Ambulance UK June 2023

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Volume 38 No. 3<br />

<strong>June</strong> <strong>2023</strong><br />


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Penthrox is indicated for the emergency relief of moderate to severe pain in conscious adult patients with trauma and associated pain. 1<br />

PENTHROX 99.9%, 3 ml inhalation vapour, liquid (methoxyflurane): Please<br />

refer to the Summary of Product Characteristics (SmPC) before prescribing.<br />

Abbreviated Prescribing Information. Presentation: Each bottle of PENTHROX<br />

contains 3 ml of methoxyflurane 99.9%, a clear, almost colourless, volatile liquid, with<br />

a characteristic fruity odour. Each PENTHROX combination pack consists of one<br />

bottle of 3 ml PENTHROX, one PENTHROX Inhaler and one Activated Carbon (AC)<br />

chamber. Indications: Emergency relief of moderate to severe pain in conscious<br />

adult patients with trauma and associated pain. Dosage and administration:<br />

PENTHROX should be self-administered under supervision of a person trained in its<br />

administration, using the hand held PENTHROX Inhaler. It is inhaled through the<br />

custom-built PENTHROX inhaler. Adults: One bottle of 3 ml PENTHROX as a single<br />

dose, administered using the device provided. A second bottle should only be used<br />

where needed. The frequency at which PENTHROX can be safely used is not<br />

established. The following administration schedule is recommended: no more than 6<br />

ml in a single day, administration on consecutive days is not recommended and the<br />

total dose to a patient in a week should not exceed 15 ml. Onset of pain relief is<br />

rapid and occurs after 6-10 inhalations. Patients are able to titrate the amount of<br />

PENTHROX inhaled and should be instructed to inhale intermittently to achieve<br />

adequate analgesia. Continuous inhalation of a bottle containing 3 ml provides<br />

analgesic relief for up to 25-30 minutes; intermittent inhalation may provide longer<br />

analgesic relief. Patients should be advised to use the lowest possible dose to<br />

achieve pain relief. Renal impairment: Methoxyflurane may cause renal failure if the<br />

recommended dose is exceeded. Caution should be exercised for patients<br />

diagnosed with clinical conditions that would pre-dispose to renal injury. Hepatic<br />

impairment: Cautious clinical judgement should be exercised when PENTHROX is to<br />

be used more frequently than on one occasion every 3 months. Paediatric<br />

population: PENTHROX should not be used in children and adolescents under 18<br />

years. For detailed information on the method of administration refer to the SmPC.<br />

Contraindications: Use as an anaesthetic agent. Hypersensitivity to<br />

methoxyflurane, any fluorinated anaesthetic or to any of the excipients. Patients who<br />

are known to be or genetically susceptible to malignant hyperthermia. Patients or<br />

patients with a known family history of severe adverse reactions after being<br />

administered with inhaled anaesthetics. Patients who have a history of showing signs<br />

of liver damage after previous methoxyflurane use or halogenated hydrocarbon<br />

anaesthesia. Clinically significant renal impairment. Altered level of consciousness<br />

due to any cause including head injury, drugs or alcohol. Clinically evident<br />

cardiovascular instability. Clinically evident respiratory depression. Warnings and<br />

Precautions: To ensure the safe use of PENTHROX as an analgesic the lowest<br />

effective dose to control pain should be used and it should be used with caution in the<br />

elderly or other patients with known risk factors for renal disease, and in patients<br />

diagnosed with clinical conditions which may pre-dispose to renal injury.<br />

Methoxyflurane causes significant nephrotoxicity at high doses. Nephrotoxicity is<br />

thought to be associated with inorganic fluoride ions, a metabolic breakdown product.<br />

When administered as instructed for the analgesic indication, a single dose of 3 ml<br />

methoxyflurane produces serum levels of inorganic fluoride ions below 10 micromol/l.<br />

In the past when used as an anaesthetic agent, methoxyflurane at high doses caused<br />

significant nephrotoxicity, which was determined to occur at serum levels of<br />

inorganic fluoride ions greater than 40 micromol/l. Nephrotoxicity is also related to the<br />

rate of metabolism. Factors that increase the rate of metabolism such as drugs that<br />

induce hepatic enzymes can increase the risk of toxicity with methoxyflurane as well<br />

as sub-groups of people with genetic variations that may result in fast metaboliser<br />

status. Methoxyflurane is metabolised in the liver, therefore increased exposures in<br />

patients with hepatic impairment can cause toxicity. PENTHROX should be used with<br />

care in patients with underlying hepatic conditions or with risks for hepatic dysfunction.<br />

Previous exposure to halogenated hydrocarbon anaesthetics (including<br />

methoxyflurane when used as an anaesthetic agent), especially if the interval is less<br />

than 3 months, may increase the potential for hepatic injury. Potential effects on<br />

blood pressure and heart rate are known class-effects of high-dose methoxyflurane<br />

used in anaesthesia and other anaesthetics. Caution is required with use in the<br />

elderly due to possible reduction in blood pressure. Potential CNS effects such as<br />

sedation, euphoria, amnesia, ability to concentrate, altered sensorimotor coordination<br />

and change in mood are known class-effects. The possibility of CNS<br />

effects may be seen as a risk factor for potential abuse, however reports are very rare<br />

in post-marketing use. Respiratory depression has also been reported with analgesic<br />

doses. Respiration should be monitored due to the risk of respiratory depression and<br />

hypoxia. PENTHROX is not appropriate for providing relief of break-through pain/<br />

exacerbations in chronic pain conditions or for the relief of trauma related pain in<br />

closely repeated episodes for the same patient. PENTHROX contains the excipient,<br />

butylated hydroxytoluene (E321) which may cause local skin reactions (e.g. contact<br />

dermatitis), or irritation to the eyes and mucous membranes. To reduce occupational<br />

exposure to methoxyflurane, the PENTHROX Inhaler should always be used with the<br />

AC Chamber which adsorbs exhaled methoxyflurane. Multiple use of PENTHROX<br />

Inhaler without the AC Chamber creates additional risk. Elevation of liver enzymes,<br />

blood urea nitrogen and serum uric acid have been reported in exposed maternity<br />

ward staff when methoxyflurane was used in the past at the time of labour and<br />

delivery. There have been reports of non-serious and transient reactions such as<br />

dizziness, headache, nausea or malaise, and reports of hypersensitivity reactions to<br />

methoxyflurane or other ingredients in healthcare professionals exposed to<br />

PENTHROX. Measurements of exposure levels to methoxyflurane in hospital staff<br />

showed levels significantly lower than those associated with nephrotoxicity.<br />

Interactions: Methoxyflurane is metabolised by the CYP 450 enzymes, particularly<br />

CYP 2E1, CYP 2B6 and to some extent CYP 2A6. It is possible that enzyme inducers<br />

(such as alcohol or isoniazid for CYP 2E1 and phenobarbital or rifampicin for CYP<br />

2A6 and carbamazepine, efavirenz, rifampicin or nevirapine for CYP 2B6) which<br />

increase the rate of methoxyflurane metabolism might increase its potential toxicity<br />

and they should be avoided concomitantly with methoxyflurane. Concomitant use of<br />

methoxyflurane with medicines (e.g. contrast agents and some antibiotics) which are<br />

known to have a nephrotoxic effect should be avoided as there may be an additive<br />

effect on nephrotoxicity; tetracycline, gentamicin, colistin, polymyxin B and<br />

amphotericin B have known nephrotoxic potential. Sevoflurane anaesthesia should<br />

be avoided following methoxyflurane analgesia, as sevoflurane increases serum<br />

fluoride levels and methoxyflurane nephrotoxicity is associated with raised serum<br />

fluoride. Concomitant use of PENTHROX with CNS depressants, such as opioids,<br />

sedatives or hypnotics, general anaesthetics, phenothiazines, tranquillisers, skeletal<br />

Reference: 1. Penthrox <strong>UK</strong> Summary of Product Characteristics. March <strong>2023</strong>.<br />

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse events should also be reported to Galen Limited on 028 3833 4974 and select<br />

the customer services option, or e-mail customer.services@galen-pharma.com. Medical information enquiries should also be directed to Galen Limited.<br />

muscle relaxants, sedating antihistamines and alcohol may produce additive<br />

depressant effects. If opioids are given concomitantly with PENTHROX, the patient<br />

should be observed closely. When methoxyflurane was used for anaesthesia at the<br />

higher doses of 40–60 ml, there were reports of drug interaction with hepatic enzyme<br />

inducers (e.g. barbiturates) increasing metabolism of methoxyflurane and resulting in<br />

a few reported cases of nephrotoxicity; reduction of renal blood flow and hence<br />

anticipated enhanced renal effect when used in combination with drugs (e.g.<br />

barbiturates) reducing cardiac output; and class effect on cardiac depression, which<br />

may be enhanced by other cardiac depressant drugs, e.g. intravenous practolol<br />

during cardiac surgery. Fertility, pregnancy and lactation: No clinical data on<br />

effects of methoxyflurane on fertility are available. Studies in animals have shown<br />

reproduction toxicity. As with all medicines care should be exercised when<br />

administered during pregnancy especially the first trimester. There is insufficient<br />

information on the excretion of methoxyflurane in human milk. Caution should be<br />

exercised when methoxyflurane is administered to a nursing mother. Effects on<br />

ability to drive and use machines: Methoxyflurane may have a minor influence on<br />

the ability to drive and use machines. Patients should be advised not to drive or<br />

operate machinery if they are feeling drowsy or dizzy. Undesirable effects: The<br />

common non-serious reactions are CNS type reactions such as dizziness and<br />

somnolence and are generally easily reversible. Serious dose-related nephrotoxicity<br />

has only been associated with methoxyflurane when used in large doses over<br />

prolonged periods during general anaesthesia. The following adverse drug reactions<br />

have either been observed in PENTHROX clinical trials in analgesia, with analgesic<br />

use of methoxyflurane following post-marketing experience or are linked to<br />

methoxyflurane use in analgesia found in post-marketing experience and in scientific<br />

literature (refer to the SmPC for further details): Very common (≥1/10): dizziness;<br />

common (≥1/100 to



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


71 FEATURES<br />

71 D13 police officers providing enhanced medical care:<br />

A comparison of Metropolitan and Semi-rural forces in<br />

2021<br />

76 NEWSLINE<br />

92 IN PERSON<br />


This issue edited by:<br />

Sam English<br />

c/o Media Publishing Company<br />

Greenoaks, Lockhill<br />

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


Terry Gardner, Samantha Marsh<br />


Media Publishing Company<br />

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

October, December<br />



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The views and opinions expressed in<br />

this issue are not necessarily those of<br />

the Publisher, the Editors or Media<br />

Publishing Company.<br />

Next Issue August <strong>2023</strong><br />

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

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67<br />




Welcome to this issue of A<strong>UK</strong>.<br />

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

“The pay rises<br />

implemented<br />

hardly fi t<br />

the bill, and<br />

I fear there<br />

is a real<br />

danger that<br />

recruitment<br />

and retention<br />

in the NHS<br />

will be<br />

adversely<br />

affected.”<br />

Well, I’m offi cially retired and just to indulge myself a little, I’m going to begin by considering how the<br />

ambulance service has evolved since I started some 35 years ago. Does anyone remember the arrival of<br />

defi brillators on the ambulance? At the time a revolution, complete with a walkman recorder to ensure<br />

that you used it absolutely by rote. Consider that now we are delivering them remotely by drone and the<br />

progress can easily be seen. The Paramedic syllabus was contained in a little red book, now there are so<br />

many more skills and knowledge requirements no-one goes on duty without JRCALC on their smart phone.<br />

