{"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\/cy_gb-wls\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/","title":{"rendered":"Adnewyddu yst\u00e2d yr ysbyty: Defnyddio Mannau Gofal Iechyd hyblyg i gynnal a chynyddu capasiti."},"content":{"rendered":"

Cyrhaeddodd rhestrau aros y GIG y lefel uchaf erioed 7 miliwn<\/a> pobl sy'n aros am driniaeth yn Lloegr ym mis Awst, yr uchaf ers dechrau cadw cofnodion. Mae pwysau cynyddol ar ofal dewisol wedi bod yn broblem ers amser maith, hyd yn oed cyn i ofal dewisol ddod i ben ar ddechrau pandemig COVID-19 2020. Yn wir, mae cannoedd o weithdrefnau gofal dewisol wedi'u canslo o ganlyniad i seilwaith ysbytai sy'n heneiddio a pheryglus. Dywedodd Robert Naylor yn 2017<\/a> heb fuddsoddiad sylweddol, 'bydd yst\u00e2d y GIG yn parhau i fod yn anaddas i'r diben a bydd yn parhau i ddirywio', gan leihau cynlluniau adfer dewisol yn y dyfodol. Dim ond yn ystod y misoedd nesaf y mae'r mater hwn yn debygol o gynyddu, yn dilyn datguddiad bod dros 30 o adeiladau ysbyty<\/a> yn Lloegr mae ganddynt doeau wedi'u gwneud o goncrit aeredig awtoclaf cyfnerth (RAAC), sy'n golygu y gallai toeau'r ysbytai hyn fod yn beryglus o agos at ddymchwel. Mae angen atebion dros dro a chapasiti adnewyddu, sydd wedi'u lleoli i ffwrdd o brif adeilad yr ysbyty, er mwyn cynnal a hyd yn oed gynyddu gweithgarwch dewisol tra'n cadw cleifion yn ddiogel yn ystod y gwaith adnewyddu helaeth sydd ei angen ar y toeau hyn.<\/p>\n

Mae nifer y digwyddiadau clinigol o ganlyniad i seilwaith ysbyty hen ffasiwn y mae angen ei adnewyddu ar frys wedi treblu yn y 5 mlynedd diwethaf, gyda digwyddiadau yn cynnwys claf anymwybodol ar beiriant anadlu yn cael ei ddal y tu mewn i lifft am 35 munud, a\u00a0adroddiad<\/a>\u00a0gan The Times wedi darganfod. Mae'r adroddiad yn manylu ar yr ymatebion i geisiadau rhyddid gwybodaeth, gan ddangos gwir faint effeithiau dinistriol 'yst\u00e2d y GIG sy'n dadfeilio' ar gleifion, gan amlygu nad yw'r seilwaith blinedig presennol yn gallu cadw i fyny \u00e2 gofynion modern.<\/p>\n

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Mae\u2019n amlwg, ochr yn ochr \u00e2\u2019r \u00f4l-groniad gofal cynyddol, fod \u00f4l-groniad sylweddol o waith cynnal a chadw ar draws Ymddiriedolaethau\u2019r GIG a Byrddau Iechyd y mae angen mynd i\u2019r afael ag ef ar frys. Dywed Naylor fod yst\u00e2d y GIG yn cwmpasu ardal fewnol gros o 26 miliwn metr sgw\u00e2r, fodd bynnag o gwmpas 1.5 miliwn<\/a> nid yw metr sgw\u00e2r o hwn yn cael ei ddefnyddio o gwbl oherwydd bod seilwaith yn rhy beryglus ac wedi dyddio ar gyfer gofynion modern. Yn ogystal \u00e2 hyn, mae arolwg barn diweddar gan YouGov o 1000 o weithwyr gofal iechyd preifat a 750 o weithwyr y GIG wedi canfod bod 50%<\/a> o weithwyr gofal iechyd proffesiynol yn credu na all eu gweithle gartrefu unrhyw staff ychwanegol oherwydd diffyg argaeledd gofod corfforol. Mae hyn felly'n rhwystro ymdrechion recriwtio ac yn atgyfnerthu datganiad Naylor na all y GIG fynd i'r afael yn fwyaf effeithiol \u00e2'r \u00f4l-groniad cynyddol o ofal heb foderneiddio ac adnewyddu seilwaith.<\/p>\n

Gyda'r pwysau ar y GIG ar ei uchaf erioed, a chostau cynnal a chadw o \u00a35.5 biliwn<\/a> i \u00a39.2 biliwn<\/a> dros y 5 mlynedd diwethaf, mae'r syniad o adeiladu ysbytai newydd, wedi'u moderneiddio, i'w gweld yn apelio. Fodd bynnag, mewn gwirionedd mae hon yn fenter ddrud a llafurus na fydd yn mynd i'r afael \u00e2 materion tymor byr orau. Dangosir hyn orau gydag enghraifft Ysbyty Brenhinol Lerpwl, lle y dechreuodd cynlluniau ailddatblygu yn 2002 ac sydd eto i'w cwblhau.<\/p>\n

Datgelodd ymateb diweddar gan GIG Lloegr i gais rhyddid gwybodaeth fod gan sawl ysbyty ledled Lloegr doeau wedi'u hadeiladu gyda RAAC, deunydd ysgafn a rhatach y mae un pennaeth ysbyty wedi'i labelu'n 'bom amser yn tician<\/a>'. Mae\u2019r deunydd wedi cael ei ddefnyddio mewn dros 30 o adeiladau mewn 20 o ysbytai gwahanol yn Lloegr ac mae\u2019n fygythiad aruthrol i staff a chleifion fel ei gilydd gan y gallai toeau ddymchwel unrhyw bryd.<\/p>\n

