{"id":4302,"date":"2021-11-23T10:55:29","date_gmt":"2021-11-23T10:55:29","guid":{"rendered":"\/?p=4302"},"modified":"2023-09-11T11:10:35","modified_gmt":"2023-09-11T11:10:35","slug":"expanding-nhs-capacity-in-response-to-urgent-winter-pressure-on-directory-of-services","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/sq_al\/expanding-nhs-capacity-in-response-to-urgent-winter-pressure-on-directory-of-services\/","title":{"rendered":"Zgjerimi i kapacitetit t\u00eb NHS n\u00eb p\u00ebrgjigje t\u00eb presionit urgjent t\u00eb dimrit n\u00eb Drejtorin\u00eb e Sh\u00ebrbimeve"},"content":{"rendered":"

N\u00eb nj\u00eb seri d\u00ebgjimesh t\u00eb koh\u00ebve t\u00eb fundit t\u00eb provave gojore, Komiteti i Sh\u00ebndetit dhe i P\u00ebrzgjedhur i Dhom\u00ebs s\u00eb P\u00ebrfaq\u00ebsuesve ka d\u00ebgjuar nga nj\u00eb s\u00ebr\u00eb ekspert\u00ebsh t\u00eb kujdesit sh\u00ebndet\u00ebsor mbi numrin n\u00eb rritje t\u00eb mbeturinave zgjedhore dhe listat e pritjes s\u00eb NHS, t\u00eb cilat tani kan\u00eb arritur nivelin m\u00eb t\u00eb lart\u00eb t\u00eb t\u00eb gjitha koh\u00ebrave. 5.8 milion\u00eb pacient\u00eb<\/a>. Gjat\u00eb gjith\u00eb seancave, Komiteti \u00ebsht\u00eb k\u00ebshilluar p\u00ebr presionin intensiv me t\u00eb cilin p\u00ebrballet NHS p\u00ebr t\u00eb vazhduar p\u00ebrgjigjen ndaj COVID-19, duke balancuar k\u00ebrkesat e kujdesit zgjedhor; p\u00ebr t\u00eb mos p\u00ebrmendur shqet\u00ebsimin n\u00eb rritje p\u00ebr sh\u00ebrbimet e NHS-s\u00eb teksa po kalojm\u00eb n\u00eb sezonin e dimrit ku k\u00ebrkohet rritet ndjesh\u00ebm<\/a> me fillimin e motit t\u00eb ftoht\u00eb dhe gripit.<\/p>\n

Nd\u00ebrsa rastet e COVID-19 vazhdojn\u00eb t\u00eb rriten, pavar\u00ebsisht suksesit t\u00eb p\u00ebrhapjes s\u00eb vaksin\u00ebs, stafi dhe udh\u00ebheqja e NHS po i k\u00ebrkojn\u00eb qeveris\u00eb t\u00eb zbatoj\u00eb nj\u00eb t\u00eb ashtuquajtur "Plani B<\/a>- q\u00eb p\u00ebrfshin rifutjen e masave t\u00eb tilla si mbulimi i detyruesh\u00ebm i fytyr\u00ebs - p\u00ebr t\u00eb leht\u00ebsuar presionin mbi sh\u00ebrbimet e NHS. Pranimet ditore n\u00eb spitale n\u00eb Mbret\u00ebrin\u00eb e Bashkuar<\/a> p\u00ebr COVID-19 kan\u00eb tejkaluar 700 gjat\u00eb jav\u00ebve t\u00eb fundit, krahasuar me t\u00eb dh\u00ebnat e vitit 2020 q\u00eb tregojn\u00eb m\u00eb pak se 150 raste ditore. Nd\u00ebrsa NHS aktualisht nuk po pezullon sh\u00ebrbimet, ekziston shqet\u00ebsimi se rritja e rasteve po ndikon tek stafi - i cili tashm\u00eb po luftonte me ngarkesa t\u00eb paq\u00ebndrueshme t\u00eb pun\u00ebs para Covid<\/a> \u2013 dhe aft\u00ebsin\u00eb e tyre p\u00ebr t\u00eb ofruar kujdes ndaj pacientit.<\/p>\n

