Ambulance UK August 2021


Ambulance UK August 2021

Volume 36 No. 4

August 2021


Real-time feedback on

manual ventilation

In this issue

Tools to improve CPR





In person

Living and working in the South


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Ambulance UK



102 New technologies and Artificial Intelligence in

Emergency Medicine: tools to improve Cardio-

Pulmonary Resuscitation (CPR)




This issue edited by:

Dr Matt House

c/o Media Publishing Company

Greenoaks, Lockhill

Upper Sapey, Worcester, WR6 6XR


Terry Gardner, Samantha Marsh


Media Publishing Company

Greenoaks, Lockhill

Upper Sapey, Worcester, WR6 6XR

Tel: 01886 853715





ZOLL Medical Corp. released the latest addition to its portfolio, the X Series ® Advanced*.

ZOLL’s new monitor/defibrillator helps emergency care providers manage patients more

effectively than ever before.


February, April, June, August,

October, December


Media Publishing Company



Upper Sapey, Worcester, WR6 6XR

The X Series Advanced includes two new technologies:

• Real BVM Help guides to deliver high-quality ventilations and reduce

hyperventilation by providing real-time feedback on both volume and rate of bag-valve

mask ventilation for intubated/non-intubated patients.

• TBI Dashboard allows emergency care providers effectively manage traumatic

brain injury (TBI) by providing a dashboard with trending data for the most critical

parameters to TBI patients.

The two new features come in addition to a full range of well-established technologies

on the X Series. Fast and accurate vital sign readings, real-time feedback on chest

compressions and seamless integration with the mechanical CPR system AutoPulse ® .

Comprehensive data capabilities complete the ZOLL EMS solution:

• Remote View enables effective decision support to help EMS providers meet their

telehealth needs.

• RescueNet ® CaseReview allows to review data from the X Series Advanced post-case

for effective QA/QI. Data includes case-individual ventilation and CPR performance

reports as well as comprehensive team reports.

“With X Series Advanced, we continue our tradition by introducing proprietary Real BVM

Help technology and TBI Dashboard. The feedback provided by the device is a natural

extension of our existing range of feedback technologies, which also includes Real CPR

Help ® ,” says Elijah A. White, President of ZOLL Resuscitation.

Learn more at

*Currently not available for sale in the U.S. and other non-European countries.


The views and opinions expressed in

this issue are not necessarily those of

the Publisher, the Editors or Media

Publishing Company.

Next Issue October 2021

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Welcome to the Emergency Services Show edition of Ambulance UK.

I’m sure all readers will be aware that as lockdown measures have been removed over the last month or

so, the workload in the ambulance service has continued to increase, with July seeing some of the busiest

periods in our history. With this background, it is difficult to imagine what the next few months hold for

ambulance services and our NHS and emergency service colleagues.


“We aren’t

out of the

woods yet,

so you’ll

need that

time to




and spend

time with

family and


However, despite the issues we all face, some areas of life are starting to return to normal. As you will see

later in this edition, the Emergency Services Show is to return this year. The show will be held at NEC,

Birmingham over 7-8 September. After the last eighteen months we’ve had, this will be a great opportunity

for people to refresh their networks, whilst visiting the numerous exhibitors, live demonstrations, and CPD


Not surprisingly, this year sees the introduction of a Health and Wellbeing Theatre at the show. This will

cover key challenges, support programmes and proactive strategies around this vitally important area.

The College of Paramedics will also be returning to the Show this year, with a dedicated area delivering a

series of CPD events. As the College has just started the process to seek Royal Charter status, it is a good

opportunity for non-members to join and support the College and the future of the Paramedic profession.

It’s been a long time since any of us have had the opportunity to go to an event like this. If you get the

chance to go, it promises to be an informative and educational couple of days. With a whole host of

exhibitors at the event, there will also no doubt be a chance for you to stock up on pens for the coming


Whether you can find time for the show, or not, make sure you take some time out for yourself over the

summer. We aren’t out of the woods yet, so you’ll need that time to recharge your batteries, and spend time

with family and friends. Also keep an eye out for your colleagues, and your boss. The pressures are intense

at the moment, and people sometimes don’t recognise the signs of stress in themselves.

Above all, stay safe!

Dr Matt House, Co-Editor Ambulance UK


For more news visit:


In the knowledge that conferences and exhibitions may be difficult to attend we are delighted to offer you

the opportunity to listen to the following presentations listed on FREE OF

CHARGE with further presentations being added on a regular basis (average Podcast time is 30 minutes):

The APCC Paramedic Team - Joel Symonds

A Patient’s Perspective from a Road Traffic Collision - PC Ben Gates

A Responders Perspective - Iain Craighead

Head Injuries - Dr Jonathan Hanson

The Role of Humour in Pre-Hospital Emergency Care - Joel Symonds

Role of the Scottish Ambulance Service Special Operations Response Team - Pam Barker

This unique section on our web site also gives you the opportunity to see the following products being


• I-view(tm) video laryyngoscope

• Water Rescue toddler


• Advanced Water Rescue Manakin

• OREALITI Go by Isimulate

We are also seeking further presentation/podcasts to add to this exciting new educational concept

therefore if you have anything to submit that would interest those working in Pre Hospital Care,

Resuscitation and Simulation please forward it to



Volume 35 No. 5


October 2020

Volume 7 No. 2

Autumn 2020

Resuscitation Today

A Resource for all involved in the Teaching and Practice of Resuscitation

Volume 2 No. 2

Autumn 2020


A resource for all involved in the teaching and practice of simulation

Discover the Quantum


THE Prehospital Blood &Fluid Warming Solution

Blood &












Train critical skills required for your most vulnerable patients



See reverse for Simulation Today

See reverse for Resuscitation Today





Abdo Khoury MD, MPH, MScDM

Department of Emergency Medicine and Critical Care, Besancon University Hospital, France

In the field of cardiopulmonary resuscitation (CPR), one might think

that progress is more “laborious” than in other medical specialties,

but the reality is more complex. Naturally, one would always wish that

things move faster, certainly, especially in the last few years. Because

it is clear that we are facing a stagnation in the survival rate of patient

in cardiorespiratory arrest (CA). Survival to discharge slightly improved

from the seventies to reach 8.8% [1]. We must therefore remain patient

and determined. No choice: we must innovate and we can!


Recently, practitioners have, for example, thought to optimise chest

compressions by focusing on two parameters: the depth of the

compressions and their rhythm. Without forgetting to give time for

thoracic relaxation. Having a bystander initiating prompt CPR has led to

an increase in survival rate up to 11.3% [1]. All these optimisations have

already proven to have a positive impact on the survival rate, which is

our main objective. There is no doubt that the European Resuscitation

Council (ERC) Congress on Cardiac Arrest to be held in March 2021 (it

should have been held in Manchester from 20 to 22 October) promises

to be rich in new recommendations. The congress will certainly explore

other avenues: improving ventilation is surely one of them, and in recent

years many studies have been talking more and more about it.

Proof of this is that things are “on the move”, these recommendations - or

treatment protocols - are slowly but surely evolving. Although that to date,

many of my colleagues would tend to consider them as optimal. The fact is

that these international guidelines are relatively poorly applied, especially on

ventilation [2] And this is where the problem lies: how to explain it?

Today, the recommendations focus on chest compressions, recalling

the uniformly accepted good practices: early warning, initiate chest

compressions and ventilate if trained to do so... As for ventilation, which is of

crucial importance, it has been proven long time ago, that hyperventilation

of 30 times/minute reduces the chance of survival by a factor of 3 [3].

Hyperventilation increases the Mean Intrathoracic Pressure thus decreasing

the venous return to the heart and decreasing the Coronary Arteries Perfusion

Pressure (CPP) (fig 1). On the other hand, ventilating 12 times/minute

multiplies survival by 3 folds... However, we still don’t know how to stick

to the recommendations: the scientific knowledge is up to date, but

putting it into practice remains... theoretical or even impossible.

Moreover, in this field we are now seeing a return to the fundamentals,

against a backdrop of specialist controversy: should we intubate or

ventilate, taken up by the famous “intubate or not”? Two systems

predominate: the Anglo-Saxon system based on mask ventilation with

rapid transport to the nearest hospital where the doctors will perform

advanced resuscitation, and the Franco-German system, with the

dispatch of an emergency doctor capable of intubating on the spot,

Figure 1. Hemodynamic Study (n=9). Changes in mean intrathoracic

pressure (MIP), coronary perfusion pressure (CPP), and right atrial

diastolic pressure (RA diastolic) with different ventilation rates during

resuscitation in a porcine model of cardiac arrest. Probability value


Figure 2. Percentage of hyperventilation (black), adequate ventilation

(grey) and hypoventilation (light grey) for professional categories

(n=280 tests for each ventilation technique).

ETT, endotracheal tube [6].

In addition to this, there are other needs, very strong regulatory

constraints and clinical trials that are more difficult to carry out in the

field. Nevertheless, over the last twenty years, new fields of research

(digital, miniaturisation …) have enlarged our perspectives and

possibilities in healthcare innovations.

Figure 3. Comparison of mean tidal volume (a) and mean ventilation

rate (b) for each participant between conventional ventilation (O) and

ventilation with VFD (X) for Basic Life Support (BLS) and Advanced

Life Support (ALS) groups. n = 20 participants/group, ventilation was

performed during 5 min/participant [8].

become a reference in just a few years, has already inspired a number

of manufacturers and, above all, generated new projects in research

and development [9].

It is in this context that applied artificial intelligence could well

revolutionise practices, or at least shake them up. It seems to be

present everywhere: robots, glasses, microscopes, radios... or almost.

Indeed, it is far from having revealed its full potential in our branch,

and would even be cruelly lacking. If it is not a question of replacing

humans, but of “completing” them, of perfecting their gestures, then it

has a bright future in emergency medicine and CPR [7].

The time for breakthrough innovations may have come for emergency

medicine. With solutions designed by and for practitioners, and

validated by “field teams”. Significant progress which, besides relieving

part of the extremely heavy burden of first aid to some extent, should

save more lives. A real glimmer of hope in a particularly difficult context.


We only seem to be at the dawn of these advances... And the

applications are flourishing. For example, a team of engineers and I

led a project to design a completely innovative ventilation assistance

device. This small device, recently marketed by the French company

Archeon, is attached to oxygen insufflators to measure the quality of

ventilation during CPR: the right volume of air to be administered, the

optimum ventilation frequency, and it analyses the different variables,

depending on the patient’s profile [8]. Packed with electronics, its

“intelligence” results from the interpretation of 56,000 ventilation cycles,

with the aim of identifying a volume trend of optimal frequencies and to

tell, in real time, if we are within the standards. It starts to equip a large

number of ambulances and emergency services across the world.

EOlife ® Ventilation Feedback

Device (VFD)

We could just as easily mention the Lucas massage board, a real

find, pure product of mechanical engineering. To automate and

calibrate chest compressions gesture thanks to a machine, one had

to think about it! An astonishing device that has opened up beautiful

perspectives in terms of dealing with CPR. This system, which has

1. Yan S, Gan Y, Jiang N, Wang R, Chen Y, Luo Z, et al. The global survival rate

among adult out-of-hospital cardiac arrest patients who received cardiopulmonary

resuscitation: a systematic review and meta-analysis. Crit Care 2020;24:61.

2. Cordioli RL, Brochard L, Suppan L, Lyazidi A, Templier F, Khoury A, et al. How

Ventilation Is Delivered During Cardiopulmonary Resuscitation: An International

Survey. Respir Care 2018;63:1293–301.

3. Aufderheide TP, Sigurdsson G, Pirrallo RG, Yannopoulos D, McKnite S, von

Briesen C, et al. Hyperventilation-induced hypotension during cardiopulmonary

resuscitation. Circulation 2004;109:1960–5.

4. Sinning C, Ahrens I, Cariou A, Beygui F, Lamhaut L, Halvorsen S, et al. The cardiac

arrest centre for the treatment of sudden cardiac arrest due to presumed cardiac

cause - aims, function and structure: Position paper of the Association for Acute

CardioVascular Care of the European Society of Cardiology (AVCV), European

Association of Percutaneous Coronary Interventions (EAPCI), European Heart

Rhythm Association (EHRA), European Resuscitation Council (ERC), European

Society for Emergency Medicine (EUSEM) and European Society of Intensive Care

Medicine (ESICM). Eur Heart J Acute Cardiovasc Care 2020;9:S193–202.

