Managing critical systems

Simon Everett, Senior Lecturer in Built Environment and PhD Researcher recently published an article for the Health Estate Journal online around managing critical ventilation systems – systems that serve areas that cannot function without them. Simon’s article covers the following main points…

Key Challenges and Considerations

Critical Ventilation Systems: Essential for controlling airborne pathogens in healthcare facilities. Many systems do not meet current standards, risking safety and compliance.

Legacy Equipment Risks: Regular assessment of Air Handling Units (AHU) is crucial to prevent failures that could disrupt services and compromise infection control.

Funding and Prioritisation

Competing Capital Requests: NHS Estates teams often face challenges in securing funding for infrastructure improvements, as clinical needs often take precedence.

Backlog Issues: Many Trusts have significant backlog issues, with only about 41% of sites surveyed formally. Understanding the backlog is vital for effective management.

Risk Management Strategies

Annual Verification: Systems must undergo annual performance testing to ensure they meet the required air-change rates.

Risk Assessment: The Ventilation Safety Group (VSG) should conduct risk assessments to identify potential failures and necessary mitigations.

Mitigations: Increased inspection frequency, testing, and logging assets on the Trust risk register are recommended to manage risks effectively.

Team Competence and Training

Well-Trained Teams: Competent individuals are essential for maintaining legacy systems. Regular training and Continuing Professional Development (CPD) are necessary for staff involved in maintenance and inspections.

Collaboration and Governance

Interdepartmental Collaboration: Strong relationships between Estates, clinical leaders, and finance departments are crucial for holistic risk management.

Governance Mechanisms: Establishing a robust Ventilation Safety Group and maintaining an accurate risk register helps ensure effective communication and informed decision-making.

Conclusion

Managing legacy AHUs in healthcare is complex, requiring a proactive approach to maintenance and risk management. By implementing strategic recommendations, Estates teams can enhance the reliability of ventilation systems, ensuring patient and staff safety despite funding challenges.

To read the full article, login or register for a free account at Health Estate Journal.