Hospital Engineering Theatre

The Hospital Engineering theatre will feature presentations by leading NHS Trusts on recently completed innovative engineering projects. The theatre is supported by IHEEM and NAHFO and will feature examples of engineering excellence, case-studies and best practice.

9 October

10.15 - 10.45 The NHS-75 years of Electricity Developments, Energy Saving and Harmonic Distortion

In the past 75-years the electrical requirements in the NHS and the characteristics of electricity within Hospital has changed dramatically with the ever changing and increasing technology based diagnostic and energy saving equipment. For example;

  1. a) MRI and other diagnostic equipment
  2. b) UPS systems
  3. c) Variable Speed Drives for energy saving

 

These systems both individually and combined introduce harmonic distortion into the electrical network. The largest source of harmonic distortion can be found to be related to the proliferation of variable speed drives in the quest for energy savings.

In addition, the age old method of improving power factor with traditional power factor correction equipment designed to improve PF from circa 0.7PF to somewhere in the region of 0.95pf is no longer relevant.

Rather than improving the system characteristics, the presence of Power factor correction in conjunction with Variable speed drives can cause resonance within the system and failures are occurring due to the resultant resonating conditions.  In some cases this has resulted in overheating and fire conditions.

The simple sinusoidal voltage and current waveforms are gone and in their place are complex waveform structures, varying and dependant on the age and type of electrical distribution systems in your Healthcare facility.

The objective of this paper is to remind us of the developments over the past 75-years of evolving electrical distribution systems and the changing characteristics of electricity in the healthcare environment and highlight the risks and mitigation factors that can be applied.

Speaker:

Eugene Conroy

10.45 - 11.15 Need to Find Demand Reduction in Your Steam Utilities?

Set against the backdrop of the drive to reduce carbon and cut costs across the NHS, and through the use of various case studies from the healthcare industry, this presentation will explore how some hospitals are achieving demand reduction through the implementation of modern steam technology in their power, heating and sterilisation systems.

  • How steam can help NHS Trusts meet Government targets for carbon reduction and cost cutting.
  • How to identify points in a steam system where efficiencies and improvements can be made.

How steam can be used as a flexible and efficient source to generate hot water and power requirements – typically, energy costs can be reduced by 20%.

Speaker:

Michael Hyde, Spirax Sarco

11.45 - 12.15 18th Edition Update (Electrical Guidance Update)

Speaker:

Paul Harris

14.00 - 14.30 Introduction to IHEEM Membership – How IHEEM Can Help You

IHEEM (the Institute of Healthcare Engineering and Estate Management) is an international professional engineering institute and is the UK’s largest specialist Institute for the Healthcare Estates Sector.

As a membership organisation, IHEEM offers a variety of membership packages for individuals and affiliates such as NHS Trusts, Universities and Companies working within the sector.

In this session, the Institute’s Membership & Development Manager, Chris Parker, will be introducing you to IHEEM and how IHEEM membership can benefit you and your organisation.

Areas discussed/key learning points

  • Benefits of membership
  • How they relate to you
  • Grades of membership
  • Introduction to CPD
  • How to apply

Speaker:

Chris Parker

14.30 - 15.00 Designing Uninterruptible Power Supply Sysetm to HTM06-010 (2017) Standard

UPS Systems provide the tertiary back up to critical systems in Healthcare Environments such as ITU, CCU, HDU, SCBU and the main data centres etc. In addition, the protection system on high voltage and main low voltage infrastructures depend on the integrity and resilience of the dc control and tripping battery systems

Failures are reported on a regular basis most of which is attributed to poor design and /or lack of proper maintenance.

Key learning points

  1. Principals of UPS System
  2. Common design issues on existing systems
  3. Dangers from batteries
  4. Design Options for enhanced resilience
  5. Design recommendations

Speaker:

Eugene Conroy

15.00 - 15.30 New electrical monitoring concepts enable compliance with the regulations

Electrical faults in healthcare estates cause considerable problems for health trusts and private medical groups. Problems caused by electrical failure include loss of power to equipment and critical care areas, fire, and electrocution.  While the consequences may vary, it can often result in disruption to clinical activity, penalties, loss of revenue not to mention the significant engineering time and resource that is deployed.

