{"id":3932,"date":"2021-07-26T12:54:11","date_gmt":"2021-07-26T12:54:11","guid":{"rendered":"\/?p=3932"},"modified":"2021-07-26T12:54:11","modified_gmt":"2021-07-26T12:54:11","slug":"are-you-ready-for-the-winter-season","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/sv_se\/are-you-ready-for-the-winter-season\/","title":{"rendered":"\u00c4r du redo f\u00f6r vinters\u00e4songen?"},"content":{"rendered":"

Ytterligare en \u00f6kning av antalet fall \u00e4r m\u00f6jlig efter att restriktioner sl\u00e4ppts den h\u00e4r m\u00e5naden, och \u00e4ven om vi f\u00f6r n\u00e4rvarande \u00e4r mitt i en v\u00e4rmeb\u00f6lja, m\u00e5ste bed\u00f6mningen av beredskapen inf\u00f6r vinters\u00e4songen b\u00f6rja nu. I en Rapportera<\/a> publicerad f\u00f6rra veckan, varnade Academy of Medical Sciences f\u00f6r att den kombinerade effekten av Covid-19, s\u00e4songsinfluensa och respiratoriskt virus Respiratory Syncytial Virus (RSV), kan driva NHS till bristningsgr\u00e4nsen i vinter.<\/p>\n

Den s\u00e4ger att nya modeller tyder p\u00e5 influensa- och RSV-relaterade sjukhusinl\u00e4ggningar och d\u00f6dsfall kan vara tv\u00e5 g\u00e5nger s\u00e5 stor som ett "normalt" \u00e5r och kan sammanfalla med en \u00f6kning av Covid-19-fall, s\u00e5v\u00e4l som den vanliga vinterb\u00f6rdan fr\u00e5n tillst\u00e5nd som astma och KOL . Effekten p\u00e5 elektiv v\u00e5rd och andra icke-br\u00e5dskande tj\u00e4nster p\u00e5 sjukhus i centrum f\u00f6r ett lokalt utbrott kan vara f\u00f6r\u00f6dande.<\/p>\n

Sjukhus kommer att m\u00f6ta en rad utmaningar under vinters\u00e4songen, inklusive minskad s\u00e4ngkapacitet p\u00e5 grund av infektionskontroll\u00e5tg\u00e4rder, h\u00f6g s\u00e4ngbel\u00e4ggning, personalbrist och risk f\u00f6r ytterligare lokaliserade utbrott av Covid-19 eller nya varianter som dyker upp. L\u00e4gg till detta eftersl\u00e4pningen som orsakats av den initiala avst\u00e4ngningen av icke-br\u00e5dskande tj\u00e4nster under den f\u00f6rsta nedst\u00e4ngningen och avbrott under efterf\u00f6ljande utbrott, s\u00e5 \u00e4r det l\u00e4tt att se hur br\u00e5dskande problemet m\u00e5ste \u00e5tg\u00e4rdas.<\/p>\n

\u00d6kar kapaciteten<\/strong><\/p>\n

F\u00f6rutom att skydda elektiva tj\u00e4nster fr\u00e5n p\u00e5verkan under framtida utbrott av Covid-19 eller andra infektionssjukdomar, beh\u00f6vs ytterligare kapacitet f\u00f6r att minska den befintliga eftersl\u00e4pningen av elektiv v\u00e5rd. Klinisk prioritering \u00e4r en f\u00f6reslagen strategi, men detta kan ha en negativ effekt p\u00e5 patienternas liv och kommer sannolikt inte att leda till en minskning av det totala antalet v\u00e4ntande personer. Det \u00e4r tydligt att ytterligare kapacitet och skalbara l\u00f6sningar beh\u00f6vs.<\/p>\n

De BMA har uppskattat<\/a> att \u00e4ven med en \u00f6kning med 10% p\u00e5 pre-pandemisk aktivitet kan det ta upp till fem \u00e5r att minska eftersl\u00e4pningen av elektiv v\u00e5rd i England tillbaka till niv\u00e5erna i mars 2019. En \u00f6kning med upp till 20% skulle beh\u00f6vas f\u00f6r att ta itu med eftersl\u00e4pningen inom en mer rimlig tidsperiod, med endoskopi som kr\u00e4ver en \u00f6kning med 30% j\u00e4mf\u00f6rt med mars 2019. Sedan dessa uppskattningar har eftersl\u00e4pningen \u00f6kat ytterligare.<\/p>\n

