{"id":599,"date":"2022-07-05T14:43:00","date_gmt":"2022-07-05T14:43:00","guid":{"rendered":"https:\/\/www.vanguardhealthcare.co.uk\/?p=599"},"modified":"2023-09-14T11:42:49","modified_gmt":"2023-09-14T11:42:49","slug":"endoscopy-and-diagnostic-waiting-lists-what-can-be-done","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/is_is\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Bi\u00f0listar fyrir speglanir og greiningar: hva\u00f0 er h\u00e6gt a\u00f0 gera"},"content":{"rendered":"

NHS \u00ed dag stendur frammi fyrir fj\u00f6lda verulegs \u00fer\u00fdstings, \u00fear \u00e1 me\u00f0al \u00f6rt vaxandi \u00f6ldrunar \u00edb\u00faa og fylgikvilla sem geta haft \u00ed f\u00f6r me\u00f0 s\u00e9r, \u00f3jafna dreifingu a\u00f0gengilegrar um\u00f6nnunar um Bretland og vaxandi \u00fer\u00fdsting \u00e1 sj\u00e1lfb\u00e6rari heilsug\u00e6sluh\u00e6tti. Vaxandi bi\u00f0listar voru vandam\u00e1l l\u00f6ngu fyrir Covid-19 heimsfaraldurinn, \u00fear sem m\u00f6rgum fyrirhugu\u00f0um um\u00f6nnunara\u00f0ger\u00f0um var h\u00e6tt vegna \u00fereytu og \u201emolna'<\/a> innvi\u00f0i sj\u00fakrah\u00fasa. Me\u00f0 bi\u00f0listum eftir greiningar\u00fej\u00f3nustu a\u00f0 n\u00e1 435,000<\/a> \u00ed Englandi \u00ed jan\u00faar 2022, er lj\u00f3st a\u00f0 s\u00e9rstaklega \u00feessi s\u00e9rgrein hefur or\u00f0i\u00f0 fyrir miklum \u00e1hrifum af takm\u00f6rkunum sem settar eru af gamaldags innvi\u00f0um og st\u00f6\u00f0vun \u00e1 spegla\u00fej\u00f3nustu allan Covid-19 heimsfaraldurinn.<\/p>\n

\u00cd gegnum \u00e1rin hafa NHS byggingar veri\u00f0 a\u00f0laga\u00f0ar og \u00fer\u00f3a\u00f0ar til a\u00f0 m\u00e6ta vaxandi kr\u00f6fum fr\u00e1 stofnun heilbrig\u00f0is\u00fej\u00f3nustunnar \u00e1ri\u00f0 1948, en gamaldags innvi\u00f0ir hafa takmarka\u00f0a a\u00f0l\u00f6gunargetu til a\u00f0 passa vi\u00f0 framfarir \u00ed heilsug\u00e6slu. Reyndar st\u00f3\u00f0 kostna\u00f0urinn vi\u00f0 a\u00f0 takast \u00e1 vi\u00f0 vi\u00f0halds\u00e1fall NHS\u00a09,2 milljar\u00f0ar punda<\/a>\u00a0\u00ed \u00e1rslok 2020\/21, vegna n\u00fdlegra aukinna s\u00fdkingavarnar\u00e1\u00f0stafana, hefur verkt\u00f6kum \u00e1tt s\u00edfellt erfi\u00f0ara me\u00f0 a\u00f0 framkv\u00e6ma sl\u00edka vinnu \u00ed lifandi NHS umhverfi. Fj\u00f6ldi kl\u00edn\u00edskra atvika sem hafa \u00e1tt s\u00e9r sta\u00f0 vegna gamaldags innvi\u00f0a hefur\u00a0\u00ferefaldast<\/a>\u00a0\u00e1 s\u00ed\u00f0ustu 5 \u00e1rum, n\u00fdlega\u00a0sk\u00fdrslu<\/a>\u00a0hefur fundi\u00f0.<\/p>\n

