{"id":2645,"date":"2020-01-06T16:50:11","date_gmt":"2020-01-06T16:50:11","guid":{"rendered":"\/?p=2645"},"modified":"2020-01-06T16:50:11","modified_gmt":"2020-01-06T16:50:11","slug":"ensuring-endoscopy-is-not-left-behind","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/cs_cz\/ensuring-endoscopy-is-not-left-behind\/","title":{"rendered":"Pozadu nez\u016fst\u00e1v\u00e1 ani zaji\u0161t\u011bn\u00ed endoskopie"},"content":{"rendered":"

L\u00e9ka\u0159sk\u00fd \u0159editel NHS England polo\u017eil poskytovatel\u016fm zdravotn\u00ed p\u00e9\u010de rukavici k dosa\u017een\u00ed mnohem lep\u0161\u00edch v\u00fdsledk\u016f v oblasti rakoviny. Byl stanoven c\u00edl, aby 99 procent pacient\u016f \u010dekalo m\u00e9n\u011b ne\u017e \u0161est t\u00fddn\u016f mezi doporu\u010den\u00edm na diagnostick\u00e9 testov\u00e1n\u00ed a proveden\u00edm testu.<\/p>\n

Jako ned\u00e1vno\n\n Projekty ve\u0159ejn\u00e9 politiky\n<\/a>\n(PPP) zpr\u00e1va:\n\n Pohled dovnit\u0159: stav endoskopie v Anglii,\n<\/em>\nuk\u00e1zalo, \u017ee tyto obdivuhodn\u00e9 c\u00edle nebudou dosa\u017eiteln\u00e9, pokud nebude kapacita NHS pro poskytov\u00e1n\u00ed endoskopie postavena na jist\u011bj\u0161\u00ed z\u00e1klad. Bohu\u017eel to v sou\u010dasnosti neplat\u00ed pro nemocni\u010dn\u00ed trusty v cel\u00e9 Anglii. Zpr\u00e1va zjistila, \u017ee 41 procent trust\u016f pracuje s endoskopick\u00fdmi sadami, kter\u00e9 se bl\u00ed\u017e\u00ed nebo p\u0159ekra\u010duj\u00ed v\u00fdrobcem doporu\u010denou desetiletou \u017eivotnost.<\/p>\n

Relevanci t\u00e9to diskuse d\u00e1le umocnila ned\u00e1vn\u00e1 zpr\u00e1va profesora Sira Mikea Richarda, b\u00fdval\u00e9ho n\u00e1rodn\u00edho \u0159editele pro rakovinu NHS v Anglii, nazvan\u00e1:\n\n Nez\u00e1visl\u00fd p\u0159ehled program\u016f screeningu dosp\u011bl\u00fdch v Anglii.\n<\/em>\nJe z\u0159ejm\u00e9, \u017ee m\u00edt schopnost \u010derpat z v\u00edce mo\u017enost\u00ed, aby se podpo\u0159ilo vyu\u017e\u00edv\u00e1n\u00ed screeningov\u00fdch program\u016f, nebylo nikdy relevantn\u011bj\u0161\u00ed.<\/p>\n

Zpr\u00e1va PPP, publikovan\u00e1 ve spolupr\u00e1ci s Vanguard Healthcare Solutions, se t\u00edmto t\u00e9matem zab\u00fdvala na \u017eiv\u00e9m kulat\u00e9m stole na leto\u0161n\u00edm\n\n IHEEM\n<\/a>\nKonference zdravotnick\u00fdch statk\u016f. P\u0159\u00edtomno bylo n\u011bkolik spr\u00e1vc\u016f nemovitost\u00ed a za\u0159\u00edzen\u00ed spolu s autorizuj\u00edc\u00edmi in\u017een\u00fdry a klinick\u00fdmi vodi\u010di pro dekontaminaci a endoskopii z trust\u016f NHS po cel\u00e9 Velk\u00e9 Brit\u00e1nii. Diskuse poskytla poutav\u00e9 f\u00f3rum, kde tito p\u0159edn\u00ed my\u0161lenkov\u00ed v\u016fdci hovo\u0159ili o tom, pro\u010d bylo dovoleno, aby se zhor\u0161ov\u00e1n\u00ed endoskopick\u00fdch za\u0159\u00edzen\u00ed tak v\u00e1\u017en\u011b projevilo v cel\u00e9 NHS.\n\"\"<\/p>\n

