Scottish Ambulance Service Presentation to Mid Argyll, Kintyre & - - PowerPoint PPT Presentation

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Scottish Ambulance Service Presentation to Mid Argyll, Kintyre & - - PowerPoint PPT Presentation

Scottish Ambulance Service Presentation to Mid Argyll, Kintyre & Islands Community Planning Group 7 th November 2018 Mark Benton Area Service Manager Agenda Service overview Local issues Service developments Open forum


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SLIDE 1

Scottish Ambulance Service

Presentation to Mid Argyll, Kintyre & Islands Community Planning Group

7th November 2018 Mark Benton Area Service Manager

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SLIDE 2

Agenda

  • Service overview
  • Local issues
  • Service developments
  • Open forum
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SLIDE 3

Operating Regions

North Region t West Region East Region

Service Divided into 3 Regions

4300 staff 3 Ambulance Control Centres:

  • Edinburgh (East)
  • Cardonald (West)
  • Inverness (North)

Scheduled Care co-located at ACC’s

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SLIDE 4

Argyll & Bute

2,480 square miles 23 inhabited islands 112 staff 48 vehicles (14) £4.4m budget 89,200 residents

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SLIDE 5

Service Overview – A&E

  • Respond to 999 calls
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SLIDE 6

Service Overview – A&E

  • Respond to 999 calls
  • Accident & Emergency Incidents 2017/18

– 700,000 nationally (approx 13,500 per week) – 12,000 in Argyll & Bute (approx 230 per week)

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SLIDE 7

Service Overview – A&E

  • Respond to 999 calls
  • Accident & Emergency Incidents 2017/18

– 700,000 nationally (approx 13,500 per week) – 12,000 in Argyll & Bute (approx 230 per week)

  • Responding to more emergency calls than ever before
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SLIDE 8

Service Overview – A&E

  • Respond to 999 calls
  • Accident & Emergency Incidents 2017/18

– 700,000 nationally (approx 13,500 per week) – 12,000 in Argyll & Bute (approx 230 per week)

  • Responding to more emergency calls than ever before
  • Responding faster than ever before
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SLIDE 9

Service Overview – A&E

  • Respond to 999 calls
  • Accident & Emergency Incidents 2017/18

– 700,000 nationally (approx 13,500 per week) – 12,000 in Argyll & Bute (approx 230 per week)

  • Responding to more emergency calls than ever before
  • Responding faster than ever before
  • Air Wing carried out 745 missions in 2017/18
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SLIDE 10

Service Overview – A&E Types of Incident

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SLIDE 11

Service Overview – A&E Types of Incident

  • Immediately Life Threatening (ILT)
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SLIDE 12

Service Overview – A&E Types of Incident

  • Immediately Life Threatening (ILT)
  • PURPLE

Cardiac Arrest Blue Light 6 mins

  • RED

Blue Light 7 mins

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SLIDE 13

Service Overview – A&E Types of Incident

  • Immediately Life Threatening (ILT)
  • PURPLE

Cardiac Arrest Blue Light 6 mins

  • RED

Blue Light 7 mins

  • Not Immediately Life Threatening
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SLIDE 14

Service Overview – A&E Types of Incident

  • Immediately Life Threatening (ILT)
  • PURPLE

Cardiac Arrest Blue Light 6 mins

  • RED

Blue Light 7 mins

  • Not Immediately Life Threatening
  • AMBER

Blue Light 20 mins

  • YELLOW

Blue Light 20 mins

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SLIDE 15

Service Overview – A&E Types of Incident

  • Immediately Life Threatening (ILT)
  • PURPLE

Cardiac Arrest Blue Light 6 mins

  • RED

Blue Light 7 mins

  • Not Immediately Life Threatening
  • AMBER

Blue Light 20 mins

  • YELLOW

Blue Light 20 mins

  • GREEN

NOT Blue Light 1 hour

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SLIDE 16

Service Overview – A&E Types of Incident

  • Immediately Life Threatening (ILT)
  • PURPLE

Cardiac Arrest Blue Light 6 mins

  • RED

Blue Light 7 mins

  • Not Immediately Life Threatening
  • AMBER

Blue Light 20 mins

  • YELLOW

Blue Light 20 mins

  • GREEN

NOT Blue Light 1 hour

  • BLUE

Urgent NOT Blue Light 1, 2, 3, 4 hour

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SLIDE 17

Service Overview – A&E Types of Incident

  • Immediately Life Threatening (ILT)
  • PURPLE

Cardiac Arrest Blue Light 6 mins

  • RED

Blue Light 7 mins

  • Not Immediately Life Threatening
  • AMBER

Blue Light 20 mins

  • YELLOW

Blue Light 20 mins

  • GREEN

NOT Blue Light 1 hour

  • BLUE

Urgent NOT Blue Light 1, 2, 3, 4 hour

  • WHITE

Routine Discharges etc.

