Private Sector "Cleaning" in Hospitals - UK - Political Fever

Comrade Joe · #1 (**permalink**) 04-24-2008, 12:36 PM

This is a continuation of what i have long been saying about private claning stafff in the NHS. Hospitals are getting dirtier and dirtier with the more privatisation that takes place - you only need to visit one to see this. Things like the MRSA outbreak are a product of this system of private sector neglegence. It was never a problem when hospitals were strictly under public control.

Quote:

Operating theatres are being thrown into chaos and operations cancelled because of broken, missing or dirty surgical instruments, surgeons say.

The Royal College of Surgeons of England said it had contacted 250 doctors with most reporting problems.

The college said the problems have become worse since cleaning started to be handed over to private firms.

But the government said it was working with trusts and private providers to resolve any issues.

A process of upgrading decontamination services was set up by the NHS eight years ago after an audit showed the need to modernise.

The Department of Health in England has provided funding to encourage hospitals to enter into deals with commercial sterilisation services.

The Royal College of Surgeons said the process of moving decontamination off site has thrown up major concerns and it wants a national audit of how these services are working.

Richard Ramsden, from the college, said: "I think we feel an intense sense of frustration and anger ourselves at the moment when we have to cancel an operation or make do with instruments that are just not quite as good as they should be.

"But much more important is the frustration that patients feel. It's a disservice to the patients."

The college has provided the BBC with photographs which it said showed instruments that have been returned without proper sterilisation and examples of contamination.

Even an apparently small speck will lead to an instrument being rejected by a surgeon because of the risk to patients.

It said operations were being cancelled and the NHS was also having to replace expensive instruments damaged in careless decontamination.

Helene Rigate, who has had her hip operation at Leeds' Chapel Allerton Hospital postponed twice because her surgeon did not have the right surgical instruments, said: "To be honest I didn't know whether to laugh or cry.

"I just could not believe that I'd been put through this a second time and then pipped at the post again. It was awful. I was really upset.

"This is supposed to be the 21st century. We're supposed to have sorted these things out. I was angry and upset and a bit stunned as well."

Surgeon Andrew Thomas on how incomplete kits hamper operations
In a statement Leeds Teaching Hospitals NHS Trust apologised to Ms Rigate and said it was urgently working to resolve problems with the decontamination services which had been moved off site to a unit run by a private contractor.

"In both cases affecting this patient, staff were not happy that all the instruments were of a useable standard.

B Braun Sterilog, which provides cleaning services for the hospital, said: "We work closely with our partner NHS trusts to deliver our shared goal of bringing the sterilisation of surgical instruments up to the highest standards."

Orthopaedic surgeons are particularly angry at the failings in the new decontamination services.

Andrew Thomas, from the British Orthopaedic Association, said there was a wealth of anecdotal evidence of the problems, which include gynaecological instruments being packed by mistake into trays for orthopaedic operations.

"The view from the average orthopaedic surgeon is that moving the decontamination offsite is a recipe for chaos."

A handful of partnerships with private decontamination services are already operational in England but many more are currently being negotiated.

The orthopaedic surgeons want a moratorium on any more contracts being signed until it can be shown that off site services meet clinical standards.

Mike Jackson, a senior national officer at Unison, added: "We have warned time and time again that taking sterilisation services out of hospitals and replacing them with supercentres - which are often miles away - is a recipe for disaster."

A Department of Health spokesman said: "We have invested over £200m in improving decontamination services in the NHS in England since 2001 and we will continue to support trusts to provide the highest standards of decontamination of instruments as part of their drive against healthcare associated infection.

"We are helping trusts to draw up a local action plans where necessary and we are working closely with both them and the private sector provider to resolve any issues."

BBC NEWS | Health | NHS 'chaos' over surgical tools

leviathon435 · #2 (**permalink**) 04-24-2008, 01:01 PM

The problem is also with agency "temporary" staff, that are not so temporary. They cost a lot more than permanent workers, don't get any of the benefits earned so hard over so long a time and all the extra money goes to the agency itself to make a killing. And also they are less likely to be good workers because of the nature of their hiring.

