Health Business Magazine issue 11.4

BUSINESS CONTINUITY – Taking an active approach to crisis planning PLUS MORE

www.healthbusinessuk.com

VOLUME 11.4

Providing efficient and cost effective services

CATERING FIRE SAFETYCall for higher standards in

buildings critical to the community

Comm

ent

03

THE BUSINESS MAGAZINE FOR HEALTH MANAGEMENT – www.healthbusinessuk.com

Volume 11.4 | HEALTH BUSINESS MAGAZINE

HEALTH BUSINESS MAGAZINE

DEAR READERDavid Cameron recently stated that he loves the NHS, and that’s the reason why he wants to change it. With figures suggesting the service will face a £20 billion funding gap by 2015, he might be onto something. But how to go about it? What measures to implement? According to a study, 94 per cent of NHS managers believe the government’s controversial health service shake-up is “irrelevant” and “dangerous” implying that this is not the way to go.

Another report, this one by the Chartered Management Institute, shows that although 81 per cent of those surveyed reported that their senior management view business continuity management as important or very important, just 64 per cent of managers working in the health and social care sector said that their organisations had BCM plans in place. It’s the duty of all managers within the sector to ensure that they have proactive plans in place to deal with the potential threats that could impact their business, says the CMI on page 54.

Through increased investment in infrastructure and the introduction of a wide mix of dining, accommodation, entertainment and cultural offerings, coastal resorts such as Brighton, Eastbourne and Scarborough, today rival even the most popular of conferencing cities. Find out more on page 41.

Enjoy the issue.

BUSINESS CONTINUITY – Taking an active approach to crisis planning PLUS MORE


VOLUME 11.4

Providing efficient and cost effective services

CATERING FIRE SAFETYCall for higher standards in

buildings critical to the community

Sofie Lidefjard, [email protected]

© 2011 Public Sector Information Limited. No part of this publication can be reproduced, stored in a retrieval system or transmitted in any form or by any other means (electronic, mechanical, photocopying, recording or otherwise) without the prior written permission of the publisher. Whilst every care has been taken to ensure the accuracy of the editorial content the publisher cannot be held responsible for errors or omissions. The views expressed are not necessarily those of the publisher. ISSN 1362 - 2541

If you would like to receive 12 issues of Health Business magazine for £95 a year, please contact Public Sector Information Limited, 226 High Road, Loughton, Essex IG10 1ET. Tel: 020 8532 0055, Fax: 020 8532 0066, or visit the Health Business website at:

P ONLINE P IN PRINT P MOBILE P FACE TO FACE


PUBLISHED BY PUBLIC SECTOR INFORMATION LIMITED226 High Rd, Loughton, Essex IG10 1ET. Tel: 020 8532 0055 Fax: 020 8532 0066 Web: www.psi-media.co.ukEDITOR Sofie Lidefjard ASSISTANT EDITOR Angela Pisanu PRODUCTION EDITOR Karl O’Sullivan PRODUCTION DESIGN Jacqueline Grist PRODUCTION CONTROL Julie White ADVERTISEMENT SALES Jasmina Zaveri, Lucy Rowland, Beverly Sennet SALES ADMINISTRATION Jackie Carnochan, Martine Carnochan ADMINISTRATION Victoria Leftwich, Joanne MackernessSALES SUPERVISOR Marina Grant PUBLISHER Karen Hopps GROUP PUBLISHER Barry Doyle REPRODUCTION & PRINT Argent Media

www.apollo-fi re.co.ukwww.apollo-fire.co.uk

Our products save lives and protect property around the globe from the risk of fi re; a huge responsibility and one we take very seriously.

The Apollo Product Lifetime Guarantee provides a warranty on our products, which for detectors is 10 years (CO detectors, 5 years). The guarantee supports our recommended working life of our products, providing you with reliable, quality fi re detection.

Apollo is a member of Halma plc – a FTSE 200 holding company for over 40 subsidiaries worldwide, all of whom engage in specialist engineering activity.

* The Product Lifetime Guarantee is subject to terms and conditions. For further information, please refer to Apollo’s General Conditions of Sale which can be found on our website, www.apollo-fi re.co.uk

Protecting Lives and Property Worldwide

...for a Lifetime

www.apollo-fi re.co.uk

Officially tested and approved in all five operating modes.

Contents

05



07 NEWS

11 INFECTION CONTROLHand hygiene can go a long way when it comes to lowering infection rates. WHO promotes this simple action through its SAVE LIVES: Clean Your Hands initiative

We look at what measures Epsom and St Helier University Hospitals NHS Trust has put in place to reduce HCAIs

15 OBESITY MANAGEMENTDietitians are essential in ensuring the population achieves better nutritional status, says the British Dietetic Association

17 MOBILITY SOLUTIONSThe Naidex series of events are not to be missed by anyone in the disability, homecare and rehabilitation industries

21 CATERING‘L£AN & green’ was the theme for the Hospital Caterers Association’s 2011 National Conference

25 CLEANINGWe examine the benefits of using green cleaning chemicals in healthcare establishments

33 DESIGN & BUILDModular buildings have developed over the years to offer high quality constructions that comply with the latest building regulations

41 CONFERENCES & EVENTSThe promise of fresh sea air and a relaxed ambiance make coastal destinations perfect for business events

45 RECRUITMENTHow are recruitment practices responding to a volatile and uncertain labour market? Find out at this year’s CIPD annual conference

47 ENERGYThe Heat Pump Association explains how heat pump technology can help reduce both energy consumption and carbon emissions

49 FACILITIES MANAGEMENTWe examine common causes of air pollution and explain how you can improve air quality for a healthier indoor working environment

51 FIRE SAFETYThere is a strong case for requesting higher standards of fire protection in buildings that are critical to the community, says the Fire Industry Association

54 BUSINESS CONTINUITYThe Chartered Management Institute discusses what the health sector can do to prepare for different types of disasters

59 HEALTHCARE ITIf you are looking for innovative suppliers, insightful analysis and inspirational solutions, then you can’t afford to miss Smart Healthcare Live

CONTENTS

Health Business magazine www.healthbusinessuk.com

The home of safety since 1917www.rospa.com/occupationalsafety/training

Call: 0121 248 2233Email: [email protected]: HB05

Our training provides hands-on experience in realistic situations and is offered by expert trainers, many of whom developed their skills in the workplace and understand the difference between theory and practical application.

• ManualHandlingTrainers(3days) Provides an underpinning knowledge of physiology and up-to-date manual handling principles, along with practical knowledge on manual handling awareness training.

• ManualHandlingRiskAssessors(1day) Covers the positive benefits of manual handling risk assessment, analysis tools and risk assessment methods.

• ManualHandlingRecertification(2days) The quality of our courses is reflected in the high attendance rates for our recertification programme which keeps skills and knowledge up-to-date.

Callourtrainedadvisorsformoreinformation,coursedatesorin-companyoptions.

Giveyourworkforcealift

Don’t forget - RoSPA Members

benefit from professional advice,

discounted training and more!

TC0760 health business may ad.indd 1 9/5/11 16:26:09

Health Business New

s

07



NEWS IN BRIEF

More clinical leaders for the health serviceAnother 60 clinical fellows will be created this year as part of the National Leadership Council’s drive to improve clinical leadership. Following on from the success of the fellowships programme, the NHS will continue to develop the next generation of leaders in many different clinical settings so that they can take a more central role in improving services for patients. Speaking at a National Leadership Council event Secretary of State for Health, Andrew Lansley said: “Effective clinical leadership is crucial to the delivery of high quality healthcare in a modern NHS. We will be creating at least 60 more fellowships, open to all clinicians in all healthcare settings who will be able to improve services for patients, provide better value for money and drive out waste.” The new fellowships will receive high quality on-the-job clinical leadership and management training, and will receive bespoke leadership development linked to service improvements.

One in six GPs sees bullyingOne GP in six has witnessed incidents of bullying by another GP in their practice, according to Pulse’s State of the Profession Survey. The poll of 576 GPs found 16 per cent had witnessed a GP

being harassed by a colleague, while 18 per cent said they knew of GPs who had been bullied by NHS managers. Some 15 per cent of GPs reported seeing a GP bullying practice staff, while 17 per cent said they had seen bullying of a member of practice staff by another staff member at the practice.

Hospital hosts first all-male antenatal classesA pilot of what is thought to be the first all-male antenatal class in the UK has started at Peterborough City Hospital. The pilot health service courses are headed by Dean Beauont, who has qualifications as an antenatal teacher. If the ‘DaddyNatal’ pilot runs successfully, it could be offered at hospitals around the UK. The antenatal classes are taken from a different perspective than normally and give men an opportunity to talk about their fears in a relaxed, all-male group, where they can admit to being scared without their partners being present. Clare Carter, a matron and midwife at Peterborough City Hospital, said: “Men’s roles have developed and they’re very much more involved in family life today. “They need to have an understanding of what women go through and how they can help and support their partners.”

Scientists have found a gene in fat they claim to be the master switch in controlling metabolic diseases like obesity, heart disease and diabetes. In a study published in the journal Nature Genetics, researchers said that since fat plays an important role in peoples’ susceptibility to metabolic diseases like obesity, heart disease and diabetes, the regulating gene could be target for drugs to treat such illnesses. “This is the first major study that shows how small changes in one master regulator gene can cause a cascade of other metabolic effects in other genes,”

said Tim Spector of King’s College London, who led the study. Researchers analysed more than 20,000 genes in fat samples taken from under the skin of 800 British female twin volunteers. They found a link between the KLF14 gene and the levels of many other distant genes found in fat tissue, showing that KLF14 acts as a master switch to control these genes. They then confirmed their findings in 600 fat samples from a separate group of people from Iceland. Researchers are now looking to find out how this gene can help with treatments for obesity-related diseases.

Scientists find gene linked to obesity

BARIATRIC PATIENTS

A new state-of-the-art medical teaching facility is being proposed by the University of Leicester. The £30 million Medical Teaching Building will house teaching rooms and computer laboratories in one of the most energy efficient buildings of its kind in the UK. The development will allow the University to continue to enhance its excellent reputation for medical teaching. It will replace teaching undertaken by the University’s College of Medicine, Biological Sciences and Psychology in the current medical sciences building, which was constructed in the mid 1970s. The University of Leicester has entered into an agreement

with Regent College in order to develop the site on land currently owned by Regent College. The University of Leicester intends to make a fully detailed planning application to Leicester City Council this month. Subject to approval, the University will agree a purchase of the site from the College with view to developing the site by the 2013/14 academic year. Professor Stewart Petersen, head of medical and social care education, said: “This fantastic new building will ensure that Leicester medical students learn in the best possible facilities, so they may be very well equipped to face the challenges of medicine in the 21st century.”

New £30 million medical teaching facility proposed for Leicester University

DESIGN & BUILD

Credit: Associated Architects

TO READ MORE PLEASE VISIT... www.healthbusinessuk.com/006

Prescription drug addiction addressedAddiction to prescription and over-the-counter drugs was addressed at a recent GP summit following publication of two new reports into the scale of the issue. The two studies, which were conducted by the National Addiction Centre and National Treatment Agency for Substance Misuse, provide important insights into the issue of addiction to medicines and will inform future guidance and policy.

A bespoke nurse call system helps the team a pleasing price tag helps the bottom line

For a demonstration and no-obligation quotation

call free on 0800 068 7419email [email protected]

When staff are under pressure, every second counts.

The touch-screen nurse call system is an invaluable

support structure giving priority to emergency calls.

The touch-screen unit offers management accountability

for staff’s response to patient calls. And because the

08 system is bespoke, your working practices will be

integrated to ensure a safe and reliable nurse call system.

The system goes beyond being the ultimate in wireless

radio nurse call. Its allows for add on facilities such as

products for dementia care and mains switch control.

Don’t be misled into thinking such cutting edge technology

must have a heavy price tag. This unique system is

surprisingly affordable without compromising results.

Unique features include:■ Instant caller location with

on screen map

■ Future-proof system can be extended and updated

■ Safe, reliable and easy to use

■ Class 1 standard

■ Pan European frequency

Antimicrobial

8696(003) Health Business hosp_297 x 210 17/11/2010 15:11 Page 1

Health Business New

s

09



NEWS IN BRIEFHealthier staff at East Lancashire HospitalsSickness absence among staff at East Lancashire’s hospitals has been reduced by more than 11 per cent in just 12 months, thanks to innovative initiatives. East Lancashire Hospitals NHS Trust’s Fast Physio service for staff has helped more than 500 employees either return to work or avoid time off with its fast-track support and treatment for back and joint pain.

Invisible hearing device launched in the UKA new hearing device that can be inserted into the ear has been launched in the UK. The device, which is 16mm long, is inserted deep into the ear canal and is designed to be so unobtrusive that users can forget they are wearing it. The Lyric hearing aid is inserted just 4mm from the ear drum and allows the outer ear to direct sound into the ear canal more naturally. This improves the wearer’s ability to work out what direction a sound is coming from and reduces feedback.

RECYCLINGMilk bottle collection helps Basildon University Hospital save moneyStaff and patients at Basildon University Hospital have successfully collected and compacted 40kg of plastic milk bottles to produce its first bale of HDPE (High-density polyethylene). The Restaurant and Coffee Lounge separated out all of their bottles and waste manager Fraser Cutting (pictured) visited wards to collect up suitable material, resulting in their first bale that can be sold. The current price for HDPE is around £330 per tonne. The income generated will be used to help pay for the cost of disposing of the hospital’s general waste. It also means the trust won’t have to pay for disposing of the HDPE material, whilst helping to reduce its carbon footprint. Fraser said: “We are also well on our way to producing bales of PET (polyethylene terephthalate) through collection of fizzy pop bottles and aluminium cans.”

An innovative new design for bed clothes worn by hospital patients is being trialled on one of the elderly care wards at Darlington Memorial Hospital. The Pyjown, designed by Diane Hindson, a back care advisor at County Durham and Darlington NHS Foundation Trust, aims to protect a patient’s dignity while also making it easier for the patient to be dressed. It is a one piece top, with wide, short sleeves, which makes it easier for IV tube access and the button, partial front opening allows for easy access to the chest for ECG or examination purposes. The button front and the plastic snap fasteners also mean that there is no interference with X-rays or MRIs. Diane explained: “Maintaining patient dignity and promoting their comfort is a major benefit of the Pyjown. Taking care of the staff/carers and improving productivity is an added bonus. The ergonomic postural scoring tools confirm that dressing patients with restrictive shoulder joint movement with the traditional pyjama top is a high risk task for the carer.”

Innovative pyjamas protect patient dignity in Darlington hospital

PATIENT DIGNITY

The UK’s first online health tracker that lets patients track their recovery live and provides essential data to help shape clinical decisions in the NHS has been launched in the UK. HealthUnlocked Tracker is being trialled at the Royal National Orthopaedic Hospital (RNOH). The on-going pilot will measure the effectiveness of spinal surgery over a prolonged period, gathering essential data in an efficient and user-friendly way. HealthUnlocked Tracker is the UK’s first online patient-reported outcome measures (PROMs) system that lets patients record their progress in real time in-clinic using an iPad. The patients use the same system at home to track their progress over the internet.

iPad technology allows patients to record their recovery in real time

Doctors and nurses will benefit from getting live access to the system to assess a patient’s progress, while surgeons will be able to track the value of the operations they carry out. Health Secretary Andrew Lansley said: “This is a great example of how healthcare innovation can make a real difference to patients’ lives. “We want to modernise the NHS because we believe that patients deserve the best and most innovative treatments available. We are committed to creating an environment in the NHS where new medical technologies like this can flourish.”

TO READ MORE...www.healthbusinessuk.com/008

TELECARE

TO READ MORE PLEASE VISIT... www.healthbusinessuk.com/007

DH new style online bulletinsThe department of Health has launched two new style bulletins on its website. The purpose of the AHP and GP bulletins is to provide latest information from the department for professional health groups. The bulletins are designed to be more interactive, facilitating user engagement and allowing for subscriptions, user feedback and much more. It will provide resources on health policy and practice for GPs and the primary care audience, including practice managers and nurses.

Guide to improve ethical purchasing launchedA practical online toolkit to help UK health organisations improve the working conditions of those who produce NHS goods has been launched the British Medical Association, in partnership with the Ethical Trading Initiative (ETI) and the Department of Health.

To find out more about safe, easy to clean environmental control for healthcare, visit www.dyson.co.uk/fans

Awkward and time consuming to keep hygienically clean.1. Clean front grille with a brush. 2. Unscrew then remove front grille. 3. Clean front of blades with a cloth. 4. Clean rear grille with a brush. 5. Clear rear of blades with a cloth. 6. Reattach front grille.

Easy to keep hygienically clean.1. Wipe with a cloth.

Infection Control

11



Hundreds of millions of patients around the world are affected by health care-associated infections (HCAIs) each year. Most of these infections are preventable through good hand hygiene – cleaning hands at the right times and in the right way. The Clean Care is Safer Care initiative, launched in October 2005 by the World Health Organization, aims to promote best hand hygiene practices globally, at all levels of healthcare, as a first step in ensuring high standards of infection control and patient safety. An annual campaign – SAVE LIVES: Clean Your Hands – was launched in 2009. More than two thirds of Ministries of Health from Member States have signed formal statements pledging their commitment to take action to reduce HCAI at the country level, in particular through hand hygiene improvement. Furthermore, 13,226 hospitals and healthcare facilities in 153 countries or areas have registered their commitment to hand hygiene as part of this global campaign.

SELF-ASSESSMENT FRAMEWORKThe call to action for this year’s campaign, taking place 5 May, was ‘Track your progress, plan actions and aim for hand hygiene sustainability’. Healthcare facilities can achieve this through the use of the WHO Hand Hygiene Self-Assessment Framework. This is a tool with which to obtain a situation analysis of hand hygiene promotion and practices within an individual healthcare facility, according to a set of indicators. It

also acts as a diagnostic tool, identifying key issues requiring attention and improvement. You can calculate the score of each section and the overall score to identify at what level of progress your facility stands, and evaluate with your infection control committee and hospital administrators which areas need improvement and whether any of these can be targeted with specific approaches (e.g. staff education,

preparation of new posters/reminders, etc). In total, the WHO Hand Hygiene Self-Assessment Framework has been downloaded over 33,000 times thus in support of achieving this call.

