{"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\/fi_fi\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/","title":{"rendered":"Sairaalatilan kunnostaminen: Joustavien terveydenhuoltotilojen k\u00e4ytt\u00f6 kapasiteetin yll\u00e4pit\u00e4miseksi ja lis\u00e4\u00e4miseksi."},"content":{"rendered":"

NHS:n jonotuslistat saavuttivat kaikkien aikojen enn\u00e4tyksen 7 miljoonaa<\/a> Englannissa hoitoa odottavia ihmisi\u00e4 elokuussa, korkein enn\u00e4tysten alkamisen j\u00e4lkeen. Valittavan hoidon paineet ovat olleet ongelma jo pitk\u00e4\u00e4n, jopa ennen kuin valinnainen hoito keskeytettiin vuoden 2020 COVID-19-pandemian alussa. Itse asiassa satoja valinnaisia hoitotoimenpiteit\u00e4 on peruttu ik\u00e4\u00e4ntyv\u00e4n ja vaarallisen sairaalainfrastruktuurin vuoksi. Robert Naylor totesi 2017<\/a> ett\u00e4 ilman merkitt\u00e4vi\u00e4 investointeja "NHS:n omaisuus pysyy k\u00e4ytt\u00f6kelvottomana ja heikkenee edelleen", mik\u00e4 v\u00e4hent\u00e4\u00e4 tulevia valinnaisia elvytyssuunnitelmia. T\u00e4m\u00e4 ongelma todenn\u00e4k\u00f6isesti vain lis\u00e4\u00e4ntyy tulevina kuukausina sen paljastuksen j\u00e4lkeen yli 30 sairaalarakennusta<\/a> Englannissa katot on valmistettu vahvistetusta autoklavoidusta hiilihapotetusta betonista (RAAC), mik\u00e4 tarkoittaa, ett\u00e4 n\u00e4m\u00e4 sairaalan katot voivat olla vaarallisen l\u00e4hell\u00e4 sortua. Sairaalan p\u00e4\u00e4rakennuksesta erill\u00e4\u00e4n sijaitsevia v\u00e4liaikaisia ja korvaavia kapasiteettiratkaisuja vaaditaan yll\u00e4pit\u00e4m\u00e4\u00e4n ja jopa lis\u00e4\u00e4m\u00e4\u00e4n valinnaista aktiivisuutta ja samalla pit\u00e4m\u00e4\u00e4n potilaat turvassa n\u00e4iden kattojen vaatimien laajojen kunnostust\u00f6iden aikana.<\/p>\n

Kliinisten tapausten m\u00e4\u00e4r\u00e4 vanhentuneesta sairaalainfrastruktuurista, joka kaipaa kiireellist\u00e4 kunnostusta, on kolminkertaistunut viimeisen viiden vuoden aikana, ja tapauksia, joissa tajuton potilas hengityskoneessa oli loukussa hississ\u00e4 35 minuutiksi,\u00a0raportti<\/a>\u00a0The Times on l\u00f6yt\u00e4nyt. Raportissa kuvataan yksityiskohtaisesti vastaukset tiedonvapauspyynt\u00f6ihin, havainnollistaen "murtuvan NHS:n kartanon" potilaisiin kohdistuvien tuhoisten vaikutusten todellista laajuutta ja korostaa, ett\u00e4 nykyinen v\u00e4synyt infrastruktuuri ei pysty pysym\u00e4\u00e4n nykyaikaisten vaatimusten tasalla.<\/p>\n

