{"id":586,"date":"2022-11-15T14:09:00","date_gmt":"2022-11-15T14:09:00","guid":{"rendered":"https:\/\/www.vanguardhealthcare.co.uk\/?p=586"},"modified":"2023-09-14T11:42:40","modified_gmt":"2023-09-14T11:42:40","slug":"refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/bs_ba\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/","title":{"rendered":"Renoviranje bolni\u010dkog imanja: kori\u0161tenje fleksibilnih zdravstvenih prostora za odr\u017eavanje i pove\u0107anje kapaciteta."},"content":{"rendered":"

Liste \u010dekanja NHS-a dostigle su najvi\u0161i nivo od svih vremena 7 miliona<\/a> ljudi koji \u010dekaju na lije\u010denje u Engleskoj u avgustu, \u0161to je najve\u0107i broj od kada se bilje\u017ei. Rastu\u0107i pritisci na elektivnu njegu dugo su bili problem, \u010dak i prije pauze elektivne njege na po\u010detku pandemije COVID-19 2020. Zaista, stotine procedura elektivne njege su otkazane kao rezultat starenja i opasne bolni\u010dke infrastrukture. Robert Naylor je izjavio u 2017<\/a> da \u0107e bez zna\u010dajnih ulaganja 'imanje NHS ostati neprikladno za svrhu i nastavit \u0107e propadati', umanjuju\u0107i budu\u0107e izborne planove oporavka. Ovo pitanje \u0107e se vjerovatno samo pove\u0107ati u narednim mjesecima, nakon otkri\u0107a o tome preko 30 bolni\u010dkih zgrada<\/a> u Engleskoj imaju krovove napravljene od armiranog autoklaviranog gaziranog betona (RAAC), \u0161to zna\u010di da ovi bolni\u010dki krovovi mogu biti opasno blizu uru\u0161avanja. Rje\u0161enja za privremene i zamjenske kapacitete, smje\u0161tena dalje od glavne bolni\u010dke zgrade, potrebna su za odr\u017eavanje, pa \u010dak i pove\u0107anje elektivne aktivnosti, dok istovremeno osiguravaju sigurnost pacijenata tokom opse\u017enih radova na rekonstrukciji koje zahtijevaju ovi krovovi.<\/p>\n

Broj klini\u010dkih incidenata kao rezultat zastarjele bolni\u010dke infrastrukture kojoj je potrebna hitna obnova utrostru\u010dio se u posljednjih 5 godina, s incidentima uklju\u010duju\u0107i onesvije\u0161tenog pacijenta na respiratoru koji je zarobljen u liftu na 35 minuta, a\u00a0izvje\u0161taj<\/a>\u00a0otkrio je The Times. Izvje\u0161taj detaljno opisuje odgovore na zahtjeve za slobodom informacija, ilustruju\u0107i stvarne razmjere razornih efekata 'uru\u0161enog imanja NHS-a' na pacijente, nagla\u0161avaju\u0107i da postoje\u0107a umorna infrastruktura nije u stanju da prati moderne zahtjeve.<\/p>\n

\"\"<\/figure>\n

O\u010digledno je da pored sve ve\u0107eg zaostatka u nezi, postoji zna\u010dajan zaostatak odr\u017eavanja u NHS Trustovima i zdravstvenim odborima koji hitno treba rije\u0161iti. Naylor navodi da imanje NHS pokriva bruto unutra\u0161nju povr\u0161inu od 26 miliona kvadratnih metara, me\u0111utim oko 1,5 miliona<\/a> kvadratni metri od toga su potpuno neiskori\u0161teni zbog toga \u0161to je infrastruktura previ\u0161e opasna i zastarjela za moderne zahtjeve. Pored toga, nedavna anketa YouGov-a na 1000 privatnih zdravstvenih radnika i 750 zaposlenih u NHS-u pokazala je da 50%<\/a> zdravstvenih radnika smatraju da njihovo radno mjesto ne mo\u017ee smjestiti dodatno osoblje zbog nedostatka fizi\u010dkog prostora. To stoga ote\u017eava napore u zapo\u0161ljavanju i poja\u010dava Naylorovu izjavu da NHS ne mo\u017ee najefikasnije rije\u0161iti rastu\u0107i zaostatak u zbrinjavanju bez modernizacije i obnove infrastrukture.<\/p>\n

Sa pritiscima na NHS na vrhuncu svih vremena i tro\u0161kovima odr\u017eavanja od 5,5 milijardi funti<\/a> to 9,2 milijarde funti<\/a> u proteklih 5 godina, ideja o izgradnji novih, modernizovanih bolnica izgleda privla\u010dna. Me\u0111utim, u stvarnosti ovo je dugotrajna i skupa inicijativa koja ne\u0107e najbolje rije\u0161iti kratkoro\u010dne probleme. To se najbolje pokazuje na primjeru bolnice Royal Liverpool, gdje su planovi preure\u0111enja zapo\u010deli 2002. godine i jo\u0161 uvijek nisu zavr\u0161eni.<\/p>\n

Nedavni odgovor NHS-a Engleske na zahtjev za slobodu informacija otkrio je da nekoliko bolnica \u0161irom Engleske ima krovove izgra\u0111ene od RAAC-a, laganog i jeftinijeg materijala koji je jedan \u0161ef bolnice ozna\u010dio kao 'otkucavaju\u0107a tempirana bomba<\/a>'. Materijal je kori\u0161ten u vi\u0161e od 30 zgrada u 20 razli\u010ditih bolnica u Engleskoj i predstavlja kolosalnu prijetnju kako za osoblje tako i za pacijente jer bi se krovovi mogli sru\u0161iti u bilo kojem trenutku.<\/p>\n

