Ambulance UK April 2021

Ambulance UK April 2021

Ambulance UK April 2021


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Volume 36 No. 2<br />

<strong>April</strong> <strong>2021</strong><br />


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<strong>Ambulance</strong> <strong>UK</strong><br />


40 FEATURES<br />

40 The transition from clinician to manager:<br />

the paramedic experience<br />

44 NEWSLINE<br />

60 IN PERSON<br />


This issue edited by:<br />

Dr Matt House<br />

c/o Media Publishing Company<br />

Greenoaks, Lockhill<br />

Upper Sapey, Worcester, WR6 6XR<br />


Terry Gardner, Samantha Marsh<br />


Media Publishing Company<br />

Greenoaks, Lockhill<br />

Upper Sapey, Worcester, WR6 6XR<br />

Tel: 01886 853715<br />

E: info@mediapublishingcompany.com<br />

www.ambulanceukonline.com<br />


February, <strong>April</strong>, June, August,<br />

October, December<br />


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The views and opinions expressed in<br />

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Publishing Company.<br />

Next Issue June <strong>2021</strong><br />

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Subscription Information – <strong>April</strong> <strong>2021</strong><br />

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In my job, I get my fair share of attending cardiac arrests and major trauma<br />

incidents. I also get my fair share of meetings and emails. Sometimes I might say<br />

more than my fair share. As you move up the ladder in any job, I think you find the<br />

same thing; more meetings and more emails.<br />

These are, of course, important. A large organisation like an ambulance service needs constantly to review<br />

its policies and procedures. New guidelines come in, or new circumstances that we need to address. All of<br />

these things need input, and that results in meetings and emails. There are certain days of the month when<br />

you can almost hear the collective sigh, as we sit down for a long day of briefings, papers and updates. It is<br />

important, but relentless.<br />

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“A large<br />

organisation<br />

like an<br />

ambulance<br />

service needs<br />

constantly<br />

to review its<br />

policies and<br />

procedures.<br />

New<br />

guidelines<br />

come in,<br />

or new<br />

circumstances<br />

that we need<br />

to address.”<br />

There have been times when I could quite happily have given it all up. Instead, I went back to basics. I<br />

started once or twice a week to find an ambulance that was single-crewed, and put my name down for a<br />

shift. Not a staff appraisal shift, or a double-manager shift, but a shift with whoever happened to be on that<br />

day.<br />

My wife now says she can tell when I’ve been on an ambulance, because I come home in a better mood.<br />

Don’t get me wrong, I still enjoy the ‘big’ incidents; the cardiac arrests and the major trauma. However,<br />

there is something about just logging on, and seeing what the day has to offer. The small things that can<br />

easily be forgotten about when you leave your rota line and join ‘management’.<br />

I tend to find whoever I’m working with is a little cautious at first. But it doesn’t take long before I’m just<br />

another paramedic they are working with for the day.<br />

This has not just been a benefit to my own well-being. It has also helped me with the other side of my work.<br />

Whether we are talking about compliance with daily tyre checks, extended time on scene, or handover<br />

delays; there is nothing quite like first-hand experience to inform your conversation. So, as we slowly return<br />

to normality, I will be making every effort to keep to my ambulance shifts, and not let things drift back to<br />

‘normal’.<br />

Dr Matt House, Co-Editor <strong>Ambulance</strong> <strong>UK</strong><br />

36<br />

For further recruitment vacancies visit: www.ambulanceukonline.com



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Volume 35 No. 5<br />


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Karen Stewart MHCM, BSc is Senior Operations Manager, Country <strong>Ambulance</strong> Operations 1,2 ; Vicki Cope RN, PhD is Associate<br />

Professor 1 ; Melanie Murray RN, PhD is Lecturer 1 ;<br />

Affiliations: 1 Discipline of Nursing, College of Science, Health, Engineering and Education, Murdoch University, Western Australia, 2 St John, Western Australia<br />

https://doi.org/10.33151/ajp.18.861<br />

Corresponding Author: Melanie Murray, Melanie.Murray@murdoch.edu.au<br />

Abstract<br />

Introduction<br />

Promotion from paramedic to manager is common in ambulance services,<br />

yet there is limited research concerning paramedics’ experience of this<br />

role transition. The purpose of this qualitative study was to explore the<br />

experiences of paramedics who have transitioned from clinician to manager.<br />

Methods<br />

A qualitative approach was used for this study. Through purposive<br />

sampling, semi-structured interviews were conducted with paramedics<br />

who had made the transition to manager. The participants were asked to<br />

describe how they felt and what their experiences were concerning this<br />

transition. Thematic analysis was undertaken identifying themes within<br />

participant responses.<br />

the team ‘in green’; however, they also reported that previously being a<br />

paramedic in some instances gave credibility in their new manager roles.<br />

Challenges reported concerned no formal training before transitioning into<br />

the role, and the lack of essential managerial experience.<br />

Conclusion<br />

This research provided insight into how paramedics feel and perceive<br />

the transition from clinician to management roles. A review of the<br />

organisational approach to role transition is of benefit to paramedics.<br />

Such a review may help identify what changes could be made in<br />

support of paramedics transitioning to management roles. Further<br />

research is required across other ambulance services to determine the<br />

efficacy of these results in the broader ambulance service environment.<br />

Results<br />

Six key themes emerged during the data analysis. Participants described<br />

feelings of isolation on moving from the frontline, a lack of feeling part of<br />

Keywords:<br />

clinician; management; paramedic; ambulance; professional isolation;<br />

qualitative research; supervisor; leader<br />

Introduction<br />

The ambulance service setting for this study provides the ‘000’<br />

emergency response service and has 1578 paid staff and 9005<br />

volunteers covering the largest land mass in the world by a single<br />

ambulance service (1). There are currently 163 managers across various<br />

departments, including operational and non-operational, within the<br />

organisation with varying spans of influence. Many of these managers<br />

were promoted directly from paramedics into management roles.<br />

Paramedic clinical training is process and policy driven. The softer<br />

clinical skills and empathy, which provide a more holistically wellrounded<br />

clinician, are often developed over time from both personal<br />

and professional growth (4). At times, personality traits and certain<br />

characteristics of a more aggressive decision-making style can make for<br />

a good decision maker under pressure in the paramedic field (5). This<br />

approach, however, may leave a gap in other important skills such as<br />

sociability, flexibility, cooperativeness, forgiveness and tolerance – the<br />

characteristics important for a manager in contemporary health care (6).<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

Research suggests that in many professions and organisations,<br />

effective frontline staff, or clinicians, may be progressed and promoted<br />

to managerial roles with little support or training when there are clear<br />

differences in the role and responsibilities (2). Further, anecdotally,<br />

paramedics may be promoted to managerial positions because they are<br />

good clinicians and employees, not because they have leadership and<br />

management qualifications. Scant research can be sourced to identify<br />

if appropriate support and training is provided to paramedics before<br />

taking on a management role. For the purpose of this paper, a manager<br />

is described as a person ‘who supports and is responsible for the work<br />

performance of one or more other persons’ (3).<br />

This study aimed to explore participants’ views on training,<br />

qualifications, experiences and perceptions of clinicians who have<br />

transitioned to management roles.<br />

The student researcher is a registered paramedic in both Australia<br />

and the United Kingdom, with a background of joining the Scottish<br />

<strong>Ambulance</strong> Service in 1993. The approach to paramedic training in<br />

Scotland in 1997, and to management styles, was adapted from the<br />

military (7) and after 20 years ‘on the road’ in various frontline roles,<br />

a promotion to management was attained with no formal training or<br />

required qualifications. Therefore, the researcher’s interest was piqued<br />

40<br />

For more news visit: www.ambulanceukonline.com


when reflecting from being ‘on the road’ with friends and colleagues, to<br />

being in a managerial position, contemplating: What happens to those<br />

collegial friendships and relationships once a paramedic is promoted<br />

to a management position? Does working within management affect<br />

the way other paramedics relate to their former peer? This study was<br />

designed to explore these contemplations, to delve into the experiences<br />

of paramedics who have transitioned from clinicians to managers, and<br />

gain insight into the perceived challenges which may have been faced<br />

during this change of role.<br />

Ethics approval<br />

Ethical approval was sought and granted from the Murdoch University<br />

Human Research Ethics Committee (#2020-023). In-principle support<br />

was also gained from the organisation prior to commencement of<br />

the study. The principal ethical considerations in this research was to<br />

protect and provide anonymity of the participants who had taken part in<br />

the study. Confidentiality was maintained, no coercion was entered, and<br />

there were no repercussions towards the potential participants who did<br />

not respond. The researcher approached all potential participants via<br />

email to ask if they wanted to take part in the study. The email included<br />

an information and consent letter. The participants were offered the<br />

option to be audio-recorded or not and informed consent was sought.<br />

Where during data analysis there were idioms of speech present,<br />

these were removed to protect identity, and participants were allocated<br />

numbers to further assist with de-identification. None of the participants<br />

required the assistance of the organisation’s wellbeing and support<br />

team during the interview process, although this was available to them.<br />

Information was gleaned during the interviews to provide subject matter<br />

expert replies to the interview questions and for no other purpose (8).<br />

Methods<br />

Research design<br />

A qualitative descriptive approach was used to explore the experiences<br />

of paramedics transitioning from clinician to manager (9). This<br />

methodology was applicable to support the research question and<br />

gain a deeper understanding of the topic (10). This approach allowed<br />

participants the opportunity to describe, in their own words, their own<br />

experience of transition (11).<br />

Participants, data collection and analysis<br />

Purposeful sampling of paramedics who have transitioned to manager<br />

were sought for semi-structured interviews. This allowed flexibility and<br />

deeper exploration of the subject matter from those who have had direct<br />

experience of this transition (12). Sampling occurred across different<br />

areas to capture those in differing managerial roles such as operations,<br />

executive, frontline and non-operation.<br />

There were N=14 managers approached to take part in the study from<br />

one paramedic setting. Ten (n=10) consented to participate and were<br />

interviewed. One interview did not record due to a technical issue and<br />

was not re-conducted due to additional COVID-19 pandemic workload<br />

for both the participant and the interviewer (13). Participants were<br />

aged between 30 and 55 years and had varying lengths of service,<br />

as both paramedics and managers, ranging from 10 to 25 years. The<br />

participants were purposefully selected as they were paramedics who<br />

had transitioned from clinician to manager and had requisite knowledge<br />

of the role-transition experience.<br />

Six semi-structured interview questions (devised from the literature)<br />

included questions concerning training, formal qualifications,<br />

experiences of transitioning to a manager role, and how this transition<br />

made the participants feel. The interviews lasted less than an hour and<br />

were undertaken at a mutually agreed time and place. Participants were<br />

able to withdraw from the study up until the end of data collection and<br />

before analysis being undertaken.<br />

Thematic analysis was undertaken to identify the key themes within<br />

participant responses by three qualitative reviewers. Thematic analysis<br />

was undertaken following the steps of familiarisation of the data,<br />

generating codes, searching for themes, reviewing and naming the<br />

themes, and writing up of the final report. Final themes were identified<br />

through discussion and regular consultation between the three<br />

researchers. The researchers utilised Microsoft Word DocTools software<br />

to assist with the data analysis and help to create themes (14).<br />

Findings<br />

Nine (n=9) interviews were conducted in one paramedic setting.<br />

Demographic data can be seen in Table 1. There were no participants<br />

from any recognised minority groups. Six major themes emerged<br />

from the data: ‘in at the deep end’, ‘lost your identity’, ‘sold your soul’,<br />

‘desirable rather than essential’, ‘street cred’ and ‘stand back and take a<br />

breath’. Each be discussed in turn.<br />

Table 1. Demographics<br />

Gender<br />

Female<br />

3<br />

Male<br />

6<br />

Age (years) 30-55<br />

Length of service range 10-25<br />

Position<br />

Operations manager 3<br />

Frontline manager 2<br />

Non-operations manager 2<br />

Senior executive 2<br />

Theme 1: In at the deep end<br />

Participants’ narratives concerning any management training before<br />

transitioning from frontline to management demonstrated the complexity<br />

of role transition and their feelings of being ‘thrown in at the deep end’.<br />

All participants were united in their descriptions of the lack of formal<br />

training before their role transition from clinician to manager.<br />

“There hasn’t really been any training prior to stepping<br />

back from the paramedic side of things.” Participant 6<br />

“So, my transition was a little bit in the deep end. The<br />

transition to the actual job was difficult.” Participant 9<br />

Theme 2: Lost your identity<br />

A question relating to the personal experience of transition from clinician<br />

to manager raised the most concern from participants and their feelings<br />

of isolation once they moved from the frontline role. The following<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

Do you have anything you would like to add or include in Features? Please contact us and let us know.<br />



verbatim quotes demonstrate their disconnectedness.<br />

“Especially in the beginning, you’ve lost your identity.’’<br />

Participant 4<br />

“There’s a green family out there but I don’t feel as<br />

connected as I used to everybody.” Participant 7<br />

“Challenging at times. I think the first thing you notice is,<br />

you figure out who your friends were and who were the<br />

people that were just being friendly to you.” Participant 8<br />

Theme 3: Sold your soul<br />

When questioned about the perspectives of continuing camaraderie<br />

following role transition, participants appeared melancholy in their<br />

thoughts and responses to the feeling of lack of trust from their former<br />

frontline paramedic colleagues. It was as if they were no longer the<br />

same people as they had once been since they made the transition to a<br />

management role. They felt they no longer belonged.<br />

“They felt that you had sold your soul or that you were no<br />

longer part of the team.” Participant 1<br />

“The transition. Well put it this way. On the Friday I would<br />

be out with the paramedics that I had known for years<br />

in the pub having a beer. This is just generalising here.<br />

On the Monday I would start my new role. The following<br />

Friday I would be absent from that because I wasn’t<br />

invited.” Participant 3<br />

“Certainly one may be of almost a distrust or something<br />

along those lines where it kind of feels like they don’t see<br />

you as one of them anymore.” Participant 5<br />

Theme 4: Desirable rather than essential<br />

A question regarding prerequisites of their current management role elicited<br />

a majority agreement that there had been no essential criteria for them to<br />

have previous management experience before entering into the role.<br />

“That I didn’t have that depth of management experience.”<br />

Participant 1<br />

“Desirable rather than essential.” Participant 5<br />

“So, they were definitely ‘not required’.” Participant 6<br />

a clinician you are patientcentric and only must deal with limited tasks<br />

(patients) at a time rather than the many tasks of management. This is<br />

further demonstrated by the following responses:<br />

“Time management is a real challenge. I think for<br />

paramedics, I think we’ve become very good at doing one<br />

thing at a time and we get very task focussed, which is a<br />

necessity in the role that we do.” Participant 1<br />

“Don’t think you have to make a decision on the spot<br />

actually stand back, take a breath, take all the evidence in<br />

and do it that way.” Participant 4<br />

Discussion<br />

A dearth of literature pertaining to the paramedic experience of transition<br />

from clinician to management prompted this study which explored the<br />

experiences of nine paramedics who underwent this role transition.<br />

The themes identified in this study were consistent with the wider<br />

literature and supported the findings of a lack of previous experience<br />

and qualifications in management before the transition. A similar study<br />

in the nursing profession found that participants lacked the feeling of<br />

structured training and felt poorly supported in their roles, depending<br />

instead on informal peer support and networking and felt let down by<br />

their organisation (15).<br />

Information gained in this study from two participants highlighted that the<br />

more senior you become in management roles, tertiary qualifications and<br />

experience become essential, although little financial or organisational<br />

support had been provided to assist in gaining these qualifications.<br />

The feeling of a lack of identity and isolation after role transition was<br />

an area experienced by all of the participants. Isolation and loneliness<br />

in the workplace lead to negative effects on work performance (16). A<br />

study conducted in a Turkish healthcare institution found that loneliness<br />

at work had a considerable effect on work alienation and increased<br />

workplace stress (17). This issue does not seem to be insulated to<br />

paramedics who transition to managers, as the nursing profession<br />

experience the same obstacle (18).<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

