Health Business Magazine | Specifiers 2011/12 by Public Sector Publishing

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SPECIFIERS INDEX 2011/12

In an ever more demanding world, Variable Message Signs Limited combines innovation, experience and technology in strategic and urban driver information. Our road traffic product range covers applications in the strategic , urban, and traffic management equipment sectors. We offer a full range of services to suit individual client requirements from design, manufacture, supply, installation and commissioning of LED driver information systems, including fully UTMC compliant systems and all for clients, which include the Highways Agency, Transport for London, Local Authorities, Local Health Authorities, Hospitals and others. We have supplied and installed a number of hospital sites which use our Safewatch range of vehicle activated signs for road & patients safety, by advising and reinforcing the speed limits and other hazards, such as pedestrian crossings, side roads and car park entrances and exits, etc;

Our range of car park guidance and information signs advise drivers where the car parks are on site and the number of spaces left within each, providing information and choice for drivers entering the site, and via our TRAMS car park management software package, the hospital / customer has control over all the listed car parks, the number of displayed / available spaces as well as providing various management reports and helps reduce emissions by keeping traffic moving and avoiding queuing. Variable Message Signs Limitedâ&#x20AC;&#x2122;s full matrix high resolution dual colour range of signs, known as Pegasus, offer the health authorities, individual hospitals etc a flexible solution in three different character heights and in either landscape or portrait mode. The sign is offered in three sizes, with high resolution matrix areas suitable for the display of four lines of text with character heights of 160mm, 100mm, and 50mm. All variants are capable of displaying combined text and pictogram information and employ a dual-coloured, amber and red, matrix. A special feature of the new sign system is the ability to mount it in a landscape or portrait format, with five mounting options for landscape fixing and three for portrait fixing.

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DEAR READER Some excellent news was published by the Health Protection Agency recently – MRSA in the NHS is at a record low, with fewer than 100 infections recorded in a single month for the first time. I would like to congratulate the 25 acute trusts that had no trust-apportioned MRSA infections between June 2010 and June 2011, well done! There is still work to be done, however, and attending Infection Prevention 2011 in September, will give you an opportunity to hear informative and educational talks on pertinent topics within infection prevention, and also see the latest products and services available. We preview the major infection prevention event of the year on page 15. The HB web wizards have been busy revamping our website – see the new look at www.healthbusinessuk.net where you can access the latest healthcare news and information. Enjoy the issue.

Sofie Lidefjard, Editor editorial@psigroupltd.co.uk

P ONLINE P IN PRINT P MOBILE P FACE TO FACE 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:

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226 High Rd, Loughton, Essex IG10 1ET. Tel: 020 8532 0055 Fax: 020 8532 0066 Web: www.psi-media.co.uk EDITOR Sofie Lidefjard ASSISTANT EDITOR Angela Pisanu PRODUCTION EDITOR Karl O’Sullivan PRODUCTION DESIGN Jacqueline Grist PRODUCTION CONTROL Julie White ADVERTISEMENT SALES Jasmina Zaveri, Beverley Sennett, Kim Fouracre, Amanda Frodsham, Neil Sharma SALES ADMINISTRATION Jackie Carnochan, Martine Carnochan ADMINISTRATION Victoria Leftwich, Alicia Oates SALES SUPERVISOR Marina Grant PUBLISHER Karen Hopps GROUP PUBLISHER Barry Doyle REPRODUCTION & PRINT Argent Media

© 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

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Contents

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CONTENTS 07 NEWS 11 HEALTHCARE IT Jon Lindberg, healthcare programme manager at Intellect, looks beyond the NPfIT and the future of healthcare IT

15 INFECTION CONTROL

26 HEATING & VENTILATION

41 OBESITY MANAAGEMENT

The Heating and Ventilating Contractors’ Association discusses the importance of adhering to approved standards for designing and specifying kitchen ventilation systems

Chris Pring, consultant bariatric surgeon, discusses the vital role that bariatric surgery can play in managing obesity

29 FIRE SAFETY

The health and social care sectors face unique challenges when it comes to manual handling patients, writes Peter Wallace from RoSPA

We preview the Infection Prevention 2011 Conference and Exhibition – the major infection prevention event of the year

How can you provide robust fire safety for patients under residential care, asks Nick Coombe from the Chief Fire Officers Association

19 FACILITIES MANAGEMENT

32 DESIGN & BUILD

The Healthcare Facilities Consortium looks at some possible ways of building and maintaining links with students – the NHS workers of the future

21 CLEANING The role of cleaning in fighting infections and bacteria is of growing importance to healthcare providers, says the Cleaning and Support Services Association

25 ENERGY What are the latest energy reduction proposals from the coalition government? ESTA’s Alan Aldridge explains

44 PATIENT HANDLING

47 TRAINING The NHS needs strong managers and leaders if it is to deliver effective patient care, urges Mike Petrook, the Chartered Management Institute

Future Health & Care Expo will address NHS reforms and the future built environment

49 CONFERENCES & EVENTS

35 PARKING The British Parking Association shares what was discussed at the last Healthcare Parking Special Interest Group meeting

38 FINANCE Louise Hamilton discusses past and present approaches to financing and replacing high-value capital equipment in the NHS

For a conference venue with a difference, why not try a sporting arena?

51 CATERING Dietitians have a unique understanding of the nutritional care system and their knowledge should be used to ensure hospital food works for patients, says Esther Avery, the British Dietetic Association

52 PRODUCT SHOWCASE 59 SPECIFIERS INDEX

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NEWS IN BRIEF

AIRPORT SECURITY

Work begins on Colchester’s new £5 million decontamination unit Work has begun on a £5m project to build a state-of-the-art unit to sterilise surgical instruments at Colchester General Hospital and Essex County Hospital. The Hospital Sterilisation and Decontamination Unit (HSDU) will replace the existing facility and will be equipped with brandnew state-of-the-art equipment. Nick Chatten, special projects and estates director for Colchester Hospital University NHS

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Free Wi-Fi for Bradford Teaching Hospitals patients

Foundation Trust, said it was a significant investment: “The trust has outgrown its current HSDU and this replacement unit will be bigger. When it is complete, it will mean Colchester will have one of the most efficient HSDUs in the NHS East of England region.” The new unit is scheduled to become operational in July next year. Its cost will be funded entirely from the trust’s own resources.

A new Wi-Fi network service for patients and visitors was recently launched at Bradford Teaching Hospitals. “We hope that by providing Wi-Fi in our hospitals it will allow patients and their visitors to stay connected, aid recovery by maintaining their spirits, and even allow ‘virtual visiting’ via Skype for those who cannot otherwise get into the ward to see the patient,” said David Hollings, head of Information Technology.

Dog bite hospital admissions increase, NHS figures reveal The number of admissions to hospitals in England for serious dog-related injuries has risen by five per cent in the last year. NHS Information Centre figures have revealed that from May 2010 to April 2011 there were 6,120 hospital admissions compared to 5,810 for the previous year. A sixth of those admissions involved children under ten, with a significant number of incidents being reported in the warmer months.

WHO initiative publishes online nutrition guide

PATIENT INFORMATION Patient Passport to help Staffordshire patients A Patient Passport for patients with learning disabilities has been developed at Mid Staffordshire NHS Foundation Trust. Designed to be filled in prior to the patient attending hospital, it contains important information about the individual, such as current medication, any allergies or behavioural issues and information about how to communicate with the patient such as their likes and dislikes and how staff will know if they are in pain or frightened. The Patient Passport will be kept in the patient’s notes so all staff will have access to it. It can be filled in by the patient or someone close to the patient. It is available on all wards at Stafford and Cannock Chase Hospitals, and from the Patient Services and Advice Centre based in the main reception at Stafford Hospital.

Staff absenteeism not addressed, study shows Employee absenteeism in the NHS is failing to be adequately addressed by managers, despite the fact that the organisation has the highest level of worker absence of any sector, a report has warned. The study, carried out by researchers from Manchester Business School, revealed that fundamental changes are needed to ensure the NHS does not remain at the top of the league for high absenteeism. The research, published in Health Services Management Research, also revealed that £34m could be saved if one per cent fewer staff called in sick a year. The researchers reviewed previous studies on employee absenteeism and investigated the issue at two trusts. They discovered that many managers, particularly professional managers, were not addressing the problem, with even those who acknowledged that it was their job to reduce worker absenteeism taking little action. Nurse managers were the most negative about reducing absence levels.

In a bid to stop millions of people dying and suffering every year from malnutrition, the World Health Organization (WHO) has launched a new web-powered initiative, e-Library of Evidence for Nutrition Actions (eLENA). It clarifies guidance on lifesaving nutrition interventions, and assists governments and healthcare providers to better scale up action against all forms of malnutrition.

Early cancer detection programme for Scotland A plan to increase early cancer detection rates by a quarter in Scotland has been published. The draft Detect Cancer Early Implementation Plan will aim to save more than 300 lives a year by the end of the parliamentary term by improving detection, diagnosis and treatment of the disease. The £30m scheme will initially concentrate on the three most common cancers in Scotland – breast, bowel and lung cancer.

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WASTE

NHS sets up expert steering group to tackle medicine wastage worth £300m and improve patient benefits A new group has been set up to tackle the £300 million being lost every year in the NHS due to avoidable medicine wastage. With over 900 million prescription items dispensed last year and with more patients being treated at home or in the community for an ever wider range of conditions, it is vital that the NHS tackles unnecessary wastage. This will contribute to the support the department is putting in place to help the NHS make up to £20 billion of efficiency savings by 2015, whilst also driving up the quality of services. On top of the £300 million lost in medicine wastage, the cost to the NHS of people not taking their medicines properly and not getting the full benefits to their health is estimated at over £500 million a year. The group will also identify how people can be better supported in taking their medicines as prescribed. The Steering Group to Improve the Use of Medicines will be made up of experts and patients representatives and will initially report in early 2012. The group will be jointly chaired by Robert Johnstone, a trustee of National Voices and Rob Darracott, chief executive of Pharmacy Voice. Health minister Lord Howe said: “We want to look at how patients can make the most of the medicines they take. This isn’t just about saving money – most importantly, it is about

making sure that patients stay well and get the best outcomes from their medicines. “Our plans for the NHS will give more front line staff the power to innovate and deliver services that best meet the needs of their patients. Sharing decision making with patients about their medicine use – ‘no decision about me without me’ – will help improve their health outcomes, reduce future demands on the service, as well as reduce medicine wastage. “Every pound wasted is a pound that could be spent on treating patients. By reducing medicine wastage the NHS will save money that can be spent

ENERGY Taunton and Somerset signs up to self-funding energy reduction project Taunton and Somerset NHS Foundation Trust is due to embark on a pioneering energy efficiency project, which is set to save the trust £17 million over the next 20 years. The project, which is the first of its kind in the UK healthcare sector, will deliver a substantial range of technical energy saving solutions at Musgrove Park Hospital, Taunton, reducing average energy consumption by more than 40 per cent and cutting carbon emissions by 43 per cent. Some 180 energy reducing measures are being implemented over the life of the project such as the installation of a combined heat and power unit linking the low temperature hot water (LTHW) output to plate heat exchangers on several domestic hot water circuits, and the addition of new energy efficient boilers to replace existing steam boilers at the end of their usable life.

REGENERATION

Green light for £72m redevelopment of Lister Hospital in Stevenage A £72 million redevelopment of Lister Hospital in Stevenage has been given the go-ahead by health secretary Andrew Lansley. The project will see the hospital become the main emergency and inpatient hospital for east and north Hertfordshire. It will be the largest healthrelated capital project in the East of England, creating a critical mass of clinical and specialist staff on one site. It forms part of local plans to treat more people in the community rather than in hospital. The scheme includes a new extension to the emergency department and refurbishment of the existing department, a new ward block, a new theatre and endoscopy block, and space for extra beds. Health secretary Andrew Lansley said: “I am thrilled to announce the redevelopment of Lister Hospital. It’s great news for patients, staff,

in other areas of patient care.” Rob Darracott, chief executive of Pharmacy Voice and co-chair, said: “There are lots of good ideas around for how health professionals can provide better support for patients and the public to help them use their medicines more effectively. What the NHS needs now is a real plan for embedding those ideas in systems that historically have been more concerned with the product than the person. As well as incentivising professionals to provide the direct support for medicines in use, that improves outcomes for patients and ensures the NHS gets best value from its investment in medicines.”

and the community. This funding will ensure that the trust has modern buildings that are fit for purpose and will help the trust deliver even better care in a more efficient way. It will also help it achieve its ambition to become a foundation trust in the near future. “The urgent need for this project has been apparent for many years now and I applaud the hard work of those who have brought us to this point. This is the fourth and final phase of the reconfiguration of services in east and north Hertfordshire and it will help deliver high quality and sustainable care for patients for many years to come.” Welcoming the announcement, the trust’s chairman, Richard Beazley, said: “This is an exciting day for the trust as we move to create one of the best hospitals of its type available anywhere in the NHS right here in Hertfordshire.”

PATIENT EXPERIENCE

Patients rest easy with new electronic beds Ipswich Hospital has taken delivery of 150 state-ofthe-art beds designed to improve patient dignity and experience. Two electronic handsets are used to control the movements of the beds, one for the patient and one for nursing staff. This allows patients to manoeuvre themselves and maintain dignity and independence as they do not need to wait for a nurse to help them. The new beds have no sharp edges and the handrails have been designed to take the weight of patients when they lean on them to move. The beds are also designed to stop patients getting pressure sores as when the patient moves, the bed moves with them. Kathie Scott, senior moving and handling advisor, said: “I anticipate that a patient’s stay will be much shorter

because of these beds.” Staff also benefit as the beds are easier to move and clean. They can be moved into the standard cleaning position with the press of a button and the base of the bed can be taken apart to be steam cleaned. It is hoped that by the end of 2014 all hospital beds will be of this type. The old beds have been given to a homeless unit in Latvia.

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

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also face the long-term challenge of changing demographics. The current population of patients with long term conditions, 15 million, demand roughly 70 per cent of the NHS budget. According to Sir John Oldham, NHS clinical director for Quality and Productivity, this population is set to grow 250 per cent in the next four decades. If we provide care the way we do today our health budget will soar to 30 per cent of GDP by 2050 compared to eight per cent today says Oldham. It is not sustainable. We need to transform the NHS into a sustainable, modern health service that is flexible yet robust. I can’t imagine how the NHS will transform without better use of IT, automation and process redesign. Looking at other big industries and organisations the only way they have been able to carry on is transforming the way they do business through IT. The NHS must to the same.

IT PAST AND PRESENT

THE STATE OF HEALTHCARE IT The NHS and IT industry are moving on, beyond NPfIT, to set out a vision for how information technologies can deliver real value for patients, health professionals and tax payers in the future, says Jon Lindberg, healthcare programme manager, Intellect There are two versions of the state of health IT in the UK. The one portrayed by the media and politicians, and the one illustrated every day in hospitals and GP surgeries when citizens use the National Health Service. The former focuses solely on part of the National Programme for IT that has unfortunately run into trouble and the latter on the successes. The state of health IT is a mix of both. However, the outlook is positive not least because work is underway to fix what has gone wrong but also because the NHS and IT industry are moving on, beyond NPfIT, to set out a vision for how information technologies

can deliver real value for patients, health professionals and tax payers in the future. WHY IT IN HEALTH? The goal of employing information technologies in healthcare is to have a well organised, precise and seamless health service that benefits clinicians and patients. It is becoming increasingly apparent that we desperately need to achieve this goal because of the challenges facing the NHS. We know the health service in the near term need to find a 20 per cent productivity improvement over the next five years, but we

WHERE IS HEALTH IT TODAY? The NHS has done well in adopting new technologies. Hospital theatres are using the latest hi-tech robotics in surgery including the interesting use of Xbox Kinect and its motion sensors. Through the National Programme for IT we have network services and broadband connections (N3) to link IT systems and NHS organisations in England. The NHS has rolled out digital scan and x-ray systems, GP records systems, electronic referral systems, and e-prescription services with success. However, we don’t have fully integrated electronic patient record systems across the NHS that join up the health service and make a patient’s journey seamless with improved outcomes. Other information and digital technologies are also lacking in scale to help the clinicians do their job more efficiently and effectively, such as decision support tools, mobile devices, and information analysis systems. These are enabling solutions that would, if scaled up, help transform the way care is delivered across the NHS. Parts of the NHS has done well and should be looked at by others. There are examples where integrated electronic patient records have been successful. One can be found in Aintree University Hospitals NHS Foundation Trust where over 3,000 NHS staff uses a modern integrated EPR system, including clinical apps and business intelligence, to deliver better care for over hundreds of thousands of patients. Another, St Helens and Knowsley Teaching Hospitals NHS Trust is delivering health records electronically, with information about patients accessed and entered directly onto the system with digital pens and mobile devices, enabling better care through timely and accurate information. Others are working on getting patients engaged in their own care. South London and Maudsley NHS Foundation Trust is launching an online health record that will give patients access to their records as well as allowing E

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IT PAST AND PRESENT E interaction to the system directly and joining up with GP practices and Primary Care Trusts. WHERE WILL HEALTH IT GO? For one, the NHS needs to focus more on using information to deliver better care. There is little doubt that one of the most valuable assets of the NHS is the large volume of administrative and clinical data to be found in information systems throughout the NHS. This data is capable of providing the source for effective research, planning and decision making in commissioning healthcare provision at local and national level. At the moment, much of this information is in isolated data stores in discrete organisations. While used locally, its use is not optimised. For example, if this data were made available as a web service to commissioners, this historical data could be put to good use to detect patterns and trends and also enable funding to be focused on preventative and prospective care rather than reactive care. Using information to deliver preventative care and changing the payments system would help the NHS scale telehealth services. NHS medical director Sir Bruce Keogh believes telehealth solutions are the future in changing the doctor-patient engagement model, including driving more efficient management of the long term conditions population. With the Whole System Demonstrator (WSD) project, a big telehealth pilot in England, due to report in the coming months, the NHS and Department of Health will work on educating and promoting wider uptake of these services. In terms of forecasting, Ovum, a technology analysts firm, believes the UK health IT market will grow to top £3bn by 2016. Most of this growth will come from telehealth services and integration work of joining existing systems together and adding new applications, followed by the biggest spend areas of EPRs and digital imaging and x-rays. Other areas of demand will come from the commissioning front where business intelligence, reporting services, modelling, and risk stratification systems are urgently needed in the new commissioning model focusing on outcomes, choice and efficiency. HOW DO WE GET THERE? Now this is where the most immediate pieces of work need to be done. Many of the solutions that would benefit the NHS are in the market already but there are barriers standing in front of adoption. One of these is the lack of understanding of the strategic importance of information and technology in the NHS by CEOs and boards. Under the National Programme for IT, trusts were not called upon to make what we might consider as risky business transformation and ICT decisions, and therefore may lack the necessary experience and ability to make such decisions effectively. This means there might be hesitance in undertaking

The future of technology in healthcare should be a productivity-improving and cost-reducing agent, pulled through by solid business cases and justified by the needs of patients, clinicians and other professionals; rather than pushed through by an enthusiasm for technology and the fear of falling behind. the transformation that is essential today. Proper informatics teams or functions need to be uplifted and recognised at board level as engines for driving transformation, efficiency and productivity. But this is not enough, it is equally important that the CIO works closely with clinical leads to ensure solutions and processes meet front line requirements and buy-in. Another area of work to do surrounds the overall strategy and direction the NHS wants to take. The NHS is not a single entity; it is federated with 100s of budget holders and accounting officers driving their own agenda. The policy move in September by the DH to move towards a ‘connect all’ strategy and local decision making on IT investments gives the NHS an opportunity to make decisions that fit their organisations. However, to maximise the benefits from information technologies in the NHS we need coordination in certain areas. The DH is working with the NHS and IT industry to set out a technology strategy that looks at how the NHS makes best use of various IT solutions and directions. For example, the NHS needs interoperability in order to share patient information across the information silos that exist today. Therefore common standards accepted by the NHS

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

and industry will be needed. Work is already underway with the Interoperability Toolkit (ITK) which allows disparate systems to interoperate and speak in a common language. But more needs to be done, including funding, but especially in creating demand from the NHS and setting out a costing model for suppliers. Finally, procurement processes in the NHS are a barrier to transforming the NHS. Rigid and lengthy processes lock out innovation, drive up cost and increase the risks both sides have to take. This often leads to solutions that are not fit for purpose and outdated when deployed. Again the NHS and industry need to come together to improve the procurement process and skills in the NHS so that the health service gets the most of its investments. The future of technology in healthcare should be a productivity-improving and cost-reducing agent, pulled through by solid business cases and justified by the needs of patients, clinicians and other professionals; rather than pushed through by an enthusiasm for technology and the fear of falling behind. After all when technology is used to enable the clinician to multi-task, to focus on critical tasks rather than administration, to interact more efficiently internally and externally and to communicate virtually, it can deliver vast benefits. L

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Messe Düsseldorf – a global player in the healthcare sector

The IP UserGroup is an international security and safety technology forum with hubs servicing the UK and Europe, USA, Canada and Latin America. Our role is to facilitate, communicate, educate and influence, presenting the very latest in network centric security and safety technology to an eager International Audience. With more that 30,000 subscribers worldwide the IP UserGroup is the fastest growing security technology forum in the world. Having represented more than 200 of the most progressive companies over the past eight years, the IP UserGroup has become one of the most respected and influential independent vender neutral organisations in the industry. The IP UserGroup offers an extensive portfolio of services to its members, providing a combination of web-based, new media and print solutions plus

Medical trade fairs are the backbone of the Messe Düsseldorf portfolio of events. The exhibition location of Düsseldorf, for instance, boasts the world’s largest medical fair MEDICA as well as COMPAMED, the leading trade fair for supplies to medical manufacturing. The 137,200 visitors at MEDICA and COMPAMED 2010 included German Chancellor Angela Merkel and German Health Minister, Philipp Rösler. In her welcoming message Chancellor Merkel described MEDICA as an “impressive showcase of the health industry.” The key success factor here is the fair’s high international attendance: almost half the visitors to MEDICA 2010 came from abroad. Of the 4,400 exhibitors two thirds were international participants from a

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Dedicated e-data cleansing and licensed WEEE disposal Awareness of e-data on computer drives needing appropriate cleansing is growing and the use of unregistered, non-dedicated services is not a reliable option. Data loss will damage the integrity of any organisation, the fines for loss of sensitive, confidential data, along with those for unlicensed disposal of WEEE, can cripple them. Have you considered, however, that your mobile phones, photocopiers, many electronic medical devices, pen drives and the like will also contain confidential and sensitive data and need similar care in their reprocessing? At ITAD our business model is reliable e-data cleansing and reprocessing for reuse. This means that for most clients we can remove all your redundant electrical and electronic equipment (UEEE and WEEE) e-data cleanse and, typically, not charge. E-data cleansing

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total of 64 nations. Another outstanding feature at MEDICA is its line-up of exhibits. In late November of every year exhibitors in Düsseldorf present their innovations covering the whole range of out and in-patient care – from laboratory technology to physiotherapy, from medical device technology to medical IT. MEDICA is the venue for world premieres and 50 per cent of all exhibits on display are less than three years old. MEDICA principally targets hospital doctors, decisionmakers in hospital management, health professionals as well as international specialist dealers of medical products. FOR MORE INFORMATION www.messe-duesseldorf.de www.medica.de

Four reasons why you need Kronos workforce management Labour costs your organisation about 60 per cent of your overall expenses. Since labour is your most controllable expenditure, minimising your bank utilisation, overtime usage, staff utilisation and payroll inflation is essential. A productive workforce is crucial. Painful administrative tasks, high vacancies, absenteeism and poor staffing practices negatively impact your staff productivity. You need to quickly and efficiently align staff to patient numbers and acuity so they can deliver excellent care. Quality care is a priority. You need the right staff mix and ratio of employees to patients for quality care. This goal can be hindered by inefficient processes, paperwork and staff dissatisfaction. It is imperative to reduce administrative tasks and increase time spent on what matters – your patients. Compliance is not optional.