5. Jabre P, Penaloza A, Pinero D, Duchateau F-X, Borron SW, Javaudin F, et al. Effect

of Bag-Mask Ventilation vs Endotracheal Intubation During Cardiopulmonary

Resuscitation on Neurological Outcome After Out-of-Hospital Cardiorespiratory

Arrest: A Randomized Clinical Trial. JAMA 2018;319:779–87.

6. Sall FS, De Luca A, Pazart L, Pugin A, Capellier G, Khoury A. To intubate or not:

ventilation is the question. A manikin-based observational study. BMJ Open Respir

Res 2018;5:e000261.

7. Jiang F, Jiang Y, Zhi H, Dong Y, Li H, Ma S, et al. Artificial intelligence in

healthcare: past, present and future. Stroke Vasc Neurol 2017;2:230–43.

8. Khoury A, De Luca A, Sall FS, Pazart L, Capellier G. Ventilation feedback device

for manual ventilation in simulated respiratory arrest: a crossover manikin study.

Scand J Trauma Resusc Emerg Med 2019;27:93.

9. Strugo R, Wacht O, Kohn J. Mechanical CPR Devices: Where is the Science?

JEMS. 2019.

(accessed 10 Feb2021).


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For 10 years, one thing has remained resolute to all at

the Ortus Group: our ethos behind teamwork. We strive

to provide our customers with a reliable and specialist

team of individuals that will go above and beyond to

support our clients. Our industry expertise means that

we are always looking to the future for new technologies

that can improve patient treatment, user experience and

operational functions.








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As we celebrate 10 years in business we want to say THANK YOU to

all our customers and all NHS staff for their incredible work during the

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and cake during our anniversary celebrations. All whilst catching up on our

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SCAS volunteers

attend NHS Big Tea

event hosted by Duke

of Cambridge

Volunteers from South Central

Ambulance Service (SCAS)

attended a special NHS Big Tea

event at Buckingham Palace

today hosted by the Duke of


Major Emma Allen MBE, Anthony

Larks and Mark Potts, who are

all Community First Responders

(CFRs), spent the day meeting

and talking to guests who

included NHS England Chief

Executive Sir Simon Stevens.

The event was organised by NHS

Charities Together, of which the

Duke and Duchess of Cambridge

are patrons, as a thank you to

NHS staff and volunteers for

their work during the COVID-19

pandemic and to mark the health

service’s 73rd birthday.

It took place in the Palace

gardens and ran alongside

thousands of afternoon teas

held nationwide in homes, back

gardens, schools, hospitals and

community settings to show

support for the NHS.

CFRs Emma, Anthony and Mark,

along with more than 1,000 other

CFRs and Co-Responders at

SCAS, are members of the public

trained to support the ambulance

service primarily by responding

to medical emergencies and

sometimes providing lifesaving

first aid to patients before

paramedics arrive.

CFRs also assist with ongoing

patient care at the scene

and attend more than 30,000

incidents every year. They are

funded solely by South Central

Ambulance Charity, which

provides equipment, training and

is responsible for the vehicle fleet.

“I never imagined when I signed

up to be a CFR that I’d be having

tea at Buckingham Palace,” said

Anthony, who is from Bracknell

and began volunteering and

fundraising at the start of the

pandemic – raising £9,000 for the

charity in addition to the hours he

has given to caring for patients.

“It’s been truly amazing to have

met the Duke of Cambridge

today and to recognise the

amazing work of the NHS – I’m

honoured and humbled to have

the opportunity to work alongside

our NHS heroes and see the work

they do daily, it’s incredible.

Emma, Mark and Anthony at the Palace

“I’ve witnessed selfless

professionalism and constant

care by attending paramedics

and emergency clinicians. Their

efforts never faltered at a time of

critical need.”

NHS Charities Together recently

provided a £410k grant to South

Central Ambulance Charity to

fund new projects and equipment

to support CFRs, as well as

new LUCAS 3 cardiopulmonary

resuscitation (CPR) devices

which are now out on the road

with SCAS clinicians supporting

patients in cardiac arrest.

“We have more than 1,000

CFRs and Co-Responders who

attend emergency incidents

across Oxfordshire, Berkshire,

Buckinghamshire and Hampshire

and they are such an important

part of our service,” said Vanessa

Casey, Chief Executive of South

Central Ambulance Charity.

“They are usually first on scene

with the patient and able to begin

taking basic observations and

supporting them prior to the

arrival of the ambulance. They

all do such a fantastic job for our

organisation so I am delighted

they were recognised in this way

with an invite to the NHS Big Tea

with the Duke of Cambridge.”

She added: “SCAS receives no

statutory funding for our CFR

volunteers and relies on voluntary

donations to the charity to

provide the equipment, vehicles

and training to enable these

volunteers to respond.

“We are extremely grateful to all

of our supporters for the part they

play in helping us to fund and

maintain this service and to NHS

Charities Together whose grants

have really helped us to push to

programme forward.”

Ellie Orton OBE, CEO of NHS

Charities Together, which has

raised more than £150 million

to support NHS staff, volunteers

and patients through the

pandemic, said: “If the NHS has

been the backbone of the nation

during the most challenging of

times, then NHS staff have been

its beating heart. I’m in awe of

NHS staff who have dealt with

so much over the last year, we

would have been lost without


“As an independent national

charity representing NHS charities

across the UK, we are proud that

we have been able to support

the NHS to do more than would

otherwise be possible at the most

challenging time in its history.

“The public have responded

amazingly, which we can see

through the money they have

donated and the thousands

taking part in our NHS Big Tea

today. That support is more

important than ever with the

pandemic having taken a toll on

NHS staff. We need to continue

to be there to support the staff

and volunteers who have done

so much for us.”

South Central Ambulance Charity

has been inviting people to “raise

a cuppa” to SCAS and the wider

NHS today and donate £5 while

sinking their brew. People can

still do this by texting SCAS 5 to

70085 and are urged to tag five

friends on social media to do the


Separately, the charity is seeking

a team of 40 challengers willing

to abseil 320ft down Portsmouth’s

iconic Spinnaker Tower in

September. The charity first

embarked on this challenge last

year and raised £14k for SCAS,

with a target this time of £17k.

Find out more and download

a joining pack at https://scas.



For more news visit:



Medical Director

named in Queens


South East Coast Ambulance

Service NHS Foundation

Trust, (SECAmb), is delighted

that its Medical Director, Dr

Fionna Moore, has been

named in this year’s Queen’s

Birthday Honours to receive a

prestigious Queen’s Ambulance

Service Medal, (QAM).

Fionna has enjoyed a

distinguished and lengthy career

in the ambulance service spanning

more than 20 years. As one of the

UK’s longest serving Emergency

Medicine Consultants, she has

contributed to significant changes

in UK pre-hospital practice in the

last 30 years. She is one of just six

recipients to receive the medal in

the June 11 announcement.

Fionna has also served as

SECAmb’s chief executive and was

previously medical director and chief

executive at London Ambulance

Service. At SECAmb she has

overseen work to raise clinical

standards including exemplary work

on medicines governance which

was subsequently hailed by the

CQC as outstanding.

She is held in the very highest

regard among SECAmb staff and

the wider ambulance service,

both nationally and internationally.

She has been instrumental in

the development of specialist

paramedic roles in critical care

and is a listed author in more than

30 academic studies.

SECAmb Chief Executive Officer

Philip Astle said: “I am really

pleased that Fionna’s dedication

and career has been marked with

her receiving such a prestigious

honour. We have faced huge

challenges in recent months and

Fionna’s leadership and support

has been vital. Her focus on

patient care remains unstinting.

She is happy to help any member

of staff with any query at any

time and as a Trust we feel very

privileged and proud to have

Fionna as our Medical Director.”

Fionna said: “I am humbled

and delighted to be named in

the Queen’s Birthday Honours

and to be receiving the Queen’s

Ambulance Service Medal. I

will accept it with pride and

will be representing each and

every member of staff within the

ambulance service who work

tirelessly every day to serve their

communities and respond to the

needs of our patients.”

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The outstanding

contribution of

ambulance staff was


The outstanding contribution of

ambulance staff was recognised

when North East Ambulance

Service welcomed Her Royal

Highness The Princess Royal to

its Hebburn base.

The visit had originally been

planned last year to mark the 10th

anniversary of its Hazardous Area

Response Team (HART) and the

region’s NHS 111 service but was,

understandably, put on hold due

to the pandemic.

Her Royal Highness will also present

the Ambulance Service (Emergency

Duties) Long Service and Good

Conduct Medal to 14 frontline

ambulance staff who, between

them, have more than 285 years of

frontline emergency service.

HART is a specialist team of

paramedics who are trained

to provide life-saving medical

care to patients in hazardous

environments, which would

otherwise be deemed too

dangerous for a paramedic

to enter, such as a collapsed

building or firearms incident.

HART paramedics work alongside

the police and fire and rescue

services within what is known as

the ‘inner cordon’ – or ‘hot zone’

– of a major incident. Their job is

to triage and treat casualties and

to help save more lives during the

early stages of a major incident.

Since launching in March 2010,

the NEAS team has attended

more than 19,000 incidents,

working alongside their

ambulance and other emergency

service colleagues at the centre

of serious accidents or threats to

public health in order to keep the

region’s residents safe.

Between them, the 43 paramedics

working in the NEAS HART team

have over 650 years’ clinical


That same year saw NEAS also

trial the NHS 111 service in the

North East.

The NHS 111 service, which is

still operated by NEAS using

dual trained 999 and 111 health

advisors, is available 24 hours

a day, 365 days a year, offering

a multi-skilled team of advisors

and experienced clinicians, who

assess a patient’s symptoms

before directing them to the most

appropriate help.

Her Royal Highness watched

a live demonstration of the

Hazardous Area Response

Team’s response to a terrorist

incident before meeting some

of the ambulance staff based at

Hebburn and witnessing first-hand

the contribution made by some of

the region’s 999 and 111 health

advisors in keeping the region

safe. The visit ended with the

Ambulance Service (Emergency

Duties) Long Service and Good

Conduct Medal presentation


The Ambulance Service (Emergency

Duties) Long Service and Good

Conduct Medal is designed for

emergency ambulance staff who

have worked on the frontline for

more than 20 years.

NEAS Chief Executive Helen Ray

said: “We were incredibly honoured

to welcome Her Royal Highness to

our service to mark the outstanding

contribution our teams have made

to the North East.”

The Lord-Lieutenant of Tyne and

Wear, Mrs Susan Winfield, said:

“Every year it gives me great

pleasure to meet the men and

women who have given so much

to our region over their years of

service to present them with their

Queen’s Medal. I can only imagine

how hard the last year has been

for all those working for our health

and emergency services and I was

delighted to welcome Her Royal

Highness to such an outstanding

facility and introduce her to some

of the teams helping to keep our

region safe.”


SECAmb to trial

body-worn cameras

to help tackle

assaults against staff

South East Coast Ambulance

Service NHS Foundation Trust

(SECAmb) is to trial the use

of body worn cameras by

ambulance crews to establish

if the technology can act as a

deterrent against aggression

and violence and aid future


The trial, which will last 12 months,

follows the Trust’s successful

application for funding from NHS

England and NHS Improvement.

The trial will involve approximately

400 body worn cameras being used

by crews across five areas covered

by the Trust - Thanet, Medway,

Gatwick, Brighton and Guildford.

The trial also forms part of a wider

trust approach to tackle violence

and aggression against staff which

includes close working with police

services to ensure all incidents

are robustly managed alongside

conflict resolution training for staff.

The trial will feed into wider national

work already under way to ensure

the Trust benefits from trials which

are already taking place elsewhere

in the country.

In 2019-2020, SECAmb staff

reported 245 incidents of physical

assault. In the same year,

staff reported 219 incidents of

directed verbal abuse. Staff are

encouraged to report all incidents

so that they can be investigated

and wherever possible the

individual prosecuted and held to

account for their actions.

Executive Director of Operations,

Emma Williams, said: “One

assault against a member of staff

is one too many. Our staff should

expect to be able to come to work

and care for people without the

risk of violence or abuse. Sadly,

there are a small number of

individuals who seem to think this

kind of behaviour is acceptable.

“We are keen to establish if

body-worn cameras can help to

further protect our staff by acting

as a deterrent and also provide

valuable evidence for use in court.

We will study the findings of the

trial closely and also continue

to work with police colleagues

across our region and ambulance

services nationally to tackle this

issue that the huge majority of the

public find abhorrent.”


