OCTOBER 2024 | £8 healthcaredm.co.uk healthcare design & management Also in this issue: The cost of data breach The impact on the healthcare sector and how AI can help Support for net zero targets How healthcare can reduce their carbon footprint while minimising disruption A burning issue The role of fire doors in creating safe healthcare environments The Midland Metropolitan University Hospital opens Setting a new standard in healthcare design
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healthcaredm.co.uk 3 Publishers Stable Publishing Limited SBC House, Restmor Way Wallington, Surrey SM6 7AH, England. t. 020 8288 1080 f. 020 8288 1099 e. [email protected] healthcaredm.co.uk Editor Helen Adkins Sales Director Julian Walter Production Nicola Cann Design Gemma England Managing Director Toby Filby The Midland Metropolitan University Hospital (MMUH) The publishers do not necessarily agree with views expressed by contributors and cannot accept responsibility for claims made by manufacturers and authors, nor do they accept any responsibility for any errors in the subject matter of this publication. healthcare design & management The Midland Metropolitan University Hospital (MMUH) stands as a pioneering example of healthcare design that meets the demands of the future while remaining deeply rooted in the local community. Officially opened on 6 October, this state-of-the-art facility not only consolidates acute and emergency services, but also integrates cutting-edge technology and sustainable practices. Spanning 84,000 square meters across 11 stories, MMUH is designed with both patients and the community in mind. Its layout encourages patient mobility, wayfinding and wellbeing, featuring a central Winter Garden that serves as a vibrant public space for exhibitions, concerts and community events. This approach reflects a commitment to creating an environment where healthcare is accessible, welcoming and supportive of the surrounding community’s needs. Sustainability is at the core of MMUH’s design, incorporating energy-efficient systems, intelligent lighting and extensive green spaces. The hospital’s commitment to environmentally responsible practices extends to its construction, utilising prefabricated components and a unitised façade system that enhances energy efficiency and minimises waste. On page 4, we provide an in-depth exploration of the hospital, featuring insights from a few of the architects involved in its design. We delve into their design philosophy, emphasising their collaboration with local stakeholders to ensure the facility meets community needs. Additionally, we look at the significant challenges encountered during construction, including the liquidation of Carillion in 2018, and hear how the team navigated these hurdles to create one of the most advanced hospitals in Europe. The MMUH is not just a healthcare facility; it is a community hub that fosters connections and collaboration. By engaging with local stakeholders and prioritising community input throughout its development, the hospital exemplifies a model of healthcare that is future-proofed, resilient, and dedicated to enhancing the quality of life for all residents in the Sandwell and West Birmingham area. As healthcare continues to evolve, The MMHU sets a compelling precedent for how modern facilities can integrate into their communities while addressing the challenges of tomorrow. . Helen Adkins Editor [email protected] Editor’s Letter October 2024 The future of healthcare
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IN THIS ISSUE... October 2024 7 News A look at the Government’s response to the Lord Darzi report on the state of the NHS, the restoration works at the historic, grade-one listed Finsbury Health Centre in Clerkenwell, and a round-up of the latest news in the sector 12 The Midland Metropolitan University Hospital As this cutting-edge £750 million hospital opens its doors, we talk to the architects involved in the project and take a tour of the facility 18 The cost of data breaches for healthcare AJ Thompson, CCO at IT consultants Northdoor, looks at the impact of data breach and explains how AI can help 20 Ultrafabrics new concept Concept Pro from Ultrafabrics is a new stain-resistant, PFAS-free performance fabric designed for healthcare and commercial interiors 22 Decarbonisation without disturbing healthcare Paul Norris, managing director from BOOT Construction shares his top tips on how healthcare settings can reduce their carbon footprint while minimising disruption to patients 25 CP Care Systems With more than 42 years’ experience of working closely with the NHS, GP Care Systems is the UK’s longest established designer and supplier of heavy-duty space-saving bed systems 26 Discovering IT solutions RFiD Discovery, the UK’s leading provider of tracking solutions for healthcare, has launched a new Patient Discharge Management system 28 RW Joinery A look at fire door manufacture, installation and maintenance, in light of the recent Grenfell Inquiry report 31 Quick decisions for maintenance Steve Greaves of PermaGroup discusses how quick decisions are needed to address maintenance issues within healthcare estates, and how the managing of building materials is fundamental for success 33 Water Hygiene Centre comment Roy Sullivan, senior consultant at the Water Hygiene Centre, explains the measures that must be taken to ensure a safe water system 33 25 7 26
