{"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\/cs_cz\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/","title":{"rendered":"Renovace are\u00e1lu nemocnice: Vyu\u017eit\u00ed flexibiln\u00edch zdravotnick\u00fdch prostor k udr\u017een\u00ed a zv\u00fd\u0161en\u00ed kapacity."},"content":{"rendered":"

\u010cekac\u00ed listiny NHS dos\u00e1hly historick\u00e9ho maxima 7 milion\u016f<\/a> lid\u00ed \u010dekaj\u00edc\u00edch na l\u00e9\u010dbu v Anglii v srpnu, co\u017e je nejv\u00edce od za\u010d\u00e1tku z\u00e1znam\u016f. Zvy\u0161uj\u00edc\u00ed se tlaky na elektivn\u00ed p\u00e9\u010di jsou dlouho probl\u00e9mem, dokonce i p\u0159ed pozastaven\u00edm voliteln\u00e9 p\u00e9\u010de na za\u010d\u00e1tku pandemie COVID-19 v roce 2020. V d\u016fsledku st\u00e1rnut\u00ed a nebezpe\u010dn\u00e9 nemocni\u010dn\u00ed infrastruktury byly skute\u010dn\u011b zru\u0161eny stovky procedur elektivn\u00ed p\u00e9\u010de. Robert Naylor uvedl v 2017<\/a> \u017ee bez v\u00fdznamn\u00fdch investic \u201epoz\u016fstalost NHS z\u016fstane nevhodn\u00e1 pro dan\u00fd \u00fa\u010del a bude nad\u00e1le ch\u00e1trat\u201c, co\u017e omez\u00ed budouc\u00ed pl\u00e1novan\u00e9 pl\u00e1ny obnovy. Tento probl\u00e9m pravd\u011bpodobn\u011b poroste v n\u00e1sleduj\u00edc\u00edch m\u011bs\u00edc\u00edch po odhalen\u00ed, \u017ee p\u0159es 30 nemocni\u010dn\u00edch budov<\/a> v Anglii maj\u00ed st\u0159echy vyroben\u00e9 z vyztu\u017een\u00e9ho autokl\u00e1vovan\u00e9ho p\u00f3robetonu (RAAC), co\u017e znamen\u00e1, \u017ee tyto st\u0159echy nemocnic mohou b\u00fdt nebezpe\u010dn\u011b bl\u00edzko z\u0159\u00edcen\u00ed. \u0158e\u0161en\u00ed p\u0159echodn\u00fdch a n\u00e1hradn\u00edch kapacit, um\u00edst\u011bn\u00e1 mimo hlavn\u00ed nemocni\u010dn\u00ed budovu, jsou nutn\u00e1 k udr\u017een\u00ed a dokonce i ke zv\u00fd\u0161en\u00ed elektivn\u00ed aktivity a z\u00e1rove\u0148 k zaji\u0161t\u011bn\u00ed bezpe\u010dnosti pacient\u016f b\u011bhem rozs\u00e1hl\u00fdch rekonstruk\u010dn\u00edch prac\u00ed, kter\u00e9 tyto st\u0159echy vy\u017eaduj\u00ed.<\/p>\n

Po\u010det klinick\u00fdch incident\u016f v d\u016fsledku zastaral\u00e9 nemocni\u010dn\u00ed infrastruktury, kter\u00e1 pot\u0159ebuje nal\u00e9havou rekonstrukci, se za posledn\u00edch 5 let ztrojn\u00e1sobil, p\u0159i\u010dem\u017e incidenty zahrnovaly pacienta v bezv\u011bdom\u00ed na ventil\u00e1toru, kter\u00fd byl uv\u011bzn\u011bn ve v\u00fdtahu na 35 minut.\u00a0zpr\u00e1va<\/a>\u00a0podle The Times na\u0161el. Zpr\u00e1va podrobn\u011b popisuje odpov\u011bdi na \u017e\u00e1dosti o svobodu informac\u00ed, ilustruje skute\u010dn\u00fd rozsah ni\u010div\u00fdch \u00fa\u010dink\u016f \u201erozpadaj\u00edc\u00edho se majetku NHS\u201c na pacienty a zd\u016fraz\u0148uje, \u017ee st\u00e1vaj\u00edc\u00ed unaven\u00e1 infrastruktura nen\u00ed schopna dr\u017eet krok s modern\u00edmi po\u017eadavky.<\/p>\n

