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Improve patient safety by using GS1 barcodes on patients, medication and equipment



Giving staff alternative ways to get to work can improve air quality and free up much needed car park space









Improve patient safety by using GS1 barcodes on patients, medication and equipment



Giving staff alternative ways to get to work can improve air quality and free up much needed car park space


Fresh skills needed to deliver a digital NHS The recent Topol Review predicts that 90 per cent of all NHS jobs will require digital skills within 20 years and that fresh education is required to keep up with advancements in technologies, such as AI and robotics. Responding to the Topol Review, the chief executive of NHS Employers, Danny Mortimer, has called for new technology in the NHS to be “properly funded by government and not left to already stretched individual NHS trusts to dig even deeper to fund.” Keeping the focus on technology, the government has announced the creation NHSX, a new unit which aims to deliver the benefits of technology to the NHS. The government says that the adoption and development of digital systems, data and technology has been slow because responsibility was split across multiple agencies. NHSX aims to bring these together. Among other things, it will set national policy and develop best practice for NHS technology, as well as create, agree and mandate clear standards.

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Another area where technology can make a great difference is through scanning patients, medication and equipment at every touchpoint in the patient journey. Glen Hodgson, head of healthcare at GS1 UK, explains the benefits of standardising this process by using GS1 barcodes on page 39. Angela Pisanu

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Contents Health Business 19.1 15

07 News

39 Technology

All forms of Brexit are bad for the NHS, Lancet journal reveals; Total diet replacement programmes cost effective in tackling obesity; Pagers to be phased out from NHS Trusts by 2021; Artificial Intelligence Code of Conduct updated

Health secretary Matt Hancock recently emphasised the importance of scanning technology in improving care and safety throughout each touchpoint within the patient pathway. Glen Hodgson, head of healthcare at GS1 UK, discusses the work being done to ensure this process is standardised

15 Patient safety


Better accident prevention measures can help reduce the number of people who visit our hospitals and A&E departments in the first place. RoSPA explains how its national accident reduction strategy aims to address the major dangers faced by people across their life course

19 Infection control Infection prevention must be the cornerstone of our approach to tackling antimicrobial resistance, says Pat Cattini who looks at the reasons why effective infection prevention is a crucial part of the fight against AMR

25 Energy 39

Following the Labour Party’s 60 per cent renewable energy target pledge last year, we explore how feasible this is for the healthcare sector, and look at the NHS Trusts that are sucessfully reducing energy and improving sustainability

29 Design & build 47

On behalf of the Design in Mental Health Network, Alex Caruso explains how designing facilities appropriately can improve safety and patient outcomes, as well as benefit the mental health of patients

35 Fire safety


BAFE Fire Safety Register explains the importance of competence when it comes to meeting your fire safety obligations – both in terms of your ‘responsible person’ and the suppliers you use

Health Business magazine

47 Wearable Technology The Health 4.0 theatre at the Wearable Technology Show on 12-13 March is designed to inspire new ways of thinking about and solving the problems facing health today

51 Digital health intelligence Digital is commonly acknowledged as being central to the NHS’ future, but all too often, ambition and enthusiasm for technology is overtaken by barriers to adoption. As delegates to Digital Health Rewired on 25-26 March in London will find out, there is optimism that this is about to change and there will be plenty of speakers with ideas as to how

55 Parking Approximately two thirds of the half million parking spaces across the NHS in England are used by staff. This means up to 300,000 staff use their car to get to work. If drivers were offered alternative modes of transport, this could have a significant impact on reducing harmful air pollution

65 Conferences & events

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Conferences and training days have a vital role in supporting the NHS as they allow healthcare experts to share best practice and knowledge. We look at what London has to offer healthcare event planners Volume 19.1 | HEALTH BUSINESS MAGAZINE




All forms of Brexit are bad for the NHS, Lancet journal reveals

Medical journal the Lancet has published an updated paper on Brexit which uses the available legal and political texts on four Brexit scenarios to assess the likely impact on the health service. The report, entitled ‘How will Brexit affect health services in the UK? - An updated evaluation’, uses the WHO’s health system building blocks to assess the likely effects on each aspect of the NHS in the UK. In summary, the paper says: “All forms

of Brexit involve negative consequences for the UK’s leadership and governance of health, in both Europe and globally, with questions about the ability of parliament and other stakeholders to scrutinise and oversee government actions.” “However, by far the worst option would be a No-Deal Brexit. The Withdrawal Agreement is likely to have many adverse consequences but will also allow much to remain as it is until December, 2020. The impact of the backstop is likely to be uneven, effectively enabling continuity in some areas (in particular for medical products, vaccines, and technology), but producing a negative impact in most other areas. “The Political Declaration on the Future Relationship envisages an FTA similar to that between the EU and Canada; although it proposes going beyond that agreement in some areas, these are areas such as transport and energy that do not directly address health-related issues.”

Jonathan Ashworth MP, Labour’s Shadow Health Secretary, commenting on the Lancet’s report on Brexit and the NHS, said: “The Lancet devastatingly reveals the dangers to the NHS of a no deal Brexit. “From delays in accessing lifesaving drugs, to the desperate staffing implications that our already understaffed and overstretched NHS faces, this report makes crystal clear the sheer irresponsibility of refusing to rule out no deal. Theresa May’s stance is bewildering when her own Health Secretary talks of prioritising medicine over food, and has forced through legislation that will see ministers overruling GP prescriptions and patients denied the medicine their practitioner judges they need. “For the sake of patients and the NHS, Theresa May must now act in the national interest and say no to no deal.” READ MORE



Pagers to be phased out from NHS Trusts by 2021

Ambitions to better detect and treat cardiovascular disease

The Department of Health and Social Care has announced that NHS trusts will be required to phase out pagers by the end of 2021. All hospitals will be expected to have plans and infrastructure in place by the end of September 2020. Staff will instead use modern alternatives, such as mobile phones and apps, which the government says can deliver more accurate two-way communications at a reduced cost. The NHS uses around 130,000 pagers at an annual cost of £6.6 million. More than one in 10 of the world’s

pagers are used by the NHS. Most mobile phone companies have phased out support for pagers, leaving only one provider in the UK. This means a single device can cost up to £400. NHS trusts will be allowed to keep some pagers for emergency situations, such as when wifi fails or when other forms of communication are unavailable. READ MORE


Artificial Intelligence Code of Conduct updated An updated code of conduct for artificial intelligence and other data-driven technologies has been published by the Department of Health and Social Care. The code, first published in September last year, encourages technology companies to meet a set of principles to protect patient data. It has been drawn up with the help of industry, academics and patient groups. The aim is to make it easier for suppliers to develop technologies that tackle big issues such as dementia, obesity and cancer. It also aims to help health and care providers choose safe, effective and secure technology to improve the services they provide. The code is made up of 10 principles and will be regularly updated. Dr Simon Eccles, chief clinical information officer for health and care, said: “Parts of

the NHS have already shown the potential impact AI could have in the future of the NHS in reading scans, for example, to enable clinicians to focus on the most difficult cases. “This new code sets the bar companies will need to meet to bring their products into the NHS so we can ensure patients can benefit from not just the best new technology, but also the safest and most secure.”


Public Health England (PHE) and NHS England have outlined a number of ambitions to reduce cardiovascular disease (CVD) through improved detection and treatment of atrial fibrillation, high blood pressure and high cholesterol (A-B-C). Detecting and treating these conditions can prevent or delay the onset of CVD, but they often carry no symptoms meaning millions are unaware they are at risk. By 2029, PHE and NHS England want to detect and treat millions more people living with high blood pressure who are currently undiagnosed and ensure three quarters (75 per cent) of 40- to 74-year-olds have received a formal CVD risk check and have had their cholesterol levels recorded. They also want to increase from 35 per cent to 45 per cent the proportion of 40 to 74 year olds at high risk of developing CVD who are treated with statins. The A-B-C conditions can be detected through routine checks across community and healthcare settings. The ambitions include recommendations for decision makers and frontline professionals on getting more people checked and best practice for identifying and treating those already at risk. People aged between 40 and 74 are also being urged to get their free NHS Health Check, which helps detect the early warning signs of CVD. READ MORE



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Nasal spray flu vaccine 87 per cent effective in children says PHE Public Health England (PHE) has published mid-season data on the effectiveness of this year’s flu vaccines which suggests that the nasal spray is 87 per cent effective in children aged 2 to 17 years against the main circulating strain of flu. The data is published alongside data from other countries, in Eurosurveillance - a European peer-reviewed scientific journal. So far this season, more children have been vaccinated than ever, but there is still more that can be done to increase uptake, which between children aged 2 and 3 is 43 per cent and 45.2 per cent respectively. Among schoolaged children, this ranges from 56.2 per cent to 63.9 per cent depending on year group.

Dr Mary Ramsay, head of immunisation at Public Health England, said: “It is encouraging to see that this year’s vaccines are offering a high level of protection against the main circulating strain of flu – particularly for children. Children tend to be ‘super-spreaders’ of flu, and so protecting them is crucial for protecting the rest of the population. “We’re pleased that more parents have been taking up the offer of vaccination for their children - and encourage anyone who is eligible to do so every winter. It’s the best defence we have against this unpredictable virus.” Data on the effectiveness of this season’s vaccines against influenza B



Support planned for mental health in workforce implementation plan

£10 million funding for air ambulance charities

Plans to give staff immediate access to dedicated mental health support will be considered as part of the upcoming workforce implementation plan, the Department of Health and Social Care has announced. New support will be based on recommendations by Health Education England (HEE) in its recent report on the mental health and wellbeing of NHS staff and learners. The ‘workforce implementation plan’, will be led by NHS Improvement chair Dido Harding and Leeds Teaching Hospitals Trust chief executive Julian Hartley. The latest NHS staff survey showed that less than a third of staff felt their organisation took positive action towards improving their health and wellbeing. The report makes a series of recommendations to give support for NHS staff, which should help make positive progress on sickness absence rates, staff performance and retention. This includes post-incident support for NHS frontline staff, such as peer group support or a more formal psychological assessment, as well as a dedicated mental health support service giving confidential advice and support 24 hours a day. The report calls for fast-tracked mental health referrals for NHS employees if requested as a priority from either a GP or an occupational health clinician. Improved rest spaces for on-call staff and trainees during and after their shifts is also suggested, as well as providing an NHS workforce wellbeing guardian in every NHS organisation, responsible for championing mental health and wellbeing support for staff. READ MORE

Air ambulance charities in England have been invited to apply for a new £10 million fund to upgrade their equipment and facilities. Air ambulance services are not NHS funded; they are provided by 18 charitable organisations across England, with most of their resources supported by their own fundraising activities. The 18 air ambulance charities in England will be able to bid for the additional funding specifically to support capital projects. This could include buying state-of-the-art medical equipment for critical care teams; modernising helicopters and helipads; increasing the number of missions flown or extending the hours services are available; and expanding operational facilities to allow them to hire more highly skilled staff. Each charity will be able to bid for up to £2 million of grant funding. Air ambulance charities will also be able to partner with NHS Trusts to make joint bids, for example to modernise helipads that are owned by the hospital trust. The call for bids, developed in collaboration with the Air Ambulance Association, asks air ambulance charities to present proposals to fund projects.

strains are unavailable, as these strains have not circulated widely this season.


The Department of Health and Social Care will prioritise applications that deliver clear benefits to patients, while ensuring value for money for the taxpayer. Applications close on 8 March 2019 and funding will be allocated in April this year. Health Minister Stephen Hammond said: “Air ambulance charities are a vital life-line for people in critical conditions who rely on urgent treatment before they can reach a hospital. “Generous donations from the public help keep air ambulances in the air and this £10 million will help to ensure that they’re equipped to provide lifesaving care to patients in need. “The NHS Long Term Plan will improve emergency care for all patients, including those treated by air ambulances charities. This funding recognises their unwavering contribution to our health service and, combined with essential public donations, will ensure these charities can have world-class facilities to match their reputation for world-class care.” READ MORE




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NHSX formed to push technology in the NHS The government has announced the creation of a new unit, NHSX, which aims to deliver the benefits of modern technology to the NHS. It will combine representatives from government, the NHS and the private sector in order to “free up staff time and empower patients to take greater control of their own healthcare” The government says that the adoption and development of digital systems, data and technology has been slow because responsibility was split across multiple agencies. NHSX aims to bring these together.

NHSX’s responsibilities will include setting national policy and developing best practice for NHS technology, digital and data including data-sharing and transparency. It will develop, agree and mandate clear standards for the use of technology in the NHS and ensure that NHS systems can talk to each other across the health and care system. NHSX will also help to improve clinical care by delivering agile, user-focused projects, and support the use of new technologies by the NHS, both by working with industry and via its own prototyping and development capability. It will also ensure that common technologies and services, including

the NHS App, are designed so that trusts and surgeries don’t have to reinvent the wheel each time. Other responsibilities of NHSX include making sure that all source code is open by default so that anyone who wants to write code for the NHS can see what is needed, and reform procurement so the NHS can buy the right technology through the application of technology standards and new procurement frameworks. READ MORE



More NHS managers improves efficiency, study finds

St Helens and Knowsley launches hate crime reporting tool

Research by the Universities of Bristol, Warwick and Leeds has found that having more NHS managers improves efficiency and the quality of healthcare provided in hospitals. The new study into NHS trust management shows that managers in the NHS actually make a positive contribution to healthcare overall, despite both Labour and Conservative governments trying to reduce their number. Researchers used data on managers and the performance of 160 hospital trusts in England from 2007 to 2012 to test the truth behind this negative perception. The results showed that, across all trusts, having a higher proportion of managers had a statistically significant impact on performance. Even a small increase in managers, from two per cent to three per cent of the workforce, led to a marginal improvement of one per cent in patient satisfaction scores, a five per cent improvement in hospital efficiency and

a 15 per cent reduction in infection rates. Professor Gianluca Veronesi, professor in healthcare management at the University of Bristol, said: “Our research shows that infection rates decreased and patient experience improved with a higher proportion of managers to staff. This suggests that policies aimed at downsizing managers are potentially misguided as they undermine the productive potential of managers and should therefore be reversed. “Managers are often blamed for the extra paperwork doctors need to deal with, however much of this is generated by national policies and regulatory demands. Equally, managers in the NHS are not well paid relative to the private sector, while the intensity of work and stress is probably higher.” READ MORE

TECHNOLOGY Topol Review: Government must fund technology, says NHS Employers Responding to the Topol Review, the chief executive of NHS Employers, Danny Mortimer, has called for new technology in the NHS to be “properly funded by government”. The Topol Review “Preparing the healthcare workforce to deliver the digital future” suggests that fresh education is required to keep up with advancements in technologies such as AI and robotics. Mortimer said: “Technology can have a transformative effect on our health service, making it better for patients all over the country as this welcome report makes clear. Our teams will welcome the thoughtful analysis set out by Dr Topol and his colleagues. “Clearly there is a lot of work ahead for employers to work with our teams and our patients to design, implement and embed new technologies to support the delivery of care to our communities.

“The deployment of technology will of course require significant resource and investment and we would repeat that this needs to be properly funded by government and not left to already stretched individual NHS trusts to dig even deeper to fund.” NHS Employers is part of the NHS Confederation.