Comrade Joe · #3 (**permalink**) 04-24-2008, 03:42 PM

Quote:

Originally Posted by leviathon435

The problem is also with agency "temporary" staff, that are not so temporary. They cost a lot more than permanent workers, don't get any of the benefits earned so hard over so long a time and all the extra money goes to the agency itself to make a killing. And also they are less likely to be good workers because of the nature of their hiring.

Very true and the nature of agencies means the lines of accountability are not so clear.

Oregon Elephant · #4 (**permalink**) 04-24-2008, 04:38 PM

Quote:

Originally Posted by leviathon435

The problem is also with agency "temporary" staff, that are not so temporary. They cost a lot more than permanent workers, don't get any of the benefits earned so hard over so long a time and all the extra money goes to the agency itself to make a killing. And also they are less likely to be good workers because of the nature of their hiring.

Ahhhh... I know what that is like

bloody temp agencies!

leviathon435 · #5 (**permalink**) 04-24-2008, 05:05 PM

Quote:

Originally Posted by Oregon Elephant

Ahhhh... I know what that is like

bloody temp agencies!

Yeh, the big problem in Britian is that the main employer of temps is the public sector, which just screws everyone over; the taxpayer, the agency staff, the public service user, everyone but the agency itself.

mlurp · #6 (**permalink**) 04-24-2008, 05:19 PM

Back in 2004 and 2006 when she passed away my wife was in the hospital in Vincennes, IN. My step daughter had given birth
to 3 children in the same hospital in 2001 thru 2005 if I have the dates right. In 2004 they had workers to clean each room twice a day. By 2005 that had gone, along with several other services. But lucky us we had never caught any illnesses from the stays. But the time allowed for birth and leaving the hospital went from a week to 3 days in this time period.
But I have read where in TX. a doctor left the operating room to take a call on the public line and re-entered the operating room with out re-washing his hands and th person under going the operation got an infection. Well a nurse let it slip. So the insurance stepped in to cove the doctor. Business as usual. I have read of several other situation of the same nature.
Even back in 1983 before leaving the east coast I got a good friend to drive Tractor trailers with my trucking company. He had problems with his side and driving trucks ( that were duck taped together) had made it worst. He went into the hospital for surgery and got a real bad infection which put him on disability. A lot of doctors get their schooling from the islands, remember Grenada? Just mabe American need to lower the cost to train our doctors and make sure they are trained right by testing them during the 6 year process.

Good post Joe... Thanks for following up on this topic.... I tried to give a good rep but was informed I needed to pas some around as usual. I don't give bad reps... Like some. lol

And I don't bit*h when the spelling is horrid, but do get bit*hed at for just one letter pushed forward by hitting the space bar a bit to soon. looool
Not from you but Anniie Oakley and a few others. I just wanted to say that...

Again thanks for the post on this topic. It needs to be addressed by our leaders and our colleges, and the sooner the better. I haven't heard anyone speak of it while talking about giving us better health care...

Oregon Elephant · #7 (**permalink**) 04-24-2008, 05:20 PM

I'll agree with that.

Let me tell you my story...

I currently work at Intel as an Accountant. Intel pays $38.00 an hour for me, it also has these benefits: over a dozen paid holidays, with two floating each year, free coffee or soda for employees (called blue badges), direct match 401k (to 5%) for retirement, and will match any and all money that you donate to charity, flex hours, and others. Working through two temp agencies (Intel went through A that went to B that found me) I see only $18.00 an hour (over 1/2 of what I earn is going to the temp agencies), with no paid days off (none what so ever, I get holidays off, but not paid, so I'd rather come in sick, rather than miss a day of work), I'm a 'green badge' (meaning temp) I have no flex hours, no retirement, no free soda (though I get one when they just assume that I'm a blue badge and don't ask) and they won't even let me volunteer with them.

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