For more news visit:

Ring Carnation launches

genisys remote monitoring

service for emergency vehicles



Ring Carnation has partnered with Airmax Remote, to integrate genisys intelligent

switching and power management with vehicle telematics, creating a class leading

solution that enhances the functionality of both propositions.

genisys fleet users will benefit from additional data from the auxiliary electrical system

not captured on the OE vehicle CAN networks such

as blue light operation, additional battery status

and other key events to evidence operational

processes being followed, in real time.

Visit Ring Carnation at the

Emergency Services Show

7-8 September 2021 Stand G37

Ring Automotive Limited . Gelderd Road, Leeds, LS12 6NA United Kingdom

Telephone +44 (0)113 213 2000 . Fax +44 (0)113 231 0266


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Air ambulance

tribute to retiring

SECAmb paramedic

A South East Coast Ambulance

Service (SECAmb) paramedic

who was part of the first air

ambulance crew to fly out of

Rochester in 1989 has been

recognised for her more than 37

years’ service.

Penny Scrimgeour, who retired

from SECAmb this week, was

given a fitting tribute by Air

Ambulance Kent, Surrey and

Sussex, (KSS), along with hospital

colleagues as the charity’s crew

flew into Tunbridge Wells Hospital

this week to thank her for her

dedication over so many years.

Penny, who was one of the first

female paramedics to serve

in Kent, retires 50 years since

the UK’s first paramedics were

introduced in Brighton.

Penny began her career with

Kent Ambulance Service in April

1984 initially working out of

Southborough Ambulance Station

before other areas across Kent

including Tonbridge, Tunbridge

Wells, Cranbrook, Coxheath

Emergency Operations Centre

and Paddock Wood. She spent

four years working on the air

ambulance. Most recently Penny

worked out SECAmb’s HQ in

Crawley as part of the Trust’s

Operational Improvement Hub.

KSS Air Ambulance CEO, David

Welch said: “I think 37 years’ service

and the contribution Penny has

made to her patients and community

is absolutely phenomenal and she

should be really proud of that. And

as the first female HEMS paramedic

and first crew out of Rochester back

in 1989, this is something else that

Penny should be hugely proud of.

It is fantastic that we are able to

celebrate that.”

SECAmb Executive Director of

Operations, Emma Williams,

said: “On behalf of everyone at

SECAmb, I’d like to thank Penny

for her commitment in serving our

communities over so many years.

I’m sure she is very proud to

have been part of the very first air

ambulance crew in Kent and for

everything she has done to help

people in their hour of need. I wish

her a happy and well-deserved


John Weeks, Head of Emergency

Planning & Response and

Maidstone and Tunbridge Well

NHS Trust, who has known Penny

for many years and worked

with her in the past, helped to

arranged the special tribute to her.

He said: “It was a real pleasure

to invite Penny to Tunbridge Wells

Hospital for a retirement farewell.

Penny has been a real friend

to the hospitals in Tunbridge

Wells over the years, promoting

partnership working with the

Emergency Departments. So it

was also very fitting that she drove

the first ambulance into the new

Tunbridge Wells Hospital when it

opened. I’d like to thank her for

her commitment to patients and

our staff over the past 37 years.”

Penny added: “I’m so surprised

that they had done this for me and

hugely honoured. I didn’t expect

it. I’ve been very fortunate in my

career and seen and done many

things the public would not get an

opportunity to do.

“Throughout an ambulance

service career you touch so many

lives and don’t really comprehend

the impact that has. We may not

remember all the patients that

we see but they most certainly

remember us. And that’s just

such a great privilege.”


SCAS Chief Executive

helps raise more than

£5k for ambulance

staff charity

South Central Ambulance

Service (SCAS) Chief Executive

Will Hancock helped raise more

than £5k for staff in ambulance

services across the UK by

completing the fastest zip wire

in the world and climbing Mount


He joined forces with colleagues

from the College of Paramedics,

Association of Ambulance Chief

Executives (AACE) and East

Midlands Ambulance Service to

help support The Ambulance Staff

Charity (TASC) on an actionpacked

expedition in North Wales.

First up on the Ultimate

Fundraising Challenge on

Saturday was Zip World’s Velocity

2, a zip wire which travels at

speeds of over 100mph and has

been described as the ‘nearest

thing to flying’.

Later in the evening the group

laced their walking boots, turned on

their torches and trekked 3,560ft to

the top of Snowdon – the highest

mountain in England and Wales.

Will completed the challenge

alongside Anna Parry, Deputy

Managing Director of AACE,

Kerry Gulliver, Director of Human

Resources and Organisational

Development at East Midlands

Ambulance Service, and Tracy

Nicholls, Chief Executive of the

College of Paramedics.

The idea was the brainchild of Ms

Nicholls who wanted to embark

on an event to highlight the impact

of pressures on ambulance staff,

particularly in light of COVID-19,

and the importance of ensuring

the support they require is there

when needed most.

The funds raised through their

efforts will go towards initiatives to

help care for the mental, physical

and financial wellbeing of the UK’s

ambulance community.

“This challenge ticked a lot of boxes

for me and I would do it all again

in a heartbeat, despite being pretty

nervous as the clocked ticked down

towards the zip wire,” said Will, who

is the lead CEO for mental health

for UK ambulance services.

“Anyone who knows me will

know that was certainly out

of my comfort zone, but the

camaraderie was fantastic and the

activities were exhilarating.

“TASC is a charity doing hugely

important work at a time when it

has never been more essential

given the challenges our staff

have faced for such a sustained

period and continue to.

“In my role as the national lead

for mental health for ambulance

services, I really do understand

the issues and just how important

the work of the charity is and I

am delighted to be part of a team

which has helped raise funds but

also much-needed awareness.

“As I said before the challenge, I

want to encourage everyone in the

ambulance sector to ask for help

if they need it – it is the hardest

step but the most important.”

Anyone interested in making a

donation can still do so via the

group’s JustGiving page at www.



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and the importance of therapy for

the COVID-19 pandemic. The

of stress and pressure and

Tools to improve

wellbeing make

frontline work safer

and more effective

999 teams.

Audiences will also hear about

the real-life experiences of

practitioners, front line responders

and experts in the field including

platform has been used by NHS

Practitioner Health, the Royal

College of Emergency Medicine,

Air Ambulances UK, the London

Ambulance Service and Police


PSTD999 will be offering trauma

response training, and expertise

on psychological health and

safety and the assessment and

treatment of PTSD.


The Emergency Services Show,

NEC, 7-8 September 2021

This year’s Emergency Services

Show (ESS), taking place at the

NEC, Birmingham, on 7 and 8

September 2021 is designed to

equip front line workers with the

tools and techniques needed to

maximise wellbeing and drive


“Employees of blue light

services are at greatest risk of

experiencing mental health issues

and yet among the least likely to

deal with them. A recent survey

also showed 69% of emergency

responders feel their mental

health has deteriorated during

the pandemic[1]. Improving

wellbeing makes frontline working

safer, more effective and more

rewarding, so we must now make

it a priority to build resilience in

our emergency services,” explains

David Brown, Event Director, The

Emergency Services Show.

The dedicated Health & Wellbeing

Seminar Theatre, sponsored

by MSA Safety, will feature a

speaker line-up of experienced

professionals who will share their

expertise of mental wellness,

health and nutrition, menopause,

fatigue, workforce diversity

and the latest digital support

platforms. Mind Blue Light will

talk about Mind’s Covid-19

response and offer advice on

how emergency responders can

look after their own mental health

and support their colleagues

during the pandemic. Consultant

psychotherapist Rebekah Golds-

Jones will present findings from

her MSc thesis on suicide and

first responders which considers

how to reduce the stigma around

seeking mental health support

the likes of Andy Elwood,

an experienced former RAF

paramedic and now campaigner

on mental wellbeing. Other

speakers include Greg Lesson

from London Fire Brigade who will

talk about the work he has been

doing on nutrition and diet with

the Fire Service to help maintain

firefighters in peak physical

and mental shape. Anna Stec,

Professor in Fire Chemistry and

Toxicity at UCLan will present a

session on minimising firefighters’

exposure to toxic fire effluents.

The mental health of service-users

will be the subject of a session

presented by James Lewis of

South Western Ambulance.

He will showcase the Trust’s

ground-breaking project which

uses animal therapy to help fight

community isolation; thereby

reducing pressure on the

ambulance service.

Delegates will also hear how the

Police Federation is fighting for

changes to current legislation

on police conduct cases which

currently have no time cap,

and are often the cause of

considerable distress to officers.

Diversity in the fire and rescue

service will be covered by Jenny

Pollock and Emma Shute from

the organisation Women to Work.

They will share their experiences

of working with South Yorkshire

Fire and Rescue to overcome the

barriers to women’s progression

in the service, enabling them to

maximise their potential.

Visitors can also find out how

a digital workplace platform

called 87% has helped tens of

thousands of frontline workers to

build mental fitness throughout

In the networking hub of the

show, The Collaboration Zone,

over 80 emergency services,

voluntary groups, charities

and NGOs will be sharing

details of the support they offer.

Organisations involved include

Christian Ambulance Association,

Railway Mission, Response

Pastors, The Fire Fighters Charity

and UK Firefighters Sailing

Challenge. Visitors can also

find out more about the UK’s

first ever cycling club to support

emergency service workers.

Launched this summer, the

Bluelight Cycling Club provides

emergency service workers

with an opportunity to network

and access peer support from

like-minded colleagues whilst

enjoying the mental and physical

benefits of cycling. The club

raises money for five emergency

services charities and members

can access deals and discounts

from major sports brands.

The newly launched Future

Policing Zone will also showcase

organisations such as Oscar Kilo,

Police Care UK, Surfwell – Devon

& Cornwall and Dorset Police,

and Service Dogs UK; who are

providing best practice, research

and guidance to help shape the

wellbeing agenda and encourage


In the main exhibition, visitors

with an interest in wellbeing

can speak to safety technology

experts MSA Safety about

their campaign to protect

firefighters’ health. Meanwhile

people services’ experts Rego

will be discussing transforming

workplace culture, The Eleos

Partnership will be sharing

tips on reducing the impacts

Health & Wellbeing is also a key

theme in the co-located Health

& Safety Event. As post-Covid

working practices evolve, experts

in the Lone Worker Theatre

will share their knowledge

and practical experience of

managing wellbeing for lone

and remote workers. The British

Safety Council’s Conference

programme includes an entire

day dedicated to health and

wellbeing, while each afternoon

in the Professional Development

Zone, HSE Recruitment

Network’s team of advisors will

host a sessions on culture and

community, showing employers

how to build a diverse and

inclusive workforce.

Free-to-attend and based in Hall

5 and the Outside Area at the

NEC, The Emergency Services

Show 2021 will for the first time

be co-located with not only The

Health & Safety Event but also

the Safety & Security Event

Series, The Fire Safety Event,

The Security Event, The Facilities

Event and newly launched

National Cyber Security Show,

creating the UK’s largest event

dedicated to the protection of

people, places and assets.

The NEC Venue Protect

programme ensures all

participants in The Emergency

Services Show enjoy a COVIDsafe

and secure visit with

comprehensive social distancing

measures and enhanced

cleaning and sanitisation.

Parking at the NEC for show

visitors is free. Register in

advance for free entry to all six

events with a single pass at:


For more news visit:






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Commendations for

London Ambulance

Service medics

tackling knife crime

Medics from London Ambulance

Service who educate school

children on the realities of

knife crime to deter them from

carrying weapons have been

commended by the police.

“We tell them about treating

patients their age; our talks are

emotional and relatable and we

know it makes a difference.”

Paramedic Sukhjit Kadri and

emergency medical technician

The presentations are aimed at

Keith Plummer give youngsters in

schools across east London honest

and hard-hitting facts about what

knife injuries look like and the lifechanging

impact they can have.

Year 9 pupils in an area which has

a high rate of knife crime.

Keith said: “It is really nice and

unexpected to get an award for

They also play a recording of a

harrowing 999 call that was made

after a fatal stabbing of a teenager.

a job I love doing. When you talk

to the kids, you can see they are





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The medics are part of a team

who have worked alongside

officers from the Metropolitan

Police to educate hundreds

of teenagers across Barking

& Dagenham, Havering and

Redbridge schools to stem the

tide of gang violence in London.

Detective Chief Superintendent

Stephen Clayman presented

Sukhjit and Keith with a

Commander’s Commendation at

a small ceremony in Romford to

recognise their commitment and

collaborative work on tackling

knife crime.

