East Midlands Ambulance Service NHS Trust. Service Delivery Model

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "East Midlands Ambulance Service NHS Trust. Service Delivery Model"

Transcription

1 East Midlands Ambulance Service NHS Trust Service Delivery Model EXECUTIVE SUMMARY This paper outlines the new service operating model proposed for East Midlands Ambulance Service NHS Trust which has the ultimate goal of being an excellent, high performing provider of Emergency and Urgent Healthcare. The Trust s current service model must change to provide a sustainable performance improvement and achievement, manage increasing demand more effectively and align with the new commissioning agenda. The current service model always deploys either a Paramedic or Emergency Care Practitioner (ECP) to patients who require an ambulance vehicle response, even if the patient does not require that level of clinical skill. The proposed new service operating model has a distinct urban and rural model that is underpinned in both types of geographical area by an urgent care tier: Urban Response Model Paramedic Fast Response Vehicle (FRV) or Double Crewed Ambulance (DCA) staffed by a Paramedic and ECA/Technician for patients who require an immediate response and/or conveyance in an urban area Rural Response Model Predominantly Community Based FRV (ECP or Paramedic) that are based in smaller towns and integrated into local health care communities. Support is provided from appropriately deployed DCA as per urban response Urgent Care Tier Urgent Care Ambulance crewed by Emergency Care Assistants (ECA) for patients who require conveyance but do not have a life-threatening condition This model deploys EMAS staff more effectively to ensure that patients receive treatment that is most suitable for their clinical requirements in an appropriately timely manner. 1

2 Introduction As part of the Operations Strategy and to support Better Patient Care the Trust is planning to implement a new three tiered service delivery model to support delivery of national performance targets and to improve the quality of care delivered to patients. Background The current service delivery model is based on Fast Response Vehicles (FRV s), Double Crewed Paramedic Ambulances (DCPA s) and Urgent Ambulances. Within these three groups there are a number of different types of resource: FRV s staffed by Emergency Care Practitioners used to respond to all call types FRV s staffed by Community Paramedics used to respond to all call types DCPA s staffed by a Paramedics and a Technician or by Paramedic and Emergency Care Assistant (ECA) Urgent Ambulance staffed by a Technician and ECA or by two ECA s In addition the Trust provides a number of other specialist resources for example the Falls Vehicle in Nottingham staffed by a EMAS Paramedic and an Associate Practitioner for Crisis Falls Team, the PolAmb vehicle staffed with a Paramedic and Police Officer and GP Urgent Ambulance in Derby staffed with two ECA s. The current service model also relies heavily on support from 3 rd party providers such as St John Ambulance and Amvale. This is for a number of reasons, which include changing demand patterns which mean the rota s do not always meet predicted demand. St John ambulance presently provides the core of Urgent Ambulances dispatched by the urgent desk. Current roles Emergency Care Practitioners At the present time there are approximately 60 ECP s in the Trust, Process Evolution indicated that around 99 are required in the future. The main issue for EMAS ECP s is skill erosion this is partially due to EMAS responding ECP s to all categories of call and not targeting them where their skills could be used to the greatest benefit but also because some skills they were trained to use such as catheterisation have been removed from their skill set, which has resulted in patients being transported unnecessarily to A&E. These issues have led to low morale and many ECP s leaving the service. Community Paramedics/Paramedics At the present time the majority of paramedics in the Trust have completed a further module in addition to the basic paramedic training and have become Community Paramedics. This module was originally designed for FRV paramedics and focussed on better history taking, diagnosis, assessment and access to alternative care pathways. All paramedics are now trained to the same level whether working on a DCA or an FRV. More recently a new Community Paramedic concept emerged based on the West Midlands Ambulance Service model of delivery. This role is not specifically about the Paramedics clinical skills but about the way they operate. This Community Paramedic role relates to the Zonal FRV s which is also known as the elastic band principle. 2

3 Technicians There are now just over 200 Technicians left in the Trust, with no new Technicians being trained for approximately seven years in EMAS. The Technician role predates the Paramedic role originally starting in the late 1970 s with the Paramedic role introduced nationally in the early 1990 s. Technicians are not recognised by the Health Care Professionals Council (HCPC) however a number of ambulance services nationally do still train Technicians to varying levels. Technicians do not currently work on FRV s. Emergency Care Assistants The Emergency Care Assistants (ECA s) role was introduced nationally as the Technician training was phased out. ECA s currently undertake three weeks emergency driver training followed by a clinical training support course to allow them to work with Paramedics and Technicians on a DCA. Many ECA s are frustrated at the lack of opportunity to develop themselves and train as Paramedics. Proposed Service Delivery Model The proposed new service model is based on three levels of response and has the same resource elements as the current service model, however the new model will have different numbers of ECP s, DCA s, FRV s and Urgent ambulances and these resources will be used more effectively and more appropriately. The model will be implemented within the available financial envelope. Urban Response Model The urban response model has two principal elements. The first is the Fast Response Vehicle (FRV), which is crewed either by a solo Emergency Care Practitioner or Paramedic providing an immediate response to lifethreatening calls. Second is the Paramedic Ambulance, crewed by a Paramedic and ECA or Technician, and designed to respond to patients who require a Paramedic and conveyance to hospital. The urban FRV will assess patient s on-scene to determine the most appropriate care pathway, which includes see and treat, see and refer including referral to another ambulance vehicle response. It is anticipated that urban FRVs will primarily respond to the most life-threatening (red) calls. The emphasis of the urban FRV is to ensure that patients with the greatest need receive a rapid response. Urban FRVs provide a dynamic response within urban areas with their current response location actively managed by the EOC in line with the System Status Plan (SSP) demand forecast or specific operating principle within a defined area. Urban FRV s will book on and off duty either at a designated Hub site or Community Ambulance Station as required. Throughout the duration of their shift they may operate in a distinct way to suit the urban environment and density of population and activity: From a predetermined hub and providing a dynamic response within urban areas in response to activity and managed by the EOC in line with the current SSP demand forecast. Once deployed from the hub providing a response from a number of Community Ambulance Station Response Posts (CAS RPs) within a given area or sector to maximise the geographical response footprint 3

