Contents
THE CLINICAL SERVICES JOURNAL
Volume 24 I Issue 9 I October 2025
Inside this issue
5 Editor’s Comment Is a culture of ableism creating barriers in the NHS?
6 Cover Story: Delivering urgent
capacity in Wales In collaboration, Cwm Taf Morgannwg University Health Board and Vanguard Healthcare Solutions installed facilities, referred to as a ‘mini-hospital’ by Health Board staff, in record time – just six weeks for a dual-procedure endoscopy complex and nine weeks for a four-theatre, two-ward surgical suite.
11 News 17 Shaping a safe perioperative culture
The AfPP urged theatre teams to sign up to a ‘behaviours charter’ at its annual conference, highlighting the impact of incivility on patient safety. CSJ reports on the hot topics discussed at the event – from fostering a safety culture in perioperative practice, to human factors learning.
23 Evolution of operating tables: advancing surgical precision Richard McAuley looks at the critical role of operating tables in supporting surgical workflows and discusses some of the key trends and innovations that are helping to advance surgical approaches, improve patient safety and integrate with advanced technologies.
29 Exploring the challenges facing EBME
A Thought Leadership Workshop at EBME 2025 recently brought together Electro-Biomedical Engineering (EBME) experts to discuss key issues around medical equipment connectivity and technology’s impact on care delivery.
www.clinicalservicesjournal.com Volume 24 I Issue 9 I October 2025 THE CLINICAL SERVICES JOURNAL 37 Are virtual hospital beds the way forward?
Virtual hospital beds are not a quick fix, but can be a major part of the NHS solution, argues Graham Watson. He analyses the spectrum of possibilities.
43 Lending a hand to elective recovery Lending a hand to elective recovery
Shaping a safe perioperative culture Exploring the challenges facing EBME
In recent years, hand surgery has been moving out of the traditional setting, with surgeons increasingly seeking out innovative ways of working to deliver more efficient treatment to their patients. Mark Lee discusses the WALANT approach to hand surgery and other evolving trends, which are moving the discipline forward.
49 The faulty funding model in orthopaedics
Dr. Eduardo Gonzalez-Hernandez argues that a skewed vision of value, where short-term cost-cutting has replaced analysis of overall medical costs is damaging the healthcare system, making it impossible for surgeons to operate to the best of their abilities because they are lacking basic tools.
54 How financial pressures are driving innovation
A webinar series has looked at how bold thinking and data-driven insights are reshaping the future of the NHS, outlining a blueprint for a more efficient and patient-focused NHS.
57 The need for zero tolerance for sharps injury risk
David Laffar argues that managing risk can be changed to a culture of “no neccessary risk” if safety-engineered devices are properly evaluated and adopted.
62 Advancing wound debridement practice
Tissue viability experts Elizabeth Williams, Andrew Kerr and Sarah Waller examine the evolution of debridement, highlighting its clinical significance, the growing need for a patient-centred approach, and the latest advances.
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