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From ‘Cinderella service’ to ‘healthcare science’ THE CLINICAL SERVICES JOURNAL


DECONTAMINATION & STERILISATION


Editor


Louise Frampton louiseframpton@stepcomms.com


Technical Editor Kate Woodhead


Business Manager Dean Walford deanwalford@stepcomms.com


Sales Executive


Holly Goldring hollygoldring@stepcomms.com


Journal Administration Katy Cockle katycockle@stepcomms.com


Design Steven Dillon Publisher


Geoff King geoffking@stepcomms.com


Publishing Director Trevor Moon trevormoon@stepcomms.com


The decontamination community is bracing itself for the challenges ahead as the NHS faces the enormous task of tackling the backlog of elective surgery and clinical procedures. There will be significant pressures to turn around reprocessed instruments faster and at greater volumes than ever before, but patient safety must never be compromised. Efficiency gains by optimising processes and technology will be vital in the months ahead. In this issue, we speak to thought leaders and industry experts about the challenges ahead, potential solutions, and the direction the sector could take in the future to capitalise on technology – from artificial intelligence and machine learning, to increased automation. During the pandemic, it has been heartening to see how sterile services technicians have risen to the challenges and adapted. According to our reader survey, there also appears to have been some unexpected positive outcomes from the COVID pandemic in terms of improved team working and a greater interest in staff wellbeing, which Trusts must take forward as we move into a post pandemic era. The decontamination sector has come a long way in recent years and there are significant efforts to upskill, grow and train the workforce to deliver the highest standards, to ensure the NHS continues to be


THE CLINICAL SERVICES JOURNAL is published in January, February, March, April, May, June, August, September, October and November by Step Communications Ltd, Step House, North Farm Road, Tunbridge Wells, Kent TN2 3DR, UK. Tel: +44 (0)1892 779999 Fax: +44 (0)1892 616177 Email: info@clinicalservicesjournal.com Web: www.clinicalservicesjournal.com


one of the safest healthcare organisations in the world. However, staff need to be rewarded for their extra efforts too. There must be a greater incentive for staff to pursue further development and education opportunities, if we are to keep pushing the bar even higher. Behind every healthcare-acquired infection, there is someone’s mother, father, son or daughter. Sterile services are the trusted but often forgotten guardians of patient safety and yet they provide a vital role in ensuring surgeons deliver on their promise of ‘first do no harm’. The decontamination sector is quickly evolving from a ‘Cinderella service’, into an advanced healthcare science – supported by university-led research, data-driven technologies and carefully thought-out educational platforms. This Decontamination Supplement aims to provide an insight into that journey…


Louise Frampton l Editor louiseframpton@stepcomms.com


Join the CSJ LinkedIn group Search for ‘Clinical Services Journal’


Follow us on twitter: @csjmagazine


CONTENTS


52 Cover story: Pushing boundaries in infection prevention


57 Impact of COVID-19


on sterile services A recent survey found that, during the pandemic, decontamination staff rose to the challenges, adapted to change and experienced an enhanced sense of team spirit.


59 Challenges and


© Step Communications Ltd, 2021 Single copy: £19.00 per issue. Annual journal subscription: UK £114.00 Overseas: £150.00


ISSN No. 1478-5641


The Publisher is unable to take any responsibility for views expressed by contributors. Editorial views are not necessarily shared by the journal. 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. This publication is copyright under the Berne Convention and the International Copyright Convention. All rights reserved, apart from any copying under the UK Copyright Act 1956, part 1, section 7. Multiple copies of the contents of the publication without permission is always illegal.


opportunities for SSDs Louise Frampton recently interviewed the new chair of the Central Sterilising Club (CSC), Jimmy Walker, on his views on the challenges and opportunities facing sterile services departments (SSD) – from reprocessing PPE and COVID-19, to innovation and training.


64 Tackling key issues in


decontamination The IDSc’s Tony Sullivan spoke to CSJ about the challenges the sector has faced and issues that still need to be addressed – from cleaning robotic instruments and rationalisation of theatre sets, to variation in pay scales for technicians across Trusts.


APRIL 2021 69 Increasing sensitivity of


protein detection Dr. Rodolphe Hervé, from the University of Southampton, describes the implementation of fluorescence epi- microscopy for the detection of protein residues in SSDs.


74 Meeting demand for extra capacity


As the NHS faces an unprecedented backlog of surgeries and endoscopies, decontamination departments will face significant pressures to increase capacity. Could technology and automation help meet the demand for increased efficiencies?


79 Driving improvement in


steam sterilisation Angelo Giambrone explores how decontamination leads can drive improvements in steam quality to deliver reliable and consistent sterilisation of reusable medical devices.


83 Can digital platforms help


us control infections? Neelam Sheikh considers how digital platforms could help drive efficiencies, control infections and improve patient safety.


WWW.CLINICALSERVICESJOURNAL.COM l 51


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