4 The second element of the urban response model is the A&E DCA which is crewed by a HCPC Registered Paramedic and either an Ambulance Technician or ECA. DCA s are primarily designated as 999 response and transport vehicles that are deployed directly by the EOCs to emergency and non-emergency cases or to provide back up to the urban FRVs. DCAs will be allocated to response posts as required by the EOC SSP and provide emergency call responses as necessary. DCAs are fully equipped emergency ambulances and are able to respond to the full range of emergency calls; they will respond either under emergency or non-emergency conditions as dictated by the EOCs. The Region s rotary winged aircraft (helicopters) are staffed by Critical Care Paramedics and Doctors that are specially trained in in-flight patient care and support. Helicopters provide a rapid emergency response and transport facility irrespective of terrain or geography. They operate out of the Trust s designated helicopter sites and abide by Civil Aviation Authority rules and regulations Community Response is an important and integral part of ensuring that EMAS is able to provide a timely response in all areas. The introduction of community response has provided a facility whereby community volunteers may be nearer to an incident. These schemes when available reduce some of the long distances that previously resulted from tasking vehicles from distant stations or response posts with a consequent reduction in response times and patient care. Whilst urban based CFRs are available due to the density of population they are more inclined to operate in rural areas. Rural Response Model Similarly to the urban response model the rural response model has two main elements that is supported by a third element. The first is the Fast Response Vehicle (FRV), which is crewed either by a solo Emergency Care Practitioner or Paramedic providing an immediate response to life-threatening calls. Second is the Paramedic Ambulance, crewed by a Paramedic and ECA or Technician, and designed to respond to patients who require a Paramedic and conveyance to hospital. The third element is the network of Community First Responder and Co-Responder groups. Rural FRVs will be predominantly sited within market towns of rural communities and have a specific role in providing an initial response to emergency calls, but more crucially integrating within the local community and fostering a link between primary, secondary and emergency care within the community. Rural FRVs will usually provide a 24/7 vehicle that books on and off duty from a Community Ambulance Station Reporting Post (CAS RP) and are not dynamically managed within the EOC System Status Plan in the same way as their urban counterparts are. They operate on an Elastic Band principle, which means that should the Rural FRV respond to an incident outside of the designated market town the post will not be backfilled ordinarily with another resource. However, on completion of the case the Rural FRV will return to the designated static response post. Rural FRVs will have boundaries that support the surrounding area and villages. 4

5 Rural FRV the Elastic Band principle The Rural FRV provides a strategic Mobile Health Care systems approach which is fully integrated with both primary and secondary care within the community and operate closely with the EOC s to provide as much care as possible in the home thus ensuring access to the full range of NHS services where possible. In addition, due to the small locality of deployment of the Rural FRV the opportunity for return visits is possible, enabling close monitoring of patients and assistance with such tasks as monitoring observations and assistance with medications. Such tasks often require hospital admission in an acute bed. Rural FRVs work with local health economy partners in order to establish effective patient pathways that cut across all health and social care systems and can meet patient s needs 24hours a day, seven days a week. Rural FRV staff will also provide clinical and operational support to EMAS s Community First Responder schemes that operate in their locality. DCAs that operate in rural areas are primarily designated as transport vehicles that are deployed directly by the EOCs to emergency and non-emergency cases or to provide back up to the rural FRVs. When, and as required, DCAs will also respond to emergency calls as a primary response. CFRs are most often deployed in rural areas that EMAS is challenged in providing a timely response due to the presenting rurality. CFRs provide a significant community resource for achieving performance standards and patient care support irrespective of location. CFR schemes will be organized into car schemes that will operate on a 24/7 basis to ensure consistent and reliable CFR resource availability. The location of CFR car schemes will be determined by data supplied by the EMAS Performance Management Intelligence Unit. CFR car schemes will be self-supporting in terms of funding; however EMAS will provide support in terms of provision of appropriate communications, training and governance support. CFRs will be supported by Rural FRV staff who will oversee and support volunteers in the delivery of patient care within their designated market town and peripheral area. 5

6 In all cases, CFRs are backed up by an EMAS resource as soon as practicable. Medical First Responder schemes are EMAS staff (generally ECPs and Paramedics) that respond within the community in their own time. These schemes will be enhanced to provide far reaching support to the emergency and urgent service in both rural and urban areas. They will provide a significant community resource for meeting performance standards and patient care support irrespective of location. Public Access Defibrillators (PADs) are placed in high footfall areas and known areas of incidence of cardiac arrest and emergency calls. PADs are available for suitably trained members of the public to use, or in sites where staff have been trained in their use. Volunteers at PAD sites are trained to deliver basic life-saving skills for deliver initial Basic Life Support (BLS) and defibrillation skills where clinically qualified back up will arrive within a relatively short time scale. Urgent Care Tier The urgent care tier will provide transport for patients who do not require Paramedic care but do need transporting to hospital or another healthcare facility within timescales agreed by a Healthcare Professional (e.g. Doctor, ECP, Nurse or Paramedic). The Urgent Care Ambulance (UCA) will be staffed by ECA s and possibly Ambulance Technicians. They will be equipped with automated external defibrillators (AED s) and other basic medical supplies, providing transport for those patients clinically assessed as safe to do so. This will free Paramedics and ECPs to attend the most seriously ill or injured patients. ECA s involved in the urgent care tier will be given role-specific training to fully equip them to respond without the direct support of a Paramedic. The Trust is currently exploring the use of multi-person Ambulance Support Vehicles (ASVs) for this level of response. ASVs are capable of carrying up to six walking patients at a time and are currently being piloted by 6

