{"id":3240,"date":"2020-10-22T10:27:21","date_gmt":"2020-10-22T10:27:21","guid":{"rendered":"\/?p=3240"},"modified":"2020-10-22T10:27:21","modified_gmt":"2020-10-22T10:27:21","slug":"diagnostic-reform-the-impact-on-endoscopy","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/sv_se\/diagnostic-reform-the-impact-on-endoscopy\/","title":{"rendered":"Diagnostisk reform: inverkan p\u00e5 endoskopi"},"content":{"rendered":"<p>Eftersl\u00e4pningen av patienter som v\u00e4ntar mer \u00e4n sex veckor p\u00e5 en endoskopi har \u00f6kat avsev\u00e4rt sedan starten av Covid-19-pandemin, och v\u00e4ntelistor m\u00e5ste nu \u00e5tg\u00e4rdas som en br\u00e5dskande fr\u00e5ga. A\n<a href=\"https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2020\/10\/BM2025Pu-item-5-diagnostics-recovery-and-renewal.pdf\">\n nyligen publicerad rapport\n<\/a>\nav NHS England, efterlyser reformer och f\u00f6resl\u00e5r att man inf\u00f6r ett n\u00e4tverk av diagnostiska nav i samh\u00e4llet, av vilka n\u00e5gra kommer att inneh\u00e5lla endoskopianl\u00e4ggningar.<\/p>\n<p>A\n<a href=\"\/sv_se\/facilities\/endoscopy\/\">\n mobil eller modul\u00e4r endoskopi\n<\/a>\nenheten kan anv\u00e4ndas under tiden, eller tillsammans med ett nav i samh\u00e4llet, f\u00f6r att skapa en frist\u00e5ende anl\u00e4ggning som ger en distinkt v\u00e4g f\u00f6r elektiva endoskopitj\u00e4nster.\n<strong>\n Ett akut behov av att \u00e5tg\u00e4rda v\u00e4ntetider\n<\/strong>\nEfterfr\u00e5gan p\u00e5 endoskopi har \u00f6kat kraftigt under de senaste fem \u00e5ren, och \u00e4ven om aktiviteten har \u00f6kat har v\u00e4ntetiderna \u00f6kat snabbare, vilket orsakat en eftersl\u00e4pning. Flexibla sigmoidoskopiprocedurer har sett de h\u00f6gsta tillv\u00e4xttakten, till stor del p\u00e5 grund av utbyggnaden av tarmscreeningsprogrammet.<\/p>\n<p>Under Covid-19 har behovet av att djupreng\u00f6ra utrustning och anl\u00e4ggningar mellan patienterna lett till minskad produktivitet och inst\u00e4llda procedurer och, som ett resultat, h\u00f6gre och l\u00e4ngre v\u00e4ntetider. Totalt sett minskade endoskopiaktivitetsniv\u00e5erna med \u00f6ver 90% vid toppen av pandemin.<\/p>\n<p>Endoskopiska n\u00f6d\u00e5tg\u00e4rder vid toppen av pandemin genomf\u00f6rdes n\u00e4rhelst det var m\u00f6jligt p\u00e5 operationssalar med negativt lufttryck. Gastroskopi betecknades ocks\u00e5 initialt som en aerosolgenererande procedur (AGP), som inneb\u00e4r en risk f\u00f6r endoskopister om patienter \u00e4r Covid-19-positiva eller Covid-19-os\u00e4kra, men gastroskopi anses inte l\u00e4ngre vara en AGP under PHE-v\u00e4gledning.\n<img loading=\"lazy\" decoding=\"async\" alt=\"\" class=\"alignnone wp-image-3241\" height=\"381\" src=\"\/wp-content\/uploads\/legacy\/2020\/10\/Endoscopy-Activity-Chart-1024x617.png\" width=\"631\" \/>\nDe senaste siffrorna fr\u00e5n NHS England visar att medan endoskopiaktiviteten har \u00f6kat avsev\u00e4rt sedan april, har \u00e5terh\u00e4mtningstakten avtagit markant. Aktiviteten i augusti var cirka tv\u00e5 tredjedelar av den under en normal m\u00e5nad. Detta, i kombination med att v\u00e4ntelistorna inte har \u00f6kat n\u00e4mnv\u00e4rt i augusti, trots den l\u00e5ga aktivitetsniv\u00e5n, tyder p\u00e5 att det fortfarande finns en ansenlig &quot;dold&quot; eftersl\u00e4pning av personer som \u00e4nnu inte kommit upp p\u00e5 v\u00e4ntelistor.