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CONTENTS VOLUME 20 ISSUE 4
REGULARS THE CLINICAL SERVICES JOURNAL
5 Comment 7 Cover Story: Preparing for lasting challenges of COVID-19
9 News FEATURES 15 The march of the integrated care system
Kate Woodhead RGN DMS examines the ambition to develop integrated care systems and discusses the findings of a new King’s Fund report, commissioned by the Mayor of London. She looks at current policy, some of the key initiatives underway and the challenges ahead.
19 Embracing digital health to improve outcomes
A digital health All-Party Parliamentary Group aims to highlight the benefits that digital technologies can have when successfully implemented. Tackling fears around the use of patient data will be vital, but increased adoption of technology could ultimately empower patients and improve outcomes.
25 Tackling errors in Cauda Equina diagnosis
Maya Sushila warns that misdiagnosis of cauda equina syndrome often results from problems with communication, between clinicians and patients, and the cost of subsequent litigation to the NHS can be high.
29 Calls to re-examine ventilation in hospitals
David Hartley supports a more critical appraisal of ventilation requirements in patient care areas, in light of the pandemic. He argues that air movement and clean-air flow pathways should be given the consideration they deserve in modular buildings increasingly used by health Trusts to more rapidly provide additional facilities.
34 Artificial intelligence in bowel cancer screening
Dr. Bu’ Hayee, deputy clinical director for gastroenterology, King’s College Hospital NHS Foundation Trust, discusses the role of AI technology in reducing variation in detection rates between endoscopists.
37 Sustainability and single use
As we continue to cope with COVID-19 and its wider effects, we must not lose sight of the issue of sustainability, argues George I’ons, from Owen Mumford Pharmaceutical Services. He discusses the impact of single use on the environment and highlights the potential solutions to reduce the carbon footprint of disposable medical devices.
41 Remote monitoring to detect deterioration
Simon Applebaum discusses how the adoption of digital technology, specifically remote monitoring, can give clinical teams unprecedented real-time visibility of their most at-risk patients, and outlines its role in future models of continuous and preventative care.
46 The hidden victims of the COVID pandemic
Martin Usher argues that the need for increased access to rehabilitation services has never been more important as the NHS recovers from the impact of the pandemic.
Turn to page 49 for CSJ’s Decontamination & Sterilisation Supplement, featuring exclusive interviews with leading experts and the latest decontamination research.
APRIL 20 2 1
THE CLINICAL SERVICES JOURNAL
DECONTAMINATION & STERILISATION
Impact of COVID-19
on sterile services Increasing sensitivity of protein detection Meeting demand for extra capacity
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