{"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\/sv_se\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/","title":{"rendered":"Renovering av sjukhusg\u00e5rden: Anv\u00e4ndning av flexibla v\u00e5rdutrymmen f\u00f6r att bibeh\u00e5lla och \u00f6ka kapaciteten."},"content":{"rendered":"

NHS v\u00e4ntelistor n\u00e5dde en all-time high p\u00e5 7 miljoner<\/a> personer som v\u00e4ntar p\u00e5 behandling i England i augusti, det h\u00f6gsta sedan registreringarna b\u00f6rjade. Att \u00f6ka trycket p\u00e5 elektiv v\u00e5rd har l\u00e4nge varit ett problem, \u00e4ven innan den elektiva v\u00e5rden pausades i b\u00f6rjan av 2020 COVID-19-pandemin. Faktum \u00e4r att hundratals elektiva v\u00e5rdprocedurer har st\u00e4llts in p\u00e5 grund av \u00e5ldrande och farlig sjukhusinfrastruktur. Robert Naylor sa i 2017<\/a> att utan betydande investeringar "kommer NHS-g\u00e5rden att f\u00f6rbli ol\u00e4mplig f\u00f6r \u00e4ndam\u00e5let och kommer att forts\u00e4tta att f\u00f6rs\u00e4mras", vilket minskar framtida elektiva \u00e5terh\u00e4mtningsplaner. Det h\u00e4r problemet kommer sannolikt bara att \u00f6ka under de kommande m\u00e5naderna, efter avsl\u00f6jandet att \u00f6ver 30 sjukhusbyggnader<\/a> i England har tak gjorda av armerad autoklaverad l\u00e4ttbetong (RAAC), vilket inneb\u00e4r att dessa sjukhustak kan vara farligt n\u00e4ra att kollapsa. Interims- och ers\u00e4ttningskapacitetsl\u00f6sningar, bel\u00e4gna p\u00e5 avst\u00e5nd fr\u00e5n huvudsjukhusbyggnaden, kr\u00e4vs f\u00f6r att uppr\u00e4tth\u00e5lla och till och med \u00f6ka den elektiva aktiviteten samtidigt som patienterna skyddas under de omfattande renoveringsarbeten som dessa tak kr\u00e4ver.<\/p>\n

Antalet kliniska incidenter som ett resultat av f\u00f6r\u00e5ldrad sjukhusinfrastruktur i behov av br\u00e5dskande renovering har tredubblats under de senaste 5 \u00e5ren, med incidenter d\u00e4r en medvetsl\u00f6s patient i en ventilator var inst\u00e4ngd i en hiss i 35 minuter, en Rapportera<\/a> av The Times har hittat. Rapporten beskriver svaren p\u00e5 f\u00f6rfr\u00e5gningar om informationsfrihet, och illustrerar den verkliga omfattningen av de f\u00f6r\u00f6dande effekterna av det "s\u00f6nderfallande NHS-godset" p\u00e5 patienter, och visar att den befintliga tr\u00f6tta infrastrukturen inte kan h\u00e5lla j\u00e4mna steg med moderna krav.<\/p>\n

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Det \u00e4r uppenbart att det vid sidan av den v\u00e4xande v\u00e5rdeftersl\u00e4pningen finns en betydande underh\u00e5llseftersl\u00e4pning inom NHS Trusts och Health Boards som snarast beh\u00f6ver \u00e5tg\u00e4rdas. Naylor uppger att NHS-fastigheten t\u00e4cker en brutto intern yta p\u00e5 26 miljoner kvadratmeter, men cirka 1.5 miljoner<\/a> kvadratmeter av detta \u00e4r helt outnyttjat till f\u00f6ljd av att infrastrukturen \u00e4r f\u00f6r farlig och f\u00f6r\u00e5ldrad f\u00f6r moderna krav. Ut\u00f6ver detta har en nyligen genomf\u00f6rd YouGov-unders\u00f6kning bland 1000 privata sjukv\u00e5rdsanst\u00e4llda och 750 NHS-anst\u00e4llda funnit att 50%<\/a> av v\u00e5rdpersonal anser att deras arbetsplats inte kan hysa n\u00e5gon ytterligare personal p\u00e5 grund av bristande tillg\u00e5ng till fysiskt utrymme. Detta hindrar d\u00e4rf\u00f6r rekryteringsinsatser och f\u00f6rst\u00e4rker Naylors uttalande att NHS inte p\u00e5 b\u00e4sta s\u00e4tt kan ta itu med den v\u00e4xande eftersl\u00e4pningen av v\u00e5rd utan modernisering och renovering av infrastruktur.<\/p>\n