\n<strong>\n Behovet av framtidss\u00e4kring\n<\/strong>\nDet finns nu ett akut behov av att etablera Covid-19 minimala endoskopianl\u00e4ggningar f\u00f6r att underl\u00e4tta \u00e5terh\u00e4mtningen. Rapporten erk\u00e4nner att tillg\u00e5ngen till endoskopiutrustning och anl\u00e4ggningar, s\u00e4rskilt de f\u00f6r koloskopi, redan var under betydande p\u00e5frestning f\u00f6re pandemin. F\u00f6rutom arbetskraftsbegr\u00e4nsningar avsl\u00f6jade GIRFT-programmet (Get it Right First Time) ocks\u00e5 att ett 20-tal NHS-stiftelser sannolikt kommer att kr\u00e4va en fullst\u00e4ndig ombyggnad av sina endoskopianl\u00e4ggningar med andra som beh\u00f6ver f\u00f6rb\u00e4ttras.<\/p>\n<p>I NHS England-rapporten uppskattas det att omkring 200 nya endoskopirum beh\u00f6vs i NHS Trusts f\u00f6r att t\u00e4cka den nuvarande tillv\u00e4xten inom endoskopi och m\u00f6jligg\u00f6ra de planerade f\u00f6rl\u00e4ngningarna av tarmscreeningsprogrammet. Nya endoskopiska dekontamineringsenheter beh\u00f6vs ocks\u00e5, och rapporten rekommenderar ocks\u00e5 att all befintlig bildutrustning som \u00e4r \u00e4ldre \u00e4n 10 \u00e5r ska bytas ut.<\/p>\n<p>Tyv\u00e4rr finns det inget nationellt tillg\u00e5ngsregister f\u00f6r endoskopianl\u00e4ggningar, och rapporten rekommenderar att utrustning\/anl\u00e4ggningar och personalunders\u00f6kningar b\u00f6r genomf\u00f6ras snarast f\u00f6r att underl\u00e4tta b\u00e5de kort- och l\u00e5ngsiktig planering. Rapporten f\u00f6resl\u00e5r deltagande i National Endoscopy Database (NED) av 20% av NHS Trusts som inte redan g\u00f6r det.<\/p>\n<p>En rapport publicerad av Public Policy Projects i samarbete med\n<a href=\"\/sv_se\/\">\n Vanguard\n<\/a>\nf\u00f6r tv\u00e5 \u00e5r sedan, visade att mer \u00e4n en tredjedel av sjukhusen driver endoskopi-saneringssviter med utrustning som n\u00e4rmar sig eller \u00f6vertr\u00e4ffar tillverkarnas rekommendationer, och att omkring 25% av sjukhusen har endoskopi-dekontamineringssviter som \u00e4r mer \u00e4n tio \u00e5r gamla.\n<strong>\n En praktisk l\u00f6sning f\u00f6r endoskopi\n<\/strong>\nF\u00f6rhoppningen \u00e4r att etableringen av Covid-fria endoskopianl\u00e4ggningar vid n\u00e5gra av de f\u00f6reslagna diagnostiska gemenskapsnaven eller\n<a href=\"https:\/\/www.england.nhs.uk\/2020\/10\/nhs-to-introduce-one-stop-shops-in-the-community-for-life-saving-checks\/\">\n one-stop-shops\n<\/a>\n, tillsammans med testning av b\u00e5de patienter och personal inf\u00f6r alla procedurer, kan inneb\u00e4ra att kravet p\u00e5 djupreng\u00f6ring mellan patienter kommer att reduceras kraftigt, vilket g\u00f6r att genomstr\u00f6mningen kan \u00f6ka n\u00e4rmare normala niv\u00e5er. Patienter som \u00e4r Covid-19-positiva och de som beh\u00f6ver en akut endoskopi innan Covid-19-status kan fastst\u00e4llas b\u00f6r forts\u00e4tta att f\u00e5 sina procedurer utf\u00f6rda i anl\u00e4ggningar med negativt lufttryck (vanligtvis operationssalar).