ACTIVITIESLet’s look at some of the events that took place in hosptials across the country on 5 May. Members of Croydon Health Services Infection Control Team made themselves available to provide information, advice and best practice techniques to staff. Lead nurse for infection control, Sarah Watts, said: “We spent the day promoting the importance of infection control: hand hygiene, our dress code policy and ensured staff had cleaned their hands properly using the ultra-violet light box, which highlights areas on the hands that have been missed. “Patients should feel reassured that our staff know how to clean their hands and the importance of doing this. Importantly patients should remember it’s ok to ask staff if they have cleaned their hands before and after any procedures.”

RAISING AWARENESSRotherham Doncaster and South Humber NHS Foundation Trust (RDaSH) held two public awareness-raising events on 5 May, where healthcare workers demonstrated how to wash hands effectively. The trust that runs Colchester General Hospital and Essex County Hospital

staffed information stands and visited wards and departments to test staff’s hand hygiene and compliance with the organisation’s bare below the elbow policy. The trust’s chief executive, Dr Gordon Coutts said: “There are many measures that the trust takes to prevent infections, such as keeping the hospitals clean, using antibiotics in the right way and treating patients in isolation when it is appropriate to do so. However, the

single most effective step that healthcare staff can be take is to simply wash their hands effectively and before each patient contact. “While the WHO campaign is focused on healthcare workers, there is also a strong public health message here – if we all wash our hands well and regularly, there will be less infection in the community, as well as in hospitals.” Staff at Blackpool Teaching Hospitals have produced a DVD stressing the importance of hand washing to show its support for the WHO’s campaign. Chief executive Aidan Kehoe said: “It is really important that everyone in the organisation knows the importance of, and promotes, good hand hygiene to help create a safe environment for our patients. Preventing hospital infections is one of the trust’s key priorities as it is one of the biggest areas of public concern.” The DVD has now been placed on the trust’s official You Tube page.

MASTERCLASSESNHS Tayside held masterclasses for staff to give them a better understanding of the hand hygiene audit process in relation to capturing the data and using it as a means for improvement. NHS Tayside hand hygiene coordinator Margaret Kennedy said: “These sessions are bringing together various staff groups to ensure our understanding and practice is robust and particularly is embedded in improvement methodology. “It is through working together in a supportive, constructive manner that we can achieve our best improvements.”A new alcohol-free hand hygiene station is also being trialled outside the Dining Room on Level 5 at Ninewells. The trial aims to make hand hygiene facilities more accessible and will encourage staff, patients and visitors to use it prior to having any food or drink at this dining room. RUGBY ACTIONScarlet’s rugby players Ken Owens, Scott Williams, Gareth Davies and Daniel Newton helped continue the war on bugs by letting everyone know they need to ‘Pass the ball and not the germs!’ at Glangwili Hospital. Ward staff and local pupils from Ysgol Nantgaredig were asked to produce posters to promote hand hygiene with the hospital’s special guests choosing the winning designs. The poster by Gwen Lewis from Nantgaredig School was chosen as the winner for its creativity and winning messages, and was presented with a signed Scarlet shirt. Sharon Evans, lead infection prevention & control nurse for Hywel Dda Health Board, said: “Hand hygiene is an important part of controlling infections in our hospitals. We all have a responsibility to bring down infection rates – it is everybody’s business and we all have a role to play. This includes our staff, patients and visitors to our hospitals.” L

CLEAN HANDS

The World Health Organization’s SAVE LIVES: Clean Your Hands day took place earlier this month, reminding us about the importance of hand hygiene to help bring down infection rates

COMMITMENT TO PATIENT SAFETY

The Clean Care is Safer Care initiative aims to promote best hand hygiene practices at all levels of healthcare, as a first step in ensuring high standards of infection control and patient safety.

HEALTH BUSINESS MAGAZINE Volume | 11.4


12

Controlling water temperature is a well-established tool in the fight against Legionnaires’ disease. But putting theory into practice can be expensive and time-consuming for busy hospitals monitoring multiple water outlets for ACOP L8 Compliance. UK thermometer expert TME has the ideal solution – a handheld logging thermometer that records temperatures accurately without the need for wireless monitoring. The new device also does away with paper records, which are vulnerable to human error and false reporting. The MM7000 ThermoBar Scan is a unique Bluetooth thermometer with an integral barcode scanner. It can record not only time, temperature and date – as with conventional thermometers – but also the unique identity of any tap, pipe or sentinel point in a building. The device can store up to 1,000 readings at a time, and its Bluetooth facility enables the user to download these to

a PC, PDA or mobile. The data can be then be inerrogated using the open source software included, compatible with all common office databases. At only £375 including software, the MM7000 won’t break many budgets. It can also be purchased in kit form with a carry case or holster, and when used in combination with TME’s unique two-in-one surface/immersion probe (KS01-S), will make the job even faster.

FOR MORE INFORMATIONTM Electronics (UK) LtdTel: 01903 [email protected]

New device fights Legionnaires’ disease

30 per cent of people don’t wash their hands after using the toilet, 66 per cent don’t use soap but 100 per cent do use the door handle to exit. This hygienic door handle has an anti-bacterial plastic wrap over the handle that automatically recovers itself every time someone exits the toilet. With 2,600 uses per refill, this is a low-cost solution to a high profile problem. Already being used in NHS hospitals, dentists and doctors surgeries, city councils, care homes and in corporate situations, this is a very visible way to demonstrate that you care about your customers, patients, visitors and staff. Healthcare Acquired Infections (HCAIs) cost the NHS an extra £1 billion each year. The hygienic handle can also assist with HTM 01-05 compliance or mitigation of

risk anywhere the public have access – helping to ensure infection is not passed on.

FOR MORE INFORMATIONVisit our website www.streamhygiene.co.uk to see the demonstration video and some of our testimonials.

Hygiene innovation from Stream Hygiene

ZAPLEX disposable remote control protectorsare injected with an antibacterial compoundproven to help hospitals avoid the all-too-common hand-to-remote transferring of a cold, flu or MRSA

The Protector ZAPLEX™ remote control protectors are the sanitary solution to remote control-transferred germs in hospital rooms. The low-cost, disposable plastic covers also help properties prevent the loss of remote control battery compartment covers and batteries. Following are just a few of the features of ZAPLEX™ remote control protectors:

3 Easy for housekeeping staff to apply;3 Disposable: Change in seconds with each new guest;3 Antibacterial-injected compound provides added sanitary protection;3 High perceived impact at a low-cost-per-stay ratio;3 Saves on lost batteries and remote control battery compartment covers;3 Protect remote controls from spills and grime; and3 One size fits virtually all remote controls.

Global Entertainment Management (UK) LimitedContact us today on 0845 260 2180 or via email: [email protected]

Bacteria-ridden remote controls are thelikely place for patients to get a cold or flu.

Infection Control

13



Jane Ward is the head of environmental support services at Epsom and St Helier University Hospitals NHS Trust and, after working for the organisation for 23 years, has some top tips about managing the hospitals’ environment. She said: “We’re committed to keeping our patients and visitors as comfortable, safe and as happy as they possibly can be. That means more than 300 support staff, including cleaners, porters, security officers and many others, working all year round to keep our hospitals in tip-top condition. “But the fact is, it’s the little touches that

really make a difference. Just really simple actions can have a marked difference on how our patients feel about their stay with us. One example of that is the new toilet door handles that we have installed across our hospitals.”

SIMPLE BUT BRILLIANTThe trust has recently invested in a number of new door handles that come with an automatic sleeve dispenser, which covers the door handle with a clean film of protective plastic every time it’s used. Jane said: “I know it sounds funny, but the new toilet door handles are making

a real difference and we’ve been flooded with positive feedback about them. Thinking about touching a toilet door handle that’s been used by someone who hasn’t washed their hands is enough to make most people squirm. But with these new door handles, every one can relax – any time you touch that handle, you know that no-one else’s hands have been there. It’s simple, but brilliant.” Across Epsom, St Helier and Sutton hospitals, you can see other small touches made by Jane and the team on a daily basis – including new state-of-art hand driers in bathrooms, individual a la carte menus for all of our patients and a bed checklist system to make sure that every bed has been cleaned and properly prepared for each person. Jane added: “Everybody knows how important it is that our patients get the very best possible clinical care, but a huge part of that is how clean, tidy and welcoming our hospitals are. It’s a big job, but it’s one that we’re passionate about and I’m pleased to say that with every small step we take to improve, we’re benefitting our patients.” L

FOR MORE INFORMATIONwww.epsom-sthelier.nhs.ukTwitter: twitter.com/epsom_sthelier

HYGIENE

A CLEAN, TIDY AND WELCOMING ENVIRONMENTEpsom and St Helier University Hospitals NHS Trust has introduced a range of simple measures and new technologies to improve hygiene and combat healthcare associated infections

Nursing Hygiene Charwood House, Oakhurst Business ParkSouthwater, West Sussex. RH13 9RT.

The Vario wheelchair makes it easy to have a wheelchair available for a wide variety of users. Vario boasts an adjustable width from 39-50cm, combining 8 wheelchair models into 1 and covering 80% of user requirements. And its lightweight, rugged construction makes it good for years of reliable service.

Available exclusively from Nursing Hygiene, Vario makes quality provision straightforward and cost-effective. If a user’s size is changing over time, Vario can change with them. Whatever the requirement, with Vario you’ll probably have it covered.

• Adjustable seat width from 39-50cm

• Adjustable seat height from 42-53cm

• 8 standard wheelchair sizes in 1

• Lightweight durable aluminium frame

• Complies with EN12182:1999, EN12183:1999 and European Medical Devices Directive 93/42/EEC

For over 20 years, Nursing Hygiene has met the detailed needs of care homes and those in care. Our experience and product range extends to specialisation in bariatric requirements.

We have a wide range of Bariatric equipment and furniture for purchase or rental under our Medi-Rental scheme:

Request more information, a price ora demonstration – Call 01403 825825

Adjust this wheelchairto fi t the size required

T: 01403 825825F: 01403 825826E: [email protected]

• Lounge/bedroom seating • Profi ling beds

• Specialist seating • Mobility • Hoisting

One quality solution for bariatric usersMany more from Nursing Hygiene’s bariatric department

835_NH_Full Page Advert_V3.indd 1 14/02/2011 17:48

Obesity M

anagement

15



The 2010 NHS White Paper ‘Equity and excellence: Liberating the NHS’ outlined drastic changes to the way the NHS in England will operate. With commissioning consortia controlling most of the country’s NHS budget they will direct services and spending, with a vast role in commissioning services for patients. The Allied Health Professions (AHPs) – of which there are 12 including dietetics – need to organise themselves to ensure representation on the consortium boards and to influence the commissioning agenda. As Karen Middleton, chief health professions officer, wrote in ‘Dietetics Today’ last year: “This is not about the status of allied health professionals. It’s about making sure that the commissioning decisions are informed by those services that can make a real difference to the true outcome for the patient.” Dietitians, through their skill and training in nutrition, are uniquely placed to lead a change in quality, improving outcomes for patients. Investing in dietetic and nutrition services will result in patients who are more content and get better quicker; cutting costs as patients leave care earlier and are less likely to return. “Dietitians have a key role to play. They can often prevent a problem that can cause significant complications, and can compromise quality of life and lead to considerable cost for the health and social care system,” noted Baroness Greengross when discussing AHPs in a House of Lords debate in October last year.

SHARE MY GOOD IDEAThe British Dietetic Association (BDA), the professional association for dietitians, set up the Share My Good Idea scheme to demonstrate how dietitians are meeting the challenges of innovative practice, saving money or improving safety or effectiveness of care. The scheme gives dietitians the chance to share their successes, giving the BDA examples of best practice with which to promote the added value of dietetics to healthcare. One such good idea centred on reducing inappropriate prescribing. With the NHS in Scotland spending £946 million a year on prescription drugs in primary care, medicines management is key to reducing costs. Grampian based dietitian Carole Noble set up two education programmes to address

inappropriate oral nutritional supplement (ONS) prescribing. The first was a session for each GP practice in the area and the second a training programme for care homes aimed at cooks, care staff and managers. The main issues were lack of knowledge and long standing attitudes/opinions of staff towards nutrition and the use of ONS. Following the GP sessions, the number of patients referred for nutritional support rose from 37 per cent to 77 per cent, 40 per cent of which were subsequently managed without the need for ONS. The number of items prescribed decreased by 6 per cent and the rate of increase in spend reduced from 20-30 per cent to 4 per cent. The care home training outcomes were also impressive, with a 22 per cent reduction in ONS use and a 20 per cent reduction in community dietetic caseload, freeing time to focus on sustaining the changes. These results are consistent with the results obtained in other ONS projects, including ones across London and Warwickshire.

RECOGNISING EXCELLENCEDietitians are neither comfortable nor familiar with singing their own praises, but this will have to change in an environment where competition to provide services is becoming increasingly fierce. The profession is receiving recognition for its contribution to healthcare, most recently by entering and winning three categories in the 2011 Advancing Healthcare Awards. The ten awards, supported by all four UK health departments, recognise professionals that lead innovative healthcare practice, making a real difference to patients’ lives. The Chief Health Professions Officer’s Award for Leadership (England) – promoting the winner as a leader within allied health – was won by dietitian Vicky Chudleigh-Emson for her home enteral tube feeding service.

FEEDING TUBESOver the past five years Vicky Chudleigh-Emson has developed the home enteral tube feeding (HETF) service, covering Plymouth and part of Cornwall and Devon PCTs, working across both primary and secondary care. The service, which enables patients to be

self-caring, has shown to improve health outcomes and increase patient satisfaction. Additionally it has extended the role of the dietitian to cover the care of enteral feeding tubes/stoma tracts and has reduced the need for routine and emergency hospital admissions and the incidence of both infection and complication. HETF alongside Plymouth medicines management services made significant cost savings by changing medicines administered via enteral feeding tubes. Further, HETF has met six of nine standards of care above 95 per cent and the remaining three above 85 per cent, despite an increase in patient turnover from 45 per cent to 76 per cent since the service began.

OTHER WINNERSDietitians Debbie Provan and Sharon Little won the Achieving Excellence in Learning and Development award for their nutritional care in cancer education programme. The programme, set up in NHS Ayrshire and Arran in response to a staff survey, harnesses multi-media technology to deliver peer-assisted learning and multi-professional networking, enabling the sharing of good practice. Outcomes include improved nutritional knowledge and staff confidence leading to better nutritional care of cancer patients. The Enhancing Public Health and Creating Healthy Communities award was given for a scheme encouraging fast food outlets to sell healthier food, set up by dietitian Michele Sandelson and environmental health officer Altan Ahmet. Established in the London Borough of Tower Hamlets (which has one of the worst childhood obesity rates in England against one of the highest concentrations of fast food outlets), the scheme included nutrition workshops, healthier frying and healthier cooking lessons for food business outlets (FBOs). Nearly 90 FBOs have now been given a gold, silver or bronze award for changing the food they sell and had their business added to a borough map to encourage the community to use the healthier outlets. Improvements include an Indian takeway providing customers with free salad and fresh fruit, and a pie and mash shop cutting all hydrogenated fat out of their pastry and reducing saturated fat content by 20 per cent. The BDA is committed to supporting the changing healthcare climate, fighting to ensure trained dietitians are at the forefront of services, an integral part of multidisciplinary healthcare teams and remain a trusted source for advice. Armed with evidence-based knowledge and practical experience, dietitians are essential in ensuring the population achieves better nutritional status against the bleak backdrop of declining public health. L

FOR MORE INFORMATIONwww.bda.uk.com

DIETICIANS

Dietitians are essential in ensuring the population achieves better nutritional status against the bleak backdrop of declining public health, says Esther Avery of the British Dietetic Association

MAKING A REAL DIFFERENCE

Luxury Heated Toilet Seat with Warm Water Spray andBlow Dryer for the Ultimate in Cleanliness and Comfort

EASILY REPLACES MOST STANDARD TOILET SEATS

The first electronic bidet toilet seat approved by the Water Regulations Advisory Scheme

Oscillation

Power Saving

HydraulicSeat & Lid

Self-Cleaning

Feminine Wash

Seat Sensor

Air Drying

Posterior Wash

Built in Filter

Quick Release

Pulsation

Heated Seat

Tel: 01603 426700 Fax: 0800 0148670 www.pdshygiene.com E-mail: [email protected]

Mobility Solutions

17



Event organisers and exhibitors alike celebrated another highly successful Naidex National (Birmingham NEC 5-7 April), with excellent visitor levels and even more to see and do than ever before for members of the public, trade and healthcare professionals. The popularity of this year’s Naidex National was evident in the unprecedented media coverage that the show received, with the BBC News 24 channel transmitting live links from the show throughout the first day, adding to the excitement and atmosphere of the event. As the whole country struggles under the recession, manufacturers and distributors of disability products are no different and equally feel the strain. The healthcare industry has seen many changes and with benefit cuts affecting the 1 in 10 UK residents registered as disabled

everyone is looking for guidance on what products are available to best suit individual needs. The organisers of Naidex National are delighted that this year’s exhibition triumphed despite the tough economic climate and welcomed a total of 11,312 visitors (subject to ABC audit). This figure is 5 per cent up on 2009 and stable with that of 2010, which was the most successful show to date.

MUCH TO SEE AND DOWith so much to see and do, the number of visitors attending for more than one day was up by 30 per cent on 2010. Many visitors returned for a second, and some a third day in order to take full advantage of the seminars and activities and to ensure that they had not missed any of the thousands of new products on display.

Graeme Forsyth, a loyal visitor to Naidex National commented: “This year we came for two days, because there’s just so much to see. For disabled people and those involved in working with and caring for them Naidex really is the best place to discover all the latest equipment that’s available.” Exhibitors were equally impressed with what Naidex National offered them this year with lots of feedback stating extremely high levels of enquiries and orders. When asked if the show had been a success for him and his colleagues Tony Wright-Jones, product manager of N&C Phlexicare commented: “Naidex National was particularly good this year because of the quality of visitors. The show is just getting better and better, and I’m extremely pleased with the high number of leads that we’ve received. Winning the Style Award for our Free Space Shower Doors was a real highlight for us, and has given the product fantastic publicity.”

AWARDSAs well as the inaugural Naidex Style Award, which set out to prove that independent living solutions can be attractive as well as functional, the prestigious New Product of the Year Award as voted for by visitors was also a highlight for exhibitors. This year the Millie-Mova from Jenry Ltd was crowned the winner, which thoroughly pleased director Henry Clayton: “We’re so grateful to all the people who voted and to Naidex National for producing a show that puts us in contact with our end users in a great, well-organised E

NAIDEX

SOLUTIONS FOR GREATER INDEPENDENCEWe look back at what happened during the recent Naidex National, and also forward towards Naidex Scotland in Glasgow and Naidex South in London, both taking place later this year

[email protected] 271233

Full ergonomic assesment service available helping the workplace become more accessible todisabled workers.