Med trycket p\u00e5 NHS p\u00e5 ett rekordh\u00f6gt niv\u00e5 och underh\u00e5llskostnader fr\u00e5n 5,5 miljarder pund<\/a> till 9,2 miljarder pund<\/a> under de senaste 5 \u00e5ren har tanken p\u00e5 att bygga nya moderniserade sjukhus varit tilltalande. Men i verkligheten \u00e4r detta ett tidskr\u00e4vande och dyrt initiativ som inte b\u00e4st l\u00f6ser kortsiktiga fr\u00e5gor. Detta demonstreras b\u00e4st med exemplet Royal Liverpool Hospital, d\u00e4r ombyggnadsplanerna b\u00f6rjade 2002 och fortfarande inte har slutf\u00f6rts.<\/p>\n

Ett nyligen svar fr\u00e5n NHS England p\u00e5 en beg\u00e4ran om informationsfrihet avsl\u00f6jade att flera sjukhus \u00f6ver hela England har tak byggda med RAAC, ett l\u00e4ttviktigt och billigare material som en sjukhuschef har st\u00e4mplat som "tickande bomb<\/a>'. Materialet har anv\u00e4nts i \u00f6ver 30 byggnader p\u00e5 20 olika sjukhus i England och utg\u00f6r ett kolossalt hot mot b\u00e5de personal och patienter eftersom tak kan rasa n\u00e4r som helst.<\/p>\n

F\u00f6r att h\u00e5lla b\u00e5de patienter och personal s\u00e4kra har vissa sjukhus valt att installera st\u00e5lst\u00f6d f\u00f6r att minska risken att de kollapsar, men detta fungerar inte som en permanent l\u00f6sning. 685 miljoner pund<\/a> har avsatts f\u00f6r att direkt ta itu med RAAC-takfr\u00e5gan, och det nya sjukhusprogrammet kommer att f\u00f6rs\u00f6ka introducera ytterligare 40 nya sjukhus som gradvis kommer att b\u00f6rja ers\u00e4tta den f\u00f6r\u00e5ldrade infrastrukturen. Dessutom kan interimsl\u00f6sningar anv\u00e4ndas f\u00f6r att bibeh\u00e5lla och \u00f6ka kapaciteten under renoveringsperioder. Mobila och modul\u00e4ra sjukv\u00e5rdsinr\u00e4ttningar \u00e4r en idealisk l\u00f6sning f\u00f6r att snabbt introducera till sjukhusg\u00e5rden.<\/p>\n

\"\"<\/figure>\n

I situationer d\u00e4r br\u00e5dskande kapacitetsproblem beh\u00f6ver \u00e5tg\u00e4rdas men det avslutande sjukhusomr\u00e5det inte \u00e4r tillr\u00e4ckligt f\u00f6r att tillgodose detta, kan flexibla Healthcare Space-l\u00f6sningar anv\u00e4ndas. Moderna konstruktionsmetoder (MMC), s\u00e5som de som anv\u00e4nds vid installation av modul\u00e4ra sjukv\u00e5rdsinr\u00e4ttningar, m\u00f6jligg\u00f6r accelererad leverans av ytterligare kapacitetsl\u00f6sningar f\u00f6r att ut\u00f6ka det befintliga sjukhusomr\u00e5det. Mobila, modul\u00e4ra och blandade sjukv\u00e5rdsl\u00f6sningar kan installeras under perioder av renovering eller anstr\u00e4ngd kapacitet, vilket ger ett kostnadseffektivt och h\u00e5llbart alternativ till att hantera v\u00e4xande v\u00e4ntelistor och f\u00f6r\u00e4ndra patientv\u00e5rden. Dessutom underl\u00e4ttar introduktionen av modern teknik och uppdaterad infrastruktur rekryteringsdriften, vilket ger st\u00f6rre m\u00f6jligheter till kompetensutveckling i en modern arbetsmilj\u00f6.<\/p>\n

