Volume 34 No. 4
August 2019
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CONTENTS
CONTENTS 129
EDITOR’S COMMENT
130
FEATURES
130 The groundbreaking 3.5 tonne DCA set ‘to turn blue lights green’
Ambulance UK This issue edited by: Dr Matt House c/o Media Publishing Company 48 High Street SWANLEY BR8 8BQ ADVERTISING: Terry Gardner, Brenda Pickering
132 Paramedic Intubation CIRCULATION:
136
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COVER STORY TAKE PART IN THE ZOLL EMS CHALLENGE In 2019, the ZOLL EMS Challenge is returning to the Emergency Services Show in Birmingham. The EMS Challenge is an interactive experience where all participants will have the opportunity to try ZOLL’s advanced technologies first-hand. The challenge features four stations for delegates to complete. The first station will enable participants to ‘Advance Care for Critical Patients’. Utilising the latest tools on ZOLL’s X Series® – including telemetry, real-time ventilation feedback, and a specific dashboard for suspected brain injuries –rescuers will be empowered to treat critical patients with more confidence. The second station features the Z Vent®, our compact and easy-to-use portable ventilator for the EMS market. Challenging themselves with manual ventilation, attendees will then experience how to ‘Simplify Ventilation’. Participants will also ‘Optimise Cardiac Arrest Care’ with the integrated system of X Series, utilising its unmatched CPR feedback, and the AutoPulse® for automated CPR. In RescueNet® CaseReview we will review and debrief the whole case, including the individual CPR performance.
COPYRIGHT: Media Publishing Company Media House 48 High Street SWANLEY, Kent, BR8 8BQ PUBLISHERS STATEMENT: The views and opinions expressed in this issue are not necessarily those of the Publisher, the Editors or Media Publishing Company. Next Issue October 2019 Subscription Information – August 2019 Ambulance UK is available through a personal, company or institutional subscription in both the UK and overseas. UK: Individuals - £24.00 (inc postage) Companies - £60.00 (inc postage) Rest of the World: £50.00 (inc. surface postage)
If you have not registered to attend the Emergency Services Show yet register for free today, and make sure you come and see us on stand L57. Everyone who visits our stand and completes the EMS Challenge will receive a FREE BACKPACK.
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We look forward to seeing you there! To learn more about ZOLL’s latest technologies visit www.zoll.com/uk
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AMBULANCE UK - AUGUST
Finally, attendees will ‘Respond to the Unexpected’ with ZOLL’s AEDs. All ZOLL AEDs are equipped with Real CPR Help® technology, guiding every rescuer to high-quality CPR when facing a Sudden Cardiac Arrest.
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EDITOR’S COMMENT
EDITOR’S COMMENT They say a change is as good as a rest. Like many in the NHS, I had found myself flagging a little from the endless cycle of emails and meetings that can take up a lot of our work. Although a necessary part of our roles, they can blunt your enthusiasm if you let them. Last week I had the opportunity to spend a few days with some of my military colleagues. In particular I was working with paramedics from the military. They were Army and RAF; regular and reserve. Some worked partly for the NHS, and one was on her last day in the Army after twenty-two years, and about to take up a job in an NHS ambulance service. We were in a training environment, and the weather was exceptionally good, so we were already feeling positive.
It would be unfair to say I don’t see this in the NHS. I do. Perhaps it was more to do with my own state of mind than it was to do with these individuals. But either way, I was inspired by them. I actually left them with more work on my plate than when I met them. But I left with a spring in my step, and a much more positive view of work as a whole. It just goes to show how change can indeed be as good as a rest. I look forward to the work this group have got me involved in. I also wish Dawn all the best in her new career!
Dr Matt House, Co-Editor Ambulance UK
AMBULANCE UK - AUGUST
“They could see the issues, but the mentality was to overcome these. It was infective.”
However, the thing that really impressed me was the enthusiasm and drive that these people worked with. Don’t get me wrong: They still had to contend with some of the administration issues we do in the NHS. They still got the influx of emails, and the meetings. But despite all this they were on a mission to improve their own practice, and that of their charges. They could see the issues, but the mentality was to overcome these. It was infective.
129 For all your equipment needs visit: www.ambulanceservicesuppliers.co.uk
ADVERTORIAL FEATURE
THE GROUNDBREAKING 3.5 TONNE DCA SET ‘TO TURN BLUE LIGHTS GREEN’ The new WAS 3.5 tonne DCA has arrived. This highly-anticipated
state-of-the art chassis system has enabled this previously out of
vehicle will be unveiled at this year’s Emergency Services Show (ESS)
reach goal once again to be a reality, putting the UK at the very
in Birmingham, Wednesday 18 – Thursday 19 September 2019.
forefront of mobile medical technology.
John Rumsey, Commercial Manager at WAS UK, is looking forward
All of the WAS UK test data has been independently validated by
to unveiling the vehicle in Birmingham, “I believe that our 3.5 tonne
Millbrook testing ground. Emissions and fuel consumption were
frontline DCA is a game changer in the market. A 3.5 tonne DCA
compared for normal driving, emergency driving and overall.
really is the ‘Holy Grail’ in terms of ambulance design and we have achieved this by using an aircraft grade aluminium ‘semi-
Lord Carter’s report into unwarranted variation in the ambulance
monocoque’ design resulting in the lightest frontline ambulance on
service identified the need to make efficiencies in the ambulance
the market today. This weight reduction delivers massive savings
service, including development of a minimum standard ambulance
of up to 20% on emissions and fuel consumption compared to the
specification. NHS Improvement’s recently launched national
average NHS front line fleet and, according to our Millbrook tests,
ambulance specification provided an opportunity to set a new
this will deliver savings of approximately 2,500 tonnes of CO2 and
standard for vehicle specification, with a focus on innovation, the
£1.5 million in fuel savings per annum for a typical NHS front line
environment and to address the practical challenges faced by the
fleet. We have achieved this without compromise as it includes a full
service up and down the country. Neil Le Chevalier comments,
set of equipment at 280kg and space for five people at 90kg, which
“Trusts would welcome a lighter vehicle – it’s something that’s
exceeds the requirements of EN1789. Our next step is to ensure
been talked about for a number of years. The new specification is a
that the NHS improvement team add this design to the National
minimum standard currently, it has been designed to be constantly
Specification by the end of 2019.”
renewed and updated. There are plans for an innovation group to be set up and I hope that they will also take into consideration the
The NHS Long Term Plan also makes commitments to cutting
benefits of this newer, lightweight vehicle.
mileage and air pollution by a fifth (20%) by 2024 and ensuring nine out of 10 vehicles are low emission within a decade. Director
Neil Le Chevalier adds: “In the South Western Ambulance Trust
of Operational Services at South Western Ambulance Service NHS
we’d welcome the opportunity to pilot this innovative new 3.5 tonne
Foundation Trust, Neil Le Chevalier, tells us how the arrival of this
vehicle. A lightweight, 3.5 tonne vehicle helps to address the issues
new vehicle will address key issues affecting the ambulance service
we’re facing in the service in the longer term together with improved
head-on, “In South Western Ambulance Trust we do 24 million miles
environmental and safety credentials.”
a year – we’re a rural service – so we’re always interested in new
AMBULANCE UK - AUGUST
ways to be greener. The new WAS 3.5 tonne vehicle is good for fuel
John Rumsey, explains: “The 3.5 tonne DCA is the new vanguard in
economy as well as for the environment.”
terms of ambulance design and judging by the results of our recent poll, conducted on social media, more than 60%1 of respondents
Sales Engineering Manager at WAS UK, Tom Howlett explains,
would like to see the vehicle added to the new ambulance
“As you would expect from a lighter vehicle, the new 3.5 tonne
specification. In the future all newly qualified paramedics, technicians
ambulance provides environmental benefits; it reduces air pollution
and workshop staff will be automatically licensed to drive our
(CO2) by up to 20% compared to a current national specification
vehicles and there will be no need for costly C1 licence tests. We
van. This enables our customers to meet the target set by Simon
hope that this is a significant development in supporting the NHS
Stevens well ahead of the 2024 target. Fuel consumption is also
recruitment of young paramedics into the Ambulance Service.
reduced in line with the emissions reduction, in the case of South Western Ambulance Trust this figure will be hundreds of thousands of
If you’d like to find out more information about the new WAS 3.5
pounds.”
tonne vehicle, find us at ESS 2019, stand J65 or please contact wasukinfo@was-vehicles.co.uk, or speak with Tom Howlett on
Prior to the 1990s ambulances in the UK were based on a 3.5 tonne
07496 982199 or 0845 459 2785.
weight capacity, but with the introduction of more and more lifesaving medical equipment and loading systems the operating weight
References
of ambulances has continued to increase. The WAS innovative,
1. Twitter poll of 511 people, 62% responded yes to including a 3.5
‘semi-monocoque’ lightweight aluminium body combined with a
tonne box in the National Ambulance Specification
130 For further recruitment vacancies visit: www.ambulanceukonline.com
ADVERTORIAL FEATURE
BEGIN YOUR JOURNEY TO A GREEN FLEET Driving down CO2 emissions and fuel costs by 20%
WAS®. Protecting our environment. WAS UK Ltd • Email : wasukinfo@was-vehicles.co.uk • Phone : 0845 45 927 85 Website : www.was-vehicles.com • Twitter : @WASAmbulances • Facebook : www.facebook.com/was.vehicles Do you have anything you would like to add or include in Features? Please contact us and let us know.
