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Volume 37 No. 6<br />

<strong>December</strong> <strong>2022</strong><br />

DEDICATED TO THE AMBULANCE SERVICE AND ITS SUPPLIERS<br />

In this issue<br />

xxx<br />

xxx<br />

xxx<br />

xxx


O)stJohn<br />

Join the heartbeat<br />

of Western Australia.<br />

Our paramedics are courageous, caring, confident and patient, putting themselves on<br />

the front-line of pre-hospital medical care every day. At St John WA paramedics work<br />

collaboratively across the organisation to provide quality, patient centred care to the<br />

Western Australian community.<br />

The part you'll play<br />

Our paramedics are trained to Advanced Life Support<br />

(ALS) level, which allows them to provide exceptional<br />

emergency care to patients. They are able to insert an<br />

intravenous and intraosseous cannula (drips), administer a<br />

variety of medications, perform advanced airway<br />

management, give intravenous drug therapy for cardiac<br />

arrest patients, and intravenous fluids.<br />

Above all, our paramedics are responsive to the needs of<br />

the patient, administering time-critical interventions and<br />

transportation to specialist definitive care.<br />

St John WA Paramedic eligibility<br />

We currently have an exciting opportunity for Qualified<br />

Paramedics that do not have current Australian working<br />

rights, to be sponsored by St John WA!<br />

• Recent experience employed and working within<br />

a jurisdictional ambulance service in Australia or<br />

internationally (St John New Zealand or London<br />

<strong>Ambulance</strong> Service for example) as a paramedic<br />

for at least two years.<br />

• Hold a full driver's license with no restrictions.<br />

Successful candidates are required to obtain a light<br />

rigid driver's license within the first six months of<br />

employment. Costs associated with obtaining the<br />

required driver's license are the responsibility of the<br />

candidate.<br />

• Candidates that do not hold current Australian working<br />

rights, must meet the visa eligibility requirements, as<br />

outlined by the Department of Home Affairs.<br />

• Be fully vaccinated against COVID-19 and Influenza.<br />

For candidates to successfully be employed as an<br />

ambulance paramedic, they must meet the following<br />

minimum requirements;<br />

• Professional registration as a paramedic with the<br />

Paramedicine Board of Australia.<br />

• Degree in Paramedicine from a recognised AHPRA<br />

approved programs of study course provider or<br />

recognised international education provider.<br />

Ready for a new adventure?<br />

To find out more information and to submit<br />

your application:<br />

search stjohnwa.com.au/directentry<br />

Scan to learn more:


CONTENTS<br />

CONTENTS<br />

<strong>Ambulance</strong> <strong>UK</strong><br />

180 EDITOR’S COMMENT<br />

182 FEATURES<br />

182 Protecting your AED – Shockingly Obvious!<br />

184 Praying for the survival of the NHS will not be<br />

enough to save it<br />

186 NEWSLINE<br />

201 IN PERSON<br />

207 COMPANY NEWS<br />

This issue edited by:<br />

Dr Matt House<br />

c/o Media Publishing Company<br />

Greenoaks, Lockhill<br />

Upper Sapey, Worcester, WR6 6XR<br />

ADVERTISING:<br />

Terry Gardner, Samantha Marsh<br />

CIRCULATION:<br />

Media Publishing Company<br />

Greenoaks, Lockhill<br />

Upper Sapey, Worcester, WR6 6XR<br />

Tel: 01886 853715<br />

E: info@mediapublishingcompany.com<br />

www.ambulanceukonline.com<br />

COVER STORY<br />

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critical areas of an ambulance operation supply chain, it complies with MHRA Managing<br />

Medical Devices 2021 and fully supports CQC’s Regulation 15.<br />

The solution provides stock and equipment control, Radio Frequency Technology (RFID)<br />

capabilities, automated ordering from vehicle preparation hubs to their warehouse facility<br />

and enables automatic stock transfer requests based on minimum and maximum levels.<br />

RFID is at the centre of the software offering, which can be used across all ambulance<br />

settings. As one of the first providers to offer both fixed and hand-held Radio Frequency<br />

Technology (RFID) in a combined solution this advanced technology together with the<br />

Pro-Cloud Ready to Go app provides instant visualisation of a fleet and onboard assets.<br />

It is used by response teams to complete inventory checks before leaving the scene of an<br />

incident and reads multiple RFID tags simultaneously within moments, allowing real-time<br />

reporting of equipment located or missing from a vehicle. By using the Ready to Go app,<br />

the crew can also report faulty equipment, which alerts make ready teams back at base to<br />

ensure they have replacements ready for the vehicle’s arrival.<br />

Approximately 3000 ambulance hours are lost each year due to clinical equipment not<br />

being available at the start of a shift.<br />

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Website: www.pro-cloud.org<br />

PUBLISHED BI-MONTHLY:<br />

February, April, June, August,<br />

October, <strong>December</strong><br />

COPYRIGHT:<br />

Media Publishing Company<br />

Greenoaks<br />

Lockhill<br />

Upper Sapey, Worcester, WR6 6XR<br />

PUBLISHERS STATEMENT:<br />

The views and opinions expressed in<br />

this issue are not necessarily those of<br />

the Publisher, the Editors or Media<br />

Publishing Company.<br />

Next Issue February 2023<br />

Subscription Information – <strong>December</strong> <strong>2022</strong><br />

<strong>Ambulance</strong> <strong>UK</strong> is available through<br />

a personal, company or institutional<br />

subscription in both the <strong>UK</strong> and overseas.<br />

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Designed in the <strong>UK</strong> by me&you creative<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

Do you have anything you would like to add or include? Please contact us and let us know.<br />

179


EDITOR’S COMMENT<br />

EDITOR’S COMMENT<br />

A good friend of mine, who is a doctor, recently attended a long course with the<br />

military. The course was clinical but designed to push the candidates by reducing<br />

their sleep and increasing their physical activity. It is known to be very testing.<br />

I met up with him once he had successfully completed the course. His refl ections were thought-provoking.<br />

He said that while it was good to have passed this notoriously diffi cult course, his take-away was that it isn’t<br />

your destination that is important. Nor is it the journey. The important thing is the people you are with on the<br />

journey.<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

“However<br />

hard things<br />

get, we can<br />

get through<br />

it, provided<br />

we look<br />

after each<br />

other and<br />

remember<br />

that no one<br />

is alone:<br />

there is a<br />

whole tribe<br />

of us on<br />

the same<br />

journey.”<br />

This struck a chord with me. Pre-hospital workers, and particularly ambulance clinicians are a tribe. I am<br />

lucky enough to meet with and talk to ambulance people from across the country, and occasionally from<br />

across the world. We all have the same issues, worries and problems to deal with, but there is defi nitely a<br />

sense of belonging among road staff. They ‘get’ each other. It’s something about that shared experience;<br />

that understanding that everyone is experiencing similar issues.<br />

Unfortunately, various CQC reports, and staff surveys recently have shown that this sense of understanding<br />

and connection may not extend to senior leadership within organisations. I guess this is understandable: I<br />

suffer from too much time in meetings and on emails, which is the curse of anyone who moves away from<br />

the shop fl oor. As leaders and managers in any organisation, the ability to maintain that connection with the<br />

bulk of the workforce has its challenges. That also results to a greater or lesser extent to a loss of that sense<br />

of tribe. One almost feels as if you are looking in on the tribe, rather than being part of it.<br />

However, it doesn’t take much; whether that’s a clinical incident, a face-to-face, or a course, to realise that<br />

that the tribe is still there, and that sense of belonging can be rekindled.<br />

We all know that things are not as good as they should be out there. I don’t need to list the reasons! It is<br />

hard for a lot of us in very different ways. However hard things get, we can get through it, provided we look<br />

after each other and remember that no one is alone: there is a whole tribe of us on the same journey.<br />

Dr Matt House, Co-Editor <strong>Ambulance</strong> <strong>UK</strong><br />

180<br />

For more news visit: www.ambulanceukonline.com


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FEATURE<br />

PROTECTING YOUR AED –<br />

SHOCKINGLY OBVIOUS!<br />

By Steve Jelfs, Defibrillation & Resuscitation Consultant<br />

With the ever-increasing number of automated external<br />

defibrillators (AEDs) appearing in public places across the <strong>UK</strong>,<br />

Europe and globally, ensuring your AEDs are ready for rescue and<br />

are permanently tracked has never been more important.<br />

The two operational elements of an AED, the battery and defi brillation<br />

pads, must be present and in full working order. This can, of course,<br />

be done by the person responsible for the AED(s) carrying out a visual<br />

inspection to ensure the device’s indicator shows that both battery and<br />

pads are useable. However, this is labour-intensive, especially if the<br />

person responsible has multiple AEDs to check.<br />

A matter of choice<br />

There are several AEDs available in the market for the<br />

end-user to buy; similarly, there are a wide range of<br />

cabinets in which to store the device — many of which<br />

monitor the readiness of both pads and battery. Once<br />

the device is removed from the cabinet this type of<br />

monitoring is no longer an option, neither is any form<br />

of tracking possible.<br />

identifi ed that 70,000 additional AEDs are unknown to The Circuit.<br />

The fact that so many AEDs are still unregistered underlines that relying<br />

on the end-user to register their device(s) is a haphazard approach.<br />

Automate the process<br />

The use of an automatic system would solve this at a stroke.<br />

A further advantage of an automatic platform is to provide cloud-based<br />

post-rescue clinical data that an increasing number of emergency<br />

physicians and ambulance service clinicians are requiring as a<br />

minimum data set. The data can also be made accessible for multiple<br />

stakeholders in line with the chain of survival.<br />

The international CardiLink team has developed a<br />

multi-stakeholder platform https://www.cardi-link.<br />

com/ which is useable across all AED platforms,<br />

regardless of manufacturer, and will provide a<br />

comprehensive solution to all the issues discussed<br />

above. The platform uses cellular technology and will,<br />

as well as monitoring the AED, track any movement<br />

the device makes from its normal location in real-time.<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

By implementing an automatic system within the<br />

AED itself, manufacturers can provide the end-user<br />

with a reassuring system for device monitoring, geofencing<br />

and geo-location to track the device. This<br />

latter functionality ensures that no matter the reason<br />

the device is removed from its normal location, it can<br />

be tracked in real-time and successfully retrieved. Recently in the <strong>UK</strong><br />

several AEDs have been stolen from cabinets and have proved diffi cult<br />

to locate due to the absence of a tracking system. Many of the devices<br />

in public places have been provided through charity fund-raising, making<br />

such thefts not only callous in the extreme but also posing a serious<br />

risk to the life of a member of the community suffering a sudden cardiac<br />

arrest (SCA).<br />

Information is king<br />

In addition to the advantages stated above, an automatic system will<br />

remove the problem of end-users informing their local ambulance<br />

service about the placement of their AED(s). This is vital when an SCA<br />

occurs so the ambulance service dispatcher can immediately inform the<br />

caller where the nearest AED is located.<br />

The British Heart Foundation (BHF) has created The Circuit which is<br />

designed for end-users to report the location of their AED(s) so the<br />

local ambulance service can identify it and signpost the caller to the<br />

nearest AED in the event of an SCA. So far, 13 out of 14 <strong>UK</strong> ambulance<br />

services are signed up to The Circuit. At the time of writing, the BHF has<br />

The end-user, ambulance dispatch centre and other<br />

interested parties can monitor each device in real-time<br />

as well as track movement and a host of other related<br />

device information through a user-friendly app available<br />

on both iOS and Android platforms.<br />

If we are to save more lives from SCA and ensure AEDs are always<br />

ready and available, it makes sense for all AED manufacturers to<br />

incorporate this platform into their devices.<br />

Steve Jelfs – Bio<br />

Steve Jelfs is currently working as a Defi brillation & Resuscitation<br />

consultant and has worked in the industry for over twenty years in sales,<br />

international marketing and as a clinical specialist. He has worked for<br />

the British Red Cross and had a twenty-three-year career in various <strong>UK</strong><br />

ambulance services from paramedic to chief offi cer starting his service in<br />

his native Devon in 1973.<br />

He is passionate about saving lives from sudden cardiac arrest and has<br />

introduced several initiatives around automated external defi brillators<br />

(AEDs) across the <strong>UK</strong> and Europe.<br />

He is a member of the European Resuscitation Council and the <strong>UK</strong><br />

Resuscitation Council and a past president of the <strong>Ambulance</strong> Service<br />

Institute He currently lives in central Scotland.<br />

182<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


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AMBULANCE <strong>UK</strong> - DECEMBER<br />

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Do you have anything you would like to add or include in Features? Please contact us and let us know.<br />

183


FEATURE<br />

PRAYING FOR THE SURVIVAL OF<br />

THE NHS WILL NOT BE ENOUGH<br />

TO SAVE IT<br />

By Ivor Campbell<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

It’s often said that the National Health<br />

Service is the closest thing Britain has to a<br />

unifying religion. If that is the case, then the<br />

faith of the population is being tested like<br />

never before.<br />

With budgets already stretched before the<br />

Covid pandemic, additional cost pressures since<br />

heaped on health boards across the country by double-digit inflation has<br />

brought the NHS closer to breaking point than at any time in its history.<br />

Every passing day seems to bring bleaker news for the beleaguered<br />

service, with a seemingly endless rollcall of damning statistics and<br />

publication of official reports charting yet higher levels of institutional<br />

failure.<br />

If anything, the relentless flow of anecdotes of patient betrayal,<br />

breathlessly reported in the pages of local press, is more shocking.<br />

In the past few weeks we learned that four patients had waited more<br />

than 20 hours in the back of ambulances outside Royal Shrewsbury<br />

Hospital in England; that GPs in Peterborough are now responsible for<br />

the care of more than 2,000 patients each; and that Stockport NHS<br />

Foundation Trust is offering food bank vouchers to hospital workers<br />

struggling to get by on poverty wages.<br />

In the same week a British Medical Association (BMA) survey found<br />

that 44% of senior doctors are planning to leave their roles “in some<br />

capacity” over the next 12 months, while the Care Quality Commission<br />

(CQC) reported 132,000 NHS and 165,000 social care vacancies,<br />

meaning a workforce the size of the population of Newcastle-Upon-Tyne<br />

is needed to fix the logjam.<br />

Meanwhile, the average wait for category two, 999 calls for an<br />

ambulance — including for chest pains and strokes — in England and<br />

Wales is now 60 minutes, compared with a target of 18 minutes. And in<br />

Scotland, throughout August, one in ten operations was cancelled due<br />

to lack of resources.<br />

Traditionally, the response of politicians to complaints of a ‘crisis’ in<br />

the NHS has been to throw more money at it, and right now there’s no<br />

money to spare.<br />

While both Conservative and Labour governments have previously toyed<br />

with reform, none has dared challenge the universally free, taxpayerfunded<br />

model upon which the health service was founded – until now.<br />

This week it was reported that NHS chief executives in Scotland<br />

– one of four autonomous health service areas in the <strong>UK</strong> – have<br />

discussed abandoning its founding principles by having wealthier<br />

patients pay for treatment.<br />

The prospect of the first ‘two-tier’ health service in the <strong>UK</strong> since<br />

