{"id":2645,"date":"2020-01-06T16:50:11","date_gmt":"2020-01-06T16:50:11","guid":{"rendered":"\/?p=2645"},"modified":"2020-01-06T16:50:11","modified_gmt":"2020-01-06T16:50:11","slug":"ensuring-endoscopy-is-not-left-behind","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/is_is\/ensuring-endoscopy-is-not-left-behind\/","title":{"rendered":"Tryggja a\u00f0 speglanir s\u00e9u ekki skildir eftir"},"content":{"rendered":"

L\u00e6knastj\u00f3ri NHS Englands hefur lagt ni\u00f0ur hanskann fyrir heilbrig\u00f0isstarfsmenn til a\u00f0 n\u00e1 mun betri krabbameins\u00e1rangri. Sett hefur veri\u00f0 markmi\u00f0 um a\u00f0 99 pr\u00f3sent sj\u00faklinga b\u00ed\u00f0i minna en sex vikur fr\u00e1 tilv\u00edsun \u00ed greiningarpr\u00f3f \u00fear til pr\u00f3fi\u00f0 fer fram.<\/p>\n

Sem n\u00fdleg\n\n Opinber stefnum\u00f3tunarverkefni\n<\/a>\n(PPP) sk\u00fdrsla:\n\n A\u00f0 sko\u00f0a: \u00e1stand speglunar \u00ed Englandi,\n<\/em>\nhefur leitt \u00ed lj\u00f3s, a\u00f0 \u00feessum a\u00f0d\u00e1unarver\u00f0u markmi\u00f0um ver\u00f0ur ekki n\u00e1\u00f0 nema getu NHS til speglasko\u00f0unar s\u00e9 sett \u00e1 \u00f6ruggari grundv\u00f6ll. \u00dev\u00ed mi\u00f0ur er \u00feetta ekki raunin \u00ed augnablikinu hj\u00e1 sj\u00fakrah\u00fasum um England. \u00cd sk\u00fdrslunni kom \u00ed lj\u00f3s a\u00f0 41 pr\u00f3sent sj\u00f3\u00f0a starfa me\u00f0 speglunarsv\u00edtum sem n\u00e1lgast, e\u00f0a fara yfir, r\u00e1\u00f0lag\u00f0an t\u00edu \u00e1ra l\u00edft\u00edma framlei\u00f0anda.<\/p>\n

Mikilv\u00e6gi \u00feessarar umr\u00e6\u00f0u hefur veri\u00f0 b\u00e6tt enn frekar saman af pr\u00f3fessor Sir Mike Richard, fyrrverandi National Cancer Director fyrir NHS England, n\u00fdlegri sk\u00fdrslu sem ber titilinn:\n\n \u00d3h\u00e1\u00f0 endursko\u00f0un \u00e1 skimunar\u00e1\u00e6tlunum fyrir fullor\u00f0na \u00ed Englandi.\n<\/em>\nLj\u00f3st er a\u00f0 \u00fea\u00f0 hefur aldrei veri\u00f0 meira vi\u00f0eigandi a\u00f0 hafa getu til a\u00f0 n\u00fdta s\u00e9r marga m\u00f6guleika til a\u00f0 \u00fdta undir notkun skimunar\u00e1\u00e6tlana.<\/p>\n

Sk\u00fdrsla PPP, sem gefin var \u00fat \u00ed samstarfi vi\u00f0 Vanguard Healthcare Solutions, fjalla\u00f0i um \u00feetta efni \u00e1 l\u00edflegum hringbor\u00f0svi\u00f0bur\u00f0i \u00e1 \u00feessu \u00e1ri.\n\n IHEEM\n<\/a>\nR\u00e1\u00f0stefna Heilsug\u00e6slub\u00faa. Vi\u00f0staddir voru nokkrir b\u00fas- og a\u00f0st\u00f6\u00f0ustj\u00f3rar \u00e1samt verkfr\u00e6\u00f0ingum sem veittu leyfi og kl\u00edn\u00edskum lei\u00f0beinendum fyrir afmengun og speglanir fr\u00e1 NHS sj\u00f3\u00f0um v\u00ed\u00f0s vegar um Bretland. Umr\u00e6\u00f0an var gr\u00edpandi vettvangur \u00fear sem \u00feessir h\u00e1ttsettu lei\u00f0togar \u00ed hugsun t\u00f6lu\u00f0u um hvers vegna versnun \u00e1 speglunara\u00f0st\u00f6\u00f0u hefur veri\u00f0 leyft a\u00f0 gera vart vi\u00f0 sig svo alvarlega \u00e1 NHS.\n\"\"<\/p>\n