Following an increase in the reporting of hate crimes in the local area, St Helens and Knowsley Teaching Hospitals NHS Trust has launched a hate crime reporting scheme. The system, claimed to be the first by an NHS Trust, was launched as part of Merseyside Hate Crime Awareness Week. The online system is said to be able to help victims report any incidents or concerns in complete confidence. Ann Marr, chief executive said: “As a Trust, we feel that is incredibly important for us to support our local community in all aspects of living, not just health. “If someone is a victim of hate crime, it can greatly affect their emotional wellbeing, and it is vital that as a focal point for the local community, we offer a safe environment for patients and staff. I am proud that we are the first NHS organisation to provide this new way of reporting hate crime, hopefully it will go a long way to helping protect people’s quality of life.” The Trust has worked in partnership with Merseyside Police to raise awareness of hate crime with the local community. The scheme enables anyone from across the communities, to contact Merseyside Police’s hate crime co-ordinator direct. Rob Carden, assistant chief constable of Merseyside Police, added: “The partnership between St Helens and Knowsley Teaching Hospitals NHS Trust and Merseyside Police is an innovative way to look after people and invite them to come forward if they experience hate crime. I commend the Trust for reaching out to those affected, all avenues to report crimes are welcome to ensure victims are heard and receive support.” A hate crime is defined as a crime that is motivated by prejudice on the basis of race, religion, sexual orientation, gender identity or disability. READ MORE



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Integrated Care Provider set-up to be made easier

Total diet replacement programmes cost effective in tackling obesity

The government is making changes to existing secondary legislation to make it easier for the first integrated care providers (ICPs) to be set up. Setting up ICPs will allow primary medical services to be run through the same contract as other health and care services such as social care for the first time. ICPs are designed to bring care services together through a single contract, so patients’ care is coordinated around them and deliver more care in the community and patients’ homes. At the moment it is complicated for different NHS organisations to deliver integrated care while each organisation holds its own independent contract with commissioners. The changes will make sure ICPs have to follow the same rules as other NHS or care organisations, for example around complaints procedures and the reimbursement of travel expenses. GPs who wish to integrate with an ICP can easily transfer their services from previous contracts to a new ICP contract, if they choose to do so. The participation of any individual practice or GP is voluntary, and their role in an ICP will be for them to decide. The NHS Long Term Plan confirmed that NHS England would make the ICP contract available for use from 2019. The contract is expected to be held by statutory providers, such as NHS foundation trusts. Any bids for the contract will be reviewed by local clinicians and NHS staff to ensure it is the most effective and beneficial organisation for the local area. READ MORE

Replacing all regular meals with a low calorie diet of soups, shakes and bars, together with behavioural support, is cost-effective as a routine treatment for obesity, according to researchers from the University of Oxford. Published in the journal Obesity, the study is the first to estimate the long term health benefit and builds on the results of the DROPLET trial, which showed that total diet replacement’ programmes (TDRs) are a safe and effective way to lose weight, with significant weight loss persisting to at least 12 months. Nearly two thirds of adults in England are overweight or obese, increasing the risk of life-altering illnesses, such as type 2 diabetes, heart disease, stroke, and some cancers. The NHS recently announced a pilot programme to offer a TDR programme to around 5,000 people with type 2 diabetes and has also committed to offering weight loss support for people with hypertension who are also obese. The TDR programme is expected to cost an additional £13,000 for every year of life lived

in full health which is gained as a result of the treatment. In the UK, healthcare interventions are generally considered cost-effective if they provide such a benefit for less than £20,000. “The DROPLET trial showed that after 12 months people on total diet replacements lost on average 10.7kg (1 stone, 9lb), which was 7.2kg (1 stone, 1 lb) more than those only receiving the standard nurse-led programme of weight loss advice,” said co-author Dr Nerys Astbury, of the University of Oxford’s Nuffield Department of Primary Care Health Sciences. Dr Seamus Kent, at the University of Oxford’s Nuffield Department of Population Health, said: “Studies like ours, which provide reliable estimates of the long-term impacts of weight management programmes on patients’ health and healthcare costs, are of real importance to enable the NHS to select the most clinically and cost-effective services for their patients.” READ MORE


Kark review raises questions about NHS workplace culture The government has accepted in principal two of the recommendations to come from the Kark review of the ‘fit and proper persons’ test, in order to make sure senior NHS leaders are fit for their posts. The Kark Review, by Tom Kark QC and commissioned by former Minister of State for Health Stephen Barclay, includes seven recommendations for how the government can better support NHS senior leaders to deliver high-quality and safe care in the NHS. Of these recommendations, the government has accepted in principle to set up a central database of information about the qualifications, previous employment and performance of directors, and to make new competency standards to help people know what to expect of senior managers.

The remaining recommendations will be considered as part of the workforce implementation plan later this year, which will be led by Baroness Harding, chair of NHS Improvement. An independent investigation by the Parliamentary and Health Service Ombudsman concluded the Care Quality Commission, which must oversee the appointment of NHS directors, had not used the NHS ‘fit and proper’ person test when Paula VascoKnight was given the role of acting chief executive at St George’s University Hospital NHS Foundation Trust in London in 2016. Vasco-Knight was given a suspended sentence in 2017 after she was found to have paid her husband NHS funds for fictitious work while she was chief executive at Torbay NHS Trust. She

had to resign from her role as chief executive of the Devon trust in 2014 after a tribunal suspended her for bullying a whistleblower. The person accused her of nepotism, when she employed her daughter’s boyfriend.






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Patient Safety

Better accident prevention measures can help reduce the number of people who visit our hospitals and A&E departments in the first place. Adam Grinsell explains how RoSPA’s national accident reduction strategy aims to address the major dangers faced by people across their life course RoSPA has been working for over 100 years to change both legislation and attitudes towards accidents, and while there have been such positive changes in this time, there is still much to do to not only to deal with the issues we face with accidents, but to educate the wider population on accident prevention. Secretary of State for Health Matt Hancock recently revealed a document titled “Prevention is better than the cure”, which aims to stop health problems from arising in the first place and support people to manage their health problems when they do arise. This is a huge step in the right direction, and we are very much of the hope that this ethos will be extended to the arena of unintentional injury. Treatments and cures have always been the core focus for our health services, yet we know that evidence-based preventative interventions work, and help to drive down the number of people who visit our hospitals and A&E departments in the first place. Despite the huge reductions in workplace and on-road accidents through the 20th century, these reductions have now stalled. Coupled with rises in home and leisure accidents, we now face a reality in which the overall number of fatalities from accidents – and particularly

from falls and accidental poisoning – rose in England in 2013-2016. Hospital admissions are also increasing, with an increase in the number of falls being the most significant contributory factor.

emergency hospital admissions in England per year among people aged over 65. More than 4,500 people in England over the age of 65 were recorded as having died as a result of a fall in 2015. At the other end of the age spectrum, accidental poisoning is the cause of many thousands of children ending up in hospital each year. Due to their inquisitive nature, children under five-years-old are most at risk, with the peak for these type of incidents being at two to three years of age; in fact, poisoning is number three in the five largest causes of accident-related hospital admissions for children under the age of five. On average, 15 under-fives are admitted to hospital each day due to suspected poisoning, with children from the poorest families being three times more likely to be admitted to hospital due to an accident, including accidental poisoning.

Written by Adam Grinsell, acting head of engagement, RoSPA

Prevention is better than cure

Preventing falls Safe and active Injury prevention programmes aimed at falls We know that accidents like falls among over-65s are critical to reducing harm, and poisoning can be prevented. A&E attendances and hospital admissions. During 2016-2018, RoSPA, together with Falls and fragility fractures can many partners, worked on a project result in loss of independence, to produce a national strategy injury and death, and in for England, to serve as a RoSPA’s health service terms call to action for a stepstrateg they are high volume change in the delivery recogn y and costly. of accident prevention i s A&E departments programmes across links be es the treat a disproportionate the country. acciden tween t number of The document, p r e vention and oth unintentional injuries entitled Safe and e r among older people, active at all ages: the pub issues on lic heal and particularly those a national strategy agenda th aged over 70, with to prevent serious accidents in the home accidental injuries (predominantly falls) in England, which was accounting for the greatest launched in October 2018, proportion of these injuries. quantifies and addresses the For those whose injuries are particularly different safety challenges faced across serious, there are 255,000 falls-related the whole life course. E Volume 19.1 | HEALTH BUSINESS MAGAZINE


A respect for life We live in a time where hospital emergency departments are having to cope with unprecedented levels of demand, so it

A&E departments treat a disproportionate number of unintentional injuries among older people, and particularly those aged over 70, with accidents in the home (predominantly falls) accounting for the greatest proportion of these injuries is vital that we as a nation recognise the contribution that accident prevention can make to ease the situation. Practitioners must be supported if they are to develop evidence-based interventions that will save lives. They need access to good quality data that will allow them to identify and monitor injury trends to target resource where it is needed most, and importantly data must be shared among practitioners for the setting of relevant interventions. This is why we hope that Mr Hancock’s announcement of a new focus on prevention extends to unintentional injury. Quite often, it is a subject ignored in favour of other health priorities, as accidents are seen as being “an unavoidable part of life”, but nothing could be further from the truth. We know from experience, from the many hundreds of excellent prevention programmes that happen across the world every day, that accidents don’t have to happen. RoSPA’s vision of a life, free from serious accidental injury is drawn from our respect

Patient Safety

 The strategy advocates a public health approach to accident prevention and shows how action by a wide range of local and national players could deliver reductions in accident rates and the associated injury burden. Importantly, it recognises the links between accident prevention and other issues on the public health agenda and highlights how programmes that seek to reduce accidental injury can also support healthy activity and other indicators of wellbeing. Its aim is to “achieve a step-change in the delivery of evidence-based accident prevention programmes across England, promoting safe and active lives and reducing the burden of serious accidental injury on society”, and its objective is “to secure local and national commitment by a range of stakeholders to implement evidence-based approaches to accident prevention that will reduce the costly burden of accidents on individuals, families, businesses and the health and social care system”. The strategy’s 25 recommendations for action address the major dangers faced by people across their life course, from birth to older age, and wherever they may find themselves – in their own homes, at work, in education, on the road, or during leisure pursuits – and highlight the links between accident prevention and other issues on the public health agenda.

for life and all that it contains – the freedom to enjoy personal choices, health, happiness, wellbeing, relationships, and a huge variety of life-affirming activities. Serious accidental injuries are a burden – a burden which afflicts too many, preventing them from enjoying life to its fullest – and one RoSPA is determined to free people from. But without the help of others, RoSPA cannot carry out its work, and so collaborations with large numbers of experts, ranging from individuals affected by accidents and their families to multinational corporations, is necessary to move forward and make positive changes for health and safety. To find out more about RoSPA’s national accident prevention strategy and how you can get involved, visit: www. L FURTHER INFORMATION



Advertisment Feature Written by Chris Wakefield, Vice President, European Marketing & Product Development at GOJO Industries-Europe

Strengthening measures against sepsis Dubbed the silent killer, sepsis is notoriously difficult to diagnose. Chris Wakefield from GOJO Industries-Europe discusses how improved hand hygiene can play a role in preventing this life-threatening condition crucial, particularly in busy hospital settings where staff wash their hands repeatedly throughout their shift. The WHO recommends that an adequate number of appropriately positioned hand hygiene facilities should be readily available at the point of care. Gentle but effective, scientifically advanced formulations Formulas should be fully virucidal with short contact times, and clinically proven to keep skin healthy. Choose formulations, in gel or foam format, which have been tested and have passed key hospital norms EN 1500, EN 14476 and EN 12791. Due to the high frequency that healthcare workers wash or sanitise their hands, the formulations must also be kind to skin. Sepsis, the body’s overactive and toxic response to an infection, is life-threatening and without quick treatment, can lead to multiple organ failure and death. According to the UK Sepsis Trust, there are around 250,000 cases of sepsis a year in the UK, and at least 46,000 people die as a result of the condition – that’s a greater number than bowel, breast and prostate cancer combined. Until recently, it has been a relatively unknown illness, not helped by the fact that it is particularly difficult to diagnose. However, it has received high profile coverage over the past year, having been highlighted as an issue in a long-running national television show, as well being the subject of many sad real-life stories in the news. It was also the main theme of the 2018 ‘It’s in Your Hands’ campaign by the WHO (World Health Organisation). The campaign aimed to prevent healthcare associated sepsis through hand hygiene and infection prevention and control (IPC) action. Good handwashing practice not only plays a key role in the prevention of sepsis in healthcare but can also help fight the spread of antibiotic resistance. It is an easy and effective way to achieve continued health, well-being and productivity. Making hand hygiene second nature Hundreds of studies published over the past twenty years have proved good hand hygiene helps to prevent serious infections from spreading, and to reduce healthcare associated infections by up to 50 per cent. However, despite being simple, low-cost and highly effective, this method


of infection prevention relies on compliance and behavioural change to be successful. With research showing that 25 per cent of people don’t wash their hands after using the washroom, and that a further 46 per cent don’t wash long enough to be effective, there is a real need for education and awareness on why, and when hands should be cleaned to influence better hand hygiene behaviour. As a member of the World Health Organization (WHO) Private Organizations for Patient Safety group, GOJO is a strong advocate of the ‘total solution’ approach to making hand hygiene second nature to everyone in a healthcare setting. Healthcare workers already make this part of their daily lives, but it is also important that visitors and patients themselves remember to do this too. The PURELL SOLUTION™ from GOJO, combines scientific expertise, effective formulations and state-of-the-art technology to promote hygienic and compliant hand hygiene behaviour, which helps prevent infection and keeps both people and places healthy. Working in partnership with healthcare managers, GOJO can help implement effective hand and surface hygiene regimes. Innovative, easy-to-use and accessible dispensers These can be wall-mounted, free-standing, push-activated or touch-free – these types of dispensers are becoming increasingly popular. Intuitively sensing the presence of hands, they dispense just the right amount of product every time, and the fact that they are touch-free also increases their hygiene rating. The correct choice and positioning is also


Awareness-raising signage Signage and informative leaflets for staff, patients and visitors alike can be very effective as a prompt, especially at key germ hot-spots such as washrooms and waiting areas. In addition, the PURELL SOLUTION™ offers practical support, implementation, best practice training and revolutionary PURELL SMARTLINK™ technology. This consists of two mobile smart apps that measure hand hygiene compliance, offer clinician-based support, and monitor dispenser health. In order to prevent problems such as sepsis in healthcare settings, all users of the facility including patients, visitors and healthcare staff, must practise good hand hygiene, and have an understanding of its consequences for patient protection. An effective programme must therefore combine access to effective and easy to use dispensers, technologically advanced formulations, and eye-catching notices and posters to influence this hygienic behaviour. L FURTHER INFORMATION 01908 588444 visit

Infection Control Written by Pat Cattini, president, Infection Prevention Society

Every infection prevented helps us combat antimicrobial resistance Infection prevention must be the cornerstone of our approach to tackling antimicrobial resistance, says Pat Cattini, president of the Infection Prevention Society, who looks at the reasons why effective infection prevention is a crucial part of the fight against AMR The threat of antimicrobial resistance (AMR) is widely publicised. As highlighted by a report from the Health and Social Care Committee, AMR could result in the death of 10 million people per year by 2050 if we don’t take action. The second year of Public Health England’s national ‘Keep Antibiotics Working’ campaign is also well underway. But are we taking action on this major public health threat where it’s needed most? Awareness campaigns to educate the public and health professionals on the correct administration of antibiotics are an important way to help the over prescription and incorrect use of antibiotics. But first and foremost, we must prioritise effective infection prevention. Every infection results in an increased demand for antibiotics, and failure to control antibiotic use provides opportunities for resistance to emerge. With further lapses in infection prevention, these resistant organisms will continue to spread and thrive in our healthcare environments, posing a significant threat to our ability to deliver modern healthcare including surgery, transplants and cancer care. We are unlikely to find a solution by looking to the development of new antimicrobials. There have been no new

classes of antimicrobials for decades, and those which are brought to market through re-engineering of old antibiotics are expensive and often redundant within a short time. Big pharmaceutical companies generally do not see a good return on the massive investments needed to produce antimicrobials and are more likely to focus on producing drugs which appeal to a wider, more long-term market.

foundation of preserving antimicrobial treatment and controlling resistance. A vital element of the infection prevention armamentarium is the use of vaccination to prevent disease circulating within our communities. Encouraging vaccination is particularly important given recent figures showing that take-up of MMR vaccine has fallen for the fourth year in a row, while measles outbreaks are increasing in the UK and across Controlling resistance Europe. Vaccination is probably a victim This situation is unlikely to of its own success: with a lack of change within the next visibility of many conditions five years - the lifetime within the general public We mu of the government’s over recent decades, s t ensure new AMR strategy. It people have forgotten tha healthc is therefore vital to the very real risks that are wo t rkers focus on looking after they pose and may on the front lin the effectiveness not appreciate how a re well e of existing devastating conditions a rmed to tackle t antimicrobials by like measles can be. h e reducing their use. Simple and of antimchallenges Infection prevention inexpensive practices icrobial resistan is key, because every such as hand hygiene can ce infection prevented significantly reduce rates of means we don’t have infections in health and care to administer antibiotics. settings, reducing the need for Infection prevention must be the antibiotics to be used. However, E Volume 19.1 | HEALTH BUSINESS MAGAZINE


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 there is more to infection prevention and control. It is vital that we build and maintain the right environment to deliver care, that we ensure the procurement of clinical devices and equipment which best enhance patient safety, and that we ensure a clean environment and clinical equipment. The robust education of staff and patients is also crucial. The role our the health workforce Although infection prevention is one of the most simple and effective ways to tackle the root of AMR, the last few years has seen reduced investment in the infection prevention and control workforce, resulting in a loss of experience and leadership. For example, a survey of the Infection Prevention Society’s members carried out last year showed that almost a third (30 per cent) have seen a reduction in the IPC services where they work. This is particularly true in primary and community care settings, where community infection control services have been significantly depleted. Some services are dependent on a single IPC professional. We must ensure that healthcare workers on the front line are well armed to tackle the challenges. This means investing in the development of a specialist infection prevention workforce across the health and social care sector. Healthcare providers need to have access to competent infection prevention teams – and infection prevention behaviours must become ingrained. Infection prevention and control is a constantly changing field, with healthcare professionals required to deal with various new and emerging threats. Infection prevention staff need to have access to best practice guidance and be assured that they have robust governance on infection prevention. To help ensure this, the Infection Prevention Society has developed a set of professional competencies that provide healthcare leaders with assurance of the professional development of their infection prevention staff. They allow infection

prevention professionals to assess their skills and knowledge, further their understanding and identify development needs. Every time we prevent an infection we go some way to reducing the use of antibiotics. Ensuring well-equipped, well-resourced and well-educated infection prevention teams will help deliver effective infection prevention and must be the cornerstone of our approach to tackling AMR. Effective infection prevention also limits illnesses and saves lives. It saves on length of stay in hospital and costly consumables. Successful infection prevention is a win-win for patients, staff and healthcare providers. L FURTHER INFORMATION

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Medstrom are proud to announce the launch of their unique specialist equipment rental service, Medstrom Now

If a hospital had an average of 10 rental episodes per month, paid a £90 delivery charge and a £90 collection charge, they would save £21,600 per year via Medstrom Now Medstrom prides itself on offering specialist innovations and with the exciting launch of Medstrom Now, the company continues to lead the way in delivering exceptional and bespoke services to provide the very best in positive patient outcomes. New rental service Medstrom Now is a revolutionary new rental service that has been designed to remove all barriers to accessing a specialist equipment rental service. It has been launched to provide a transparent and cost‑effective service which eliminates many of the challenges hospitals currently face with their service providers, including excessive delivery and collection charges, long minimum rental periods, inaccurate invoicing, lack of management information, extended delivery lead-times outside those promised, a lack of product training and little to no clinical support. Medstrom Now supports Medstrom’s vision to improve both patient and financial outcomes for customers. Medstrom Now offers a unique solution that guarantees immediate access to equipment by ensuring that products are always available on-site. Medstrom works with customers to identify the location where specialist equipment can be securely stored. Orders are placed online through a bespoke ordering system and once confirmed, a code will be given to access the equipment. This eliminates delivery lead-time and removes charges for delivery and collection. As provided with

Medstrom’s ad- hoc rental service, 24-hour clinical and technical support is offered along with product training by a member of the RN and RGN-qualified clinical team. In an increasingly cost-conscious market, this unrivalled rental service offers a way to make significant cost savings as well as improve patient outcomes by eliminating waiting time for specialist equipment.