its founding in 1948 is raised in draft minutes of a meeting of NHS<br />

Scotland health board leaders in September. They also discussed<br />

the possibility of curtailing some free prescriptions.<br />

While Humza Yousaf, Scotland’s Health Secretary, sought to play<br />

down the reports – insisting NHS Scotland would stay publicly<br />

owned and operated and free at the point of delivery – the reports<br />

represent something of a watershed.<br />

Yousaf’s comments were only to be expected. If there is a single,<br />

immutable reality of British political life it is that the NHS is an<br />

untouchable shibboleth, and any party that says otherwise risks<br />

courting electoral oblivion.<br />

Even if there was a prime minister mad, or drunk, enough to<br />

suggest privatising the service, they would surpass the ends of the<br />

earth several times over before finding a private operator madder,<br />

or drunker, enough to take-on the job.<br />

Yet, there is a dynamic to the latest spot in which the NHS finds<br />

itself, which appears materially different to anything in the past.<br />

Again, you need only scroll through some of the local press articles<br />

to discover that waits are longer, levels of basic care poorer and<br />

patient experiences grimmer than ever before.<br />

Figures published by NHS Wales last week revealed more than<br />

60,000 patients are waiting more than two years for treatment. Ian<br />

Hembrow, 53, from Maesteg, in Bridgend was told the waiting list<br />

for his urgent hip operation was four-and-a -half-years.<br />

In Bonhill, West Dunbartonshire, 69-year-old grandmother Mary<br />

Travis has already lived in crippling pain for more than two years,<br />

waiting for a back operation to straighten her twisted spine. Earlier<br />

this month she was told that, despite being at the top of a waiting<br />

list, she could face a further, two-year wait.<br />

The NHS has endured because there is an almost spiritual belief<br />

in its universality. People of all classes and backgrounds accept<br />

the same level of treatment as a right and consequence of being<br />

British.<br />

184<br />

For more news visit: www.ambulanceukonline.com


FEATURE<br />

Those principals have survived because NHS care, as well as being<br />

universal, was also universally excellent. That can no longer be said<br />

to be the case. The withholding of treatment for years is worse than<br />

receiving poor treatment and those who can afford to pay privately<br />

for a better service will inevitably opt to do so.<br />

The most compelling argument against privatising the NHS has<br />

always been that the provision of healthcare should not be left to<br />

the vagaries of market forces. The irony of the current crisis is that<br />

those very market forces may now compel its demise.<br />

No matter how strongly Britons support the NHS, few will be<br />

prepared to wait months or years to have an ingrowing toenail<br />

treated or a cyst removed if they can have it done privately the<br />

following week for a few hundred pounds.<br />

And while we may be happy and willing to pay European levels of<br />

taxes in return for a European-style health service, we’re unlikely to<br />

do the same for a US-style system.<br />

With the growing development of robotics and telemedicine, as well<br />

as an expansion of over-the-counter diagnostics, more people are<br />

now seeking remedies, for a greater range of treatments, from their<br />

local chemist or from a private therapist or practitioner.<br />

More is being done online than was the case a few years ago.<br />

Much of it remains minor, but the direction of travel is such that,<br />

before long, more serious illnesses will be diagnosed remotely and<br />

by high street providers.<br />

If patients can be diagnosed with prostate or breast cancer sooner,<br />

and treated more effectively, then the way in which the health<br />

service is configured and funded will no longer be as important.<br />

We may end up with something approaching the German health<br />

service model where a private service handles minor and routine<br />

complaints, while accidents and serious illnesses are treated by<br />

a publicly funded service, similar to the NHS, which is free at the<br />

point of delivery.<br />

It’s unlikely the NHS will ever be wholly privatised, but we could see<br />

– slowly and over time – some of its more routine functions being<br />

taken over by private companies.<br />

Even the most traditional religions are forced to adapt and evolve to<br />

remain relevant and the NHS is no different. How it responds to the<br />

current crisis will determine its role in treating the next generations<br />

of patients and whether they will hold it with the same reverence for<br />

another 70 years.<br />

By spending a small amount each month, they can have more-orless<br />

unlimited telephone or video access to a private GP.<br />

Ivor Campbell is Managing Director of Stirlingshire-based Snedden<br />

Campbell, a search company for the medical technology industry.<br />

WHY NOT WRITE FOR US?<br />

<strong>Ambulance</strong> <strong>UK</strong> welcomes the submission of<br />

clinical papers and case reports or news that<br />

you feel will be of interest to your colleagues.<br />

Material submitted will be seen by those working within the public and private<br />

sector of the <strong>Ambulance</strong> Service, Air <strong>Ambulance</strong> Operators, BASICS Doctors etc.<br />

All submissions should be forwarded to info@mediapublishingcompany.com<br />

If you have any queries please contact the publisher Terry Gardner via:<br />

info@mediapublishingcompany.com<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

Do you have anything you would like to add or include in Features? Please contact us and let us know.<br />

185


NEWSLINE<br />

EEAST<br />

Plans for new stateof-the-art<br />

base<br />

unveiled<br />

The East of England <strong>Ambulance</strong><br />

Service NHS Trust (EEAST)<br />

has drawn up plans to create<br />

a state-of-the-art hub on the<br />

outskirts of Bury St Edmunds to<br />

further improve the response it<br />

can provide to patients.<br />

The revamped station – which will<br />

be known as a central reporting<br />

hub – will be developed at Suffolk<br />

Park on the Moreton Hall estate,<br />

which neighbours the A14 if<br />

planning permission for the project<br />

is granted later this year.<br />

The modern building will provide<br />

significantly improved facilities for<br />

staff, including an outside gym,<br />

quiet spaces, a wellbeing garden<br />

and fishpond, kitchen and dining<br />

area and training rooms.<br />

It will also include a “make ready”<br />

zone, where a dedicated team<br />

will work around the clock to<br />

clean and restock all vehicles to<br />

a consistently high standard. This<br />

will mean there is always a fullystocked,<br />

cleaned and checked<br />

vehicle ready for crews to use so<br />

that they can deliver life-saving<br />

care to patients faster.<br />

The hub has been carefully<br />

designed to minimise its<br />

environmental impact, in line<br />

with the NHS’s commitment to<br />

reducing its carbon footprint. It<br />

will be powered by photovoltaic<br />

cells on its roof and constructed<br />

using “greener” materials and<br />

construction methods wherever<br />

possible.<br />

Jackie Nugent, infrastructure<br />

and estates transformation<br />

programme lead at EEAST, said:<br />

“We are investing significantly<br />

in our estates so that we can<br />

provide modern, fit-for-purpose<br />

facilities for our staff while<br />

improving the response we are<br />

able to provide to the public.<br />

“The hub in Bury will be first of<br />

a number of new stations we<br />

develop across the region. It<br />

will include an on-site vehicle<br />

workshop, which will allow us to<br />

bring maintenance in-house and<br />

keep more ambulances on the<br />

road. The hub will also have 24/7<br />

make ready facilities so that we<br />

can make sure our vehicles are<br />

prepared to a consistently high<br />

standard. This will free up frontline<br />

clinicians from doing this prep<br />

work so that they can focus on<br />

what they do best – caring for<br />

patients.<br />

“Importantly, the hub will also<br />

provide a vastly improved working<br />

environment for our staff and<br />

new facilities, such as gym and<br />

dedicated welfare spaces where<br />

crews can relax between calls, in<br />

turn boosting their wellbeing.<br />

“This flagship development will<br />

form a blueprint which we will<br />

then roll out across the rest of our<br />

patch to ensure our committed<br />

teams are working from the<br />

right buildings and with the right<br />

vehicles and equipment to provide<br />

the highest quality care to our<br />

patients.”<br />

EEAST has appointed Assura as<br />

a development partner for the<br />

project. If planning permission<br />

is granted later this year,<br />

construction will begin in early<br />

2023 with the building operational<br />

by summer 2024.<br />

A computer-generated walkthrough<br />

showing the basic<br />

lay out of the building is<br />

available here: https://vimeo.<br />

com/736172875/6068d97c2f<br />

SECAMB<br />

Birchington woman<br />

thanks life-saving<br />

ambulance crew<br />

A woman from Birchington has<br />

thanked the ambulance team<br />

who came to her aid when she<br />

collapsed while on a cliff top<br />

walk.<br />

Patricia Seager, 68, collapsed<br />

when walking her dog with a<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

Photo credit: Corstorphine & Wright<br />

186<br />

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NEWSLINE<br />

friend, Marguerite Whitling, in<br />

Minnis Bay on the morning of<br />

17 September after suddenly<br />

feeling unwell. The pair met<br />

with the ambulance team at<br />

Thanet Make Ready Centre in<br />

Ramsgate last week.<br />

South East Coast <strong>Ambulance</strong><br />

collapsed. Apart from the odd<br />

snippet, I don’t remember much<br />

about what happened but I<br />

have subsequently been told by<br />

Marguerite of the heroic efforts<br />

the team made to save my life.”<br />

Shannon and Claire were<br />

backed up by fellow clinicians<br />

her and Marguerite in better<br />

circumstances.”<br />

Patricia added: “I survived<br />

due to the expert and<br />

compassionate care of the<br />

whole team. Without them I<br />

simply wouldn’t be here and I<br />

also wouldn’t have been around<br />

to see my daughter finish her<br />

chemotherapy treatment and<br />

hopefully beat cancer. There<br />

are no words I can really say to<br />

express my thanks to them all.<br />

It has been lovely to meet them<br />

to thank them face-to-face and<br />

offer them my most heartfelt<br />

gratitude and appreciation.”<br />

paramedic, Shannon Reed and<br />

John Ward and Jess Bushell.<br />

crew mate, Claire Hardy were<br />

The team worked to stabilise<br />

quickly on scene and sprang<br />

Patricia before liaising with the<br />

into action when Patricia went<br />

Trust’s Critical Care Desk and<br />

into cardiac arrest soon after<br />

arranging to take her initially<br />

their arrival. The pair delivered<br />

to QEQM Hospital in Margate.<br />

a shock with their defibrillator<br />

Patricia was then transferred<br />

which thankfully restored<br />

to William Harvey Hospital<br />

Patricia’s heart to a more normal<br />

in Ashford where she spent<br />

rhythm.<br />

five days in the Critical Care<br />

Unit before being fitted with a<br />

Patricia, who has now returned<br />

pacemaker and defibrillator.<br />

to her work in social care,<br />

underwent a triple heart bypass<br />

Shannon said: “It was a pleasure<br />

in 2015 but has since striven<br />

to meet Patricia and see her<br />

to look after her heart health by<br />

doing so well. From the moment<br />

walking and by making healthy<br />

we arrived, Claire was my rock<br />

lifestyle changes.<br />

and we worked together to<br />

ensure Patricia received the<br />

She said: “As we walked along,<br />

treatment she needed, with<br />

I suddenly felt dizzy but before<br />

John and Jess providing vital<br />

I could reach a nearby bench I<br />

back up. It was amazing to see<br />

WHY NOT WRITE FOR US?<br />

<strong>Ambulance</strong> <strong>UK</strong> welcomes the submission of<br />

clinical papers and case reports or news that<br />

you feel will be of interest to your colleagues.<br />

Material submitted will be seen by those working within the public and private<br />

sector of the <strong>Ambulance</strong> Service, Air <strong>Ambulance</strong> Operators, BASICS Doctors etc.<br />

All submissions should be forwarded to info@mediapublishingcompany.com<br />

If you have any queries please contact the publisher Terry Gardner via:<br />

info@mediapublishingcompany.com<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