7 EMAS in Leicestershire. This pilot has found that ASVs transport more patients per shift than a standard DCA, freeing up other ambulance vehicles, and can better support large-scale incidents that require multiple patient transports, such as road traffic accidents. The plan for acquiring and commissioning ASVs will be detailed in the Trust s Fleet Strategy. Benefits of the modified service delivery model More appropriate response to patients by targeting the right resource first time to a patients need Increased response availability through technician FRV s Opportunity for all staff to use their skills more appropriately Opportunity for staff to progress and develop themselves More effective use of CAT deploying ECP s and Urgent ambulances Provides more effective safety netting through the deployment of the right resource first time More flexible model giving dispatchers a range of options not presently available Reduce reliance on third party support More likely to cover more core shifts by having roles more clearly defined Improved morale Integrates with the Urgent Care Hub in the Emergency Operations Centre Future Workforce Requirements Emergency Care Practitioners: The Trust needs to increase the numbers of ECP s, which will include the need to review their banding in line with other NHS organisations and develop a modular training package so paramedics internally can up skill to this role. Community Paramedics: The Trust needs to review the current Community Paramedic training to ensure it meets the needs contained within the modified service model, especially focussing skills on See and Treat, See and Refer. Technicians: Consider the re-introduction of Technician training as a stepping stone towards becoming a Paramedic. Review existing technician skills in line with a potential Technician FRV. Emergency Care Assistants: Scope further the opportunities for ECA s to progress to Technician and Paramedic grades. 7

East Midlands Ambulance Service

East Midlands Ambulance Service Appendix 1 East Midlands Ambulance Service New Service Delivery Model Summary Document Trust Executive Board 05 April 2012 Contents Introduction... 3 1. The Strategic Context... 4 2. Overview... 7 3. Objectives...

More information

Yorkshire Ambulance Service NHS Trust. Performance and Quality Update September 2015

Yorkshire Ambulance Service NHS Trust. Performance and Quality Update September 2015 Yorkshire Ambulance Service NHS Trust Performance and Quality Update September 2015 Our Communities YAS is the only NHS provider serving the whole Yorkshire region Provides: A&E ambulance service; non-emergency

More information

An Introduction to our Services

An Introduction to our Services An Introduction to our Services Ambulance services are at the front line of the NHS. That s why, at Yorkshire Ambulance Service (YAS), we put patients and their needs at the heart of everything we do.

More information

South Central Ambulance Service. NHS Trust. You and your ambulance service. Get involved

South Central Ambulance Service. NHS Trust. You and your ambulance service. Get involved South Central Ambulance Service NHS Trust You and your ambulance service Get involved 1 Welcome This booklet highlights what happens when you call 999 in a medical emergency and gives more information

More information

South East Coast Ambulance Service NHS Foundation Trust

South East Coast Ambulance Service NHS Foundation Trust South East Coast Ambulance Service NHS Foundation Trust Emergency and Urgent Care in Kent and Medway for Kent HOSC What does SECAmb do? South East Coast Ambulance Service NHS Foundation Trust is an innovative,

More information

Seeing ambulance services in a different light

Seeing ambulance services in a different light factsheet June 2010 Seeing ambulance services in a different light More than a patient transport service Key points NHS ambulance services face some of the most demanding performance targets in the world.

More information

The Scottish Ambulance Service Improving Care, Reducing Costs. Working together for better patient care

The Scottish Ambulance Service Improving Care, Reducing Costs. Working together for better patient care The Scottish Ambulance Service Improving Care, Reducing Costs Working together for better patient care Key points The Scottish Ambulance Service is seeing more people, faster, and offering better quality

More information

HEALTH AND PUBLIC SERVICES SUB-COMMITTEE

HEALTH AND PUBLIC SERVICES SUB-COMMITTEE HEALTH AND PUBLIC SERVICES SUB-COMMITTEE Minutes of the Meeting held on Monday, 28 th April 2014 at Retford Town Hall 58. REPORT(S) OF THE DIRECTOR OF CORPORATE RESOURCES (c) Review of East Midlands Ambulance

More information

briefing An involving service Ambulance responses in urban and rural areas Background Key points November 2011 Issue 226

briefing An involving service Ambulance responses in urban and rural areas Background Key points November 2011 Issue 226 briefing November 2011 Issue 226 An involving service Ambulance responses Key points Patients, rightly, expect a high level of service, wherever they live. Trusts need to address the public s expectation

More information

A fresh start for the regulation of ambulance services. Working together to change how we regulate ambulance services

A fresh start for the regulation of ambulance services. Working together to change how we regulate ambulance services A fresh start for the regulation of ambulance services Working together to change how we regulate ambulance services The Care Quality Commission is the independent regulator of health and adult social

More information

STAFFORDSHIRE HEALTH OVERVIEW SCRUTINY MEETING 8 April 2015

STAFFORDSHIRE HEALTH OVERVIEW SCRUTINY MEETING 8 April 2015 STAFFORDSHIRE HEALTH OVERVIEW SCRUTINY MEETING 8 April 2015 The last year as proved to be a very challenging year for the West Midlands Ambulance Service both regionally and within Staffordshire. Challenges

More information

Nuffield Joint Travel Scholarship to Remote and Rural Australia. October/November 2007

Nuffield Joint Travel Scholarship to Remote and Rural Australia. October/November 2007 REMOTE AND RURAL STEERING GROUP Nuffield Joint Travel Scholarship to Remote and Rural Australia October/November 2007 Introduction A successful application was made by Mrs Fiona Grant, Remote and Rural

More information

Student Placement Localities

Student Placement Localities Student Placement Localities 3967-0411 Student Placement Localities () A5 ver4.indd 1 23/06/2011 12:14 2 www.surrey.ac.uk 3967-0411 Student Placement Localities () A5 ver4.indd 2 23/06/2011 12:14 Introduction

More information

Remote Scottish Ambulance Service Response Audit. Report

Remote Scottish Ambulance Service Response Audit. Report Remote Scottish Ambulance Service Response Audit Report Introduction As part of the Remote and Rural Project s process to define the role and function of a Rural General Hospital (RGH), and the Framework

More information

Service Delivery Paramedic Emergency Service

Service Delivery Paramedic Emergency Service North West Ambulance Service NHS Trust JOB DESCRIPTION JOB TITLE: Emergency Medical Technician 1 (EMT 1) BAND: Band 4 DIRECTORATE: REPORTS TO: ACCOUNTABLE TO: Service Delivery Paramedic Emergency Service

More information

Our Quality Account 2012/13

Our Quality Account 2012/13 1 Our Quality Account 2012/13 Contents Page Executive summary 3 A brief overview of our Trust (what we do) 7 Part 1 An introduction to our Quality Account (your definitions of quality) 12 Board Assurance

More information

Module Two: EMS Systems. Wisconsin EMS Medical Director s Course

Module Two: EMS Systems. Wisconsin EMS Medical Director s Course : EMS Systems Wisconsin EMS Medical Director s Course Objectives List the components of EMS systems Outline organizational and design options for EMS systems Outline system staffing and response configurations

More information

Clinical Hubs and UCS

Clinical Hubs and UCS Clinical Hubs and UCS Clinical Hub Staff Development Traditionally Clinical Hub staff join the Trust as call handlers and progress to dispatcher roles. Recent changes to Hub structure brought about by

More information

AMBULANCE SERVICES PATIENT FOCUSED SUPPORT. THERE WHEN YOU NEED US.