Nj\u00eb m\u00ebnyr\u00eb me t\u00eb cil\u00ebn NHS ka qen\u00eb n\u00eb gjendje t\u00eb inovoj\u00eb dhe menaxhoj\u00eb presionin mbi sh\u00ebrbimet \u00ebsht\u00eb p\u00ebrmes Drejtoria e Sh\u00ebrbimeve (DoS)<\/a> - nj\u00eb drejtori qendrore q\u00eb \u00ebsht\u00eb e integruar me rrug\u00ebt e NHS. Ai mb\u00ebshtet klinik\u00ebt, mbajt\u00ebsit e thirrjeve, komisioner\u00ebt dhe pacient\u00ebt duke ofruar informacion n\u00eb koh\u00eb reale p\u00ebr sh\u00ebrbimet dhe mjek\u00ebt e disponuesh\u00ebm n\u00eb t\u00eb gjitha mjediset e kujdesit q\u00eb jan\u00eb n\u00eb dispozicion p\u00ebr t\u00eb mb\u00ebshtetur nj\u00eb pacient sa m\u00eb af\u00ebr vendndodhjes s\u00eb tij. N\u00eb thelb, DoS redukton barr\u00ebn n\u00eb mjediset e kujdesit urgjent, urgjent dhe dyt\u00ebsor duke reduktuar thirrjet e panevojshme t\u00eb ambulanc\u00ebs dhe referimet n\u00eb spital.<\/p>\n

Koncepti DoS \u00ebsht\u00eb ai q\u00eb \u00ebsht\u00eb ve\u00e7an\u00ebrisht kritik n\u00eb muajt e dimrit, pasi rritja e s\u00ebmundjeve p\u00ebrgjith\u00ebsisht me rrezik t\u00eb ul\u00ebt si gripi i zakonsh\u00ebm dhe norovirusi mund t\u00eb trajtohet shpejt dhe n\u00eb m\u00ebnyr\u00eb efektive duke p\u00ebrdorur sh\u00ebrbimin n\u00eb vend t\u00eb p\u00ebrdorimit t\u00eb burimeve akute dhe t\u00eb kujdesit par\u00ebsor sh\u00ebndet\u00ebsor. Megjithat\u00eb, edhe ky sh\u00ebrbim rrezikohet t\u00eb mbingarkohet n\u00ebse kapaciteti nuk rritet urgjentisht.<\/p>\n

Pas shpalljes s\u00eb Taks\u00ebs s\u00eb Kujdesit Sh\u00ebndet\u00ebsor dhe Social dhe Rishikimit Gjith\u00ebp\u00ebrfshir\u00ebs t\u00eb Shpenzimeve, qeveria ka p\u00ebrshkruar afro 6 miliard\u00eb paund fonde p\u00ebr t\u00eb mb\u00ebshtetur NHS n\u00eb trajtimin e ngarkes\u00ebs s\u00eb mbetur. Kjo p\u00ebrfshin dispozita p\u00ebr qendrat kirurgjikale<\/a>, Qendrat Diagnostike Komunitare<\/a>, dhe p\u00ebr p\u00ebrmir\u00ebsimin e infrastruktur\u00ebs dixhitale n\u00eb NHS. Nd\u00ebrsa ky \u00ebsht\u00eb nj\u00eb fillim pozitiv n\u00eb aft\u00ebsin\u00eb e NHS p\u00ebr t\u00eb menaxhuar n\u00eb m\u00ebnyr\u00eb efektive dhe p\u00ebr t\u00eb leht\u00ebsuar presionin mbi sh\u00ebrbimet par\u00ebsore dhe akute, Vanguard i k\u00ebrkon qeveris\u00eb t\u00eb investoj\u00eb m\u00eb tej n\u00eb m\u00ebnyr\u00eb specifike n\u00eb zgjidhjet e shpejta modulare si qendrat e trajtimit urgjent dhe nj\u00ebsit\u00eb e l\u00ebndimeve t\u00eb vogla.<\/p>\n

Vanguard ka par\u00eb nga dora e par\u00eb se si nj\u00eb modular nj\u00ebsi p\u00ebr l\u00ebndime t\u00eb lehta<\/a> (MIU) mund t\u00eb leht\u00ebsoj\u00eb presionin mbi sh\u00ebrbimet A&E \u2013 t\u00eb cilat mund t\u00eb sh\u00ebrbejn\u00eb si nj\u00eb mjet shp\u00ebtimi p\u00ebr NHS-n\u00eb teksa kalojm\u00eb n\u00eb muajt e dimrit. Vanguard dha nj\u00eb zgjidhje modulare p\u00ebr Infermierin\u00eb Mbret\u00ebrore t\u00eb Edinburgut, t\u00eb cil\u00ebt po p\u00ebrjetonin vonesa t\u00eb r\u00ebnda n\u00eb nj\u00ebsin\u00eb e tyre A&E duke par\u00eb 70 pacient\u00eb m\u00eb pak n\u00eb dit\u00eb se sa optimale. N\u00eb thelb, pacient\u00ebt n\u00eb A&E shpesh prisnin trajtim p\u00ebr l\u00ebndime q\u00eb do t\u00eb trajtoheshin m\u00eb mir\u00eb diku tjet\u00ebr.<\/p>\n

