{"id":3932,"date":"2021-07-26T12:54:11","date_gmt":"2021-07-26T12:54:11","guid":{"rendered":"\/?p=3932"},"modified":"2021-07-26T12:54:11","modified_gmt":"2021-07-26T12:54:11","slug":"are-you-ready-for-the-winter-season","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/da_dk\/are-you-ready-for-the-winter-season\/","title":{"rendered":"Er du klar til vinters\u00e6sonen?"},"content":{"rendered":"

Endnu en stigning i sager er mulig efter frigivelsen af restriktioner i denne m\u00e5ned, og selvom vi i \u00f8jeblikket er midt i en hedeb\u00f8lge, skal vurderingen af beredskabet forud for vinters\u00e6sonen starte nu. I en rapport<\/a> offentliggjort i sidste uge, advarede Academy of Medical Sciences om, at den kombinerede virkning af Covid-19, s\u00e6sonbestemt influenza og respiratorisk virus Respiratory Syncytial Virus (RSV), kunne presse NHS til bristepunktet denne vinter.<\/p>\n

Den siger, at nye modeller tyder p\u00e5, at hospitalsindl\u00e6ggelser og d\u00f8dsfald i forbindelse med influenza og RSV kan v\u00e6re to gange s\u00e5 h\u00f8j som et 'normalt' \u00e5r og kan falde sammen med en stigning i Covid-19-tilf\u00e6lde s\u00e5vel som den s\u00e6dvanlige vinterbyrde fra tilstande som astma og KOL . Effekten p\u00e5 elektiv pleje og andre ikke-hasteydelser p\u00e5 hospitaler i centrum af et lokalt udbrud kan v\u00e6re \u00f8del\u00e6ggende.<\/p>\n

Hospitaler vil st\u00e5 over for en r\u00e6kke udfordringer i l\u00f8bet af vinters\u00e6sonen, herunder nedsat sengekapacitet p\u00e5 grund af infektionskontrolforanstaltninger, h\u00f8j sengebel\u00e6gning, personalemangel og en risiko for yderligere lokaliserede udbrud af Covid-19 eller nye varianter, der dukker op. L\u00e6g dertil eftersl\u00e6bet for\u00e5rsaget af den indledende suspension af ikke-hastetjenester under den indledende nedlukning og afbrydelse under efterf\u00f8lgende udbrud, og det er let at se, hvor hastende problemet skal l\u00f8ses.<\/p>\n

\u00d8get kapacitet<\/strong><\/p>\n

Ud over at beskytte elektive tjenester mod p\u00e5virkning under fremtidige udbrud af Covid-19 eller andre infektionssygdomme, er der ogs\u00e5 behov for yderligere kapacitet for at reducere det eksisterende eftersl\u00e6b af elektiv pleje. Klinisk prioritering er en foresl\u00e5et strategi, men det kan have en negativ effekt p\u00e5 patienternes liv og vil n\u00e6ppe f\u00f8re til en reduktion i det samlede antal ventende personer. Det er klart, at der er behov for yderligere kapacitet og skalerbare l\u00f8sninger.<\/p>\n

Det BMA har estimeret<\/a> at selv med en stigning p\u00e5 10% i pr\u00e6-pandemisk aktivitet, kan det tage op til fem \u00e5r at reducere eftersl\u00e6bet af elektiv pleje i England tilbage til marts 2019-niveauet. En stigning p\u00e5 op til 20% ville v\u00e6re n\u00f8dvendig for at tackle eftersl\u00e6bet inden for et mere rimeligt tidsrum, hvor endoskopi kr\u00e6ver en 30%-stigning i forhold til marts 2019-aktiviteten. Siden disse sk\u00f8n er eftersl\u00e6bet steget yderligere.<\/p>\n

Fleksible sundhedsl\u00f8sninger, s\u00e5som modul\u00e6re operationsstuer og procedurerum, kan hj\u00e6lpe med at reducere ventelister. De kan s\u00e6ttes op relativt hurtigt i n\u00e6sten enhver konfiguration; og kan samles til komplette kirurgiske komplekser med en bred vifte af tjenester. Kirurgiske hubs som disse bruges i stigende grad af NHS Trusts til h\u00f8jvolumen kirurgi for at g\u00f8re en reel forskel for eskalerende ventelister.<\/p>\n

Forbedring af patientflow<\/strong><\/p>\n

Det handler ikke kun om at \u00f8ge kapaciteten. En vellykket l\u00f8sning starter med en evaluering af hele milj\u00f8et og flowet og layoutet af aktiviteter, herunder potentielle Covid-19-friomr\u00e5der eller 'gr\u00f8nne veje' i b\u00e5de kliniske og ikke-kliniske omr\u00e5der. En enkeltst\u00e5ende elektiv kirurgisk hub kan give en Covid-fri zone, hvor patienter fortsat kan ses uanset situationen inde p\u00e5 hovedhospitalet med vinterpres eller Covid-19 tilf\u00e6lde, og hvor patienter kan indl\u00e6gges direkte p\u00e5 anl\u00e6gget. En s\u00e5dan l\u00f8sning har mange fordele frem for outsourcing til den private sektor; fonden bevarer kontrollen over patientforl\u00f8bet, personale og omkostninger, og der er f\u00e6rre forstyrrelser for patienterne.<\/p>\n

Prim\u00e6r- og akutplejen risikerer ogs\u00e5 at v\u00e6re under v\u00e6kstpres om vinteren. Mens beskeden "bliv hjemme" lykkedes med at begr\u00e6nse spredningen af virussen, har den afskr\u00e6kket folk fra at s\u00f8ge rettidig adgang til sundhedspleje, hvilket har for\u00e5rsaget et "skjult eftersl\u00e6b".<\/p>\n