Theme 5: Street cred<br />

An advantage of being a former clinician was expressed in that having<br />

contemporaneous clinical knowledge assisted with their credibility<br />

while transiting from clinician to manager. This was echoed by these<br />

participants where they speak of “street cred”:<br />

“Having the clinical knowledge just adds to I guess your<br />

street credibility.” Participant 2<br />

“I’ve had a lot of positivity in that they feel they’ve got a<br />

manager that they can approach.” Participant 9<br />

Theme 6: Stand back and take a breath<br />

This area did not seem to figure large in the scale of worries in the<br />

transition to manager but was something that participants identified<br />

as a new manager. That is, that you need to sometimes stand back<br />

and take some time before making decisions. This relates to time<br />

management and in meeting ongoing key performance indicators which<br />

pose a challenge. This was echoed by participant two, who believed as<br />

The perceived lack of trust from previous frontline colleagues, as<br />

expressed by this study’s participants, was also experienced in nursing<br />

where it was found that although much emphasis was placed on the<br />

relationship of trust between patients and nurses, this did not translate<br />

to that of trust between the nurse and their manager (19). A study<br />

exploring the lack of trust between clinicians and managers, found that<br />

managers were often ‘between a rock and a hard place’ due to carrying<br />

out instructions from senior managers and the time pressures of their<br />

roles restricted them from the very important face-to-face discussions<br />

with their clinicians that allows trustworthiness to be developed (20).<br />

Although many areas of this study’s findings appear to be far from<br />

positive, some participants agreed that the credibility of having been<br />

a former paramedic provided a sense of trustworthiness from their<br />

frontline colleagues and they often had an automatic respect for having<br />

‘walked in their shoes’. Having diverse clinical experience before<br />

transitioning to a management role proved to be helpful in building or<br />

maintaining these relationships (21).<br />

42<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


One topic raised, that several of the participants found challenging, was<br />

time management. In the role of a paramedic, tasks tend to be focussed<br />

on one or two patients at a time, however, once in management,<br />

prioritisation of tasks and that feeling of being overwhelmed can<br />

sometimes make new managers unsure of what to tackle first.<br />

Maintaining a routine for the repetitive tasks, and leaving time for<br />

the unexpected, can help with any manager’s day (22). Prioritisation<br />

of goal setting is something that is of significance, and as such it is<br />

important to learn the art of delegation, planning, communication and<br />

meeting management (22). Often for managers, procrastination and<br />

unnecessary phone calls can reduce effectiveness of their day. This,<br />

along with saying ‘no’ to unplanned visitors, affected female managers<br />

more often than it did their male counterparts (23). It is often assumed<br />

that doctors and nurses are automatically good leaders and managers,<br />

the same has been assumed for paramedics (24). A more structured<br />

and planned pathway into management should be created to identify,<br />

attract and retain quality managers (25).<br />

Limitations and recommendations<br />

The main limitation of this study is that it only involved one paramedic<br />

ambulance service. Existing practice and organisational culture may<br />

have influenced the perspectives of the participants, however, several<br />

participants had wide experience from other ambulance services, and<br />

this broadened their descriptions. As the research was restricted to only<br />

include managers that had previously been frontline paramedics, this<br />

also narrowed the suite of potential participants. There was an unequal<br />

representation of males versus females. Although female paramedics<br />

now equate to 43% of the workforce, this does not translate to the<br />

percentage of female managers in the organisation under study (26).<br />

There may have been a concern that a small sample size could affect<br />

the results. Nonetheless, the researcher is confident that saturation was<br />

achieved. In addition, these nine participants could have had limitations<br />

on the broad perspective and experiences of the full cohort of managers<br />

within the organisation, and it is acknowledged that this smaller sample<br />

size may not reflect the experiences of the full workforce (27).<br />

Conclusion<br />

Information gained in this study concerning a paramedic who<br />

transitions to a manager role would suggest little to no prior training<br />

in management is provided. The study identified that management<br />

training is often offered retrospectively and commonly takes place once<br />

an issue is identified, sometime after the role has commenced. These<br />

findings were echoed in the limited available literature and was also true<br />

of other healthcare professions. It is hoped that these results will add<br />

to the contemporary literature related to this topic and it is anticipated<br />

the information and knowledge obtained within this study may be<br />

beneficial to senior managers in developing recruitment programs and<br />

courses to provide to frontline paramedics. Further, this information<br />

may support paramedics in their transition from clinician to manager<br />

by providing them with advice concerning the importance of leadership<br />

and management education required to successfully transition to a<br />

management role.<br />

Competing interests<br />

The authors declare no competing interests. Each author of this paper<br />

has completed the ICMJE conflict of interest statement.<br />

References<br />

1. Stjohnwa.com.au. 2020. Available at: https://stjohnwa.com.au/docs/default-source/<br />

corporate-publications/annualreport-2019_v11_web.pdf?sfvrsn=6 [Accessed 16<br />

July 2020].<br />

2. Chang R, Neal, D. Promotion or transition: from fire officer to emergency manager.<br />

J Emerg Manage 2019;17:101.<br />

3. Buchbinder SB, Shanks NH. Introduction to healthcare management. 3rd edn.<br />

Burlington, MA: Jones and Bartlett Learning; 2017.<br />

4. Walsh S, Arnold B, Pickwell-Smith B, Summers B. What kind of doctor would you<br />

like me to be? Clin Teach 2015;13:98-101.<br />

5. Pajonk F, Andresen B, Schneider-Axmann T, et al. Personality traits of emergency<br />

physicians and paramedics. Emerg Med J 2010;28:141-6.<br />

6. Mirhaghi A, Mirhaghi M, Oshio A, Sarabian S. Systematic review of the personality<br />

profile of paramedics: bringing evidence into emergency medical personnel<br />

recruitment policy. Eurasian Journal of Emergency Medicine 2016;15:144-9.<br />

7. Ledlow GR, Coppola MN. Leadership for health professionals: theory, skills, and<br />

applications. Sudbury, Mass: Jones and Bartlett; 2011.<br />

8. Roth W, Unger HV. Current perspectives on research ethics in qualitative research.<br />

Forum Qual Soc Res 2018;19(3).<br />

9. Cope D. Methods and meanings: credibility and trustworthiness of qualitative<br />

research. Oncol Nurs Forum 2013;41:89-91.<br />

10. Creswell JW. Research design: qualitative and quantitative approaches. Libr Q<br />

1996;66:225-6.<br />

11. Neergaard MA, Olesen F, Andersen RS, Sondergaard J. Qualitative description – the<br />

poor cousin of health research? BMC Med Res Methodol 2009;9:52.<br />

12. Velavan T, Meyer C. The COVID-19 epidemic. Trop Med Int Health 2020;25:278-80.<br />

13. Coding Textual Data with Word and Excel. Available at: www.youtube.com/<br />

watch?v=c81t0rcq6kc&t=92s [Accessed 16 July 2020].<br />

14. Paliadelis P, Cruickshank M, Sheridan A. Caring for each other: how do nurse<br />

managers ‘manage’ their role? J Nurs Manage 2007;15:830-7.<br />

15. Amarat M, Akbolat M, Ünal Ö, Güneş Karakaya B. The mediating role of work<br />

alienation in the effect of workplace loneliness on nurses’ performance. ibid.<br />

2018;27:553-9.<br />

16. Santas G, Isik O, Demir A. The effect of loneliness at work; work stress on work<br />

alienation and work alienation on employees’ performance in Turkish health care<br />

institution. South Asian Journal of Management Sciences 2016;10:30-8.<br />

17. Arslan A, Yener S, Schermer J. Predicting workplace loneliness in the nursing<br />

profession. J Nurs Manage 2020;28:710-7.<br />

18. Mullarkey M, Duffy A, Timmins F. Trust between nursing management and staff in<br />

critical care: a literature review. Nurs Crit Care 2011;16:85-91.<br />

19. Brown P, Alaszewski A, Pilgrim D, Calnan M. The quality of interaction between<br />

managers and clinicians: a question of trust. Public Money & Management<br />

2011;31:43-50.<br />

20. Shams S, Batth R, Duncan A. The lived experiences of occupational therapists in<br />

transitioning to leadership roles. Open J Occup Ther 2019;7(1).<br />

21. Cesta T. Time management for case managers - so much work, so little time. Hosp<br />

Case Manag 2014;22:107.<br />

22. Bahadori M, Salesi M, Ravangard R, et al. Prioritization of factors affecting time<br />

management among health managers. Int J Travel Med Glob Health 2015;3:159-64.<br />

23. Yanik A, Ortlek M. Time management behaviors of healthcare managers and the<br />

effects of demographic variables. Iran Red Crescent Med J 2017;19(6).<br />

24. Dwyer J, Paskavitz M, Vriesendorp S, Johnson S. An urgent call to professionalize<br />

leadership and management in health care worldwide. Boston, MA: Management<br />

Sciences for Health; 2006.<br />

25. Spehar I, Frich JC, Kjekshus LE. Clinicians’ experiences of becoming a clinical<br />

manager: a qualitative study. BMC Health Serv Res 2012;12:421.<br />

26. Rural and Remote Health, Australian Institute of Health and Welfare. Available at:<br />

www.aihw.gov.au/reports/rural-health/rural-remote-health/contents/rural-health<br />

[Accessed 16 July 2020].<br />

27. Patton MQ. Qualitative research & evaluation methods: integrating theory and<br />

practice. 4th edn. Thousand Oaks, California: Sage; 2015.<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

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carried out by East Midlands<br />

