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Presentation to Joint Health and Overview Scrutiny Committee Paul - - PowerPoint PPT Presentation

Apr 17, 2023 375 likes •454 views

Presentation to Joint Health and Overview Scrutiny Committee Paul Gates T/Deputy Director of Operations North Central London London Ambulance Service NHS Trust March 2014 Intelligence Conveyance Aim to proactively balance surges in

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Presentation to Joint Health and Overview Scrutiny Committee

Paul Gates

T/Deputy Director of Operations – North Central London London Ambulance Service NHS Trust

March 2014

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Intelligence Conveyance

  • Aim to proactively balance surges in ambulance

arrivals into Emergency Departments and also provide a cap on the number in any rolling hour.

  • This is not a policy but a process that was brought

about to assist with preventing queuing of ambulances.

  • Subject to external review which has looked at a

number of factors.

  • Its having the desired effect of minimising the

surge impact of LAS ambulance arrivals at EDs across London.

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SLIDE 3

Intelligence Conveyance

  • Current design of IC is likely to be most effective

at EDs that are not on the boundaries of London and where there are a greater number of alternative EDs nearby that are less busy.

  • The current design is likely to be less effective at

EDs that are more isolated, are surrounded by

  • ther busy EDs and/or are receiving ambulances

from other areas.

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Improvements

  • Increased communications and training of staff

regarding alternative EDs and ACP use.

  • Feed in destination and arrival data for out of

region ambulances.

  • Consider more tailored thresholds to account for

local issues.

  • Produce list of 360 degree options.
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SLIDE 5

LAS use of UCC in BEH

  • 50

50 100 150 200 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Q1 Q2 Q3 Q4 Chase Farm UCC TOP 18 CONDITIONS ONLY Barnet UCC EXCLUSION CRITERIA PATHWAY North Mid UCC EXCLUSION CRITERIA PATHWAY

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SLIDE 6

What else are we doing?

  • ACP usage is increasing (126 patients in January, 176

in February at NMUH)

  • Put in local senior clinician to support crews at

Barnet, work ongoing to introduce same at NMUH in April.

  • Working together to improve.
  • Ensuring LAS staff have the criteria for UCC use and

change culture.

  • Already London wide managing patients differently.
  • Working with both sites to support change in

processes.