{"id":3257,"date":"2020-11-03T16:22:28","date_gmt":"2020-11-03T16:22:28","guid":{"rendered":"\/?p=3257"},"modified":"2020-11-03T16:22:28","modified_gmt":"2020-11-03T16:22:28","slug":"flexible-healthcare-infrastructure-can-alleviate-ae-pressure","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/is_is\/flexible-healthcare-infrastructure-can-alleviate-ae-pressure\/","title":{"rendered":"Sveigjanleg innvi\u00f0i heilsug\u00e6slunnar getur dregi\u00f0 \u00far \u00fer\u00fdstingi \u00e1 br\u00e1\u00f0am\u00f3tt\u00f6ku"},"content":{"rendered":"

\u00dear sem a\u00f0s\u00f3kn a\u00f0 br\u00e1\u00f0am\u00f3tt\u00f6ku eykst og getu heilsug\u00e6slunnar heldur \u00e1fram a\u00f0 takmarkast af \u00fe\u00f6rfinni \u00e1 a\u00f0 koma til m\u00f3ts vi\u00f0 Covid-19 sj\u00faklinga, g\u00e6ti t\u00edmabundin minnih\u00e1ttar mei\u00f0sladeild (MIU) e\u00f0a br\u00e1\u00f0ame\u00f0fer\u00f0arst\u00f6\u00f0 (UTC) hj\u00e1lpa\u00f0 til vi\u00f0 a\u00f0 draga \u00far \u00fer\u00fdstingi til skamms til me\u00f0allangs t\u00edma, og b\u00e6ta mikilv\u00e6gu auka getu til a\u00f0 me\u00f0h\u00f6ndla sj\u00faklinga.<\/p>\n

\u00c1hyggjurnar eru \u00fe\u00e6r a\u00f0 seinni bylgjan g\u00e6ti valdi\u00f0 \u00fev\u00ed a\u00f0 br\u00e1\u00f0am\u00f3tt\u00f6kudeildum ver\u00f0i ofvi\u00f0a enn og aftur \u00e1 \u00feessu vetrart\u00edmabili. \u00de\u00f3 a\u00f0 n\u00fdja l\u00edkani\u00f0 til a\u00f0 panta t\u00edma sem r\u00edkisstj\u00f3rnin er a\u00f0 pr\u00f3fa \u00e6tti a\u00f0 draga \u00far bi\u00f0t\u00edma eftir ney\u00f0artilvikum, \u00fe\u00e1 \u00fearf v\u00ed\u00f0t\u00e6kari n\u00e1lgun til a\u00f0 b\u00e6ta fl\u00e6\u00f0i sj\u00faklinga.<\/p>\n

Langt\u00edma m\u00e1l<\/strong><\/p>\n

Vaxandi \u00e1lag \u00e1 br\u00e1\u00f0am\u00f3tt\u00f6kur er langt\u00edmavandam\u00e1l, kn\u00fai\u00f0 \u00e1fram af \u00fdmsum l\u00fd\u00f0fr\u00e6\u00f0ilegum og \u00f6\u00f0rum \u00fe\u00e1ttum, en umfang vandans hefur aukist me\u00f0 t\u00edmanum og n\u00e1\u00f0i h\u00e1marki s\u00ed\u00f0asta vetur. \u00c1 s\u00ed\u00f0ustu fimm \u00e1rum hefur a\u00f0s\u00f3kn \u00e1 helstu br\u00e1\u00f0am\u00f3tt\u00f6kur almennra sj\u00fakrah\u00fasa aukist um meira en 10%,<\/a> me\u00f0 h\u00e6kkun milli 2018 og 2019 mest um 4,9%.<\/p>\n