Employment and healthcare standards law cases, grievances and audits can have significant financial impact. To lower this risk, you have to find a way to adhere to complex national and healthcare specific requirements, union contracts and policies and other professional standards. Kronos helps public and private healthcare organisations manage their most valuable and expensive resource, their employees. We give you the tools you need to help you control labour costs, minimise compliance risk and improve workforce productivity. FOR MORE INFORMATION Tel: 0870 9206000 ukinfo@kronos.com www.kronos.co.uk/healthcare

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

INFECTION PREVENTION 2011 19-21 September 2011, Bournemouth International Centre

The essential event in 2011 for all infection prevention specialists Speakers to include: Anne Bialachowski (EM Cottrell Lecture) – Stronger together Roy Lilley – Challenges within the evolving health service Sir Liam Donaldson (Ayliffe Lecture) – Current and emerging global issues Gary French and Michael Borg – The ten most influential papers of the past decade Tricia Hart – Dare to soar - Your attitude determines your altitude Peter Hoffman and Trish Pearl – The great disinfection debate Paul Webber – Training zombies Topics to include: · Wound care & prosthetic joint infection focus · High impact interventions in the pre hospital arena · Session for those new to infection prevention · Infection control in paediatrics

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Hepatitis C challenges Infection prevention at home Challenges of endoscope disinfection The threat of multidrug-resistant gram-negative rods

Over 600 Infection Prevention Specialists expected – Largest exhibition of medical products and services – Care Home ‘mini-conference’ – Call for papers and posters – And much much more ... Platinum Sponsor

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EVENT PREVIEW

PROTECTING ALL PATIENTS

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Infection Prevention 2011 Conference and Exhibition is being held at the Bournemouth International Centre from 19-21 September for a second year. Organised by the Infection Prevention Society this event is the major infection prevention conference and exhibition of the year

The conference features an impressive array of speakers providing informative and education sessions on pertinent topics within infection prevention. The quality of the conference programme has been endorsed by the award of 14 CPD points by the Royal College of Pathologists. The event attracts over 700 delegates and almost 150 exhibitors and will have an array of renowned speakers covering all your infection prevention needs. THE PROGRAMME The conference features an impressive array of speakers providing informative and education sessions on pertinent topics within infection prevention. Highlights of the programme are listed below. The EM Cottrell Lecture, dedicated to the first infection control nurse appointed in the UK, opens the conference. This session

is entitled ‘Stronger together’ and will be presented by Anne Bialachowski, immediate past president, Community and Hospital Infection Control Association, Canada (CHICA). She will discuss how practitioners are stronger by working collaboratively at local, national and international level. STREAMS The morning then splits into three concurrent streams, the first of which is on wound care. The initial speaker is Mark Collier, lead nurse consultant, United Lincolnshire Hospitals NHS Trust, who will be looking at the prevention of infection in acute wounds by reviewing current evidence/best practice, highlighting the current SSI guidelines, identifying key learning points

from SSISS scheme and looking to the future. The second lecture is on open wounds: infection prevention, treatment and the social care setting and is given by Andrew Kingsley, clinical manager, Infection Control and Tissue Viability, North Devon Healthcare NHS Trust. He will initially provide an overview of best practice in the prevention and treatment of infection in open wounds and will then explore infection in a specific social setting. This stream is concluded by Philip Roberts, consultant orthopaedic surgeon, University Hospital North Staffordshire, with a session entitled ‘Protect your mum when she breaks her hip’. Philip will explore why the risk of infection is increased by prosthetics, the recognition and surveillance of infection in prosthetics and prevention and management of prosthetic infections. Concurrently Dr Mary Ramsay, consultant epidemiologist, head of Immunisation Department, Centre for Infections, Health Protection Agency will present on the Hepatitis ‘C’hallenge and how the epidemiology of the disease is posing a public health threat and how emerging diagnostic and treatment can more effectively detect and treat the disease. Following this session, ‘Infection control in paediatrics – “But children are different”’ will be given by Dr Andrew Riordan, consultant in Paediatric Infectious Diseases, Alder Hey Children’s NHS Foundation Trust. He will explore how HCAIs differ for children, the strategy in place to reduce them, and how preventing central line infections in children may differ from adults. If you are new to infection prevention, a highlight on the first day will be the ‘New to infection prevention’ session, which has been redesigned and expanded for 2011. The objectives of this workshop are to meet colleagues, understand what the IPS can do for you and what you could do for the IPS, gain an awareness of national drivers/priorities, and have the opportunity to share and discuss experiences, best practice, anxieties and challenges. The afternoon session commences with the challenges and opportunities facing the evolving NHS by writer, broadcaster and commentator Roy Lilley. He will discuss the future implications for infection prevention and quality within the emerging NHS and his informative and lively session will offer alternative insights and ideas. TUESDAY Highlights of the second day include a session from Dr Cliodna McNulty, head, Primary Care E

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Legionnaires’ Temperature High quality DDC Dolphin Monitoring Kit from ETI HTM testing services If you are an employer or person in control of premises, you must organise a Legionella risk assessment, therefore a reliable thermometer kit is essential. ETI’s Legionnaires’ Temperature Monitoring Kit has been specifically designed to monitor the temperature of both standing water and the surface temperature of pipes and tanks that form part of the water system. Each kit contains a Therma 1 thermometer, three probes - penetration, precision ribbon surface and PTFE exposed junction wire, a tub of Probe-Wipes and a waterproof countdown timer, all housed in an carrying case. Legionella, like many bacteria, thrive at certain water temperatures and therefore, a wide range of workplaces are at risk where artificial water systems exist, e.g. local authorities, large businesses, universities, hospitals, nursing and care homes, schools, children’s nurseries,

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DDC Dolphin is dedicated to excellence and innovation in dirty utility room design, equipment manufacture, installation, testing and servicing. With 20 years experience, we provide comprehensive and meaningful advice and support throughout the planning, design and specification of new or existing facilities, and enable you to meet modern infection control standards. HTM 20 30/01 01 validation is the core of the washer disinfector service and maintenance programme that DDC Dolphin provides regularly to hospitals across the nation, thus helping to reduce the possibility of HAIC. Its nationwide team of 28 validation engineers (TPs) is claimed to be the largest in the UK dedicated to dirty utility equipment. DDC Dolphin’s engineers are trained and accredited by Eastwood Park (NHS Training Centre) and are subject to regular re-certification. They are equipped with the very

latest HTM testing equipment and can carry out testing on all manufacturers’ machines. Our specialist validation engineers are trained to interpret test results correctly, complete test records and product HTM reports to a high standard. The excellent training our validation engineers receive is reinforced through regular commissioning stage validations, weekly and quarterly testing and annual revalidation to HTM standards in leading hospitals across the country. DDC Dolphin also provides breakdown and repair services with rapid response and, to prevent problems, we have a range of preventative maintenance contracts. FOR MORE INFORMATION For advice or a quotation for services contact Alan Hyde Tel: 01202 731555 alan.hyde@ddcdolphin.co.uk

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EVENT PREVIEW E Unit, Health Protection Agency on reducing urinary catheter associated infections in care homes. Dr McNulty will explain the evidence base for prevention and management of CAUTIs in relation to care homes and explore the challenges and improvements. Another highlight on the second day is the norovirus stream, which will help delegates to understand the epidemiology of an outbreak, the emerging guidance and the implications for practice. There are three lectures within this stream: Dr Peter Cowling, chair of the MultiAgency Working Party on the Management of Norovirus Outbreaks in Health & Social Care Settings, will be presenting the first session ‘Norovirus outbreak management in the modern NHS’ and will discuss the need for the new guidelines, the gaps in literature and areas for future research. The second lecture is from Judy Potter, lead nurse/director of Infection Prevention & Control, Royal Devon & Exeter NHS Foundation Trust. She will explore the challenges faced during a regional wide outbreak: “Managing a regional norovirus

Most now agree that you need to remove or kill pathogens contaminating hospital surfaces in some circumstances. The question for discussion is how best to do this? This will be considered during the debate, two internationally recognised experts will go head to head: ‘The case for cleaning and conventional disinfection’ – Peter Hoffman, consultant clinical scientist, HPA, UK vs. ‘The case for cleaning and new disinfection technologies’ – Dr Trish Perl, professor of Medicine, Epidemiology & Pathology at Johns Hopkins University, senior healthsystem epidemiologist, Johns Hopkins Health System, USA.

disco and giant scaletrix. Themed food will also be on offer to include fish and chips, burgers, candyfloss and toffee apples. On Wednesday evening it is time for the formal Gala Dinner, which is being held again in the magnificent circular Purbeck Hall at the BIC. The evening comprises a four course dinner, a popular band and a disco. This event is themed around the glitz and glamour of the Oscars and promises to be a night to remember.

GLOBAL ISSUES Day three starts with the second eponymous lecture, the Ayliffe Lecture entitled ‘Current and emerging global issues’. In this session Sir Liam Donaldson, chair, World Health Organization, Patient Safety, will explore the current and emerging global issues in relation to patient safety and infection prevention. Another highlight on the final day of the conference is a session from Eileen Sills

The conference provides the ideal opportunity for continual professional development for all healthcare professionals. All delegates will receive a certificate of attendance after the event which will record the sessions that they have attended. outbreak, challenges and lessons learned.’ The final session is from Dr David Orr, clinical microbiologist, director of Infection Prevention and Control, and Debbie Fielding, associate director of Infection Prevention and Control, Lancashire Teaching Hospitals NHS Foundation Trust. They will discuss improvements in outbreak management in an acute setting in a session entitled ‘To close or not to close?’ The UK’s expert on endoscopes, Christina Bradley, will be speaking on ‘The challenge of disinfecting endoscopes’. Christina Bradley works as laboratory manager in the Hospital Infection Research Laboratory at Queen Elizabeth Hospital Birmingham. Her session will provide an overview of the pertinent topic of endoscope disinfection while examining the challenges presented by their disinfection. DISINFECTION DEBATE The final session on Tuesday is ‘The Great Disinfection Debate’. There is increasing evidence that contamination of the hospital environment contributes to transmission. For example, there is compelling evidence that admission to a room previously occupied by a patient with a pathogen such as Clostridium difficile, MRSA, VRE or Acinetobacter baumannii increases the risk of acquiring that pathogen for the next room occupant.

CBE, chief nurse, Guy’s and St Thomas’ NHS Foundation Trust on ‘Transformational approach to improving clinical engagement and a better awareness of healthcare associated infections. This session will explore the challenges of clinical engagement, how to improve this management strategy and how it benefits the patient. These are just some of the highlights of the conference and there are many other sessions to keep delegates interested. The full programme can be viewed online. The exhibition at Infection Prevention 2011 will be spread across two large exhibition halls, and will feature products and services from over 100 companies working within infection prevention. Some of these companies will be long term supporters of IPS, but the exhibition will also feature some new faces, new products and recent innovations. THE SOCIAL EVENTS The conference offers two social evenings for delegates. The first is a repeat of the successful 2010 event All the Fun of the Fair and is free to all delegates. This fun evening is designed to give delegates an ideal opportunity to socialise in a traditional seaside setting, which will feature numerous attractions to include a coconut shy, bucking bronco, dodgem cars,

Infection Control

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TRAVEL & CPD Bournemouth has its own airport, only a ten minute drive from the BIC or for a larger selection of flights there is Southampton airport. With a large selection of flights from low cost carriers, Southampton Airport is only a 30-minute train journey and a 5-minute taxi ride from the BIC. Alternatively, the train station has regular trains running directly to London and other destinations across the UK. The conference provides the ideal opportunity for continual professional development for all healthcare professionals. All delegates will receive a certificate of attendance after the event which will record the sessions that they have attended. In addition the programme has been awarded 14 Continuing Profession Development (CPD) credits for medical staff from the Royal College of Pathologists. All sessions have been mapped against the new IPS competences, this information will also be the certificates of attendance and full information is available online. The mapped chart will help delegates decide which sessions they should attend as part of their professional development. FEEDBACK FROM INFECTION PREVENTION 2010 The last word on this event should come from last year’s delegates; their comments illustrate how attending the conference can be of benefit: “It was very good indeed, I found it extremely relevant and interesting. I came away motivated to put in place new ideas and practices.” “It was an excellent conference. Well organised and a good overall experience.” “A fantastic experience which has left me feeling motivated to share what I have learned with my colleagues and to share the good practice of other trusts.” “One the main bonuses of conference is the networking opportunities.” “This was my first conference and I really enjoyed it. I was on my own and I met some great people and was made to feel welcome.” “This is my 2nd IPS conference and they were both very informative and educational.” L FOR MORE INFORMATION Tel: 01506 811077 ips@fitwise.co.uk www.ips.uk.net and follow the link to Infection Prevention Conference 2011.

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The British Institute of Facilities Management – committed to facilitating professionalism Facilities management (FM) is integral to delivering efficient and effective healthcare; especially in the current economic environment and political landscape. Highly skilled and supported facilities management and estates professionals are invaluable assets to healthcare strategy and FMs can access the support they need through BIFM. BIFM, the British Institute of Facilities Management, is the UK’s largest professional body for facilities management professionals with over 12,000 members. BIFM’s mission is to advance the facilities management profession and have been driving the industry forward since 1993 and provides members with numerous opportunities to learn, develop, network and progress. Through membership you can access a unique set of resources that can help you in your FM role in the healthcare sector whilst attaining the professional recognition that membership of the Institute provides. Use our indispensable resources, networking and professional development events to enhance and support your career. The BIFM membership grades provide

professional recognition whatever stage you are at in your FM career. Members can also access preferential rates on a range of services and BIFM Training courses. To find out more about BIFM membership, and how to become a member, visit www. bifm.org.uk/HB, call 0845 058 1358 or email us at membership@bifm.org.uk The BIFM Qualifications in Facilities Management offer a range of qualifications at different levels and depth so that you can access professional development at a level to suit your needs. Whether you are relatively new to FM or used to handling a portfolio of facilities

management services and properties you can find a qualification suitable to your experience and to help equip you with the knowledge and skills you need in your role. The qualifications are available in an Award, Certificate or Diploma in Facilities Management at these nationally accredited levels: • Level 4 – operational facilities management professionals • Level 5 – typically for specialist facilities management professionals • Level 6 – for senior and strategic level facilities management professionals. The qualifications are available to study through a variety of means, including face-to-face tuition, blended learning and in-house delivery through our network of approved training centres. To find out more about qualifications in facilities management, visit www.bifm. org.uk/qualifications, call 0845 0581355 or email us at qualifications@bifm.org.uk FOR MORE INFORMATION Tel: 0845 0581358 membership@bifm.org.uk www.bifm.org.uk/hb

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CAREERS

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Keith Sammonds, managing director of the Healthcare Facilities Consortium, looks at some possible ways of building and maintaining links with students – the NHS workers of the future

About HFC The Healthcare Facilities Consortium (HFC) provides software, information and management support services to professionals working in facilities, estates and related functions in the UK health sector and – increasingly – other business sectors too. To enjoy HFC’s full range of benefits, organisations become subscribers to our services and play a significant role in shaping and developing the company’s range of services, activities and products. HFC works as an information and services hub, providing a link between a range of carefully chosen FM product and service partners and suppliers, on the one hand, and subscriber organisations and their users on the other.

At the HefmA Conference in Torquay, held earlier this year, one of the sessions was about apprentices. It was really encouraging to meet two young men who have not only been through the apprentice scheme, but are now working towards higher academic and professional qualifications. In talking with them, it was through local publicity by the scheme organisers and the NHS trusts involved that they heard of the possibility of doing an NHS-based trade apprenticeship. CAREER PATHS Prior to this, within HFC we had worked with the Leicester Education Business Company to produce a careers day for year 8 students entitled ‘It’s Not Just Doctors and Nurses!’ Within this event, we provided the lead session looking at the wide range of career paths that are available within the facilities side of healthcare, both as NHS employees and working within contractors and PFI partnerships, as well as the professions allied to medicine and those which are common to any large business. The enthusiasm of the young people as the reality of the range of healthcare related jobs was opened up to them and explained in more detail in class size workshops was a joy to see. It was rewarding to listen to the questions they asked as their understanding of who works within the NHS was blown wide open. This day set me thinking about the careers days I remember when I was at school and when my children were going through the same process. The career

choices promoted for the NHS were the same – doctors, nurses and possibly physiotherapy. So what can we do to address the misperception amongst young people about the range of jobs with in healthcare? RAISING AWARENESS Many organisations already have a presence at local careers events run by their local authorities for schools and colleges, but my experience says that they promote the doctors and nurses side of the career pathways. This needs to be expanded to include all job opportunities within the organisations, and can be achieved by working together with other healthcare providers and local authorities to promote the careers common to all such employers. Links with local colleges that provide the courses that underpin these career choices can also be established with relatively little effort and this will overlap into the career days that all run. WORKING WITH SCHOOLS Alternatively, days like the one mentioned above can be run for local schools and HFC would be pleased to work with anyone interested to develop this forward. We already have the skeleton for a day event tailored to a school timetable that just needs to be amended in agreement with the school and support from local healthcare providers with a handful of relevant professionals who are willing to talk about their own career to students. It’s not rocket science after all; you

just need to be able to enthuse about your own career and answer quite simple questions about the wider range of career paths. Last year, HFC linked up with the Q3 Academy, one of the new breed of academies replacing old and often failing schools. This is a business academy covering years 7 to 13 (ages 11-18) and Q3 have joined the Career Academy movement, a National Charity working with employers to raise the aspirations and employability skills of 16-19 year olds. This is done by providing mentors, guru lectures, visits and internships. BECOMING A PART OF THE NHS In discussion with the Careers Academy advisor supporting Q3 in this venture, they mentioned that they would love to extend their NHS links. Whilst I am keen to develop this locally it is actually a national issue; we are going to approach all of our local healthcare provider organisations to see if they are willing to get involved with the local academy but if anyone outside of the Birmingham, Walsall, Wolverhampton area is interested I would be pleased to put them in touch with the relevant people. Many young people would like to make their future a part the NHS; what can we do to encourage them into the wide range of job opportunities that we provide and often need filling? L FOR MORE INFORMATION www.hfc.org.uk www.careeracademies.org.uk

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INFECTION CONTROL

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RECOGNISING THE CRUCIAL ELEMENT OF CLEANING What are the main threats within a healthcare environment, and what role are trade associations playing in the battle to control infections, asks the Cleaning and Support Services Association harmless most of the time, although it can cause boils or other minor infections. Since MRSA was first observed in the 1960s, it has grown steadily, and while it still may be a relatively benign parasite in the general community, in healthcare environments it can be deadly. Up to 100,000 patients fall victim to some form of infection in hospital every year, while treatment costs are estimated to drain up to £1bn from the NHS every year. Although it is true that cases of MRSA increased by around 600 per cent between 1995 and 2005 (infection rates have been relatively steady since then) the Department of Health claims that the rise in infection rates is in part linked to advances in medicine allowing people to live for longer, requiring more major operations, which in turn can lead to infection. Although the number of hospital superbug cases has fallen in recent years, in England and Wales between 2004 and 2008 MRSA was involved in three per 1,000 deaths, while C. diff was involved in one in every 1,000 deaths.

The role of cleaning in fighting infections and bacteria is of growing importance to healthcare providers. C. difficile, commonly known as C. diff, is a virulent strain of common bacteria carried harmlessly in the gut of many adults, and half of all children aged under two. Unlike MRSA, C. difficile is not resistant to antibiotics, and not officially recognised as a superbug by the Department of Health. C. diff poses a great danger to patients. After experiencing symptoms such as mild diarrhoea or violent illness, the infection sometimes causes ulceration and colon bleeding. This can lead to perforation of the intestine, causing peritonitis – a serious inflammation of part of the thin membrane

in the intestinal tract. Older patients are most at risk, with more than 80 per cent of all C. diff cases reported in people over 65. The incidence of C. diff can be in part blamed on the use of antibiotics, which kill off other bacteria in the gut that would have ensured C. diff did not become toxic. Another problem is that C. diff is resistant to measures used to combat other hospital-acquired infections. MRSA Methicillin-resistant Staphylococcus aureus (MRSA) is a germ resistant to penicillin and its superior cousin, methicillin. It is estimated that between 20-40 per cent of us carry the MRSA bug, mostly in our noses or on our skin. Like C. diff, MRSA is

ON THE RISE What are the other possible causes for the rise in incidents of hospital acquired infections? Patients groups and healthcare professionals blame falling standards of hygiene. A cleanliness survey of England’s 394 NHS trusts by the Healthcare Commission in 2008 found a quarter of all those surveyed failed to comply with hygiene regulations. The commission said 14 per cent of trusts were unable to sign a declaration that they “keep patients, staff and visitors safe with systems to ensure risk of healthcare-acquired infection to patients is reduced” – a failure rate almost double that of an identical survey from 2007. Following these lines, the public services union Unison blames this situation on the decline in hospital cleaning staff. Since the 1980s, the number of cleaners has almost halved – from 100,000 to 55,000 in 2008/09. Doctors and nurses have also been accused of failing to always wash their hands between treating patients. The National Patient Safety Agency published a report that found only 40 per cent of necessary hand-hygiene procedures were being carried out in NHS hospitals. Research by the Royal College of Surgeons found that doctors’ neckties were a significant source of cross-contamination among patients. Other high-risk activities are sharing newspapers with another patient and using E

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INFECTION CONTROL E the ward telephone. Basic hygiene rules include keeping your hands clean by washing thoroughly with soap and water; keeping cuts and sores clean and covered with a clean dressing until healed; and avoiding contact with other people’s wounds or material contaminated from wounds. IMPROVING AWARENESS Earlier this year at their biannual summit, the World Federation of Building Service Contractors (WFBSC) resolved to address these issues and improve awareness of the importance of cleaning within healthcare. A key part of their commitment is that, over the coming months, they will be amassing information from governmental bodies and international organisations regarding the most effective methods to prevent the spread of hospital acquired infections in the community. By September the WFBSC will create a website communicating evidence and advice on cleaning for health, which aims to be coherent, accessible and supported by the World Health Organization. In this project the WFBSC aims to create a central source of information on cleaning for the control of infection. Meanwhile, the Cleaning and Support Services Association (CSSA) is helping shape the debate on hospital acquired infections, by advising hospitals to take a range of practical

steps to manage the risk. The CSSA regularly attends World Health Authority Summits, assisting the framing the debate from a UK perspective and, as the representative of 70 per cent of the contract cleaning industry, feeding member’s views and experience back to international legislative bodies. The CSSA advises that regular hand washing by all staff, visitors and patients will make a big difference. Bacteria are often spread between patients and the environment on the hands of clinical professionals and patients and good hand hygiene greatly reduces this transmission route. Smarter hospital cleaning makes a real difference to bacterial transmission. CSSA research suggests that superbugs are being spread on items like tables, door handles and telephones – human touch points in the healthcare environment. The CSSA supports the view that regular screening of patients and staff with quarantine for infected parties is an influence. This is practised in hospitals in the Netherlands and has shown to greatly reduce the instance of MRSA. The work of the CSSA and the WFBSC project hopes to both guide the cleaning processes in hospitals, and yield answers on a crucial issue. Despite this, the question still remains: is there the political will to enforce their recommendations?

Cleaning solutions from Rainbow International Right across the board – hospitals, medical and walk-in centres, dental practices and nursing homes – and across the country, Rainbow International has been supplying the health industry with deep cleaning solutions and disaster recovery and for several years, and in the process become an integral part of many NHS trusts’ and PCTs’ supply chain. Services include steam cleaning, biohazard cleans, blast cleaning, clean room environment, and ductwork cleaning. The company’s ability to clean, sanitise and deodorise, providing minimal disruption to patients and a cost-effective service, ensures its relationship with the health sector provides real benefits for patients and health workers alike – a clean and comfortable environment, with the risk of infections greatly reduced. With over 80 branches covering the UK, Rainbow ensures the

service and commitment to its customer meets its own aspirations of quality and reliability, delivering an effective and cost-efficient service, anywhere in the UK, 24-hours a day, seven days a week. There’s a 24 hour helpline and two-hour emergency service. Its innovative approach and on-going investment strategy ensure that Rainbow continues to enhance its service package of specialist cleaning and damage restoration. FOR MORE INFORMATION Tel: 0800 0430001 www.rainbowint.co.uk/health

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PREVENTION STRATEGIES With the ever-present threat of outbreaks of the new pandemic strains, it would be very unlikely that a specific vaccine would be available to inoculate the public during the first wave of the pandemic. In addition, depending on the severity of the outbreak, there may not be sufficient quantities of antiviral medications to go around. This means that governments and councils, through taking on the CSSA/ WFBSC’s advice, will have to focus their efforts on the prevention of transmission of the disease within our communities. The case they are trying to build in support of a more robust prevention strategy, one that will save lives and money in the long-term, is hoped to become impossible for governments to ignore. Using improved methods of prevention, detection and treatment is the only way that our high-density living in urban environments will decelerate transmission of a disease which could have a devastating impact. The role of trade associations in continuing to work together with governments becomes vital as the world of healthcare navigates the challenges that lay ahead. L FOR MORE INFORMATION Tel: 020 79209632 www.cleaningindustry.org

Teal – now there is no excuse for not washing your hands “Good hand hygiene achieved through handwashing is considered to be the single-most important practice in reducing transmission of infection. But sometimes, there are no facilities conveniently available and time is the enemy,” says Manty Stanley of TEAL Patents. The solution is a portable, hot water, handwash unit where hands are washed, with soap, under running water without the need for mains water supply and drainage. This achieves the gold standard in hand hygiene. Often referred to as a ‘TEAL’, the Hygienius ProWash uses a quarter of the water needed compared with conventional handwashing. “We want to reduce the spread of infection due to poor hand hygiene by helping people wash their hands properly whenever and wherever they need to,” says Manty. Within 24 hours of order, UK

customers take delivery of their TEAL units because of the need for speed when containing the spread of infection. A hire service is available for management of infection outbreaks and when water supply is disrupted during building works and maintenance. FOR MORE INFORMATION Tel: 0121 7700593 enquiries@tealwash.co.uk www.washyourhands.co.uk

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Ready for the climate change challenge?

At last – a real one stop shop FM 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

Control Group UK is a leading business services provider. We offer commercial relocations, document archiving, document destruction, interior design and refurbishment, as well as IT solutions. Our clients include hospitals, doctors surguries, dentist practices and even the Health Protection Agency. CGUK has been described as a facility manager’s dream! Our services which at first seem diverse actually blend well together and offer an ideal one stop shop solution to FM, resulting in reducing the number of suppliers required and thus freeing up time and saving money. Commercial relocation: Project management, dismantling/ reassembly of furniture, packing service, decomm and re-comm of IT, crate hire and insurance cover (£500,000 per vehicle load). Document archiving: Storage by file or box, with a same day or next day collection and delivery service. CGUK works to BS5454 (Recommendations for the

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 firstclass service – from low cost installation of the latest smart meter technologies through to full maintenance and support. FOR MORE INFORMATION Tel: 08457 448900 smartmetering@ westernpower.co.uk www.wpdsmartmetering.co.uk

Turn Costs into Revenue In every organisation there exists the opportunity for accounting errors to occur. We are not talking about major errors of accounting principle but small, seemingly insignificant errors that can accumulate over the years into a substantial amount of unrealised income. First Pass Ltd has worked with many companies and in every case we were able to recover significant sums for our clients and recommend ways to prevent those errors from happening again. There is no additional cost to the client; First Pass Ltd takes its fee from the additional income generated. It is entirely self-funding. The main reasons for errors are: Duplicate payments - where invoices are paid more than once. Overpayments – e.g. where a supplier has not applied the correct level of discount. VAT - There have been two changes in the VAT rate recently, plenty of opportunity for errors to occur. First Pass Ltd has the expertise to review historic accounting transactions and recover any money due to your business. In some cases it may be possible to go back over six years thereby recovering substantial sums. Call First Pass Ltd on 01600 715508 to find out more about this opportunity. E-mail info@profit-recovery.co.uk

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storage of archive records). Document destruction: Safe, secure service for paper, magnetic media and WEEE. Our staff are CRB vetted and security checked to BS7858. All paper is shred to DIN level 4 and a certificate of destruction is issued. Interior design & refurbishment: All aspects including space planning, partioning and dilapidation works. IT systems: Hardware and software supply and ongoing system maintenance. FOR MORE INFORMATION Tel: 01908 334410 john.daly@cguk.co.uk www.cgrelocations.co.uk

GSG Energy is at the forefront of providing Air Conditioning Inspections in Scotland for Commercial, Healthcare, Retail and Educational applications. A GSG TM44 Inspection gives you;

• Compliance • Peace of Mind • Independent Advice • Thorough Evaluation • Efficiency Savings • Carbon Savings • Operational Cash Savings

GSG is a family owned firm of professional and Sustainable Building Services Engineers with extensive experience in the Healthcare, Defence, Further & Higher Education, Commercial, Banking and Residential sectors across the UK. KEEP UPDATED ON ALL GSG ACTIVITY ON TWITTER; www.twitter.com/gsgenergy or via the website: www.gsgenergy.com

For a free no obligation quotation and direction on TM44 Inspections, please call us on 0141 951 7866 or email; enquiries@gsgenergy.com

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CRC ENERGY EFFICIENCY SCHEME

The CRC Energy Efficiency Scheme was the last government’s flagship scheme to get large energy users to cut energy usage. But what are the latest proposals from the coalition government? The first reporting year for the CRC Energy Efficiency Scheme has just finished and all organisations included in the programme should have completed their returns. The early evidence suggests that the issue of collecting the hard data needed for the annual return has been anything but easy. The government seems to have come to the same conclusion, judging from its latest proposals regarding the scheme. ‘Simplification’ is the stated aim of the proposals launched in July by the Department for Energy and Climate Change (DECC). According to the climate minister Greg Barker, more radical options were considered, including even scrapping both this and the Climate Change Agreements for energyintensive sectors. The proposals in the latest consultation will form the basis of legislation early next year and will take effect in time for the start of Phase II of the scheme in 2013. Given that the multi-layered, incentive-driven approach of the original CRC has now been abandoned, it would seem to make sense to trim away some of the detail. In fact, the latest proposals will help both participants and administrators to reduce the time and complexity associated with the scheme. However, the scheme is now well underway, with the first league table of performance due to be published in October this year and the first sales of emissions allowances (a retrospective sale for emissions already made) due for next year. ENTRY REQUIREMENTS Currently, there are two requirements for entry into the scheme: possession of a ‘settled’ half-hourly electricity meter (i.e. one used by the utility in connection with the settlement system in the UK electricity market) and an annual supply through all half-hourly meters, whether settled or not, of at least 6,000MWh. Only those organisations satisfying both criteria are required to take part. The government plans to reduce this twostage qualification to one which will depend on the amount of electricity as measured by just the settled meters. As this only considers consumption through one type of meter, it could actually reduce participation in the scheme. The government is therefore considering lowering the threshold figure,

but the proposals do not give any indication what such a figure might be. Also, there is to be a clearer distinction between different schemes: organisations involved in Climate Change Agreements (CCAs) or the EU Emissions Trading Scheme (ETS) will not have to take part in the CRC as well. DATA COLLECTION One of the major complaints about the CRC has been the number of different fuels, whose emissions must be considered. As currently structured, some 29 different fuels are included. Yet according to the government, over 95 per cent of the emissions captured by the CRC come from just two sources – electricity and gas. So the government was to cut the list to just four – electricity, gas, kerosene and diesel used for heating (i.e. not transport fuel). That should reduce the reporting burden considerably. The reason for including kerosene and diesel is their use in areas off the natural gas supply grid, mainly Northern Ireland and rural areas of the UK. As a consequence of the clear separation of the CRC compared with the CCAs and EU ETS, together with the move to just four reported fuels, then the 90 per cent rule would also be abolished. This can be achieved by requiring participants to report on 100 per cent of emissions arising from non-CCA and non-ETS use of the four nominated fuels. ALLOWANCES A fundamental change to the philosophy behind the scheme is the proposed abolition of the cap on total allowances. The idea behind a cap-and-trade scheme (the original design of the CRC) is that the government sets an upper limit or cap on the total emissions from those in the scheme. That in turn limits the total number of allowances available so participants have to trade amongst themselves for any top-up allowances needed to ‘balance the books.’ As the cap is steadily reduced over time, the ‘scarcity’ of allowances drives up the price. This makes it more cost-effective to implement efficiency measures in order to avoid the penalty of higher expenditure on allowances. This is also the model behind the EU Emissions Trading Scheme. This may now be replaced with two fixed

AGGREGATION AND DISAGGREGATION Under the existing scheme, the ‘participant’ in a multi-site organisation, or a multi-subsidiary group, is defined as the highest level unit within the UK. That does not always provide the most effective way of managing the scheme within individual organisations. Under the proposed changes, a group would have the option to disaggregate more flexibly to allow the monitoring, management and reporting of energy use for CRC compliance purposes to proceed for “natural business units” as the government describes them, instead of for large groups which seldom/ never act together for energy management purposes. The government notes that this would provide flexibility for participation in the scheme where genuinely different groups are, under the current CRC rules, amalgamated only by virtue of a common parent.