\"\"<\/figure>\n

Je evidentn\u00ed, \u017ee vedle nar\u016fstaj\u00edc\u00edho po\u010dtu nevy\u0159\u00edzen\u00fdch v\u011bc\u00ed v oblasti p\u00e9\u010de existuje v trustech a zdravotn\u00edch rad\u00e1ch NHS i zna\u010dn\u00fd nedostatek \u00fadr\u017eby, kter\u00fd je nal\u00e9hav\u011b t\u0159eba \u0159e\u0161it. Naylor uv\u00e1d\u00ed, \u017ee panstv\u00ed NHS pokr\u00fdv\u00e1 hrubou vnit\u0159n\u00ed plochu 26 milion\u016f metr\u016f \u010dtvere\u010dn\u00edch, nicm\u00e9n\u011b p\u0159ibli\u017en\u011b 1,5 mili\u00f3nu<\/a> metr\u016f \u010dtvere\u010dn\u00edch z toho je zcela nevyu\u017eito v d\u016fsledku toho, \u017ee infrastruktura je p\u0159\u00edli\u0161 nebezpe\u010dn\u00e1 a zastaral\u00e1 pro modern\u00ed po\u017eadavky. Krom\u011b toho ned\u00e1vn\u00fd pr\u016fzkum YouGov mezi 1000 soukrom\u00fdmi zdravotnick\u00fdmi zam\u011bstnanci a 750 zam\u011bstnanci NHS zjistil, \u017ee 50%<\/a> zdravotnick\u00fdch pracovn\u00edk\u016f se domn\u00edv\u00e1, \u017ee na jejich pracovi\u0161ti nem\u016f\u017ee b\u00fdt um\u00edst\u011bn \u017e\u00e1dn\u00fd dal\u0161\u00ed person\u00e1l z d\u016fvodu nedostatku fyzick\u00e9ho prostoru. To proto brzd\u00ed n\u00e1borov\u00e9 \u00fasil\u00ed a posiluje Naylorovo prohl\u00e1\u0161en\u00ed, \u017ee NHS nem\u016f\u017ee nej\u00fa\u010dinn\u011bji \u0159e\u0161it nar\u016fstaj\u00edc\u00ed nevy\u0159\u00edzenou p\u00e9\u010di bez modernizace a renovace infrastruktury.<\/p>\n

S tlaky na NHS na historick\u00e9m maximu a n\u00e1klady na \u00fadr\u017ebu od 5,5 miliardy liber<\/a> na 9,2 miliardy liber<\/a> za posledn\u00edch 5 let se my\u0161lenka v\u00fdstavby nov\u00fdch, modernizovan\u00fdch nemocnic zd\u00e1 p\u0159ita\u017eliv\u00e1. Ve skute\u010dnosti se v\u0161ak jedn\u00e1 o \u010dasov\u011b n\u00e1ro\u010dnou a n\u00e1kladnou iniciativu, kter\u00e1 nebude nejl\u00e9pe \u0159e\u0161it kr\u00e1tkodob\u011bj\u0161\u00ed probl\u00e9my. Nejl\u00e9pe je to demonstrov\u00e1no na p\u0159\u00edkladu Royal Liverpool Hospital, kde pl\u00e1ny na p\u0159estavbu za\u010daly v roce 2002 a st\u00e1le je\u0161t\u011b nebyly dokon\u010deny.<\/p>\n

Ned\u00e1vn\u00e1 odpov\u011b\u010f NHS England na \u017e\u00e1dost o svobodu informac\u00ed odhalila, \u017ee n\u011bkolik nemocnic po cel\u00e9 Anglii m\u00e1 st\u0159echy postaven\u00e9 z RAAC, lehk\u00e9ho a levn\u011bj\u0161\u00edho materi\u00e1lu, kter\u00fd jeden \u0161\u00e9f nemocnice ozna\u010dil jako \u201etikaj\u00edc\u00ed \u010dasovan\u00e1 bomba<\/a>'. Materi\u00e1l byl pou\u017eit ve v\u00edce ne\u017e 30 budov\u00e1ch ve 20 r\u016fzn\u00fdch nemocnic\u00edch v Anglii a p\u0159edstavuje obrovskou hrozbu pro person\u00e1l i pacienty, proto\u017ee st\u0159echy se mohou kdykoli z\u0159\u00edtit.<\/p>\n