AMBULANCE SERVICES PATIENT FOCUSED SUPPORT. THERE WHEN YOU NEED US. AMBULANCE SERVICES PATIENT FOCUSED SUPPORT. THERE WHEN YOU NEED US. 2 ST JOHN AMBULANCE AMBULANCE SERVICES EXPERT PROVIDERS OF AMBULANCE SERVICES St John Ambulance is a leading supplier of ambulance services

More information

Strategy & Business Plan 2008-2011

Strategy & Business Plan 2008-2011 South Central Ambulance Service NHS Trust Strategy & Business Plan 2008-2011 1 CONTENTS 1.0 Introduction 1.1 Structure Business Plan 2.0 Trust Profile 2.1 Development of the Strategy and Business Plan

More information

Pete Ripley Director of Service Delivery Scottish Ambulance Service 10 th January 2011

Pete Ripley Director of Service Delivery Scottish Ambulance Service 10 th January 2011 Pre-Hospital (EMS) Services in Scotland Pete Ripley Director of Service Delivery Scottish Ambulance Service 10 th January 2011 My background I joined the ambulance service in 1982 I am a qualified paramedic

More information

Evaluation of the NHS Changing Workforce Programme s Emergency Care Practitioners Pilot Study in Warwickshire Short Report February 2005

Evaluation of the NHS Changing Workforce Programme s Emergency Care Practitioners Pilot Study in Warwickshire Short Report February 2005 Evaluation of the NHS Changing Workforce Programme s Emergency Care Practitioners Pilot Study in Warwickshire Short Report February 2005 Ann Adams, Kay Wright, Matthew Cooke Centre for Primary Health Care

More information

Strategic Plan Document 2013-14

Strategic Plan Document 2013-14 Strategic Plan Document 2013-14 South Central Ambulance Service NHS Foundation Trust SCAS STRATEGIC PLAN 2013-14 Executive summary 2 Strategic context and direction 5 Approach to quality 10 Clinical strategy

More information

The New Zealand Ambulance Service Strategy. The first line of mobile emergency intervention in the continuum of health care

The New Zealand Ambulance Service Strategy. The first line of mobile emergency intervention in the continuum of health care The New Zealand Ambulance Service Strategy The first line of mobile emergency intervention in the continuum of health care 4 June 2009 2 The New Zealand Ambulance Service Strategy (the Strategy) Ambulance

More information

Mental Health Crisis Care: Shropshire Summary Report

Mental Health Crisis Care: Shropshire Summary Report Mental Health Crisis Care: Shropshire Summary Report Date of local area inspection: 26 and 27 January 2015 Date of publication: June 2015 This inspection was carried out under section 48 of the Health

More information

Buckinghamshire, Hampshire and Oxfordshire Health Overview and Scrutiny Joint Review Group

Buckinghamshire, Hampshire and Oxfordshire Health Overview and Scrutiny Joint Review Group Buckinghamshire, Hampshire and Oxfordshire Health Overview and Scrutiny Joint Review Group South Central Ambulance Service: Review of Rural Performance February 2010 Contents Page Introduction 1 Methodology

More information

Review of pre-hospital emergency care services to ensure high quality in the assessment, diagnosis, clinical management and transporting of acutely

Review of pre-hospital emergency care services to ensure high quality in the assessment, diagnosis, clinical management and transporting of acutely Review of pre-hospital emergency care services to ensure high quality in the assessment, diagnosis, clinical management and transporting of acutely ill patients to appropriate healthcare facilities 2 December

More information

Stroke Care Policy Ref. OP/059 Stroke Care Policy Page 1 of 8

Stroke Care Policy Ref. OP/059 Stroke Care Policy Page 1 of 8 Stroke Care Policy Ref. OP/059 Stroke Care Policy Page 1 of 8 DOCUMENT PROFILE and CONTROL. Purpose of the document: is to ensure that people suffering a stroke will receive assessment and management by

More information

The Scottish Ambulance Service: A Service for Life

The Scottish Ambulance Service: A Service for Life Report by the Comptroller and Auditor General The National Health Service in Scotland The Scottish Ambulance Service: A Service for Life SE/1999/54 Published 8 December 1999 Report by the Comptroller and

More information

Understanding Emergency Care in NHSScotland

Understanding Emergency Care in NHSScotland Understanding Emergency Care in NHSScotland Patient pathways through the Emergency Department Year ending September 2015 Publication date 12 January 2016 An Official Statistics Publication for Scotland

More information

Glossary of Terms and Acronyms

Glossary of Terms and Acronyms Glossary of Terms and Acronyms Term/Abbreviation Accident and Emergency (A&E) Service Advanced Medical Priority Dispatch System (AMPDS) Ambulance Quality Indicators (AQIs) Ambulance Service Cardiovascular

More information

Reforming Emergency Care

Reforming Emergency Care First Steps to a New Approach Introduction In the NHS today, too many people have to wait too long for the care and treatment they need. That has to change. The NHS Plan sets out an ambitious programme

More information

Emergency Care Practitioner (ECP) Policy

Emergency Care Practitioner (ECP) Policy Emergency Care Practitioner (ECP) Policy DOCUMENT PROFILE and CONTROL. Purpose of the document: is to be an overarching policy which directs all Emergency Care Practitioners to more detailed policies/procedures.

