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CONTENTS VOLUME 20 ISSUE 7 REGULARS THE CLINICAL SERVICES JOURNAL FEATURES 14 New public health guidance on PPE


Public Health England has published new guidance on PPE to protect healthcare workers. Kate Woodhead RGN DMS provides an insight into the key recommendations and issues raised in the healthcare sector.


19 Need to tackle workforce burnout A Committee of MPs has warned that workforce burnout presents an “extraordinarily dangerous risk” to the functioning of health and social care. The findings of the report reveal the situation has reached “emergency levels”.


25 Improving surgical outcomes in hernia repair


There are significant benefits associated with a multi-disciplinary team approach within the challenging setting of complex abdominal wall reconstruction (AWR). Rachel Harding met with the AWR surgical team at Whiston Hospital to understand all aspects of delivering best practice care for complex hernia patients.


29 TRexit: tackling delays in cancer diagnosis ‘TRexit’ is a national initiative that could see a move away from transrectal (TRUS) biopsy, requiring an anaesthetic, to performing transperineal biopsy under local anaesthetic. Technology developments in this field have the potential to lower costs, shorten waiting lists and improve patient safety.


33 Supporting ostomy & continence care teams


Dr. Terri Porrett and Karen Tomlin highlight the results of a survey of ostomy and continence care teams and reveal how the pandemic has impacted staff and services. They provide an insight into strategies for supporting specialist nurses during COVID-19.


37 Tackling the problem of oedema


Andrew Thelwell discusses the burden oedema places on healthcare systems, clinicians and patients and the historic lack of solutions. He provides an insight into a solution that helps reduce complications related to pre and post operative swelling following orthopaedic surgery, trauma and kidney transplant.


41 Use of antimicrobial coatings in healthcare


Antimicrobial coatings could provide an innovative addition to existing infection prevention and control programmes. Jade Pallett calls for further investigation into their potential within the healthcare setting and provides an insight into best practice.


45 Keeping staff safe with


simulation training Healthcare workers (HCWs) need to protect themselves first, in order to provide quality, safe care to patients. As a result, there is an urgent need to support the safe donning and doffing of Personal Protective Equipment (PPE). Dr. Gerard Lacey provides an insight into the role of simulation technologies in ensuring the protection and wellbeing of HCWs.


49 Advances in wound care management


Managing wounds effectively to prevent them becoming chronic, and dealing with them quickly when they do, is one way wound care professionals can actively play a part in reducing AMR and improving patient outcomes. Bob Brown provides an insight into advances in wound care management and discusses some of the innovation that is helping to drive improvement.


AUGUS T 2 0 2 1 THE CLINICAL SERVICES JOURNAL Includes: THE CLINICAL SERVICES JOURNAL


HOSPITAL EFFICIENCY


Turn to P53 AUGUST 2021


l Combining comfort, quality and sustainability l Using day surgery to recover elective surgery l One device approach to patient handling l Diagnostics and AI vital to NHS recovery l Theatre optimisation to tackle the backlog l Efficiencies in digestive disease diagnostics l Community diagnostic hubs to help solve crisis


HOSPITAL EFFICIENCY


5 Comment 6 Cover Story: Improving accuracy and efficiency in healthcare


9 News


Theatre optimisation to tackle the backlog Using day surgery to recover elective surgery Gaining efficiencies in digestive disease diagnostics


WWW.CL INICAL SERVICE S JOURNAL .COM


WWW.CLINICALSERVICESJOURNAL.COM l


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