds a ligature and contraband concern your nursing and estates teams have to manage every day.

And it leaves a gap. The infection duty is unchanged and continuously monitored: the Hygiene Code and CQC Regulation 12 require effective infection prevention, CQC monitors IPC in mental-health trusts weekly, and outbreaks still bite, with the NHS losing 43,938 bed days to norovirus in a single month in 2025. Alcohol gel kills neither norovirus nor C. difficile spores, so on the days it matters most, the wall dispenser is not the answer.

Our approach

Covers what gel misses, and removes the hazard

You get both: a hand-hygiene option that covers the pathogens gel leaves behind, and removes the hazard that made the regulator secure the gel away.

It is independently tested to and passes the recognised European hygiene standards, including the sporicidal and virucidal standards for C. difficile and norovirus, the pathogens that drive ward outbreaks and that alcohol gel does not touch. So it closes the spectrum gap your IPC team has to manage around.

And because there is no alcohol, there is no ingestion-toxicity pathway, no flammability and no contraband concern. You keep hand hygiene at the point of care rather than locked behind a cupboard, and it is gentle enough for constant use, supporting the compliance that suffers when frequent alcohol use leaves skin sore. It complements soap and water for visibly soiled hands and for patients with diarrhoea and vomiting, exactly as epic3 and NICE require, so it strengthens your IPC position rather than complicating it.

What you get

Covered, safer, and easier to assure

Risk

Cover the gaps gel leaves

Broad-spectrum protection, independently tested to and passing the sporicidal and virucidal standards for C. difficile and norovirus, the pathogens that drive ward outbreaks and that alcohol gel cannot touch.

Risk

No ingestion or intoxication risk

Alcohol-free, so it removes the documented ingestion and poisoning hazard that led NHS England to mandate secured gel storage on mental-health wards.

Risk

Nothing flammable on the wall

Non-flammable, so it takes a fire and self-harm vector out of the ward environment and simplifies your COSHH and DSEAR position.

Obligation

Hand hygiene back at the point of care

A safe option to keep hand decontamination available where care happens, supporting the Hygiene Code and CQC Regulation 12 duties your trust is monitored against weekly.

Risk

Kind to staff hands

Gentle enough for the high-frequency hand hygiene a ward demands, supporting compliance and reducing the occupational dermatitis frequent alcohol use drives.

Obligation

Evidence for the board and CQC

Independently tested results against named recognised standards, and a clear safety rationale, for your board, your CQC inspector and any Prevention of Future Deaths review.

Evidence

Tested to standard, and led by the documented risk

The danger of the status quo is regulator-evidenced. The alternative is independently tested and proven to standard.

Broad-spectrumIndependently tested to and passes the European standards for C. difficile and norovirus, the gaps alcohol gel leaves
Alcohol-freeNo ingestion, flammability or contraband hazard, by formulation rather than by mitigation
SecuredNHS England requires alcohol gel to be stored securely on mental-health wards after recorded harm from ingestion
The evidence

Why this is a ward-safety issue, not a procurement footnote

Regulator action

NHS England mandated secured gel storage

Following a patient death from ingesting alcohol-based hand gel and multiple recorded incidents, NHS England updated the PLACE audit to require secured storage of alcohol gel on mental-health wards.

Poisoning data

Sanitiser poisonings rose sharply

UK enquiries to the National Poisons Information Service about hand sanitiser rose steeply over a single year, and coroners' reports document fatal ingestion in detained and confused patients.

Compliance gap

Hand-hygiene compliance is harder here

One observational study recorded infection-control compliance of 42.6% on a psychiatric inpatient ward, while alcohol gel offers no protection against the C. difficile spores and norovirus that drive outbreaks.

Compliance

The compliance you carry

The UK environmental and safety duties that commonly reach mental health. Open any one for what it requires, the deadlines, what is at stake, and how to evidence control. Every entry is sourced.