\n \n \u017divotnost\n <\/strong>\n<\/h4>\n

Podle zpr\u00e1vy PPP je 25 procent dekontamina\u010dn\u00edch apartm\u00e1n\u016f, kter\u00e9 se v sou\u010dasn\u00e9 dob\u011b v Anglii pou\u017e\u00edvaj\u00ed, star\u0161\u00edch 10 let a 15 procent nemocnic sv\u00e9 apartm\u00e1ny v posledn\u00edch osmi letech nemodernizovalo. V kontextu prudce rostouc\u00ed popt\u00e1vky po poskytov\u00e1n\u00ed endoskopie je zjevn\u011b pot\u0159eba d\u016fkladn\u011bj\u0161\u00edho zkoum\u00e1n\u00ed toho, jak p\u0159esn\u011b definujeme \u017eivotn\u00ed cyklus endoskopick\u00e9 sady. Tento bod se uk\u00e1zal b\u00fdt hlavn\u00edm hnac\u00edm motorem diskuse.<\/p>\n

\u201ePopt\u00e1vka po endoskopick\u00fdch slu\u017eb\u00e1ch jde pouze jedn\u00edm sm\u011brem,\u201c \u0159ekl David Cole, gener\u00e1ln\u00ed \u0159editel Vanguard Healthcare Solutions. David jako p\u0159edseda diskuse m\u011bl z\u00e1jem zkoumat \u00fa\u010dastn\u00edky ve\u0159ejn\u00e9ho sektoru na t\u00e9ma \u017eivotn\u00edch cykl\u016f endoskopie. David polo\u017eil ot\u00e1zku: "Jak se s ohledem na tento nevyhnuteln\u00fd n\u00e1r\u016fst aktivity m\u011b\u0159\u00ed sou\u010dasn\u00e1 \u017eivotnost endoskopick\u00e9ho za\u0159\u00edzen\u00ed?"<\/p>\n

Na setk\u00e1n\u00ed bylo dohodnuto, \u017ee \u017eivotn\u00ed cykly endoskopick\u00fdch jednotek jsou zalo\u017eeny sp\u00ed\u0161e na \u010dasov\u00e9m obdob\u00ed, po kter\u00e9 je za\u0159\u00edzen\u00ed v aktivn\u00edm provozu, ne\u017e na po\u010dtu provozn\u00edch cykl\u016f. Vzhledem k rostouc\u00ed popt\u00e1vce ji\u017e pouh\u00e9 m\u011b\u0159en\u00ed \u017eivotn\u00edch cykl\u016f v po\u010dtu let nesta\u010d\u00ed k zaji\u0161t\u011bn\u00ed toho, aby za\u0159\u00edzen\u00ed mohlo dosahovat minim\u00e1ln\u00edch standard\u016f dekontaminace na konzistentn\u00ed b\u00e1zi den za dnem.<\/p>\n

Nav\u00edc m\u011b\u0159en\u00ed \u017eivotn\u00edho cyklu endoskopie v aktivn\u00edch letech nezohled\u0148uje zv\u00fd\u0161en\u00e9 n\u00e1klady na \u00fadr\u017ebu, kter\u00e9 jsou nevyhnuteln\u00fdm d\u016fsledkem rostouc\u00edho pou\u017e\u00edv\u00e1n\u00ed. Vestav\u011bn\u00e1 kapacita pro \u00fadr\u017ebu je luxus, kter\u00fd si v dne\u0161n\u00ed dob\u011b m\u016f\u017ee dovolit jen m\u00e1lo trust\u016f, a proto je dopad na \u00farove\u0148 provozn\u00ed \u010dinnosti nevyhnuteln\u00fd.<\/p>\n