There were few medicines, pain relief was limited to entonox and the most diffi cult skill was strapping<br />

someone into a Neil Robertson, now paramedics regularly administer advanced drugs and perform life<br />

saving surgical interventions. I’m proud to have been on that journey and continue to follow with interest the<br />

changes to come.<br />

Summer is apparently here, well as near as we get in Lancashire, I’m guessing most of you are looking<br />

forward to holidays and time with family or friends. It can be a great time but at the same time stressful with<br />

the price increases we have seen across all aspects of life. The pay rises implemented hardly fi t the bill, and<br />

I fear there is a real danger that recruitment and retention in the NHS will be adversely affected. I wonder<br />

how many of todays Paramedic cohort will be around for the next 30 years. Given the high demands, both<br />

practical and mental, I suspect that many will move on to different pastures and that there will be far fewer<br />

retiring in the future, especially since the current NHS retirement age continues to increase. Maybe, like<br />

many of my peers, I have seen the golden age of the ambulance service. Whatever the future brings, I hope<br />

the summer will deliver you all a well earned break. As for me, I’m looking for a job…<br />

Sam English, Co-Editor <strong>Ambulance</strong> <strong>UK</strong><br />

Publishers Statement<br />

For nearly 40 years, thanks to trade support, we have been able to provide <strong>Ambulance</strong> <strong>UK</strong> FREE OF<br />

CHARGE in the knowledge that those receiving our dedicated bi monthly publication enjoy having<br />

something to read during their free time however, return on investment seems to be the buzz word<br />

amongst <strong>Ambulance</strong> Service Suppliers these days, therefore if you enquire about a product advertised,<br />

please mention <strong>Ambulance</strong> <strong>UK</strong> as it will help us confi rm to the trade that we are reaching the right<br />

people and providing advertisers with value for money. In respect of our current edition we would like<br />

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postal costs this issue would not have been published - Bluelight <strong>UK</strong>, DS Medical, Eberspaecher,<br />

EVS, Ferno, Galen, Intersurgical, Ortus Medical, Synergy, VCS, Vimpex, Webasto.<br />

Terry Gardner<br />

Publisher<br />

68<br />

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J Kilmartin 1 , FJ Hall 2<br />

Abstract<br />

Introduction: In 2010 the National Police Firearms Training Curriculum<br />

introduced the D13 (Medical) module. This enables officers in specialist<br />

roles, including Authorised Firearms Officers (AFOs) and Public Support<br />

Unit (PSU) officers, to provide life-saving medical care as first on-scene.<br />

The level of care they provide is above that of regular police officers.<br />

These encounters are recorded on electronic Patient Report Forms (PRFs)<br />

enabling post-incident appraisal and audit.<br />

Aim: To compare medical encounters between 2 metropolitan and 2<br />

semi-rural police forces and identify key differences, both in the patient<br />

burden and care provided.<br />

Methods: An observational study was undertaken to include PRFs<br />

from 4 police forces (City of London Police, West Midlands Police, West<br />

Mercia Police, Warwickshire Police) from 2021. Data were extracted<br />

including: patient demographics, incident details, injuries, observations,<br />

interventions, and outcomes. The data were analysed comparing PRFs<br />

from metropolitan areas (City of London and West Midlands) to semi-rural<br />

areas (West Mercia and Warwickshire).<br />

Results: 278 PRFs were analysed. Semi-rural forces (n=125) had a<br />

median scene time of 58 minutes, 20 minutes longer than metropolitan<br />

forces (n=153). Dual crewed ambulance was the most common method<br />

of transport for both groups. Metropolitan forces had a significantly higher<br />

proportion of penetrating injuries (43%) than semi-rural (20%) (p


Crime rates and epidemiology of medical incidents vary across the<br />

country (4), yet the impact of geographical location on D13 officers’<br />

workload is not well documented in the literature. The aim of this paper<br />

is to identify differences in the incidents attended by D13 officers in<br />

semi-rural and metropolitan areas.<br />

Methods<br />

An observational study was undertaken. PRFs from 1st January to<br />

31st December 2021 were collected from 4 police forces: City of<br />

London Police (CoL), West Midlands Police (WMP), Warwickshire Police<br />

(Warwks), and West Mercia Police (WMer).<br />

Data from all aspects of the form were collected, including patient<br />

demographics, mechanism of injury, suspected injuries, findings and<br />

interventions during A to E assessment. PRFs include a free text box,<br />

the contents of which were used to help complete omissions in tick<br />

box areas of the form. Data from the 2 metropolitan services (CoL and<br />

WMP) were compared to data from the 2 semirural services (Warwks<br />

and WMer).<br />

The data were collected and analysed in Microsoft Excel. Continuous<br />

data were summarised using median averages, and statistical analysis<br />

was undertaken using a Mann-Whitney U test. Categorical data were<br />

summarised using percentage rates, and statistical analysis was done<br />

using a Chi-squared test. A p-value


Mechanism of Injury (MOI)<br />

Metropolitan D13 officers dealt with more cases of penetrating trauma<br />

(43%) compared to semi-rural services (20%) (P


EMS to transport said patients sooner. Metropolitan AFOs were more<br />

likely to be supported by regular response officers who could take over<br />

patient responsibility of stable patients when AFOs were redeployed<br />

urgently elsewhere. This is also reflected in the higher rates of firearms<br />

deployments for metropolitan officers at 29% versus 3%, which is in<br />

keeping with national statistics (2). Nationally, rural police response<br />

times are slower than urban (7-10), and so this backup may arrive later<br />

resulting in longer on-scene times in cases where D13 officers were<br />

waiting to redeploy.<br />

Penetrating trauma disproportionately affected metropolitan areas,<br />

most notably WMP. This correlates with the WMP having the highest<br />

national rates of Possession of Weapon offences (11). This contrasted<br />

with the higher proportions of medical and mental health associated<br />

incidents experienced by semi-rural forces. The D13 module has<br />

a significant focus on Trauma compared to medical or psychiatric<br />

pathologies (3).<br />

Metropolitan officers were more frequently faced with life threatening<br />

traumatic injuries such as external catastrophic haemorrhage and<br />

penetrating chest trauma. Officers were confident in applying chest<br />

seals where indicated, although there are inconsistencies in the results<br />

for number of chest wounds versus chest seal/Nightingale Dressing TM<br />

usage. Also, chest seals were not always used on penetrating<br />

chest trauma due to other issues taking precedence, such as<br />

ongoing catastrophic haemorrhage or management of scene safety.<br />

Abdominopelvic wounds were not always easily amenable to field<br />

dressings, and so officers sometimes used a Nightingale Dressing TM as<br />

an alternative to minimise further contamination of an abdominopelvic<br />

wound.<br />

It would be challenging to apply the metropolitan/semi-rural categories<br />

to all police forces in the <strong>UK</strong>, and so the wider generalisability of<br />

these results is difficult to comment on. Furthermore, this report<br />

includes PRFs from a mixture of firearms and PSU officers in unequal<br />

proportions and does not analyse PRFs by the type of officer<br />

attending, the ratios of which vary regionally. AFOs are more likely to<br />

attend incidents involving knives and firearms, although there were<br />

some instances of PSU officers managing stab wounds.<br />

Some PRFs contained accounts from officers stating scene safety<br />

concerns detracted from the medical care they were trying to provide.<br />

Particularly true for AFOs, officers can find themselves in circumstances<br />

where they must choose between stopping and treating a casualty<br />

versus dealing with an ongoing threat. Increasing a police officer’s<br />

medical skill set can further polarise this issue and leave officers at risk<br />

from moral injury. Increasing the level of care that officers are able to<br />

provide patients is a positive change, however it should not detract from<br />

their primary role as police officers. This is where drop bags and zero<br />

responders have an important role to play. Drop bags enable officers<br />

to provide the necessary basic life-saving equipment to bystanders,<br />

empowering them to become a zero responder and deliver immediate<br />

care, while the officers manage the ongoing threat before returning<br />

to the patient if appropriate. The 2017 Manchester Arena attack is an<br />

example of where drop bags would have been particularly useful (13),<br />

and they are being introduced to some forces.<br />

Limitations<br />

There are some limitations to this study. Although the 4 police forces are<br />

divided into metropolitan and semi-rural categories, there is overlap in<br />

the regions covered by each force; metropolitan forces have rural areas<br />

and vice versa.<br />

In some instances, there was a poor standard of PRF completion with<br />

omissions in certain intervention tick boxes, only for the intervention to<br />

then be described in the free text box.<br />

Furthermore, it was not always clear when EMS services arrived.<br />

Therefore there was sometimes ambiguity surrounding whether the<br />

inventions indicated on the PRF were carried out by EMS or by police,<br />

or whether interventions were omitted from the PRF by officers because<br />

they did not carry them out or EMS carried them out instead – this<br />

overlap was not always clearly defined.<br />

It is assumed that all medical incidents attended by D13 officers in the 4<br />

police force regions in 2021 were recorded on PRFs and that there were<br />

no omitted incidents.<br />

A<br />

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

Further to these differences in job roles, there is also variation in the<br />

level of medical training. The standards of medical training are defined<br />

in Clinical Skills for Police Officers in Specialist Roles, a document<br />

published by the Faculty of Prehospital Care (12). Medical training<br />

is detailed in a modular format, from Module 1 (basic life support) to<br />

Module 5 (Enhanced First Aid skills, equivalent to enhanced D13).<br />

Module 2 is the minimum standard nationally for all officers. However,<br />

the standard to which a police officer in a given role is trained can differ<br />

nationally too. Analysis of how skill set versus interventions delivered<br />

might account for some of the differences observed in this report.<br />

Module 5 training is not limited to AFOs and PSU officers. Some forces<br />

train officers in other specialist roles to Module 5 level, such as traffic<br />

and surveillance officers. Such is the increasing burden of assaults and<br />

penetrating trauma in rural areas that roads policing units are often<br />

first on-scene. Traffic officers have a role to play in managing trauma<br />

patients from RTCs too, and so it follows that they might benefit from<br />

this enhanced level of medical training.<br />

Conclusion<br />

Metropolitan forces face a different patient burden compared to semirural<br />

forces. Metropolitan forces experience higher rates of penetrating<br />

trauma, mostly due to stab wounds, and subsequently higher rates of<br />

extremity catastrophic haemorrhage and penetrating chest wounds.<br />

Semi-rural forces have longer on-scene times and are more likely to<br />

use resources other than a DCA to transport their patients. Semi-rural<br />

forces also have higher proportions of medical and mental health-related<br />

incidents.<br />

Region-specific training with specific emphases could better prepare<br />

D13 officers, particularly in areas relating to medical and mental health<br />

incidents. However, officers need to be able to manage a wide range of<br />

issues and so this should not detract from their trauma training. Officers<br />

may also benefit from further guidance regarding patient transport and<br />

continued collaborative training with EMS.<br />

74<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


Declaration of conflicting interests<br />

The authors declare no potential conflicts of interest with respect to the<br />

research, authorship, and/or publication of this article.<br />

Funding<br />

The authors received no financial support for the research, authorship,<br />

and/or publication of this article.<br />

References<br />

1. GOV.<strong>UK</strong>. Knife and offensive weapon sentencing statistics: year<br />

ending March 2020 [internet]. 2020 Sep [accessed 2022 Oct 25].<br />

Available from: https://www.gov.uk/government/statistics/knifeandoffensive-weapon-sentencing-statistics-year-ending-march-2020<br />

2. GOV.<strong>UK</strong>. Police use of firearms statistics, England and Wales: April 2020<br />

to March 2021 [internet]. 2021 July [accessed 2022 Oct 25]. Available<br />

from: https://www.gov.uk/government/statistics/police-use-offirearmsstatistics-england-and-wales-april-2020-to-march-2021/police-use-offirearms-statistics-england-and-walesapril-2020-to-march-2021<br />

