20 YEARS OF CS J
compassionate care every day – despite some significant financial and staffing challenges. During the pandemic, the UK was reminded of exactly what the NHS means to us all. We saw the biggest out-pouring of
support for the NHS in its history; the British public painted rainbows, made face masks and gowns, and clapped on doorsteps for the many healthcare workers that risked their own health to save the lives of others. There were some incredible achievements. We saw healthcare professionals,
infection prevention practitioners, biomedical engineers, scientists, industry, facilities managers, porters, decontamination staff, and the general public all pull together to fight one of the biggest health threats we have encountered in the history of the NHS. We saw industry step up to develop ventilation equipment, scale-up production of PPE and develop rapid testing equipment. Medical research teams quickly developed insights into the virus to help save lives. The UK was the first to successfully develop a vaccine to COVID-19 and volunteers generously gave their time to ensure the population was quickly protected. We saw people work tirelessly around the clock to build Nightingale hospitals.23
New ways of
working were quickly implemented and, despite a huge mountain to climb to clear the backlog, the extraordinary efforts of NHS staff achieved significant progress in reducing the longest waits for patients.24 I have also seen a technological revolution that allows a surgeon to guide a colleague on the other side of the world to perform surgery with a robot. There have been breakthroughs in cancer treatments and diagnosis – from the introduction of the National Health Service Bowel Cancer Screening Programme in 2006 (estimated to save around 10,000 lives each year), to the discovery of a new blood test that is expected to prevent one in 10 cancer deaths.25 We are entering a new era when breakthroughs in genomic research, gene therapies, machine learning, AI, imaging, sensors and robotics will all converge to enable us to better identify, prevent, treat and manage a whole host of diseases – from cancer to congenital heart disease. Artificial intelligence is becoming a part of the healthcare landscape and we have barely scratched the surface of its potential to help diagnose conditions, identify patients at risk of deterioration, and to make better clinical decisions. In short, I have had the pleasure to
report on some of the most extraordinary events and innovations in the history of the NHS, in the past 20 years.
CSJ
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13 Mesh implants: Women launch claims against NHS trusts and surgeons for failing to warn of risks, BMJ 2020;369:m2605.
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14 Cumberledge, J, First Do No Harm – The report of the Independent Medicines and Medical Devices Safety Review, 8 July 2020. https://www.
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2 Tanner J, Timmons S, Bayston R, et al. Using a comprehensive audit to identify local context prior to care bundle design and implementation for inadvertent perioperative hypothermia in colorectal surgery. BMJ Open Quality 2021;10:e001132. doi:10.1136/ bmjoq-2020-001132, accessed at:
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3 Frampton, L, Infection prevention: key issues raised, The Clinical Services Journal, 15 Nov 2012,
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4 ‘Support for surgical safety checklist’, The Clinical Services Journal, 4 Aug 2008, https://www.
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5 Frampton, L, Making checklists work in the ‘real world’, The Clinical Services Journal, Sept 2020,
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6 Mehdi, A, et al, Surgical safety checklist compliance: An assessment in UK operating theatres, International Journal of Surgery, November 2015.
7
https://www.rcsed.ac.uk/professional-support- development-resources/anti-bullying-and- undermining-campaign
8 ‘Revealed: How ‘gung-ho’ surgery by a trainee set off a chain of tragedy that destroyed this little girl’s family.’ Daily Mail, 10 January 2009. https://www.
dailymail.co.uk/health/article-1106042/Revealed- How-gung-ho-surgery-trainee-set-chain-tragedy-
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18 Frampton, L, EBME: improving efficiency and outcomes, The Clinical Services Journal, Sept 2022.
19
https://www.philips.com/c-dam/corporate/ newscenter/global/standard/resources/ healthcare/2019/act-at-scale/ACT-at-Scale_
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20
https://www.nuffieldtrust.org.uk/files/2020-08/ the-impact-of-covid-19-on-the-use-of-digital- technology-in-the-nhs-web-2.pdf
21 Darzi, A, High Quality Care For All, NHS Next Stage Review Final Report, June 2008
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22 King’s Fund, Briefing: High Quality Care for All: the NHS Next Stage Review final report, July 2008.
https://www.kingsfund.org.uk/publications/ briefing-high-quality-care-all-nhs-next-stage- review-final-report
23 Frampton, L, Upscaling life-saving equipment in a crisis, The Clinical Services Journal, 2 June 2020,
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24 NHS marks milestone in recovery plan as longest waits virtually eliminated, The Clinical Services Journal, 9 August 2022, https://www.
clinicalservicesjournal.com/story/39286/nhs- marks-milestone-in-recovery-plan-as-longest- waits-virtually-eliminated
25 New NHS blood test trial could stop one in ten UK cancer deaths, say researchers, Evening Standard, 22 Aug 2022,
https://www.standard.co.uk/ news/uk/nhs-blood-test-cancer-research-uk-
galleri-b1020157.html
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