{"id":2817,"date":"2020-04-07T09:14:46","date_gmt":"2020-04-07T09:14:46","guid":{"rendered":"\/?p=2817"},"modified":"2020-04-07T09:14:46","modified_gmt":"2020-04-07T09:14:46","slug":"flexible-healthcare-solutions-can-help-the-nhs-improve-resilience","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/sv_se\/flexible-healthcare-solutions-can-help-the-nhs-improve-resilience\/","title":{"rendered":"Flexibla h\u00e4lsov\u00e5rdsl\u00f6sningar kan hj\u00e4lpa NHS att f\u00f6rb\u00e4ttra motst\u00e5ndskraften"},"content":{"rendered":"

Under de senaste veckorna har vi sett ett antal tillf\u00e4lliga "f\u00e4ltsjukhus" annonseras \u00f6ver hela landet, med den f\u00f6rsta och st\u00f6rsta platsen i Storbritannien vid Excel centrum<\/a>e i London har redan \u00f6ppnat sina d\u00f6rrar. Den nuvarande situationen med covid-19 \u00e4r exceptionell. Det testar allvarligt motst\u00e5ndskraften hos h\u00e4lso- och sjukv\u00e5rdssystem runt om i v\u00e4rlden, och stora \u00e5tg\u00e4rder kr\u00e4vs omedelbart f\u00f6r att s\u00e4kerst\u00e4lla att liv r\u00e4ddas.<\/p>\n

Den senaste utvecklingen har visat hur snabbt en tillf\u00e4llig l\u00f6sning kan tas i bruk i en n\u00f6dsituation. De NHS Nightingale<\/a> f\u00e4rdigst\u00e4lldes p\u00e5 bara nio dagar och anv\u00e4nde det stora utrymme som redan fanns i Excel-centret. Men vi \u00e4r redan mitt i en kris, och den snabba utplaceringen av dessa anl\u00e4ggningar har varit beroende av direkt st\u00f6d fr\u00e5n NHSE och milit\u00e4ren, tillsammans med tillg\u00e5ng till n\u00e4stan obegr\u00e4nsade resurser.<\/p>\n

Den 17 mars, NHSE<\/a> beordrade alla sjukhus att frig\u00f6ra betydande kapacitet genom att skriva ut s\u00e5 m\u00e5nga icke-kritiska patienter som m\u00f6jligt, och genom att upph\u00f6ra med alla planerade och elektiva ingrepp, senast den 15 april. NHSE rekvirerade ocks\u00e5, till sj\u00e4lvkostnadspris, cirka 8 000 b\u00e4ddar fr\u00e5n den oberoende sjukhussektorn; \u00e5tg\u00e4rder som aldrig tidigare sk\u00e5dats. Den 2 april, bara tv\u00e5 veckor senare, rapporterades Sir Simon Stevens ha sagt att NHS hade skapat en s\u00e4ngkapacitet motsvarande 54 distriktssjukhus. Detta i sig \u00e4r en fenomenal prestation och visar hur otroligt bra NHS kan reagera p\u00e5 stora situationer<\/p>\n

Sjukhus som redan var under betydande press med antal s\u00e4ngplatser; personaltryck; och otaliga konkurrerande krav, har svarat p\u00e5 ett herkuliskt s\u00e4tt p\u00e5 utmaningarna som utbrottet av covid-19 medf\u00f6r. Men i ett antal st\u00e4der och regioner \u00e4r sjukv\u00e5rdsledare oroliga f\u00f6r att det kanske fortfarande inte r\u00e4cker, beroende p\u00e5 vilken av prognosv\u00e4garna som anv\u00e4nds f\u00f6r att f\u00f6ruts\u00e4ga antalet fall och intagningar. Ett antal letar fortfarande frenetiskt efter snabba och effektiva s\u00e4tt att tillhandah\u00e5lla ytterligare s\u00e4ngar f\u00f6r att m\u00f6ta efterfr\u00e5gan.<\/p>\n

Som ett resultat har vissa sjukhus v\u00e4nt sig till tempor\u00e4ra l\u00f6sningar med prefabricerade modul\u00e4ra enheter, eller mobila kliniska anl\u00e4ggningar som kan s\u00e4ttas in snabbt f\u00f6r att ut\u00f6ka ett sjukhuss kapacitet, eller placeras bort fr\u00e5n huvudsjukhuset, medan andra har slutat med att konvertera anl\u00e4ggningar som \u00e4r mindre \u00e4n idealiskt f\u00f6r \u00e4ndam\u00e5let men r\u00e4cker i en n\u00f6dsituation.<\/p>\n

Det \u00e4r stor skillnad mellan n\u00e5got som \u00e4r designat f\u00f6r permanent anv\u00e4ndning och som uppfyller alla standard HTM- och HBN-specifikationer, och anl\u00e4ggningar som s\u00e4tts i drift mycket snabbt f\u00f6r akutanv\u00e4ndning \u2013 som de tillf\u00e4lliga sjukhusen inrymda i konferenscenter. Men exceptionella tider kr\u00e4ver undantag fr\u00e5n normala specifikationer och SOP, och alla relevanta civila myndigheter har hittills visat stor pragmatism n\u00e4r det g\u00e4ller att l\u00e4tta p\u00e5 eller upph\u00e4va en hel rad krav f\u00f6r att underl\u00e4tta en kraftig \u00f6kning av antalet s\u00e4ngplatser.<\/p>\n

