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

Emergency care | Urgent care | We care

Rutland Health & Wellbeing Board Update

Mark Gregory

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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 19th 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 90th 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.

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• 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– ARP has Superseded this model.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

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• 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

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• 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.

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The world we lived in where…...

00:07:59 00:08:01

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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

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ARP Proposed Standards

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

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ARP Responses (Based on AMPDS v12.2)

Standard % of activity (ORH Modelling) Av number of responses per day (based on 1808 responses)

Category 1

9% 163

Category 2

51% 922

Category 3

35% 633

Category 4

5% 90

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Category 1 (Purple) - Codes

v Cardiac Arrests v Ineffective breathing v Not breathing v Allergic Reactions (DIB/ swarming attacks.) v Unconscious (traumatic)

Category 1 (Purple)

v Drowning v Electrocution v Haemorrhage v Inaccessible Incident Entrapment v Unconscious Overdose v Pregnancy with High risk Complications or bleeding v Psychiatric Hanging/ Serious Bleeding v Choking v Fitting v Stabbing & Gunshot v Traffic Accidents Cardiac Arrests/Multi people in arrest v Unknown Life Status Questionable v Burns arrested/Unconscious v CBRN v Extreme Fall v Unconscious Diabetic

Category 1 (Purple)

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Category 2 (Amber) - Codes

Category 2 Amber

v AAA v Allergic reaction v Animal Attack – Not Alert v Assault – Serious Bleeding v Breathing Problems v Chest Pains v Fitting v Diabetic Problems v Falls – Not alert or Serious bleeding v Headache – CVA symptoms v Heart Problems v Haemorrhage v Entrapments v Overdose v CVA v RTC v Unconscious – Effective Breathing v IFT’s v Psychiatric v Possible Meningitis v Sickle Cell v Stabbing/ Gunshot v Burns v CBRN

Category 2 Amber

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Category 3 (Yellow) - Codes

Category 3 Yellow v Obvious Death v Near Fainting v Traumatic Injuries v RTC v CVA’s v Heart Problems v Headaches v Falls v Not Fitting Now v CBRN v Burns v Assault v Psychiatric v Pregnancy v Overdose v Inaccessible Incident v Sick Person

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Category 4 (Green) - Codes

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

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