UK wide trainers to deliver software and hardware training on products to assist with hearing impairment, visual impairment and learningdifficulties.

Commited to providing assistivetechnology solutions for DSAstudents & workers withdisabilities via Access to Work.

Wyvern HouseNetherwood RdRotherwasHerefordHR2 6JJT:01432 271233F:01432 263550F:01432 263550

WyvernBusinessSystems

..Est 1984

www.wbs.uk.com

www.gastrichypnoband.com

The GastricHypno Band

The alternative to dieting or surgery.

One day programmes UK wide, Private

Practices, all include bespoke recordings & The Clarendon House

Guarantee

01245 494446

By Adrian Matthams Dhp

Mobility Solutions

19

NAIDEX

organisations and charities all designed to aid independent living. However, aside from the internet, there was no single place where healthcare professionals, carers, those with a disability and their families could access all the information they need until the launch of Naidex South in 2010 and it is still the only annual disability event in the south east of England. Launched to rave reviews last year when visitor numbers exceeded all expectations the event is expected to grow in terms of exhibitors and visitors in 2011. As part of the 2011 event the GLA Disability Capital Conference will be co-located alongside Naidex South, taking place in the Platinum Suite at ExCeL 20 October. “We are delighted to be able to announce this partnership with the GLA and believe it will add to the overall visitor experience” commented event director Liz Virgo. One of the most exciting elements of

this association between Naidex South and the GLA is the prospect of so many high level delegates visiting the show. The GLA expects over 900 attendees, including local government and council members, key NHS staff, wheelchair services, OTs, physios and charities. This means that Naidex South exhibitors will have the chance to engage with leading industry figures as well as important organisations and members of the public based in London and the south east of England. More information about Naidex Scotland and Naidex South will be released over the coming weeks including details on exhibitors, show partners and seminar speakers, and for those wishing to plan ahead the dates for Naidex National 2012 are now confirmed to be 1-3 May. L

FOR MORE INFORMATIONFor further information on Naidex Scotland and Naidex South please visit www.naidex.co.uk



Zone, where many of the UK’s leading vehicle converters will be exhibiting the latest wheelchair assisted vehicle developments. KideQuip is the must see zone dedicated to children with special needs, where visitors and healthcare professionals will be able to meet and discuss individual requirements and products with exhibitors. The zone is also designed to be a fun and interesting way for children to learn life enhancing skills.

NAIDEX SCOTLANDNaidex Scotland will showcase the best in independent living and mobility aids from over 180 exhibitors and promises to be a rich and rewarding experience for members of the public, trade and healthcare professionals alike. The show provides a unique opportunity for people in Scotland and the north of England to test and compare all the latest products and equipment that can

make a real difference to everyday living. Already confirmed as an exhibitor at Naidex Scotland this year is W Munro (Rehab) Ltd, one of the largest suppliers of medical equipment to the Scottish market. Sales director Gordon Munro, who has exhibited at the show on several occasions, commented: “We are very much looking forward to returning to Naidex Scotland this year, as it is always a great way to showcase new products and engage with customers and healthcare professionals. Being able to show people how our products work on stand rather than just showing them a brochure is extremely beneficial to all parties.”

NAIDEX SOUTHNaidex is particularly excited about the London event this year because when the doors open at Naidex South the Paralympics will be less than 12 months away and this is sure to be a prominent feature of the show. As the nation’s capital and home to an estimated 1.4 million people living with a disability, London is a hub of information,

E atmosphere. We’re absolutely delighted with the award and Naidex National has been a fantastic way to showcase the product in a wider environment and to even more people.”

PRODUCT LAUNCHESLaunching new products is certainly a trend at Naidex – where better to do so than the UK’s largest disability, rehabilitation and homecare exhibition. The launch of ReWalk at this year’s show gained fantastic publicity for the product, highlighting Naidex National as the perfect platform to showcase new and innovative designs. It is the combination of visitors ranging from disabled individuals and carers to healthcare professionals that makes the exhibition so unique and enables companies to engage with such a wide audience. Event director Liz Virgo was very pleased with the response to this year’s exhibition: “It has been wonderful to have such positive feedback from Naidex National 2011 and we are extremely pleased with how the show was received by both exhibitors and visitors. There was an incredible atmosphere this year, which I am sure was due to a combination of high quality exhibitors, exciting and innovative products and the right mix of visitors.”

OTHER EVENTSWith so many new product launches, seminars, demonstrations and inspirational talks it is easy to see why Naidex National remains so popular and successful. This success promises to continue throughout 2011, as for the first time ever there are not two but three Naidex events this year. Following on from Naidex National will be Naidex Scotland (taking place at Glasgow SECC 14-15 September) and Naidex South (at ExCeL London 19-20 October). Naidex National has certainly set the standard for the two subsequent events, which are sure to attract high numbers of visitors and receive a similarly positive response. Features at the two shows will include the Inspiration Theatre, an interactive forum where visitors can listen to inspirational case studies and watch practical product demonstrations, which was a popular and well attended aspect of Naidex National. There will also be the Communication Village, home to the latest communication aids and assistive technology, and the Car

With so many new product launches, seminars, demonstrations and inspirational talks it is easy to see why Naidex National remains so successful.

Over 200 ways to aid patient recovery

With apetito you have a choice of over 200 nutritionally-balanced dishes to cater for the dietary requirements of your patients.

To save you time and money, we provide meals in a range of pack sizes, which reduces wastage meaning you’ll only ever serve the exact number of portions required. Our product development chefs ensure every dish looks and tastes great.

All the support you need to stay cost effective

We understand that you have tight budget and time constraints. So, from day one, you’ll be assigned a Training and Operations Manager who’ll ensure a smooth transition from your existing catering provider. Once our meal service is up and running we will continue to offer training, waste management tips, optional audits and anything else you may need to get the most from your catering service.

“ apetito has given our patients a greater menu choice and our nursing staff confidence that they’re meeting everyone’s nutritional needs.” Duncan CrawleyFacilities and Catering Manager Powys Teaching Health Board

At apetito we deliver more than tasty, nutritious meals for your patients. We provide a personalised service for you too. We’re dedicated to offering individual training, useful advice and a range of systems and products to meet your patients’ needs. It’s our way of helping you run an efficient and cost effective service, day in, day out.

Dishes to cater for all your patients’ needs

Full training and service package for you

Assured safe food

book your free taste test today...or request our full information pack.call 01225 756071 email [email protected] go online at www.apetito.co.uk/hospitaltasting

helping your patients recover, helping you save time and money

000csc0511apet.indd 1 21/4/11 11:45:23

Catering

21



The 2011 Annual National Conference of the Hospital Caterers Association, which this year was entitled ‘L£AN & green’, took place at the Harrogate International Centre & Barcelo Harrogate Majestic Hotel 7-9 March. The conference focused on the primary issues facing the NHS and hospital catering in 2011 as well as the provision of efficient and cost effective services that are both lean and green. With the NHS facing the biggest cuts since its inception, many of the speakers explored the significant implications of the financial challenges that lie ahead. Presentations provided guidance and case studies for hospital caterers, which illustrated not only how to work smarter but to do more for less without compromising quality.

A DIFFERENT APPROACHThere was, however, a fundamental message from all speakers on the subject of lean, which was that taking actions that had cost savings as their primary objective, was the wrong approach. The aim for managers should be to, firstly, focus on improving customer benefits. Secondly, the direction should not be top down but bottom up. In other words, by driving customer focused improvements and efficiencies through front line staff consultation and involvement, it would increase productive working practices and lead to cost savings. The conference explored the ‘NHS Lean Improvement Programme’ and how it has been used to demonstrate efficiencies by considering case studies on the productive ward. It also examined the way in which this process can, as it releases time to care, improve the patient meal service. The process also addresses issues of asset utilisation, maximising income by marketing services and other measures to help reduce overall operating costs.

KEYNOTE SPEAKER The conference opened with keynote speaker, Roy Lilley, an independent NHS writer and broadcaster, outlining his views of a changing NHS. He commented that “the NHS was originally fit for purpose but life and lifestyles had changed”. He believed that it was time to re-design services and to fill the missing gap. It was, he said, not about food but the whole supply chain, involving everybody –

from nurses to patients and their relatives. He also said that “something happens (in hospitals) between the kitchen and the plate” commenting that with 31 per cent of patients having trouble with feeding, it is not possible to resolve the situation with the current levels of staffing. The challenge now, he said, was less about the food but more about how to feed patients.

CUSTOMER BENEFITSIn his presentation entitled ‘Lean thinking – there’s no instant pudding’, Paul Walley, associate professor at Warwick University, said it was not just about money, costs or savings but it should be expressed in terms of customer benefits. Cost savings were an outcome of making changes, not the reason to do them in the first place. He cited the Toyota car production ethic as an example of how to approach an improvement capability programme within the NHS. This involves engaging the workforce at the front line and for managers to spend more time there too. He said that taking a lean approach was not a quick fix solution but a long scale measure.

PRODUCTIVE WARDSAmanda Boyd and Jane Rosebury, productive ward facilitators, Pennine Acute Hospitals NHS Trust, explained how their trust was conducting ‘Lean in action – Productive Ward’. The overall aim of the exercise was to release time for care, freeing up nurses to look after patients and to improve safety and efficiency. The whole Productive Ward programme, which commenced in March 2009, will be rolled out to 80 wards at the trust. The objectives are to first monitor the whole meal production, delivery and service process to identify inefficiencies in the system and to change those that impede service delivery – such as trolleys being loaded in the kitchen, out of sync with the order of patient beds on the ward. Simple steps are leading to greater efficiencies and improvement in the meal service on the wards. As less time is required to sort and serve meals, more time is created for nurses to provide greater assistance to those who need help with feeding. As well as improving the nutritional status of patients, communication between the ward team and the catering department had improved and E

HCA CONFERENCE

‘L£AN & green’ was the theme for the HCA’s 2011 National Conference, which demonstrated how and why we all need to be doing more for less without affecting food or service quality

A LEAN AND GREEN FUTURE

JANICE GILLAN

Janice Gillan is the new chairman of the Hospital Caterers Association (HCA) from March 2011-13. She was elected to the position at the Association’s Annual General Meeting on 8 March and has taken over from Kevan Wallace, the former chair who has now completed his two year term of office. Janice has been a member of the HCA for over 16 years. She was branch secretary from 1996-2008 and then chairman from 2008-2011 of the HCA West of Scotland Branch. She was appointed national vice-chair 2009-2011. Janice has considerable experience of healthcare catering gained from nearly 30 years within the NHS. She started her career as a trainee cook and worked her way through various positions, gaining a range of qualifications on route. She qualified as a member of the HCIMA in 1988 and is currently a senior catering manager within NHS Ayrshire & Arran. She is studying for a Masters in Business Administration at the University of West of Scotland. Her current job involves responsibility for catering services within the 700-bedded Crosshouse Hospital and managing a departmental budget of £4.5 million for salaries and supplies and an income of £1.5 million. She says that one the biggest daily challenges in her job is tracking the movement of patients in a 98 per cent occupancy site. She has been involved with the Scottish Health Department including the writing of the Health Department Letter (HDL) Guidance on Trading Accounts, participating in Food in Hospitals Specification and Commodity Advisory Panels. She has represented the HCA at Health Facilities Scotland meetings and at Scottish Government level regarding that National Nutritional Catering Specification, Integrated Nutritional Care Steering Group, NHS Quality Improvement and Scotland Food, Fluid & Nutritional Care Standards. She has been nominated for numerous awards over the years, winning the Health Facilities Scotland Award in 2005 and the Cost Sector Catering Healthcare Award in 2006. She was also an HCA Caterer of the Year Finalist in 2007.



22

Cate

ring

HCA CONFERENCE

such as professor Ian Crute CBE, chief scientist, Agriculture and Development Board, Dominic Pattinson, lead – Food Policy Unit, DEFRA, and Sarah Pettitt, chairman, National Farmers Union Board for Horticulture & Potatoes, all stressed the need for caterers in the public sector to engage with the sustainability agenda. With over 300 million meals served every year and the NHS being the UK catering industry’s largest provider of meals, caterers were urged to recognise, on a wider basis, the important environmental role they can play by procuring food from sustainable sources. According to John Hughes of Nottingham University Hospital caterers can, by adapting their menus to maximise their use of local produce, increase their contribution to sustainability. It requires being more flexible with menus, thinking more about seasonality, increasing communication with producers and having control over budgets.

LOOKING AHEADSummarising the future now facing hospital caterers, new incoming HCA chair, Janice Gillan said: “Tough challenges lie ahead for all of us within healthcare catering and the NHS. Whilst we must continually aim for higher levels of service for our patients, staff and visitors to meet their expectations, we are facing major challenges as significant savings and economies have to be made in all departments. “We will all be considering how we can continue to maintain quality hospital food, sourced as sustainably as possible and to deliver efficient catering services within a National Health Service that is facing the biggest budget cuts since it began. “As the incoming chair of the HCA, I will be focused on providing our members with as much support and guidance as possible so that they can continue to achieve high standards and safeguard the nutritional care of patients.” L

profit. He went on to estimate that if the NHS got retailing right such as addressing its own brand of coffee outlets for example, it could be £200-300 million better off.

GREEN TOPICSGreen issues and sustainability were key subjects at the conference. Eminent speakers

E food wastage has dropped to just 3 per cent. The conference also highlighted to delegates how they can increase revenue through maximising sales in retail outlets. John Hughes, head of catering at Nottingham University Hospitals, explained how the introduction of two own-brand ‘Coffee City’ sites at his trust had resulted in £700k net

We have been providing refreshment solutions for over 40 years and have become a leading provider of drink, food and snack refreshments, generating sales in excess of £8m. An independent business owned by the second generation of the Balmforth family, we have established a reputation for quality, timely and trusted service. Our high standards and dedicated workforce have contributed enormously to our success. We can serve all our customers’ needs whether they require a fully operated service or specialised coffee equipment. Supplying a wide range of machines, we also offer a wide range of branded ingredients, such as Kenco, PG tips and Cadburys. Building on our success, we have continued

to explore other opportunities. With consumers looking for high street quality drinks at low cost, we launched Café Amore – a coffee shop concept that includes a vending machine which serves perfectly prepared drinks into a 9/12oz cup just like you would find on the high street. We exhibited at the latest HEFMA exhibition, showcasing how our products and services can fit in healthcare environments, keeping costs down whilst

generating a profit. More recently we were awarded as the supplier of hot beverages at the Whittington Hospital, London.

FOR MORE INFORMATIONAddress: 31 Bolling Road Bradford BD4 7HNTel: 0800 9153046 [email protected]

Providing hospitals with refreshment solutions for more than 40 years

Tough challenges lie ahead for all of us within healthcare catering and the NHS. Whilst we must continually aim for higher levels of service for our patients, staff and visitors to meet their expectations, we are facing major challenges as significant savings and economies have to be made in all departments.

23



Gift vouchers and cards make ideal staff and customer rewards, offering flexibility, a vast range of stores and ease of use for customers. As technology has advanced, solutions are now available that make operating a reward program both easier and quicker, with in many cases dramatic cost savings. The two major constraints of operating a voucher or gift card programme are firstly that you are not always sure as to which voucher would appeal more to staff or customers, and secondly that there is often a time delay between achieving the reward and actually receiving it, which creates disinterest and prevents full adoption of the scheme. Many organisations outsource the fulfilment of their reward programme which adds, in these times of economic restraint, further costs. Even operating the service in-house has added costs in purchasing, securing and distributing the gift cards and vouchers, and often involves posting to customers and or staff home addresses. Rewards and promotions are of even higher importance in times of shrinking markets and participants need to feel the excitement of achieving their reward. By offering the participant the choice of which retail gift voucher or card and being able to deliver the reward within 24 hours of the achievement

can only encourage participation. A solution to meet the current constraints is now available using secure codes, or redemption codes. Instead of purchasing

gift vouchers or cards, a purchase is made of secure codes with a defined value and method of delivery. These codes are issued to the participants who are requested to visit a secure website and select the gift vouchers for the retailer or activity they require, to the value of the secure code that has been issued to them. The secure code can be for a mix of different retailers’ gift vouchers and cards, and is shipped direct to the participant by the delivery method selected by the programme operator. This scheme gives ease of use, reduced costs, delivers the reward of the participant’s choice and can be delivered next day, only 24 hours after achieving the award, thereby encouraging further participation or purchase by the customer.

FOR MORE INFORMATIONAddress: Charity Gift Vouchers Marketing LtdChicheley, Hempstead LaneHailsham, East Sussex BN27 3PRContact: Terry Harvey, Select Rewards Tel: 01323 841253 Fax: 01323 [email protected]

The ideal staff and customer rewards – vouchers and gift cards versus secure codes

Scotchgard™ Floor Protectors

3M™ Scotchgard™ Stone and Vinyl Floor Protectors are a revolution in floor care;

delivering exceptional cleanliness, with less maintenance and at a lower cost.

Compared to most current floor care regimes, Scotchgard™ Floor Protectors:

• keep your floors looking better for longer

• are 6 times as resistant to scuffs, stains and scratches

• reduce chemical usage associated with floor protection and cleaning

• can save you up to 60% on your annual floor care labour and chemical costs

Learn moreTo find out how good your floors can look call us now on

+44 (0)1234 229496 or visit www.3M.co.uk/Scotchgard

The faster, tougher, longer-lasting answer to clean floors

3M.co.uk_Scotchgard

(13466)BCS_ScotchgardFloor_adv.indd 3 06/05/2011 16:45

Cleaning

25



Written by M

ark Jankovich, managing director of Delphis Eco

CLEANING PRODUCTS

Whilst cleanliness is important in all industry sectors, it is of critical importance in hospitals and other healthcare facilities such as care homes and rest homes. The standard of cleaning and hygiene in the healthcare industry serves the dual purpose of ensuring surface cleanliness and infection prevention and control. Germs spread at a worrying pace and with the threat of harmful bacteria such as MRSA, E. coli and H1N1, which can result in serious illness and even death, regular and effective cleaning is needed to ensure these risks are reduced. POTENTIAL RISK TO HEALTHMany hospitals and healthcare facilities have increased the use of cleaning and disinfecting products to help prevent infection. However, conventional cleaning products and disinfectants can in themselves lead to health hazards caused by excessive and often unnecessary use of cleaning chemicals.