Written by Alan Aldridge, executive director, Energy Services and Technology Association (ESTA)

SIMPLIFYING THE ENERGY BURDEN

price sales a year – one an advance sale of allowances for the coming year and the other a retrospective ‘top-up’ sale at the end. As there would be no cap, there is no limit on the number of allowances available. There would, however, be a price differential – allowances in the advance sale will be the cheaper – otherwise people would only buy later when they know exactly how many are required, avoiding any up-front outlay. The government also believes that this differential will “create the conditions for a secondary market,” so there could still be trading in allowances but always at a price below that of the second sale at the end of the year. For the rest of Phase I, i.e. up till 2013, there would be only retrospective sales with allowance prices fixed at £12 per tonne – in other words the sales will form a buy-to-comply mechanism.

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SAVING ENERGY AND MONEY While it is in the process of significant change, the CRC remains with us and it makes significant demands on the energy management staff, especially in terms of data capture and reporting. It does, however, need to be set in the context of overall potential energy savings. The CRC was set up to encourage a much higher focus on energy efficiency. That focus is clearly right, both in terms of the national interest (for energy security and carbon reduction reasons) but also for the individual participants in terms of reduced expenditure and resource efficiency. Yet it should be remembered that the savings purely from reduced consumption far outweigh any from avoided compliance costs. Energy efficiency has significant value in its own right, with or without the added imposition of the CRC requirements. L FOR MORE INFORMATION www.esta.org.uk

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

Heating & Ventilation Written by the Heating and Ventilation Contractors’ Association

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COMMERCIAL KITCHENS

A SAFE WORKING ENVIRONMENT It is vital to adhere to an approved standard for designing and specifying kitchen ventilation systems to maximise safety and energy efficiency, and ensure a comfortable working environment In a commercial kitchen, adequate ventilation is essential in order to control health, safety and hygiene risks. Admittedly it’s a challenge to properly ventilate this environment as it requires designers and specifiers to extract and replace large volumes of air through ductwork and place equipment in very restricted spaces, however, there are minimum standards that we must adhere to. OBJECTIVES The Health and Safety Executive (HSE) highlights a number of objectives that commercial ventilation systems should achieve. They must: dilute and remove cooking odours and other by-products of combustion; provide sufficient air for safe combustion at gas burning appliances; introduce cool clean air and remove hot air to ensure a comfortable working environment; be able to be kept clean from fat residues to avoid efficiency loss and fire risks, and only feature canopies made from non-combustible materials. When specifying a commercial kitchen it is the job of a ventilation engineer to consider not only kitchen usage, the building limitations and equipment capacity, but also factors such as extraction, make up air, ventilated ceilings, odour control and fire suppression. ENDORSED STANDARD To inform this task, building on the core HSE guidance, is the industry specification DW172 Standard for Kitchen Ventilation Systems, which is not only endorsed by the HVCA, but also recognised by CIBSE, HSE, BSRIA, the Association of British Insurers and the Loss Prevention Council. The successor to the original DW171 guidance, the new specification includes legislative changes, new standards and all the requirements for design, installation and maintenance of kitchen ventilation systems. When it comes to extracting air, it’s not just a case of looking for the simplest way possible. For instance, scientists have learnt that the degradation of certain organic materials generate carcinogenic fumes. Therefore it’s important to design a system that avoids extracting air through the breathing zones of staff operating the cooking equipment. Calculating extract flow rates should be done using the Thermal Convection Method, which acknowledges each piece of equipment, its surface area and fuel type.

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Coupled with the type and style of canopy used, this method gives an accurate and consistent extract flow rate. It also generates the supply air flow rate, which should be a maximum of 85 per cent of the extract rate. Make up air, to replace the contaminated extracted air, should be mechanically introduced, filtered and tempered to assure a minimum entry temperature of 10°C when delivered via a canopy, and 16°C when delivered via ceiling grilles. A fan powered system provides positive control and, therefore, is the preferred method to use. The most common way to introduce make up air via a canopy is through a perforated front panel, allowing cool air to tumble onto those operating the cooking equipment. There is a common design that introduces air inboard of the canopy, this method has various names including ‘induction’, ‘entrainment’ and ‘capture air stream’. These methods can improve the capture and containment of a canopy, but any inboard air shall be added to the calculated extract flow rate. GAS SUPPLY Both the British Standard BS6173:2001 and the HSE require that commercial ventilation systems are interlocked with the gas supply to ensure safe operation. This means the ventilation system has to be proven to both extract and replace air before the gas supply can be activated. This interlocking system also cuts off the gas should the extract or supply air system fail during operation. The kitchen ventilation contractor is specifically responsible for providing the air proving mechanism. Regarding the dimensions of extraction equipment, there should be a minimum 300mm to the front, side and, where appropriate, back of any canopy. The front dimension should be extended to 600mm for combination ovens and certain bakery ovens. This ensures that the large quantity of steam emitted when opening oven doors of this type is contained within the canopy. The underside of the canopy should be between 2,000mm and 2,100mm above the finished floor level. CLEANING FILTERS For the grease filter, the minimum distance between the lowest edge of the filter and the top of a cooking surface should be 450mm. This avoids the risk of excessive temperatures or fire in the filter which could

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

cause the extracted grease to vaporise and pass through to the ductwork. Only stainless steel is suitable for the canopy fabrication as it is non-combustible, and mesh filters can only be used as a secondary method of grease extraction as they offer no fire barrier. VENTILATED CEILINGS Ventilated ceilings are becoming a popular alternative to canopies and have gained favour with catering colleges, training kitchens and some government properties. There are two types of ventilated ceiling available – modular cassette and plenum. They can vary between 2,200mm and 3,500mm in height, but generally 2,500mm is optimum. The new specification states that open plenums should not be used as part of an extract system where E

E grease laden air is being extracted. Material used to manufacture a ventilated ceiling should also be stainless steel. Some manufacturers use aluminium in the supporting frame, this form of construction should meet with the approval of the client or specifier.

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ASSESSING RISK Operators of commercial kitchens have a duty under health and safety law to assess fire risk in the ventilation system, particularly those created by excessive build up of cooking oil deposits. If suitable precautions are not undertaken, and in the event of personal injury or death resulting from a fire associated with a poorly maintained system, charges of corporate liability or manslaughter may be brought against the kitchen operator. The considerable amount of flammable grease and related particles within extract systems which, combined with the chance of fire ignition caused by cooking equipment, creates a hazard level above that normally encountered in other ventilation systems. It is imperative that kitchen ventilation provides adequate protection to ensure the safety of occupants and fire fighting personnel, and limits property damage. ODOUR CONTROL SYSTEMS There is increasing demand for odour control systems within commercial kitchen ventilation. Each site needs to be considered on its own merits, as one solution is not a cure-all. Various filtration systems are available, including three stage filters, electrostatic precipitators, activated carbon filters and UV-C light. Kitchen ventilation systems represent one of the largest uses of energy in a commercial food service facility. With this in mind, adhering to an approved standard for designing and specifying these systems is paramount if we are to maximise efficiency, comfort and safety. L FOR MORE INFORMATION: www.hvca.org.uk

Eaton Williams – the future of climate control We have been designing and sustaining artificially created indoor environments for over 70 years. Committed to quality of service, reliability and technical excellence, Eaton-Williams Service (EWS) provides climate controlled solutions for almost any environment, backed up with 24/7 service and maintenance. Acknowledged as one of the leading specialists in close control systems for areas such as test laboratories, clean rooms, operating theatres, computer rooms, data centres and document archives, EWS provides design, installation and maintenance of a full range of humidification, heating, ventilation

and air conditioning equipment which is manufactured by our sister companies Vapac, Edenair, ServerCool and Moducel. As part of our commitment to our clients EWS also undertakes a comprehensive diagnostic optimisation check (DOC) on

existing equipment. Typically, energy savings of 12-20 per cent are realised when equipment is adjusted to operate at maximum efficiency. The latest EU directive for energy efficient buildings calls for performance inspections of all air conditioning equipment with a duty of 12kW or more. EWS is able to maximise the efficiency of clients’ plants to enable them to meet their legislative obligations and ensure they are prepared for any energy audit. FOR MORE INFORMATION Carol Price, sales and marketing manager Mob: 07773 807310 carol.price@eaton-willams.com

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For fire risk management, competency is the key The Fire & Rescue Service and the health sector are under pressure to reduce unnecessary costs, and under the Regulatory Reform (Fire Safety) Order the responsible person(s) for each health sector building is required to implement and manage the best fire protection solution for the building. Are these aims compatible? The answer is that they can be. The Fire & Rescue Service are there to deal with fires and save lives. The responsible person has responsibility to reduce unwanted alarms and provide as safe a working environment as possible. A significant percentage of calls to the fire service for attendance are Highly complex facilities need highly competent specialist support from health based premises, and by far the majority of these calls are for unwanted alarms â&#x20AC;&#x201C; i.e. they are unnecessary. the responsible person to work with. The cost of attending unwanted Unfortunately it is difficult for the responsible alarms and dealing with them (i.e. person to know which specialist fire protection evacuations) is significant. company is competent to provide good It is entirely practical to manage incidents advice and clear guidance. The key to this is that may cause or have caused an alarm experience, training, and a comprehensive in a way that significantly reduces fire knowledge of risks in complex premises. service attendance and disruption to the Trinity Protection Systems is an independent operation of the building. Key to this is British company that specialises in fire good management and competence, and protection for complex buildings such as a large part of competence is having a health premises, airports, and shopping competent, focused specialist partner for centres. We have extensive experience of

working with the responsible person to reduce unwanted alarms, help develop management procedures, and make sure that protection systems are set up to operate in the most appropriate manner. We are a technically based business with a high level of engineering competence and our aim is to help our customers to reduce unwanted alarms, keep support costs to a minimum, and develop continuous improvement programmes for their site. Trinity is the largest fire protection system specialist in the UK that is not committed to any one manufacturer, and we have ISO9001:2008, LPS1014, OHSAS18001, NSI, NICEIC, and BAFE SP201 accreditation. With seven offices across the country we offer a local regional service and dedicated site management. FOR MORE INFORMATION If you would like to find out how we can help to reduce your unwanted alarms and help to strengthen your fire resilience, please contact us by e-mailing info@trinityprotection.co.uk You will then be contacted by your nearest Trinity service team without any obligation on your part.

Fire protection is our business LPS 1014 Certificated Fire Detection and Alarm System Firm Certificate No CFA-160

Peace of mind comes as standard

Find out more about how we can protect your business at www.trinityprotection.co.uk Offices in London, Kenilworth, Oxford, Exeter, Bristol, Heathrow, Leeds and Cardiff

TPS0538 Fire Prrotection is our Business (FIA) aw.indd 1

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Assessed to BS OHSAS18001:2007 Certificate No. LRQ4005859

Assessed to ISO9001:2008 Certificate No. LRQ0963486

25/07/2011 15:23

RESIDENTIAL CARE HOMES

would normally be in hospital going into care homes with nursing. This is pushing people down the care chain. Those who get home care would have most likely been in sheltered housing ten years ago.

PROTECTING THE VULNERABLE How can you provide robust fire safety for patients under residential care? Nick Coombe, chair of the Chief Fire officers Association’s Enforcement Working Group, investigates Healthcare in all forms is growing. The rise in the age of the population is means more people are requiring care and for much longer. The NHS is struggling to cope and more and more people are getting care in different arenas. Most people will automatically think of old people’s homes but even these are rapidly evolving to meet demand and changes. When you mention residential care homes people automatically think of old people’s homes and they think that these are homes where old people get some support and company in their later years. However in reality residential care is a much wider spectrum than this. There are care facilities for all ages and these can be split into several categories: care homes with nursing care; care homes without nursing care; retirement homes;

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sheltered housing; assisted living (normally care in retirement properties); and home care. These house some of our most vulnerable people and Fire & Rescue Authorities (FRA) quite rightly invest considerable resources in protecting these through regulatory fire safety inspections, Home Fire Safety Visits (HFSVs) and advice in seminars and literature. AGING POPULATION There are many recent reports on how the population is aging; we already have nearly one million people aged over 85 and reports suggest by 2025, one in ten people will live to be 100. These figures will only increase the numbers of people who require care in the future. Add to this the pressures posed on the NHS and we are already seeing those who

HISTORY OF FIRE SAFETY IN CARE HOMES Residential care homes came under the auspices of the 1971 Fire Precautions Act but were never a designated use so were subject to minimum fire legislation. Prior to the introduction of the Fire Precautions (Workplace) Regulations 1997 (FPWR) FRA inspected care homes as agents for local authorities. I remember as an inspecting officer in the early 1990s inspecting local authority homes on an annual basis and seeing the same problems each year but powerless to do anything. However as soon as we found issues at private homes the local authority would demand improvements to be made. FPWR gave FRAs legislative powers in care homes and introduced to fire the concept of risk assessment and emergency plan. The onus was on the employer to comply and dealt mainly with the safety of employees. This has been built upon by the Regulatory Reform (Fire Safety) Order 2005 (RRO). THE RESPONSIBLE PERSON The RRO places a number of duties on the ‘responsible person.’ In a workplace the responsible person is the employer, if E

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The UK’s leading approvals and certification body The National Security Inspectorate (NSI) is the leading approvals and certification body providing inspection services for UK fire and security companies involved with electronic security installation, fire detection and manned security services. Whilst working closely with bodies such as the Security Industry Authority, the Police, insurers and the Fire and Rescue Service, NSI is an independent and not-for-profit body with a history dating back 40 years. NSI’s mission is to raise standards in the interests of the customer and every customer, whether a large commercial organisation or an individual householder, is entitled to receive a professional, quality service from their security or fire contractor. Therefore, NSI approved companies are regularly and rigorously inspected by a team of nationwide full-time inspectors to ensure they comply with the appropriate

British and European Standards and NSI Codes of Practice. NSI’s owl brand is today widely recognised as the benchmark of quality in the fire and security sectors and is a symbol that buyers and specifiers can trust knowing that NSI approval is only granted to those companies that consistently meet exacting standards. FOR MORE INFORMATION Tel: 01628 637512 www.nsi.org.uk

Your one-stop-shop for fire protection services Your choice of fire protection supplier and contractor is critical. That’s why Fire Lining Systems Ltd carries out all aspects of structural and passive fire protection and firestopping throughout the UK. We provide up to four hours fire protection to new builds, care homes, refurbished premises and Grade 2 Buildings for all sectors of the community. We have over 35 years of experience in the construction industry and our commitment is backed by an experienced staff of engineering professionals, technicians, and project managers. Our services include: • Structural steel protection • Firestopping • Cavity fire barriers • Intumescent spraying • Wood and timber fire protection • One and two hour steel fire walls • 1/2 an hour and one hour partitioning • Grade 2 buildings protection • Fire doors

As well as servicing our existing clients, we, of course, wish to establish new working partnerships with organisations such as yours. We are always available to meet and discuss current or proposed fireproofing and protection requirements. Fire Lining Systems Ltd is an ISO 9001, ISO 18001, CHAS, FIRAS and Constructionline Accredited company. FOR MORE INFORMATION Should any of our services be of interest, please contact us on 0191 4165732 or e-mail info@firelinings.co.uk Alternatively, please visit our website www.firelinings.co.uk

Sharpfibre is the UK’s leading specialist fire protection contractor providing passive fire protection systems and life safety solutions throughout the UK and Europe. Formed in 1987, Sharpfibre is proud to be one of the longest established privately owned fire protection companies in its sector. Operating from its head quarters in Basildon and its offices in Swansea, Sharpfibre boasts a reputation for being the specialist fire protection contractor of choice when it comes to health and safety, service delivery and technical expertise. Working closely with our key supply chain partners, Sharpfibre provides the most cost effective, efficient and technically compatible fire protection solutions available on the market today. Whatever your fire protection and insulation needs may be Sharpfibre has a solution. From

intumescent paints to cementitious fire sprays, from penetration sealing and fire stopping we have a solution. With its flexible approach and experience, Sharpfibre is able to offer its clients further solutions and services including the provision of thermal and fire rated soffit insulation, and the installation of Drylining, Ceilings and Spray Applied Render Systems.

For further information please visit our website www.sharpfibre.com or contact us today on 01268 413084 where one of our team will be happy to provide you with information and advice.

Fire Protection, Insulation and Interiors for the Future

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

RESIDENTIAL CARE HOMES E it is not a workplace then it could be the person who has control of the premises in connection with carrying out a trade or business or the owner of the premises. The duties placed on the responsible person are also placed on any other person who has control of the premises, to any extent. This would include care home mangers, duty managers and so on. The duties include: • Reducing risk from fire • Suitable and sufficient risk assessment • Emergency plan including evacuation • Appropriate fire safety arrangements • Mitigating effects of fire • Suitable training • Nominate competent persons • Provide information to employees and others WHY ARE CARE HOMES AN ISSUE? As previously stated they house some of the most vulnerable people in society. Latest figures show that most fire deaths occur in a domestic environment and the over 80s are the most affected. A large majority of these are receiving some form of care. There have also been tragedies such as Rose Park where 14 residents tragically lost their lives. There have been a number of fires and prosecutions which have attracted media

has issued a draft document which states: “In general, other than in the case of simple, low risk buildings, fire risk assessors, particularly those offering their services on a commercial basis, need an appropriate knowledge of: • The assessment of risk from fire • Applicable legislation • Appropriate guidance • Behaviour of fire in buildings • Behaviour of people in fire situations • Means of escape • Fire prevention • Fire protection (includes passive and active) • Management of fire safety” Due to the type and nature of care homes, fire risk assessors need to demonstrate they are knowledgeable and experienced in the above. ROBUST EVACUATION STRATEGY Once the suitable and sufficient fire risk assessment has taken place this will influence the evacuation plan. Other than very small homes the normal evacuation strategy is Phased Horizontal Evacuation (PHE). However, this can only be used where a number of fire safety measures are in place that are maintained and in effective working order. This includes fire compartmentation. Any doors, walls, or ceilings that make up the fire compartment have the required fire resistance.

Latest figures show that most fire deaths occur in a domestic environment and the over 80s are the most affected. A large majority of these are receiving some form of care. interest and fines have been in excess of £100,000 in some cases. Therefore FRS and care operators want to avoid this. Care is one of the most regulated industries – there is a huge amount of legislation and regulations that operators have to abide by. They therefore see the fire inspector as just another hoop they have to go through. However fire is probably the only occurance that can lead to multiple deaths and injuries. The key to good fire safety and compliance with fire safety law is a robust fire risk assessment process and a comprehensive, workable, evacuation plan. ROBUST FIRE RISK ASSESSMENT PROCESS The fire risk assessment process is fundamental to compliance. It is not just a piece of paper but a living working document that adapts with the care home. There are a number of risk assessment methodologies that can be used to undertake the risk assessment but although the RRO does not require it, best practice would be to appoint a competent person to undertake the risk assessment. The fire risk assessment competency council

There are no breaches by services, pipes or damaged parts. Fire doors fit in their frames, self close and are fit for purpose. Best practice involves using third party accredited products installed by third party accredited installers. Another measure is automatic fire detection giving adequate system and coverage for risk to provide early warning so staff can commence PHE. STAFF TRAINING Staff training is also vital. Staff should be trained in the following where necessary: what to do if they discover a fire; how to raise the alarm; how to interpret a fire alarm panel and any zone plans; and knowledge of how the home is compartmentalised. Staff should also be trained in first aid and fire fighting; what information to give on-coming fire crews; how to report fire safety issues; and knowledge of the requirements of patients. The list above is not an exhaustive one, please see the guidance documents mentioned later in this article to gain further information. The RRO states that the responsible person must nominate competent persons to assist them in their emergency plan.

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A competent person is someone who has sufficient training and experience or knowledge and other qualities. The evacuation plan must be able to work 24/7 regardless of the number of staff or any key member of staff. It also needs to take into account the changing condition of residents. It must not rely on the fire and rescue service to provide evacuation assistance. WHEN AN INSPECTOR CALLS When you get a visit from the FRA it can be for a number of reasons. These include a post fire audit, looking at unwanted fire signals (UwFS), a programmed audit or operation familiarisation visit. The fire safety audit consists of three parts and is carried out by a fire safety inspecting officer (FSIO). The FSIO will be looking to check that you can demonstrate compliance with the RRO. To check this compliance they will ask to see evidence of the following: fire risk assessment; robust fire safety policy; emergency plan; maintenance of fire safety measures; staff training records; knowledge of personal emergency evacuation plans (PEEP) for individual residents. This is known as the management audit. The information that is received by the FSIO will determine how much of a physical inspection is carried out. There will be a minimum of some risk critical areas to verify the management audit findings. This is known as the physical audit. The third part of the audit is the outcome of the audit which is a derived from a combination of both physical and management audit. The outcome can be one of the following: • Educate and inform through verbal advice • Informal written advice • Formal notice • Prohibition or restriction of premises • Prosecution under the RRO At the end of the audit it should be clear to the responsible person what action the FRA is to take. If it is necessary this will be backed up in writing. GUIDANCE AVAILABLE TO RESPONSIBLE PERSONS The Department of Communities and Local Government (DCLG) has produced a suite of guides for responsible persons. There are specific guides for residential care and health care premises. These can be found on the DCLG website. Recently the Chief Fire Office’s Association (CFOA) and the National Association for Safety and Health in Care Services (NASHiCS) issued additional guidance to support the existing DCLG residential care guide. Due to the life risk in these premises FRAs sees care homes as a integral part of the fire safety inspection programme. Therefore they want to work with care home providers to protect the vulnerable as part of the aims of each FRA. Please contact your local FRA if you have any concerns or require general advice. L

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Design & Build

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EVENT PREVIEW

DISCOVER THE FUTURE OF HEALTHCARE BUILDING A revolution in building design, the procurement process and the type of client is starting now, as Andy Stuart, event project director at Future Health & Care Expo, explains For an essential public body as old and as large as the NHS, reform is inevitable. Whilst this doesn’t mean such reforms are ever uniformly palatable, they are a fact of life and crucial if the NHS is to prosper – especially given the present economic climate. The UK Government’s Health and Social Care Bill stands to be just as divisive as any other preceding set of reforms, and the NHS Future Forum’s recommendations seem to have engendered even greater discord in the debate. However, it appears inevitable that the amended reforms, which will now incorporate more than 16 of the Future Forum’s recommendations, will come into effect and change the face of the NHS for decades to come. For anyone involved in building and maintaining health and care facilities, both in the private and public sector, these reforms are going to have far-reaching consequences. In conjunction with this, the sector is faced with the constant need to respond to changing patient demands and social pressure. The Future Health & Care conference will provide built environment professional with the knowledge, skills and tools to they need to address these issues and implement cutting edge health and care environments. While the conference will address a range of

new and more expensive treatments. To curb spiralling costs, the NHS has to make tough choices as to how resources are allocated. With cuts to front line services, treatments and staff considered a last resort, the easier option is to cancel or postpone new facilities, and reduce the money spent on refurbishment and maintenance. However, the need for new sites remains, and it will be up to those responsible for securing these construction projects to demonstrate the value they deliver. And while the NHS has always had to face up to the problems of demand being greater than the resources available, the situation isn’t getting any easier. This topic will make up one of the optional conference modules at Future Health & Care Expo, where the head of health at Brown Jacobson LLP, Mike Suggett, will assess the impact of policy reform on design and construction in the health sector. COMPETING FOR CARE Increasing the level of competition between different facilities, both private and public was at the heart of the healthcare reforms originally proposed by the government. The idea was that it would result in a greater quality of care, since facilities would be forced to maintain high standards in order

The need for new sites remains, and it will be up to those responsible for securing these construction projects to demonstrate the value they deliver. issues, there are three key areas that many of the keynote speeches, panel debates and conference modules will focus on. IMPACT OF POLICY REFORMS In a recent interview, health secretary Andrew Lansley claimed that the NHS could be facing a potential funding gap of £20 billion by 2015 with expenditure reaching £130 billion by this point1. This is despite the government providing an additional £11.5 billion in funding. There are many reasons why NHS costs are going to rise so dramatically over the next few years, including an ageing population and the corresponding increase in chronic diseases, as well as better informed patients demanding

to attract patients. In the amendments to the reforms based on the Future Forum’s recommendations, however, the competition aspect of the bill is scaled back. Monitor, the public body originally responsible for overseeing competition in the health and care sector, will now also be responsible for promoting collaboration and integration. Encouraging competition is still recognised as a “tool for supporting choice, promoting integration and improving quality”2, as Steve Fields, chairman of the Future Health Forum confirmed recently. Although he argued that it should never be used “as an end in itself”. Clearly, competition is becoming a bigger part of the NHS, and is something that the

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built environment is going to need to play a larger role in as free-market ideas gain more prominence across the health sector. This pressure is only going to grow as patients increasingly turn to providers of private care. While patients will be judging private and public providers on waiting times and available treatments, the quality of the facilities they are visiting will also play an important part in their final decision. On top of this, it is a simple matter of cost. In order to compete effectively, both now and in the future, sites need to deliver value for money. At the Future Health & Care Expo conference, former health secretary Alan Milburn’s keynote speech will look at this issue in more depth, analysing the changes across the NHS and the implications for the way in E

E which the built environment delivers services. In addition to the government’s NHS reforms, the built environment sector needs to adapt to meet the challenges presented by growing social and economic trends. There are so many factors at work, it is virtually impossible to list them all. However, even by skimming the surface, it is clear that the way in which health and care facilities are built and managed is going to have to change. For example, Private Finance Initiatives, the scheme through which health trusts can outsource the cost of building and maintaining care facilities, are a constant expense for many NHS trusts. Attempts to renegotiate monthly repayments will become more common as the NHS looks for ways to improve available resources. At the same time, there may be an increase in the number of PFI projects. New healthcare facilities are always going to be required, but given that the NHS won’t have the necessary resources for the foreseeable future, PFIs will offer the only viable alternative. Contractors and architects will therefore need to reassess how the change in the NHS’ relationships with PFIs will be affected. In addition, the way in which facilities are built and maintained must adapt in response to changing health demands from the public.