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healthcaredm.co.uk 7 NEWS Anew community diagnostic centre (CDC) has been completed by MTX at Clatterbridge Hospital on Merseyside using modern methods of construction to deliver the project faster, greener, safer and more cost effectively. The 450m² single storey Wirral Diagnostics Centre is equipped with both MRI and CT scanners, alongside facilities to further enhance privacy and comfort for patients having scans, and is linked to an existing building on the hospital site. The advanced software allows the MRI equipment to produce high quality scan images at a fast speed, to improve detection of conditions such as prostate cancer. As well as scanning for different types of cancers, diagnostics for a wide range of conditions will be carried out at the state-of-the art facility run by Wirral University Teaching Hospital. Wirral Diagnostics Centre is the first of a number of CDCs MTX is contracted to deliver for UK health trusts. It was constructed employing 12 structural sections factory-built off site and delivered for assembly with walls already in place. Once installed, onsite ceilings and concrete screed floors were added in preparation for fit out, with the specialist scanning equipment and mechanical and electrical systems. A significant quantity of the services equipment was delivered in factory-built modular sections for assembly on site, in line with the Government’s Construction Playbook and drive for Design for Manufacture and Assembly (DfMA). The nature of the building required specialist features which include a ‘Faraday cage’ to enclose the MRI scanner room to avoid electromagnetic interference, and radiation shielding for the CT scanner area. The building floor was also raised above the external site level to mitigate flood risks. Mechanical and electrical plant including medical IT switchboards and uninterruptible power systems are located in a separate building but the systems are linked to the main building management controls for the hospital infrastructure. The new CDC also connects to the medical gases system of the main hospital for oxygen supplies. MTX worked with Gleeds which project managed the new CDC for the Trust and partnered with DAY Architectural for building design, and DSSR for M&E design and mechanical ventilation systems. Wirral Diagnostics Centre is located close to the site of the new multimillion pound elective surgical hub at Clatterbridge Hospital, recently completed by MTX for Wirral University Teaching Hospital NHS Foundation Trust. Wirral Diagnostics Centre is the second diagnostics centre to be built at the Clatterbridge site. Clatterbridge Diagnostics Centre was set up in July 2021 as a partnership between Wirral University Teaching Hospital and The Clatterbridge Cancer Centre, and was one of the first diagnostics hubs set up in England to reduce NHS waiting times and increase capacity for early diagnosis. Since then, more than 100,000 patients have had tests or scans at the centre. In the past ten years, the demand for CT scans at the trust has increased by 65% and the demand for MRI scans has increased by 13%. ■ www.mtxcontracts.co.uk MTX complete Wirral CDC at Clatterbridge
8 healthcaredm.co.uk NEWS The Construction Industry Training Board (CITB) has announced its strengthened position on ‘passing on the Levy’. The move reflects the CITB, Levy Strategy Committee, three Nation Councils and the 14 Prescribed Organisations’ ongoing commitment to ensuring that the Levy system operates fairly and equitably across the construction industry. As part of CITB’s commitment to addressing the issue of Levy-registered employers passing on the Levy to subcontractors, a new anonymous online reporting system has been introduced. This platform is designed to better understand the scale of the practice and gather valuable insights to help bring an end to it. Subcontractors affected by these deductions can use the platform to report instances confidentially and completely anonymously. For those who wish for further action, CITB can make contact with the contractors involved and formally request that they cease making deductions. This initiative is part of a broad effort to ensure fairness across the construction industry and uphold the integrity of the Levy system. CITB is committed to supporting subcontractors and ensuring CITB strengthens commitment to a fair Levy system that all industry participants are treated equitably. The levy is imposed on Levy-registered construction employers who meet the criteria and is used to fund training and skills development within the industry. Contractors are not authorised to deduct money from workers’ wages (both PAYE and Net CIS) on CITB’s behalf. There have, however, been instances of construction businesses or principal contractors ‘passing on the Levy’ to their subcontractors in order to raise funds to pay their own levy. Deb Madden, executive director of Nations Engagement at CITB, said: ‘Passing the Levy down the supply chain reduces the overall investment in workforce development, undermining the purpose of the Levy. We are currently in a climate where we need to grow a highly skilled workforce to meet demand and get Britain building again. We need support from Levy-paying employers to help us to provide longevity in careers within the sector and provide more opportunities for entry. ‘We believe that the best way to resolve the issue of passing on the Levy is through industry self-regulation. Collaboration between CITB, employers and other stakeholders is essential to developing sustainable solutions which foster a culture of fairness and responsibility in the sector.’ Now more than ever, a fair levy system is needed to ensure that CITB can play its vital role in upskilling and training the construction workforce, providing access to funding for every registered employer and helping the industry deliver to the highest standards with the necessary knowledge and experience. CITB is focused on maintaining a level playing field, where all Levy-registered employers contribute appropriately to industry training and development without shifting undue financial burdens onto often smaller businesses. In highlighting the negative impact of passing on the Levy, CITB is encouraging industry-wide self-regulation with a cooperative effort to ensure fair practice. CITB urges those affected by the practice of passing on the Levy to report incidents through an anonymous feedback form, which can be found on the CITB website at: www.citb.co.uk/levy-grants-and-funding/ citb-levy/levy-rates-and-exemptions/ deducting-levy-from-wages