3. Hartley F, Howells A, Thurgood A, Hall F, Porter K. Medical training for<br />

police officers in specialist role (D13): A retrospective review of patient<br />

report forms from 2010–2015. Trauma [internet]. 2018 [accessed<br />

2022 Oct 20];20(1):20-4. DOI: 10.1177/1460408617707548<br />

4. The Office for National Statistics. Crime in England and Wales:<br />

year ending September 2021 [internet]. 2022 Jan [accessed<br />

2022 Oct 20]. Available from: https://www.ons.gov.uk/<br />

peoplepopulationandcommunity/crimeandjustice/bulletins/<br />

crimeinenglandandwales/yeareyearendingsept2021<br />

5. NHS England. <strong>Ambulance</strong> Response Programme Review [internet]. 2018<br />

May [accessed 2022 Oct 20]. Available from: https://www.england.nhs.<br />

uk/publication/theambulance-response-programme-review/<br />

6. Waalwijk JF, van der Sluijs R, Lokerman RD, Fiddelers AAA,<br />

Hietbrink F, Leenen LPH, et al. The impact of prehospital time<br />

intervals on mortality in moderately and severely injured patients.<br />

J Trauma Acute Care Surg [internet]. 2022 [accessed 2022 Oct<br />

29];92(3):520-7. DOI: 10.1097/TA.0000000000003380<br />

7. Essex Police. D0503 Procedure Responding to Incidents [internet].<br />

2021 July [accessed 2022 Oct 20]. Available from: https://www.<br />

essex.police.uk/foi-ai/essex-police/ourpolicies-and-procedures/d/<br />

d0503-procedure---respondingto-incidents/<br />

8. North Yorkshire Police. [internet]. 2021 Aug [accessed 2022 Oct<br />

25]. Available from: https://www.northyorkshirepfcc.gov.uk/content/<br />

uploads/2021/08/Performance-Report-Police-Operational-and-<br />

FCR-Final-July-2021.pdf<br />

9. Northumbria Police. 999 response times [internet]. 2019 Nov<br />

[accessed 2022 Oct 25]. Available from: https://beta.northumbria.<br />

police.uk/about-us/publicationsand-documents/accessinginformation/disclosurelog/other/999-response-times-106318/<br />

10. Suffolk Constabulary. Police Response Policy [internet]. No date<br />

[accessed 2022 Oct 25]. Available from: https://www.suffolk.police.<br />

uk/contact-us/police-responsepolicy<br />

11. The Office for National Statistics. Police force area data tables - year<br />

ending <strong>June</strong> 2022 [internet]. 2022 Oct [accessed 2022 Oct 29]. Available<br />