AMBULANCE UK - AUGUST
Stand J65 Emergency Services Show 2019 NEC Birmingham Sept 18-19
131
FEATURE
PARAMEDIC INTUBATION Daniel Davis Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2014 22(Suppl 1):A2 http://www.sjtrem.com/content/22/S1/A2 © The Author(s). 2014, licensee BioMed Central Ltd. Reproduced with permission from the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
One of the most controversial topics in resuscitation science
improved outcomes with paramedic ETI, particularly among more
is the inclusion of endotracheal intubation (ETI) within the
severely injured patients [4,5]. In addition, a prospective, controlled
scope of practice for non-physician providers in the prehospital
trial using advanced practice paramedics in Australia documented
environment. Unfortunately, the medical literature is unable
improved neurologic outcome with prehospital use of paralytics to
to provide clear evidence for or against this perspective,
facilitate ETI [6].
leading to tremendous variability in practice throughout the world. To better understand this topic, one must address four
Although selection bias has clearly influenced the results of prior
separate but related issues: 1) the physiological rationale for
studies investigating the impact of paramedic ETI on outcome,
early intubation during resuscitation, 2) the inconsistency of
making it difficult to define an optimal therapeutic approach to
published reports addressing this controversy, 3) the possibility
airway management during resuscitation, a growing number of
that suboptimal performance of ETI and subsequence
studies have identified suboptimal performance of the procedure as
ventilation can explain a lack of outcomes benefit, and 4) the
well as the subsequent ventilation as critically related to outcome
relationship between provider type, training, and airway skills
in these patients. The two most important technical components to
performance. Each of these will be addressed below.
early ETI that have been identified include avoiding desaturations (particularly with the use of paralytics to facilitate laryngoscopy)
The ABC’s of Resuscitation represent a fundamental paradigm,
and eliminating hyperventilation following successful placement of
which recognizes that airway obstruction and hypoxemia often
an advanced airway. Desaturations may exacerbate existing brain
accompany severe injury and illness. Furthermore, addressing
injury and can result in asphyxial arrest. Hyperventilation decreases
these – with ETI representing “definitive” therapy in this regard
cerebral perfusion via hypocapneic cerebral vasoconstriction
– may prevent deterioration or reverse secondary injury from
(unique to the cerebral vasculature) and via a decrease in
hypoxemia. The relationship between hypoxemia and poor outcome
cardiac output associated with the rise in intrathoracic pressure
from traumatic brain injury (TBI) is well described [1]. Unfortunately,
that accompanies excessive ventilation rates or prolonged
the vast majority of severe TBI patients appear to have pulse
inspiratory times. Both desaturations and hyperventilation
oximetry values below 90% [2], underscoring the importance of
have been associated with poor outcomes, and it appears that
this issue. In addition, obtunded patients are at risk for aspiration
eliminating these might have reduced or avoided completely the
and subsequent pneumonitis or pneumonia, which may further
increase in mortality observed during the San Diego Paramedic
contribute to a critical clinical picture. While these concepts
Rapid Sequence Intubation Trial [7,8]. Both desaturations and
would appear to provide irrefutable support for early intubation in
hyperventilation can be reduced or eliminated completely with
resuscitation, it should be noted that reversing hypoxemia may not
targeted training and equipment interventions. Other opportunities
prevent hypoxia-mediated injury and that outcomes evidence is
exist to improve clinical outcomes by addressing specific
conspicuously lacking to support an aggressive approach to airway
technical issues. These include avoiding the potential dangers of
management.
hyperoxemia associated with ETI, minimizing the rise in intracranial pressure during laryngoscopy, and exploring novel strategies for
While the need to control the airway and provide ventilatory
providing ventilation during cardiopulmonary arrest and shock.
support to critically ill and injured patients is rarely challenged,
AMBULANCE UK - AUGUST
the published literature does not provide definitive evidence in
The final issue that must be considered with regard to defining
this regard. In fact, early intubation has generally been associated
the optimal scope of practice for non-physician pre-hospital
with poor clinical outcomes, with the preponderance of studies
providers concerns the complex relationships between provider
performed using non-physician providers leading to the present
type, procedural experience (both recent and total), training,
controversy [3]. Unfortunately, the most likely explanation for
and available equipment. While these relationships are only just
these results has less to do with the provider type and more
beginning to be elucidated, there appear to be several important
related to research methodology. Despite sophisticated statistical
observations from the existing literature. First, the type of provider
methodologies to adjust for injury severity, the fact remains that
(e.g., physician, nurse, paramedic) appears to be less important
patients being considered for invasive airway management are
than experience and training. Well-trained, experienced flight
inevitably more critically ill and injured, which almost certainly
nurses and paramedics can achieve intubation success and clinical
explains the consistent association between early ETI and
outcomes than rival or even surpass their physician counterparts
increased mortality. More recently, unconventional statistical
[9]. Second, it may be difficult for non-physician providers in some
methodologies and population-based studies have suggested
prehospital systems to accumulate enough clinical experience with
132 For further recruitment vacancies visit: www.ambulanceukonline.com
VISIT US Stand C90 The Emergency Services Show NEC, Birmingham 18-19 September 2019
certain procedures including ETI to maintain competency. Third, it appears that procedural experience – particularly recent experience – is associated with both performance as well as clinical outcomes [10]. Finally, simulation appears to be able to provide an alternative for clinical experience, although the “exchange rate” for actual clinical encounters remains to be defined [11]. In the future, scope of practice should be related to competency, with better education and training algorithms designed to identify and correct individual deficiencies to assure optimal performance. In summary, the optimal approach to airway management during resuscitation remains unclear. Although physiological justification exists to support an aggressive approach that includes ETI by non-physician providers, outcomes data remain difficult to interpret and plagued by selection bias. The medical literature appears more clear on the importance of avoiding suboptimal performance of airway management, particularly desaturations and hyperventilation, which can be accomplished via novel approaches to training and equipment. Future efforts must focus on refining
Resuscitation and Emergency Care
technical performance of airway management procedures through better training approaches and equipment as well as elucidating optimal clinical therapeutic interventions. References 1. Chesnut RM, Marshall LF, Klauber MR, et al: The role of secondary brain injury in determining outcome from severe head injury. J Trauma 1993, 34:216-22. 2. Davis DP, Fisher R, Buono C, et al: Predictors of intubation success and therapeutic value of paramedic airway management in a large, urban EMS system. Prehosp Emerg Care 2006, 10:356-362. 3. Davis DP, Hoyt DB, Ochs M, et al: The effect of paramedic rapid sequence intubation on outcome in patients with severe traumatic brain injury. J Trauma 2003, 54:444-53.
A full range of products for use in an emergency and resuscitation situation. • • • • •
Bag-Valve-Mask (BVM) Pocket Resuscitation Mask Airway Management Devices Video Laryngoscopy Oxygen Therapy Masks
4. Davis DP, Peay J, Sise MJ, et al: Prehospital airway and ventilation management: a trauma score and injury severity score-based analysis. J Trauma 2010, 69(2):294-301. 5. Davis DP, Koprowicz KM, Newgard CD, et al: The relationship between out-of-hospital airway management and outcome among trauma patients with Glasgow Coma Scale score of 8 or less. Prehosp Emerg Care 2011, 15(2):184-92. 6. Bernard SA, Nguyen V, Cameron P, et al: Prehospital rapid sequence intubation improves functional outcome for patients with severe traumatic brain injury. Ann Surg 2010, 252:959-65. 7. Warner KJ, Cuschieri J, Copass MK, et al: Procedural experience with out-of-hospital endotracheal intubation. J Trauma 2007, 62:1330-8. 8. Davis DP, Dunford JV, Poste J, et al: The impact of hypoxia and hyperventilation on outcome after paramedic rapid sequence intubation of severely head-injured patients. J Trauma 2004, 57:1-10.
The complete solution from the respiratory care specialists To view the full range visit www.intersurgical.co.uk/info/emergency
9. Wayne MA, Friedland E: Prehospital use of succinylcholine: a 20year review. Prehosp Emerg Care 1999, 3:107-9. 10. Wang HE, Kupas DF, Hostler D, Cooney R, Yealy DM, Lave JR: Procedural experience with out-of-hospital endotracheal intubation. Crit Care Med 2005, 33(8):1718-1721. 11. Davis DP, Buono C, Ford J, et al: The effectiveness of a novel, algorithm-based difficult airway curriculum for air medical crews using human patient simulators. Prehosp Emerg Care 2007, 11:72-9.
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T E L E M AT I C S
NEWSLINE LAS
Chingford cardiac arrest survivor thanks staff A man has been reunited with staff from London Ambulance Service who saved his life after he collapsed at home in
After running into the sitting room and checking if he was breathing, they immediately dialled 999. They spoke to Emergency Call Coordinator, Fran De Wet, working in the London Ambulance Service control room, who started directing them through cardiopulmonary resuscitation (CPR).
cardiac arrest.
with the help of doctors and nurses has made a full recovery.
by Fran, Esme and Amanda.
lucky to survive. If it wasn’t for the London Ambulance Service, my wife and daughter I wouldn’t be able to thank them all personally.”
family visited Walthamstow
well. I did so much better than
Call handler Fran said: “This is
ambulance station recently
I thought and that’s because of
why we do the job. That feeling
for the opportunity to meet
her help.”
of knowing that something
His wife Tina, 63, recalls the moment her daughter, Christina, 37, alerted her to Andreas’s collapse at their home back in February 2018: “All of a sudden my daughter came to me and said: ‘Mum, I don’t know if dads asleep or ignoring me’.”
you’ve done has really helped An ambulance was quickly
someone and their family.”
dispatched and London Ambulance Service paramedic crew Esme Choonara and Amanda Gowing responded to the scene. They managed to get a pulse and rushed Andreas into Barts Heart Centre at St Bartholomew’s Hospital, where
The family wants to raise awareness of the importance
Andreas said: “I must be really
to do CPR and the rhythm as
involved.
did.”