\"\"<\/figure>\n

On selv\u00e4\u00e4, ett\u00e4 kasvavan hoitokannan ohella NHS:n s\u00e4\u00e4ti\u00f6iss\u00e4 ja terveyslautakunnissa on merkitt\u00e4v\u00e4\u00e4 kunnossapitoa, johon on puututtava kiireesti. Naylor kertoo, ett\u00e4 NHS:n kiinteist\u00f6n sis\u00e4pinta-ala on 26 miljoonaa neli\u00f6metri\u00e4, mutta noin 1.5 miljoonaa<\/a> neli\u00f6metri\u00e4 t\u00e4st\u00e4 on t\u00e4ysin k\u00e4ytt\u00e4m\u00e4t\u00f6n, koska infrastruktuuri on liian vaarallinen ja vanhentunut nykyaikaisiin vaatimuksiin. T\u00e4m\u00e4n lis\u00e4ksi \u00e4skett\u00e4inen YouGovin kysely, johon osallistui 1000 yksityist\u00e4 terveydenhuollon ty\u00f6ntekij\u00e4\u00e4 ja 750 NHS:n ty\u00f6ntekij\u00e4\u00e4, on osoittanut, ett\u00e4 50%<\/a> Terveydenhuollon ammattilaisista uskoo, ett\u00e4 heid\u00e4n ty\u00f6paikalleen ei voi sijoittaa lis\u00e4henkil\u00f6st\u00f6\u00e4 fyysisen tilan puutteen vuoksi. T\u00e4m\u00e4 siis est\u00e4\u00e4 rekrytointipyrkimyksi\u00e4 ja vahvistaa Naylorin lausuntoa, jonka mukaan NHS ei voi tehokkaimmin k\u00e4sitell\u00e4 kasvavaa hoitoruuhkaa ilman infrastruktuurin modernisointia ja kunnostusta.<\/p>\n

NHS:n paineet ovat kaikkien aikojen korkeimmat ja yll\u00e4pitokustannukset alkaen 5,5 miljardia puntaa<\/a> to 9,2 miljardia puntaa<\/a> Viimeisten viiden vuoden aikana ajatus uusien, modernisoitujen sairaaloiden rakentamisesta vaikuttaa houkuttelevalta. Todellisuudessa t\u00e4m\u00e4 on kuitenkin aikaa viev\u00e4 ja kallis aloite, joka ei parhaiten ratkaise lyhyemm\u00e4n aikav\u00e4lin ongelmia. T\u00e4m\u00e4 n\u00e4kyy parhaiten Royal Liverpool Hospital -sairaalan esimerkiss\u00e4, jonka kunnostussuunnitelmat aloitettiin vuonna 2002 ja joita ei ole viel\u00e4 saatu p\u00e4\u00e4t\u00f6kseen.<\/p>\n

Englannin NHS:n \u00e4skett\u00e4inen vastaus tiedonvapauspyynt\u00f6\u00f6n paljasti, ett\u00e4 useissa sairaaloissa ymp\u00e4ri Englannin on katto rakennettu RAAC:lla, kevyell\u00e4 ja halvemmalla materiaalilla, jonka yksi sairaalan pomo on merkinnyt "tikitt\u00e4v\u00e4 aikapommi<\/a>'. Materiaalia on k\u00e4ytetty yli 30 rakennuksessa 20 eri sairaalassa Englannissa, ja se on valtava uhka henkil\u00f6kunnalle ja potilaille, koska katot voivat romahtaa milloin tahansa.<\/p>\n

Sek\u00e4 potilaiden ett\u00e4 henkil\u00f6kunnan turvallisuuden varmistamiseksi jotkin sairaalat ovat p\u00e4\u00e4tt\u00e4neet asentaa ter\u00e4stuet v\u00e4hent\u00e4\u00e4kseen niiden romahtamisen riski\u00e4, mutta t\u00e4m\u00e4 ei ole pysyv\u00e4 ratkaisu.\u00a0685 miljoonaa puntaa<\/a>\u00a0on varattu k\u00e4sittelem\u00e4\u00e4n suoraan RAAC-katto-ongelmaa, ja Uusi sairaala -ohjelma pyrkii tuomaan lis\u00e4\u00e4 40 uutta sairaalaa, jotka alkavat v\u00e4hitellen korvata vanhentunutta infrastruktuuria. Lis\u00e4ksi voidaan k\u00e4ytt\u00e4\u00e4 v\u00e4liaikaisia ratkaisuja kapasiteetin yll\u00e4pit\u00e4miseen ja lis\u00e4\u00e4miseen kunnostusjaksojen aikana. Siirrett\u00e4v\u00e4t ja modulaariset terveydenhuollon tilat ovat ihanteellinen ratkaisu nopeaan k\u00e4ytt\u00f6\u00f6n sairaalakiinteist\u00f6ss\u00e4.<\/p>\n