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SLIDE 18

Service Overview

  • Respond in a number of different ways
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SLIDE 19

Service Overview

  • Respond in a number of different ways
  • Crews are more skilled than ever before
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SLIDE 20

Service Overview

  • Respond in a number of different ways
  • Crews are more skilled than ever before
  • Transport patients to hospital but also ‘see and treat’
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SLIDE 21

Service Overview

  • Respond in a number of different ways
  • Crews are more skilled than ever before
  • Transport patients to hospital but also ‘see and treat’
  • Paramedic Response Units
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SLIDE 22

Service Overview

  • Respond in a number of different ways
  • Crews are more skilled than ever before
  • Transport patients to hospital but also ‘see and treat’
  • Paramedic Response Units
  • Advanced/Specialist Paramedics
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SLIDE 23

Service Overview

  • Respond in a number of different ways
  • Crews are more skilled than ever before
  • Transport patients to hospital but also ‘see and treat’
  • Paramedic Response Units
  • Advanced/Specialist Paramedics
  • First Responders

– 121 schemes (12 in A&B) – 1000 volunteers (73 in A&B)

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SLIDE 24

Service Overview

Other Agencies:

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SLIDE 25

Service Overview

Other Agencies:

HM Coastguard RNLI Mountain Rescue Cal Mac SFRS Police Scotland

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SLIDE 26
  • Scheduled Care – 125,000 journeys per month

Service Overview - PTS

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SLIDE 27
  • Scheduled Care – 125,000 journeys per month
  • Finite resources means prioritisation:

– Patients with a medical need – Needing assistance – Cannot use Public Transport – Mobility restrictions

Service Overview - PTS

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SLIDE 28

Service Overview - PTS

  • Scheduled Care – 125,000 journeys per month
  • Finite resources means prioritisation:

– Patients with a medical need – Needing assistance – Cannot use Public Transport – Mobility restrictions

  • Challenges around alternative transport options
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Service Overview - PTS

  • Scheduled Care – 125,000 journeys per month
  • Finite resources means prioritisation:

– Patients with a medical need – Needing assistance – Cannot use Public Transport – Mobility restrictions

  • Challenges around alternative transport options
  • Patient transport strategy ongoing review
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SLIDE 30

Locations

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Challenges

  • Ever increasing demand
  • Increased Inter-Hospital Transfers (11,000 in A&B

2017/18)

  • H&S, on-call working, meal breaks, fatigue
  • Integrated transport solutions – ‘Transport With Care’
  • Island cover
  • MONEY!
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Service Developments

  • Island landing sites
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SLIDE 33

Service Developments

  • Island landing sites
  • Remote & Rural working initiatives
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SLIDE 34

Service Developments

  • Island landing sites
  • Remote & Rural working initiatives
  • Extended training for Paramedics
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SLIDE 35

Service Developments

  • Island landing sites
  • Remote & Rural working initiatives
  • Extended training for Paramedics
  • Specialist Paramedic role
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SLIDE 36

Service Developments

  • Island landing sites
  • Remote & Rural working initiatives
  • Extended training for Paramedics
  • Specialist Paramedic role
  • Community First Responders
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SLIDE 37

Service Developments

  • Island landing sites
  • Remote & Rural working initiatives
  • Extended training for Paramedics
  • Specialist Paramedic role
  • Community First Responders
  • National Airwave Radio replacement
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Service Developments

  • Island landing sites
  • Remote & Rural working initiatives
  • Extended training for Paramedics
  • Specialist Paramedic role
  • Community First Responders
  • National Airwave Radio replacement
  • Defibrillator reprocurement
  • 540 A&E
  • 414 PTS
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SLIDE 39

Special Operations Response Team (SORT)

Service Developments

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SLIDE 40

SCOTSTAR

Service Developments

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SCOTSTAR – Safe and effective transport and retrieval of

neonates, children and adults in Scotland.

Service Developments

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SCOTSTAR – Safe and effective transport and retrieval of

neonates, children and adults in Scotland.

  • Scottish Neonatal Transport Service

Service Developments

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SCOTSTAR – Safe and effective transport and retrieval of

neonates, children and adults in Scotland.

  • Scottish Neonatal Transport Service
  • Emergency Medical Retrieval Service (Adults)

Service Developments

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SCOTSTAR – Safe and effective transport and retrieval of

neonates, children and adults in Scotland.

  • Scottish Neonatal Transport Service
  • Emergency Medical Retrieval Service (Adults)
  • Scottish Paediatric Retrieval Service (Paediatrics)

Service Developments

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SLIDE 45

SCOTSTAR – Safe and effective transport and retrieval of

neonates, children and adults in Scotland.

  • Scottish Neonatal Transport Service
  • Emergency Medical Retrieval Service (Adults)
  • Scottish Paediatric Retrieval Service (Paediatrics)

Around 3,000 transfers and retrievals in 2018/19

Service Developments

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SLIDE 46

Engagement

  • Patient Focused Public Involvement
  • Open and honest communications
  • Working in partnership with staff
  • Improving stakeholder involvement and communication
  • www.scottishambulance.com
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SLIDE 47

Questions and Open Forum