COMMENT THE CLINICAL SERVICES JOURNAL
HOSPITAL EFFICIENCY
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 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
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58 Coverstory: Combining comfort, quality and sustainability The pandemic has presented significant challenges around of the impact of increased usage of PPE on the environment. Tecman is seeking to address the issue and offer a more sustainable approach.
61 Using day surgery to recover elective surgery
© 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.
Operating theatre teams will have a ‘marathon’ ahead as they battle to reduce waiting lists for elective surgery. The British Association for Day Surgery’s annual conference highlighted the need to tackle national variation in day case surgery, as part of the road to recovery.
66 One device approach to patient handling The benefits of ambulatory surgery are well-documented, and there is increasing support for the ‘one-device’ approach for transport, treatment and recovery of day- case patients.
70 Diagnostics and AI vital to NHS recovery Geoff Twist argues that diagnostics, along with artificial intelligence, could have a key role in helping to ease the NHS backlog.
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75 Theatre optimisation to tackle the backlog
In England alone, nearly five million people were waiting for routine operations and procedures in March 2021. Tim Bryant discusses how technology could help support hospitals tackle the backlog going forward.
78 Efficiencies in digestive disease diagnostics
Amanda Appleton and Emma Isom explain how the increased use of novel diagnostic solutions has helped to address capacity issues in gastroenterology.
83 Community diagnostic hubs to help solve crisis
Lindsay Dransfield discusses how transformative Community Diagnostic Hubs (CHDs) have the ability revolutionise diagnostic services in the UK while protecting against COVID-19.
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@csjmagazine THE CLINICAL SERVICES JOURNAL Achieving marginal gains
The Hospital Efficiency Supplement aims to provide healthcare teams with the latest strategies to help tackle the backlogs caused by COVID-19 and to aid the NHS recovery. It is important to note that some Trusts are experiencing greater challenges than others and the reasons for this need to be fully examined and understood. We know that large regional inequalities persist across the waiting list with the number of people waiting 52 weeks or more for orthopaedics now just over 80 times higher in Norfolk and Waveney than in North East Lincolnshire, for example. (Source: LCP’s NHS waiting list tracker). In this issue, CSJ looks at how tackling national variation, defaulting to day case surgery, ‘Getting it Right First Time’, along with investment in technologies and flexible infrastructure, could help the NHS recovery. Artificial
intelligence and information technology are certain to come to the fore – whether it is through theatre optimisation software, faster and more accurate diagnostics in radiology, or better capacity planning, management and visibility of beds on hospital wards. The NHS has shown its willingness to innovate, during the pandemic, making use of the latest technologies to facilitate new ways of working and new pathways. As the NHS strives to find extra capacity, to tackle unprecedented waiting lists, in the wake of the pandemic, we hope this supplement contributes to the continued discussion on how ‘marginal gains’ and incremental efficiencies could help the NHS on the road to recovery.
Louise Frampton l Editor
louiseframpton@stepcomms.com
WWW.CLINICALSERVICESJOURNAL.COM l
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