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187


NEWSLINE<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

Christmas slays<br />

– holidays should<br />

come with a health<br />

warning, says expert<br />

The holiday season is one of<br />

the deadliest times of the year,<br />

with Christmas Day worst of all.<br />

A leading testing expert reveals<br />

why, and how we can protect<br />

ourselves.<br />

It’s that time of the year. Every<br />

TV advert and supermarket visit<br />

reminds us that we should already<br />

be planning for Christmas. As<br />

we set about organising food,<br />

presents and parties, we should<br />

also be planning how to survive<br />

the season, says a leading health<br />

testing expert.<br />

Dr Quinton Fivelman PhD, Chief<br />

Scientific Officer at London<br />

Medical Laboratory, says:<br />

‘Christmas is widely considered<br />

to be a joyful and relaxing time,<br />

but for many it’s anything but. The<br />

Office for National Statistics (ONS)<br />

says <strong>December</strong> and January are<br />

the most common months of<br />

death in the <strong>UK</strong>.<br />

‘Surprisingly, the highest<br />

concentration of cardiac-related<br />

deaths is during Christmas time.<br />

Some distinctly unfestive research<br />

published in the US journal<br />

“Circulation” shows that 4% more<br />

people die of heart problems<br />

during the Christmas holiday<br />

compared to even the midwinter<br />

average. Most fatal of all is<br />

Christmas Day. It has the highest<br />

number of cardiac deaths that<br />

occur rapidly after presentation of<br />

a medical problem. In second and<br />

third place are 26 <strong>December</strong> and<br />

New Year’s Day.<br />

‘It used to be thought that the<br />

primary reason for the higher<br />

number of <strong>UK</strong> Christmas deaths<br />

was the cold weather. However,<br />

Los Angeles, a Californian city<br />

with very mild winters, also has a<br />

third more deaths at Christmas.<br />

Furthermore, although Australia<br />

and New Zealand both celebrate<br />

Christmas in their mid-summers,<br />

there’s a marked rise in deaths at<br />

this time of year.<br />

‘So, if it’s not just the cold weather<br />

that’s responsible, what are the<br />

main reasons why Christmas and<br />

New Year prove fatal, and what<br />

can we do about it?<br />

‘The <strong>UK</strong>’s winter peak in deaths<br />

from cardiovascular disease<br />

is likely to be linked to high<br />

cholesterol and high blood<br />

pressure; both are known to climb<br />

around the holiday season for<br />

many people.<br />

‘Strong evidence suggests that<br />

rich foods, alcohol and restricted<br />

access to hospitals results in a<br />

higher frequency of heart attacks<br />

during the festive season.<br />

‘Additionally, many of us travel to<br />

see friends and family and that<br />

may present problems. While<br />

people are holidaying away from<br />

their main medical facilities, they<br />

may try to put off presenting to<br />

a doctor until they return home.<br />

That delay can prove fatal.<br />

‘There are a number of other<br />

medical reasons why <strong>UK</strong> deaths<br />

climb during Christmas and New<br />

Year. Many of us have lower<br />

vitamin D levels now than at other<br />

times of the year. From around late<br />

March to the end of September,<br />

our body creates enough vitamin D<br />

through exposure to direct sunlight<br />

absorbed on our skin. However,<br />

from October to early March we<br />

do not make enough naturally.<br />

Vitamin D deficiency is associated<br />

with increased incidence and risk<br />

of heart attacks. For this reason,<br />

many people take vitamin D<br />

supplements. If in doubt, it’s a<br />

good idea to have a vitamin profile<br />

blood test.<br />

‘It’s not just rich foods, excess<br />

alcohol and grey winters that can<br />

trigger heart attacks, however.<br />

The stress of meeting relatives<br />

we’ve been avoiding for the<br />

previous eleven months may also<br />

be causing us harm. Another<br />

worry is the cost of the presents,<br />

parties, food and booze. That will<br />

be a particular issue this year, as<br />

household costs soar. A groundbreaking<br />

2017 study published in<br />

“The Lancet” revealed that there’s<br />

probably a direct link between<br />

stress and heart problems. It<br />

tested activity in the amygdala, a<br />

region of the brain associated with<br />

stress, and discovered that those<br />

people with the most activity in<br />

the amygdala had the highest risk<br />

of developing heart disease over a<br />

follow-up lasting nearly four years.<br />

‘Finally, it’s perhaps not generally<br />

known that a bad case of flu can<br />

also have an impact on our heart.<br />

There is a known link between<br />

the flu virus and cardiovascular<br />

disease. The flu virus affects<br />

inflammatory and blood-clotting<br />

pathways. This can cause fatty<br />

deposits on the artery walls<br />

(plaques) to break loose, leading<br />

to coronary artery blockage – the<br />

main cause of heart attacks. We<br />

are far more likely to catch flu<br />

during the winter, together with<br />

Covid-19 and respiratory syncytial<br />

virus (RSV). RSV is a virus that<br />

infects the upper and lower<br />

respiratory tract, causing about<br />

14,000 hospital admissions and<br />

8,000 deaths in the <strong>UK</strong> annually.<br />

‘Knowing all these issues, what<br />

preventative actions can we take<br />

to get us through Christmas?<br />

Obviously, going easy on fatty<br />

foods and alcohol is the single<br />

most significant step. Additionally,<br />

if people know they are not in the<br />

best of heart health, they may<br />

want to consider access to GPs<br />

and hospitals before deciding<br />

to travel. A heart health blood<br />

test might also be a sensible<br />

precaution. London Medical<br />

Laboratory’s Heart Health Profile<br />

test can be done either at home<br />

or at one of over 85 selected<br />

pharmacies, drop-in clinics and<br />

health stores that offer these tests<br />

across London and nationwide.<br />

‘In terms of reducing stress,<br />

the encouraging takeaway from<br />

the Lancet study is that stress<br />

reduction techniques, such as<br />

exercise and deep breathing, might<br />

calm the mechanism that converts<br />

stress to heart attacks and strokes.<br />

‘Finally, knowing that the flu can<br />

trigger heart-related events,<br />

the introduction of London<br />

Medical Laboratory’s new rapid<br />

PCR test, that detects whether<br />

your symptoms are caused by<br />

Covid, flu and/or RSV, is timely.<br />

The revolutionary new “Covid,<br />

Cold or Flu A & B, 4-in-1 PCR<br />

Test” can be taken at one of<br />

over 85 selected pharmacies,<br />

drop-in clinics and health stores<br />

nationwide or, for convenience,<br />

at home through the post. For<br />

full details, see https://www.<br />

londonmedicallaboratory.com/<br />

product/4-in-1-flu<br />

WAS<br />

Welsh <strong>Ambulance</strong><br />

Service’s patient<br />

records go digital<br />

The Welsh <strong>Ambulance</strong> Service<br />

has introduced new technology<br />

which has enabled all of its<br />

patient records to go digital.<br />

The Trust generates an average<br />

400,000 patient records a year,<br />

which traditionally have been<br />

captured as handwritten notes.<br />

Electronic Patient Clinical Record<br />

(ePCR) technology enables crews<br />

to capture information on an iPad,<br />

reducing paper, improving the<br />

accuracy of notes and enabling realtime<br />

information to be shared quickly<br />

and easily with healthcare partners.<br />

Rather than wait to be handed a<br />

paper-based record, doctors can<br />

now determine the best course<br />

of treatment prior to a patient’s<br />

188<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


NEWSLINE<br />

arrival at hospital, speeding up<br />

handovers.<br />

which takes us closer to our<br />

decarbonisation goals.<br />

Senior clinicians providing remote<br />

advice to paramedics face-to-face<br />

with a patient can also access the<br />

ePCR in real-time and record their<br />

advice as part of the record.<br />

Dr Brendan Lloyd, Executive<br />

Medical Director at the Welsh<br />

<strong>Ambulance</strong> Service, said: “The<br />

move from paper-based patient<br />

data collection to ePCR is<br />

transformational for the Trust and<br />

patient care.<br />

“Not only does it streamline the<br />

way information is captured, but<br />

the live data we’re entering into<br />

the Welsh Clinical Portal means<br />

other clinicians can access it,<br />

which strengthens collaboration<br />

and ultimately, means a better<br />

service for the patient.<br />

“The move to digital has also<br />

eliminated the use of paper,<br />

“We believe passionately about<br />

harnessing technology to equip our<br />

clinicians with information to provide<br />

individual care to improve patient<br />

outcomes and the experiences of<br />

patients, carers and their families<br />

when they need us the most.”<br />

The new ePCR solution was<br />

funded via Welsh Government’s<br />

Digital Priorities Investment Fund,<br />

and rollout at the height of the<br />

Covid-19 pandemic took around<br />

12 months.<br />

Welsh Government Minister for<br />

Health and Social Services Eluned<br />

Morgan said: “I congratulate<br />

the team on the successful and<br />

timely rollout of its new electronic<br />

records system.<br />

“The digitisation of patient care<br />

records means that information<br />

can be shared in a more effi cient<br />

manner to improve patient care<br />

and save vital minutes upon arrival<br />

in the hospital.<br />

“I will continue to support<br />

additional development of the<br />

ePCR system to further improve<br />

patient care in Wales.”<br />

The Trust’s ePCR Programme<br />

is now exploring further<br />

developments to interface with<br />

other NHS Wales systems and<br />

provide additional information to<br />

ambulance crews, like a patient’s<br />

allergies and regular medications.<br />

Work to enable the Trust’s<br />

Community First Responders to<br />

use the system is also underway<br />

with a view to capturing information<br />

across the service – be it by staff<br />

or volunteers – as a single digital<br />

Patient Clinical Record.<br />

RAPTOR ® RESCUE<br />

Available online from: www.leatherman.co.uk<br />

Developed with the input of special<br />

operations medics, EMTs and fire<br />

professionals familiar with standard<br />

medical shears, the Raptor Rescue<br />

was crafted with just the right balance<br />

of multi-purpose features for medicalspecific<br />

ops without an overkill of<br />

tools to complicate sometimes<br />

life-threatening situations.<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

For the latest <strong>Ambulance</strong> Service News visit: www.ambulancenewsdesk.com<br />

189


NEWSLINE<br />

St John <strong>Ambulance</strong><br />

rated ‘Good’ across<br />

the board<br />

All St John <strong>Ambulance</strong> services<br />

regulated by the Care Quality<br />

Commission (CQC) have all<br />

been inspected and rated<br />

as ‘Good’, including some<br />

outstanding practice.<br />

The charity, which started a fouryear<br />

contract with NHS England<br />

to provide the nation’s ambulance<br />

auxiliary in August, scored highly<br />

across all four of its regions, plus its<br />

Sussex-based homeless service.<br />

St John <strong>Ambulance</strong>’s Director<br />

of Health and Volunteering<br />

Operations, Craig Harman says:<br />

“During a year when many<br />

ambulance services have been<br />

struggling, we should recognise<br />

what a massive achievement it<br />

is for our crews to get such a<br />

rousing affirmation from the Care<br />

Quality Commission.<br />

“It’s particularly moving to see<br />

how our people were noted for<br />

– as the CQC put it – showing<br />

extensive ‘compassion and<br />

kindness’ to patients – because<br />

those are our values and that’s<br />

what St John is all about.”<br />

Outstanding practice was noted<br />

in three of the four reports<br />

into ambulance services, with<br />

St John’s commitments to<br />

investing in fleet and improving<br />

organisational culture, plus the<br />

contribution of skilled volunteers in<br />

caring for patients highlighted.<br />

<strong>Ambulance</strong> hubs inspected<br />

included St John premises<br />

in London, West Bromwich,<br />

Stockport and Brighton.<br />

And St John’s Homeless Service,<br />

which operates in Brighton and<br />

Hastings, was also rated as good,<br />

with outstanding features.<br />

The charity’s Director of Quality<br />

and Safety, Niloufar Hajilou adds:<br />

“To be rated this highly across all<br />

five of our regulated services is<br />

a powerful endorsement of the<br />

incredible effort all St John people<br />

put in to ensure the care we<br />

deliver to patients is professional<br />

and compassionate.<br />

“I could not be more proud of<br />

our people for their continuous<br />

dedication and commitment to the<br />

provision of high quality care.<br />

“The last couple of years have<br />

been tough for everyone working<br />

in frontline healthcare, and there<br />

is always room for improvement,<br />

but St John is working hard and<br />

investing in our infrastructure,<br />

staff and volunteers to ensure we<br />

maintain these standards and get<br />

even better in the years to come.”<br />

All five CQC reports can be found<br />

on St John <strong>Ambulance</strong>’s website:<br />

https://www.sja.org.uk/what-wedo/governance-and-leadership/<br />

care-quality-commission/<br />

WAS<br />

Life-saving cardiac<br />

responder app is<br />

back<br />

The Welsh <strong>Ambulance</strong> Service<br />

has partnered with a life-saving<br />

app that lets first aiders know<br />

when there is a cardiac arrest in<br />

their area.<br />

The GoodSAM app uses GPS<br />

technology to alert trained first<br />

responders registered on the app<br />

to a nearby cardiac arrest.<br />

If the responder is available, they<br />

can accept the alert via the app<br />

and make their way to the patient<br />

to begin CPR prior to the arrival of<br />

an ambulance.<br />

Responders include NHS workers<br />

like doctors, nurses, paramedics<br />

and therapists, as well as police<br />

and fire staff, first aiders and<br />

others who are trained in CPR.<br />

Several thousand responders in<br />

Wales are already signed up to<br />

the app, 800 Welsh <strong>Ambulance</strong><br />

Service staff and volunteers – but<br />

now the Trust is inviting more.<br />

Carl Powell, Clinical Support Lead<br />

at the Welsh <strong>Ambulance</strong> Service,<br />

said: “When someone goes into<br />

cardiac arrest, every second<br />

counts, so the sooner that effective<br />

CPR is started, the better.<br />

“In a cardiac arrest situation, we<br />

will send an ambulance as quickly<br />

as possible on lights and sirens,<br />

but if there’s someone closer who<br />

can begin the chain of survival,<br />

it could mean the difference<br />

between life and death.<br />

“Often it’s the first few minutes that<br />

determine a patient’s outcome,<br />

which is why the GoodSAM app is<br />

a brilliant resource.<br />

“Early CPR is crucial, which is why<br />

we would encourage everyone is<br />

who CPR-trained across Wales to<br />

consider registering on the app.”<br />

The Welsh <strong>Ambulance</strong> responds<br />

to over 6,000 out-of-hospital<br />

cardiac arrests in Wales every<br />

year, but for every minute without<br />

CPR, a person’s chances of<br />

survival drop by 10%.<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

The Welsh <strong>Ambulance</strong> Service first<br />

began using the GoodSAM app<br />

in 2018, and within two days, it<br />

has saved the life of Phil Nunnerley<br />

who went into cardiac arrest at<br />

a Wales vs Scotland game at<br />

Cardiff’s Principality Stadium.<br />

Use of the app was paused during<br />

the Covid-19 pandemic, but the<br />

partnership with GoodSAM has<br />

since been relaunched to allow<br />

more responders to come forward.<br />

Mark Wilson OBE, Co-Founder<br />

and Director of GoodSAM, said:<br />

“If your job requires CPR training<br />

190<br />

For more news visit: www.ambulanceukonline.com


NEWSLINE<br />

or you are a fi rst aider, then we<br />

encourage you to sign up.<br />

services and creating research<br />

that benefi ts patients and the<br />

<strong>Ambulance</strong> Service NHS Trust,<br />

said: “This is an excellent<br />

Professor Steve Goodacre,<br />

Professor of Emergency Medicine<br />

“If we can get as many people<br />

involved, there could be a<br />

GoodSAM responder on every<br />

street.”<br />

wider public.<br />

Staff from YAS and ScHARR will<br />

have the opportunity to codevelop<br />

and produce high quality<br />

opportunity for both Yorkshire<br />

<strong>Ambulance</strong> Service and the<br />

University of Sheffi eld to develop<br />

research that is impactful to<br />

our local communities. This<br />

at the University of Sheffi eld,<br />

said: “This is an important<br />

initiative that strengthens our<br />

existing relationship between<br />

Yorkshire <strong>Ambulance</strong> Service<br />

Deputy Chief Medical Offi cer for<br />

Wales, Professor Chris Jones,<br />

added: “The GoodSAM initiative is<br />

a huge step forward for Wales to<br />

ensure that anyone in the vicinity<br />

with the skills to save a life will be<br />

notifi ed and can help.<br />

research studies and will also<br />

benefi t from joint training sessions.<br />

Dr Steven Dykes, Executive<br />

Medical Director at Yorkshire<br />

agreement solidifi es the good<br />

working relationships we already<br />

have in place and ensures that<br />

we continue to work together in<br />

meaningful way.”<br />

and the University of Sheffi eld.<br />

I look forward to building our<br />

relationship and enhancing<br />

our ability to deliver impactful<br />

research.”<br />

“We are doing lots of work to<br />

increase people’s confi dence<br />

to intervene in a cardiac arrest<br />

emergency which includes<br />

highlighting ‘Help is closer than you<br />

think’, the importance of calling<br />

999 immediately, support provided<br />

by the call handler to do CPR and<br />

how to locate a defi brillator until an<br />

ambulance arrives.<br />

The Welsh <strong>Ambulance</strong> Service<br />

continues to work in partnership<br />

with Welsh Government and third<br />

sector partners to strive to deliver<br />

the Out of Hospital Cardiac Arrest<br />

Plan in Wales.<br />

Primarily established to work in<br />

the world of international<br />

medical repatriation, the<br />

business has evolved to provide<br />

expert clinical solutions across<br />

a variety of specialist sectors<br />

and services.<br />

IPRS Aeromed are now recruiting Paramedics & Nurses<br />

YAS<br />

Joint research<br />

agreement between<br />

Yorkshire <strong>Ambulance</strong><br />

Service and<br />

University of Sheffield<br />

School of Health and<br />

Related Research<br />

Yorkshire <strong>Ambulance</strong><br />

Service NHS Trust (YAS) and<br />

the University of Sheffield<br />

School of Health and Related<br />

Research (ScHARR) have<br />

joined forces to develop and<br />

deliver ambulance-focused<br />

research to help improve<br />

patient care.<br />

Both organisations have signed a<br />

Memorandum of Understanding<br />

and are committed to improving<br />

What sets us apart is the<br />

experience and skills of our<br />

valued clinicians who are<br />

well-versed in managing<br />

patients from around the<br />

world in a wide variety of<br />

settings.<br />

Join a team that's really going places!<br />

https://iprsaeromed.com/jobs/ or email IPRS Aeromed<br />

Recruitment aeromed.recruitment@iprsgroup.com<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