Sukhjit, who led the project for

London Ambulance Service,

said: “I’m so passionate about

this work and it is so rewarding

being able to give back to the

community that I grew up in. I

have been able to work in my old

secondary school and sixth form.

“It is a real honour to be

recognised, but the real reward

has been the feedback from

pupils who have talked about the

impact we have had.

“We have knowledge and

experience of the consequences

of knife crime; of seeing people

hurt and seeing their families.

So we are passionate and

enthusiastic about educating kids

and we can say to them: this is

what we do, this is what we see,

this is real.”

Sukhjit and Keith deliver their

workshops alongside police

colleagues PC Halleron and PC

Harris; and Nathan Levy, who

runs the Robert Levy Foundation,

a charity set up after his brother

was murdered. All five were


Det Chief Supt Clayman said:

“The workshops have so much

impact - they have resulted in

students coming forward and

giving information about other

pupils carrying weapons.

“This collaborative project is

delivered alongside their other

work commitments and they are

passionate about their goal as

ultimately they are trying to make

youths in London safer.”


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Cardiac arrest

survivor thanks

“humble heroes” for

saving his life

A 54-year-old man whose

heart stopped beating for 21

minutes has thanked London

Ambulance Service staff that

helped save his life.

Nicolas De Santis, a tech

entrepreneur, was working at

home in his study when he started

to feel slight discomfort in his

chest which he brushed off as an

infection or bad cold.

Fortunately for Nicolas his

daughter, Alaia, 22, was also at

home that day in December 2019,

and had gone to check on him

before they went out to dinner

when he collapsed in front of her.

She immediately dialled 999

and followed the advice from

London Ambulance Service call

handler, Elliott, who began to talk

Alaia through cardiopulmonary

resuscitation (CPR).

She said: “When I saw my dad

collapse, I knew something severe

had happened to him. I had never

learnt CPR before, but, I knew I

had to act quickly as he was not

breathing. The call handler kept

me calm and helped talk me

through what to do.”

As Alaia continued to give chest

compressions to her father,

medics Kirsty, Junaid, John and

Vijay arrived.

Junaid, an Advanced Paramedic

for London Ambulance Service,

recalled that day: “21 minutes is

a very long time for someone’s

heart to stop beating. Every

second counts when a person is

in cardiac arrest and good chest

compressions – like those Alaia

gave – helps to resupply the heart

and brain with vital oxygen.

“Alaia’s quick actions that day

truly saved her father’s life.”

After the medics helped to

stabilise Nicolas, they rushed

him to hospital where he was put

in an induced coma. He spent a

month recovering in an intensive

care unit. The doctors said he had

suffered a cardiac arrest because

of a blocked coronary artery.

Nicolas, who lives in Mayfair with

his wife, Melissa Odabash, and his

two daughters, Alaia and Avalon,

18, says the incident has made

him see the world a little differently.

“I left this life for 21 minutes. I realise

how lucky I am to be alive, and life

really is much more beautiful than it

was before. The way I see it I came

back to understand how precious

life really is,” he said.

Recently Nicolas visited London

Ambulance Service’s HQ to meet

the staff there that helped to save

his life that day.

He said: “It has been so important

for me to be able to thank them.

Without them I’m not sure I would

have survived. I call them my

‘humble heroes’, because they

really are heroes and so humble.”

Since recovering Nicolas wants to

raise awareness of the importance

of cardiac health and learning

lifesaving skills such as CPR.

He said: “I’m a 54-year-old

man, fairly fit, play football every

weekend and look after myself

with a healthy diet. I never thought

anything like this could happen to

me. It is totally unpredictable.

“And that’s the point, you never

know who it could happen to

or when, so that’s why it’s so

important to learn these skills. As

sadly, you’re much more likely to

have to save someone close to

you – a friend or family member.”

Not only has Nicolas thanked

the ambulance service for saving

his life, he says he is indebted to

his daughter: “I have said to her,

whatever she wants, she can have!

“I can’t thank everyone enough

for giving me another chance at

life and the opportunity to see my

daughters grow up, get married

and graduate. I am so grateful to

everyone that day.”

Nearly 90% of patient transport users rate quality measures and booking reminders as important


Non-emergency patient transport users believe it is important for

providers to have good quality measures and notify them when their

transport will pick them up.

A research poll conducted by national health and social care transport

provider ERS Medical has found that patients who use a transport

service to and from hospital appointments have rated several quality

measures and booking reminders as important service aspects.

87% of respondents said the following quality measures were

“extremely important” or “important” with a further 7% of respondents

saying they are “somewhat important”:

• Friendliness and experience of the provider and crews;

• Cleanliness and age of vehicles;

• Appointment reminders;

• A caring approach

Additionally, a significant 99% of poll respondents said it was

important to know when the patient transport service would pick

them up for their appointment.

Andrew Pooley, Managing Director at ERS Medical, comments:

“Although every contract has different KPIs for “journeys on time” - as

an example, in our largest contract area, over 97% of our journeys

are on time. However, we know there are inevitable delays in a busy

healthcare environment with many moving components making up the

entire system of patient flow. Effective communication with patients is

imperative to let them know when their transport is due to arrive.

They would also like the reassurance that their provider is a good

quality and reliable one, whether this is reflected in the calibre of crews,

the provider’s caring approach or via the condition of vehicles. These

aren’t ground-breaking findings for the industry, but these poll results

echo what we all have assumed for many years. It’s our collective

responsibility to continue to deliver it.”

ERS Medical conducts over 600,000 patient journeys per annum. In the

last year, on-board ambulance patient feedback surveys (either completed

during or after the journey and sent back to ERS Medical) show that

over 94% of the patients transported by ERS Medical were “extremely

likely” or “likely” to recommend their service to friends and family.


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West Yorkshire

Medic Response

Team launch

lifesaving vehicle

The West Yorkshire Medic

Response Team (WYMRT),

a specialist pre-hospital

emergency trauma crew, who, in

their spare time, responded to

266 serious medical and trauma

cases across West Yorkshire last

year, has launched a new BMW

X5 emergency response vehicle.

It was made possible after the

group successfully bid for a

total of £41,220 from a pot of

£250,000, which is given to the

British Association for Immediate

Care every year by the County

Air Ambulance HELP Appeal -

the only charity in the country

dedicated to funding NHS

hospital helipads.

The BMW, which has been

converted with blue lights,

sirens, navigation technology

and cameras will now be active

across Leeds, West Yorkshire

and beyond, carrying volunteer

medical teams, consisting of

senior doctors and paramedics,

to the scene of critically ill or

injured patients in the community

or at the roadside. This new car

replaces a Volvo XC70, which has

been in use since 2013.

WYMRT is one of a network of

schemes across the UK, which

operates under the umbrella of the

British Association for Immediate

Care – a national organisation. It

currently has 35 active responders,

including 15 trainees, who were

dispatched 266 times last year. Of

these, 159 were active jobs, with

WYMRT being first on the scene

in a quarter of these cases. The

key reasons for call outs were,

road traffic accidents (77 cases),

long falls (19 cases), stabbings

(14 cases) and cardiac arrest (13


In December 2020, after the

County Air Ambulance HELP

Appeal’s presented its second

annual £250,000 donation

to the British Association for

Immediate Care, WYMRT was

also successful in securing an

additional £15,369.55. This has

enabled them to buy ten new PPE

uniforms, equip its garage base

with laundry facilities to wash

uniforms after every incident,

purchase new crew responder

helmets and also winter tyres for

existing responder vehicles.

WYMRT Chair, Dr Andy

Pountney said: “The support

given to WYMRT by the HELP

Appeal has been tremendous and

many patients in West Yorkshire

have received this valuable

specialist care and attention by

Doctors at scene. The work has

also helped both Doctors and

Paramedics to understand the

important roles played by each

other in this type of work.”

Robert Bertram, Chief Executive

of the County Air Ambulance

HELP Appeal added: “These

volunteers are the unsung

heroes of emergency care. This

important addition to their fleet of

cars and new PPE uniforms are

in recognition of their lifesaving

work - all carried out in their spare

time - supporting local ambulance

crews faced with hugely complex

incidents, where people’s lives

are at serious risk. This new car

will help these volunteers to reach

incidents quickly and safely to

help treat patients and give them

the best possible chance of

survival and recovery.”

The HELP Appeal was created

12 years ago by the County Air

Ambulance Trust. It is the only

charity in the country dedicated

to funding NHS hospital helipads

including at Leeds General

Infirmary which has state of the art

lighting, to enable air ambulance

take offs and landings at night

and a firefighting system, thanks

to a £132,000 donation from the


To date it has funded 45 helipads,

which have received over 17,750

landings. The HELP Appeal relies

solely on charitable donations and

does not receive any government

funding or money from the

National Lottery.






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London Ambulance


recognised at NHS



London Ambulance Service

has been recognised at an

awards ceremony celebrating

excellence in the National

Health Service.

The Service’s End of Life Care

Team, which ensures terminally ill

people get compassionate care

that respects their wishes, was

announced as a winner at the NHS

Parliamentary Awards on 7 July.

The End of Life Care Team received

the Excellence in Urgent and

Emergency Care Award, while the

Mental Health Team was shortlisted

in the Excellence in Mental Health

Care Award category.

Both attended a ceremony in

Westminster, where staff and

volunteers across the country

were recognised for going above

and beyond the call of duty to

make the NHS a better service.

Dr John Martin, Chief Paramedic

and Quality Officer for London

Ambulance Service, said:

“It’s been a challenging year for

all staff and volunteers at London

Ambulance Service and we are

proud of them all.

“The NHS Parliamentary Awards

recognise how our pioneering

services are helping our patients

receive the best treatment for their


“I am incredibly proud that the

Mental Health and Macmillan End

of Life Care teams were shortlisted

and I’m delighted that the

Macmillan End of Life Care Team

picked up an award for excellence.

“This team has given staff the

confidence to make decisions

that meet the patient’s wishes,

which can often be achieved by

supporting them and their families

at home.

“Congratulations to all the

nominees who were shortlisted.

It is an honour to be recognised

alongside so many talented and

hardworking people.”

The End of Life Care Team provides

staff and volunteers with specialist

training to ensure terminally ill

people get care that meets their

needs but respects their wishes.

They are funded by Macmillan

Cancer Support, and also work

with hospices and palliative care

services to develop new care

pathways that prevent a patient at

the end of their life needing to be

taken to hospital.

Emma Tingley, Macmillan Head of

Partnerships for London & South

East Regions, said:

“A huge congratulations to the

entire Macmillan End of Life Care

Team on this richly deserved

recognition. We are immensely

proud to have partnered with the

London Ambulance Service on this

innovative programme – a first for

the capital, which has combined

Macmillan’s expertise with the

UK’s busiest ambulance service.

“Macmillan has invested over

£862,000 into the development


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Email :


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and training of all 4,500 of the

London Ambulance Service’s

clinical workforce, so they

can better support terminally

ill patients. And the positive

impact of this pioneering

project is already being shared

nationwide, so will have a

lasting legacy in London and


Our Mental Health Team was

recognised for the Service’s

Mental Health Joint Response

Car. This was piloted in South

East London for six months in

2018 – and, due to its success,

was eventually rolled out across

London in 2020.

The scheme pairs up mental

health professionals with medics in

response cars to ensure people with

mental health needs get the right

and most appropriate treatment.

“Macmillan has

invested over

£862,000 into

the development

and training of

all 4,500 of the

London Ambulance

Service’s clinical

workforce, so

they can better

support terminally

ill patients.”


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ambulance service

initiative helps

30,000 patients

avoid unnecessary


department transfers

A pioneering initiative led by

South Central Ambulance

Service (SCAS) is helping

patients receive the right

treatment more quickly –

and has so far seen more

than 30,000 people avoid

unnecessary transfers to

emergency departments.

The urgent care pathways

project, established in 2019,

sees ambulance service

clinicians take a leading role in

assessing and treating patients

over the phone or in their homes

when handling 111 or 999 calls

and determining their next

destination for ongoing care.

It has led to many patients

being treated at home, referred

onto their GP, transported to a

treatment centre or admitted

directly into a specialist hospital

service covering medical,

surgical, paediatric, respiratory,

frailty or mental health needs.

More than 30,000 patients to-date

who would previously have been

conveyed to busy emergency

departments for further

assessment and investigations

have had their journeys changed.

