National Decontamination

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National Decontamination Supercentre Programme
Briefing
Christopher G OBoyle Commercial
Director Thursday 6th July 2006
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Contents

• Background
• NHS Objectives
• Supercentre Model
• Supercentre Programme
• Summary

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Background

• Equipment Utilities
• Equipment IT Systems
• Chemicals Maintenance of Machinery

Inputs

• Dirty Instruments
• plus
• Soft packs
• Clean linen
• (hospital greens)

Decontamination Process 250 CSSDs 150 million
rev 7000 staff
Outputs to theatres
Theatres / Surgery
Inputs
Inputs
New Instruments Loan Instruments
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Background
Risk management guidance issued (Risk Management
in the NHS)
July 96
ACDP/SEAC guidance on TSE (TSE Agents - Safe
Working and the Prevention of Infection)
April 98
MDD effective compliance date
June 98
Controls Assurance Standards set (HSC 123(99))
May 99
Health and Safety targets set (HSC 1999/999)
August 99
Decontamination guidance issued (CD-ROM
containing all current relevant decontamination
guidance and standards)
August 99
Decontamination snapshot review commissioned
SEAC confirm that rigorous decontamination is
the key to minimising the risk of transmission of
vCJD
Sept 99
Review fieldwork carried out
Oct 99-Apr 00
Controls Assurance Standards issued (CD-ROM)
Nov 99-Feb 00
Guidance issued on Hospital Acquired Infection (HS
C 2000/02)
Feb 00
Review findings analysed
May - July 00
NHS Plan Published
July 00
Over 100 new hospitals by 2010 30m for
hospital cleaning 140m for education training
New arrangements for Performance
Management 7bn new PFI capital by 2010 Backlog
maintenance targets set
Decontamination Review
Oct 00
Jan 01
All facilities to a minimum acceptable standard
Dec 01
Immediate Investment of 200m Announced
1Q 03
National OJEC Pathfinder Procurement
National Strategy
2Q 03
Approval (long term solution)
2Q 06
Code Of Practice Issued
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National Strategy Recommendations

• Fully Compliant sustainable service
• Establish National Team, Knowledge Centre
  new market place
• Elimination of local reprocessing effective
  tracking
• A National Training Programme
• Scaleable for the Whole Health Economy
• Wide stakeholder consultation
• 55 detailed recommendations

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NHS Objectives

• Compliant Service MDD HBN13
• NHS Plan Capacities
• VFM - Must be affordable
• Staff protected with development potential
• Contingency/Disaster Recovery/Resilience
• Minimising risk, improving patient safety

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Risk Reduction
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Typical Local Health System Super Centre Model
Typical SHA Boundary
But can go across SHA
Boundaries

• Delivers
• Significant
• Economies of
• Scale

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The Supercentre Programme Some Key Components
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The Supercentre Programme - Real Estate Solution

• High specification state of the art
  decontamination facilities
• location logistics by the private sector
  HBN13 sized
• Highly automated utilising commercial
  expertise and industry
• best practice from Europe and the US
• Sized for current volumes, forecast growth
  contingency
• Capacity for additional activity - 4yr OJEU
  exemption for
• trusts

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The Supercentre Programme- Infection Control

• Services compliant to MDD 93/42/EEC
• Services designed to meet locally prepared
  output
• specification
• Quality systems related to MHRA/Notified Body
  requirements,
• trust monitoring of process provided for
• Failures and penalties relating to patient
  safety and payment
• by results
• Benchmarking of performance

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The Supercentre Programme- New Service Environment

• Improved service capacity and turnaround
  times
• Step change in quality MDD HBN13 complaint
• Real time tracking and tracing of instruments
• Instrument and all life cycle investment
  secured
• HR framework agreed
• Appropriate Risk transfer to private sector
  and resilience

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Supercentre Programme Market View within 4yrs
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Roll out Programme
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Roll out Programme
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Summary

• New HCC compliance regime from 1 April 2007
  around
• New Code of Practice
• DH support package to facilitate local
  delivery but capital
• only, no revenue available so
• ...we have to procure below the PSC current
  service costs
• Pathfinder has achieved Financial close
  Revenue Neutral
• This will improve patient safety minimise
  HAI