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Specialist products A range of specialist products are available through Medstrom Now, including bariatric beds and surfaces, ultra-low beds, the Multicare specialist bed and the unique Dolphin Therapy surface; the latter offering proactive protection for the most complex of patient needs. Cost and time effective Rachel Apsey, sales & marketing director, sees this launch as a real milestone for the healthcare innovator, ensuring that cost and time challenges are reduced to allow for better patient experiences. Rachel comments: “Medstrom Now has been developed to provide our customers with genuine added value and is designed to address all financial and non-financial challenges that may be experiencing with their existing rental service. We believe this new service is a real game changer.” The launch of Medstrom Now is a strong testament to Medstrom’s ongoing commitment to improving clinical outcomes and delivering real value. Their philosophy has always been to offer the very best in care and to lead from the front. Medstrom Now offers an unparalleled service which guarantees clean, function and safety tested specialist equipment that is ready for use whenever patients require it. L FURTHER INFORMATION 0845 371 1717



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Cleaning hospital energy usage Following the Labour Party’s 60 per cent renewable energy target pledge last year, we explore how feasible this is for the healthcare sector, and look at the NHS Trusts that are sucessfully reducing energy and improving sustainability According to the Labour Party, sixty per cent of all the non-transport electricity and heat demand across the UK could be supplied by means that are either renewable or low-carbon by 2030. In its ‘Expert briefing note for Labour on wind, solar and energy efficiency’, the Party sets out four key elements critical to achieving this – energy efficiency, offshore wind, onshore wind and solar power. Labour believes the most practical and realistic ways to achieve this target is to reduce heat demand from buildings by almost one quarter; provide 85 per cent of electricity demand from renewable or low carbon sources; and provide 44 per cent of heating demand from renewable sources. Healthcare energy With such energy-intensive estates, are such targets feasible for NHS Trusts? As demonstrated in the Health Business Awards, there has been some great examples of hospitals reducing energy usage and becoming more sustainable in the way they operate. Manchester University NHS Foundation Trust (MFT) won the Sustainable Hospital Award last year for its investment in energy efficiency projects. MFT is one of the largest Trusts in the UK, with nine hospitals across six sites, employing over 20,000 staff and treating more than two million patients every year. Embedding sustainability requires a multi-disciplinary approach. Over £400,000 has been invested in energy efficiency projects since 2017, and the trust has managed to achieve an eight per cent

energy costs. Over a 40-year lifespan, the project, to be delivered in partnership with Teesside University and Middlesbrough Council, is expected to reduce the trust’s carbon footprint by 8,000 tonnes per year. North Tees and Hartlepool NHS Foundation Trust was also commended at the Health Business Awards for its sustainability efforts. Rows of 250kw panels at the University Hospital of North Tees will generate renewable energy which can go back into powering the whole building and reduce the site’s electricity costs by around 10 per cent. The work forms part of a large scale development after successfully securing £25 million to carry out much needed investment in the trust’s infrastructure. Contractor NG Bailey is building a new energy centre on site replacing the existing boiler room and all of the electrical infrastructure.

reduction in single occupancy car travel and a five per cent increase in active travel against a 2015 baseline. Ambitious targets of a three per cent yearly reduction in CO2 have been set in order to reach carbon neutrality by 2040. Sussex Community NHS Foundation Trust Combined heat and power won last year’s Environmental Practice London’s Guy’s & St Thomas’ NHS Award for its Care without Carbon Foundation Trust meanwhile was framework, which is available applauded for its Combined Heat for all NHS Trusts to and Power plant which produces As participate in. Care enough electricity to meet shown Without Carbon half of its energy needs in the H provides a framework and reduce the carbon Busines ealth for developing and dioxide emissions it implementing produces by over 11,000 there h s Awards, as been a Sustainable tonnes, saving almost £2 great e s o m Development million in energy costs. e hospita xamples of Management Plan A departmental ls (SDMP). Based tagging system has energy reducing around seven steps, it also been introduced so u sage ensures all aspects of departments can track sustainability are captured their waste generation and in a way that can be tailored recycling rate and allows the to suit any NHS organisation. waste team to ensure that any South Tees Hospitals HNS areas of non-compliance can be quickly Foundation Trust was commended in the addressed. It has recently recorded an Sustainable Hospital Award category 80 per cent reduction in clinical waste. for delivering significant carbon savings University Hospitals of Morecambe Bay while reducing energy costs. NHS Foundation Trust was commended Middlesbrough’s James Cook University in the Environmental Practice category Hospital, which currently spends around for its use of combined heat and power £4.5 million on energy, will be the first (CHP) systems and LED Lighting. complex to benefit from a district heating To meet energy demand, the Trust has project. The scheme plans to use some approved the design, installation and of the waste heat from local industry to operation of two 800kW CHP units that warm public sector buildings, delivering will reduce annual CO2 emissions by 2,500 significant carbon savings while reducing tonnes. In addition to generating E Volume 19.1 | HEALTH BUSINESS MAGAZINE


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LED Lighting £46 million funding was made available to NHS Trusts to accelerate the adoption of LED lighting in NHS hospitals towards the end of last year. All trusts were encouraged to take advantage of the opportunity to reduce both energy expenditure and carbon impact. The NHS has significant opportunity to deliver annual savings from energy efficiency. It spends over £540 million annually on energy and interventions like this offer the opportunity not only to reduce this spend but also reduce related carbon emissions. With investment in energy efficiency projects, this could drop by as much as 10 per cent over the next 36 months as it would enable capital investment to flow into spend-to-save programmes. LED lighting has been identified by NHS Improvement as the most effective solution to deliver savings within the timescales. LED lighting can reduce electricity use by five to twenty per cent. It has the potential to offer carbon savings of up to 45 per cent and reduce ongoing maintenance costs. What’s more, LEDs offer better quality of lighting. Thirty-five trusts have utilised £8.8m

London’s Guy’s & St Thomas’ NHS Foundation Trust has a Combined Heat and Power plant which produces enough electricity to meet half of its energy needs and reduce the carbon dioxide emissions it produces by over 11,000 tonnes, saving almost £2 million in energy costs. of Salix funding to upgrade their lighting to LED and saved around £2m annually on their energy bills. Updating inefficient systems According to data released by Centrica Business Solutions, the NHS could save at least £130 million per year by updating inefficient and outdated energy systems. Part of a wider report that examines the potential impact of distributed energy solutions on national job creation, economic growth and productivity, the £130 million figure in savings would be enough to fund more than 4,000 nursing jobs. NHS acute trusts nationally spend approximately £500 million a year on energy, but some experts argue that better utilisation of distributed energy solutions could help the healthcare sector to take control of their energy and turn it into an opportunity. Jorge Pikunic, managing director at Centrica Business Solutions, said: “Our


 electricity for the Royal Lancaster Infirmary and Furness General Hospital, the CHPs will provide Low Temperature Hot Water (LTHW) at Furness, and steam through a waste heat boiler at the Lancaster facility. On both sites the CHPs will be connected to the Trust HV network via a new step-up transformer and ring main unit.

NHS is an incredible healthcare system and a source of national pride – but it’s also under intense pressure to reduce costs while delivering enhanced services. Energy has a huge role to play in that. Energy could – and should – be a force for good for the NHS, helping to create financial efficiencies and unlock opportunities to make improvements in patient care. However, it needs more support and funding to modernise its hospital estates. “Energy technology has come a long way in the past few decades and the systems used by most hospitals across Britain can benefit from the latest energy efficient solutions and equipment. A new approach to energy could save the NHS £130 million per year – and that’s just a conservative estimate. The savings could be double this.” L FURTHER INFORMATION



Building the future of Healthcare The use of off-site construction is on the rise within the public and private healthcare sectors, as it brings many benefits. The engineered and factory assembled products offer significant advantages in many areas: Reduced programmes supporting Health Trusts’ drive to address waiting times and increased winter ward requirements. As the units are manufactured on a flow line there is no risk of late delivery due to inclement weather or site restrictions. At Premier Modular’s East Yorkshire manufacturing hub, 20 modules a day can be produced, approximately 2500m2 per week. As much as 75% of a building is manufactured offsite, reducing construction traffic and noise in the sensitive health environment - meaning a hospital can maintain its high quality day to day care standards whilst expanding its service offering. Premier Modular’s range of high quality modular building systems are a range of long-life, steel-framed buildings, for either permanent or temporary use in single or multi-storey applications. Ideal for singlestorey GP surgeries, through to complex multi-storey ward accommodation, operating theatres, x-ray rooms and MRI facilities – all of which can incorporate our concrete floor option. The company is a Client-focussed solution provider with a strong commitment to R&D, ensuring the most innovative products are available to the market.

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During the refurbishment of parts of an existing learning disabilities centre a few years ago, in the background at every site visit, I could always hear one of the residents in distress. The area where the works were being carried out was not connected to the residents’ area and I was surprised to find, in an environment where noise is one of the biggest stressors, how easily the sound travelled to different parts of the building. A few years after, on the same campus, I was involved in the design of a new building to replace the old facility. Once the new building was completed and in use, I was delighted to hear from the Modern Matron how well the gentleman had settled into the new building, leading to a drastic reduction in distressful episodes. The observation and collection of feedback from residents, nursing and maintenance staff to understand what triggers distressing behaviours is the base for our design activities. The aim remains to understand how physical surroundings affect emotions, as people’s emotions ultimately can shape a building’s design.

An ever more complete body of evidence is emerging to understand how people react to different environments before and after a design intervention with health outcome measures such as length of stay, amount of medications, patient stress and mood. Linking design and mental health Earlier last year, the publication of Design with People in Mind, based on research led by Professor Paula Reavey and sponsored by the Design in Mental Health Network (DiMHN), set out to provide a practical manual offering links between a high-quality environmental design and mental health services, understanding people’s perceptual experiences focusing on different types of space. Far from supporting one solution that fits all, the comprehensive review of scientific evidence offers a link between design, space and mental health, recognising that we all have precise genetic finger prints that influence our behaviour. A well-designed environment allows us to regain balance and control of our health and condition often in a subliminal way, delaying the escalation

Good recovery environments The ability to exercise choice and control over the environment, creating a personal space, is an essential component of a good recovery environment, appreciating and respecting the individual characteristics of the people around. Service users need opportunities to engage with each other and those supporting them within a choice of alternative social spaces. Numerous studies have indicated the value of music therapy to address anxiety and depression, so a range of DVD and music options can have a positive impact on service users’ sense of well-being. In 1860, Florence Nightingale wrote that darkened rooms were harmful and sunlit room were healthy. It is also a well-documented fact that sleep is the most basic of our brain’s restorative needs and the natural light control strategy can be particularly important to restore E


Written by Alex Caruso, Alessandro Caruso Architects

On behalf of the Design in Mental Health Network, Alex Caruso explains how designing facilities appropriately can improve safety and patient outcomes, as well as benefit the mental health of patients

Design & Build

Why design is integral to mental health services

of distress and allowing more time to the medical team to treat urgent needs. To research people’s basic needs in the healing journey and understand how good design can reduce stress is a fascinating investigation where empathy is a critical ingredient via every step of the design process, paying attention to the multitude of details and sensory experiences required to craft a people-centred environment that is robust and sustainable. The above-mentioned publication explores critical spaces for a good recovery environment, places that offer people endless opportunities for engagement linking in with past experiences, places designed to support emotions and lift the spirit. They are: personal space; therapeutic space; natural space; aesthetic space; and nursing space. “As people move through space, the design can make a real difference to the emotional and social landscape: it can impact on how much people talk to one another, how supported they feel, whether they feel safe, and perhaps most importantly, how valued the feel as an individual.”


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 critical circadian rhythm. A multisensory design facilitates a sense of environmental control resulting in a sense of well-being, when interest in the world revives and despair gives way to hope. The joys of colour We all love colours; they can transform, uplift and change an atmosphere. However, ‘in examining the use of colour and lighting within hospital environments, Dalke, Littlefair, Loe and Camog (2004) report that enclosed environments with strong colours may be over-stimulating or threatening to people experiencing mental distress’. Similarly, we all have our colour preferences and the use of appropriate muted colours can help people navigate with their instincts and transform the environment not just through perception but changing the electromagnetic field around them. It is important to consider the power of a simple window in the healing process that goes beyond providing natural light, airflow, access to sounds and smells of nature, awareness of day and night cycle, it provides something more intangible: a distraction from the place, a space for meditation and access to memories of a better time. The best therapeutic space is one were people feel at home. Homelike will differ for all of us, ‘however findings showed the provision of private spaces and homely design to be associated with increased well-being and social interaction’. Furthermore, ‘Lawson, Phiri & Wells-Thorpe (2003) studied the effects of the architectural healthcare environment on well-being and compared service user outcomes between an existing facility and a new build medium secure mental health environment. Whilst the number of instances of physical and verbal aggression remained the same in the two sites, the severity of incidents was reduced in the new facility and there was a two third reduction in service user self-harm. Rates of seclusion also reduced by 70 per cent and there was a 14 per cent reduction in service user length of stay in the new unit’. The (potential) conflict between security, safety and homeliness will always be there and it is important to work with clinical teams to assess positive risk taking to explore fresh and simple solutions while ensuring compliance with published guidance and regulations. Rather than providing an intimidating large space, the use of furniture, light, texture and colours can help create opportunities for groups to congregate in an inviting environment. ‘Connections between mental health and the natural environment have long been recognised and features of 19th century asylum design which included providing views of natural landscapes from indoors and opportunities for patients to actively engage with nature were considered beneficial to the therapeutic process’. (Hickman, 2009) In line with the biophilic design’s notion that nature itself has a healing effect, a natural space is an important place for service users’ expression and reaffirmation of identity and autonomy. Landscaped outdoors with

raised planters allow residents to interact with nature as part of their therapy feeding constantly on the energy of light and colour that surround them. Selected plants can support the perception of seasonal changes and the soothing sound of a water feature reinforces therapeutic landscape design values. Art installations offer endless opportunities to bring the outside into the building, creating an aesthetic space using themes inspired by local natural surroundings that enable a stronger sense of self and concept of belonging. ‘Although research to evaluate the impact of art interventions specifically within the mental healthcare settings is limited, the findings of existing studies suggest that environmental enhancements can positively impact on the health and well-being of service users and staff’ (Daykin et al., 2008). The harmony of spaces Another essential place for a recovery environment is the nursing space. It is an ideal place to maximise opportunities for social engagement and partnership working. ‘Whilst empirical research is limited, the findings presented suggest that open nursing stations might lead to greater service users’ satisfaction through improved staff accessibility and service user-staff interaction’. Assistive technology, such as digital handheld devices, apps and simple note pads, can be integrated to assist staff and service users alike. Numerous research shows that complementing the environmental design with assistive technology can help people with mental health conditions regain control of their behavioural and emotional disorders and assist with cognitive impairments. At the essence of preventive medicine all causes are examined without exclusions, similarly in designing a mental health environment we recognise that what has worked for a patient group for a trust may not work entirely in another context. The harmony of all spaces is the key for a sustainable environment focusing on recovery. Like recovery itself, such harmony is often achieved gradually, examining

emerging common traits. It is an endless fascinating journey to continuously improve considering the several perspectives of the people using the environment created. A well-designed environment that improves safety and patient outcomes can be described as complementary to preventive medicine and an appropriate way to limit mental health outbreaks, allowing people to be themselves, promoting hope, independence and empowerment. A more detailed and comprehensive review of scientific evidence relating to the link between design, space and mental health has been recently completed and is available on the DiMHN website. Mental Health Rehabilitation & Recovery Facility Alessandro Caruso Architects has designed a specialist rehabilitation and recovery facility. The facility caters for people who require an environment for mental health recovery on behalf of Hull and East Yorkshire Mind. The accommodation will provide a therapeutic and safe environment where the residents can build confidence while developing independent living skills to continue the process of recovery. ACA and DiMHN believe in the benefits of user-orientated design. This means developing a thorough understanding of the eventual users and their perceived environment. With this method we can create a space that will promote confidence, comfort and safety. The step-down process integrated into the core of the design, gently encourages independence as the residents move through the stages of recovery. User-orientation and way finding is simplified throughout the scheme using colour rather than signage to denote a homely environment. Through ACA’s specialist knowledge and research, the scheme builds on the psychology of colour to encourage a harmonious and therapeutic atmosphere. L FURTHER INFORMATION



