This Directors Letter (DL) sets out responsibilities of Chief Executives for ensuring that policies and procedures are in place to achieve effective implementation of the safe management of Health and Social Care Estates and Facilities, Equipment and Devices. It supersedes CEL 43 (2009) and its addendum. 

The scope of this DL includes all medical devices (including Software as a Medical Device and Software in a Medical Device), In Vitro Diagnostic devices, estates, facilities, social care equipment and personal protective equipment (PPE). 

This DL describes key roles and responsibilities, remit of relevant organisations and documentation to support the safe management of Health and Social Care Estates and Faculties Equipment and Devices. Operational content is now retained within the Incidents and Alerts Safety Officer (IASO) Manual which will be managed by the IASO network (IASON).