Er mwyn cadw cleifion a staff yn ddiogel, mae rhai ysbytai wedi dewis gosod cynhalwyr dur i leihau'r risg y byddant yn cwympo, ond nid yw hyn yn ateb parhaol.\u00a0\u00a3685 miliwn<\/a>\u00a0wedi\u2019i neilltuo i fynd i\u2019r afael yn uniongyrchol \u00e2 mater to RAAC, a bydd y Rhaglen Ysbytai Newydd yn ceisio cyflwyno 40 o ysbytai newydd ychwanegol a fydd yn dechrau disodli\u2019r seilwaith hen ffasiwn yn raddol. Yn ogystal, gellir defnyddio atebion interim i gynnal a chynyddu capasiti yn ystod cyfnodau o adnewyddu. Mae cyfleusterau gofal iechyd symudol a modiwlaidd yn ateb delfrydol i'w gyflwyno'n gyflym i ystad yr ysbyty.<\/p>\n

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Mewn sefyllfaoedd lle mae angen mynd i\u2019r afael \u00e2 materion capasiti brys ond nad yw\u2019r yst\u00e2d ysbyty sy\u2019n gadael yn ddigon i ddarparu ar gyfer hyn, gellir defnyddio atebion hyblyg Healthcare Space. Mae Dulliau Adeiladu Modern (MMC), fel y rhai a ddefnyddir i osod cyfleusterau gofal iechyd modiwlaidd, yn caniat\u00e1u ar gyfer cyflwyno atebion cynhwysedd ychwanegol yn gyflym i ymestyn yr yst\u00e2d ysbyty bresennol. Gellir gosod datrysiadau Gofod Gofal Iechyd symudol, modiwlaidd a chymysg yn ystod cyfnodau o adnewyddu neu gapasiti dan bwysau, gan ddarparu dewis cost-effeithiol a chynaliadwy yn lle mynd i'r afael \u00e2 rhestrau aros cynyddol a thrawsnewid gofal cleifion. At hynny, mae cyflwyno technolegau modern a seilwaith cyfoes yn hwyluso ymgyrchoedd recriwtio, gan gynnig mwy o gyfleoedd i ddatblygu sgiliau o fewn amgylchedd gwaith modern.<\/p>\n

Yn dilyn galwadau gan Goleg Brenhinol y Llawfeddygon yn 2021 am gyflwyno canolfannau llawfeddygol, gosodwyd theatrau llawdriniaethau modiwlaidd yn\u00a0Castell Newydd<\/a>\u00a0a\u00a0Roehampton<\/a>\u00a0i frwydro yn erbyn \u00f4l-groniadau llawfeddygol cynyddol. Ehangodd darpariaeth gyflym yr atebion Gofal Iechyd Space hyn yr yst\u00e2d ysbyty bresennol, gan ddarparu capasiti ychwanegol a sicrhau bod yr ysbytai yn y sefyllfa orau i fynd i'r afael \u00e2'u rhestrau aros gofal ac\u00edwt mewn ychydig fisoedd yn hytrach na blynyddoedd. Mae galwadau diweddar ar gapasiti wedi gwneud cyfleusterau MMC yn fwy deniadol, diolch i natur eu darpariaeth gyflym a'r manteision sy'n gysylltiedig ag adeiladu oddi ar y safle, megis tarfu cyn lleied \u00e2 phosibl ar y safle ac arbedion cost. Yn fwy na hynny, mae'r defnydd o ddeunyddiau mwy cynaliadwy, megis dur a phren, yn gwella natur hyblyg cyfleusterau, gan sicrhau y gellir eu haddasu yn y ffordd orau i'r angen presennol, yn wahanol i adeiladau traddodiadol y GIG o frics a morter, y mae llawer ohonynt wedi'u gwneud. ar waith ers cyn sefydlu\u2019r Gwasanaeth Iechyd yn 1948.<\/p>\n

Wedi\u2019i gysylltu\u2019n hir \u00e2\u2019r termau \u2018dros dro\u2019 ac \u2018argyfwng\u2019, pe bai\u2019r GIG yn ceisio \u2018adeiladu\u2019n \u00f4l yn well\u2019 yn effeithiol yn sgil y pandemig, mae\u2019n bryd dechrau edrych ar seilwaith clinigol hyblyg, ac MMC, fel modd cynaliadwy a pharhaol i gwella\u2019r yst\u00e2d ysbytai bresennol yn gyflym, nid yn unig i gynyddu a disodli capasiti ond i wella canlyniadau cleifion a hwyluso ymgyrchoedd recriwtio.<\/p>","protected":false},"excerpt":{"rendered":"

Dim ond ar \u00f4l y datguddiad bod gan dros 30 o adeiladau ysbyty yn Lloegr doeau wedi'u gwneud o goncrit aeredig awtoclaf wedi'i atgyfnerthu (RAAC) y mae'r mater ynghylch yr yst\u00e2d ysbytai sydd wedi dyddio, yn debygol o gynyddu, sy'n golygu y gallai'r toeau ysbytai hyn fod yn beryglus o agos at ddymchwel. Mae angen atebion dros dro i gynnal capasiti a darparu lle diogel i gleifion.<\/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\/cy_gb-wls\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\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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