Flexibla v\u00e5rdl\u00f6sningar, s\u00e5som modul\u00e4ra operationssalar och ingreppsrum kan hj\u00e4lpa till att minska v\u00e4ntelistorna. De kan s\u00e4ttas upp relativt snabbt i n\u00e4stan vilken konfiguration som helst; och kan s\u00e4ttas ihop till kompletta kirurgiska komplex med ett brett utbud av tj\u00e4nster. Kirurgiska hubbar som dessa anv\u00e4nds i allt h\u00f6gre grad av NHS Trusts f\u00f6r h\u00f6gvolymskirurgi f\u00f6r att g\u00f6ra en verklig skillnad f\u00f6r eskalerande v\u00e4ntelistor.<\/p>\n

F\u00f6rb\u00e4ttra patientfl\u00f6det<\/strong><\/p>\n

Det handlar inte bara om att \u00f6ka kapaciteten. En framg\u00e5ngsrik l\u00f6sning b\u00f6rjar med en utv\u00e4rdering av hela milj\u00f6n och fl\u00f6det och layouten av aktiviteter, inklusive potentiella Covid-19-fria omr\u00e5den eller "gr\u00f6na v\u00e4gar" i b\u00e5de kliniska och icke-kliniska omr\u00e5den. En frist\u00e5ende nav f\u00f6r elektiv kirurgi kan ge en Covid-fri zon d\u00e4r patienter kan forts\u00e4tta att ses oavsett situationen inne p\u00e5 huvudsjukhuset med vintertryck eller Covid-19-fall, och d\u00e4r patienter kan l\u00e4ggas in direkt p\u00e5 anl\u00e4ggningen. En s\u00e5dan l\u00f6sning har m\u00e5nga f\u00f6rdelar framf\u00f6r outsourcing till den privata sektorn; Trusten beh\u00e5ller kontrollen \u00f6ver patientv\u00e4gen, personal och kostnader, och det blir mindre st\u00f6rningar f\u00f6r patienterna.<\/p>\n

Prim\u00e4r- och akutv\u00e5rden riskerar ocks\u00e5 att vara under v\u00e4xande press p\u00e5 vintern. Medan meddelandet "h\u00e5ll dig hemma" lyckades begr\u00e4nsa spridningen av viruset, har det avskr\u00e4ckt m\u00e4nniskor fr\u00e5n att s\u00f6ka tillg\u00e5ng till sjukv\u00e5rd i r\u00e4tt tid, vilket har orsakat en "dold eftersl\u00e4pning".<\/p>\n

Sport- och fritidsaktiviteter har \u00e4nnu inte \u00e5terg\u00e5tt till pre-pandeminiv\u00e5er, och inte heller trafikniv\u00e5erna. N\u00e4r restriktioner sl\u00e4pps och n\u00e5gon form av normalitet \u00e5terupptas, kommer akutinl\u00e4ggningar att \u00f6ka och fler m\u00e4nniskor kommer ocks\u00e5 att n\u00e4rvara med icke-br\u00e5dskande oro, potentiellt samtidigt som vintertrycket intensifieras och ytterligare v\u00e5gor eller lokala utbrott av Covid-19 intr\u00e4ffar.<\/p>\n

P\u00e5 akutmottagningar finns det ett st\u00e4ndigt behov av att kunna isolera patienter med Covid-19-symtom och att kunna hantera den f\u00f6rv\u00e4ntade h\u00f6gre efterfr\u00e5gan. Effektiva bed\u00f6mnings- och triageprocesser \u00e4r nyckeln, och ytterligare omr\u00e5den f\u00f6r att utv\u00e4rdera och behandla patienter - s\u00e5som enheter f\u00f6r mindre skador eller dedikerat utrymme f\u00f6r att bed\u00f6ma luftv\u00e4gssymtom - kan beh\u00f6vas. Modul\u00e4ra MIUs kan placeras i anslutning till akutmottagningens ing\u00e5ngar, vilket m\u00f6jligg\u00f6r en effektiv v\u00e4g och minskar v\u00e4ntetiderna f\u00f6r patienter - s\u00e5v\u00e4l som covid-risken p\u00e5 akutmottagningen.<\/p>\n