healthcaredm.co.uk 9 NEWS Leading multi-discipline specialist contractor, Dowds Group, in partnership with McLaren and DSSR, has successfully completed a transformative £30 million infrastructure upgrade at Queen Elizabeth Hospital in Woolwich. The project saw the modernisation of critical areas such as operating theatres, pathology, delivery suites, a special care baby unit and ward areas of the Queen Elizabeth Hospital, as well as the creation of new staff rooms and quiet zones. The Queen Elizabeth Hospital in Woolwich is one of the pioneering hospitals under the Private Finance Initiative and commenced operations in Dowds Group delivers £30m transformation 2001. It is one of the busiest hospitals in the area with 482 beds for patient care. James Culloty, London divisional director, said: ‘The much-needed upgrade was being delivered within a very busy live hospital environment, so our team has worked closely with the Trust to carefully plan phased patient-centric installations to ensure that hospital operations could continue without interruption. Despite the complexity of the installation and the space constraints, the project was completed on time and within budget without sacrificing on quality or specification. Julia Croft, clinical lead and head In a speech following the release of a comprehensive report on the state of the NHS, Prime Minister Keir Starmer has promised the ‘biggest reimagining’ of the health service since its inception. The report, led by Lord Ara Darzi, highlights the NHS's critical condition, with rising waiting lists and a decline in public health, underscoring severe challenges in service access. Starmer pointed to the long-term impacts of the 2012 Health and Social Care Act and years of underinvestment as primary factors in the NHS's fragility. ‘Our NHS went into the pandemic in a much more fragile state, with higher bed occupancy rates, fewer doctors and fewer beds than most other high-income health PM pledges major overhaul of NHS amid report findings systems,’ he noted. Lord Darzi's report characterises the last decade as ‘the most austere since the NHS was founded’, with deteriorating facilities and inadequate care provisions. The report emphasises that the NHS's inability to meet patient needs today stems from systemic failures during the 2010s, leading to a lack of preparedness for current challenges. Highlighting the economic implications of poor health services, Starmer connected the state of the NHS to the nation's economy, noting that 2.8 million people are economically inactive due to longterm illness, with many on waiting lists. In light of these findings, Starmer outlined a commitment to reform, focusing on three key areas: transitioning to a digital NHS, shifting care from hospitals to communities, and adopting a preventative health approach. Lord Darzi, who conducted an extensive review involving over 600 analyses, called for a shift towards community care rather than merely increasing hospital staffing. Despite the grave assessment, he expressed confidence in the NHS's potential for recovery. In response, Health Secretary Wes Streeting acknowledged the necessity of confronting harsh realities about the NHS's state, stating that the findings would guide the development of a tenyear plan aimed at revitalising the health service and ensuring timely patient care. ■ of Nursing Neonatal Services said: ‘The long-term goal of providing a safe ventilation system was achieved, eliminating worries about potential leaks and ensuring air cooling during summer. This will save babies' lives and prevent life support equipment from overheating, for which I am eternally grateful.’ The project follows the delivery from Dowds Group of the Alliance Healthcare Medical Diagnostic Imaging Centre in Belfast – a new state of the art healthcare facility offering a variety of scans including MRI, CT, US, Xray and Dexa. ■ www.dowdsgroup.com
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healthcaredm.co.uk 11 NEWS Preserving Finsbury Health Centre elevations at the front and two at the rear of the building), replacement windows, curtain walling and tiling to the clinical wings of the building, and replacement of heavily damaged glass blockwork screens and render/concrete repair at the rear. Appointed architects Avanti carefully sourced materials to replicate the building’s aesthetic, preserving the historic look and feel. Previous restorations in 1990 were led by architect John Allan, an authority on the building and friend of original architect Berthold Lubetkin. Maintaining these ties, works have been led by Avanti Architects’ director and project leader, Fiona Lamb, with consultancy input from Mr Allan. NHS Property Services has announced that the first phase of restoration works at the historic, gradeone listed Finsbury Health Centre in Clerkenwell have been completed. The building, designed by Berthold Lubetkin in 1935, opened to patients in 1938. It received partial restoration works in the 1990s but required further repair due to water damage. Building owners NHS Property Services (NHSPS) commissioned Avanti Architects and worked alongside NHS colleagues at North Central London Integrated Care System (ICS) to initiate remedial works on the beloved medical centre, with the first phase of works completed in May this year. A total investment of £1.5 million will be injected into the restoration scheme, including £1.4m from NHSPS and £100k CIL funds from Islington Council. Following full heritage assessments, the first phase has been completed, undertaken sympathetically to respect the building’s unique significance whilst keeping disruption to services and patient access to a minimum. Works on the roof were carried out in 2021, during which a waterproof membrane was applied. The recently completed works at Finsbury Health Centre include repairs to the façades (two The building currently features on the Historic England Heritage ‘At Risk’ Register. However, following the delivery of the first two phases of works, NHSPS is liaising with Historic England regarding the downgrading of the risk rating of the building, with the aim to remove it from the At Risk Register entirely, in the longer term. Lamb said: ‘It is a special privilege to maintain our long connection with Finsbury Health Centre. The work undertaken to date has involved every type of repair and upgrade required at the Centre, and we look forward to overseeing the further phases needed to achieve the complete restoration of this internationally renowned building.’ ■