Andreas and Tina were joined
Andreas Kallis, 68, and his
and personally thank all those
has been overwhelming – I promised I wouldn’t cry but I
At the emotional reunion
here now. It was wonderful to be “Fran told us precisely how
“The whole experience
“In over twelve years working for the Service I have taken several cardiac arrest calls. But I have only ever received three letters to tell me that those patients have returned to normal life and have walked out of hospital. So to actually meet Mr Kallis is truly amazing.
We offer innovative EMS solutions, helping you provide a high level of care
of the general public learning lifesaving skills such as CPR. Tina said: “I had done a bit of CPR training years ago, but you never really think that something like this is going to happen to you. “I just feel so good that I was able to help save him.” “We are so grateful to all of the ambulance staff and everyone at St Bartholomew’s Hospital, the nurses, the doctors and the police who also attended that day. It feels like it is the closure we needed. To thank them and to see them in lovely surroundings not in that traumatic, horrendous way.”
More power to you
AMBULANCE UK - AUGUST
This document is intended solely for the use of healthcare professionals. A healthcare professional must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that healthcare professionals be trained in the use of any particular product. The information presented is intended to demonstrate the breadth of Stryker product offerings. A healthcare professional must always refer to the package insert, product label and/or instructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Power-PRO XT, Power-LOAD, Stryker. All other trademarks are trademarks of their respective owners or holders. The products depicted are CE marked in accordance with applicable EU Regulations and Directives. 08-2018, 2018-18327
136 For more news visit: www.ambulanceukonline.com
NEWSLINE SECAMB
Trust commits to further strengthen relationship with armed forces South East Coast Ambulance Service NHS Foundation Trust, (SECAmb), is committing to further strengthening its relationship with the armed forces. Many SECAmb staff have previously been employed as
commitment to those who serve or who have served in the armed forces and their families and outlines how the Trust will support them, officially, as a militaryfriendly employer.
SECAmb Executive Director
The commitments set out in the covenant include promoting SECAmb as an armed forcesfriendly organisation, seeking the employment of veterans young and old and endeavoring to offer flexibility in granting leave for service spouses and partners before, during and after a partner’s deployment.
and linking up with all sections
The Trust reaffirmed its commitment to work closely with
In June SECAmb attended an event in Crawley organised by the South East Reserve Forces’ and Cadets’ Association (SERFCA).
the sector as the country marked Armed Forces Week. SECAmb signed up to the Armed Forces Covenant in November last year. The covenant is a
said: “I was very pleased that we signed the Armed Forces Covenant to demonstrate our commitment to supporting of the military. This was an important official step to help ensure that we continue to strengthen this important relationship. “In this Armed Forces Week I would like to thank all our staff, volunteers and their families
military personnel or continue to serve in a voluntary capacity.
of Operations Joe Garcia
The briefing event is one of five held across the region each year with this event focusing on the armed forces approach to diversity, youth and inclusion.
and friends who have links to the armed forces. Having served myself prior to my career in the ambulance service, I would encourage others to consider, if they are due to end their forces career, whether the ambulance service could be the
“In this Armed Forces Week I would like to thank all our staff, volunteers and their families and friends who have links to the armed forces.”
right next step for them.”
YEARS IN EUROPE
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THE NEW STAY TUNED.
Autumn
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AMBULANCE UK - AUGUST
NEXT GENERATION
137 For all your equipment needs visit: www.ambulanceservicesuppliers.co.uk
NEWSLINE
INNOVATION Visit us on stand A25 at the Emergency Services Show
...designing and manufacturing vehicles that deliver greater value to healthcare services
NEWSLINE NWAS
Ambulance service celebrates baby deliveries A birth is something to be celebrated and North West Ambulance Service (NWAS) has launched a new initiative to recognise members of staff who have helped deliver a baby. Clinicians and emergency medical dispatchers are now presented with a certificate and a branded stork pin badge if they have
Communications Manager for NWAS, Sarah Morley, said: “As an ambulance service, our staff spend a lot of time helping people in the worst moments of their lives but in the event of a birth, it’s a rare opportunity for them to play a part in the happiest and we thought that it is something we should recognise. “There’s always a buzz around the control room or ambulance station when a baby has been born and it’s an extremely proud moment for our staff to be involved in.”
assisted in the birth of a baby to
In just ten days since the scheme
mark the happy occasion.
has been launched, the trust has already received nine nominations
Wigan based Paramedic,
for team members who have been
Jaroslaw Wierzycki and
involved in births.
Emergency Medical Technician, Mark Smyth became one of the
The trust’s Communications Team
first to receive pin badges after
issue the badges and certificates
they helped delivered a baby in
which are then presented to staff
the ambulance.
by their local managers.
CALLING ALL
CFR TEAMS! You’ve got to be in it to win it! The winner of this year’s #ELKToTheRescue competition taking place at the Emergency Services Show will walk away with their very own Camel Lifting Cushion or a bottle of Champagne. AMBULANCE UK - AUGUST
Come and see us at ESS2019 on stand H68 T&C’s will apply.
Contact us today 0800 2800 485 Learn more at www.mangarhealth.com
Mangar Ambulance half page advert 180x123.5 v3.indd 1
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09/08/2019 16:09
139
NEWSLINE From various fundraising
NWAS
efforts and donations from the
Ambulance service nurses awarded for excellence
local community, the school raised enough money to buy a community defibrillator cabinet to house the donated defibrillator from the Trust. This has now
Ambulance service nursing
been installed at the front of The
staff have been commended
White Lion Pub in Allesley and is
by Chief Nursing Officer (CNO)
accessible to the community in an
for England, Ruth May as she
emergency 24 hours a day, seven
visited North West Ambulance
days a week if required. The
Service (NWAS) to present two CNO Silver Awards for
Craig Hayden receiving his award from Chief Nursing Officer Ruth May
own defibrillator, in a separate
Excellence in Nursing. Attending the emergency control centre in Greater Manchester, Ruth presented the awards to two members of staff who have excelled in their performance, going beyond the expectations of their job, Mental Health Manager, Gill Drummond and Advanced Practitioner, Craig Hayden. Gill is a mental health nurse with
school have also purchased their
He has been commended for his
will see existing NHS 111 nurses
dedication and innovative practice
spending time in the community
which has meant that he has been
to inspire future generations
able to push the boundaries of
of nurses, as well assisting
nursing within the organisation.
colleagues to develop their roles.
Chief Nurse for NWAS, Angie
The roles form part of an England-
McKeane, said: “We were really
wide campaign which aims to
pleased to welcome our CNO
attract more people into the
to the ambulance service and
nursing profession.
delighted that two of our members
venture, which is situated onsite to further bolster life-saving potential within the community. Liz Hayes-Jones, Head Teacher for Hollyfast Primary School, said: “We are pleased that the fundraising target we set has been successfully completed. This has been achieved through the joint efforts of our community which marks the loss of a parent
School and pub are helping to save lives in Coventry
and friend to Hollyfast, Matt
immediately think about
A primary school and a pub in
A special thank you to all
NHS Long Term Plan. An excellent
paramedics but we have so
Coventry are the proud owners
who have helped us achieve
leader, Gill has been successful in
many different roles within the
of a life-saving defibrillator
this, including Persimmon
influencing colleagues to change
trust including our brilliant nurses
thanks to the fundraising efforts
Homes community donation,
practice and service delivery to
who work with us in our NHS
of their local community.
neighbouring school Keresley
meet patients’ needs.
111 service, our emergency
over 34 years’ experience working in a wide range of health care sectors. Relatively new to her role in NWAS, she has undertaken a robust review of the trust’s mental health action plan in line with the
of staff have been given this prestigious recognition. “When people think of the
Whitehead, who sadly suffered a cardiac arrest and died whilst out running last summer.
ambulance service, they
Grange, individual contributions
operations centre and out on the
Hollyfast Primary School in
through a marathon sponsorship
road. They all do a fantastic job.”
Coundon, Coventry, began a
and other donations, Dave
works within the trust’s emergency
fundraising initiative to purchase
from Brady’s Electricians who
operations centre to offer support
The visit comes in the same week
a defibrillator for the school in
completed the defibrillator box
that the trust has announced new
November last year after the
installation for free as well as The
nurse ambassador roles which
parent of one of their pupils
White Lion Pub (Vintage Inn) who
suffered a cardiac arrest and
agreed to house the community
sadly died in 2018.
defibrillator.
Advanced Practitioner, Craig
and advice to colleagues handling 999 calls and out on the road.