Reyndar hefur bi\u00f0listum sj\u00fakrah\u00fasa veri\u00f0 a\u00f0 aukast s\u00ed\u00f0an 2009<\/a>, 11 \u00e1rum \u00e1\u00f0ur en heimsfaraldurinn olli truflun \u00e1 um\u00f6nnun. \u00cd apr\u00edl 2022 n\u00e1\u00f0u bi\u00f0listar \u00e1 sj\u00fakrah\u00fasum s\u00f6gulegu h\u00e1marki \u00ed 6,2 millj\u00f3nir, me\u00f0 sp\u00e1m sem munu halda \u00e1fram a\u00f0 h\u00e6kka \u00ed 10,7 millj\u00f3nir \u00ed mars 2024<\/a>. Til a\u00f0 b\u00e6ta vi\u00f0 \u00feetta st\u00f3\u00f0 fj\u00f6ldi einstaklinga sem b\u00ed\u00f0a eftir lykilgreiningarpr\u00f3fum \u00ed Englandi 369,100<\/a> \u00ed \u00e1g\u00fast 2021, \u00fear sem \u00feetta h\u00e6kka\u00f0i \u00ed kj\u00f6lfari\u00f0 \u00ed \u00e1\u00f0urnefnd 435.000 fyrir 2022, sem s\u00fdnir hi\u00f0 sanna bakslag sem \u00feessi s\u00e9rgrein stendur frammi fyrir. \u00dear a\u00f0 auki benti n\u00fdleg FOI sk\u00fdrsla \u00e1 st\u00f6\u00f0u spegla\u00fej\u00f3nustu NHS Englands, \u00fear sem 41% af 105 svarendum s\u00f6g\u00f0u a\u00f0 afmengunarsv\u00edturnar \u00feeirra v\u00e6ru anna\u00f0 hvort a\u00f0 n\u00e1lgast e\u00f0a fara yfir r\u00e1\u00f0lag\u00f0an 10 \u00e1ra l\u00edft\u00edma framlei\u00f0anda. Af \u00feessum sj\u00f3\u00f0um n\u00e1\u00f0i 87% ekki 6 vikna bi\u00f0markmi\u00f0um \u00e1 milli apr\u00edl 2018 og mars 2019. \u00deetta s\u00fdnir a\u00f0 j\u00e1, \u00fe\u00f3 a\u00f0 Covid-19 heimsfaraldurinn og hl\u00e9 \u00e1 valkv\u00e6\u00f0ri um\u00f6nnun \u00ed Bretlandi hafi hindra\u00f0 bi\u00f0lista sj\u00fakrah\u00fasa, er ekki h\u00e6gt a\u00f0 kenna \u00feessu a\u00f0 fullu. \u00fear sem m\u00e1li\u00f0 teygir sig lengra aftur.<\/p>\n

The 2021 National Census for Endoscopy \u00ed Bretlandi<\/a> sko\u00f0a\u00f0i speglunar- og afmengunar\u00fej\u00f3nustu v\u00ed\u00f0svegar um Bretland og kom \u00ed lj\u00f3s a\u00f0 42.7% heilbrig\u00f0isstarfsmanna sem k\u00f6nnu\u00f0 voru \u00feurftu vi\u00f0b\u00f3tarbyggingar til a\u00f0 auka afmengunarvirkni um allt a\u00f0 20%. A\u00f0 auki s\u00f6g\u00f0u 59% svarenda a\u00f0 \u00fe\u00f6rf v\u00e6ri \u00e1 frekari endurvinnsluv\u00e9lum og \u00feurrksk\u00e1pum til a\u00f0 auka afmengunargetu. Afmengunara\u00f0sta\u00f0a er reglulega sta\u00f0sett innan speglunar\u00fej\u00f3nustu sj\u00fakrah\u00fasa, hins vegar er h\u00e6gt a\u00f0 setja upp sj\u00e1lfst\u00e6\u00f0a a\u00f0st\u00f6\u00f0u og tengja \u00f3a\u00f0finnanlega vi\u00f0 a\u00f0alsj\u00fakrah\u00fasi\u00f0 til a\u00f0 auka afkastagetu og tryggja meiri skilvirkni \u00ed speglunar\u00fej\u00f3nustu, sem dregur \u00fev\u00ed ni\u00f0ur bi\u00f0lista. \u00deetta er s\u00e9rstaklega gagnlegt \u00e1 t\u00edmabilum endurb\u00f3ta, me\u00f0 innlei\u00f0ingu fars\u00edma og eininga afmengunara\u00f0st\u00f6\u00f0u til a\u00f0 vi\u00f0halda getu. Ranns\u00f3knin leiddi einnig \u00ed lj\u00f3s a\u00f0 treg\u00f0a til a\u00f0 m\u00e6ta og \u00ed kj\u00f6lfari\u00f0 \u201em\u00e6tti ekki e\u00f0a DNA\u201c fyrir a\u00f0ger\u00f0ir var \u00e1 \u00f6\u00f0ru h\u00e6sta stigi s\u00ed\u00f0an 2019, m\u00f6guleg \u00e1st\u00e6\u00f0a fyrir \u00fev\u00ed var \u00f3ttinn vi\u00f0 a\u00f0 smitast af Covid-19 \u00feegar \u00fe\u00fa heims\u00e6kir sj\u00fakrah\u00fasi\u00f0. \u00deetta eykur \u00fev\u00ed \u00fe\u00f6rfina fyrir sj\u00e1lfst\u00e6\u00f0a speglunar\u00fej\u00f3nustu<\/a>, a\u00f0skili\u00f0 fr\u00e1 a\u00f0alsj\u00fakrah\u00fasinu, sem auka sj\u00e1lfstraust sj\u00faklinga og a\u00f0sto\u00f0a \u00fev\u00ed vi\u00f0 a\u00f0 takast \u00e1 vi\u00f0 bi\u00f0lista.<\/p>\n