Aby byly pacienty i person\u00e1l v bezpe\u010d\u00ed, n\u011bkter\u00e9 nemocnice se rozhodly instalovat ocelov\u00e9 podp\u011bry, aby se sn\u00ed\u017eilo riziko jejich z\u0159\u00edcen\u00ed, av\u0161ak toto \u0159e\u0161en\u00ed neslou\u017e\u00ed jako trval\u00e9 \u0159e\u0161en\u00ed.\u00a0685 milion\u016f liber<\/a>\u00a0byla vy\u010dlen\u011bna k p\u0159\u00edm\u00e9mu \u0159e\u0161en\u00ed probl\u00e9mu st\u0159echy RAAC a Program New Hospital Program bude usilovat o zaveden\u00ed dal\u0161\u00edch 40 nov\u00fdch nemocnic, kter\u00e9 postupn\u011b za\u010dnou nahrazovat zastaralou infrastrukturu. Krom\u011b toho lze pou\u017e\u00edt provizorn\u00ed \u0159e\u0161en\u00ed k udr\u017een\u00ed a zv\u00fd\u0161en\u00ed kapacity b\u011bhem obdob\u00ed renovace. Mobiln\u00ed a modul\u00e1rn\u00ed zdravotnick\u00e1 za\u0159\u00edzen\u00ed jsou ide\u00e1ln\u00edm \u0159e\u0161en\u00edm pro rychl\u00e9 uveden\u00ed do are\u00e1lu nemocnice.<\/p>\n

\"\"<\/figure>\n

V situac\u00edch, kdy je t\u0159eba \u0159e\u0161it nal\u00e9hav\u00e9 probl\u00e9my s kapacitou, ale opou\u0161t\u011bj\u00edc\u00ed are\u00e1l nemocnice k tomu nesta\u010d\u00ed, lze nasadit flexibiln\u00ed \u0159e\u0161en\u00ed Healthcare Space. Modern\u00ed metody v\u00fdstavby (MMC), jako jsou ty, kter\u00e9 se pou\u017e\u00edvaj\u00ed p\u0159i instalaci modul\u00e1rn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00ed, umo\u017e\u0148uj\u00ed urychlen\u00e9 dod\u00e1n\u00ed \u0159e\u0161en\u00ed s dodate\u010dnou kapacitou pro roz\u0161\u00ed\u0159en\u00ed st\u00e1vaj\u00edc\u00edho are\u00e1lu nemocnice. Mobiln\u00ed, modul\u00e1rn\u00ed a sm\u00ed\u0161en\u00e1 \u0159e\u0161en\u00ed Healthcare Space mohou b\u00fdt instalov\u00e1na v obdob\u00ed rekonstrukc\u00ed nebo napjat\u00e9 kapacity, co\u017e p\u0159edstavuje n\u00e1kladov\u011b efektivn\u00ed a udr\u017eitelnou alternativu k \u0159e\u0161en\u00ed rostouc\u00edch po\u0159adn\u00edk\u016f a transformaci p\u00e9\u010de o pacienty. Zav\u00e1d\u011bn\u00ed modern\u00edch technologi\u00ed a aktu\u00e1ln\u00ed infrastruktury nav\u00edc usnad\u0148uje n\u00e1bor zam\u011bstnanc\u016f a nab\u00edz\u00ed v\u011bt\u0161\u00ed p\u0159\u00edle\u017eitosti pro rozvoj dovednost\u00ed v modern\u00edm pracovn\u00edm prost\u0159ed\u00ed.<\/p>\n