Hygiene CodeObligationRiskHealth and Social Care Act 2008 Code of Practice on the prevention and control of infections (the Hygiene Code)
What you must doEvidence compliance with the IPC registration requirement across the Code's criteria, including hand hygiene and the provision of suitable hand-hygiene products.
Applies toRegistered health and adult social care providers, including hospitals, mental-health trusts and care homes.
When it bitesContinuously; CQC takes the Code into account when judging registration against Regulation 12.
DeadlinesOngoing (continuous compliance)
What is at stakeSits within CQC enforcement: failure against the Code can contribute to a breach of Regulation 12 and registration action.
How to evidence itAn IPC policy and assurance framework, hand-hygiene provision and audit, and outbreak processes mapped to the Code's criteria.
Legal basisHealth and Social Care Act 2008, section 21, Code of Practice on the prevention and control of infections. Issued by Department of Health and Social Care (CQC judges providers against it).
Keep safe, effective hand hygiene available where care happens, with the evidence the Code and CQC expect.
CQC Reg 12RiskObligationCQC Regulation 12: safe care and treatment (infection prevention and control)
What you must doAssess the risk of, and prevent, detect and control the spread of, infections including healthcare-associated infection. Breach can trigger enforcement.
Applies toCQC-registered providers, including mental-health trusts, hospitals and adult social care services.
When it bitesContinuously; CQC monitors IPC indicators and runs risk-based inspections.
DeadlinesOngoing (continuous duty)
What is at stakeEnforcement action up to conditions on, or cancellation of, registration.
How to evidence itA current IPC risk assessment, hand-hygiene audit, outbreak records and a clear product-safety rationale.
Legal basisHealth and Social Care Act 2008 (Regulated Activities) Regulations 2014, Regulation 12. Issued by Care Quality Commission.
Turn a continuous IPC duty into a defensible file, with safe hand hygiene available and evidenced.
epic3 / QS61ObligationRiskHand decontamination standard (epic3 guidelines and NICE Quality Standard 61)
What you must doMake hand hygiene available at the point of care, and use soap and water when hands are visibly soiled or when caring for patients with vomiting or diarrhoeal illness.
Applies toHealthcare providers, including mental-health inpatient settings, audited on hand-hygiene practice.
When it bitesContinuously, as the national hand-hygiene standard providers are audited against.
DeadlinesOngoing
What is at stakeNot a fining regime; falling below the standard surfaces in CQC IPC findings and audit.
How to evidence itPoint-of-care hand-hygiene provision, audit compliance, and a policy that retains soap and water for the cases it requires.
Legal basisepic3 National Evidence-Based Guidelines (NICE-accredited) and NICE Quality Standard 61. Issued by Journal of Hospital Infection (epic3) / NICE.
Keep compliant hand hygiene at the point of care, even where alcohol gel is unsafe, without displacing soap and water.
Secured gel (PLACE)RiskObligationNHS England secured alcohol-gel storage requirement (PLACE)
What you must doStore alcohol-based hand gel securely and assess the ingestion risk; the PLACE audit was updated to require secured storage.
Applies toMental-health and other settings caring for patients at risk of ingesting alcohol-based hand gel.
When it bitesWhere confused, withdrawing or at-risk patients could access alcohol-based hand gel.
DeadlinesIn force (updated 2022 to 2023)
What is at stakeAssessed through PLACE and CQC IPC scrutiny; a serious incident or Prevention of Future Deaths report is the sharper risk.
How to evidence itSecured-storage arrangements, a documented ingestion-risk assessment, and a safe alternative where gel is removed from open access.
Legal basisNHS England IPC guidance and the PLACE assessment, following recorded ingestion harm. Issued by NHS England Infection Prevention and Control team.
Keep hand hygiene at the point of care without a securable, ingestible product, removing the hazard the audit targets.
COSHH / DSEARRiskObligationFlammable-substance duties for alcohol hand rub (COSHH 2002 and DSEAR 2002)
What you must doRisk-assess the flammable and hazardous-substance exposure and control siting and storage; an alcohol-free, non-flammable product removes the substance from the assessment.
Applies toSettings storing and siting alcohol-based hand rub, a flammable liquid, especially secure and supervised environments.
When it bitesOn storing or wall-mounting alcohol-based hand rub near ignition sources or in fire- and self-harm-sensitive areas.
DeadlinesOngoing
What is at stakeEnforced under the Health and Safety at Work Act and these regulations, with civil sanctions and prosecution.
How to evidence itCOSHH and DSEAR assessments, controlled storage and siting, or removal of the flammable substance altogether.
Legal basisControl of Substances Hazardous to Health Regulations 2002 and the Dangerous Substances and Explosive Atmospheres Regulations 2002. Issued by Health and Safety Executive.
Take a flammable liquid out of a secure or supervised estate and simplify the COSHH and DSEAR position.
SICPsObligationRiskStandard Infection Control Precautions and hand hygiene (UKHSA and NHS England)
What you must doApply standard precautions including hand hygiene, ensuring access to liquid soap, warm water and paper towels; any product must complement, not override, SICPs.
Applies toHealth and social care settings applying standard infection control precautions.
When it bitesContinuously; for norovirus and gastrointestinal infection, soap and water is required rather than alcohol gel.
DeadlinesOngoing
What is at stakeAssessed through CQC IPC scrutiny rather than direct fines.
How to evidence itHand-hygiene facilities and products consistent with SICPs, with soap and water retained for outbreaks.
Legal basisNHS England National Infection Prevention and Control Manual (SICPs) and UKHSA guidance. Issued by UK Health Security Agency / NHS England.
Strengthen everyday hand hygiene while keeping soap and water for the outbreaks SICPs reserve it for.
GB BPR PT1ObligationGB Biocidal Products Regulation, PT1 human-hygiene product authorisation
What you must doUse only hand-hygiene products lawfully placed on the GB market under the biocidal products regime, and confirm authorisation before procurement.
Applies toAnyone placing a hand sanitiser on the GB market, across health, care, custody and education buyers specifying one.
When it bitesBefore a hand sanitiser is supplied for sale in GB; the product must be authorised and its active sourced from a listed supplier.
DeadlinesPre-market (authorisation precedes lawful sale)
What is at stakeEnforced by the HSE; placing an unauthorised biocidal product on the market is an offence.
How to evidence itConfirmation that the product is authorised, or covered by the applicable route, before purchase.
Legal basisGB Biocidal Products Regulation; hand sanitisers are Product Type 1 (human hygiene) biocidal products. Issued by Health and Safety Executive (GB competent authority).
We assess your setting and the route to a lawful, evidenced hand-hygiene option, with no claim ahead of authorisation.
Check the obligations for your exact activitiesSee the full register and guides
Before you commit