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191


NEWSLINE<br />

SCAS<br />

South Central<br />

<strong>Ambulance</strong> Service<br />

wins prestigious<br />

award for CPR<br />

and defibrillator<br />

campaign<br />

South Central <strong>Ambulance</strong><br />

Service (SCAS) has won a<br />

Chartered Institute of Public<br />

Relations (CIPR) award for its<br />

campaign to increase public<br />

awareness of cardiopulmonary<br />

resuscitation (CPR) and<br />

defibrillators.<br />

Entitled Saving lives - the<br />

three Cs (cardiac arrest, CPR,<br />

communication), it was named<br />

best healthcare campaign last<br />

night (Tuesday) at the CIPR<br />

PRide Awards <strong>2022</strong> in the Anglia,<br />

Thames and Chiltern region.<br />

Alongside raising public<br />

awareness and interest in<br />

CPR and automated external<br />

defibrillators (AED), the<br />

campaign set out to improve<br />

take-up rates of CPR and<br />

AED usage and raise funds<br />

for South Central <strong>Ambulance</strong><br />

Charity to aid development of<br />

volunteers and the purchasing<br />

of equipment.<br />

It was developed by the<br />

communications department<br />

in collaboration with the<br />

community engagement and<br />

training team and South Central<br />

<strong>Ambulance</strong> Charity.<br />

The aim was to ensure regular<br />

communication throughout the<br />

year to secure national media<br />

coverage, significant social<br />

media engagement, charity<br />

donations and, most crucially, to<br />

aid an increase in out of hospital<br />

cardiac arrest survival rates.<br />

The project covered four main<br />

subject areas including SCAS<br />

becoming the first in the country<br />

to roll out LUCAS 3, a state-ofthe-art<br />

device which can perform<br />

CPR on a patient automatically to<br />

free up paramedics to carry out<br />

other vital interventions.<br />

The second focused on Danish<br />

footballer Christian Eriksen’s<br />

cardiac arrest at Euro 2020 and<br />

the link with the ‘Save a Life’ CPR<br />

app developed by SCAS, with<br />

the third on Facebook Live CPR<br />

sessions hosted as part of the<br />

2021 World Restart a Heart Week.<br />

The final communications initiative<br />

was the story of volunteer<br />

Graham Langley who saved the<br />

life of his friend and then became<br />

a volunteer community first<br />

responder.<br />

Among the returns were<br />

widespread national and<br />

international media coverage of<br />

the LUCAS 3 device, national<br />

media coverage and a spike in<br />

downloads of the ‘Save a Life’<br />

app, live CPR events which<br />

involved more than 50,000<br />

people and regional media<br />

coverage of Graham’s story and<br />

subsequent use as an advert to<br />

recruit volunteers.<br />

There were 2,294 occasions<br />

during the year where CPR<br />

was in progress prior to the<br />

arrival of an ambulance across<br />

Buckinghamshire, Berkshire,<br />

Oxfordshire and Hampshire<br />

which supports SCAS’s<br />

improving out of hospital<br />

cardiac arrest survival rate of<br />

13.9% - one of the highest in<br />

the country.<br />

“The dedication and the<br />

commitment from our<br />

communications department,<br />

charity and community training<br />

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NEWSLINE<br />

and engagement team in<br />

working together to raise the<br />

profile of CPR and defibrillators,<br />

funding advances in equipment<br />

and care and training members<br />

of the public has been vital in<br />

helping to improve out of hospital<br />

cardiac arrest survival rates in<br />

the SCAS region,” said Nicola<br />

Dunbar, head of community<br />

engagement and training at<br />

SCAS.<br />

“The variety of activities over<br />

the course of this year have<br />

demonstrated the benefits of<br />

this relationship, achieving media<br />

and social media impact, raising<br />

funds and training thousands of<br />

members of the public in vital lifesaving<br />

skills.”<br />

Gillian Hodgetts, director of<br />

communications, marketing and<br />

engagement at SCAS, said:<br />

‘We are all thrilled to win this<br />

prestigious award and more<br />

importantly for an aspect of our<br />

work that we are passionate<br />

about and that has the potential<br />

to help save many lives’.<br />

GWAAC<br />

GWAAC<br />

On Friday 16 September <strong>2022</strong>,<br />

Bristol’s Aerospace Museum<br />

opened its doors to the Great<br />

Western Air <strong>Ambulance</strong> Charity<br />

(GWAAC) and its guests for the<br />

return of the much-anticipated<br />

Pre-Hospital Emergency<br />

Medical (PHEM) Symposium<br />

– an informative and friendly<br />

conference for healthcare<br />

professionals wanting to learn<br />

more about all things PHEMrelated.<br />

The first Symposium was held<br />

in 2016 but the last two events<br />

in 2020 and 2021 did not run<br />

due to COVID-19. It was great<br />

to get colleagues and medical<br />

professionals back together<br />

in a collaborative learning<br />

environment, with CPD certificates<br />

waiting at the end.<br />

Introductions<br />

After half an hour of meeting and<br />

greeting in the Concorde hangar<br />

(next to GWAAC’s old home at<br />

Filton Airfield), the attendees<br />

moved upstairs to take their seats<br />

to listen to a warm welcome by<br />

GWAAC’s CEO, Anna Perry, and<br />

Medical Director, Ed Valentine.<br />

Ms Perry and Dr Valentine briefed<br />

the audience on what they could<br />

expect from the day and played<br />

a fast-paced and gripping video<br />

that gave a glimpse into life as<br />

a GWAAC crew member. The<br />

video showed the crew getting<br />

ready for a mission, followed by a<br />

simulation of their response to a<br />

Road Traffic Accident (RTC).<br />

PHEM topics<br />

An array of expert speakers from<br />

varied backgrounds delivered<br />

valuable presentations over four<br />

sessions. Topics covered:<br />

• Critical care transfers: what is it<br />

all about?<br />

• ECMO: Is it useful in the prehospital<br />

setting?<br />

• Pushing Boundaries in<br />

paramedicine<br />

• Claims, inquests and the<br />

regulator from a pre-hospital<br />

perspective<br />

• Gardening V carpentry:<br />

designing a wellbeing strategy<br />

• Bumps and bruises: managing<br />

pregnant women in a prehospital<br />

environment<br />

• Interactive case scenario<br />

discussions<br />

• Great Western Air <strong>Ambulance</strong><br />

Charity – demonstration by<br />

crew<br />

• Keynote — pre-hospital critical<br />

care; where have we come<br />

from and where are we going?<br />

• Manchester Arena Public<br />

Inquiry and reflections on the<br />

duty of care<br />

• Hot, wet and high: trauma and<br />

extremes<br />

During the breaks, attendees were<br />

treated to excellent refreshments,<br />

an opportunity to look around<br />

trade stands and a peek inside<br />

Concorde itself.<br />

Attendees said…<br />

“Every single speaker has brought<br />

a lot to the table for me. The<br />

‘Pushing Boundaries’ talk was<br />

very eye-opening, and I’ve also<br />

learned that the procedures we’re<br />

using now might change in the<br />

next ten years.”<br />

Natalie Cunningham – Emergency<br />

Care Assistant<br />

“Seeing the Critical Care Team in<br />

action was truly a sight to behold.<br />

They ran the case like a well-oiled<br />

machine. It was very inspirational<br />

to see!”<br />

Dr Zain Mitha – Junior Doctor,<br />

Intensive Care Unit<br />

“There are different speakers every<br />

year. It’s a good opportunity to<br />

hear what the latest developments<br />

are in pre-hospital care. And it’s<br />

good to develop my knowledge<br />

even though I don’t work in prehospital<br />

care.”<br />

Dr Matthew Williams – Registrar,<br />

Emergency Department<br />

A note from the organiser<br />

“I couldn’t be happier with this<br />

year’s Symposium. The attendees<br />

were really engaged and a lot<br />

of them said they’d be back<br />

for the next one! I just want to<br />

say a huge thank you to all our<br />

guest speakers for sharing their<br />

expertise. The whole event was<br />

a great collaboration and we all<br />

learned from each other.”<br />

Vicki Brown, APCC, GWAAC, and<br />

organiser of the <strong>2022</strong> Symposium<br />

If you’re a healthcare professional<br />

interested in attending the<br />

next GWAAC Symposium, join<br />

GWAAC’s dedicated mailing list<br />

and be the first to receive details.<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

For the latest <strong>Ambulance</strong> Service News visit: www.ambulancenewsdesk.com<br />

193


NEWSLINE<br />

EEAST<br />

New approach to<br />

get patients the<br />

care they need more<br />

quickly<br />

The East of England<br />

<strong>Ambulance</strong> Service Trust<br />

(EEAST) is piloting a new<br />

approach that will see patients<br />

getting the help they need<br />

more quickly.<br />

New ways of integrated working<br />

and new digital systems have<br />

been put in place to allow<br />

ambulance referrals to be sent<br />

directly to urgent care response<br />

services, such as ‘Hospital at<br />

Home’ – a service already in<br />

place in Hertfordshire and West<br />

Essex.<br />

This means that, where<br />

appropriate, people will be seen<br />

sooner by the right healthcare<br />

practitioner rather than going to<br />

hospital – saving hours of delays<br />

and in many cases providing a<br />

more tailored approach to their<br />

care.<br />

“We are rolling out this approach<br />

across our region to improve<br />

care for patients.”<br />

The new approach includes<br />

access for partners to EEAST’s<br />

cases so health care partners,<br />

and ‘clinical conversations’<br />

- where EEAST paramedics<br />

identify appropriate patients and<br />

discuss with local health teams if<br />

their care can be transferred to a<br />

community partner – potentially<br />

eliminating the need for patients<br />

to go to emergency departments<br />

for diagnosis and further<br />

treatment.<br />

Before launching the pilot,<br />

EEAST trialled the ‘clinical<br />

conversation’ with the East &<br />

North Herts’ existing Hospital<br />

at Home service - operated<br />

by Hertfordshire Community<br />

NHS Trust (HCT). The service<br />

means patients can receive<br />

nursing care, therapy and<br />

remote monitoring services in<br />

the comfort of their own home<br />

or care home with a team of<br />

GPs, nurses, therapists and<br />

pharmacists overseeing care.<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

The new approach has been<br />

launched in partnership with<br />

Hertfordshire & West Essex<br />

Integrated Care Board and will<br />

shortly be rolled out with other<br />

partners to help build on the work<br />

done so far in this area across<br />

the region.<br />

EEAST chief executive Tom Abell<br />

said:<br />

“We believe this will deliver real<br />

benefits for patients in getting<br />

them the help they need.<br />

“This will help free up our<br />

dedicated people to see patients<br />

who most need our care and help<br />

reduce pressure on hospitals,<br />

reducing handover delays<br />

at emergency departments.<br />

Emergency patients with time<br />

critical care will always be taken<br />

straight to hospital for treatment.<br />

The week-long trial meant for the<br />

first time EEAST could directly<br />

refer into the service. A total of<br />

108 patients were identified as<br />

suitable for Hospital at Home<br />

and of these 73 were not<br />

conveyed to hospital.<br />

HCT Chief Executive, Elliot<br />

Howard-Jones, said:<br />

“Working as one healthcare<br />

system to extend access to<br />

EEAST’s cases is a momentous<br />

occasion as it not only means<br />

patients get the care they need<br />

when they need it – but that we<br />

are working together to reduce<br />

pressure on other services<br />

while still providing quality local<br />

healthcare.”<br />

The other community providers<br />

working with EEAST on<br />

this new approach include<br />

194<br />

For more news visit: www.ambulanceukonline.com


NEWSLINE<br />

Central London Community<br />

Healthcare NHS Trust and<br />

Essex Partnership University<br />

NHS Trust, who provides rapid<br />

response services that can help<br />

people at home, provide services<br />

that ensure they have greater<br />

independence in their own home<br />

and enable onward referral/<br />

follow up within community<br />

services to be made.<br />

LAS<br />

Mayor of London<br />

becomes latest<br />

London Lifesaver<br />

The Mayor of London, Sadiq<br />

Khan, has become the latest<br />

Londoner to learn essential<br />

life-saving skills as he signed<br />

up to London <strong>Ambulance</strong><br />

Service’s (LAS) mission to train<br />

100,000 London Lifesavers on<br />

Tuesday 4 October.<br />

Community Resuscitation Trainer<br />

Victoria Geary, Community<br />

Defibrillation Manager<br />

Samantha Wilcox, and Head<br />

of First Responders Samantha<br />

Palfreyman-Jones visited City<br />

Hall yesterday and provided a<br />

two-and-a-half hour training<br />

session on Emergency Life<br />

Support for the Mayor and his<br />

colleagues. During the training,<br />

Mr Khan was taught how to<br />

recognise symptoms of cardiac<br />

arrest, put an unconscious<br />

patient in the recovery position,<br />

perform Basic Life Support<br />

(BLS), and use a defibrillator.<br />

knowledge could literally save<br />

lives – including that of a friend<br />

or a loved one. I encourage<br />

Londoners to sign up to be<br />

a Lifesaver so that you have<br />

the confidence and training to<br />

be able to help when it truly<br />

matters.”<br />

The mayoral training session is<br />

part of a much wider London<br />

Lifesavers initiative, which was<br />

launched by London <strong>Ambulance</strong><br />

Service in September 2021.<br />

The campaign aims to improve<br />

people’s chances of surviving<br />

an out-of-hospital cardiac arrest<br />

by equipping at least 100,000<br />

Londoners with the knowledge<br />

and confidence to act in an<br />

emergency situation until<br />

ambulance crews arrive at the<br />

scene.<br />

Over the past six months, the<br />

London Lifesavers initiative has<br />

trained and registered almost<br />

2,000 new lifesavers, who<br />

are now equipped with basic<br />

resuscitation skills. LAS plans to<br />

scale up the London Lifesavers<br />

campaign further in the coming<br />

months.<br />

The initiative also aims to<br />

achieve a target of 10,000 public<br />

access defibrillators (PADs)<br />

available to save lives across the<br />

capital. Over the past year, LAS<br />

has supported the installation of<br />

1,000 new PADs across London,<br />

bringing the current total to<br />

7,500.<br />

The latest achievements in the<br />

London Lifesavers campaign<br />

come as LAS responded to<br />

9,500 cardiac arrests since the<br />

start of this calendar year (<strong>2022</strong>).<br />

LAS estimates that by reaching<br />

its target of 100,000 London<br />

Lifesavers and more than 10,000<br />

defibrillators across the city it<br />

could help save more than 100<br />

additional lives every year.<br />

LAS Community Defibrillation<br />

Manager Samantha Wilcox said:<br />

“I’d like to thank the Mayor of<br />

London for taking part in this<br />

training today, and encourage<br />

the citizens of London to follow<br />

his footsteps and learn these<br />

life-saving skills.<br />

“We know from experience that<br />

in the few minutes it takes for<br />

an ambulance crew to reach<br />

a person in cardiac arrest, the<br />

actions of passers-by can make<br />

the difference between life and<br />

death for that person. For every<br />

minute that goes by without<br />

life-saving intervention like CPR<br />

and defibrillation, the chances of<br />

a person surviving cardiac arrest<br />

decrease by 10%.<br />

“There are several ways that<br />

organisations, workplaces,<br />

communities and individuals<br />

can get involved. We advise<br />

contacting our London<br />

Lifesavers team for information<br />

on how to join our campaign.”<br />

The London Lifesavers initiative<br />

is funded by the London<br />

<strong>Ambulance</strong> Charity thanks to a<br />

grant received by NHS Charities<br />

Together and the support of our<br />

donors.<br />

The Mayor of London, Sadiq<br />

Khan, said: “London <strong>Ambulance</strong><br />

Service work around the clock<br />

to save lives and are there for<br />

Londoners when they need it<br />

most - but we know that when<br />

anyone has a serious health<br />

issue every second counts.<br />

“Doing simple lifesaver training,<br />

like I have done, gives you<br />

the confidence to do CPR<br />

and use a defibrillator and this<br />

Sadiq Khan encourages all Londoners to learn CPR and defibrillation skills<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

