Nightingale hospitals, could they have a second use?

Not at the speed required it isn't. NHS procurement processes are not operating as standard at the moment because doing so would be too slow to meet demand.
I didn’t suggest that they were operating as standard. There are and always have been procurement tools that allow rapid procurement, the most obvious being a framework agreement.

Admittedly it’s approaching ten years since I was last involved in contracting to the NHS, but both NHS Providers and NHS Estates were diabolical then. I have a number of friends working supply side on NHS emergency contracts who aren’t being very complimentary.

Yes, the PPE numbers are vast; 48 million items issued over the Easter period?
 

Caecilius

LE
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Yes, the PPE numbers are vast; 48 million items issued over the Easter period?
I think that will be the figure for either a single region or a selected set of items unless that's just for the Easter weekend. And the government has to procure that kind of volume while competing with US purchasers who are in China with pallets of cash.
 
I think that will be the figure for either a single region or a selected set of items unless that's just for the Easter weekend. And the government has to procure that kind of volume while competing with US purchasers who are in China with pallets of cash.
The figure quoted by Hancock as the amount of PPE pushed forward by NHS Provide over the holiday weekend. Whatever, it’s a meaningless big number intended to impress. without any explanation of how it built. As an example, gloves are usually measured by weight, not numbers. A box contains a nominal 100 pairs, but they are often counted as an individual glove is a single item.

It isn’t the government doing the procuring; it’s NHS provide. Probably the largest buyer in healthcare globally, with far more buying power than the organisations it is competing with. No other country runs health procurement centrally; in most purchasing is done by the devolved, independent organisations that provide healthcare.

in many ways it’s a good thing; far better to work with existing l licensed suppliers manufacturing to a GMP with all the approvals in place than enter China with a fistful of dollars and buy fake products from unknown suppliers over which you have control.
 

Caecilius

LE
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Whatever, it’s a meaningless big number intended to impress.
I think it's probably intended to inform. We're certainly measuring consumption rates in individual articles rather than boxes, however they're delivered.

in many ways it’s a good thing; far better to work with existing l licensed suppliers manufacturing to a GMP with all the approvals in place than enter China with a fistful of dollars and buy fake products from unknown suppliers over which you have control
Unfortunately we're (in part) doing the latter, but without the cash in hand. Existing licenced suppliers can't meet the volume required so we're looking elsewhere. Fortunately we're buying in quantities that are attractive (at least one single-supplier order has been over 100M articles) so manufacturers will look at us rather than the alternatives.

This is why some of the purchases have come below the standard required. Companies said they would meet the standard but then the product delivered wasn't to spec.
 
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Slime

LE
The local ITV TV news have just done an article on the Nightingale hospital in Bristol.

A spokeswoman for the NHS suggested the Nightingale hospital may still be in use until next winter.
 

Fang_Farrier

LE
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The local ITV TV news have just done an article on the Nightingale hospital in Bristol.

A spokeswoman for the NHS suggested the Nightingale hospital may still be in use until next winter.
Not sure if in use is correct, perhaps in readiness would be a better term.

The issue is that by social distancing we have just prevented many cases, however that potential for mass casualties is still there any moment we relax the lock down.
 

Slime

LE
Not sure if in use is correct, perhaps in readiness would be a better term.

The issue is that by social distancing we have just prevented many cases, however that potential for mass casualties is still there any moment we relax the lock down.
No, ‘use’ was the term used, as in being used and not in readiness for covid patients.
Its worth noting the Nightingale hospital I was talking of is in a very different position and set up to most others.
 

Fang_Farrier

LE
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No, ‘use’ was the term used, as in being used and not in readiness for covid patients.
Its worth noting the Nightingale hospital I was talking of is in a very different position and set up to most others.
The difficulty is that different areas have been hit at different rates.
Up here for instance we have averaged around 50 in patients with covid and about 5 of them in intensive care. Sometimes none in intensive care at all.
However we lift lock down and it would spread rapidly through the population as with relatively low exposure we are ripe for infection.
 

Slime

LE
The difficulty is that different areas have been hit at different rates.
Up here for instance we have averaged around 50 in patients with covid and about 5 of them in intensive care. Sometimes none in intensive care at all.
However we lift lock down and it would spread rapidly through the population as with relatively low exposure we are ripe for infection.
I think you may have jumped to an assumption. :)
The Nightingale in Bristol is just as empty as the one in Scotland, although it does have fewer staff present than the Scottish one (which currently have staff stood around with little to do), I haven’t said the Bristol Nightingale would be in use until next winter for covid patients, but simply said the NHS spokeswomen said it would be in use.