Flexibel sjukv\u00e5rdsinfrastruktur kan vara en del av denna uppv\u00e4xling av motst\u00e5ndskraft. Ett antal NHS-organisationer anv\u00e4nder redan flexibel infrastruktur p\u00e5 ett planerat s\u00e4tt, ofta f\u00f6r att ge ytterligare kapacitet f\u00f6r att klara f\u00f6rv\u00e4ntade f\u00f6r\u00e4ndringar i efterfr\u00e5gan; eller f\u00f6r att tillhandah\u00e5lla ers\u00e4ttningskapacitet f\u00f6r planerade renoveringar eller f\u00f6r att hj\u00e4lpa till att koreografera en serie komplicerade f\u00f6r\u00e4ndringar p\u00e5 en sjukhusplats.<\/p>\n

Som mobil och modul\u00e4ra avdelningar<\/a>, operationssalar<\/a> och endoskopiprocedurrum<\/a> redan uppfyller relevanta standarder, kan de snabbt \u00e5teranv\u00e4ndas f\u00f6r att ge ytterligare s\u00e4ngutrymmen. De uppfyller ocks\u00e5 infektionskontrollstandarder, med ett antal genomt\u00e4nkta designfunktioner.<\/p>\n

Det har blivit tydligt att NHS Trusts och sjukhusledare ser mobila eller tillf\u00e4lliga modul\u00e4ra enheter som redan finns p\u00e5 plats som en v\u00e4rdefull f\u00f6rl\u00e4ngning av deras permanenta fastigheter och anl\u00e4ggningar, och som nyckeln till \u00f6versp\u00e4nningsplanering inom deras egendom, vilket hj\u00e4lper till att optimera deras anv\u00e4ndning av resurser. Anv\u00e4ndningen av flexibel infrastruktur g\u00f6r det m\u00f6jligt f\u00f6r sjukhus att b\u00e4ttre koreografera sina f\u00f6r\u00e4ndringar f\u00f6r att ge oavbruten v\u00e5rd f\u00f6r patienter i en situation som f\u00f6r\u00e4ndras dagligen.<\/p>\n

Mobil och modul\u00e4r infrastruktur kan ocks\u00e5 enkelt tas bort eller flyttas, eller mycket snabbt \u00e5teranv\u00e4ndas f\u00f6r att st\u00f6dja sjukhus med att l\u00f6sa de oundvikliga eftersl\u00e4pningarna inom kirurgi, diagnostik och andra procedurer som har skjutits upp under krisen.<\/p>\n

Oavsett resultatet av Covid-19-krisen \u00e4r det tydligt att NHS m\u00e5ste ompr\u00f6va sin motst\u00e5ndskraft f\u00f6r framtida pandemier och vara mer f\u00f6rberedd.<\/p>\n

Ett antal operat\u00f6rer som redan st\u00f6djer NHS med tillf\u00e4llig infrastruktur rapporterar att de \u00f6versv\u00e4mmas av f\u00f6rfr\u00e5gningar om avdelningar och isoleringsenheter, av vilka v\u00e4ldigt f\u00e5 sitter p\u00e5 en g\u00e5rd n\u00e5gonstans och v\u00e4ntar p\u00e5 att bli utplacerad. Det \u00e4r vettigt f\u00f6r v\u00e5rdplanerare att t\u00e4nka p\u00e5 framtida h\u00e4ndelser som den nuvarande krisen, och arbeta med operat\u00f6rer f\u00f6r att utveckla mer motst\u00e5ndskraft inom det bredare sjukv\u00e5rdssystemet. Expertisen och viljan finns d\u00e4r; den strategiska fram\u00e5tplaneringen m\u00e5ste sammanf\u00f6ra det.<\/p>\n

Att v\u00e4nta till n\u00e4sta pandemi eller annan st\u00f6rre situation kommer att inneb\u00e4ra att v\u00e4rdefull tid g\u00e5r f\u00f6rlorad och implementeringen av l\u00e4mpliga l\u00f6sningar f\u00f6rsenas. Beredskap \u00e4r nyckeln, och det \u00e4r viktigt att inf\u00f6rliva flexibla l\u00f6sningar i strategiska planer och katastrof\u00e5terst\u00e4llningsplaner.<\/p>\n

F\u00f6r att fr\u00e5ga om Vanguard:s flexibla l\u00f6sningar, v\u00e4nligen kontakta info@vanguardhealthcare.co.uk<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"

Under de senaste veckorna har vi sett ett antal tillf\u00e4lliga sjukhus inhysta i ombyggda konferens- eller sportcenter som annonserats \u00f6ver hela v\u00e4rlden. Den nuvarande situationen med covid-19 \u00e4r exceptionell. Det testar allvarligt motst\u00e5ndskraften hos h\u00e4lso- och sjukv\u00e5rdssystem runt om i v\u00e4rlden, och stora \u00e5tg\u00e4rder kr\u00e4vs omedelbart f\u00f6r att s\u00e4kerst\u00e4lla att liv r\u00e4ddas.<\/p>","protected":false},"author":1,"featured_media":1396,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[117,2,115],"tags":[5,4,122,138],"class_list":["post-2817","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-deployment","category-news","category-products-and-services","tag-mobile","tag-modular","tag-operating-theatre","tag-ward"],"acf":[],"yoast_head":"\nFlexible healthcare solutions can help the NHS improve resilience - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Flexible healthcare solutions are improving resilience across world with conversion of conference or sports centres to temporary hospitals\" \/>\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\/sv_se\/flexible-healthcare-solutions-can-help-the-nhs-improve-resilience\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Flexible healthcare solutions can help the NHS improve resilience - 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