Rutland Health & Wellbeing Board Update Mark Gregory Emergency - PowerPoint PPT Presentation

Rutland Health & Wellbeing Board Update Mark Gregory Emergency care | Urgent care | We care

Actions from July 2016 EMAS to investigate the possibility of adjustments to response • time targets at a national level to make them more realistic. On the 19 th July, EMAS joined a trial called the Ambulance Response – Programme (ARP). Single greatest change to the Ambulance Response Standards in history of – the service. Focussed around clinical outcomes as opposed to stopping a clock, the Right – resources, with the Right skills, at the Right Time EMAS to publish actual response time for calls not just how many • are on target and how many not. ARP reports on the Mean Time, and the 90 th percentile time for calls – attended, not the percentage of calls achieved. EMAS were asked to update Healthwatch Rutland as to the • success of the modified rural model in reducing response times. Emergency care | Urgent care | We care

EMAS were asked to update Healthwatch Rutland as to the • success of the modified rural model in reducing response times. ARP has Superseded this model. It utilises more Crewed Ambulances than – Fast Response Cars. Prior to ARP, the model was significantly impacted by Handover delays and – resource availability. Healthwatch Rutland to try and monitor whether better links were • being made by a local paramedic team with other health and social care providers. EMAS and other health and social care providers are working closely together – to meet the needs of the Sustainability and Transformation Partnerships Good examples being in relation to Mental Health provision, Home Visiting – (Through DHU) and the opportunity for staff rotation. EMAS working closely with colleagues to increase access to alternative – pathways, including Urgent Treatment Centres Emergency care | Urgent care | We care

Ask the Board of EMAS to develop a career structure which will • address the problem of staff retention. Attrition rates reduced in 2017/18 from 10% to 6% – Paramedic Pay increased from Band 5 to 6 – Reviewing skills set increase interest and retention – Mindful of the 3 year cycle/itch – Healthwatch Rutland be available to assist EMAS is finding the • best ways of accessing Rutland residents for the distribution of educational material. Including local defibrillator information EMAS is working with colleagues across the sector to develop new and – innovative ways to communicate with the public. New Twitter accounts and other platforms for social media – New animation's for viewing – New literature which is easy read for all, whilst promoting the right response – Emergency care | Urgent care | We care

• EMAS to consider a more robust educational programme through schools and community groups. This should include education for adults with LD. EMAS are not commissioned to deliver prevention. Any work in this • area takes funds away from front line Working with the unified prevention board to ensure strategies are • aligned Braunstone Blues approach being reviewed for benefits – possible • future model • EMAS liaise with the post office to ensure the accuracy of Rutland post code information EMAS receives regular updates into our EOC system. • New deployment system on all front line vehicle which contains • maps for Sat Nav Wireless updates to vehicles, therefore every update is pushed to • vehicles without delay. Emergency care | Urgent care | We care

The world we lived in where…... 00:07:59 00:08:01 Emergency care | Urgent care | We care

Why ARP? Increased demand on the Ambulance Service • Little / No increase in front lines services • Time frames over-ruling patient care • High diverting figures with crews on blues • Patients not been conveyed for longer periods whilst RRV’s were • considered to be giving care ……. The journey to improving patient care begins Emergency care | Urgent care | We care

ARP Proposed Standards Category of call The average (mean) will 9 out of 10 will arrive in be less than less than (90 th percentile) Life threatening 7 minutes 15 minutes Category 1 Emergency 18 minutes 40 minutes Category 2 Urgent 120 minutes Category 3 Less urgent 180 minutes Category 4 Emergency care | Urgent care | We care

ARP Responses (Based on AMPDS v12.2) Av number of responses % of activity Standard per day (based on 1808 (ORH Modelling) responses ) Category 1 9% 163 Category 2 51% 922 Category 3 35% 633 Category 4 5% 90 Emergency care | Urgent care | We care

Category 1 (Purple) - Codes v Drowning v Stabbing & Gunshot v Electrocution Category 1 (Purple) Category 1 (Purple) v Traffic Accidents Cardiac v Haemorrhage Arrests/Multi people in arrest v Inaccessible Incident Entrapment v Cardiac Arrests v Unknown Life Status v Unconscious Overdose Questionable v Ineffective breathing v Pregnancy with High risk v Burns Complications or bleeding arrested/Unconscious v Not breathing v Psychiatric Hanging/ Serious v CBRN Bleeding v Allergic Reactions v Extreme Fall (DIB/ swarming attacks.) v Choking v Unconscious Diabetic v Fitting v Unconscious (traumatic) Emergency care | Urgent care | We care

Category 2 (Amber) - Codes v Chest Pains v CVA Category 2 Category 2 v v Fitting RTC Amber Amber v v Diabetic Problems Unconscious – Effective Breathing v Falls – Not alert or v Serious bleeding IFT’s v AAA v v Headache – CVA Psychiatric v Allergic reaction symptoms v Possible Meningitis v Animal Attack – v Heart Problems Not Alert v Sickle Cell v Haemorrhage v Assault – Serious v Stabbing/ Gunshot Bleeding v Entrapments v Burns v Breathing Problems v Overdose v CBRN Emergency care | Urgent care | We care

Category 3 (Yellow) - Codes Category 3 v Heart Problems v Psychiatric Yellow v Headaches v Pregnancy v Falls v Obvious Death v Overdose v Not Fitting Now v Near Fainting v Inaccessible v CBRN Incident v Traumatic Injuries v Burns v Sick Person v RTC v Assault v CVA’s Emergency care | Urgent care | We care

Category 4 (Green) - Codes Category 4 v Abdo Pains v Eye Problems Green Transport (GT ) v Assault v Falls v Back Pain v Headaches v Fire Alarm Activation v Sick Person v Minor Burns v HCP Admissions v Co Detector Emergency care | Urgent care | We care

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