For example, with hospital-borne diseases like MRSA constantly in the media, the need to update existing facilities and equipment to reduce the risk of infection is paramount. And with the standards of care that patients expect from their NHS trust always under scrutiny, care providers must ensure that the facilities they provide are modern and efficient. The built environment will therefore continue to be an integral part of the way in which care is delivered in the UK, and the health and care sector will be increasingly reliant on its ability to adapt and support it in ensuring that patient needs continue to be met. In the second keynote presentation at the Future Health & Care Expo conference, representatives from the health teams at Balfour Beatty and Anshen + Allen will be looking at the global drivers and trends that will underpin healthcare facility and estates design over the next 30 years, providing delegates with a greater insight into the factors that will shape this aspect of the built environment. READDRESSING NEEDS The NHS reforms result in a state of flux within the health and care sector. Although the NHS Future Forum has presented its findings, and confirmed how the reforms

Design & Build

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About Future Health & Care Expo Organised by UBM Built Environment, Future Health & Care Expo is the mustattend free exhibition and conference for anyone involved in building and maintaining health and care facilities. Spread over two days, the show will include over 100 of the leading companies in the health and care construction and maintenance sector, including Balfour Beatty Healthcare, BAM, Graham Construction and Facilities Management, Anshen + Allen and MedicX. The show will bring together stakeholders and industry leaders in this rapidly developing sector, providing a wealth of networking opportunities and allowing attendees to keep up-to-date with new industry innovation. The parallel conference will feature keynote speeches delivered by senior industry figures, as well as a modular conference programme delivering indepth discussions on a range of topics.

are going to be delivered, there is still much confusion as to how they will affect the way in which health and care facilities are built, managed and maintained. From architects and facility managers to local authorities and contractors, everyone involved in the health and care built environment is going to have to readdress how they serve the needs of the NHS and private sector health and care providers. Together, they must ensure that the sector remains healthy and profitable, and be able to guarantee that patient care maintains a high standard. The process of writing the amended Health and Social Care Bill into law will take some time. Even with additional amends being introduced, the built environment clearly needs to scrutinise the changes and make adequate provisions for adapting to the changing landscape. The Future Health & Care Expo conference will provide the perfect forum for debating the changes set to sweep the health and care industry, and will help all of those involved in the built environment to understand exactly how the new reforms affect them. L Notes 1. The Daily Telegraph – http://www.telegraph. co.uk/comment/personal-view/8551239/ Why-the-health-service-needs-surgery.html

2. NHS Future Forum Summary Report: http://www.dh.gov.uk/prod_consum_dh/ groups/dh_digitalassets/documents/ digitalasset/dh_127540.pdf FOR MORE INFORMATION www.futurehealthexpo.com

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

In an ever more demanding world, Variable Message Signs Limited combines innovation, experience and technology in strategic, rail and urban driver information systems. Our road traffic product range covers applications in the strategic , urban, and traffic management equipment sectors. We offer a full range of services to suit individual client requirements’ from design, manufacture, supply, installation and commissioning of LED driver information systems. These include fully UTMC compliant car park guidance systems, vehicle activated speed and warning signs and full matrix dual colour advance warning and information signs. Our range of car park guidance and information signs advise drivers where the car parks are within a town or city centre, local hospital or school site, within a shopping centre or multi storey car park. The signs will advise on the number of spaces left within each car park or area, providing information and choice for drivers entering the town or site, and via our TRAMS car park management software package, the operator has control over all the listed car parks, the number of displayed / available spaces as well as providing various management reports and helps reduce emissions by keeping traffic moving and avoiding queuing. By adding a two line of fifteen character display within the car park guidance sign, clients can enhance their system and have the capability of adding ‘free text’ information to visitors entering the site. Our Safewatch range of vehicle activated speed and warning signs help provide road & pedestrian safety, by advising and reinforcing the speed limits and other hazards, such as pedestrian crossings, side roads, tight bends etc and other hazards such as, car park entrances and exits, The unique environment of roads adjacent to and within schools, universities and hospitals specifically, our Safewatch range can be programmed to suit varying local and site conditions, by advising permitted speed or alternatively they can display a pictogram i.e.: children crossing etc. Our Safewatch range of signs can also be fitted with four corner

conspicuity lanterns for added presence. The Safewatch range is always evolving to suit client’s demands. Our latest evolution of ultra slim signs are lightweight and will fit unobtrusively into the most sensitive of areas. The light sensor adjusts to ambient light levels, reducing LED output at night to maintain contrast. This stops the sign dazzling oncoming vehicles. Dimming the sign also cuts unwanted light pollution. With many of our Safety and Warning signs we can supply them with alternatives to conventional mains power where the level of usage is comparatively low or due to location the cost of installing mains power is prohibitive. Typically these alternatives are Wind and/or Solar power either singly or in combination. Applying Technology in Transportation has always been at the forefront of everything Variable Message Signs Limited manufacture, from standard to bespoke LED signage products. Pegasus our new range of urban dual colour full matrix signs are the latest product to be designed and built with this philosophy. The sign’s attractive and slim design is especially suited to today’s urban streetscape, where it will deliver driver and pedestrian information. The sign is offered in three sizes, with high resolution matrix areas suitable for the display of four lines of text with character heights of 160mm, 100mm, and 50mm. All variants are capable of displaying combined text and pictogram information and employ a dual-coloured, amber and red, matrix. A special feature of the new sign system is the ability to mount it in a landscape or portrait format, with five mounting options for landscape fixing and three for portrait fixing, making it a very flexible range of signs for use around schools, universities and hospitals as well as in town and city centres etc. Variable Message Signs Limited is an ISO9001 2000, ISO 14001 and OHSAS 18001 Quality Company and are members of the British Parking Association (BPA). For a no-obligation quotation, site survey or a general discussion regarding your requirements, please do not hesitate to contact Mr Glynn J Hutton, Sales Manager on 07717 783134 / 0191 423 7070, ghutton@vmslimited.co.uk or visit our website www.vmslimited.co.uk for our range of products and services.

Variable Message Signs Limited Unit 1, Monkton Business Park North, Mill Lane, Hebburn, Tyne & Wear NE31 2JZ T 0191 423 7070 F 0191 423 7071 E ghutton@vmslimited.co.uk W www.vmslimited.co.uk

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CAR PARK MANAGEMENT

FINDING A FAIR WAY TO HANDLE HOSPITAL PARKING The British Parking Association’s Healthcare Parking Special Interest Group gathered to debate and overcome issues surrounding hospital parking. We look at what was discussed As highlighted in previous articles, The British Parking Association (BPA) has initiated a Healthcare Parking Special Interest Group, which brings together people in NHS facilities with parking operators and service providers to share knowledge and experience. There are some serious challenges that face NHS trusts and healthcare facilities in terms of providing and managing parking at their sites. The Special Interest Group met for the third time on 28 June. This was a combined meeting with the recently formed Higher Education Special Interest Group and was held at the Royal Horticultural Halls Conference Centre in Westminster London. BPA chief executive Patrick Troy opened

the meeting by welcoming attendees and providing an overview of the day. Two new chairs have been elected, one for each Special Interest Group. They are Laura Kelly, who is travel coordinator of Queen Elizabeth Hospital Kings Lynn NHS Trust and Ian Goodwin, travel plan manager at Manchester Metropolitan University. Both outlined their aims for their respective groups and were warmly welcomed to their new roles. REDUCING CRIME ON SITE The BPA’s Park Mark Safer Parking Scheme was the main feature of the morning session. BPA’s director of operations and technical services Kelvin Reynolds opened

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the session with an overview of the scheme’s current marketing activity. The BPA is raising awareness of the scheme by using various marketing channels, including social media platforms Twitter and Facebook and further initiatives will be implemented later this year. Safer Parking Scheme development manager for London and Hampshire, Graham Chapman spoke next about the benefits of the scheme and how with the help of police accredited assessors, it is helping reduce crime and the fear of crime in over 4,500 car parks throughout the UK. Many NHS trusts and health boards across the UK are Park Mark award holders and Jayne King from Guy & St. Thomas was the next speaker, providing the group with evidence of how effective the award has been in reducing crime at her particular site. Park Mark is an important component in the challenge to make hospital car parks better and many NHS trusts and health boards across the UK are Park Mark award holders. With roundthe-clock 24-hour staffing and patient needs, hospitals have a bigger incentive to reduce the fear of crime than perhaps anywhere else. DUTY OF CARE There is a duty of care that an employer has for staff in providing parking and according to recent studies, over half the parking at all hospitals is used by staff and in some cases it is three quarters. E

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

Never put a foot wrong with Amano Rental. Amano have been the partner of choice for hospital and health centre parking for over 30 years, reading and recalling every movement. Whether you’re looking to install a new parking management solution or upgrade an existing system, we believe we have the experience to help you maximise your space. Not only do we offer the latest technology, easy integration and an excellent level of support, but also fully funded rental finance to help with your budget.

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CAR PARK MANAGEMENT

Park Mark can reassure staff, visitors and patients that the healthcare provider is concerned about their welfare and safety overall and not just in the clinical facilities. E Park Mark can reassure staff, visitors and patients that the healthcare provider is concerned about their welfare and safety overall and not just in the clinical facilities. Helen Dolphin of Disabled Motoring UK was the next speaker. Parking is a major topic for her organisation and having recently surveyed their membership, one of the issues they face is that disabled drivers are finding there are no longer specific car parks for patients, staff or day patients and that disabled bays are often a long way from the actual facilities that they need to access. Research has also found that the bays are often misused, for example skips have been placed in them, denying users access. Machines are often inaccessible and there is a call to make them more user friendly so that disabled users can actually pay for their parking. The survey also found that the process of claiming back money for free parking needs to be simplified, for example for those patient receiving treatment for long term illnesses. Parking charges need to be fair – something advocated strongly by the BPA’s own Hospital Parking Charter. The charter, which was launched in 2010, sets out the importance of offering a high

standard of management and customer service, reflecting the needs of all car park users including patients, visitors and staff, and with proper and adequate access controls and fair and reasonable enforcement where this is required. The BPA is currently reviewing this document, one year on, to ensure that it’s fit for purpose and to encourage more trusts, car park operators and other key stakeholders to sign up and to abide by its principles. The intention is also to make the charter easier to understand, simple to promote and above all, make sure that its intentions are delivered. This work continues through 2011 and if you would like to help you can do so by contacting Dave Smith at dave.s@britishparking.co.uk FINDING THE GENUINE USER In Scotland, where most hospital car parks do not charge for parking, there have been numerous cases of shoppers and commuters simply using the facilities for as long as they want. The difficulty is identifying who is a genuine visitor and who is not there for healthcare. In the afternoon session of the Special Interest Group meeting, Magdalena Golebiewska presented a case study about

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the problems facing Luton and Dunstable NHS Foundation Trust and this was followed by Tracy Milne who talked about the Ipswich NHS Trust Hospital Ride Scheme as well as looking at the psychology of parking and the options for bringing about behavioural change. Kelvin Reynolds returned to give a presentation of the use of signs and lines on the public highway and the day closed with a summing up and a look ahead to the next meeting which will take place 24 November at a venue to be confirmed. All of the above presentations will shortly be available on the BPA website, www.britishparking.co.uk The role of the BPA is to raise standards, and nowhere is this more apparent than in the healthcare environment. Balancing the needs of hospital patients, visitors, staff and healthcare professionals to ensure that access to healthcare is fair, and costeffective, requires courage and determination. Parking managers at healthcare sites across the UK face these challenges every day. Working alone they seek to resolve their problems locally, often challenged by local media and, indeed, their own colleagues. Working together through the BPA Healthcare Parking Special Interest Group we can collectively share knowledge and best practice, as well as campaign for better recognition of the services provided and the need for them to be properly funded. The health of the nation depends upon the NHS and in turn, the NHS depends upon the parking sector to help ensure that access to its facilities is fair and appropriate, properly managed and adequately funded. L

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Finance

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EQUIPMENT LEASING

EQUIPMENT FIT FOR TODAY’S HEALTH SERVICE Louise Hamilton, head of NHS sales and marketing, Singers Healthcare Finance, discusses past and present approaches to financing and replacing high-value capital equipment in the NHS On 30 March 2011, The National Audit Office published its report ‘Managing high value capital equipment in the NHS in England’, which was ordered by the House of Commons. The National Audit Office, which is totally independent of government, scrutinises public spending on behalf of parliament. This report examined the management of three types of high value equipment in the NHS in England. It covered Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scanners, used for diagnosis, and Linear Accelerator (linac) machines for cancer treatment. Historically, during the 1980s and 1990s, investment as a percentage of GDP in healthcare was lower in the UK than many other developed countries. This led to the number of these types of machines also being much lower per population than many developed nation counterparts. Following the election of the Labour government in 1997 they developed the NHS plan, and started to increase investment in the health service, and amongst many other objectives, targeted the reduction of waiting lists for elective surgery to 18 weeks and improved access to diagnostics and treatment for patients. LOOKING BACK As part of these changes, in 2000, the Department of Health introduced its Cancer Equipment Programmes. The NAO report notes that: ‘The aim of these was to manage capital funds provided centrally under various schemes to increase the replacement, and overall numbers, of these machines. Between 2000 and 2007, the centrally funded programmes spent £407 million on new capital equipment, resulting in greater numbers of CT, MRI and linac machines to spur implementation of increased diagnostic and treatment capability. During 2000-2007 the Programmes accounted for around three quarters of new and replacement machines purchased for the NHS in England.’ Whilst this provided a much needed boost to the number of these machines, it was achieved by trusts utilising a capital allocation from the government, and it put pressure on individual trusts to develop a strategic procurement plan to cater for the replacement of these centrally

funded machines. The report acknowledges this issue: “The significant investments made during 2000-2007 purchasing replacement and additional machines present the challenge in future years as to how the costs of replacing machines will be met as they reach the end of their useful life.” The report goes on to deliver an analysis of spending from 2007 onwards, and a snapshot of the total level of investment in the current inventory of these machines across the country. “In the past three years, NHS trusts in England have spent around £50 million annually on purchasing MRI and CT scanners, used for diagnosis, and linac machines for cancer treatment. The current value of these three types of machines in the NHS is around £1 billion.’ It also notes that: “The department currently has no plans for any further such centrally driven programmes.” This appears to confirm that the onus is indeed on trusts to manage and finance the ongoing replacement of these machines. A SIGNIFICANT CHALLENGE This is no small task when looking at the numbers of machines required and the costs associated with their replacement. The report states that: ‘We estimate that around half of all three types of machine across the NHS are due for replacement within three years, and 80 per cent of machines are due for replacement within six years (based on ten year lifetimes). Were trusts to purchase machines to replace existing ones they would collectively need to find around £460 million within three years and a further £330 million within six years.” The challenge this presents to trusts takes on an even greater significance when viewed against the backdrop of likely capital funds available to trusts going forward. In its 2010 spending review, the government announced a 17 per cent reduction in capital spending for the NHS over the next four years, from £5.1 billion in 2010-11 to £4.6 billion in 2014-15. The timing of this reduction in real capital coincides with the timeline the NAO identified for half of all three types of machine coming due for replacement. The ability of trusts to fund these machines through

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capital budgets is going to be severely impacted and alternative procurement options will have to be considered. THE ROLE OF LEASING Leasing could play a key role here in enabling trusts to develop equipment replacement plans in order to meet the demands. Leasing has been an approved finance option for the NHS since 1996. There is an NHS Supply Chain National Leasing Framework currently in place for NHS trusts to access approved leasing providers, along with several other leasing frameworks via NHS procurement hubs and trusts. It is therefore worth noting, that the NAO report suggests that leasing could be one of the options open to trusts: “As well as replacing machines, trusts could look at other options including leasing machines, contracting out or extending the use of existing machines.” However, we would argue that returning to the approach of ‘sweating assets’ and extending use beyond the efficient working life of equipment may in some cases be wholly unsuitable E

processes have become in modern healthcare delivery across the NHS the report outlines the growth in use of these machines: “The number of scans carried out for NHS patients from CT and MRI machines has increased almost threefold in the last ten years, while for linacs the number of radiotherapy treatment sessions (fractions) has increased two and a half-fold. 94 per cent of trusts have MRI and CT scanners, 29 per cent have linac machines in 49 radiotherapy centres.” Trusts will be under pressure to maintain the provision of services across all three machine types, with emphasis on increased focus on diagnostics for early identification of disease, utilising these to help keep treatment costs down and deliver against the efficiency savings targets. In addition trusts will have to work to meet the department’s aim of increasing access to radiotherapy services: “For radiotherapy, whilst current provision of

Finance

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trusts to be proactive at getting plans in place, stating: “As around half of machines are due to be replaced within three years, trusts need to plan their procurement now so that they can manage the risk of incurring higher costs, for example, extra maintenance costs.” MOVING FORWARD For all three equipment types studied the capabilities have continually been increased and improved. This means faster, more accurate results and, crucially, better patient care. Under a capital purchase equipment programme it can not only be hard to identify and allocate necessary funds for the initial purchase of a machine, but also to then find additional funds to benefit from regular technology upgrades. Utilising leasing can help to both procure equipment in the first instance and build upgrades into the equipment lifecycle. These

“We estimate that around half of all three types of machine across the NHS are due for replacement within three years, and 80 per cent of machines are due for replacement within six years” – NAO report linacs is around 4.8 per million population, within ten years the clinical need is expected to exceed six per million. As well as replacing current stock, approximately 60-80 new linacs will be needed in this period.”

E and go against the efficiency strategies that trusts are striving to implement. Indeed the NAO comments that “Although machines maybe used for longer than their expected working life, they become more expensive to maintain and may not be capable of delivering the latest techniques required by clinicians. They may also suffer more downtime when they cannot be used for the benefit of patients.” Not replacing these machines at the right point, in a timely manner, would have a devastating effect on the progress that has been made in integrating the use of both scanners for many types of diagnosis, and linacs for cancer treatment, into modern patient care provision within the NHS. The demand for scanning equipment was originally driven by a focus on reducing waiting times, but there were resulting massive clinical benefits that led to early diagnosis of, and the provision of, timely intervention within many conditions, including major trauma, cardiology, cancer, stroke and dementia. To give an idea of how embedded these

HOW TO ACCESS FUNDING So how can ever more financially challenged trusts address the issue of funding both new and replacement machines, keeping up with latest technological advances and maintaining adequate levels of access to diagnosis and treatment? Planning is key – trusts need to identify what service they wish to deliver, and not just over the short term, but the medium to long term. This will require strong engagement between procurement, finance and clinical teams, as is the case in most trusts. In order to empower trusts to implement effective planning such as this, the DH needs to ensure trusts know what funding they will be allocated over a period of years. But the emphasis must move away from annual capital spending towards how to utilise alternative methods of funding, analysing what income can be derived from the equipment to help meet the costs of acquisition. We welcome the NAO recommendations within the report, which acknowledges leasing as an option that should be considered by trusts. For individual NHS trusts it states: “Clinical and finance teams within trusts should assess the costs and benefits of purchasing, leasing and outsourcing when replacing machines and check for alignment with their planned levels of activity.’ They also point out that time is of the essence, urging

are currently funded via revenue budgets and avoid technology obsolescence and service downtime. This, in turn, protects both clinical performance and the vital income that high performing equipment generates. Whilst leasing is not a panacea for all procurement needs within trusts we have long maintained that it should be one of the options considered when developing any procurement strategy. For certain asset types, particularly hi-tech, it certainly has a place, and can deliver significant benefits. The key to the most successful utilisation of the leasing option is to consider it at the outset of a business case, early on in the process and weigh up any possible costs and benefits, not just exercised as an option of last resort when no capital is available at the end of the process. Like so many other areas in the NHS, procurement and finance practises are having to be rethought to meet the many concurrent demands for efficiency, smarter use of existing budgets and maintaining levels of service provision and patient care within these. The very best outcomes we have achieved in providing lease solutions to trusts have, without exception, come when trusts have engaged with us at an early stage and really analysed what service they want to provide within a particular clinical discipline, over the medium to long-term. The need identified for such significant numbers of these three critical pieces of high-value equipment to be both replaced and added to is a key opportunity for lease providers to work much more closely with trusts, to design and deliver solutions to meet this huge challenge. L

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Experienced provider of quality effective private ambulance services to both private, public and commercial clients throughout the United Kingdom Aero Medical Ambulance Service has been established for over 36 years. We specialise in medical repatriations and being based in Hertfordshire, we are conveniently located within easy reach of the South East: London Stansted, London Luton, London Heathrow, London City, London Gatwick and various other smaller airfields that accept air ambulances. In addition to meeting patients and medical crews at airports, we also provide airside lift-offs from commercial flights and specialised air ambulances, as well as continental repatriations and long distance journeys. We are also able to provide medical cars, fully equipped ambulances, through to high dependency ambulances with a full medical crew complete with specialist nurses and doctors, also coordinating full air ambulance evacuations. We can also offer a full range of medical facilities, health screening, travel vaccinations and many other options. Experienced at providing medical support and cover at events and various occasions, we can provide first aid cover to specialist nurses and doctors for sports events. We

have a fully kited emergency 4x4 ambulance, which enables us to take a full medical crew to the patient no matter what the terrain. We have the unique ability to be able to take all the equipment with us to treat the patient no matter what the situation or conditions. We are also able to offer medical cover for events where there is a large area and have a response car remotely patrolling

to deal with issues, being backed by a full emergency ambulance and crew. This is particularly effective with walks, runs and large scale events. We provide enhanced medical cover for any event no matter how large, providing effective medical cover and reassurance for those who attend. Aero Medical Ambulance Service works in partnership to provide all kinds of medical transport from air ambulances to emergency ambulance response, patient transport, organ and blood transport and all various medical needs. We operate 24 hours a day, 365 days a year. Working closely with private doctors we also provide a fast response day or night for patients wanting to be transported to their chosen care provider. Any patient transported by Aero Medical Ambulance Service can be assured of receiving a very high level of care and treatment from the moment of first contact to ensure all their needs are met. FOR MORE INFORMATION Tel: 07717 478 648 www.aeromedicalambulance.com

We Listen to you, We have Time for you, We treat you with Care. Aero Medical Ambulance Service is based in the South East of England, located close to the main road routes to access areas quickly. Aero Medical Ambulance Service is an independent provider of quality private ambulance services. We have a well known reputation for specialising in medical repatriations within the UK and Europe since 1974. Aero Medical Ambulance Service

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offer a friendly and professional service to meet your requirements. All our ambulances are kitted to deal with all needs of the patient. Patients receive a high level of care, from the moment of first contact to ensure all their needs are met.

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We offer: • Ambulance Transfers • Hospital Appointments/Visits • Emergency Ambulance Response • Air Ambulances • Medical Cover for events • First Aid and Medical Training

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BARIATRIC SURGERY effective treatment for morbid obesity. This has been demonstrated in large numbers of clinical studies. One of the most powerful of these studies was the Swedish Obese Subjects study4. This case controlled prospective study looked at over 4,000 obese patients, half of whom underwent the best medical treatment for their obesity and half of whom underwent surgery. The surgical group demonstrated greater sustained weight loss, significant improvement of their obesity related comorbidities and also significantly great life expectancy. Not only has bariatric surgery been evidenced as the only clinically effective treatment of morbid obesity, but it is also cost effective. Most studies indicate that at three years after surgery, health savings are made as a result of the improvement in the patient’s obesity related health5,6. On top of this, there are wider cost savings resulting from increased productivity in the workplace. Health economists gauge the cost effectiveness of treatments by using Quality Adjusted Life Years (QALY). Broadly, this is a method of evaluating the outcomes of health care interventions upon quality of life and life expectancy. The cost per change in QALY can then be assessed. On the whole, NICE will not recommend any treatment which costs more than £20k-£30k per case. The incremental cost per QALY for metabolic surgery falls well below this.

OBESITY IN THE UK: PREVALENCE AND TREATMENT

Chris Pring MA MD FRCS, consultant bariatric surgeon, Streamline-Surgical, discusses the vital role that bariatric surgery can play in managing the rising tide of obesity in the UK The obesity epidemic is a well recognised phenomenon, both in the specialist literature and in the popular press. In England the proportion of the population classified as being obese increased from roughly 14 per cent in 1993 to 24 per cent 2007. Approximately two per cent of the population is classed as morbidly obese (i.e. – a body mass index greater than 40kg/m2). Amongst the Organisation for Economic Cooperation and Development (OECD) nations, the UK ranks as fifth in the league table of obesity prevalence. Across England, there is both geographical variation in prevalence (Figure 1) and variation according to social class (Figure 2).

to reach four million by 20252. Obesity is also associated with an increased risk in developing other disease states, ranging from hypertension, to cancer (see table: The relative risk of disease associated with obesity, National Audit Office 2001). Overall, obesity shortens lifespan by eight to ten years and as a person’s body mass index increases, their mortality risk also increases. At present the cost of obesity to the NHS is estimated to be £4.2 billion and the cost to the wider economy is £16 billion. These costs are projected to increase to £10 billion per year by 2050, with the wider costs to society and business reaching £49.9 billion per year, at today’s prices3.

THE MEDICAL AND ECONOMIC SIGNIFICANCE OF OBESITY The link between diabetes and obesity is well established1 and unsurprisingly, the rise in obesity prevalence has been mirrored by that of diabetes. The NHS Information Centre estimates that 2.6 million people in the UK have diabetes and this is predicted

TREATMENT STRATEGIES The commonest types of bariatric (weight loss) surgery, are the gastric band and gastric bypass procedures. These tend to be performed laparoscopically (key hole) and when performed by experienced surgeons, the surgery is very safe indeed. Bariatric surgery is the only clinically

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GOVERNMENT STRATEGY The government’s comprehensive spending review announced the aim that England was to be the first major country “to reverse the rising tide of obesity and overweight in the population, by ensuring that all individuals are able to maintain a healthy weight”. This aspiration was given a strategic framework with the launch of ‘Healthy Weight, Healthy Lives’7. Many of the clinical guidelines used to deliver this lofty ambition were summarised in the NICE document ‘Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children (CG43)’8. Using the criteria from this document, patients can be considered for surgical intervention as a first line option where their BMI is greater than 50 kg/m2. Where this is not the case surgical intervention for patients should only be considered where all of the following criteria are met: • They have a BMI of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 and other significant disease (for example, type 2 diabetes or high blood pressure) that could be improved if they lost weight. • All appropriate non-surgical measures have been tried but they have failed to achieve or maintain adequate, clinically beneficial weight loss for at least six months. • The patient has been receiving or will receive intensive management in a specialist obesity service. • The patient is generally fit for E

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New Bariatic Couch Range…first in the UK

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“I lost 5 stone in 6 months, and 7 dress sizes. It’s so clever!” The Diet Plate® is available in melamine and fine earthenware. “For the cost of just one bariatric surgery, we can cover over 1,000 patients with diabetes.”

The Diet Plate® is probably the most cost efficient resource that you can choose for diabetes and dietetic services. At just £7.50 each, the user owns it for life. It is a resource that needs your consideration.