from: https://www.ons.gov.uk/peoplepopulationandcommupeop/<br />

crimeandjustice/datasets/policeforceareadatatabpol<br />

12. Faculty of Pre-hospital Care. Clinical material for police officers in<br />

specialist role. 2019.<br />

13. Saudners J. Manchester Area Inquiry (HC 757-I). 2022 Nov [accessed 22<br />

Nov 11]. Available from: https://files.manchesterarenainquiry.org.uk/live/<br />

uploads/2022/11/03142014/MAI-Volume-2-Large-Format-ia-ib-ic-ii.pdf<br />



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SECAMB<br />

SECAmb to trial<br />

fully electric Single<br />

Responder Vehicles<br />

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

Service NHS Foundation Trust,<br />

(SECAmb), is to trial three<br />

fully-electric vehicles as part<br />

of its plans to reduce carbon<br />

emissions and introduce zeroemission<br />

vehicles on to its fleet.<br />

The trial, part of NHS England’s<br />

Zero Emission Electric Vehicle<br />

(ZEEV) Pathfinder project, will see<br />

SECAmb funded to take delivery<br />

of three Mercedes-Benz e-Vito<br />

vehicles after they are converted<br />

to the Trust’s specifications later<br />

this year.<br />

The Single Responder Vehicles<br />

(SRVs) will initially be based out of<br />

three Trust sites where heavy-duty<br />

vehicle chargers are installed –<br />

Polegate, Thanet and Gatwick.<br />

The chargers will be able to<br />

charge the vehicles in as little as<br />

30 minutes.<br />

As charging infrastructure is<br />

developed across the Trust’s<br />

sites, it is hoped the vehicles will<br />

be tested in other areas to gather<br />

wider feedback from staff.<br />

In addition to its traditional<br />

ambulances, SECAmb currently<br />

operates a fleet of 118 SRVs,<br />

which is made up of a majority of<br />

diesel vehicles as well as 15 hybrid<br />

petrol Mitsubishi Outlanders.<br />

As part of the ZEEV Pathfinder<br />

project, and alongside other<br />

ambulance services trials, the<br />

Trust will provide feedback to NHS<br />

England and gather information<br />

on the use of the vehicles for<br />

future developments.<br />

The announcement comes ahead<br />

of Earth Day this weekend which<br />

encourages everyone to take steps<br />

to reduce their carbon footprint.<br />

SECAmb is committed to actively<br />

working to reduce carbon<br />

emissions and implementing zero<br />

emission vehicles on to its Fleet<br />

as part of its long-term Green<br />

Plan.<br />

SECAmb Executive Director<br />

of Planning and Business<br />

Development, David Ruiz-Celada<br />

said: “I am really pleased that we<br />

will be trialling these new vehicles<br />

which will help us establish how<br />

we can start to establish how<br />

they best fit operationally into our<br />

existing fleet.<br />

“As an organisation with a<br />

significant carbon footprint,<br />

we are committed to doing<br />

everything we can to reduce<br />

it. I am pleased that many staff<br />

are enthused about what they<br />

can do at an individual level but<br />

recognise that SECAmb as an<br />

organisation must play a large<br />

part in reducing the impact of the<br />

vital service we provide has on<br />

the environment.”<br />

SAS Air <strong>Ambulance</strong><br />

Service celebrates<br />

90th birthday<br />

The Scottish <strong>Ambulance</strong><br />

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

is celebrating 90 years<br />

of providing vital lifesaving<br />

services to some of<br />

Scotland’s most remote and<br />

rural locations.<br />

The first air ambulance mission<br />

was on May 14 1933 when a<br />

fisherman was evacuated to<br />

Glasgow from the Isle of Islay.<br />

There were several other flights<br />

that year, and in the years that<br />

followed.<br />

Now 90 years later and fully<br />

funded in its entirety by the<br />

Scottish Government, the<br />

Service provides air ambulance<br />

support to both urban and rural<br />

communities across Scotland,<br />

as well as supporting the<br />

ScotSTAR retrieval teams –<br />

such as SAS’s neonatal, EMRS<br />

and Paediatric Teams - and<br />

responding to 999 calls in a<br />

Helicopter Emergency Medical<br />

Service (HEMS) role.<br />

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

76<br />

For more news visit: www.ambulanceukonline.com


A national multi-disciplinary team<br />

of paramedics, nurses, advanced<br />

practitioners, and doctors work<br />

together to provide health care to<br />

all areas of Scotland.<br />

For the year 2022/23, air<br />

ambulance crews attended 4185<br />

incidents - an increase compared<br />

to the previous year (2021/22) of<br />

3,924 incidents and 3076 the year<br />

before.<br />

Scottish <strong>Ambulance</strong> Service Chief<br />

Executive Pauline Howie said:<br />

“The Air <strong>Ambulance</strong> Service is a<br />

vital lifeline for communities across<br />

Scotland and 90s years of caring<br />

for patients across Scotland is an<br />

amazing milestone.<br />

“I’d like to thank all those Air<br />

<strong>Ambulance</strong> staff who have served<br />

patients over these years, and all<br />

those current staff who continue<br />

to provide the very best care<br />

to patients, often in the most<br />

challenging of circumstances.<br />

“The air ambulance network<br />

ensures the very best health care<br />

to remote and rural communities,<br />

carrying our routine transfers,<br />

attending emergencies, and<br />

assisting with paediatrics and<br />

neonates and their families.”<br />

The service is delivered<br />

through a managed contract<br />

of two helicopters; one<br />

based in Glasgow and one<br />

in Inverness and two fi xed<br />

wing aircraft; one at Aberdeen<br />

Airport and one at Glasgow<br />

Airport. In addition to the four<br />

government funded aircraft,<br />

the service is supplemented<br />

by two helicopters provided<br />

by Scotland’s Charity Air<br />

<strong>Ambulance</strong> (SCAA).<br />

While the fi rst fl ight took place<br />

on 14 May 1933, the Scottish Air<br />

<strong>Ambulance</strong> Service only became<br />

recognised as a public service<br />

in 1948 following the creation<br />

of the <strong>UK</strong> National Health<br />

Service. Until then, the hire of an<br />

ambulance aircraft was a private<br />

arrangement between patient<br />

and airline.<br />

Recently, the Air <strong>Ambulance</strong><br />

launched a re-procurement<br />

consultation, providing an<br />

opportunity for the public to<br />

help shape the future of the<br />

Air <strong>Ambulance</strong> Service. The<br />

consultation has welcomed<br />

responses from more than 1,500<br />

patients, members of the public,<br />

healthcare professionals and<br />

stakeholders groups.<br />

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NWAS<br />

Cycle Response<br />

Ride the Streets of<br />

Liverpool<br />

Mounted and ready, our cycle<br />

response team were part of<br />

increased presence in the<br />

city where up to 180,000<br />

visitors flowed through each<br />

day to enjoy the event. With<br />

increased support from area<br />

ambulance crews across the<br />

region, our cycle responders<br />

were a great addition to<br />

ensure effective emergency<br />

support was available for<br />

those who may need it.<br />

Jay Vernon, Paramedic and<br />

Cycle Response Lead for<br />

Cheshire and Merseyside at<br />

NWAS, said: “Responding<br />

on a pedal bike allows a<br />

unique opportunity to access<br />

places around our city that<br />

vehicles cannot. They have<br />

the advantage of speed and<br />

can regularly beat vehicle<br />

ambulances to incidents as<br />

certain highway restrictions do<br />

not apply to cyclists, allowing<br />

them to get to patients, and<br />

treat them, as quickly as<br />

possible. This was especially<br />

beneficial during Eurovision<br />

as we faced temporary road<br />

closures and huge numbers of<br />

visitors across the city.”<br />

This is the first time in several<br />

years that the cycle response<br />

team have been stationed in<br />

Liverpool, paving the way for<br />

future presence in the area.<br />

Matt Calderbank, Sector<br />

Manager for Cheshire and<br />

Merseyside North said: “It’s<br />

been a real success in terms<br />

of patient care and the support<br />

from the public has been great.<br />

We would like to see the cycle<br />

team out and about more often<br />

in the future.”<br />

Jay continued: “The people<br />

in and around the city were<br />

really supportive of seeing<br />

paramedics on pedal bikes<br />

working collaboratively with<br />

other emergency services to<br />

ensure everyone was safe<br />

during the event. As always<br />

with the weather, it certainly<br />

didn’t dampen the spirits both<br />

in official event locations and<br />

around the city.”<br />

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

78<br />

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WAS<br />

Welsh <strong>Ambulance</strong><br />

Service unveils hightech<br />

additions to<br />

fleet<br />

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

has unveiled more high-tech<br />

additions to its fleet. The new<br />

vehicles have taken pride of place<br />

in the Trust’s Non-Emergency<br />

Patient Transport Service, which<br />

takes people to and from their<br />

routine hospital appointments<br />

and discharges people home<br />

after a stay in hospital.<br />

The latest features include USB<br />

ports, patient call buttons and<br />

entertainment systems to improve<br />

the experience of those on board.<br />

The vehicles also boast dementiafriendly<br />

flooring, blinds and colour<br />

schemes, while improved safety<br />

features like seatbelt warning<br />

systems, CCTV and driver assistance<br />

systems now come as standard.<br />

Mark Harris, the Trust’s Assistant<br />

Director of <strong>Ambulance</strong> Care, said:<br />

“The non-emergency arm of our<br />

service is all about transporting<br />

people to and from their<br />

appointments, so having the best<br />

possible vehicles is really important<br />

to delivering that service.<br />

“We’re immensely proud of<br />

the new additions to our fleet,<br />

which are the result of a fantastic<br />

collaboration of colleagues from<br />

across the business, including<br />

Fleet, Finance, Operations and<br />

Trade Union partners.<br />

Among the new additions is a<br />

Toyota RAV4 self-charging hybrid<br />

car, a custom Ford Transit small<br />

ambulance and two refreshed<br />

Renault Masters to cater for<br />

wheelchair users and patients<br />

requiring a stretcher.<br />

The majority of vehicles are<br />

speed-limited to improve fuel<br />

consumption, and almost all<br />

vehicles in the 270-strong<br />

non-emergency fleet have been<br />

installed with solar panels to<br />

minimise the need for mains<br />

charging.<br />

David Holmes, Fleet Manager,<br />

said: “Modern ambulance vehicles<br />

are essential in order that we<br />

can continue to provide the<br />

best possible experience for our<br />

patients.<br />

“These vehicles make for an<br />

exciting addition to our expanding<br />

fleet, and we look forward to<br />

rolling them out across Wales.”<br />

Chris Turley, Executive Director<br />

for Finance and Corporate<br />

Resources, added: “The<br />

modernisation of our fleet is a<br />

piece of work which never stops.<br />

“The new features of these<br />

vehicles are without a doubt<br />

impressive, but what’s as<br />

important to us is their improved<br />

efficiency.<br />

“As Wales’ national ambulance<br />

service spread over an area of<br />

8,000 square miles, lowering<br />

our emissions and reducing our<br />

carbon footprint is something<br />

we’re very committed to.<br />

New handrails make it easier for<br />

patients to get on and off the vehicle,<br />

and new tail lifts mean crews no<br />

longer need to push patients up a<br />

ramp, reducing the risk of injury.<br />

“Not only will the new vehicles<br />

improve the experience of our staff<br />

and patients, but they’re helping to<br />

support our decarbonisation agenda<br />

by driving down CO2 emissions.”<br />

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

who can spend hours at a time<br />

during the course of a shift<br />

operating and driving in these<br />

vehicles.<br />

“With demand on our service<br />

increasing year-on-year, it’s more<br />

important than ever to have a fleet<br />

which literally keeps the wheels<br />

turning on our ambulance service.”<br />

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

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



Essex & Herts Air<br />

<strong>Ambulance</strong> taking<br />

steps to a greener<br />

future<br />

To coincide with Earth Day on<br />

Saturday the 22nd April, Essex<br />

& Herts Air <strong>Ambulance</strong> (EHAAT)<br />

released some of the data<br />

around the work it is doing on<br />

sustainability.<br />

Important for the life-saving<br />

charity is its commitment, to make<br />

the very best choices for the<br />

environment, its people, and the<br />

community. And for the last five<br />

years, EHAAT has been working<br />

to assess sustainability across<br />

the whole organisation, identifying<br />

new opportunities to further<br />

reduce its environmental impact.<br />

This work has been carried out in<br />

conjunction with Carbon Footprint<br />

Ltd who, in its most recent<br />

Carbon Footprint Appraisal report,<br />

has concluded that the charity has<br />

achieved a reduction of 21.2% in<br />

absolute emissions. This means<br />

that EHAAT has qualified to use<br />

the Carbon Footprint Standard<br />

branding on all its marketing<br />

materials, to demonstrate<br />

its carbon management<br />

achievements.<br />

A pivotal part of the reduction<br />

attained is down to the<br />

construction of EHAAT’s new<br />

airbase at North Weald, which<br />

was completed in February<br />

2021. It was designed with<br />

environmental considerations as<br />

a priority and achieved an energy<br />

performance certificate (EPC)<br />

grading of A, the highest possible.<br />

The results with regard to electricity<br />

costs for the new 24/7 building<br />

are impressive. This is put down<br />

to the fact that the new airbase<br />

went above and beyond the<br />

required building regulations, with<br />

additional initiatives incorporated<br />

that included the installation of<br />

photovoltaic (PV) panels on the<br />

roof, motion sensor lighting inside<br />

the building, and an all-electric<br />

heating and cooling system.<br />

Yet for EHAAT, sustainability is not<br />

just isolated to North Weald, it is<br />

also being carried across to its<br />

sister airbase at Earls Colne, as<br />

well as spreading out through its<br />

clinical and retail operations.<br />

For instance, two out of the fleet<br />

of four rapid response vehicles<br />

are now plug-in hybrid vehicles,<br />

and the order is in for two further<br />

vehicles to ensure the fleet is totally<br />

hybrid within the next few months.<br />

Also, EHAAT’s nine charity shops<br />

across the region, as well as its<br />

donation centre in Stevenage<br />

provide a sustainable and ethical<br />

option when people dispose of<br />

unwanted goods, promoting reuse<br />

and recycling to reduce landfill<br />

and make a positive difference to<br />

the <strong>UK</strong>’s carbon footprint.<br />

As well as electric vehicle<br />

charging points at both airbases<br />

and charity headquarters at Earls<br />

Colne, additional steps have<br />

been implemented to improve<br />

waste segregation and recycling.<br />

The Earls Colne airbase is also<br />

benefiting from PV panels on the<br />

roof, and a new electric eco boiler<br />

heating system.<br />

Cliff Gale is Special Projects<br />

Adviser for the charity, with one<br />

of his remits being managing<br />

sustainability.<br />

He said: “As primarily a helicopter<br />

operator, there is no getting away<br />

from the fact that we are a carbon<br />

hungry operation, especially when<br />

it comes to fuel. However, we are<br />

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

80<br />

For more news visit: www.ambulanceukonline.com


doing everything we can to help<br />

mitigate our environmental impact,<br />

reduce our carbon footprint and<br />

carry out measures for carbon<br />

offsetting, such as planting trees.<br />

We are also monitoring closely<br />

future innovations, such as the<br />

development of sustainable<br />

aircraft fuel.<br />

