{"id":586,"date":"2022-11-15T14:09:00","date_gmt":"2022-11-15T14:09:00","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=586"},"modified":"2023-10-20T11:38:08","modified_gmt":"2023-10-20T11:38:08","slug":"refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/da_dk\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/","title":{"rendered":"Renovering af hospitalsejendommen: Brug af fleksible Healthcare Spaces til at vedligeholde og \u00f8ge kapaciteten."},"content":{"rendered":"

NHS ventelister n\u00e5ede et rekordh\u00f8jt niveau p\u00e5 7 mio<\/a> mennesker, der afventer behandling i England i august, det h\u00f8jeste siden registreringerne begyndte. Det \u00f8gede pres p\u00e5 den elektive pleje har l\u00e6nge v\u00e6ret et problem, selv f\u00f8r pausen af den elektive pleje i begyndelsen af 2020 COVID-19-pandemien. Faktisk er hundredvis af elektive plejeprocedurer blevet aflyst som f\u00f8lge af aldring og farlig hospitalsinfrastruktur. Robert Naylor udtalte i 2017<\/a> at uden betydelige investeringer, 'vil NHS ejendom forblive uegnet til form\u00e5let og vil forts\u00e6tte med at forv\u00e6rres', hvilket mindsker fremtidige valgfri genopretningsplaner. Dette problem vil sandsynligvis kun stige i l\u00f8bet af de kommende m\u00e5neder, efter afsl\u00f8ringen af det over 30 hospitalsbygninger<\/a> i England har tage lavet af forst\u00e6rket autoklaveret luftbeton (RAAC), hvilket betyder, at disse hospitalstage kan v\u00e6re farligt t\u00e6t p\u00e5 at kollapse. Midlertidige og erstatningskapacitetsl\u00f8sninger, der er placeret v\u00e6k fra hovedhospitalets bygning, er p\u00e5kr\u00e6vet for at opretholde og endda \u00f8ge den elektive aktivitet og samtidig holde patienterne sikre under de omfattende renoveringsarbejder, som disse tage kr\u00e6ver.<\/p>\n

Antallet af kliniske h\u00e6ndelser som f\u00f8lge af for\u00e6ldet hospitalsinfrastruktur med behov for akut renovering er tredoblet inden for de seneste 5 \u00e5r, med h\u00e6ndelser, herunder en bevidstl\u00f8s patient p\u00e5 en ventilator, der er fanget inde i en elevator i 35 minutter, en rapport<\/a> af The Times har fundet. Rapporten beskriver svarene p\u00e5 anmodninger om informationsfrihed, der illustrerer det sande omfang af de \u00f8del\u00e6ggende virkninger af den 'smuldrende NHS ejendom' p\u00e5 patienter, og fremh\u00e6ver, at eksisterende tr\u00e6t infrastruktur ikke er i stand til at holde trit med moderne krav.<\/p>\n

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Det er tydeligt, at der udover det voksende plejeeftersl\u00e6b ogs\u00e5 er et betydeligt vedligeholdelseseftersl\u00e6b p\u00e5 tv\u00e6rs af NHS Trusts og Health Boards, som skal l\u00f8ses hurtigst muligt. Naylor oplyser, at NHS-ejendommen d\u00e6kker et bruttoareal p\u00e5 26 millioner kvadratmeter, men omkring 1,5 mio<\/a> kvadratmeter heraf er fuldst\u00e6ndig uudnyttet som f\u00f8lge af, at infrastrukturen er for farlig og for\u00e6ldet til moderne krav. Ud over dette har en nylig YouGov-unders\u00f8gelse blandt 1000 private sundhedsansatte og 750 NHS-ansatte fundet, at 50%<\/a> af sundhedspersonalet mener, at deres arbejdsplads ikke kan huse yderligere personale p\u00e5 grund af manglende fysisk plads. Dette hindrer derfor rekrutteringsindsatsen og forst\u00e6rker Naylors udtalelse om, at NHS ikke mest effektivt kan l\u00f8se det voksende eftersl\u00e6b af pleje uden modernisering og renovering af infrastruktur.<\/p>\n

Med pres p\u00e5 NHS p\u00e5 et rekordh\u00f8jt niveau, og vedligeholdelsesomkostninger fra 5,5 milliarder pund<\/a> til \u00a39,2 milliarder<\/a> i l\u00f8bet af de sidste 5 \u00e5r virker ideen om at bygge nye, moderniserede hospitaler tiltalende. Men i virkeligheden er dette et tidskr\u00e6vende og dyrt initiativ, som ikke bedst l\u00f8ser kortsigtede problemer. Dette demonstreres bedst med eksemplet med Royal Liverpool Hospital, hvor ombygningsplaner begyndte i 2002 og stadig mangler at blive afsluttet.<\/p>\n

Et nyligt svar fra NHS England p\u00e5 en anmodning om informationsfrihed afsl\u00f8rede, at flere hospitaler i hele England har tage bygget med RAAC, et letv\u00e6gts og billigere materiale, som en hospitalschef har betegnet som 'tikkende bombe<\/a>'. Materialet er blevet brugt i over 30 bygninger p\u00e5 20 forskellige hospitaler i England og udg\u00f8r en kolossal trussel mod b\u00e5de personale og patienter, da tagene kan kollapse p\u00e5 et hvilket som helst tidspunkt.<\/p>\n