Zgjidhja e Vanguard pa nj\u00eb MIU t\u00eb pajisur q\u00eb mund t\u00eb punonte s\u00eb bashku me departamentin e A&E p\u00ebr t\u00eb trajtuar m\u00eb mir\u00eb pacient\u00ebt dhe p\u00ebr t\u00eb p\u00ebrshpejtuar aksesin n\u00eb trajtimin e duhur. Sh\u00ebrbimi funksionon 24 or\u00eb n\u00eb dit\u00eb, shtat\u00eb dit\u00eb n\u00eb jav\u00eb dhe deri m\u00eb sot, m\u00eb shum\u00eb se 3,500 pacient\u00eb kan\u00eb marr\u00eb trajtim p\u00ebr nj\u00eb s\u00ebr\u00eb l\u00ebndimesh dhe kushtesh q\u00eb trajtohen m\u00eb mir\u00eb n\u00eb MIU sesa n\u00eb A&E. Rezultati ka qen\u00eb nj\u00eb koh\u00eb e reduktuar e pritjes p\u00ebr departamentin e A&E dhe aft\u00ebsia p\u00ebr t\u00eb par\u00eb m\u00eb shum\u00eb pacient\u00eb, nd\u00ebrsa pacient\u00ebt me MIU kan\u00eb shijuar trajtim m\u00eb t\u00eb shpejt\u00eb dhe m\u00eb t\u00eb p\u00ebrshtatsh\u00ebm p\u00ebr l\u00ebndimet e tyre.<\/p>\n

Zgjidhje si kjo duhet t\u00eb vendosen si prioritet gjat\u00eb muajve t\u00eb ardhsh\u00ebm p\u00ebr t\u00eb mb\u00ebshtetur NHS. Rritja e kapacitetit duke p\u00ebrdorur nj\u00ebsi t\u00eb pavarura leht\u00ebson thelb\u00ebsisht presionin n\u00eb mjediset primare dhe akute duke i devijuar pacient\u00ebt drejt mjeteve t\u00eb tjera t\u00eb trajtimit, nd\u00ebrkoh\u00eb q\u00eb forcon aft\u00ebsin\u00eb e reagimit t\u00eb DoS. N\u00eb m\u00ebnyr\u00eb kritike mund t\u00eb ndihmoj\u00eb n\u00eb reduktimin e p\u00ebrhapjes s\u00eb COVID-19 dhe pacient\u00ebt kan\u00eb m\u00eb pak gjasa t\u00eb vijn\u00eb n\u00eb kontakt me t\u00eb tjer\u00ebt nd\u00ebrsa presin n\u00eb A&E. Nd\u00ebrsa i afrohemi dimrit dhe p\u00ebrpiqemi t\u00eb shmangim nj\u00eb 'kriz\u00eb dim\u00ebrore', fokusi i qeveris\u00eb duhet t\u00eb jet\u00eb n\u00eb zgjidhje t\u00eb shpejta por pragmatike p\u00ebr rritjen e kapaciteteve dhe leht\u00ebsimin e presionit ndaj sh\u00ebrbimeve.<\/p>","protected":false},"excerpt":{"rendered":"

N\u00eb nj\u00eb seri d\u00ebgjimesh t\u00eb koh\u00ebve t\u00eb fundit t\u00eb provave gojore, Komiteti i Sh\u00ebndetit dhe i P\u00ebrzgjedhur i Dhom\u00ebs s\u00eb Komuneve ka d\u00ebgjuar nga nj\u00eb s\u00ebr\u00eb ekspert\u00ebsh t\u00eb kujdesit sh\u00ebndet\u00ebsor mbi numrin n\u00eb rritje t\u00eb mbeturinave zgjedhore dhe listat e pritjes t\u00eb NHS, t\u00eb cilat tani kan\u00eb arritur nj\u00eb nivel t\u00eb lart\u00eb prej 5.8 milion\u00eb pacient\u00ebsh.<\/p>","protected":false},"author":1,"featured_media":1355,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,114,115],"tags":[4],"class_list":["post-4302","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-partnerships","category-products-and-services","tag-modular"],"acf":[],"yoast_head":"\nExpanding NHS Capacity in Response to Urgent Winter Pressure on Directory of Services - 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