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En Voyage Issue#16 Flickbook

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I JOINED THE AMBULANCE SERVICE IN 2006 INITIALLY WITH THE<br />

TASK OF RESTRUCTURING HR. I WENT ON TO BECOME AN ASSISTANT<br />

CHIEF OFFICER AND AFTER PROMOTION TO THE POSITION OF<br />

DEPUTY CHIEF I WAS APPOINTED AS CHIEF OFFICER IN 2018. IN<br />

AN INDIRECT WAY, I SUPPOSE I’M NOW WORKING IN THE CARING<br />

PROFESSION I WAS SO PASSIONATE ABOUT AS A CHILD<br />

ageing population, which in<br />

itself is another challenge. As<br />

a service we will need to adapt<br />

and respond to the changing<br />

nature of the work. For example,<br />

a significant proportion of our<br />

calls are to people who have<br />

fallen, so we are already looking<br />

at how we can work with other<br />

care services to provide longer<br />

term help for those people.<br />

There are also changes<br />

happening nationally to<br />

paramedic training. As registered<br />

healthcare professionals,<br />

standards and expectations<br />

are rising, which means people<br />

wanting to be registered<br />

paramedics in the future are<br />

going to have to study for a<br />

university degree. That means the<br />

traditional route of progressing<br />

through the service and doing a<br />

short conversion course in the UK<br />

won’t be available, so we need<br />

to respond to those changes.<br />

How are things likely to<br />

change in the future?<br />

The ageing demographic and<br />

the growth in demand mean the<br />

service will have to adapt and<br />

be designed to address some of<br />

those ageing population issues. It<br />

may also mean changes to clinical<br />

pathways and better treatment at<br />

home for patients. This all fits in<br />

with the ‘Partnership of Purpose’<br />

vision. As an ambulance service<br />

we will be looking to develop the<br />

clinical skills of our paramedics<br />

to enable them to treat more<br />

people at home and avoid<br />

unnecessary trips to hospital.<br />

Unlike the UK, at the moment<br />

there are limited pathways of<br />

care available in Guernsey,<br />

however that is likely to change<br />

at some point in the future.<br />

We are also looking at<br />

developing tele-medicine,<br />

so clinicians on the road can<br />

share information with doctors<br />

in the hospital to aid their<br />

clinical decision making.<br />

Your background is HR,<br />

how did you become<br />

Chief Officer of the<br />

ambulance service?<br />

I grew up wanting to be a nurse.<br />

Throughout my school years at<br />

La Mare de Carteret High School,<br />

I was completely focused on<br />

nursing as a career, but sadly<br />

I suffered an injury as a child<br />

which meant I couldn’t follow<br />

that path. At 18, there was a<br />

period when I didn’t know what<br />

I wanted to do, but I joined the<br />

States of Guernsey as a filing<br />

clerk at Housing and that was the<br />

start of my career with the civil<br />

service. I went to work at Social<br />

Security and progressed to the<br />

role of Personnel and Training<br />

Manager before moving on and<br />

joining the Health Department,<br />

as the Deputy Director of HR.<br />

THE AGEING<br />

DEMOGRAPHIC AND THE<br />

GROWTH IN DEMAND<br />

MEAN THE SERVICE<br />

WILL HAVE TO ADAPT<br />

TO ADDRESS SOME<br />

OF THOSE AGEING<br />

POPULATION ISSUES<br />

I joined the ambulance service<br />

in 2006 initially with the task<br />

of restructuring HR. I went on<br />

to become an Assistant Chief<br />

Officer and after promotion to<br />

the position of Deputy Chief I<br />

was appointed as Chief Officer<br />

in 2018. In an indirect way, I<br />

suppose I’m now working in<br />

the caring profession I was so<br />

passionate about as a child.<br />

Has your non-clinical<br />

background been a<br />

disadvantage?<br />

I don’t think so. Although I was<br />

the first Senior Officer without a<br />

clinical background, I’ve always<br />

been interested in helping and<br />

caring for people. There are a<br />

growing number of ambulance<br />

chief executives in the UK who<br />

don’t have a clinical background.<br />

First and foremost we are an<br />

ambulance service, but we are<br />

also a business. Sometimes not<br />

having the clinical background<br />

can actually be useful, when<br />

taking a global overview of a<br />

situation, I can ask challenging<br />

questions that some people<br />

with a medical background are<br />

afraid to ask. What is important<br />

is that you have people in your<br />

management team who have<br />

the clinical knowledge to advise<br />

you. I have complete trust and<br />

confidence in my officers and<br />

the clinicians on the road. I<br />

have a great team of hardworking,<br />

caring professionals<br />

who deliver the highest standard<br />

of care to our community.<br />

What makes a good leader?<br />

I think you need to be a good<br />

communicator and that means<br />

listening as well as talking. It<br />

is important to listen to what<br />

the team are telling you. I like<br />

to think I am open and honest<br />

with people. You also need to be<br />

willing to react to feedback and<br />

able to change direction, if that<br />

is what is needed. I’ve had some<br />

good role models through my<br />

career and I’m inspired by women<br />

like Karren Brady. I think I’ve taken<br />

the good bits from lots of my<br />

previous bosses, but equally there<br />

are some things I don’t think work<br />

and I’ve been careful to learn<br />

from other people’s mistakes.<br />

Having a good team, with good<br />

morale is important to me<br />

because motivated people will do<br />

their best and that is so important<br />

in a caring profession like the<br />

ambulance service. Guernsey’s<br />

paramedics and medical<br />

technicians deal with challenging<br />

situations every day, every night,<br />

all year round, often when other<br />

people are enjoying time off<br />

and I never lose sight of that.<br />

89

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