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BARIATRIC SURGERY E anaesthesia and surgery. • The patient commits to the need for long-term follow-up. Analysis of Hospital Episode Statistics (HES) data for the period 2003/04 to 2009/10 shows that the number of NHS-commissioned metabolic surgery procedures performed for the management of obesity in England has increased year on year from 470 to over 6,500 in 2009/20109. However, this figure is equivalent to less than one per cent of eligible adults with morbid obesity in England. Despite the overwhelming evidence supporting the effectiveness of bariatric surgery, Primary Care Trusts throughout the country are not funding surgery for eligible patients. CONCLUSION The NHS is being challenged by the rising prevalence and cost of obesity. Bariatric surgery offers the only clinically effective and the most cost effective way of treating morbid obesity. When performed in specialist centres, it is extremely safe. However, there is a great degree of variation in the provision and accessibility of bariatric surgery across the NHS. References 1. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 2003 289:76-79 2. Prescribing for Diabetes in England: 2004/05 to 2009/10. The Health and Social Care Information Centre. 2010 3. Tackling Obesities: Future Choices. UK Government Office for Science. 2007 4. L Sjöström, K Narbro, CD Sjöström, K Karason, B Larsson, H Wedel, T Lystig, M Sullivan, C Bouchard, B Carlsson, C Bengtsson, S Dahlgren, A Gummesson, P Jacobson, J Karlsson, AK Lindroos, Hans Lönroth, I Näslund, T Olbers, K Stenlöf, J Torgerson for the Swedish Obese Subjects Study. Effects of Bariatric Surgery on Mortality in Swedish Obese Subjects. NEJM. 2007 357:741-752 5. PY Cremieux, H Buchwald, SA Shikora, A Ghosh, HE Yang, M Buessing. A Study on the Economic Impact of Bariatric Surgery. American Journal of Managed Care. 2008;14:51-58 6. Buchwald H, Estok, R, Fahrbach kK, Banel D, Jensen MD, Pories WJ, Bantle JP, Sledge I. Weight and Type 2 Diabetes after Bariatric Surgery: Systematic Review and Meta-analysis. American Journal of Medicine. 2009 122: 248-256 7. Healthy Weight, Healthy Lives. A Cross Government Strategy for England. UK Department Health. 2008 8. Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children CG43. UK National Institute of Clinical Excellence. 2006 9. Dent M, Chrisopoulos S, Mulhall C, Ridler C. Bariatric surgery for obesity. Oxford: National Obesity Observatory. 2010 L

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Figure 1. Prevalence of Obesity in England (Source: The Health and Social Care Information Centre; Health Survey for England 2008: Vol 1(revised))

Figure 2. Prevalence of Obesity in England According to National Statistics Socio-economic classification (Source: The Health and Social Care Information Centre; Health Survey for England 2008: Vol 1(revised))

DISEASE

RELATIVE RISK (WOMEN)

RELATIVE RISK (MEN)

Type 2 diabetes

12.7

5.2

Hypertension

4.2

2.6

Heart attack

3.2

1.5

Colon cancer

2.7

Angina

1.8

Gall bladder disease

1.8

Ovarian cancer

1.7

N/A

Osteoarthritis

1.4

1.9

Stroke

1.3

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Patient Handling

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HEALTH AND SAFETY

THE NEED FOR SAFER PEOPLE HANDLING The health and social care sectors face unique issues and challenges when it comes to manual handling of patients, writes Peter Wallace CMIOSH and FRIPH, health and safety consultant, the Royal Society for the Prevention of Accidents (RoSPA)

No matter whether in primary care, acute care, care of the elderly or any another sector, how people are moved and handled is vital in promoting recovery, maintaining independence and providing a feeling of wellbeing. To be treated with dignity and respect during the handling process is a basic human right, as well as being a legal requirement. The vast majority of people employed in the care sector show more concern for those they care for than they do for themselves. They often put themselves at risk for the good of their service users. Musculoskeletal strain or injury accounts for more days off work than all other causes put together. Across all sectors, at least 120 million such days – and many more hours – are lost every year because of it. The most up-to-date figures show that musculoskeletal disorders (MSDs) cost society around £5.7 billion each year. About one third of all accidents reported to the Health and Safety Executive involve manual handling. In the health services, manual handling injuries account for 40 per cent of sickness absence, and there are more than 5,000 manual handling injuries reported each year in this industry. Approximately half of these happen during the handling of patients.

Operational policies enable workers to plan for, assess and manage the manual handling risks for the care of bariatric and disabled patients. The report also recommended that buildings and vehicles must be designed to accommodate bariatric patients in safety, comfort and dignity. Coverage in the media recently shows that steps have already been taken, with ambulances being specially-made to accommodate these patients. Similarly, moving and handling equipment must be designed to fit a range of bariatric shapes and sizes. Training in safer people handling now includes information supporting the assessment of bariatric patients, and also of disabled patients, incorporating the use of specialist manual handling and clinical equipment. Safer people handling falls within the wider sphere of an organisation’s health and safety management system and the importance of maintaining good health and safety performance cannot be overstated, particularly during tough economic times. When businesses and organisations in all sectors are having to make tough spending choices, the last thing they can afford is an accident or incident of ill health.

NEW CHALLENGES According to figures from the NHS, in 2008 nearly a quarter of all adults (those aged over 16 years) in England were obese (had a BMI of over 30). One in seven children (aged two to 15 years) were obese. The obese population in the UK is growing, and this group is over-represented in the use of health and social care services. The Foresight report, used to guide government policy, has predicted that by 2025 nearly half of men and more than a third of women will be obese. This situation has serious implications for those working in the health and social care sector whose job it is to help move and handle their patients and clients. A study commissioned by the Health and Safety Executive (HSE) found that 40-70 per cent of NHS trusts did not have a bariatric policy. The implementation of such a policy is a vital first step to identifying and managing the risks involved with moving and handling bariatric patients and was recommended by the report.

APPROACHES TO PEOPLE HANDLING Adapting existing policies to include the moving and handling of bariatric patients should not entail too much extra work, as all patients should be attended to according to their individual needs. A risk assessment for each case should take into account a patient’s individual circumstances, for example their physical condition and/ or the medication they are taking. When it comes to handling people safely, many approaches or models exist, including biomechanical, neuromuscular, neuro-developmental and haptonomic. All have something positive to offer and can be appropriate in the right circumstances. Approaches can also be adapted for bariatric patients or those who are disabled. Recent research carried out by the Institute of Occupational Medicine (IOM) reviewed the array of existing models and found that while they each had their own specific techniques, all were founded on the same principles. The Manual Handling Operations

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Regulations (MHOR) 1992 (amended in 2002) recognise that lifting and handling loads can cause MSDs, and they set out steps for reducing the risk. Until fairly recently, training staff in traditional manual handling practices was generally seen as the best way of preventing back injury. However, this has not been as successful as hoped; injury rates remain extremely high in the health and social care sectors. Training remains extremely important, but practitioners and professionals have begun to realise that an holistic approach to people handling and effective risk management is key. Some ways of minimising risk are: avoid lifting patients manually; encourage patients to assist in their own transfers; and thoroughly evaluate equipment and furniture before it is purchased. HUMAN BEHAVIOUR Haptonomy is a relatively recent social science based on human behaviour and feelings. By applying these principles to the safe moving of people, carers will be adopting an holistic approach, developed to reduce the risk of physical injury to those assisting in the movement of others, and designed to afford the patient or client dignity and as much autonomy as possible. The tasks in the field of health and social care (one handed lifts, kneeling, having to bend over, etc.) and the environmental constraints (people trapped in vehicles or in confined spaces with difficult access etc.) plus the possible unwillingness or inability of the person concerned tend to conspire to make the lifter disregard manual handling training. People tend to take the easier and most natural option; if manual handling guidance doesn’t suit the task in hand, people will not follow it. It is vital for staff to understand how to minimise the risk to their backs and advisable for residential homes and authorities to purchase appropriate handling aids. Moreover, the assessment of care workers’ health and safety must be go hand in hand with patients’ needs, and there is now more of a focus on an holistic approach to people handling. There can be conflict between protecting staff and preserving the independence and dignity of patients, for instance, some residents find hoists dehumanising. This is particularly pertinent when it comes to bariatric or disabled patients. E

E There is a need for joined up thinking between the various caring agencies, not only in training and selection of equipment but in how the use of handling aids should be negotiated between agencies and clients. Bariatric and disabled patients will often require bigger or more specialised equipment, so it is important to involve staff in the purchase of lifting and handling aids. Too often, equipment is acquired that is not fit for purpose. A proper risk assessment should be carried out to ensure that all equipment purchased is suitable for the task for which it will be used. MANAGING THE RISKS At the Royal Society for the Prevention of Accidents (RoSPA) we have long argued that there are not just obvious legal and moral reasons for effectively managing health and safety, it also makes good business sense. Recent prosecutions, for example, have resulted in some sizeable financial penalties. We also know that court proceedings can severely damage the reputation of both public and private sector organisations. During difficult economic times, tough judgement calls about where to direct resources have to be made. It makes good economic sense to ensure that staff receive the training they need most. Money spent

now can save an awful lot of cost later on. RoSPA offers a five-day people handling course which uses the Welsh Passport Scheme as the model for the techniques taught. The IOM’s model of the principles to be applied is taught in the course, and it references recognised literature such as ‘The Guide to the Handling of Patients’ by Back Care. This new sixth edition contains a section dedicated to bariatric patients and focuses on evidence-based practice. These ‘train the trainer’ courses are exceptional value for money. Not only do delegates leave the course with the skills and knowledge necessary to do their jobs to a very high standard, they are also able to deliver awareness training back in the workplace, stretching training budgets and minimising staff down-time. It is vital that suitable and sufficient risk assessments are carried out in health and social care settings wherever people handling activities take place. The implementation of suitable risk controls at ward, department or home level, for people and objects, will help to ensure that the safety and health of service-user and carer are safeguarded. The effective management of risk is central to providing a safe work environment, wherever that may be, and a risk assessment course based on the specific requirements

of the health and social care sectors is the ideal way to start managing those risks. Other specialist courses can be taken, enabling those working in the health and social care sector to improve their skills in other areas, for example, in the use of hoists and other handling aids. The specialist equipment available is no use to anyone if staff are not trained to use it safely and comfortably. Courses based on haptonomic principles are now easily available, ensuring that an holistic approach to care is sought and implemented. RoSPA’s approach to people handling is principles led; a flexible approach suitable for all care sectors and one that is focused on the person, taking into account their individual needs and circumstances. A blend of the best of the different approaches mentioned above is used, enabling delegates to solve problems themselves and develop their abilities. The benefits to both carer and service user can be almost immediate with this flexible, leading-edge approach. L

Patient Handling

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FOR MORE INFORMATION For more information on RoSPA’s safer people handling course, visit www.rospa.com/occupationalsafety/ training/saferpeoplehandling/ or call 0121 2482233.

Manual handling train the trainer courses from Dr Alistair Bromhead Ltd We provide the four-day People Handling Train the Trainer course certified by IOSH, Institution of Occupational Safety and Health. This is a practical course that provides the technical knowledge, training skills and course material to design, develop and deliver effective training for those who move and handle people and patients. We are also the only company able to offer the two-day City & Guilds Manual Handling Train the Trainer course – aimed at those responsible for training the handlers of inanimate loads. Both courses are available as open courses around the country and we can also run them in-house at your premises. The qualifications

provide nationally recognised certificates and they include professional manual handling instructor packs with all the tools and information required to conduct your own training. FOR MORE INFORMATION For more details on course content, locations and prices visit www.abromhead.co.uk

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Professional healthcare specialists suitable for all your requirements Emergency Care Group is operated by a team of professional security and healthcare specialists. Our team of professionals have experience in the management of all types of medical and security events, ambulance and security operations, training and the provision of world class emergency care, as well as personal protection solutions, training solutions, provision of first aid equipment and supplies, occupational health solutions and staff placement and contracting solutions. Our management team have a combined total of 20 years’ experience, both nationally and internationally, in the emergency care, training and security industry, which in the end, gives you the best and most experienced service available. Internationally the management team have experience from Afghanistan,

West, East and Southern Africa. The team is made up of professionals who excel in the medical and paramedical, security and training field, with specialist interest in pre-hospital care, close protection, and personal security detail, maritime security, remote medicine, occupational health and training. We have various levels of operational staff to ensure you always receive the best and most suitable coverage for your requirements. FOR MORE INFORMATION Address: 74 Cantilupe Crescent, Aston, Sheffield, South Yorkshire S26 2AT Tel: 0844 800 5975 Mob: 0777 624357 Fax: 0114 2876233

Premier Life Skills – working for you Premier Life Skills Limited is a stress management and wellbeing training company with more than ten years’ experience of dealing with stressrelated problems and issues affecting either individuals or organisations. Our trainers are stress management experts from relevant professional backgrounds including health and education. We run a range of public and in-house programmes designed specifically to tackle the issues of stress in the workplace and to support the work of stress professionals working on a one to one basis with clients. We are the only stress training company offering Diploma level 5 CPCAB accredited training courses in Stress Management and Stress Management Coaching. Stress and wellbeing risk assessments are also available

from our specialist team of staff. We can run bespoke inhouse stress and wellbeing training courses for staff at all levels, and also provide consultancy advice and training in effective living/ lifestyles and related areas. We have been so successful in our training courses in stress and wellbeing, that we have expending into areas of: Team building, Performance management, Leadership training and development skills, Absence management, Assertive skills, Dealing with difficult people, Emotional Intelligence team development and coaching as well as Building resilient teams. FOR MORE INFORMATION Tel: 07808 215674 info@premierlifeskills.co.uk www.premierlifeskills.co.uk

The Future of Clinical Commissioning Conference Tuesday, 20 September 2011, Central London Delay in NHS reform need not mean delay on the ground. The reality is that clinical commissioning is going ahead incorporating revisions from the new Health and Social Care Bill. Capita’s 2nd National Clinical Commissioning Conference is a must attend to ensure you hit the ground running now the pause is off. With a line up of expert speakers and practitioners at the forefront of negotiations with the Department of Health, be the first to gain clarification on the structure, responsibilities and practicalities of future health commissioning. For further information: Contact: Richard Goddard Richard.goddard@capita.co.uk or telephone 020 7960 7719 www.capitaconferences.co.uk quoting ref ADHB

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MANAGEMENT AND LEADERSHIP

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LEADING THE FUTURE NHS The NHS needs strong managers and leaders if it is to deliver effective patient care and deliver ambitious reforms, urges Mike Petrook, head of public affairs, the Chartered Management Institute There has been a great deal of discussion in recent months about changes within and the future of the NHS. During these debates, high levels of patient care have been lauded as the ultimate aim. However, in order to achieve this during these turbulent times it is imperative that the NHS is led by strong managers who are able to raise their game to unprecedented levels. They are being asked to take on a wider variety of tasks and to achieve more stretching targets with less and less support and resources. In many cases, even their own jobs are under threat. This has big implications for the way that managers approach their role and for the skills they will need going forward. Ensuring they are supported with training delivered at a consistently high level will be imperative if the reforms are to succeed. WHY MANAGEMENT IS IMPORTANT The Chartered Management Institute (CMI) has done work with a wide range of employers and individuals in the NHS on the link between good management and leadership and patient outcomes. The results, which are supported by the findings of government sponsored research (Assuring the Quality of NHS Senior Managers research report by PriceWaterhouseCoopers, February 2010) show that improving leadership and

effect of ‘arbitrary’ cuts to NHS management and supported this view. The report concluded that plans to cut managers and leaders in the health sector will lead to financial failure instead of improved patient care. Managers and leaders are much more than bureaucrats there to tick boxes; they are essential to drive change, identify opportunities and set a vision of where the NHS is going. The government says it wants to make “the NHS work for patients, not bureaucrats”. They’re right to have this as an aim, but the fact is that managers and leaders have a vital role to play in nursing the NHS back to health. However, what matters is the quality of managers in post. Only by having managers who meet a professional and consistent set of skills standards up and down the country, will we have leaders who can make a difference. Encouraging take-up of professional management qualifications in the health service is an important step in this process. Yet research by CMI, which represents 3,000 health sector managers across the UK, shows that just 37 per cent of healthcare managers believe they have had sufficient training. It’s a worry when there are a variety of qualifications already in existence which can be easily applied to the healthcare environment to equip managers with the skills they need and help to

Challenges such as managing costs, improving patient feedback, improving the collaborative delivery of patient services all depend on strong management skills. management skills, including good employee engagement, leads to better staff performance, which in turn leads to more satisfied patients and better communication. What’s more, improving leadership and management skills ultimately saves the NHS money as problems and mistakes are avoided and efficiencies gained. For example, the NHS Institute for Innovation and Improvement estimates that its work has potentially saved the NHS £6bn over the last few years. For this reason alone, all NHS managers, whether clinical or non-clinical, should have the opportunity to develop and professionalise their leadership and management skills. By doing so, they will be better equipped to deliver the ambitious reforms and ensure that patients’ needs are met. A major new report into the state of leadership and management in the NHS, published in May by The King’s Fund’s Commission on NHS Leadership and Management looked at the

justify their position within the health service. Ultimately, every manager and leader ought to have access to the best available learning materials so that the right skills are developed and patient-centred care becomes a reality. If the planned refocusing of NHS resources is to be successful, it is vital that we have a health service where leadership and management standards are consistent, no matter what part of the country a patient is in or whether the people they come across are clinical or general managers. CMI’s research found that some threequarters of healthcare managers think they should be judged by an agreed set of professional standards. So there is clearly a thirst for standardisation within the NHS and with King’s Fund report rightly making it clear that the priority for the future NHS is to deliver the best possible patient care, staff will be better engaged in an NHS where

all managers are trained and developed to national professional standards. Under plans for a more devolved health service, managers and leaders will enjoy greater autonomy, but with this comes a responsibility to exercise autonomy properly and effectively. A key step that was announced in June by Andrew Lansley was to establish a new National Leadership Academy for NHS staff. Under his proposals, the academy will provide the uniform high standard of leadership and management that the NHS needs to survive and succeed at this time of radical change in the health sector. CMI has already been supporting the development of leadership skills across the NHS through its work with the NHS National Leadership Council – a forerunner of the new Academy. Activities have included running a pilot scheme through which clinical leaders gained accreditation for their newly developed leadership skills. CMI has long argued that standards of management and leadership in the NHS directly impact on patient outcomes and that these standards need to be improved. Tragedies such as at NHS Mid-Staffordshire, where poor management standards and senior management failings led to hundreds of unnecessary patient deaths, have highlighted that bad management really does cost lives and that urgent action needs to be taken to ensure those working in management positions in the health service have the skills and knowledge to do the job. The launch of the National Leadership Academy is great news for the future of the NHS as it is an opportunity to address the confusion that comes from too many organisations having responsibility for developing skills. The creation of the new academy is also a signal that the role managers and leaders play in the NHS is beginning to be valued. THE FUTURE In the longer term we look forward to seeing the plans for the National Leadership Academy come to fruition and all the benefits it will bring. A more consistent approach to leadership and management development will lead to better organisational and staff performance. Challenges such as managing costs, improving patient feedback, improving the collaborative delivery of patient services across several different organisations and managing complex commissioning teams, all depend on strong management skills. We also have to ensure that non-medical managers and medical managers work together and respect each other’s profession. L

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Nottingham Forest FC

Nottingham’s Leading Public Sector Venue Located on the banks of the River Trent, The City Ground has long served as the inspirational backdrop for a variety of important events both on and off the Pitch. Based only a mile from the City Centre, The City Ground has built itself a reputation as an important venue for events of considerate magnitude and that includes playing host to a variety of Conferences & Events for many local, national and international public sector clients including the Department of Health, DWP and the Home Office.

• Conferences • Meetings • Seminars • Exhibitions • Product Launches • PR Events • Annual Dinners • Private Parties • Public Sector Specialist Rates

With special negotiated rates 15% below our rack rates and all inclusive of VAT Nottingham Forest offer the complete package for all your Conference requirements. With current clients from Local Government, Police, Housing, Health, Education, Voluntary and the Private Sector our experience is second to none. With 11 Suites on site with capacities of between 10 and 600, exclusive site use availability, free car parking for up to 300 cars as well as black out facilities and complete privacy packages there is something to suit your specific needs here at The City Ground.

For more information please call 01159 824332 or email charlotte.sanders@nottinghamforest.co.uk

Historic Venue Restaurant Bar Meeting Rooms Available for Private Hire Kenmore Hotel is Scotland’s best kept secret… situated in the heart of Perthshire in the conservation village of Kenmore, at the mouth of the famous River Tay, Kenmore Hotel is famous for its warmth, charm and true Highland hospitality. Roaring log fires await you in Scotland’s Oldest Inn. The hotel offers 40 en-suite bedrooms, AA Rosette award winning restaurant, two function suites, and two well-stocked bars. Packages are tailor-made to suit our clients, offering an expert friendly service second to none.

Kenmore Hotel, Well Worth Discovering! The Kenmore Hotel, The Square, Kenmore, Perthshire PH15 2NU 01887 830 205 | reception@kenmorehotel.co.uk | www.kenmorehotel.com

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SPORTING VENUES

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ENERGISE YOUR CORPORATE EVENT

These days, sporting venues enjoy state-of-the-art conference and events facilities with flexible spaces and excellent catering If you are looking to hold your corporate event in a venue that is different from the usual offering, then why not consider a sporting arena for your next event? These days sporting venues boast modern state of the art facilities amidst an unusual backdrop with flexible space and superb catering that can accommodate meetings from ten delegates to many thousands. Most have dedicated teams who can help make your event special. There are a vast array to choose from, including football stadiums, cricket grounds, golf courses, rugby stadiums, racecourses and ice arenas. FOOTBALL STADIUMS Football stadiums are located in most towns and cities in the UK. London has iconic, well known venues such as Wembley Stadium, Chelsea’s Stamford Bridge, Tottenham’s White Hart Lane, West Ham’s Upton Park and many more. The magnificent Emirates Stadium has become a landmark piece of modern architecture dominating the north London skyline and is one of the most technologically advanced arenas in world football. Aside from the world-class football, the venue boasts an array of bright, modern and versatile suites, all with impressive views of the pitch. Located minutes from central London and St Pancras International, Emirates Stadium has excellent transport links making it easily accessible. Add to this leading-edge audio visual infrastructure, excellent transport links and a dedicated, experienced events team, and you can see why Emirates Stadium has established itself as one of the UK’s leading meetings and events venues. Further up the country, located on the banks of the River Trent, Nottingham Forest FC has long served as the inspirational backdrop for a variety of important events both on and off the

pitch. Based only a mile from the city centre, the city ground has built itself a reputation as an important venue for events of considerate magnitude and that includes playing host to a variety of conferences and events for many local, national and international public sector clients, such as the Department of Health, DWP and the Home Office. Elsewhere in the country, the Midlands offers Villa Park, Wolverhampton’s Molineux, Leicester City’s Walker Stadium and Derby County’s Pride Park. The cities of Manchester and Liverpool boast Manchester United’s Old Trafford, the City of Manchester Stadium, Liverpoool FC’s Anfield and Everton’s Goodison Park. The North East is home to Newcastle’s St James Park, Sunderland’s Stadium of Light and Middlesborough’s Riverside Stadium. And north of the border there is Celtic Park and Ranger’s Ibrox Stadium and in Wales the national stadium is the Millenium in Cardiff. RACECOURSES Racecourses are certainly worth considering as a conference venue as many have great indoor rooms and suites and extensive outdoor exhibition space. There are many well known courses that spring to mind which include Ascot, Cheltenham, Epsom, Newmarket, Aintree, Haydock and York. Ascot, for example, has an annual racing calendar accounting for just 25 days per year, meaning there is ample opportunity to make use of the magnificent rooms, stunning views, private roof terraces and breathtaking galleria for a wealth of corporate events and private occasions. Queen Anne founded the course three centuries ago and over the past 300 years Royal Ascot has established itself as a national institution and the centrepiece of the British social calendar as well as being the ultimate stage for the best racehorses in the world.

RUGBY Rugby Union boasts three international stadiums, England’s Twickenham, Scotland’s Murrayfield and Wales’ Millenium Stadium. There are also several rugby league stadiums located in many towns and cities in the North of England. Twickenham Stadium has long been known as the home of England rugby. Seating an impressive 82,000 spectators, Twickenham is the largest dedicated rugby union venue in the world. For conferences and events, Twickenham Stadium offers high-specification facilities that can accommodate all types of events from presentations and conferences to private dinners, cocktail receptions and exhibitions. CREATIVE CATERING Many sporting venues offer first class and flexible catering options. Lindley Venue Catering, for example, is Britain’s leading specialist sports stadia caterer. It operates in more than 40 of the country’s top sports venues and acts as a central hub – providing access to a host of premiership football and rugby stadia, test match cricket grounds and horseracing courses. Lindley serves a selection of sports venues, such as the Galpharm Stadium – West Yorkshire’s 51-acre community, sports, leisure and entertainment complex which is also home to Huddersfield Town FC and the Huddersfield Giants Rugby League Club. The company also caters for Bristol City FC’s Ashton Gate ground, which houses the cavernous 1,700 sq ft Dolman Exhibition Hall alongside a series of multi-function rooms. Warrington Wolves’ RLFC Halliwell Jones Stadium, Preston North End FC’s Deepdale Stadium, Sheffield Wednesday FC’s Hillsborough Stadium, and Gillingham FC’s Priestfield Stadium in Kent are also catered for by Lindley. An increasing number of meeting, conference and events organisers are realising that using a sporting venue will add an extra dimension to an event, making it more appealing for delegates. Fantastic pitch-side views, unique settings and creative catering, as well as extensive car parking and flexible meeting spaces, make sporting venues a flexible, convenient and different venue option. L

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

helping your patients recover, helping you save time and money 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. Over 200 ways to aid patient recovery

All the support you need to stay cost effective

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

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.