The system has “significantly

improved” patient experience

by reducing delays accessing

the care they need and has

been referred to as a “gamechanger”

in reducing pressures

on emergency departments at the

front door of hospitals.

It also proved an invaluable asset

during the COVID-19 pandemic

for managing residents in care

homes and avoiding the need

for hospital admissions through

treatment at home, referral to

community services or by-passing

emergency departments.

The project focuses on

moderately unwell patients

with medical conditions, older

patients who are frail with chronic

conditions who are at risk of falls,

those with respiratory conditions

such as COPD and asthma,

people in mental health crises or

children who require a specialist

paediatric assessment.

Ambulance staff are supported to

assess patients at home and take

a lead role in working with GPs

and consultants in hospitals to

determine a patient’s next steps.

They have also piloted

paramedic-led blood testing

at the bedside on frail patients

which saw 58% avoid hospital

admission as a result of more

comprehensive assessments in

the community.

In addition, an online directory –

SCAS Connect – was developed

to categorise all of the urgent care

options available across Berkshire,

Buckinghamshire, Hampshire

and Oxfordshire to assist staff

with locating clinical and support

services and making the right

clinical decision in the community.

“We have known for some time

just how much scope there was

to focus on the role of ambulance

services as ‘care navigators’ given

the fact our mobile clinicians

are dispersed across vast

geographies 24/7 and in a unique

position to facilitate the most

appropriate care for patients,”

said Chris Jackson, a specialist

paramedic and urgent care

pathways lead at SCAS.



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“The need for change was clear in

Lord Carter’s review of ambulance

services in 2018 which urged better

use of GP and community facilities

to avoid unnecessary ambulance

conveyance, access to a directory

of services, greater clinical and

managerial support for ambulance

staff and new technology.

“I am proud to say at SCAS we

have taken this challenge on and

produced a programme which is

truly changing how we care for

patients by enhancing the skills of

our paramedics, ensuring patients

get the right care as quickly as

possible and reducing the burden

on emergency departments.”

Mark Ainsworth, director of

operations at SCAS, said: “This

is one of the biggest clinical

transformational pieces of work

ever undertaken to deliver on the

core principles of specialist practice

– right care, right place, right time.

“By empowering staff to be

confident in decision-making,

ensuring the options available

for patients are clear to our

clinicians and moving away from

a default approach of transfer to

emergency departments, we are

seeing the delivery of better care

and a more integrated system.”

In an extension of this work in

February SCAS became the first

ambulance service in the country

to supply COVID-19 patients with

home oxygen monitoring kits if

they didn’t require immediate

admission to hospital but were

at higher risk of complications.

In the same month the Trust

introduced COVID-19 testing

of all 999 patients visited at

home – including those without

symptoms – if they required

transfer to hospital to speed up

handovers and release crews

more quickly.

Dr John Black, medical director

at SCAS, added: “The urgent

care pathways initiative at SCAS

has significantly improved care

for patients and has shown

better, more appropriate

management of patients is


“It is a real game-changer when

it comes to reducing pressure

in emergency departments, as

is evident from the avoidance

of 30,000 journeys, and that is

of particular importance given

the constant strain being seen

across the country.

“SCAS is a leader in this field

and we were able to accelerate

progress in this space

significantly during the pandemic

with our pulse oximetry and

lateral flow testing pilots which

demonstrated innovation in

the ambulance sector at an

extremely challenging time.”

“It is a real


when it comes

to reducing

pressure in


departments, as

is evident from

the avoidance of

30,000 journeys,

and that is

of particular

importance given

the constant

strain being

seen across the


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For the latest Ambulance Service News visit:





Lifesaving Restart

a Heart campaign

scoops prestigious


A Yorkshire Ambulance Service

campaign which teaches

schoolchildren how to become

lifesavers has won a top accolade

at the Yorkshire Choice Awards.

The initiative, which has provided

CPR training to 151,000 Yorkshire

students on Restart a Heart Day

since 2014, received a Special

Recognition Award at the online


Journalist and broadcaster Christa

Ackroyd, who announced the award

winners, said the recent high-profile

resuscitation of Danish footballer

Christian Eriksen highlighted the

importance of the campaign.

She said: “Christian Eriksen is

now well due to the incredible

life-saving actions taken on the

field and that is what Yorkshire

Ambulance Service aims to

teach which they have done with

amazing success. Keep up the

good work of teaching these skills

that we should all learn.”

Jason Carlyon, Community

Engagement Manager for Yorkshire

Ambulance Service, said: “We are

so thrilled to win this award! We

know the campaign has directly

influenced the patient outcomes

and we know of lives saved as a

result – we can’t ask more than that.

“Thank you to the project team,

volunteers, partner organisations,

Yorkshire Ambulance Service

Charity and, of course, all

the schools and students for

supporting this vital campaign.

Together we are improving

chances of survival.”

More than 700 staff and

volunteers are looking forward

to returning to schools for

face-to-face CPR training on

Restart a Heart Day on Friday 15

October 2021 after the COVID-19

pandemic meant the lessons had

to be online last year.

The 114 participating schools are:

West Yorkshire - 43

Airedale Academy, Castleford

Brigshaw High School, Allerton


Honley High School, Honley

Castleford Academy, Castleford

Outwood Academy, Hemsworth

Heckmondwike Grammar School,


Upper Batley High School, Batley

Garforth Academy, Garforth

Bruntcliffe Academy, Morley

Lawnswood School, Leeds

Leeds City Academy, Leeds

Cardinal Heenan Catholic High

School, Leeds

Crawshaw Academy, Pudsey,


Rida Girls High School, Dewsbury

Rida Boys High School, Dewsbury

Manorcroft Academy, Dewsbury

St John Fisher Catholic Voluntary

Academy, Dewsbury

The Brooksbank School, Elland

Jaamiatul Imaam Muhammad

Zakaria, Clayton

Holmfirth High School,

Thongsbridge, Holmfirth

Coop Academy Grange, Bradford

Trinity Academy Bradford, Bradford

Brighouse High School, Brighouse

Highfield School, Ossett

Ossett Academy, Ossett

Pudsey Grangefield School,

Pudsey, Leeds

The Farnley Academy, Leeds

Temple Moor High School, Field

End Grove, Leeds

Temple Learning Academy, Leeds

Abbey Grange C of E Academy,


Prince Henry’s Grammar School,


Bingley Grammar School, Bingley

The Crossley Heath School,


Ryburn Valley High School,

Sowerby Bridge, Halifax

The Halifax Academy, Halifax

North Halifax Grammar School,

Illingworth, Halifax

Kirklees College, Huddersfield

Shelley College, Huddersfield

North Huddersfield Trust School,


Crofton Academy, Crofton,


Outwood Grange Academy,


Outwood Academy City Fields,


Woodkirk Academy, Tingley

East Yorkshire - 14

Driffield School, Driffield

Riverside School, Goole

Howden School, Howden

Beverley Grammar School,


Wolfreton School and Sixth Form

College, Willerby

Hessle High School, Hessle

Wilberforce College, Hull

Hymers College, Hull

St Mary’s College, Hull

Wyke Sixth Form College, Hull

Oakfield School, Hull

Sirius Academy West, Hull

Headlands School, Bridlington

Withernsea High School,


North Yorkshire - 34

Settle College, Settle

Ripon Grammar School, Ripon

Barlby High School, Barlby

Norton College, Norton

Huntington School, York

York High School, York

Queen Ethelburga’s Collegiate,


Archbishop Holgate’s School, York

Fulford School, York

Cundall Manor School, York

All Saint’s RC School, York

Outwood Academy, Easingwold,


Selby High School, Selby

King James School,


Sherburn High School, Sherburn

in Elmet

Tadcaster Grammar School,


Queen Mary’s School, Topcliffe,


Thirsk School & Sixth Form

College, Thirsk

The Wensleydale School and Sixth

Form, Leyburn

The Skipton Academy, Skipton

Skipton Girls’ High School,


Upper Wharfedale, Skipton

Bedale High School, Bedale

Richmond School, Richmond

St Francis Xavier, Richmond

The Holy Family Catholic High

School, Carlton

Stokesley School, Stokesley

Northallerton School, Northallerton

Scarborough College,


Scalby School, Scarborough

Scarborough Sixth Form College,


Scarborough University Technical

College, Scarborough

Harrogate High School, Harrogate

Eskdale School, Whitby

South Yorkshire - 23

Holy Trinity Academy, Barnsley

Outwood Academy Shafton,


Maple Medical PRU, Balby,


Serlby Park Academy, Doncaster

Outwood Academy Adwick,


Don Valley Academy, Doncaster

Oakwood High School,


Wingfield Academy, Rotherham

Saint Pius X Catholic High School,


Thrybergh Academy, Rotherham

Al-Mahad Al-Islami, Sheffield

Tapton School, Sheffield

UTC Sheffield City, Sheffield

Westfield School, Sheffield

Notre Dame High School,


Stocksbridge High School,


Outwood Academy City, Sheffield

Firth Park Academy, Sheffield

The Birley Academy, Sheffield

Bradfield School, Sheffield

Hinde House School, Sheffield

Dinnington High School, Sheffield

Ecclesfield School, Ecclesfield

For more information about

Restart a Heart Day, visit www.


For more news visit:



East Anglian Air

Ambulance choose

Japanese Sleep


The new £7m base of East

Anglian Air Ambulance (EAAA)

has been built to facilitate the

charity’s move from using rapid

response vehicles at night to

operating a 24/7 service by

air. This operational change

means that rest space is now

needed not only for doctors and

paramedics, but also for pilots.

In an innovative move, EAAA

chose to install six Japanese

sleep capsules in their new

rest area. These capsules are

accommodated in a room

measuring just 4.1 x 3.6 metres,

and will provide privacy and rest

for crew on the night shift.

The capsules were manufactured

in Japan by Kotobuki Corporation,

who invented the sleep capsule

concept and fitted out the first

of the iconic Japanese capsule

hotels back in 1979. The capsules

have of course evolved since

then, and these days provide rest

space in hostels, workplaces and

even on board ships all over the


The project was managed and

installed by Audience Systems,

which is based in the UK and is

part of the Kotobuki Group.

Matthew Jones, Director of

Operations at East Anglian

Air Ambulance says, “People

weren’t sure about having sleep

capsules here at first. There was

a lot of scepticism about privacy

Photography: Sarah Toon

and noise. Crew members also

worried that the capsules would

be claustrophobic, and that you

they would feel the capsules

move when other users got in and

out. So far though, everyone has

been pleasantly surprised on all


“It’s clear that these capsules are

a very well-engineered solution.

They don’t appear to translate

vibration at all. When we were

looking at capsules, we looked at

some alternatives manufactured

in China, and we had some real

concerns about their solidity and

stability, but this just served to

confirm that the Kotobuki capsule

was the solution we wanted.”

To find out more about sleep

capsules, call Audience Systems

on +44 1373 865050 or email

About Audience Systems

Audience Systems was

established in 1972 and has

been part of the Kotobuki Group

of companies since 1994.

Based in Westbury, Wiltshire,

the company employs over 120

people across manufacturing,

engineering, project management

and aftersales, and manages

hundreds of interior fitout and

servicing projects every year.

As well as sleep capsules,

Audience Systems’ prime

business is in the manufacture

and installation of retractable

seating. It is the UK’s market

leader in this field, and exports

to over 50 countries worldwide.

Clients include The O2 Arena, The

Royal Albert Hall, Royal Caribbean

Cruise Lines, Europa Point in

Gibraltar, and Qatar University.


New ventilation

device study starts

North East Ambulance Service

(NEAS) has begun a new

research study exploring

whether a real time ventilation

feedback device can improve the

quality of ventilations delivered

by ambulance clinicians.

An out of hospital cardiac arrest

(OHCA) occurs when a person’s

heart suddenly stops beating.

NHS ambulance services attempt

resuscitation on about 30,000

OHCA’s every year but sadly,

despite the efforts of everyone

involved, less than one in ten

people survive.

As part of the ongoing work

behind the scenes to improve

this, the research team at

NEAS has developed the

Ventilation Accuracy in NEAS

using Zoll feedback (VANZ2)

study, which will see ambulance

clinicians working from Blucher,

Middlesbrough and Redcar

ambulance stations using a real

time ventilation feedback device

when they deliver ventilations

during OHCA.

The aim of the trial, which began

on August 1st and is expected to

last for four months, is to see if

the real time ventilation feedback

device improves the quality of

ventilations delivered, and if this

leads to an improved rate of


The clinicians involved in the

trial will only use the device on

patients aged 18 or over, who

are not involved in a traumatic

incident and who are not, or

suspected of being, pregnant.