\n \n L\u00edft\u00edmi\n <\/strong>\n<\/h4>\n

Samkv\u00e6mt sk\u00fdrslu PPP eru 25 pr\u00f3sent af afmengunarsv\u00edtum sem n\u00fa eru \u00ed notkun v\u00ed\u00f0s vegar um England eldri en 10 \u00e1ra og 15 pr\u00f3sent sj\u00fakrah\u00fasa hafa ekki uppf\u00e6rt sv\u00edtur s\u00ednar undanfarin \u00e1tta \u00e1r. \u00cd samhengi vi\u00f0 himinh\u00e1a eftirspurn eftir speglunar\u00farr\u00e6\u00f0i er auglj\u00f3slega \u00fe\u00f6rf fyrir meiri athugun \u00e1 n\u00e1kv\u00e6mlega hvernig vi\u00f0 skilgreinum l\u00edft\u00edma speglunarsv\u00edtu. \u00deetta atri\u00f0i reyndist vera mikill drifkraftur umr\u00e6\u00f0unnar.<\/p>\n

\u201eEftirspurn eftir speglunar\u00fej\u00f3nustu fer a\u00f0eins \u00ed eina \u00e1tt,\u201c sag\u00f0i David Cole, forstj\u00f3ri Vanguard Healthcare Solutions. Sem fundarstj\u00f3ri umr\u00e6\u00f0unnar var David miki\u00f0 \u00ed mun a\u00f0 rannsaka \u00fe\u00e1tttakendur \u00ed opinbera geiranum um l\u00edft\u00edma speglunar. David varpa\u00f0i fram spurningunni: \u201eMe\u00f0 tilliti til \u00feessarar \u00f3umfl\u00fdjanlegu aukningar \u00e1 virkni, hvernig er n\u00fa veri\u00f0 a\u00f0 m\u00e6la l\u00edfsl\u00edkur speglunarb\u00fana\u00f0ar?<\/p>\n

\u00c1 fundinum var samsta\u00f0a um a\u00f0 l\u00edft\u00edmar speglunareininga byggist \u00e1 t\u00edmabili \u00fear sem b\u00fana\u00f0ur er \u00ed virkri notkun frekar en eftir fj\u00f6lda rekstrarlota. Me\u00f0 hli\u00f0sj\u00f3n af aukinni eftirspurn er ekki lengur n\u00f3g a\u00f0 m\u00e6la l\u00edft\u00edma \u00ed skilm\u00e1lar af \u00e1rum til a\u00f0 tryggja a\u00f0 b\u00fana\u00f0ur geti n\u00e1\u00f0 l\u00e1gmarks afmengunarst\u00f6\u00f0lum daglega fr\u00e1 degi til dags.<\/p>\n

Ennfremur er ekki h\u00e6gt a\u00f0 taka tillit til aukins vi\u00f0haldskostna\u00f0ar vi\u00f0 a\u00f0 m\u00e6la l\u00edft\u00edma speglunar \u00e1 virkum \u00e1rum, sem er \u00f3umfl\u00fdjanleg aflei\u00f0ing aukinnar notkunar. Innbygg\u00f0 getu til vi\u00f0halds er l\u00faxus sem f\u00e1ir sj\u00f3\u00f0ir hafa efni \u00e1 n\u00fa \u00e1 d\u00f6gum og \u00fev\u00ed eru \u00e1hrif \u00e1 starfsemisstig \u00f3umfl\u00fdjanleg.<\/p>\n

