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Commissioning. Building the builders
1Health Services Management Centre, Birmingham University.
The Health Service Journal
|March 10, 2006
Abstract:
Continual structural changes have hampered the development of the commissioning function. A new development programme is helping commissioners form networks and move away from outdated approaches. Evidence suggest commissioners benefit greatly from networking and sustained development opportunities.
Related Concept Videos
Laying Concrete Masonry
Constructing a concrete masonry wall involves a series of steps designed to ensure durability, stability, and alignment. The construction starts with preparing the base, which includes cleaning the area where the wall will be erected. The next step involves spreading mortar where the first row of concrete blocks will be laid, typically starting at a corner section to help define the wall's boundaries.
Mortar application focuses on the face shells of the blocks, the sides that face outward, and...
Mortar application focuses on the face shells of the blocks, the sides that face outward, and...
Reinforced Brick Masonry
Reinforced brick masonry is an advanced construction technique that enhances the structural integrity of brick walls by incorporating steel reinforcements. These reinforcements are either placed within the hollow cores of bricks or sandwiched between two layers of masonry, known as wythes, and are then secured in place with grout. Grout is a fluid mixture composed of Portland cement, aggregate, and water, providing the necessary bonding agent for the steel and brick.
To fortify brick walls...
To fortify brick walls...
Spanning Openings in Brick Walls
In brick wall construction, supporting structures are crucial for openings like windows and doors to maintain the integrity and support the weight of the wall above. These supports include lintels, corbels, and arches, each serving specific structural purposes.
Lintels are primary supports used to span openings and can be crafted from materials such as reinforced concrete, steel-reinforced brick masonry, or simple steel angles. These are straightforward to install and are typically concealed...
Lintels are primary supports used to span openings and can be crafted from materials such as reinforced concrete, steel-reinforced brick masonry, or simple steel angles. These are straightforward to install and are typically concealed...
Manufacture of Concrete Masonry Units
The process of manufacturing concrete masonry units begins by mixing stiff concrete composed of Portland cement, aggregates, and water. This mixture is then poured into metal molds. To ensure the concrete settles uniformly and to avoid separation of its components, the mixture in the molds is subjected to vibration. Shortly after, the still-wet blocks are removed from the molds and placed on racks.
These wet blocks are then transported for curing, which can occur in one of two environments: a...
These wet blocks are then transported for curing, which can occur in one of two environments: a...
Design Example: Dimensioning of Concrete Masonry Construction
For the construction of a storeroom using concrete masonry units, it's essential to align the dimensions of the structure with the actual sizes of the blocks and the intended mortar joints. On the site in question, there's a stockpile of concrete masonry blocks with a nominal size of eight by eight by sixteen inches, which are to be used in the construction of the storeroom.
The site engineer has laid out a plan for the storeroom with external dimensions of twelve feet in length and eight feet...
The site engineer has laid out a plan for the storeroom with external dimensions of twelve feet in length and eight feet...
Brick Masonry
Brick masonry uses bricks as the building blocks and involves building walls from individual bricks laid in mortar. The basic building block of brick masonry is the wythe, a vertical layer of bricks with a thickness of one brick. Within a wythe, bricks can be laid in various courses or patterns, with the most common being the stretcher course, where bricks are laid with their long edge horizontal and face parallel to the wall.
For thicker walls, multiple wythes are bonded together using...
For thicker walls, multiple wythes are bonded together using...