“ Working with the future of service” Birgitte Nørgaard, ISS Facility Manager

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As a company that constantly seeks out innovation, ISS has adopted the Vested® principles to develop closer working partnerships with their customers by delivering mutual benefit to both businesses. This approach fits nicely with the close working partnerships that are so essential within the healthcare sector everyone can focus on measuring what matters most to the service delivery, not the traditional measures that create significant activity but not enough value. Pricing models with incentives that optimise the business Both partners need to see a fully transparent pricing model with incentives based on overall cost, not just price. ISS Healthcare’s approach is to create the right behaviours and cultures for the local team. This achieves lasting and sustainable efficiencies that are not detrimental to the quality of service.

Focus on outcomes, not transactions By creating a shared vision and jointly defining high-level desired outcomes, the partnership can focus their efforts on creating appropriate patient, service user, staff and visitor experiences and not on measuring traditional contracting inputs.

Insights versus oversight structure By basing the partnership on mutual respect and accountability, both businesses can jointly manage the progress of the desired outcomes together and on an ongoing basis, rather than the traditional contractual relationship that relies on the customer spending effort on managing the contract provider and not enough on their joint desired outcomes. Adopting Vested® principles has helped ISS create a culture in which the promotion and recognition of behaviours that support their joint objectives with their customers can be celebrated. ISS work hard to ensure that their employees understand the joint expectations. This helps to reduce the occurrence of issues and ensure that the local management team address those that arise promptly, in collaboration with the customer’s staff and key stakeholders.

Focus on the what and not the how ISS Healthcare’s ability to innovate is borne from a sense of empowerment, allowing everyone to come up with great ideas without any fear of criticism. Their vast experience across the world, in so many different sectors, allows them to apply their expertise to benefit the client Trust or health board.

Honesty For any partnership to be productive, cohesive and ultimately successful, trust in one another is essential. ISS want their customers to be able to count on them, so they welcome and value open and honest feedback every day. Only by doing this can they continuously improve their productivity and deliver exceptional services.

Agree on clearly defined and measurable outcomes It is important that both parties jointly define their desired outcomes so that

Transparency Every day, using these principles, ISS provides key information relevant to their services. Tapping into their global R&D opportunities ISS

Vested® is a business model based upon award-winning research conducted by the University of Tennessee College of Business Administration and funded by the U.S. Air Force. The methodology has been claimed to have a transformational potential that can rival that of Lean and Six Sigma. These are bold claims, but ISS took the principle that if they are working in true partnership with their customers, the approach should be ‘what’s in it for we’ not ‘me’. This means working on some common understandings:

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ISS Healthcare – ® a company with a Vested interest in their customers has developed a 24/7 near real-time reporting dashboard that can deliver key information to keep important service indicators on track and provide their service users timely and responsive services. The partnership can then use the data for trend analysis as a platform for continuous improvement. This approach can also be applied when having to look at efficiency savings or cost reductions, allowing the company’s expertise to develop solutions that create efficiencies without degradation to services. Loyalty To ensure a long-term success, the Vested® principles expect the partnership to remain invested in the customer’s purpose, in this case, the best hard or soft FM delivery that are relevant to the customer’s healthcare environment. ISS again works hard to instil loyalty in every member of their team, ensuring they view the customer’s purpose as their own. Commitment A success partnership demands a highly motivated, goal-oriented management and service delivery team that work together as a single unit, committed to excellence, delivering the customer’s goals daily. Improvement As a service market leader, with over 35 years’ experience, ISS Healthcare has developed a unique, award-winning style in working in partnership to deliver their customers’ needs now and into the future, adapting to the changing environment. This has led to high levels of customer satisfaction; their last Customer Experience Survey produced a Net Promoter Score of +67 (when +40 is considered world class). This has been built on understanding the customer’s purpose: in healthcare that is the well-being of patients and service users; that purpose is then adopted completely by ISS. Through their Touchpoints@ISS tool, they map the service users’ journeys at each location and design their delivery with enhanced user experience at every service touch point. L FURTHER INFORMATION



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Delivering fire safety protection across UK’s hospitals Hospitals face challenges in evacuation with compartmentation playing a crucial role. Checkmate Fire Solutions Limited have a wealth of experience facilitating the NHS with fire stopping solutions and compliance services

During the NHS’s 70-year history the UK’s hospitals and healthcare facilities have evolved and expanded, presenting estate managers with a unique set of fire safety challenges. Checkmate Fire is proud to have worked with many NHS trusts over the last 20 years, providing fire stopping solutions and compliance services to help them meet all their legal requirements and, more importantly, to protect patients, staff, expensive equipment and buildings. This work has enabled us to develop significant knowledge of the passive fire protection challenges faced by hospitals and expertise in minimising the disruption to services caused when working in live healthcare environments. Our services for NHS trusts include: Fire doors and compartmentation Hospitals commonly face challenges in regards to evacuation, with patient needs often making immediate or total evacuation not appropriate or possible. Because of this, fire-resistant compartment lines and doors are critical aspects of the property’s fire protection strategy, restricting the spread of fire and smoke, and allowing time for the site’s progressive horizontal evacuation strategy to be implemented. Compartmentation plays a crucial role in containing fire and is achieved by dividing the building into ‘fire compartments’ through the use of fire-resistant flooring, walls and cavity barriers within roof voids. Having the right fire-rated doors is another essential part of this compartmentation. Typically, the fire doors used in the NHS are designed to offer 30 minutes of protection – although doors that prevent fire spread for longer periods are available for locations


where evacuation may be a slower process. Checkmate’s specialist teams can both specify and install the most suitable fire stopping and fire doors to achieve the required compartmentation in any new hospital building, or to bring an older property up to standard. Third-party accreditation In theory, there are lots of contractors who can hang a door or plug gaps in walls, but whether their work will be of the standard required to achieve the compartmentation needed to prevent fire spreading is another matter. Checkmate Fire’s installation, remediation and compliance inspection work is third‑party accredited to a standard trusted by the UK’s largest insurers. This gives all our NHS customers the confidence that not only do they meet the requirements of RRO and Building Regulations, but that they have the necessary protection in place to give them time to implement their progressive horizontal evacuation plan in the event of a fire. Checkmate also have a long track record of the successful delivery of projects for NHS Trusts, including installations for new builds, remediation work identified in Fire Risk Assessments (FRA), surveys and ongoing fire door maintenance contracts. This experience has given our specialist surveyors and engineers an in-depth understanding of healthcare construction and how to minimise disruption to patients and staff while working in a live hospital environment. Fire door surveys Installing the right type of fire door is only part of the solution though, as they also need to be in the right condition to work


effectively in the event of a blaze. As many of the hundreds of fire doors in a hospital are used on a daily basis, they are at risk of damage from trolleys, wheelchairs and people. And damaged doors can mean drastically reduced periods of protection from fire, smoke and heat. To prevent this scenario, Checkmate Fire offer a professional, independent fire door survey service; carried out by our BRE/LPCB certified inspectors. We provide a full report on the fire doors on your premises and outline any restoration or replacement works that are required to ensure compliance. Fire door restoration To ensure that your fire doors are fit for purpose, we also offer a full restoration and remediation service. Checkmate Fire are fully qualified and third party accredited to carry out repairs that will not compromise the fire separation properties of the door, using suitable fire rated components. Once doors have been restored, we can then put into action an annual inspection and maintenance programme to ensure that all doors remain fully functional, fire compliant and legal – working either directly for the NHS Trust or through a contract with your facilities manager. Checkmate Fire have extensive experience working in open environments and on sensitive wards and sites across multiple locations, keeping staff, patients and assets safe, while providing critical fire safety works. Having worked in everything from small health centres to major multi-building hospital estates, our unrivalled knowledge of the healthcare sector enables us to effectively deliver our third party accredited passive fire protection services on time and within budget. To find out about some of our past work for NHS properties across the UK, see our case studies at, or to discuss your passive fire protection requirements, get in touch at 01422 376436 and our expert team will be happy to help. L FURTHER INFORMATION

Fire Safety

Studying up on your fire safety

Written by BAFE Fire Safety Register

‘Second party’ referral involves someone else, for instance another customer or a membership body/trade association (without third party certification criteria for joining) who states that they are competent. UKAS Accredited Third Party Certification takes this to another level completely. This is when an independent Certification Body which is accredited by UKAS (the national accreditation body for the UK appointed by government) sends trained assessors to BAFE Fire Safety Register explains the importance of competence assess the provider. They confirm the provider when it comes to meeting your fire safety obligations – both in is working to the latest appropriate standards terms of your ‘responsible person’ and the suppliers you use and best practice for the specific service they deliver. They check and verify the required competencies and management systems to ensure that the provider can categorically do Fire safety provisions are paramount and “Third-party quality assurance can offer what they say – and are checked annually. a legal obligation in many buildings but comfort, both as a means of satisfying The Third Party Certification is earned for healthcare facilities this is of huge you that goods and services you have through rigorous assessment that must importance. These buildings contain purchased are fit for purpose, and as a be adhered to at all times to remain numerous types of people of all ages, from means of demonstrating that you have certificated. It is important to state here patients and staff to a multitude of visitors complied with the law.” (Fire safety risk that this certification does not cover all that do not know the building’s layout. assessment: educational premises). services, and the person responsible for In the fallout of the Grenfell Tower fire, fire safety and sourcing providers must this has highlighted several discussions What exactly is check their chosen providers certification including the subject of competence and the third party certification? covers the scope of work that is required. use of competent providers for all works, Third party certification offers independent This responsibility for sourcing including fire safety. This need for quality verification and evidence that a company or competent persons is noted assurance is covered in HM Government fire provider is competent, and working in national fire legislation, safety advice available online: “Third-party to the appropriate standards Third with England and Wales certification schemes for fire protection and best practice for the party legislation stating: products and related services are an effective services you require. “The responsible means of providing the fullest possible ‘First party’ referral is certifica tion person must, where assurances, offering a level of simply a self-endorsement, offers in depend necessary nominate quality, reliability and safety that telling the potential verifica ent competent persons non-certificated products may lack. customer (the person t i o evidenc n and to implement responsible for fire those measures safety) that they are compan e that a y or pro and ensure that competent, with no vid is comp the number of such evidence of this. etent er persons, their training and the equipment available to them are adequate, taking into account the size of, and the specific hazards involved in, the premises concerned” (The Regulatory Reform (Fire Safety) Order 2005 Part 2, Article 13. (3) (b) It also notes that “a person is to be regarded as competent for the purposes of paragraph (3)(b) where he has sufficient training and experience or knowledge and other qualities to enable him properly to implement the measures referred to in that paragraph.” UKAS Accredited Third Party Certification will satisfy all the criteria required if it covers the scope of the work needed. It all begins with a fire risk assessment Whether it is a new or long-standing building, a quality fire risk assessment will highlight both everything you are doing correctly but also anything that may require attention to be compliant with UK fire safety legislation. Healthcare facilities may have multiple purposes for the same area, industrial kitchens, laboratories/workshops and other areas that should be addressed and reviewed regularly within your fire risk assessment. Third party certification is available for providers offering this service and having E



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Fire Safety

 this will demonstrate they are competent to fulfil this work. The National Fire Chiefs Council (NFCC) also state you should follow steps “to help verify the competence and suitability of a prospective contractor” with one step being: “Be satisfied that the fire risk assessor who carries out the work is competent. This can be demonstrated by them providing evidence of compliance with the competency criteria set down by the Fire Risk Assessment Competency Council.” Another important step NFCC note is to “check that they have experience of working for your kind of business and premises.” A competent provider will be able to stress if they are capable to complete an assessment for your building, helping you as the appointed “responsible person” be confident in your choice of provider. Maintaining your fire safety provisions Maintenance of your fire safety provisions and systems is also listed in national fire safety legislation to ensure they remain “in efficient working order and in good repair”. Unlike security systems which are regularly switched off when the premises are opened and switched on again when leaving, fire detection and alarm systems are on all the time – and sometimes overlooked. By making sure that everything is in order there will be a much-reduced risk of false fire alarm activations and that they will work at the most critical times to protect life and property. This is a vital requirement for healthcare premises as the earlier you can detect the source of a fire the more time you will have to safely evacuate people in a calm and controlled manner. Emergency lighting can be overlooked also but is important to be maintained regularly to ensure a clear exit in the event of any emergency, not just fire. Regular ongoing maintenance also ensures that if the fire is small enough to be extinguished by someone on site, that the equipment provided will work as intended. Failure to source and regularly maintain quality fire extinguishers for example potentially runs the risk of a small controllable fire escalating into something far more dangerous, unnecessarily endangering lives and damage to the building itself.

third party certificated for these via another organisation. No one should have to be concerned with fire safety in a healthcare facility where people reside to get treated and get better. Provide a safe environment, ready to act in the event of any fire or emergency. L

This information is provided by the BAFE Fire Safety Register, an independent register of quality fire safety service providers, third party certificated to ensure competence and service excellence to help meet your fire safety obligations. FURTHER INFORMATION

Provide a safe environment Ultimately, the complete responsibility of fire safety falls on your shoulders and with this, the legal obligations and consequences if this is not performed correctly. It is therefore in your best interest to source competent providers who are third party certificated to ensure this. There are multiple organisations that offer UKAS accredited third party certification, but a useful register is provided by BAFE that combines these into one place to search for competent contractors. It must be stressed that it is important your chosen provider is third party certificated for the specific service you require, and it is your responsibility to check this. In the instance that you require specific services that the BAFE schemes do not cover, it is still strongly advised to check if your chosen provider is



Digital transformation in healthcare has become one of the most talked about topics in recent times. Technology’s potential to revolutionise patient care – both from an operational and clinical perspective – is clear, and there is countless evidence to demonstrate its value. It is no surprise that many of the national strategies that have been set by government and NHS national bodies, have centred on the adoption and use of technology. NHS England’s recent release of the NHS long-term plan in January is one such strategy and is testament to the commitment to digital transformation across the NHS. A nationwide strategy The release of the NHS long-term plan addressed the need for integrated care across England and placed digital maturity at the centre of delivering this goal. As part of this, the plan aims to implement integrated care systems (ICSs) across England by 2021, to make health and care records accessible to all necessary staff and patients, and to continue to drive digital excellence in acute care through the blueprints generated from the Global Digital Exemplar (GDE) programme.