Efter uppmaningar fr\u00e5n Royal College of Surgeons \u00e5r 2021 om inf\u00f6rande av kirurgiska nav installerades modul\u00e4ra operationssalar i Newcastle och Roehampton f\u00f6r att bek\u00e4mpa v\u00e4xande kirurgiska eftersl\u00e4pningar. Den snabba leveransen av dessa Healthcare Space-l\u00f6sningar ut\u00f6kade den befintliga sjukhusfastigheten, vilket gav ytterligare kapacitet och s\u00e4kerst\u00e4llde att sjukhusen var b\u00e4st rustade f\u00f6r att hantera sina v\u00e4ntelistor f\u00f6r akutv\u00e5rd p\u00e5 n\u00e5gra m\u00e5nader snarare \u00e4n \u00e5r. De senaste kapacitetskraven har \u00f6kat attraktiviteten hos MMC-anl\u00e4ggningar tack vare karakt\u00e4ren av deras accelererade leverans och de f\u00f6rdelar som \u00e4r f\u00f6rknippade med extern byggnation, s\u00e5som minimala st\u00f6rningar p\u00e5 platsen och kostnadsbesparingar. Dessutom f\u00f6rb\u00e4ttrar anv\u00e4ndningen av mer h\u00e5llbara material, s\u00e5som st\u00e5l och tr\u00e4, anl\u00e4ggningarnas flexibilitet, vilket s\u00e4kerst\u00e4ller att de kan anpassas b\u00e4st till det aktuella behovet, till skillnad fr\u00e5n traditionella NHS-byggnader i tegel, av vilka m\u00e5nga har funnits sedan f\u00f6re inr\u00e4ttandet av h\u00e4lso- och sjukv\u00e5rden 1948.<\/p>\n

L\u00e4nge f\u00f6rknippat med termerna "tillf\u00e4llig" och "n\u00f6dsituation", om NHS skulle f\u00f6rs\u00f6ka "bygga tillbaka b\u00e4ttre" i sp\u00e5ren av pandemin, \u00e4r det dags att b\u00f6rja se flexibel klinisk infrastruktur, och MMC, som h\u00e5llbara och permanenta medel f\u00f6r att snabbt f\u00f6rb\u00e4ttra det befintliga sjukhusomr\u00e5det, inte bara f\u00f6r att \u00f6ka och ers\u00e4tta kapaciteten utan f\u00f6r att f\u00f6rb\u00e4ttra patientresultaten och underl\u00e4tta rekryteringsarbetet.<\/p>","protected":false},"excerpt":{"rendered":"

Fr\u00e5gan om den f\u00f6r\u00e5ldrade sjukhusg\u00e5rden kommer sannolikt bara att \u00f6ka efter avsl\u00f6jandet att \u00f6ver 30 sjukhusbyggnader i England har tak gjorda av f\u00f6rst\u00e4rkt autoklaverad luftbetong (RAAC), vilket inneb\u00e4r att dessa sjukhustak kan vara farligt n\u00e4ra att kollapsa. Interimistiska l\u00f6sningar beh\u00f6vs f\u00f6r att bibeh\u00e5lla kapaciteten och ge ett s\u00e4kert utrymme f\u00f6r patienterna.<\/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\/sv_se\/refurbishing-the-hospital-estate-the-use-of-flexible-healthcare-spaces-to-maintain-and-increase-capacity\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\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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