Research paramedic Karl

Charlton, who is leading on the

research, said: “When a patient’s

heart stops their body becomes

deprived of oxygen. One of

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

the treatments a clinician will

undertake during a cardiac arrest

is to provide support for the

patients breathing, which involves

inserting a tube into the patient’s

mouth, and squeezing a bag

inflated with oxygen to assist or

take over a patient’s breathing.

“When delivering oxygen,

it is important to deliver the

right amount. The European

Resuscitation Council provides

guidance about how much oxygen

to deliver with each rescue breath,

and how often each breath should

be delivered, but there’s currently

no way for a clinician to know how

much oxygen they are giving to a

patient and how often.

“This new feedback device

attaches to the tube that is

inserted into the patient’s mouth.

The other end of the device

connects to the defibrillator

screen used by the clinician.

When the clinician squeezes the

bag to deliver oxygen, the amount

of oxygen delivered appears on

the screen, so the clinician can

respond to any under or over

delivery of oxygen. A five second

counter tells the clinician when to

squeeze the bag at the right time.

“This study alone won’t change

paramedic practice overnight. But

we hope that the results will help

inform further studies to ultimately

improve patient care and lead to

improved rates of survival”

For more information, including

how to opt out of the study, visit








Ambulance service’s

resuscitation and

defibrillator app sees

spike in downloads

An ambulance service

app which provides

cardiopulmonary resuscitation

(CPR) guidance and locates the

nearest defibrillator saw a 1,300

per cent increase in downloads

following Danish football star

Christian Eriksen’s cardiac

arrest at Euro 2020.

The Save a Life app, developed

by South Central Ambulance

Service (SCAS), uses GPS

navigation to locate the nearest

automated external defibrillator

(AED) as well as a list of others

in the area and features videos,

instructions and a question-andanswer


The subject of CPR was thrust into

the spotlight when Inter Milan ace

Eriksen suffered a cardiac arrest

on the pitch during his country’s

clash with Finland and had

immediate life-saving assistance

from players and medics.

Around 60,000 out-of-hospital

cardiac arrests (OHCA) occur in

the UK every year and emergency

services attempt resuscitation

in around half – but just one in

10 people survive to hospital


However, chances of survival are

two to three times higher with

immediate bystander CPR – and

a report published earlier this

year by the National Confidential

Enquiry into Patient Outcome and

Death (NCEPOD) found 35.5% of

patients who received CPR from

a bystander survived to hospital


The boost in interest in the

app comes after data at SCAS

showed requests for training and

information on how to perform

CPR and use AEDs, which are

now stationed in many local

communities, were down 67% last

year and 86.5% this year in the

South Central region compared to

pre-pandemic levels in 2019.

“The shock of the incident

involving Christian Eriksen and its

very public nature has had such

a significant impact on people

across the world and we, along

with all other well-wishers, were

delighted to see him stabilised

so quickly and now discharged,”

said Nicola Dunbar, Head of

Community Engagement and

Training at SCAS.

Ms Dunbar said the swift action

shown in the case of Eriksen

could make the same difference

to anyone in any walk of life.

“This was a stark reminder of the

instant and impromptu nature of

cardiac arrest and highlighted

the importance of quick thinking

– the decisive interventions by all

involved saved the player’s life,”

she said.

Professor Charles Deakin,

Divisional Medical Director at

SCAS and lead for resuscitation,

said: “A person in cardiac arrest

will not survive if they don’t

receive assistance. Learning how

to perform CPR before you need

to use it and how to use an AED

– and where they are located in

your area – will give someone the

best chance of survival.”


NatWest Group helps

support over 200

London Ambulance

Service apprentices

NatWest Group has agreed

apprenticeship funding to

help support over 200 London

Ambulance Service (LAS) staff

wanting to further develop their

careers on the frontline.

The funding, made through the

apprenticeship levy transfer

scheme, will help pay towards

apprenticeship courses at LAS for

up to four years.

apprenticeship course run by the

University of Cumbria. This course

is open to medics already working

on the frontline, helping them to

further develop their emergency

care skills while they progress to

degree level.

Emergency Medical Crew, Femi

Coker, has worked at LAS for six

years and has recently enrolled

on the paramedic apprenticeship


He said: “The apprenticeship

course offers a unique opportunity

for me to improve my clinical skills

as I can study and work at the

same time.

“I’ve always dreamed of

becoming a paramedic and

this course has definitely made

becoming one so much more

accessible – especially as the

tuition is paid for. I’m really

looking forward to developing my

skills further and becoming fully

qualified in the future.”

Recent NHS Digital workforce

data found an increase in the

numbers of people wanting to join

the NHS and become paramedics

since the start of the Covid-19


Dr John Martin, Chief Paramedic

and Quality Officer for London

Ambulance Service, said:

“It’s so encouraging to hear more

people are wanting to start a

career as a paramedic. Working in

the ambulance service is such a


The ambulance service offers a

multitude of different routes for

external and internal candidates

to develop or start a career

in healthcare. The Associate

Ambulance Practitioner

apprenticeship, which is open

to external applicants, is a route

to becoming an Emergency

Ambulance Crew without any prior

medical qualifications.

LAS also offers a paramedic

Femi Coker


For further recruitment vacancies visit:


rewarding and fulfilling role, and

that’s why it’s so important for

us to introduce more accessible

routes for people to be able to

fulfil their dreams – whatever

their circumstances.

“The support of NatWest is

invaluable, and will allow us to

continue to develop and train

more talented individuals across

the capital that will go on to care

for those in need.”

The funding from NatWest

Group will help pay towards

both the Associate Ambulance

Practitioner and paramedic

apprenticeship courses. Those

enrolled onto the programmes

will have the opportunity to learn

new skills on the job, whilst

working alongside qualified

experienced clinicians, with the

support from practice educators.

Craig Neill, Global Head of

Talent Acquisition at NatWest

Group, said:

“At NatWest Group, we know

how rewarding a thriving

apprenticeship programme

can be for both an organisation

and those who participate.

Apprenticeship programmes

help people to access new

careers they may have never

considered whilst building skills

for the future, helping families,

communities and businesses.

“I am delighted that this funding

will be redirected to the London

Ambulance Service and will

allow young people to develop

the new skills and capabilities

they need to succeed in their


For more information on

the different apprenticeship

opportunities visit the London

Ambulance Service website:




Military volunteers

at SCAS receive

prestigious Queen’s


A group of military volunteers

at South Central Ambulance

Service (SCAS) have been

awarded one of the Queen’s

most prestigious honours in

recognition of their lifesaving

work in local communities.

MOD Corsham, a Ministry of

Defence base located in Wiltshire,

provides personnel who make up

one of the military co-responder

schemes at SCAS which sees

individuals trained to attend

medical emergencies.

The scheme is one of 241

charities, social enterprises and

voluntary groups across the UK

to receive The Queen’s Award for

Voluntary Service this year.

The award was created in 2002

to celebrate the anniversary of the

Queen’s coronation and is the

highest given to local volunteer

groups across the UK, with winners

announced during the annual It

recognises outstanding community

work and is equivalent to an MBE.

Volunteer co-responders, who

are made up of members of

the Armed Forces and other

emergency services, attend

a variety of emergencies and

provide first aid in the crucial

minutes before the arrival of


The MOD Corsham Military Co-

Responder Scheme, although

based outside of the SCAS patch

in Wiltshire, can be deployed

across the SCAS counties of

Berkshire, Buckinghamshire,

Hampshire and Oxfordshire.

These volunteers also spend time

raising funds for South Central

Ambulance Charity to provide

vehicles and equipment for use in

their local communities as part of

their responder schemes.

“As volunteer co-responders,

our mission is to make that big

difference with patients who

require a time-critical, pre-hospital

response,” said Louis Edwards,

a member of the MOD Corsham

Military Co-Responder Scheme

at SCAS.

“At a time when every minute

counts, we contribute to getting

the most positive outcome

possible to their situation.”

Nicola Dunbar, Head of Community

Engagement and Training at

SCAS, said: “We are extremely

grateful to our colleagues in other

emergency services and the military

who generously give their time to

train and work as volunteer coresponders

for us.

“Our military co-responders in

particular spend significant time

not only assisting with medical

emergencies in their local

communities but also voluntarily

raising funds to provide vehicles

and equipment.

“This award rightly recognises

their outstanding commitment,

dedication and achievements and

is thoroughly deserved given the

role these individuals play in caring

for patients and saving lives.”

Vanessa Casey, Chief Executive of

South Central Ambulance Charity,

added: “We have more than

1,200 community first responders,

medical students, military,

police and fire co-responders

trained to attend life-threatening

emergencies and they all deserve

the highest praise.

“This recognition for our military

co-responders during Volunteers’

Week is absolutely fantastic and

the perfect way to celebrate

the role they play in delivering

excellent patient care as well as

raising vital funds for our charity –

thank you.”

Representatives of the MOD

Corsham Military Co-Responder

Scheme will receive the award

crystal and certificate from Mr

James Puxley, Lord-Lieutenant of

Berkshire, later this summer.

In addition, two volunteers from

MOD Corsham will attend a

garden party at Buckingham

Palace in May 2022 along with

other recipients.

MOD Corsham Military Co-Responder Scheme volunteers


For the latest Ambulance Service News visit:



LAS News

London Ambulance Service

appoints new Chief Executive

The Chair of the London Ambulance

Service (LAS), Heather Lawrence OBE,

has announced the appointment of Daniel

Elkeles as the Trust’s new Chief Executive.

Daniel, who will join LAS on secondment on

16 August 2021, has significant experience

in the NHS and healthcare, and is currently

Chief Executive of Epsom and St Helier

Hospitals NHS Trust, where he has served

for nearly seven years. Prior to this, he was

Accountable Officer for five of the clinical

commissioning groups in North West


During his time at Epsom and St Helier

hospitals, Daniel has led on plans, and

secured funding, to build a brand new £500

million Specialist Emergency Care Hospital

in Sutton. He has also overseen a significant

improvement in patient care, quality,

finance and leadership, culminating in the

organisation being rated as ‘Good’ by the

Care Quality Commission.

Daniel has also led on many initiatives to

improve culture and morale, resulting in

Epsom and St Helier having strong scores in

the staff survey in measures about equality,

diversity and inclusion, as well as staff health

and wellbeing.

Heather Lawrence OBE, Trust Chair, said:

“I am delighted to announce Daniel’s

appointment as Chief Executive of the

London Ambulance Service. Daniel has

significant experience of working in and

developing large NHS organisations.

“Daniel’s commitment to supporting and

improving the welfare and wellbeing of staff

and volunteers is well known, including

developing a culture where people feel valued

and respected.

“Daniel’s experience of securing major

investment to modernise organisations will be

key as we develop and deliver plans to invest

in new buildings, vehicles, equipment and

technology across our service.”

Daniel Elkeles said: “I am absolutely delighted

to have been appointed as the new Chief

Executive for the London Ambulance Service.

As the world’s busiest ambulance service,

LAS plays a vital role in providing care for

London’s population of nearly nine million


“I look forward to joining the team and to

helping to shape its future strategy, including

ensuring staff and volunteers receive the best

possible support after what has been the most

challenging year in the NHS’s history.

“The LAS team are held in the highest regard

across London and further afield and I look

forward to doing all I can to support them to

deliver the best possible care and to improve

their own working lives.”

Sir David Sloman, Regional Director for the

NHS in London, said:

“On behalf of the NHS in London, I would like

to personally congratulate Daniel Elkeles on

his appointment, on secondment, as chief

executive at London Ambulance Service NHS

Trust. Daniel is an experienced leader who

has been pivotal in securing support for a new

specialist emergency care hospital in Sutton

which will ensure that local people can access

the care they need. I look forward to working

with and supporting Daniel in his new role.”

David Ruiz-Celada will join the Trust as

Executive Director of Planning and Business

Development later this year in September.

The role comes with an extensive portfolio

including system forecasting and planning

to ensure the Trust’s Operations Directorate

has the right level of resources to deliver

timely patient care as well as the delivery of

Information Management, logistics and Fleet.

Originally from Barcelona and an aeronautical

engineer by training, David now lives in Kent

and will join SECAmb after a decade of

working in the aviation industry. With a focus

on operations planning and management,

logistics and improvement, he has worked

across airlines and air handing operators in

Spain and most recently at London City Airport

since 2014 where he is currently Director of

Operations Strategy and Planning.

