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HOSPITALS

EXPLAINED: How are Swiss hospitals resuming outpatient consultations and surgeries?

Starting on April 27th, hospitals in Switzerland can again schedule pre-planned, non-urgent surgeries that had been delayed during the Covid-19 outbreak.

EXPLAINED: How are Swiss hospitals resuming outpatient consultations and surgeries?
HUG is one of Swiss hospitals to resume outpatient consultations. Photo by Fabrice Coffrini / AFP

Why have non-urgent interventions been suspended?

Hospitals have not performed any pre-scheduled, non-urgent surgeries since the Federal Council has declared the state of emergency on March 16th.

The aim of the suspension of these services was to ensure that all beds and medical staff were available to treat Covid-19 cases.

Why are outpatient treatments allowed now?

With the Covid-19 numbers steadily declining in Switzerland, all the major medical centres now have fewer coronavirus patients to care for. This means they can resume surgeries and interventions which had to be put on hold during the pandemic. 

For instance, Switzerland’s two largest hospitals, Lausanne’s CHUV and Geneva’s HUG, have the backlog of 500 and 1,500, respectively, of previously scheduled surgeries. 

“We will increase the capacity of our operating theatre, resuming approximately 75 percent of our normal activity, prioritising patients according to the urgency and the repercussion of their disease on their health “, CHUV’s director Philippe Eckert said in an interview with the RTS television

What security measures are hospitals implementing to prevent outpatients from contracting COVID-19?

All the medical facilities are following the same safety rules for outpatient consultations and surgeries, such as those displayed on the websites of HUG, CHUV, and university hospitals in Zurich  and Basel.

For instance:

  • Only patients who have a confirmed appointment will be allowed to enter the hospital.
  • People with appointments must await their turn at the entrance of the building. Control is in place to ensure that the number of people present in the hospital at the same time is limited.
  • Consultations are spaced out over time and waiting rooms are redesigned to facilitate maintaining distances.

Also, 'regular' patients will never be in the vicinity of those treated for Covid-19, hospitals pointed out.

 READ MORE: UPDATE: What you need to know about the coronavirus crisis in Switzerland 

Will hospitals still keep beds available for coronavirus patients?

Yes, for instance HUG in Geneva will reserve 130 beds for COVID-19 cases.

“We must be ready to a second wave. The big uncertainty is related to how the population will respect the rules of hygiene after the lockdown”, HUG spokesperson Nicolas de Saussure said in an interview. 

The CHUV too will be ready “in the event of new wave,” the hospital said.
 

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HOSPITALS

‘The situation is serious’: Stockholm health chief calls for private sector help

Stockholm's health authorities have made a new call for help, asking for private healthcare companies to free up staff to help solve a severe shortage in intensive care places.

'The situation is serious': Stockholm health chief calls for private sector help
Doctors and nurses have already been transferred from Astrid Lindgren's Children's hospital. Photo: Holger Ellgaard/Wikipedia Commons
Stockholm's health authorities have made a new call for help, asking for private healthcare companies to free up staff to help solve a severe shortage in intensive care places. 
 
“The situation is serious and we need help,” Björn Eriksson, the  region's health chief, told Sweden's TT newswire. “Around a third of healthcare in Stockholm is carried out in the private sector. It makes sense for them also to take responsibility.” 
 
READ ALSO: 
 
Eriksson made headlines internationally on Wednesday when he warned that the region's intensive care units were at 99 percent capacity. 
 
On Friday he called the region's biggest private healthcare providers to a meeting, hoping to convince them to release staff to help out in the city's intensive care wards. 
 
“Give them time off and let them come and work for us,” he said. 
 
Even though there are currently only 80-90 coronavirus patients being treated in intensive care in Stockholm compared to a peak of 230 in the spring, there are many more patients with other conditions needing emergency treatment. 
 
“What we have now that we didn't have in the spring is that there are many people seeking other types of acute care. That went down completely for several weeks in the spring,” he said. 
 
Eriksson said that private healthcare providers had responded positively to his call, but he said it was still unclear how much the region might have to pay for the additional staff. 
 
“We are going to need as many as possible, so of course it's going to be pricey for us,” he said. “At first it's the region which pays the cost, but all extra costs connected to covid-19 will later on be reimbursed by the state.” 
 
On Friday evening Astrid Lindgren's children's hospital said it was seconding 120 medical staff to Karolinska University Hospital to support Covid care. 
 
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