Sports- og fritidsaktiviteter er endnu ikke vendt tilbage til det pr\u00e6-pandemiske niveau, og det har trafikniveauet heller ikke. Efterh\u00e5nden som restriktioner udl\u00f8ses, og en form for normalitet genoptages, vil akutindl\u00e6ggelser stige, og flere mennesker vil ogs\u00e5 m\u00f8de op med ikke-hastende bekymringer, potentielt p\u00e5 samme tid som vinterpresset intensiveres og yderligere b\u00f8lger eller lokale udbrud af Covid-19 forekommer.<\/p>\n

P\u00e5 akutmodtagelsesafdelinger er der et l\u00f8bende behov for at kunne isolere patienter med Covid-19 symptomer og for at kunne h\u00e5ndtere det forventede h\u00f8jere eftersp\u00f8rgsel. Effektive vurderings- og triageprocesser er n\u00f8glen, og der kan v\u00e6re behov for yderligere omr\u00e5der til vurdering og behandling af patienter - s\u00e5som enheder med mindre skader eller dedikeret plads til vurdering af luftvejssymptomer. Modul\u00e6re MIU'er kan placeres ved siden af akutmodtagelsens indgange, hvilket muligg\u00f8r en effektiv vej og reducerer ventetider for patienter - s\u00e5vel som Covid-risikoen p\u00e5 den prim\u00e6re akutmodtagelse.<\/p>\n

Med st\u00f8rstedelen af \u00e6ldre mennesker fuldt vaccineret, har de seneste udbrud v\u00e6ret blandt b\u00f8rn. Regeringen har meddelt, at b\u00f8rn ikke vil blive vaccineret, s\u00e5 nye udbrud er sandsynlige, n\u00e5r b\u00f8rn g\u00e5r tilbage i skole til efter\u00e5ret. Hvis en h\u00f8jere procentdel af indl\u00e6ggelserne er b\u00f8rn, kan der v\u00e6re behov for at udvide p\u00e6diatrisk plads p\u00e5 hospitalerne. Modul\u00e6re faciliteter er bygget skr\u00e6ddersyet, og layout, design og dekoration kan tilpasses til ethvert form\u00e5l; de kan ogs\u00e5 forbindes til eksisterende p\u00e6diatrisk plads.<\/p>\n

Hvorfor er det s\u00e5 presserende?<\/strong><\/p>\n

Det er usikkert, i hvor h\u00f8j grad den nuv\u00e6rende stigning i Covid-19-infektioner vil l\u00e6gge pres p\u00e5 sundhedsv\u00e6senet, men der er en klar risiko for, at ydelserne kan str\u00e6kkes over de n\u00e6ste to-tre m\u00e5neder eller ind i vinterperioden - ikke kun pga. en stigning i infektioner, men ogs\u00e5 p\u00e5 grund af den kombinerede effekt personaleforstyrrelser for\u00e5rsaget af krav om selvisolering og akutte indl\u00e6ggelser, der stiger i takt med, at landet \u00e5bner op. Den hurtige spredning af Delta-varianten viser, at Storbritannien vil forblive i fare for fremtidige varianter, s\u00e5 l\u00e6nge virussen forts\u00e6tter med at cirkulere globalt.<\/p>\n

Eftersl\u00e6bet er betydeligt. Det ansl\u00e5s, at omkring 1,5 millioner operationer blev aflyst alene i 2020, og der er nu mere end 5,3 millioner mennesker, der venter p\u00e5 valgfrie procedurer i England og Wales. Dette eftersl\u00e6b er ikke aftagende \u2013 p\u00e5 trods af at aktiviteten er vendt tilbage til n\u00e6sten normale niveauer, stiger antallet af ventende personer hver m\u00e5ned.<\/p>\n

Situationen er fortsat skr\u00f8belig. Hvis vi tillader, at en stigning i Covid-19 eller ikke-Covid-n\u00f8dindl\u00e6ggelser og det s\u00e6dvanlige vinterpres f\u00f8rer til yderligere aflysninger af valgfrie eller diagnostiske aktiviteter i \u00e5r, kan ventelisten stige til et punkt ud over rimelig genopretning.<\/p>\n

Har du tilstr\u00e6kkelig oversp\u00e6ndingskapacitet til at klare det ekstra pres denne vinter? Hvis ikke, kunne en modulopbygget l\u00f8sning v\u00e6re svaret. Midlertidig infrastruktur kan give den ekstra fysiske kapacitet, der er n\u00f8dvendig for at opretholde elektiv kirurgi gennem vinteren, eller for at \u00f8ge elektiv kirurgisk aktivitet ud over 100%-kapaciteten for at g\u00f8re et v\u00e6sentligt indhug i eksisterende ventelister for at komme videre.<\/p>\n

Forberedelserne skal starte nu; tilg\u00e6ngeligheden af fuldt kompatible modul\u00e6re sundhedsl\u00f8sninger tilpasset dine krav er begr\u00e6nset. Tag kontakt<\/a> nu for at bestille en konsultation.<\/p>","protected":false},"excerpt":{"rendered":"

Med udsigterne for Covid-19 usikre, er det nu vigtigere end nogensinde f\u00f8r at planl\u00e6gge vinteren for at sikre, at der er tilstr\u00e6kkelig kapacitet til at h\u00e5ndtere potentielle stigninger i eftersp\u00f8rgslen uden at p\u00e5virke leveringen af elektiv pleje eller diagnostiske tjenester.<\/p>","protected":false},"author":1,"featured_media":1457,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-3932","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nAre you ready for the winter season? - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Uncertainty of Covid makes it more important to plan for winter to ensure sufficient capacity to deal with potential spikes in demand\" \/>\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\/da_dk\/are-you-ready-for-the-winter-season\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are you ready for the winter season? 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