Water systems in healthcare settings present risks that simply do not exist in commercial buildings. Patients - particularly those who are immunocompromised, elderly, or recovering from surgery - are acutely vulnerable to waterborne pathogens that a healthy person might tolerate without consequence. At the same time, healthcare facilities are subject to some of the most stringent water safety regulations in any sector. The standard required is not merely adequate - it is as close to absolute as water treatment can deliver.
Hydrotec provides specialist water treatment solutions for government-backed hospitals, private hospitals, care homes, and other regulated healthcare facilities. We have strong global expertise, with products to suit the strictest international requirements, such as in the NHS in the UK. Our focus is on the three principal risk areas: Legionella control, waterborne pathogens at the point of enry, and the protection of immunocompromised patients from microbial contamination in the water supply.

The regulatory framework for healthcare water safety is extensive and strictly enforced.
In the UK, the primary guidance documents governing water safety in healthcare are HTM 04-01 (Safe Water in Healthcare Premises), issued by NHS England, and the Health and Safety Executive's ACOP L8 and HSG 274, which set out the legal framework for Legionella risk management across all premises. Together, these documents define the obligations of the Responsible Person, the requirements for water safety plans, the temperature and chemical control parameters to be maintained, and the monitoring and sampling regimes that must be in place.
Internationally, equivalent frameworks exist in most developed healthcare systems - including the WHO Guidelines for Drinking-water Quality and country-specific hospital accreditation requirements - and the principles established in UK guidance are widely recognised as best practice beyond the UK. The Care Quality Commission (CQC) in England inspects against these standards, and failure to demonstrate compliance with water safety obligations is treated as a serious regulatory finding.
Healthcare settings that house immunocompromised patients - oncology wards, transplant units, neonatal units, and others - face an additional and distinct challenge. Standard water quality that is entirely safe for a healthy person can pose a genuine clinical risk to a severely immunocompromised patient. Point-of-use filtration at 0.2 microns provides a physical barrier against waterborne pathogens at the tap, independent of the wider system treatment regime, and is increasingly specified as standard in these environments.

The Problems We Address
Legionella & Waterborne Bacteria
- Legionella pneumophila thrives in water systems where temperatures fall between 20°C and 45°C and stagnation occurs
- Healthcare settings - with complex pipework, frequent low-use outlets, and thermostatic mixing valves - are particularly susceptible
- Pseudomonas aeruginosa and other opportunistic pathogens colonise biofilms and can persist despite standard disinfection
- Thermal and chemical control regimes required by HTM 04-01 and ACOP L8 must be consistently maintained and evidenced
Immunocompromised Patient Risk
- Patients undergoing chemotherapy, transplantation, or with haematological conditions have severely reduced immune function
- Waterborne organisms at concentrations harmless to healthy individuals can cause serious or fatal infection in these patients
- Point-of-entry filtration provides a first line of defence at the entry to the building, preventing a new system from ever becoming contaminated
- HTM 04-01 specifically addresses the additional requirements for augmented care areas
Our Solutions
HydroWELL®

UV disinfection that says bye bye to bacteria.
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HydroDOS®
Chlorine Dioxide dosing. Safe for you, not for bacteria.
See MoreCopper Silver

Copper + Silver ionisation. Long-lasting results.
See MoreHydroFIL ULTRA

Advanced ultrafiltration systems for high‑risk water systems.
See MoreOur Offering
We provide the full project lifecycle for healthcare water treatment - from initial risk assessment support and technology selection through to system design, supply, installation, commissioning, and ongoing maintenance. All work is carried out with reference to the applicable regulatory framework, and we provide full documentation to support water safety plan compliance and CQC inspection readiness.
- Technology selection and system design
- Supply, installation, and commissioning
- Ongoing maintenance and filter replacement programmes
- Water sampling and microbiological testing support
- Compliance documentation aligned to HTM 04-01, ACOP L8, and HSG 274
- Support for water safety plan preparation and CQC inspection readiness