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Redesigning the Emergency Ambulance - Helen Hamlyn Centre ...

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Foreword<br />

REDESIGNING THE EMERGENCY AMBULANCE 3<br />

The interior of a present-day ambulance looks in many<br />

ways much as it did when I first started working in <strong>the</strong><br />

NHS over two decades ago. How we practise pre-hospital<br />

and emergency care has, however, changed significantly.<br />

Paramedics and ambulance staff now have <strong>the</strong> skills and<br />

technology to better manage <strong>the</strong> complex needs of<br />

patients and treat <strong>the</strong>m where possible in <strong>the</strong> community<br />

ra<strong>the</strong>r than at hospital. In London, we have networks of<br />

centres that specialise in <strong>the</strong> care of trauma, stroke and<br />

cardiac patients. This means that patients may have to<br />

travel fur<strong>the</strong>r in ambulances to ensure <strong>the</strong>y receive better<br />

care. It is <strong>the</strong>refore essential that we provide an<br />

ambulance environment that is more in keeping with <strong>the</strong><br />

times and facilitates excellent care ra<strong>the</strong>r than hinders it.<br />

Funding from <strong>the</strong> innovation fund at NHS London has<br />

given us <strong>the</strong> support to approach ambulance redesign<br />

from a unique multidisciplinary perspective. The design<br />

team has done a tremendous job in developing solutions<br />

to <strong>the</strong> problems that ambulance staff face with <strong>the</strong><br />

current environment in which <strong>the</strong>y work. I would like to<br />

thank <strong>the</strong> project team for <strong>the</strong>ir hard work and also <strong>the</strong><br />

members of <strong>the</strong> steering group for <strong>the</strong>ir support. Staff<br />

from London <strong>Ambulance</strong> Service have been central to <strong>the</strong><br />

design process, and we hope this work will facilitate <strong>the</strong><br />

development of an ambulance that is fit for purpose for<br />

<strong>the</strong>m and <strong>the</strong>ir patients. I would also like to thank Lady<br />

<strong>Hamlyn</strong> for her continuing support of such an<br />

important and innovative stream of work.<br />

Lord Ara Darzi of Denham<br />

One of my most fervent wishes in supporting <strong>the</strong> <strong>Helen</strong><br />

<strong>Hamlyn</strong> <strong>Centre</strong> for Design at <strong>the</strong> Royal College of Art has<br />

been to direct <strong>the</strong> practical application of design thinking<br />

towards projects and activities that address important<br />

social challenges in a serious, creative and engaging way.<br />

For many years now I have been interested in <strong>the</strong> redesign<br />

of <strong>the</strong> current frontline ambulance.<br />

The <strong>Helen</strong> <strong>Hamlyn</strong> <strong>Centre</strong> for Design has assembled<br />

a dedicated design research team in partnership with <strong>the</strong><br />

Vehicle Design Department at <strong>the</strong> Royal College of Art,<br />

<strong>the</strong> University of <strong>the</strong> West of England, Bristol, Imperial<br />

College Healthcare NHS Trust and <strong>the</strong> London <strong>Ambulance</strong><br />

Service to design a new interior for <strong>the</strong> current emergency<br />

ambulance.<br />

Research has shown that <strong>the</strong>re are many problems with<br />

<strong>the</strong> present vehicle, which have a negative impact on both<br />

patients and ambulance crews. The project team has spent<br />

<strong>the</strong> past 18 months in consultation with frontline clinicians,<br />

patients and healthcare providers in order to provide a<br />

better, more hygienic and workable interior. It has been<br />

noted that ambulance crews suffer from badly designed<br />

vehicles and equipment, which is surely unacceptable given<br />

<strong>the</strong> life-threatening situations <strong>the</strong>y regularly face.<br />

I am personally very involved and excited about this<br />

project and have wanted to see this happen for a long<br />

time, having had first-hand experiences myself of <strong>the</strong><br />

deficiencies in many of <strong>the</strong> ambulances now being used.<br />

I am especially pleased that this is a co-design project<br />

involving patients who use this service and ambulance<br />

crews who work on <strong>the</strong> vehicles on a daily basis. It is vital<br />

that we engage <strong>the</strong>se groups in <strong>the</strong> design process so<br />

that we provide a vehicle that is fit for purpose in <strong>the</strong> 21st<br />

century.<br />

<strong>Helen</strong> <strong>Hamlyn</strong>

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