"Kl\u00ed\u010dovou v\u011bc\u00ed je, jak roz\u0161\u00ed\u0159\u00edme st\u00e1vaj\u00edc\u00ed kapacitu nemovitost\u00ed."\n\n Alex Chilvers, v\u00fdkonn\u00fd \u0159editel spole\u010dnosti 18 Week Support\n<\/cite>\n"Samoz\u0159ejm\u011b, \u017ee rostouc\u00ed pou\u017e\u00edv\u00e1n\u00ed bude m\u00edt \u0161kodliv\u00fd vliv na \u017eivotnost za\u0159\u00edzen\u00ed," \u0159ekl Alex Chilvers, v\u00fdkonn\u00fd \u0159editel organizace 18 Week Support, kter\u00e1 se v\u011bnuje pomoci trust\u016fm \u0159\u00eddit doporu\u010den\u00ed k l\u00e9\u010debn\u00fdm cest\u00e1m a c\u00edl\u016fm. Alex trval na tom, \u017ee v souvislosti s nedostatkem kapit\u00e1lov\u00e9ho financov\u00e1n\u00ed pro dlouhodob\u00e9 upgrady endoskopick\u00e9 sady \u201ekl\u00ed\u010dovou v\u011bc\u00ed je, jak roz\u0161\u00ed\u0159\u00edme st\u00e1vaj\u00edc\u00ed kapacitu nemovitost\u00ed\u201c.<\/p>\n

P\u0159\u00edklady, jak monitorovat \u017eivotnost endoskopick\u00e9ho za\u0159\u00edzen\u00ed, lze hledat v jin\u00fdch odv\u011btv\u00edch. To je skute\u010dn\u011b bod, kter\u00fd Rosemary Jenssen, zdravotnick\u00e1 architektka, dychtiv\u011b vyj\u00e1d\u0159ila. \u201eAuta maj\u00ed inteligentn\u00ed servisn\u00ed intervaly zalo\u017een\u00e9 na jejich aktivit\u011b, zat\u00edmco endoskopick\u00e9 jednotky se zdaj\u00ed b\u00fdt monitorov\u00e1ny na z\u00e1klad\u011b po\u010dtu let, kdy byly aktivn\u00ed,\u201c \u0159ekla Rosemary. \u201ePokud by na\u0161e monitorov\u00e1n\u00ed cyklu bylo zalo\u017eeno na p\u0159\u00edm\u011bj\u0161\u00edm pou\u017eit\u00ed za\u0159\u00edzen\u00ed, m\u011bli byste mnohem lep\u0161\u00ed mo\u017enosti pl\u00e1nov\u00e1n\u00ed dop\u0159edu, abyste mohli poskytnout informace o tom, kdy vym\u011bnit nadm\u011brn\u011b pou\u017e\u00edvan\u00e9 za\u0159\u00edzen\u00ed.\u201c<\/p>\n

Kdy\u017e za\u0159\u00edzen\u00ed za\u010dne selh\u00e1vat, je p\u0159\u00edli\u0161 pozd\u011b, a tak, jak Rosemary proz\u00edrav\u011b poznamenala, NHS se mus\u00ed zam\u011b\u0159it na sledov\u00e1n\u00ed cyklu na p\u0159\u00edstup v\u00edce zam\u011b\u0159en\u00fd na aktivitu. Rosemary nebyla jedin\u00e1, kdo to zd\u016fraznil. Cliff Howell, b\u00fdval\u00fd \u0159editel a provozn\u00ed vedouc\u00ed pro NHS Estates and Facilities, Efficiency and Productivity Division v NHS Improvement, otev\u0159en\u011b pouk\u00e1zal na to: \u201eMus\u00edme p\u0159ej\u00edt na p\u0159\u00edstup zalo\u017een\u00fd na d\u016fkazech sp\u00ed\u0161e ne\u017e jen \u010d\u00edst, co \u0159\u00edk\u00e1 p\u0159\u00edru\u010dka k oprav\u00e1m.\u201c<\/p>\n