Me\u00f0 r\u00famat\u00f6ku kl yfir 90% \u00e1 landsv\u00edsu<\/a>, m\u00f6rg a\u00f0sta\u00f0a var me\u00f0 h\u00e1marksgetu fyrir heimsfaraldurinn, sem \u00fe\u00fd\u00f0ir a\u00f0 \u00fea\u00f0 er mj\u00f6g l\u00edtill sveigjanleiki \u00ed kerfinu til a\u00f0 takast \u00e1 vi\u00f0 t\u00edmabundna aukningu \u00ed eftirspurn, eins og fr\u00e1 Covid-19. \u00c1\u00e6tla\u00f0 er a\u00f0 krafan um f\u00e9lagslega fjarl\u00e6g\u00f0 hafi einnig skert r\u00fambotn NHS Englands verulega.<\/p>\n

Aukin eftirspurn \u00e1samt takmarka\u00f0ri og minnkandi afkastagetu hefur leitt til \u00feess a\u00f0 bi\u00f0t\u00edmi hefur aukist verulega me\u00f0 t\u00edmanum. \u00c1 landsv\u00edsu, 23.8% sj\u00faklinga<\/a> \u00ed helstu br\u00e1\u00f0am\u00f3tt\u00f6kudeildum bi\u00f0u meira en fj\u00f3rar klukkustundir \u00e1 s\u00ed\u00f0asta \u00e1ri, samanbori\u00f0 vi\u00f0 8,5% \u00e1ri\u00f0 2014, me\u00f0 svipa\u00f0a \u00fer\u00f3un sem s\u00e9st \u00ed Skotlandi og Wales.<\/p>\n

\u00deetta er n\u00fa br\u00fdnt m\u00e1l. \u00derengsli getur \u00fe\u00fdtt meiri h\u00e6ttu \u00e1 a\u00f0 smitast af veirunni og \u00fe\u00f6rfin \u00e1 a\u00f0 a\u00f0skilja sj\u00faklinga me\u00f0 grun um Covid-19 fr\u00e1 sj\u00faklingum sem ekki eru Covid eykur \u00e1 strax \u00fer\u00fdstingi. Hver sem m\u00e6likvar\u00f0inn er nota\u00f0ur til a\u00f0 m\u00e6la frammist\u00f6\u00f0u br\u00e1\u00f0am\u00f3tt\u00f6ku er lj\u00f3st a\u00f0 \u00e1standi\u00f0 \u00feegar vi\u00f0 g\u00f6ngum inn \u00ed vetrart\u00edmabili\u00f0 er s\u00ed\u00f0ur en svo \u00e1kj\u00f3sanlegt.<\/p>\n

A\u00f0 draga \u00far eftirspurn eftir br\u00e1\u00f0am\u00f3tt\u00f6ku<\/strong><\/p>\n

Undirliggjandi aukning \u00ed eftirspurn eftir heilbrig\u00f0is\u00fej\u00f3nustu mun ekki veikjast me\u00f0 t\u00edmanum og til lengri t\u00edma liti\u00f0 mun einnig vera lykilatri\u00f0i a\u00f0 b\u00e6ta vi\u00f0 aukinni afkastagetu \u00ed formi meira deildar\u00fdmis og n\u00fdbygginga sj\u00fakrah\u00fasa.<\/p>\n

Br\u00e1\u00f0a- og br\u00e1\u00f0a\u00fej\u00f3nustur voru \u00feegar \u00ed umbreytingu til a\u00f0 n\u00e1 fram einf\u00f6ldu\u00f0u og sam\u00fe\u00e6ttu kerfi og b\u00e6ttu fl\u00e6\u00f0i sj\u00faklinga, en tilkoma Covid-19 hefur hra\u00f0a\u00f0 breytingum. Mi\u00f0a\u00f0 vi\u00f0 n\u00faverandi a\u00f0st\u00e6\u00f0ur er \u00f3l\u00edklegt a\u00f0 br\u00e1\u00f0am\u00f3tt\u00f6ku s\u00e9 heppilegasti sta\u00f0urinn fyrir sj\u00faklinga me\u00f0 \u00e1kve\u00f0nar a\u00f0st\u00e6\u00f0ur.<\/p>\n