emergency medical technicians. 1<br />

References<br />

Self-administered<br />

inhaled painkiller<br />

shows superiority in<br />

prehospital setting<br />

A new study has revealed an<br />

inhaled analgesic recently<br />

introduced to the <strong>UK</strong> is the<br />

most effective form of severe<br />

pain relief in the prehospital<br />

setting following traumatic<br />

injury, in terms of speed of<br />

pain reduction. 1<br />

Treatment during the first<br />

hour after trauma is vital to<br />

improve patient survival and<br />

good analgesia can result in<br />

easier injury management and<br />

the potential to avoid chronic<br />

pain development. 2,3 Despite<br />

this, less than a third of people<br />

in <strong>UK</strong> ambulances are given<br />

appropriate pain relief. 4<br />

The year-long MAPIT study,<br />

led by Professor Aloysius<br />

Niroshan Siriwardena of the<br />

University of Lincoln, <strong>UK</strong>, and<br />

<strong>Ambulance</strong> Service, showed<br />

that the analgesic Penthrox ®▼<br />

(methoxyflurane), acts more<br />

than three times quicker than the<br />

most frequently used – and also<br />

inhaled – analgesic, Entonox ®<br />

(gas and air), more than three<br />

times quicker than intravenous<br />

paracetamol, and twice as quick<br />

as intravenous morphine to<br />

reduce severe pain. 1<br />

Methoxyflurane, which has been<br />

dubbed the ‘green whistle’<br />

has already been proven to<br />

be a convenient and effective<br />

option for pain relief, leading to<br />

a significant reduction in time<br />

spent in the hospital emergency<br />

department. Although it is used<br />

regularly in <strong>UK</strong> emergency<br />

departments, it is not widely<br />

used in ambulances. 5-8<br />

The data from the MAPIT study,<br />

was today (Tuesday 23rd March)<br />

shared at the 999 EMS Research<br />

Forum Annual Conference,<br />

providing the first comprehensive<br />

<strong>UK</strong> comparison of analgesic<br />

options used by paramedics and<br />

The evidence means prehospital<br />

emergency staff can now<br />

feel confident when choosing<br />

methoxyflurane as a first-line<br />

treatment option for moderateto-severe<br />

trauma pain.<br />

Rapid and effective pre-hospital<br />

analgesia has the potential to<br />

improve the patient journey<br />

end-to-end. With the NHS<br />

continuing to face an exceptional<br />

crisis following the outbreak of<br />

COVID-19 and unprecedented<br />

levels of pressure to free up<br />

resources across all treatment<br />

settings, the study results are<br />

welcome news. 1-3<br />

Chief Investigator, Professor<br />

Aloysius Niroshan Siriwardena,<br />

commented: “There are many<br />

barriers to adequate pain relief.<br />

This study is the first to compare<br />

methoxyflurane with all other<br />

commonly used analgesics<br />

in the prehospital setting and<br />

the superior results add to the<br />

weight of positive findings from<br />

other <strong>UK</strong> and European hospital<br />

studies.<br />

1. Smith M, Rowan E, et al.<br />

Evaluation of the effectiveness<br />

and costs of inhaled<br />

methoxyflurane versus usual<br />

analgesia for prehospital injury<br />

and trauma. Presented at 999<br />

EMS Research Forum Annual<br />

Conference, March <strong>2021</strong><br />

2. Chambers J, Guly H. The<br />

need for better pre-hospital<br />

analgesia. Archives of<br />

Emergency medicine. 1993;10:<br />

187-192<br />

3. Friesgaard K, Riddervold<br />

I, et al. Acute pain in the<br />

prehospital setting: a registerbased<br />

study of 41,241<br />

patients. Scandinavian Journal<br />

of Trauma, Resuscitation<br />

and Emergency Medicine.<br />

2018;26(53)<br />

4. Siriwardena AN, Shaw D,<br />

Bouliotis G. Exploratory crosssectional<br />

study of factors<br />

associated with pre-hospital<br />

management of pain. J Eval<br />

Clin Pract 2010; 16(6): 1269-75.<br />

5. Fabbri A, Ruggiano G, Garcia<br />

Collado S, et al. Role of<br />

inhaled methoxyflurane in the<br />

management of acute trauma<br />

pain. J Pain Res 2020;13:1547-<br />

“From an academic perspective,<br />

55.<br />

it is an important addition to<br />

the evidence, and we look<br />

forward to seeing how greater<br />

uptake impacts patients in other<br />

ambulance trusts.”<br />

6. Porter KM, Siddiqui MK,<br />

Sharma I, Dickerson S,<br />

Eberhardt A. Management<br />

of trauma pain in the<br />

emergency setting: low-dose<br />

methoxyflurane or nitrous<br />

Dr Leon Roberts, Medical<br />

oxide? A systematic review and<br />

Director for East Midlands<br />

indirect treatment comparison.<br />

<strong>Ambulance</strong> Service NHS Trust,<br />

J Pain Res. 2018;11:11-21.<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

which carried out the study,<br />

commented: “Rapid and<br />

effective pain relief is undeniably<br />

important in the prehospital<br />

setting and this study shows<br />

that emergency care staff have<br />

access to a well-tolerated<br />

treatment, which is easy to<br />

administer. EMAS is proud<br />

to be a leading organisation<br />

in prehospital research<br />

collaborating with key partners<br />

such as the University of Lincoln,<br />

who has analysed and evaluated<br />

7. Xia AD, Dickerson SL, Watson<br />

A, Nokela M, Colman S,<br />

Szende A. Evaluation of<br />

pain relief treatment and<br />

timelines in emergency care<br />

in six European countries and<br />

Australia. Open Access Emerg<br />

Med. 2019;11:229-40.<br />

8. Young L, Bailey G, McKinley<br />

J. Service evaluation of<br />

methoxyflurane versus standard<br />

care for overall management of<br />

patients with pain due to injury.<br />

Adv Ther. 2020;37(5):2520-<br />

this data.”<br />

2527.<br />

44<br />

For more news visit: www.ambulanceukonline.com


YAS<br />

Yorkshire <strong>Ambulance</strong><br />

Service wins gold<br />

at national Learning<br />

Awards<br />

The <strong>Ambulance</strong> Support Worker<br />

apprenticeship programme at<br />

Yorkshire <strong>Ambulance</strong> Service<br />

NHS Trust has won a gold<br />

award at the national <strong>2021</strong><br />

Learning Awards held virtually<br />

on 18 February.<br />

Launched in 2018, Yorkshire<br />

<strong>Ambulance</strong> Service was the first<br />

ambulance service to introduce<br />

the <strong>Ambulance</strong> Support Worker<br />

(emergency, urgent and nonurgent)<br />

apprenticeship. It provides<br />

another pathway for career<br />

development to paramedic and<br />

the 12-18 month apprenticeship<br />

allows apprentices to learn on the<br />

frontline and includes six weeks’<br />

classroom-based training and four<br />

weeks’ blue-light driver training.<br />

The Trust was shortlisted for<br />

Apprenticeship Programme of<br />

the Year and took gold ahead of<br />

seven other public and private<br />

sector finalists in the category.<br />

Organised by the Learning and<br />

Performance Institute (LPI), the<br />

online ceremony marked the<br />

learning sector’s 25th annual<br />

celebration of outstanding<br />

achievement and best practice in<br />

corporate learning and performance<br />

by organisations and individuals.<br />

Presented by British TV and radio<br />

personality Claudia Winkleman<br />

and joined by an online audience<br />

of thousands, the Learning<br />

Awards ceremony was broadcast<br />

in the style of a TV event and<br />

hosted live from a recording<br />

studio in London.<br />

Yorkshire <strong>Ambulance</strong> Service’s<br />

apprenticeship programme was<br />

cited as a clear winner, being<br />

the first of its kind in the <strong>UK</strong> and<br />

praised for being well designed<br />

and clearly demonstrating a<br />

strong impact on the organisation.<br />

The judging panel recognised<br />

that the Trust worked as part of<br />

a national trailblazer group to<br />

develop a programme for the<br />

ambulance service that meets a<br />

need to provide an entry point into<br />

the service and offers a robust<br />

career progression pathway.<br />

In addition, the programme was<br />

commended for supporting<br />

workforce planning and having a<br />

positive influence on the quality of<br />

patient care. In terms of measurable<br />

success, there have been very<br />

positive results with assessment<br />

pass rates and staff retention.<br />

Yorkshire <strong>Ambulance</strong> Service<br />

currently has 235 clinical<br />

apprentices working to<br />

qualifications over three<br />

different apprenticeship levels<br />

– Emergency Care Assistant,<br />

Associate <strong>Ambulance</strong> Practitioner<br />

and Paramedic. The Trust also<br />

has 50 non-clinical apprentices<br />

in post within its non-emergency<br />

Patient Transport Service,<br />

Emergency Operations Centre<br />

and support services.<br />

Dawn Adams, Head of the<br />

Yorkshire <strong>Ambulance</strong> Service<br />

Academy, commented: “We<br />

are thrilled to have won this<br />

award and are very proud of the<br />

apprenticeship programme and<br />

career development pathway we<br />

have developed. The Trust is<br />

highly committed to the provision<br />

of apprenticeships and we have<br />

much appreciated support<br />

from stakeholders, learners and<br />

clinicians which has helped to<br />

shape, embed and deliver the<br />

programme. It has provided<br />

fresh stimulus for learning across<br />

the organisation and what really<br />

stands out is that our learners are<br />

at the heart of its success.<br />

“Information on both clinical and<br />

non-clinical apprenticeships<br />

is available on the Yorkshire<br />

<strong>Ambulance</strong> Service website. We<br />

are likely to be opening recruitment<br />

for our award-winning <strong>Ambulance</strong><br />

Support Worker apprenticeship<br />

in March or <strong>April</strong> and again later<br />

in the year so we look forward to<br />

welcoming more apprentices to<br />

the Trust in the near future.”<br />

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AMBULANCE <strong>UK</strong> - APRIL<br />



AMBULANCE <strong>UK</strong> - APRIL<br />

SECAMB<br />

SECAmb marks 50<br />

years since birth of<br />

<strong>UK</strong> paramedics in<br />

Brighton<br />

South East Coast <strong>Ambulance</strong><br />

Service (SECAmb) is<br />

celebrating 50 years since<br />

the birth of the <strong>UK</strong> paramedic<br />

profession in Brighton.<br />

It was March 1971 when the first<br />

‘ambulance men’, who had been<br />

selected for additional training<br />

with renowned cardiologist<br />

Douglas Chamberlain, began<br />

to respond to patients in the<br />

Brighton area equipped with the<br />

first ambulance defibrillators.<br />

The six men, who had attended<br />

lectures by Dr Chamberlain, and<br />

whose additional skills included<br />

being taught to interpret ECGs<br />

and administer particular drugs<br />

for cardiac emergencies, paved<br />

the way for the development and<br />

formalisation of the profession<br />

over the next decade and beyond.<br />

SECAmb marked the anniversary<br />

via its social media channels<br />

and paid tribute to Douglas<br />

whose early work led to better<br />

outcomes for people suffering<br />

cardiac arrests in the community.<br />

The Trust will also share how the<br />

profession has developed in its<br />

service over half a century.<br />

Just one of the original six<br />

individuals is still alive. Robin<br />

Friday, 78, now lives in Kent and<br />

retired from SECAmb in 2012. He<br />

proudly recalls being selected for<br />

the additional training.<br />

He said: “I look back fondly on my<br />

50-year career in the ambulance<br />

service. I am very proud to have<br />

been one of the original six to<br />

undergo the additional training<br />

under Douglas Chamberlain. This<br />

undoubtedly was a very important<br />

early step towards the ambulance<br />

service developing into the service<br />

it is today. We were, for the first<br />

time, bringing far more expert<br />

care to patients prior to their<br />

arrival at hospital.”<br />

Douglas said: “The profession<br />

has of course come a long way<br />

in 50 years but I am very proud<br />

of the first individuals and this<br />

work I and my colleagues did to<br />

progress the role the ambulance<br />

service plays in pre-hospital care.<br />

“From my association with<br />

SECAmb over many years I am<br />

very aware that a career in the<br />

ambulance service is challenging<br />

and I am sure especially so during<br />

this last year. It is, however, also<br />

extremely rewarding and I would<br />

encourage anyone with an interest<br />

to seriously consider it as a future<br />

career.”<br />

SECAmb Chief Executive Philip<br />

Astle added: “I would like to<br />

pay tribute to Douglas and his<br />

clinical colleagues as well as<br />

Robin and his fellow members<br />

of staff. Their decision to be part<br />

of this innovation was vital in the<br />

ambulance service being more<br />

actively involved in the type of prehospital<br />

care which is so important<br />

in improving patient outcomes.”<br />

Strokes caused by<br />

Covid-19 under the<br />

spotlight in world’s<br />

largest research<br />

study<br />

The Stroke Association is<br />

funding the world’s largest<br />

research study to investigate<br />

worrying reports that Covid-19<br />

is causing life-threatening<br />

strokes [1-2]. As Covid-19 cases<br />

continue to rise across the<br />

globe, this critical research may<br />

help to prevent Covid-19-related<br />

death and disability. The study<br />

will build on the work of the<br />

British Heart Foundation (BHF)<br />

Data Science Centre at Health<br />

Data Research <strong>UK</strong> (HDR <strong>UK</strong>).<br />

100,000 people in the <strong>UK</strong> have<br />

a stroke each year, that’s one<br />

every five minutes and means<br />

there are over 1.2 million stroke<br />

survivors in the <strong>UK</strong>. Stroke is the<br />

fourth biggest killer in the <strong>UK</strong>, the<br />

second biggest killer in the world<br />

and one of the leading causes of<br />

adult disability.<br />

Announced today, the study<br />

uses health data from nearly<br />

all <strong>UK</strong> adults. Having access to<br />

large amounts of data will allow<br />

the researchers to follow the<br />

health of Covid-19 patients. Data<br />

analysts will compare stroke in<br />

patients who have tested positive<br />

for Covid-19 with patients without<br />

the virus, to confirm if Covid-19<br />

increases risk of stroke and by<br />

how much.<br />

The researchers will also analyse<br />

stroke risk and characteristics<br />

including age, sex, ethnicity<br />

and geography to identify<br />

which Covid-19 patients may<br />

be most at risk of stroke. Stroke<br />

risk due to Covid-19 will be<br />

compared to increases in stroke<br />

risk due to other infections and<br />

cardiovascular conditions.<br />

Dr Rubina Ahmed, Research<br />

Director, Stroke Association<br />

said: “Stroke already strikes every<br />

five minutes and we’re extremely<br />

concerned that Covid-19 may<br />

lead to more strokes, destroying<br />

more lives. Equally concerning<br />

are reports that stroke patients<br />

who have Covid-19 may be<br />

younger, and experience more<br />

severe effects of stroke, including<br />

death [3]. Severe illness due<br />

to Covid-19 is a challenge<br />

enough– but it’s worrying that a<br />

deadly stroke might also be on<br />

the way. This new research can<br />

help guide the development of<br />

new treatments that can prevent<br />

life-threatening strokes.”<br />

This research forms part of the<br />

CVD-COVID-<strong>UK</strong> flagship project<br />

consortium, which is led by the<br />

BHF Data Science Centre at HDR<br />

<strong>UK</strong>. This project consortium aims<br />

to understand the relationship<br />

between Covid-19 and<br />

cardiovascular diseases such as<br />

heart attack and stroke in the <strong>UK</strong><br />

population.<br />

Dr William Whiteley, Reader<br />

in neurology at the University<br />

of Edinburgh and a lead on<br />

this research said: “Covid-19<br />

may cause stroke in some<br />

patients. So far studies of<br />

Covid and stroke have been<br />

small. More data will improve<br />

our understanding and give<br />

a better idea of the risks of<br />

stroke after Covid-19 infection.<br />

With the funding of the Stroke<br />

Association and access to the<br />

data and research community<br />

brought together by the BHF<br />

Data Science Centre, the team<br />

can use health information<br />

from nearly all adults in the <strong>UK</strong>.<br />

By working with information<br />

specialists, we’ll be able to<br />

accurately detect even the<br />

smallest increase in risk of<br />

stroke across different groups<br />

of people. We’re incredibly<br />

grateful to have the support of<br />

charities to help get this urgent<br />

research underway, so that we<br />

can better inform patients and<br />

health care professionals about<br />

Covid-19 and risk of stroke.”<br />

Since the start of the Covid-19<br />

pandemic in early 2020, there<br />

have been reports of Covid-19<br />

patients also having a stroke.<br />

David Kirton, 64 from South<br />

Shields had a stroke shortly after<br />

being diagnosed and treated for<br />

Covid-19.<br />

David said: “We think my<br />

stroke was linked with the<br />

effect Covid-19 has on the<br />

blood. Because it was so early<br />

in the pandemic, I don’t think<br />

they were prepared for people<br />

having strokes. They just knew<br />

something was wrong and were<br />

trying whatever they could think<br />

of to find out what the problem<br />

was. It was absolutely terrifying.”<br />

46<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


David adds: “If people know<br />

Covid-19 can cause strokes, they<br />

will be able help prevent it from<br />

happening and make sure there is<br />

the right support. Even awareness<br />

is potentially going to save lives<br />

and as much physical and mental<br />

ability as possible. If people can<br />

get stroke treatment quickly, and<br />

administer the right drugs at the<br />

right time, it could make a big<br />

difference.”<br />

Dr Rubina Ahmed continues:<br />

“We will be living with Covid-19<br />

for the foreseeable future<br />

and we don’t want to see the<br />

pandemic leave more deadly<br />

strokes in its wake. Stroke is a<br />

leading cause of adult disability<br />

in the <strong>UK</strong> and the second biggest<br />

killer in the world. This research<br />

is crucial to our understanding<br />

of Covid-19 and strokes, but<br />

this is just the tip of the iceberg.<br />

The Covid-19 pandemic has<br />

had a devastating impact on<br />

our income and is threatening<br />

life-saving breakthroughs. Now<br />

more than ever, we need the<br />

public’s support. If you can,<br />

please help us find a way through<br />

the research funding crisis by<br />

donating today, so that we can<br />

fund more life-saving research.”<br />

Juliet Bouverie, Chief Executive<br />

of the Stroke Association<br />

said: “We’ve been supporting<br />

stroke survivors throughout the<br />

pandemic through our Helpline<br />

and our Stroke Association<br />

Connect and Here For You<br />

services. Strokes changes lives<br />

in an instant and stroke survivors<br />

need support to recover, cope<br />

and adapt and those with<br />

Covid-19 may have additional<br />

needs. We need to be prepared<br />

with new knowledge about links<br />

between Covid-19 and stroke to<br />

support people affected by stroke<br />

long into the future.”<br />

Prof Cathie Sudlow, Director of<br />

the BHF Data Science Centre at<br />

Health Data Research <strong>UK</strong> said:<br />

“The BHF Data Science Centre<br />

is delighted to be providing<br />

the scientific and data access<br />

infrastructure to enable this<br />

important Stroke Associationfunded<br />

research project. We<br />

look forward to working with<br />

and supporting Dr Whiteley<br />

and his research team as they<br />

generate insights to help people<br />

with stroke, their carers and<br />

health professionals understand<br />

the impact of Covid-19 on<br />

stroke risk, and make informed<br />

decisions about their treatment<br />

and care.”<br />

Over the past 30 years the<br />

Stroke Association has played a<br />

crucial role in supporting stroke<br />

research in the <strong>UK</strong>. This year,<br />

as a result of the pandemic<br />

the charity has had to halve its<br />

budget for stroke research.<br />

To find out more about research<br />

funded by the charity visit<br />

stroke.org.uk/research or to<br />

donate please go to: stroke.org.<br />

uk/donate-research<br />

References<br />

[1] Ling, Mao., Huijuan,<br />

Jin., Mengdie, Wang., et al.<br />

Neurologic Manifestations<br />

of Hospitalized Patients With<br />

Coronavirus Disease 2019<br />

in Wuhan, China. JAMA<br />

Neurol. 2020;77(6):683-<br />

690. doi:10.1001/<br />

jamaneurol.2020.1127.<br />

[2] Shadi, Yaghi., Koto,<br />

Ishida., Jose, Torres., et al.<br />

SARS-CoV-2 and Stroke<br />

in a New York Healthcare<br />

System. 2020;51:2002–<br />

2011. doi.org/10.1161/<br />

STROKEAHA.120.030335Stroke.<br />

[3] Ntaios G, et al.<br />

Characteristics and outcomes<br />

in patients with Covid-19 and<br />

acute ischemic stroke. Stroke.<br />

2020;51:e254–e258.<br />



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WAST<br />

Wales – The Welsh<br />

<strong>Ambulance</strong> Service<br />

(WAST) will receive<br />

84 new operational<br />

vehicles as part of<br />

Welsh Government<br />

£10.9M investment<br />

The Minister for Health and<br />

Social Services, Vaughan<br />

Gething has also announced a<br />

further £1.6m in funding to the<br />

Emergency Medical Retrieval<br />

and Transfer Service (EMRTS)<br />

to expand the service into a<br />

24/7 operation and establish the<br />

Critical Care Transfer Service.<br />

This is additional money following<br />

the £1.7m already given to the<br />

service.<br />

This service will support the<br />

national transfer of critically ill<br />

adults across Wales.<br />

<strong>Ambulance</strong>s in Wales, the<br />

relevance of the Emergency<br />

Medical Retrieval and Transfer<br />

Service (EMRTS)<br />

The Emergency Medical Retrieval<br />

and Transfer Service (EMRTS)<br />

provides consultant and critical<br />

care practitioner-delivered prehospital<br />

critical care across Wales.<br />

The funding announced today will<br />

allow the service to upgrade its<br />

existing fleet, allowing the service<br />

to deliver the best care for people<br />

in Wales.<br />

“I’m also pleased to announce<br />

further funding which will establish<br />

a new Critical Care Transfer<br />

Service and see the expansion<br />

of EMRTS to a 24/7 operation,<br />

in partnership with the Wales Air<br />

<strong>Ambulance</strong> Charity.”<br />

Chris Turley, the Welsh <strong>Ambulance</strong><br />

Service’s Executive Director of<br />

Finance, said: “Our ambulances<br />

and response cars in Wales are<br />

some of the most modern and<br />

well equipped in the <strong>UK</strong> and this<br />

funding will allow us to continue<br />

to replace our vehicles as they<br />

reach the end of their working life<br />

“Modern ambulances are essential<br />

in order that we can continue to<br />

provide the best treatment and<br />

patient experience possible.<br />

“They’re also important for staff<br />

who spend the majority of their<br />

working day out and about in the<br />

community.<br />

“It’s never been more important<br />

than ever to have a fleet which<br />

keeps the wheels turning on our<br />

ambulance service, and we’re<br />

grateful to Welsh Government for<br />

its continued support.”<br />

specialist critical care ambulances<br />

will give us the capacity to support<br />

colleagues across NHS Wales with<br />

the transfer of critically ill patients<br />

between hospitals by road.<br />

“We are very grateful for the<br />

ongoing support from Welsh<br />

Government, which has allowed<br />

our service to grow and make a<br />

significant contribution to critical<br />

care in Wales.”<br />

RC<strong>UK</strong> welcomes CQC<br />

and Compassion in<br />

Dying reports into<br />

DNACPR use during<br />

the pandemic<br />

Quote from Resuscitation<br />

Council <strong>UK</strong> for publication<br />

Sue Hampshire, Director of<br />

Clinical and Service Development<br />

at Resuscitation Council <strong>UK</strong>,<br />

said: “People should be at the<br />

centre of their care and decision<br />

making. However, the COVID-19<br />

pandemic has brought into the<br />

spotlight inconsistencies in the ways<br />

DNACPR decision making is carried<br />

out across the <strong>UK</strong> and just how<br />

crucial it is that decisions about CPR<br />

are discussed in the broader context<br />

of overall goals of care.<br />

“Both the CQC review and<br />

Compassion in Dying reports<br />

puts the person at the heart of<br />

the conversation and ensures<br />

that people’s views about CPR<br />

are taken into consideration. The<br />

process is already used in around<br />

70-80% of English counties.<br />

“The ReSPECT process<br />

helps to ensure that clinical<br />

recommendations around<br />

emergency care and treatment,<br />

including decisions about CPR,<br />

are not made in isolation. Instead,<br />

any recommendations made are<br />

part of a broader conversation<br />

which aims to develop a shared<br />

understanding with the person,<br />

their legal proxy or family, about the<br />

person’s condition, the outcomes<br />

the person values and those they<br />

fear and clinical recommendations<br />

about future emergency care and<br />

treatment. As such the ReSPECT<br />

process provides reassurance<br />

that recommendations around<br />

whether CPR should be attempted<br />

are made in the context of what’s<br />

important to the person concerned.<br />

“We would like to see all<br />

regulatory bodies across the <strong>UK</strong><br />

and all health and social care<br />

organisations recognise the value<br />

of the ReSPECT process so that<br />

people and their families can take<br />

part in person-centred discussions<br />

and decision-making. This will help<br />

ensure quality, person-centred<br />

care and treatment for all wherever<br />

they live across the <strong>UK</strong>.”<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