Recent published data estimates the fixed overhead of running an operating theatre is £14.00 per minute (1) and an additional loss of income of £15.00 per minute when unavailable (2).  With this data, it is not hard to imagine the extent of overall losses in a given year across all hospital departments.

Downtime related to electrical issues is partly the result of faults and partly of the statutory requirement to disconnect for periodic inspection and testing such traditional insulation resistance test. Estates personnel are continuously challenged to balance the needs of high availability from clinical teams with their own obligations to provide a safe and compliant electrical system.

Clinical departments are run like a process and are all interconnected therefore disruption in one area can have a knock-on effect throughout the entire hospital. This presentation looks at new methods being used to minimise electrical downtime with unique condition monitoring concepts that comply with the regulations in a different way.

We adopt a three-tiered approach to improve availability and cost efficiency:

  1. Monitoring of electrical system behaviour which can indicate risks of fault development
  2. Early detection of developing faults to allow planned intervention before unexpected interruption. This minimises damage to infrastructure and high value equipment.
  3. Continuous monitoring to remove the need to disconnect for periodic inspection and testing

We will share some examples of how these concepts are being employed in a hospital setting and the resulting positive outcomes.

Source

1.Annals of  Medicine Surgery (London) 2016 May:7:24-29

  1. Auditor General for Wales : Operating Theatres: A Summary of Local Audit Findings 10 March 2016

 

Areas covered/key learning points:

  • Understand how eearly detection of developing faults can prevent unexpected shut down/ personal and fire hazard
  • Learn how new monitoring concepts can assist Estates teams to comply with regulations
  • How it is possible to increase the life of aging electrical infrastructure
  • How to continuously monitor and detect faults in connected electrical equipment

5. How to effectively monitor your energy to reduce carbon foot print

Speaker:

Mumtaz Farooqi, Technical Manager, Bender UK

15.30 - 16.00 The IHEEM Authorising Engineer (AE) Registers

An Authorising Engineer (AE) is an independent engineer appointed by a company’s Management team to take responsibility for the effective management of the safety guidance recommended by the Department of Health Memorandums as documented within their Health Technical Memorandum (HTMs).

IHEEM maintains ‘Registers of Authorising Engineers’ for the healthcare estates sector covering the following disciplines:
Decontamination (D), Medical Gas (MGPS), Water (W) and Electrical (E).

The Institute’s Membership & Development Manager, Chris Parker – and representatives from the IHEEM Authorising Engineer Registration Boards will be jointly presenting this session.

 

Areas discussed/key learning points

  • Disciplines covered
  • Introduction to HTM 00
  • Why use an Authorising Engineer?
  • How to become an Authorising Engineer

The role of an Authorising Engineer

Speaker:

Chris Parker & AE Chairs

10 October

10.15 - 10.45 Maximising your IHEEM Membership

By joining IHEEM, you have benefitted from a wide range of services specifically designed to keep you informed, enhance your skills and knowledge and involve you in helping to develop the future of the Healthcare Estate sector.

Whether you have recently just joined IHEEM, been a member for 10 years or more, or are interested in joining IHEEM, it is useful to have a look at the membership benefits to ensure that you are using them fully – some you may have even forgotten about.

This session will be jointly presented by the Institute’s Membership Development Manager, Chris Parker, and the Events & Marketing Manager, Craig Willcock.

Areas discussed/key learning points

  • CPD
  • Become Professionally Registered
  • Get involved with IHEEM
  • IHEEM Extras
  • Upgrade your membership
  • Member Get Member Scheme
  • Working with IHEEM to raise your profile – for Company Affiliates

Speaker:

Chris Parker – IHEEM

11.15 - 11.45 ‘Connected Healthcare - Building the Future’

With more than 50 years of experience in hospital environments worldwide, Honeywell understands the complex, competitive, and highly regulated world of healthcare. We design solutions to connect hospitals, clinicians, and patients, ensuring greater integration now so you can ensure patients are healthier, today and tomorrow.