\u201eLykilatri\u00f0i\u00f0 er hvernig vi\u00f0 aukum n\u00faverandi b\u00fasgetu.\n\n Alex Chilvers, framkv\u00e6mdastj\u00f3ri hj\u00e1 18 Week Support\n<\/cite>\n\u201eAu\u00f0vita\u00f0 mun aukin notkun hafa ska\u00f0leg \u00e1hrif \u00e1 endingu b\u00fana\u00f0arins,\u201c sag\u00f0i Alex Chilvers, framkv\u00e6mdastj\u00f3ri hj\u00e1 18 Week Support, stofnun sem er hollur til a\u00f0 hj\u00e1lpa traustum a\u00f0 stj\u00f3rna tilv\u00edsun \u00e1 me\u00f0fer\u00f0arlei\u00f0ir og markmi\u00f0. Alex kraf\u00f0ist \u00feess a\u00f0 \u00ed samhengi vi\u00f0 fjarveru \u00ed fj\u00e1rmagnsfj\u00e1rm\u00f6gnun fyrir langt\u00edma uppf\u00e6rslur \u00e1 speglunarsv\u00edtum, "lykilatri\u00f0i\u00f0 er hvernig vi\u00f0 aukum n\u00faverandi b\u00fasgetu."<\/p>\n

H\u00e6gt er a\u00f0 leita til annarra atvinnugreina til a\u00f0 f\u00e1 d\u00e6mi um hvernig \u00e1 a\u00f0 fylgjast me\u00f0 endingu speglunarb\u00fana\u00f0ar. Reyndar er \u00feetta atri\u00f0i sem Rosemary Jenssen, heilsug\u00e6sluarkitekt, var f\u00fas til a\u00f0 gera. \u201eB\u00edlar hafa skynsamlegt vi\u00f0haldst\u00edmabil \u00fat fr\u00e1 virkni \u00feeirra, \u00e1 me\u00f0an speglanir vir\u00f0ast vera fylgst me\u00f0 \u00fat fr\u00e1 fj\u00f6lda \u00e1ra sem \u00feeir hafa veri\u00f0 virkir,\u201c sag\u00f0i Rosemary. \u201eEf hringr\u00e1sarv\u00f6ktun okkar v\u00e6ri bygg\u00f0 \u00e1 beinni notkun \u00e1 b\u00fana\u00f0i, \u00fe\u00e1 hef\u00f0ir\u00f0u miklu betri m\u00f6guleika \u00e1 a\u00f0 skipuleggja framvindu til a\u00f0 veita uppl\u00fdsingar um hven\u00e6r \u00e6tti a\u00f0 skipta um ofnota\u00f0an b\u00fana\u00f0.<\/p>\n

\u00deegar b\u00fana\u00f0ur byrjar a\u00f0 bila er \u00fea\u00f0 of seint og \u00fev\u00ed, eins og Rosemary t\u00f3k fram, ver\u00f0ur NHS a\u00f0 leita a\u00f0 \u00fev\u00ed a\u00f0 mi\u00f0a hringr\u00e1sareftirlit sitt a\u00f0 virknimi\u00f0a\u00f0ri n\u00e1lgun. Rosemary var ekki s\u00fa eina sem undirstrika\u00f0i \u00feetta. Cliff Howell, fyrrverandi framkv\u00e6mdastj\u00f3ri og rekstrarstj\u00f3ri fyrir NHS Estates and Facilities, skilvirkni og framlei\u00f0nisvi\u00f0 NHS Improvement, benti \u00e1 \u00ed berum or\u00f0um: \u201eVi\u00f0 ver\u00f0um a\u00f0 breyta yfir \u00ed gagnreynda n\u00e1lgun frekar en a\u00f0 lesa einfaldlega \u00fea\u00f0 sem vi\u00f0ger\u00f0arhandb\u00f3kin segir.<\/p>\n