More information

Rehabilitation Network Strategy 2014 2017. Final Version 30 th June 2014

Rehabilitation Network Strategy 2014 2017. Final Version 30 th June 2014 Rehabilitation Network Strategy 2014 2017 Final Version 30 th June 2014 Contents Foreword 3 Introduction Our Strategy 4 Overview of the Cheshire and Merseyside Rehabilitation Network 6 Analysis of our

More information

Review of Non-Emergency Patient Transport Service in Bassetlaw

Review of Non-Emergency Patient Transport Service in Bassetlaw BASSETLAW DISTRICT COUNCIL Agenda Item No. HEALTH AND PUBLIC SERVICES SUB-COMMITTEE 10 MARCH 2014 Review of Non-Emergency Patient Transport Service in Bassetlaw The Health & Public Services Sub Committee

More information

LEEDS PALLIATIVE CARE AMBULANCE OPERATIONAL POLICY

LEEDS PALLIATIVE CARE AMBULANCE OPERATIONAL POLICY Yorkshire Ambulance Service NHS Trust LEEDS PALLIATIVE CARE AMBULANCE OPERATIONAL POLICY Author: Leeds Palliative Care Transport Working Group Date: November 2013 Version: Version 10 1 Introduction 1.1

More information

Welsh Ambulance Services NHS Trust

Welsh Ambulance Services NHS Trust Welsh Ambulance Services NHS Trust Financial Support to replace obsolete Ambulance Vehicles 2008/09 BUSINESS JUSTIFICATION CASE Version No: Page 1 of 10 VERSION HISTORY Version Date Brief Summary of Change

More information

Improving Urgent and Emergency care through better use of pharmacists. Introduction. Recommendations. Shaping pharmacy for the future

Improving Urgent and Emergency care through better use of pharmacists. Introduction. Recommendations. Shaping pharmacy for the future Improving Urgent and Emergency care through better use of pharmacists The Royal Pharmaceutical Society (RPS) believes that pharmacists are an underutilised resource in the delivery of better urgent and

More information

A vision for the ambulance service: 2020 and beyond and the steps to its realisation

A vision for the ambulance service: 2020 and beyond and the steps to its realisation A vision for the ambulance service: 2020 and beyond and the steps to its realisation September 2015 Introduction This document outlines the English ambulance sector s vision for 2020 and beyond, and the

More information

The London Ambulance Service NHS Trust

The London Ambulance Service NHS Trust The NWL JOINT HEALTH OVERVIEW & SCRUTINY COMMITTEE 14 th October 2015 London Ambulance Service - West & Northwest Sectors 2 Our purpose The London Ambulance Service (LAS) is here to care for people in

More information

Memorandum of Understanding

Memorandum of Understanding Memorandum of Understanding Partnership Working arrangements between the Scottish Ambulance Service (SAS) and the Mountain Rescue Committee of Scotland ( commonly referred to as Scottish Mountain Rescue)

More information

Ambulance Service Overview

Ambulance Service Overview Ambulance Service Overview Document Purpose This document aims to give the reader a brief outline of the ambulance service including the identification of some of the major problem areas within the ambulance

More information

Additional Hours & Overtime Policy

Additional Hours & Overtime Policy Additional Hours & Overtime Policy Document Profile Box Document reference: Version: Draft 1.6 Ratified by: Date ratified: Name of originator/author Head of HR Name of responsible Workforce Equality Comittee

More information

Scotland. Community Resilience. Strategy Making it work together

Scotland. Community Resilience. Strategy Making it work together Scotland Community Resilience Strategy Making it work together 2011-2015 Scotland Community Resilience Strategy Making it work together 2011-2015 CONTENTS 02 Preface 03 What is community resilience? 04

More information

Delivering our Vision 5 Year Programme A Performance Management Framework Tier 1: Strategic goals and objectives RIGHT CARE, RIGHT PLACE, RIGHT TIME

Delivering our Vision 5 Year Programme A Performance Management Framework Tier 1: Strategic goals and objectives RIGHT CARE, RIGHT PLACE, RIGHT TIME Delivering our Vision 5 Year Programme A Performance Management Framework Tier 1: Strategic goals and objectives RIGHT CARE, RIGHT PLACE, RIGHT TIME To lead in the provision of emergency care; offering

More information

Emergency Care Practitioners. Mark Bilby National ECP Development Manager

Emergency Care Practitioners. Mark Bilby National ECP Development Manager Emergency Care Practitioners Mark Bilby National ECP Development Manager Brief History Ambulance Service Association and Joint Royal Colleges Ambulance Liaison Committee concept Coventry and Warwickshire

More information

The Regional Municipality of Halton. Chair and Members of the Health and Social Services Committee

The Regional Municipality of Halton. Chair and Members of the Health and Social Services Committee The Regional Municipality of Halton Report To: From: Chair and Members of the Health and Social Services Committee Hamidah Meghani, Commissioner and Medical Officer of Health Date: May 19, 2015 Report

More information

Welcome Thank you for your interest in joining the team at Cornwall Air Ambulance.

Welcome Thank you for your interest in joining the team at Cornwall Air Ambulance. Welcome Thank you for your interest in joining the team at Cornwall Air Ambulance. About the Charity The Cornwall Air Ambulance Trust is a Registered Charity and Company Limited by Guarantee. Incorporated

More information

Ambulance Services Commissioning Update

Ambulance Services Commissioning Update Joint Health Overview and Scrutiny Committee Great Western Ambulance Service 29 February 2008 Ambulance Services Commissioning Update 1. Purpose To update the Joint Health Overview and Scrutiny Committee

More information

ON SCENE CONVEYANCE AND REFERRAL PROCEDURE

ON SCENE CONVEYANCE AND REFERRAL PROCEDURE East Midlands Ambulance Service NHS Trust ON SCENE CONVEYANCE AND REFERRAL PROCEDURE Links The following documents are closely associated with this procedure: Transfer of Patients Policy Capacity to Consent

More information

Taking Healthcare to the Patient. Transforming NHS Ambulance Services

Taking Healthcare to the Patient. Transforming NHS Ambulance Services Taking Healthcare to the Patient Transforming NHS Ambulance Services Acknowledgements Photos on pages 15, 48 courtesy of Essex Ambulance Service NHS Trust Cover, 10, 12, 18, 24, 34, 40 courtesy of London