12 healthcaredm.co.uk PROJECT The Midland Metropolitan On October 6, the Midland Metropolitan University Hospital opened its doors, setting a benchmark for clinical healthcare design. We take a look at the £750m facility and speak to some of the architects involved The Midland Metropolitan University Hospital (MMUH) – a collaborative effort by HKS Architects as architectural project lead, Cagni Williams Associates as architectural design lead and Sonnemann Toon as architectural clinical lead – has officially opened its doors, offering a state-of-the-art acute care facility for the Sandwell and West Birmingham NHS Trust. This landmark project marks a decade of close cooperation with clients and coconsultants, evolving from conception to completion within the New Hospital Programme. With a capacity to serve as a community regeneration catalyst in an area facing high deprivation levels, MMUH sets a new benchmark for clinical healthcare design and is one of the most advanced hospitals in Europe. It consolidates acute and emergency services from two separate hospitals into one central hub, enhancing operational efficiency and fostering technological innovation, while improving patient and staff experiences. THE BUILDING DESIGN Spanning 84,000 square meters over 11 stories, MMUH boasts a purpose-built emergency department – including a dedicated children’s unit – and features 13 operating theatres. Additional facilities include a midwife-led birthing unit and delivery suite, two maternity wards and antenatal services, and a neonatal unit, as well as same day emergency care for adults, and a regional sickle cell and thalassaemia centre. The hospital’s spatial layout centres around the ‘hot block’ clinical facilities arranged around six internal courtyards, along with three ward ‘fingers’ above it, culminating in the 4,000m² Winter Garden. In addition, there’s 50,000sqm of covered car-parking that sits below the building, which has kept the site as compact as possible. Jane Ho, regional director, Health, at HKS Architects and Designers explains: ‘The concept was to create a building that accommodates all varying needs as closely as possible. Operational flows were a significant driving factor in the design, ensuring departments are strategically placed for optimal functionality.’ Logistics, wayfinding and patient flow are pivotal to the hospital design. The interior has a clear design language, centred around easy to navigate orange cores, University Hospital All photographs by Paul Raftery
healthcaredm.co.uk 13 PROJECT and separate circulation routes are in place for patients, staff and visitors, to enhance privacy, navigation and safety. The paediatric department incorporates a more colourful palette, along with play areas and spaces for children’s artwork to go on display. The Winter Garden covers five floors across the east-facing side of the building. Its ETFE roof offers a highly transparent, lightweight and sustainable façade, bringing natural light into the heart of the building, while offering views of the immediate neighbouring communities, Birmingham and the surrounding countryside. This space is designed to not only provide a space for relaxation and socialising, offering restaurants, landscaping and cafes, but delivers a bright arrival point to the hospital, with transparent lift cores, stairwells and walkways further enhancing daylight, connectivity and wayfinding across each floor. This area gives way to an outdoor roof terrace, while there’s also an expansive art gallery space, overnight visitor facilities and a multi-faith prayer room. The hospital provides over 700 new beds, with 50% of inpatients cared for in single rooms with ensuite bathrooms. Individual patient rooms and bays have been designed to promote patient safety and ease of visibility for staff, while single occupancy rooms allow for easy adjustment to accommodate additional levels of isolation if required. Individual patient rooms and wards are designed to optimise natural daylight and views, creating an uplifting environment to support patient recuperation. To optimise flexibility, the hospital design is based on a single structural grid. This accommodates a wide range of clinical and functional spaces that can be easily adapted for future expansion, and to support the delivery of new service models and working practices as medical technology and acute healthcare needs evolve. There are 13 theatres in the main operating theatre, but shell space for one more, as well as additional MRI or CT rooms. The building’s external envelope facade materials are organised by vertical elements to break up the building mass and reflect the rhythm of the structural grid. The palette includes terracotta, concrete, painted metal cores and metal louvres. SUSTAINABILITY Sustainability is at the heart of the building design. The Winter Garden is south-facing and passively ventilated, while the hospital also incorporates intelligent lighting, Solar PV Panels and water conservation measures. The building design includes a unitised façade system, and components including the Winter Garden roof and bridge links have been prefabricated off site. MMUH will have a range of transport options, including dedicated public transport service routes, Electric Vehicle Charging Points and secure cycle storage