Conventional cleaning products are complex mixtures of chemical ingredients. Many of these ingredients are known be associated with asthma and other respiratory disorders. Some are even associated with dermatitis, neurological disorders and cancer. In addition to these adverse human health effects, there is evidence that some cleaning product ingredients harm the environment, damaging aquatic ecosystems and causing air and water pollution. Dangerous compounds may also form when various cleaning products are inadvertently mixed both during cleaning

and once they are tipped down the drain. There are substantial issues concerning the safety of cleaning chemicals and technologies, both to cleaning staff and to the people who work or are based in the buildings being cleaned. The companies employing cleaning contractors and the contractors themselves, have a responsibility under health and safety legislation to carry out risk assessments to determine what risks arise from the use of cleaning machines, techniques and materials. European Regulation on the Classification, Labelling and Packaging of Substances and E

Germs spread at a worrying pace and with the threat of harmful bacteria such as MRSA, E. coli and H1N1, which can result in serious illness and even death, regular and effective cleaning is needed to ensure these risks are reduced.

GO GREEN AND WIN THE BATTLE AGAINST INFECTIONRegular and effective cleaning can help in the battle against infection, however, increasing the use of cleaning and disinfecting products is not necessarily the right way to go – unless they’re green

TEMP.indd 10 25/3/11 16:33:01

Cleaning

27

CLEANING PRODUCTS

from things like palm kernel, soy, peanut, corn, sunflower and canola. These create surfactants which use the natural chemistry of hydrophilic and hydrophobic bonds to attract oils, penetrate organic soils and hold dirt in a liquid suspension, which can then be easily wiped away. They are non-toxic, non-harmful, non-hazardous, readily biodegradable and extremely cost effective. Sustainable ways of managing business is becoming more important and regulation is being introduced to set targets. Sustainability means leaving the world for future generations as we found it – or better. In cleaning terms, that can be interpreted as not doing anything that will damage our environment, or harm the people in it. More investment in research and development to eliminate E



world, like every hospital, uses traditional cleaning products that are either applied with a cleaning machine or in the old-fashioned way with mop and bucket despite new, safer technologies being available devoted to maintaining health.

GREEN OPTIONS AVAILABLEThere are several organisations in the world developing innovative technologies to permit an environmentally kinder way to clean. Recent developments have seen eco-cleaning manufacturers launch natural (i.e. non-synthetic) green cleaning products made from plant products. These use plant-based cleaning products which contain enzymes, fatty acids, alcohols, esters, chelators and saponifiers derived

E Mixtures, known as the CLP Regulation, is already in force in the UK and all other countries in the European Union. This introduces some changes to how chemicals are classified, newly designed hazard symbols, called ‘pictograms’, and new wording to help those who need to know, to understand the hazards that are in the chemical they are using and how to use it safely. People with responsibility for assessing risks from cleaning chemicals should obviously read this information.

SAFER CLEANING Concerns about adverse human and environmental health effects of conventional cleaning chemicals have led to the development of green cleaning products which can reduce human health and environmental effects as well as reduce costs. How much more sensible it is to use, where possible, the latest cleaning systems which remove the risk of aggravating existing health problems or creating news ones, whilst achieving an extremely high standard of hygiene. A common misconception is that green cleaning products do not work as well as traditional chemicals. Even today, virtually every care home and nursing home in the

Virtually every care home and nursing home in the world, like every hospital, uses traditional cleaning products that are either applied with a cleaning machine or in the old-fashioned way with mop and bucket despite new, safer technologies being available devoted to maintaining health.

Tel: 08456 34 44 54 www.alexreid.co.uk

Until now the only way to remove unwanted odours from garments, textiles, costumes, protective clothing etc was to either have the articles washed or dry cleaned.

This often meant that the articles were not as fresh as they should have been either due to the financial constraints of having them cleaned or laundered or the fact that some sensitive garments and various objects such as tools etc simply cannot come into contact with water or be dry cleaned.

Alex Reid is proud to be the exclusive supplier for this revolutionary odour removal process, whereby not only does it remove nasty odours it also removes germs like salmonella and listeria, making this the ideal solution for the destruction of bacteria from nurses uniforms, shoes etc...

The items are placed inside the cabinet as if hanging in a wardrobe or placing on a shelf; then simply close the door, select a program depending on the level of odour to be removed. A typical cycle would be completed within 30 minutes and the items can then be removed for immediate use, free from any unpleasant odours and fully sanitised.

Successful installation at:

Royal Shakespeare CompanyScottish BalletOpera North

GlynedebourneNational Theatre

Also trails with various Police forces.

Advantages of the ozone cabinet:nEfficientremovalofunpleasantodoursandgermsnEnablestheremovalofsmellsfromsensitiveclotheswhich mustnotbeexposedtowaterandcleaningsolventsnEnvironmentallyfriendlyastherearenowastewaterdischarges andtheozoneusedinthecleaningprocessconvertsquickly backtooxygennCostsnomorethanadomesticmicrowavetooperateper cleaningcyclenReduceslaundryanddrycleaningcost(serviceonlyrequired forclotheswithvisiblestains)

Your workplace partner

For health,safety andpremisesequipment.

0800 294 4440 www.slingsby.com

• Free next day delivery

• Right products

• Right price

• Easy returns

• 12 months warranty

Ref:A08

Don’t miss out! Get your Free catalogue

A08 125mm H x 86mm W 16/5/11 13:57 Page 1

Do you have clients who are unable to see numbers, remember numbers, press numbers?

With a Voice-Activated Telephone Dialler, they can still dial by voice!They can ring their 60 most important numbers just by telling their phone whom they want to call, without recourse to a sighted helper, giving users the dignity of self-reliance.

As long as they can activate “handsfree” or lift the receiver, remember and say the name of the person they want to ring, they can make a call.

The voice dialler simply plugs into the existing phone system. It works with normal, cordless and speaker phones, and alongside emergency call systems.

Units have been supplied to literally hundreds of visually impaired clients, as well as those who are quadriplegic, armless, suffering from Parkinsons etc.

£120.00 including delivery.

For more information, go to jolly-good-idea.co.uk, email [email protected] ring 020 8144 4559 or 07976 388081

30-day, no-quibble, money-back guarantee. Can also be supplied on approval.

Jolly Good Idea!7 Brook Lane, Plaxtol

Sevenoaks, TN15 0RF

Cleaning

29

CLEANING PRODUCTS

E chemical cleaning is needed if sustainability in cleaning is to be fully achieved.

TAKING ACTIONIt is time for those who clean to put on the pressure for alternative ways of cleaning that do not use or disperse dangerous substances. You should regularly review the list of cleaning chemicals that are used in a healthcare setting and check whether safer and greener alternatives are available. Hospitals purchase thousands of different products requested by dozens of different departments. Often unknowingly, hospitals may purchase items that are toxic to workers or patients, or have serious environmental impacts. Hospitals and

other healthcare facilities should ensure they have a green purchasing programme such as placing environmental criteria into tender documents to make sure they are implementing green policy. The organisation Healthcare without harm which is an international coalition of hospitals and health care systems, says on its website: “Mercury, flame retardants and cleaning chemicals are among the many harmful substances hospitals can reduce their dependence on. A systematic programme at Vienna Hospital Association has reduced detergent use by 23 per cent and costs by 10 per cent.” Equally, it is time for those who manufacture cleaning equipment and materials to divert a

major part of their research and development budgets into achieving green techniques and equipment to make cleaning safer for everybody. Changes to reduce the harmful effects of cleaning must ensure that the alternatives provide effective infection prevention and control as well as being healthier, safe, and environmentally sound.

STRINGENT TESTING FOR GREEN CLEANING PRODUCTSGreen products have been proved against stringent testing criteria. For example, the European Ecolabel is a voluntary scheme, established in 1992 to encourage businesses to market products and services that are kinder to the environment. Products accredited with the Ecolabel have to meet a set of strict environmental and performance criteria which take into consideration the whole lifecycle of the product, covering the whole process of manufacturing and disposing of the product, from start to finish. So what’s stopping you? There are not many procedures in medicine or healthcare that are the same today as they were decades ago. So why tackle cleaning the old way? Advancements in green cleaning mean that ecological methods can prevent infection and control in the healthcare setting whilst setting high standards of cleanliness. L



There are not many procedures in medicine or health care that are the same today as they were decades ago. So why tackle cleaning the old way? Advancements in green cleaning mean that ecological methods can prevent infection and control in the healthcare setting whilst setting high standards of cleanliness.

In an environment where product reliability and customer service are paramount, Courtney-Thorne’s 40 years of experience in providing nurse call systems speak volumes for its commitment to both patient safety and customer satisfaction. Established as a family business in 1966, the company has developed into the leading provider of nurse call systems to the UK care industry. From small care homes to numerous hospital trusts and private hospitals, its wireless nurse call systems lead the way in product technology and patient care. A nationwide service team allows for the unique 24 hour

a day, 7 days a week and 365 days of the year on-site technical support that Courtney-Thorne provides. This gives total peace of mind to the customer and ensures that patient safety is never compromised. Courtney-Thorne offers the unique and innovative touch-screen nurse call system. Totally user friendly with instant access to on-screen information in one unit, it will no doubt ensure that Courtney-Thorne remains the market leader in wireless nurse call systems.

FOR MORE INFORMATIONTel: 0800 [email protected]

Nurse call systems from Courtney-Thorne

Kitchen Deep Cleaning (UK) Ltd’s commitment to ‘ Total Quality ‘ and the concept of ‘Partnership ‘ is reflected within the relationships the company has developed with its clients. It is the company’s mission to work closely with customers in pursuit of cost effective quality based service, with Kitchen Deep Cleaning (UK) Ltd’s management adopting a pro-active style, responding to the ever-changing service requirements of its clients. Commercial kitchen cleaning can be broken down into a number of categories, which are all equally important if you want to maintain hygiene levels that are compliant to the applicable legislation. We offer every service that you could need, including:• Structural cleaning• Cooking equipment cleaning• Extraction cleaning• Canopy and filter cleaning• Ductwork cleaning

FOR MORE INFORMATIONHertfordshire:KDC (UK) Ltd HQThe Studio, 46A St Andrew Street,Hertford, Hertfordshire SG14 1JATel: 01992 554800/818

London: Kitchen Deep Cleaning UK LtdUnit 1 W, Leroy House,436 Essex Road,London N1 3QP.Tel: 020 73597396 [email protected]

Kitchen Deep Cleaning Ltd – the kitchen & extraction cleaning specialists

security for life

A security management system should be unrestricted in terms of

functionality and the support of business processes. AEOS is based

on open industry standards, offering extensive possibilities to support

a company’s security policy. With Nedap AEOS you are guaranteed

of a lifetime security solution that grows with your company.

For more information: Nedap Security Management +44 (0)1189 821038, [email protected], www.nedap-securitymanagement.com

Security

31



Modern innovations in access control technology have broadened the scope for return on investment and building management controls – two important drivers for security managers and buyers. Wireless lock control developments combined with smart card technology mean that the real benefits of centralised management and personnel authorisations (permissions) of an enterprise access control system can now be leveraged for new areas of the business. The new generation of wireless lock technologies, network on card solutions, locker and cabinet management, and even logical access to a PC, can now all be enabled by smart card technology and controlled by a single central management system. Consider all the locations in business where you may want to secure access. Of course barriers and entrances – but what about access to secure key cabinets, lockers and PC access, and then consider all the doors that are not considered high security that may have only a mechanical lock or stand-alone PIN-pad? A fully wired online access control door provides maximum security control features – instant response to updates or events, immediate status information and integration capability but beyond the perimeter and higher security entrances such as turnstiles,

pharmacy, server room and other risk areas there are also many other entrances that could benefit from access control. AEOS WIRELESS LOCK MANAGEMENTWireless Locks can be the answer for many entrances. The AEOS Security Management System from Nedap can control unlimited ‘cabled’ locks but also Wireless Locks solutions can be connected. The new Wireless Locks communicate directly between the lock and the AEOS system; this makes the Wireless Locks available online. With this wireless connection the locks can be managed directly from the AEOS user interface and it is possible to continuously monitor the status of the locks. One of the benefits of this solution is that it eliminates the need for cabling, which significantly reduces the installation costs. Wireless locks are available in two types, each with different versions: • Escutcheons offer maximum comfort to the user, access is secure and comfortable. • Cylinders offer maximum security with minimum installation costs. The wireless communication with the locks is encrypted, meaning no concessions are made with regards to the quality of the connection as well as to the reliability and the security. Wireless lock solutions can be extended

from full entrance controls to be used as part of micro level access control at secure cabinets. Cabinets used for a wide range of secure storage solutions – documents, pharmaceuticals, personal assets, multimedia equipments and key control – can be accessed by means of the same card technology used for general access control. This is convenient and also more efficient than having many keys or controlling PINs. Where there is a dynamic workspace and a need for a clean desk policy, or in locations with, for example, PPE requirements, leisure facilities and the need for personal storage, secure lockers are often supplied. Again convenience, efficiency and also the reduction in space and number of lockers may be achieved by using dynamic locker allocation. By managing wireless lock solutions in this way the authorisation rules of access control can be leveraged and the company’s security policy expanded to greater value.

PHYSICAL AND LOGICAL ACCESSIn recent years we have seen the convergence of physical and logical security and by means of a single smart card token a company’s security policy can now be defined from perimeter to PC. A unified audit of activity is available showing a person’s movement and network activity; further PC log-on can be made location specific. By enforcing a person to swipe their card on entry – otherwise they cannot log on – strengthens the security policy. The physical/logical connection maps identities contained within the access control system and IT directories, making it possible that people can only log on to the system if they have received access to a physical location by presenting an authorised badge.

SINGLE CENTRAL MANAGEMENT When considering the benefits and value for security management that wireless locking, micro-level access of cabinets and lockers and logical access control brings, we must consider how to control these applications. By deploying these as separate systems independently we create more management silos with duplication of databases and definitions, a more complex integration scenario and higher cost of deployment and lifetime operation. Nedap’s AEOS system provides single server architecture able to manage wireless locking solutions, micro-level access of cabinets and lockers and integrated physical/logical access. L

FOR MORE INFORMATIONFor information about Nedap and AEOS Security Management System visit www.nedap-securitymanagement.comTo receive a copy of Nedap’s white paper on Wireless Locking or a copy of the Nedap Security Journal containing a range of white papers on security matters, e-mail [email protected]

ACCESS CONTROL

OPENING MORE DOORS TO VALUE AND CONTROLAEOS can be used to introduce all kinds of intelligent applications that will reduce manual tasks and increase the clients’ safety and comfort

OFF-SITE BUILDING SOLUTIONSTRUSTED PARTNER TO THE HEALTH SECTOR

OFF-SITE BUILDING SOLUTIONS OFF-SITE BUILDING SOLUTIONS OFF-SITE BUILDING SOLUTIONS OFF-SITE BUILDING SOLUTIONS OFF-SITE BUILDING SOLUTIONS OFF-SITE BUILDING SOLUTIONS OFF-SITE BUILDING SOLUTIONS

www.elliottuk.com/off-site

increased speed of constructiondesign and buildimproved quality

modern methods of constructionwaste reduction

off-site manufacturingsustainable design

Design & Build

33



We are all aware now of the increasing pressures being brought to a country that for years has taken its environment for granted. Clear indication of what to expect now and in the future regarding carbon reduction has become very apparent this time with the new building regulations as from 1 October 2010.

Pre-fabricated is a term that we are unable to shake from the description of our modern day hi-tech modular buildings. It is most unfortunate, as historically that description has not always been the subject of good press. Very few will recall that this was a method of cheap post war housing built with

what was then a cost-effective material of asbestos. The materials used today have to be of the highest specification to meet the requirements of the regulations, but also an important fact is that clients today are looking for much more attractive buildings that are also environment friendly. The MPBA, working with government, is fully aware that within the next ten years zero carbon will not just be someone’s ideal; it will become reality for the future of our planet that we take so much for granted. Increasingly local authorities and NHS trusts are turning to the modular sector to provide anything from a small basic extension to a complete major rebuild project. As an industry with years of experience, we understand the need and suitability of modular buildings and are fully capable of providing a complete service. From the start of an idea on paper to final completion and handover, the skills are all there to give the clients what they need, when they need it. WHERE THEY’RE BUILTOff-site construction appears now in almost every publication that we read. The question is, do many of the end users understand what that means, and more importantly why? Modular buildings are all built off-site in a factory environment, thus giving more control to the whole process. Manufacturers are able to keep waste to a minimum. During 2008 the MPBA worked on a project funded by DTI known as BeAware, this research confirmed that modular was the most effective means of controlling waste. The opportunity to also maintain the project on time by not being controlled E

MODULAR CONSTRUCTION

A SOLUTION THAT TICKS ALL THE RIGHT BOXESIncreasingly NHS trusts are turning to the modular sector to provide anything from a small basic extension to a complete major rebuild project, writes Jackie Maginnis, chief executive of the Modular & Portable Building Association

Increasingly local authorities and NHS trusts are turning to the modular sector to provide anything from a small basic extension to a complete major rebuild project. As an industry with years of experience, we understand the need and suitability of modular buildings and are fully capable of providing a complete service.

Sunderland Hospital

www.albionsections.co.uk

Manufacturers of cold rolled steel sections and profiles

Albion Sections Ltd is a specialist custom cold roll-forming manufacturer, offering a comprehensive range of light secondary steel construction components and bespoke steel sections

Supported by full in-house technical design service, Albion ensures practical and cost-effective solutions

Our aim is to add value through first class service levels, including an industry beating 5-7 working day on time delivery performance

Albion Sections

Products & Services:

raising your expectations

Zed Purlin & Cee Section

Eaves Beams

Custom Roll-Form

ing

Sigma Purlin

Structural Framing System

s

Albion Polycoat

► High strength steel grade S450 as standard

Extensive range of Zed, Cee, Eaves Beam and Albion Sigma sections

Extended Stud and Track range

Market leading product innovation and cost effective solutions

►

►

►

Lead time 5-7 working days

Fully dynamic punching facility

In house Technical support backed up by PI Insurance up to £2 million

Free Albion Engineer design software and Albion Detailing software

►

►

►

►

Design software for the Albion Sigma purlin, Z-purlin, Z & C cladding rails, Cee Section floor beams and Eaves beam Incorporating BREVe 3 wind analysis in accordance with BC 6399: Part 2 and snow drift analysis to BS6399: Part 3

Software available to download from www.albionsections.co.uk also available on CD at request

2 Albion Road West Bromwich West Midlands B70 8BD

GB: Unit 1 Rathdown Road Lissue Ind Est Lisburn Co. Antrim BT28 2RE

Ire:

t: +44 121 553 1877 f: +44 121 553 5507

Design & Build

35


of size and configuration. Buildings can be lifted into spaces that in the past have not always been accessible; today we also have the advantage of building higher then in the past thanks to modern technology. With the reduction in public spending and capital expenditure being limited, a way forward is the hire devision of our industry. These companies will be able to bridge the gap with the urgently required facilities. Companies have a hire fleet of buildings that can be made available to fulfil either short or longer-term requirements in the difficult times ahead. As part of the new building regulations, energy performance certificates now apply

to all of these type of buildings including modular. This will not be a stumbling block as the industry has worked together to ensure that the required documentation will be in place. This has been done with confidence in the knowledge that the buildings do what they say and tick all the boxes. The MPBA also has in place an accreditation scheme which is now available to all companies. Details can be found on the MPBA website, alongside the Generic Scheme for Hire which is also available to non members.