His current role has seen him lead a number

of key areas including developing forecasting

and modelling capability within the airport and

delivering a number of improvement initiatives

using technology and process changes to

increase capacity.

SECAmb Chief Executive Officer Philip Astle

said: “I am really pleased to have appointed

David to this important role and I am confident

his character, personality and experience

will prove hugely beneficial to SECAmb. I

would like to formally welcome him ahead of

his arrival in September and look forward to

working closely with him in future.”

David said: “I am delighted to be joining the

SECAmb team and look forward to meeting all

of the colleagues who day-in, day-out make a

difference to our communities. I trust that my

slightly different background will bring in a new

perspective that will help make SECAmb even

better in the years to come.”


Daniel replaces Garrett Emmerson who is

leaving the Trust at the end of August

SECAmb News

SECAmb appoints new

Executive Director

South East Coast Ambulance Service NHS

Foundation Trust (SECAmb) is pleased

to announce the appointment of a new

Executive Director.


For more news visit:


YAS News

New Non-Executive Director


NHS Improvement has confirmed the

appointment of a new Non-Executive

Director (NED) at Yorkshire Ambulance

Service NHS Trust. In addition, the Trust

has successfully recruited to an Associate

Non-Executive Director (Development) post.

Deputy Head of Internal Audit and Counter

Fraud Specialist for the Department of Health

and Social Care; Head of Internal Audit for the

Health Research Authority and Head of Internal

Audit for the NHS Counter Fraud Authority. He

has extensive audit/business knowledge and

experience with over 20 years advising central

government departments in governance,

assurance, risk management and counter fraud

environments and 10 years working in publicfacing

frontline roles in the civil service.

‘Good’ overall’ Care Quality Commission rating

from 2018.

He led the Service through multiple major

incident responses, including the Grenfell

Tower fire tragedy, the two London Bridge

terror attacks and, most recently, the

organisation’s response to the COVID-19


In addition he has overseen the development

Zafir Ali has joined the Trust as an Associate

Non-Executive Director (Development) for a twoyear

period up to 4 June 2023. He has declared

no political activity in the last five years.

of an ambitious strategy to modernise urgent

and emergency care in London, treating

more patients closer to home, reducing the

numbers of patients needing to go to A&E

and developing LAS’s role in providing and

coordinating 999 and 111 healthcare services

across London.

Heather Lawrence OBE, Chair of the Board


“Garrett has worked with the Trust Board

and me to develop the ambulance service

Amanda Moat has been appointed as Non-

Executive Director. She is an experienced senior

manager in risk, compliance and quality, with

particular expertise in the financial services and

legal sectors. She has advised on strategic

matters including resourcing, diversification,

product innovation, mergers and acquisitions,

and change management. Amanda currently

holds a number of non-executive directorships,

including The Mid Yorkshire Hospitals NHS

Trust where she is the NED Safeguarding Lead,

Bolton@Home and Arcon Housing Group. She

is also a Director at Candam Ltd, a Taekwondo

school, and is a volunteer at Highfield School

in Wakefield, a secondary school for pupils

with complex needs, and at the Change

Management Institute.

Yorkshire Ambulance Service Chairman Kath

Lavery commented: “We are delighted to

welcome Amanda and Zafir to the Trust and

I know their abundance of knowledge and

experience will broaden the skills in our Board

and benefit the organisation, our staff and

patients across Yorkshire.”

Non-executive appointments to NHS Trusts

made by the NHS Improvement are subject to

the Governance Code for Public Appointments.

in London, managing it through some of the

most difficult and trying times in its history.

“The last year has been very difficult and I

support Garrett’s decision and thank him for

his contribution to the ambulance service.”

Sir David Sloman, NHS Regional Director for

London said:

“Working as part of the NHS in London,

Garrett’s role in leading LAS through the

COVID pandemic was fundamental to the

city’s response to this national emergency.”

Garrett Emmerson said:

“I am incredibly proud to have led the London

Amanda Moat has been appointed for a two-year

period up to 4 June 2023. She has declared no

political activity in the last five years.

As part of the Trust Board’s succession plans

to improve diversity at senior level, a NExT

programme development placement has been

created for someone to learn first-hand about

the challenges and opportunities associated

with being a non-executive director in the NHS.

Zafir Ali has been successfully recruited to

this post in a process aligned to that used by

NHS Improvement to appoint non-executive

directors. Zafir currently holds a number of roles

at the Government’s Internal Audit Agency:

LAS News

London Ambulance Service

Chair announces that Chief

Executive is to step down

The Chair of the London Ambulance

Service, Heather Lawrence OBE, has

announced that Garrett Emmerson is

to step down from his position as Chief

Executive Officer at the end of August.

Mr Emmerson joined the organisation in May

2017 and led the Service out of NHS ‘special

measures’, achieving and maintaining a

Ambulance Service over the last four years,

however the time is now right for me to step down.

“I’d like to place on record my thanks

and admiration to every one of my 8,000

colleagues. They do an incredible job every

day, being there for Londoners when they need

us most. It has been the greatest honour of my

professional career to have led them.”

Commenting on plans to replace Garrett,

Heather Lawrence OBE added:

“I am pleased to announce that the Board has

appointed a new Chief Executive, Daniel Elkeles,

who will be in place by 16 August 2021.”


Do you have anything you would like to add or include? Please contact us and let us know.




New chief executive takes up

his post at EEAST

Tom Abell has taken up his post as

chief executive of the East of England

Ambulance Service NHS Trust (EEAST).

Tom has joined EEAST from Mid and South

Essex NHS Foundation Trust, where he

was deputy chief executive. He takes over

the reins from deputy chief executive and

medical director, Dr Tom Davis, who has led

the service as interim chief executive since

last September.

Tom brings with him extensive NHS

experience having held a variety of

senior roles across the region. This

includes deputy chief executive and

chief transformation officer at Mid Essex

Hospitals, Southend University Hospital and

Basildon and Thurrock University Hospitals.

He has also worked in commissioning and

was director of service improvement at

Cambridgeshire and Peterborough NHS

Foundation Trust.

Tom said: “I am honoured to have joined

EEAST as chief executive and am proud

to be working for the Trust that serves

my family and friends across the East of

England. I am looking forward to working

closely with our people, stakeholders and

partners to further develop and improve the

services we provide.

“I recognise that we have some major

problems that we need to tackle –

particularly how our people treat each

other. We have too many examples of poor

behaviour and it must be brought to an end.

Let me formally underline my commitment

to turn this around.

“We also need to keep working with our

communities and partners to create a

modern ambulance service which is fit

for the 21st century. I look forward to

continuing to build on the good work which

is already underway.

“Although we have many challenges,

including how we respond to the incredible

demand we are seeing for our services,

I truly believe we have the opportunity to

make our own future. By working together

with partners, we can be bolder and


Nicola Scrivings, Chair of EEAST, said:

“I am delighted to welcome Tom to the

Trust. With substantial NHS leadership

experience in acute, mental health and

commissioning, Tom brings a wealth of

expertise to the position of CEO along with

the experience and drive to deliver real

improvements for our patients and staff.”

SECamb News

Executive Director

announces decision to leave

the NHS

South East Coast Ambulance Service NHS

Foundation Trust’s (SECAmb) Executive

Director of Nursing and Quality has

accepted a new position outside the Trust.

Bethan Eaton-Haskins, who has also been

SECAmb’s Lead Director for COVID-19,

has decided to take up a new role outside

of the NHS. The Trust is working to finalise

Bethan’s leaving date.

Bethan has made a significant contribution

to SECAmb since joining in 2018,

transforming the Trust’s approach to quality

and playing a key role in helping the Trust

achieve a ‘Good’ rating from the Care

Quality Commission in August 2019.

SECAmb Chief Executive, Philip Astle,

said: “Bethan will undoubtedly be a loss

to SECAmb. She has contributed a huge

amount since her arrival and, as our Lead

Director for COVID-19, has been and

remains instrumental to our response to

the pandemic. I am extremely grateful

for the exemplary way she has helped to

lead SECAmb through this unprecedented



Tom Abell

Bethan said: “I have thoroughly enjoyed my

time at SECAmb and this has not been an

easy decision. I have worked with so many

fantastic people but I personally feel that it is

the right time for me to make a change. I will

always be incredibly proud to say I worked

for the ambulance service and I am in awe at

the way everyone has risen to the challenges

of the pandemic.”

SECAmb has begun the process to recruit to

a permanent appointment to replace Bethan.


For further recruitment vacancies visit:


Durabook launches

most powerful,

reliable rugged laptop

to support emergency

services crews

Durabook, the global rugged

mobile solutions manufacturer,

has launched its most

powerful rugged laptop yet.

The upgraded Z14I provides

superior performance and

experience with speeds of up

to 1.6x faster than the previous


Technology sits at the core of

successful ambulance team

operations, and powerful rugged

devices are often required

to enhance the benefits this

technology can bring to mobile

and response teams. Durabook’s

Z14I offers a 16-hour battery life

so that ambulance crews can rely

on it to support an entire shift.

It can also withstand the often

challenging environments of

ambulance crew work, including

drops of up to six-foot, vibrations

and spillages, as well as extreme


The device can also support

patient care and drive efficiencies.

Advanced wireless technology and

improved connection robustness

enable ambulance crews to

instantly send critical patient data

back to the hospital, allowing them

to prepare for arrival. Health crews

can also quickly access historical

patient information, which may

help inform treatment and record a


To see what the Z14I can do to

boost productivity and efficiency

in your organisation, visit www., or contact us at

Bluelight UK Invests

Northern based Bluelight

UK Ltd has been the “go-to”

place for ambulance vehicles

for some 20 years now. Their

depot near Manchester is

within easy reach of the

motorway network and

supplies vehicles to most

private ambulance services

and charities, providing

valuable support to the NHS.

When it comes to ambulance

vehicles, there are very few

with the expertise of Bluelight

UK Ltd in their field.

At present there are over 45

frontline ambulance vehicles in

stock. With Euro six Mercedes

Sprinters from as little as £10k

there are some bargains to be

had too. All the vehicles are ex

NHS Trust and have been wellmaintained.

Pre-owned vehicles

(especially ex NHS Trust) can

make a huge difference to both

your capital expenditure and the

environment. Recycling good

quality used vehicles has got to

be better than building new ones

and at a fraction of the cost, there

is a capital saving.

“Used vehicle values are rising

dramatically,” commented

General Manager Matthew

Forster. “We try our best to

purchase the best quality used

vehicles for stock through our

normal channels, but because

of the extended lead-times for

new vehicles, lack of availability

and increased demand, used

ambulance values are higher

than ever. This is no surprise

since supply chains have been

massively affected by Brexit,

Covid19 and the Suez. Unless

older vehicles can be used, there

will be an even bigger shortage

going into the winter pressures

period this year”.

Bluelight UK has a great

reputation in the ambulance

industry and can often offer

solutions for short, medium

and long term whether you

normally purchase or lease your

C1 ambulances. Their rental

ambulances can also provide you

with a stop-gap for delayed new

vehicle builds, VOR downtime or

new contracts.

Their relationship with Venari

Group also allows them to tap in

to the resource of O&H Vehicle

Technology, the UK’s largest

ambulance vehicle converter for

new vehicle supply. So if you need

a new PTS, HDU or secure vehicle

the team at Bluelight UK can help.

Managing Director, Simon Forster

added, “We have a fantastic and

loyal customer base. We want to

keep them and the only way we

can do this is by working together.

If customers need new ambulance

vehicles or need to move vehicles

on, we are best placed to

effectively manage this process.”

Bluelight UK will be opening

new premises soon, which will

assist them to engage in different

markets. This new facility is

within 2 minutes of the M6 and

will provide another string to their

already powerful bow.

If you are interested in new or

used ambulance or PTS vehicles,

you can contact Bluelight UK Ltd

on 01942 888800 or

Alternatively you can find them

on or

meet Simon at Stand E51 at the

Emergency Services Show 2021,

NEC Birmingham.

“The new advanced Z14I laptop

goes above and beyond the

standard requirements to elevate

the user experience and create

critical efficiencies for emergency

services teams,” said Fred Kao,

CEO at Twinhead International

Corporation, the organisation that

owns Durabook.


For the latest Ambulance Service News visit:




NEC Software

Solutions launches

revolutionary control

room dispatch


NEC Software Solutions has

launched software designed to

revolutionise the dispatch of

emergency services teams.