14 healthcaredm.co.uk PROJECT facilities. Green spaces surrounding the hospital include a cricket pitch-sized green. A series of landscaped beds and a community garden, complete with a potting shed, is available for patients, visitors or the community. There’s also a pedestrian and cycle routes alongside the canal, helping to transform this postindustrial site. Francis Gallagher, managing partner at HKS in charge of the project, explains how the team came onboard in 2014/2015, with the task of rethinking the design: ‘The previous public sector design was ‘‘The curved green area you see is roughly the size of a cricket pitch. Our design aimed to balance functionality with community needs’ more spread out, taking up a significant portion of the site and offering minimal public amenities for the local community. The team focused on optimising the flow around the building while maximising the use of space and integrating two floors of car parking below ground. We came up with a design that was much more compact’. RESPONDING TO COMMUNITY NEEDS From the outset, the trust were adamant that the architects engage with all stakeholders, including community, health and patient groups. The facility needed to be more than just a hospital, but accommodate the needs of the community around it. ‘The first public space is the Winter Garden, a multi-purpose space where they’ll be exhibitions, functions and
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16 healthcaredm.co.uk PROJECT Project team The project is a result of close collaboration between: Client – Sandwell and West Birmingham NHS Trust Architects – HKS, Cagni Williams and Sonnemann Toon MEP – Hulley & Kirkwood Structural engineer – Curtins Fire consultant – OFR Consultants Acoustic consultant – Aecom Town planning consultant – Turley Accessibility and inclusion – Edna Jacobson/About Access Landscape consultant – Grant Associates Main contractor – Balfour Beatty concerts, because the acoustics in there are great,’ Gallagher explains. ‘That space can be somewhere that’s calming, social or therapeutic – we’ve covered a lot of different uses with it. Similarly with the green; it’s roughly the size of a cricket pitch, open to the public at all times and not fenced off, because our design aimed to balance functionality with community needs.’ Ho adds: ‘We’ve worked in quite a few hospitals in the UK and throughout Europe, and sometimes the clients are very patient focused – which is great – but we also wanted to make sure we designed a space where the public can penetrate the building and the site. Of course, we also have to make sure we are putting in the proper precautions for the inpatients and outpatients, with regard to privacy, so there was a lot of consultation around getting that private/public blend.’ CHALLENGES AND SUCCESS The Midland Metropolitan University Hospital project has faced numerous challenges in its journey, resulting in a six-year delay in its completion. A ‘We’ve worked in quite a few hospitals in the UK and throughout Europe, and sometimes the clients are very patient focused – which is great – but we also wanted to make sure we designed a space where the public can penetrate the building and the site’ significant hurdle was the liquidation of the construction firm Carillion. As Ho reflects: ‘We didn’t expect that. With that delay, our team had to work closely with the trust to help them de-risk the scheme before it went back out to tender. Carillion had some personnel who transitioned to the trust side, so we worked collaboratively to maintain coordination on the project and keep it moving forward. Additionally, we have a strong, established relationship with Balfour Beatty.’ Despite the challenges and delays, the architects are thrilled with the final design of the hospital, particularly the inclusion of smaller, more intimate spaces that are typically absent in many conventional hospital settings. Gallagher says: ‘In hospitals or clinical spaces, you’re usually there to see a doctor or a consultant, but there’s usually not much space where you can go and contemplate, sit or be private for a moment. ‘What is special about this hospital is the little pockets of uniqueness and privacy peppered all around the building. Certainly, we've got this massive public space, but we've also created small areas where people can go and sit, such as the gardens on level five. We’ve tried to engage the hospital with nature and the elements, so that, rather than going outside and jostling with people who are vaping, there are places within the hospital where you can experience calm.’ ■ www.london-health.hksinc.com www.cagniwilliams.com/projects/type/ health www.st-arch.co.uk
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18 healthcaredm.co.uk COMMENT The cost of IBM’s 2024 Cost of a Data Breach report has highlighted the increasing cost that data breach can pose for the healthcare sector. AJ Thompson, CCO at IT consultants Northdoor, looks at the impact and explains how AI can help According to IBM’s 2024 Cost of a Data Breach report, healthcare has the highest breach costs of the 17 industries studied, a position it has held since 2011, with the average cost of a data breach in the healthcare sector at $9.77 million, a staggering 67 percent higher than the global average of $4.88 million. There are a number of reasons why healthcare holds the top spot: the sector is highly regulated, while the nature of the data held means it’s a tempting target. The time it takes to identify and contain a cyberattack within the healthcare sector is also worryingly high compared to the global average. IBM’s report found that it takes 213 days to identify an attack in the healthcare sector and an additional 83 days to contain it. This is compared to the global average of 194 days to identify an attack and 64 days to contain it. NOTABLE HEALTHCARE BREACHES The Synnovis cyber-attack is a prime example of the impact of a cyberattack. The incident forced London NHS hospitals to resurrect long-discarded paper records systems in which porters handdelivered blood test results because IT networks are disrupted. Guy’s and St Thomas’ trust also went back to using paper, rather than computers, to