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195


NEWSLINE<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

SECAMB<br />

Trust committed<br />

to further<br />

improvements<br />

following publication<br />

of CQC report<br />

South East Coast <strong>Ambulance</strong><br />

Service NHS Foundation Trust<br />

(SECAmb) has reaffirmed<br />

its commitment to making<br />

improvements following the<br />

publication on Wednesday<br />

26 October of a Care Quality<br />

Commission (CQC) report.<br />

The inspection, which took<br />

place in August, and looked at<br />

SECAmb’s urgent and emergency<br />

care, as well as its resilience<br />

teams, sees the Trust’s overall<br />

rating move from ‘Good’ to<br />

‘Requires Improvement’. The<br />

individual rating for Caring remains<br />

rated as ‘Good’.<br />

The inspection also checked on<br />

the Trust’s progress in meeting<br />

the requirements from a well-led<br />

inspection which took place in<br />

February. The February inspection<br />

resulted in an ‘Inadequate’<br />

well-led rating, rated the Trust<br />

NHS 111 service as ‘Good’ but<br />

suspended other ratings until<br />

the latest inspection had been<br />

completed.<br />

SECAmb is pleased the care<br />

provided by its staff was<br />

recognised with a ‘Good’ rating<br />

and that inspectors found and<br />

were encouraged that Trust<br />

leaders were showing a sense<br />

of urgency in prioritising the<br />

issues which had previously been<br />

identified.<br />

SECAmb Interim Chief Executive,<br />

Siobhan Melia, was appointed<br />

in July this year. She said: “I am<br />

really pleased that the excellent<br />

care provided by our staff has<br />

once again been recognised and<br />

rated as ‘Good’ by the CQC,<br />

despite the huge pressures they<br />

face every day. I am very proud<br />

of the high-quality care and<br />

compassion provided by our staff.<br />

“We have already taken concerns<br />

around our culture and leadership<br />

extremely seriously and we are<br />

committed to making further<br />

improvements to ensure we<br />

improve our response to patients<br />

and the working lives of our staff.<br />

I know that there is much to do<br />

to get the Trust to where it needs<br />

to be and we are working closely<br />

with staff as well as partners both<br />

regionally and nationally to make<br />

the necessary improvements<br />

highlighted in the report”.<br />

The report found that there was<br />

additional pressure on SECAmb’s<br />

services which included increased<br />

staff sickness and increased<br />

delays in hospital handover. It<br />

also found, as flagged in a wider<br />

national CQC report published<br />

last week, State of Care, that<br />

the South East, along with other<br />

areas, has a health and social<br />

care system that is ‘gridlocked’.<br />

Inspectors recognised that<br />

SECAmb is unable to solve all of<br />

its issues alone and encouraged<br />

the Trust to work with the wider<br />

health system to find resolutions.<br />

SECAmb has outlined an<br />

improvement plan focusing<br />

on four main areas; Quality<br />

Improvement, Responsive Care,<br />

Sustainability, and People and<br />

Culture. Work includes improving<br />

learning from incidents as well as<br />

further recruitment and greater<br />

retention of staff. It also involves<br />

growing the Trust’s voice within<br />

the wider NHS system to support<br />

improved patient pathways,<br />

reduce hospital handover delays<br />

and develop new partnerships.<br />

WAS<br />

Shoctober campaign<br />

The Welsh <strong>Ambulance</strong><br />

Service has been back in<br />

schools celebrating its annual<br />

Shoctober campaign.<br />

The month-long campaign,<br />

which runs every October, sees<br />

the Welsh <strong>Ambulance</strong> Service<br />

educating primary school pupils<br />

about the correct use of 999,<br />

how to perform cardiopulmonary<br />

resuscitation (CPR) and how to<br />

use a defibrillator.<br />

As a result of the pandemic,<br />

the Trust’s Patient Experience<br />

and Community Involvement<br />

(PECI) Team had to approach<br />

the campaign virtually for two<br />

years, providing an educational<br />

animated film, suitable for<br />

children.<br />

This year, the team is back<br />

to visiting schools across the<br />

country in-person, building<br />

the confidence of more than<br />

1,800 pupils, by teaching what<br />

they can do in an emergency<br />

situation while help is on its way,<br />

including hands-only CPR.<br />

Fiona Maclean, PECI team<br />

manager, said: “We are really<br />

pleased to be back face-to-face,<br />

educating and teaching children.<br />

“We’ve managed to visit 32<br />

schools across Wales, with<br />

volunteers from the Welsh<br />

<strong>Ambulance</strong> Service, Local<br />

Health Board colleagues and<br />

medical students helping us in<br />

our demonstrations.<br />

“The interactive sessions include<br />

THE appropriateness of 999,<br />

the five emergency services<br />

available and life-saving skills;<br />

recovery position, hands-only<br />

CPR and using a defibrillator.<br />

“Teaching children from a young<br />

age means that they are more<br />

likely to stay calm if a crisis<br />

presents itself.<br />

“I want to say a massive thank<br />

you to all the schools involved<br />

and especially to the volunteers<br />

who gave up their time to<br />

support this very important<br />

campaign.”<br />

LAA<br />

LAA’s Physician<br />

Response Unit (PRU)<br />

welcomes launch of<br />

third car<br />

London’s Air <strong>Ambulance</strong><br />

Charity has announced that<br />

the Physician Response Unit<br />

(PRU) wing of the service has<br />

been bolstered by the addition<br />

of a third team. As a result,<br />

the geographical footprint<br />

of the PRU will expand to<br />

cover Barking, Havering and<br />

Redbridge, alongside the<br />

existing operations in Tower<br />

Hamlets, Newham and Waltham<br />

Forest.<br />

The PRU is a pioneering<br />

Community Emergency Medicine<br />

service which aims to deliver safe,<br />

effective and patient-centred<br />

emergency care via car in North<br />

East London. It is delivered in<br />

partnership with Barts Health NHS<br />

Trust, London’s Air <strong>Ambulance</strong><br />

Charity and the London<br />

<strong>Ambulance</strong> Service.<br />

The service sees patients of all<br />

ages with all types of emergency<br />

presentations ranging from<br />

critically unwell patients to<br />

those with minor injuries or<br />

acute illnesses that benefit from<br />

the ED being taken out to the<br />

patient. At present the operating<br />

model of the PRU involves a<br />

rapid response vehicle, senior<br />

emergency medicine doctor and<br />

ambulance clinician which attend<br />

emergency calls in the prehospital<br />

environment. The vehicle<br />

carries an extensive kit consisting<br />

of diagnostic equipment and in<br />

effect brings the hospital to the<br />

patient – rather than the other way<br />

around.<br />

In addition to expanding the<br />

geographic footprint of the<br />

service, the addition of the third<br />

car will help reach a wider range<br />

of patients and ensure that the<br />

service continues to bring out-of-<br />

196<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


NEWSLINE<br />

hospital care to people in need<br />

across Northeast London.<br />

Tony Joy, PRU Clinical Lead, said:<br />

“The addition of a new car to our<br />

weekday operations is an exciting<br />

step forward for the PRU service.<br />

At the forefront of everything we<br />

do are the patients we serve<br />

and the new car will help reach<br />

more patients, as well as improve<br />

patient outcomes. We are pleased<br />

to ensure that patients get the<br />

right care in the right place first<br />

time, especially given the extreme<br />

pressures faced by the ambulance<br />

and emergency care systems at<br />

present.<br />

I’d like to thank everyone at Barts,<br />

LAA, and LAS for helping get the<br />

new car rolled out and supporting<br />

patients across Northeast<br />

London.”<br />

EEAST<br />

Family’s thanks to<br />

EEAST and Magpas<br />

Air <strong>Ambulance</strong><br />

crews who brought<br />

13-year-old “back to<br />

life”<br />

The crews then handed over care<br />

to colleagues from Magpas Air<br />

<strong>Ambulance</strong>: Dr James Price and<br />

Critical Care Paramedics Steve<br />

Chambers and Thomas Giddings.<br />

The team performed a rapid<br />

general anaesthetic at the incident<br />

scene – a procedure usually only<br />

available in a hospital – to protect<br />

Daisy’s vital functions before<br />

she was transferred by land to<br />

Addenbrooke’s Hospital for further<br />

care. She has since made a full<br />

recovery.<br />

The EEAST team and colleagues<br />

from Magpas Air <strong>Ambulance</strong> have<br />

been named as finalists in 999<br />

hero of The Sun’s ‘Who Cares<br />

Wins’ awards in recognition of<br />

their life-saving efforts.<br />

The awards ceremony will<br />

be broadcast on Channel 4<br />

at 6.30pm on Sunday 27th<br />

November.<br />

“We are incredibly proud of the<br />

fantastic teamwork showed<br />

by our crews and Magpas Air<br />

<strong>Ambulance</strong> partners during what<br />

was an incredibly challenging<br />

call,” said Lesley Hall, Leading<br />

Operations Manager with EEAST<br />

who was also on scene during the<br />

incident.<br />

“Attending a cardiac arrest is<br />

never easy, but when the patient<br />

is so young it makes it even<br />

harder. This was not a normal job<br />

by any stretch of the imagination.<br />

Thankfully this was a very rare<br />

event, and because of how the<br />

crews reacted under enormous<br />

pressure, Daisy now has her<br />

whole life ahead of her.”<br />

Dr James Price of Magpas<br />

Air <strong>Ambulance</strong> said: “Survival<br />

from cardiac arrest is very<br />

rare, especially in children. But<br />

everything went in Daisy’s favour<br />

that day. From the bystander<br />

calling 999 to the CPR given early<br />

and the early shock to her heart<br />

from the ambulance crew.<br />

“To see Daisy and her family now<br />

is incredible. It is very rewarding<br />

and makes the years of training in<br />

Pre-Hospital Emergency Medicine<br />

seem all the more worthwhile.”<br />

Daisy, together with parents<br />

John and Lisa, have since visited<br />

Huntingdon <strong>Ambulance</strong> Station to<br />

meet the team and thank them in<br />

person.<br />

John, who is a retired police<br />

officer who now works in patient<br />

transport for the NHS said: “We<br />

would like to thank everybody<br />

who helped Daisy. They were all a<br />

credit to the NHS.”<br />

Lisa, who is an assistant client<br />

accountant, added: “Words<br />

cannot express how grateful I am<br />

to everyone who helped Daisy<br />

that day. Everyone was in the right<br />

place.”<br />

Daisy added: “Words can’t really<br />

describe how I feel – just gratitude<br />

and thanks to everybody who<br />

gave me the chance to live.”<br />

Crews from the East of England<br />

<strong>Ambulance</strong> Service NHS<br />

Trust (EEAST) and Magpas<br />

Air <strong>Ambulance</strong> have been<br />

shortlisted for a national award<br />

after bringing a 13-year-old in<br />

cardiac arrest back to life.<br />

Daisy Webb was walking to<br />

school in Huntingdon during April<br />

when she suddenly fell to her<br />

knees, lost consciousness and<br />

stopped breathing.<br />

EEAST crew members Grace<br />

Lemin, Harrison Galgut and<br />

Charlie Harris arrived within<br />

minutes to discover she’d had a<br />

cardiac arrest, and began CPR<br />

and shocked Daisy’s heart until<br />

her pulse returned.<br />

Daisy Webb, fifth from the left in between her mum, Lisa, and dad, John, meets the team<br />

who saved her life in April – Photo credit The Sun Newspaper<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

For the latest <strong>Ambulance</strong> Service News visit: www.ambulancenewsdesk.com<br />