\"\"<\/figure>\n

Tilanteissa, joissa kiireelliset kapasiteettiongelmat vaativat ratkaisua, mutta poistuva sairaalatila ei riit\u00e4 t\u00e4h\u00e4n, voidaan ottaa k\u00e4ytt\u00f6\u00f6n joustavia Healthcare Space -ratkaisuja. Modernit rakennusmenetelm\u00e4t (MMC), kuten ne, joita k\u00e4ytet\u00e4\u00e4n modulaaristen terveydenhuoltotilojen asennuksessa, mahdollistavat lis\u00e4kapasiteettiratkaisujen nopeutetun toimituksen olemassa olevan sairaalatilan laajentamiseksi. Mobiili-, modulaarisia ja sekamuotoisia Healthcare Space -ratkaisuja voidaan asentaa kunnostust\u00f6iden tai kapasiteetin rajoittuneiden aikoina, mik\u00e4 tarjoaa kustannustehokkaan ja kest\u00e4v\u00e4n vaihtoehdon kasvaviin jonotuslistoihin ja potilashoidon muuttamiseen. Lis\u00e4ksi nykyaikaisen teknologian ja ajanmukaisen infrastruktuurin k\u00e4ytt\u00f6\u00f6notto helpottaa rekrytointia ja tarjoaa paremmat mahdollisuudet kehitt\u00e4\u00e4 taitoja nykyaikaisessa ty\u00f6ymp\u00e4rist\u00f6ss\u00e4.<\/p>\n

Kun Royal College of Surgeons pyysi vuonna 2021 ottamaan k\u00e4ytt\u00f6\u00f6n kirurgisia keskityksi\u00e4, alueelle asennettiin modulaariset leikkaussalit.\u00a0Newcastle<\/a>\u00a0ja\u00a0Roehampton<\/a>\u00a0kasvavan leikkausruuhkan torjumiseksi. N\u00e4iden Healthcare Space -ratkaisujen nopea toimitus laajensi olemassa olevaa sairaalakiinteist\u00f6\u00e4, tarjosi lis\u00e4kapasiteettia ja varmisti, ett\u00e4 sairaalat pystyiv\u00e4t parhaiten selviytym\u00e4\u00e4n akuuttihoidon jonotuslistoistaan muutamassa kuukaudessa vuosien sijaan. Viimeaikaiset kapasiteetin vaatimukset ovat lis\u00e4nneet MMC-tilojen houkuttelevuutta niiden nopeutetun toimituksen luonteen ja rakennusty\u00f6maan ulkopuolelle liittyvien etujen, kuten minimaalisen ty\u00f6maan h\u00e4iri\u00f6n ja kustannuss\u00e4\u00e4st\u00f6jen, ansiosta. Lis\u00e4ksi kest\u00e4v\u00e4mpien materiaalien, kuten ter\u00e4ksen ja puun, k\u00e4ytt\u00f6 lis\u00e4\u00e4 tilojen joustavuutta ja varmistaa, ett\u00e4 ne voidaan parhaiten mukauttaa nykyiseen tarpeeseen, toisin kuin perinteiset tiili-ja laastirakennukset, joista monet ovat olleet ollut olemassa jo ennen terveyspalvelun perustamista vuonna 1948.<\/p>\n

Pitk\u00e4\u00e4n yhdistetty termeihin "v\u00e4liaikainen" ja "h\u00e4t\u00e4tilanne", jos NHS pyrkii tehokkaasti "rakentamaan paremmin" pandemian j\u00e4lkeen, on aika alkaa pit\u00e4\u00e4 joustavaa kliinist\u00e4 infrastruktuuria ja MMC:t\u00e4 kest\u00e4v\u00e4n\u00e4 ja pysyv\u00e4n\u00e4 keinona parantaa nopeasti olemassa olevaa sairaalakiinteist\u00f6\u00e4, ei vain kapasiteetin lis\u00e4\u00e4miseksi ja korvaamiseksi, vaan my\u00f6s potilaiden tulosten parantamiseksi ja rekrytointien helpottamiseksi.<\/p>","protected":false},"excerpt":{"rendered":"

Ongelma vanhentuneesta sairaalakiinteist\u00f6st\u00e4 kasvaa todenn\u00e4k\u00f6isesti vain sen j\u00e4lkeen, kun paljastuu, ett\u00e4 Englannissa yli 30 sairaalarakennuksessa on vahvistetun autoklavoidun hiilihapotetun betonin (RAAC) katot, mik\u00e4 tarkoittaa, ett\u00e4 n\u00e4m\u00e4 sairaalan katot voivat olla vaarallisen l\u00e4hell\u00e4 romahdusta. Tarvitaan v\u00e4liaikaisia ratkaisuja kapasiteetin yll\u00e4pit\u00e4miseksi ja turvallisen tilan tarjoamiseksi potilaille.<\/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\/fi_fi\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"fi_FI\" \/>\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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