receive the outcome of patients’ blood tests. More recently, the Information Commissioner’s Office has imposed a provisional fine of £6million to NHS software provider, Advanced Computer Software Group. The software provider was breached in 2022, with hackers exfiltrating 82,946 medical records, as well as accessing information on how to gain entry to the homes of 890 vulnerable people. It's clear that the healthcare sector is very much in the sights of the cyber criminals. The nature and perceived value of the data, as well as some of the vulnerabilities that the sector experiences (particularly third-party supply chain attacks), means that healthcare organisations have to do more to protect themselves. THE IMPACT OF THE CYBER SKILLS SHORTAGE Healthcare is seen as part of the critical national infrastructure (CNI) of a nation and therefore cyberattacks are much more about destabilising infrastructure. Threat actors know that the healthcare sector is understaffed, under-resourced and therefore primed for disruption. Long, busy days mean healthcare staff don’t have the time and resources to educate themselves about online risks. The potential disruption caused by a complete overhaul in security systems is just too significant for many in the healthcare sector to even consider. Healthcare leaders are ready to increase spending on cybersecurity, but with new threats uncovered every day, it isn’t easy to know where the sector would be better ‘IBM’s report found that more than half of breached organisations are facing high levels of security staffing shortages’ data breach
healthcaredm.co.uk 19 COMMENT off investing their budget. High demand for patient information and oftenoutdated systems are among the reasons healthcare is now the biggest target for online attacks. IBM’s report found that more than half of breached organisations are facing high levels of security staffing shortages. Even though one in five organisations say they used some form of Generative AI security tools, which is expected to help close the gap by boosting productivity and efficiency, the skills gap still remains an issue. AI AND AUTOMATION This year’s report found that organisations that applied AI and automation to security prevention saw the biggest impact from their AI investments compared to three other security areas; detection, investigation and response. This is, in total, an average cost saving of $2.22 million over those organisations that didn’t deploy AI security technology. Those who used incident response teams and testing made cost savings of $248K compared to those who didn’t use IR. Those who used an identity and access management strategy that supports hybrid environment and user experience, also made cost savings of $223K, as opposed to those who did not. As we have seen, one of the main routes in for cyber criminals is through employee’s third-parties and healthcare suppliers. Supply chains in the healthcare sector tend to be large and complex, so many organisations find it almost impossible to have any insight into where vulnerabilities might lie in the network. AI and automation’s contribution to healthcare cybersecurity goes beyond threat detection – it is proactive in prevention as well. Traditionally, security measures often rely on known patterns of attack, leaving organisations vulnerable to new and evolving threats. Using AI allows organisations to adapt to evolving threats by detecting anomalies that may not conform to established attack patterns. AI can help identify suspicious behaviour within a healthcare sector, such as employee access patterns suddenly changing or if there is an unusual volume of data accessed after hours. AI systems can flag these activities for investigation and this rapid detection allows security teams to respond swiftly, minimising potential damage. Correlating data manually can also be a time consuming if not impossible task. However, AI can collect data from multiple sources, providing a comprehensive view of potential threats. This allows for early detection of advanced, multistage attacks that might otherwise go unnoticed. TURNING TO THIRD-PARTY IT CONSULTANTS NHS partners that provide critical clinical services are essentially part of the organisation and therefore should be under the same levels of scrutiny as inhouse departments. The only way to do this effectively is to have a 360-degree, 24/7 overview of the whole supply chain. With internal teams struggling with workload already, many are turning to qualified third-party Security Operations Centres provided by IT services consultancies. They have teams of experts who can supplement internal teams allowing for a comprehensive view of where vulnerabilities lie. This then allows NHS organisations to have urgent conversations with supply chain partners to shut the vulnerabilities before they are exploited by cybercriminals. Cyberattacks are not just holding organisations to ransom but patients too, some in desperate need of medical attention. With supply chain providing such a lucrative route to valuable data for cybercriminals, this risk is only going to get worse over the coming months. The NHS and similar organisations have to look to engage third-party IT consultants who can ensure that vulnerabilities are shut and, critically, remain shut, keeping data, front-line services and patients safe. ■ www.ibm.com/reports/data-breach www.northdoor.co.uk/about-us/ management-team/aj-thompson/