197


NEWSLINE<br />

LAS<br />

Heart-warming<br />

reunion with<br />

ambulance crews for<br />

man who survived<br />

second cardiac<br />

arrest<br />

A man who beat the odds to<br />

survive his second cardiac<br />

arrest has been reunited with<br />

the London <strong>Ambulance</strong> Service<br />

teams who helped to save his<br />

life.<br />

Val Dyadyuk, 75, was visiting<br />

his son in north London when<br />

he stopped breathing early one<br />

morning in May.<br />

Val’s wife Nina screamed out for<br />

her son when she could not rouse<br />

her husband.<br />

Son Oleg Khomenko immediately<br />

dialled 999. Call handler Nyota<br />

Ndeke dispatched an ambulance<br />

to the home and began instructing<br />

Oleg on how to give life-saving<br />

chest compressions.<br />

Oleg said: “I remember so clearly<br />

the help on the phone, I had<br />

incredible instructions from the<br />

call handler, clear and calming and<br />

reassuring.<br />

“She guided me on the strength<br />

of the chest compressions and<br />

counting with me when I was<br />

getting tired.”<br />

An ambulance crew and two<br />

paramedics in fast response cars<br />

were sent to the home. The crews<br />

managed to resuscitate Val before<br />

taking him to a hospital with a<br />

specialist heart unit. He spent five<br />

weeks in hospital.<br />

Now fully recovered, Val has met<br />

the ambulance crews who treated<br />

him that morning back in May, so<br />

he could thank them in person.<br />

Val and Nina are originally from<br />

Ukraine but now live in Australia,<br />

where they have since returned.<br />

Oleg added: “We could not have<br />

had my dad back without the<br />

wonderful ambulance people that<br />

came to save him for us.<br />

“They were incredibly professional,<br />

helpful, understanding and most<br />

of all human in a time that was so<br />

difficult for myself and my family.<br />

We are forever grateful.”<br />

Val suffered a cardiac arrest<br />

seven years ago. The chances<br />

of someone surviving a cardiac<br />

arrest at home are pretty low –<br />

around one in 10. To survive two<br />

cardiac arrests is rare.<br />

The ambulance crews credit Oleg<br />

with helping his dad beat the<br />

odds.<br />

Paramedic Kate Gaustad said:<br />

“The fact that he woke up to his<br />

mum screaming and leapt into<br />

action with such effective chest<br />

compressions meant he saved his<br />

dad’s life.<br />

“We couldn’t have done our job<br />

without Oleg’s actions. Meeting<br />

Val made me proud, to know his<br />

family have him back, to see him<br />

walking, talking, living life – he<br />

represents what the ambulance<br />

service is there for.”<br />

Paramedic Pilar Gilardi said: “Val<br />

looked so well and so happy, it<br />

meant so much to meet him and<br />

his family.<br />

“Not many people survive a<br />

cardiac arrest and it can only<br />

happen if someone starts chest<br />

compressions while waiting for an<br />

ambulance.”<br />

Andy Snowball, emergency<br />

medical technician, said: “We<br />

rarely get to meet a patient after<br />

they have arrived at hospital so it<br />

is very rewarding to meet Val and<br />

his family after him making such a<br />

great recovery.<br />

“We are trained to save lives but<br />

to actually know find out more<br />

about the person whose life we’ve<br />

saved makes all the difference.”<br />

Paramedic Ben Holyroyd said:<br />

“It was a privilege and honour to<br />

meet Val. It’s just so amazing to<br />

be part of the joy and happiness<br />

that the family have.<br />

“I am proud of what we did but<br />

on that day Oleg was part of our<br />

team – hopefully their story will<br />

inspire others to learn life-saving<br />

skills.”<br />

EHAAT<br />

CQC rates Essex &<br />

Herts Air <strong>Ambulance</strong><br />

as ‘outstanding’<br />

“People’s lives continue to be<br />

saved because of the trust’s<br />

excellent standards, and other<br />

services can look to it as an<br />

example of how to deliver<br />

outstanding care.”<br />

Zoe Robinson, CQC Head of<br />

Hospital Inspection<br />

The Care Quality Commission<br />

(CQC) has rated Essex & Herts<br />

Air <strong>Ambulance</strong> Trust (EHAAT) as<br />

outstanding overall following<br />

inspections carried out in August<br />

and September.<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

The service, which provides<br />

emergency care to critically<br />

ill and injured patients in<br />

Essex, Hertfordshire and<br />

the surrounding areas, was<br />

inspected as part of CQC’s<br />

ongoing checks to assess the<br />

quality of care being provided.<br />

It found that the trust delivered<br />

an outstanding service that was<br />

saving lives across the region.<br />

And, as well as being rated<br />

198<br />

For more news visit: www.ambulanceukonline.com


NEWSLINE<br />

outstanding overall, it was also<br />

rated outstanding for being safe,<br />

effective, caring, responsive to<br />

people’s needs, and well-led.<br />

Ben Myer, Head of Clinical<br />

Delivery (CQC Registered<br />

Manager) at EHAAT, is extremely<br />

proud of the CQC rating, which<br />

recognises everyone who plays<br />

a part in the charity’s life-saving<br />

work. He said: “This is an<br />

amazing and truly outstanding<br />

result for the whole charity;<br />

everyone worked so hard to<br />

make the desired result a reality”.<br />

Zoe Robinson, CQC Head of<br />

Hospital Inspection, said, “We<br />

were very impressed to find such<br />

outstanding levels of care being<br />

provided by Essex & Herts Air<br />

<strong>Ambulance</strong>.<br />

“The level of teamwork at the<br />

service was exemplary and staff<br />

and managers worked together<br />

and supported one another<br />

to deliver the best possible<br />

outcomes for people. Patients<br />

were valued and respected<br />

and their individual needs<br />

and preferences were always<br />

considered. Feedback from<br />

those using the service and their<br />

loved ones was overwhelmingly<br />

positive and people told us<br />

that staff went the extra mile<br />

for them and exceeded their<br />

expectations.<br />

EHAAT CEO (CQC Nominated<br />

Individual) Jane Gurney said, ‘I<br />

am so delighted with this result<br />

especially as the inspections<br />

found numerous examples of<br />

outstanding practice throughout<br />

the organisation. I would like<br />

to personally thank each team<br />

member across the entire<br />

charity, whatever their role, all of<br />

whom work so hard every day<br />

to uphold these high standards.<br />

I would like to also take this<br />

opportunity to thank our<br />

communities for supporting their<br />

local life-saving service, making<br />

it possible for us to remain<br />

operational and to keep saving<br />

lives in Essex, Hertfordshire and<br />

surrounding areas”<br />

Following on from the good<br />

news, the charity will continue<br />

to enhance the quality of<br />

the services it provides, as<br />

Ben Myer said, “As ever, the<br />

hard work doesn’t stop here.<br />

We will continue to strive for<br />

excellence for the patients<br />

and communities we care for,<br />

building on this result and<br />

maintaining our service, as an<br />

outstanding organisation with<br />

a national and international<br />

reputation for excellence.”<br />

WAS<br />

Dementia Matters<br />

to the Welsh<br />

<strong>Ambulance</strong> Service<br />

The Welsh <strong>Ambulance</strong> Service<br />

has been meeting people with<br />

dementia in Powys.<br />

Events in Ystradgynlais,<br />

Welshpool, Newtown,<br />

Llandrindod Wells and Brecon,<br />

held jointly with Dementia<br />

Matters in Powys, enabled<br />

the Trust to deliver interactive<br />

experiences and other activities<br />

to people living with dementia,<br />

their carers and families.<br />

Dementia Matters in Powys is a<br />

charity that supports the health<br />

and wellbeing of people living<br />

with dementia and those who<br />

care for them.<br />

Alison Johnstone, the<br />

Welsh <strong>Ambulance</strong> Service’s<br />

Programme Manager for<br />

Dementia, said: “This<br />

engagement work is vital for us<br />

to listen and learn from people<br />

affected by dementia.<br />

“For example, feedback tells<br />

us that ambulance vehicle<br />

environments can be distressing<br />

and difficult for people living<br />

with dementia.<br />

“These sessions not only<br />

allow us to educate people<br />

about what to expect when<br />

accessing our services, but<br />

where possible, vehicles are<br />

showcased to allow potential<br />

users to become familiar with<br />

their surroundings.<br />

“These opportunities to engage<br />

and educate are a key part of<br />

our Dementia Plan.”<br />

The number of people living<br />

with dementia is expected to<br />

triple from 50 million to 152<br />

million by 2050, according to<br />

the World Health Organization.<br />

Wendy Moss, Dementia<br />

Community Development Officer<br />

for Dementia Matters, said:<br />

“The Welsh <strong>Ambulance</strong> Service<br />

provides such a valuable service<br />

to our local communities.<br />

“It was nice to be able to<br />

engage with the Trust without<br />

having to go through the trauma<br />

of an emergency.<br />

“Thank you – we look forward to<br />

having you visit us again in the<br />

future.”<br />

The Welsh <strong>Ambulance</strong> Service<br />

is recognised as a Dementia<br />

Friendly Organisation by the<br />

Alzheimer’s Society.<br />

If you want to learn more about<br />

the Welsh <strong>Ambulance</strong> Service’s<br />

dementia work, please contact<br />

the Dementia Team on amb_<br />

mentalhealth@wales.nhs.uk<br />

YAS<br />

International<br />

accreditation for<br />

Yorkshire <strong>Ambulance</strong><br />

Service’s 999 call<br />

handling<br />

Colleagues at Yorkshire<br />

<strong>Ambulance</strong> Service are<br />

celebrating once again having<br />

been awarded international<br />

accreditation for their 999 call<br />

handling.<br />

Both Emergency Operations<br />

Centres (EOCs) in Wakefield and<br />

York have received Accredited<br />

Centre of Excellence (ACE)<br />

status from the International<br />

Academies of Emergency<br />

Dispatch® (IAED) and multi-site<br />

Centre of Excellence status for<br />

the fourth time in succession.<br />

The accreditation is awarded<br />

to emergency services across<br />

the world that can demonstrate<br />

superior performance in<br />

training, quality assurance and<br />

improvement process and/or<br />

management, and very high<br />

compliance to protocol within<br />

their communication centre<br />

environments. Currently there<br />

are only 296 out of 3,600<br />

agencies worldwide with<br />

accreditation and Yorkshire<br />

<strong>Ambulance</strong> Service was<br />

commended at the recent <strong>UK</strong><br />

and Ireland Navigator <strong>2022</strong><br />

Conference.<br />

To celebrate the achievement,<br />

the Trust’s Chief Executive Rod<br />

Barnes and Executive Director<br />

of Operations Nick Smith visited<br />

EOCs at York and Wakefield<br />

to formally present the<br />

accreditation certificates and<br />

thank staff for their excellent<br />

work in handling emergency<br />

calls and ensuring patients<br />

receive the care they need.<br />

Claire Lindsay, Head of EOC<br />

at Yorkshire <strong>Ambulance</strong><br />

Service, is very proud of the<br />

achievement and said: “To be<br />

accredited during this period<br />

of prolonged operational<br />

pressure is particularly special<br />

and a testament to colleagues’<br />

dedication and excellence. We<br />

receive thousands of 999 calls<br />

every day and how we handle<br />

those calls is so important so<br />

that patients receive the care<br />

they need.”<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

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199


NEWSLINE<br />

LAS<br />

London <strong>Ambulance</strong><br />

Service wins Mayor’s<br />

top apprenticeship<br />

employer award<br />

London <strong>Ambulance</strong> Service<br />

has been named as the<br />

Apprenticeship Employer of the<br />

Year in a new awards scheme<br />

for the capital.<br />

Apprenticeship manager Darren<br />

Avery picked up the honour at the<br />

Mayor of London Adult Learning<br />

Awards, held at City Hall.<br />

The Service has more than 650<br />

apprentices, with more than half<br />

of those on paramedic degree<br />

apprenticeships.<br />

LAS also has a further 237 people<br />

working as Assistant <strong>Ambulance</strong><br />

Practitioners, a role which also<br />

provides on-the-job training for<br />

people with no clinical experience.<br />

Apprentice Karen Thompson said:<br />

“It’s been such a great experience.<br />

I didn’t know what to expect<br />

but I have thoroughly enjoyed it.<br />

The teaching has been amazing,<br />

second to none.”<br />

Awards and a Recruitment<br />

Excellence Award at the National<br />

Apprenticeship Awards.<br />

Patrick Brown, Assistant Director<br />

of Development and Talent at LAS,<br />

said: “We want as many people as<br />

possible from across London to<br />

join our apprenticeship programme,<br />

which supports people from all<br />

walks of life to kick-start a new<br />

career, do training on the job, and<br />

being paid while you do so.<br />

“London <strong>Ambulance</strong> Service is<br />

a place where people can learn,<br />

develop and thrive. We welcome<br />

everybody.”<br />

valuable time for critically ill patients<br />

needing lifesaving treatment.<br />

Air ambulance patients currently<br />

must land in a nearby sports<br />

field and are then transported to<br />

the Emergency Department by<br />

road ambulance. It is anticipated<br />

that having an on-site helipad at<br />

Salford Royal Hospital could save<br />

20 vital minutes for a patient.<br />

The helipad is due to become<br />

operational when the Major<br />

Trauma Hospital opens in June<br />

2023, with an anticipated 360<br />

landings on the helipad every year.<br />

The helipad has been made<br />

He said: “Being named as<br />

Apprenticeship Employer of the<br />

Year is an extremely prestigious<br />

achievement and I feel proud<br />

for everybody working here at<br />

London <strong>Ambulance</strong> Service and<br />

more importantly the apprentices<br />

themselves.<br />

Apprentice Jacob Finney said:<br />

“I’ve been in the programme for<br />

about 10 weeks. I wanted to join<br />

the ambulance service because<br />

it’s the perfect blend of being<br />

out on my feet, helping people<br />

and really gaining that sense of<br />

fulfilment through science.”<br />

Salford Royal<br />

reaches huge<br />

milestone with<br />

rooftop helipad now<br />

complete<br />

purely from aluminium, including<br />

the support structure, and has<br />

been constructed with almost<br />

1,000 bolts, so it is able to hold<br />

a colossal 8600kg, the estimated<br />

weight of a Tyrannosaurus Rex.<br />

Built on top of the Greater<br />

Manchester Major Trauma Hospital<br />

“Our apprenticeship scheme is<br />

all about creating a pipeline of<br />

paramedics for the future.<br />

“We’ve got a great career pathway<br />

so we can take someone from not<br />

having any clinical experience to<br />

becoming a paramedic.”<br />

The award recognised that LAS<br />

has gone above and beyond to<br />

help Londoners get into highquality<br />

apprenticeships, paid at<br />

least the London Living Wage, and<br />

gave good support to apprentices.<br />

This latest award for the<br />

apprenticeship scheme comes hot<br />

on the heels of other prestigious<br />

awards . Earlier this year, LAS was<br />

ranked as the top NHS employer<br />

for apprenticeships in the country<br />

by the Department for Education –<br />

ahead of big name companies like<br />

Tesco and Amazon.<br />

In the last few weeks the Service<br />

has also won the award for<br />

Outstanding Initiative in Education<br />

or Employment in the East<br />

London Community Heroes<br />

Thanks to a £2million donation<br />

from the HELP Appeal, the only<br />

charity in the country dedicated<br />

to funding NHS hospital helipads,<br />

the construction of a state-ofthe-art<br />

helipad on top of the<br />

first standalone Major Trauma<br />

Hospital in the <strong>UK</strong>, at Salford<br />

Royal Hospital, is now complete.<br />

The donation, made from the<br />

HELP Appeal to Salford Royal<br />

Hospital, has funded the entire<br />

development of one of the first<br />

rooftop helipads in the country,<br />

with direct access to a lift down to<br />

on the Salford Royal Hospital<br />

site, the square helipad deck is<br />

approximately 26.4 metres squared.<br />

Robert Bertram, Chief Executive<br />

of the HELP Appeal said,<br />

“Hospitals and helicopters help<br />

to save lives. But a helipad also<br />

plays a key role by linking the two<br />

together so seriously ill patients<br />

can be transferred quickly and<br />

seamlessly to the Emergency<br />

Department after landing in an air<br />

ambulance. This is why we had no<br />

hesitation in making the £2million<br />

donation, which was only made<br />

the Emergency Department, saving<br />

possible by our supporters.”<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

200<br />

For more news visit: www.ambulanceukonline.com


IN PERSON<br />

WAS News<br />

Coveted award for Welsh<br />

<strong>Ambulance</strong> Service<br />

The Welsh <strong>Ambulance</strong> Service won not<br />

one, but two prestigious awards.<br />

The Trust’s Emergency Communication Nurse<br />

System (ECNS) project team were named the<br />

winner of the Digital and Technology Innovation<br />

Award at last week’s Advancing Healthcare<br />

Awards Wales ceremony, while Advanced<br />

Paramedic Practitioner Ed Harry was highly<br />

commended in the Allied Health Professional of<br />

the Year category.<br />

ECNS is a new telephone consultation tool to<br />

help control room clinicians arrange the most<br />

appropriate care for 999 callers.<br />

Ellen Edwards, Senior Practice Educator and<br />

project team member, said: “It was an absolute<br />

honour to win the Advancing Healthcare Award<br />

for Digital and Technology Innovation.<br />

“The implementation of ECNS onto the Clinical<br />

Support Desk has been a challenge, with<br />

winter pressures, mass recruitment and a<br />

condensed timeline.<br />

“But despite all of this, the team have worked<br />

extremely hard, and this is a testament to that.”<br />

On the award, which was sponsored by<br />

the Welsh Government, the judging panel<br />

felt the ECNS project showed “workforce<br />

sustainability, an extremely high impact to<br />

patients and would be of worldwide interest.”<br />

Penny Durrant, Service Manager for the Clinical<br />

Support Desk said: “I am incredibly proud of<br />

all the staff that have made a contribution to us<br />

winning this award.<br />

“There have been significant changes to the<br />

CSD in the last 12 months with the expansion<br />

in clinician numbers, the introduction of the<br />

Mental Health Practitioners and a new way of<br />

working with the implementation of LowCode,<br />

which operates ECNS.<br />

“This award is evidence of the dedication<br />

and hard work of CSD and its continued<br />

commitment to service improvement and<br />

ultimately patient care.”<br />

Advanced Paramedic Practitioner Ed Harry<br />

was also awarded ‘Highly Commended’ in the<br />

Allied Health Professional of the Year category.<br />

He said: “The only other individual who has<br />

been previously shortlisted from WAST for this<br />

award was Andy Swinburn, our Director of<br />

Paramedicine, so I’m just so grateful to even<br />

be nominated, let alone a runner-up.”<br />

Ed started his career as a paramedic in 2009<br />

and is now an APP who supports various<br />

projects and teams including the clinical<br />

support desk, APP training and ECNS, all while<br />

undertaking a PHD.<br />

Kerry Robertshaw, Professional Development<br />

Lead for Advanced Practice, said: “I nominated<br />

Ed, as his enthusiasm is infectious, and he is<br />

one of those people who just goes above and<br />

beyond.<br />

“He does so much incredible work in his own<br />

time – down to transformational projects<br />

that he is working on with the college of<br />

paramedics, to his PHD that is looking at<br />

the impact of Covid-19 on the health and<br />

wellbeing of our ambulance staff.<br />

“He’s really keen that our voice is remembered<br />

during this difficult time.”<br />

The Advancing Health Care Awards are held<br />

every year and is an opportunity to recognise<br />

and celebrate the important and innovative<br />

work of healthcare scientists and allied health<br />

professionals across Wales.<br />

News<br />

St John <strong>Ambulance</strong> CEO<br />

awarded honorary doctorate<br />

The University of Gloucestershire has<br />

conferred an Honorary Doctorate of<br />

Science on St John <strong>Ambulance</strong>’s Chief<br />

Executive, Martin Houghton-Brown.<br />

It’s more than 30 years since Martin started<br />

training to become a teacher at St Paul’s and St<br />

Mary’s College, and he later returned to complete<br />

a postgraduate certificate in biblical studies.<br />

Since then, he has enjoyed a series of<br />

influential roles and the university’s accolade<br />

recognises his significant career in public<br />

service – in particular, in the field of public<br />

health – together with Martin’s consistent<br />

commitment to helping others.<br />

Having joined St John at the beginning of<br />

2018, Martin has seen the charity through its<br />

biggest challenge in generations – supporting<br />

communities and the NHS through the<br />

Covid-19 pandemic. From March 2020 to this<br />

year, St John people have given more than 1.6<br />

million hours of their time, including a million<br />

hours from the almost 30,000 new volunteers<br />

recruited and trained to administer lifesaving<br />

vaccinations.<br />

“I am deeply humbled by this great honour,<br />

which means so much to me but is – like<br />

all honours – not really mine,” said Martin,<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