It was launched at the end of<br />

<strong>April</strong> 2015 and is a partnership<br />

between Wales Air <strong>Ambulance</strong><br />

Charity, Welsh Government and<br />

NHS Wales.<br />

The funding will be used to<br />

fund three specialist critical<br />

care ambulances and will see<br />

investment in equipment to<br />

support the expansion of the<br />

EMRTS service Minister for<br />

Health and Social Services,<br />

Vaughan Gething, said: “The<br />

Welsh <strong>Ambulance</strong> Service has<br />

experienced a huge surge in<br />

demand on its services due to the<br />

Covid-19 pandemic.<br />

Role of ambulances in Wales:<br />

Lockey’s analysis, EMRTS<br />

National Director<br />

Professor David Lockey, EMRTS<br />

National Director, added: “The<br />

funding has allowed us to extend<br />

our critical care provision into a<br />

24/7 service.<br />

This, along with our partnership<br />

with the Wales Air <strong>Ambulance</strong><br />

Charity, has helped us improve<br />

equality of access to rapid<br />

emergency-department standard<br />

care across the country.<br />

“In addition, the funding for three<br />

highlight the importance of<br />

information, training and support, the<br />

need for people to be at the centre<br />

of their care and decision making<br />

and the need for a consistent,<br />

national approach to advanced<br />

care planning. People should be<br />

supported in decision-making<br />

sensitively and effectively wherever<br />

they live around the country.<br />

“We urge NHS England and<br />

Improvement to take this<br />

opportunity to champion the<br />

use of the Recommended<br />

Summary Plan for Emergency<br />

Care and Treatment (ReSPECT)<br />

process nationally. ReSPECT<br />

Background information<br />

Resuscitation Council <strong>UK</strong> welcomes<br />

the publication of two crucial<br />

reports today into Do Not Attempt<br />

Cardiopulmonary Resuscitation<br />

(DNACPR) decision-making during<br />

the COVID-19 pandemic.<br />

We call upon NHS England and<br />

Improvement to champion the use of<br />

the Recommended Summary Plan<br />

for Emergency Care and Treatment<br />

(ReSPECT) process nationally.<br />

The Care Quality Commission<br />

(CQC) has published its final<br />

48<br />

For more news visit: www.ambulanceukonline.com


report following its review of<br />

DNACPR decisions during the<br />

COVID-19 pandemic. Over<br />

the last few months, the CQC<br />

has engaged with a range of<br />

stakeholders, including RC<strong>UK</strong>.<br />

They have spoken to people and<br />

their families affected by DNACPR<br />

decision-making during the<br />

pandemic, to a range of health<br />

and social care providers and<br />

professionals involved in their care<br />

and reviewed people’s records in<br />

seven CCG areas. This has led to<br />

them making recommendations<br />

around the following key areas:<br />

• information, training, and<br />

support<br />

• the need for a consistent,<br />

national approach to advanced<br />

care planning and DNACPR<br />

decisions<br />

• oversight and assurance<br />

at local and system level to<br />

ensure that people experience<br />

personalised, compassionate<br />

care in relation to DNACPR<br />

decisions<br />

The report cites ReSPECT as a<br />

good example of an advance care<br />

planning process that when done<br />

well, can support everyone to<br />

make decisions about their future<br />

care and treatment.<br />

SCAS<br />

Paramedics<br />

turn written-off<br />

ambulance into<br />

innovative training<br />

simulation pod<br />

Paramedics at South Central<br />

<strong>Ambulance</strong> Service (SCAS)<br />

have given life-saving treatment<br />

to an ambulance which was<br />

written off after a road traffic<br />

collision – by using it to create<br />

an innovative training pod.<br />

The SCAS education team in<br />

Newbury had the body of the<br />

vehicle repaired to repurpose it as<br />

a training simulator and provide<br />

the opportunity for students to<br />

learn in the real thing.<br />

It weighs 4.5 tonnes before the<br />

addition of kit and includes all the<br />

essentials – as well as a working<br />

tail lift and even a power line to<br />

flick on the blue lights and sirens<br />

to add to the experience.<br />

It is the latest addition to the<br />

family of simulators at the<br />

SCAS Education and Enhanced<br />

Simulation Centre, a facility that<br />

includes six purpose-built training<br />

and environment rooms that<br />

recreate patients’ journeys from<br />

“The ambulance converted was<br />

unfortunately involved in a serious<br />

road traffic collision and was not<br />

fit to return to the road, so not only<br />

have we avoided losing a vehicle<br />

from the fleet, we are now in the<br />

fortunate position of using this<br />

one to train a new generation of<br />

staff.”<br />

He added: “While there are many<br />

simulators around, many of these<br />

are purpose-built as opposed<br />

to developed from real vehicles<br />

and are therefore limited in their<br />

ability to provide a real-life training<br />

environment.<br />

“We believe this is the first pod<br />

of its kind having been salvaged<br />

from the scrapheap and able<br />

to provide the most realistic<br />

experience of any simulator – so<br />

we are extremely pleased with the<br />

outcome.<br />

“We’ve even had a label added<br />

to the side to say it is probably<br />

the best ambulance pod in the<br />

country - we think it is!”<br />

will be the first to use the new kit.<br />

Medics will be able to press a<br />

button to record if a patient or<br />

member of the public becomes<br />

threatening or aggressive. The<br />

footage can then be used in court<br />

to aid prosecutions.<br />

Paramedic Kristoffer Fairhurst,<br />

based in Burnley, will be amongst<br />

the first to use the cameras. He<br />

said: “Sadly it is all too common<br />

for frontline staff to be subject to<br />

violence by the very people we<br />

are trying to help. I have worked<br />

for the ambulance service for 13<br />

years and during that time I have<br />

been kicked, spat at, shouted at<br />

and even threatened with a knife.<br />

“This should not be happening and<br />

I am hoping that these cameras will<br />

give us an extra level of protection<br />

to deter incidents of abuse as well<br />

as assist with prosecutions and<br />

make staff feel safer.”<br />

In 2020, almost 400 incidents of<br />

physical assaults were reported<br />

against staff in the North West,<br />

a rise of 4% since 2018 despite<br />

lockdown measures in place.<br />

In addition, there were 1,061<br />

incidents of verbal abuse or<br />

threatening behaviour reported.<br />

Director of Operations Ged Blezard<br />

A report, also published today,<br />

by the charity Compassion in<br />

Dying, highlights the good and<br />

bad experiences of people<br />

from across the <strong>UK</strong> who have<br />

contacted them about DNACPR<br />

decisions made for them or their<br />

loved ones during the pandemic.<br />

While these significant reports<br />

highlight examples of poor<br />

practice in relation to DNACPR<br />

decision-making during the<br />

pandemic, they also recognise<br />

that not everyone wants<br />

cardiopulmonary resuscitation<br />

(CPR) to be attempted. For many<br />

people, DNACPR decisions offer<br />

reassurance that they will not be<br />

given an intervention that may be<br />

home, into to a mobile simulated<br />

ambulance and then at handover<br />

to a hospital’s emergency<br />

department resuscitation bay.<br />

“What we really love about the<br />

introduction of this simulation<br />

pod is that its authenticity will<br />

give students a much more<br />

enhanced and lifelike insight into<br />

the workings of the vehicle and<br />

its kit,” said Darren Best, Senior<br />

Education Manager at SCAS.<br />

NWAS<br />

<strong>Ambulance</strong> service<br />

to trial body worn<br />

cameras<br />

<strong>Ambulance</strong> crews in the North<br />

West are set to be equipped<br />

with body worn video cameras<br />

in a bid to reduce violence and<br />

aggression against frontline staff.<br />

As part of a national pilot, North<br />

West <strong>Ambulance</strong> Service (NWAS)<br />

will be rolling out the cameras<br />

from 31 March. It will start in areas<br />

that see the highest number of<br />

incidents of abuse against staff.<br />

Central Manchester, East<br />

said: “Our staff work day in, day<br />

out to protect and care for their<br />

patients, they do not deserve to be<br />

subject to abuse and assaults.<br />

“It’s a top priority for us to keep<br />

our staff safe and this is a huge<br />

step towards reducing violence<br />

and aggression against them. Not<br />

only will this aid in prosecutions of<br />

offenders but it is hoped to help<br />

de-escalate situations and avoid<br />

attacks from even taking place”<br />

NWAS has a dedicated violence<br />

and aggression group that has<br />

been set up to proactively target<br />

frequent offenders and work with<br />

the police and partner agencies<br />

to put sanctions in place where<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

unwanted or unsuccessful.<br />

Lancashire and parts of Merseyside<br />

possible.<br />

Do you have anything you would like to add or include in Newsline? Please contact us and let us know.<br />



LAS<br />

Duke and Duchess<br />

of Cambridge visit<br />

ambulance station<br />

to meet teams<br />

supporting each<br />

other through COVID<br />

pandemic<br />

Midlands Air <strong>Ambulance</strong> Charity,<br />

the organisation is developing a<br />

purpose-built airbase and charity<br />

headquarters in the Shropshire<br />

area, which will benefit patients<br />

across the whole of the<br />

Midlands.<br />

The robust plans were approved<br />

by Shropshire Council late January,<br />

the charity’s Board of Trustees<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