CASE STUDY – NEW BUILDSunderland Hospital is one of the latest in a long line of hospitals to benefit from the experience of a member of the the Modular & Portable Building Association With a unique bespoke approach to design, with no set module sizes, the manufacturer ensured the client gained all the benefits of off-site construction including speed without having to make changes to the complex design. The 9,000sq m care unit project consisted of 106 steel frame modules, some of which are up to 19m in length and include the E



E by our unpredictable weather is also a key driving factor to the use of modular systems. Clients have the opportunity to visit the manufacturing companies to discuss their requirements and see the whole process of how it all works. What better way to understand what goes into the building?

HEALTHCARE PREMISES Space at existing hospitals is becoming more and more of an issue; how often do we hear the public complain about not having enough car parking facilities. Modular building gives the client opportunities of utilising every space available with the flexibility

Space at existing hospitals is becoming more and more of an issue; how often do we hear the public complain about not having enough car parking facilities. Modular building gives the client opportunities of utilising every space available with the flexibility of size and configuration.

Sunderland Hospital

Untitled-1 1 12/5/11 15:30:42

Design & Build

37


E latest technologies for robust floors. Typically 80 per cent of the units were finished before being moved to site and in some cases many were 100 per cent complete. Quality Assurance checks by the dedicated team of personnel was a key throughout the build process, from tendering through to design and manufacture and ultimately to erection on site. As ever the clients benefited from less environmental impact, reduced waste and timed organised deliveries, all contributed to a satisfied client with professional service by the supplier. With this new building, Sunderland Royal has an addition of 120 in patient beds, and a ‘state of the art’ Integrated Critical Care unit. Other benefits from this new building are advanced infection control and privacy for patients, featuring more space for family and friends. Staff who played a part in assisting to design this new unit will also have the benefit of new changing areas and training room. Case Study provided by Britspace.

CASE STUDY TWO – PRE-OWNEDCoventry Primary Care Trust chose pre-owned modular buildings to fulfil their requirements when additional facilities were required. The temporary modular building consisted E



Sunderland Hospital interior

Even when budgets are cut - you don’t have tocompromise on the standard of healthcare facilities

PremierPlus- innovation in off-siteconstruction forhealthcare

TEDDINGTON -HEALTH CENTRE

ADDENBROOKES -HOSPITAL WARDS

MANCHESTER -CRITICAL CARE WARD

NORWICH - STROKE &REHABILITATIONWARDS

BRISTOL - MRI, CT, X-RAY, CATERING, PHARMACY,CHAPEL &

OFFICES

Contact us by calling - 0800 3160888 - or E-mail - [email protected] or visit our website at - www.waco.co.uk

PremierPlus are quality, steel framed, permanent buildings which offer a clean, modern and comfortable healthcare environment in half the usual time compared to traditional build - and at a highly competitive price.We design, manufacture and deliver buildings from single-storey GP surgeries through to complex multi-storey ward accommodation, operating theatres, X-ray rooms and MRI facilities - incorporating concrete floors.Our experienced in-house design team work and operate to HTM’s and HBN’s and

oversee a project from conception to completion.The buildings have excellent acoustic performance and exceed building regulations and we work with clients

to achieve BREEAM excellent ratings. A low-cost new timber product has been added to the range and our ‘green’ energy solutions are easily

adapted into any building design. Off-site construction also significantly reduces disruption and site traffic thereby minimising

disturbance to staff, patients and visitors.It’s now clear to see why these modern methods of

construction are fast becoming the preferred solution for hospitals and healthcare buildings.

1329 WACO Healthcare D&B Hpg 11.4.11 10/5/11 15:01 Page 1

Call Speedy on

0845 601 5129or visit speedyhire.com

Working with Admorspace, Speedycan provide the perfect hygienicand efficient working environment;suitable for both temporary andpermanent sites. The systemexceeds all building regulations,can be configured to suit yourexact requirements and can bechanged over time as needed.Interiors are also fully flexible andcan be supplied with cabelling,internet access and landlines.

Flexible Modular Solutions

Design & Build

39


E of six no plasticoted steel modules with double-glazed Upvc windows. The building also has a plasterboard-lined ceiling and walls and a double thickness plywood floor. The used modular building was decorated internally, cleaned externally and reinstated electrically to the latest regulations. It was provided by an MPBA member specialising in pre-owned buildings, with the ability to provide a complete turnkey package. The temporary modular walk in centre

building complied with Part L2A 2006 building regulations and is extremely environmentally friendly as it only uses three per cent of the energy required to manufacture an equivalent new modular building. (Note building supplied prior to 1 October 2010) Even though the modular building was pre-owned, the supplier still provides a 12-month guarantee with the building. This is a classic example of the confidence in the industry sector that provides

the reuse of modular buildings. Coventry Primary Care Trust was given complete peace of mind throughout the process, from attending meetings, reviewing health and safety plans, to the supply and installation of the used modular buildings. Crane arrangements, transportation and temporary traffic management to enable the building to be off-loaded from a road adjacent to the site was undertaken as part of the contract. This project ticked all the boxes; sustainability, recycling, relocating embodied energy, with the added advantage of being dealt with by one point of contact. Case Study Provided by Portable Building Sales Limited. L

FOR MORE INFORMATIONAddress: PO Box 99, Caersws SY17 5WRTel: 0870 2417687www.mpba.biz



Coventry Primary Care Trust was given complete peace of mind throughout the process, from attending meetings, reviewing health and safety plans, to the supply and installation of the used modular buildings. Crane arrangements, transportation and temporary traffic management to enable the building to be off-loaded from a road adjacent to the site was undertaken as part of the contract.

Well-designed, practical buildings are vital to maintaining world-class standards within the health sector. In an increasing number of cases, modern methods of construction are being chosen to create these new facilities. Here, David Jupp, business development manager of Elliott Off-Site Building Solutions, looks at the reasons why. Principally, off-site construction enables much shorter build schedules because many of the building elements are delivered to site pre-fabricated, which can reduce build times by as much as 50 per cent compared to conventional methods. This greater speed of construction was demonstrated on the new ICON medical research building at Manchester Royal Infirmary. The decision to use Elliott’s off-site system was taken after weighing up several specific factors. The first of these was the effect that the work would have on the existing hospital, which would have to remain fully functional during the work. The client had also set a 26-week build schedule and the only practical way of achieving this was by adopting modern methods on construction. Site specific issues such as an access road

on a blue light ambulance route and being adjacent to MRI’s busy X-ray department all had a bearing on the final decision. Off-site is often the preferred option because it results in guaranteed levels of quality and because building elements are produced in a factory environment that, in the case of our production unit, has ISO9001 quality assessment. This assured level of quality was one of the reasons why Scarborough and North East Yorkshire Healthcare NHS Trust chose an Elliott off-site solution for the new Maple ward at Scarborough Royal Infirmary.

The 28 bed unit, which is part of the trust’s commitment to move away from mixed-sex wards, is fully compliant with Health Technical Memoranda (HTM) and Health Building Notes (HBN). Building sites are notoriously unpredictable both in terms of weather conditions and the difficulty in sourcing and retaining local skilled labour. This can result in unforeseen costs and many clients now view off-site, which uses a stable factory based workforce for many of the building elements, as a means of ensuring accurate costings, along with a schedule that isn’t subject to constant change.

Where practicable, we are able to achieve a BREEAM rating of ‘Excellent’ and carbon neutrality. And, with complete design flexibility including full height curtain walling, atriums, curved walls, double height ceilings amongst others, interest in off-site solutions looks set to continue.

FOR MORE INFORMATIONTel: 01274 [email protected]/off-site-building-solutions

Elliott Off-Site Building Solutions – the world leader in modular space and secure storage solutions

Conferences & Events

The promise of fresh sea air and a relaxed ambiance has always been a natural draw for visitors to the British coast and over the past decade, seaside resorts have made great strides in reinventing and diversifying their offering to extend this appeal even further. According to recent research by the Centre for Regional Economic and Social Research at Sheffield Hallam University, the tourism sector is deemed one of the healthiest in the country. The study found that the industry directly supports 210,000 individuals, “an impressive figure by any standard,” comments Peter Hampson, chief executive, British Destinations. “But all the more so when it is viewed against the UK figure for the telecommunications industry at 224,000, the motor industry at 165,000 publishing at 154,000 and old traditional like fishing and coal mining at 14,000 and 7,000 respectively.” He adds: “In all, the wider employment impact, including supply chain and multiplier effect, gives a total employment figure attributed to the additional tourism

jobs of some 600,000 – this makes it a really significant UK industry.”

BUSINESS TOURISMWithin the business tourism sector specifically, through increased investment in infrastructure and the introduction of a wide mix of dining, accommodation, entertainment and cultural offerings, seaside towns now rival even the most popular of conferencing cities. Janet Deacon, area tourism director for Welcome to Yorkshire explains: “Coastal resorts have always been extremely popular for destination conferences as they offer business clients a complete destination experience. We are seeing a considerable uplift in conferences returning to Scarborough, which I believe is due to the affordability and the complete conference solution the coast is able to offer.” However, despite its popularity, the UK coastal resort has not been immune to the impact of budgetary constraints and cuts which have been felt widely

across both public and private sectors. Peter adds: “Many resorts tend to be favoured by association and public sector conferencing and business tourism which held up relatively better in 2009/10 than the private sector. However, as private sector business tourism starts to recover, there are considerable concerns for the fate of public, and to a lesser degree, the association sectors.” “2011 will certainly be a challenging year for business tourism in traditional resorts,” he continues. “In a complex multifaceted industry, added or sustained volume does not always equal sustained or increased values. There is no such thing as a perfect day for every one of the diverse range of businesses that makes up a ‘typical’ resort. No two towns are truly alike in character, let alone in terms of their markets and the factors that influence them.”

BRIGHTON UPDATEBrighton continues to invest heavily in its offering to continually enhance the delegate and organiser experience. This year, the Brighton Dome completed a £200,000 refurbishment of its Foyer and Mezzanine Bars in its main concert hall, providing better accessibility and a more efficient service for its customers. In addition, the multi-purpose Brighton Centre announced in January a further £1m investment to its facilities, following the successful completion of its phase one refurbishment in 2010. It will now undergo a significant redevelopment of its main entrance including the exterior space, signage and state of the art lighting, resulting in a complete transformation of its outside façade. Also its restaurant, which is regularly used as a breakout space for larger conferences, will be redesigned to include floor-to-ceiling windows with seafront views, while its interior will be completely modernised. Brighton also welcomed the addition of the University of Sussex’s new Fulton Building last June. Situated at the heart of its campus, it’s offered to event planners between July and September. Boasting 3,000sq m of space across three floors, including two 160 seat lecture theatres and 26 seminar rooms (each accommodating 20-60 pax), it echoes the core campus building’s original architecture with additional contemporary features designed to meet the highest environmental standards.

EASTBOURNEThose delegates choosing to visit Eastbourne this year will be amongst the first to use the newly installed Wi-Fi at the resort’s main conference venue, Devonshire Park Centre. Coupled with its facilities for up to 1,700 delegates, 3,100sq m exhibition space, recent refurbishment of the Gold Room and the opening of state of the art gallery last year, the Wi-Fi is just another significant addition to what’s available in Eastbourne as a business destination. E

COASTAL VENUES

Through increased investment in infrastructure and the introduction of a wide mix of dining, accommodation, entertainment and cultural offerings, seaside towns today rival even the most popular of conferencing cities

THE PULL OF SEASIDE RESORTS

41



00800 2665 7275parkinn.co.uk/uk-govt

Discover the Park Inn Heathrow, London hotel with a conference centre for up to 800 delegates, 895 rooms, and high-speed Internet access: an ideal choice for your events in London.

Park Inn.Adding Color to LifeSM

The stock exchange. The housing market. The conference facilities.

Hotels you can rely on:

✓

20+UK hotels

Over 200 meeting rooms across

119154 PARKI Ad Conf & Events London dossier (210x297).indd 1 11/03/11 14.33

Conferences & Events

COASTAL VENUES

At the forefront of the area’s investment has been the £40 million redevelopment of the Southport Theatre & Convention Centre (STCC), one of Merseyside’s largest and most versatile venues. All of the area’s venues fall under the banner of its convention bureau – Southport Conferences, which works hard to provide conference support to visiting delegates and to promote the area’s ever growing credentials. In 2010, this entire portfolio achieved the Meeting Industry Association’s AIM accreditation, in recognition of its high standard of conference and events provision. In addition, Southport Conferences recently launched a delegate bike loan service, designed to not only utilise the accessibility of the town, but also to help reduce the number of cars used by business visitors to the resort. This was first trialled by the Labour North West party during its regional conference in November 2010 and has since gone on to be very well received by other visitors. Perhaps Southport’s greenest attribute however, is its world class golfing facilities, boasting the biggest concentration of championship links courses in the world along the Sefton Coast. Southport Conferences works closely with golf club secretaries to put together bespoke packages that offer anything from a full tournament to golf clinics. In 2011, Southport Conferences will be rolling out a series of new initiatives designed to not only increase awareness of what the resort can offer to visiting delegates, but to also increase its profile on a much wider scale in the business tourism market. This includes a campaign designed to maximise awareness of the conferences and events that are taking place in the town; the launch of the Southport Members Club, designed to reward and encourage its regular bookers through added value and special offers; several environmental projects; and ‘Meetings on the Move’ – a targeted focus on its incentive market. L

E Offering thousands of bed spaces at a wide range of accommodation including England’s only five-star coastal hotel, a celebrity owned designer budget hotel and smaller, friendly guesthouses, Eastbourne is also well positioned to offer an attractive destination for delegates and organisers on all budgets. Eastbourne Conference Bureau has just won three significant bookings for dates over the next two years, which will bring more than 1,800 delegates into town. The agent Creative Realisation is bringing a client with 1,000 delegates for a three day conference for 2012 in Eastbourne, while a Southern Rail event and a booking made through agent Principle Promotions will bring a further 800 delegates into town. Also celebrating the revamp of the official Conference Eastbourne website, the conference bureau is seeing an increase in enquiries being received.

SCARBOROUGHThe vibrant resort of Scarborough on the east coast of North Yorkshire offers beautiful architecture, an array of shops, hotels and restaurants and three superb golf courses. Scarborough is the UK’s first resort to offer free Wi-Fi on the seafront and harbour and the town’s assortment of conference venues range from hotels and academic institutions to beautiful buildings such as the 1930s Grade II listed Stephen Joseph Theatre. The Spa, one of the largest multi-purpose conference and entertainment venues on the North East coast has recently undergone a £6.5 million refurbishment. This extensive project has seen significant redevelopment of the Grade II listed Victorian concert hall, reception areas and offices as well as the communication systems, air conditioning and technical equipment. The refurbishment will give the ability to reconfigure the Grand Hall in a significant shorter time, meaning the venue will be able to provide a flexible, cost effective conference solution to meet client requirements. In March this year UKIP held its spring conference at the Spa, bringing with it over 400 delegates travelling from around the country. In total, Scarborough will welcome over 60,000 delegate visits during 2011, which will bring a significant economic benefit to the town and wider area.

SOUTHEND-ON-SEA Southend-on-Sea in Essex is rapidly developing its credentials as an outstanding place to hold business events and conferences. Mostly known for its great leisure and cultural offer more and more businesses are turning on to the proposition for corporate opportunity. New investment in the town over the last two years has been transformational, whether at the airport, new hotels or the road infrastructure and seafront. The area offers a good mix of major venues, capable of hosting exhibitions and product launches such as the Cliffs Pavilion, Park Inn Palace Hotel, and the state of the art college or more intimate venues in iconic locations such as the Kursaal function suite, or at the Westcliff Hotel. On the famous Southend Pier, the longest pleasure pier in the world, there is soon to be a new flexible exhibition space, a mile and third out to sea. This can be used for conferences and events for up to 250 people and promises to capture new imagination about the special space on this historic building. Last year saw the opening of the Park Inn Place Hotel which has already brought in new conference business including a product launch by Southend based Hi-Tec sportswear. This month there will be a major environmental two day conference in the town which will be of national significance to local government sector and should be an ongoing event in the sustainable calendar.

SOUTHPORT Southport is unquestionably recognised as one of the premier conference destinations in the North West. In recent years, it has seen a multi-million pound investment in its business tourism product and has also successfully rebranded itself as ‘England’s Classic Resort’.

43



T: 020 7631 8306 E: [email protected]

W: www.pccc.co.uk

London

TrainingMeetings

Conferences



44

Charm provides fully tailored and off-the-shelf audio visual, digital signage and content solutions to hospitals, surgeries, schools and businesses throughout the UK. From sophisticated conference hall and training rooms to complex signage network facilities or stand alone information screens, we’re here to help. Digital signage is quickly replacing static signs, notice boards, banners and posters as the most effective method of communicating key information. Used correctly it can help convey detailed messages to almost any audience, anywhere, anytime. Unlike traditional printed signs, digital signage can be updated instantaneously, allowing you to capture current events and suit the demands of the moment. It also eliminates the high ongoing cost of creating and distributing printed ad campaigns. Whether you intend to build a brand,

influence behaviour or simply provide useful information to visitors, staff or patients, the dynamic visual experience created by digital signage helps get your message across. Our Signage Servers are based on established and extremely stable technologies designed to be active 24/7. They require little or no maintenance once installed – a true “fix and forget” service. To learn more about how Charm can help please get in touch.