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201


IN PERSON<br />

whose acceptance speech focused on the<br />

importance of storytelling in leadership and<br />

enabling people to do more, achieve more,<br />

gain more and give more.<br />

“This honorary doctorate belongs to my father,<br />

who taught me to tell stories and is still telling<br />

stories at the age of 82.<br />

“It belongs to every volunteer who has told<br />

themselves ‘I will give myself the free time to<br />

make myself able to save a life, inspire a young<br />

person, or provide care for someone in need’.<br />

St John people tell themselves that story and,<br />

in doing so, they change the world and make it<br />

a better place.<br />

“This is for everyone who has ever told<br />

themselves a simple story, as I did many years<br />

ago; maybe if I just take a chance and try that<br />

new adventure, that new opportunity, that<br />

bigger challenge, I can do even more with my<br />

life than I had hoped.<br />

“At every stage in our lives it is important to<br />

tell stories and – more importantly – listen to<br />

them and I hope everyone graduating or being<br />

awarded other honours today gets to keep on<br />

doing that until they are at least 82”<br />

Martin received his award from the University<br />

of Gloucestershire’s Chancellor, Lord Michael<br />

Bichard, and he was joined at today’s<br />

ceremony in Cheltenham by his husband,<br />

daughters and his dad, Jeremy Houghton-<br />

Brown.<br />

“Martin always wanted to follow in his<br />

grandfather’s footsteps to become a doctor,<br />

so it is a matter of immense pride for us all that<br />

he is being awarded this honorary doctorate,<br />

in part for all he has done for healthcare,” said<br />

Jeremy.<br />

“None of us wanted to face the trials of the<br />

pandemic but we all know that Martin was<br />

exactly where he would have wanted to be,<br />

where he could make the biggest difference;<br />

with his leadership of St John <strong>Ambulance</strong>’s<br />

enormous contribution to the vaccination<br />

effort, he was again achieving remarkable<br />

things.<br />

“But from the point of view of his children –<br />

my grandchildren – as well as being a caring<br />

father, he has always sought to achieve<br />

his vision of progress and sustainability in<br />

whichever charitable organisation he worked<br />

for.<br />

“So, his honorary doctorate is a fitting<br />

marker by his university for his remarkable<br />

achievements in leading service to others.”<br />

WAS News<br />

Volunteer awarded for<br />

supporting others<br />

A Welsh <strong>Ambulance</strong> Service volunteer has<br />

won a Cardiff Volunteer Award.<br />

Roger Marshall, a Community First Responder<br />

(CFR), has been presented with the Volunteer<br />

Coordinator of the Year Award for <strong>2022</strong> by<br />

Cardiff Third Sector Council.<br />

The 76-year-old, who worked as a<br />

pharmacologist for almost 40 years, joined the<br />

Welsh <strong>Ambulance</strong> Service seven years ago.<br />

Alongside volunteering as a CFR, Roger<br />

has recently visited schools as part of the<br />

Trust’s Shoctober campaign designed to<br />

educate children about the importance of<br />

cardiopulmonary resuscitation (CPR) when<br />

someone is in cardiac arrest.<br />

He also still lectures a couple of times a<br />

year for the University of Cardiff’s College of<br />

Medicine on the accident and emergency<br />

course and to the dental students.<br />

Roger said: “I’m very grateful for this award, as<br />

being a CFR is so rewarding.<br />

“I’m not only helping people, but the role keeps<br />

me on my toes, and I consider myself very<br />

lucky that I have something like this to do.<br />

“I’m excited for the Cardiff-based CFR team,<br />

as we have some new team members who are<br />

fantastic.<br />

“I will keep volunteering as a CFR until my<br />

body says otherwise.”<br />

The Volunteer Coordinator of the Year Award<br />

is presented to an individual who goes above<br />

and beyond, supporting others to volunteer.<br />

Jennifer Wilson, National Volunteer Manager<br />

for the Welsh <strong>Ambulance</strong> Service, said: “We<br />

are delighted Roger has received this reward<br />

in recognition of the dedication and care he<br />

provides to the people of Cardiff on behalf of<br />

the ambulance service.<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

202<br />

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IN PERSON<br />

“Roger is admired and respected by patients,<br />

volunteers and staff across the Trust, and this<br />

is a well-deserved award – congratulations<br />

Roger!”<br />

The ceremony was held last Thursday (17<br />

November) at Butetown Community Centre,<br />

where volunteers, community groups and<br />

organisations were recognised for their hard<br />

work and for going above and beyond to<br />

support everyone across Cardiff.<br />

News<br />

<strong>2022</strong> Awards of Excellence<br />

winners announced<br />

Air <strong>Ambulance</strong>s <strong>UK</strong> is pleased to announce<br />

the <strong>2022</strong> Awards of Excellence winners<br />

sponsored by Airbus. The annual awards<br />

celebrate and recognise the specialist<br />

lifesaving skills and commitment of those<br />

working tirelessly within and in support<br />

of the air ambulance community. Our<br />

Independent judging panel deliberated long<br />

and hard over some very difficult decisions<br />

due to the excellent quality of nominations.<br />

Simmy Akhtar, Air <strong>Ambulance</strong>s <strong>UK</strong> CEO<br />

said “Congratulations to our <strong>2022</strong> Awards of<br />

Excellence winners. It has been wonderful to<br />

read and hear about all of the nominees and<br />

their fantastic contributions. Our independent<br />

judging panel had some tough decisions to<br />

make when selecting the winners and we<br />

would like to thank everyone who submitted<br />

their nominations. The air ambulance<br />

community across the <strong>UK</strong> has remained<br />

determined to provide the highest level of<br />

specialist patient care at scene despite global<br />

and national challenges. All the nominees in all<br />

categories, those shortlisted, and the winners<br />

are all part of one community which works<br />

together to be there for their local communities<br />

at their time of need. A huge thank you to<br />

all staff, volunteers and supporters in our<br />

innovative lifesaving community.”<br />

worked tirelessly to both promote and practice<br />

quality critical care. Her latest achievement<br />

came earlier this year when she became the<br />

first person in the country to get on the Faculty<br />

of Pre-Hospital Care (FPHC) Register of<br />

Consultant (Level 8) Practitioners by qualifying<br />

from a purely paramedic background.<br />

Since the first registration in 2015 to Vicki’s<br />

registration, there were only 70 on the list.<br />

Vicki’s achievement was covered by local and<br />

national press at the time.<br />

Every day Vicki works to achieve something<br />

for the good of others, whether that’s forging<br />

pathways for future paramedics or sharing<br />

her knowledge with peers and trainees. Her<br />

qualifications and actions always speak of<br />

equality, diversity and inclusion, with the aim<br />

of developing and providing the best possible<br />

care for critically ill patients, be it short term on<br />

scene, or long term by upskilling paramedics<br />

or leading on research projects.<br />

The Devon Air <strong>Ambulance</strong> ‘Help with all your<br />

Heart’ campaign was launched in Q2 of <strong>2022</strong><br />

to achieve the following objectives:<br />

• To raise awareness of the number of cardiac<br />

incidents assisted by DAA.<br />

• Through a county-wide survey, understand<br />

the key blockers for public intervention<br />

during a cardiac arrest.<br />

• Educate the public of Devon about cardiac<br />

arrest, the chain of survival and the<br />

importance of early bystander intervention.<br />

• Build confidence and provide reassurance<br />

to the public by providing free, informative<br />

CPR/AED training sessions across Devon<br />

during Q2 and Q3 by DAA crew through the<br />

use of hard-hitting factual and informative<br />

presentations and interactive training.<br />

• Install accessible defibrillators for public use<br />

at the majority of our retail shop locations<br />

during Q2/Q3<br />

• Ultimately supporting their mission to deliver<br />

exemplary time-critical care<br />

In no particular order our award winners are:<br />

Breaking Barriers Award <strong>2022</strong><br />

Sponsored by Airbus<br />

WINNER: Great Western Air <strong>Ambulance</strong><br />

Charity, Vicki Brown<br />

Since the day Vicki joined GWAAC in 2012 as<br />

a Specialist Paramedic in Critical Care, she has<br />

Campaign of the Year <strong>2022</strong><br />

Sponsored by Lottery Fundraising Services<br />

WINNER: Devon Air <strong>Ambulance</strong><br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

Do you have anything you would like to add or include? Please contact us and let us know.<br />

203


IN PERSON<br />

The ‘Help with all your heart campaign’ was<br />

a success both within Devon Air <strong>Ambulance</strong><br />

and the external, public environment. Most<br />

importantly in the event of a cardiac arrest,<br />

Devon Air <strong>Ambulance</strong> have provided the knowhow,<br />

reassurance and confidence to more<br />

people across Devon to support the ‘chain<br />

of survival’, ultimately the potential to save<br />

someone’s life.<br />

Charity Staff Member of the Year <strong>2022</strong><br />

WINNER: Sarita Taneja, Air <strong>Ambulance</strong> Kent<br />

Surrey Sussex<br />

Highly Commended: Joe Hughes, Great<br />

Western Air <strong>Ambulance</strong> Charity<br />

Sarita has worked within the KSS Community<br />

Fundraising Team since she joined the charity<br />

six years ago. During that time she has<br />

supported thousands of fundraisers, organised<br />

store collections, managed KSS’s attendance<br />

at fundraising events and offered fantastic<br />

stewardship to individuals and groups alike.<br />

She is an extremely strong communicator,<br />

proactive, enthusiastic, empathetic and very<br />

thoughtful, which makes her highly regarded<br />

by colleagues and fundraisers.<br />

Many patients and their families find it helps<br />

significantly with their recovery journey if they<br />

have the opportunity to engage with our crews<br />

who were involved in their care, so around<br />

three years ago, Sarita’s remit was extended to<br />

oversee KSS’s patient visits. She was the ideal<br />

candidate for this role, not only because many<br />

former patients and families were choosing<br />

to fundraise for KSS but largely because she<br />

is extremely personable with an exceptionally<br />

caring nature. She has arranged over 100<br />

patient visits to KSS and has helped many<br />

more link up to the charity.<br />

Charity Team of the Year <strong>2022</strong><br />

Sponsored by Sloane Helicopters<br />

WINNER: Devon Air <strong>Ambulance</strong><br />

Devon Air <strong>Ambulance</strong>’s Community Landing<br />

Sites (CLS) Team, all of whom are nonclinicians,<br />

have saved many lives! The<br />

Community Landing Site team were keen to<br />

minimise the risks to our staff and developed<br />

an innovative solution that is unique within<br />

the <strong>UK</strong> HEMS sector. As although many<br />

Air <strong>Ambulance</strong> services will presurvey such<br />

spaces to help them reach towns and villages<br />

so they can land in the dark, the unique feature<br />

conceived, designed and delivered by our<br />

team is a network of Community Landing Sites<br />

that have remote controlled flood lighting, that<br />

can be activated either by the HEMS Dispatch<br />

Team within the ambulance control room, or<br />

the aircrew themselves, enabling the landing<br />

areas for the helicopter to be fully illuminated.<br />

The team’s unfaltering desire and enthusiasm,<br />

coordination, and collaboration with a range<br />

of community groups, parish councils and<br />

planning authorities has resulted to date in<br />

over 200 communities within Devon to have<br />

their very own floodlit Community Landing Site<br />

installed.<br />

the service launched in Northern Ireland. He<br />

signed up as a Club AANI member, giving a<br />

monthly direct debit to the service as soon as<br />

the scheme opened. When Air <strong>Ambulance</strong><br />

Nothern Ireland first surveyed their members<br />

in 2020, Colin expressed an interest in<br />

volunteering and since then the relationship<br />

and his support has literally taken off!<br />

Highlights are that Colin<br />

• has become the designated event<br />

photographer–in the past year took photos<br />

at the HEMS cycle event, Belfast City<br />

Marathon, AANI Club Member Day, and<br />

AANI Supercar Sunday event to name a few.<br />

• has become their go-to mascot<br />

volunteer‘Helimed Ted’<br />

• is key in assisting at many AANI fundraising<br />

events<br />

• was crucial in 2021 in AANI securing a 3<br />

year partnership with Translink, Northern<br />

Ireland’s only public transport provider of all<br />

trains and buses across Northern Ireland<br />

with a marketing and fundraising value of<br />

approximately £300k.<br />

Part of the AANI Family<br />

Colin has developed up a great relationship with<br />

the small but mighty team of 7 staff, he knows<br />

and is very helpful to them all. Colin regularly<br />

ensures he is able to be at AANI key activities,<br />

sometimes booking annual leave for this. He<br />

also is a life saver on many occasions in regard<br />

to practical help and support including picking<br />

up and dropping off fundraising materials for<br />

events, helping with event set up, providing<br />

quotes to encourage others support and also<br />

representing the charity at events, whether as<br />

himself or the mascot!<br />

Charity Volunteer of the Year <strong>2022</strong><br />

Sponsored by Tower Lotteries<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