AMBULANCE UK - AUGUST Gill Drummond receiving her award from Chief Nursing Officer Ruth May
Early into their fundraising, the
A special thank you, also, to
school decided to contact West
West Midlands Ambulance
Midlands Ambulance Service to
Service for their very kind
find out more about defibrillators.
donation of the community
It was during a conversation
defibrillator. Our joint efforts have
between the school and the
resulted in two life-saving devices
Trust’s Community Response
being introduced in the Coundon
Manager, Bobby Qayum, that
and Allesley areas which we
the ambulance service offered
hope will make a difference to
to donate a defibrillator to further
someone’s life. We are proud of
bolster the community’s life-
our joint efforts in making this
saving potential.
happen.”
140 For further recruitment vacancies visit: www.ambulanceukonline.com
NEWSLINE Bobby Qayum, Community
assessment techniques used by
to be involved in an initiative
APP. A free interactive post fall
Response Manager, said: “When
paramedics.
where we are having a direct
assessment tool launched to
impact on helping to reduce
support care staff to be able to assess fallen residents and make
the school contacted me and explained that they wanted a
It is part of a continuing initiative
unnecessary ambulance callouts
defibrillator in memory of a parent,
to decrease the number of
and safeguarding the lives of
I felt it was only right that the
unnecessary ambulance callouts
residents.
service donated a defibrillator to
to un-injured fallers which is
the community as well. It’s been
currently costing the NHS
Especially when you see the
a pleasure supporting this local
over £50 million a year and to
positive feedback and results that
community if either defibrillator
safeguard the lives of residents
have already come out of it. In
helps to save just a life, then
living in care homes.
fact, an early project evaluation
As well as being market leaders
has shown an 80% reduction in
in patient lifting and independent
it’s money well spent. As an
informed decisions whether they can lift the faller themselves safely and with the appropriate lifting equipment.
ambulance service we know
Every year in the UK, more than
decisions to call an ambulance
living products, Mangar Health’s
that the quicker someone in
1350,000 residents living in care
within the first month of receiving
recent acquisition by French
cardiac arrest is given CPR and a
homes will fall and usually, manual
the support package.
medical device company
defibrillator is used, the better the
handling policies restrict options
chances of survival.”
care staff have for lifting. Care
It is a great example of how the
homes, therefore, commonly rely
public and private sector can
on a paramedic to perform the
work hard together and strive to
lift, even if the faller is uninjured,
reach our joint goal of creating
which puts added pressure on
better healthcare outcomes for all
the already stretched ambulance
involved.”
Successful collaboration reduces calls to the Welsh Ambulance Service to lift uninjured fallen residents living in care homes
Winncare Group means they now
services.
have an extended product range that includes care beds, pressure care mattresses, and hoists. If you’re interested in getting involved in a similar project
Mangar Health have also worked
in your area, please contact
Simon Claridge, CEO at Mangar
closely with The Welsh Ambulance
Andrew Macphail by emailing
Health said; “It’s been an honour
Service to launch the ISTUMBLE
amacphail@mangarhealth.com.
A milestone collaboration between the Welsh Ambulance Service Trust and Mangar Health launched last January has reduced the number of calls made by care homes to lift uninjured fallen residents. Supported by Welsh Government, the initiative is designed to enable ambulance services to redirect resource to priority calls while safeguarding the lives of care home residents. The initiative saw nearly 600 care homes taking part across Wales. Over the past months, Mangar Camel Lifting Cushion, which was selected by the Welsh Government and Welsh Ambulance Service as the lifting equipment of choice. Care home staff then received training on post fall management protocols, how to use the lifting device and were introduced to health
Pictured (left to right): Daniel Colclough, Senior Business Development Manager at Mangar Health, Paul Watts, Senior Business Development Manager at Mangar Health, Jason Killens, CEO of the Welsh Ambulance Service Trust, Craig Butcher, Robin Petterson, Frequent Faller Lead, Welsh Ambulance Service Trust, Andrew Macphail, Commercial Director at Mangar Health.
AMBULANCE UK - AUGUST
each care home has received a
141 For all your equipment needs visit: www.ambulanceservicesuppliers.co.uk
NEWSLINE
Where Emergency Services meet to talk business
Learn from the experts and improve your skills
AMBULANCE UK - AUGUST
142
Taking place in Hall 5 at the NEC in Birmingham, the two-day event
This unique event features over 450 leading suppliers exhibiting,
brings together all disciplines from the emergency services sector
80 free CPD-accredited seminars for all services, live demonstrations
to discover emerging technologies and operational solutions,
and extrication challenges. Visitor entry and visitor parking are free
share their experiences and unite in their collaborative approach
of charge for all trade visitors.
to public safety.
Register online now at www.emergencyuk.com
This an industry-only event and NOT open to the general public. Visitors under the age of 16 will not be admitted. The organisers reserve the right to refuse entry.
Find out more at www.emergencyuk.com For more news visit: www.ambulanceukonline.com
NEWSLINE WMAS
I hope no other family has to go through what we did A new scheme to equip Birmingham city centre businesses and late night venues with specialist first aid kits that could save the lives of victims of stabbings and gunshots has been launched. Birmingham Community Safety Partnership (BCSP) has been working with campaigner Lynne Baird, of The Daniel Baird Foundation and West Midlands
after arriving at hospital due to
The BCSP received £4,000
catastrophic bleeding.
from the West Midlands Police and Crime Commissioner to
Patients suffering catastrophic
purchase 50 kits which were
bleeds from serious injuries such
developed by WMAS and
as those caused by a stabbing,
the West Midlands Trauma
shooting or car accident can
Networks. WMAS Chief
prove fatal in as little as three to
Executive, Anthony Marsh, said:
five minutes if the bleeding is not
“In cases such as Daniel’s,
stemmed.
every second counts and being able to stem the bleeding could
The idea behind the bleed
make the difference between
control kits is to buy the first vital
life and death. I also hope
minutes before ambulance staff
that the work of the Daniel
can reach the scene.
Baird Foundation will result in
Lynne Baird, Daniel’s mother,
kits becoming as common as
said: “Daniel died very quickly
defibrillators are so that many
after he was stabbed due
more lives can be saved right
to the level of blood loss.
across our country.”
Ambulance Service, to develop
Unfortunately, there was no first
and deliver this initiative at
aid kit available that could have
Staff at the 50 venues will
locations across the city centre.
helped him and that’s why we’ve
receive training on these kits,
helped develop these kits as
and people who call 999 will
they could make a difference.
be directed to the nearest kit
The Daniel Baird Foundation was set up by his family after
and talked through how to use
he was fatally stabbed while out
“I just hope that these kits might
it by the WMAS call handlers
with friends in Birmingham in
mean that no other family has to
who take 999 calls about such
July 2017. Daniel died shortly
go through what we have.”
cases.
“I just hope that these kits might mean that no other family has to go through what we have.”
“...the moment they turned the camera on, the patient in front of them and their attitude immediately changed - so it is having that deterring effect. “ Mark Cotton, assistant director at NEAS
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AMBULANCE UK - AUGUST
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143
NEWSLINE roof. I remember sleeping naked
I remember standing up ready
I am very lucky to be alive and
on top of the covers with the
to leave to go to the doctor’s
not to have lost limbs but I feel
windows wide open – my fiancé
and soiling myself. I remember
people need to understand the
couldn’t even share a bed with
hanging my head out the
mental state that is left after
me as I was too hot. But it was
car window to cool down. I
this kind of ordeal especially
At 25, I had not long become
paracetamol and rest like the
remember not being able to sit
for employers, family and
engaged and had begun
doctor said.
in the doctor’s office as I was
friends.
Sepsis - Lesley’s Story
planning my wedding. I was
too warm. I was unable to walk and barely conscious.
My life has completely changed
On the Sunday morning I
The doctor advised my dad to
I wouldn’t say it is a bad thing
couldn’t take it. I knew there
drive me to the hospital – around
On the morning of Wednesday,
was something not right. I texted
30 minutes away from the doctor
April 13th 2016, I woke up with
my mum and asked her to call
in the opposite direction from my
the most terrible flu, cough
NHS 24 as at this point, I had
home – as she believed I was
and sore throat. I had never
no voice at all. I remember lying
dehydrated and needed to be
experienced such illness – it was
next to her as she answered
put on a drip.
horrific.
questions about how I was
enjoying life and my job
“I feel like I’m dying”
working with children in a nursery.
feeling. This was at 10.30am and The days went on and by the
I said jokingly to her “I feel like
Friday I made an emergency
I’m dying”.
appointment at my GP. After a
“Minutes to live” On arriving at the hospital I believe they had picked up on
car journey there I was told I
I was given an appointment
the notes sent that I may have
had a bad cold and had to take
at 7pm at the out of hours
been suffering from sepsis and
plenty of paracetamol and rest
doctor around 30 minutes
so home I went and back to bed.
from my house although I live
they had a space set out for
minutes from a hospital. I don’t Saturday night came and my
remember much from this point
temperature was through the
on.
me and a drip ready. They did not think, however, I would be arriving with minutes to live. A nurse took off my shoes and I remember my legs being purple. This is when it all got a bit crazy. People began running around – lights were flashing my clothes were being ripped from my body and I had tubes coming from all over my body. I remember a nurse saying to my mother “we will do everything we can”. The next few days were touch and go. On Wednesday the 20th due to aspirating I arrested. I was put in a coma and a CT scan showed a mass in my left lung. I had severe pneumonia and an infection in my chest.
AMBULANCE UK - AUGUST
I have a lot more details of my two weeks in hospital and I still suffer from the trauma, having
since I became unwell although as I believe it has given me a better outlook on life. But it is so important that people are understanding of the aftermath of what sepsis does to a human body both physically and mentally. Now you have read my story, please support Sepsis Research’s Sock it to Sepsis Campaign and help raise vital funds for Sepsis Research. Email info@sepsisresearch.org.uk to receive a free fundraising pack.