\n \n \u0158\u00edzen\u00ed rizika nebo \u0159\u00edzen\u00ed pen\u011bz?\n <\/strong>\n<\/h4>\n

Pokud spr\u00e1vci za\u0159\u00edzen\u00ed z r\u016fzn\u00fdch trust\u016f NHS uzn\u00e1vaj\u00ed omezen\u00ed v tom, jak je monitorov\u00e1na \u017eivotnost kritick\u00e9 infrastruktury v r\u00e1mci endoskopick\u00e9 sady, je d\u016fle\u017eit\u00e9 v\u011bd\u011bt, co vede trust k v\u00fdm\u011bn\u011b nebo alespo\u0148 roz\u0161\u00ed\u0159en\u00ed st\u00e1vaj\u00edc\u00edch za\u0159\u00edzen\u00ed.<\/p>\n

Rychl\u00e9 odpov\u011bdi nep\u0159ich\u00e1zely, proto\u017ee mana\u017ee\u0159i za\u0159\u00edzen\u00ed okam\u017eit\u011b uvedli \u0161ir\u0161\u00ed obavy t\u00fdkaj\u00edc\u00ed se uva\u017eov\u00e1n\u00ed tady a te\u010f, co\u017e \u010dasto br\u00e1n\u00ed NHS v zoufale pot\u0159ebn\u00e1 dlouhodob\u00e1 rozhodnut\u00ed t\u00fdkaj\u00edc\u00ed se jej\u00edho majetku. Jeden deleg\u00e1t za\u0161el tak daleko, \u017ee \u0159ekl, \u017ee NHS trp\u00ed \u201esyndromem kr\u00e1tkodob\u00e9ho pl\u00e1nov\u00e1n\u00ed\u201c, pokud jde o vyu\u017eit\u00ed nemovitost\u00ed.<\/p>\n

V kone\u010dn\u00e9m d\u016fsledku, zat\u00edmco trusty cht\u011bj\u00ed rozhodnut\u00ed soust\u0159edit na aktualizaci endoskopick\u00e9ho vybaven\u00ed, spr\u00e1vce za\u0159\u00edzen\u00ed obvykle omezuje stejn\u00fd probl\u00e9m \u2013 n\u00e1klady. Problematika kapit\u00e1lov\u00fdch v\u00fddaj\u016f a jejich \u0161kodliv\u00fdch dopad\u016f na p\u00e9\u010di o pacienty se jist\u011b dostala do pop\u0159ed\u00ed diskus\u00ed o zlep\u0161ov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de. Finan\u010dn\u00ed omezen\u00ed st\u00e1le diktuj\u00ed velkou \u010d\u00e1st ka\u017edodenn\u00edho rozhodov\u00e1n\u00ed spr\u00e1vc\u016fm nemovitost\u00ed a za\u0159\u00edzen\u00ed. Pro mnoho lid\u00ed je to st\u00e1le jen o pen\u011bz\u00edch.<\/p>\n

Jak\u00e9 jsou spou\u0161t\u011b\u010de, aby trust p\u0159ezkoumal a p\u0159\u00edpadn\u011b aktualizoval sv\u00e1 endoskopick\u00e1 za\u0159\u00edzen\u00ed? Jak\u00e9 je firemn\u00ed versus individu\u00e1ln\u00ed riziko? Jak\u00e1 opat\u0159en\u00ed m\u016f\u017ee trust p\u0159ijmout, aby zv\u00fd\u0161il pov\u011bdom\u00ed o zastaral\u00e9m endoskopick\u00e9m vybaven\u00ed? Toto jsou typy ot\u00e1zek, kter\u00e9 by m\u011bli zva\u017eovat mana\u017ee\u0159i za\u0159\u00edzen\u00ed nap\u0159\u00ed\u010d NHS, ale jejich rozhodnut\u00ed jsou znovu a znovu zalo\u017eena na p\u0159\u00edli\u0161 mnoha konkuren\u010dn\u00edch priorit\u00e1ch.\n\"\"<\/p>\n