NEC Software Solutions

is the new name for APD

Communications, the leading

supplier of software to emergency

services, control rooms and other

public safety sectors.

APD was acquired by NEC

Corporation, one of the world’s

most advanced and innovative

technology businesses, in 2019.

Now, adoption of the renowned

NEC brand signals the beginning

of an exciting new era for the


NEC Corporation is a global

leader in advanced IT and

network technologies that benefit

businesses, public organisations

and people across the world.

The rebranding of APD enhances

NEC’s presence in the UK, where

it already has its European head


NEC Software Solutions has

marked the rebrand by launching

ground-breaking control room

software that will help emergency

services organisations save lives

and keep communities safe.

The cutting-edge Computer

Aided Dispatch (CAD) product,

named Dispatch, takes

control rooms to a new level

of operational efficiency and

performance. When every second

counts, Dispatch gives operators

the tools to manage incidents

better than ever before.

The cloud-based software has

been developed with input from

control room operators who are

best placed to understand what is

required to respond as effectively

and rapidly as possible to

emergency incidents and protect

the public.

It enables dispatchers and call

handlers to prioritise and record

incident calls, identify the status

and location of resources, and

dispatch them effectively to


NEC Software Solutions Director

of Control Room, Rhiannon

Beeson, said: “With our new

name we have become even

closer to our parent company,

which has a long and proud

history of taking pioneering

technologies from concept to


“We will benefit from the NEC

global brand and access to NEC’s

financial firepower and investment

in world-class technological


“That means we are able to

accelerate our development and

deployment of game-changing

technologies, such as Dispatch,

that enable our customers in the

emergency services and critical

control sectors to serve and

protect the public and, ultimately,

save lives.”

Dispatch enables two-way

information sharing between

frontline responders and control

room operators, can be accessed

from any location, and is

integrated with the Police National

Computer, which stores criminal

records information across the


The software also identifies

duplicate incidents and enables

the easy sharing of information

with colleagues within the control

room as well as other agencies.

Dispatch is the latest of NEC’s

cloud-based applications on its

Public Safety OS platform, so it

seamlessly integrates with Maps

and Stream to provide a truly

unique control room solution.

Maps enables blue light teams

to reach locations rapidly with

pinpoint accuracy, while Stream

provides unparalleled visibility

from emergency incidents by

streaming video from 999 callers.

Dispatch is also integrated

with other complementary NEC

Software Solutions’ software,

including its renowned Integrated

Communications Control System

(ICCS) Cortex, and CRM, Aspire,

as well as Connect, a records

management system, which

supports police to act rapidly and

effectively by providing instant

access to accurate, logical and

consistent information. This helps

to assess threat, harm and risk in

real time, reducing manual work

and quickly directing resources to

where they are needed most.

Rhiannon Beeson added: “Our

new Dispatch software has been

built with control room employees’

feedback throughout the

development process to ensure

it is the very best it can be at an

operational level, meeting the

needs of the emergency services

now and into the future.

“This is a truly next-generation

solution which will revolutionise

how control room teams dispatch

resources to incidents. It pulls

data from multiple sources in real

time and presents them on one

screen, integrating seamlessly

with other systems to provide

a full end-to-end control room

solution and deliver enhanced

operational efficiency.

“All of this means control room

teams are better informed and

equipped than ever before to

protect people and communities.”

Dispatch is also compatible with

TETRA and LTE networks, which


For more news visit:


gives control rooms confidence

that it will integrate to Emergency

Services Network (ESN), a new,

state-of-the-art communications

network for the UK’s emergency

services, meaning organisations

that adopt it are perfectly

placed for the transition to this

revolutionary platform.

The technology’s many other

features and benefits include:

• The ability to manage the

full lifecycle of an incident,

from creation to dispatch and


• Control room colleagues can

be tagged in an incident log

to enlist their support or input,

without the operator losing

concentration on the call.

• Operators can see who is on

shift and available to respond,

as well as the skillsets and

assets they can deploy.

• A diary appointment function,

enabling control rooms to

book officers’ time for nonemergency


Dispatch has been launched

to UK police forces initially,

with further functionality to

be developed to meet the

requirements of fire and rescue,

ambulance and coastguard

control rooms, and future plans

for the technology to be rolled out


For more information about NEC

Software Solutions visit

To find out more about Dispatch

go to

VCS reveals new

MAN-based ULFA

low floor platformbased

concept for

ambulance, police

and fire services

The UK’s market-leading

emergency service vehicle

specialist, VCS, has revealed

a range of ground-breaking

concepts based on a new

Ultra Low Floor Architecture

(ULFA) platform developed

by sister company, Promech

Technologies. The all new

ULFA platform’s construction

offers a combination of

strength, versatility and

accessibility never seen

in the emergency services

sector. enabling VCS to

produce a new generation

of front-line ambulance and

police vehicles.

VCS’s use of the MAN TGE-based

ULFA platform opens a new world

of opportunity for it to produce a

next generation of vehicles, with

gross vehicle weights including

3.5, 4.0, 4.25, 4.5 and 5.0 tonnes.

This gives VCS the ability to bring

about a new generation of box

body emergency service vehicles,

including front-line ambulances

and police support units, as well as

fire, search, and rescue vehicles.

By using the ULFA platform, VCS

has already been able to introduce

Europe’s first 5.0T front wheel

drive, single rear wheel modular

ambulance, which is designed

specifically for St John Ambulance

as a bariatric ambulance.

The new ULFA embraces

technology to ensure future VCS

vehicles continue to offer the

lightweight, robust construction

for which it is renowned, while

delivering even greater levels

of versatility. Its low floor gives

VCS the ability to develop a

wider range of configurations of

emergency service vehicles, as it

can increase interior space of the

box body without compromising

the overall height of the vehicle

and delivering a lower centre of

gravity overall.

The durable construction of the

ULFA platform, combined with the

load-lugging ability of the MAN

TGE means that VCS vehicles

using this architecture will be

able to carry exceptionally heavy

loads. This opens up possibilities

for VCS in specialist care

ambulances and a wider range of

armoured policing vehicles.

Mark Kerrigan, Managing Director

of VCS, said: “Our new ULFA low

floor platform opens up a world

of possibilities to both ambulance

and police services, offering

a solution that offers greater

versatility while retaining our core

values of lightweight and quality

engineering. The ULFA has a

great deal of potential, and we

look forward to unlocking this with

several new low floor vehicles in

the near future.”

Designed, developed and

produced at VCS’s facilities in

Bolton, Greater Manchester, and

Bradford, West Yorkshire, the first

vehicle to use the new ULFA low

floor platform will be unveiled later

this year, in partnership with a

major ambulance service.

Promech Technologies, which

sits within Woodall Nicholson’s

Technology Division, draws

upon its expertise in driveline

engineering, innovative low-floor

chassis design and eMobility


Naoki Yoshida, Senior Vice

President at NEC Corporation,

said: “We regard NEC Software

Solutions as an important part

of our global business. We are

proud of the company’s success

and excited for the future as we

continue to work with the team to

drive innovation across the sector

under the new company name.”

NEC Software Solutions

technology is used by every

UK police force, as well as

other emergency services



Do you have anything you would like to add or include? Please contact us and let us know.





a higher level of care. This

enables more of our patients

to be treated closer to

home; resulting in the lowest

conveyance rate across the

ambulance sector.

The South West is an attractive and beautiful part of

the country and a great place to live and work. It has

one major city Truro – though the more picturesque

St. Austell has a larger population – and easy access

to the bustling metropolis of Plymouth. That said, it is

worth noting that as a county Cornwall has the smallest

economy in the UK. Devon offers beauty in abundance

and no one can deny Dorset is truly somewhere special.

With miles and miles of sandy beaches some of the best

weather in the uk and the longest life expectancy in Britain

Cornwall, Devon and Dorset makes for a happy home.

South Western Ambulance Service NHS Foundation Trust

provides accident and emergency services throughout the

South West region. The areas we cover include Bath and North

East Somerset, Bristol, Cornwall and the Isles of Scilly, Devon,

Dorset, Gloucestershire and South Gloucestershire, Somerset,

Swindon and Wiltshire.

Our commitment to

supporting our staff is

evidenced by our dedicated

staying well service and in

our commitment to a clinical

career framework, which

supports the development

of Paramedics into specialist

and/or managerial roles. The

success and internal career

progression of many of our

existing staff is testament

to the importance we place

on growing, developing and

supporting our workforce.

We are the largest ambulance service in the UK, covering

one-fifth of the country, including some of its most beautiful

and life enriching locations. Whether you crave a coastal

location, the best of the British countryside or the historic cities

of Bath, Exeter, Bristol and Cheltenham to name but a few, the

South West provides the best of everything.


Join us and you will find an ambulance service that

understands; the better we look after you, the better equipped

you’ll be to look after our patients. We listen and work with our

staff to ensure a progressive, clinically advanced service which

takes account of feedback, organisational learning, providing

staff with the equipment and support necessary to help them

fulfill their demanding roles.

Our diverse geography, including some remote rural

communities, has driven our ambition to equip all our staff

with the training, support and skills they need to deliver

Picture courtesy of Poole Tourism


For further recruitment vacancies visit:


Clinical Hub Triage Nurse / Paramedic

Job Reference: 202-A-21-14958

Employer: South Western Ambulance Service NHS Foundation Trust

Location: Bristol or Exeter

Salary: £30,401 - £37,267 pa + Unsocial Hours Payment *

Job Type: Permanent

Working pattern: Full time

Pay Scheme: Agenda for change

Pay Band: 6

Staff Group: Additional Clinical Services

Closing Date:

This job advert will close as soon as sufficient applications have been

received. Please apply for this job as soon as you can, if interested.

Contact Name: HR Services Team

Email Address:

We are currently looking to appoint Nurses and Paramedics to

expand the clinical teams based in our Bristol and Exeter Clinical

Hubs (999 control rooms).

Our Clinicians provide primary clinical triage to patients, making

interventions across the whole spectrum of health and social care

to direct callers to the most appropriate care. They also provide

advice and assistance to Clinical Hub staff and managers as

required, whilst ensuring the safe and effective delivery of our

emergency and urgent care service.

Applicants must be a registered Paramedic or Nurse with a broad

general experience as a qualified professional. You must have a

wider knowledge of healthcare pathways, and have experience in

triaging patients.

This can be either a full or part time position but not bank at this


By joining us in return we offer competitive professional

development packages including academic enhancement along

with flexible working opportunities within a supportive working

environment which challenges and rewards in equal measure.

At South Western Ambulance Service NHS Foundation Trust (SWASFT)

every team member matters, we have a culture where everyone is

valued for being themselves. Our aim is to work together to promote

the most inclusive environment possible, which attracts people from

the widest possible range of backgrounds and experiences to enrich

the work that we do together, for the benefit of all of our employees

and patients and communities we serve. We offer flexible working

opportunities, inclusive policies and a range of feedback mechanisms

to support individual needs and to enable a positive, welcoming

environment in which our people and their careers can thrive.

As the first Ambulance Trust in the Country to be registered as a

NHS Foundation Trust (FT) SWAST offers consistent high-quality,

locally responsive and trusted care to the residents and the transient

population of Cornwall and the Isles of Scilly, Devon, Dorset,

Somerset, Bristol, Wiltshire and Gloucestershire.

If you are shortlisted for this post, we will send you a direct email to the

address entered on your application form. Please ensure you check

you Junk items. We will also send messages through your NHS Jobs

account, to keep you updated on your application process. To access

emails from us via NHS Jobs, please log into your account, and go to

‘My Applications’.

South Western Ambulance Service NHS Foundation Trust reserve

the right to close this vacancy early, should we receive sufficient


Disclosure and Barring Service (DBS) Check

This post is subject to the Rehabilitation of Offenders Act 1974

(Exceptions) Order (as amended) and as such it will be necessary for

a submission for Disclosure to be made to the Disclosure and Barring

Service (DBS) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further

information please see

If you would like to find out more information regarding the role

you can contact for

Bristol or for Exeter for

an informal conversation.

Applicants are welcomed and would be encouraged to arrange

a visit to our Clinical Hubs and can do so by contacting the


(*) Paid under Section 2 of NHS Terms and Conditions. Please see A4C

Handbook at


For the latest Ambulance Service News visit:



Z Vent ®

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• Easy to use – Smart Help assists

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For more information, visit us at

zoll.emsfire @zollemsfire 0808-168-9000

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