20 healthcaredm.co.uk NEWS Ultrafabric’s Concept Pro ‘Engineered to withstand the rigorous demands of both workplace and healthcare settings, this product offers resilience and ease of maintenance, as well as a modern art aesthetic’ Concept Pro from Ultrafabrics is a new stain-resistant, PFAS-free performance fabric designed for healthcare and commercial interiors Ultrafabrics, a global leader in high-tech performance fabrics, has introduced Concept Pro, the brand’s first PFAS-free ink and stainresistant collection for the UK and European markets. Celebrating its 25th anniversary in 2024, the company is rooted in Japanese craftsmanship and offers a range of polyurethane materials suitable for both indoor and outdoor use. Engineered to withstand the rigorous demands of both workplace and healthcare settings, this product offers resilience and ease of maintenance, as well as a modern art aesthetic. With enhanced performance and easycleaning features, it offers a solution that's both practical and inspiring. Concept Pro offers: • Easy maintenance – its PFAS-free ink and stain provides resistance against ballpoint ink, denim, mustard, ketchup and other tough stains. It’s also bleach cleanable. • A polycarbonate resin blend that withstands the rigors of use, confirmed by 10-week hydrolysis resistance and 200k Martindale Rubs • Eco-conscious excellence and sustainability, with features like REACH compliance and SCS Indoor Advantage Gold certification • Quick customisation – perfect for large-scale projects or exclusive offerings • Suitability for healthcare environments The collection has a pallet of 25 colour shades, each curated to create atmospheres ranging from serene to vibrant. Nicole Meier, director of branding at Ultrafabrics, says: ‘The launch of Concept Pro is another milestone to bring innovation, beauty and quality to commercial furniture manufacturers and specifiers. We want our partners to know they can specify a performance fabric that can do it all, and make a design statement at the same time.’ She goes on to say: ‘Designers who use Ultrafabrics know the layered depth of our curated colours can bring the visual impact they want, without sacrificing quality. Using our product means their vision has longevity.’ In collaboration with a North American mill partner, Concept Pro promises reduced lead times and competitive pricing. Ultrafabrics’ continued innovation brings the ultimate blend of comfort, quality and convenience without ever sacrificing the exceptional craftsmanship the industry has come to expect from the brand. ■ www.ultrafabricsinc.com INTERIORS
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22 healthcaredm.co.uk Supporting healthcare centres Suffolk-based contractor BOOT Construction has been supporting the NHS with decarbonisation. Here, its managing director, Paul Norris, shares his top tips on how healthcare settings can reduce their carbon footprint while minimising disruption to patients to net zero Anew government has settled into Whitehall and brought with it a new approach to construction – but one thing that has not changed is a steadfast commitment to net zero. All areas of public life are covered by its carbon free ambitions, including those in the healthcare sector, with everywhere from GP surgeries to hospitals potentially requiring decarbonisation work to help meet national targets. The NHS aims to be the world’s first net zero national health service, with targets set to reduce the carbon emissions it controls and can influence (NHS Carbon Footprint Plus) by 80% by 2039, ahead of its overall net zero goal of 2045. As much as 15% of the NHS’ emissions profile is comprised by its estates and facilities, with the health service facing two choices to resolve the issue – build or renovate. Targets to build new hospitals may have been a hotly-debated topic in the past, but renovating existing estate is – in most cases – a feasible and cost-effective option. This is far from a one-size-fits-all solution, with numerous options on the table to improve energy efficiency and reduce carbon emissions depending on the condition of the building. Much of the NHS’ net zero ambitions are being delivered through the government’s Public Sector Decarbonisation Scheme, with the latest phase (phase four) being announced earlier this year – totalling £557million in funding for public sector organisations. STARTING SMALL It all adds up when it comes to your carbon footprint. While there are bold steps – which ultimately will be needed for much of the older NHS estate – smaller steps can make a real difference. Included in that is replacing older lighting with LEDs. This small, quick and easy step sees minimal disruption to patients and, in turn, can also generate real savings for the NHS too. A 2020 NHS report found delivering 100% LED lighting across the healthcare service would be achievable with an investment of £492million, with an estimated net saving of more than £3billion over the next 30 years. Likewise, draught-proofing windows and doors is a good option for smaller healthcare centres, with temporary NET ZERO Above, below and opposite: Suffolk NHS centre had a full refurbishment complemented
healthcaredm.co.uk 23 window film glazing solutions proving an effective way of improving insulation at a fraction of the cost. Ultimately, however, many windows and doors simply need replacing with more energy efficient, modern alternatives. Retrofitting isn’t just about modernising or aesthetics, but about improving energy efficiency through windows and doors with significantly improved glazing. Indeed, some NHS trusts have even gone as far as installing windows with solar STOW LODGE CENTRE An NHS centre in Suffolk took its first steps towards net zero thanks to comprehensive works by the BOOT Construction team. New life was breathed into the Stow Lodge centre in Stowmarket by the team in January 2024, with a full refurbishment complemented by carbon cutting measures. This included the installation of a new mechanical ventilation heat recovery (MVHR) system, alongside a new air conditioning unit. The MVHR system is unique, not just in the way that it maximises energy efficiency by retaining heat already used to heat up the building, but by how it supplies clean, filtered air for patients and staff. A well-organised plan was paramount to the success of the project and to minimise any disruption to both patients and staff as the centre remained open while works were carried out. Full health and safety compliance was vital. The result of BOOT’s work is a modern, enhanced and comfortable office space for