Recommendation for NHSScotland
The available evidence is limited in both quantity and quality and thus it was not possible to draw firm conclusions regarding the clinical effectiveness, safety and cost effectiveness of single rooms compared with multi-bedded rooms.
NHSScotland is required to consider the Scottish Health Technologies Group (SHTG) advice.
What were we asked to look at?
What is the evidence for the clinical and cost effectiveness of single room only wards in hospitals compared with non-single room only wards?
Why is this important?
The most recent available data (2010) reported that the proportion of single rooms across Scotland was variable (25%-44%). In new build hospitals, current Scottish Government policy is that there is a presumption for 100% single rooms for in-patient accommodation unless there are clinical reasons to deviate from that position. This policy was based on a literature review, a public attitude survey, a nurse staffing report, a financial impact study and a Delphi consultation exercise. The evidence identified in the literature review supporting this policy was limited in quality and quantity. An up-to-date review of the evidence related to the provision of single rooms was requested.