Kako bi o\u010duvali sigurnost i pacijenata i osoblja, neke bolnice su odlu\u010dile ugraditi \u010deli\u010dne potpore kako bi smanjile rizik od njihovog uru\u0161avanja, me\u0111utim to ne slu\u017ei kao trajno rje\u0161enje.\u00a0685 miliona funti<\/a>\u00a0je izdvojeno za direktno rje\u0161avanje pitanja krova RAAC-a, a Program nove bolnice \u0107e nastojati uvesti dodatnih 40 novih bolnica koje \u0107e postepeno po\u010deti zamjenjivati zastarjelu infrastrukturu. Osim toga, mogu se koristiti privremena rje\u0161enja za odr\u017eavanje i pove\u0107anje kapaciteta tokom perioda renoviranja. Mobilne i modularne zdravstvene ustanove idealno su rje\u0161enje za brzo uvo\u0111enje u bolni\u010dko imanje.<\/p>\n

\"\"<\/figure>\n

U situacijama u kojima je potrebno rije\u0161iti hitna pitanja kapaciteta, ali postoje\u0107e bolni\u010dko imanje nije dovoljno da se to prihvati, mogu se primijeniti fleksibilna rje\u0161enja za prostor za zdravstvenu njegu. Moderne metode gradnje (MMC), poput onih koje se koriste za instalaciju modularnih zdravstvenih ustanova, omogu\u0107avaju ubrzanu isporuku rje\u0161enja dodatnih kapaciteta za pro\u0161irenje postoje\u0107eg bolni\u010dkog imanja. Mobilna, modularna i mje\u0161ovita rje\u0161enja Healthcare Space mogu se instalirati tokom perioda renoviranja ili naprezanja kapaciteta, pru\u017eaju\u0107i isplativu i odr\u017eivu alternativu rje\u0161avanju rastu\u0107ih lista \u010dekanja i transformaciji brige o pacijentima. \u0160tavi\u0161e, uvo\u0111enje modernih tehnologija i savremene infrastrukture olak\u0161ava regrutaciju, nude\u0107i ve\u0107e mogu\u0107nosti za razvoj vje\u0161tina u modernom radnom okru\u017eenju.<\/p>\n

Nakon poziva Kraljevskog koled\u017ea hirurga 2021. godine za uvo\u0111enje hirur\u0161kih \u010dvori\u0161ta, instalirane su modularne operacione sale u\u00a0Newcastle<\/a>\u00a0i\u00a0Roehampton<\/a>\u00a0za borbu protiv rastu\u0107ih hirur\u0161kih zaostataka. Brza isporuka ovih rje\u0161enja Healthcare Space pro\u0161irila je postoje\u0107e bolni\u010dko imanje, obezbje\u0111uju\u0107i dodatne kapacitete i osiguravaju\u0107i da su bolnice najbolje opremljene za rje\u0161avanje svojih lista \u010dekanja za akutnu njegu u roku od nekoliko mjeseci, a ne godina. Nedavni zahtjevi za kapacitetima pove\u0107ali su atraktivnost objekata MMC-a zahvaljuju\u0107i prirodi njihove ubrzane isporuke i prednostima koje su povezane sa izgradnjom van lokacije, kao \u0161to su minimalni poreme\u0107aji na lokaciji i u\u0161tede tro\u0161kova. \u0160tavi\u0161e, upotreba odr\u017eivijih materijala, kao \u0161to su \u010delik i drvo, pobolj\u0161ava fleksibilnost objekata, osiguravaju\u0107i da se oni najbolje prilago\u0111avaju trenutnim potrebama, za razliku od tradicionalnih zgrada NHS-a od cigle i maltera, od kojih su mnoge bile na snazi od prije osnivanja zdravstvene slu\u017ebe 1948. godine.<\/p>\n

Dugo se povezivali s terminima 'privremeni' i 'hitni slu\u010daj', ako NHS \u017eeli djelotvorno 'ponovo izgraditi bolje' nakon pandemije, vrijeme je da po\u010dnemo gledati na fleksibilnu klini\u010dku infrastrukturu i MMC kao na odr\u017eivo i trajno sredstvo za brzo pobolj\u0161ati postoje\u0107e bolni\u010dko imanje, ne samo za pove\u0107anje i zamjenu kapaciteta, ve\u0107 i za pobolj\u0161anje ishoda pacijenata i olak\u0161anje pokretanja zapo\u0161ljavanja.<\/p>","protected":false},"excerpt":{"rendered":"

Pitanje zastarjelog bolni\u010dkog imanja \u0107e se vjerovatno samo pove\u0107ati nakon otkri\u0107a da preko 30 bolni\u010dkih zgrada u Engleskoj ima krovove napravljene od armiranog autoklaviranog gaziranog betona (RAAC), \u0161to zna\u010di da bi ovi krovovi bolnica mogli biti opasno blizu uru\u0161avanja. Potrebna su privremena rje\u0161enja za odr\u017eavanje kapaciteta i obezbje\u0111ivanje sigurnog prostora za pacijente.<\/p>","protected":false},"author":1,"featured_media":587,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,1],"tags":[],"class_list":["post-586","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-uncategorized"],"acf":[],"yoast_head":"\nRefurbishing the hospital estate: The use of flexible Healthcare Spaces to maintain and increase capacity. - Vanguard Healthcare Solutions<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vanguardhealthcare.co.uk\/bs_ba\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"bs_BA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Refurbishing the hospital estate: The use of flexible Healthcare Spaces to maintain and increase capacity. - Vanguard Healthcare Solutions\" \/>\n<meta property=\"og:description\" content=\"The issue of the the outdated hospital estate is only likely to increase following the revelation that over 30 hospital buildings in England have roofs made out of reinforced autoclaved aerated concrete (RAAC), meaning that these hospital roofs may be perilously close to collapse. 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