\n \n Stj\u00f3rna \u00e1h\u00e6ttunni e\u00f0a stj\u00f3rna peningunum?\n <\/strong>\n<\/h4>\n

Ef a\u00f0st\u00f6\u00f0ustj\u00f3rar v\u00ed\u00f0svegar um NHS sj\u00f3\u00f0i vi\u00f0urkenna takmarkanir \u00e1 \u00fev\u00ed hvernig fylgst er me\u00f0 mikilv\u00e6gum innvi\u00f0um innan l\u00edft\u00edma speglunarsv\u00edtu er mikilv\u00e6gt a\u00f0 vita hva\u00f0 hvetur sj\u00f3\u00f0 til a\u00f0 skipta um, e\u00f0a a\u00f0 minnsta kosti auka, n\u00faverandi a\u00f0st\u00f6\u00f0u s\u00edna.<\/p>\n

Flj\u00f3tleg sv\u00f6r komu ekki, \u00fear sem a\u00f0st\u00f6\u00f0ustj\u00f3rar vitnu\u00f0u strax \u00ed v\u00ed\u00f0t\u00e6kari \u00e1hyggjur \u00ed kringum hugsunina h\u00e9r og n\u00fa, sem kemur oft \u00ed veg fyrir a\u00f0 NHS taki br\u00e1\u00f0nau\u00f0synlegar langt\u00edma\u00e1kvar\u00f0anir var\u00f0andi b\u00fa sitt. Einn fulltr\u00fai gekk svo langt a\u00f0 segja a\u00f0 NHS \u00fej\u00e1ist af \u201eskammt\u00edma skipulagsheilkenni\u201c \u00feegar kemur a\u00f0 n\u00fdtingu b\u00fas.<\/p>\n

\u00c1 endanum, \u00fe\u00f3 a\u00f0 sj\u00f3\u00f0ir vilji mi\u00f0a \u00e1kvar\u00f0anir um uppf\u00e6rslu speglunarb\u00fana\u00f0ar, eru a\u00f0st\u00f6\u00f0ustj\u00f3rar venjulega takmarka\u00f0ir af sama m\u00e1li - kostna\u00f0i. Fj\u00e1rmagnsm\u00e1lin og ska\u00f0leg \u00e1hrif \u00feeirra \u00e1 um\u00f6nnun sj\u00faklinga hafa vissulega veri\u00f0 sett \u00e1 oddinn \u00ed umr\u00e6\u00f0um um b\u00e6tta heilbrig\u00f0is\u00fej\u00f3nustu. Fj\u00e1rhagslegar takmarkanir r\u00e1\u00f0a enn miklu \u00ed daglegri \u00e1kvar\u00f0anat\u00f6ku b\u00faa og a\u00f0st\u00f6\u00f0ustj\u00f3ra. Fyrir of marga sn\u00fdst \u00feetta enn allt um peningana.<\/p>\n

Hverjar eru kveikjur \u00feess a\u00f0 traust endursko\u00f0i og g\u00e6ti hugsanlega uppf\u00e6rt speglunara\u00f0st\u00f6\u00f0u s\u00edna? Hver er fyrirt\u00e6ki \u00e1 m\u00f3ti einstaklings\u00e1h\u00e6ttu? Hva\u00f0a r\u00e1\u00f0stafanir getur traust gert til a\u00f0 vekja athygli \u00e1 gamaldags speglunarb\u00fana\u00f0i? \u00deetta eru \u00fe\u00e6r tegundir spurninga sem a\u00f0st\u00f6\u00f0ustj\u00f3rar v\u00ed\u00f0svegar um NHS \u00e6ttu a\u00f0 \u00edhuga, en aftur og aftur eru \u00e1kvar\u00f0anir \u00feeirra bygg\u00f0ar \u00e1 of m\u00f6rgum forgangsr\u00f6\u00f0un \u00ed samkeppni.\n\"\"<\/p>\n