More information

Emergency medicine network for rural Tasmania

Emergency medicine network for rural Tasmania Emergency medicine network for rural Tasmania Peter Arvier, Brett Sutton, Corinne Ginifer, Emergency Department, North West Regional Hospital, Burnie, Tasmania INTRODUCTION The professional isolation for

More information

Leicestershire Partnership Trust. Leadership Development Framework

Leicestershire Partnership Trust. Leadership Development Framework Leicestershire Partnership Trust Leadership Development Framework 1 Leadership Development Framework Introduction The NHS in England is facing a period of substantial change in light of the recent Government

More information

Management of Central Alert System (CAS) Alerts

Management of Central Alert System (CAS) Alerts East Midlands Ambulance Service NHS Trust Management of Central Alert System (CAS) Alerts Links The following documents are closely associated with this procedure: Health and Safety Policy Learning from

More information

Information Packet for New Members

Information Packet for New Members Information Packet for New Members About Henrietta Ambulance Henrietta Volunteer Ambulance Service, known by its members as HVA, is the primary emergency medical service (EMS) provider for the Town of

More information

HEALTH CARE PROFESSIONAL (HCP) ADMISSIONS

HEALTH CARE PROFESSIONAL (HCP) ADMISSIONS HEALTH CARE PROFESSIONAL (HCP) ADMISSIONS Information Booklet 0 Contents Page No Content 1 Index 2 Introduction What is a HCP Admission? 3 Booking Transport Who is authorised to book HCP Admissions? Who

More information

The history of air ambulance dates back to unsophisticated balloon transports of injured. War in the 19th century, through the early years of

The history of air ambulance dates back to unsophisticated balloon transports of injured. War in the 19th century, through the early years of By Raul Mendoza The history of air ambulance dates back to unsophisticated balloon transports of injured soldiers during the Crimean War in the 19th century, through the early years of aviation, the Korean

More information

Scottish Ambulance Service: Specialist Transport and Retrieval (ScotSTAR)

Scottish Ambulance Service: Specialist Transport and Retrieval (ScotSTAR) Scottish Ambulance Service: Specialist Transport and Retrieval (ScotSTAR) Job Description for the post of: Locum Consultant in Paediatric Critical Care Transport 1. Outline of the post This post is aimed

More information

Delivering Transport to Health in Partnership. Peter Llewellyn. Assistant Director of Strategic Partnerships Hywel Dda University Health Board

Delivering Transport to Health in Partnership. Peter Llewellyn. Assistant Director of Strategic Partnerships Hywel Dda University Health Board Delivering Transport to Health in Partnership Peter Llewellyn Assistant Director of Strategic Partnerships Hywel Dda University Health Board What is Non Emergency Patient Transport (NEPT)? Transportation

More information

SCOTTISH AMBULANCE SERVICE JOB DESCRIPTION

SCOTTISH AMBULANCE SERVICE JOB DESCRIPTION SCOTTISH AMBULANCE SERVICE JOB DESCRIPTION REF: MLPR409 1. Job Details Job Title: Directorate: Reports to: Scheduled Care Co-ordinator Operations Scheduled Care Co-ordination Supervisor 2. Job Purpose

More information

East Sussex Better Together - Urgent Care Re-design Programme Paula Gorvett, East Sussex Better Together - Programme Director

East Sussex Better Together - Urgent Care Re-design Programme Paula Gorvett, East Sussex Better Together - Programme Director Appendix 1 East Sussex Better Together - Urgent Care Re-design Programme Paula Gorvett, East Sussex Better Together - Programme Director This paper provides a summary of the Urgent Care Re-design Programme

More information

consultant link Too many unnecessary referrals and hospital admissions?

consultant link Too many unnecessary referrals and hospital admissions? consultant link Too many unnecessary referrals and hospital admissions? Working with networks of local hospital consultants we provide GPs with fast, efficient and high quality advice and guidance GP Care

More information

NATIONAL AMBULANCE SERVICE ONE LIFE PROJECT

NATIONAL AMBULANCE SERVICE ONE LIFE PROJECT February 2015 NATIONAL AMBULANCE SERVICE ONE LIFE PROJECT Improving patient outcomes from Out Of Hospital Cardiac Arrest David Hennelly AP MSc Jan 2015 THE ONE LIFE PROJECT IS BEING LED BY THE NATIONAL

More information

SCOTTISH AMBULANCE SERVICE 2012-13 HEAT DELIVERY PLAN

SCOTTISH AMBULANCE SERVICE 2012-13 HEAT DELIVERY PLAN SCOTTISH AMBULANCE SERVICE 2012-13 HEAT DELIVERY PLAN Scottish Ambulance Service National Headquarters Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB 16 th March 2011 List of Contents Introduction

More information

West Midlands Ambulance Service Supporting Document

West Midlands Ambulance Service Supporting Document West Midlands Ambulance Service Supporting Document The Department of Health has made the decision to reconfigure Ambulance Services in England and reduce their number from 31 services to11. As a larger

More information

Urgent and Emergency Care Review

Urgent and Emergency Care Review Urgent and Emergency Care Review Progress Update & Urgent Care Network Development If its really serious I want specialist care Help me to help myself and not bother the NHS If only they could talk to

More information

Clinical Policy Guideline

Clinical Policy Guideline Policy Title: Ambulance Service Effective Date: 10/25/01 Clinical Policy Guideline Date Reviewed: 01/18/11, 03/19/14, 05/21/14, 07/29/2015 I. DEFINITION Ambulance service means a ground, sea or air vehicle

More information

Medical Services Putting patients first. www.medicalservicesuk.com

Medical Services Putting patients first. www.medicalservicesuk.com Medical Services Putting patients first We remain the most experienced and longest serving provider of patient transport services. Values In the UK we remain the most experienced and longest serving provider

More information

UK Vision Strategy 2013

UK Vision Strategy 2013 Appendix C of the Contents UK Vision Strategy 2013 Preface 3 Adult UK sight loss pathway Introduction 3 Guidance notes 4 The Adult UK sight loss pathway 6 Framework of the Adult UK sight loss pathway for