\n \n N\u011bco je pot\u0159eba d\u00e1t\n <\/strong>\n<\/h4>\n

Aby se podpo\u0159ilo proaktivn\u011bj\u0161\u00ed prost\u0159ed\u00ed, ve kter\u00e9m jsou rozhodnut\u00ed zalo\u017eena na bezpe\u010dnosti pacienta, je nezbytn\u00e9, aby doch\u00e1zelo k toku kapit\u00e1lu p\u0159\u00edmo do za\u0159\u00edzen\u00ed endoskopick\u00fdch slu\u017eeb. Sou\u010dasn\u00e9 ne\u00fasp\u011bchy p\u0159i zaji\u0161t\u011bn\u00ed finan\u010dn\u00ed podpory pro endoskopii odhaluj\u00ed rozpor mezi touhou na n\u00e1rodn\u00ed politick\u00e9 \u00farovni zam\u011b\u0159it se na c\u00edle screeningu rakoviny a vybaven\u00edm, kter\u00e9 se tak \u010dasto m\u016f\u017ee uk\u00e1zat jako z\u00e1sadn\u00ed pro dosa\u017een\u00ed t\u011bchto c\u00edl\u016f.<\/p>\n

\u201ePodobn\u011b jako LINAC a v\u00fdm\u011bna zobrazovac\u00edho za\u0159\u00edzen\u00ed jsou \u010dasto k dispozici iniciativy na n\u00e1rodn\u00ed \u00farovni a finan\u010dn\u00ed prost\u0159edky na v\u00fdm\u011bnu star\u00e9ho a zastaral\u00e9ho za\u0159\u00edzen\u00ed,\u201c \u0159ekl Cliff, kter\u00fd navrhl, aby tato politika byla roz\u0161\u00ed\u0159ena tak, aby zahrnovala za\u0159\u00edzen\u00ed pro endoskopick\u00e9 slu\u017eby.<\/p>\n

Navzdory nep\u0159\u00edli\u0161 jasn\u00e9mu obrazu kapit\u00e1lov\u00fdch v\u00fddaj\u016f existuj\u00ed pro trusty mo\u017enosti, jak zajistit, \u017ee si udr\u017e\u00ed sv\u00e1 endoskopick\u00e1 za\u0159\u00edzen\u00ed, a tedy spln\u00ed c\u00edle screeningu rakoviny. \u201eV\u00fdm\u011bna nevy\u0159\u00edzen\u00fdch nemovitost\u00ed a vybaven\u00ed v NHS je na historick\u00e9m maximu, zat\u00edmco dostupnost kapit\u00e1lu z\u016fst\u00e1v\u00e1 omezen\u00e1. \u00darovn\u011b nevy\u0159\u00edzen\u00fdch z\u00e1le\u017eitost\u00ed se proto budou st\u00e1le zvy\u0161ovat,\u201c \u0159ekl Cliff. "Mo\u017en\u00e1 by NHS m\u011bla zv\u00e1\u017eit \u00fa\u010delov\u00e9 financov\u00e1n\u00ed \u017eivotn\u00edho cyklu pro budouc\u00ed v\u00fdvoj, aby se p\u0159ede\u0161lo opakov\u00e1n\u00ed minulosti."<\/p>\n

Roz\u0161i\u0159ov\u00e1n\u00ed st\u00e1vaj\u00edc\u00ed kapacity nemovitost\u00ed bude hr\u00e1t st\u00e1le d\u016fle\u017eit\u011bj\u0161\u00ed roli. Zpr\u00e1va profesora Richardse pro NHS England citovala mobiln\u00ed jednotky jako potenci\u00e1ln\u011b zm\u00edr\u0148uj\u00edc\u00ed z\u00e1t\u011b\u017e p\u0159i endoskopick\u00fdch slu\u017eb\u00e1ch. To m\u00e1 v\u00fdhodu v p\u0159ekon\u00e1n\u00ed n\u00e1mitek uv\u00e1d\u011bn\u00fdch klinick\u00fdmi l\u00e9ka\u0159i ohledn\u011b pou\u017e\u00edv\u00e1n\u00ed za\u0159\u00edzen\u00ed mimo pracovi\u0161t\u011b jako hrozby pro spojen\u00e9 poskytov\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de.<\/p>\n