Med majoriteten av \u00e4ldre helt vaccinerade har de senaste utbrotten varit bland barn. Regeringen har meddelat att barn inte kommer att vaccineras, s\u00e5 nya utbrott \u00e4r sannolikt n\u00e4r barn g\u00e5r tillbaka till skolan p\u00e5 h\u00f6sten. Om en h\u00f6gre andel av sjukhusinl\u00e4ggningarna \u00e4r barn kan det finnas ett behov av att ut\u00f6ka det pediatriska utrymmet inom sjukhusen. Modul\u00e4ra anl\u00e4ggningar byggs skr\u00e4ddarsydda och layout, design och dekoration kan anpassas f\u00f6r att passa alla \u00e4ndam\u00e5l; de kan ocks\u00e5 kopplas till befintligt pediatriskt utrymme.<\/p>\n

Varf\u00f6r \u00e4r det s\u00e5 br\u00e5ttom?<\/strong><\/p>\n

I vilken grad den nuvarande \u00f6kningen av Covid-19-infektioner kommer att s\u00e4tta press p\u00e5 sjukv\u00e5rden \u00e4r os\u00e4kert, men det finns en klar risk att tj\u00e4nsterna kan str\u00e4ckas ut under de kommande tv\u00e5 till tre m\u00e5naderna eller in i vinterperioden \u2013 inte bara p.g.a. en \u00f6kning av infektioner men ocks\u00e5 p\u00e5 grund av den kombinerade effekten av personalst\u00f6rningar orsakade av krav p\u00e5 sj\u00e4lvisolering och akutinl\u00e4ggningar som \u00f6kar i takt med att landet \u00f6ppnar upp. Den snabba spridningen av Delta-varianten visar att Storbritannien kommer att f\u00f6rbli i riskzonen fr\u00e5n framtida varianter s\u00e5 l\u00e4nge som viruset forts\u00e4tter att cirkulera globalt.<\/p>\n

Eftersl\u00e4pningen \u00e4r betydande. Det uppskattas att cirka 1,5 miljoner operationer avbr\u00f6ts bara under 2020 och det finns nu mer \u00e4n 5,3 miljoner m\u00e4nniskor som v\u00e4ntar p\u00e5 elektiva procedurer i England och Wales. Denna eftersl\u00e4pning minskar inte \u2013 trots att aktiviteten har \u00e5terg\u00e5tt till n\u00e4ra normala niv\u00e5er \u00f6kar antalet v\u00e4ntande f\u00f6r varje m\u00e5nad.<\/p>\n

Situationen \u00e4r fortfarande br\u00e4cklig. Om vi till\u00e5ter en \u00f6kning av Covid-19 eller icke-Covid akutinl\u00e4ggningar och det vanliga vintertrycket att leda till ytterligare inst\u00e4llda valbara eller diagnostiska aktiviteter i \u00e5r, kan v\u00e4ntelistan stiga till en punkt bortom rimlig \u00e5terh\u00e4mtning.<\/p>\n

Har du tillr\u00e4cklig \u00f6versp\u00e4nningskapacitet f\u00f6r att hantera det extra trycket i vinter? Om inte, kan en modul\u00e4r l\u00f6sning vara svaret. Tillf\u00e4llig infrastruktur kan ge den ytterligare fysiska kapacitet som beh\u00f6vs f\u00f6r att uppr\u00e4tth\u00e5lla elektiv kirurgi under vintern, eller f\u00f6r att \u00f6ka elektiv kirurgiaktivitet ut\u00f6ver kapaciteten 100% f\u00f6r att g\u00f6ra ett betydande ingrepp i befintliga v\u00e4ntelistor f\u00f6r att komma vidare.<\/p>\n

F\u00f6rberedelserna m\u00e5ste b\u00f6rja nu; Tillg\u00e5ngen p\u00e5 helt kompatibla modul\u00e4ra h\u00e4lsov\u00e5rdsl\u00f6sningar anpassade till dina krav \u00e4r begr\u00e4nsad. Komma i kontakt<\/a> nu f\u00f6r att boka en konsultation.<\/p>","protected":false},"excerpt":{"rendered":"

Med utsikterna f\u00f6r Covid-19 os\u00e4kra \u00e4r det nu viktigare \u00e4n n\u00e5gonsin att planera inf\u00f6r vintern f\u00f6r att s\u00e4kerst\u00e4lla att det finns tillr\u00e4cklig kapacitet f\u00f6r att hantera potentiella toppar i efterfr\u00e5gan utan att p\u00e5verka leveransen av elektiv v\u00e5rd eller diagnostiska tj\u00e4nster.<\/p>","protected":false},"author":1,"featured_media":1457,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-3932","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nAre you ready for the winter season? - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Uncertainty of Covid makes it more important to plan for winter to ensure sufficient capacity to deal with potential spikes in demand\" \/>\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\/are-you-ready-for-the-winter-season\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Are you ready for the winter season? 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