“There has been a whole shift<br />

change here at EHAAT from top<br />

to bottom, and we are looking to<br />

our future. Sustainability is now<br />

a standing item on our Board<br />

meeting agenda, and the fact that<br />

I have been appointed to this new<br />

role is testament to the charity’s<br />

commitment to drive forward on<br />

its aim to be as carbon neutral as<br />

possible.”<br />

To find out more or to donate,<br />

visit www.ehaat.org. To request<br />

a copy of the Carbon Footprint<br />

Appraisal report, please email<br />

caroline.griffin@ehaat.org.<br />

EEAST<br />

EEAST re-signs<br />

Armed Forces<br />

Covenant<br />

EEAST has reinforced its<br />

commitment to improving care<br />

for members of the Armed<br />

Forces Community including<br />

reservists and veterans by<br />

signing up once again to the<br />

Armed Forces Covenant.<br />

EEAST was one of the first<br />

organisations in the <strong>UK</strong> to sign up<br />

to the covenant in 2016 and was<br />

only the second ambulance trust<br />

to receive formal accreditation.<br />

The covenant is a formal<br />

commitment to ensuring members<br />

of the armed forces community<br />

are never disadvantaged through<br />

service life, EEAST ensures<br />

care, training staff on veteranspecific<br />

needs, and employment<br />

opportunities are embedded<br />

throughout the Trust.<br />

EEAST Chief Executive Tom<br />

Abell said: “In addition to<br />

supporting members of the<br />

armed forces – past and present<br />

– in the community, the trust<br />

also employs a large number of<br />

veterans and reservists, across<br />

a range of disciplines within the<br />

organisation, so renewing our<br />

commitment to the covenant<br />

is a way of recognising the<br />

contributions they make to<br />

EEAST every day.”<br />

Kristina Carrington, Regional<br />

Employer Engagement Director<br />

for the MOD said: ‘it’s great<br />

to see EEAST reinforcing their<br />

commitment to the Armed Forces<br />

Community as they look to<br />

revalidate their Defence Employer<br />

Recognition Gold Award’.<br />

EEAST Chief Executive Tom Abell signing the covenant with<br />

Lt. Col. Gizella Simpson-Hayes of 254 Medical Rgt.<br />



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

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WAS<br />

Welsh <strong>Ambulance</strong><br />

Service introduces<br />

fast-acting new pain<br />

relief<br />

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

has introduced a new type<br />

of emergency pain relief for<br />

patients.<br />

Methoxyfl urane, or Penthrox, is a<br />

fast-acting drug used to reduce<br />

pain in patients with a traumatic<br />

injury like a fracture, dislocation,<br />

severe laceration or burns.<br />

The inhaled analgesic can be<br />

administered by all grades of<br />

clinicians, including Paramedics,<br />

Emergency Medical Technicians<br />

and Urgent Care Assistants.<br />

Volunteer Community First<br />

Responders are also being<br />

trained to administer the drug in<br />

a <strong>UK</strong> ambulance service fi rst.<br />

Paula Jeffery, Consultant<br />

Paramedic for the Trust, said:<br />

“We are committed to delivering<br />

the very best care to patients,<br />

and Penthrox is another tool in<br />

our drug box to do this.<br />

“The nature of trauma means<br />

that patients can present in<br />

extreme pain, so rapid and<br />

effective pain relief is an<br />

important part of making them<br />

more comfortable.<br />

Penthrox from next week.<br />

Andy Swinburn, Director of<br />

Paramedicine, said: “We’re<br />

delighted to have introduced<br />

Penthrox into our suite of<br />

pain-relieving drugs, which are<br />

undeniably important in the prehospital<br />

setting.<br />

“Community First Responders<br />

in particular – who are often at<br />

scene with patients for some<br />

time before an ambulance<br />

arrives, such are the pressures<br />

on the service – have been<br />

asking for a long time for the<br />

ability to administer pain relief,<br />

and now they can.”<br />

Community First Responders<br />

are volunteers who attend<br />

999 calls in their community<br />

and administer fi rst aid in the<br />

precious fi rst minutes before an<br />

ambulance arrives.<br />

They are trained by the Welsh<br />

<strong>Ambulance</strong> Service to deliver<br />

CPR and defi brillation at cardiac<br />

arrests, as well as fi rst aid and<br />

other skills at a broader range of<br />

medical emergencies.<br />

Lee Brooks, Executive<br />

Director of Operations, said:<br />

“Volunteering at the Welsh<br />

<strong>Ambulance</strong> Service has come a<br />

long way, particularly in the last<br />

few years, and we place high<br />

value on the contribution of our<br />

volunteers.<br />

“Penthrox is also selfadministered<br />

by patients (under<br />

supervision), which enables<br />

the crew to focus on delivering<br />

treatment and taking patients<br />

promptly to hospital.”<br />

<strong>Ambulance</strong> crews have<br />

undergone training to enable<br />

them to administer the drug,<br />

which began rollout earlier this<br />

month.<br />

Community First Responders are<br />

expected to start administering<br />

“Having observed volunteers<br />

fi rst-hand, it was an ambition to<br />

increase effective treatments that<br />

could be safely administered via<br />

a Community First Responder.<br />

“I am optimistic that patients will<br />

be better supported now this is<br />

an option for our people.<br />

“It’s why we’re delighted that<br />

our trained volunteers can now<br />

administer pain relief, improving<br />

not only the experience of<br />

patients but of volunteers too.<br />

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

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SECAMB<br />

First SECAmb staff<br />

complete Apprentice<br />

Paramedic<br />

Programme<br />

The first cohort of South East<br />

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

Foundation Trust (SECAmb)<br />

staff to undertake the Trust’s<br />

Level 6 Degree Apprenticeship<br />

Paramedic Programme have<br />

been recognised at a special<br />

ceremony to celebrate the<br />

completion of their journey to<br />

becoming a Paramedic.<br />

The programme, delivered in<br />

partnership with the University<br />

of Cumbria, sees staff complete<br />

their paramedic education over a<br />

two-year period as an apprentice<br />

while working for SECAmb. The<br />

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

individuals previously worked in<br />

frontline roles for SECAmb before<br />

becoming Student Paramedics.<br />

The event, which took place at<br />

the Crown Plaza in Crawley on 11<br />

May, was held locally to recognise<br />

the significant efforts made by the<br />

staff throughout the programme,<br />

ahead of a formal graduation<br />

ceremony later this summer.<br />

SECAmb Consultant Paramedic<br />

responsible for Clinical Education,<br />

Ashley Richardson said: “It<br />

was a privilege to attend<br />

our celebration ceremony to<br />

congratulate colleagues who had<br />

embarked upon their educational<br />

programme, successfully<br />

completing with such enthusiasm<br />

and commitment. It’s a real<br />

milestone to see our first cohort<br />

of staff complete their degree<br />

apprenticeships and each and<br />

every one of them should be<br />

extremely proud of their efforts<br />

over the past two years.<br />

“The apprenticeship degree<br />

programme provides colleagues<br />

already employed by SECAmb with<br />

career progression, qualifying as<br />

paramedics. I look forward to many<br />

more individuals progressing in their<br />

careers in this way in the coming<br />

months and years and am excited<br />

to see their ongoing journey within<br />

the Paramedic profession.”<br />

University of Cumbria, Senior<br />

Lecturer and Programme Lead,<br />

Jane-Louise Reid said: “Our<br />

academic team were honoured<br />

to be invited to the celebration<br />

ceremony to rejoice in the success<br />

of our first cohort who have been<br />

instrumental in the development of<br />

this new and exciting educational<br />

pathway in which to become<br />

Paramedics. The commitment,<br />

dedication, and professionalism of<br />

these first Apprentice Paramedics<br />

have formed the early footprints<br />

for future Apprentices to follow, on<br />

their journey to success”.<br />

SECAmb has 97 apprentices<br />

enrolled on its apprenticeship<br />

degree and will continue to run<br />

three new cohorts each year<br />

providing staff with ongoing<br />

opportunities for career<br />

development.<br />

SECAmb congratulates the<br />

following staff:<br />

• Ricky Braiden<br />

• Grace Collins<br />

• Aidan Fudge<br />

• Jay Gupta<br />

• Emily George Lewis<br />

• Angela Phipps<br />

• Laura Playfoot<br />

• Murray Robinson<br />

• TJ Staples<br />

• Paul Taylor-Duchesne<br />

• Daniel Timpson<br />

• Shawn Richards<br />

Two additional awards were<br />

presented to TJ Staples for ‘Best<br />

Student’ Jay Gupta for ‘Most<br />

Improved Student’.<br />

EEAST<br />

Mental Health<br />

Joint Response Car<br />

launched for Mid &<br />

South Essex<br />

A new vehicle has been<br />

launched to help with mental<br />

health issues in the Mid and<br />

South Essex areas.<br />

The Mental Health Joint<br />

Response Car is staffed by<br />

an ambulance clinician and a<br />

mental health specialist and can<br />

help ensure people with mental<br />

health emergencies can get the<br />

right care.<br />

The car is the first of its kind<br />

on the roads in Mid and<br />

South Essex and follows the<br />

successful rollout of similar<br />

vehicles across the EEAST<br />

region.<br />

The vehicle and emergency<br />

clinicians are provided by the<br />

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

Service NHS Trust (EEAST)<br />

emergency clinicians while<br />

mental health professionals from<br />

Essex Partnership University<br />

NHS Foundation Trust (EPUT)<br />

join the team. The scheme is<br />

supported by Mid and South<br />

Essex Integrated Care Board.<br />

The vehicle is ready for callouts<br />

from 1pm to 1am 7 days a<br />

week, and the onboard team<br />

can assist with issues involving<br />

the legal framework around, for<br />

example, the Mental Health Act<br />

and Mental Capacity Act and<br />

concerns regarding risk to the<br />

patient and public.<br />

84<br />

For more news visit: www.ambulanceukonline.com


Dan Phillips – Interim Deputy<br />

Clinical Director and Consultant<br />

Paramedic for EEAST said:<br />

“Our clinicians can make<br />

assessments about the physical<br />

welfare of patients and can<br />

provide pre-hospital care, while<br />

the mental health professionals<br />

have the ability to triage<br />

patients straight into mental<br />

health services. This can avoid<br />

people with mental health needs<br />

being taken to Accident and<br />

Emergency departments, which<br />

are the wrong place for them<br />

to be, and can cause further<br />

distress.<br />

“This will also have the<br />

secondary benefit of freeing<br />

up ambulance crews faster<br />

and reducing pressure on<br />

emergency departments.”<br />

Alex Green, Chief Operating<br />

Officer at Essex Partnership<br />

University NHS Foundation<br />

Trust (EPUT), said: “We know<br />

that hospital emergency<br />

departments are not always the<br />

right environment for people<br />

experiencing mental health<br />

difficulties. The urgent response<br />

vehicle enables our specialist<br />

mental health nurses to work<br />

with colleagues from the East of<br />

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

provide immediate crisis care in<br />

the community and ensure the<br />

most appropriate ongoing care<br />

is put in place to meet patient<br />

working with our NHS partners<br />

to provide this innovative joint<br />

response car service for people<br />

who experience a mental<br />

health emergency across Mid<br />

and South Essex, and make it<br />

easier and quicker for people to<br />

receive mental health crisis care<br />

in the community.<br />

“Through this partnership<br />

arrangement we will be able<br />

to work together to respond<br />

to people in mental health<br />

crisis in a more supportive<br />

and appropriate way. This<br />

dedicated resource will enable<br />

us to provide a more rapid and<br />

specifically skilled intervention<br />

for people in their own home<br />

and alleviate the need, stress<br />

and anxiety of them having<br />

to attend Accident and<br />

Emergency.<br />

“We have been looking to<br />

increase alternative forms of<br />

provision for those in mental<br />

health crisis - to provide a more<br />

suitable alternative to Accident<br />

and Emergency - as we<br />

recognise that when a persons’<br />

needs escalate to crisis point or<br />

they are experiencing a mental<br />

health emergency, they do not<br />

necessarily have a medical<br />

need that requires Accident and<br />

Emergency admission, so this<br />

new service is a very welcome<br />

step in the right direction.”<br />

being delivered over the next<br />

few weeks, making this the<br />

biggest fully electric fleet of Fast<br />

Response Units (FRUs) in the<br />

<strong>UK</strong>.<br />

Daniel Elkeles, Chief Executive<br />

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

(LAS), said: “I’m very proud we<br />

have the biggest electric fleet<br />

of fast response cars in the<br />

country and can contribute to<br />

reaching net zero.<br />

“Having cleaner and greener<br />

vehicles is extremely important<br />

in improving air quality – not just<br />

for our people and our patients<br />

– but also for the health of our<br />

communities across London.”<br />

The cars have been converted<br />

to suit paramedics responding<br />

to 999 emergencies in the<br />

capital.<br />

It takes just 40 minutes to<br />

charge the Mustang battery<br />

to 80 per cent and that allows<br />

the car to travel more than 300<br />

miles, which is about ten times<br />

further than an ambulance<br />

would normally cover on a shift.<br />

The blue lights and sirens<br />

are powered by a 12-volt<br />

battery rather than the car’s<br />

drive battery but the Service<br />

is fitting solar panels to the<br />

cars to make them even more<br />

environmentally-friendly.<br />

As part of a £31 million<br />

investment programme, the<br />

Service is also investing in<br />

charging infrastructure across<br />

its sites and ambulance<br />

stations, as well as recruiting<br />

new mechanics and upskilling<br />

current mechanics to help<br />

maintain its growing modern<br />

fleet.<br />

The Mustangs are fitted with<br />

a Crew Safety System to help<br />

keep clinicians safe. The system<br />

includes video cameras, panic<br />

buttons and electronic tracking.<br />

Last year, the Service<br />

introduced three electric<br />

motorcycles to its fleet – the<br />

first ambulance service in the<br />

country to do so.<br />

And in August four fully electric<br />

ambulances will be rolled out.<br />

As well as the fully electric<br />

ambulances, cars and<br />

motorcycles, LAS also has<br />

10 London Electric Vehicle<br />

Company (LEVC) electric<br />

vehicles which are used by our<br />

teams to travel around London<br />

teaching first aid.<br />

The Service has a further 18<br />

hybrid vans and 13 plug in<br />

hybrid cars.<br />

needs.<br />

“I’m really pleased to be<br />

working with our partners to<br />

launch such a vital service for<br />

people experiencing mental<br />

health crisis across Mid and<br />

South Essex, providing urgent<br />

care and support for those who<br />

need it most, when they need<br />

it most.”<br />

Alfred Bandakpara-Taylor,<br />

Deputy Director Adult Mental<br />

Health for Mid and South<br />

LAS<br />

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

Service driving<br />

towards zero<br />

emission goal with<br />

fleet of Mustangs<br />

A fleet of electric Mustang<br />

Mach-E cars have hit the<br />

capital’s streets as part of<br />

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

mission to ‘green up’ its vehicles.<br />

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

Essex Integrated Care Board<br />

Seven of the iconic cars are<br />

said: “We are delighted to be<br />

already in use with a further 35<br />

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Since the launch of the trial in<br />

