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Contents


THE CLINICAL SERVICES JOURNAL Inside this issue 39 UK MDR or not UK MDR? The question for SSDs


5 Editor’s Comment Patients pay the ultimate price for long waits in A&E...


6 Cover Story:A complete solution for pre-operative skin antisepsis


9 News The next scholars of the Green Healthcare Leadership Programme have been announced


www.clinicalservicesjournal.com Volume 23 I Issue 5 I May 2024 THE CLINICAL SERVICES JOURNAL 43 Bringing drug monitoring closer to the patient Preventing SSIs:


the butterfly effect Controversies surrounding PA and AA roles HealthTech: a lever for delivering new paradigms


Graham Johnson discusses the latest developments in inflammatory bowel disease management, including the potential for at-home therapeutic drug monitoring for patients on biologics, which could help reduce the reliance on hospital-based services.


49 Why IFUs are important to reduce SSI 15 Controversies surrounding PA and AA roles


Kate Woodhead RGN DMS discusses the ongoing debate around the roles of Physician and Anaesthesia Associates, in the lead up to the GMC’s plans for regulation.


19 Priorities for the NHS in the year ahead


NHS England has published the key priorities for the NHS, during the year ahead, as part of new planning guidance. NHS Chief Executive, Amanda Pritchard describes the forecast for 2024/25 as ‘challenging’ but is optimistic that real improvement is possible – even in the toughest of circumstances.


25 Preventing SSIs: the butterfly effect


Dedicated to reducing the risk of surgical site infections (SSIs), OneTogether recently hosted a conference at the National Conference Centre, Birmingham. High on the agenda was the potential of AI in predicting risk, the role of care bundles in SSI prevention, and the evidence-based resources available that can help guide clinical practice.


31 HealthTech: a lever for delivering new paradigms


Through the smarter use of emerging technologies, healthcare providers will be able to move services from generalised to personalised care delivery. Dr. John Sandham, Chair of EBME, discusses the implications for EBME departments of new technology acquisition, and how to implement an effective health technology plan.


35 Medical registries and MDR: striking a delicate balance Mr Keith Tucker, FRCS, Chairman of the Orthopaedic Data Evaluation Panel (ODEP) and the Beyond Compliance Advisory Group, discusses how registries can reduce the risk of fewer treatment options under the new medical device regulations. He explores the delicate balance needed to navigate the new regulatory landscape, while ensuring patient safety is prioritised.


Stuart White and Emile Jubeli highlight the importance of Instructions for Use to ensure the effective decontamination of instruments, including those used in robot-assisted surgery.


54 Evaluating new approaches to endoscope cleaning


Effective removal of biofilm and contamination from endoscopes is vital to ensure patient safety. Ellie Wishart says that new endoscope cleaning approaches are required and outlines the key criteria required to assess their potential.


59 NHS staff experience shows some improvement


The results of an NHS workforce survey show that staff experience is improving but there is still much work to do to tackle staff morale, dissatisfaction with pay, discrimination and sexual harassment, as well as the ability to raise clinical concerns.


64 Bolstering NHS capacity with modular facilities


Helen Marshall discusses how modular facilities are helping the NHS to upgrade capacity. Backed by a boost in funding, they are expected to help relieve waiting list pressures, but they are more than a quick fix.


What do sterile services departments need to know about the UK Medical Devices Regulations? Jack Walters provides an insight into the ‘UK MDR for Healthcare Organisations’ and discusses how this applies to the reprocessing of surgical instruments.


Volume 23 I Issue 5 I May 2024


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May 2024 I www.clinicalservicesjournal.com 3





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