Further support for digital progression came in the form of the Topol Review which was launched in early February after a speech delivered by Matt Hancock, secretary of state for health and social care. During his address, Mr Hancock voiced the need to develop the digital skills of staff across the NHS, to ensure they are equipped to deal with the evolving digital healthcare landscape. He also emphasised the importance of scanning technology in improving care and safety throughout each touchpoint within the patient pathway. He warned that without standardised data, the NHS would continue to face an uphill battle on the road to achieving true interoperability. At this point, he praised the exemplary work of the Scan4Safety programme, stressing the significant impact it has had on the delivery of better and safer patient care. Given its successes, Hancock expressed his wish to see the programme’s standards and processes implemented by every acute trust in England. Without standardisation, the healthcare sector will continue to function in an environment where it is unable to share vital data between systems and organisations, struggling to breakdown existing operational silos. To break through

this barrier, the implementation of open standards needs to become an integral part of healthcare – this is where the work of GS1 UK makes an invaluable difference. About GS1 Originally introduced in retail, GS1 standards are now being applied in healthcare settings worldwide to improve patient safety and supply chain efficiency. GS1 UK works with key stakeholders – manufacturers, suppliers and trusts – to facilitate the adoption of unique identifiers based on GS1 standards, for every person, product and place. This one-of-a-kind classification provides organisations with increased end-to-end visibility throughout the entire healthcare pathway, allowing people, products and assets, to be accurately identified, tracked and located in real time and at any stage. The Scan4Saftey programme was built on this very concept from its inception in 2016.

Written by Glen Hodgson, Head of Healthcare, GS1 UK

Health secretary Matt Hancock recently emphasised the importance of scanning technology in improving care and safety throughout each touchpoint in the patient journey. Glen Hodgson, head of healthcare at GS1 UK, explains the benefits of standardising this process by using GS1 barcodes


Technology’s potential to revolutionise patient care

GS1 standards in practice The six Scan4Safety demonstrator sites started off with the implementation of three core enablers applied to three primary use cases. By implementing the core enablers: the Global Service Relation Number (GSRN) for patient wristbands, the Global Trade Item Number (GTIN) for catalogue management, and the Global Location Number (GLN) for location identification, each trust was able to achieve numerous improvements in patient safety and operational efficiency across inventory management, purchase-to-pay and product recall. Three years after adoption, the value of standardisation and the use of scanning E




 technologies in healthcare has been clearly evidenced. Motivated by the results and outcomes that GS1 standards have achieved in practice, several additional acute trusts in England have since begun their own implementation journeys. Standards in pharmacy One area where the implementation of standards has perhaps had the greatest impact on patient safety has been in acute pharmacy settings. In pharmaceutical manufacturing and supply, scanning technology is being used to authenticate medications by tracing the unique product serial number throughout the supply chain. The Falsified Medicines Directive (FMD) has recently come into force as a global measure to help prevent falsified medicines from entering the supply chain in the first place. Standardisation at this level, provides better visibility and traceability. Should any medications need to be recalled, they can be done so efficiently, minimising the likelihood of risk to the patient. GS1 standards also provide an additional layer of safety by enabling closed-loop prescribing. Using scanning technologies, medications are checked at each reference point prior to, and at the point of, administration. This ensures the right patient is prescribed the right medication, at the right time. In doing so, pharmacists and clinicians can ensure that the treatment they are administering is both correct and safe. The success in pharmacy has been evidenced in Royal Cornwall Hospitals as part of a project led by chief pharmacist, Iain Davidson. With real-time prescribing and dispensing data received from each scan, pharmacists were instantly notified by a technical check alert to any potential errors when prescribing or dispensing. Overall, prevented error rates in dispensing were reduced from 0.78 per cent to 0.19 per cent, with dispensing time reduced by an average of five seconds per item, releasing valuable staff time and capacity. Standardisation in procurement Inventory management, ordering stock and managing product recalls within a trust is no easy feat. E-procurement and inventory manager, James Mayne, at University Hospitals of Derby and Burton NHS Foundation Trust, led a team to adopt GS1 standards for theatre optimisation. Each time a piece of equipment or a product was scanned to be used during

a procedure, the data was captured and kept on record. This also applied to all the staff in the room and the location itself, which were also scanned to enable them to trace each element of the procedure. Their inventory management, product catalogue and financial systems were also integrated so that each was automatically updated in real time, and an order generated for the supplier. This improved stock visibility, allowed them to keep a tighter control on costs and reduce wastage. The result was a total saving of £2.8 million by the end of April 2018. Standards for the patient journey At Leeds Teaching Hospitals NHS Trust, GS1 standards were applied to facilitate real-time patient tracking throughout the hospital. Stuart MacMillan, then Scan4Safety programme lead for the trust, managed the allocation of Global Location Numbers (GLNs) to each of its 22,303 trust locations. On scanning both the patient and the location identifier, the patient location was automatically updated on the electronic ward whiteboard in addition to the patient record via the trust’s electronic patient record system. As a direct result, traceability and patient safety were improved, saving valuable clinical and administrative time that would usually be dedicated to updating records or physically locating patients. Live case studies Taking place at the Radisson Blu Edwardian at Heathrow on 9–10 April, the GS1 UK Healthcare Conference will bring together national leaders and

As the focus on integration in healthcare gains momentum, the work of GS1 UK will become central to enabling the standardisation of data across systems and organisations, facilitating interoperability.

senior-level trust executives from trusts across England who are leading the way in standards implementation. With more than 60 speakers and 30 sessions and practical workshops across both days, the two-day agenda is made up of a mix of keynote speakers who will be reviewing the overarching strategy for the NHS, along with operational and clinical staff working in frontline care to bring these case studies to life. Aligned with the current developments in national strategy, day one focuses on the theme of patient safety through open standards adoption with day two building on this to cover the use of technology in supporting patient safety. Professor Sir Terence Stephenson, former chair at the General Medical Council, will open by highlighting the importance of standards in improving patient safety, a theme that with will underpin the rest of the core conference content. The morning will then continue with keynote presentations from Matthew Swindells, deputy chief executive at NHS England, and Tom Denwood, director of data and integration at NHS Digital. They will both be sharing their perspective on the value of standards in healthcare. Six esteemed chief executives from trusts and ICSs will then take the stage to discuss the importance of GS1 standards to the trust board, before handing over to a panel chaired by Professor Andrew Goddard, president at the Royal College of Physicians. The panel will seek to explore what wider standards adoption will mean for the clinical workforce. Day two will begin with a keynote address from Professor Ted Baker, chief inspector of hospitals at Care Quality Commission, providing a regulatory view on driving standards within hospitals. Lord David Prior, chair at NHS England, will then follow to deliver a state-of-thenation address before moving on to keynote case studies and a live CCIO roundtable. Afternoon breakout sessions scheduled for both days will focus on specific application areas where standards have been E Volume 19.1 | HEALTH BUSINESS MAGAZINE



N ee Y iTio fr TrXhiB eNhe e

To iN

2019 18-19 march | Olympia London Speaker line-up includes:

The Rt Hon. Lord Drayson, Former Minister of Science, UK Parliament

Exhibition of 350+ brands

Sam Shah, Director for Digital Development, NHS England

Paul Jobson, Managing Director, UKIHMA

Future Healthcare Conference

Health Tech Theatre

Wearables Zone

Amanda Begley, Director of Innovation, University College London

UKIHMA Workshops

Simon Stevens, Chief Executive, NHS England

Innovation Awards

doN’T miss the UK’s largest exhibition and conference showcasing products and services for future healthcare.

regisTer TodaY aT Organised in association with

Thrive Wearables Theatre

GS1’s role in healthcare’s future Implementation of GS1 standards is a critical component required to successfully future-proof the NHS. As the focus on integration in healthcare gains momentum, the work of GS1 UK will become central to enabling the standardisation of data across systems and organisations, facilitating widescale interoperability. These open standards enable organisations to make greater cost savings by increasing visibility of inventory management processes and streamlining purchase-to-pay processes. Through the unique identification of every patient treated, every product used, and every medication administered, GS1 standards provide clinical staff with an additional patient safety measure. Ultimately, organisations can ensure they are getting their processes right on the first time of asking, preventing delays in supply and patient care. The beauty of GS1 standards lie in their simplicity: a single scan captures data that can be used on multiple occasions. Better care really can cost less, and the benefits are achievable for all. L FURTHER INFORMATION

Topol review predicts digital skills shortage in NHS


 adopted, providing a detailed view of the present use and future potential of open standards in healthcare.

A report by US academic Eric Topol predicts that 90 per cent of all NHS jobs will require digital skills within 20 years. The Topol Review “Preparing the healthcare workforce to deliver the digital future” suggests that fresh education is required to keep up with advancements in technologies such as AI and robotics. “Over the next 20 years, three changes will inevitably happen,” said Topol. “More and more people will have their genome sequenced; patients will generate and interpret much more of their own health data at home; and the speed, accuracy and scalability of medical data interpretation from artificial intelligence will grow exponentially. “These developments will change patients lives, change how clinicians work and change how healthcare services are delivered. This is happening now and the NHS is ideally placed to take it further, faster and wider if we act to give our staff the skills and knowledge they need to make them the norm across the NHS.” The review examines how technological and other developments

(including genomics, artificial intelligence, digital medicine and robotics) are likely to change the roles and functions of clinical staff in all professions over the next two decades to ensure safer, more productive, more effective and more personal care for patients. It also looks at the implications of these changes for the skills required by the professionals filling these roles, identifying professions or sub-specialisms where these may be particularly significant. The report also highlights the consequences for the selection, curricula, education, training, development and lifelong learning of current and future NHS staff. Topol stated: “Ultimately, embracing and implementing these technologies (including genomics) throughout the NHS, while clearly representing a challenge, is likely to prevent diseases and their complications, and produce an overall improvement in health outcomes.”

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Future Healthcare returns to London in 2019 From healthcare providers to equipment suppliers and technology experts, visitors at Future Healthcare can expect to see the very latest products and services from over 350 brands

Taking place at Olympia London from 18-19 March 2019, Future Healthcare International Exhibition and Conference gathers more than 4,000 buyers from 65 countries for two days of education, networking and cross border purchasing. The event is organised in association with the UKHIMA (UK International Healthcare Management Association), a UK government trade promotion organisation jointly funded by the Department for International Trade, the Department of Health and NHS England. A unique opportunity Event director, Dawn Barclay-Ross said: “Gathering thousands of buyers from around the world, Future Healthcare 2019 is a

fantastic springboard for suppliers to find new business on the international stage.” Future Healthcare 2019 is a unique opportunity for healthcare products and service providers to showcase their solutions on a global scale. The 2018 event gathered senior buyers from the likes of Cleveland Clinic, Ministry of Health Oman, Moorfields Private Hospital, Horsens Hospital Denmark, Nelson Mandela Clinical Service for Africa, and NHS trusts from across the UK. International Exhibition From healthcare providers and training establishments to equipment and product suppliers and technology experts, visitors can expect to see the

very latest products and services from over 350 brands in the exhibition. Event participants include: PWC, Medesk, Renfrew Group, Halton, E Med, Doctor Care Anywhere, Gillie, Femeda, Piota and many more. Michael May, Medesk Medical Marketing Consultant and Healthcare PR Strategist said: “Medesk is proud to join #FHXPO19 to present everything we’ve learned while tackling the biggest problems in private practice management over the past year. The expo represents a fantastic opportunity to meet fellow healthcare experts and share our ideas on what makes a good clinic truly great for patients and staff alike.” Visitors can sign up for the free registration to the show, by visiting: Thrive Wearables Zone As part of the event, the Thrive Wearables Zone will be a showcase of the latest advancements in wearable technology and the Wearable Health Technology Theatre hosted by Thrive is a two-day conference on wearables in Healthcare. The track will be curated around four main topics: Design & Development, Physical form/Sensors, Data/AI and Featured Wearables startup. Confirmed speakers include: Paul Rinne, CEO, GripAble; Despina Papadopoulos, CEO & Founder, Principled Design; Benjamin Fry, CEO & Founder, Neural Solutions; Stephen Hicks, Co‑Founder, Director and Head of Innovation at OxSight Limited; Graeme Cox, CEO, Emte and Jacob Skinner, CEO, Thrive Wearable. Additionally, the Health Tech Theatre will host a series of 10-minute presentations from pioneers of exciting innovations. Future Healthcare 2019’s recent Call for Innovations, provided an overwhelming number of applications for a limited number of companies to exhibit within the Innovation Pavilion and pitch to a line-up of VIP judges that drive innovation in the UK. From innovations looking at ways to solve big challenges in delivering care, to the elderly using robotics, to AI powered technology providing life-enhancing products and services. World-class conference The main conference programme will be opened by Rt Hon Patricia Hewitt, Former Secretary of State for Health and Chair of Norfolk and Waveney Sustainability and Transformation Partnership, who will welcome the delegation and take a brief look at where technology and innovation is headed in the short, medium and long term future. She will be followed by a keynote address from The Rt Hon. Lord Drayson, Former Minister of Science who will discuss some of the opportunities to accelerate medical research using patient data. The conference will then open up to a debate in which key figures from the Health Foundation, the Association of British Health Tech Industries and Pricewaterhouse Coopers discuss what a ‘re-imagined’ healthcare system could look like. It will discuss some of the recent technological advancements made, and look at what would be necessary to get such a re-imagined system in place.



Day Two Day Two will take a global view point and will begin with Paul Jobson, managing director of UKIHMA, giving an opening keynote on ‘Going global – private and NHS going overseas’ followed by Stephen McAteer, head of international healthcare business development & project delivery, NHS International Alliance discussing importing innovation overseas. He will look at how attractive UK innovation is to healthcare systems in other parts of the world, and the importance of innovation as a driver for the strong reputation of the NHS.

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Day One Day One will also discuss the potential impact of Brexit on life sciences, and Sam Shah, director for digital development at NHS England will go on to look at some of the changing public demands and expectations of the NHS, and how the service is working to meet these using digital technology. This will be followed up by a round up from NHS innovation Accelerator – discussing key challenges to scaling innovation in the NHS, exploring how NIA Fellows are approaching and working to overcome these barriers, and considering how the system can best support adoption and spread. Dr Bayju Thakar, founder and director of Doctor Care Anywhere, will look at the importance of medical school technology – and training young doctors to design the tools they will ultimately use during their careers.    CERN, the largest particle physics laboratory in the world and home of the Large Hadron Collider (LHC) – by far the most powerful particle accelerator built to date – will take the discussion to a new level when its Knowledge Transfer Officer, Alessandro Raimondo talks about its fundamental research in the MedTech arena. There will be another look at different technologies in the field, and the day will finish off with several talks on funding, integration and partnerships.

A panel discussion, participants of which include Professor Neil Lunt, Department of Social Policy and Social Work, University of York and Dr. Francesco Briganti, secretary general, Cross Border Benefits Alliance-Europe Belgium, will then go on to look at healthcare tourism; overseas hotspots, foreign patient placements and the global health tourism landscape. The conference will then feature key representatives from Dubai (Dr. Ibtesam Al Bastaki, director of health investments & PPPs Department, Dubai Health Authority), Nigeria (Dr Yomi Jaye, Medical Director, Cecy Health) and Japan (Yoritomo Wada, healthcare sector leader, Deloitte Japan) to look at forward-looking healthcare systems, as well as helping those countries in need. The importance of Blockchain technology will also be discussed. Finally, the conference will end by looking at future health tech environments – from Smart Cities to Specialised Surgical Operating Environments.