The Duke and Duchess of<br />

Cambridge visited Newham<br />

<strong>Ambulance</strong> Station in East<br />

London to speak to ambulance<br />

staff and paramedics about their<br />

experiences of working during<br />

one of the most challenging<br />

periods in the London<br />

<strong>Ambulance</strong> Service’s history.<br />

London <strong>Ambulance</strong> Service NHS<br />

Trust Chair Heather Lawrence<br />

OBE welcomed the couple along<br />

with Deputy Chief Executive<br />

Khadir Meer.<br />

Heather Lawrence OBE said:<br />

“It is very much appreciated that<br />

Their Royal Highnesses took<br />

time to visit and thank our staff<br />

who have worked throughout the<br />

pandemic often in very stressful<br />

and distressing circumstances.”<br />

Khadir Meer said:<br />

“Our Service has had to work<br />

harder than ever over the past<br />

year to care for London. It’s vital<br />

and extremely rewarding work,<br />

but it can take a toll and even the<br />

most resilient of us need support<br />

at times like these.<br />

“Looking after our people is<br />

essential to continue to care for<br />

Londoners. This is why we are<br />

trying to do everything we can to<br />

support the physical and mental<br />

health of our teams working under<br />

such pressure.”<br />

Covering the boroughs of<br />

Newham and Waltham Forest,<br />

Newham Station forms part of the<br />

second busiest station group in<br />

the London <strong>Ambulance</strong> Service<br />

having attended over 76,500<br />

calls over the past year. During<br />

the visit, The Duke and Duchess<br />

joined paramedic Jahrin Khan in<br />

the Station’s Wellbeing Garden<br />

to hear how she has coped with<br />

the pressures of responding to<br />

the COVID-19 pandemic, and<br />

including impact of having to<br />

isolate from her family.<br />

Their Royal Highnesses also<br />

heard more about the mental<br />

health and wellbeing support<br />

provided to staff at the Station,<br />

including drop-in sessions and<br />

wellbeing spaces, alongside<br />

some of the wider initiatives<br />

provided by the London<br />

<strong>Ambulance</strong> Service including their<br />

fleet of Wellbeing Tea Trucks.<br />

Launched in February 2020, the<br />

tea trucks travel to hospitals and<br />

control centres across the capital<br />

each day, serving hot drinks and<br />

snacks to ambulance staff and<br />

volunteers and offering them<br />

the chance to take a moment to<br />

pause and refresh. The trucks<br />

also allow staff who are currently<br />

unable to work in patient-facing<br />

roles the opportunity to give back<br />

to their frontline colleagues. At the<br />

Station, The Duke and Duchess<br />

met paramedic Shani Smith who<br />

has been helping to run one of<br />

the trucks over the past year,<br />

and heard how she has used her<br />

mental health training to provide<br />

peer support to her colleagues.<br />

The London <strong>Ambulance</strong> Service<br />

has received £100,000 of funding<br />

from NHS Charities Together, of<br />

which Their Royal Highnesses<br />

are joint Patrons, to enable them<br />

to continue to run the trucks and<br />

expand their provision in order<br />

to meet the needs of crew and<br />

volunteers during this challenging<br />

time. The funding has also been<br />

used to create isolation packs and<br />

food for staff across LAS sites.<br />

The Duke of Cambridge is<br />

committed to supporting the<br />

mental health and wellbeing of the<br />

emergency services community,<br />

having witnessed first-hand<br />

the challenges that emergency<br />

responders face on a daily basis<br />

during his roles as both an Air<br />

<strong>Ambulance</strong> and RAF Search and<br />

Rescue pilot.<br />

Over the last year, The Duke<br />

and Duchess and The Royal<br />

Foundation have worked to<br />

support those working on<br />

the frontline of the pandemic,<br />

including through the provision<br />

of grants to ten leading charities<br />

at the heart of mental health and<br />

frontline support as part of a<br />

bespoke COVID relief fund.<br />

Midlands Air<br />

<strong>Ambulance</strong> Charity’s<br />

plans to futureproof<br />

advanced prehospital<br />

care<br />

To help futureproof the advanced<br />

pre-hospital service operated by<br />

gave final approval of the plans in<br />

February and work is expected to<br />

start on site this spring.<br />

Midlands Air <strong>Ambulance</strong> Charity<br />

joins the growing number of air<br />

ambulance organisations who<br />

have identified the needed to<br />

develop a purpose-built facility<br />

in order to ensure clinical and<br />

non-clinical working environments<br />

are futureproofed, with<br />

approximately 50 per cent of the<br />

21 organisations undertaking a<br />

similar vital capital project.<br />

The charity’s new airbase and<br />

headquarters will help to address<br />

a number of challenges facing<br />

the service. These include<br />

the annual rising demand for<br />

advanced patient care on scene,<br />

the increased complexity of<br />

patient needs requiring specialist<br />

skills, medicines and equipment,<br />

and the fact there is insufficient<br />

training facilities for the critical<br />

care paramedics and pre-hospital<br />

emergency medicine doctors at<br />

the current facilities.<br />

In order to face these challenges<br />

head on and ensure the service<br />

is futureproofed for decades to<br />

come, as part of the build project,<br />

Midlands Air <strong>Ambulance</strong> Charity<br />

will create a state-of-the-art<br />

clinical training simulation suite.<br />

Hanna Sebright, chief executive<br />

for Midlands Air <strong>Ambulance</strong><br />

Charity, states: “Over our 30-year<br />

history, our charity has been<br />

driven by a commitment to<br />

continuously improve advanced<br />

pre-hospital patient care across<br />

the Midlands.<br />

50<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


“We consider our new airbase and<br />

charity headquarters to be a vital<br />

development for the whole of the<br />

region. The new facility, located in<br />

Cosford, Shropshire, will feature<br />

clinical training facilities, which<br />

are fundamental to delivering the<br />

advanced training programmes<br />

required for our clinicians. This will<br />

ensure the critical care team are<br />

equipped to treat the increasingly<br />

complex patient cases and will<br />

enhance our daily lifesaving service.”<br />

A report by planning officer, Richard<br />

Fortune at Shropshire Council, who<br />

supported the plans says: “There<br />

is substantial public benefit from<br />

the provision of this service and the<br />

case presented amounts to very<br />

special circumstances sufficient to<br />

justify this proposal.”<br />

Midlands Air <strong>Ambulance</strong> Charity<br />

has been working with architects,<br />

Box Developments to design<br />

the facility, and planning and<br />

development consultancy Turley<br />

to secure planning permission<br />

from Shropshire Council. Initial<br />

groundwork will start on site this<br />

spring, and the site is expected<br />

to be completed late 2022. The<br />

new facility will complement the<br />

charity’s existing air ambulanceled<br />

service across the six<br />

Midlands counties.<br />

Initial funding for the new<br />

development has been<br />

facilitated via major grants<br />

from organisations such as the<br />

Department for Health and Social<br />

Care and the HELP Appeal.<br />

In addition, the charity will use<br />

a proportion of its modest<br />

reserves and undertake specific<br />

fundraising campaigns for areas<br />

of the new airbase, including the<br />

clinical simulation training suite,<br />

memory garden and community<br />

education zone.<br />

For more information on<br />

Midlands Air <strong>Ambulance</strong> Charity<br />

and the plans can be found at<br />

midlandsairambulance.com/<br />

airbaseheadquarters and follow<br />

the organisation on social media.<br />

SCAS<br />

<strong>Ambulance</strong> service<br />

first to supply<br />

Covid-19 patients<br />

with home oxygen<br />

monitoring kits to<br />

spot deterioration<br />

Paramedics at South Central<br />

<strong>Ambulance</strong> Service (SCAS) have<br />

become the first in the country<br />

to supply Covid-19 patients with<br />

home oxygen monitoring kits<br />

if they don’t require immediate<br />

admission to hospital but are at<br />

higher risk of complications.<br />

The initiative, which began in<br />

Hampshire but is now running<br />

across the Thames Valley region,<br />

will ensure patients who have mild<br />

symptoms but have other risk<br />

factors, such as age over 65 years,<br />

cancer or other health conditions,<br />

can monitor their oxygen levels<br />

and know when to seek help.<br />

The packs contain a pulse<br />

oximeter device, a symptom diary<br />

and a set of strict guidelines and<br />

are only distributed to patients who<br />

require emergency assessment by<br />

the ambulance service.<br />

The development follows recent<br />

research by clinicians at SCAS<br />

which identified that just a slight<br />

drop in blood oxygen levels - but<br />

within the normal range - could be<br />

an early important warning sign of<br />

deterioration in patients before the<br />

onset of breathlessness.<br />

In most cases of bacteria and<br />

non-Covid pneumonia, shortness<br />

of breath appears relatively early<br />

in the disease and ahead of any<br />

significant drop in oxygen levels,<br />

known as hypoxia.<br />

However, with Covid-19, a drop<br />

in oxygen levels often comes<br />

first, which is referred to as “silent<br />

hypoxia”, and patients can be<br />

significantly unwell by the time<br />

they become breathless.<br />

The team, which included SCAS<br />

Medical Director Dr John Black<br />

and Divisional Medical Director<br />

Professor Charles Deakin, studied<br />

almost 20,000 patients who called<br />

for an ambulance between March<br />

1 and July 31 last year.<br />

They then analysed the oxygen<br />

levels of 1,080 confirmed Covid<br />

positive patients at the point<br />

they were initially assessed by<br />

paramedics at home.<br />

Patients whose blood oxygen<br />

levels dropped only 1% to 2%<br />

below 96% - still within the normal<br />

range of 94% to 98% - and<br />

showed no signs of shortness of<br />

breath often went on to require<br />

admission to intensive care and<br />

had a lower chance of survival.<br />

Following the study, which was<br />

led by Dr Matthew Inada-Kim,<br />

a Consultant in General and<br />

Acute Medicine at Hampshire<br />

Hospitals NHS Foundation Trust<br />

and published as a pre-print via<br />

medRxiv, NHS England launched<br />

a nationwide rollout of its COVID<br />

Oximetry @home initiative.<br />

The project involves supplying<br />

home pulse oximetry kits to<br />

people who test positive and are<br />

at higher risk of complications,<br />

such as those with health<br />

conditions and the over 65s,<br />

with around 300,000 supplied to<br />

patients across the country so far<br />

by local health systems.<br />

The oximeters work by placing<br />

a clip on the end of a finger to<br />

measure oxygen in the blood and<br />

heart rate and, if oxygen levels<br />

drop to 94% or 93%, patients are<br />

asked to call their GP or NHS 111<br />

– or 999 if it falls to 92% or less.<br />

“Our original research helped<br />

to inform the wider rollout of the<br />

COVID Oximetry @home project<br />

to enable patients in high-risk<br />

groups to monitor their blood<br />

oxygen levels directly and help<br />

ensure timely referral to hospital<br />

when indicated,” said Dr Black.<br />

“We are now pleased to be the<br />

first ambulance service to offer<br />

pulse oximeters to patients along<br />

with guidance once we have<br />

assessed them and determined<br />

they don’t need to be taken to<br />

hospital but are at increased risk<br />

of their condition changing.<br />

“It provides patients with the<br />

reassurance that they can keep<br />

regular check on their oxygen<br />

levels independently and seek<br />

the help they need if their levels<br />

drop below 95%, while for us it<br />

means our clinicians can leave<br />

patients knowing they have<br />

the ability to spot any change<br />

promptly and take swift action.”<br />

Dr Inada-Kim, who is also<br />

the National Clinical Lead for<br />

Deterioration at NHS England,<br />

said: “SCAS has produced<br />

groundbreaking research that<br />

has informed national policy and<br />

led to the evolution of the COVID<br />

home oximetry model and its<br />

staff are again leading the way<br />

with this new project to help<br />

identify patients at risk as early<br />

as possible.”<br />

An additional tab is being<br />

added to paramedics’ electronic<br />

patient record devices to allow<br />

them to record the provision of<br />

a pulse oximeter to help with<br />

a retrospective review of the<br />

effectiveness of the initiative.<br />

Dr Black added: “It is hoped that<br />

prompt identification of hypoxia<br />

through home oximetry will lead<br />

to earlier admission to hospital<br />

for patients who subsequently<br />

deteriorate. This has the potential<br />

to improve the clinical outcomes<br />

of Covid-19 patients who<br />

develop complications.”<br />

If a patient does not suffer any<br />

further complications and makes<br />

a recovery at home they are<br />

asked to return the device after<br />

14 days to their own GP Surgery<br />

or to their local COVID Oximetry<br />

@home service.<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

For the latest <strong>Ambulance</strong> Service News visit: www.ambulancenewsdesk.com<br />