\n \n Eitthva\u00f0 \u00fearf a\u00f0 gefa\n <\/strong>\n<\/h4>\n

Til a\u00f0 stu\u00f0la a\u00f0 virkara umhverfi \u00fear sem \u00e1kvar\u00f0anir byggjast \u00e1 \u00f6ryggi sj\u00faklinga er nau\u00f0synlegt a\u00f0 fj\u00e1rmagnsfl\u00e6\u00f0i beint til spegla\u00fej\u00f3nustust\u00f6\u00f0va eigi s\u00e9r sta\u00f0. N\u00faverandi mist\u00f6k vi\u00f0 a\u00f0 tryggja fj\u00e1rhagslegan stu\u00f0ning vi\u00f0 speglanir s\u00fdna a\u00f0 sambandi\u00f0 er \u00e1 milli l\u00f6ngunar \u00e1 landsv\u00edsu a\u00f0 takast \u00e1 vi\u00f0 krabbameinsleitarmarkmi\u00f0 og b\u00fana\u00f0arins sem getur svo oft reynst mikilv\u00e6gur til a\u00f0 n\u00e1 \u00feessum markmi\u00f0um.<\/p>\n

"\u00c1 svipa\u00f0an h\u00e1tt og vi\u00f0 a\u00f0 skipta um LINAC og myndgreiningarb\u00fana\u00f0, \u00fe\u00e1 eru oft \u00e1taksverkefni og fj\u00e1rm\u00f6gnun \u00e1 landsv\u00edsu tilt\u00e6k til a\u00f0 skipta um gamlan og \u00fareltan b\u00fana\u00f0," sag\u00f0i Cliff, sem lag\u00f0i til a\u00f0 \u00feessi stefna \u00e6tti a\u00f0 \u00fatv\u00edkka til a\u00f0 n\u00e1 til spegla\u00fej\u00f3nustub\u00fana\u00f0ar.<\/p>\n

\u00der\u00e1tt fyrir minna en sk\u00fdra \u00fatgjaldamynd, \u00fe\u00e1 eru valkostir \u00ed bo\u00f0i fyrir traust til a\u00f0 tryggja a\u00f0 \u00feeir vi\u00f0haldi speglunara\u00f0st\u00f6\u00f0u sinni og n\u00e1i \u00fev\u00ed markmi\u00f0um um krabbameinsleit. \u201eEfnir og b\u00fana\u00f0arskipti \u00ed NHS eru \u00ed s\u00f6gulegu h\u00e1marki \u00e1 me\u00f0an fj\u00e1rmagnsframbo\u00f0 er enn takmarka\u00f0. Afsl\u00e1ttur mun \u00fev\u00ed enn aukast,\u201c sag\u00f0i Cliff. \u201eKannski \u00e6tti NHS a\u00f0 \u00edhuga a\u00f0 afmarka l\u00edft\u00edmafj\u00e1rm\u00f6gnun fyrir framt\u00ed\u00f0ar\u00fer\u00f3un, til a\u00f0 koma \u00ed veg fyrir a\u00f0 fort\u00ed\u00f0in endurtaki sig.<\/p>\n

Aukning n\u00faverandi b\u00fasgetu mun gegna s\u00edfellt mikilv\u00e6gara hlutverki. Sk\u00fdrsla pr\u00f3fessors Richards fyrir NHS England vitna\u00f0i \u00ed fars\u00edmaeiningar sem hugsanlega draga \u00far \u00e1lagi \u00e1 speglunar\u00fej\u00f3nustu. \u00deetta hefur \u00feann \u00e1vinning a\u00f0 sigrast \u00e1 \u00feeim andm\u00e6lum sem l\u00e6knar vitna \u00ed um notkun \u00e1 a\u00f0st\u00f6\u00f0u utan starfsst\u00f6\u00f0var sem \u00f3gn vi\u00f0 sameina\u00f0a heilbrig\u00f0is\u00fej\u00f3nustu.<\/p>\n