YAS
Yorkshire Ambulance Service NHS Trust tops the table for research Yorkshire is the ambulance trust that undertook the most clinical research studies and recruited the highest number of participants last year, according to a national league table from the National Institute for Health Research (NIHR). The league table is published by the NIHR Clinical Research Network and aims to make engagement in clinical research more transparent and accessible to patients, health and social care professionals and decisionmakers.
nightmares and anxiety over simple things. I have lost faith
The table provides a picture
in my family doctor as after my
of research activity across all
episode when I spoke to him
NHS trusts and CCG regions in
about my feeling I was told “to
England. The table data includes
move on with my life”.
how much clinical research is
144 For more news visit: www.ambulanceukonline.com
NEWSLINE happening, where, in what types
Injuries and Emergencies, he
studies, which is amazing and will
of trusts, and involving how many
said:
help to improve patient care.”
patients. “Patients who have serious
Professor Rachael Fothergill,
Last year ambulance trusts
injuries or emergency health
Chair of the National Ambulance
contributed to 29 research studies
problems are often in pain and
Research Steering Group and
on the Portfolio, recruiting nearly
very frightened. Plus, there is
3,000 participants. This shows
a need to get them to hospital
Head of Research for London
great commitment to improving
quickly. It is particularly difficult
patient care through research in
for ambulance crews to offer
such a challenging area.
information about research to patients and to deliver research
The 2018-19 table published on
studies in the pre-hospital
2 July and shows that Yorkshire
environment.
Ambulance Service NHS Trust
Ambulance Service, said: “Clinical research is something that ambulance services are very committed to and this is reflected in the year on year increases in research activity that we are seeing. The delivery of research
had recruited to the most
“Therefore, we were nervous
clinical research studies (8) and
when we asked every ambulance
recruited the highest number of
trust in the country to recruit
participants (753), followed by
participants to two or more
South East Coast Ambulance
research studies as part of the
Service NHS Foundation Trust
NIHR Clinical Research Network
(691 participants) and South
objectives.
have successfully recruited large
NHS Foundation Trust (562
“It is a great testament to the hard
trials is a testament to the
participants).
work of the ambulance trusts that
commitment of our staff.”
Western Ambulance Service
by ambulance services can be particularly challenging due to the emergency and transitory nature of our interaction with patients, so to be able to show that we numbers of patients into research
every single one of has achieved Professor Matthew Costa is the
this objective for two consecutive
The clinical research league table
NIHR Clinical Research Network
years. Many are helping patients
is available at: www.nihr.ac.uk/
National Specialty Lead for
to take part in more than two
nihrleaguetable
AMBULANCE UK - AUGUST
FOLLOW us on Twitter to enter: @PROACTMedical and TWEET using hashtag: #ESSPROACT2019
“It is a great testament to the hard work of the ambulance trusts that every single one of has achieved this objective for two consecutive years. Many are helping patients to take part in more than two studies, which is amazing and will help to improve patient care.”
145 Life Connections - The Affordable CPD Provider: www.lifeconnections.uk.com
NEWSLINE YAS
Region’s ambulance service makes ground-breaking commitment to tackle poor mental health in Yorkshire Yorkshire Ambulance Service NHS Trust has committed to tackling poor mental health in Yorkshire and the Humber by signing up to the Prevention Concordat for Better Mental Health from Public Health England (PHE).
least one diagnosable mental
staff to talk about their mental
Lily Makurah, national lead for
health problem in their lifetime. This
health and the provision of support
public mental health at PHE, said:
is influenced by the environment
for staff following traumatic events. “We’re delighted that Yorkshire
in which we are born, grow, live and work, meaning many of these
Dr Julian Mark, Medical Director
Ambulance Service has joined the
problems can be prevented.
at Yorkshire Ambulance Service
growing list of organisations signing
NHS Trust, said:
up to our Prevention Concordat for Better Mental Health.
Having good mental health is important because it can help us
“Our commitment to improving
to be more resilient, feel good and
the mental health of our patients
“This is designed to help
function well, have more positive
and staff is further endorsed by
communities promote good
relationships with those around us
signing up to the Concordat.
mental health and prevent mental
and deal with difficult times now
Bringing together information,
health problems. Through local
and in the future.
data, resources and best
and national action across sectors,
practice gives us a common
we can all contribute to improving
The Prevention Concordat marks
understanding of the challenges
mental health and wellbeing and
the first time agencies across the
many people face and what we
reducing stigma for everyone.”
community and care sectors have
can do to support them.” By signing up to the concordat,
come together to make prevention a priority for mental health.
Working closely with PHE, the
Promoting good mental health is
Yorkshire Ambulance Service
everyone’s responsibility and can
is not only showing public
Trust is making significant steps
The commitment from Yorkshire
only be achieved if organisations
leadership in addressing
towards promoting good mental
Ambulance Service includes
– including local authorities,
mental health problems in local
health and preventing mental
the roll-out of mental health first
NHS trusts, businesses, local
communities; they are also putting
health problems.
aid training for managers and
communities, and religious
effective prevention planning
groups – work together at local
arrangements in place, using
and national level.
resources from PHE.
supervisors, promotion of the Time Ambulance Today 2p.fhmx 1/9/17 11:42 Page 1 to Change campaign to encourage One in six adults experiences at
AMBULANCE UK - AUGUST
146
Composite
For further recruitment vacancies visit: www.ambulanceukonline.com
NEWSLINE As well as recognising that
anybody, regardless of their age,
has exceeded all expectations
mental health is as important as
background or location, might one
not only in raising money but
physical health, this represents
day or night need the services of,
in creating such a fantastic
a movement away from stigma
which is why we’re doing our bit to
atmosphere in Hangar 9.
and fear, and towards achieving a
support their amazing work.” “The determination of the
fairer and more equal society.
Organisers of Air Aid Ball hit fundraising high
The ball has been held every
organising committee, every one
two years since 2007, the main
of them a willing volunteer, to
sponsor of this year’s Air Aid Ball
support the life-saving work our
was Crawley-based GEW, one
crews is phenomenal.
the world’s leading suppliers This year’s Air Aid Ball was the
to the labelling, packaging and
‘’They work so hard in making
biggest ever, raising more than
commercial printing industries,
the Air Aid Ball happen and we
£100,000 for the life-saving Air
alongside other local businesses
are immensely grateful for the
Ambulance Kent Surrey Sussex.
sponsors.
contribution they make to our
Organised by volunteers, the
Guests enjoyed a dinner, an auction
service to the 4.7 million people
seventh Air Aid Ball welcomed
hosted by Sky Sports presenter
that live in our area so a massive
372 guests and took the total
Pete Graves, followed by live music
thank you.”
money raised to more than
and dancing at the event, which
£450,000 for the work of the time
took place on Saturday 22 June at
The top lot on the auction was a
critical emergency care charity.
Redhill Aerodrome in the historic
holiday at Chalet Chopine, a ski
Hangar 9.
chalet in Mèribel, donated by Peter
capacity to deliver a 24-hour
and Julia Lee which raised £16,500
Chair of the Air Aid Ball organising committee, Andy Farrant of
Dr Helen Bowcock, Chair of Air
and will help fund the charity which
White & Sons, said: “The Air
Ambulance Kent Surrey Sussex,
undertakes more than 2,500 life-
Ambulance is a charity which
said: “Once again the Air Aid Ball
saving missions every year.
“The Air Ambulance is a charity which anybody, regardless of their age, background or location, might one day or night need the services of, which is why we’re doing our bit to support their amazing work.”
www.uniformexpress.co.uk sales@uniformexpress.co.uk 01295 709774
AMBULANCE UK - AUGUST
NEW PRODUCT RANGES IN STOCK - VISIT OUR WEBSITE OR CALL TO BUY
147 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.
NEWSLINE NEAS
North East Ambulance Service retains top Stonewall credentials North East Ambulance Service has retained its place as a top Stonewall employer for the fourth consecutive year. The Trust, which employs more than 2,500 people, including an estimated 250 lesbian, gay, bisexual and transgender (LGBT) employees, has maintained its position from last year’s Stonewall Top 100 Employer shortlisting as the highest ranked NHS Foundation Trust and the top performing ambulance service UK wide. It also continues to be the top ranked emergency service in the North East. Stonewall’s Top 100 Employers is the definitive list showcasing the best employers for LGBT staff. The list is compiled from submissions to the Workplace Equality Index, which is an annual audit of the workplace culture and a powerful benchmarking tool used by employers to create inclusive workplaces. Now in its 15th year, the list celebrates the pioneering efforts of leading organisations to create inclusive
themselves in the workplace
to HR colleagues, launched a
year running it has been named
and that we maintain an
transgender ally programme
as a partner.
environment where people feel
and improved its collaboration
safe, supported and included.
across the region and the UK
It will see SECAmb continue
There is strong evidence to
on LGBT issues.
to work closely with NHS
suggest that having happy staff
Employers and other
leads to improved outcomes for
Yvonne continued, “The
organisations throughout
patients.
framework and feedback we
the year to support system-
receive from Stonewall surveys
wide efforts to improve the
“We’re extremely proud of the
helps us to identify the areas we
measurement of diversity,
work we have done to make
perform well and the areas that
inclusion and equality across
sure our service considers the
require further improvements.
the health and social care
needs of lesbian, gay, bisexual
It also helps us to attract and
system.
and transgender people and we
retain LGBT people in the
will continue to work with local
workplace and provide them
The work will include a specific
communities and the National
with a safe and supportive
focus on areas including the
Ambulance LGBT Network to
working environment.