AMBULANCE <strong>UK</strong> - APRIL<br />

More than 1 in 3<br />

ambulance workers<br />

has contracted covid,<br />

new GMB poll says<br />

Almost a third of all NHS staff<br />

have had virus, health workers<br />

desperately need gold standard<br />

PPE, says GMB Union<br />

More than one in three ambulance<br />

workers has had covid-19 according<br />

to a new poll by GMB Union.<br />

In the survey of more than 1,600<br />

ambulance workers across the<br />

country, 37% of them have had<br />

coronavirus – with a massive 84%<br />

of them saying they caught it<br />

while on the job. [1]<br />

Almost 30% of ambulance<br />

workers who had covid said their<br />

symptoms were ‘really bad’ or<br />

‘required medical attention’.<br />

Across the whole NHS, 30% said<br />

they had caught the virus with<br />

almost 60% saying they passed it<br />

to a family member.<br />

GMB is clear that poor PPE is to<br />

blame, and the union is calling on<br />

the Government and Public Health<br />

England to urgently review PPE<br />

guidance for health workers.<br />

<strong>Ambulance</strong> workers report<br />

having to attend patients with<br />

flimsy gowns instead of proper<br />

PPE, nurses in hospitals working<br />

amongst Covid-19 patients say<br />

they are given only the most basic<br />

of surgical masks, while hospital<br />

trusts are not isolating and testing<br />

patients efficiently.<br />

Rachel Harrison, GMB National<br />

Officer, said:<br />

“Our health workers are dropping<br />

like flies – yet the Government<br />

and Public Health England still<br />

won’t give them proper, FFP 3<br />

protection.<br />

“This is a year into the pandemic -<br />

it’s a disgrace.<br />

“Our paramedics, technicians and<br />

practitioners are expected to treat<br />

suspected coronavirus patients<br />

with nothing but a flimsy mask<br />

and a plastic apron.<br />

“GMB has called for guidance to<br />

be reviewed since the start of the<br />

pandemic and unless ministers<br />

sit up and take notice, our health<br />

service will be overwhelmed.”<br />

References<br />

[1] GMB surveyed 3506 NHS<br />

workers across England and<br />

Wales, of whom 1616 were<br />

ambulance workers.<br />

The Prince of Wales<br />

sends video message<br />

to ambulance<br />

workers<br />

The Prince of Wales has recorded<br />

a video message (www.youtube.<br />

com/watch?v=8Snn56IWURU)<br />

to thank <strong>UK</strong> ambulance workers<br />

for their “tireless and selfless”<br />

service during the Covid-19<br />

pandemic.<br />

In the message, His Royal<br />

Highness pays tribute to the “sheer<br />

professionalism and commitment<br />

to duty” shown by ambulance<br />

colleagues over the past year.<br />

He says: “Every working day, you<br />

are, of course, used to dealing<br />

with life-threatening emergencies,<br />

and doing so with a dedication to<br />

the welfare of others that is in the<br />

finest traditions of our National<br />

Health Service.<br />

“However, during this most dreadful<br />

pandemic, you have surpassed<br />

yourselves in facing a previously<br />

unimaginable level of demand,<br />

day after day, week after week,<br />

month after month. The toll on<br />

your reserves of inner strength and<br />

endurance must, in consequence,<br />

often be almost unbearable.”<br />

The Prince says it is “truly<br />

inspiring” to hear of the<br />

willingness of ambulance<br />

colleagues to “go the extra mile -<br />

quite literally - in every emergency<br />

in order to save lives, to relieve<br />

pain and suffering” and provide<br />

“the human comfort that is so vital<br />

at such a time”.<br />

He speaks of the “personal risks”,<br />

“endless challenges” and “huge<br />

pressures” faced by ambulance<br />

colleagues and their families,<br />

and praises the “incalculable<br />

difference” ambulance care<br />

makes to people’s lives.<br />

His Royal Highness says: “You<br />

exemplify everything that is best<br />

about this country, so please<br />

remember that we owe you an<br />

immeasurable debt of gratitude<br />

for all you mean to us in these<br />

hardest of times.”<br />

As well as frontline crews,<br />

The Prince acknowledges<br />

those colleagues whose work<br />

is “less visible” but “no less<br />

vital” including emergency call<br />

handlers, support staff and the<br />

“army of volunteers”.<br />

He adds: “I can only offer what<br />

must seem like hopelessly<br />

inadequate, but nevertheless<br />

most heartfelt thanks, admiration<br />

and respect on behalf of the<br />

countless communities you serve<br />

in such a tremendously inspiring<br />

way up and down the length of<br />

this country.”<br />

NWAS Chief Executive Daren<br />

Mochrie said: “We’re honoured to<br />

have been given the tribute by His<br />

Royal Highness. After what has<br />

been an unrelenting period for our<br />

colleagues, I know this recognition<br />

will mean a lot as they give their<br />

all, not only on the frontline, but in<br />

our whole operation.<br />

I am extremely proud of the<br />

incredible team work that continues<br />

to provide high levels of service to<br />

our patients in their time of need.”<br />

LAS<br />

New apprenticeship<br />

scheme helps<br />

make becoming a<br />

paramedic more<br />

accessible<br />

London <strong>Ambulance</strong> Service<br />

has launched a new paramedic<br />

apprenticeship programme<br />

which hopes to make gaining a<br />

degree in paramedicine more<br />

accessible for staff.<br />

The nationally accredited<br />

programme, which started at<br />

LAS on 22 March, will see 40<br />

existing staff members, including<br />

Emergency <strong>Ambulance</strong> Crew<br />

(EACs) and Emergency Medical<br />

Technicians (EMTs), gain a degree<br />

and eligibility for Heath Care and<br />

Professional Council (HCPC)<br />

registration within two years.<br />

The course, run by the University<br />

of Cumbria, will allow clinicians<br />

who are already working on the<br />

frontline to continue to work while<br />

they progress to degree level and<br />

further develop their emergency<br />

care skills across the capital.<br />

Bernadette Brennan, an<br />

Emergency <strong>Ambulance</strong> Crew<br />

based at Hillingdon who recently<br />

enrolled on the programme, said:<br />

“It’s such a great opportunity to<br />

be able to develop my medical<br />

knowledge and clinical skills while<br />

still working shifts and getting<br />

further frontline experience.<br />

“I’m so excited to be able to<br />

qualify as a paramedic and<br />

continue to care for patients the<br />

best way that I can.”<br />

The apprenticeship is fully funded<br />

and classes will be delivered<br />

remotely by the university with the<br />

support of the ambulance service’s<br />

education team. Apprentices on<br />

this programme will also learn new<br />

skills on the job, working alongside<br />

52<br />

For more news visit: www.ambulanceukonline.com


qualified experienced clinicians<br />

and receiving support from<br />

practice educators.<br />

The university will allow those<br />

enrolled on the programme<br />

access to an abundance of<br />

materials and resources available<br />

to other university students too.<br />

Dr John Martin, Chief Paramedic<br />

and Quality Officer for London<br />

<strong>Ambulance</strong> Service, said:<br />

“This apprenticeship programme<br />

is a great opportunity for staff<br />

who may not have thought<br />

university was an option for them.<br />

By enrolling on this course they<br />

can now become a qualified<br />

paramedic and achieve the same<br />

high standard of training and<br />

education as those who take the<br />

standard degree route.<br />

“We know there is a national<br />

shortage of paramedics, so, by<br />

introducing this new programme<br />

with the university, we hope to<br />

help find an internal solution<br />

to this by developing our own<br />

talented and dedicated staff and<br />

supporting them to progress in<br />

their career.”<br />

The new apprenticeship<br />

programme runs alongside the<br />

already successful Associate<br />

<strong>Ambulance</strong> Practitioner<br />

apprenticeship, which is open to<br />

external applicants and is a route<br />

to becoming an EAC without any<br />

prior medical qualifications.<br />

The ambulance service offers a<br />

multitude of different routes for<br />

external and internal candidates to<br />

take to develop and start a career<br />

in healthcare.<br />

For more information on<br />

the different apprenticeship<br />

opportunities visit the London<br />

<strong>Ambulance</strong> Service website:<br />

www.londonambulance.nhs.<br />

uk/working-for-us/careeropportunities/apprenticeshipopportunities/<br />

NWAS<br />

<strong>Ambulance</strong> service<br />

achieves a world first<br />

in sustainability<br />

The North West <strong>Ambulance</strong><br />

Service is showing it’s leading<br />

the way when it comes to<br />

saving the environment and<br />

promoting sustainability within<br />

the healthcare sector.<br />

The trust received the Bronze<br />

level Carbon Literate Organisation<br />

accreditation, becoming the first<br />

NHS trust to be given this award,<br />

which is a real landmark for the<br />

service’s sustainability team.<br />

The award comes from the<br />

“not for profit” Carbon Literacy<br />

Project, an organisation who look<br />

to educate people about their<br />

own carbon footprint and how<br />

they can take steps to reduce<br />

it, both at home and at work. In<br />

order to achieve the standard<br />

NWAS spent the last 18 months<br />

developing a training programme<br />

specifically for other ambulance<br />

trusts to use “off the shelf” so staff<br />

can learn to take responsibility,<br />

and make a difference in<br />

promoting sustainability within the<br />

organisation.<br />

As well as the training programme<br />

the award also takes account of<br />

the trust’s existing environmental<br />

commitments and future plans. The<br />

bronze accreditation will last for the<br />

next three years, during which time<br />

the sustainability team will work<br />

towards achieving the standards<br />

required for the silver award.<br />

Karen Aguilera, Environmental<br />

Sustainability Officer said: “We’re<br />

incredibly proud to be ahead of<br />

the curve on this. Environmental<br />

targets can be hard to achieve as<br />

an organisation, as they require<br />

commitment and hard work from<br />

everyone from board level down,<br />

and we are very fortunate to have<br />

that at NWAS.<br />

As an organisation we’ve already<br />

declared a climate emergency so<br />

it’s important we follow through<br />

on that statement. The external<br />

accreditation shows we’re taking<br />

meaningful actions towards our<br />

targets and is a validation of our<br />

efforts.”<br />

“We will look to roll-out the<br />

carbon literacy training to our<br />

staff in the spring and other<br />

ambulance trusts are also<br />

looking at the programme for<br />

their staff.”<br />

Carbon Literacy Project<br />

Co-Founder and Director of<br />

Advocacy Phil Korbel said:<br />

“The NWAS Carbon Literacy<br />

course really brings home the<br />

message that we are in a climate<br />

emergency and that the service<br />

has an important role to play in<br />

tackling it. Vitally, it empowers<br />

participants to do their bit too.<br />

“It’s great to see this turn into a<br />

world first and we look forward<br />

to seeing the hard work of NWAS<br />

spread to other ambulance<br />

services in the <strong>UK</strong> and beyond.”<br />

NHS staff targeted<br />

by nearly 140,000<br />

malicious emails last<br />

year<br />

Cyber criminals bombarded<br />

NHS staffers with a total of<br />

137,476 malicious emails<br />

last year, according to official<br />

figures from NHS Digital, the<br />

national provider of information,<br />

data, and IT systems for the<br />

health service.<br />

The data, obtained under the<br />

Freedom of Information (FOI)<br />

Act by the Parliament Street<br />

think tank, revealed that doctors,<br />

nurses and admin staff reported<br />

27,958 suspected phishing<br />

emails targeted the NHSmail<br />

email service, designed to lure<br />

the recipient into handing over<br />

confidential data. Additionally,<br />

health workers reported 109,491<br />

suspected spam emails<br />

throughout the year.<br />

The data shows that January<br />

2020 was the highest month for<br />

reported attacks, with 29,355 in<br />

total, made up on 4,895 phishing<br />

attempts and 24,460 spam<br />

reports. The next highest month<br />

was the peak of <strong>UK</strong> lockdown<br />

restrictions in response to the<br />

Covid-19 pandemic, with 28,855<br />

malicious emails reported, made<br />

up of 5,749 phishing attacks, and<br />

23,106 spam reports.<br />

Interestingly, the period from<br />

<strong>April</strong> to December saw a<br />

steady decline in the number of<br />

suspicious emails reported to<br />

NHS Digital, decreasing from<br />

11,068 in <strong>April</strong>, down to a yearlylow<br />

of 4,382 in December.<br />

Despite these lower figures, in<br />

June 2020 NHS Digital revealed<br />

that more than a hundred NHSmail<br />

mailboxes had been compromised,<br />

and were sending malicious emails<br />

to external recipients.<br />

Chris Ross, SVP, International at<br />

Barracuda Networks comments:<br />

“These figures are a reminder<br />

that when it comes to stealing<br />

confidential data and wreaking<br />

havoc, cyber criminals still<br />

consider our health service to be<br />

fair game. Unfortunately, these<br />

scam emails are often incredibly<br />

realistic, lulling the victim into a<br />

false sense of security to hand<br />

over passwords, patient records,<br />

and sensitive information by<br />

impersonating legitimate brands<br />

and even fellow employees.<br />

“With the global pandemic putting<br />

a huge strain hardworking doctors,<br />

nurses, and clinical staff, it’s<br />

absolutely vital that email systems<br />

are properly protected from<br />

outsider threats, to block malicious<br />

emails before they reach the inbox.<br />

It is equally important for Trusts<br />

to issue the necessary guidance<br />

about the risks associated with<br />

phishing attacks, so that staff are<br />

aware of the techniques associated<br />

used and can think twice before<br />

handing over important information<br />

to suspicious third parties.”<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

Do you have anything you would like to add or include in Newsline? Please contact us and let us know.<br />



A Message from<br />

Steve Evans MBE<br />

I thought I would tell you how<br />

lockdown made a massive<br />

difference to my saving lives.<br />

Before the first lockdown I had<br />

agreed, as a favour to a couple<br />

of my ex-students, I would visit<br />

them and give a presentation on<br />

basic ECGs based on my book,<br />

one was in Leeds, the other in<br />

Wigan, this would reach about<br />

30 <strong>Ambulance</strong> Staff/Student<br />

Paramedics each time.<br />

Then came lockdown, now we<br />

have to put into the equation I am<br />

65 years old and retired over four<br />

years ago!<br />

One of the group suggested<br />

that I do a webinar on zoom and<br />

record it so those not present<br />

could benefit - I had never done<br />

this before, then someone said<br />

why not open a Youtube Channel<br />

making it easier to share, I<br />

thought ‘really...what at my age?’.<br />

Well I did and in the first month<br />

I had 1.4k views, then I gave a<br />

presentation on CPDme, 2500<br />

attended on the night of which<br />

500+downloaded my book there<br />

and then, in the first week it had<br />

another 1000+views.<br />

So going from sharing to sixty<br />

ambulance staff on to sharing with<br />

thousands worldwide just blows<br />

me away!<br />

I have now agreed to give my<br />

talk at the EMS<strong>UK</strong> Conference in<br />

October.<br />

I now have my own life saving<br />

website -<br />

www.steveevans-mbe.co.uk<br />

And of course people can see my<br />

presentation on<br />

www.ambulanceukonline.com<br />

Steve Evans MBE<br />

Retired Paramedic Training<br />

Manager ex NWAS.<br />

Scholarship<br />

for exceptional<br />

nurse studying<br />

with London’s Air<br />

<strong>Ambulance</strong> Charity<br />

Ahead of International Women’s<br />

Day <strong>2021</strong> on Monday 8th March,<br />

London’s Air <strong>Ambulance</strong> Charity<br />

celebrated the achievements<br />

of Mariana Campilho, a nurse<br />

undertaking the Masters degree<br />

in Pre-Hospital Medicine.<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

Mariana, who lives in East London,<br />

has been granted a prestigious<br />

award through The Company of<br />

Nurses Scholarship Programme<br />

to assist with her studies on the<br />

Masters (MSc) degree run by<br />

the Institute of Pre-Hospital Care<br />

(IoPHC), a department within<br />

with London’s Air <strong>Ambulance</strong><br />

Charity. The course is delivered<br />

in partnership with Barts & The<br />

London School of Medicine<br />

& Dentistry and Queen Mary<br />

University of London (QMUL).<br />

The scholarship recognises<br />

the outstanding contribution<br />

Mariana has made to the nursing<br />

profession and represents an<br />

investment in the future of patient<br />

care, as she embarks on the<br />

three-year course.<br />

54<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


Mariana Campilho said:<br />

“I applied for The Company of<br />

Nurses Scholarship as I wanted<br />

the opportunity of being able to<br />

study in an area that I am truly<br />

passionate about, and to be one<br />

of the first nurses doing so made<br />

it even more special.<br />

“I was delighted and felt it<br />

an enormous privilege to be<br />

awarded the Scholarship,<br />

especially as I am aware of<br />

the high standard of the other<br />

applicants.<br />

“I am looking forward to being<br />

able to study along different<br />

professionals all equally<br />

dedicated to the area of<br />

prehospital care and to be able<br />

to learn from different experts in<br />

the field.”<br />

Mariana began the MSc course<br />

in January <strong>2021</strong>, the first cohort<br />

to include nurses, and she<br />

also works as a Nurse in the<br />

Emergency Department at The<br />

Royal London Hospital. Before<br />

this Mariana completed a<br />

secondment with the Physician<br />

Response Unit (PRU), a<br />

community emergency medicine<br />

service which attends emergency<br />

calls in people’s homes. The PRU<br />

is a joint collaboration between<br />

London’s Air <strong>Ambulance</strong>, the<br />

London <strong>Ambulance</strong> Service (LAS)<br />

and Barts Health NHS Trust. The<br />

PRU responds to 999 calls, taking<br />

the Emergency Department to<br />

the patient, and reduces risks for<br />

vulnerable patients by helping<br />

them avoid a trip to hospital.<br />

Brenda Griffiths, Chair of the<br />

Company of Nurses Charitable<br />

Trust said:<br />

“The Trustees are delighted to<br />

be able to support London’s<br />

Air <strong>Ambulance</strong> and this MSc<br />

programme with a Company of<br />

Nurses Scholarship. Emergency<br />

out of hospital care is critical,<br />

specialist and complex.<br />

“We know that Mariana and those<br />

in her care will benefit greatly and<br />

look forward to hearing all about it<br />

as the course progresses “.<br />

The Company of Nurses, which<br />

aims to raise standards of nursing<br />

care, encourage health and<br />

wellbeing, and save lives, has<br />

offered the scholarship through<br />

it’s Ann Campbell RBNA Memorial<br />

Fund which supports a student<br />

with the payment of their tuition<br />

fees for the MSc in Pre-Hospital<br />

Medicine over the next three<br />

years.<br />

The part-time MSc in Pre-Hospital<br />

Medicine was launched in 2019<br />

through the Charity’s IoPHC<br />

and is specifically for doctors,<br />

paramedics and nurses who<br />

practice in emergency settings,<br />

particularly in pre-hospital<br />

medicine, and who wish to<br />

become better practitioners in<br />

their roles.<br />

Now recruiting for its third year,<br />

the MSc is a practice-based<br />

course taught in face to face<br />

‘teaching pods’, helping to nurture<br />

and develop talent and continue<br />

leading the way in pre-hospital<br />

emergency medicine education.<br />

No Duff <strong>UK</strong> – The<br />

small company<br />

making a big noise in<br />

the charity world<br />

By Dave Leigh.<br />

No Duff <strong>UK</strong> is a Not for Profit<br />

Community Interest Company<br />

based in the North West <strong>UK</strong><br />

but with contacts and members<br />

all over the country. They<br />

provide help and support to<br />

serving and former members<br />

of the NHS, HM Forces, Police,<br />

Emergency Services, Prison<br />

Service and Animal Welfare.<br />

They are unique because they<br />

do not differentiate between<br />

the Services but take the view<br />

that if you have served the<br />

Country or the Community<br />

you are part of one big family.<br />

Tragically, suicides from both<br />

serving and former members<br />

of these organisations are on<br />

the rise and No Duff <strong>UK</strong>’s aim<br />

is to try and prevent this.<br />

There is often limited help<br />

on offer from within those<br />

organisations when serving and<br />

virtually none when retired.<br />

No Duff <strong>UK</strong> are also great<br />

believers in the phrase “ You<br />

don’t heal in the place where you<br />

got sick”.<br />

What does ‘No Duff’ mean? No<br />

Duff is a military term meaning<br />

“This is not a drill” which<br />

captures exactly the mind-set of<br />

the company when it comes to<br />

Mental Health.<br />

No Duff <strong>UK</strong> was founded in 2019<br />

by CEO Dean Owen. Dean has<br />

served in the Military, Prison<br />

Service, Police and RSPCA.<br />

He was medically retired from<br />

the Police with PTSD after a<br />

serious injury on duty. In 2020<br />

he realised that this was too<br />

big a job for one person and<br />

approached the other Directors<br />

to help out, bringing in a<br />

broad spectrum of service and<br />

experience from all the services.<br />

What did No Duff <strong>UK</strong> achieve<br />

in 2020?<br />

They have a private peer support<br />

group on Facebook over 1,000<br />

strong which is a designated<br />

‘safe place’ to seek help and<br />

support, and even have a bit of a<br />

rant if needed.<br />

They’ve also expanded onto<br />

Twitter where they have 1200<br />

followers.<br />

They have helped 31 members<br />

get into therapy.<br />

They have a contract with a<br />

North West Police Force to<br />

provide therapy to their staff.<br />

They have prevented 4 suicides.<br />

They have assisted a Veteran<br />

who was stuck in Europe, without<br />

funds, to get back home.<br />

They have assisted at least<br />

4 Veterans into full time<br />

employment.<br />

They have established a successful<br />

health and fitness group on<br />

Facebook, as physical health goes<br />

hand in hand with mental health,<br />

that has over 500 members.<br />

What are their plans for <strong>2021</strong>?<br />

In <strong>2021</strong> No Duff <strong>UK</strong> hope to<br />

establish a Headquarters in the<br />

North West of England that will<br />

house treatment and therapy<br />

rooms, conference facilities and<br />

classroom facilities and a fitness<br />

suite.<br />

They also hope to establish a<br />

Community Garden Project as<br />

gardening has also been shown<br />

to help people with their Mental<br />

Health.<br />

It is also their intention to establish<br />

a support group for family<br />

members of serving or former<br />

members of the services.<br />

They may be small now but are<br />

ambitious enough to say that they<br />

intend to expand to cover the<br />

whole of the country.<br />

No Duff <strong>UK</strong> is funded exclusively<br />

by donations, whatever funding<br />

grants they are successful with<br />

and by fundraising events, which<br />

has had to take a back seat due<br />

to Covid restrictions.<br />

No Duff <strong>UK</strong> can be found at :-<br />

www.no-duff.com<br />

https://www.instagram.com/<br />

noduffuk/<br />

https://mobile.twitter.com/<br />

noduff1<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

For the latest <strong>Ambulance</strong> Service News visit: www.ambulancenewsdesk.com<br />



LAS<br />

London <strong>Ambulance</strong><br />

Service supports<br />

National Day of<br />

Reflection<br />

Colleagues at London<br />

<strong>Ambulance</strong> Service joined a<br />

national minute’s silence on<br />

Tuesday 23 March <strong>2021</strong> to<br />

remember those who died<br />

during the pandemic and show<br />

support for the bereaved.<br />

Staff and volunteers remembered<br />

colleagues lost to COVID-19, as<br />

well as those who died across the<br />

NHS, the <strong>UK</strong> and the world, as<br />

part of a national day of reflection.<br />

The event, spearheaded by<br />

end-of-life charity Marie Curie,<br />

falls on the anniversary of the<br />

<strong>UK</strong> going into the first national<br />

lockdown. The charity estimates<br />

around three million people in the<br />

<strong>UK</strong> have been bereaved since<br />

the pandemic began – today is a<br />

moment to grieve and celebrate<br />

the lives of those lost.<br />

Chief Executive Garrett Emmerson<br />

said:<br />

“This last year has had a terrible<br />

toll on London and the country<br />

as a whole, and it is important<br />

to pause for a moment of quiet<br />

reflection.<br />

“Today we remember London<br />

<strong>Ambulance</strong> Service, NHS and<br />

care colleagues who lost their<br />

lives to the virus and acknowledge<br />

the incredible efforts and<br />

sacrifices made by staff and<br />

volunteers to care for patients in<br />

the darkest days of the pandemic.<br />

“We also stand in support of<br />

families of those who died and<br />

offer our condolences to all those<br />

who are grieving.”<br />

At the peak of the pandemic our<br />

call handlers were answering twice<br />

as many 999 and three times as<br />

many 111 calls a day from people<br />

needing help across London.<br />

London <strong>Ambulance</strong> Service<br />

established a Wellbeing Hub<br />

in response to the pandemic<br />

which provides a single point of<br />

access to all the new services<br />

and initiatives designed to<br />

support the mental and physical<br />

health of staff and volunteers.<br />

Resources include access to<br />

counselling, wellbeing workshops<br />

and seminars and expanded peer<br />

support networks.<br />

The Service is also offering<br />

practical support such as testing<br />

and vaccination programmes,<br />

financial advice, refreshments<br />

including packs for those<br />

isolating, and rostering that allows<br />

people to take much-needed<br />

annual leave as operational<br />

pressures ease.<br />

Katy Crichton, Head of Wellbeing<br />

at London <strong>Ambulance</strong> Service,<br />

said:<br />

“This past year has been incredibly<br />

traumatic for the whole country.<br />

Our staff and volunteers have had<br />

to help more people than at any<br />

time in our history, whilst, in many<br />

cases, sadly having to deal with<br />

the loss of their own relatives,<br />

friends and colleagues.<br />

“Reflection is a vital part of the<br />

grieving process. That’s why<br />

we are marking today and why<br />

London <strong>Ambulance</strong> Service<br />

is working round the clock to<br />

provide emotional and practical<br />

support to teams so they can<br />

continue to care for London.”<br />

The National Day of Reflection<br />

was developed by end of life<br />

charity Marie Curie and aims<br />

to give the nation a moment to<br />

remember, grieve and celebrate<br />

everyone who has died during<br />

this time and show support for our<br />

families, friends and colleagues<br />

who are grieving.<br />

Marie Curie Chief Executive<br />

Matthew Reed said:<br />

“We need to mark the huge<br />

amount of loss we’ve seen<br />

this year and show support for<br />

everyone who has been bereaved<br />

in the most challenging of<br />

circumstances.<br />

“We cannot simply stand by<br />

and not recognise the effects<br />

the pandemic has had on the<br />

bereaved. We know people are<br />

in shock, confused, upset, angry<br />

and unable to process what has<br />

happened.”<br />

London <strong>Ambulance</strong> Service is<br />

building a permanent memorial<br />

garden at its headquarters in<br />

Waterloo to remember all those<br />

who have died during their service.<br />

SCAS<br />

South Central<br />

<strong>Ambulance</strong> Charity<br />

receives £410k<br />

funding boost to<br />

deliver pioneering<br />

training programmes<br />

South Central <strong>Ambulance</strong><br />

Charity has been allocated<br />

£410k by NHS Charities<br />

Together to help support<br />

a number of innovative<br />

projects across South Central<br />

<strong>Ambulance</strong> Service (SCAS).<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

