HELPING US TO HELP YOU

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1 HELPING US TO HELP YOU Page 1 of 8

2 The Royal Surrey County Hospital Patient Transport Services Does Your Patient Require Patient Transport? Hospital-Funded Patient Transport can only be provided to patients with medical needs who score 4 or more on the Department of Health guided patient eligibility criteria as detailed on the RSCH Transport booking form. Alternatives Voluntary Car Schemes/Good Neighbour schemes (volunteer drivers using there own cars). Tel: Community or Group Transport (Minibuses which take people belonging to clubs). Tel: Dial-a-ride (Minibuses that can be booked for a journey). Tel: Taxi vouchers (People without their own transport, mobility problems, no access to public transport can apply for these). o Mole Valley: o Surrey Heath and Woking Borough: o Tandridge District: o Reigate and Banstead: o Elmbridge Borough: Bus (Permits allowing free travel are available from local council) Train (Disabled Persons Railcard can be obtained) British Red Cross (Cars 50p per mile). Tel: St John Ambulance (Ambulances with qualified crews) Tel: Voluntary Association for Surrey disabled, (Hire car available for disabled residents in Surrey 25 per day). Tel: Care for Guildford (Must reside in Borough of Guildford). Tel: and many others [see booklets and websites] Page 2 of 8

3 Booking Transport Outpatients Transport: The first appointment: if transport is required for a patient to attend an outpatient s appointment it must be booked by the referring practitioner. All subsequent bookings to attend the same clinic will be made by the clinic staff if the patient still meets the eligibility criteria. Escorts: patients that have a medical need for someone to accompany them in the ambulance can be booked. Unless absolutely essential, relatives/friends should be encouraged to meet the patient at the hospital. This will ensure the best use can be made of the space in the ambulances to bring more patients into hospital in a timely manner. A booking form needs to be filled out for every appointment for which transport is required. The top [white] copy is sent to the transport desk [outside Pharmacy on Level B] and the yellow copy is sent to Catherine Collard in OPD 2, Level B. Every request MUST have an accurate eligibility score, which totals more than 4, in order for the transport to be booked. Any form submitted with no score, will be rejected and transport will not be booked. The MINIMUM information required on the transport booking form includes: o Patients full name. o The accurate and confirmed full address/location and contact numbers the patient needs to be collected from. o The accurate and confirmed full address/location and contact numbers the patient needs to be taken to. o The patient s mobility requirements using the transport categories [page 5 of this booklet]. o The date and time the patient is going to be ready to travel or needs to be at an outpatient appointment. o Any additional information the ambulance crew might need to know about the patient s condition including MRSA & C Diff. o Equipment needing to travel. o Access details for a home address if known. If the above information is correct it will help us to send the most appropriate resource first time round in order to meet your patient s needs. GSL needs to have all Outpatient requests by 5pm, the working day before the appointment. If you book the transport on the same day as the appointment, GSL will not be able to guarantee meeting the appointment time. Page 3 of 8

4 Discharge and Transfer Transport When you have a predicted date that a patient will need to be discharged or transferred, book the transport as soon as you can. This will give our planning team time to pre-allocate an ambulance to your patient. It is better to book the transport and then cancel it if the situation changes. The times you identify on the form for discharges and transfers, are the time that the patient will be ready to travel. Please ensure the patient is READY, have their TTO s and are PACKED at the time you specify on the form. Whilst this is not a guaranteed collection time, GSL will endeavour to pick up all discharges and transfers that are pre-booked the day before at the time you have requested [Please book this transport as outlined above for outpatient appointments]. For any discharge and transfer requests made on-the-day, GSL cannot guarantee collection and will collect the patient on their next available vehicle if possible. Key points for Discharges: o All patients need to score 4 or more on the patient eligibility criteria. On-the-Day Travel o Relatives or friends should be encouraged to take as much of the patients property home. The ambulance will ideally only take one piece of medical equipment and one reasonable sized bag, due to the capacity constraints on the vehicles. However, if this has not been possible, please ensure you write this on the booking form, so the be space can be planned appropriately. o Please ensure the patients are ready at the date and time you specify on the form. For Outpatients, please advise your patients to be ready up to 90 minutes before their appointment time. The crew will wait and assist patients to put outside clothing on and assist them in securing their property. If the transport is running late, GSL will endeavour to contact your patient to advice them of the delays and give them an estimated collection time as well as advising the clinic of an estimated arrival time. Once your patient is ready for their return transport, please inform the transport desk on ext: 4436/4437 and the Patient Transport Liaison Officers will inform the ambulance crew. For discharges and transfers, please advice the transport desk if a patient is not going to be ready to travel at the arranged time. This will save the ambulance crew having to come to the ward and will enable them to collect another patient that may be ready to travel. Page 4 of 8

