14 March, 2024

Standards for helicopter landing areas at hospitals report released by CAA

The UK's Civil Aviation Authority has published a new report designed to help health authorities, hospitals and Helicopter Emergency Medical Services (HEMS) operators adhere to design standards for helicopter landing areas at hospitals. 

Air Ambulance Helicopters form an essential part of the UK’s pre-hospital response to patients suffering life-threatening injuries or illnesses. It is estimated that every day about 70 patients are treated using helicopters operating in the air ambulance role to helicopter landing sites (HLSs) located at hospitals in the United Kingdom. 

These HLSs are routinely provided at hospitals for the transfer of critically ill patients by air ambulance helicopters and by helicopters operating in the Helicopter Emergency Medical Services (HEMS) role with facilities varying in complexity from a purpose-built structure on a rooftop above the emergency department (ED), with integral aeronautical lighting and fire-fighting systems, to an occasional use recreational / sports field remotely located from the ED perhaps only equipped with an “H” and a windsock present.

The primary purpose of this latest report is to promulgate in detail the design requirements and
range of options for new heliports located at hospitals in the United Kingdom that can also be applied for the refurbishment of existing helicopter landing sites. In all cases heliport design guidance is based on the international standards and recommended practices in ICAO Annex 14 Volume II with the supporting Document 9261 “Heliport Manual”. However, given the pivotal role of an HLS at a hospital for supporting the (often complex) clinical needs of the patient, it is equally important that the design of the heliport places, at its heart, the needs of the patient who is often critically ill. Consequently, the design of a heliport needs to ensure that it is both ‘safe and friendly’ for helicopter operations, and, given the clinical needs of the patient, that its proximity to the hospital’s Emergency Department (ED) affords rapid patient transfer and avoids the complication of a secondary transfer by land ambulance. Patient transfer from the HLS to the ED should be expedited in a manner that upholds both the dignity and security of the patient and the safety and security of staff tasked to complete the transfer of the patient to ED, potentially in all weather conditions.


The report addresses the design requirements and options for new heliports located at hospitals in the United Kingdom. The requirements relate to new build facilities or to the refurbishment of landing sites at both existing and new hospitals. As well as setting out in detail the design requirements for hospital heliports, this CAP also provides guidance on their operation and management.





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