FEATURE ARTICLES

According to David Graham of the Scottish National Blood Transfusion Service (SNBTS), “the importance of the safe diagnosis and treatment of patients cannot be overstated – yet the role played by water quality in patient safety has sometimes been under-stated”.

Vanguard Healthcare’s fleet of mobile surgical facilities has been deployed to healthcare sites throughout Europe and beyond for over a decade, providing vital additional clinical capacity when existing buildings are refurbished or upgraded, in the event of flood or fire, or simply to help hospitals cater for rising demand.

Mike Kwok, senior vice-president of Professional Services at provider of integrated software and services for facilities asset management, facilities capital planning, and capital spend management, VFA, discusses how healthcare organisations can more effectively plan and prioritise capital improvements, improve asset utilisation, and obtain much-needed funding.

The Health and Social Care Act’s potential implications for the healthcare estates community, how the NHS and private sectors can better collaborate to get the most of out of their built and other assets, how estates professionals can shape and inform future guidance, and the role of the new NHS Property Services Company (NHS PropCo), were among the hot topics addressed at this year’s IHEEM Healthcare Estates conference in Manchester.

Australia has two pioneering hospital projects nearing completion – the Gold Coast University Hospital in Queensland, and the Fiona Stanley Hospital in Perth. Both of these demonstrate how a patient-centred philosophy can be applied to large-scale healthcare developments.

In an article first published in the September 2012 edition of The Australian Hospital Engineer, Carl Sachs, managing director of falls prevention specialist, Workplace Access & Safety, explains how and why ‘the most popular safety-related Australian Standard of all time’, AS1657, was recently revised and put out for consultation.

John Prendergast, a Decontamination Engineer working within the specialist team at NHS Wales Shared Services Partnership /Facilities Services, and Wayne Spencer, an independent consultant on decontamination and healthcare engineering issues, with high-level previous experience at the Department of Health and the Welsh Health Common Services Authority (now NHS Wales Shared Services Partnership), report on a recent study day held in Birmingham, and staged by The Central Sterilising Club, entitled ‘Update on Decontamination Standards’.

Steve Mount, an independent Legionella management consultant and trainer with over 25 years’ previous experience in microbiology and UKAS-accredited Legionella analysis, underlines the rising number of nosocomial cases of Legionnaires’ disease in recent years, and explains the key risk assessment, management, and monitoring steps that must be taken by those responsible for hospital water systems to comply with legislation governing the ‘control and management’ of Legionella risk.

Conor Ellis, sector head, Health UK, at built asset consultancy, EC Harris, discusses how NHS Trusts in England can adopt an estates strategy that not only sees available space optimally matched with future clinical need, but equally, to secure maximum ‘value’ from their existing estate, sees under-utilised, ageing, or simply no longer serviceable buildings, sold, or developed for ‘alternative use’.

Graham McCorkindale, who heads the Health and Wellbeing strand at multi-disciplinary architecture, town planning, interior design, and landscape architecture practice, Keppie Design, examines how architects can best support the NHS at a time of major change by refocusing design skills hitherto focused on creating new healthcare facilities on the need to work within the existing estate – ‘maximising utilisation and getting best value from any available spend’.

It is not often, according to HLM Architects, that that a hospital project is used as a catalyst for an area’s social regeneration. As the practice itself puts it: ‘Regeneration tends to rely on creating a sense of pride and local identity, qualities with which hospitals are rarely associated’.

While MRSA rates in England continue to fall, NHS Trusts are looking for smarter ways to achieve further reductions in infection rates, or to support their ‘zero-tolerance approaches’, and, according to the Copper Development Association (CDA), the not-for-profit, membership-based organisation which supports and promotes ‘the correct and efficient use of copper and its alloys’, deployment of antimicrobial copper touch surfaces is being adopted in many hospitals and other healthcare facilities worldwide as ‘an additional and cost-effective infection control measure’.

Paul Franklin, who heads up the Technical team at Bedford-based specialist testing and defect analysis company, RAM Consultancy, explains how healthcare building owners and occupiers such as NHS Trusts, and their estates and facilities teams, can best manage, maintain, and, when necessary, refurbish, their building envelope and roofs, in the process gaining some perhaps unexpected benefits.

In recent years, London’s Imperial College Healthcare NHS Trust has undertaken a number of ward refurbishments aimed at meeting the future requirements of the hospital head on.

Alan Daniels, business development director of emergency lighting specialist, P4, describes the latest trends in, and requirements for, emergency lighting, a vital part of the building services footprint in hospitals and other healthcare premises.

Excellent standards of cleanliness are more important for healthcare facilities than in virtually every other type of building, and well-managed drainage systems play a crucial part in this. business and commercial, utilities, public sector, and facilities management clients.

Robert Snook, director and general manager of Portakabin Hire, offers some practical advice to, as he puts it, ‘help healthcare providers rapidly expand hospital facilities to reduce patient waiting times with no compromise on the quality of the accommodation’.

Last month over 100 service users moved into a new purpose-designed and built modern mental healthcare centre, The Redwoods Centre, near the ‘old’ Shelton Hospital on the outskirts of Shrewsbury, a new £46 million facility for adults with acute mental healthcare needs and organic (brain impairment) mental health conditions. It has been designed and built under ProCure21 by BAM Construction.

A recent IHEEM seminar on water hygiene and safety, ‘The Invisible Threat’, saw John Newbold, an HM specialist inspector at the Health and Safety Executive (HSE) with experience investigating Legionella cases and outbreaks, provide useful insight into how healthcare estates engineers and other ‘responsible’ personnel could ensure compliance with the law by properly ‘managing and controlling’ Legionella risk.

Susan Duffy, a director of commercial glazing specialist, Fendor, draws on the company’s many years’ experience in supplying window solutions for applications ranging from schools to high secure mental healthcare facilities to provide useful guidance on specifying the optimal glazing solution, with a particular focus on what specifiers in the mental healthcare sector should be seeking in terms of design, glass type, strength, robustness, damage resistance, and anti-ligature features.