Understanding Standards for Beds and Mattresses: Whose job is it anyway?
This is the story of a contract adjudication group (Everybody) who were asked by the tender management team (Somebody), if the standards cited in a bed and mattress contract were correct/up to date.

When Everyone Thinks It’s Somebody Else’s Job
A familiar scenario: a contract adjudication group (Everybody) is asked by the tender management team (Somebody) whether the standards listed in a bed and mattress contract are current and accurate.
- Everybody assumes Somebody will know.
- Somebody assumes Everybody must know.
- Anybody vaguely recalls something about fire safety and bed rails.
- But in the end, Nobody is really sure which standards apply – or if they even should be included in the contract specification.
Why Understanding Standards Matters
If you’re part of a contract adjudication group, you play a critical role in supporting fair, transparent procurement – helping to ensure best value for money by assessing cost, quality, and sustainability.
A key part of evaluating quality is confirming that products meet appropriate safety and performance standards. But navigating these standards can feel like getting lost in a virtual forest.
Which Standards Should You Use?
Should you refer to:
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British Standards (BS)
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European Norms (EN)
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International Standards (ISO)?
And what about Technical Reports or Specifications? Knowing which ones are relevant and how they’re applied can be confusing – but it doesn’t have to be.
SoTV and BHTA: Cutting Through the Confusion
To help make sense of it all, SoTV has teamed up with the British Health Trades Association (BHTA) – specifically the Beds and Support Surfaces and Pressure Care and Seating Sections—to create a series of bite-sized blogs.
These posts will guide you through the standards landscape, making it easier to understand what’s essential and how to apply it in practice.
Start Here: A Helpful Introduction
While we prepare the series, you can explore a helpful starting point:
🔗 New Standards for Testing Mattresses and Related Products – An Introduction
This article introduces the BS EN ISO 20342 series of mattress and overlays standards and outlines key updates in safety and performance testing.
A Note on Terminology
The ISO 20342 series encompasses most Assistive Products for Tissue Integrity, which they abbreviate to APTIs. (Note: Seat cushions are covered by the ISO 16840 series.)
These standards are developed by the International Organization of Standardization, ISO. Prefixes are added when adopted:
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In Europe EN: e.g. EN ISO 20342-1
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In the UK BS: e.g. BS EN ISO 20342-1
Where the standards are technical reports (TR) or technical specifications (TS) the prefixes are different:
- In Europe, CEN is added as a prefix: e.g. CEN ISO/TS 20342-10
- In the UK, PD is added as a further prefix: e.g. PD CEN ISO/TS 20342-10