Audio visual and digital signage solutions

The practice has over 13 years experience working in-house for large public and private sector institutions across London and the South East. We are equally at home preparing briefs, feasibilities and detailed proposals for any size of project, however large or small, and have the capability to manage complex, multi-sited property portfolios between 500 and 500,000 sq. ft. We pride ourselves in a professional and timely delivery of high quality information in a variety of formats to suit individual organisational technology platforms and communication methods. Benefits to an organisation of this working model can be summarised across rapid response and refinement of proposals, on-call service delivery and economic, high quality delivery. Professional and trade body

affilliations include RIBA Chartered Practice Federation of Small Businesses Approved Contractor – Chelmer Housing Partnership and Chelmsford Approved Contractor – St Georges Community Housing, Basildon.

FOR MORE INFORMATIONGlynn WilliamsTel: 01245 222692Fax: 01245 222692Mobile: 07973 [email protected]

Architecture, space planning and strategic space management

l Care Assistants

l Health Care Assistants

l Learning Disability Carers

l Support Workers

l Domiciliary Carers

l Physiotherapist

l Registered General Nurse

l Registered Mental Nurse

l Occupational Health Nurse

l Locum Doctors

l Practice Nurse

l Nursery Nurse

l Midwifes

l Nurse Practitioners

3 Competitive Rates

3 Quality Service

3 24 Hour On Call

3 Dedicated Consultants

3 Independent Recruitment Department

3 Nationwide

Our experienced consultants are available 24 hours, 7 days a week to cater for your unique staffing requirements. With a state of the art computerised booking system we can monitor shift requests, accurately invoice and manage accounts nationwide.

Our dedicated Recruitment Team, reviews and manages candidates nationwide. With In House Training Programmes and Personal Development Plans to ensure you have access to a competent pool of staff for adhoc or permanent placements.

l NHS

l Private Hospitals

l Councils

l Social Services

l GP Surgeries

l Walk In Clinics

l Care Homes

l Residential Homes

l Supported Living

l Community Groups

l Alcohol and Drug

l Rehabilitation Units

l and more!!

www.pkcare.co.uk [email protected] 01142 536 490

Recruitment Agency Transport and Ambulance Services Domicilary Care Provider Training Services

Recruitment

45



Conflicting recruitment challenges are emerging across all industries, with the private sector attempting to invest and grow as the public sector is cutting back. And while the future remains unpredictable and recruitment spend continues to be squeezed, traditional approaches to resourcing and talent planning have to become more responsive, agile and innovative. This year’s Chartered Institute of Personnel and Development’s (CIPD) Recruitment, Resourcing and Talent Management Conference tackles this issue of how to build agility and sustainability into resourcing approaches whilst keeping costs down. The need for organisations to find a competitive edge through their talent and resourcing practices has resulted in a surge of interest in new media recruitment methods and a growing trend to bring recruitment back in-house. Providing vital insight into the UK labour market and workforce, the first day of the conference will open with a briefing on the latest CIPD/KPMG Labour Market Outlook, which aims to offer an early indication of future changes to the labour market around recruitment, redundancy, migration and pay intentions. The session will highlight the challenges faced by organisations in the current changeable economic climate. A briefing on the CIPD Employee Outlook,

survey – which represents employee attitudes towards management, job satisfaction, job seeking and work-life balance – will open the second day and demonstrate the concerns employees have about their working lives. LEARN FROM OTHERSCutting edge insight will be supplied by a variety of organisations, including John Lewis, Rolls-Royce Plc, TfL and RBS, as they discuss the key challenges they face in recruiting and retaining talent. Case studies will advise on ways in which to implement cost-effective changes to help support and develop a sustainable recruitment strategy for the long-term. The conference will help inform recruitment professionals on how to use social networking sites to their advantage, targeting potential candidates for key positions and building talent pools for long term success. It will also offer insights into the latest industry research and inform delegates of emerging employment law. Session topics include ‘Agile Recruitment Practices’, where speakers from KPMG, RBS and Ocado will discuss ways to develop agility and adapt to changing workforce needs, and create recruitment strategies fit for the future The session on ‘Attracting the Lost Generation’ will see speakers from PwC

and TfL advise on ways to meet changing workforce priorities, build an attractive employer brand and communicate in a way that reaches the right talent. Meanwhile John Lewis will reveal how they align their employer brand to their customer brand and invest in linking together HR and marketing activities, in the session ‘Boosting Employer Brand through Candidate Experience’.

CHANGING RECRUITMENT PRACTICESClaire McCartney, adviser on resourcing and talent planning at the CIPD, says: “Recruitment practices develop and change, often influenced by the changing needs of the business and changes in the wider labour market, as well as financial pressures. Keeping pace with the change is important, not just in challenging times, but also in the good times, so that organisations remain agile and able to compete. Building flexible approaches to recruitment will allow organisations to support their employer brand, attracting the best and retaining talent. “Last year’s Resourcing and Talent Planning survey showed that attracting and recruiting key staff was the top resourcing objective for eight in ten employers. Employing the right people in the right jobs continues to be a priority for organisations and this conference will offer those professionals working in recruitment an open opportunity to discuss, discover and debate the issues affecting them.” The CIPD Recruitment Exhibition will be running alongside the conference, with leading recruitment and resourcing suppliers showcasing latest ideas and solutions. Highlights from the 2011 CIPD Resourcing and Talent Planning survey, in partnership with Hays, will be presented in one of the free learning sessions on the exhibition floor and a free copy will be available in the exhibition hall. The event is run by the Chartered Institute of Personnel and Development (CIPD), Europe’s largest HR and development professional body with over 135,000 members, supporting and developing those responsible for the management and development of people within organisations. L

FOR MORE INFORMATIONFor further details and to register go to www.cipd.co.uk/cande/arrc

EVENT PREVIEW

The CIPD annual conference, on 15-16 June 2011 at London Olympia, will explore how recruitment practices are responding to a volatile and uncertain labour market in the UK

RECRUITMENT, RESOURCING AND TALENT MANAGEMENT

www.energyinst.orgEnergy Institute – the home of energy professionals

How well is your energy managed?

If you’re responsible for energy in your organisation, the Energy Institute can offer support, recognition and knowledge. Get the recognition you deserve by applying for Energy Institute membership – you could become a Professional Member, gain Chartered Energy Engineer,Chartered Energy Manager or Chartered Environmentalist recognition, or start out on the pathway towards these or other professional titles.

The Energy Institute (EI) is the leading chartered professional membership body for those working with energy, providing opportunities for career development, learning and networking. With over 15,000 individual members around the world, the EI provides a home to all those working with energy, and a scientific and technical reservoir of knowledge for industry.

So if you want to demonstrate your professionalism, you’re looking for training, or you just want a source of information, why not join as an affiliate member for the fast track route to membership benefits, which include:

• Free magazine subscription to Energy World, keeping you up to date with the latest industry news and developments• Access to professional recognition and career development opportunities, offering higher levels of membership, Chartered Energy Manager, Chartered Engineer, Chartered Environmentalist and Chartered Scientist registration, and more, to enhance your professionalism• Discounts on journals, publications, events, training courses, conferences and workshops, to further enhance your industry knowledge• Free access to the EI Library and Information Service, offering a huge resource of knowledge, information and research• Exclusive information from the ‘members only’ section of our website• Unrivalled peer networking opportunities through a series of free of charge events, including member workshops, branch events, and online special interest groups

Membership costs are just £60 to the end of 2011. Download your application form at www.energyinst.org.uk/content/files/hb.doc Alternatively, register your interest by emailing Simon Price at [email protected]

Energy

47



Heat pumps supply more energy than they consume by extracting heat from their surroundings. Consequently, they now form an essential part of the solution for reducing both energy consumption and carbon emissions, and can also provide their heat from renewable sources such as the ground and solar heated ambient air. A heat pump is an efficient and space saving means of heating a wide range of premises. It can also provide cooling to these premises should there be the requirement. Where heat pumps are used for heating, they are capable of highly cost-efficient energy applications because they tap into a limitless supply of ‘free’ heat – either the surrounding air or heat captured in the ground or water, such as a lake.

HOW THEY WORKThe vast majority of heat pumps work on the same principle as the domestic refrigerator utilising a vapour compression cycle, but for heating the heat hump utilises the hot end of the process. The vapour compression process utilises low grade heat that is normally too cool for human or process requirements and lifts the same quantity of energy to a higher temperature that is then suitable for human comfort.Depending on the application and type of heat pump, gains of 300-500 per cent are normal. When dealing with heat pumps, and because efficiency cannot be defined as above 100 per cent, the term used is actually Coefficient of Performance (COP),

so the COPs for the above example would be 3 to 1 and 5 to 1. In its simplest form a COP is calculated by taking the HEATING OUTPUT divided by the POWER INPUT. Heat pumps are normally classified by their heat source and means of delivery, for example air to air, air to water, water to air, water to water, ground to air, and ground to water.

POSITIVE OUTCOMESOrganisations that have invested in this area have been very positive as to the outcomes. We shouldn’t forget the financial considerations either as the lower energy costs, while an ongoing advantage, also result in good payback periods due to the fuel savings. All types of heat pumps can offer a solution for public buildings and the choice may well depend on factors such as cost, available space, hours of operation, availability of heat source, and layout of the building. If the buildings of the future invest in heat pump systems they should consequently provide more energy efficient operation, generate less CO2 and utilise heat from renewable sources thus addressing most of the green agenda. Importantly they will also have lower operating costs. The Heat Pump Association (HPA) is the UK’s leading authority on the use and benefits of heat pump technology. It influences legislation and other matters that affect the interests of either the industry in general, or its members in particular. The HPA recognises that heat pumps will only fulfill their promise in the market if

suppliers, installers and users fully appreciate their function and capabilities. A major objective of the association, therefore, is to raise awareness of heat pumps by informing prospective specifiers of their long-term benefits, reassuring end users and providing up-to-the-minute advice on the various systems available. The HPA conveys this message by generating publicity using exhibitions, literature, promotions and public relations. With these objectives in mind, the HPA has instituted an annual series of Awards, intended to encourage good design, professional installation and the innovative application of heat pump technology. There are two competition categories: a student award, open to all UK university students and an award for the best heat pump application.

PREPARING THE WAYLike most technology, heat pumps will only produce their greatest benefits if they are fully understood by specifiers, installers and users. The Heat Pump Association believes that it is vital that key people in industry are aware of the potential of heat pumps. The association, therefore, places great emphasis on advice and education, to ensure that systems are appropriate to their applications and installed with the highest degree of professionalism. L

FOR MORE INFORMATIONwww.feta.co.ukwww.heatpumps.org.uk

HEAT PUMPS

Tony Bowen, president of the Heat Pump Association, and Terry Seward, HPA secretary, explains how heat pump technology can help reduce both energy consumption and carbon emissions

THE HEAT IS ON – WITH A LOW CARBON SOLUTION

Western Power Distribution’s long established metering business has been refocused to help our customers face the challenges of climate change and increasing productivity. The WPD Smart Metering team provide metering solutions to business customers on a national basis. With a strong reputation for operating HH sites, we now also offer a national solution for NHH sites to deliver to businesses:• automatic remote meter readings and accurate to the minute billing• energy management data and reporting with notification of overconsumption

• a consistent national metering service, e.g. to manage the new connection process• integration of remote logging from sub-metering and other utility meters.When you choose the Western Power Group for your smart metering, you have

the confidence of working with a company with many years’ experience of helping UK organisations manage energy more efficiently. As an independent company, WPD Smart Metering works with your supplier on behalf of your business to deliver a first-class service – from low cost installation of the latest smart meter technologies through to full maintenance and support.


Ready for the climate change challenge?

Yeoman House, Whitehall Industrial Estate, Whitehall Road, Leeds, LS12 5JB

T: 0113 279 5854 F: 0113 231 0406 E: [email protected]

W: www.yeomanshield.com

▲ Imagery Signage

▲ Wall Protection Strip ▲ Protection Rail/Corner Protection

▲ Wave Imagery Wall Protection

▲ Door Protection

▲ Door Protection/Handrail

Yeoman Shield Wall & Door Protection - the quick, easy and cost effective make-over for

damaged walls and doors.

Available in a choice of materials, styles and colours. OVER 40 YEARS OF SUCCESS

Save a mint…install Yeoman Shield wall & door protection

DWA Shield Mint Health Busi May 11.indd 1 12/04/2011 09:45

Facilities Managem

ent

49



It is easy to see most dirt in a building, be it mud walked into the carpet or ink stains on the desks. Air cleanliness, however, is less obvious to see and can unfortunately often be ignored. Improving the air quality in a building will be beneficial to the health of the people working or living in the building and may help reduce staff absenteeism. The American College of Allergy, Asthma and Immunology estimates that up to 50 per cent of all illnesses are caused or aggravated by polluted indoor air quality, therefore if you want a healthier indoor working environment you will need to look at ways in which you can improve the condition of the air. A number of well-identified illnesses such as asthma, Legionnaires’ disease, hypersensitivity pneumonitis and humidifier fever have been directly traced to specific building problems that have led to air pollution.

DUST AND OTHER POLLUTANTSThe most common cause of air pollution is dust, which can cause health hazards such as respiratory problems and skin, eye, nose, throat and ear irritation. Dust mites are often the main culprits of allergies and health problems, although the allergies are not caused by the dust mites themselves but from their faeces and the shedding of their skins. Other office pollutants include organisms from building materials, carpets and other office furnishings; dangerous compounds in

some cleaning materials; paints and adhesives; contaminants from water damaged walls, ceilings and carpets; and pesticides from pest management practices. One of the most acutely toxic indoor air contaminants is carbon monoxide, a colourless, odourless gas that can arise from defective central heating systems or car exhaust fumes or tobacco smoke drawn in from outside.

VENTILATION SYSTEMSVentilation systems are designed to draw in adequate amounts of outside air, as well as heating and cooling the air. If these are poorly designed or maintained they can lead to indoor air problems in several ways. For example, inappropriately located outdoor air intake vents can bring in air contaminated with car exhaust fumes, boiler emissions or air vented from restrooms. In contrast, problems may arise if, in an effort to save energy, ventilation systems are not used to bring in adequate amounts of outdoor air. Finally, bacterium such as legionella can spread from dirty ventilation systems. Dust mites thrive in warm and damp environments. Climate control equipment, extractors and dehumidifiers can help improve air quality, as will the regular ventilation of rooms within the building. It’s important to take air quality seriously. For example, under the Health and Safety at Work Act 1974 and the Control of

Substances Hazardous to Health (COSHH) regulations, owners and operators of water systems have a duty to ensure that the risk of legionella bacteria is controlled. It is always a good idea to have plants in your building, particularly in offices. Plants thrive on carbon monoxide. They clean the air and emit oxygen, making for a healthier working environment. Regular cleaning and vacuuming of carpets and hard floors along with upholstery cleaning will reduce the amount of dust and dust mites in a building. Use green cleaning products to reduce harmful health effects. These help avoid air and water pollution, ensuring a safe and healthy indoor environment.

PREPARE FOR THE UNEXPECTEDHowever well buildings are maintained and kept hygienic and clean, there are sometimes unforeseen events that can cause poor air quality. This can include fire damage leading to toxic smoke fumes. Following water damage, if materials have failed to dry out properly this can lead to moisture induced growth of mould colonies, which can propagate and release allergenic spores or toxic compounds into the air. Restoration response is the best way to return your business to normal after the event. Disaster restoration specialists may offer a free registration service, so that businesses can be guaranteed a quick response within a few hours of an emergency to put the property back to pre-damage condition. Unclean air can be a real health hazard, but unlike some health risks, it is something that businesses can help avoid. Once you have made positive changes to your premises to improve the quality of the air you should have a healthier workforce with fewer staff absences. L

AIR QUALITY

Alan Lewin of ServiceMaster Clean examines common causes of air pollution and explains how you can improve air quality in buildings for a healthier indoor working environment for staff

JUST BREATHE

The S2S Group provides an unrivalled closed loop solution for the lifecycle of electronics, which is consistent, efficient and secure throughout whilst still operating a zero landfill policy, and ensuring energy and ozone conservation. From the high security Authorised and Approved Treatment Facility (AATF) based in Sheffield, the group can provide:• Software data erasure using UK government approved software.• Certified on and off site granulation of electronic media to Impact Level 6 MOD standards.• IT equipment, mobile phone and smart phone refurbishment, recycling and resale solutions.• Corporate materials such as hard drives, phones, laptops, IT equipment and electronic magnetic media can be granulated

down to 6mm on site or 2mm off site.• Secure collections, tracked vehicles, point to point logistics, security sealed consignment crates, quarantine storage and witness destruction options available.• Serial manifestations, recycling rates, asset tracking and certification available.• Recycling solutions for all working and

non-working B2B mobile phones.• Top market rates given, where possible.• Free nationwide collection of all B2B mobile phones.• Fully managed complete end to end recycling service.• Pre-employment screened (PES) staff used.• Accredited to ISO 9001 and ISO 14001 standards and are in the process of obtaining ISO 27001.• One stop shop recycling solution that operates in line with the WEEE Directive. FOR MORE INFORMATIONThe S2S Group, March Street, Sheffield S9 5DQTel: 0114 2433637 Fax: 0114 2488521www.s2s.uk.comLook for us on Twitter and Facebook!

S2S Group – delivering electronic solutions to the healthcare sector

PEL Services Limited have

supplied and maintained

Sound, Fire, Security &

Communication Systems

throughout the UK for over

35 years.

Our multi-discipline engineers ensure genuine economy of scale...

• combined site visits• simpler administration• reduced carbon footprint

Call 020 8839 2100 to discover how to get ‘more for less!’

www.pel.co.uk

Multifire is a long established specialist company providing a nationwide fire alarm service to all industriesWe provide a full support package for our customers at every stage of project build, from the initial system design, including client/fire authority consultation, all the way through to the supply, installation, test, commissioning and ongoing maintenance of the fire alarm equipment specified.

Complying with the British Standard BS5839 Part 1, our dedicated maintenance team will arrange for an engineer to visit your premises four times or twice a year, normally once every three or six months, during which time 100% of your building will be tested to ensure all devices are working within the required limits.

Tel 01634 735 465 Email [email protected] web www.multifire.co.uk

MULTIfire MSL • Suite 2B Beta house • Culpeper Close • Medway City Estate • Rochester • Kent • ME2 4HU

Fire Safety

51



In January 2008, all patients and staff were evacuated after a fire broke out at the Royal Marsden Hospital in Chelsea. The fire was fought using 25 fire engines and around 125 firefighters. As a result of the fire the entire roof of the Chelsea Wing of the hospital was burned through and the top floor was also affected. Five operating theatres and at least two wards were put out of action. Fortunately nobody was killed and there were no serious injuries. Later that same year six fire engines and about 30 firefighters fought a fire at Great Ormond Street Children’s Hospital. Believe it or not hospitals are also victims of arson with 28 such instances in 2008. Thus one can see that fires in hospitals are not uncommon and the Fire Industry Association (FIA) believes that there is a strong case for requesting higher standards of fire protection in their buildings and generally in buildings that are critical to the community.