N\u00fdja kerfi\u00f0, sem felur \u00ed s\u00e9r a\u00f0 starfsmenn NHS 111 beina sj\u00faklingum til kl\u00edn\u00edskt vi\u00f0eigandi \u00fej\u00f3nustu, \u00e6tti a\u00f0 draga \u00far mann\u00fer\u00f6ng \u00e1 bi\u00f0stofum, minnka \u00e1h\u00e6ttu og draga \u00far \u00f3\u00fearfa br\u00e1\u00f0am\u00f3tt\u00f6ku. En \u00feetta getur l\u00edka valdi\u00f0 \u00e1skorunum hva\u00f0 var\u00f0ar l\u00edkamlegt r\u00fdmi og getu \u00ed \u00f6\u00f0rum hlutum heilbrig\u00f0iskerfisins. F\u00f3lkinu sem v\u00edsa\u00f0 er fr\u00e1 br\u00e1\u00f0am\u00f3tt\u00f6kudeildum \u00fearf einhvers sta\u00f0ar a\u00f0 fara.<\/p>\n

A\u00f0 b\u00e6ta fl\u00e6\u00f0i sj\u00faklinga<\/strong><\/p>\n

Me\u00f0 \u00fev\u00ed a\u00f0 b\u00faa til samsta\u00f0sett MIU e\u00f0a UTC \u00e1 sama sta\u00f0 og br\u00e1\u00f0adeildin gerir sj\u00fakrah\u00fasum kleift a\u00f0 deila au\u00f0lindum innan sv\u00e6\u00f0isins og sj\u00faklingum sem \u00e1 a\u00f0 me\u00f0h\u00f6ndla \u00ed hentugasta umhverfi, sem lei\u00f0ir til styttri bi\u00f0t\u00edma og skilvirkara fl\u00e6\u00f0i sj\u00faklinga. Minnkun \u00e1 \u00e1framhaldandi \u00fer\u00fdstingi \u00e1 legur\u00famum er einnig m\u00f6guleg \u00fear sem sj\u00faklingar sj\u00e1st og me\u00f0h\u00f6ndla\u00f0ir hra\u00f0ar og \u00f3l\u00edklegri til a\u00f0 f\u00e1 \u00fathluta\u00f0 r\u00fami.<\/p>\n

En a\u00f0 b\u00e6ta vi\u00f0 afkastagetu \u00ed formi n\u00fdrrar byggingar e\u00f0a varanlegrar vi\u00f0byggingar getur veri\u00f0 erfitt vegna l\u00f3\u00f0artakmarkana og endurskipulagning br\u00e1\u00f0am\u00f3tt\u00f6ku e\u00f0a bygging MIU e\u00f0a UTC eininga getur teki\u00f0 t\u00edma.<\/p>\n

H\u00e6gt er a\u00f0 setja upp sveigjanlega, samsetta fars\u00edma e\u00f0a m\u00e1t MIU e\u00f0a UTC flj\u00f3tt vi\u00f0 hli\u00f0 n\u00faverandi br\u00e1\u00f0adeildar til a\u00f0 l\u00e9tta strax \u00e1 \u00fer\u00fdstingi. Me\u00f0 \u00fev\u00ed a\u00f0 nota br\u00e1\u00f0abirg\u00f0alausn er h\u00e6gt a\u00f0 n\u00e1 n\u00fdjum vinnubr\u00f6g\u00f0um mj\u00f6g hratt \u00e1 me\u00f0an varanlegri endurstilling \u00e1 s\u00e9r sta\u00f0.<\/p>\n

