03/11/2026
UKHSA and the Department of Health and Social Care have published updated, consolidated infection prevention and control guidance for adult social care.
Ventilation has not suddenly been added to the guidance. It was included previously. The important change is that it now has clearer and more practical prominence across care homes, supported living, day services and domiciliary care.
The guidance provides care-specific advice on using high-level windows, opening several windows slightly, cross-ventilation, shared spaces during outbreaks and balancing airflow with comfort, consent, security and fire safety. It also includes detailed advice on portable fans and managing ventilation around certain clinical procedures.
Respiratory protection remains risk assessed. The guidance says decisions should consider close contact with infectious people, poorly ventilated environments, aerosol-generating procedures and infections with pandemic potential.
Our view still differs significantly on FFP3 use. People release respiratory aerosols when they breathe, talk, cough and sing. Risk is not confined to procedures on an AGP list. When protection from airborne infection is needed, we believe a well-fitting respirator should be the go-to protection. Surgical masks are not respiratory protective equipment.
More than 160 years after Florence Nightingale wrote about fresh air and ventilation, it is good to see practical air management given greater prominence.
If you manage or work in adult social care, contact Clean Air Where about detailed, practical staff training.
Read the guidance:
https://www.gov.uk/government/publications/infection-prevention-and-control-ipc-in-adult-social-care-asc