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CONTENTS VOLUME 21 ISSUE 10 REGULARS


5 Comment 6 Cover Story: From product supplier to a trusted partner


THE CLINICAL SERVICES JOURNAL FEATURES 16 Reflecting on two decades in healthcare


As The Clinical Services Journal celebrates its 20th Anniversary, this special edition reflects on the changes observed in the acute sector during the past two decades. As the editor, spanning 15 of these years, Louise Frampton shares her reflections on some of the transformations she has witnessed, the highs and lows, and what she has learnt along the way…


23 Healthcare: twenty years of progress?


As part of CSJ’s anniversary celebrations, Kate Woodhead RGN DMS reflects on the changes she has witnessed over the past 20 years. She interviewed some of the Association for Perioperative Practice’s previous presidents for their reflections and expert insights too.


27 HealthTech: the changing landscape


How has the HealthTech sector evolved over the past 20 years – is the NHS still slow to adopt innovation, and how have events such as COVID and Brexit shaped the current landscape? Louise Frampton spoke to the Association for British HealthTech Industries to discover what has changed.


33 Gastroenterology: progress and pressures


Graham Johnson discusses how gastroenterology has changed over the past 20 years. He looks at how non-invasive diagnostic testing, prior to endoscopy, could provide a solution to earlier detection and better outcomes for upper gastrointestinal disorders.


39 ICSs: learning from best performing regions


The Medical Technology Group’s latest report reveals that on the eve of the new ICS system, the top performing regions were treating up to three times as many patients as the worst performers. Barbara Harpham says that for the new system to work, the new health secretary must look to those regions that have successfully built their services around the use of data, integration and technology, and embed the sharing of best practice into meaningful regulatory intervention for those regions that continue to fail.


43 Driving high standards in decontamination


CSJ provides a preview of what the IDSc conference and exhibition will have to offer, from insights into apprenticeship training, decontamination of robotic instruments, to the latest innovations aimed at driving high standards in the reprocessing of medical devices.


NOVEMBER 2022 62 The battleground for the future of the NHS


As this 20th anniversary edition of CSJ reflects on the past two decades in healthcare, we know that the NHS has been experiencing significant winter pressures for some time. However, Matt Currall argues that we need to look beyond blaming social care to unlock patient flow and delayed discharge.


66 How patient monitoring is transforming care


Phil Stuart-Douek shares his insights into how patient monitoring has transformed care, over the past two decades. He points out that while technology is driving significant innovation, it will never replace highly trained nurses and it shouldn’t be used to plug resourcing gaps.


69 Optimising surgery for patients with diabetes


Poor management of diabetes can have a serious impact on surgical outcomes, increasing the risk of complications and mortality. Discussions are underway to scale up a pilot programme, with the aim of transforming surgical pathways, to help reduce complications and reduce length of stay.


WWW.CLINICALSERVICESJOURNAL.COM l 3 49 A changing landscape: explant analysis


The last 20 years has been a time of great innovation and technological advancement for medical devices, with an ever- increasing number of new products. Unfortunately, not all theoretical innovations have performed as well as anticipated in the human body, as the last 20 years have shown. Jason Wilson provides an overview of the past two decades and discusses some of the key issues.


53 Reflections on care quality and safety


Rachel Power, chief executive of the Patients Association, shares her views on how patient care has evolved over the past two decades. The organisation celebrates its 60th anniversary in 2023 and has witnessed some significant changes in the culture around patient care, during this time. Here, Rachel reflects on the progress achieved and what still needs to improve.


57 Showcasing UK HealthTech at MEDICA


CSJ speaks to head of international events at ABHI, Michelle Michelucci, who discusses the support available to UK HealthTech innovators looking to expand their business overseas.


9 News 74 Products


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