Workforce Disability Equality
identify further improvements.
Standard (WDES) and the
Retaining our place in the
“Equality, diversity and inclusion
Learning Disability Employment
Stonewall Top 100 index and as
are the foundations of the way
Programme (LDEP). NHS
the top performing ambulance
we work and we strive to create
Employers will also work with
organisation in the UK serves to
a safe working environment
SECAmb to develop more
recognise this work.”
where everyone feels confident
effective regional networks
bringing their whole selves to
and help it to further improve
A pride report survey found that
work. This also includes treating
the overall staff experience
80.6% of respondents would
patients with dignity and
for under-represented and
consider working for NEAS,
respect.
disadvantaged groups and
which is an increase of 4.4%
communities.
compared to 2017. Of the 249
“The Workplace Equality Index
respondents, 89.5% of people
provides us with assurance that
SECAmb Head of Inclusion and
said they would recommend
our approach to LGBT equality
Wellbeing Angela Rayner said:
the Trust’s service to family
is delivering success for
“We’re really pleased to join this
and friends. Replies from LGBT
employees and patients. This
partnership work for the second
people that have used the
is the best benchmarking tool
year running. I know that our
ambulance service state that
in class and it should provide
involvement will strengthen our
97.79% felt they were treated
people with confidence that our
focus on this important area of
fairly and 98.9% said that staff
approach is effective.”
working within SECAmb and
treated them with dignity and respect.
further afield. SECAMB
To maintain the Trust’s status
Trust chosen as national diversity and inclusion partner for second year running
AMBULANCE UK - AUGUST
workplaces.
in the Stonewall Top 100
More than 1,000 organisations
have been made within the
have taken part in the
organisation, which included a
Workplace Equality Index since
new policy to help employees
it began. NEAS got involved
better understand transgender
with the Stonewall Top 100
issues, new call taker guidance
South East Coast Ambulance
Employer nine years ago,
to improve support for
Service NHS Foundation
because the Trust in order to
transgender and non-binary
Trust (SECAmb) is pleased
benchmark its equality work
employees and patients, as
to have been chosen as one
against other organisations in
well as more engagement
of NHS Employers’ Diversity
the public, private and third
with LGBT staff and patients
and Inclusion Partners for
sector.
at Pride events. The Trust
2019/20.
Employers list, improvements
“We have always had a strong emphasis on equality and diversity at SECAmb and our continued participation in the programme will ensure we retain additional valuable support to further our understanding and build on our
has also reviewed its family
achievements to date.”
WMAS
Thank you to our amazing volunteers We are remembering the
Yvonne Ormston, NEAS chief
friendly policies, launched a
The decision followed a
amazing people from right
executive, said: “It’s important
reverse mentoring scheme,
successful application process
across the West Midlands
that people are able to be
provided advice and guidance
by the Trust and is the second
who volunteer, day in, day
148 For more news visit: www.ambulanceukonline.com
NEWSLINE out, to support West Midlands
recognised level and provide
Advice and Liaison Service)
Ambulance Service and the
lifesaving treatment to people
advisors play in supporting staff
public at large.
in their local community. They
in a whole range of situations; I
are willing to drop everything
truly value the help and support
Literally hundreds of people
to provide immediate medical
you provide.
support the Trust on a daily
care prior to the arrival of
basis so it is only right and
ambulance resources. Last
proper that we pay tribute to
year they responded almost
them during Volunteers Week.
12,000 times and were available many hundreds of thousands
Trust Chief Executive, Anthony
of hours.
Marsh, said: “Whether you are a community first responder
“I would also single out the
(CFRs), a BASICS Emergency
many hundreds of individuals,
Doctor, someone who trains
communities and businesses
people in CPR, a volunteer car
that have raised money
driver or someone who raises
or invested in life saving
vital funding for one of our air
defibrillators. In the UK,
ambulance charities, your work
135,000 people die each as
is immense and helps to save
a result of suffering an out of
lives.
hospital cardiac arrest. By increasing the number of
“I would like to single out our
defibs, many more lives can be
CFRs who show incredible
saved.
“The final group that I would like to single out are the Trusts Governors who help the organisation on an on-going basis. The Governors represent the local community, staff and key stakeholder’s interests who together help shape the service. “Whichever form of volunteering you participate in, I am extremely grateful for all that you do to support us.” Kind regards, Murray MacGregor Communications Director
dedication; they are teams of volunteers who are trained
“I also recognise the hugely
West Midlands Ambulance
by WMAS to a nationally
important role our SALS (Staff
Service
“I would like to single out our CFRs who show incredible dedication; they are teams of volunteers who are trained by WMAS to a nationally recognised level and provide lifesaving treatment to people in their local community.”
AMBULANCE UK - AUGUST
149 Life Connections - The Affordable CPD Provider: www.lifeconnections.uk.com
TESTED YAS
ADVANCED AMBULANCE SEATING
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This is an exciting development at the Trust and follows on from the successful AVP pilots at the Trust’s Manor Mill Resource Centre in Leeds and Wakefield Ambulance Station and mirrors best practice as recommended by Lord Carter’s recently published report on Operational Productivity and Performance in English NHS Ambulance Trusts.
AMBULANCE UK - AUGUST
150 For further recruitment vacancies visit: www.ambulanceukonline.com
Commenting on the development of the AVP service, Nick Smith, Executive Director of Operations at Yorkshire Ambulance Service NHS Trust, said: “The new service is already proving beneficial and feedback from frontline colleagues has been overwhelmingly positive. They are confident in the preparation work carried out by the dedicated AVP team and appreciate having a ‘made ready’ vehicle at the start of their shift. “We’re very grateful for the funding which has allowed us to progress this development and we’re now looking to roll out the service at additional locations. Rod Barnes, Chief Executive at Yorkshire Ambulance Service NHS Trust, said: “This is the start of what we hope to be a major investment programme to improve our facilities to support our staff to deliver the best possible care for patients and communities.” Rob Webster, Lead CEO for West Yorkshire and Harrogate Health and Care Partnership (Integrated Care System), said: “Our Partnership will only succeed if it is supporting the effective delivery of care and this is an example of how we are making a difference. This service will ensure our ambulances are fully equipped for staff when they need them to save people’s lives across our area. I’m delighted that our partners at Yorkshire Ambulance Service have received this much needed funding.”
NEWSLINE NWAS
Paramedic wins New Orleans trip for project to improve learning An advanced paramedic from North West Ambulance Service
Shaun’s work was published in
huge achievement and thankful
process by using the framework.
the British Paramedic Journal
to my tutor for pushing me to get
Shaun is now working to secure
in 2018. Five stand-out journal
the work published.
funding so that this can be fully implemented across the trust.
articles from the year were shortlisted for the Golden Nugget
“I’m confident that this tool will
prize and authors were all
make a real difference to the
Consultant Paramedic, Matt
asked to present at the annual
level of care that patients receive
House, said: “This is an excellent
conference on 15 May where
and passionate about moving
example of the great work being
Shaun was announced the
this forward with the aim to see
done by Shaun and all of our
winner.
it implemented in ambulance
advanced paramedics. Shaun’s
services across the country and
work will help NWAS clinicians
beyond!”
further improve the outstanding
(NWAS) has been celebrated at the College of Paramedic’s
Winning the opportunity
National Conference as he is
to present his work on an
presented with the prestigious
international stage at the World
After a successful trial,
2019 Golden Nugget prize
Emergency Medical Services
100% of facilitators reported
“We are very proud to have
winning him a trip to New
(EMS) Expo conference in New
improvements in identifying and
people like Shaun, who look
Orleans.
Orleans this October, Shaun said:
supporting learning and 85% of
constantly for ways to develop
“I’m extremely proud with this
clinicians reported an improved
the service we provide.”
care they provide for our patients.
Shaun Tierney, 49 from Preston, blew away the judging panel with his simple but effective technique to improve the way clinicians are debriefed after a complex incident. As part of his Master’s studies, Shaun identified an opportunity to improve the way that ambulance staff are debriefed by a senior clinician and set about researching a streamlined and consistent approach to reflecting on complicated incidents and gaining learning wherever possible. Shaun discovered that by applying a structured evidence based framework used in hospitals and emergency medicine called ‘The Diamond Debreif’ which explores the factors that influence decision making through a specific process, staff were able to understand their actions more clearly and identify and share any learning opportunities.
which underwent a 12 week trial, is expected to improve patient care by reducing errors as well as improve mental wellbeing for staff as they are able to more clearly understand what factors
AMBULANCE UK - AUGUST
The implementation of the tool,
led to certain outcomes in an open and understanding setting.
151 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.
NEWSLINE being Scotland’s biggest killer, with
cardiovascular disease so much
disease compared to the rest of
Heart of Scotland Appeal
41 people a day dying from (CVD),
higher in Scotland compared to the
the UK.
