{"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\/fr_fr\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/","title":{"rendered":"R\u00e9novation du parc hospitalier : L'utilisation d'Espaces de Sant\u00e9 flexibles pour maintenir et augmenter la capacit\u00e9."},"content":{"rendered":"

Les listes d'attente du NHS ont atteint un niveau record de 7 millions<\/a> personnes en attente de traitement en Angleterre en ao\u00fbt, le plus \u00e9lev\u00e9 depuis le d\u00e9but des relev\u00e9s. Les pressions croissantes en mati\u00e8re de soins \u00e9lectifs constituent depuis longtemps un probl\u00e8me, avant m\u00eame la pause des soins \u00e9lectifs au d\u00e9but de la pand\u00e9mie de COVID-19 de 2020. En effet, des centaines d\u2019interventions de soins \u00e9lectifs ont \u00e9t\u00e9 annul\u00e9es en raison du vieillissement et de la dangerosit\u00e9 des infrastructures hospitali\u00e8res. Robert Naylor a d\u00e9clar\u00e9 dans 2017<\/a> que sans investissement important, \u00ab le patrimoine du NHS restera impropre \u00e0 son usage et continuera \u00e0 se d\u00e9t\u00e9riorer \u00bb, diminuant ainsi les futurs plans de relance \u00e9lectifs. Ce probl\u00e8me ne fera que s'aggraver dans les mois \u00e0 venir, suite \u00e0 la r\u00e9v\u00e9lation selon laquelle plus de 30 b\u00e2timents hospitaliers<\/a> En Angleterre, les toits des h\u00f4pitaux sont en b\u00e9ton cellulaire autoclav\u00e9 renforc\u00e9 (RAAC), ce qui signifie que les toits de ces h\u00f4pitaux peuvent \u00eatre dangereusement proches de l'effondrement. Des solutions de capacit\u00e9 provisoire et de remplacement, situ\u00e9es \u00e0 l'\u00e9cart du b\u00e2timent principal de l'h\u00f4pital, sont n\u00e9cessaires pour maintenir, voire augmenter les activit\u00e9s \u00e9lectives tout en assurant la s\u00e9curit\u00e9 des patients pendant les vastes travaux de r\u00e9novation que n\u00e9cessitent ces toits.<\/p>\n

Le nombre d'incidents cliniques dus \u00e0 des infrastructures hospitali\u00e8res obsol\u00e8tes n\u00e9cessitant une r\u00e9novation urgente a tripl\u00e9 au cours des cinq derni\u00e8res ann\u00e9es, avec notamment un patient inconscient sous respirateur coinc\u00e9 dans un ascenseur pendant 35 minutes, un\u00a0rapport<\/a>\u00a0par le Times a d\u00e9couvert. Le rapport d\u00e9taille les r\u00e9ponses aux demandes d'acc\u00e8s \u00e0 l'information, illustrant la v\u00e9ritable ampleur des effets d\u00e9vastateurs du \u00ab patrimoine en ruine du NHS \u00bb sur les patients, soulignant que les infrastructures existantes, fatigu\u00e9es, ne sont pas en mesure de r\u00e9pondre aux exigences modernes.<\/p>\n

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Il est \u00e9vident qu\u2019\u00e0 c\u00f4t\u00e9 du retard croissant dans les soins, il existe un retard important en mati\u00e8re de maintenance dans les fiducies du NHS et les conseils de sant\u00e9 auquel il faut rem\u00e9dier de toute urgence. Naylor d\u00e9clare que le domaine du NHS couvre une superficie int\u00e9rieure brute de 26 millions de m\u00e8tres carr\u00e9s, mais environ 1500000<\/a> des m\u00e8tres carr\u00e9s sont totalement inutilis\u00e9s en raison d\u2019infrastructures trop dangereuses et obsol\u00e8tes pour les exigences modernes. En plus de cela, un r\u00e9cent sondage YouGov aupr\u00e8s de 1 000 employ\u00e9s du secteur priv\u00e9 du secteur de la sant\u00e9 et de 750 employ\u00e9s du NHS a r\u00e9v\u00e9l\u00e9 que 50%<\/a> des professionnels de sant\u00e9 estiment que leur lieu de travail ne peut pas accueillir de personnel suppl\u00e9mentaire en raison du manque d'espace physique disponible. Cela entrave donc les efforts de recrutement et renforce la d\u00e9claration de Naylor selon laquelle le NHS ne peut pas r\u00e9soudre le plus efficacement possible l'arri\u00e9r\u00e9 croissant de soins sans la modernisation et la remise \u00e0 neuf des infrastructures.<\/p>\n