Samsett MIU<\/strong><\/p>\n

Eitt sj\u00fakrah\u00fas sem hefur gert \u00feetta er Konunglega sj\u00fakrah\u00fasi\u00f0 \u00ed Edinborg<\/a>, sem setti upp MIU \u00e1ri\u00f0 2019. Stj\u00f3rnendur sp\u00edtalans komust a\u00f0 \u00fev\u00ed a\u00f0 f\u00f3lk bei\u00f0 \u00e1 br\u00e1\u00f0am\u00f3tt\u00f6ku eftir me\u00f0fer\u00f0 vegna sj\u00fakd\u00f3ma sem h\u00e6gt v\u00e6ri a\u00f0 me\u00f0h\u00f6ndla annars sta\u00f0ar \u00ed heilbrig\u00f0iskerfinu, sem setti deildina undir \u00e1lagi og leiddi til lengri bi\u00f0t\u00edma sj\u00faklinga.<\/p>\n

NHS Lothian vildi hj\u00e1lpa fleirum a\u00f0 f\u00e1 me\u00f0h\u00f6ndlun \u00e1 skj\u00f3tan, \u00e1hrifar\u00edkan h\u00e1tt og \u00ed \u00fe\u00e6gilegasta umhverfi og m\u00f6gulegt er og \u00fev\u00ed var tekin \u00e1kv\u00f6r\u00f0un um a\u00f0 b\u00faa til MIU n\u00e1l\u00e6gt br\u00e1\u00f0am\u00f3tt\u00f6ku sj\u00fakrah\u00fassins, sem g\u00e6ti me\u00f0h\u00f6ndla\u00f0 f\u00f3lk me\u00f0 minna alvarlega \u00e1verka. A\u00f0sta\u00f0an sem var\u00f0 til var b\u00fain til me\u00f0 \u00fev\u00ed a\u00f0 nota f\u00e6ranlega skur\u00f0stofu me\u00f0 lagskiptu fl\u00e6\u00f0i \u00e1samt einingabyggingum.<\/p>\n

Samst\u00e6\u00f0an b\u00fd\u00f0ur upp \u00e1 allt pl\u00e1ss sem \u00fearf til a\u00f0 veita fulla MIU \u00fej\u00f3nustu, \u00fear \u00e1 me\u00f0al m\u00f3tt\u00f6ku og bi\u00f0sv\u00e6\u00f0i, me\u00f0fer\u00f0arherbergi, hrein og \u00f3hrein veitur\u00fdmi og b\u00faningsklefa. Mikilv\u00e6g krafa var a\u00f0 einingin v\u00e6ri a\u00f0gengileg fr\u00e1 n\u00faverandi br\u00e1\u00f0adeild, nokku\u00f0 sem n\u00e1\u00f0ist me\u00f0 ger\u00f0 s\u00e9rsni\u00f0innar gangbrautar sem sameina\u00f0i deildirnar tv\u00e6r.<\/p>\n

\u00deegar b\u00fai\u00f0 var a\u00f0 setja upp haf\u00f0i a\u00f0sta\u00f0an strax j\u00e1kv\u00e6\u00f0 \u00e1hrif. \u00c1 fyrstu klukkustundinni var meira en 20 sj\u00faklingum v\u00edsa\u00f0 fr\u00e1 br\u00e1\u00f0am\u00f3tt\u00f6ku og fr\u00e1 opnun hafa \u00e1 milli 80 og 100 sj\u00faklingar veri\u00f0 me\u00f0h\u00f6ndla\u00f0ir \u00ed MIU \u00e1 hverjum degi fyrir fj\u00f6lda minnih\u00e1ttar mei\u00f0sla eins og beinbrot, mj\u00fakvefs\u00e1verka og bit. MIU \u00e1 sta\u00f0num dregur einnig \u00far \u00feeim t\u00edma sem f\u00f3lk b\u00ed\u00f0ur eftir a\u00f0 l\u00e1ta sj\u00e1 sig og l\u00e9tta \u00e1lagi \u00e1 r\u00famum \u00e1 a\u00f0alsj\u00fakrah\u00fasinu.<\/p>\n