Til \u00feess a\u00f0 metna\u00f0arfull krabbameinsmarkmi\u00f0 n\u00e1ist \u00feurfa breytingar a\u00f0 koma einhvers sta\u00f0ar fr\u00e1. PPP sk\u00fdrslan leiddi \u00ed lj\u00f3s a\u00f0 87 pr\u00f3sent sj\u00fakrah\u00fasa sem hafa tilkynnt um \u00f6ldrun afmengunarsv\u00edta (\u00fe.e. \u00feau sem ekki hafa veri\u00f0 endurn\u00fdju\u00f0 undanfarin \u00e1tta \u00e1r) eru einnig hluti af sj\u00f3\u00f0um sem n\u00e1\u00f0u ekki sex vikna bi\u00f0markmi\u00f0i fyrir greiningarpr\u00f3f.<\/p>\n

"Bretland hefur einhverja str\u00f6ngustu sta\u00f0la fyrir afmengun og dau\u00f0hreinsun hvar sem er \u00ed heiminum."\n\n David Cole\n<\/a>\n, forstj\u00f3ri Vanguard Healthcare Solutions<\/p>\n

Endoscopy einingar v\u00ed\u00f0svegar um NHS hafa n\u00e1\u00f0 langt fr\u00e1 \u201ek\u00fastask\u00e1punum\u201c sem einu sinni voru nota\u00f0ir (eins og einn fulltr\u00fai l\u00fdsti \u00feeim) til st\u00f3ru, h\u00e1\u00fer\u00f3u\u00f0u, mi\u00f0l\u00e6gu eininganna en eins og David Cole benti \u00e1 m\u00e1 \u00feetta ekki afsaka sj\u00e1lfs\u00e1n\u00e6gju. \u201eBretland hefur einhverja str\u00f6ngustu sta\u00f0la fyrir afmengun og \u00f3frj\u00f3semisa\u00f0ger\u00f0 hvar sem er \u00ed heiminum,\u201c sag\u00f0i David \u00feegar hann lauk \u00fev\u00ed sem var gr\u00edpandi og l\u00edfleg umr\u00e6\u00f0a, \u201een vi\u00f0 getum ekki leyft okkur a\u00f0 fara afturor\u00f0.<\/p>\n

\u00c1 me\u00f0an vi\u00f0 b\u00ed\u00f0um eftir innlendum stefnum\u00f3tendum til a\u00f0 beina fj\u00e1rmagnsfj\u00e1rm\u00f6gnun \u00ed fremstu r\u00f6\u00f0, ver\u00f0ur br\u00e1\u00f0atraust a\u00f0 tryggja a\u00f0 a\u00f0sta\u00f0a til speglunar\u00fej\u00f3nustu s\u00e9 ekki skilin eftir og a\u00f0 sj\u00faklingar fari ekki a\u00f0 finna fyrir neikv\u00e6\u00f0um \u00e1hrifum.<\/p>","protected":false},"excerpt":{"rendered":"

Metna\u00f0arfullar \u00e1\u00e6tlanir um a\u00f0 \u201eendursko\u00f0a\u201c krabbameinsleitarferli v\u00ed\u00f0s vegar um England ver\u00f0a ekki m\u00f6gulegar \u00e1n \u00feess a\u00f0 gefa alvarlega gaum a\u00f0 \u00e1standi spegla\u00fej\u00f3nustunnar.<\/p>","protected":false},"author":1,"featured_media":1347,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,119,115],"tags":[131,137],"class_list":["post-2645","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-procedures","category-products-and-services","tag-endoscope-decontamination","tag-endoscopy-suite"],"acf":[],"yoast_head":"\nEnsuring endoscopy is not left behind - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Ensuring endoscopy is not left behind to be able to deliver mbitious plans to “overhaul” cancer screening processes across England\" \/>\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\/is_is\/ensuring-endoscopy-is-not-left-behind\/\" \/>\n<meta property=\"og:locale\" content=\"is_IS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ensuring endoscopy is not left behind - 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