More information

REPORT OF THE VICE-CHAIRMAN OF JOINT CITY AND COUNTY HEALTH SCRUTINY COMMITTEE

REPORT OF THE VICE-CHAIRMAN OF JOINT CITY AND COUNTY HEALTH SCRUTINY COMMITTEE Report to Joint City and County Health Scrutiny Committee 14 January 2013 Agenda Item: REPORT OF THE VICE-CHAIRMAN OF JOINT CITY AND COUNTY HEALTH SCRUTINY COMMITTEE EAST MIDLANDS AMBULANCE SERVICE BETTER

More information

Pharmacists in Emergency Departments. Prof. Anthony Sinclair

Pharmacists in Emergency Departments. Prof. Anthony Sinclair Pharmacists in Emergency Departments Prof. Anthony Sinclair The Plan 1.Background 2. West Midlands pilots 3. National project Providers could also think of their workforce model more imaginatively, considering

More information

WEST MIDLANDS AMBULANCE SERVICE NHS FOUNDTION TRUST REPORT TO THE BOARD OF DIRECTORS. AGENDA ITEM 09 MONTH October 2015 PAPER NUMBER 06B

WEST MIDLANDS AMBULANCE SERVICE NHS FOUNDTION TRUST REPORT TO THE BOARD OF DIRECTORS. AGENDA ITEM 09 MONTH October 2015 PAPER NUMBER 06B Title Sponsoring Director Patient Quality Report Mark Docherty, Director of Nursing, Quality & Clinical Commissioning Dr Andrew Carson, Medical Director Author(s)/ Presenter Mark Docherty, Director of

More information

Medway Health and Adult Social Care Overview and Scrutiny Committee. Patient Transport Services

Medway Health and Adult Social Care Overview and Scrutiny Committee. Patient Transport Services Medway Health and Adult Social Care Overview and Scrutiny Committee Background Patient Transport Services NHS Kent and Medway agreed to tender the non emergency patient transport services in July 2011,

More information

Epilepsy Scotland Consultation Response. Scottish Ambulance Service Our Future Strategy Discussion with Partners. Submitted September 2009

Epilepsy Scotland Consultation Response. Scottish Ambulance Service Our Future Strategy Discussion with Partners. Submitted September 2009 Epilepsy Scotland Consultation Response Scottish Ambulance Service Our Future Strategy Discussion with Partners Submitted September 2009 Section 1: Accessing the right help in an emergency How can we work

More information

The Way Forward: Strategic clinical networks

The Way Forward: Strategic clinical networks The Way Forward: Strategic clinical networks The Way Forward Strategic clinical networks First published: 26 July 2012 Prepared by NHS Commissioning Board, a special health authority Contents Foreword...

More information

BC Ambulance Service Detailed Response - Audit of Air Ambulance Services March 14, 2013

BC Ambulance Service Detailed Response - Audit of Air Ambulance Services March 14, 2013 BC Ambulance Service Detailed Response - Audit of Air Ambulance Services March 14, 2013 BC Ambulance Service (BCAS) appreciates the efforts of the Office of the Auditor General in undertaking the audit

More information

Operational Strategy 2016-18 (Emergency Services)

Operational Strategy 2016-18 (Emergency Services) Paper 01 Appendix A Operational Strategy 2016-18 (Emergency Services) DATE APPROVED: APPROVED BY: IMPLEMENTATION DATE: REVIEW DATE: LEAD DIRECTOR: Director IMPACT ASSESSMENT STATEMENT: Document Reference

More information

Non-Emergency Patient Transport Service Pre-engagement Paper for Oxfordshire Joint Health Overview & Scrutiny Committee Thursday 1 May 2014, 10:00.

Non-Emergency Patient Transport Service Pre-engagement Paper for Oxfordshire Joint Health Overview & Scrutiny Committee Thursday 1 May 2014, 10:00. Oxfordshire Clinical Commissioning Group Non-Emergency Patient Transport Service Pre-engagement Paper for Oxfordshire Joint Health Overview & Scrutiny Committee Thursday 1 May 2014, 10:00. Background NHS

More information

Transforming care in Hampshire. Our multi-specialty community provider

Transforming care in Hampshire. Our multi-specialty community provider Transforming care in Hampshire Our multi-specialty community provider Overview NHS Five Year Forward View set out new models of care needed for sustainable future Initially 29 Vanguards across England

More information

THE STATE OF HEALTH CARE AND ADULT SOCIAL CARE IN ENGLAND 2014/15

THE STATE OF HEALTH CARE AND ADULT SOCIAL CARE IN ENGLAND 2014/15 15 October 2015 THE STATE OF HEALTH CARE AND ADULT SOCIAL CARE IN ENGLAND 2014/15 This briefing summarises today s publication of the Care Quality Commission s annual State of Health and Adult Social Care

More information

Delivering Appropriate Emergency Care Services - Protocol Development and Design

Delivering Appropriate Emergency Care Services - Protocol Development and Design Delivering Appropriate Emergency Care Services - Protocol Development and Design Sherrill Evans, Karen Evans, Peter Huxley, Helen Snooks, Ian Russell et al Mental Health Research Team, College of Human

More information

AMBULANCE EXTENDED CARE PRACTITIONERS PROCEDURES

AMBULANCE EXTENDED CARE PRACTITIONERS PROCEDURES AMBULANCE EXTENDED CARE PRACTITIONERS PROCEDURES DATE APPROVED: August 2012 APPROVED BY: Clinical Quality & Governance Committee IMPLEMENTATION DATE: August 2012 REVIEW DATE: August 2014 LEAD DIRECTOR:

More information

East Anglian Air Ambulance. Consultant in Pre-Hospital Emergency Medicine. Information Pack and Job Description

East Anglian Air Ambulance. Consultant in Pre-Hospital Emergency Medicine. Information Pack and Job Description East Anglian Air Ambulance Consultant in Pre-Hospital Emergency Medicine Information Pack and Job Description History and Medical Overview The East Anglian region covers a vast area, much of it rural.