For further information on visiting the exhibition or being a conference delegate at Future Healthcare 2019, visit: and across social media using #FHXPO19. The exhibition is free of charge for pre-registered visitors, while there is a charge for conference attendance. The exhibition entry includes the International Exhibition of 350+ suppliers, Healthcare Innovations Theatre, UKIHMA Workshops, Wearables Zone and the Thrive Wearables Theatre. While entry into the conference includes the above, PLUS entry into the opening ceremony and main conference theatre. L FURTHER INFORMATION For the full agenda, visit: www.futurehealthcareuk. com/conference.php



Feature Heading Wearable Technology

The Wearable Technology Show The Health 4.0 theatre at the Wearable Technology Show on 12-13 March is designed to inspire new ways of thinking about and solving the problems facing health today

Now in its sixth year, the Wearable Technology Show (WTS2019) returns to London, at the Business Design Centre on the 12-13 March 2019. WTS2019 features cutting edge technology across a multitude of fields, including smart home, healthcare, fashion, fitness, performance sports, enterprise, and augmented reality. The show will welcome visionary speakers working within the industry to discuss the future of wearables, smart technology and IOT. Over 6,000 delegates and 200 speakers will come together to exchange views, network and do business. The show floor will feature cutting edge technology attracting prosumers, distributors and buyers. Co-located with the Wearable Technology Show will be the AR360 Show, Europe’s largest independent event for AR, VR and mixed reality, as well as the Digital Health Technology Show, where delegates can see the future of healthcare and learn about the latest disruptive technology transforming the medical sector. The Wearable Technology Show has seven different conference tracks: Main Stage; AVR360; Digital Health Technology; Smart Textiles; Performance Sports; AI Business; and the Innovation Stage. In the exhibition hall, visitors will be able to see some of the latest and most innovative products in the Maker Zone, as well as the latest advances in textiles and clothing in the Smart Textiles Zone. Main stage conference Some of the world’s leading companies and disruptive start-ups will deliver insight and opinions on the main stage. Visitors will get to

hear the latest on the evolution of wearable technology, the benefits of ‘getting connected’, and hear from industry leaders about how devices are being used to increase productivity. Alan Foreman, CEO of B-Secur will take a session on continuous health monitoring. The benefits and opportunity to patients, carers and hospitals to move health monitoring into the home are significant. Continuous monitoring in the home environment provides the quantity and quality of data to allow trending and to spot underlying issues that may otherwise be missed with ad hoc testing in the hospital setting. This is not a new phenomenon and even consumer technology companies such as Apple are pursuing this through ECG monitoring on the Apple Watch already. However, one challenge leads to another – how does the system ensure that data from a patient is truly theirs and has not been corrupted with data from another patient? B-Secur is exploring some of these more obscure challenges that could really unlock the potential of the future. Health 4.0 The Health 4.0 theatre is designed to inspire new ways of thinking about and solving the problems facing health today. Featuring global innovators and thought leaders, the aim is to cover the most advanced digital innovations, business models and

health strategies fit for the future. Former Secretary of State for Health, Patricia Hewitt will engage the audience with a presentation on where the health sector is heading. Professors from De Montfort University will take a session on delivering the best of digital health. De Montfort University has established a new Digital Health and Care Unit within the school of Health and Life Sciences to address many of the frustrations experienced by patients, clinicians and digital health companies at the pace of access to, and thus benefit from, emerging technologies. Starting in 2018 the Unit set out to establish partnerships with local clinicians and digital health companies to answer real clinical and social needs with technologies that are ready for use in the UK, but not deployed. This partnership is bearing fruit for patients, clinicians, digital health companies and the university and the team will share some early results. They will share their approach and encourage clinicians, companies and patients to get involved and see the benefits.

Featurin innovat g though ors and t aim of H leaders, the e cover th alth 4.0 is to em digital in ost advanced nova health s tions and trateg fit for th ies e future

Hearing healthcare David Cannington, CMO & co founder of Nuheara will take a presentation on how hearables are going to revolutionise healthcare. With exciting new product innovations typically found in medical devices to new consumer engagement models, hearables will drive a new movement towards affordable and accessible healthcare. Find out about E



Technology for post hospital discharge


Ethel, the elderly care smart hub, is an innovative technology solution which has been developed in the UK to help provide post‑hospital discharge support for elderly people who are potentially at risk of readmission. Ethel is a large, elderly friendly, touchscreen, plug‑n‑play, integrated tablet that is given to the patient to take home at discharge. Using Ethel’s video calling feature, a telecare company is able support the patient on a daily basis over the two week period. Ethel also comes with its own (CE Certified) vitals monitor to capture vital signs e.g. blood pressure, pulse, oxygen saturation and body temperature, to support clinical decision making and measure progress tailored to the individual. Telecare Staff can also check-up on general well‑being, medication compliance, monitor

CONNECTING LOVED ONES with family and carers whilst living at home

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known side effects, upload exercise videos, and much more. Patients can also, at a touch of a button, make contact with family or telecare staff in case they need non‑emergency help or assistance. Furthermore, family members can ‘drop-in’ on their relative using a video-call. The ability to ‘virtually’ see and speak to the patient in their own home, post‑discharge, is a huge benefit to the person, the telecare team and the health and social care team.





TAKING TRACEABILITY DIGITAL. ACCURATE: operator, disinfectant, instrument and patient data are recorded by barcode scanning, avoiding difficult-to-read handwritten notes. EFFICIENT: the Traceability App is used during disinfection instead of afterwards, saving valuable time. SECURE: the Traceability App and Web Portal are compliant with the General Data Protection Regulation (GDPR). Both platforms are hosted on the ISO 27001 (information security) and ISO 27018 (personal data protection) compliant Microsoft Azure Cloud, and are encrypted and password protected. PAPERLESS: disinfection records can be accessed any time on the Traceability App and Web Portal. A CSV file can be extracted to attach to existing records. HANDS-FREE: operators can move through the disinfection stages by saying “OK” instead of touching the phone during disinfection, reducing the risk of cross-contamination.

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5G and mobile edge computing David Sims from Toshiba will take a session on what 5G and mobile edge computing will mean for the future workforce in the UK. With various 5G trials taking place across the UK in recent months, it is anticipated that the next-gen cellular network will be commercially available later this year, bringing with it better connectivity, increased capacity, and faster speeds. This in turn will pave the way for a host of emerging technologies to gain prominence in the enterprise space, most notably mobile

Wearable Technology

 which healthcare segments are most threatened and dive into the disruption facing the hearing healthcare market. Leon Eisen, founder & CEO of Oxitone will take a session on digital continuous care. Utilisation of new technology disrupts the paradigm of many ecosystems and is often resisted in healthcare. However, when a natural evolution of technology is incorporated into an existing organisation, the innovations outpace the disruptive effects while encouraging widespread acclimation. Digital continuous care incorporates modern wearable medical technologies and enables reliable patient continuous supervision as a natural evolution of medical monitoring. The combination of AI’s predictive power with the convenience of comfortable wearable medical devices can be fine-tuned with existing healthcare ecosystems. Harnessing Digital Continuous Care will improve patient life style, quality of care, while reducing risk and overall costs.

edge computing. What does this mean for UK businesses and their workforce? By processing data at the edge of the network, edge computing has the potential to revolutionise the operational efficiency of remote and field-based workers. Mobile edge computing devices will act as the gateway to bringing IoT solutions and wearables, for instance Assisted Reality (AR) smart glasses into the enterprise IT infrastructure. This will provide businesses with new methods of gathering and processing data in a more secure and efficient manner. Companies such as Ubimax and Vuzix are already innovating in this space, creating the hardware and software applications to make wearable technology accessible to professional users. The possibilities for such technology are ripening. To give one example, workers in remote manufacturing operations could use AR technology to access detailed specifications or instructions in real-time, reducing any errors, and increasing efficiency overall.

Such use span sectors such as engineering, manufacturing, logistics and healthcare. 2019 certainly looks to be the year wearables reach the mainstream in business, but how will the wearable landscape evolve in the longer-term? This session will explore the opportunities this will give the workforce. The awards The Wearables Awards will take place during the Wearable Technology Show, and will recognise those companies with the best – and most improved – product or service offering in the past 12 months. The catergories include Digital Health Start Up Pitch; Wearable Innovation; AVR360 Award; Enterprise Award; Health Innovation; Crunchwear Editors Award; and the Consumer Product of the Year. L FURTHER INFORMATION

Tristel Traceability App takes traceability digital

The Tenuto: a real alternative to Viagra

The Tristel Traceability App provides traceability in a smart and efficient way. It comprises a smart app to record every Tristel disinfection event and a web portal for data analysis and reporting. When used in tandem with a Tristel product such as the Tristel Trio Wipes System or Tristel Duo, the app records operator, disinfectant (LOT and expiry) and instrument data, as well as a patient ID. Short videos guide the operator through each disinfection event to ensure compliance with user instructions. Upon completion

Since its inception in 2014, the British-based MysteryVibe has become one of the leading - and most-awarded - brands in the sexual health tech space. The company’s multi-award winning flagship product Crescendo continues to redefine the category with positioning across major mainstream channels: airports duty free, Media Markt, Brookstone, FNAC, BOL, Amazon, beauty subscription boxes & more. MysteryVibe is now launching its second product for men, Tenuto, which provides a real non-medical alternative to Viagra. MysteryVibe brings together the best of sexual wellness & technology to bring healthy pleasure to the masses in a massively mainstream way. Through big media: BBC, Forbes, Vogue; billboard campaigns in US & UK; Print, Radio and Online. MysteryVibe is built ground-up

of a disinfection event, the app produces a digital disinfection record with a unique validation code. Each record is automatically uploaded to the disinfection log on both the app and web portal, where data can be searched, filtered and extracted.

FURTHER INFORMATION T: +44 (0)1638 721500 E:  W: Tristel Solutions, Unit 1B, Lynx Business Park, Fordham Road, Snailwell, CB8 7NY

to cater to a huge global customer base with customers in 60+ countries served by warehouses in North America, Europe & Asia & assets in 16 languages. Its manufacturing setup in Shenzhen can make 250k units/month. MysteryVibe also supports doctors, educators & experts with research, partnerships & subsided products and offers a uniquely informed and inspirational attitude to pleasure and product alike, its mission being to democratise pleasure and the conversation surrounding it.




Artificial Intelligence Transforming data into knowledge for better care

AI-Rad Companion is a family of vendor-neutral, multiorgan augmented reading solutions that automatically prepare clinical input to be interpreted by radiologists, pathologists and/or clinicians. Through automation, the suite of AI-Rad Companion solutions reduce the burden of simple repetitive tasks, making better use of the knowledge and skills of experienced physicians, and reducing the time from imaging to report.

AI-Rad Companion reduces the time of interpretation and reporting, automatically performs measurements, prepares results for reports, provides comparisons to prior studies and automatically highlights abnormalities, characterises anatomies, matches results with reference values. For more information contact

AI-Rad Companion requires the institution to have a teamplay account.

Digital Health Rewired

Putting the UK’s digital health revolution in practice Digital is commonly acknowledged as being central to the NHS’ future, but all too often, ambition and enthusiasm for technology is overtaken by barriers to adoption. As delegates to Digital Health Rewired on 25-26 March in London will find out, there is optimism that this is about to change and there will be plenty of speakers with ideas as to how A digital health revolution in the NHS is coming. The secretary of state for health and social care Matt Hancock wants to see more innovative technology used across the NHS to improve patient safety, reduce delays and bolster financial efficiencies. Initiatives already in place include a stated desire to replace paper correspondence with email, an NHS-wide ban on fax machines post-April 2020, plans for better information sharing and removing outdated technology. Digital featured heavily in the NHS Long Term Plan while the Topol Review suggests 90 per cent of all NHS jobs will require some

form of digital skills. The direction of travel is clear: digital will be the future of the NHS. But how do those working in local NHS organisations take the next step? Which healthcare providers are leading the digital charge and what can we learn from them? How do we break down the barriers for start-ups and digital health innovators to work collaboratively with the NHS? The answers to all these questions can be found at the brand new Digital Health Rewired conference and exhibition taking place in London on 25-26 March 2019, focused on joining up and integrating health and care through the transformational use of technology. Packed programme The full packed programme for Digital Health Rewired features compelling presentations from over 80 speakers at the cutting edge of the digital revolution, making it the essential event for everyone working to secure the benefits of digital health for all patients. Rewired keynotes include: Matt Hancock, secretary of state for health and care [left];

Doug Gurr, UK managing director of Amazon, who will be speaking in his capacity as chair of the British Heart Foundation; Simon Eccles, national CCIO for health and social care; Dr Ben Goldacre, bestselling author and open data campaigner; Ali Parsa, CEO of Babylon Health; and Will Smart, national CIO for health and social care. Meanwhile Professor Shafi Ahmed, surgeon, futurologist and associate dean for Barts and the London undergraduate medical students, will provide a glimpse of the near future, in which VR, AI and robotics are transforming surgery and medical education. Learning from digital leaders The Rewired Conference and Exhibition, which takes place exclusively on day two, will connect today’s digital leaders with disruptive innovation and showcase the very best local and national work of digital trailblazers in health and care. Rewired helps delegates develop their digital skills and boost their knowledge, but with the added benefit of acquiring CPD accredited education across eight dedicated streams. E Volume 19.1 | HEALTH BUSINESS MAGAZINE


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Digital Health Rewired

The Rewired Conference and Exhibition will connect digital leaders with disruptive innovation and showcase digital trailblazers in health and care  The main Integrated Care conference track opens with Dr Ben Goldacre followed by Doug Gurr and Matt Hancock, who will be giving his keynote at 11.45am. The theme of how to create an innovation culture in health will be explored on the Integrated Care track by Dr Seamus O’Neill, chair of the AHSN Network and Ben Bridgewater, CEO of Health Innovate Manchester. The Clinical Software track features Dr Harpreet Sood of NHS England who discusses electronic patient records and clinical burnout. The track then turns its focus to opportunities for open platforms and EPR 2.0, followed by sessions from Rewired Partners PRSB and INTEROPen, exploring the current state of standards and interoperability. Professor Neil Sebire of GOSH (Great Ormond Street Hospital) DRIVE will open the AI and Analytics track, plus there are exciting sessions exploring the use of AI to support commissioning and applications to improve patient safety. Two rising UK digital health CEOs, Tom Whicher and Dan Vahdat, will kick-start the Cloud and Mobile track. Will Smart will set out the next latest steps to secure the NHS, as he opens the Cyber Security track, before Dr Chris Bunch, chair of the UK Caldicott Guardian Council, outlines how best to support the NHS in the safe and effective use of patient data. The Royal College of Radiologists will be running an afternoon Digital Imaging industry workshop on AI in radiology featuring speakers Nichola Strickland, president of the Royal College of Radiologists, and Dr Christina Messiou from the Royal Marsden. Experience the latest innovation The Innovation Stage will host the Rewired Pitchfest at which 16 digital health startups will have three minutes each to pitch their ideas and concepts to the audience and judging panel of VCs and entrepreneurs. The Rewired Pitchfest winner will be revealed by secretary of state for health and social care, Matt Hancock. The Innovation Stage will hand over in the afternoon to the teams who have taken part in the two-day Rewired Hack Day to showcase their projects, with a community vote for an overall winner. Connecting the community Rewired is about connecting today’s leaders to tomorrow’s disruptive digital technologies and innovations. It takes a team to deliver digital

health. Rewired will bring the diverse UK health IT community – including 1,200 delegates and leading suppliers, disruptors, pioneers – together to put transformational digital change in practice. No other event unites so many NHS IT leaders and professionals leading transformational change. Find out how your colleagues and peers from the NHS and suppliers are tackling similar challenges to your own. Gain practical actionable insights from digital health pioneers that you can start to apply back at your organisation come Wednesday morning. L FURTHER INFORMATION

Digitalising healthcare for better patient experiences

At Siemens Healthineers, our purpose is to enable healthcare providers to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, and improving patient experience, all enabled by digitalising healthcare. An estimated five million patients globally everyday benefit from our innovative technologies and services in the areas of diagnostic and therapeutic imaging, laboratory diagnostics and molecular medicine, as well

as digital health and enterprise services. We are a leading medical technology company with over 170 years of experience and 18,000 patents globally. With more than 48,000 dedicated colleagues in 75 countries, we will continue to innovate and shape the future of healthcare.

FURTHER INFORMATION For more information and latest product line, please visit: www.



ar with ille gal leveeas ls o pollutio n by f 2025


Written by Sarah Greenslade, public affairs and communications coordinator, British Parking Association

An alternative mode of travel Approximately two thirds of the half million parking spaces across the NHS in England are used by staff, which means up to 300,000 staff use their car to get to work. So, if drivers were offered alternative modes of transport and encouraged not to use their cars or car share, this could have a significant impact on reducing nitrogen dioxide levels. In particular, it is diesel cars (42 per cent) and vans (33 per Approximately two thirds of the half million parking spaces cent) that emit the most nitrogen dioxide. across the NHS in England are used by staff. This means up to It was therefore no surprise to see that 300,000 staff use their car to get to work. If drivers were offered the two themes running through The Health Business Awards in December were: using alternative modes of transport, this could have a significant resources effectively, and reducing the impact impact on reducing harmful air pollution on the environment. Short-listers and award winners included trusts who had reduced single occupancy in cars, installed solar panels, reduced clinical waste, increased recycling Toxic air is now the biggest environmental are above the World Health Organisation and implemented green travel plans. risk of early death worldwide, responsible level by 2025. Local authorities have been The British Parking Association are long for one in nine of all fatalities. It kills asked by government to submit their term supporters of this event and proud to 7 million people a year, far more than plans on how they will reduce exposure sponsor the Transport and Logistics Award. HIV, tuberculosis and malaria combined to nitrogen dioxide and bring them to the The award is presented to the NHS Trust according to The Lancet Commission on agreed limits in the shortest time possible. that has seen improvements in operational pollution and health. Here in the UK, it Leeds, Nottingham and Southampton are logistics, including emergency is vehicle emissions that are the biggest in the first wave of local authorities services transport and contributors to air pollution and as such and have already had their plans coordination; fleet poses the biggest threat to public health. agreed however DEFRA has The management; green With such stark figures it makes sense for stepped up the pressure C lean transport; car the NHS to tackle the cause of the pollution on some who have not Air Stra parking and traffic and not just deal with the symptoms. done so, including t e gy commit management; postal The government’s Clean Air Strategy sets threatening legal action the num s to halving services; and the out plans to reduce air pollution, committing on Bristol if they do not ber of p supply of materials to halve the number of people who live in submit their plan by who liv eople and goods. E areas with concentrates of pollution that the agreed deadline. e in


Giving staff green travel choices


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î † Western Sussex Hospital NHS Foundation Trust goes green Health Business Awards short-lister for the Transport and Logistics Award, Western Sussex Hospitals NHS Foundation Trust were recognised for introducing their comprehensive green staff travel plan. A staff travel survey revealed that 64 per cent of their 7,000 staff across their three hospitals; Worthing, Chichester and Southlands, drive on their own. The challenge was to encourage them to travel differently. The waiting list for parking permits had been closed to new applicants for over five years. Something needed to be done. An overallocation of staff permits meant that five years ago it was not uncommon to see staff waiting in the car park for a space, as four permits were issued for every-one space. Now only 1.8 permits per space are allocated.