INSURING AGAINST FIREIn recent years there has been an increase in the level of interest from insurers with regard to fire protection in buildings. Evidence of this is in the issuing of the fire guidance document Approved Document B: Fire Safety (Volume 2) to the Building Regulations, 2000 Edition Incorporating ‘Insurers’ Requirements for Property Protection’ by the RISC Authority in 2008. This document builds upon the invaluable information that is provided in an earlier RISC Authority document entitled ‘Design Guide for the Fire Protection of Buildings’. This document lists 12 essential principles which, if embraced, will certainly improve the levels of property and business protection. This is all good advice, but isn’t it time that businesses were required to carry fire insurance on their buildings? Even very small companies are required to have Employers Liability Insurance; so why no minimum requirement for a basic level of fire insurance, especially when many businesses that experience a major fire cease to trade within a year of its occurrence? Indeed, many buildings that are critical to the community, for example local government buildings, carry no fire insurance at all!

BUILD & DESIGNThe rationale of the Building Regulations in the UK is that “in an emergency the occupants of any part of a building should be able to escape safely without any external E

RAISING STANDARDS

IMPROVING LEVELS OF PROPERTY PROTECTIONFires in healthcare premises are not uncommon, which is why buildings critical to the community needs higher level of fire protection, argues Graham Ellicott, CEO, Fire Industry Association

The FIA believes that designers and building owners should consider the use of more fire protection in buildings that are critical to the community, such as public buildings including hospitals and community centres.



52

Fire

Saf

ety

RAISING STANDARDS

Berkshire Fire and Rescue Service. The half-day event, which takes place at the Holiday Inn Reading West, will help educate the responsible person of all commercial properties about fire safety. Opened by the Royal Berkshire Fire and Rescue Service, the seminar will provide clarity about their fire safety duties, in accordance with the Regulatory Reform (Fire Safety) Order 2005. The event is relevant to those responsible for fire safety in all commercial businesses including office and retail premises, care homes, sleeping accommodation, and warehouses. The seminar will inform owners of commercial premises; facilities managers; health & safety managers; building designers and consultants about the importance and benefits of incorporating fire safety management protection measures. No matter what size the business, this event will help them provide a safe environment for occupants and staff alike. Delegates will learn key fire safety points related to their working environment as well as having the chance to talk to the local Fire and Rescue Service, manufacturers, installers, suppliers and maintainers of fire protection equipment, and fire risk assessors at the table top exhibition. Places for this event are limited so visit www.fia.uk.com for more information and/or to confirm your place. L

FOR MORE INFORMATIONwww.fia.uk.com

may accept the certification of products, components, materials or structures under such schemes as evidence of compliance. Nonetheless a Building Control Body will wish to establish, in advance of the work that any such scheme is adequate for the purposes of the Building Regulations.”

VALUABLE INVESTMENTThe FIA believes that designers and building owners should consider the use of more fire protection in buildings that are critical to the community, such as public buildings including hospitals and community centres. The value to the country of keeping these buildings operational far outweighs the small additional cost of an extra level of fire protection. Extra fire protection is not just a ‘nice to have’ exercise; it could mean the difference between a building that is important to the community, such as a hospital, surviving in the event of a fire. In most cases the knock on effects for the community, should a hospital not survive, will be many fold the cost of replacing the building itself, and the only people that might imaginably benefit from this are those purveyors of snake oil remedies who will receive some extra monies into their coffers as the disadvantaged sick search for other forms of treatment.

FIA FIRE SAFETY SEMINARThe Fire Industry Association (FIA) will run a Fire Safety Seminar on Thursday 9 June, with support from Royal

E assistance” (Approved Document B to the Building Regulations, 2000 Edition). However, in many cases the designer of buildings/structures or the owner of an existing building may want to go further and increase the level of fire protection installed in the building, so as to give the fire services more time to extinguish any fire that might occur. This could lead to a reduction in the amount of damage caused and thus, in the consequent insurance claim. This addition will provide extra comfort to insurers and also the firefighters, who may have to enter a fire-ravaged building after the occupants have escaped. Extra fire protection is not just beneficial to the building owner(s), insurers and to the firefighters, but also is of major benefit to the local community. In the case of a fire in a hospital, which wipes out most of the structure, the effect on the local people is immeasurable.

DELIBERATE FIRESThe Arson Prevention Bureau, a national organisation representing insurers, police and fire services, estimates that arson costs the economy £53.8 million pounds each week in England and Wales. This equates to nearly 20,000 businesses and public buildings being damaged or destroyed by arson every year. In these recessionary times this amount of fire damage can be ill afforded, especially as many businesses that are ravaged by fire never reopen, leading to even more job losses than those caused by the current poor economic climate.

MAINTAINING SYSTEMSWhilst it’s all very well specifying an increased level of fire protection for a building, it is equally necessary to ensure that the systems are properly installed and maintained. At the end of the relevant phase of construction, the fire protection installer will issue a Certificate of Conformity, which will claim that the product has been installed in accordance with the terms of the contract. But what does the Certificate of Conformity mean? Is it worth the paper it’s written upon? In the FIA’s view its worth is greatly enhanced if it is issued under the auspices of a third party accreditation scheme. Such schemes mean that competent operatives have correctly installed the specified products and that independent inspectors have randomly inspected the work. Third party accreditation schemes were implemented to improve the quality of the UK’s fire protection. Approved Document B of the Building Regulations states: “Since the fire performance of a product, component or structure is dependent upon satisfactory site installation and maintenance, independent schemes of certification and registration of installers will provide confidence in the appropriate standard of workmanship being provided.” ADB goes on to say “Building Control Bodies

Whilst it’s all very well specifying an increased level of fire protection for a building, it is equally necessary to ensure that the systems are properly installed and maintained.

53



This is the slogan of the Dutch AFG Group, which has recently announced that it is joining forces with DSPA.uk Ltd to introduce its entire product range into the UK under the name AFG Flameguard Ltd. “This is exciting news for the healthcare sector,” says John Maxfield, director of DSPA.uk Ltd. “We are already installing our systems into NHS archive stores, and now we can add to our portfolio many quality fire safety products used by the healthcare services on the continent.” The following products were showcased at the International Firex exhibition at the NEC in Birmingham 16-19 May:• Supernova signs and emergency lighting• Flameguard fire retardant and heat resistant coatings• SEAC passive fire products

• Intertec Fire Risk Assessments; accredited to Dutch Building Regulation standards and UK HTMs“For a long time now we have been looking for the right opportunity to enter the UK marketplace,” says Frans Vogelzangs, CEO of the AFG Group. “The UK is a very big market and I am sure that our innovative products will provide quality solutions for all fire related issues.”


AFG Flameguard – the experts in fire prevention

Hillmoore Fire Protection is a specialist contractor for the design, supply and installation of all passive fire protection systems. These include fire stopping, fire and smoke compartmentation cavity barriers, fire walls, fire doors and structural steel fire protection. We specialise in carrying out upgrading works to live buildings keeping disruption, noise, mess and cost to a minimum. Hillmoore is currently working on major live hospital projects to the satisfaction of all concerned. Being approved installers of all the major products available, Hillmoore is able to offer the correct and most economic solution for each individual site requirement. Designs are underwritten with back to back warrantees with material manufacturers together with Hillmoore’s own professional indemnity insurance. All work carried out is third party accredited by both Firas and LPCB with site installations open to

regular third party inspection. This provides peace of mind to their clients that the work is carried out correctly and to specification. A Certificate of Conformity is provided upon completion of a project which is also underwritten by the third party fire authority. Full site inspections can be carried out, normally free of charge, and a full defects report, action plan and costing provided to the client.


Hospital passive fire protection surveys, design and installation

Hospital Aids is based in Northampton and since 1980, we have been manufacturing evacuation equipment used in the moving of hospital patients, care home residents, school pupils and more recently, the general public, in the event of a fire or other major emergency. Our most well-known products are the Ski Sheet (mattress evacuation) and the Ski Pad (pullable, padded stretcher), however, in the last 12 months we have added a range of evacuation chairs, moving and handling equipment, the Modular Falls Mat and various other items – all can be viewed at www.hospitalaids.co.uk In 2009, we were delighted to join forces with Spectrum Healthcare (UK) Ltd, now a sister company to Hospital Aids. They offer sole UK and Ireland distribution of the AlbacMat

and ResQmat, two innovative evacuation products that are imported from Australia. The full Spectrum range can be seen at www.spectrumhealthcare.co.uk We aim to provide solutions for our customers and our prospective customers, and we are therefore happy to discuss and develop modifications to our existing product range, as well as new products, which are within our technical capabilities.

FOR MORE INFORMATIONContact: Stephen Clark, sales and marketing directorHospital Aids1 Kingsfield Close, DallingtonNorthampton NN5 7QSTel: 01604 586501Fax: 01604 [email protected] www.hospitalaids.co.uk

How would your patients or residents get out in an emergency?

There’s every reason to be alarmed – but no reason to be concerned. Lifeline Fire & Security is a specialist electronic security installation and breakdown company. We can design, install, commission and maintain electronic systems to suit your building and needs.Our services include:• Fire alarm systems• Staff attack systems• CCTV systems• Access control systems• Alarm systems• Nurse call systemsThe key to our service is ensuring

the systems meet the demands of the clients. We are on call 24 hours a day 365 days a year to make sure you are confident with the electronic systems you have. Even if you already have systems in place, we can advise and maintain existing systems through a planned preventative scheme which can be reviewed yearly. This can save you time and money.

FOR MORE INFORMATIONTo find out how you can benefit from our service call today 01634 373522 or check our website on www.lifelinegroup.co.uk

Lifeline Fire & Security – always on hand



54

Busin

ess C

ontin

utity

RISK MANAGEMENT

In March 2011, the Chartered Management Institute (CMI) published ‘Managing Threats in a Dangerous World’, a joint report with the Cabinet Office, the Business Continuity Institute, Aon and BSI, looking at the state of the UK’s business continuity management in the previous 12 months – including in the health and social care sector. This annual report (which has been published since 2001) is especially important, as the adoption of business continuity management (BCM) frameworks has been actively promoted by government policy in recent years to cope with issues such as the 2008 fires at both the Royal Marsden and Great Ormond Street. For example, the Civil Contingencies Act (2004) introduced a requirement for all frontline responders – including the emergency services – to develop and maintain BCM arrangements. From 2006, the Act also placed a duty on local authorities to promote BCM to business and voluntary organisations.

THE HEALTH SECTORYet despite this, and given the critical services supplied by many of those in the health and social care sector, the findings for the sector were disappointing. Although 81 per cent of those surveyed reported that their senior management view business continuity management as important or very important, just 64 per cent of managers working in health and social care sector said that their organisations had BCM plans – lower than in local and central

government, finance, insurance and utilities. A further 14 per cent didn’t know whether their organisation had set crisis plans they should be following – meaning that plans, even if in place, would be likely to be ineffectual. This low level of planning could help explain the impacts that unexpected and damaging disruptions have had on the day-to-day operations of the sector over the past year. Particularly concerning is the fact that, as

technology becomes more and more integral to how we work, it has brought additional risks with it. More than half of the health and social care sector managers surveyed reported that cyber security threats are increasingly posing a serious risk to their operations, with 29 per cent having come under a cyber attack of some sort in the past 12 months and more

than one in five (21 per cent) losing confidential information.

Traditional business continuity issues also continued to cause problems, with weather and illness presenting challenges for managers. The heavy snow last winter unsurprisingly caused disruption to almost all (98 per cent) health and social care organisations; the volcanic ash cloud impacted 41 per cent; and the influenza epidemic also caused problems for 71 per cent (18 per cent higher than for organisations in general).

POSITIVE SIGNSMore promisingly, the findings also showed that the recent media focus on high profile business continuity failures has had a real impact on the health and social care sector’s business planning. Some 10 per cent of managers feel that Deepwater Horizon has strengthened the case for their organisation to develop robust business continuity management plans; and 22 per cent believe WikiLeaks has caused their organisation to revisit their security arrangements. These positive signs are backed up by

findings of those who have already put a business continuity plan in place, with the report showing clear advantages for organisations that have had to deal with crises. Of those who had to activate plans across the UK in the past 12 months, 84 per cent agreed it reduced disruption and 77 per cent stated that any cost in developing plans is offset by the business benefits they bring.

EFFECTIVE PLANNINGSo, with the benefits clear, and more and

more organisations putting a BCM plan in place, what E

Is a blinkered approach to crisis planning putting the health and social care sector at risk? Ruth Spellman, chief executive of the Chartered Management Institute, investigates

DO YOU HAVE A PLAN IN PLACE?

Although 81 per cent of those surveyed reported that their senior management view business continuity management as important or very important, just 64 per cent of managers working in health and social care sector said that their organisations had BCM plans.

Business Continuity

55



SecuriCare has been at the forefront of training in the prevention and management of challenging, aggressive and violent behaviours since the early 1990s. The training is accredited and can be externally certificated. SecuriCare is an Institute of Conflict Management Quality Award Centre (ICMQAC). The training covers the following core learning objectives and meets the requirements of the NHS National Conflict Resolution Training Programme: Describe the common causes of conflict; Describe different forms of communication; Give examples of communication breakdown; Explain three examples of communication models that can

assist in conflict resolution; Describe patterns of behaviour they may encounter during different interactions; Explain the different warning and danger signs; Give examples of

impact factors; Describe the use of distance when dealing with conflict; Explain the use of “reasonable force” as it applies to conflict resolution; Describe different methods of dealing with possible conflict situations. The training also includes disengagement skills, and physical intervention/restraint skills where necessary and is part of the organisations policy and staff guidelines. Train the Trainer Packages are available for in-house training personnel and can include NVQ Level 3 Direct Training & Support (QTLS).

FOR MORE INFORMATIONwww.securicare.com

Preventing and managing challenging behaviour

E should health and social care organisations do to make sure any plan put in place – or already in place – is as effective as possible? Firstly, it needs to be remembered that BCM has to be viewed as a holistic activity, focusing on the business or organisational impact, rather than concentrating on specific risks, so potentially missing the bigger picture. As such it needs to form part of a wider management strategy and have specific senior management level accountability and ownership – though may be best delivered by a team of specialists from across your organisation. One way of achieving this might be through using BCM based on a common framework, such as BS 25999. Once into the the planning phases of any BCM project, it will be important to ensure you define and agree its scope and objectives before you begin – including agreeing limits of responsibility for inter-dependent elements – as clarity and comprehensiveness will be vital to delivering an effective plan. At the earliest possible stage, make sure you identify as complete a picture of your organisation as possible in order to fully understand the risks you face. Process mapping could be a useful tool for this, helping you indicate the inter-relationships of people, equipment, and internal and external activities.

ASSESSING RISKWhen it comes to starting to assess risk, remember not just to look at the likelihood of failure and the business impact of failure – you also need to consider the time period of failure. Many organisations can sustain service failures for short periods without a critical impact, but the time period will be different for each service and user. Make sure as part of your planning you also review which suppliers are critical to your operations and ask whether they have BCM in place too. Recent high profile disruptions such as snow and volcanic ash affected many organisations’ logistical operations, and a poorly organised supplier could undermine much of your risk

planning work. Bad weather and cyber and information security threats had a real impact on organisations in the UK last year, so make sure any plans you develop cover both.

WHO DOES WHAT?The key to an effective BCM plan should be to explain who needs to do what, who takes responsibility and who deputises for key roles. Bear in mind that people facing a crisis will not have the time to read detailed reports, so consider using checklists, flowcharts and other visual devices, to make the plans as easy to follow as possible. As part of your plans, make sure that you also develop a clearly defined approach for responding to the media at times of disruption. This isn’t just something for national or global brands – knowing how to deal with local and regional media can be just as important. Finally, remember that BCM plans are not static – as the rise of cyber threats has shown, new issues arise all of the time that will need to be planned for and considered. Any BCM plan needs to be reviewed regularly, checking it remains relevant to the organisation’s current operations and takes account of new developments. Crisis plans should also be tested regularly to ensure they are comprehensive and robust – a quarter of organisations with crisis plans have never tested them, running the risk that the plans don’t work when they are most needed.

FURTHER GUIDANCEThis guidance is obviously not exhaustive, and I would recommend that anyone interested in starting or improving their BCM process visits www.managers.org.uk/bcm2011 where you can download a free copy of the ‘Managing Threats In a Dangerous World’ as CMI’s Checklist on BCM, part of our range of over 200 Management Checklists, usually only available to members. There are also a number of other sources of information and advice worth consulting, such as the Cabinet Office’s National Risk Register, BS

25999 (published by the BSI Group) and the Business Continuity Institute’s Good Practice Guidelines, many of which are available online. In post-recession, “age of austerity” Britain, accountability and transparency are key to success. All organisations have a responsibility to their stakeholders, customers, employees and partners to develop plans to ensure they can continue to operate through difficult or uncertain circumstances. This is particularly vital in the health and social care sector, which delivers such important services, and often works within large or highly interconnected organisations that can put it even more at risk from disruption. It’s the duty of all managers within the sector to ensure that they have proactive plans in place to deal with the potential threats that could impact their business. Anticipating and planning for threats will help drastically reduce the negative impacts on your organisation, should they occur, as well as helping you recover faster from any ill effects. If your organisation has not already fully embraced BCM, make 2011 the year that you do. L

About the author

As chief executive of the CMI, Ruth Spellman OBE leads the drive to encourage individuals, businesses and government to invest in the high level skills we need to increase UK competitiveness and productivity. Prior to joining the Institute in June 2008, Ruth was the first female chief executive officer of the Institution of Mechanical Engineers, following seven successful years as chief executive of Investors in People. Prior to that she was a senior member of the consulting practice at Coopers and Lybrand, HR Director of the NSPCC and an advisor to NEDO (the National Economic Development Office). She brings a broad experience of the private, public and voluntary sectors to the Institute.

www.oki.co.uk 0800 917 6015

P I O N E E R I N G L E D T E C H N O L O G Y F O R O V E R 2 0 Y E A R S

the next generation of printers is already led

C800 SeriesC500 Series B400 Series MC300 Series MC561dn

COMPACTBy continuously developing digital LED technology over two

decades, OKI produces some of the most compact and reliable printers available. OKI’s LED printers allow businesses to

maximise their workspace and reduce their print costs, whilst maintaining a consistently high quality output.

