Leaflet Details
| Title | Bed Rail Safety Information |
| Department | Occupational Therapy |
| Author(s) | Kate Skov |
| Review Date | November 2025 |
| Next Review | November 2027 |
| Download | A4 Handout PDF |
| Accessibility Options | Click on the Recite Me button to show our accessibility resources |
Patient Information
Introduction
You have been prescribed a bed rail following a risk assessment. These can also be called bedside rails, side rails, cot sides and safety sides.
This leaflet gives you advice on the safe use, installation of a bed rail and information about what to do if you are experiencing difficulties with it.
We need to bring to your attention the fact that there have unfortunately been some incidents nationally where these items have been linked to injury and entrapment.
Details can be found at:
https://www.gov.uk/drug-device-alerts/national-patient-safety-alert-medical-beds-trolleys-bed-rails-bed-grab-handles-and-lateral-turning-devices-risk-of-death-from-entrapment-or-falls-natpsa-slash-2023-slash-010-slash-mhra
Scan QR code for the full MHRA Alert
Why have you been given a bed rail?
- To prevent or reduce the risk of the bed user falling out of bed and sustaining an injury.
What is a bed rail not used for?
- To limit the freedom of the bed user by preventing them from intentionally leaving the bed.
- To assist into standing from the side of the bed.
Types of bed rails
If a bumper is being used, you must ensure this is removed before putting the bed rail up and down.
MHRA fitting guidance
This piece of equipment will be fitted by and set up by an AHP professional / Millbrook service driver.
- The gap between the rail and headboard should be less than 6cm or more than 32cm.
- The gap between the rail and outside edge of the mattress should be less than 12cm.
- Ensure the rail is positioned back in the same place if it is moved (e.g. after linen changes or movement for care needs).
Avoid filling any gaps using blankets, bedding or pillows, as these can be compressed and may increase the risk of entrapment.
Please do not cover the rail with sheets or blankets
Please contact the Community Equipment Service if:
- Your bed rail or bumper is worn or faulty.
- The equipment is no longer needed.
Telephone Millbrook Healthcare on 0330 124 1247
Please contact your health or social care professional (if known) if:
- Your medical condition or function changes such that you are less mobile when getting in and out of bed or you are spending more time in bed.
- You change your bed or mattress.
- The bed rail no longer meets your needs.
- Your weight changes significantly.
Hospital Therapist contact details
If you do not know who to contact, please contact: Social Services 0300 200 1005