Avec des pressions sur le NHS \u00e0 un niveau sans pr\u00e9c\u00e9dent et des co\u00fbts de maintenance de 5,5 milliards de livres sterling<\/a> \u00e0 9,2 milliards de livres sterling<\/a> Depuis 5 ans, l\u2019id\u00e9e de construire de nouveaux h\u00f4pitaux modernis\u00e9s semble s\u00e9duisante. Cependant, en r\u00e9alit\u00e9, il s\u2019agit d\u2019une initiative longue et co\u00fbteuse qui ne permettra pas de r\u00e9soudre au mieux les probl\u00e8mes \u00e0 court terme. L'exemple du Royal Liverpool Hospital, dont les plans de r\u00e9am\u00e9nagement ont d\u00e9but\u00e9 en 2002 et ne sont pas encore termin\u00e9s, en est la meilleure illustration.<\/p>\n

Une r\u00e9ponse r\u00e9cente du NHS England \u00e0 une demande d'acc\u00e8s \u00e0 l'information a r\u00e9v\u00e9l\u00e9 que plusieurs h\u00f4pitaux \u00e0 travers l'Angleterre ont des toits construits en RAAC, un mat\u00e9riau l\u00e9ger et moins cher qu'un patron d'h\u00f4pital a qualifi\u00e9 de \u00ab\u00a0bombe \u00e0 retardement<\/a>'. Ce mat\u00e9riau a \u00e9t\u00e9 utilis\u00e9 dans plus de 30 b\u00e2timents de 20 h\u00f4pitaux diff\u00e9rents en Angleterre et constitue une menace colossale pour le personnel et les patients, car les toits pourraient s'effondrer \u00e0 tout moment.<\/p>\n

Afin d'assurer la s\u00e9curit\u00e9 des patients et du personnel, certains h\u00f4pitaux ont choisi d'installer des supports en acier pour r\u00e9duire le risque d'effondrement, mais cela ne constitue pas une solution permanente.\u00a0685 millions de livres sterling<\/a>\u00a0a \u00e9t\u00e9 r\u00e9serv\u00e9 pour r\u00e9soudre directement le probl\u00e8me du toit du RAAC, et le programme de nouveaux h\u00f4pitaux cherchera \u00e0 introduire 40 nouveaux h\u00f4pitaux suppl\u00e9mentaires qui commenceront progressivement \u00e0 remplacer l'infrastructure obsol\u00e8te. De plus, des solutions provisoires peuvent \u00eatre utilis\u00e9es pour maintenir et augmenter la capacit\u00e9 pendant les p\u00e9riodes de r\u00e9novation. Les \u00e9tablissements de sant\u00e9 mobiles et modulaires constituent une solution id\u00e9ale pour s\u2019implanter rapidement dans le parc hospitalier.<\/p>\n

