COMMENT IHEEM ‘Silo working’ will no longer suffice


JOURNAL OF THE INSTITUTE OF HEALTHCARE ENGINEERING AND ESTATE MANAGEMENT


Editor: Jonathan Baillie jonathanbaillie@stepcomms.com


Technical Editor: Mike Arrowsmith


BSc(Hons), CEng, FIMechE, FIHEEM


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Published ten times a year by: Step Communications Ltd, Step House,


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By the time this issue of Health Estate Journal hits desks, this year’s ‘hybrid’ Healthcare Estates conference, exhibition, and awards will have taken place, and with them – as I alluded to in my October 2021 ‘Comment’ – professionals from throughout the healthcare engineering and estate management sector will have had one of 2021’s best opportunities to network, share expertise, establish new contacts, discuss their experience with others, learn from speakers, and look ahead to the challenges and opportunities that 2022 will bring. While the ability to learn from others is a key reason for attending such events, recent research by three University of Cambridge academics suggests that a number of significant barriers are still hampering EFM staff in the NHS’s efforts to pass on experience and expertise to their counterparts to the benefit of the sector as a whole. Among the major obstacles identified are a degree of ‘competitiveness’ and protectiveness among even neighbouring Trusts, a lack of awareness among newer EFM personnel about who may be best able to help them with a particular issue, and a tendency for consulting and contracting companies to take over the role of ‘knowledge-brokers’.


With their research so far having uncovered COVER STORY


‘Integrated technology’ for new £35 m new London theatre wing


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©2021: The Institute of Healthcare Engineering and Estate Management UK ISSN 0957-7742


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Neither the Institute nor the Publisher is able to take any responsibility for views expressed by contributors. Editorial views are not necessarily shared by the Institute. Readers are expressly advised that while the contents of this publication are believed to be accurate, correct and complete, no reliance should be placed upon its contents as being applicable to any particular circumstances. Any advice, opinion or information contained is published only on the footing that The Institute of Healthcare Engineering and Estate Management, its servants or agents and all contributors to this publication shall be under no liability whatsoever in respect of its contents.


Integrated technology is setting the standard for operating rooms in the UK, and is now being used at the St John & St Elizabeth Hospital in London within a new £35 million wing containing six theatres equipped and project managed by Bender UK. Technology elements include clinical equipment, audio and video communication, environmental, clean air ventilation, and lighting controls, and data retrieval and display systems. For Bender UK, an


added dimension to this rapidly evolving equation is ensuring the resilience of the integrated operating theatre with Medical IT no-fail critical power systems and UPS (Uninterruptible Power Supply) battery back-up systems.


The Estates team at St John & St Elizabeth Hospital has also chosen to employ Bender UK’s Residual Current Monitoring (RCM) system to add extra resilience in the new wing – by providing live data on the status of the electrical supply for room lighting systems. Bender UK said: “The ultimate integrated theatre is forged by linking the complex


elements employing Merivaara’s OpenOR open architecture Digital Image Management System. It is designed to integrate operating theatre devices, data, and image management, and offer seamless, latency-free image routing, image capture, and video recording.” PACS and hospital IT systems are integrated for patient worklists, and because the system is vendor-neutral, it does not limit the connection of image sources from other manufacturers. Theatres’ AV systems link to a


video conference room and co-ordinator suite for remote viewing and consultation on surgical procedures, with live two-way audio, and images can also be live streamed via the internet. To learn more about integrated theatres, visit www.bender-uk.com


Bender UK Ltd The Old Tannery Low Mill Business Park Ulverston


Cumbria LA12 9EE T: +44 (0)1229 480123 E: info@bender-uk.com


some of the main barriers to effective inter- organisational knowledge-sharing, the next focus for Carl-Magnus von Behr and his University of Cambridge colleagues, Professor Tim Minshall and John Clarkson (see pages 57-61), will be to determine how to achieve a more effective flow of valuable estates and engineering-related knowledge between EFM personnel NHS-wide. At the end of their article they include contact details for readers wishing to find out more about their research, and indeed are keen for active participation in the work from – as they put it – ‘practitioners at all levels of the NHS EFM system’.


As the range of challenges facing healthcare EFM teams – including, looming especially large in the short-to-medium term, the drive towards Net Zero Carbon – broadens and intensifies, effective knowledge-sharing will surely become ever more vital. The Cambridge academics’ research is thus to be applauded, and the greater the number of EFM professionals that get involved, the easier the trio will find it to reach a consensus on how best to overcome existing barriers to good information flow in the future.


Jonathan Baillie I Editor jonathanbaillie@stepcomms.com


November 2021 Health Estate Journal 5


health estate journal


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