50% of Scots are not concerned
rest of UK, it’s vital more people are
about cardiovascular disease.
aware of their risk and how they can
“Although great improvements have
reduce it.
been made in the prevention and
72% of Scots have been affected
The Heart of Scotland Appeal is
by cardiovascular disease,
a new campaign from national
“It is worrying to see that, despite
over the last decade, coronary heart
Scotland’s biggest killer, new
charity Heart Research UK to
the number of people with
disease is still Scotland’s biggest
survey reveals.
draw attention to the severity of
loved ones being affected by
killer. With an aging population
cardiovascular disease in Scotland.
cardiovascular disease, so many
and rising levels of obesity and
New research by national charity
Current statistics show that you are
people are not concerned about it.
diabetes, this progress could be
Heart Research UK has highlighted
almost twice as likely to die from
the severity of heart disease in
coronary heart disease in Scotland
“We are urging all Scots to take
Scotland, revealing that almost
than in the South East of England.
cardiovascular disease seriously
treatment of cardiovascular disease
reversed which is why we need to act now.
and support the Heart of Scotland
“We can all reduce our risk of
been personally affected, or had
The money raised will all be spent
appeal so we can all keep our loved
developing heart disease by
someone they know affected by
in Scotland, funding pioneering
ones around for longer.”
leading a healthy lifestyle which
heart disease.
research in to the prevention,
three quarters of Scots have
means eating healthily, exercising
treatment and cure of heart
Professor Nawwar Al-Attar,
regularly, maintaining a healthy
The YouGov study produced for the
disease at Scottish hospitals and
Consultant Cardiac and
weight and not smoking.
charity’s Heart of Scotland Appeal
universities.
Transplant Surgeon, Golden Jubilee National Hospital,
“The Heart of Scotland appeal
of questions relating to lifestyle
Barbara Harpham, Chief
Clydebank and Spokesperson for
is a very welcome initiative
choices and personal experiences
Executive of Heart Research UK,
Heart Research UK said:
to support more research at
of cardiovascular disease.
said:
asked 1,000 Scots a number
The findings also show that despite
Scottish universities and address
“With the prevalence of
“Historically, Scotland has had a
the problem of heart disease in
high incidence of cardiovascular
Scotland.”
AMBULANCE UK - AUGUST
152 For more news visit: www.ambulanceukonline.com
NEWSLINE The Heart of Scotland Appeal
about badges and t-shirts, please
and Luke Vacca, a Clinical Team
and also on the phone from their
features a striking t-shirt and
visit heartofscotland.org.uk or
Manager paramedic. Around a
control rooms.
call 0113 234 7474.
quarter of our paramedics are
four coloured badges designed
Australian.
by acclaimed Scottish fashion designer Christopher Kane, each with their own unique message: Live, Life, Brave, Care. These can be purchased at heartofscotland.org.uk. The appeal has been publicly supported by a host of Scottish stars, including Brian Cox CBE, David Moyes, KT Tunstall, Rory Bremner, Amy Macdonald, Val McDermid, Jane McCarry and Iain
Wife of Australian Prime Minister meets Australian paramedics working at London Ambulance Service Jennifer Morrison was welcomed to the Service’s
Glen.
headquarters in Waterloo
Big names from Scottish politics
Emmerson and met Australian
have also supported the appeal,
by Chief Executive Garrett paramedics working in London.
with First Minister Nicola Sturgeon
“I know many medics who have come to the UK to work and it was
The Service first began a
great to be able to meet Emily
recruitment campaign to attract
and Luke and to hear first-hand
Australian paramedics in 2014.
their experiences and learn more
At the time a national shortage of
about the role of paramedics in
paramedics in the UK meant that
London.”
the Service looked to Australia because the skills and training
London Ambulance Service Chief
closely match those in the UK.
Executive Garrett Emmerson said: “It was an honour to welcome Mrs
150 more paramedics from
Morrison to our headquarters to
Australia and New Zealand are to
learn about the work we do and
join the Service in 2019.
to meet some of our Australian paramedics.
Of her visit, Mrs Morrison – whose brother-in-law is also a paramedic
“The Australians in our team are
– said: “It was a real privilege to
a real asset to the Service and to the people of London.
and the Secretary of State for
Luke Vacca, Jennifer Morrison
meet these Australian paramedics
Scotland, the Rt Hon David Mundell
and Emily Brown Mrs Morrison,
who are providing such an
pledging their support.
who was previously a registered
important service in London. It
“We’re looking forward to
nurse, also met two Australian
was fascinating to visit London
welcoming more Australian medics
To donate to the Heart of
paramedics working for the
Ambulance Service and hear
to our team this year to respond to
Scotland Appeal or to enquire
Service, paramedic Emily Brown
about their work – both on scene
those in need in the capital.”
AMBULANCE UK - AUGUST
153 Life Connections - The Affordable CPD Provider: www.lifeconnections.uk.com
NEWSLINE from Teddington to the North Sea.
LAS
We join the Duke of Cambridge at launch of Safer Thames campaign HRH The Duke of Cambridge
The Duke of Cambridge also calls on the public to know what
Prince William met front-line staff
to do if they see someone in
from the organisations, including
trouble in water. This includes
members of our hazardous area
knowing to call 999 and ask for
response team (HART), involved
the coastguard and to never go
in the new partnership working
into the water themselves after a
to reduce the estimated 700
person or a pet.
incidents that occur each year on
was joined at an event on the
the river, where people’s lives are
The agencies who produced the
River Thames in central London
at risk.
new strategy also signed up to
by members of our Service, to launch a new campaign around
Annually there are around 30
Talk Saves Lives” campaign to
safety on the tidal River Thames
fatalities, the majority of which are
the river, an initiative originally
and made a call for the public’s
linked to mental health issues.
developed in partnership with
help in reducing injuries and
The campaign aims to half the
Network Rail. This calls for people
deaths on the river.
cases of accidental drowning
from all walks of life to play their
deaths in the UK by 2026.
part in saving lives, by following
London Ambulance Service, The
safety advice and having the
Port of London Authority, The
Our hazardous area response
confidence to speak to people
Metropolitan Police, London Fire
team (HART) are specially
near the river who might be at risk
Brigade, Royal National Lifeboat
trained medics who respond in
of injury or death.
Institution (RNLI), and Maritime &
challenging or hazardous areas
Coastguard Agency have come
to provide life saving care. This
Dr Trisha Bain, London
together to produce a Drowning
includes incidents on the river.
Ambulance Service Chief Quality
Prevention Strategy for the tidal Thames along its 95-mile course,
Dr Trisha Bain and the pledge board
extend the Samaritans “Small
Officer signed the pledge on The strategy launched by HRH
behalf of the Service.
Mass Casualty Training Anytime, Anywhere! Mass Casualty Incidents have an overwhelming effect on emergency medical services. Although unpredictable, preparedness for an MCI is crucial in order to save lives. Physical MCI training drills can be extremely expensive, time consuming and pose high liability risks to volunteers, personnel and equipment.
Inflatable MCI training manikins can help! No more lifting volunteers, risking damage to equipment and personnel Always available - never needs a break or calls in sick! Re-usable, economical and cost effective Easily inflated so drill preparation is quick and efficient Can withstand extreme weather conditions Suitable for use in decontamination scenarios Chest pocket allows for the insertion of pre-scripted triage scenarios AMBULANCE UK - AUGUST
Grommets allow manikins to be tied down in windy conditions Available in MCI Man approx 5'7" in height and MCI Ped 3' in height MCI Ped simulates an injured child - hard to achieve with live volunteers Now available in the UK from Hospital Aids
www.hospitalaids.co.uk Tel:+44 (0)1604 586501 Email: info@hospitalaids.co.uk
154 For further recruitment vacancies visit: www.ambulanceukonline.com
IN PERSON News
Assistant Chief Ambulance Officer receives Queen’s Ambulance Medal An Assistant Chief Ambulance Officer from West Midlands Ambulance Service, whose career spans 28 years, has been recognised in the 2019 Queen’s Birthday Honour’s List. Steve Wheaton, Resilience and Specialist Operations Director and one of the Trust’s Assistant Chief Ambulance Officers, has been awarded the Queen’s Ambulance Medal (QAM) recognising his dedication
Steve Wheaton at WMAS
and distinguished service to the ambulance sector which carries the same level of Royal recognition as other members of the
West Midlands Ambulance Service Chief
emergency services.
Executive Officer, Anthony Marsh, said: “I have known Steve for 15 years and, in that time, I have
Steve found his passion with the ambulance
watched him progress and flourish within the
service at the tender age of ten when he
ambulance service to become a knowledgeable
became a cadet with a local volunteer
and well-respected individual in his field. I am
ambulance service. In 1991, he went on to
incredibly proud that Steve has been recognised
become a cadet with London Ambulance
in this way and would like to thank him for his
Service where he spent ten years progressing
tremendous service and for the thousands of
to become a registered Paramedic. In 2001
patients he has helped along the way.”
Steve obtained a promotion to Duty Officer at the, then Essex Ambulance Service before
Steve, aged 44, lives in the West Midlands
moving up the ranks to Station Officer,
with his wife Suzie and has three children;
Divisional Commander and the Head of
Liam, Chloe and Thomas. Speaking about his
Emergency Planning.
award, Steve, said: “I am immensely proud and humbled to receive this award. It is a truly
David has also spent five years chairing the Bury Adult Safeguarding Adults Board, and has also been a chair of governors at his local primary school. He is now a trustee of the Christadelphian Care Homes, as well chair of his local scout group. Chairman for North West Ambulance Service, Peter White comments: “We’re delighted to welcome David to the service and are confident that he will be a positive addition to the trust Board. “He has a wealth of experience within social care and health services which will be invaluable to the trust.”
great privilege to be recognised with a QAM and it took some time for the news to sink in.