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Dans les situations o\u00f9 des probl\u00e8mes urgents de capacit\u00e9 doivent \u00eatre r\u00e9solus mais o\u00f9 le parc hospitalier existant n\u2019est pas suffisant pour y r\u00e9pondre, des solutions flexibles d\u2019espace de soins de sant\u00e9 peuvent \u00eatre d\u00e9ploy\u00e9es. Les m\u00e9thodes modernes de construction (MMC), telles que celles utilis\u00e9es pour l'installation d'\u00e9tablissements de sant\u00e9 modulaires, permettent la livraison acc\u00e9l\u00e9r\u00e9e de solutions de capacit\u00e9 suppl\u00e9mentaire pour \u00e9tendre le parc hospitalier existant. Les solutions Healthcare Space mobiles, modulaires et \u00e0 modalit\u00e9s mixtes peuvent \u00eatre install\u00e9es pendant les p\u00e9riodes de r\u00e9novation ou de capacit\u00e9 limit\u00e9e, offrant ainsi une alternative rentable et durable pour r\u00e9pondre aux listes d'attente croissantes et transformer les soins aux patients. De plus, l\u2019introduction de technologies modernes et d\u2019infrastructures modernes facilite les campagnes de recrutement, offrant ainsi de plus grandes opportunit\u00e9s de d\u00e9veloppement des comp\u00e9tences dans un environnement de travail moderne.<\/p>\n

Suite aux appels du Royal College of Surgeons en 2021 pour la mise en place de hubs chirurgicaux, des blocs op\u00e9ratoires modulaires ont \u00e9t\u00e9 install\u00e9s dans\u00a0Newcastle<\/a>\u00a0et\u00a0Roehampton<\/a>\u00a0pour lutter contre les retards chirurgicaux croissants. La livraison rapide de ces solutions Healthcare Space a \u00e9tendu le parc hospitalier existant, offrant une capacit\u00e9 suppl\u00e9mentaire et garantissant que les h\u00f4pitaux \u00e9taient mieux \u00e9quip\u00e9s pour faire face \u00e0 leurs listes d'attente pour les soins aigus en quelques mois plut\u00f4t qu'en ann\u00e9es. Les r\u00e9centes demandes de capacit\u00e9 ont accru l'attractivit\u00e9 des installations de MMC gr\u00e2ce \u00e0 la nature de leur livraison acc\u00e9l\u00e9r\u00e9e et aux avantages associ\u00e9s \u00e0 la construction hors site, tels qu'une perturbation minimale du site et des \u00e9conomies de co\u00fbts. De plus, l'utilisation de mat\u00e9riaux plus durables, tels que l'acier et le bois, renforce la nature flexible des installations, garantissant qu'elles peuvent \u00eatre mieux adapt\u00e9es aux besoins actuels, contrairement aux b\u00e2timents traditionnels du NHS en briques et mortier, dont beaucoup ont \u00e9t\u00e9 en place avant la cr\u00e9ation du Service de sant\u00e9 en 1948.<\/p>\n

Longtemps associ\u00e9 aux termes \u00ab temporaire \u00bb et \u00ab d'urgence \u00bb, si le NHS cherche \u00e0 \u00ab reconstruire en mieux \u00bb efficacement \u00e0 la suite de la pand\u00e9mie, il est temps de commencer \u00e0 consid\u00e9rer l'infrastructure clinique flexible et le MMC comme des moyens durables et permanents de am\u00e9liorer rapidement le parc hospitalier existant, non seulement pour augmenter et remplacer la capacit\u00e9, mais aussi pour am\u00e9liorer les r\u00e9sultats pour les patients et faciliter les campagnes de recrutement.<\/p>","protected":false},"excerpt":{"rendered":"

Le probl\u00e8me du domaine hospitalier obsol\u00e8te ne fera que s'aggraver suite \u00e0 la r\u00e9v\u00e9lation que plus de 30 b\u00e2timents hospitaliers en Angleterre ont des toits en b\u00e9ton cellulaire arm\u00e9 autoclav\u00e9 (RAAC), ce qui signifie que ces toits d'h\u00f4pitaux pourraient \u00eatre dangereusement proches de s'effondrer. Des solutions provisoires sont n\u00e9cessaires pour maintenir la capacit\u00e9 et fournir un espace s\u00fbr aux patients.<\/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\/fr_fr\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\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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