For at holde b\u00e5de patienter og personale i sikkerhed har nogle hospitaler valgt at installere st\u00e5lst\u00f8tter for at mindske risikoen for, at de falder sammen, men dette fungerer ikke som en permanent l\u00f8sning. \u00a3685 millioner<\/a> er afsat til direkte at tage fat p\u00e5 RAAC-tagproblematikken, og Nyt Hospitalsprogram vil s\u00f8ge at indf\u00f8re yderligere 40 nye hospitaler, der gradvist begynder at erstatte den for\u00e6ldede infrastruktur. Derudover kan der anvendes midlertidige l\u00f8sninger til at vedligeholde og \u00f8ge kapaciteten i perioder med renovering. Mobile og modul\u00e6re sundhedsfaciliteter er en ideel l\u00f8sning til hurtigt at introducere til hospitalsejendommen.<\/p>\n

\"\"<\/figure>\n

I situationer, hvor presserende kapacitetsproblemer skal l\u00f8ses, men den afsluttende hospitalsejendom ikke er tilstr\u00e6kkelig til at im\u00f8dekomme dette, kan fleksible Healthcare Space-l\u00f8sninger implementeres. Moderne konstruktionsmetoder (MMC), s\u00e5som dem, der anvendes ved installation af modul\u00e6re sundhedsfaciliteter, giver mulighed for accelereret levering af yderligere kapacitetsl\u00f8sninger til at udvide det eksisterende hospitalsanl\u00e6g. Mobile, modul\u00e6re og mixed-modality Healthcare Space-l\u00f8sninger kan installeres i perioder med renovering eller anstrengt kapacitet, hvilket giver et omkostningseffektivt og b\u00e6redygtigt alternativ til at h\u00e5ndtere voksende ventelister og transformere patientpleje. Desuden letter introduktionen af moderne teknologier og opdateret infrastruktur rekrutteringsfremst\u00f8d, hvilket giver st\u00f8rre muligheder for kompetenceudvikling i et moderne arbejdsmilj\u00f8.<\/p>\n

Efter opfordringer fra Royal College of Surgeons i 2021 til introduktion af kirurgiske knudepunkter, blev der installeret modul\u00e6re operationsstuer i Newcastle og Roehampton for at bek\u00e6mpe voksende kirurgiske eftersl\u00e6b. Den hurtige levering af disse Healthcare Space-l\u00f8sninger udvidede den eksisterende hospitalsstruktur, hvilket gav yderligere kapacitet og sikrede, at hospitalerne var bedst rustet til at h\u00e5ndtere deres ventelister p\u00e5 akutbehandling p\u00e5 f\u00e5 m\u00e5neder i stedet for \u00e5r. De seneste kapacitetskrav har \u00f8get attraktiviteten af MMC-faciliteter takket v\u00e6re den accelererede levering og de fordele, der er forbundet med eksternt byggeri, s\u00e5som minimal forstyrrelse af byggepladsen og omkostningsbesparelser. Desuden forbedrer brugen af mere b\u00e6redygtige materialer, s\u00e5som st\u00e5l og tr\u00e6, faciliteternes fleksible karakter og sikrer, at de bedst kan tilpasses det aktuelle behov, i mods\u00e6tning til traditionelle murstensbygninger fra NHS, hvoraf mange har v\u00e6ret p\u00e5 plads siden f\u00f8r etableringen af sundhedsv\u00e6senet i 1948.<\/p>\n

L\u00e6nge forbundet med udtrykkene 'midlertidig' og 'n\u00f8dsituation', hvis NHS ser p\u00e5 effektivt at 'bygge bedre tilbage' i k\u00f8lvandet p\u00e5 pandemien, er det tid til at begynde at se fleksibel klinisk infrastruktur og MMC som b\u00e6redygtige og permanente midler til at hurtigt at forbedre den eksisterende hospitalsejendom, ikke kun for at \u00f8ge og erstatte kapaciteten, men for at forbedre patientresultater og lette rekrutteringen.<\/p>","protected":false},"excerpt":{"rendered":"

Sp\u00f8rgsm\u00e5let om den for\u00e6ldede hospitalsejendom vil sandsynligvis kun stige efter afsl\u00f8ringen af, at over 30 hospitalsbygninger i England har tage lavet af forst\u00e6rket autoklaveret luftbeton (RAAC), hvilket betyder, at disse hospitalstage kan v\u00e6re farligt t\u00e6t p\u00e5 at kollapse. Der er behov for midlertidige l\u00f8sninger for at opretholde kapaciteten og give patienterne et sikkert rum.<\/p>","protected":false},"author":1,"featured_media":587,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-586","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nRefurbishing the hospital estate: The use of flexible Healthcare Spaces to maintain and increase capacity. - Q-bital 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.q-bital.com\/da_dk\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"da_DK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Refurbishing the hospital estate: The use of flexible Healthcare Spaces to maintain and increase capacity. - Q-bital Healthcare Solutions\" \/>\n<meta property=\"og:description\" content=\"The issue of the the outdated hospital estate is only likely to increase following the revelation that over 30 hospital buildings in England have roofs made out of reinforced autoclaved aerated concrete (RAAC), meaning that these hospital roofs may be perilously close to collapse. 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