These include pioneering training<br />

programmes for Community<br />

First Responders (CFRs) and<br />

care home staff, as well as<br />

17 new LUCAS 3 mechanical<br />

cardiopulmonary resuscitation<br />

(CPR) devices.<br />

The funding forms part of a<br />

wider £7 million investment<br />

by NHS Charities Together in<br />

ambulance services across the<br />

<strong>UK</strong> announced today.<br />

It means South Central<br />

<strong>Ambulance</strong> Charity can embark<br />

56<br />

For more news visit: www.ambulanceukonline.com


on a project that will see SCAS training programme, six-monthly<br />

become the first ambulance trust refresher programme and commit<br />

in the <strong>UK</strong> to train an enhanced to at least 20 hours a month,<br />

group of CFRs to perform<br />

usually covering a five-mile radius<br />

diagnostic tests including<br />

from their home or workplace.<br />

electrocardiograms (ECGs) and<br />

urinalysis to support accurate and These additional skills will enable<br />

early diagnosis.<br />

enhanced CFRs to provide more<br />

detailed information on patients’<br />

CFRs are members of the public conditions earlier and help<br />

trained to support the ambulance SCAS clinicians decide on the<br />

service primarily by responding most appropriate care pathway<br />

to medical emergencies and for them, whether in hospital<br />

sometimes providing lifesaving or onward referral within the<br />

first aid to patients before<br />

community.<br />

paramedics arrive.<br />

In addition to this project, the<br />

They also assist with ongoing funding will enable SCAS to<br />

patient care at the scene<br />

provide support, training and<br />

and attend more than 30,000 equipment for care home staff<br />

incidents every year. They are to enable them to better assess<br />

funded solely by South Central when an ambulance response<br />

<strong>Ambulance</strong> Charity, which<br />

may be required.<br />

provides equipment, training and<br />

is responsible for the vehicle fleet. LUCAS CPR devices deliver<br />

continuous, safe and effective<br />

There are currently more than chest compressions which<br />

1,200 CFRs and Co-Responders maintain blood circulation at a<br />

– these are members of the fire regular level while freeing up<br />

service, police, coastguard and paramedics to focus on other<br />

military who volunteer in their critical aspects of care while<br />

spare time – at SCAS covering a patient is transferred in an<br />

Berkshire, Buckinghamshire, ambulance. The purchase of the<br />

Hampshire and Oxfordshire. new LUCAS 3 models will mean<br />

the Trust can upgrade from its<br />

They undertake an initial five-day current LUCAS 2 equipment.<br />

Community First Responders with lifting cushions<br />

Vanessa Casey, Chief Executive of South Central <strong>Ambulance</strong> Charity<br />

South Central <strong>Ambulance</strong> Charity exciting developments across<br />

will also use the cash injection SCAS including our pioneering<br />

to provide emergency lifting projects to train an enhanced<br />

cushions to CFRs to enable group of CFRs to carry out<br />

early assistance to patients who additional diagnostic tests and<br />

have experienced non-injury falls to support, train and equip care<br />

and support the implementation home staff to respond to the<br />

of GoodSAM, an app which health needs of their residents so<br />

automatically triggers alerts to they can better understand when<br />

nearby cardiac arrests to whoever an ambulance response would be<br />

is signed on.<br />

required.”<br />

This means they can attend and Dr John Black, Medical Director<br />

provide immediate life support at SCAS, said: “We are extremely<br />

while an ambulance is en route pleased to benefit from this<br />

and the app identifies the location generous national funding as it<br />

of the nearest defibrillator.<br />

will enable us to further develop a<br />

The funds will also support number of areas of work across<br />

widespread training in out-ofhospital<br />

cardiac arrest.<br />

and ensure our CFRs are among<br />

SCAS to enhance patient care<br />

the most advanced in the country.<br />

“We are delighted to have<br />

secured this grant for the charity “It will also help with the addition<br />

which has been awarded thanks of more advanced LUCAS 3<br />

to the exceptional support from devices which can provide high<br />

the public and NHS Charities quality chest compressions to<br />

Together. It will enable us to patients in need of prolonged<br />

increase the support we are resuscitation while freeing up<br />

able to give to our CFRs through paramedics to carry out other<br />

life-saving equipment and<br />

essential patient care during a<br />

further training to develop the transfer to hospital.”<br />

programme, as well as supporting<br />

our staff with important equipment Ellie Orton, Chief Executive of<br />

such as LUCAS devices,” said NHS Charities Together, added:<br />

Vanessa Casey, Chief Executive of “At this time of immense challenge<br />

South Central <strong>Ambulance</strong> Charity. for the NHS we are delighted that<br />

we can make a real difference<br />

Nicola Dunbar, Head of<br />

and ultimately help save lives by<br />

Community Engagement and funding amazing CFR volunteers<br />

Training at SCAS, said: “These and additional support for South<br />

funds will go towards some really Central <strong>Ambulance</strong> Service.”<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

Do you have anything you would like to add or include in Newsline? Please contact us and let us know.<br />



EEAST<br />

East of England<br />

<strong>Ambulance</strong> staff<br />

members team up to<br />

take on the world’s<br />

fastest zipline to<br />

raise money for The<br />

<strong>Ambulance</strong> Staff<br />

Charity (TASC)<br />

Ben Hawkins and Chloe<br />

Spencer from the East of<br />

England <strong>Ambulance</strong> Service<br />

have joined forces to battle<br />

their own fear of heights and<br />

raise vital funds for the national<br />

charity dedicated to supporting<br />

the <strong>UK</strong>’s ambulance community.<br />

On the 17th July <strong>2021</strong>, Ben, an<br />

Emergency Dispatcher from<br />

Peterborough, and Chloe, a Senior<br />

Emergency Medical Technician<br />

and Student Paramedic from<br />

March in Cambridgeshire, will be<br />

travelling 1.5km at a breath-taking<br />

100mph on Zip World’s Velocity 2<br />

zipline at Penrhyn Slate Quarry in<br />

North Wales.<br />

Chloe said:<br />

“Both of us are recovering from<br />

previous mental illness and have<br />

partnered up to raise money for<br />

something we share a passion<br />

about - our green family. This<br />

is our opportunity to raise as<br />

much money as possible to<br />

support them either mentally<br />

with psychological support,<br />

physically through physio or with<br />

financial support. TASC is the<br />

charity supporting thousands of<br />

ambulance staff, like us, who rely<br />

on the support and generosity of<br />

wonderful people, like you.”<br />

Ben and Chloe are raising<br />

funds online via JustGiving:<br />

https://www.justgiving.com/<br />

fundraising/chloe-bentasc<br />

The team have already raised<br />

over £1,600, having smashed<br />

their original goal of £800, and are<br />

now aiming to raise over £2,000<br />

which can help TASC provide an<br />

extra 33 hours of counselling or<br />

39 sessions of physiotherapy for<br />

people injured in the line of duty.<br />

Ben said:<br />

“TASC has helped 100s with both<br />

their physical and mental health.<br />

We are so passionate about<br />

making a change and TASC are<br />

the charity allowing this to happen.<br />

So many of our colleagues are<br />

feeling the stress of the pandemic<br />

and feeling unwell mentally so it’s<br />

important they can go to TASC for<br />

support so we can continue to help<br />

patients who need us. We ask that<br />

if you can’t donate then you share<br />

our page so that someone who<br />

may be able to support us can.<br />

Thank you so much to everyone<br />

who’s supported us so far.”<br />

Launched in 2015, TASC is the<br />

national charity dedicated to<br />

caring for those who care for us<br />

and provides mental, physical,<br />

and financial wellbeing support<br />

and advice to help ensure the<br />

<strong>UK</strong>’s lifesaving ambulance<br />

community is strong, healthy, and<br />

ready to be there for us when we<br />

need them. As well as serving<br />

and retired ambulance staff, the<br />

charity also supports the family<br />

members of ambulance staff,<br />

Paramedic Science students from<br />

year two onwards and current<br />

ambulance service volunteers<br />

such as Community First<br />

Responders (CFRs).<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

Jasmin Rana, TASC’s Director of<br />

Income Generation and Supporter<br />

Engagement, said:<br />

“We’re so grateful that Chloe and<br />

Ben are battling their fears and<br />

taking on this epic challenge to<br />

support our cause and raise vital<br />

funds for TASC. <strong>Ambulance</strong> staff<br />

have one of the most stressful<br />

jobs in the <strong>UK</strong>, and the continuing<br />

and long-term impacts of<br />

Coronavirus are making their job<br />

that much harder. At TASC, we’re<br />

seeing demand for our services<br />

growing year-on-year and this is<br />

rapidly increasing as our lifesaving<br />

ambulance staff experience the<br />

mental, physical and financial<br />

impacts of the pandemic. With the<br />

support of people like Chloe and<br />

Ben, TASC can continue to be<br />

there for the <strong>UK</strong>’s lifesavers when<br />

they’re struggling and need a bit<br />

of help themselves.”<br />

58<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


EEAST<br />

Cuddle pockets<br />

launched at EEAST<br />

The East of England <strong>Ambulance</strong><br />

Service (EEAST) has introduced<br />

bespoke, handmade cuddle<br />

pockets so that stillborn babies<br />

can be transported to hospital<br />

with compassion and sensitivity.<br />

The knitted pockets are designed<br />

for babies who are less than 24<br />

weeks, who are placed inside<br />

and the ribbons tied together.<br />

The baby’s parents are then<br />

encouraged to hold their baby<br />

during the journey.<br />

EEAST is one of the first<br />

ambulance services in the country<br />

to begin using the pockets, which<br />

have been donated by non-profit<br />

organisation Cuddles <strong>UK</strong>. Each is<br />

unique and has been handmade<br />

by volunteer knitters who are<br />

coordinated by Cuddles <strong>UK</strong> using<br />

Facebook.<br />

The initiative has been introduced<br />

following feedback from patients<br />

and crews, and aims to make<br />

sure bereaved parents and<br />

their babies are treated with the<br />

highest levels of dignity.<br />

Daimon Wheddon, clinical lead for<br />

the project, said: “We know just<br />

how difficult the loss of a baby<br />

can be for both the parents and<br />

for the crews who attend, and<br />

wanted to do what we could to<br />

make the journey to hospital less<br />

distressing for everyone.<br />

Jenni McClagish, patient safety<br />

specialist with EEAST, with a<br />

cuddle pocket<br />

“Thankfully, cuddle pockets will<br />

not be needed very often. But<br />

when they are, they can make<br />

such a difference for the patient<br />

and our crews.<br />

“We are very grateful to Cuddles<br />

<strong>UK</strong> for supporting us, and to the<br />

members of our staff who given<br />

up their time to knit these unique<br />

pockets.”<br />

Feedback from crews who have<br />

used the pockets so far has been<br />

positive. One staff member said:<br />

“The cuddle pockets will go a<br />

long way in helping make this<br />

experience less traumatising for<br />

patients as well as crews.”<br />

A second added: “It made a huge<br />

difference, especially for the mum<br />

who had something unique for<br />

her baby to rest in on the way to<br />

hospital. Cuddle pockets give<br />

us a dignified way to transport<br />

babies who are born too early.”<br />

Wendy Matthews OBE, regional<br />

chief midwife, said: “Treating any<br />

pregnancy loss in a dignified<br />

and compassionate way is so<br />

vital to improving the experience<br />

of families when they suffer a<br />

tragedy.<br />

“The cuddle pockets also allow<br />

the ambulance crew dealing<br />

with these situations to give care<br />

in a sensitive way. For parents,<br />

knowing that their babies are<br />

being treated with the upmost<br />

respect is so important.”<br />

Cuddle pockets are available on<br />

all 700 of EEAST’s ambulances<br />

and ambulance officer vehicles.<br />

Air <strong>Ambulance</strong> -<br />

Charity<br />

Solutions <strong>UK</strong> have offered the 21<br />

air ambulance charities access<br />

to our ambulance specific online<br />

training for their crews. We<br />

are hoping that the crews take<br />

advantage of the offer to use our<br />

Moving and Handling, Conflict<br />

Resolution and Advanced<br />

Stroke Life Support training. Our<br />

donation provides each learner<br />

with an annual licence, so if you<br />

are an eligible crew member<br />

you should take advantage of<br />

the offer before the end of <strong>2021</strong>.<br />

We want to support as many of<br />

the charities and their crews as<br />

possible.<br />

Courses offered:<br />

Our ‘Moving People <strong>2021</strong>’<br />

online course content meets<br />

and exceeds the requirements<br />

of all Skills for Health, Wales,<br />

and all Scotland Manual<br />

Handling passport schemes. On<br />

completion the theory learnt will<br />

equip learners with the relevant<br />

theoretical knowledge and skills<br />

as required by FutureQuals AAP<br />

in respect of patient handling.<br />

Packed full of filmed scenarios<br />

to problem solve it is action<br />

packed learning online. It has<br />

proven to test the knowledge<br />

and skills of very experienced<br />

staff as well. Visit www.<br />

myeskils.com/solutionsonline/<br />

movingpeople2020demo/ to<br />

access a free demo – Moving<br />

People bespoke to the <strong>Ambulance</strong><br />

Community <strong>2021</strong><br />

Our new <strong>2021</strong> version of the<br />

online Conflict Resolution<br />

course has been specifically<br />

developed with and for the<br />

ambulance community. On<br />

successful completion of this<br />

course its participants will<br />

receive a Solutions certificate<br />

of achievement. Again, packed<br />

full of filmed scenarios to risk<br />

assess it is action packed on line<br />

learning. Visit www.myeskils.<br />

com/solutionsonline/CRT%20<br />

for%20the%20<strong>Ambulance</strong>%20<br />

Community%20<strong>2021</strong>%20<br />

Demo/ to access a free demo –<br />

Conflict Resolution training for the<br />

ambulance community <strong>2021</strong><br />

Our unique ASLS – Advanced<br />

Stroke Life Support is focused<br />

on the MEND (Miami Emergency<br />

Neurological Deficit) exam which<br />

is conducted after the FAST test<br />

and reduces the chances of<br />

missing a stroke. The course was<br />

developed in conjunction with<br />

the University of Miami, and the<br />

NHS! Our training certificates are<br />

endorsed by the <strong>UK</strong> Stroke Forum<br />

and the University of Miami.<br />

Visit http://www.myeskils.com/<br />

solutionsonline/Stroke_Demo/<br />

to access a free demo – ASLS<br />

About Air <strong>Ambulance</strong> <strong>UK</strong>:<br />

The charities they support and<br />

have welcomed access to our<br />

training as a donation are;<br />

Midlands Air <strong>Ambulance</strong>, Great<br />

Western Air <strong>Ambulance</strong>, Essex<br />

& Herts Air <strong>Ambulance</strong>, North<br />

West Air <strong>Ambulance</strong>, London<br />

Air <strong>Ambulance</strong>, Hampshire &<br />

The Isle of Wight Air <strong>Ambulance</strong>,<br />

Cornwall Air <strong>Ambulance</strong>,<br />

Devon Air <strong>Ambulance</strong>, Dorset<br />

& Somerset Air <strong>Ambulance</strong>,<br />

Wales Air <strong>Ambulance</strong>, Wiltshire<br />

Air <strong>Ambulance</strong>, Thames Air<br />

<strong>Ambulance</strong>, Kent, Surrey<br />

& Sussex Air <strong>Ambulance</strong>,<br />

MAGPAS Air <strong>Ambulance</strong>, The Air<br />

<strong>Ambulance</strong> Service, Lincolnshire<br />

& Nottinghamshire Air <strong>Ambulance</strong>,<br />

Yorkshire Air <strong>Ambulance</strong>, Air<br />

<strong>Ambulance</strong> Northern Ireland,<br />

Scotland’s Charity Air <strong>Ambulance</strong>,<br />

Great North Air <strong>Ambulance</strong> & East<br />

Anglian Air <strong>Ambulance</strong><br />

There are 21 air ambulance<br />

charities who operate 40<br />

helicopters alongside their<br />

amazing crews. Each day<br />

air ambulances teams are<br />

dispatched to over 70 missions<br />

collectively, most of which are<br />

funded by voluntary donations<br />

and partnerships.<br />

If you would like to donate to the<br />

charity, please visit:<br />

www.airambulancesuk.org/<br />

donate-now<br />

If you work for any of the above<br />

charities and want to take<br />

advantage and access the free<br />

courses, please contact:<br />

mandiepearson@<br />

solutionstraining.co.uk<br />

If you require any further details<br />

about Solutions Training or to view<br />

more information on the courses<br />

we are offering, please visit:<br />

www.solutionstraining.co.uk<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