<\/p>\n<p>N\u00e4r det g\u00e4ller arbetskraften rekommenderar rapporten inr\u00e4ttandet av utbildningsakademier f\u00f6r att \u00f6ka antalet icke-medicinska koloskopister och f\u00f6r att g\u00f6ra det m\u00f6jligt f\u00f6r befintliga koloskopister att ta sig an screeningkoloskopi. Det kommer ocks\u00e5 att beh\u00f6vas fler endoskopisjuksk\u00f6terskor f\u00f6r att m\u00f6ta ytterligare efterfr\u00e5gan.<\/p>\n<p>Utan investeringar eller reformerad tj\u00e4nsteleverans riskerar NHS, enligt egen erk\u00e4nnande, att inte kunna n\u00e5 m\u00e5len, inklusive ambitionen att diagnostisera 75% av personer med cancer i ett tidigt skede, och f\u00f6rb\u00e4ttra patienternas resultat. \u00c4ven om planerna snabbt godk\u00e4nns kommer rekommendationerna i rapporten att ta tid att genomf\u00f6ra. Men med eftersl\u00e4pningen som v\u00e4xer f\u00f6r varje m\u00e5nad, \u00e4r det ett alternativ att v\u00e4nta?<\/p>\n<p>F\u00f6r varje m\u00e5nad som produktiviteten \u00e4ventyras v\u00e4xer v\u00e4ntelistan \u00f6ver en niv\u00e5 som enkelt kan \u00e5terst\u00e4llas utan att \u00f6verstiga 100% befintlig kapacitet. Det beh\u00f6vs en interimsl\u00f6sning, och\n<a href=\"\/sv_se\/our-facilities\/\">\n flexibel klinisk infrastruktur\n<\/a>\nkunde ge svaret. Mobila och modul\u00e4ra endoskopienheter kan kombineras med flexibla endoskopikontaminationsenheter och st\u00e4llas upp p\u00e5 n\u00e4stan vilken plats som helst \u2013 i anslutning till ett diagnostiskt nav eller n\u00e5gon annanstans i samh\u00e4llet \u2013 f\u00f6r att skapa en frist\u00e5ende, Covid-fri plats f\u00f6r elektiv endoskopi.<\/p>\n<p>L\u00e4s rapporten, som inneh\u00e5ller en detaljerad genomg\u00e5ng av endoskopiaktivitet,\n<a href=\"https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2020\/10\/BM2025Pu-item-5-diagnostics-recovery-and-renewal.pdf\">\n h\u00e4r\n<\/a>\n.<\/p>\n<p>En kopia av rapporten\n<em>\n &quot;Titta inuti: Endoskopins tillst\u00e5nd i England&quot;\n<\/em>\n, producerad av Public Policy Projects i samarbete med Vanguard, kan beg\u00e4ras av\n<a href=\"\/sv_se\/contact\/\">\n kontakta oss\n<\/a>\n.<\/p>","protected":false},"excerpt":{"rendered":"<p>Eftersl\u00e4pningen av patienter som v\u00e4ntar mer \u00e4n sex veckor p\u00e5 en endoskopi har \u00f6kat avsev\u00e4rt sedan starten av Covid-19-pandemin, och v\u00e4ntelistor m\u00e5ste nu \u00e5tg\u00e4rdas som en br\u00e5dskande fr\u00e5ga.<\/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":[131,137,5,4],"class_list":["post-3240","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","tag-mobile","tag-modular"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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