Western Sussex Hospitals NHS Foundation Trust took the decision to provide green travel options as a priority, especially with a predicted staff increase and a reduction in parking spaces over the next five years The Trust took the decision that providing green alternative travel options was a priority, especially with a predicted staff increase and a reduction in parking spaces over the next five years. A full survey identified where staff travelled from (a heat map revealed the popular journeys) and the willingness of staff to switch from their car if alternative modes of transport were on offer. For example, some said

they were able to switch but not willing. It was going to be difficult to predict just how staff would change their travel mode until it was actually on offer, and importantly encouraged to give it a go. Three working groups were set up; green initiatives (cycling, motorcycling, walking, public transport), alternate parking (cross site minibus, park & ride) and on-site parking (permit usage, car share). E Volume 19.1 | HEALTH BUSINESS MAGAZINE



Hill Cannon Consulting LLP Consulting Civil & Structural Engineers Parking Consultants Expertise that dates back to the early 1970s and provides a ‘one stop shop’ for parking consultancy requirements, including Feasibility Studies; New build design of multi-storey and surface car parks; Traffic and Transportation studies; Environmental & Geotechnical Services  Colin Vince, car park manager and Wayne Jurd, car park supervisor have both worked at the Trust for 10 years and are part of the team responsible for overseeing the implementation of the Trust’s Green Travel Plan, which has the full backing of the Trust Board. The Trust did not take the easy route and tackle on-site parking first, they set their sights on improving off-site parking and created not one but two park & ride car parks outside of the main hospital sites. They installed secure parking for staff cycles and motorcycles with improvements to changing and even drying facilities and lockers. They even signed up to the discount travel company Easit which gives a 15 per cent discount on public transport to all staff who also join the scheme. Positive changes Perhaps the biggest investment has been creating a combined Park & Ride and a cross-site minibus service that runs up to four times an hour at peak times. It was impressive to see that dozens of hardy staff had cycled to work braving the cold January weather, safe in the knowledge that their bikes were secure in the shiny new cycle racks. Colin says: “It’s been a lengthy and sometimes challenging project, but helping so many staff has made it all worthwhile. The positive changes we’ve made for not only our staff, but also our local environment has been fantastic. I have been involved in all aspects of our Green Travel Plan, and I am proud of the dedication all the team have given and the positive commitment of the Trust in supporting this project.” The Trusts Green Travel Plan takes an average of over 8,000 car journeys off the roads every month, reducing CO2 emissions by an impressive 60 tons per month. It takes vision and long-term planning to bring to life a truly green staff travel plan and Western Sussex Hospital NHS Foundation Trust is just one example of the great work that is being done within the NHS to reduce nitrogen dioxide emissions and improve the health of our nation. Reducing emissions is discussed regularly at The British Parking Association’s interest groups meetings as improving traffic and parking management is a key factor in tackling it. The British Parking Association is a not for profit organisation, representing, promoting and influencing the parking and traffic management profession throughout the UK and Europe. For more information on lowering transport emissions in the NHS, Government Business Magazine featured an article called ‘Hitting the brakes on traffic-related air pollution’ (25.6 edition) which highlights NICE guidance on training NHS (and local authority) staff in efficient driving. E FURTHER INFORMATION

Protecting People and Places

Macs Automated Bollard Systems Ltd specialise in the nationwide supply of manual and automatic security bollards, automatic barriers, traffic calming and vehicle restriction solutions and retractable power units. With over 20 years’ experience in the industry and with customer satisfaction our number one goal, our team will thoroughly discuss and assess your specific needs and work to deliver a solution to fit. We only work with manufacturers that we believe offer the most reliable and highest quality products and we offer a full technical support and aftercare service, always having someone at the end of the phone or email when you need.

T: 0161 320 6462 | E:




All aspects of parking control and enforcement using the latest technology and software on the market Warden Patrol Ticketing Parking Charge Notices have been widely used throughout the UK for many years by local authorities and now, housing associations, managing agents and private land owners can also benefit from this enforcement system.

Pay and Display Machines

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We can supply and install pay and display machines, which take cash or credit card payments. These are battery operated machines with integrated solar panels, therefore no mains power supply is required.

ANPR Ticketing ANPR (Automatic Number Plate Recognition) uses hi-tech CCTV cameras that are monitored using wireless GPRS to automatically issue Parking Charge Notices.

DIY Ticketing This is the enforcement method that puts you in total control and can be tailored to any clients needs, from single to multiple spaces.

Vacant Land Wanted Start making money from your wasted car parking spaces or vacant land. We could turn that wasted space into a cash generating asset by charging people to park there. Line marking can also be arrange if required.

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Health Business Transport & Logistics Award: winner and commended organisations Winner: Yorkshire Ambulance Service NHS Trust (YAS) YAS has introduced three new hydrogen-electric support vehicles to its transport fleet and is also working with a low emission technology company to build a prototype hydrogenelectric ambulance. It is the first ambulance service in the country to introduce the support vehicles and has set itself the challenge of making the entire fleet as eco-friendly as possible over the next few years. Several other projects to reduce its carbon footprint include installing solar panels on more than 100 ambulances. The Hillingdon Hospitals NHS Foundation Trust The facilities department at Hillingdon has placed a great emphasis on improving its transport, green travel and parking services and facilities. The trust won a joint bid for


funding to put in place a Santander Bike Scheme whereby the hospital has its own 10-bike docking station. This is part of a cycling route with other docking stations to the main town of Uxbridge to link up with the public transport network. Northern Lincolnshire and Goole NHS Foundation Trust The Trust has been recognised for introducing plug-in vehicles to its fleet and has received ‘Go Ultra Low Company’ status. As part of its long-term travel plan, the trust has committed to increase the number of EVs it has on the roads by more than 10 per cent over the next few years and aims to give as many employees as possible the chance to drive or own an electric vehicle. Oxford Health NHS Foundation Trust (OHFT) OHFT needed to reduce the

number vehicles parking at their sites and introduce a sustainable parking permit system for staff and patients. In addition, OHFT needed to encourage the alternative ways of travel. Basemap’s TRACC was the perfect system for defining the distance from home to work using travel time analysis, which enabled the trust to prove that there were a certain number of people locally who didn’t need to drive to work and could travel a different way or park in a different place. Western Sussex Hospitals NHS Foundation Trust The Trust has invested in improved facilities for walkers, cyclists and bikers, which include CCTV security, lockers and showers. In addition, the Trust is joining the easit Network, providing staff with 15 per cent off rail travel and discounted bus fares. A staff minibus service will help reduce single occupancy car movements during the day.

+44 (0) 1628 876 420

About Us We are a provider of intelligent parking & transport products and services.    Our platform can be deployed to provide a range of solutions, with integration and development options available. Our hardware is built locally in the UK.   Designed to fit your needs, our parking solutions include; Freeflow-ANPR, Pay on Foot, Pay & Display, virtual payments/permits, cash or cashless payments, validations,

ticketless and more. Our solutions can be white-labelled and tailored to fit your needs and provide an elegant customer journey. The NHS faces the challenge that parking is a grudge purchase, compounding the stress already being experienced by staff, patients and visitors. Our goal is to provide NHS Trusts with the technology to enable the parking-experience to be as seamless and easy as possible, whilst also ensuring strong levels of compliance. Here at Sagoss we provide everything that an NHS Trust would need, from the back-office software, UK manufactured hardware, design, installation, car park management and ongoing support and assistance.



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Torbay puts Trust in parking solutions from WPS Parking within hospitals poses a great challenge for patients, visitors and employees, and striking a balance between delivering an effective customer service and meeting costs is key

The issue of parking within hospitals is constantly in the news and evokes strong emotions from all sides of the debate. Finding the balance between meeting the cost of delivering a service with providing a customer experience that is sensitive to the environment is no easy task. Convincing employees that parking is not a right, but a privilege, is also a challenge. In the vanguard of industry thinking is Joanne Brimblecombe, the sustainability & site services lead within the estates and facilities management division of Torbay Hospital, part of the Torbay & South Devon NHS Foundation Trust. And supporting Joanne and her team in delivering their vision is parking technology specialists, WPS. Jo explains: “Parking should be fair


for all not free for all, and we support concessionary parking on our Trust site.” Complex site The Torbay Hospital site, while not especially large, is still noticeably complex. The diverse nature of the portfolio required a mix of solutions to be delivered: for the larger car parks, and staff car parks, a pay-on-foot solution is preferred, with barrier controls; for the smaller car parks, typically with a capacity of 20 vehicles or less, Jo has opted for Pay and Display. “Department of Health guidance recommends that ‘NHS organisations should consider Pay-on-Exit systems’. This is considered best practice and will improve the patient and visitor experience,”


Jo says: “Our site does not lend itself to only being able to offer one solution due to car park sizes so an option of both Pay on Foot and Pay and Display has been adopted and WPS has been able to offer Pay-on‑Exit and Pay and Display solutions.” In replacing and upgrading its parking systems, the estates and facilities management team undertook a strategic review of all parking within the hospital, ensuring that patients and visitors were allowed to park closest to the main buildings with staff parking in the furthest car parks on site. Disabled badge holders and drop off spaces were created outside entrances. Alongside managing a portfolio of approximately 650 visitor parking spaces, it also had to accommodate large volumes (up to 1,100 spaces) of staff parking. It had to achieve all of this while ensuring vital highways (i.e ‘the blue routes’) were kept clear, so that emergency vehicles would not be held up by vehicles queuing on the surrounding roads. Customer experience “Parking is the first experience our patients and visitors have of our hospital,” Jo explains. “It needs to be as smooth, hassle-free and as comfortable as possible, and that means having reliable systems that are easy to use, and easy to configure to manage concessions and other specific requirements.” The staff parking experience is similarly important: “At Torbay, we provide staff parking, and staff have to pay. They can do so either on a monthly basis, or pay as you go, but in both cases they use their NHS smart card that acts as an ID badge, a payment card, and a card to operate the barrier.” Hospital staff, Jo says, pay at different rates that are directly linked to the amount they earn, ranging from 50 pence to a maximum of £2.50 per day: “The WPS systems have been configured accordingly to recognise the different charging bands. Making staff pay for their parking can be controversial and we were happy at how well the new system was received.” In terms of visitor concessions, Torbay has adopted an innovative approach that gives them total discretion and control. Thanks to the full TCP IP architecture of the WPS ParkAdvance systems installed, concessions can be easily accommodated: “We have three scanners at various reception desks connected over our local network and several hand-held USB devices in the wards simply connected to ward PCs,” Jo explains. “Certain wards (e.g the cancer ward, ICU etc.) can therefore validate tickets – creating daily or even a weekly ticket – when it is appropriate to do so. It gives them greater control and significantly improves the patient/visitor experience.”

Enforcement management Enforcement was another consideration: “We used to use a parking contractor via our local council to provide enforcement but they dealt with everything in black or white,” Jo continues. “Parking in hospitals is never black and white; there are many different shades of grey, and you need a system that allows you to accommodate many different situations and concessions, especially in the most sensitive cases. Today we have our own traffic team who work closely with the security team and an outsourced enforcement company be we retain control of any enforcement activity and have the final say on any appeal.”

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Discretion and control This level of control helps to avoid one of the biggest challenges every hospital faces. On the one hand, revenues are important to meet the cost of managing the parking estate; on the other, a recently bereaved visitor or patient just diagnosed with a serious illness does not need the additional stress of a penalty charge notice. Unauthorised and unwanted parking also has to be managed, and abuses minimised. Torbay Hospital manages to achieve the balance it needs, thanks in no small way to the flexibility of the WPS technology. “WPS technology was not the cheapest solution,” Jo concedes, “but offers the right level of technology, reliability, and ease of use. Its Pay on Foot systems have undoubtedly helped us to maximise our parking revenues.” In selecting a parking solution, and an equipment provider, Jo considered various options and suppliers. Among them was a system based on Automatic Number Plate Recognition (ANPR): “We did consider ANPR and there is a place for ANPR in hospital parking, perhaps in the future. But operators who install systems that rely on enforcement and PCNs for their revenues can sit very uncomfortably in a hospital scenario.” Another option considered, was one centred around chip coins: “We looked at chip coins but they are very expensive to replace and easily lost,” she says. “They also need to be hygienically cleaned to prevent the spread of infections.”

The ease of use for any new parking system was essential: “The systems needed to be easy to understand and operate. When the new WPS systems were first installed, we had teams outside to show people how they worked. Now we have an intercom, and visitors feel comfortable if they have someone they can speak to.” One of the advantages Jo has enjoyed working with WPS, is the level of technical support provided. She also appreciates the consultative approach taken to often challenging situations. One involved a particularly large staff car park. The challenge was how to ensure a smooth entry/exit for a large number of vehicles at peak times, without impinging on space. “WPS proposed a bi-directional lane,” Jo explains. “We initially looked at the option of having four lanes, (two in and two out), but this took up vital parking spaces. WPS proposed three lanes, where the middle lane becomes bi-directional and the others, one entry and one exit. The middle lane is on a timer, so at the busiest times in

the morning, it becomes an entrance, and in the evening, it switches to become an exit.” Latest technology The technology on site is constantly being upgraded and replenished, with legacy systems removed and new WPS technology installed as budgets allow. Among the most recent systems to be delivered, is the new ‘TicketLine’ Pay and Display technology from WPS’ German partners, WSA. It is a leading-edge technology that provides flexible payment options including cashless and smart/loyalty cards. It also has real-time reporting capabilities. The hospital is also looking at how it can better integrate and rationalise parking at various community sites across the town. Jo is excited by what the future holds: “The principal advantage of the WPS technology is that it is effectively future proof,” she says. “That enables us to think freely and differently about what we want to achieve to enhance the customer experience, knowing that whatever we do, the WPS technology will enable us to do it.” Current thinking is towards barcoded letters to visiting patients, with allocated parking to further smooth the customer journey. Space counting and the wider use of variable message signs and parking guidance is also a consideration, as well as extending the system’s mobile capabilities. While the payment terminals already take cash and cashless (including contactless) payments, more recent payment methods can also be accommodated if required. “This all may yet be some way off in the distance,” Jo concludes, “but whatever we decide, we know that anything is possible with a systems’ provider that supports our car parking needs.” L FURTHER INFORMATION / 0845 094 1543




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Meeting in the capital Seminars, conferences and training days have a vital role in supporting and improving the NHS as they allow healthcare experts to share best practice and knowledge. We look at what London has to offer event organisers in the healthcare sector Following the EU referendum in June 2016, Mayor of London Sadiq Khan launched his #LondonIsOpen campaign to showcase that the capital city is united and open for business, and that despite the UK’s decision to leave the EU, it remains entrepreneurial, international and full of creativity and possibility. Since then, and only weeks away from the UK leaving the EU, Khan has made good headway in his ambition for London to be a 24 hour city, which not only encourages London’s night time economy and cultural scene, but also bodes well for those attending meetings, events and conferences in the capital. According to research from CBRE, London has topped a ranking for EMEA’s largest technology clusters, partly due to its ability to attract young millennial talent. The Times Higher Education (THE) World University Rankings revealed last September that four universities in London are listed in the top 40 – more than any other city in the world. Furthermore, taking into account the destinations on offer, London won in September’s Condé Nast Traveller 21st Annual Readers’ Travel Awards for Best UK City. Laura Citron, CEO of Visit London, said of the accolade: “It’s brilliant to hear that the readers of Conde Nast Traveller have crowned the capital as their favourite UK-city, and a true reflection of how London as a global city continues to attract and dazzle its visitors. From pop-up bars and edgy new hotels to international exhibitions and cultural arts festivals, London has a show-stopping autumn in store. Whether it’s your first visit or your fiftieth, London is a city that surprises at every turn and there is always more to discover.”