Aby byly spln\u011bny ambici\u00f3zn\u00ed c\u00edle v oblasti rakoviny, mus\u00ed odn\u011bkud p\u0159ij\u00edt zm\u011bna. Zpr\u00e1va PPP odhalila, \u017ee 87 procent nemocnic, kter\u00e9 nahl\u00e1sily st\u00e1rnouc\u00ed dekontamina\u010dn\u00ed soupravy (tj. ty, kter\u00e9 v posledn\u00edch osmi letech nepro\u0161ly rekonstrukc\u00ed), jsou tak\u00e9 sou\u010d\u00e1st\u00ed trust\u016f, kter\u00e9 nesplnily \u0161estit\u00fddenn\u00ed \u010dekac\u00ed c\u00edl na diagnostick\u00e9 testov\u00e1n\u00ed.<\/p>\n

"Velk\u00e1 Brit\u00e1nie m\u00e1 jedny z nejvy\u0161\u0161\u00edch standard\u016f pro dekontaminaci a sterilizaci kdekoli na sv\u011bt\u011b."\n\n David Cole\n<\/a>\n, gener\u00e1ln\u00ed \u0159editel spole\u010dnosti Vanguard Healthcare Solutions<\/p>\n

Endoskopick\u00e9 jednotky v NHS u\u0161ly dlouhou cestu od kdysi pou\u017e\u00edvan\u00fdch \u201esk\u0159\u00edn\u00ed na ko\u0161t\u011b\u201c (jak je popsal jeden deleg\u00e1t) k velk\u00fdm, sofistikovan\u00fdm, centralizovan\u00fdm jednotk\u00e1m, ale jak zd\u016fraznil David Cole, nesm\u00ed to omlouvat spokojenost. "Velk\u00e1 Brit\u00e1nie m\u00e1 jedny z nejp\u0159\u00edsn\u011bj\u0161\u00edch standard\u016f pro dekontaminaci a sterilizaci kdekoli na sv\u011bt\u011b," \u0159ekl David, kdy\u017e zakon\u010dil poutavou a \u017eivou diskusi, "ale nem\u016f\u017eeme si dovolit j\u00edt zp\u011bt."<\/p>\n

Zat\u00edmco \u010dek\u00e1me na n\u00e1rodn\u00ed politiky, aby nasm\u011brovali nutn\u011b pot\u0159ebn\u00e9 kapit\u00e1lov\u00e9 financov\u00e1n\u00ed do prvn\u00ed linie, akutn\u00ed trusty mus\u00ed zajistit, aby za\u0159\u00edzen\u00ed endoskopick\u00fdch slu\u017eeb nez\u016fstala pozadu a aby pacienti neza\u010dali poci\u0165ovat negativn\u00ed \u00fa\u010dinky.<\/p>","protected":false},"excerpt":{"rendered":"

Ambici\u00f3zn\u00ed pl\u00e1ny na \u201ep\u0159epracov\u00e1n\u00ed\u201c proces\u016f screeningu rakoviny v cel\u00e9 Anglii nebudou mo\u017en\u00e9 bez v\u011bnov\u00e1n\u00ed v\u00e1\u017en\u00e9 pozornosti stavu endoskopick\u00fdch slu\u017eeb.<\/p>","protected":false},"author":1,"featured_media":1347,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,119,115],"tags":[131,137],"class_list":["post-2645","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-procedures","category-products-and-services","tag-endoscope-decontamination","tag-endoscopy-suite"],"acf":[],"yoast_head":"\nEnsuring endoscopy is not left behind - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Ensuring endoscopy is not left behind to be able to deliver mbitious plans to “overhaul” cancer screening processes across England\" \/>\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\/cs_cz\/ensuring-endoscopy-is-not-left-behind\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ensuring endoscopy is not left behind - 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