Po v\u00fdzv\u011b Royal College of Surgeons v roce 2021 k zaveden\u00ed chirurgick\u00fdch uzl\u016f byly instalov\u00e1ny modul\u00e1rn\u00ed opera\u010dn\u00ed s\u00e1ly\u00a0Newcastle<\/a>\u00a0a\u00a0Roehampton<\/a>\u00a0bojovat proti rostouc\u00edm chirurgick\u00fdm nedod\u011blk\u016fm. Rychl\u00e1 dod\u00e1vka t\u011bchto \u0159e\u0161en\u00ed Healthcare Space roz\u0161\u00ed\u0159ila st\u00e1vaj\u00edc\u00ed nemocni\u010dn\u00ed are\u00e1l, poskytla dal\u0161\u00ed kapacitu a zajistila, \u017ee nemocnice byly nejl\u00e9pe vybaveny k tomu, aby zvl\u00e1dly \u010dekac\u00ed listiny na akutn\u00ed p\u00e9\u010di v \u0159\u00e1du m\u011bs\u00edc\u016f, nikoli let. Ned\u00e1vn\u00e9 po\u017eadavky na kapacitu zv\u00fd\u0161ily atraktivitu za\u0159\u00edzen\u00ed MMC d\u00edky povaze jejich zrychlen\u00e9 dod\u00e1vky a v\u00fdhod\u00e1m, kter\u00e9 jsou spojeny s v\u00fdstavbou mimo staveni\u0161t\u011b, jako je minim\u00e1ln\u00ed naru\u0161en\u00ed staveni\u0161t\u011b a \u00faspora n\u00e1klad\u016f. A co v\u00edc, pou\u017eit\u00ed udr\u017eiteln\u011bj\u0161\u00edch materi\u00e1l\u016f, jako je ocel a d\u0159evo, zvy\u0161uje flexibilitu za\u0159\u00edzen\u00ed a zaji\u0161\u0165uje, \u017ee je lze co nejl\u00e9pe p\u0159izp\u016fsobit aktu\u00e1ln\u00edm pot\u0159eb\u00e1m, na rozd\u00edl od tradi\u010dn\u00edch zd\u011bn\u00fdch budov NHS, z nich\u017e mnoh\u00e9 byly na m\u00edst\u011b ji\u017e p\u0159ed zalo\u017een\u00edm zdravotnictv\u00ed v roce 1948.<\/p>\n

Dlouho spojovan\u00e9 s pojmy \u201edo\u010dasn\u00fd\u201c a \u201enouzov\u00fd\u201c, pokud by se NHS po pandemii sna\u017eila efektivn\u011b \u201evybudovat l\u00e9pe\u201c, je \u010das za\u010d\u00edt vn\u00edmat flexibiln\u00ed klinickou infrastrukturu a MMC jako udr\u017eiteln\u00fd a trval\u00fd prost\u0159edek k rychle zlep\u0161it st\u00e1vaj\u00edc\u00ed are\u00e1l nemocnice, a to nejen za \u00fa\u010delem zv\u00fd\u0161en\u00ed a nahrazen\u00ed kapacity, ale tak\u00e9 za \u00fa\u010delem zlep\u0161en\u00ed v\u00fdsledk\u016f pacient\u016f a usnadn\u011bn\u00ed n\u00e1boru.<\/p>","protected":false},"excerpt":{"rendered":"

Probl\u00e9m zastaral\u00e9ho nemocni\u010dn\u00edho majetku se pravd\u011bpodobn\u011b zv\u00fd\u0161\u00ed po odhalen\u00ed, \u017ee v\u00edce ne\u017e 30 nemocni\u010dn\u00edch budov v Anglii m\u00e1 st\u0159echy vyroben\u00e9 z vyztu\u017een\u00e9ho autokl\u00e1vovan\u00e9ho p\u00f3robetonu (RAAC), co\u017e znamen\u00e1, \u017ee tyto nemocni\u010dn\u00ed st\u0159echy mohou b\u00fdt nebezpe\u010dn\u011b bl\u00edzko kolapsu. K udr\u017een\u00ed kapacity a poskytnut\u00ed bezpe\u010dn\u00e9ho prostoru pro pacienty jsou zapot\u0159eb\u00ed prozat\u00edmn\u00ed \u0159e\u0161en\u00ed.<\/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\/cs_cz\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\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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