  • Multi-Site Management

Honeywell’s integrated solutions readily scale to provide efficient, centralized control for a single facility, multiple buildings on a campus, or healthcare centers spread across multiple sites.

  • Building Control

Honeywell building management systems integrate and automate security, life safety, comfort, and energy control, as well as numerous healthcare systems to help hospitals manage facilities from one consistent, intuitive interface.

  • Safety Alarms

A full range of life-safety systems detect smoke, fire, water-flow, and more to help hospitals protect people, mitigate damage, and expedite optimal responses.

  • Digital Security

Intelligent security and analytical systems are integrated to secure departments and assets from intensive care units to infant wards, medical supplies, and more.

Speaker:

Bob Blincowe – Honeywell

11.45 - 12.15 The CIBSE Society of Public Health Engineers Plumbing Centre of Excellence

The CIBSE SoPHE Plumbing Centre of Excellence is an initiative developed by the SoPHE Contractors Group and supported by the SoPHE Steering Group, their Industrial Members, Havering College and CIPHE. The Havering college SoPHE PCE is due to be launched on 18th September 2018.

The Centre will provide an enhancement to the Plumbing NVQ level 1, 2 and 3 syllabus, offering opportunities for plumbing trainees and apprentices to further develop their technical skills, knowledge and career aspirations. The Centre will allow trainees and apprentices to be more aware of career progression within the industry and also have the potential to better meet the needs of the commercial plumbing industry with the ultimate aim of providing improved employment opportunities.

The Plumbing Centre of Excellence will offer additional student learning opportunities in the following plumbing related areas:

  • New and emerging technologies – For example relating to water treatment, water and energy conservation etc.
  • Systems awareness and design insights – Such as siphonic rainwater drainage, rainwater harvesting/greywater reclaim, solar thermal, Heat Interface Units, Softened Water systems etc.
  • Alternative plumbing materials such as HDPE, Stainless Steel, cast iron etc. as installed in commercial projects.

This will be achieves by providing:

  • Accredited CPD lectures (using the SoPHE Industrial Associate resources) to enhance the current NVQ syllabus.
  • Display materials/systems boards to showcase the many varied plumbing materials that are used within the commercial plumbing environment.
  • Additional training and fault finding workshop bays – for example, practical training with alternative jointing methods such as fusion weld and crimped fittings.
  • Exposure to design drawings and 3D visualisations.
  • Project related discussions and talks by SoPHE Young Engineers Network and STEM ambassadors.

The plumbing lectures and workshop technicians at Havering College are very supportive and also keen to gain valuable enhancements to their own technical awareness therefore staff will also be attending CPD’s and workshops.

The ultimate plan is to develop a template with Havering College which can be replicated at other technical colleges throughout the UK.

Speaker:

Steve Vaughan – AECOM

12.30 - 13.00 Inspection & Testing – Infrastructure

Speaker:

Paul Harris – Harris Associates Ltd

14.00 - 14.30 Fire Safety Maintenance- a Risk and Evidence-Based Approach to Compliance

“An outcomes-based framework requires people who are part of the system to be competent, to think for themselves rather than blindly following guidance, and to understand their responsibilities to deliver and maintain safety and integrity throughout the life cycle of a building” Dame Judith Hackitt May 2018.

Fire safety compliance is costing this country many millions of pounds and yet is this money well spent?

Do you hear contractor’s saying to you “you’re not compliant?”

  • What does compliance mean?
  • What do we have to comply with?
  • What is a suitable system of maintenance?
  • What is meant by “in an efficient state, efficient working order and good repair”?
  • Are we best served by following British Standards, or do we need to have an approach to maintenance which looks at the specific needs of healthcare, or be hospital specific?
  • Do HTM’s provide an answer?
  • What does a system of maintenance that complies with the legislation look like?