NWAS News
Dr David Hanley has been appointed from 28 May 2019 until 27 May 2021. He has declared no political activity in the last five years.
New Non-Executive Director appointed to NWAS NHS England and NHS Improvement, North West has confirmed the appointment of Dr Steve Wheaton aged 16 at LAS
David Hanley as Non-Executive Director of North West Ambulance Service NHS Trust. David is currently a lecturer in strategic
Midlands Ambulance Service to head up and
management at the University of Central
expand the Trust’s Emergency Preparedness
Lancashire. He has previously spent 25 years
and Specialist Operations team where he
working in Adult Social Care with his last
remains today. 2013 saw Steve seconded to
role being Director of Operations for Trafford
the role of Deputy Senior Responsible Officer
Council. Part of his remit was developing
at the Home Office where he was responsible
partnership working with health services, as well
for rolling out the national Joint Emergency
as leading on adult safeguarding. David started
Service Interoperability Programme (JESIP)
his career in the NHS, training and working as a
across all emergency services in England.
psychiatric nurse in North Manchester.
AMBULANCE UK - AUGUST
In 2008, Steve made the move to West
Dr David Hanley
155 Do you have anything you would like to add or include? Please contact us and let us know.
IN PERSON AAKSS News
Air Ambulance doctor receives OBE
Dr Fong joined the Air Ambulance Kent
Commenting on the award, Dr Fong said: “I was
Surrey Sussex in 2014 as part of the crew
utterly bewildered to hear the news of this award.
providing around-the-clock pre-hospital
Doctor Kevin Fong, a doctor with the Air Ambulance Kent Surrey Sussex, has been awarded an Order of the British Empire in this year’s Queen’s Honours List.
emergency services. When not at Redhill, the
“It’s one that I genuinely never expected but
air ambulance’s base, he works at University
it’s a lovely surprise. I’d like to accept it on
College Hospital in London where he
behalf of all the brilliant teams I’ve worked
specialises in anaesthesia and intensive care
with, but especially the Air Ambulance Kent
medicine.
Surrey Sussex family who are a particularly important part of my life. This award represents
His interest in high risk, high reliability systems,
everybody’s success.”
and organisations, began after graduating
He has been awarded the OBE for his ‘Services to healthcare and medicine’. Dr Fong is the third member of the Air Ambulance Kent Surrey Sussex team to be recognised for their work by Her Majesty the Queen. Earlier recipients for ‘Services to emergency medicine’ include Medical Director Malcolm Russell, who was awarded an MBE in 2014, and Associate Medical Director, Professor Richard Lyon, presented with an MBE in 2017.
with degrees in Astrophysics, Medicine and
Dr Helen Bowcock, Chair of Air Ambulance
Engineering, during which he spent time
Kent Surrey Sussex, added: “We congratulate
working with NASA’s human space exploration
Kevin, who along with our doctors, paramedics
programme at Johnson Space Center,
and pilots, does an amazing job every time
Houston.
the helicopter takes off on a mission, providing lifesaving treatment often in the most extreme
He is also an honorary senior lecturer in
of circumstances.”
physiology and was very recently appointed as Professor of Public Engagement for Science, Technology & Medicine at University College London.
Dr Fong, aged 47, qualified as a doctor in 1998 and lives in London.
LAS News
Antony will lead the external communications, internal communications, partnerships and volunteering teams London Ambulance Service has announced that Antony Tiernan, the communications director – improvement and development at NHS England and NHS Improvement, will join the Trust as the director of communications and engagement. Antony has more than 20 years of health related communications experience, much of it within acute trusts across London. He joins London Ambulance Service from NHS England and NHS Improvement where he has spent the last four and a half years in senior strategic communications roles including leading the NHS70 campaign to celebrate 70 years of the National Health Service. AMBULANCE UK - AUGUST
Antony will lead the external communications, internal communications and partnerships teams as well as leading on volunteering for the Trust. Volunteering is an important new priority for the capital’s ambulance service as it continues to seek bolder and more innovative ways to Doctor Kevin Fong
156 For more news visit: www.ambulanceukonline.com
support frontline staff who already provide outstanding patient care to Londoners.
IN PERSON Mr Tiernan will take up his new job towards the
on Breast Cancer. He worked in public affairs
and other professionals who want to make
end of August.
for a number of national charities, before
a positive and lasting difference to the
joining the NHS in 2003.
healthcare of Londoners. Ali is particularly
A member of London Ambulance Service’s
committed to diversity and inclusion,
executive committee, he will report to CEO
Antony spent five years at Guy’s and St
especially visible diversity which she has
Garrett Emmerson who said:
Thomas’ NHS Foundation Trust and led on the
pledged to improve when she joins the Trust.
opening of the £60 million Evelina Children’s “We are well into the second year of our five
Hospital. He has also worked as Director of
Ali will took up her new job at the beginning
year strategy which is set to improve outcomes
Communications at both Epsom and St Helier
of September, taking over from Patricia
and experiences for all our patients by
Hospitals NHS Trust and West Hertfordshire
Grealish who left London Ambulance
providing the right care to patients, at the right
Hospitals NHS Trust.
Service at the end of June. A member of the
time and in the most cost effective way. This
Service’s executive committee, Ali will report
will mean up to 122,000 fewer patients being
He joined NHS England in 2014 and has
to CEO Garrett Emmerson who said: “We’ve
taken to emergency departments when their
held a number of high profile roles, including
made great strides thanks to Patricia who
needs could be better met closer to home,
leading the NHS’s 70th birthday celebrations,
has led our People & Culture Directorate
and we will deliver significant efficiencies in
which were named as one of PR Week’s top
with great success and developed an
avoided costs to the urgent and emergency
campaigns in 2018.
inspirational People & Culture strategy that
care sector.
has tangibly improved the experience of He currently manages a team of 65 including
working in our Service.
“Building relationships and developing
digital, publishing, events and strategic
partnerships across the wider NHS,
communications, including leading on EU Exit.
“Ensuring we have a welcoming and
communicating effectively with our own
He speaks regularly at conferences and sits on
progressive culture where everyone feels
staff and, crucially, with our patients and
a number of boards in a voluntary capacity. In
valued, coupled with increasing our visible
Londoners is central to realising our ambitious
2018, he was named by the CIPR (Chartered
diversity at the Trust so our workforce is
strategy. Attracting someone of Antony’s talent
Institute of Public Relations) as one of the UK’s
more representative of the population we
highlights the progress we have already made.
top PR people.
serve are the top priorities for our People and Culture Directorate. I’ve no doubt Ali
On behalf of the Board, I’m delighted to welcome him to my leadership team and more widely to London Ambulance Service which is a fantastic organisation.” Antony started his career at the award-winning charity Breakthrough Breast Cancer and was an advisor to the All Party Parliamentary Group
LAS News
London Ambulance Service appoints Ali Layne-Smith to head up People and Culture Directorate London Ambulance Service announced
is the perfect person to lead on this work given her extensive experience in senior HR roles and her commitment to diversity and inclusion. On behalf of the Board, I’m delighted to welcome her to my leadership team and more widely to London Ambulance Service, a great organisation that I’m sure Ali will make even better.”
that Ali Layne-Smith, Director of People and Organisation Development at West Midlands Police, joined the Trust as the Director of People and Culture. Ali has had a long and distinguishing career already with over 20 years’ of HR experience in large, high profile organisations spanning both the public and private sector. She joins London Ambulance Service from West Midlands Police where she has spent the last two and a half years as their first Director of AMBULANCE UK - AUGUST
People and Organisation Development. Ali will lead the People and Culture Directorate – a team of 65 which encompasses areas including Talent, Workforce Analytics and Engagement, Diversity and Inclusion, Employee Relations, Staff Experience and Leadership and Performance. Organisational culture is a real Antony Tiernan
focus for the Trust as it strives to become an employer of choice in London for clinicians
Ali Layne-Smith
157 Do you have anything you would like to add or include? Please contact us and let us know.
COMPANY NEWS
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suitable for first responders, as well as emergency ventilation of the patient during transport and in the hospital. At your disposal are volumecontrolled ventilation, noninvasive ventilation (NIV with CPAP) as well as spontaneous breathing and pressure support.
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158 For further recruitment vacancies visit: www.ambulanceukonline.com
PARAMEDICS - SOUTH WEST £24,214 to £37,267 pa (plus unsocial hours payment)* Join us and you’ll find an Ambulance Service that understands the better we look after you, the better equipped you’ll be to look after our patients. We are passionate about providing care closer to home and equip all of our staff with the training, support and skills they need to deliver a higher level of care, enabling more of our patients to be treated without conveyance to hospital. And we want a better future for you too. Our career framework supports our paramedics to develop specialist or managerial careers, with the progression of many of our current staff testament to our commitment to internal progression and career development Whether you crave a coastal location, the best of the British countryside or the historic cities of Cheltenham, Bath and Bristol (to name but a few), you really will find a better lifestyle outside of work here in the beautiful South West. • • • •
The most clinically advanced Trust within the UK Permanent and bank opportunities available One of the most beautiful parts of the country One of the lowest conveyance rates in the UK
Let us look after you better. For your next career move visit www.betterparamedic.co.uk
• A better work-life balance • Dedicated staff support service • Structured career pathways
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Better you, Better everybody. WORKING WONDERS Join Us.