A reunion between<br />

a medic and pilot 13<br />

years after they first<br />

flew together<br />

A reunion between a medic<br />

and pilot 13 years after they<br />

first flew together for the<br />

Great North Air <strong>Ambulance</strong><br />

Service (GNAAS) has left them<br />

feeling nostalgic as the charity<br />

celebrates its 21st birthday.<br />

GNAAS, which covers the North<br />

East, North Yorkshire, Cumbria<br />

and the Isle of Man, has been<br />

registered as a charity since 13<br />

May 2002 and provides life-saving<br />

care to people across the region.<br />

Andy Mawson began his<br />

career at GNAAS in 2010 as a<br />

paramedic and is now the director<br />

of operations, responsible for<br />

delivering the clinical operation<br />

and is also the registered manager<br />

for the Care Quality Commission<br />

who recently rated GNAAS as<br />

‘outstanding’ overall.<br />

Despite a change in job role, Mr<br />

Mawson still occasionally does<br />

shifts on the aircraft, and recently<br />

worked alongside pilot JJ Smith,<br />

who he first flew with 13 years ago.<br />

Mr Smith was chief pilot at<br />

GNAAS for six years before jetting<br />

off to pastures new, but he’s since<br />

re-joined the charity last year.<br />

Mr Mawson said: “I did my first<br />

shift with JJ since he returned<br />

to GNAAS and it brought back<br />

memories from when we used to<br />

fly together years ago.<br />

“The charity and the care we<br />

provide has developed so much<br />

in that time and I’m incredibly<br />

proud of what we’ve achieved.<br />

We want to be there for anyone<br />

that needs the advanced critical<br />

care we can provide, and make<br />

our communities proud of our<br />

service.”<br />

In 21 years, the charity has<br />

achieved several milestones<br />

including introducing doctors<br />

on board their aircraft and rapid<br />

response vehicles, running<br />

successful pre-hospital training<br />

courses for clinicians from around<br />

the world, delivering blood<br />

transfusions to more than 500<br />

patients and being awarded a<br />

rating of ‘outstanding’ by the Care<br />

Quality Commission in 2022.<br />

They also began operating seven<br />

nights a week in the North East<br />

in January this year and hope to<br />

offer the same level of service in<br />

Cumbria in the near future, which<br />

currently operates four nights a<br />

week.<br />

Outside of the <strong>UK</strong>, GNAAS have<br />

been working alongside Manx<br />

Care based in the Isle of Man<br />

to trial a new service to transfer<br />

seriously injured or unwell patients<br />

by helicopter from the Isle of Man<br />

directly to the <strong>UK</strong> for emergency<br />

medical treatment.<br />

Previously, patients were<br />

transferred by fixed wing air<br />

ambulance but there was<br />

no access to a pre-hospital<br />

Helicopter Emergency Medical<br />

Service which are able to provide<br />

the full spectrum of advanced<br />

critical care procedures, delivered<br />

by a doctor and critical care<br />

paramedic team.<br />

March 2022, the charity’s critical<br />

care teams, based in Penrith,<br />

Cumbria and Teesside, North<br />

East, have been deployed 22<br />

times, responding to road traffic<br />

collisions, medical incidents,<br />

falls, burns and a horse-riding<br />

incident, and the trial has since<br />

been extended for another year.<br />

Over the next two years the<br />

charity is also trialling carrying<br />

whole blood on board their<br />

aircraft and rapid response<br />

vehicles, which will be used to<br />

treat severely injured patients<br />

who are at risk of bleeding to<br />

death.<br />

Whole blood contains red blood<br />

cells, plasma and platelets<br />

(which help with clotting) all in<br />

one bag.<br />

Since 2015 GNAAS’ critical care<br />

team has administered blood<br />

transfusions using red blood<br />

cells and plasma, so the trial will<br />

be looking at the clinical and<br />

cost-effectiveness of pre-hospital<br />

whole blood administration<br />

in comparison to the blood<br />

products they currently use.<br />

Mr Mawson said: “We are<br />

incredibly proud of what we<br />

have achieved, which was only<br />

made possible because of<br />

the unwavering support of the<br />

people of the North of England.<br />

Now more than ever we need<br />

that support to make our dreams<br />

of full 24/7 care come true, and<br />

I know we can make every one<br />

of our supporters proud to be a<br />

part of our journey and our team.<br />

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

“On behalf of everyone at<br />

GNAAS we’d like to thank those<br />

who have supported our charity,<br />

as you are all life-savers, and you<br />

fly with us on every mission. You<br />

have saved countless lives and<br />

kept families together across the<br />

region over the last 21 years.<br />

Let’s make the next 21 years<br />

even more incredible together.<br />

86<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


SECAMB<br />

Surrey pregnancy<br />

advice line<br />

celebrates five years<br />

since launch<br />

A Surrey pregnancy advice<br />

line based at South East Coast<br />

<strong>Ambulance</strong> Service’s (SECAmb)<br />

Emergency Operations Centre<br />

in Crawley is celebrating after<br />

handling more than 200,000<br />

calls in the five years since its<br />

launch in April 2018.<br />

The Call a Midwife Surrey Advice<br />

Line, which was established by<br />

Surrey Heartlands Health and<br />

Care Partnership as part of the<br />

national NHS Better Births plan.<br />

It available to patients and new<br />

parents under the care of a<br />

number of Surrey hospitals to<br />

access advice and support 24<br />

hours a day, 7 days a week from<br />

a midwife.<br />

The line, which has, to date,<br />

handled more than 225,000 calls,<br />

is available during pregnancy,<br />

labour and following the birth of a<br />

baby for patients under the care<br />

of Royal Surrey County Hospital,<br />

Ashford and St Peter’s Hospitals<br />

and Epsom and St Helier<br />

Hospitals.<br />

The advice line sees calls triaged<br />

by midwives who can provide<br />

advice and signpost to the most<br />

appropriate place for their care.<br />

Being based in the ambulance<br />

control room ensures midwives<br />

are also on hand to provide<br />

expert advice if required on any<br />

pregnancy-related 999 calls.<br />

Since its launch, the service<br />

has assisted in the handling of<br />

approximately 3,000 emergency<br />

999 calls.<br />

Head of Clinical Operations<br />

Integrated Care (111/999) at<br />

SECAmb, Scott Thowney said:<br />

“I’m delighted the service has<br />

been able to help so many<br />

patients since its launch. It’s a real<br />

benefit to have the expertise of<br />

the midwives in our Emergency<br />

Operations Centre to provide<br />

additional assistance to our teams<br />

if needed.<br />

“I would like to thank everyone<br />

who has been involved in ensuring<br />

the success of this service and<br />

look forward to it helping many<br />

more patients in the years ahead.”<br />

LAS<br />

State-of-the-art<br />

ambulances specially<br />

designed for the<br />

streets of London<br />

arrive in the capital<br />

Nine brand new bespoke<br />

ambulances have been<br />

delivered to London <strong>Ambulance</strong><br />

Service – with dozens more<br />

arriving in the next few months.<br />

The MAN ambulances are<br />

replacing older vehicles in the<br />

fleet and were designed after<br />

consultation with frontline crews<br />

to ensure they are suitable for the<br />

demands of caring for patients in<br />

the capital.<br />

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

said:<br />

“We worked with our ambulance<br />

crews to design a vehicle that<br />

is safe and reliable for both our<br />

patients and our people.<br />

“We are really excited by the<br />

new ambulances which are more<br />

accessible and use a powered<br />

system to load the stretcher,<br />

which will make things easier for<br />

our crews.<br />

“They are more energy efficient<br />

and digitally enabled for the<br />

future. They also have an asset<br />

management system that tracks<br />

our emergency equipment and<br />

notifies staff if anything is lost or<br />

needs replacing.”<br />

The fully equipped ambulances<br />

cost £156,000 and will be paid for<br />

by internal capital and money LAS<br />

secured from commissioners.<br />

A further 11 MAN ambulances<br />

and 112 ambulances have been<br />

ordered. All the new ambulances<br />

are lightweight, greener and more<br />

efficient than the Service’s current<br />

ambulances and meet the clean air<br />

zone targets in London, which are<br />

the most stringent in the country.<br />

Because the MAN ambulances<br />

are the first of their kind in<br />

England, they have had to<br />

undergo rigorous evaluation<br />

by academics and ambulance<br />

experts.<br />

Rob Macintosh inspected the<br />

vehicle against a 950 point checklist,<br />

then a team of professors<br />

from Loughborough University<br />

conducted an ergonomic<br />

evaluation to ensure the<br />

ambulances are safe, reliable and<br />

easy to use.<br />

The ambulance has been crashtested<br />

and its fuel consumption,<br />

emissions, brake-fading and<br />

handling also checked.<br />

All the new ambulances are fitted<br />

with a Crew Safety System to help<br />

keep clinicians safe. The system<br />

includes video cameras, panic<br />

buttons and electronic tracking.<br />

They will also contribute to the<br />

Service’s efforts to comply with<br />

the ultra-low emission zone in<br />

London and to reach its zero<br />

emission goal by 2030. Meanwhile<br />

four fully electric ambulances are<br />

expected to be delivered to LAS<br />

later this year.<br />

Chief Executive Daniel Elkeles said:<br />

“It’s very exciting to see the<br />

delivery of the next generation of<br />

ambulances – designed by us –<br />

which will help us respond to 999<br />

calls across the capital.<br />

“They are not only better for the<br />

environment and will help to<br />

alleviate air pollution, but will be<br />

safer and more comfortable for<br />

our crews and for the patients<br />

they care for.”<br />

In response to a survey, more<br />

than 400 clinicians submitted<br />

ideas and suggestions for the<br />

new ambulances which were built<br />

in Germany by a manufacturer<br />

specialising in emergency<br />

vehicles.<br />

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

Rob Macintosh, Head of Fleet at<br />

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



WAS<br />

Welsh <strong>Ambulance</strong><br />

Service Dementia<br />

Team wins Hero<br />

award<br />

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

has won another coveted award<br />

for its work to support dementia<br />

patients.<br />

“People affected by dementia<br />

are supporting and influencing<br />

our dementia work at every<br />

level, from delivering training to<br />

recommending changes to our<br />

environments.<br />

“We could not have achieved this<br />

award and our progress without<br />

the commitment from people<br />

living with dementia, their family<br />

The Welsh <strong>Ambulance</strong> Service is<br />

recognised as a Dementia Friendly<br />

Organisation by the Alzheimer’s<br />

Society.<br />

If you want to learn more about<br />

the Welsh <strong>Ambulance</strong> Service’s<br />

dementia work, please contact<br />

the Dementia Team on<br />

amb_mentalhealth@wales.nhs.uk<br />

breathing, as well as people<br />

experiencing the physical and<br />

mental effects of the use of<br />

chemsex-related drugs.<br />

Chemsex is prevalent amongst a<br />

sub-group of London’s LGBTQ+<br />

community, where participants<br />

use drugs such as crystal meth,<br />

mephedrone (known as ‘m-kat’)<br />

and GBL/GHB to prolong sexual<br />

The Trust’s Dementia Team<br />

won the Dementia Hero Award<br />

for Professional Excellence<br />

(Organisation) at the Alzheimer’s<br />

Society Awards <strong>2023</strong>.<br />

and carers, volunteers and staff<br />

who support our work.”<br />

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

provides a service to over three<br />

million people in Wales, and the<br />

LAS<br />

London paramedics<br />

to help reduce risks<br />

of chemsex<br />

encounters.<br />

It presents a range of health risks<br />

including substance intoxication,<br />

sexually transmitted infections<br />

(STIs), trauma, problematic<br />

The Dementia Hero Awards<br />

celebrate the involvement and<br />

participation of people affected by<br />

dementia and the impact they have<br />

for others living with the condition.<br />

Alison Johnstone, the Trust’s<br />

Programme Manager for<br />

Dementia, said: “We are<br />

overwhelmed to be recognised<br />

for our co-production approach to<br />

dementia.<br />

“We have an exciting programme<br />

based around the needs<br />

and rights of people living<br />

with dementia, and we have<br />

a continuous engagement<br />

approach to our work to provide<br />

better patient outcomes and<br />

experiences.<br />

World Health Organisation states<br />

that dementia continues to be<br />

one of the 21st century’s biggest<br />

healthcare challenge.<br />

Last year, the Dementia Team<br />

started piloting 20 Reminiscence<br />

Therapy Interactive Activities<br />

(RITA) tablets in Wales and were<br />

crowned winners of the most<br />

innovative use of RITA for 2022 at<br />

the RITA User Group Conference<br />

and Awards.<br />

And last month, the Trust unveiled<br />

new high-tech Non-Emergency<br />

Patient Transport Service vehicles,<br />

which boast dementia-friendly<br />

flooring, blinds and colour<br />

schemes to help improve patient<br />

experience.<br />

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

introducing measures to reduce<br />

the risk of harm for people who<br />

engage in “chemsex” as new<br />