5 Patient Mobility Categories C1 SCV C2 C3 C4 C4 D C5 S3 S2 Car: Walking/mobile patient, require no lifting or moving, needs a crew of one but can get in to a car. Walker: Walking/mobile patient, require no lifting or moving, only needs a crew of one but cannot get in to a car. Two Crew: May need to be carried up and down stairs, needs a crew of two. Brings Wheelchair: Have own wheelchair but can transfer in to a seat with a crew of two. Travels in Wheelchair: Travel in own wheelchair and stays in it, needs a crew of one. Travels in Wheelchair 2: Travels in own wheelchair and stays in it, needs a crew of two. Travels in Electric Wheelchair: Travel in own electric wheelchair and stay in it. Non Medical Stretcher: Has a medical need to lie down, cannot weight bare and cannot sit in a chair, needs a crew of two. Intermediate Transport: Patient is stable and does NOT require ambulance technician or paramedic care. The crew are trained in First Response skills [oxygen management up to 4 litres, use of automatic defibrillator, basic suctioning, triage and assessments]. South East Coast Ambulance Service [not GSL] see criteria overleaf S1 Paramedic: Needs a paramedic crew IT IS ABSOLUTELY CRITICAL YOU PUT THE CORRECT CATEGORY ON THE BOOKING FORM OTHERWISE TYPE OF TRANSPORT ARRIVING WILL NOT SUIT YOUR PATIENTS NEEDS. THANK YOU. Page 5 of 8

6 CRITICAL CARE TRANSFER MATRIX OF TYPES OF AMBULANCE TO USE Category Type of patient Escort Criteria A Critical Care and Emergency DoH Hospital category: Level 3. Patients receiving advanced respiratory support and/or monitoring and support of two or more organs and/or patients with chronic impairment of one or more organs who require support for an acute reversible failure of another organ system. Respiratory failure that requires ventilation Severe ischaemic heart disease Major post operative bleeding Acute on chronic COPD Urgent neurosurgery Doctor and Nurse/ODP with relevant critical care skills as per ICS Guidelines (2002) Additional Comments Life or limb threatened Consultant transfer DoH Hospital category Level 2. Patients needing single organ monitoring and support or needing pre-operative optimisation or needing extended postoperative care with potential to deteriorate en-route. Emergency surgery in an unstable or high risk patient eg dissecting aortic aneurysm, Spinal cord compression Obstetric emergencies B Urgent and/or Time Limited DoH Hospital category: Level 2. Patients needing single organ monitoring and support or needing pre-operative optimisation or needing extended postoperative care. Intermediate surgery in patient > 70 years or ASA III or IV Failed thrombolysis - for rescue angioplasty For urgent angiogram Within 24 hours of tracheostomy insertion DoH Hospital category: Level 1 (requiring continuous monitoring) Patients in need of additional monitoring or clinical input and/or requiring staff with special expertise and/or additional facilities for at least one aspect of critical care delivered in a ward environment (excluding advanced airway management ie intubation). All Paediatrics and neonates Consultant clinical decision for urgent transfer Acute Psychiatric patients At requester s discretion dependant upon needs of patient and skills of ambulance crew Escort Staff must have skills to manage both patient and equipment in order to maintain safe transfer Life or limb threatened Consultant transfer SECAMB Clinical or Medical Director transfer if arbitration required Page 6 of 8

7 C Routine but with potential to deteriorate D Routine Non- Emergency Patient Transport DoH Hospital category: Level 1 (no continuous monitoring). Patients with abnormal vital signs not requiring a higher level of care Transfers of hospital inpatients DoH Hospital category: Level 0 Patients whose needs are met through normal ward care but who require continuous IV infusion of IV fluids or drugs or continuous presence of a nurse. Transfers of hospital inpatients DoH Hospital category: Level 0 Patients whose needs are met through normal ward care and who fit the agreed eligibility criteria Transfers of hospital inpatients who do not require continuous IV infusion of IV fluids or drugs or continuous presence of a nurse Routine booked outpatient appointments Booked admissions Discharge of patients to their own home / care home Nil urgent cases As required (if nonparamedic crew) PTS [GSL] Consultant transfer SECAMB Clinical or Medical Director transfer if arbitration required Page 7 of 8

8 THE ROYAL SURREY COUNTY HOSPITAL TRANSPORT BOOKING FORM Page 8 of 8