NHS staff, promoting efficiency and boosting employee satisfaction. This project, for the local NHS integrated care system, was made possible thanks to BOOT’s place on the Suffolk County Council Framework. control glazing to tackle uncomfortably high temperatures and glare for patients. That can also lead to a reduction in air conditioning use and, in turn, save on energy bills and carbon production. NEW HEATING SYSTEMS Replacing old, fossil-fuelled gas boilers with air source or CO2 heat pumps will have a profound impact on the carbon footprint of NHS settings. These are not just used to heat spaces in a more energy efficient way, but also provide the high temperatures needed for cleanliness and hygiene. Many can also be installed outdoors to save on precious space inside healthcare settings. Overall, the installation of heat pumps across the healthcare system – alongside photovoltaics – could save 7 kilitons of ‘Cutting out carbon emissions completely will require significant and sustained government support – particularly as investments in patient services will always be of higher importance’ carbon dioxide equivalent every year, the equivalent amount produced by more than 50 million kilometres of driving in a car. HOW DO HEALTHCARE CENTRES GET STARTED? It is worth stressing that achieving net zero is not always going to be a cheap nor easy task. Cutting out carbon emissions completely will require significant and sustained government support – particularly as investments in patient services will always be of higher importance. Whitehall has however showed that it is willing to continue that commitment, and initiatives like the government’s Public Sector Decarbonisation Scheme are a great way for NHS trusts to apply for funds to kickstart or continue their journey to net zero. Once funds are secured, the task of identifying the right contractor to carry out the works must be considered. The best way to do so is by referring to public sector frameworks – including those published by the NHS Shared Business Services or your local authority. At BOOT, our place on the Suffolk County Council Framework has seen us team up with the council and its partner organisations to deliver projects for the NHS to great success. ■ www.bootconstruction.co.uk. NET ZERO
Flo-Motion® T32E • Brand new telescopic doorset • Two sequenced doors sliding across walls • Solves the usable space issues in healthcare • Durability tested to 1,000,000 cycles! Flo-Motion® F12E • Our original door evolved & enhanced • New smaller track • Class 1 for air permeability • Durability tested to 1,000,000 cycles! Our low-friction, multi-award-winning Flo-Motion® doors have been widely specified in the healthcare sector for 10 years. Their versatility and flexibility offer: • Openings large enough for beds & equipment • Glazing with integrated blinds for light-sharing or privacy • Easy opening for all ages without power assistance INTRODUCING… TWO NEW DOORS TO OUR MULTI-AWARD-WINNING FLO-MOTION® RANGE! WANT TO KNOW MORE? T: 01604 212500 E: [email protected] www.axisentrances.com NEW LAUNCH! Healthcare Estates Exhibition Oct 2024! MAKING AN ENTRANCE? We INNOVATE & DESIGN We MANUFACTURE & TEST We SUPPLY & INSTALL We SERVICE & MAINTAIN Flo-Motion® T32E Flo-Motion® F12E
healthcaredm.co.uk 25 Compact, resilient and comfortable, GP Care Systems’ high performance ‘WISKAWAY’® Hospital Wallbeds and ‘GLIDEAWAY’® Hospital Guestbeds have set the standard for the industry, enabling a family member, partner, carer or friend to stay in comfort overnight together with a patient in hospital or in a hospice. Typical users include parents on paediatric and neonatal wards, partners on maternity wards, and partners, carers and/or friends on cancer, dementia and other adult wards. The beds can also be used for on-call medical, theatre and laboratory staff in rooms which need a second day-time function. The benefits of having someone stay with a patient in hospital are huge, especially for the young and very old. Children are known to recover faster when they have a parent staying with them, who can also entertain, feed and wash them, leaving the nursing staff to get on with the nursing. Having a familiar carer stay with dementia patients can greatly reduce anxiety, confusion and anger, significantly reducing recovery times and also accidents/injuries on the ward. WALL BEDS AND GUEST BEDS GP Care Systems pioneered the use of wall beds in hospitals with their high performance single and double Horizontal and Vertical ‘WISKAWAY’® Wallbeds, which are counterbalanced and fold away in just seconds, fully made up, into a wipe-clean housing, for nightly use. This range now includes single and double ‘NEAT-A-WARD’® foldaway patient beds. Since their introduction, GP Care Systems, high performance single and double ‘GLIDEAWAY’® Guestbeds have transformed the UK hospital/hospice guest bed market. Both the ranges comply fully with current infection control, health & safety and manual handling requirements, and have been specifically developed for the hospital/hospice visitor bed market. They also offer a host of additional benefits (to both visitors and ward staff alike) from their ease-of-handling and reduced staff workload to their built-to-last design and operating costs, whilst offering the high standards of safety, comfort and space-efficiency. When costed over their impressively long working lives, they even work out significantly cheaper than their competition and have a minimal carbon footprint. Finally, they are supported by a full spares and after-sales service. ■ G.P. Care Systems With more than 42 years’ experience of working closely with the NHS, GP Care Systems is the UK’s longest established designer and supplier of heavy-duty space-saving bed systems. We look at what’s on offer visitor beds HOSPITAL FURNITURE A Vertical ‘WISKAWAY’® 7500H Wallbed at Manchester Children’s Hospital A Horizontal ‘WISKAWAY’® 6000H Wallbed at Kings College Hospital, London
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