The DIPC's questions, answered

Show me the evidence, tell me it will not create a new ligature or ingestion risk of its own, and confirm staff will actually use it.

It is independently tested to and passes the recognised European standards, including the sporicidal and virucidal standards for C. difficile and norovirus, so it covers the gaps gel leaves. It is alcohol-free, so it carries no ingestion-toxicity or intoxication pathway and is non-flammable, removing the hazards that led to secured storage. And it is gentle enough that staff will use it, where frequent alcohol use erodes compliance. We start with a trial on one ward, in your own environment. Soap and water remains the standard for soiled hands and diarrhoeal illness, exactly as it should.

Independently tested, alcohol-free, and proven against the standards alcohol gel cannot meet.
Questions answered
Is the clinical evidence independently verified?

Yes. It is independently tested to and passes the recognised European hygiene standards, including the sporicidal and virucidal standards for C. difficile and norovirus, the pathogens alcohol gel does not kill.

Why is alcohol gel a problem on a mental-health ward?

It is ingestible and has caused recorded patient deaths, it is flammable in an environment where fire-setting is a risk, and it is a ligature and contraband concern. NHS England now requires it to be stored securely on mental-health wards. It also does not kill norovirus or C. difficile spores.

Will this create a new ligature, contraband or ingestion risk?

It is designed to remove risk, not add it. Being alcohol-free, it carries no ingestion-toxicity or intoxication pathway and is non-flammable. Siting and dispensing are agreed with your nursing and estates teams as part of the ward trial.

Does it replace soap and water?

No. Soap and water remains the standard when hands are visibly soiled and when caring for patients with vomiting or diarrhoea, in line with epic3 and NICE guidance. This complements that standard for everyday hand decontamination where alcohol gel is unsafe.

Does it help with CQC and the Hygiene Code?

It supports your duties under CQC Regulation 12 and the Health and Social Care Act Code of Practice by keeping safe, effective hand hygiene available at the point of care, with independently tested evidence and a clear safety rationale for inspection.

Start with a trial on one ward

Tell us where gel is causing you a safety or compliance problem on the ward. We will set up a trial on one ward and prove the fit in your own environment.

Arrange a ward trial
Speak to the Team

Tell us your challenge

Tell us the cost, the risk or the obligation you are facing. A senior member of our team will respond, in confidence, with how we would help.

Every enquiry is handled in strict confidence.