More information

Greater Manchester Fire and Rescue Service

Greater Manchester Fire and Rescue Service Greater Manchester Fire and Rescue Service Integrated Risk Modelling 2013/14 Contents Contents... 1 Introduction... 2 Our Legal Responsibilities... 2 Integrated Risk Management... 3 Integrated Risk Assessment

More information

YAS Two-year Operating Plan Final AMBULANCE SERVICE. Operating Plan 2014/15 2015/16. Saving lives, caring for you 1 19/05/2014 15:02

YAS Two-year Operating Plan Final AMBULANCE SERVICE. Operating Plan 2014/15 2015/16. Saving lives, caring for you 1 19/05/2014 15:02 Y UR AMBULANCE SERVICE Operating Plan 2014/15 2015/16 Saving lives, caring for you 1 19/05/2014 15:02 Contents INTRODUCTION... 3 TRUST PROFILE... 3 STRATEGIC CONTEXT... 6 EXTERNAL STAKEHOLDER ENGAGEMENT...

More information

Focal Points of the Eighth Fundamental Traffic Safety Program

Focal Points of the Eighth Fundamental Traffic Safety Program Focal Points of the Eighth Fundamental Traffic Safety Program Subtitle Achieving a society with no traffic accidents Term Five years from FY2006 to FY2010 Basic Principles In order to build a truly prosperous

More information

Ann Radmore. Chief Executive

Ann Radmore. Chief Executive 1 Ann Radmore Chief Executive A time for change The need for change What change looks like How changes can improve patient care Staff engagement Working together to bring about change A TIME FOR CHANGE

More information

An opinion survey on Emergency Medical Assistant Motor Cycle service in the Hong Kong Fire Services Department

An opinion survey on Emergency Medical Assistant Motor Cycle service in the Hong Kong Fire Services Department Hong Kong Journal of Emergency Medicine An opinion survey on Emergency Medical Assistant Motor Cycle service in the Hong Kong Fire Services Department PL Chim and SSF Lau Emergency Medical Assistant Motor

More information

Neil Brady, Deputy General Manager, Emergency Department Robert Pinate, ED Professional Development Nurse

Neil Brady, Deputy General Manager, Emergency Department Robert Pinate, ED Professional Development Nurse ITEM: 5 MEETING: Trust Board 16 April 2008 TITLE: Nurse Consultant in Paediatric Emergency Care SUMMARY: Attached is the business case to create a new post of Nurse Consultant in Paediatric Emergency Care,

More information

Medical Coverage Policy Ambulance: Ground Transport

Medical Coverage Policy Ambulance: Ground Transport Medical Coverage Policy Ambulance: Ground Transport Device/Equipment Drug Medical Surgery Test Other Effective Date: 11/29/2001 Policy Last Updated: 6/19/2012 Prospective review is recommended/required.

More information

BriefingPaper. Towards faster treatment: reducing attendance and waits at emergency departments ACCESS TO HEALTH CARE OCTOBER 2005

BriefingPaper. Towards faster treatment: reducing attendance and waits at emergency departments ACCESS TO HEALTH CARE OCTOBER 2005 ACCESS TO HEALTH CARE OCTOBER 2005 BriefingPaper Towards faster treatment: reducing attendance and waits at emergency departments Key messages based on a literature review which investigated the organisational

More information

Emergency Medical Services Agency. Report to the Local Agency Formation Commission

Emergency Medical Services Agency. Report to the Local Agency Formation Commission Emergency Medical Services Agency August 8, 2012 Report to the Local Agency Formation Commission The Relationship of Fire First Response to Emergency Medical Services On September 26, 2011, the Contra

More information

HEMS Critical Care Paramedic

HEMS Critical Care Paramedic HEMS Critical Care Paramedic saving time saving lives Part of The Air Ambulance Service. Registered Company No. 4845905. Registered Charity No. 1098874 Working For Our Charity I am frequently being asked:

More information

Supporting the development of ambulance services as out-of-hospital providers

Supporting the development of ambulance services as out-of-hospital providers Supporting the development of ambulance services as out-of-hospital providers Richard Hunt CBE Chair, London Ambulance Service NHS Trust Representing the Association of Ambulance Chief Executives (AACE)

More information

Pre-hospital Emergency Care Key Performance Indicators for Emergency Response Times

Pre-hospital Emergency Care Key Performance Indicators for Emergency Response Times Pre-hospital Emergency Care Key Performance Indicators for Emergency Response Times November 2010 1 About the The is the independent Authority which has been established to drive continuous improvement

More information

Changing health and care in West Cheshire The West Cheshire Way

Changing health and care in West Cheshire The West Cheshire Way Changing health and care in West Cheshire The West Cheshire Way Why does the NHS need to change? The NHS is a hugely important service to patients and is highly regarded by the public. It does however

More information

Copyright 2009, National Academy of Ambulance Coding Unauthorized copying/distribution is strictly prohibited

Copyright 2009, National Academy of Ambulance Coding Unauthorized copying/distribution is strictly prohibited Your instructor Levels of Service National Academy of Ambulance Coding Steve Wirth Founding Partner, Page, Wolfberg & Wirth LLC Over 30 years experience as an EMT, Paramedic, Flight Medic, EMS Instructor,

More information

Not just a matter of time A review of urgent and emergency care services in England

Not just a matter of time A review of urgent and emergency care services in England Inspecting Informing Improving Not just a matter of time A review of urgent and emergency care services in England Service review September 2008 Commission for Healthcare Audit and Inspection This document

More information

Medical Helicopter Operations in Rural Areas. Medical Helicopter Operations in Rural Areas

Medical Helicopter Operations in Rural Areas. Medical Helicopter Operations in Rural Areas Medical Helicopter Operations in Rural Areas Joint Commission on Health Care Subcommittee on Healthy Living & Health Services Anita Ashby, RN MSN CEN NREMT-P P CMTE Wellmont Health System Paul Davenport,

More information

Intensive Rehabilitation Service & Community Treatment Team

Intensive Rehabilitation Service & Community Treatment Team Intensive Rehabilitation Service & Community Treatment Team Caroline O Donnell Integrated Care Director North East London Foundation Trust Carol White Deputy Integrated Care Director North East London

More information