data shows that paramedics<br />

treat an average of one person<br />

a day from the effects of ‘hookup<br />

drugs’.<br />

The data collated by London<br />

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

estimates that, since January<br />

2021, paramedics in the capital<br />

have treated at least 764 people<br />

from intoxication from substances<br />

associated with “chemsex”, such<br />

as crystal meth or mephodrone.*<br />

This includes people suffering<br />

from drug-induced psychoses,<br />

overdoses and difficulty in<br />

drug use, and even death from<br />

overdose.<br />

The growing popularity of the<br />

phenomenon in the capital has<br />

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

Service to partner with LGBTQ+<br />

voluntary sector agency Gay<br />

Men’s Health Collective to roll out<br />

non-judgemental harm-reduction<br />

measures.<br />

Peter Kingsley, LAS Advanced<br />

Paramedic, who is leading the<br />

project, said:<br />

“Chemsex is a secret world. The<br />

people we care for following a<br />

chemsex incident often lead very<br />

conventional lives outside of these<br />

meet-ups and don’t disclose<br />

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

88<br />

For more news visit: www.ambulanceukonline.com


their engagement in chemsex<br />

to anyone, including their GPs.<br />

This risks their health conditions<br />

going untreated and physical and<br />

mental health deteriorating.<br />

“The ambulance service is the<br />

only part of the NHS that routinely<br />

cares for chemsex participants in<br />

the place where these meet-ups<br />

are happening.<br />

“London paramedics and mental<br />

health teams are uniquely placed<br />

to intervene with non-judgemental<br />

health advice and reconnect<br />

these people with the rest of the<br />

health and social care system.”<br />

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

advanced paramedics, mental<br />

health teams, and medics in fastresponse<br />

cars will be handing<br />

cards to those at risk which<br />

include educational resources<br />

and organisations offering<br />

physical and mental-health<br />

support.<br />

The cards include a discrete QRcode<br />

that patients can access<br />

in their own time to consult a<br />

comprehensive bank of resources<br />

on drug addiction, treatment<br />

services, and safer sex advice.<br />

Meanwhile, ambulance crews<br />

dispatched in central London –<br />

where chemsex is most prevalent<br />

– are being trained to recognise<br />

symptoms of chemsex drugs and<br />

educated on how to sensitively<br />

care for these patients.**<br />

Patriic Gayle, Co-Founder of Gay<br />

Men’s Health Collective, said:<br />

“The cards we have created are a<br />

gateway to helplines and support<br />

services.<br />

“There can also be stigma and<br />

denial associated with chemsex<br />

when things go wrong, so using<br />

the card to reach out is a step to<br />

processing what has happened<br />

and what it means.”<br />

The chemsex harm-reduction<br />

project at London <strong>Ambulance</strong><br />

Service was born out of a close<br />

collaboration between Advanced<br />

Paramedic Peter Kinglsey, Mental<br />

Health Consultant Nurse Carly<br />

Lynch, Mental Health Paramedic<br />

Lead Daniel Phillips, and Co-<br />

Founder of Gay Men’s Health<br />

Collective Patriic Gayle.<br />

EEAST<br />

New service helping<br />

EEAST go above and<br />

beyond for patients<br />

A family struggling to pay<br />

the bills and a man sleeping<br />

rough are among the patients<br />

that have been helped by a<br />

pioneering programme set<br />

up by the East of England<br />

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

to signpost patients to services<br />

able to help unmet needs.<br />

The programme – which went<br />

live in mid-October 2022 after<br />

EEAST’s charity received a grant<br />

of £116,624 from NHS Charities<br />

– has now reached a significant<br />

milestone after helping over 500<br />

patients with issues that have<br />

come to light following a 999 call<br />

and a conversation with EEAST<br />

staff.<br />

The funding has seen the<br />

introduction of a dedicated team<br />

of navigators for patients with<br />

unmet needs who follow up<br />

referrals from EEAST and assess<br />

what community and social<br />

support is available in each case.<br />

This new referral pathway has<br />

been warmly embraced at EEAST<br />

by ambulance crews, community<br />

first responders and clinicians in<br />

control rooms as they often see<br />

patients who require additional<br />

help beyond what the ambulance<br />

and NHS can immediately offer.<br />

The team of navigators link in with<br />

local authorities, social<br />

care partners, link workers and<br />

integrated care bodies and have<br />

also established contacts with<br />

other community and social<br />

pathways.<br />

Patients helped so far by the<br />

programme include:<br />

• A family who were struggling<br />

to pay the bills and needed a<br />

warm home because of their<br />

child’s condition<br />

• A patient with no fixed abode<br />

who was sleeping rough<br />

• Patient who was having issues<br />

getting benefits reinstated<br />

after a hospital stay which was<br />

causing great anxiety<br />

• Single parent mum with three<br />

children and no help who was<br />

suffering with exhaustion<br />

Duncan Moore, clinical lead for<br />

mental health at EEAST who<br />

helped set up the programme,<br />

said:<br />

“The programme has been<br />

welcomed and embraced by<br />

everyone at EEAST and the<br />

feedback from patients who have<br />

been helped has shown how<br />

much this service is needed.<br />

“We know that by addressing<br />

these unmet needs of patients we<br />

are having a significant beneficial<br />

impact on their health and<br />

wellbeing.<br />

“This service is also helping<br />

strengthen links between the<br />

NHS and community and social<br />

support providers and providing a<br />

more holistic approach to health<br />

and wellbeing of the communities<br />

we serve.”<br />

Kate Lott, Head of Charity at<br />

EEAST, said:<br />

“The <strong>Ambulance</strong> Service Grant<br />

has given our charity the ability<br />

to explore new avenues in<br />

supporting our local communities.<br />

This pioneering scheme started as<br />

a simple idea: to try to bridge the<br />

gap in supporting patients with<br />

unmet needs across the east of<br />

England. Thanks to the generous<br />

support from the public and NHS<br />

Charities Together, we are able to<br />

make a real difference to patients<br />

and their families across our region.”<br />

Ellie Orton OBE, Chief Executive<br />

of NHS Charities Together, said:<br />

“This is a truly pioneering project<br />

and one we’re proud to be a<br />

part of. Thanks to donations<br />

from the generous British public,<br />

EEAST will be able to provide<br />

vital additional support to people<br />

living in the east of England<br />

whose needs aren’t currently<br />

being met by our health system.<br />

Programmes like these can<br />

help to further unite the NHS,<br />

community and social support,<br />

and benefit the health and<br />

wellbeing of the whole community<br />

while reducing pressure on NHS<br />

services. We look forward to<br />

seeing the impact the service<br />

makes across the region.”<br />

The <strong>Ambulance</strong> Grants<br />

Programme was launched by<br />

NHS Charities Together in March<br />

2021 in recognition of the vital<br />

work that ambulance charities do<br />

to support the work of the NHS.<br />

Thanks to the support of the<br />

public, the grant is part of<br />

£7m which has been allocated<br />

by population across all the<br />

ambulance charities in England,<br />

Wales, Scotland and Northern<br />

Ireland.<br />

To find out more about East of<br />

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

Charity visit East of England<br />

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

(eastamb.nhs.uk)<br />

NHS Charities Together is the<br />

national independent charity<br />

caring for the NHS. Visit<br />

www.nhscharitiestogether.co.uk<br />

to learn more.<br />

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

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London’s Air<br />

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

shares annual<br />

mission data<br />

• The advanced trauma care<br />

team attended to nearly 2,000<br />

patients in 2022<br />

• This is a 15% increase on 2021<br />

figures, and the highest number<br />

since the service began 30<br />

years ago*<br />

• The London Borough of<br />

Westminster was the most<br />

attended to part of the city<br />

London’s only helicopter<br />

emergency service attended to<br />

1,977 patients* last year. The<br />

advanced trauma doctors and<br />

paramedics treat patients across<br />

every part of the capital, with<br />

statistics released by the charity<br />

today revealing that Westminster<br />

(113), Lambeth (111) and Tower<br />

Hamlets (103)* were the busiest<br />

London boroughs in 2022.<br />

Of those patients, 34% needed<br />

pre-hospital care at the scene<br />

due to penetrating trauma (which<br />

includes accidental causes as<br />

well as stabbing and gun shot<br />

wounds), 25% due to road traffic<br />

collisions and 22% had suffered a<br />

fall from height*.<br />

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

perform life-saving treatment at the<br />

scene for those patients who are<br />

critically injured with life threatening<br />

or life changing injuries. They carry<br />

out life-saving procedures such<br />

as open chest surgery, blood<br />

transfusions, putting patients into<br />

an induced coma and reinflating<br />

collapsed lungs – anywhere in<br />

London, 24 hours a day.<br />

The data has been released as<br />

part of London’s Air <strong>Ambulance</strong><br />

Charity’s fundraising appeal, Up<br />

Against Time. The charity must<br />

raise £15 million by Autumn 2024<br />

to replace its helicopter fleet as<br />

the current helicopters become<br />

increasingly difficult to maintain.<br />

The role of our helicopters is to<br />

take medics to the patient quickly –<br />

providing the complex care patients<br />

would get in A&E at the scene - for<br />

those that are so critically injured<br />

that every moment counts.<br />

As part of the appeal, the<br />

charity has launched this film:<br />

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

watch?v=cmgfbaFhZME, asking<br />

Londoners to fund their new fleet<br />

and help keep the life-saving service<br />

in our skies for years to come.<br />

Recent polling showed that<br />

only 38% of Londoners know<br />

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

is primarily funded by public<br />

donations. The reality is that as a<br />

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

relies on 89% of its funding from<br />

public donations to be able to save<br />

London’s most critically injured**.<br />

Captain Neil Jeffers, Chief Pilot,<br />

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

said:<br />

“Last year we attended more<br />

missions than ever before, and<br />

when we’re up against time,<br />

our helicopter fleet and rapid<br />

response cars enable us to get to<br />

our patients quickly, wherever they<br />

are in London.<br />

“Now we’re up against time in a<br />

new way, as we need to replace<br />

our helicopter fleet by Autumn<br />

2024.<br />

“This mission data shows that<br />

our helicopters are here for every<br />

single person who lives, visits<br />

and works in London. That’s why<br />

we’re asking Londoners to help us<br />

fund the new fleet – we need their<br />

support now more than ever.”<br />

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

Steve Blake said:<br />

“It is because of London’s Air<br />

<strong>Ambulance</strong> and the speed at<br />

which they arrived that I am alive<br />

today.<br />

“When you realise the depth of<br />

the treatment and the skills they<br />

bring to the scene – and the fact<br />

they’re a charity – it’s astonishing.<br />

Anything I could do to thank them,<br />

I would.”<br />

London’s Air <strong>Ambulance</strong> 2022<br />

Mission Map:<br />

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



With the advent of GNSS satellites<br />

Air <strong>Ambulance</strong> bid<br />

selected, enabling<br />

more patients to<br />

be reached in poor<br />

weather<br />

The Civil Aviation Authority<br />

(CAA) has announced that<br />

Dorset and Somerset Air<br />

<strong>Ambulance</strong> (DSAA) will benefit<br />

from a share of more than<br />

£200,000 of funding to allow air<br />

ambulances to land more safely<br />

in poor weather conditions.<br />

Henstridge Airfield, the base of<br />

DSAA was one of five helicopter<br />

landing sites selected to benefit<br />

from the Global Navigation<br />

Satellite System (GNSS)<br />

Programme, run by the <strong>UK</strong> CAA<br />

and Department for Transport.<br />

DSAA’s flight operations are<br />

bound by CAA regulations that<br />

stipulate the minimum allowable<br />

cloud base to allow us to continue<br />

flying visually with reference to<br />

ground features. If the cloud base<br />

is below the minima, then we<br />

can fly in cloud using our flight<br />

instruments, but only if there<br />

is a means to safely leave the<br />

cloud at our destination; without<br />

that means we are unable to fly<br />

with the cloud base below visual<br />

minima.<br />

For DSAA, this applies to visibility<br />

and cloud levels at Henstridge<br />

Airfield primarily, and then at<br />

destination locations. This<br />

means that if the cloud level is<br />

below minimum visual levels at<br />

Henstridge, our Critical Care<br />

Team are unable to travel by<br />

air to reach patients in need.<br />

Furthermore, if they are on<br />

a mission and the weather<br />