Sveigjanleg heilsug\u00e6slub\u00e6tur<\/strong><\/p>\n

H\u00e6gt er a\u00f0 nota fars\u00edma- og einingat\u00edmabundnar einingar til a\u00f0 veita vi\u00f0b\u00f3tar kl\u00edn\u00edskt pl\u00e1ss anna\u00f0 hvort til skamms e\u00f0a lengri t\u00edma. Sveigjanlegt e\u00f0li t\u00edmabundinna fars\u00edma- e\u00f0a eininga MIU eininga \u00fe\u00fd\u00f0ir a\u00f0 h\u00e6gt er a\u00f0 breyta \u00feeim me\u00f0 t\u00edmanum eftir \u00fev\u00ed sem kr\u00f6fur breytast og getu. \u00deeir geta einnig veri\u00f0 teknir \u00far notkun, fluttir e\u00f0a endurn\u00fdttir \u00feegar varanlegri lausn er til sta\u00f0ar.<\/p>\n

Sveigjanlegar lausnir gera sj\u00fakrah\u00fasum einnig kleift a\u00f0 pr\u00f3fa a\u00f0st\u00e6\u00f0ur og sanna vi\u00f0skiptatilvik \u00e1\u00f0ur en \u00feeir fj\u00e1rfesta umtalsver\u00f0ar fj\u00e1rh\u00e6\u00f0ir \u00ed n\u00fdja e\u00f0a endurger\u00f0a varanlega byggingu. \u00c1samt \u00fev\u00ed a\u00f0 pr\u00f3fa n\u00fdja ferla e\u00f0a vinnua\u00f0fer\u00f0ir, getur br\u00e1\u00f0abirg\u00f0aeiningin einnig veri\u00f0 notu\u00f0 til a\u00f0 pr\u00f3fa n\u00fdja t\u00e6kni, sem gerir sj\u00fakrah\u00fasum kleift a\u00f0 b\u00e6ta og framt\u00ed\u00f0arheld kerfi.<\/p>\n

Hins vegar \u00feurfa m\u00e1tlausnir ekki a\u00f0 vera t\u00edmabundnar; N\u00fat\u00edma einingabyggingar geta veri\u00f0 algj\u00f6rlega s\u00e9rsni\u00f0nar og hanna\u00f0ar til a\u00f0 passa \u00f3a\u00f0finnanlega vi\u00f0 n\u00faverandi byggingu. A\u00f0 setja upp einingaeiningu er mun flj\u00f3tlegra en a\u00f0 byggja \u00e1 hef\u00f0bundinn h\u00e1tt - byggingart\u00edma fyrir einingaeiningu m\u00e1 stytta um n\u00e6stum 50% - og \u00fea\u00f0 er minni h\u00e6tta \u00e1 a\u00f0 sl\u00e6mt ve\u00f0ur e\u00f0a a\u00f0rir utana\u00f0komandi \u00fe\u00e6ttir valdi t\u00f6fum.<\/p>\n

Br\u00fdn \u00fe\u00f6rf<\/strong><\/p>\n

Covid-19 er a\u00f0 setja kerfi sem \u00feegar var teygt og undir \u00fer\u00fdstingi. Fj\u00f6ldi sj\u00faklinga sem s\u00e6kja st\u00f3rar br\u00e1\u00f0am\u00f3tt\u00f6kur \u00e1 almennum sj\u00fakrah\u00fasum hefur n\u00e6rri tv\u00f6faldast \u00e1 undanf\u00f6rnum 20 \u00e1rum<\/a>, \u00fear sem \u00f6ldrun okkar og \u00f6rt vaxandi \u00edb\u00faa er lykilatri\u00f0i. \u00deessi sj\u00faklingaflokkur notar einnig fleiri legudaga en anna\u00f0 f\u00f3lk eftir br\u00e1\u00f0ainnl\u00f6gn.<\/p>\n

