Review of Sterile Service, Stoke Mandeville and High Wycombe Hospitals

Overview

  • Sterile equipmentTo review the levels of compliance and effectiveness at the sterile services departments at Stoke Mandeville and High Wycombe Hospitals.

  • To develop costed proposals for consolidation the Trusts sterile services on the Stoke Mandeville Hospital site based on compliance to the standards laid down by NHS estates.


CPA’s Approach

  • To meet, discuss and agree a program of site, department and equipment inspections with all relevant Trust staff.

  • The sterile service facilities, on Stoke Mandeville and High Wycombe sites, were inspected and the location, condition and compliance and performance were noted.

  • The projected future sterile service work load was determined.

  • The Stoke Mandeville sterile service facilities were again assessed re compliance and capacity and a new overall layout determined.

  • The proposals were discussed and agreed as workable and appropriate with the Trust staff.

  • A fully costed set of proposals was set down in a formed report.


Findings

 

  • The Stoke Mandeville Hospital sterile service department did not comply with national guidance. Basic equipment required replacement, the building fabric and ventilation plant required modifications.

  • The High Wycombe Hospital sterile services department did not comply, albeit some new equipment and building layout had been actioned.

  • The High Wycombe Hospital sterile service department was too small and located in a difficult and restricted area of the site.

  • The Stoke Mandeville Hospital sterile service department was capable of re-fitting and modifying to comply with the NHS guidance and could achieve the total service capacity required. The building had good access and stood alone. Its retention did not conflict with the site development strategy.

Outcomes

  • The proposals developed to consolidate the Trusts sterile services on the Stoke Mandeville Hospital site were accepted and agreed by all senior, across disciplines, Trust staff.

  • It was recognised that the previous position, under which the Trust had been advised it fully complied was ill founded.

  • The developed proposals now form the Trusts “Public Sector Comparator” regarding the national considerations to establish “new private sector” decontamination units.

  • The proposals have been re-checked and confirmed as realistic and deliverable.

  • A decision, in principle, based on cost, reliability and service security is awaited.

“Sound and sensible proposals for providing a fully compliant sterile service provision.” John Newton, Facilities Manager – Corporate Control

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