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.

book your free taste test today...

or request our full information pack. call 01225 756071 email hospitaltasting@apetito.co.uk go online at www.apetito.co.uk/hospitaltasting

Dishes to cater for all your patients’ needs Full training and service package for you Assured safe food

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

BUSINESS INFORMATION FOR HEALTHCARE PROFESSIONALS – www.healthbusinessuk.net

NUTRITION

NUTRITION MOVES UP THE AGENDA

Dietitians have a unique understanding of food, catering and the nutritional care system and their knowledge should be used to ensure hospital food works for patients and reduces the demands on staff, urges Esther Avery from the British Dietetic Association

With an estimated cost of £13 billion, malnutrition is an expensive, yet preventable, public health problem. More than seven million people in England are vulnerable to malnourishment. This covers those in hospitals, care homes, sheltered accommodation and others dependant on someone else for their food and water needs. Malnutrition is associated with poor wound healing, impaired immune responses and a delayed recovery from illness and correcting it has many benefits. These include improved disease recovery, fewer complications and shorter hospital stays reducing the burden on the already strained NHS and improving the health of the nation. KEY ROLE OF DIETITIANS Dietitians, with their training and expertise in nutrition, clearly have a key role to play in the prevention of malnutrition in healthcare settings. The British Dietetic Association (BDA), the professional association for dietitians, has members who work with patients who are at risk or already undernourished. Some of these dietitians work in NHS catering, impacting the nutritional intake of patients in a hospital or group of care homes. Other members work within private companies involved with food and catering or the production of meal replacement products, impacting areas including the training of chefs and the publication of guidance for caterers. The BDA also has specialist groups that campaign for better nutrition in hospitals

and other care settings, including Food Counts made up of dietitians who work in or have an interest in catering, and the Parenteral and Enteral Nutrition Group, whose members work with patients requiring tube feeding. HOSPITAL FOOD There is activity concering the food and malnutrition agenda in the UK. National governments are giving good quality, nutritious hospital food a greater priority and malnutrition is recognised as a key clinical risk factor. In 2007 the Department of Health alongside Nutrition Summit organisations, including the BDA, agreed a range of options and recommendations for tackling malnutrition. The resulting Nutrition Action Plan (NAP) outlined five key priorities for action. The first priority was to “raise awareness of the link between nutrition and good health and that malnutrition can be prevented”. Dietitian and BDA member Rick Wilson chaired the NAP group looking at raising awareness, developing the ten key characteristics of good nutritional care so that they are applicable across all care settings. Launched in 2007, the ten key characteristics are a distillation of over 100 recommendations made at the Council of Europe resolution on food and nutritional care in hospitals. They were developed to ensure that hospitals and healthcare staff deliver safe and effective nutritional care to patients in hospitals. Further, the BDA worked closely with the

Catering

Sponsored by

National Patient Safety Agency to develop factsheets for all healthcare staff and care caterers, outlining each characteristic and how to ensure standards are met. EARLY DETECTION Incidences of malnutrition are reduced by early detection via routine screening of vulnerable ‘at risk’ groups. Screening identifies those who would benefit from dietary support measures and nutrition intervention. Since 2007, the BDA has worked closely with the British Association for Parenteral and Enteral Nutrition (BAPEN) on the annual Nutritional Screening Survey. The survey, which takes place in BAPEN’s Nutrition Screening Week (NSW) was the first national survey of malnutrition on admission to hospital and care in the UK. In the third (winter 2010) survey, malnutrition was found to affect more than one in three adults on admission to hospitals, more than one in three admitted to care homes in the previous six months and one in five on admission to mental health units. Despite efforts from bodies including the Council of Europe, National Institute for Health and Clinical Excellence (NICE) and the Department of Health Nutrition Action Plan, the NSW10 survey found there are still a variety of nutritional screening policies and practices within healthcare settings, exacerbating the problem of malnutrition. With well over 50 published nutrition screening tools, not including those unpublished but in clinical use, there is confusion amongst healthcare professionals and carers about how to recognise and manage malnutrition. The BDA encourages the use of screening tools which are simple to use, non invasive, concise, acceptable to the client group and linked to an agreed policy on further action. Any tool used should be evidence based, reliable, reproducible, validated and practical with a source of evidence to back up each recommendation made, such as BAPEN’s Malnutrition Universal Screening Tool (MUST). This would allow dietitians and other health professionals to easily identify those at risk in a rapid and consistent manner; providing appropriate nutrition therapy. Furthermore, the closer monitoring of malnutrition risk as a marker for disease progression, allows the earlier and more effective placement of nutrition care measures. NSW10 showed that MUST is now the most commonly used screening tool in all care settings, suggesting the tide is slowly turning. However vital, screening is only one part of a larger system to tackle malnutrition – procurement of food, menu planning, acting on the screening results ensuring continuity of care, auditing of screening and care planning and training of staff are all essential. Dietitians are uniquely placed to lead this process as they have a unique understanding of the food, catering and nutritional care system. Dietitians make the connections which ensure the system works for the benefit of patients, reducing demands on staff. L

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

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Taking the temperature – infection control A new range of thermometers and probes designed to support infection control is transforming temperature monitoring in healthcare facilities management – in catering, hotel services and water safety management. UK manufacturer TM Electronics supplies solutions for logging all temperatures – from the temperature of water in taps and pipes to internal dishwasher cycles and individual plated meals. TME’s MM7000 contains an integral barcode scanner, enabling it to record not only time, temperature and date but also the unique identity of any item – ideal for water temperature testing to prevent the spread of Legionnaires’ disease and equally useful for testing food items, hot ovens and cold stores for HACCP food safety compliance. 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 for monitoring and interrogation. No need for expensive wireless monitoring systems and a much better solution than paper records traditionally

vulnerable to human error and false reporting. Flexibility is the key thanks to TME’s huge range of compatible probes eg • 2-in-1 surface/immersion probes for speedy water testing • Fine-wire sensors for individual plated meals • Mini self-sealing probes for sous vide cooking • Food simulant probes for cold storage monitoring MD, Tom Sensier, says: “Hospitals and care homes already know accurate temperature monitoring helps fight bacteria. TME provides the practical solutions they need to make the job easier and to get it done more quickly.” FOR MORE INFORMATION TM Electronics (UK) Ltd Tel: 01903 700651 sales@tmelectronics.co.uk www.tmelectronics.co.uk

Hagesud Bosse – help for your food budget Hagesud Bosse (UK) Ltd is an established manufacturer and supplier of spices, herbs, seasoning blends, soups and sauces. The company was established over 30 years ago and is able to offer NHS hospitals a range of soups and sauces that offer the catering departments a convenient and cost efficient product range that is well liked by patients and good for your budgets. The range includes gluten free products that meet specific dietary needs without any loss of flavour or performance. The product range is also good for ward application. The products are produced here in the UK to BRC Higher Level Accreditation. Packaging

is from sachet packs through to bulk packs depending upon site requirements. Our products are backed by a dedicated sales team covering the whole of the UK. Please contact us to request product samples and further information. FOR MORE INFORMATION Hagesud Bosse (UK) Limited Tel: 01989 565971 Fax: 01989 767684 bosse@hagesud.co.uk www.hagesud.co.uk

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

FDH – providing great service for caterers, staff and patients Fretwell-Downing Hospitality has over 30 years’ experience in the provision of hospitality software solutions. The business was established after its parent company’s hotel and catering business recognised the need for software that was specifically designed to provide caterers with support for their operation. Today our web based solution Saffron, assists managers across all sectors of the hospitality industry to efficiently manage their recipes and menus to improve profitability and provide nutritional analysis. To assist in gaining increased revenue we also offer Saffron Xpress, quick service kiosks. Designed by caterers for caterers, Saffron is a scalable solution available on subscription and currently supports organisations from independent cafes through

to branded operations across the globe. Fretwell-Downing Hospitality has recently developed a module in Saffron that can capture patient orders on the ward using a tablet PC and feeding directly into production planning in Saffron, making it the ideal system for the healthcare industry. Fretwell-Downing Hospitality continues to lead the market through a combination of employing professionals from the hospitality industry, staying abreast of industry requirements through regular dialogue with customers and partners and, embracing advances in technology to deliver innovative solutions. FOR MORE INFORMATION Tel: 0114 2816060 info@fdhospitality.com www.fdhospitality.com

Garners commercial food service equipment – catering by design Garners specialises in providing commercial kitchens and restaurants to the public sector. We are proud to have been chosen for such prestigious and challenging projects such as Stoke Mandeville Hospital and more recently, extensive works at the London and St Barts’ hospitals. The service offered by Garners includes: • Kitchen and restaurant design offering conceptual imagery, operational layouts and technical services drawings. • Equipment specification and procurement including universally recognised brands at OGC prices. Equipment for traditional kitchens and specialist ‘cook chill’ facilities. • Project management included for installations, providing coordination of services and associated trades together with professional handover and training procedures. • Service and maintenance

available throughout the warranty period complete with an efficient UK repair service and preventative maintenance schemes tailored to specific requirements. • Environmental sustainability sensibly applied to operational design and the specification of equipment, employing the very latest technology and offering tangible savings on space, time and utility costs. From stunning servery concepts and a range of superb restaurant furniture to efficient working kitchens designed for every conceivable function, Garners can provide a complete design, supply and installation service on a nationwide basis. FOR MORE INFORMATION Tel: 0115 9609690 marketing@garnersmail.co.uk www.garnersfood serviceequipment.co.uk

JJ – the first choice in food service For more than 20 years, JJ Food Service with its range of ambient, chilled, frozen foods, packaging and cleaning products has excelled within the food industry. As a result we were recently awarded The Grocer Gold Award 2009 for Wholesaler of the Year. Our service not only provides for all your catering needs, but also offers courses such as the L2 Food Safety Award. JJ Enfield is a registered Royal Institute Training Centre. All of our goods are meticulously tested for quality, we also use the expertise of our development chef Gino D’Acampo to make sure that every product we

sell not only tastes good, but is of the finest quality. The Lloyds Register Quality Assurance Environmental Certification ISO14001:2004 recognises JJ Food Service and our commitment to minimise the company’s impact on the environment. All our certifications are available on request or through our website in the ‘about us’ section. FOR MORE INFORMATION Tel: 01992 701727 Fax: 08719 730888 admin@jjfoodservice.com www.jjfoodservice.com

Change through collaborative innovation at Health & in4matics 2012 Health + in4matics 2012 presents a unique two-day opportunity for those providing care to patients, or managing any element of the care process, to work with those who develop and supply innovative solutions. The event is free to attend*, is designed to bring suppliers and healthcare professionals closer and will align with the business drivers in the NHS: Doing more with less – delivering whole systems change through collaborative innovation. The conference programme will challenge the health informatics perspective within the constantly changing landscape of the NHS, and already has the commitment of over 17 eminent and expert speakers drawn from diverse backgrounds – politics, the NHS, broadcasting, education, business and academia, including: • The Rt Hon Stephen Dorrell MP, chair of the Health Select Committee • Dr Hilary Jones, TV

doctor and broadcaster • Jim Easton, NHS national director for improvement and efficiency • Professor Aidan Halligan, director of education at University College London Hospitals Visit the website and blog for the latest updates and floorplans, or follow us on Twitter. Health + in4matics 2012, Healthcare Informatics Expo, 9-10 May, ICC Birmingham. *Terms & conditions apply FOR MORE INFORMATION Contact Dennis Wheatley on 01423 526971 or info@citadelevents.co.uk www.in4matics.co.uk

E-mail hell to e-mail heaven in 60 minutes

Innovative finance solutions from Siemens

Research shows the average person wastes an entire month every year on unnecessary e-mails – time they should actually be spending on their real work. We have developed a revolutionary process that takes just 60 minutes to produce remarkable and consistent results. This process is not only guaranteed and proven to give you back wasted time, but also cut e-mail traffic, reduce e-mail stress and get people talking again. This has already been implemented by hundreds of organisations across the country with a return on investment that starts in under three days.

Thanks to the strength and financial backing of the Siemens Group, Siemens Financial Services Limited (SFS) is a leading provider of innovative finance solutions to UK businesses and public sector organisations. Leveraging our global footprint we provide financial solutions for infrastructure, equipment, technology and working capital. With more than 250,000 customers, we have arranged finance for 90 of the current FTSE 100 companies and more than 50 per cent of NHS trusts and local authorities. At SFS, we offer the most flexible finance schemes for technology in the market today, providing a wide spectrum of innovative financial solutions ranging from £1,000 to many millions for a diverse range of

Our case studies show how we have transformed the use of email in every organisation we have worked with, starting to put an end to e-mail hell. In 60 minutes you can have all the benefits of time management, stress management, effective communication – and learn to regain control. FOR MORE INFORMATION To receive a free case-study and seven key tips from the e-mail experts, call Bob Hallewell on 020 76330050, e-mail revolution@expertmessaging.com or visit www.expert-messaging.com

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financing needs. By combining our industrial and financial expertise as well as an indepth market competence built over the last 150 years, we deliver an approach that adds real value to our customers. With Siemens’ long and broad experience, we can find the right financial solution irrespective of asset, market or channel. SFS is committed to helping healthcare providers, public or private, acquire the very latest medical equipment and technology so they can make a genuine difference to the health of the community they serve. FOR MORE INFORMATION Tel: 01753 434000 info.sfs@siemens.com www.siemens.com/ financialservices

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

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A company in which you can place your trust Fire and Risk Management Support Services has an excellent track record of working with NHS trusts providing a full range of cost effective fire safety services meeting your legislative responsibilities, protecting personnel, property and assets whilst reducing the financial impact of delivering these services. We offer a flexible range of fire related services to meet your requirements, from adhoc fire safety support to deal with demands such as staff shortages, increases in demand for intrusive surveys, fire risk assessments, staff training and specialist projects. Alternatively we can offer a fully managed fire safety solution including provision of on-site specialist fire safety officers to deal with day-today fire safety issues that keep the trust operating safely. The fully managed service includes strategic fire safety audits,

management systems, fire risk assessments, fire safety training, and technical advice and consultancy services. FARMSS will ensure that resources are focused firmly on those areas of highest organisational risk. Our aim is to provide protection for our customers with fire safety support services when and where you need it most. FOR MORE INFORMATION For more information please visit www.farmss.co.uk, e-mail info@farmss.co.uk or contact Dave Lewis on 0161 4884863.

Kaba – security products for the health sector Substantial investment into the healthcare sector has caused an increase in the threat of theft of drugs and equipment and with numerous entrances used by various people, attacks on patients, visitors and staff remain a risk. At Kaba we develop and manufacture a wide range of security products that face up to these challenges. Our comprehensive product range can seamlessly integrate into a hospital management system (HMS) to provide optimum security and efficiency without compromising people’s movement. Product and services include: • Smart card and fob based access control systems • High security master key systems to protect valuables in open areas • Push button locks that need no keys for restricted zones • Time and attendance solutions for staff productivity and cost efficiency • Security barriers and

turnstiles to separate restricted zones from public spaces • Revolving doors – energy efficient access for main entrances • Consulting, engineering and installation services • Repair and maintenance services • Secure container locks with audit trail facility for securing drug cabinets and storage areas. Customers in this sector include NHS hospitals, private healthcare, mental healthcare, GP surgeries/clinics, and residential care homes. FOR MORE INFORMATION For more information or to arrange a free security survey please contact one of our team. Tel: 0870 0005625 info@kaba.co.uk www.kaba.co.uk

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

A water treatment company with an individual approach Building Water Solutions Ltd is an independent water treatment and water hygiene company. From working in care homes, commercial premises, hospitals, industrial manufacturing, prisons and schools we have gained a wealth of experience and knowledge. Our aim is to work with our clients to improve premises knowledge and understanding. Then with appropriate water treatment and hygiene programmes we can together move towards conforming to the requirements of current legislation. We understand the need for a flexible and sympathetic approach. We offer: • Bacteriological sampling with interpretation and recommendations • Boiler/closed system/cooling tower analysis with interpretation and

recommendations • Chemical supply. Empty drums will be removed from site and recycled • Closed system cleans using no-loss filtration equipment • De-scaling of boilers and heat exchangers • Dosing equipment installation • Legionella risk assessments, interpretation and prioritisation of remedial works • Log book auditing • Production of site specific log books • Plant surveys • Site training • Tank cleans/disinfections/ upgrades etc. FOR MORE INFORMATION Building Water Solutions Ltd 15 Frensham Walk, Farnham Common, Bucks SL23QF Tel: 07904 117618 jiofbws@tiscali.co.uk

Ward Security – quality without compromise Ward Security is an award winning company experienced in the health sector providing security provisions ranging from guarding, key holding and mobile patrols, to dog teams, building inspections and CCTV surveillance. With such a variety of skills at its disposal Ward Security can offer truly bespoke solutions. Whether public or private sector organisations throughout London, the South East or Midlands, Ward Security treats each client and their requirements individually and endeavours to tailor each service to their specific needs. Potential clients can have real peace of mind knowing its ISO 9001 quality accreditation encompasses working to various BS codes of practice, and that all officers are SIA licensed, CRB checked and trained to British Safety Council standards in health and safety. As a member of the SIA’s Approved Contractor scheme Ward Security is committed to raising

performance standards across the security industry. Its annual ACS audit scored the company within the top 5 per cent of all audited security companies nationally qualifying it to be a member of the Security Watchdog’s prestigious Pacesetters Hall of Fame. This underpins Ward Security’s ongoing commitment to achieving the highest possible quality allowing its clients to concentrate on their own core expertise. FOR MORE INFORMATION Tel: 0845 8476180 Fax: 01634 225101 info@ward-security.co.uk www.ward-security.co.uk

Taking the temperature – infection control

ChloraPrep® antiseptis system from CareFusion

A new range of thermometers and probes designed to support infection control is transforming temperature monitoring in healthcare facilities management – in catering, hotel services and water safety management. UK manufacturer TM Electronics supplies solutions for logging all temperatures – from the temperature of water in taps and pipes to internal dishwasher cycles and individual plated meals. TME’s MM7000 contains an integral barcode scanner, enabling it to record not only time, temperature and date but also the unique identity of any item – ideal for water temperature testing to prevent the spread of Legionnaires’ disease and equally useful for testing food items, hot ovens and cold stores for HACCP food safety compliance. 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 for monitoring and interrogation. No need for expensive wireless monitoring systems and a much better solution than paper records traditionally vulnerable to human

Patients’ skin dwelling bacteria are the major source of infections associated with medical and surgical invasive procedures. Normally harmless, these bacteria live in the top cell layers of the epidermis and can enter the bloodstream whenever the integrity of the skin is breached, for example cannulation. Whilst hand washing and appropriate environmental cleaning are essential to the prevention of crosscontamination and limiting the spread of the usual suspects – MRSA, C. diff, and their cousins – the patient and their skin should not be left out of the prevention equation. Blood stream and surgical site infections remain a significant burden to the NHS, patients and their families. The use of all appropriate, evidence based measures to prevent the avoidable infections is paramount.

error and false reporting. Flexibility is the key thanks to TME’s huge range of compatible probes eg • 2-in-1 surface/immersion probes for speedy water testing • Fine-wire sensors for individual plated meals • Mini self-sealing probes for sous vide cooking • Food simulant probes for cold storage monitoring MD, Tom Sensier, says: “Hospitals and care homes already know accurate temperature monitoring helps fight bacteria. TME provides the practical solutions they need to make the job easier and to get it done more quickly.” FOR MORE INFORMATION TM Electronics (UK) Ltd Tel: 01903 700651 sales@tmelectronics.co.uk www.tmelectronics.co.uk

Tristel – effective infection control Tristel’s proven chlorine dioxide-based products for infection control in the healthcare environment now encompass a wide range of specific formulations and delivery mechanisms which meet the individual needs of particular applications. Each is designed to ensure maximum ease of use and effectiveness whatever the setting. Today Tristel’s healthcare portfolio includes high level disinfection products for the cleaning and disinfection of general hard surfaces; endoscope reprocessing; ENT/ ORL applications; ultrasound, reproductive health and dental use; and for laboratories. In addition, the company offers a range of automated, standalone instrumentation for endoscope reprocessing, and for the

generation of chlorine dioxide used in continuous dosing. Tristel’s products are considered to be amongst the highest performing biocides available to hospitals, killing all organisms, including spores, in short exposure times, with the assurance that Tristel’s chlorine dioxide chemistry is also safe and easy to use. FOR MORE INFORMATION Tel: 01638 721500 mail@tristel.com www.tristel.com

ChloraPrep®, a medicinal product containing a solution of 2 per cent chlorhexidine gluconate (w/v) in 70 per cent isopropyl alcohol (v/v), is a single use, sterile, non-touch skin antisepsis system. This allows healthcare practitioners to apply sufficient antiseptic solution with a gentle back and forth motion whilst remaining compliant with ANTT. This use of ChloraPrep has been shown to provide greater skin decontamination, and significant reductions in line related infections than application with a simple swab and weaker antiseptics.

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FOR MORE INFORMATION Reigate Place, 43 London Road, Reigate Surrey RH2 9PW Tel: 0800 0437546 Fax: 01737 237950 enquiries@chloraprep.co.uk www.chloraprep.co.uk

EWS launch new purecare service and maintenance offering Environmental Water Systems (UK) Ltd (EWS), the water purification and water treatment specialist, is proud to launch the PureCare service offering. Responding to current market conditions, tightening budgets and the need to look at costs, EWS revised its existing offering and has created the PureCare range of service and maintenance agreements. The PureCare range has four service levels, giving the client clearer choice and flexibility to choose the level of support required depending on need, application and budgetary demands. The levels of service give varying response times and discounts on call outs, consumables and spare parts. EWS prides itself on guaranteeing that all response times are an onsite response. EWS has embraced the latest technology to provide a better service to the end user. With

the engineers using PDAs, all reports, invoices and orders for spare parts can be made on the move. Each customer can log into a personalised web area where the engineers reports, up to date certificates, etc, can be accessed 24 hours a day. Due to the expertise, experience and knowledge of EWS’s in-house engineers, any water purification and water treatment equipment can be maintained, whether it is an EWS system or not. FOR MORE INFORMATION Louise Bird, Marketing Environmental Water Systems (UK) Ltd Tel: 01934 741782 lbird@ews-amplio.com www.ews-amplio.com

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

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Portable loggers and aM&T carbon reduction equipment Elcomponent has a 25 year record of innovation in aM&T systems and portable data loggers to improve the energy efficiency and carbon footprint of all types of business. We are passionate about helping our customers reduce their carbon footprint and cut energy costs, and we have a strong track record of doing so in both the public and private sectors with many NHS trusts using both our portable logging equipment and aM&T systems. Our products and services are based on the belief that carbon efficiency and cost reduction are not incompatible – both are realised by simply consuming less energy. By working closely with each customer, we

turn that goal into reality. We have a team of professional in-house installers, covering the whole of the UK. We design and manufacture our own hardware and software to ensure we maintain our competitive edge through the use of state of the art technology. This provides us with a broad capability in our field – we do not have a onesize-fits-all approach, preferring cost-effective tailored solutions from our wide range of products. FOR MORE INFORMATION Contact: Debbie Burton Tel: 01279 503173 debbie@elcomponent.co.uk www.elcomponent.co.uk www.spcloggers.com

Architecture, space planning and strategic space management 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 INFORMATION Glynn Williams Tel: 01245 222692 Fax: 01245 222692 Mob: 07973 835067 glynn.williams@tesco.net www.glynnwilliams architects.com

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

To save money and time, turn to TranSend TNT Post is a well established player in the deregulated postal market and is the largest challenger to Royal Mail. It’s a company with vast skills in mail; collecting, sorting and transporting letters and parcels. TNT Post has continued to impress businesses and public sector organisations in the UK with its innovative, sophisticated mailing services that bring unrivalled value and flexibility to its clients. The company’s latest mailing innovation is TranSend. A PC to postage service, TranSend gives businesses the opportunity to send their mail from their computer directly through to TNT Post. TNT Post then receives prints, fulfills and injects the mail into their nationwide network for delivery. As well as saving businesses valuable time and money,

TranSend offers complete data security and users can track and trace their documents. The TranSend service gives organisations a real opportunity to reduce the cost of their entire postal chain whilst still having complete brand control. TNT Post is currently implementing TranSend into various UK businesses that are looking to streamline and improve their efficiency. FOR MORE INFORMATION If you’d like to find out more about this service contact TNT Post on 01628 816768 or e-mail Hybridmail@tntpost.co.uk

Teknomek – discover the solutions to your hygiene requirements As a leading manufacturer and supplier to the healthcare industry for high-quality stainless steel hygiene equipment and furniture, Teknomek has developed a wide range of quality products that conform to the most exacting standards of food and microbiological safety regulations in the industry. The extensive catalogue and online shop has been developed as a result of advanced engineering processes and lean manufacturing techniques from its purposebuilt facility in Norwich, UK, with subsequent savings passed directly to the customer. The indepth knowledge of the highly experienced team at Teknomek ensures that customers get the best value and most suitable solution to suit their requirements, with next-day delivery on stock items. If Teknomek doesn’t make the product you require as part of its

standard range, they have the ability to manufacture bespoke and customised versions whilst still delivering the best possible value, typically in less than 15 days from approval of a design. With an in-house CAD design team, Teknomek can take your sketches and make them a reality, testing the engineering practicalities and providing technical advice for design enhancements in the process. Discover the optimum solution to your hygiene requirements at www.teknomek.co.uk or discuss your technical specifications, request quotations or place orders with the Teknomek sales team today. FOR MORE INFORMATION Tel: 01603 788833 Fax: 01603 895052 mail@teknomek.co.uk www.teknomek.co.uk

A leading healthcare waste services company We are the UK’s leading healthcare waste services company specialising in protecting people and reducing risk. We work with local and national companies across the public and private sector to improve employee and customer safety, ensure legislative compliance and minimise the environmental impact of waste disposal. Clinical waste management is at the core of our business operations and with our national network of transport and waste disposal and treatment facilities we can process all types of healthcare waste including orange, yellow and tiger bagged waste; sharps and pharmaceutical waste and other difficult to process waste streams. Our service is fully integrated and managed completely inhouse providing high levels of compliance and contingency from collection through to disposal. Clinical waste requires correct identification, handling and

disposal and all our processes operate in-line with the latest environmental and regulatory guidance, backed-up with state-of the-art waste tracking software providing customers with additional peace-of-mind. With an extensive UK network of transport and disposal facilities, we provide a range of services to NHS trusts, GPs, dentists, pharmaceutical manufacturers, private sector businesses, research companies and many more. Our services also include resource management strategies, hazardous waste management programmes, patient transport, and courier services. FOR MORE INFORMATION Tel: 0845 1242020 info@srcl.com www.srcl.com

Prevent slips trips and falls this winter Step On Safety Ltd. specialises in the supply of anti-slip flooring, with a range of products designed to prevent slips, trips and falls on both internal and external walkways and staircases. All products are quick and easy to install, allowing minimal disruption and ensuring that improved areas are swiftly returned to public usage. The Quartzgrip™ range of anti-slip stair tread covers and stair nosing are manufactured from corrosion resistant fibreglass (GRP) and finished with a unique angular cut quartz grit to provide an excellent level of slip resistance in accordance with BS 7976-2. Quartgrip™ Stair Nosings are available in either a 70x55mm or 55x55mm Profile, with a chamfered back edge to reduce trip hazards. Quartzgrip™ stair tread nosing’s are available in signal yellow, luminous yellow, black, white,

beige and grey variants. A range of Stair Tread Covers are also available in maximum single lengths of up-to 3660mm, and a going of 345mm. The Tread Covers feature a 55mm DDA Compliant Nosing, and are available in black with either a yellow or white contrast nosing, plain yellow, grey or beige. A free of charge cutting service is available for bespoke sizes, and we offer next day delivery as standard. A full nationwide installation service is also available, please contact us for further information. FOR MORE INFORMATION Units 3-4, 122 Station Road Lawford, Manningtree Essex CO11 2LH Tel: 01206 396446 Fax: 0870 8032456 sales@steponsafety.co.uk www.steponsafety.co.uk

Innovative water saving, healthcare and hand hygiene products DVS is a leading supplier of automatic washroom and water saving solutions to the healthcare, mental health and custodial markets, offering customers electronic products which offer significant water savings whilst meeting the needs of infection control and facilities teams. The extensive product range includes a range of healthcare and mental healthcare focused products, designed to balance the need for robust, hygiene conscious washroom products, with domestic designs to create therapeutic yet safe healthcare environments. This includes a selection of safe ensuite sanitaryware products as well as anti-ligature taps, showers and accessories. From hygienic no-touch WC flushvalves and urinals to automatic taps, water savings can be achieved across a wide range of healthcare areas,

Product showcase

BUSINESS INFORMATION FOR HEALTHCARE PROFESSIONALS – www.healthbusinessuk.net

with some systems offering up to 60 per cent water savings and short payback periods. Leading products and design innovation, combined with high quality technical advice and support provided by the UKwide sales and service support team ensure that you can find the perfect solution for your healthcare environment. FOR MORE INFORMATION To find out more about our wide range of automatic washroom products please call 01803 529021 or e-mail sales@dartvalley.co.uk

Supplying specialist products to the health service for over 35 years Lorne Laboratories is the only independent company in England that for over 35 years has manufactured and distributed a comprehensive range of reagents and associated products for blood transfusion, immunology and serodiagnosis. Included in our product portfolio is an extensive range of fridges and freezers that conform to the OIG guidelines and the MHRA recommendations. We are also resellers for a range of slide stainers, agitators and shakers, centrifuges and biomixers and biosealers. Lorne is a UK distributor for Worthington Biochemicals and Rockland Immunochemicals. We have a long-held philosophy of providing quality products at

attractive prices, backed by a first class service for both our domestic and worldwide customers. Our customers are found in transfusion services, hospitals and the armed forces (our own and those of other countries). They may also be scientists or clinicians working in laboratories anywhere in the world. We have been supplying the National Health Service in the UK for more than 35 years both on an ad hoc basis and contractually. FOR MORE INFORMATION Lorne Laboratories Limited Tel: 0118 9212264 Fax: 0118 9864518 sales@lornelabs.com www.lornelabs.com

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

Product showcase

BUSINESS INFORMATION FOR HEALTHCARE PROFESSIONALS – www.healthbusinessuk.net

Meet the UK webcasting market leaders Hello there, we are the UK market leaders for webcasting and streaming video online. There are a few reasons as to why but the main one is simple; we are trusted to broadcast important messages to internet audiences professionally, clearly and often innovatively. Our flagship webcasting platform Stream Connect enables you to brand and distribute your webcasting content whilst increasing interactivity, accountability and impact to your video presentations. As the ultimate webcasting administration tool, it can be embedded within your website where you can take complete control over its deployment. Additionally, our award winning video management platform Stream MP handles all aspects of your online video, giving you unrivalled control and flexibility

to manage and publish your content, making both platforms the complete solution for getting your on-demand and live content online and seen by millions. If your organisation would like to join the growing list of our friends using cost-effective, green and contemporary methods of communication, contact StreamUK. Some of our key clients this year include Liverpool FC, Orange, EFSA T-Mobile, The Guardian and The BBC. FOR MORE INFORMATION 1 Water Lane London NW1 8NZ Tel: 020 74192027 sales@streamuk.com

Agentdraw – design led manufacturing solutions Agentdraw is a company based in the Midlands, which offers a complete concept to manufacture service. Created in 1991, Agentdraw has evolved from simply fulfilling injection moulding requirements to now being a fully integrated, design led manufacturing company. Design – Agentdraw continually provides an innovative and creative approach to the design process. We have project experience in consumer products, medical equipment, electronic enclosures, retail display systems, HVAC and industrial sectors. Prototype – we offer a complete prototyping service. Combined with conventional techniques we use the latest technologies to manufacture prototypes. The use of SLA, SLS, RIM and resin cast parts along with rapid tooling and injection moulding facilities provide a fast efficient prototyping route. Production tooling – we use

the latest CNC machinery along with CAD data to produce our tooling. We can produce prototype aluminium tooling to high specification, high volume hardened steel tools. Injection moulding – our facilities are wide ranging and we are able to producing anything from micro mouldings to parts of up to 3.5kg. We are able to provide a complete service including assembly, post moulding decoration and packaging. We use the latest technologies in our production including robotics and automation to produce parts, monitor quality and ensure repeatability. FOR MORE INFORMATION Tel: 0116 2841386 info@agentdraw.co.uk

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

90 per cent energy and cost savings with Silent Cubes from GID-Quantor Established in 1993, the company is now part of the GID – Global Information Distribution – Group, which also has operations in Europe and North America. We deliver information management and data archiving solutions. These include the highly successful OnBase ECM and Workflow system from Hyland Software Inc. This is used extensively within healthcare in North America and already by some healthcare providers in the UK. Part of the success of OnBase is its powerful Application Enabler. This allows existing applications to be image enabled to deliver benefits of ECM and document Workflow to users while still working in their existing applications. Silent Cubes is our latest solution. This is a disk-based system providing the very highest possible security for data plus very big cost savings. A single Cube of less than 1 cubic foot

stores up to 16 terabytes. The system is scaleable from 2 terabytes to thousands (i.e. petabytes) and is up to 50 per cent lower in cost than existing storage. Its energy costs and carbon footprint are up to 93 per cent lower than other solutions. Silent Cubes is already in use at 60+ hospitals and medical centres in Europe for long-term archiving of PACS, patient and other medical records and for e-mail security. FOR MORE INFORMATION Tel: 01444 882258 Fax: 01444 882282 info@gid-quantor.co.uk www.gid-quantor.co.uk

The complete IT service management solution Cherwell Software is the developer of Cherwell Service Management™ – a fully integrated solution for IT and support professionals. The Cherwell solution offers you complete choice of software deployment and licensing models; on premise or hosted; perpetual purchase or subscription – you choose! Designed using Microsoft’s .NET platform and Web 2.0 technology Cherwell delivers 11 fully integrated ITIL v3 PinkVERIFIED management processes straight out-of-the-box, including; Incident, Problem, Change, CMBD, Request, SLA, Service Catalogue and Knowledge. Cherwell Service Management is 100 per cent configurable and customisable by its end users and delivers a highly scalable and extensible development platform. Our unique CBAT platform has enabled customers to develop integrated business applications for CRM, HR, project management, student records and facilities management systems.