Business Continuity

57



For most smaller organisations business continuity can be relatively simple if approached correctly. It should be easily planned in a day or two at most without specialist business continuity expertise, and for simplicity should be capable of recovering the whole organisation, not just a few key parts. For organisations such as a major hospital, however, continuity and recovery planning is significantly more complex than “pick up thy bed and walk”. It isn’t possible to have a spare hospital just lying around as a disaster

recovery facility, and even if it were, the process of relocating patients en-mass with all staff to a standby hospital would be almost as complex as moving patients en-mass to other nearby hospitals as in a worst-case scenario contingency plan. The spare hospital by itself wouldn’t greatly simplify matters and I would argue that the greatest attention and budget in this instance should be expended on risk management, security, and enhancing resilience – prevention rather than cure – but that isn’t the whole picture. Prevention is always better than cure if it’s practically and financially feasible. In some cases the physical facility is the key asset to be protected to enable the functions to occur, e.g. hospitals, or in an entirely different but recently topical example, nuclear reactors.

YOU CAN’T PREVENT ALL BROKEN LEGSIn other cases, having taken standard disaster-prevention steps e.g. data and document protection; emergency situations training; adoption of good health and safety practices and mitigation of obvious physical (and cyber) risks; it is more feasible to plan for operational recovery, or cure rather than prevention. After all, it’s easier and less costly to fix the occasional broken

leg than issue everyone with lightweight protective bonded-plastic casts in an (absurd) attempt to prevent all broken legs! So when should the board or trustees’ policies, efforts and budgets be directed primarily at prevention rather than cure, and when at risk mitigation plus cure-if-it-happens? Is there a ‘formula’ you can use to help gauge this? A key question might be ”Does the cost of the required resilience far outweigh a combination of likelihood of disaster

event and relative ease of recovery at an alternate location?” This will help identify functions and facilities to protect to the hilt to prevent all disaster situations possible, and alternatively, functions to protect as feasible but otherwise plan to recover. Further considerations would be what degree of recovery is required, for which functions, and how fast recovery is required? Clearly, this must align with budget realities. Can, say, 80 to 90 per cent of the effectiveness be achieved with a much reduced budget whilst delivering 100 per cent of the truly vital services? MAKING THE CUTWithin a hospital there are functions that can be viewed as smaller business units for which simple business continuity and recovery planning can be more feasible than “protect at all costs”. For smaller healthcare organisations such as a general practice, although business continuity planning is more complex than for an ordinary small business the same principles apply, and simplifying the planning process can derive practical solutions for the recovery of that practice whilst improving resilience. A simple low-cost approach can prevent analysis-paralysis and create an effective

business continuity programme within hours or a day or so rather than weeks or months.

REDUCED INSTRUCTION SET This approach can be likened to a Reduced Instruction Set of business continuity components; analogous to Reduced Instruction Set Computing (RISC) where less instructions increase computer power through greater concentration on simpler processes, and can be termed Reduced Instruction Set Continuity™. The key elements of this approach are: • Data, applications and document backup or replication and tested restoration.• Identifying simple improvements in resilience and security. • A recovery profile that can be rapidly created summarising in one or two pages the essential factors to enable recovery.• Planning for coping with urgent actions whilst the full recovery is being managed.• (Almost) all staff and systems planned for recovery, not just a sub-set. • (Almost) recovery-location independent; location(s) selected at time of disaster from pre-identified sites, avoiding journeys across urban centres in wide-scale events. • Having external recovery assistance services pre-arranged to help coordination of recovery location, additional support, IT and equipment, and public relations. • Executives and staff concentrate (almost) exclusively on running the activity despite the disaster and doing (almost) their normal jobs as much as possible. • The business runs the business; the recovery team runs the recovery. CONTINUITY SOLUTIONS.CO.UKThis reduced instruction set approach to business continuity has been described by a world-renowned business continuity expert of over 30 years experience who is a Fellow of the Business Continuity Institute and holder of a Lifetime Achievement Award as “a unique breakthrough in the implementation of effective business continuity management, especially in the small business arena”. L

FOR MORE INFORMATIONFor more information, please contact Robin Dunford-Green via [email protected]

For smaller healthcare organisations such as a general practice, simplifying the planning process can derive practical solutions for recovery whilst improving resilience.

HEALTHCARE CONTINUITY – PREVENTION OR CURE?For organisations such as major hospitals, business continuity and recovery planning is significantly more complex than ‘pick up thy bed and walk’

RECOVERY SOLUTIONS

3M is the trusted UK market leader in clinical coding software, with strong capability in data analysis and document management.

We combine the expertise and security of an innovative global leader in health informatics software solutions, with local and responsive development capability and strong customer service support.

With a long history of supplying to the NHS and more installations than any other supplier of clinical coding software, 3M is helping health care organisations to manage revenue, and improve the quality of patient care.

Ensure that your current and future needs are met by partnering with 3M.

For more information or a demonstration

Call: Freephone 0800 626578

E-mail: [email protected]

Web: www.3m.co.uk/HIS

3M Health Information Systems

Driving HealthInformatics

Improving Patient Care

3M is a trademark of the 3M Company.©3M Health Care Limited 2011.

3

Secure dictationImproved workflow

Zero annual licencing costs

Established 1982www.dictationsupplies.com

Tel: 0845 644 5070

Healthcare IT

59



With the reality of cost-cutting hitting public sector organisations at every level, healthcare ICT is grappling with the impact the government’s health reform bill will have on NHS services. With budgets also under pressure, healthcare professionals need to find efficiency savings whilst continuing to deliver a world class NHS. The Guardian’s Smart Healthcare Live exhibition comes at a vital time for healthcare professionals and will provide attendees with an opportunity to see the latest innovations, meet key suppliers and hear the developments shaping healthcare IT today. Free to attend, the event will be taking place at ExCeL London, and will run alongside Public Procurement Show and SmartGov Live for two days of keynote debates, practical case studies and best practice seminars.

SPEAKER LINE-UPOur speakers are leaders within the healthcare ICT sector; they are at the forefront of innovation and public sector cost savings and will discuss the key issues facing the sector. The impact of GP commissioning and what form this new system may take will be debated by a panel including Justin Whatling, vice chair, strategy and policy, BCS Health and Dr Sid Deshmukh, informatics lead, Bexley Clinical Cabinet GP Consortium. Meanwhile, Torbay Care Trust, Avon IM&T Consortium and Southampton University Hospitals NHS Trust will discuss the potential cost and efficiency savings which can be delivered through effective IT strategies, and Sir John Oldham will explore how the NHS could look in ten years. Lord Filkin will end the first day of the conference with a keynote speech asking if we can get bigger savings, better value and better outcomes through effective procurement. The second day will close with a lively conversation between Michael White, assistant editor, the Guardian and Baroness Hanham, parliamentary under secretary of state, CLG.

HOT TOPICSThis year, we will introduce best practice theatres, creating a dynamic and collaborative forum for hot topics. Roger Donald, head of digital delivery at NHS Direct will demonstrate how social media can transform healthcare delivery and Jenny Hyatt will show how a similar effect has been achieved on the award winning website bigwhitewall.com, E

SMART HEALTHCARE LIVE

DRIVING EFFICIENCIES AND CUTTING COSTS WITH ITVisit Smart Healthcare Live, 14-16 June at ExCeL London, to find inspirational solutions, meet innovative suppliers and hear influential figures discuss developments shaping healthcare IT today

The Guardian’s Smart Healthcare Live exhibition comes at a vital time for healthcare professionals and will provide attendees with an opportunity to see the latest innovations, meet key suppliers and hear the developments shaping healthcare IT today.

www.csamhealth.com

[email protected]

07595 883 618

caring for life

CSAM’s Service Delivery Platforms uniteyour clinical systems to create acomprehensive, portal-based healthinformation system. The full integration itgives presents clinicians with the rightinformation at the right time.

With CSAM you will maximise the return onyour existing investments, minimise thedata migration and training costs, andcreate the flexibility in your healthcare ITsystem to adapt to the future, whatever itholds.

Let Europe’s fastest growing e-healthcompany help you. Contact us for moreinformation or to arrange a demonstration.

Healthcare IT

61

SMART HEALTHCARE LIVE



E an online community which offers people struggling with psychological problems a safe place where they can talk about their feelings anonymously. High level strategic keynote debates will also take place on both days. Leading thinkers including Allison Ogden-Newton, chief executive of Social Enterprise London, Dominic Campbell from FutureGov and Chris Chant, interim executive director for digital at the Cabinet Office will discuss how the way we think about public services is changing as new delivery models and organisations are established and how public services need to adapt as information technology changes the way we live, behave and operate. Smart Healthcare Live will also provide you with the chance to see the latest technologies and developments from organisations including IBM, EMIS, Panasonic, Kodak, BCS and NHS Evidence.

STRETCHING BUDGETSAt Smart Healthcare Live, we know these are tough times with cuts affecting all of society – citizens, community, local and central government. How can ICT support the NHS in this time of great change while facing the challenge of restricted budgets? Health IT leaders are under greater pressure than ever to increase efficiencies, prove ROI and enable the health service to deliver higher quality care. By bringing leading public sector influencers, thinkers and suppliers together under one roof, Smart Healthcare Live can help health ICT professionals explore and innovate new ways of delivering healthcare services efficiently and effectively. L

FOR MORE INFORMATIONMore information on Smart Healthcare Live is available at www.smarthealthcarelive.comFollow us on Twitter at twitter.com/GuardianSmart

BEST PRACTICE SEMINARS PROGRAMME

HEALTHCARE TALKS PROGRAMME

TUESDAY 14 JUNE

10:00 - 10:30 Case study: Electronic paper records system. Neil Darvill, director of informatics, St Helens and Knowsley Teaching Hospital NHS Trust.

10:50 - 11:20 Case study: Using social media to transform healthcare delivery. Roger Donald, head of digital delivery, NHS Direct.

11:50 - 12:20 Integrating health, social care and housing through technology.

14:00 - 14:30 Case study: Increasing IT efficiency and making savings with advanced PC power management. Shaun Jeffrey, head of ICT, Newham University Hospital NHS Trust.

14:50 - 15:20 Case study: Delivering major change on low budgets

WEDNESDAY 15 JUNE

10:00 - 10:30 Setting up a social enterprise. Craig Dearden-Phillips, managing director, Stepping Out.

10:50 - 11:20 Using social media to change the way we deliver services. Jenny Hyatt, founder and CEO, Big White Wall (winner of PSA 2010).

11:50 - 12:20 Case study: Using technology to drive innovation. Professor Gary Smith, School of Health & Social Care, University of Bournemouth.

14:15 - 14:45 Re-thinking hospitals: is employee ownership the new model for healthcare delivery? Ali Parsa, managing partner, Circle.

15:00 - 15:45 Showcase: Open Source Innovation Nominees.

TUESDAY 14 JUNE

10:00 - 10:40 The future isn’t what it used to be. Sir John Oldham, national clinical lead, Quality and Productivity, Department of Health.

11:00 - 12:00 Panel debate: What does GP Commissioning mean for Health ICT? Dr Justin Whatling, vice chair, strategy and policy, BCS Health; Dr Sid Deshmukh, Informatics lead, Bexley Clinical Cabinet GP Consortium; and Paul Zollinger-Read, director of commissioning development, East of England Strategic Health Authority.

12:30 - 13:30 Lunchtime keynote debate Rethinking public services, Jane Dudman, editor, Public Leaders; Ali Parsa, managing partner, Circle; Allison Ogden-Newton, chief executive, Social Enterprise London; and Hilary Thompson, chief executive, Office of Public Management.

14:00 - 15:00 Panel debate The future for Mobile Health. Adrian Byrne, director of information management and technology, Southampton University Hospitals NHS Trust; Andy Kinnear, head, Avon IM&T Consortium; and Malcolm Dicken, head of new ways of working, Torbay Care Trust.

15:15 - 16:15 Closing keynoteProcurement – can we get bigger savings, better value and better outcomes? Lord Geoffrey Filkin, chair and founder, 2020 Public Services Trust.

WEDNESDAY 15 JUNE

09:50 - 10:40 Opening keynote: Are we ready for an information revolution?

11:00 - 11:50 Panel debate: How can ICT create a more efficient NHS? SA Mathieson, editor, Guardian Healthcare Network; Jim Briggs, principal lecturer and director, Centre for Healthcare Modelling and Informatics, University of Portsmouth; Dr Glyn Hayes, president, UK Chip; and Ibukun Adebayo, director of IT, Turning Point.

12:15 - 13:15 Lunchtime keynote debate How is information technology changing the UK? Dominic Campbell, director, FutureGov; Chris Chant, interim executive director for digital, Cabinet Office; and Professor Paul Watson, director of the digital institute, Newcastle University.

13:30 - 14:00 Case Study: Sharing for cost savings.

14:15 - 14:45 Case study: Telehealth

15:00 - 15:45 Closing keynote Michael White, assistant editor (politics), the Guardian; and Baroness Hanham CBE, parliamentary under secretary of state, Department for Communities and Local Government.

15:00 - 15:45 Showcase: Open Source Innovation Nominees.



62

Adve

rtise

rs In

dex

ADVERTISERS INDEXThe publishers accept no responsibility for errors or omissions in this free service

3M 24,58

Albion Selections 34

Alex Reid 28

Apetito 20

Apollo Fire Detectors 4

Charity Gift Vouchers 23

Charm Office Solutions 44

Continuity-Solutions OBC

Courtney-Thorne 8

CSAM 60

Yeoman Shields 48

DSPA 53

Dyson 10

Elliott Group 32

Energy Institute 46

Garden Escapes 36

Glyn Williams Architects 44

Graphic Mail 62

HC Slingsby 28

Hillmoore Fire Protection 53

Hospital Aids 53

in4matics IBC

Jackpad 38

Jolly Good Idea 28

Kitchen Deep Clean 29

Multifire Maintenance Services 50

Nedap Aeos 30

Nortech Control Systems 58

Nursing Hygiene 14

OKI Printing Solutions 56

P&G 26

Park Crescent Conference Centre 43

PDS Hygiene 16

Peccater Safety Products 50

Pel Services 50

Philips 60

PK Care 44

Refreshment Systems 22

RoSPA 6

SecuriCare 55

Stream Hygiene 12

The Rezidor Hotel Group 42

The S2S Group 49

TME Electronics 12

Village Hotels 40

Volvo 2

WACO 38

Western Power Distribution 47

Wyvern Business Solutions 18

www.graphicmail.co.uk 01670 363 346

All these features, and more,

From as little as £9.99 Per month

* Full marketing reports* White labelling of application* Unlimited departmental subaccounts* Share images, lists & templates between Master & sub-accounts* Control budget & access privileges** Triggered & scheduled sending* Personalisation of mailings

Visit www.graphicmail.co.ukand set up a no-obligation

60 day a free trialenter promo code ‘GMTFC’for 2000 free credits when

you sign up to a subscription

£ 9.99

Get the most out of your marketing budget

Affordable Email Marketing for the corporate marketplace

EVENT PROFILE • Dynamictwodayintegratedevent• FreetoattendfordelegatesworkingintheNHS*• Intellectualandcommercialconferencecontent• Verycompetitiveratesforfloorspace• Bespokecommercialandsponsorshippackages

SAVE 10% NOW BY BOOKING YOUR STAND SPACE BEFORE 31ST MAY 2011 NotonlyarethespacecostsforIn4maticsverycompetitive,butweareofferinganearlybookingincentivewhichgivesyouanopportunitytomakeevengreatersavings.

FLOORPLANS ARE ONLINE NOW! Downloadthematwww.in4matics.co.uk

INTERACTIVE DEMONSTRATIONS FEATURING ‘THE PATIENT JOURNEY’

END OF DAY DELEGATE INTERACTION

DEDICATED DELEGATE ZONE WITHIN EXHIBITOR AREA

IN4MATICS IS A TWO DAY

INTEGRATED EVENT FOR COMPANIES

INVOLVED IN CREATING AND

DELIVERING THE HEALTHCARE IT

SYSTEMS OF THE FUTURE

WHAT MAKES IN4MATICS A

DIFFERENT KIND OF HEALTHCARE

IT EVENT?

*Termsandconditionsapply.

FOR MORE INFORMATION AND TO BOOK YOUR STAND SPACE, PLEASE CONTACT: Dennis Wheatley, Sales Manager, Citadel Events on

+44 (0)1423 526 971 or [email protected] www.in4matics.co.uk

9-10 MAY 2012 ICC BIRMINGHAM

10%EARLYBOOKING

DISCOUNT!

(A)CO™ Reduced Instruction Set Continuity™ – Business Continuity Planningin less than a day and Recovery Assistance when needed!

“A unique breakthrough in the implementation of effective business continuity management for the small business”

4 UniqueOne-Page‘RecoveryProfile’approachenablesBusinessContinuity,CrisisManagementand improvedResiliencePlanningwithinhoursratherthanweeksormonths4 Requiresnospecialistknowledgeandusesnojargonorcomplexterms4 Immediatevisibilityofstrengthsandwhereimprovementsneeded4 Combined Software, Support and Recovery Assistance Services

Aggregate data from multiple offices, multiple companies, or supply chain.

(A)CO™ Reduced Instruction Set Continuity™ is an innovative, inexpensive approach to Business Continuity which combines simple intuitive planning and report formats with advice and Recovery Assistance Services to help you recover from a disaster.

Email [email protected] call 0845 680 3845 for more information.

Summarisesonjustonepagethekeycompanydetailsandcontacts,

ITrequirements,KeySuppliers,andkeyFactorsforRecoverability.

Otherprofilesandreportsexpandalldetailsasrequired.

Informationandentryscreensforeachplanningelement.

Colour-codedentriesdisplayedina‘VisualAction-Status’grid.

Detailedquestionsidentifyactionpointsandareasto

furtheraddress.

Briefings,EmergencyAlerts,queriesandresponsesrelatingtoPlansorBusinessContinuity

ingeneral.

Support Messaging system

Information and Data Entry for each Planning element

Recovery Profile

(Almost)ContinuousOperationTM(A)COTMandReducedInstructionSetContinuityTMareContinuity-Solutions.co.ukTradeMarks.Copyright©2011Continuity-Solutions.co.uk

Documents

Health Business Magazine issue 11.4