History, culture & technology London undoubtedly remains the envy of the world, with its incomparable mixture of history, culture and technology. Below the admirable city skyline sits a setting of political passion, hidden heritage and unrivalled diversity, where world-famous museums and galleries rub shoulders with Michelin-starred restaurants and where trendy pop ups stand beside stateof-the-art-auditoriums. Hosting a function in London is not only easy and convenient, it also gives visitors the opportunity to enjoy and experience this world-renowned capital. Valued venues London offers visitors the best of the old and the new. Historic landmarks and contemporary venues sit side-by-side and many can be hired for meetings or private events. The Royal College of Surgeons’ building has been the home of surgery since 1800 and is a fitting venue for healthcare professionals to host their events. The View is a new conference and events space at the Royal College of Surgeons, due to launch in January 2021, with sixth floor views of a tranquil green space in the heart of London. The Tower Room meanwhile is located on the More London Estate, overlooking Tower Bridge and offers stunning 180 degree views of the city’s skyline and the versatility to accommodate a variety of events, from conferences and workshops to receptions and product launches. With ever-rising numbers of business and leisure visitors to London, a variety of new hotels have opened across the capital. Amongst them is the InterContinental

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London – The O2, boasting an indoor pool, two restaurants and 18th floor Sky Bar, with panoramic views across the Thames to Canary Wharf and beyond, making it the ideal location to host an evening reception or meeting for networking drinks. It also has 20 multifunctional meeting rooms and a 3,000sqm ballroom, which will hold up to 3,000 delegates. The last few years has also seen a number of new restaurants open across the city, with some great function spaces, such as the Barbecoa St James, a new 9,000ft restaurant, set within an iconic new space at the historic Prince’s House. The restaurant uses meat selected by in-house butchers who search the length and breadth of the UK to find the very best produce for its distinctive dishes. For something more intimate and different, Damien Hirst’s Newport Street Gallery will be opening its new restaurant Pharmacy 2. This new venture will offer a fine dining experience in the evening, with Hirst’s ‘Pill’ pictures decorating the walls. Dave Rogers, corporate events planner at London & Partners, said: “London has huge cachet thanks to its unique venues and culture. It’s such a vibrant world city, businesses cannot help but feel motivated and inspired here.” Blending culture and technology With eight out of 10 visitors to London citing culture as their main reason for visiting, London is well and truly a global cultural powerhouse. The new Tate Modern opened in June 2016 and offers more space for new kinds of art as well as being a memorable new addition to London’s skyline. E



 London recently topped a chart of the most visited exhibition venues globally, in the 2016 AECOM and TEA Theme and Museum Index Report. The report lists the 20 most visited museums around the globe from last year, with the findings showing that four of London’s attractions - the British Museum, the National Gallery, the Tate Modern and the Natural History Museum, were included in the list. With the museums positioned at 6th, 8th, 10th and 13th respectively, London received the most entries alongside Washington DC which also bagged four spots on the table. Playing host to 40 per cent of European headquarters and over 40,000 tech businesses, London is now the tech capital of Europe. The Cities of Opportunity Index from professional services firm, PwC, named London number one and said the city is ‘technologically on the top of its game’. The report also listed London as the world leader in economic influence, technology access, reputation as an urban gateway, and its development and design capabilities. The UK capital claimed the number one position ahead of New York, Singapore, Toronto, and San Francisco. London Tech Week In 2014, London launched London Technology Week. Hailed a huge success by leading technology entrepreneurs, the event returned for 2017 with Sadiq Khan using the occasion to unveil his vision for London to become the world’s leading ‘Smart City’. Amongst his plans were a new £1.6 million Clean Tech Incubator called Better Futures, which will help 100 London-based small businesses to deliver low-carbon and cleantech products to tackle the causes and effects of climate change, and a pledge to appoint London’s first Chief Digital Officer (CDO), a position which will drive the development of smart city technologies. London offers a wealth of tech venues, such as Central Working and Google Campus in trendy East London, and is home to some of the best creative agencies on the planet. With venues such as the London Stock Exchange, Guildhall, Mansion House, the Barbican Centre or St Mary’s Axe (The Gherkin), the City of London – the historical heart of the capital – and Canary Wharf, London’s second financial district, also offer a wide range of venues fit to welcome tech and financial meetings and events.

projects including a digital installation called ‘Molecules in the Marshes’ on Walthamstow Marshes and a fashion exchange highlighting stories about the heritage of Pakistani makers in the textile trade already planned. The winner of 2020 London Borough of Culture is Brent, which, coinciding with Euro 2020, will see the world’s eyes fixed on the borough as Wembley Stadium is set to host seven matches including the semi-finals and final of the prestigious tournament, creating an opportunity for Brent to reshape itself as a destination for creativity and culture. Since then, over 70,000 thousand people gathered together this month to enjoy the spectacular opening weekend of Waltham Forest: London Borough of Culture, Welcome to the Forest. Residents from across the borough and audiences from all over London and beyond encapsulated the theme of Fellowship that the programme will be promoting throughout the year. World premieres of three new commissions by artists Greenaway & Greenaway, Talvin Singh, Addictive TV, Marshmallow Laser Feast and Erland Cooper created the unforgettable show Welcome to the Forest. Made with the help of thousands of local children and community groups, the weekend’s events provided a platform for local residents to shine and the stories of Waltham Forest to be told. The year-long programme will shine a light on the character and diversity of this London boroughs and demonstrate

that culture is for everyone. Welcome to the Forest was just the start. Khan said: “London Borough of Culture is a game-changer for the capital. It will give all Londoners, regardless of background, the opportunity to enjoy the capital’s fantastic cultural riches, discover places they never knew existed and will increase the level of participation in the arts across the city – especially in outer London boroughs. “But with such high-quality bids, deciding which boroughs should win was a very difficult decision. All boroughs who have bid should feel proud of their proposals. Huge congratulations to Waltham Forest and Brent for their superb bids. I know that both will deliver a programme of work that will benefit residents and make the whole city proud. I am particularly happy to see both bids have placed such importance on young people. It’s vital that young people get access to culture, regardless of their background, so that they can aspire to be our performers, artists, entrepreneurs and cultural leaders of the future. All of London has two exciting Boroughs of Culture celebrations to look forward to, and I can’t wait to see Waltham Forest and Brent’s bids come to life and improve the lives of people in their local communities.” L

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London Borough of Culture In February 2018, Mayor of London Sadiq Khan announced the winners of the first-ever London Borough of Culture competition, with Waltham Forest the first borough to be awarded the title this year, followed by Brent in 2020. Inspired by the UK City and European Capital of Culture programmes, each borough will be awarded £1.35 million of funding to deliver a programme of ambitious cultural activities, placing culture at the heart of communities and celebrating the unique character of local people and places. Waltham Forest will be the inaugural London Borough of Culture in 2019, with




Delivering secure software solutions for your facilities

Cleaner energy solutions for medical equipment

Our mission is to make sure you’re ready to deliver on yours. Accruent helps customers Shape, Drive, Manage and Control their physical worlds. Accruent’s software helps 10,000+ customers globally to gain efficiencies from boardroom to control room, by optimising processes, reducing cost and maximising value across their real estate, facilities and assets.   We are a leading global software provider delivering optimal visibility and control over your facilities, assets and those servicing them. Our configurable, modular solutions manage the breadth of facilities/ asset maintenance, compliance, equipment remote monitoring/ control, mobile workforce management, energy and sustainability as well as solutions for project management, lease management & accounting, room booking, document management

Aston Group specialise in offering innovative, environmentally conscious, energy solutions. We believe we have a viable cost-efficient alternative to the current model used by the NHS. With over £540 million spent annually on energy, they are heavily dependent on electricity powering the majority of their medical equipment. Until recently, the only electrical backup to grid supplied power has been generators, which produce ‘dirty’ power. This has the potential to irreparably damage expensive medical devices, or reduce the life expectancy of electromechanical equipment. Utilising a free resource such as solar power, is not only a more reliable option to other forms of electricity, but can cut costs. As the demand for renewable energy alternatives rises, the average cost of Solar PV equipment has

and capital planning.   Accruent’s technology delivers advanced analytics, reporting, real-time dashboards and alerting to deliver actionable information, in conjunction with advanced workflow functionality to manage process, performance, cost and compliance. This functionality is delivered on our secure, scalable and highly configurable platform, easily accessed by multiple users, whether desk-based or mobile.

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greatly reduced. The introduction and development of battery storage technology, alongside solar power have increased the benefits dramatically. Lithium-ion solar batteries have a significantly higher life cycle than lead acid batteries, storing more power, increasing efficiency. An additional benefit of using a renewable form of energy is the reduction of carbon emissions. Aston Group believe that the financial savings gained using solar power can be better allocated within the health service.



The benefits of solar panels for hospitals

Air conditioning and heat pump installation services

Hospitals rely hugely on machinery to help care for patients. From inexpensive equipment for short term care all the way up to state-of-the-art lifesaving machines – they’re all equally dependent on a steady stream of power, making energy supply an all-important issue for hospital staff. This energy can be readily supplied by our solar panel systems. Not only do they help reduce carbon emissions, making them good for the environment, but they provide helpful financial and economic benefits too. As well as reducing energy costs, solar panels can also act as a source of secondary income, which is particularly useful to hospitals as they can sometimes suffer under budget cuts. By helping out with the money situation, solar panels can help hospitals save on cash and redirect it to the departments

Established in 2002, we specialise in the installation and maintenance of air conditioning, heat pumps, refrigeration, ventilation and gas lighting. We provide a professional and reliable air conditioning/ heat pump installation and maintenance service throughout London and the UK. Our projects are carried out to the highest standard and we conform to all current health and safety standards and F Gas regulations. We are built on reputation and this drives repeat business. We are financially secure and can provide full HVACR, mechanical, heating and electrical skills in house and through our approved suppliers. Quality is key and we pride ourselves in holding the following accreditations: Gas Safe Register, FGas Certification, REFCOM Elite, SafeContractor, ISO 9001:2015, ISO 14001:2015,

and facilities that need it most. This helps hospitals become more productive and efficient, which has measurable and important positive impacts on staff and patients.

If you are interested in having a free no obligation quotation, then please do not hesitate to contact us on 01322 479957 or for more information on how solar can help your hospital/ doctor’s surgery then please visit our website below. FURTHER INFORMATION 01322 479957


Air Conditioning l Heat Pump Solutions l Refrigeration Ventilation l Electrical l Smart Energy l Building Controls

Renewable Energy Consumer Code, Constructionline, RISQS. Our projects range from small retail outfits and prestigious apartments to large commercial properties for blue chip clients. Our clients include: Tiffany & Co, Westfield, Galliard Homes, King George’s Hospital, Lanesborough Hotel, Selfridges, Tate Modern, Mulberry, JP Morgan, Wembley Arena, Savoy Hotel, The Honourable Society of Lincoln’s Inn, Tullet Prebon, and the Royal Institute of Chartered Surveyors.

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One stop ethical global healthcare recruitment

Innovative off-street parking management

The deepening UK healthcare skills crisis urgently demanded an ethical, safe recruitment portal open to the global workforce. Combining twenty five years frontline NHS recruitment experience with best-in-class technology, offers ‘one stop’ to search, secure and deploy high calibre talent from over twelve international destinations. Employers can now securely connect to one strictly vetted network, where all our ‘Endorsed’ agents adhere to WHO standards and the Endorse Code of Practice. Employers can submit international job orders and invite Endorsed agents to respond with proposals to fill your vacancies. They can also request tailored recruitment services for cost-effective recruitment campaigns and best-in-class candidate deployment, as well as reduce time, costs,

One of the world’s leaders in innovative off-street parking management systems, Orbility operate in the UK from it’s established offices in Portsmouth, Hampshire. With almost 50 years’ experience operating under various former well-known names, technology is a major driver offering solutions such as “Multipark” Web Portal allowing operators full and easy access in the supervision of parking, locally or remotely. Solutions tailored to fit customers’ requirements range from ticketed and ticketless ANPR, lane configuration at entry exit points, pay on foot stations including cashless options, manual cashier terminals, customised welcome messages and straightforward tariff manipulation when required. Support is available 24/7, further enhanced by a team of

overheads and governance with our ‘One Contract’ valid across all Endorsed agencies Julie Chapman, Head of Resourcing at CUH, said: “Endorse have been pivotal in offering a bespoke service which introduced us to alternative legitimate nursing agencies from overseas. “Matthew’s continued support as a conduit between ourselves and the agency enabled our Trust to manage overseas recruitment not only in a more cost-effective way, but also ensure the quality and recruitment experience of every nurse remains the focal point.”



Independent car park management advice Park Consult is a car parking focused consultancy firm. We provide specialist and uniquely independent car park management advice. Our aim is to identify parking limitations, provide parking solutions and maximise usage levels. We also aim to identify opportunities, improve the motorist experience, enable data collection, reduce costs and maximise revenues.   Our market knowledge, relationships with suppliers, knowledge of new emerging technologies and operational experience enable us to provide our clients with dynamic and robust car park management solutions. We form long-term relationships to keep our clients up to date with the latest industry news, legislation, best practices and technology to ensure their car parking operations are evolving and achieving

the highest possible standard of customer satisfaction. Put simply, we provide independent advice which enables us to provide our clients with the best parking solutions for their specific requirements.  For example, we can assist your organisation with its car parking management strategy development, payment systems, access control and bay monitoring and way-finding systems. What’s more, we can help with your organisation’s signage strategy, surface markings, electric vehicle charging point solutions and car park decking systems.


skilled field support engineers. We supply our solutions to a range of customers around the world from the largest hospitals and busiest airports to smaller and local off‑street services. Customers such as Edinburgh Royal Infirmary, Ashford and St Peters Hospital, Addenbrooke’s Hospital, Newcastle International Airport, Market Place Bolton, Perth and Kinross Council, all utilise Orbility parking solutions. We believe that parking should not be a headache and regardless of the size and scope of a project, we have the expertise to ensure the best installation is completed on time and to budget.


Northwest Parking Management – car park solutions for hospitals

Most parking companies don’t understand the issues faced by hospital car parks but we do. Balancing staff parking and huge numbers of daily visitors to hospitals means managing the car park can cause major issues. Through our many years of experience, we can help you to solve these problems. Some hospitals don’t realise how much revenue is lost through inadequate parking systems, Pay and Display only works if it’s managed correctly. We provide an enormously

valuable and effective car park management service; one which is bespoke for each location. We work to improve the patient experience but at the same time act as an effective deterrent. Our aim is to make parking simple and convenient for patients, visitors and staff.

FURTHER INFORMATION 01925 357412 www.nwparking





Fire rated glass is a crucial element in building safety

Security bollards to protect people and places

Fire protection strategies have dramatically advanced from fire glass technology, where once, fire escape routes were standard steel or wooden fire doors and walls. Fire glass testing and performance allows these out-dated methods to be modernised in any building or development. Fire rated glass can be a more aesthetically pleasing alternative and can contribute to safety, as the the glass allows fire and smoke to be detected more easily, allowing for a more effective escape plan. Risk assessments can help you identify any potential issues that you may have. Glass fire screens and doors can provide performance of up to 120 minutes integrity and insulation, depending on the glass and application used. It is vital that any fire rated glass is installed correctly and to FIRAS standards and must only be fitted as part of an appropriately approved glazing system.

Macs Automated Bollard Systems Ltd specialises in the nationwide supply of security bollards, automatic barriers, traffic calming and vehicle restriction solutions, and retractable power units. With over 20 years’ experience in the industry, the company has worked successfully with numerous large contractors and local authorities, installing automatic security bollards in towns and city centres all over the UK. Macs Automated Bollard Systems Ltd supplies a variety or semi-automatic and automatic bollards for applications ranging from urban regeneration, vehicle restriction, and traffic calming projects, to PAS 68 and IWA 14 crash rated systems for counter terror projects. Customer satisfaction is the organisation’s number one goal, and its team will thoroughly discuss and assess your specific needs, and work to deliver a

Fire Glass UK understand how confusing this can be and that is why the company has a dedicated technical help team to help with any specifications and issues that may arise. All of Fire Glass UK’s glass is rigorously tested and the organisation can advise if the glass your choose is suitable for your location – helping you to meet Building Regulations.

FURTHER INFORMATION Tel: 0121 521 2180

solution to fit. The company only works with manufacturers that it believes offers the most reliable and highest quality products, and Macs also offers a full technical support and aftercare service, always having someone at the end of the phone or email when you need.

FURTHER INFORMATION Tel: 0161 320 6462


The publishers accept no responsibility for errors or omissions in this free service Accruent


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Caterpillar (NI)


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Metric Group


Murray Equipment Co


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Elco Group


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Park Consult (UK)




Parking Ticketing


Franklynair 68

Pinpoint 10

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Gojo Industries


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HM Government ISS Mediclean Jactone Products JKE Security



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