For the latest <strong>Ambulance</strong> Service News visit: www.ambulancenewsdesk.com<br />



News<br />

Strategic new appointments<br />

at Midlands Air <strong>Ambulance</strong><br />

Charity<br />

As part of Midlands Air <strong>Ambulance</strong> Charity’s<br />

commitment to continuous improvement,<br />

the service has appointed Dr Adam Low<br />

and Dr Ryan O’Leary and reappointed Dr<br />

Malcolm Russell MBE as governance leads<br />

of the pre-hospital emergency medical<br />

service.<br />

Governance leads are selected every two<br />

years, and their responsibilities include the<br />

provision of clinical and management support<br />

to the critical care paramedic and medic-led<br />

services, ensuring excellent standards in<br />

clinical practice, staff development, education<br />

and clinical governance.<br />

Each lead will take on projects and additional<br />

responsibilities to further develop Midlands<br />

Air <strong>Ambulance</strong> Charity’s pre-hospital care<br />

provision, including mentoring, facilitating<br />

case reviews, providing senior on call support<br />

to pre-hospital colleagues and supporting<br />

the appointment of new team members. In<br />

addition, they will support with the delivery<br />

of the clinical training suite and simulation<br />

room at the charity’s new airbase and charity<br />

headquarters, which will commence build work<br />

this spring in Shropshire.<br />

Dr Malcolm Russell MBE, medical director<br />

of the <strong>UK</strong>’s International Search and Rescue<br />

team, <strong>UK</strong>’s representative to the United<br />

Dr Adam Low<br />

Nations International Search and Rescue<br />

Advisory Group Medical Working Group, said:<br />

“I’ve been one of the clinical governance leads<br />

for Midlands Air <strong>Ambulance</strong> Charity for nearly<br />

four years now. It’s a fantastic organisation<br />

and we are privileged to be able to provide<br />

life-changing care to our patients. We can<br />

always improve though, so I felt compelled to<br />

re-apply for the position again and feel greatly<br />

honoured that I’ve been awarded one of the<br />

new posts.”<br />

Dr Adam Low, consultant anaesthetist at<br />

University Hospital Birmingham, Queen<br />

Elizabeth, said: “I am looking forward to<br />

joining Mark, Malcolm and Ryan as one of the<br />

governance leads for Midlands Air <strong>Ambulance</strong><br />

Charity and MERIT. The role will include leading<br />

on well-established governance streams<br />

such as organising our monthly governance<br />

and educational meetings, undertaking peer<br />

review and appraisal of colleagues to support<br />

them achieve their pre-hospital aspirations<br />

and develop new and exciting clinical and<br />

educational initiatives. I look forward to a busy<br />

and undoubtedly productive two years.”<br />

Dr Ryan O’Leary, intensive care medicine<br />

consultant and anaesthetist at Hereford<br />

County Hospital, said: “I am delighted to be<br />

appointed as a governance lead for Midlands<br />

Air <strong>Ambulance</strong> Charity. This is a new role for<br />

me, and I look forward to playing my part in<br />

allowing our exceptionally talented team to<br />

grow and reach their full potential.”<br />

Hanna Sebright, chief executive for Midlands<br />

Air <strong>Ambulance</strong> Charity, added: “The collective<br />

experience and knowledge of the governance<br />

leads puts our organisation in a very strong<br />

position. Their support will ensure we remain<br />

at the forefront of emergency pre-hospital<br />

patient care, offering the very best treatment<br />

to patients in critical need of advanced clinical<br />

care.”<br />

For more information on Midlands Air<br />

<strong>Ambulance</strong> Charity’s clinical team, visit<br />

midlandsairambulance.com/clinical and<br />

follow the organisation on social media.<br />

SECAmb News<br />

SECAmb appoints new Nonexecutive<br />

Director<br />

South East Coast <strong>Ambulance</strong> Service NHS<br />

Foundation Trust (SECAmb) has welcomed<br />

a new Independent Non-Executive Director.<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

Dr Malcolm Russell Dr Ryan O’Leary Dr Subo Shanmuganathan<br />

60<br />

For more news visit: www.ambulanceukonline.com


Dr Subo Shanmuganathan took up her<br />

position on the Trust’s Board of Directors on1<br />

March <strong>2021</strong> and will serve a three-year term<br />

of office.<br />

Subo has a varied career in complex<br />

education, clinical and regulatory executive<br />

roles and has held several non-executive roles.<br />

She brings extensive knowledge and experience<br />

of strategic business change, organisational<br />

development, education and training and<br />

transformation programmes to deliver commercial<br />

revenue, gained in both the charitable and public<br />

sectors. Her PhD is in Clinical Immunovirology<br />

from Imperial College London.<br />

Chair of SECAmb, David Astley, said: “We<br />

are really pleased that Subo is joining<br />

SECAmb at this time. Her experience in<br />

people management and processes will<br />

provide relevant experience and challenge to<br />

support the continuing improvement of our HR<br />

provision to SECAmb colleagues. Subo also<br />

brings a wealth of knowledge about education,<br />

training and professional regulation which<br />

will add value to the Board. I look forward to<br />

welcoming Subo to our March Board meeting.”<br />

As well as undertaking her Board duties,<br />

Subo will be joining the Trust’s Finance and<br />

Investment Committee and Quality and Patient<br />

Safety Committee.<br />

Subo said: “I am delighted to be joining<br />

SECAmb knowing that our staff are doing<br />

such an important job for our communities,<br />

particularly during the pandemic. I am excited<br />

to be involved in the great work of the Trust<br />

and am really looking forward to meeting all<br />

the staff and governors.”<br />

SECAmb’s Board meetings are held in<br />

public, and are observable in real time online<br />

currently, using Microsoft Teams. For meeting<br />

papers and a link to the Board meetings, visit<br />

our website: Trust Board meeting dates and<br />

papers | NHS South East Coast <strong>Ambulance</strong><br />

Service (www.secamb.nhs.uk).<br />

SECAmb News<br />

SECAmb thanks retiring<br />

Director of Operations<br />

South East Coast <strong>Ambulance</strong> Service NHS<br />

Foundation Trust (SECAmb) is bidding a<br />

fond farewell to its Executive Director of<br />

Joe Garcia<br />

Operations, Joe Garcia, who is retiring<br />

after more than 35 years in the ambulance<br />

service at the end of this month.<br />

SECAmb’s current Deputy Director of<br />

Operations, Emma Williams, will fill the<br />

role on an interim basis until a formal<br />

appointment process is completed.<br />

Joe, who received an MBE in this year’s New<br />

Year’s Honours, first joined the then East<br />

Sussex <strong>Ambulance</strong> Service in 1985, following<br />

a short career in the Royal Marines.<br />

Initially serving as an ambulance technician<br />

in Eastbourne, Joe went on to complete his<br />

paramedic training and undertake a number<br />

of different roles including time spent on the<br />

front-line, as a control room manager and in<br />

clinical education.<br />

In 2004 Joe moved to work for West<br />

Midlands <strong>Ambulance</strong> Service and in 2010<br />

his experience saw him appointed to take<br />

forward the national <strong>Ambulance</strong> Radio<br />

Programme, led by the Department of<br />

Health.<br />

2013 saw him return to direct involvement<br />

in front-line service as Associate Director<br />

of Operations at East Midlands <strong>Ambulance</strong><br />

Service prior to him joining SECAmb in late<br />

2016 as Interim Director of Operations – a<br />

position he was substantively appointed<br />

to in August 2017 – and from which he<br />

has overseen a significant period of<br />

improvement. The last 12 months has seen<br />

him play a pivotal role in the management<br />

of SECAmb’s operational response to<br />

COVID-19.<br />

SECAmb Chief Executive Officer Philip Astle<br />

said: “On behalf of everyone at SECAmb<br />

and in the wider ambulance community, I<br />

would like to thank Joe for his commitment<br />

and dedication over such a long period. His<br />

inclusion in this year’s New Year’s Honours list<br />

shows the high regard in which he is held.<br />

“I would particularly like to thank him for<br />

steering our operations through what has been<br />

an extremely challenging 12 months. I wish<br />

him all the very best for the future and a very<br />

happy retirement.”<br />

Joe said: “My journey through my career within<br />

the ambulance service has taught me so much<br />

about people and the full spectrum of what<br />

life has to offer. I have been privileged to work<br />

alongside some absolutely fantastic people<br />

over the years and I will cherish the times<br />

spent working in a such a close-knit team.<br />

“My days at SECAmb have been the pinnacle<br />

of my career. I feel so privileged to have been<br />

able to serve an amazing group of colleagues<br />

and help us all navigate our way through<br />

many improvements, and most recently during<br />

the tumultuous experience of a worldwide<br />

pandemic.<br />

“The greatest asset we possess is our people.<br />

Every part of every team, be that back office or<br />

front line, have a part to play in bringing relief<br />

to a medical or traumatic crisis for our patients<br />

and I will forever be proud to have been a part<br />

of Team SECAmb in providing that service.”<br />

SECAmb News<br />

SECAmb Chair reappointed<br />

for further three-year term<br />

South East Coast <strong>Ambulance</strong> Service NHS<br />

Foundation Trust, (SECAmb), is pleased to<br />

announce the reappointment of its Chair,<br />

David Astley, for a second three-year term.<br />

David’s reappointment was formally approved<br />

by the Trust’s Council of Governors at its most<br />

recent meeting on 4 March.<br />

Welcoming David’s appointment, SECAmb<br />

Chief Executive, Philip Astle said: “I am<br />

delighted to be able to continue to have David<br />

leading the SECAmb Board. His combination<br />

of experience, local knowledge and his huge<br />

desire to help patients make him a fantastic<br />

asset to the Trust and I am really pleased that<br />

AMBULANCE <strong>UK</strong> - APRIL<br />

Do you have anything you would like to add or include? Please contact us and let us know.<br />



we will have the benefit of his leadership for<br />

another three years.”<br />

David was appointed as SECAmb Chair<br />

in September 2018 and lives in Kings Hill,<br />

Kent. He has had a long career in the NHS<br />

and was awarded an O.B.E in 2006. He<br />

has held a number of senior roles in the<br />

NHS including Chief Executive of East Kent<br />

University Hospitals NHS Trust between<br />

1999 and 2006 and Chief Executive of St<br />

George’s Healthcare NHS Trust between<br />

2006 and 2011.<br />

David then held a senior position with<br />

the Hamad Medical Corporation in Qatar<br />

before retiring in 2015 and taking up a nonexecutive<br />

position with Liverpool Women’s<br />

Hospital. He is also a Board member of the<br />

Michael Yoakley Charity based in Margate.<br />

David added: “I am delighted to have been<br />

reappointed as SECAmb’s Chair. This year<br />

has, of course, been extremely difficult<br />

for staff and I am incredibly proud of the<br />

way everyone has risen to the challenges<br />

presented by the pandemic.<br />

“I look forward to continuing to implement<br />

the Trust’s strategy, working closely with<br />

our system partners to improve patient care<br />

and to steering the Trust Board through the<br />

changes set out in the recent White Paper.”<br />

David Astley<br />


AMBULANCE <strong>UK</strong> - APRIL<br />

Adapter+ - Safely<br />

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This would enable them to<br />

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Working in partnership<br />

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Crash tested to British and<br />

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62<br />

For further recruitment vacancies visit: www.ambulanceukonline.com



If coarse fishing in a tranquil setting with excellent accommodation, friendly<br />

hosts and, a country pub serving highly rated food, is your idea of an ideal<br />

break, then Docklow Pools in Herefordshire is the place you are looking for.<br />

Set in a picturesque valley Docklow Pools and the fisherman’s arms are both<br />

worth a visit and here’s the reasons why:-<br />


Docklow Pools is home to 11 picturesque fishing lakes for all types of angler.<br />

Whether its pole fishing for silvers, rod fishing for carp or trying to hook into<br />

a giant on the Major Bill, we are sure you will find what you are looking for at<br />

Docklow Pools. We are also proud to offer fishing on the river Wye.<br />



At Docklow Pools, we offer a vast array of great standard accommodation<br />

& facilities to ensure you have the perfect getaway.<br />

Our fishing accommodation is a high standard & extends from the Premier<br />

properties such as the log cabins to the popular barn houses and farmhouses.<br />

For Fishermen parties we suggest either Farm House Bed & Breakfast or<br />

Fishermen lodges (named after trees like Elm, Oak etc). All the properties<br />

available have fully equipped kitchens – with gas cookers, microwaves and<br />

fridges all part of some of the cottages’ furniture.<br />

We are aware every customer has different tastes, which is why the fishing<br />

holiday cottages are a mixture of both traditional and modern furnishings.<br />

One, two & Three bedrooms available. Bungalow or cottage style. With or<br />

without pet options. By the lakes or Courtyard you choose.<br />

Each property has its own private parking & tackle store/lock up. You can<br />

check the availability of our fishing accommodations online. Please note all<br />

fishing accommodation are for adults only (including caravans) river Teme and<br />

river Lugg along several stretches that we have now acquired.<br />


Whether you’re staying with us on holiday or local to Docklow, the Fishermans<br />

Arms welcomes you to join us 7 days a week during summer for fantastic<br />

homemade food at great value.<br />

Our summer opening is every morning and every evening, with a Sunday<br />

lunch carvery which has a wonderful reputation across the county.<br />

All our meats are from a local butcher. Food is homemade including delicious<br />

dishes, pies, chips, pudding and desserts.<br />

It means that we are more than just a fishery. People who come on holiday<br />

love the fact that they can eat well, in friendly traditional surroundings, at great<br />

value prices without actually leaving the Docklow estate.<br />

Sundays are normally a busy day because of strong local reputation so bookings<br />

are always suggested. 01568 760 256 or email info@docklowpools.com<br />

The Fishermans Arms has both a restaurant a pub grub evening menu and an<br />

impressive breakfast brunch and lunch menu too.<br />

Docklow Pools - Fishing Holidays - Leominster - Herefordshire - 01568 760256 info@docklowpools.com

The Number 1 in the<br />

German Resuscitation Register<br />

In more than 60% of all resuscitation cases, the<br />

Mönchengladbach Fire Department achieved a positive result.<br />

This is one of the highest ROSC rates in Germany.<br />

But how exactly do they achieve this success?<br />

The Mönchengladbach Fire Brigade team measures<br />

the quality of its resuscitations in real time, thus has<br />

the information necessary to save more lives.<br />

In addition, all resuscitation cases are subsequently<br />

analysed in detail with regard to the depth of the<br />

compression, frequency, relief of the chest and<br />

handoff times during resuscitation and used for<br />

training and further education measures.<br />

Here you can see how the Mönchengladbach Fire<br />

Department measures the quality of their resuscitation<br />

and what they have achieved as a result:<br />

www.zoll.com/moenchengladbach<br />

© 2020 ZOLL Medical Corporation. All rights reserved. ZOLL is a registered trademark of ZOLL Medical<br />

Corporation in the United States and/or other countries. All other brands are the property of their respective<br />


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