In a Total Economic Impact (TEI) study by Forrester Consulting, for an organisation where Cherwell were selected to replace a legacy Enterprise class solution, the financial analysis calculated an ROI of 108 per cent and a total payback period of less than ten months. Offering a truly holistic approach to service management, Cherwell empowers IT and support departments to fully align themselves with the organisations they support. Being quick to deploy and easy to use Cherwell delivers true enterprise power. FOR MORE INFORMATION Lime Kiln House Wootton Bassett SN4 7HF Tel: 01793 858181 www.cherwell.com

ADMIN/FINANCE & LEGAL

HEALTH & SAFETY

AUDIO VISUAL

HEALTHCARE PRODUCTS

CATERING

HUMAN RESOURCES

CONFERENCES & EVENTS

INFECTION CONTROL

EMERGENCY

IT/TELECOMS

ENVIRONMENT

SECURITY

FACILITIES MANAGEMENT

TRANSPORT

ADMIN/FINANCE & LEGAL Accountancy Software First Pass Ltd 01600 715508 www.profit-recovery.co.uk info@profit-recovery.co.uk Asset Management Siemens Financial Services Limited 01753 434000 www.siemens.com/ financialservices info.sfs@siemens.com Background Checking Kroll 01273 320001 www.krollbackground screening.com ecrb@kroll.com Verifile 01234 834670 www.verifile.co.uk info@verifile.co.uk Vero 01273 201889 www.veroscreening.com intouch@veroscreening.com Workpass 01234 834690 www.workpass.co.uk info@workpass.co.uk Credit Management Institute Of Credit Management 01780 722900 www.icm.org.uk info@icm.org.uk

CAPITA 0870 8502516 www.capitarvs.co.uk crb.enquires@capita.co.uk Eurocom C.I. Global House Ashley Avenue Epsom, Surrey KT18 5AD 020 86438384 www.eurocomci.co.uk info@eurocomci.co.uk Debt Recovery Lowell 0113 2856612 www.lowell.co.uk abetterway@lowellgroup.co.uk Document Management All Shred 0800 3895155 www.allshred.co.uk sales@allshred.co.uk Control Group UK 01908 334410 www.cgrelocations.co.uk Dajon Data Management 020 7323223 www.dajon.co.uk info@dajon.co.uk M & J Bowers Ltd Lucott Limington Mr Yeovil Somerset BA22 8EQ 0800 0276255 enquiries@mjbowers.co.uk

sQuid 020 83392111 www.squidcard.com info@squidcard.com

Premier Shredding 0845 6010551 www.premiershredding.co.uk operations@premier shredding.co.uk

Criminal Record Checks APCS 0845 6431145 enquiries@accesspcs.co.uk

Shredpro Ltd 0800 1214680 www.shredpro-uk.com sales@shredpro-uk.com

Equipment Leasing Singers Healthcare Finance 0800 0323638 www.singershf.co.uk healthcare@singerhf.co.uk

IDM D.A.T.A. Solutions Limited 41 Madeley Road London W5 2LS 020 89971933 www.idmfraud.com

Mailing Services TNT Post 01628 816768 hybridmail@tntpost.co.uk www.tntpost.co.uk

Transcription McGowan Transcriptions 07000 893215 www.mcgowantranscriptions.co.uk

Management Consultancy NHS Supply Chain 07850 931942 www.supplychain.nhs.uk capital.planning@ supplychain.nhs.uk Quorum Training 0121 3627536

Translation Services Language Line Service 0800 1692879 www.languageline.co.uk AUDIO VISUAL Presentation Equipment Notice Board Company 02476 012862 www.noticeboardcompany.com sales@noticeboardcompany.com

Market Rearch 2020 Research 01226 767120 www.2020research.co.uk info@2020research.co.uk

Rap Industries 01733 394941 www.rapind.com

Procurement Services Red Procurement 07881 942230 www.redprocurement.com tim.carrier@redprocurement.com

Saville Audio Visual Millfield Lane York YO26 6PQ 0870 6061100 www.saville-av.com head.office@saville-av.com

Risk Management Anglo-Tech Ltd 01823 663583 www.anglo-tech.com info@anglo-tech.com DAS Counter Fraud and Security Management Service www.dascfs.ngs.uk

CATERING Drinks Suppliers Lavazza Coffee (UK) Ltd 01895 209750 www.lavazza.com

FIS Merchant Payments 0121 4104357 www.fismerchantpayments.com

Refreshment Systems 31 Bolling Road Bradford BD4 7HN 0800 9153045 www.refreshmentsystems.co.uk info@refreshmentsystems.co.uk

Greenstreet Berman 0118 9387700 www.greenstreet.co.uk info@greenstreet.co.uk

Equipment Comark Ltd 0844 8156599 www.comarkltd.com

Specfiers Index

BUSINESS INFORMATION FOR HEALTHCARE PROFESSIONALS – www.healthbusinessuk.net

Sponsored by

Dawson Food Service Equipment Wath Road, Elsecar, Barnsley South Yorkshire S74 8HJ 01226 350450 www.dawsonmmp.co.uk info@dawsonmmp.co.uk Garners 0115 9609690 www.garnerfood serviceequipment.co.uk marketing@garnersmail.co.uk Induced Energy 01280 705900 www.inducedenergy.com Food Suppliers Apetito 01225 756071 www.apetito.co.uk hospitaltasting@apetito.co.uk Hagesud Bosse (UK) Ltd 01989 565971 www.hagesud.co.uk bosse@hagesud.co.uk JJ Food Service 01992 701727 www.jjfoodservice.com admin@jjfoodservice.com Müller 01630 698571 Simply Free 01582 793822 www.simply-free.co.uk CONFERENCES & EVENTS Destinations Conference Ireland 020 75180800 www.meetinireland.co.uk info@meetinireland.co.uk The New Mayfair (Safe Hands) 673-677 New South Promanade Blackpool FY4 1RN 01253 347543 www.thenewmayfair.co.uk

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

Specifiers Index

BUSINESS INFORMATION FOR HEALTHCARE PROFESSIONALS – www.healthbusinessuk.net Events Citadel Events 01423 526971 www.in4matics.co.uk info@citadelevents.co.uk Infection Prevention Conference 2011 01506 811077 www.ips.uk.net ips@fitwise.co.uk Messe Düsseldorf www.messe-dusseldorf.de Parkex www.parkex.co.uk The Cleaning Show www.cleaningshow.co.uk The Emergency Services Show 01483 237230 www.ess2010.com

Holiday Inn Leeds - Gaforth Wakefield Road Garforth Leeds LS25 1LH 0113 2866556 www.hileedsgarforth.com Hope Street Hotel 0151 7093000 www.hopestreethotel.co.uk Imperial College London 020 75949494 www.imperial.ac.uk conferenceandevents@ imperial.ac.uk KUCEL 020 84175519 www.kucel.co.uk

Venues @t Bristol Ancor Road, Bristol BS1 5DB 0117 9158000 www.at-bristol.org.uk venue.hire@at-bristal.org.uk

National Galleries Of Scotland 0131 6246239 www.nationalgalleries.org events@nationgalleries.org

86 St. James 86 St James’s Street SW1A 1PL 020 77471185 www.86stjames.com info@86stjames.com

Nottingham Conference Centre Burton Street Nottingham NG1 4BU 0115 8488000 www.nottingham conferencecentre.co.uk enquiries@nottingham conferencecentre.co.uk

Brighton Centre Kings Road, Brighton East Sussex BN1 2GR 01273 292671 www.brightoncentre.co.uk brightoncentre@ brighton-hove.gov.uk Chase Water Innovation Centre Chase Water Country Park Pool Road, Brownhills WS8 7NL 01543 370737 chasewater.ic@staffordshire. gov.uk Cineworld www.cineworld.com/ conferencing City Cruises 020 77400400 www.citycruises.com Halton Borough Council Stobart Stadium Halton Lowerhouse Lane Widnes Cheshire WA8 7DZ 0151 5106000 enquiries@ stobartstadiumhalton.co.uk Hinsley Hall 62 Headingley Lane Leeds LS6 2BX 0113 2618000 www.hinsley-hall.co.uk info@hinsley-hall.co.uk

Hispaniola 020 78393011 www.hispaniola.co.uk info@hispaniola.co.uk

Nottingham Forest FC 0115 824332 Nottingham Trent University 0115 8484460 www.ntu.ac.uk/lgm ORT House Conference Centre 020 74855847 www.orthouse.co.uk ort@pavpub.com Park Crescent Conference Centre 020 76318306 www.pccc.co.uk conference@pccc.co.uk Park Inn 00800 26657275 www.parkinn.co.uk Said Business School 01865 422757 www.sbs.oxford.edu/conferencing conference.egrove@sbs.ox.ac.uk Stapleford Abbotts Golf Club 01708 381108 Swanley Banqueting 01322 613900 www.swanley.org.uk swanleybanqueting@ swanley.org.uk The Channel Suite Leas Cliff Hall, The Leas Folkestone, Kent ST20 2DS 01303 228606 ichfunction@leascliffhall.co.uk

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

The Kenmore Hotel The Square Kenmore Perthshire PH15 2NU 01887 830205 www.kenmorehotel.com reception@kenmorehotel.co.uk

ENVIRONMENT Asbestos Control Allan Dyson 0800 9885010 www.allandyson-asbestos.co.uk lincoln@allandyson-asbestos. co.uk

Tower Hamlets Brady Arts and Community Centre 192-196 Hanbury St London E1 5HU 020 73647900

Antec Contracting Services (Anglia) Ltd Unit 2 Ashwellthorpe Ind. Estate Ashwellthorpe Norfolk NR16 1ER 01508 481630 antec@antec-asbestos.co.uk

University of Leeds 0113 3436100 www.meetinleeds.co.uk enquiries@meetinleeds.co.uk University of Lincoln 01522 886407 www.venuesinlincoln.co.uk conferences@lincoln.ac.uk University Of London 020 78628127 enquiries@ senatrehouseevenues.co.uk Univesity Of Bath 01225 383441 www.HAatbath.co.uk UWIC Conference Services 029 20416181 www.uwic.ac.uk/conferences conferenceservices@uwic.ac.uk Victory Services Club 63-79 Seymour Street London W2 2HF 020 76168305 www.vsc.co.uk/events events@vsc.co.uk Village Hotels 0844 9800047 www.village-hotels.co.uk fixedpricemeetings@ village-hotels.com Visit Scotland www.conventionscotland.com Woburn House Conference Centre www.woburnhouse.co.uk Wyndham Grand 020 78233000 www.wyndham grandlondon.co.uk EMERGENCY Care Equipment Paraid Medical Paraid House Weston Lane Birmingham B11 3RS 0845 2302253 www.paraid.com info@paraid.co.uk Training Amputees In Action 01635 31890 www.amputeesinaction.co.uk

Asbestos Abatement Services Ltd 01922 644712 www.asbestosonline.co.uk City Environmental Services Ltd 01633 613882 www.cityenvironmental services.com admin@ceseu.co.uk Cordtape Environmental Services Ltd 0800 0937810 www.cordtape.co.uk info@cordtape.co.uk Gully Howard Technical Ltd 5 St George’s Business Centre St George’s Square Portsmouth PO1 3EY 023 92728040 KAD Environmental Consultancy Ltd 365 Hamstel Road Southend On Sea Essex SS2 4LE 01702 308438 www.kadec.co.uk Protech Scaffolding Systems Ltd 28 Weir Road Wimbledon London SW19 8UG 020 84859295 Rhodar 0800 834669 www.rhodar.co.uk info@rhodar.co.uk Sykes Waterfield Taylor 0800 9551001 www.abestos-building-survey. co.uk Yani Montoya Consultants 07590 455941 yani@ymconsulants.eu Waste Management Alchemize Goldlay House 114 Parkway Chelmsford Essex CM2 7PR 01245 490049 www.alchemize.co.uk sales@alchemize.co.uk

ChangeWorks Recycling 0800 694 0158 sales@changeworksrecycling.co.uk Grundon 0870 0604322 www.grundon.com clinical@grundon.com PHS Waste Management 029 20809090 www.phshealthcarewaste.co.uk wastemanagement@phs.co.uk Polkacrest 0845 2300091 SRCL 0845 1242020 www.srcl.com info@srcl.com Monitoring Analox Sensor Technology 01642 711400 Building Water Solutions 07904 117618 jiofbws@tiscali.co.uk Environmental Water Systems (UK) Ltd 01934 741782 www.ews-amplio.com Nalco Ltd PO Box 11 Winnington Avenue Northwich, Cheshire CW4 4DX 01606 721661 www.nalco.com/eu/services/ water-risk-management.htm FACILITIES MANAGEMENT Air Conditioning Air Control & Development Ltd Unit 5 ABS Business Park Northgate Aldridge West Midlands WS9 8TH 01922 455523 www.aircontrol.co.uk sales@aircontrol.co.uk Carrier Rental System 0870 7517002 www.carrierrentalxpress.co.uk info@carrierrentalxpress.co.uk Cool Easy 0800 4580101 www.cooleasy.co.uk GSG Energy Ltd Titan Enterprise Centre 1 Aurora Avenue Queens’ Quay Clydebank 0141 9517866 enquiries@gsgenergy.com ICS 023 80527300 www.icstemp.com info@icstemp.com Middleton Air Conditioning 0845 3005969 helpdesk@middleton maintenance.co.uk

Tekadoor www.tekadoor.co.uk Air Filtration Systems Elta Fans 01384 275800 www.eltafans.com bs@eltafans.co.uk Monodraught 01494 897700 www.monodraught.com Associations BIFM 0845 0581358 www.bifm.org.uk membership@bifm.org.uk The British Toilet Association 01403 258779 www.britloos.co.uk Cleaning 3D Access 0161 6434019 www.3daccess.co.uk enquiries@3daccess.co.uk Abacus Main Ltd 0800 3247819 www.abacusmain.co.uk info@abacusmain.co.uk Acquaint Consolidated Services 01933 652053 www.acscleaners.com Alex Reid 0845 6344454 www.alexreid.co.uk Avanti Cleaning 0117 9633629 www.avanticleaning solutions.co.uk salea@avanticleaning solutions.co.uk Base Cleaning & Maintenance 020 30939817 www.base-tqs.co.uk info@base-tqs.co.uk Blemheim & Moorcroft 020 88804091 Bunzl Healthcare 020 84437800 www.bunzlhealthcare.co.uk enquiries.healthcare @bunzl.co.uk Cleanwise 01279 723975 www.cleanerthinking.com Closs-o-Mat www.clos-o-mat.com IC Solutions 24/7 Ltd Centenary Businesss Centre Hammond Close Nuneaton Warwickshire CV11 6RY 024 76732151 www.icsolutions247.com sales@icsolutions247.com

Indepth Hygiene Services Limited 020 86617888 www.indepthhygiene.co.uk ductclean@indepthhygiene.co.uk Karcher 01295 752142 www.karcher.co.uk healthcare@karcher.co.uk Kitchen Deep Cleaning Ltd 020 73597396 www.kitchendeepcleaning.com deepcleaning@btconnect.com P&G Professional 0800 716854 www.pgprof.com Pamper Cleaning Services Limited 0700 9540245 www.pampercleaning.com info@pampercleaning.com

GML Construction Orchard House Westerhill Road, Coxheath Maidstone ME17 4DH 01622 742700 www.gmlconstruction.co.uk info@gmlconstruction.co.uk Haydon Mechanical & Electrical 020 75378552 www.haydonme.co.uk Jackpad 0116 2866966 www.jackpad.co.uk enquiries@jackpad.co.uk Jacob 01694 722841 www.jacob-uk.com

Rainbow International 0800 0430001 www.rainbowint.co.uk/health

Magnet Trade 0845 6715506 www.magnettrade.co.uk/ contractkitchensolutions contractkitchensadmin@ magenet.co.uk

Regional Contract Services Limited 020 77083814 info@regionalservices.co.uk

Marley Eternit 01283 722588 www.marleyeternit.co.uk cladding@marleyeternit.co.uk

Cleaning Equipment Aussie 020 34052000 www.aussiegroup.co.uk

McAvoy www.mcavoygroup.com

ESL 180 Halifax Old Road Huddersfield West Yorkshire HD2 2SQ 0800 1522124 www.ecoblastsupplies.co.uk info@ecoblastsupplies.co.uk Design and Build Adroit Modular Buildings 0800 115544 www.adroitmodular.co.uk Affresol Ltd 01792 581197 www.affresolmodular buildings.co.uk Albion Sections 0121 5531877 www.albionsections.co.uk Cayford Architecture 020 88406690 www.cayford.com info@cayford.com Elliott Off-Site Building Solutions 0800 0858231 www.elliottuk.com/off-site Garden Escapes 028 97564477 www.gardenescapesni.com info@gardenescapesni.com Glynn Williams 01245 222692 www.glynnwilliams archtects.com glynn.williams@tesco.net

Modular & Portable Buildings Hire Ltd 0845 2711902 www.modularand portablebuildings.co.uk contact@modpb.co.uk

The Qube 01604 785786 www.theqube.co.uk info@theqube.co.uk Thurston Building Systems 01924 237214 www.thurstongroup.co.uk Doors Yeoman Shield Wall & Door Protection Yeoman House Whitehall Ind. Estate, Whitehall Road Leeds LS12 5JB 0113 2795854 www.yeomanshield.com Energy 1st 4 Solar 0800 4102588 www.1st4solar.co.uk Apollo Solar Installations 0800 6899309 www.solar-installations.net info@solar-installations.net Beacon Medaes 01246 474242 www.beaconmedaes.com gbn.info@beaconmedaes.com BIU 01253 789816 www.biu.com Carbon Energy Solutions 0844 9934704 www.carbonenergy solutions.com

Modular Buildings Ltd 01482 382038 www.modularbuildingsltd.co.uk sales@modularbuildingsltd.co.uk

Clean Earth 0800 9755635 www.cleanearthenergy.co.uk info@cleanearthenergy.co.uk

MPBA 0870 2417687 www.mpba.biz mpba@mpba.biz

Cordtape Energy Management Systems Ltd 0115 9780554 www.cordtape.co.uk energy@cordtape.co.uk

Panther Interiors 0845 634 1458 www.pantherinteriors.co.uk sales@pantherinteriors.co.uk Phoenix Building Systems Ltd Unit 6 Brookbanks Industrial Estate, Tower House Lane Hedon Road, Hull HU12 8EE 01482 317260 www.phoenixbuilding systems.com Premier Interlink (Waco UK Ltd) 0800 3160888 www.waco.co.uk sales@waco.co.uk

Energyhelpline.com 0800 9702626 www.energyhelpline.com ESTA www.esta.org.uk Just Energy 14 Shute End, A lbany House Wokingham Bershire RG40 1BJ 0870 1125919 www.justenergy.co.uk McCaul Group 02882 251155 www.pmccaul.com energy@pmccaul.com MCL Energy 01302 738000 www.mclenergy.co.uk Power Master 01924 272696 www.power-master.co.uk info@powermaster.co.uk PowerSave Technology 01992 701556 www.powersavetechnology. co.uk Powerstar 01709 836200 www.powerstar.co.uk Radio-Tech 01279 636324 www.radio-tech.co.uk SCCI Energy 0844 5588617 www.sccienergy Schneider Electric 0870 6088608 www.schneider-electric.co.uk ScottishPower 0845 030 4053 energysolution@scottish power.com

CP Electronics Brent Cresent London NW10 7XR 0333 9000671 www.cpelectronics.co.uk

Systematic Energy Ltd 0808 1088057

Elcomponent Unit 5 Southmill Trading Centre Bishopâ&#x20AC;&#x2122;s Stortford Hertfordshire CM23 3DY 01279 503173 www.elcomponent.co.uk sales@elcomponent.co.uk

Western Power Distribution 0870 448900 www.wpdsamrt metering.co.uk smartmetering@ westernpower.co.uk

Speedy 0845 6015129 www.speedyhire.com

Endress 0161 2865000 www.uk.endress.com/esight info@uk.endress.com

Terrapin 01908 270900 www.terrapin-ltd.co.uk info@terrapin-ltd.co.uk

Energy Institute 020 74677146 www.energyinst.org sprice@energyinst.org

Specifiers Index

BUSINESS INFORMATION FOR HEALTHCARE PROFESSIONALS â&#x20AC;&#x201C; www.healthbusinessuk.net

Sponsored by

The Finance House 01273 857024 www.thefinancehouse.co.uk

Flooring 4m Flooring UK Ltd Unit 9 Decade Close High Carr Business Park Newcastle-under-Lyme ST5 7UG 01782 576650 www.4m-flooring.co.uk Formica www.formica.com

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

Specifiers Index

BUSINESS INFORMATION FOR HEALTHCARE PROFESSIONALS â&#x20AC;&#x201C; www.healthbusinessuk.net Step On Safety Ltd Units 3-4, 122 Station Road Lawford, Mainningtree Essex CO11 2LH www.steponsafety.co.uk sales@steponsaftey.co.uk

Parking Management 14 Services Security & Parking Enforcement Services 01452 546984 www.14services.com info@14services.com

Northern Parking Services 0870 8921170 www.northern parkingservices.co.uk sales@northern parkingservices.co.uk

Groundscare Avon Landscapes Ltd Greenacres, Woolverton Nr Bath, Somerset 01373 830789 www.avonlandscapesltd.co.uk prh@avonlandscapes.co.uk

ACS BPS Ltd Watchmoor Park, Riverside Way Camberley, Surrey GU15 3YL 01276 807100 www.acs-gts.com

Parking Control Services 0800 9705109 www.parkingcontrolservices.co.uk info@parkingcontrolservices.co.uk

Botanica Nurseries Ltd 01753 647476 www.botanicanurseries.co.uk enquiries@botanica nurseries.co.uk Europlants Interiors Ltd 01825 890811 www.europlants.ltd.uk henry@europlants.ltd.uk

AMANO UK Ltd 8 Newhouse Business Centre Old Crawley Road Horsham, West Sussex RH12 4RU 0844 8793748 www.amano-parking.co.uk

Timotay 01933 665151 www.timotayplayscapes.co.uk

Another Level Car Parks 0845 3453835 www.anotherlevelcarpark.com

Town & Country 0845 0170899 www.tacg.co.uk

BemroseBooth Paragon Limited 01482 826343 www.bemrosebooth.com ticketing@bemrosebooth.com

Heating Systems Eaton-Williams Service 07773 807310 Lighting Brandon Medical 0113 2777393 www.bradonmedical.com enquires@brando-medical.com Weblight Limited Netherfield Lane Stanstead Abbotts Herts SG12 8HE 01920 872287 www.weblight.co.uk Maintenance Services Asteral 0118 9008100 www.asteral.com Powerworks 01329 288444 www.powerworks.uk.com sales@powerworks.uk.com

British Parking Association 01444 447316 www.britishparking.co.uk

Total Parking Solutions Ltd SATRA Innovation Park Rockingham Road Kettering Northants NN16 9JG 0845 2573540 www.totalparking.co.uk info@totalparking.co.uk UK Parking Control Ltd 0844 8008710 www.ukparkingcontrol.com UK Parking Patrol Office 08707 203807 www.parkingpatrol.com infoparkingpatrol.com Patient Safety Static Systems Group www.staticsystems.co.uk

Camden Council Car Parks 020 74057412 www.camden.gov.uk/carparks

Maintenance BWA 020 84601111 www.bwa.uk.net

Capital 2 Coast Security 0700 3400351 info@capital2coast.co.uk

Caregard Systems Limited 0800 5244256 www.caregard.org

CPM Solutions 0870 6092453 www.carpark management.uk.com admin@carpark management.uk.com

Glass Protection (Essex) Ltd 01708 745907

Entry Parking Post 01564 773188 www.alligatorteeth.net entryparkingpost@aol.com Excel Parking 0114 2678008 sales@excelparking.co.uk

HydraQuip 0845 2604334 www.hydraquip.co.uk hp@hydraquip.co.uk Signs and Displays Charm Office Solutions 0854 4502012 www.charmoffice.co.uk rod@charmoffice.co.uk

Gemini Parking Solutions 0871 2002143

Direct Signs (Northern) Ltd 01325 351092 www.direct-signs.com info@direct-signs.com

Ice Watch 01728 633900 www.icewatch.co.uk mail@icewatch.co.uk

Equality Signs 0161 2735252 www.equalitysigns.com sales@equalitysigns.com

Office Furniture Flexiform government@flexiform.co.uk

New Generation Parking Management Limited 0871 4344372 www.ngpltd.com

First Signs & Labels 01279 467999 www.firstsafetysigns.co.uk sales@firstsignsandlabels.co.uk