WINNER: Colin King, Air <strong>Ambulance</strong> Northern<br />

Ireland<br />

Highly Commended: Pino Gianniti, Great<br />

Western Air <strong>Ambulance</strong> Charity<br />

Colin King could genuinely be THE MOST<br />

passionate and committed Air <strong>Ambulance</strong> NI<br />

volunteer! His interest in the air ambulance<br />

service and charity started 5 years ago when<br />

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IN PERSON<br />

Critical Care Practitioner of the Year <strong>2022</strong><br />

Sponsored by Zoll<br />

WINNER: Lee Hilton, Devon Air <strong>Ambulance</strong><br />

Highly Commended: Pete Appleby, Dorset &<br />

Somerset Air <strong>Ambulance</strong><br />

Lee Hilton is an Advanced Paramedic in<br />

Critical Care with Devon Air <strong>Ambulance</strong>. The<br />

past year Lee has undertaken personal and<br />

organisational development, supported the<br />

leadership team and been instrumental is<br />

setting up a volunteer responder scheme with<br />

Devon Air <strong>Ambulance</strong>, each of which is having<br />

a significant impact on the quality of patient<br />

care.<br />

Inspired by Lee’s lead, several of Devon’s<br />

neighbouring Air <strong>Ambulance</strong> services have<br />

indicated they are keen to establish similar<br />

responder schemes in their own organisations<br />

and Lee has committed to sharing with them<br />

all his experiences and data to help these other<br />

services consider and develop the options for<br />

even more patients to be helped.<br />

Doctor of the Year <strong>2022</strong><br />

Sponsored by Leonardo Helicopters<br />

Ian has developed a fully functional critical<br />

care capability for the DocBike within the<br />

NHS governance of SWASFT. As a critical<br />

care asset, Ian is tasked on the DocBike by<br />

the regional critical care tasking desk. Within<br />

Dorset and Somerset, Ian volunteers his time<br />

to staff the DocBike, providing very frequent<br />

additional clinical critical care cover for the<br />

region and at the same time meeting with<br />

bikers at local events to spread the message<br />

of injury prevention. This model of resilience<br />

clinical provision mixed with primary prevention<br />

activity is highly innovative.<br />

Innovation of the Year <strong>2022</strong><br />

Sponsored by Aeroptimo<br />

WINNER: Essex & Herts Air <strong>Ambulance</strong><br />

Essex & Herts Air <strong>Ambulance</strong> is committed<br />

to continuously improving patient care. Their<br />

critical care doctors and paramedics are highly<br />

skilled at adapting to unpredictable, timecritical<br />

situations, but they’re always looking<br />

at ways to raise the bar and improve existing<br />

skills to maximise each patient’s chances of<br />

survival and help them recover faster.<br />

The CCC Passport has since been<br />

incorporated into the electronic RADAR<br />

governance system, allowing EHAAT’s critical<br />

care doctors and paramedics to manage their<br />

portfolio of cases and procedures and track<br />

their progress via their smartphones.<br />

The CCC Passport has already positively<br />

impacted the wider air ambulance sector,<br />

with Air <strong>Ambulance</strong> Kent Surrey Sussex (KSS)<br />

adopting a similar system based on the CCC<br />

Passport concept, and Dr Tony Joy said he<br />

“would not be surprised” if the innovation is<br />

rolled out wider.<br />

Operations Support Staff of the Year <strong>2022</strong><br />

WINNER: Wayne Busby, Dorset and Somerset<br />

Air <strong>Ambulance</strong><br />

Highly Commended: Christine Henry, London’s<br />

Air <strong>Ambulance</strong><br />

Wayne Busby’s total dedication to the<br />

maintenance of our air ambulance helicopter is<br />

unquestionable. Often working unsociable and<br />

extended hours and making himself available<br />

for consultation whenever off-shift, Wayne<br />

has enabled DSAA to maintain a high level of<br />

service availability across the region. Due to<br />

his efforts, this has enabled the aircraft and<br />

our critical care team to attend many more lifesaving<br />

missions.<br />

Wayne’s exceptional contributions to DSAA<br />

through his unstinting drive and determination<br />

to keep their helicopter available for life saving<br />

missions, for as many of the shift hours as<br />

possible, certainly deserves recognition. The<br />

admirably high levels of availability achieved<br />

with a complicated new helicopter type, are<br />

due in no small part to the exemplary way he<br />

has dedicated his time and skill set to the task.<br />

WINNER: Ian Mew, Dorset and Somerset Air<br />

<strong>Ambulance</strong><br />

Dr. Ian Mew has worked for Dorset and<br />

Somerset Air <strong>Ambulance</strong> (DSAA) for the past<br />

nine years. During this time he has been<br />

instrumental in transforming care provided<br />

to the very most injured in the South West<br />

region and he has hugely contributed to the<br />

development of injury prevention campaigns in<br />

the South West and on a national basis.<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

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205


IN PERSON<br />

Pilot of the Year <strong>2022</strong><br />

Sponsored by Safran<br />

WINNER: Matthew Wood, Midlands Air<br />

<strong>Ambulance</strong><br />

Captain Matthew Wood has worked with<br />

Midlands Air <strong>Ambulance</strong> Charity (MAAC) for 18<br />

years, for the last decade at the organisation’s<br />

Tatenhill airbase in Staffordshire. He has<br />

always demonstrated exemplary airmanship<br />

and should be recognised for his unfaltering<br />

support of the charity, the crews he works<br />

with and ultimately, his role in giving patients<br />

the very best chance of survival and good<br />

recovery.<br />

During his time with MAAC, Captain Wood has<br />

undertaken more than 2,300 vitally important<br />

air ambulance missions, helping the crews<br />

rapidly reach and start treatment on those<br />

critically ill and injured across the Midlands.<br />

He treats every single mission with the same<br />

dedication and passion. This has not only<br />

meant lives were saved, but hundreds of<br />

families have been kept together thanks to<br />

his diligence and commitment to helicopter<br />

emergency medical service (HEMS).<br />

serious risk of being swept into the sea. With<br />

the mother unwilling to leave her daughter, the<br />

crew were worried they could soon have two<br />

casualties.<br />

Lisa recalled: “We were sheltering behind rocks<br />

with waves crashing over us all. We were using<br />

all our strength to hold them in place, if we<br />

didn’t they would have been washed into the<br />

sea. The conditions were getting worse, no<br />

one would have got into that water and come<br />

out alive. The power of the waves would have<br />

thrown us against the rocks. Pete and I looked<br />

at each other, we work together a lot, and we<br />

both knew what the other was thinking. We<br />

couldn’t leave them.”<br />

Following the incident, Lisa and Pete had a<br />

debrief with the team from the Coastguard<br />

Search and Rescue who told them their<br />

actions that day “undoubtedly saved two<br />

lives”.<br />

Lisa said: “After the incident we did reflect on<br />

the situation we were in, and it does make you<br />

think what could have happened. But when<br />

you are with a good crew mate, you trust and<br />

support each other and remain calm- that’s<br />

what got us through.”<br />

lost her father in a road traffic collision in<br />

February 2019 when she was just 8. The air<br />

ambulance Northern Ireland team were tasked<br />

to Ellie’s Daddy, but sadly he could not be<br />

saved due to the extent of his injuries. Ellie<br />

has one older brother, Harry, and along with<br />

their mum, Caroline, the family have become<br />

passionate supporters of Air <strong>Ambulance</strong> NI.<br />

The family have attended Air <strong>Ambulance</strong> NI<br />

fundraising events, they have become official<br />

volunteers, and organised their own events.<br />

In the earlier years these events were led by<br />

Harry as the oldest of the children, however<br />

Ellie decided that she wanted to lead her own<br />

event and take more responsibility in her final<br />

year of primary school September 2021-June<br />

<strong>2022</strong>). She came up with an event that she<br />

wanted to take the lead on organising and<br />

decided to host a party in honour of what<br />

would have been her Dad Peter’s 50th year.<br />

This was because ‘he loved a party’; and so<br />

‘Ellie’s Ball’ was born.<br />

The final total equated to £16,000 being raised<br />

for Air Ambualnce NI, a figure that funded<br />

almost 3 days of the service, and likely to<br />

help 6 future patients – what an impact! The<br />

auction raised almost £9,000 of this figure from<br />

18 lots– a remarkable achievement for an 11<br />

year old!<br />

Special Incident of the Year <strong>2022</strong><br />

Sponsored by Ageas<br />

Young Person of the Year <strong>2022</strong><br />

WINNER: Cornwall Air <strong>Ambulance</strong><br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

On 21st October 2021, Helimed01 was on<br />

route to an incident when details came through<br />

the ACANS system that a 22-year-old had<br />

fallen from a cliff after suffering a seizure. Upon<br />

reaching the patient they found she was lying<br />

face down in the water; she was unconscious<br />

and had a serious open head injury. Mum was<br />

very distressed, but indicated she was a GP<br />

and was able to give a clear handover.<br />

In less than 20 minutes, the waves were<br />

crashing over the ledge. The patient was at<br />

WINNER: Ellie Smyth, Air <strong>Ambulance</strong> Northern<br />

Ireland<br />

Highly Commended:<br />

Jack Jinkerson, East Anglian Air <strong>Ambulance</strong><br />

Alfie Lowther, Essex & Herts Air <strong>Ambulance</strong><br />

Bradley Staples, Lincs and Notts Air<br />

<strong>Ambulance</strong><br />

Cory Pygott, Wales Air <strong>Ambulance</strong><br />

Ellie Smyth is 11 years of age and from the<br />

North Coast of Northern Ireland. Sadly, Ellie<br />

Lifetime Achievement Award <strong>2022</strong><br />

Sponsored by Specialist Aviation Services<br />

WINNER: Nigel Hare, Devon Air <strong>Ambulance</strong><br />

<strong>2022</strong> represents Nigel Hare’s 25th year<br />

involved within the Air <strong>Ambulance</strong> Helicopter<br />

Emergency Medical Services (HEMS)<br />

community. Joining Devon Air <strong>Ambulance</strong> as<br />

a HEMS paramedic in 1997, Nigel is one of<br />

the longest serving paramedics within the <strong>UK</strong>,<br />

if not the longest serving. During his 25 year<br />

career Nigel has undertaken a variety of roles,<br />

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IN PERSON<br />

operationally, in a training and development<br />

capacity and over the last 15 years in a senior<br />

leadership role.<br />

In his 25 years involved in air ambulances<br />

Nigel has developed innovative processes and<br />

solutions to problems not just locally but for<br />

the benefit of <strong>UK</strong> HEMS community.<br />

Chair’s Award <strong>2022</strong><br />

Patrick Peal has worked in the air ambulance<br />

sector for over 20 years and until last year was<br />

Chief Executive of East Anglian Air <strong>Ambulance</strong>.<br />

He drove a transformation that has undergone<br />

huge change and growth and achieved his<br />

ultimate ambition to introduce a 24/7 service,<br />

with the first overnight HEMS shift starting<br />

on his final day in post. The key to Patrick<br />

receiving this award surrounds his drive to<br />

bring together a spirit of collaboration and<br />

having a long-lasting positive impact in the air<br />

ambulance sector.<br />

We would like to congratulate all nominees and<br />

to thank the judges for their hard work when<br />

facing some very difficult decisions on deciding<br />

the shortlist and selecting the winners.<br />

COMPANY NEWS<br />

Butterfly Network<br />

partners with East<br />

Anglian Air <strong>Ambulance</strong><br />

to bring the power<br />

of ultrasound to<br />

emergency assessment<br />

Butterfly Network has signed an<br />

innovative partnership with one<br />

of the <strong>UK</strong>’s crucial providers of<br />

emergency medical care.<br />

East Anglian Air <strong>Ambulance</strong><br />

(EAAA) are working along Butterfly<br />

Network on the successful<br />

deployment of a unique<br />

ultrasound governance and<br />

education programme.<br />

This innovative approach will<br />

allow the emergency clinicians to<br />

assess cardiac arrest, to guide<br />

IV placements and provide full<br />

trauma ultrasound scans before<br />

the patients reach A&E.<br />

Butterfly iQ+ is a durable<br />

and simple-to-use handheld<br />

ultrasound probe which interfaces<br />

seamlessly with the iOS devices<br />

already in use by <strong>UK</strong> medics<br />

through an award-winning app to<br />

create a powerful imaging system.<br />

The Butterfly iQ+ allows users<br />

to perform quick, precise<br />

patient assessment in the field.<br />

Butterfly’s software solution,<br />

Compass TM , will not only help<br />

streamline documentation and<br />

quality assurance (QA), but will<br />

also empower this high-level unit<br />

to provide attestation and QA<br />

support for the group of critical<br />

care doctors and paramedics.<br />

The efforts of EAAA to modernise<br />

emergency care don’t stop<br />

here. The team is collaborating<br />

with peers from other Trusts to<br />

ensure the smooth and optimal<br />

deployment of their newlyacquired<br />

Butterfly iQ+ devices in a<br />

way that benefits both the clinical<br />

staff and the patients.<br />

In addition, by leveraging the<br />

custom Butterfly Cloud solution<br />

to track what scans have been<br />

collected where and when, these<br />

organisations will optimise their<br />

preparedness for emergency care<br />

situations over time.<br />

To find out more about how<br />

Butterfly iQ+ fits into your<br />

emergency medical practice, visit<br />

www.butterflynetwork.com/int/<br />

en-uk<br />

Butterfly iQ+ is a Class IIa<br />

portable ultrasound system<br />

designed for ultrasound imaging by<br />

trained healthcare professionals.<br />

Carefully read and understand all<br />

cautions, warnings and operational<br />

instructions prior to use.<br />

The cutting-edge<br />

Make Ready<br />

software solution is<br />

available now!<br />

CSS Europe Limited - creators<br />

of the automated Pro-Cloud<br />

<strong>Ambulance</strong> platform that provides<br />

everything needed to manage assets,<br />

warehouse operations, and fleets<br />

of vehicles - have been further<br />

developing their solutions through<br />

the modernisation of a Make Ready<br />

system and mobile app.<br />

By working closely with industry<br />

experts, the system has<br />

successfully captured everything<br />

required to ensure make ready<br />

teams can fully digitise the way<br />

they work and improve efficiencies<br />

throughout their department and<br />

ambulance service.<br />

The tried and tested Make Ready<br />

system elevates patient care<br />

by ensuring make ready tasks<br />

are completed effectively and<br />

vehicles are ready for emergency<br />

call-outs as quickly as possible.<br />

Every component of the make<br />

ready process from cleaning,<br />

vehicle checks, and restocking<br />

is recorded through the app and<br />

updated in real-time.<br />

All outcomes are readily available<br />

on the vehicle status dashboard,<br />

with a full suite of management<br />

tools to provide a high-level<br />

overview of equipment shortfalls<br />

along with a real-time platform to<br />

monitor and track all vehicles as<br />

they make it through the Make<br />

Ready process.<br />

Radio Frequency Identification<br />

(RFID) technology is a key<br />

component of the process and<br />

ensures vehicle and inventory<br />

checks are completed as quickly<br />

and accurately as possible.<br />

We are proud to be RFID<br />

specialist Zebra business<br />

partners, meaning we can offer<br />

state-ofthe-art RFID equipment<br />

together with our Pro-Cloud<br />

software for an inclusive package<br />

that won’t only save significant<br />

time in the completion of the<br />

make ready process but will also<br />

save money by ensuring critical<br />

equipment and consumables are<br />

always accounted for.<br />

Make Ready can be used as<br />

a standalone system or in<br />

conjunction with the Pro-Cloud<br />

asset management solution,<br />

eliminating the need for various<br />

disjoined systems, revolutionising<br />

the way services manage and<br />

record everyday operational data.<br />

More information can be found<br />

about the make ready solution by<br />

visiting: https://procloud.org/<br />

make-ready/<br />

AMBULANCE <strong>UK</strong> - DECEMBER<br />

For the latest <strong>Ambulance</strong> Service News visit: www.ambulancenewsdesk.com<br />

207

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