Bed frames for adults in acute medical or surgical hospital wards: late-stage assessment

a design that prevents patient migration (sliding down the bed)

adjustable to a low height position

an ergonomic brake system

steering assistance (for example, a fifth wheel or double-bogie castor configuration).

in-built weighing scales

bed exit alarms

turn assistance (for turning or repositioning the patient)

power drive (motorised to assist with moving the bed)

connectivity (between the bed and other systems or appliances).

patient needs and safety, including whether the bed frames have features to reduce injuries to the person using the bed, patient infections and patient falls

the preferences of the multidisciplinary teams using the bed frames, including the usability of bed frames and their features, and staff training needs

compatibility with existing accessories and fixtures (such as hoists and mattresses) within the local NHS trust

full life-cycle costs of the bed frames, including costs and turnaround time for repair and maintenance, and availability of spare parts and accessories

lifespan and obsolescence of the bed frames, including sustainability and environmental impact, digital integration and future proofing.

NHS trusts should not expect to pay more to procure bed frames with the minimum features outlined, as these should come as standard on bed frames for use in acute medical or surgical hospital wards.

For bed frame features where there is not enough evidence to determine whether price variation is justified, additional consideration as to whether these are beneficial to the hospital setting should be given.

NHS trusts that consider standardising bed frame models within their hospital may benefit from shorter turnaround times for bed frame repair and potentially fewer risks because of familiarity with the bed frames and their features.