Speaker:

Mazin Daoud – IHEEM Fire Safety Technical Platform

14.30 - 15.00 Professional Registration with the Engineering Council

IHEEM holds a licence from the Engineering Council to register suitably qualified and experienced engineers as Engineering Technician, Incorporated Engineer and Chartered Engineer. Such registrants are entitled to use the designatory letters EngTech, IEng or CEng as appropriate.

In this session, the Institute’s Membership Development Manager, Chris Parker and a representative from the Engineering Council will be looking the process of applying to become a registered engineer:

  • Why register
  • Levels of registration – EngTech, CEng, IEng
  • How to register

Maintaining your registration

Speaker:

Chris Parker – IHEEM

15.00 - 15.30 How Digital Transformation in the Healthcare Sector is Solving Hospital Challenges

Keeping a hospital running smoothly and supporting patients 24/7 is a multifaceted challenge in a   complex organisation. Digitalisation in a word used a lot – but connected technology and data through using an integrated digital platform to manage your building management, safety and energy systems can help improve patient and staff wellbeing, increase visibility of your building and assets and at the same time reduce energy costs and ensure security of supply. Data on energy usage, the availability and usage of rooms gives building owners the knowledge to drive better decision making and plan for the future, whilst providing greater cost certainty and reduced risk. A digital transformation to a smart healthcare facility empowers all stakeholders; patients, hospital staff, facility managers, and hospital management to help it run as efficiently as it can do and achieve its overall objective of patient care.

Areas covered/key learning points:

  • Having all your building management, safety and energy systems on one  flexible platform brings huge benefits in visibility across your building to enable information on cause and effect to aid decision making.
    • Digital transformation allows you to move from reacting to problems, to proactively managing your assets and developing a long term lifecycle strategy for predictive maintenance and asset refresh.
    • Visibility of energy consumption throughout the building enables you to tackle problem areas to lower energy costs and achieve compliance with energy regulations and carbon emission goals.
    • New solutions in energy management ensure security of supply and reduce risk for critical power – allowing healthcare staff to focus on clinical management.
    • The use of  the latest fire detection systems  prevents  false alarms  – allowing enhanced safety for all occupants as well as negating  the  adverse effect on operations.

Speaker:

Niko Kavakiotis – Siemens

Keeping a hospital running smoothly and supporting patients 24/7 is a multifaceted challenge in a   complex organisation. Digitalisation in a word used a lot – but connected technology and data through using an integrated digital platform to manage your building management, safety and energy systems can help improve patient and staff wellbeing, increase visibility of your building and assets and at the same time reduce energy costs and ensure security of supply. Data on energy usage, the availability and usage of rooms gives building owners the knowledge to drive better decision making and plan for the future, whilst providing greater cost certainty and reduced risk. A digital transformation to a smart healthcare facility empowers all stakeholders; patients, hospital staff, facility managers, and hospital management to help it run as efficiently as it can do and achieve its overall objective of patient care.

Areas covered/key learning points:

  • Having all your building management, safety and energy systems on one  flexible platform brings huge benefits in visibility across your building to enable information on cause and effect to aid decision making.
    • Digital transformation allows you to move from reacting to problems, to proactively managing your assets and developing a long term lifecycle strategy for predictive maintenance and asset refresh.
    • Visibility of energy consumption throughout the building enables you to tackle problem areas to lower energy costs and achieve compliance with energy regulations and carbon emission goals.
    • New solutions in energy management ensure security of supply and reduce risk for critical power – allowing healthcare staff to focus on clinical management.
    • The use of  the latest fire detection systems  prevents  false alarms  – allowing enhanced safety for all occupants as well as negating  the  adverse effect on operations.

Speaker:

Niko Kavakiotis – Siemens

15.30 - 16.00 RisyCor Continuous Corrosion Monitors - Smart System Technology in Predicting Failure