As per the whole theory of the thread, this one could be used for lots of things, it has its own accommodation for approx 500 staff, and is VERY close to a general hospital as well as a host of specialist hospitals.

At the end of the day a building is just a building, and there has been a whole lot of swapping around of patients within Bristol.
As an example cancer patients are currently being treated in the dental hospital as one of the measures to swap people around to allow for more capacity elsewhere.
 

Fang_Farrier

LE
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Book Reviewer
I think you may have jumped to an assumption. :)
The Nightingale in Bristol is just as empty as the one in Scotland, although it does have fewer staff present than the Scottish one (which currently have staff stood around with little to do), I haven’t said the Bristol Nightingale would be in use until next winter for covid patients, but simply said the NHS spokeswomen said it would be in use.

As per the whole theory of the thread, this one could be used for lots of things, it has its own accommodation for approx 500 staff, and is VERY close to a general hospital as well as a host of specialist hospitals.

At the end of the day a building is just a building, and there has been a whole lot of swapping around of patients within Bristol.
As an example cancer patients are currently being treated in the dental hospital as one of the measures to swap people around to allow for more capacity elsewhere.
One of our dental centres is now a maternity unit!

A possible use for be to use them to treat the serious covid cases, after all that is what they were set up for.

Critical cases to be seen in intensive care as now.

But that would leave ordinary hospitals covid free to continue with all the regular treatment currently being neglected
 

Slime

LE
One of our dental centres is now a maternity unit!

A possible use for be to use them to treat the serious covid cases, after all that is what they were set up for.

Critical cases to be seen in intensive care as now.

But that would leave ordinary hospitals covid free to continue with all the regular treatment currently being neglected
Using it for maternity is a simple swap isn’t it?

Both sets of patients are told to ‘open wide’ ;)
 

Fang_Farrier

LE
Kit Reviewer
Book Reviewer
Using it for maternity is a simple swap isn’t it?

Both sets of patients are told to ‘open wide’ ;)
Slightly different chair position!
 

Slime

LE

Fang_Farrier

LE
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Apologies, it’s a very well worn joke in my house :)
My other half works in a dental hospital.
As is mine, not unusual for female patients to remark that they'd rather have a barn.

To which the response is as above
 

Joker62

ADC
Book Reviewer
As is mine, not unusual for female patients to remark that they'd rather have a barn.

To which the response is as above
They'd have to open extremely wide to have a barn!
 
My question; where did the kit come from?



Retained in storage for a future war, the same as the old green goddesses fire engines, and the non disscript warehouses that are dotted around the country, containing basic foodstuffs, underground garages containing trucks and lorrys, POL, stretchers, medical supplies, and all the basic kit needed to sustain the population if and when a full scale war starts....maybe?
 
The Nightingale Hospital nearest to me - EXCEL Centre on the Greenwich Peninsula, capacity 4000 patients.....er, treated just 54 ....closed the other week .

.

I'm expecting that those who do contact ze virus next time 'round, ...you know , when everyone goes back to work , will be treated in NHS Hospitals that managed to cope ok this time around., which was most judging by those who who didn't need to use NHS Nightingale
 

Ravers

LE
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After all this shit is over we should turn that massive Nightingale hospital in London into some sort of events venue.

That’d be cool.
 
After all this shit is over we should turn that massive Nightingale hospital in London into some sort of events venue.

That’d be cool.
Would make a great zombie experience place, could even save a few bob and rather than pay people to pretend to be zombies just lure some chavs and neds in with crispy cremes, bucky and white lightning, then just dangle cans of booze far enough out of reach, but close enough for them to see them and moan like a zombie out of frustration
 
Retained in storage for a future war, the same as the old green goddesses fire engines, and the non disscript warehouses that are dotted around the country, containing basic foodstuffs, underground garages containing trucks and lorrys, POL, stretchers, medical supplies, and all the basic kit needed to sustain the population if and when a full scale war starts....maybe?
Most of that was disposed of twenty years ago when the perceived need for civil defence went. The Nightingale’s have been furnished with modern equipment.

It’s a while since I posted the comment that you have quoted but I think my logic was that the NHS managed to find the 5000+ beds out of stuff it isn’t scaled to hold. Stuff that should have been disposed of.

In other words, the ability to quickly build emergency hospitals was good luck based on the results of poor management rather than proper planning.
 

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