\"\"<\/figure>\n

Me\u00f0al\u00e6vil\u00edkur \u00ed Bretlandi h\u00e6kka \u00e1r fr\u00e1 \u00e1ri og h\u00e6kka 0.15%<\/a> milli 2021 og 2022, og \u00fe\u00f3 a\u00f0 \u00feessu s\u00e9 fagna\u00f0, \u00fe\u00fd\u00f0ir \u00fea\u00f0 a\u00f0 \u00fea\u00f0 eru fleiri einstaklingar sem b\u00faa vi\u00f0 langvarandi sj\u00fakd\u00f3ma, eins og vitgl\u00f6p og sykurs\u00fdki, sem krefjast meiri langt\u00edmaum\u00f6nnunar. \u00deetta hefur skapa\u00f0 auki\u00f0 \u00fer\u00fdsting \u00e1 NHS \u00fej\u00f3nustu, s\u00e9rstaklega \u00fear sem \u00fea\u00f0 hefur veri\u00f0 vi\u00f0urkennt a\u00f0 me\u00f0alkostna\u00f0ur 90 \u00e1ra gamall 7 sinnum<\/a> jafn miki\u00f0 a\u00f0 sj\u00e1 um en me\u00f0al 30 \u00e1ra gamall. Fyrir viki\u00f0 hefur veri\u00f0 kalla\u00f0 eftir endurb\u00f3tum og innlei\u00f0ingu greiningar\u00fej\u00f3nustu v\u00ed\u00f0s vegar um Bretland til a\u00f0 gera f\u00f3lki kleift a\u00f0 vera heilbrig\u00f0ara lengur og \u00fear af lei\u00f0andi til a\u00f0 fjarl\u00e6gja \u00e1lagi\u00f0 \u00e1 NHS \u00fej\u00f3nustu. A\u00f0 auki, \u00fer\u00f3un \u00e1 samf\u00e9lagsgreiningarst\u00f6\u00f0var<\/a> um allt land mun f\u00e6ra \u00fej\u00f3nustu n\u00e6r sj\u00faklingum, draga \u00far \u00e1lagi \u00e1 br\u00e1\u00f0asj\u00fakrah\u00fassv\u00e6\u00f0i og hafa j\u00e1kv\u00e6\u00f0 \u00e1hrif \u00e1 sv\u00e6\u00f0isbundi\u00f0 heilsu\u00f3j\u00f6fnu\u00f0 me\u00f0 \u00fev\u00ed a\u00f0 tryggja a\u00f0 greiningara\u00f0st\u00f6\u00f0ur s\u00e9u a\u00f0gengilegri.<\/p>\n

Ennfremur leiddi breska landsmanntali\u00f0 fyrir speglunar\u00fej\u00f3nustu einnig \u00ed lj\u00f3s a\u00f0 \u00fe\u00f3 bi\u00f0t\u00edmi eftir a\u00f0ger\u00f0um s\u00e9 enn a\u00f0 aukast, \u00fe\u00e1 er greinilegur sv\u00e6\u00f0isbundinn munur h\u00e9r:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M, o.fl., National Census of UK endoscopy services 2021, Frontline Gastroenterology Birt \u00e1 netinu fyrst: 9. ma\u00ed 2022. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

