Paul, my coadjutor, if by environment you symbolize “location” then yes that has always and will continue to be a drawback,

however, every clinical department in Louis's trust sits an entrusted person

who is responsible for ensuring that items are available as and when they are due.(thanks KM)

, Louis appreciates that a lot of trusts probably don't employ this type of system but it really does work. There are also added benefits of EBME-USER relations which Louis feels are strengthened by this arrangement. Our computer system is managed by our maintenance control room, this includes all PPM's and general maintenance, they distribute the work to their relevant departments i.e. electrical, mechanical, EBME etc.
(Note EBME is totally independent of all other services) (Note EBME is totally independent of all other services) It is an excellent system but the initial cost is mega wonga,

but it allows us to reschedule work if necessary. As there are in comparison only a small number of “in-accessible” pieces of equipment it hardly effects the annual distribution of work.
Hope this is informative my friend
Louis III