Teknomek 01603 788833 www.teknomek.co.uk mail@teknomek.co.uk

Nortech 01633 485533 www.nortechcontrol.com info@nortechcontrol.com

Innova Solutions 01282 867390 www.innovasolutionsonline.com info@innovasolutionsonline.com

VINCI Facilities 01923 478400 www.vincifacilities.com Management Systems Asckey Data Services Ltd 0845 2707747 www.eclipse-fm.co.uk enquiries@asckey.com

Alpha Parking Ltd 020 72422567 www.aparking.co.uk parkingenquiries@aparking.co.uk

Total Car Parks 0845 2930818 info@totalcarparks.co.uk

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

Innovations in Technology 01943 850800 www.innovations-av.co.uk info@innovations-av.co.uk Leo Signage 01254 916133 www.leosignage.com info@leosignage.com Variable Message Signs Ltd Unit 1 Monkton Business Park North Mill Lane Hebburn Tyne & Ware NE31 2JZ 0191 4237070 www.vmslimited.co.uk Software (FM) Tabs FM Ltd Unit 9 The io Centre The Royal Arsenal Sheffington St Woolwich London SE18 6SR www.tabsfm.com sales@tabsfm.com Total Gym Software Group 0115 9848383 www.totalgymsoftware.com sales@totalgymsoftware.com Storage Equipment Willowbrook Education 01780 721115 www.willowbrookeducation. co.uk sales@willowbrookeducatio. co.uk Surface Protection Addagrip Surface Treatments Ltd 01825 761333 www.addagrip.co.uk sales@addagrip.co.uk Elesgo 07909 528943 snc@essenncee.com Washroom Equipment Dart Valley Systems 01803 529021 www.dartvalley.co.uk sales@dartvalley.co.uk Miele 0844 8930026 www.miele.com Twyford 01270 879777 www.twyfordbathrooms.com twyford.sales@ twyfordbathrooms.com Vectair Systems Ltd (Babyminder) Unit 3 The Trident Centre Armstrong Road Basingstoke RG24 8NU 01256 319500 www.vectair.co.uk info@vectair.co.uk

Water Purification Swan Abalytical UK Limited Unit 3 The Steading Copthill Farm Deeping Road Stamford PE9 4TD 01780 755500 www.swan.ch salesuk@swan.ch HEALTH & SAFETY Consultancy MKM Healthcare Consultancy 020 87472150 www.mkmhealthcare.co.uk enquiries@mkmhealthcare.co.uk Ergonomics Progress Through People 01224 666304 www.progress throughpeople.com Evacutation Equipment Cable Safe Limited 01302 726264 www.cablesafe.co.uk sales@cablesafe.co.uk Evac+Chair 0845 2302253 www.evacchair.co.uk pcad@evacchair.co.uk Hospital Aid 01604 586501 www.hospitalaids.co.uk info@hospitalaids.co.uk Fire Safety AFG FlameGuard 01342 310107 enquires@afgflameguard.com Apollo Fire Solutions www.apollo-fire.co.uk Clarkson Safety Services 020 86600131 www.clarksonsafety.com info@clarksonsafety.com Eton Fire Ltd 020 75176300 www.etonfire.com Eurotech Fire Systems Ltd 19/20 Stratfield Park Elettra Avenue Waterlooville Hampshire PO7 7XN 020 31410999 www.eurotechfire.com enquiry@eurotechfire.com FARMSS 0161 4884863 www.farmss.co.uk info@farmss.co.uk Fire Lining Systems Ltd 0191 4165732 www.firelinings.co.uk info@firelinings.co.uk Fire Training International 0800 1584428 www.fire-training-int.com

Fire-Stat International Ltd Oak Trees 2 Stocks Close Horley Surrey RH6 9GU 01293 823921 www.fire-stat.co.uk

Danish Clean Water Dallow Street Burton on Trent Stoffordshire DE14 2PQ 01283 542865 Dynamika 0845 2579001 www.dynamika.co.uk

Hillmoore Fire Protection Limited 01628 890122 www.hillmoorefire.co.uk info@hillmoorefire.co.uk

ETI Ltd 01903 202151 www.etiltd.com

Hosiden Besson Ltd www.hbl.co.uk

Hydroviron Ltd 0870 8742587 www.hydroviron.com enquiries@hydroviron.com

JPRO Services Ltd 01732 356242 www.jproservices.co.uk LifeLine Fire & Security 01634 373522 www.lifelinegroup.co.uk LWF 020 86688663 www.lwf.co.uk fire@lwf.co.uk Multi Fire 01634 735465 www.multifire.co.uk maintenance@ multifiremsl.co.uk National Security Inspectorate 01628 637512 www.nsi.org.uk Peccater Safety Products www.peccater.com sales@peccater.com Pel Services Ltd 020 88392100 www.pel.co.uk PHS Compliance 01942 290888 www.phscompliance.co.uk Safelincs 0800 6127894 www.safelincs.co.uk

ProMinent Fluid Control Resolution Road Ashby-de-la-Zouch Leicestershire LE65 1DW 01530 560555 www.prominent.co.uk service@prominent.co.uk RPS 0800 0858483 www.rpsgroup.com Swiftclean Environmental 01702 531221 www.swiftclean.co.uk TM Electronics (UK) Ltd 01903 700651 www.tmeletronics.co.uk sales@tmelectrionics.co.uk Tritec Environmental Services Limited 01923 202085 TSS Facilities Limited 01273 719111 www.tssfacilities.co.uk info@tssfacilities.co.uk Obesity Management 1st Call Mobility Ltd 01279 425648 www.1stcallmobility.co.uk sales@1stcallmobility.co.uk Disabled Living Foundation www.dlf.org.uk

Welch Allyn 020 73656780 www.welchallyn.co.uk Products (Health & Safety) Fellowes (Prof Ergo) www.ergo.fellowes.com Logic 01434 60661 www.logictoday.co.uk sales@logictoday.co.uk Slingsby 0800 2944440 www.slingsby.com

Medi Rehab Charwood House Oakhurst Business Park Southwater West Sussex RH13 9RT 0845 2170203 www.medirehab.co.uk sales@medirehab.co.uk

Risk Assessment Envex 0118 9773030 www.envexconsultants.co.uk enquiries@envexconsultants.co.uk

Welco 0800 954 9001 wwww.welcohealth.co.uk

Seton PO Box 77, Banbury Oxon OX16 2LS 0800 585501 www.seton.co.uk sales@seton.co.uk

Nursing Hygiene Chardwood House Oakhurst Business Park Southwater West Sussex RH13 9RT 01403 825825 sales@nursinghygiene.com

Training (Health & Safety) HT Direct www.htdirect.co.uk HEALTHCARE PRODUCTS Batteries Direct Battery Solutions 0844 8006843 www.directbattery solutions.co.uk info@directbattery solutions.co.uk Design and Manufacturing Agentdraw 0116 2841386 info@agentdraw.co.uk www.agentdraw.co.uk

Sharpfibre 01268 413084/411489 info@sharpfibre.com www.sharpfibre.com

Plinth 2000 Ltd 01449 767887 www.plinth2000.com sales@plinth2000.com

Trinity Protection Systems www.trinityprotection.co.uk

Poshchair Medical Ltd 0844 8000899 www.poshchair.co.uk info@poshchair.co.uk

Sidhil Ltd 01422 233000 www.sidhil.com info@sidhil.com

Scales Express 01204 590231 www.salesexpress.com dan@wardworth.com

Medical Lighting Luxo & Daray 01926 730673 www.medicaremedicalequipment.co.uk sales@medicalequipment.co.uk

Aquastat Environmental Services Ltd 01934 811264 www.aquastat.co.uk enquiries@aquastat.co.uk Brodex 01704 834 477

The Diet Plate 0161 4809050 www.thedietplate.com The Gastric Hypno Band 01245 494446 www.gastrichypnoband.com

Easibathe & Easiacces Independance House Fenderation Way Lanchester Road Dunston NE11 9JR 0191 4602777 www.easibathe.com info@easibathe.com

Wockhardt UK Ltd Ash Road North Wrexham Industrial Estate Wrexham LL13 9UF 01978 661261 www.wockhardt.co.uk

Furniture Action Assist Ltd 01977 689400 www.actionassist.com actionassistltd@aol.com

Legionella Control Acorn Chemical Services Ltd 01639 641222 www.acornchemical.com admin@acornchemical.com

Patient Handling Dr Alistair Bromhead 0800 7101099 www.abromhead.co.uk a@abrimhead.co.uk

Medical Supplies Lorne Laboratories Limited 0118 9212264 www.lornelabs.com sales@lornelabs.com

Aid Call 0800 05236146 www.aidcall.co.uk Courtney-Thorne 0800 0687419 www.courtney-thorne.co.uk info@courtney-thorne.co.uk HUMAN RESOURCES Conflict Management Argyll 0870 7501475 www.argyll-loneworker. co.uk/support loneworker@argyll.uk.com Beyond The Blue 0845 6025595 www.btbl.co.uk info@btbl.co.uk CEDR 020 75366000 www.cedr.com gmassie@cedr.com Corporate Harmony 01491 540004 www.corporateharmony.co.uk info@corporateharmony.co.uk Management Skills Centre 01892 506872 www.management skillscentre.com MRN Mediation 01258 817688 www.mrnmediation.co.uk info@mrnmediation.co.uk

Mulberry DT www.mulberrydt.com mulberrydt@btinternet.com People Resolutions 0800 6125110 www.peopleresolutions.com

Specifiers Index

BUSINESS INFORMATION FOR HEALTHCARE PROFESSIONALS â&#x20AC;&#x201C; www.healthbusinessuk.net

Sponsored by

SecuriCare 01904 492442 www.securicare.com trainers@securicare.com Personnel Management Kronos 0870 9206000 www.kronos.co.uk/ healthcare ukinfo@kronos.com Life Craft Gable House 18-24 Turnham Green Terrace Chiswick W4 1QP 01239 711799 Randstad Care 0844 8000675 www.randstadcare.co.uk care@randstadcare.co.uk The Best Organisation 0115 9826563 www.thebestorganisation.com Recruitment Advantage Healthcare Group 0800 0323355 www.advantagehealthcare.com info@advantagehealthcare.com Angel Human Resources 020 85912427 Code Blue Nurses 084499 11091 www.codebluenurses.co.uk LAK Locums 0113 2379690 www.laklocums.co.uk info@laklocums.co.uk Meridian Health 0845 8737130 www.meridianbs.co.uk nhssupportservices @meridianbs.co.uk Nisi Locum Agency 0116 2257554 www.nisistaffing.co.uk info@nisistaffing.co.uk PJ Locums 0800 0320454 RED Professional Locums 0845 5390077 www.redprofessional locums.com info@redprofessional locums.com Sonographers Medical 020 85511299 www.sonographersmedical.com enquiries@sonographers medical.co.uk

Specifiers Index 2011/12 | HEALTH BUSINESS MAGAZINE

Specifiers Index

BUSINESS INFORMATION FOR HEALTHCARE PROFESSIONALS â&#x20AC;&#x201C; www.healthbusinessuk.net

TechNET IT Recruitment Ltd www.technet-it.co.uk TLA Group 0800 3213212 www.tlagroup.co.uk info@tlagroup.co.uk

Peta (Training and Consultancy Services) 023 92538700

Rewards/Incentives Charity Gift Vouchers 01323 848686 www.vouchers4charity.org.uk

PK Care 01142 536490 www.pkcare.co.uk info@pkcare.co.uk

Love2Reward www.love2reward.co.uk

Primary Care Training Centre 01274 617617 admin@primary caretraining.co.uk

Sodexo 0800 3287411 marketing.motivation.uk@ sodexo.com SVM Cards 0871 2712727 www.svmcards.co.uk info@svmcards.co.uk The Voucher Shop Rockingham Drive Linford Wood Milton Keynes MK14 6LY 0845 0509533 www.thevouchershop.co.uk Staff Training De Montfort University Leicester 0116 2577222 www.dmubusiness.co.uk commissioning@dmu.ac.uk Expert-Messaging 020 76330050 www.expert-messaging.com revolution@expertmessaging.com Health Surveillance Services 0161 4565339 Insight Management Solutions Ltd 07879 693373 www.insight-solutions.uk.com ims@insight-solutions.uk.com JT Computer Training Solutions 01803 313386 www.jt-training.co.uk jt_training@msn.com Manor Training 023 80811680 www.manor-training.co.uk sales@manor-training.co.uk Midas Training Solutions 0845 4680235 www.midas-training.co.uk enquiries@midas-training.co.uk Mitrefinch 0845 6190070 www.mitrefinch.co.uk sales@mitrefinch.co.uk Palmer Training Associates Markham Lane, Markham Vale Chestershire, Derbyshire S44 5HY 01246 241302 www.palmertraining associates.co.uk

Pass Training Consultancy Ltd 0845 32895581 info@passtraining.co.uk

Response Training 01622 701981 www.response-training.co.uk response-training@tiscali.co.uk RoSPA 0121 2482233 www.rospa.com/ occupationaltraining enquiries@rospa.com Sheilds 01482 806805 www.sheilds.org info@sheilds.org Solo Protect 01909 550387 www.soloprotect.com Specialist Services Training Solutions 41 St Isan Road Health Cardiff CF14 4LW 029 20610635 www.ssts.org.uk The University of Sheffield 0114 2222630 www.shef.ac.uk/is is@shef.ac.uk The Workplace Training Company 0118 9462881 xpertHR Group 020 86524653 www.xperthr.co.uk enquiries@xperthr.co.uk Stress Management Organisation Health 0845 8331597 www.orghealth.co.uk info@orghealth.co.uk Praxis 42 Training 0870 4464201 www.praxis42.com training@praxis42.com Premier Life Skills Ltd 13 Woodlinken Close Verwood Dorset BH31 6BP 07808 215674 www.premierlifeskills.co.uk info@premierlifeskills.co.uk

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

Well Wise 4 Me 01923 492600 INFECTION CONTROL Consultancy Lancer 01223 861665 enquiries@lancer.co.uk www.lancer.co.uk Mouchel 01274 694381 www.mouchel.com commercial.services @mouchel.com Products (Infection Control) Advanced Sterilization Products (Glosair) 01344 864195 www.aspjj.com glosairukie@its.jni.com

Environmental Hygiene Solutions 65 Riverside 3 Medway City Estate Rochester Kent ME2 4BH 0800 434270 www.enhys.com info@enhys.com Global Entertainment Managemnet (UK) Ltd 401 Centennial Park Centennial Avenue Elstree WD6 3TN 0845 2602180 sales@globalentertainment.co.uk Haigh 01989 760200 www.haigh.co.uk info@haigh.co.uk

Allgood PLC 297 Euston Road London NW1 3AQ 020 73879951 www.allgood.co.uk info@allgood.co.uk

James Spencer & Co Prospect Mills Main Street, Wilsden Bradford BD15 OJR 01535 272957 www.jamesspencer.co.uk sales@jamesspencer.co.uk

Antimicrobial Copper www.antimicrobialcopper.com

PDS Hygiene 01603 426700 www.pdshygiene.com info@pdshygiene.com

Baxx UK Ltd Tudor House 18 Manor Road Harrogate North Yorkshire HG2 OHP 01423 540664 www.baxxuk.com BettaClean (UK) Ltd 01925 242707 www.bettacleanservices.co.uk info@bettacleanservices.co.uk BioCote 01902 824450 www.biocote.com Business Furniture Online Ltd 0118 9411144 www.business furnitureonline.co.uk CareFusion 0800 1513587 www.carefusion.co.uk info@carefusion.co.uk DDC Dolphin The Fulcrum Vantage Way Poole Dorset BH12 4NU 1202731555 www.slucie.co.uk info@ddcdolhin.co.uk Dyson 0800 2980298 www.dyson.com/fans E-Co 020 71931630 www.e-co.uk.com solutions@e-co.uk.com

Proventec Healthcare 0845 6029981 www.proventechealthcare.com sales@proventechealthcare.com PuriCore Endoscopy On Demard 01785 782420 sales@puricore.com Rentokil Specialist Hygiene 0800 6020900 www.rentolkil-hygiene.co.uk specialisthygiene-enquiry@ rentokil-initial.com Rocom Enterprise Comms Supplier 0844 8480901 www.rocom.co.uk Sefton Transmail 01603 404217 www.seftontransmail.co.uk sales@seftontransmail.co.uk Sempermed 01327 313140 www.sempermed.com sales@semperit.co.uk TEAL 0121 7700593 www.washyourhands.co.uk enquiries@tealwash.co.uk The Scientific Instrument Centre Unit 4 Leylands Park Nobs Crook, Colden Common Winchester Hampshire SO21 1TH 023 80696092 www.sic.uk.com enquiries@sic.uk.com

Tristel Solutions Limited Lynx Business Park Fordham Road Snailwell Cambridgeshire CB8 7NY 01638 721500 www.tristel.com mail@tristel.com IT/TELECOMS Call Centre Solutions Jabra 01784 220140 www.jabra.co.uk Jolly Good Idea 020 81444559 www.jolly-good-idea.co.uk info@jolly-good-idea.co.uk Consultancy (IT) Call Systems Technology 020 83811338 www.call-systems.com solutions@call-systems.com Helix Services 0845 2997522 www.helix-services.com/ buildingblocks Metartec 0845 6439772 www.metartec.com sales@metartec.com Data Destruction Disk Demolition 0845 5197626 www.disk-demolition.co.uk info@disk-demolition.co.uk Document & Data Shred Ltd 0161 4432506 www.elsarecycle.co.uk IT Asset Disposal Ltd Unit 2E Cramic Way Port Talbot SA13 1IU 0845 4741423 sales@itadltd.com Select Enviromental Services 0118 975 9000 www.selectenviro.co.uk info@selectenviro.co.uk Lasker Investigations International 020 71170334 info@lasker.co.uk Data Recovery Continuity-Solutions 0845 6803845 www.continuity-solutions.co.uk aco@continuity-solutions.co.uk Clarks Archive Storage 0845 5050003 www.archive-storage.com Flexible Storage Solutions Limited 0800 6521117 www.flexible-storage.co.uk info@flexible-storage.co.uk

GID Quantor Limited 01444 882258 www.gid-quantor.co.uk info@gid-quantor.co.uk Document Management Castle Document Management 01962 882281 www.castledocument.co.uk info@castledocument.co.uk Ezescan 020 72446271 www.ezescan.co.uk sales@ezescan.co.uk Formic Fusion 0870 1975622 www.formic.com sales@formic.com XPO IT Services 01952 608908 Handheld Systems First Data Bank (FIRSTLight) www.firstdatabank.co.uk/ firstlight Hardware Airwave Healthcare 08000 113399 www.hospitaltv.co.uk info@airwave.tv Kodak www.kodak.com/go/i4000 Misco 0800 0388883 www.misco.co.uk salesdesk@misco.co.uk Tinytag Scientific House Terminus Road Chichester Weast Sussex PO19 8UJ 01243 813000 www.tinytag.info info@tinytag.info Mobile Solutions Mobile Data Collection Unit H2 Lambs Farm Business Park Basingstoke Road SwallowField RG7 1PQ 0118 9448811 www.mdc-ltd.com info@mdc-ltd.com Solarvista Software 0114 2211000 www.solarvista.com Support Desk Pro 0844 8040950 www.supportdeskpro.co.uk sales@clockworkit.co.uk Printers Kyocera Mita UK Ltd 0845 7103104 www.kyoceramita.co.uk OKI Printing Solutions www.oki100freeprinters.co.uk

Security Osbourne Technologies Ltd Unit 4 Wortley Court Fall Bank Industrial Estate Dodworth, Barnsley South Yorkshire S75 3LS 0800 0372904 www.osbourne technologies.co.uk info@osbourne technologies.co.uk Software Alvolution www.alvolution.co.uk/compare Bidetime LTD 0871 2180230 sales@bidetime.co.uk Cherwell Software Management Lime Kiln House Wootton Bassett SN4 7HF 01793 858181 www.cherwellsoftware.com CSAM 07595 883618 www.csamhealth.com enquiries@csamhealth.com Fretwell-Downing Hospitality 0114 2816060 info@hospitality.com MRG Systems Limited Willow Court Beeches Green Stroud Gloucestershire GL5 4BJ 01453 751871 www.mrgsystems.co.uk sales@mrgsystems.co.uk SHOKK Tactics 0161 9279488 www.shokk.co.uk sales@shokk.co.uk TCM Solutions 01592 770081 The S2S Group March Street, Sheffield S9 5DQ 0114 2433637 www.s2s.uk.com Translation and Dictation Data Supplies 0845 644 5070 www.dictationsupplies.com Olympus www.olympus.co.uk security@olympus.co.uk Philips 01206 755504 www.philips.com Web: Conferencing Stream UK 020 74191820 www.streamuk.com sales@streamuk.com

SECURITY Access Control Company Card 01744 815475 www.companycards.co.uk sales@plastic-cards.co.uk DED Limited 01797 320636 www.ded.co.uk card@ded.co.uk HID www.hidglobal.com IP UserGroup International Physical Security Technology Forum Unit 3 Burstow Park Business Centre Horley Surrey RH10 3XF 0870 7870546 www.ipusergroup.com info@ipusergroup.com Kaba 0870 0005625 www.kaba.co.uk info@kaba.co.uk SystemWare Europe ARC Progress Business Centre Mill Lane Stotfold Bedfordshire SG5 4NY 01462 732800 www.sysware-europe.com enquiries@sysware-europe.com West London Security Ltd 22-36 Paxton Place London SE27 9SS 020 86764300 www.westlondonsecurity.com info@westlondonsecurity.com Alarm Systems Kat Communications 0844 4740004 www.katcommunications.co.uk enquiries@katcommunications. co.uk CCTV Systems GB Security Group 01775 821100 www.gbsg.co.uk enquiries@gbsg.co.uk VGI 01932 402888 www.vgisecurity.co.uk enquires@vgisecurity.co.uk Ward Security 0845 8476180 www.ward-security.co.uk info@ward-security.co.uk Monitoring Services Nedap 0118 9821038 www.nedapsecuritymanagement.com info@nedapsecuritymanagement.com

TRANSPORT Ambulances Acute Ambulance & Medical Services Arrows Business Centre 39a Barton Road Bletchley Bucks MK2 3HW 0845 6860301 www.aams-amb.co.uk Aero Medical Ambulance Service 145-157 St John Street London EC1V 4PY 07717 475648 www.aeromedical ambulance.com AM Medical Services (South) Ltd 0800 0832035 www.ammedicalservices.co.uk enquiries@am medicalservices.co.uk AST Ambulance Service Apsley House Apsley Road New Malden Surrey KT3 3NG 020 83292999 www.astambulance.com enquiries@astambulance.com B. N. Gibson Ltd Kirklington Road Bilsthorpe Newark Nottinghamshire NG22 8RU 01623 870312 www.bngibson.co.uk info@bngibson.co.uk Emergency Care Group 74 Cantilupe Cresent Aston Sheffield South Yorkshire S26 2AT 0844 8005976 MBS Medical Ltd 01483 486999 mbsmedical999@aol.com Phoenix Private Ambulance Service Ltd 01788 816192 www.phoenix-ambulance.co.uk info@phoenix-ambulance.co.uk Pro Medicus Ltd Unit 2 Thrales End Business Centre Thrales End Lane Harpenden Herts ALF 3NS 01582 969313 www.promedicusharpenden.co.uk prop.medicus@ntlworld.com Sites Ambulance Service 0845 0171129 www.ambulancesites.co.uk enquiries@ambulancesites.co.uk

Southern Country Ambulance Service Highways House Highways, Micheldever Winchester Hampshire SO21 3DW 01962 774999 scas999@yahoo.co.uk

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Want Medical Services Douglas House East Street Portslade East Sussex BN41 1DL 0844 3578214 www.wantmedical.co.uk info@wantmedical.co.uk West Country Private Ambulance Service South View Road Willand EX15 2RU 01884 841911 www.wpas.co.uk Components Isla Components Ltd 01885 485950 www.islacomponents.co.uk islasales@lineone.net Fleet Management F16 Consulting Ltd 0115 8781416 www.f16consulting.co.uk nhs@f16consulting.co.uk Pullman Fleet Services 0870 4282050 www.pullmanfleet.co.uk sales@pullmanfleet.co.uk Vehicle Leasing BNP Paribas Northern Cross Basing View Basingstoke RG21 4HL 0845 2666488 ING Car Lease 0870 428242 www.ingcarlease.co.uk Vehicles CitroĂŤn 0845 7940940 www.citroen.co.uk Renault 0845 0500138 www.renaultbusiness.co.uk Smart 0800 0304758 www.thesmart.co.uk/corporate Volvo 0845 7300140 www.volvocars.co.uk/fleet Alfa Romeo 0844 6623626 www.alfaromeo.co.uk Fiat www.fiat.co.uk/fleet

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The publishers accept no responsibility for errors or omissions in this free service 86 St James Aero Medical Ambulance Service

48 6, 40

Fire Lining Systems

Plinth 2000

First Pass

Premier Life Skills

Agentdraw

Fretwell Downing Hospitality

Rainbow International

Amano UK

Garners Foodservice & Equipment

Sharpfibre

Apetito

GID-Quantor

Siemens

BIFM

Glynn Williams Architects

SRCL

Building Water Solutions

GSG Domestic Energy

Step on Safety

Call Systems Technology

Hagesud Bosse

Stream UK Media Services

CareFusion

Health + in4matics 2012

Teal

Cherwell Software

IC Solutions 24/7

Teknomek

Copper Development Association

Infection Prevention 2011

The University of Sheffield

Dart Valley Systems

IP UserGroup

TM Electronics

DDC Dolphin

IT Asset Disposal

TNT Post

Disabled Living Forum

JJ Food Service

Trinity Protection Systems

Dr Alistair Bromhead

Kaba

Tristel Solutions

Eaton Williams Group

Kenmore Hotel

Variable Message Signs

Elcomponent

Kronos Systems

Vectair Systems

Elliott Group

Lorne Laboratories

VINCI Facilities

55 2, 34

Emergency Care Group

Medica 2011

Volvo

Environmental Water Systems

National Security Inspectorate

Ward Security

ETI

Nottingham Forest Football Club

West Country Ambulance Service

Expert Messaging

Nursing Hygiene

Western Power Distribution

FARMSS

Philips

IBC 10

P ONLINE P IN PRINT P MOBILE P FACE TO FACE

http://www.healthbusinessuk.net 66

46 52, 55

HEALTH BUSINESS MAGAZINE | Specifiers Index 2011/12

OBC

Make every active transfer

simple yet secure The ReTurn stand-aid system is care-sector innovation at its best! It takes the strain out of most transfer situations and encourages patients to use what strength they have. Its ingenious design makes it suitable for use in all common transfer situations between beds, wheelchairs and toilets - and it rolls smoothly with heavy and light users alike. As well as being a great rehab tool, stimulating natural movement patterns and strengthening users’ muscles, the ReTurn makes the carer’s life much easier with its adjustable design and easy transportation. • 2-part stand-aid system boasting easy transportation • Patented steering wheel in base plate for easy manoeuvre • Base plate in-step of only 4cm • Optional belt and heel-strap to assist transfers

Request more information, a price or a demonstration - Call 0845 217 0203

ReTurn is yet another innovation from Medi-Rehab Delivering effective care within budgetary constraints In the face of tight funding and economic challenges, Medi-Rehab supports the NHS and Social Services in delivering quality yet cost-effective care. • Exceptional product choice from a full spectrum of manufacturers • Finance flexibility with supply or rental across the UK • Recognised expertise in working with all medical professionals

Medi-Rehab is a specialist division of Nursing Hygiene Group Charwood House, Oakhurst Businesss Park Southwater, West Sussex, RH13 9RT

Patient Handling, Toileting and Bathing

Furnishing and Special Seating

Pressure Area Care

Patient Care

T: 0845 217 0203 F: 0845 217 1314 E: sales@medirehab.co.uk www.medirehab.co.uk