Ni\u00f0urskur\u00f0ur \u00ed grunn-, samf\u00e9lags- og f\u00e9lags\u00fej\u00f3nustu hefur einnig \u00f3beint valdi\u00f0 aukningu \u00e1 komu og innl\u00f6gnum sem h\u00e6gt er a\u00f0 koma \u00ed veg fyrir, eins og \u00fe\u00e6r sem tengjast minnih\u00e1ttar mei\u00f0slum, \u00e1fengis- e\u00f0a v\u00edmuefnav\u00edmu, heilabilun og ge\u00f0heilsu, auk \u00feess sem almennur skortur \u00e1 r\u00famum getur valdi\u00f0 st\u00edflur annars sta\u00f0ar, \u00fear \u00e1 me\u00f0al \u00e1 br\u00e1\u00f0am\u00f3tt\u00f6kudeildum. Varanlegri lausn er nau\u00f0synleg til a\u00f0 laga sig a\u00f0 n\u00fdjum a\u00f0st\u00e6\u00f0um og tryggja a\u00f0 heildargeta geti m\u00e6tt \u00e1\u00e6tlu\u00f0um l\u00fd\u00f0fr\u00e6\u00f0ilegum vexti.<\/p>\n

Hins vegar \u00feegar vi\u00f0 n\u00e1lgumst veturinn er ekki n\u00e6gur t\u00edmi til a\u00f0 b\u00ed\u00f0a eftir a\u00f0 langt\u00edmalausnir komist \u00ed framkv\u00e6md. Alvarleg h\u00e6tta er \u00e1 \u00ferengslum, gera f\u00e9lagslega fjarl\u00e6g\u00f0 erfi\u00f0a og auka h\u00e6ttu \u00e1 smiti og n\u00fa \u00fearf a\u00f0 koma \u00e1 raunh\u00e6fum lausnum.<\/p>\n

Samsettur m\u00e1t MIU e\u00f0a UTC getur b\u00e6tt sveigjanlegri getu, sem gerir sj\u00fakrah\u00fasum kleift a\u00f0 innlei\u00f0a r\u00e1\u00f0lag\u00f0ar breytingar \u00e1n \u00feess a\u00f0 \u00feurfa a\u00f0 b\u00ed\u00f0a eftir meirih\u00e1ttar verkum e\u00f0a n\u00fdbyggingu. \u00d6ll sj\u00fakrah\u00fas eru mismunandi og t\u00edmabundin lausn gefur t\u00e6kif\u00e6ri til a\u00f0 pr\u00f3fa n\u00fdjar hugmyndir til a\u00f0 sj\u00e1 hvernig \u00fe\u00e6r munu virka fyrir \u00feau \u00e1\u00f0ur en lagt er \u00ed verulegar fj\u00e1rfestingar.<\/p>\n

Komast \u00ed samband<\/a> til a\u00f0 f\u00e1 frekari uppl\u00fdsingar um einingalausnir okkar fyrir MIU e\u00f0a UTC \u00e1 sta\u00f0num.<\/p>","protected":false},"excerpt":{"rendered":"

\u00dear sem a\u00f0s\u00f3kn a\u00f0 br\u00e1\u00f0am\u00f3tt\u00f6ku eykst og getu heilsug\u00e6slunnar heldur \u00e1fram a\u00f0 takmarkast af \u00fe\u00f6rfinni \u00e1 a\u00f0 koma til m\u00f3ts vi\u00f0 Covid-19 sj\u00faklinga, g\u00e6ti t\u00edmabundin minnih\u00e1ttar mei\u00f0sladeild (MIU) e\u00f0a br\u00e1\u00f0ame\u00f0fer\u00f0arst\u00f6\u00f0 (UTC) hj\u00e1lpa\u00f0 til vi\u00f0 a\u00f0 draga \u00far \u00fer\u00fdstingi til skamms til me\u00f0allangs t\u00edma, og b\u00e6ta mikilv\u00e6gu auka getu til a\u00f0 me\u00f0h\u00f6ndla sj\u00faklinga.<\/p>","protected":false},"author":1,"featured_media":1361,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[142,127,5,4],"class_list":["post-3257","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-estates","tag-minor-injuries-unit-miu","tag-mobile","tag-modular"],"acf":[],"yoast_head":"\nFlexible healthcare infrastructure can alleviate A&E pressure - 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