Sv\u00e6\u00f0isbundi\u00f0 \u00f3j\u00f6fnu\u00f0ur \u00ed heilbrig\u00f0is\u00fej\u00f3nustu hefur lengi veri\u00f0 vandam\u00e1l, en Covid-19 heimsfaraldurinn og s\u00ed\u00f0ari fyrirhuga\u00f0i um\u00f6nnun eftirs\u00f3ttur j\u00f3k \u00feetta enn frekar. \u00d3j\u00f6fnu\u00f0ur \u00ed heilbrig\u00f0is\u00fej\u00f3nustu er margv\u00edslegt hugtak sem n\u00e6r yfir hvernig a\u00f0gengi a\u00f0 heilbrig\u00f0is\u00fej\u00f3nustu er misjafnt milli mismunandi h\u00f3pa f\u00f3lks. \u00c1 endanum sn\u00fdst \u00f3j\u00f6fnu\u00f0ur \u00ed heilsu um \u00e1hrif st\u00f6\u00f0u einstaklings \u00e1 heilsu hans. \u00deetta getur fali\u00f0 \u00ed s\u00e9r heilsufars\u00e1stand, a\u00f0gengi a\u00f0 um\u00f6nnunar\u00fej\u00f3nustu, g\u00e6\u00f0i um\u00f6nnunar og v\u00ed\u00f0t\u00e6kara heilsufars\u00e1stand, til d\u00e6mis h\u00fasn\u00e6\u00f0i. A\u00f0 tryggja a\u00f0 um\u00f6nnun og greiningar\u00fej\u00f3nusta s\u00e9 a\u00f0gengilegri fyrir sj\u00faklinginn mun hafa j\u00e1kv\u00e6\u00f0 \u00e1hrif \u00e1 afkomu sj\u00faklinga me\u00f0 fyrri greiningu og eins og \u00e1\u00f0ur sag\u00f0i mun \u00fea\u00f0 l\u00e9tta \u00e1lagi \u00e1 helstu sj\u00fakrah\u00fasum og hafa \u00fev\u00ed j\u00e1kv\u00e6\u00f0 \u00e1hrif \u00e1 ni\u00f0urst\u00f6\u00f0ur sj\u00faklinga \u00e1 bi\u00f0lista eftir \u00f6\u00f0rum s\u00e9rgreinum.<\/p>\n

Skuldbinding NHS um a\u00f0 skila sj\u00e1lfb\u00e6rari innvi\u00f0um endurspeglast \u00ed Byggingarleikriti\u00f0 2020<\/a> \u00fear sem \u00fea\u00f0 l\u00fdsir v\u00ed\u00f0t\u00e6kari notkun n\u00fat\u00edma byggingara\u00f0fer\u00f0a (MMC) til a\u00f0 a\u00f0sto\u00f0a vi\u00f0 a\u00f0 n\u00e1 hreinum n\u00fallkolefnismarkmi\u00f0um. Hausti\u00f0 2020 lofa\u00f0i r\u00edkisstj\u00f3rnin a\u00f0 byggja 40 n\u00fd sj\u00fakrah\u00fas \u00ed Englandi fyrir \u00e1ri\u00f0 2030, \u00f6ll me\u00f0 sj\u00e1lfb\u00e6rum innvi\u00f0aa\u00f0fer\u00f0um sem munu hj\u00e1lpa hreyfingunni a\u00f0 n\u00e1 hreinni n\u00falllosun fyrir \u00e1ri\u00f0 2040. Auk \u00feessa munu 70 sj\u00fakrah\u00fasum til vi\u00f0b\u00f3tar f\u00e1 uppf\u00e6rslu, me\u00f0 850 millj\u00f3num punda heiti\u00f0 til a\u00f0 b\u00e6ta deildar\u00fdmi, ge\u00f0heilbrig\u00f0isa\u00f0st\u00f6\u00f0u og skur\u00f0stofur. \u00dea\u00f0 er lj\u00f3st a\u00f0 mikill fj\u00f6ldi speglunar\u00fej\u00f3nustu Englands \u00fearfnast umtalsver\u00f0rar endurb\u00f3ta til a\u00f0 auka skilvirkni og innlei\u00f0ing \u00e1 fars\u00edmum, eininga- og bl\u00f6ndu\u00f0um heilsug\u00e6slur\u00fdmum, hvort sem \u00feau eru sta\u00f0sett \u00e1 sp\u00edtalasv\u00e6\u00f0inu e\u00f0a innan samf\u00e9lagsins, \u00fej\u00f3nar sem t\u00edmahagkv\u00e6m og hagkv\u00e6m lausn til a\u00f0 vi\u00f0halda og auka getu.<\/p>","protected":false},"excerpt":{"rendered":"

\u00dear sem bi\u00f0listar eftir greiningar\u00fej\u00f3nustu n\u00e1\u00f0u 435.000 \u00ed Englandi \u00ed jan\u00faar 2022, er lj\u00f3st a\u00f0 s\u00e9rstaklega \u00feessi s\u00e9rgrein hefur or\u00f0i\u00f0 fyrir miklum \u00e1hrifum af h\u00f6mlunum sem settar eru af gamaldags innvi\u00f0um og st\u00f6\u00f0vun \u00e1 spegla\u00fej\u00f3nustu allan Covid-19 heimsfaraldurinn.<\/p>","protected":false},"author":1,"featured_media":600,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-599","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nEndoscopy and diagnostic waiting lists: what can be done - 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\/is_is\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"is_IS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopy and diagnostic waiting lists: what can be done - 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