deteriorates back at base, the<br />

aircraft could become stranded in<br />

a field or at hospital, resulting in<br />

a loss of operating hours (due to<br />

it needing to be recovered) and<br />

patients that require life-saving<br />

critical care may not be reached.<br />

One example of this took place<br />

last month when our aircraft<br />

could not return to base after a<br />

job one evening due to low cloud<br />

at Henstridge. Instead it had to<br />

spend the night at a different<br />

heliport at the edge of our region<br />

and was not able to return until<br />

the weather had cleared during<br />

the middle of the next day.<br />

Traditionally, aircraft flying to<br />

an airfield have used groundbased<br />

systems to enable<br />

them to make an approach to<br />

their destination. The aircraft<br />

can pick up signals from the<br />

ground-based system that then<br />

interact with onboard systems<br />

to give the pilot directional and<br />

height cues, enabling them to<br />

make a safe approach to the<br />

runway; autopilot systems on<br />

modern aircraft are also able<br />

to use this information to fly<br />

these approaches without pilot<br />

intervention.<br />

and the 3D information they can<br />

provide, airfield approaches can<br />

now be made without having to<br />

rely on the ground-based systems,<br />

if the aircraft is fitted with the<br />

appropriate equipment. In the case<br />

of above, A GNSS approach would<br />

have enabled the aircraft to return<br />

to base, be restocked and reequipped<br />

ready for another job that<br />

evening, and subsequently available<br />

for the day crew to respond to<br />

further taskings the next day.<br />

As DSAA’s AW169 helicopter<br />

is equipped to carry out GNSS<br />

approaches and our pilots are<br />

licenced to fly them, the charity<br />

submitted a bid to the CAA at the<br />

end of September 2022.<br />

We are delighted with the news<br />

that Henstridge Airfield is now<br />

part of the GNSS programme<br />

as it fully supports the charity’s<br />

commitment to reaching more<br />

patients who need critical care.<br />

More information from the CAA on<br />

this topic can be found by visiting:<br />

https://www.caa.co.uk/<br />

news/emergency-servicesreceive-funding-to-help-airambulances-land-<br />

more-safelyin-poor-weather/<br />

More information on Dorset and<br />

Somerset Air <strong>Ambulance</strong> can be<br />

found by visiting:<br />

www.dsairambulance.org.uk<br />

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

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



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

News<br />

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

Charity announces Anna<br />

Bennett as new Director of<br />

Finance, IT and Facilities<br />

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

announced the appointment Anna Bennett<br />

as the charity’s new Director of Finance, IT<br />

and Facilities.<br />

A Chartered Accountant (FCA) with over 20<br />

years of experience, Anna holds the ICAEW<br />

Diploma in Charity Accounting. She has<br />

extensive sector experience, having worked for<br />

several national charities, including as Finance<br />

Director for Hospice <strong>UK</strong> and as Director of<br />

Finance and Operations for BBC Children in<br />

Need.<br />

In the private sphere, Anna joined<br />

Haysmacintyre’s not-for-profit audit team<br />

in 2013 and was promoted to be a Partner<br />

with the firm, advising a wide range of charity<br />

clients. In 2019 she moved into an internal role<br />

on the firm’s Management Board, leading all<br />

operational teams.<br />

Outside of her professional life, Anna has been<br />

a trustee and audit committee member for a<br />

number of charities including NCVO and The<br />

Money Advice Trust, as well as finding time<br />

to enjoy live music, rugby, camping trips and<br />

Lego.<br />

Speaking of her appointment, Anna Bennett<br />

said:<br />

“I am delighted to join London’s Air <strong>Ambulance</strong><br />

Charity at such an important time in its history,<br />

working with extraordinary people saving lives<br />

every day.<br />

“I’ve been a supporter of the charity for many<br />

years now, even abseiling down the side of the<br />

Royal London Hospital back in 2016 to raise<br />

funds – although this time around I hope to<br />

contribute with my feet firmly on the ground.<br />

“I’m really looking forward to getting to know<br />

the dedicated group of people who help make<br />

the charity what it is – whether that’s the staff,<br />

our life-saving crew or the patients across<br />

London who we work for every day.”<br />

Jonathan Jenkins, CEO, London’s Air<br />

<strong>Ambulance</strong> Charity said;<br />

“In Anna, we’ve brought someone in with<br />

invaluable experience in charity finance and I<br />

couldn’t be happier to have her join our team.<br />

“Anna’s joining at a hugely important time in<br />

our charity’s history, in the midst of our largest<br />

ever fundraising appeal, and Anna’s expertise<br />

will be vital as we look to achieve our ambitions<br />

over the next few years.”<br />

London’s Air <strong>Ambulance</strong> delivers an advanced<br />

trauma team to critically injured patients when<br />

time is critical and serves the 10 million people<br />

living and working within London. The charity<br />

is the only one of its kind in London to perform<br />

immediate life-saving medical procedures<br />

normally only found in a hospital emergency<br />

department at the scene of an incident. Since<br />

launching 34 years ago, the service has treated<br />

over 45,000 patients.<br />

NEAS News<br />

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

welcomes new Director of<br />

Paramedicine back to the<br />

North East<br />

Brand new role on the Trust Board aims<br />

to strengthen clinical leadership and give<br />

paramedics more representation<br />

A new Director of Paramedicine and Allied<br />

Health Professionals is preparing to join the<br />

Board at North East <strong>Ambulance</strong> Service<br />

(NEAS).<br />

Andrew Hodge is returning to where his<br />

ambulance career began to take on the<br />

new role, where he will be responsible for<br />

influencing, shaping and leading strategy,<br />

policy and clinical transformation both within<br />

NEAS and as part of the wider regional and<br />

national health and social care systems.<br />

NEAS will become only the fifth ambulance<br />

service in the <strong>UK</strong> to appoint such a role to the<br />

Board, which is expected to provide visible and<br />

proactive leadership for our clinical workforce.<br />

Andrew first joined the ambulance service in<br />

1995, working on the patient transport service<br />

in Berwick, before moving to Newcastle on<br />

qualifying as a paramedic in 1999.<br />

His interests took him into corporate services,<br />

implementing pre-hospital electrocardiograms<br />

(ECGs) and thrombolysis before leaving the<br />

ambulance service to work for five years in the<br />

community as an advanced practitioner, which<br />

he left to work in commissioning.<br />

He spent six years as a consultant paramedic<br />

at Yorkshire <strong>Ambulance</strong> Service, where he<br />

found a keen interest in leading on research<br />

and publications as well as developing the<br />

profession’s clinical career framework around<br />

specialist and advanced practice.<br />

Most recently, he has been the Director of<br />

Allied Health Professions at Mid-Yorkshire<br />

Hospitals NHS Trust, where he has learned the<br />

complexities of delivering acute services across<br />

three hospital sites and across the community.<br />

Through this role, he was also responsible<br />

for nine different allied health professional<br />

groups, leading on their career development<br />

and representing their voices across the senior<br />

leadership teams.<br />

He is now looking forward to bringing the<br />

experience he has gained from different parts<br />

of the system back to NEAS in his new role.<br />

He said: “Over the years, I have taken myself<br />

out of my professional comfort zone to develop<br />

into advanced and consultant practice level<br />

roles. Here, I have helped drive paramedicine<br />

forward whilst gaining a huge amount of<br />

experience which I can now bring back to<br />

the ambulance service where my paramedic<br />

identity fits most easily.<br />

“I believe this new role is a unique and<br />

important development for paramedicine.<br />

I want to maximise the contribution that<br />

the paramedic profession can have on the<br />

services our patients receive, and develop<br />

career opportunities for our workforce so that<br />

they can, in turn, develop their skills through<br />

research, teaching and expert practice to help<br />

influence the profession’s direction of travel<br />

further.<br />

“I’m looking forward to working with my new<br />

colleagues to understand what it is they want<br />

from their professions and from their careers<br />

and, ultimately, being their voice on the board,<br />

ensuring their views are heard more clearly.<br />

“I’m also looking forward to working with<br />

our regional partners to understand how<br />

the paramedic profession can best help the<br />

system.”<br />

92<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


Andrew’s appointment follows the recent<br />

of appointment of Dr Kat Noble, who took<br />

up her position as the Trust’s new Medical<br />

Director on 31 January, and Julia Young,<br />

who joined the Trust as Director of Quality<br />

and Patient Safety on 27 February.<br />

Kat has more than 20 years’ experience<br />

within primary, secondary and pre-hospital<br />

care, which has included being a national<br />

advisor for NHS111, medical director<br />

for NHS Direct and NHS Pathways and<br />

associate medical director for North West<br />

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

She takes on her new role at NEAS on<br />

a part-time basis, splitting her time with<br />

her continuing role in the emergency<br />

department of Sunderland Hospital. She<br />

also serves as a clinical associate for the<br />

Emergency Care Intensive Support team<br />

(NHS Improvement) and a CQC inspector.<br />

Julia brings over 30 years of experience<br />

of working in healthcare, including over<br />

25 years of leadership, to her new role<br />

at NEAS. Prior to joining the ambulance<br />

service, she was Director of Nursing<br />

with the North East and North Cumbria<br />

Integrated Care System.<br />

Chief executive Helen Ray said: “As an<br />

NHS Foundation Trust, we are required<br />

by statute to have a nurse and medic on<br />

our Board. However, with paramedics and<br />

other allied health professionals making up<br />

the largest part of our workforce, we feel<br />

it is the right approach to ensure there is<br />

positive representation on our Board.<br />

“We believe Andrew will really help us<br />

strengthen our clinical leadership and<br />

we’re looking forward to working with<br />

him, Julia and Kat to rebuild, reshape<br />

and move forward our ambitions as a<br />

Trust, transforming our services to meet<br />

demands and ensure patients continue to<br />

receive high quality and safe care.”<br />

EEAST News<br />

New Chair announced at<br />

EEAST<br />

The new chair of the East of England<br />

<strong>Ambulance</strong> Service Trust (EEAST) has<br />

been announced as Mrunal Sisodia OBE.<br />

Mrunal has served as non-executive<br />

director for EEAST for three years and has<br />

a background of leading large complex<br />

organisations.<br />

He is director and co-chair of the National<br />

Network of Parent Carer Forums (NNPCF),<br />

a national organisation that represents the<br />

families of children and young people with<br />

special educational needs and disabilities.<br />

Before joining the NNPCF, Mrunal was a<br />

director at Leonard Cheshire Disability and<br />

has extensive experience of the private,<br />

public and charity sectors.<br />

The news follows the announcement<br />

in December that Nicola Scrivings was<br />

to step down after leading the Trust for<br />

three years, and overseen a period of<br />

improvement for the Trust as recognised<br />

by the CQC and NHS England.<br />

Tom Abell, Chief Executive of East of<br />

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

said:<br />

“I am very pleased to be able to announce<br />

the appointment of Mrunal as the new<br />

chair. His extensive experience in the<br />

private and public sector will be invaluable<br />

as we continue our work to improve our<br />

ambulance service for our communities<br />

and people and I look forward to working<br />

with him in the coming years.<br />

“I would like to again thank Nicola<br />

Scrivings for her incredible contribution to<br />

our improvement as an organisation over<br />

the past three years. Her dedication and<br />

commitment to making our organisation<br />

a better place to work for our people<br />

and her passion to improve care for the<br />

communities we serve across the east of<br />

England has been inspirational.”<br />

Ms Scrivings said:<br />

“Mrunal has been a wonderful, passionate<br />

colleague as a non-executive director at<br />

EEAST and I have every confidence he will<br />

make an excellent chair.<br />

“It has been a great privilege and<br />

experience to travel alongside such<br />

dedicated ambulance crews and volunteers<br />

across the region who work so hard to<br />

care for our patients.<br />

“I wish Mrunal every success in the future.”<br />

Mrunal said:<br />

“It is an honour to be appointed as the<br />

new chair of EEAST and I look forward to<br />

working alongside our staff, volunteers and<br />

partners in the healthcare system to shape<br />

the future of the organisation.<br />

“The last few years have not been easy<br />

for anyone in the ambulance sector but I<br />

have witnessed enormous dedication and<br />

determination from my colleagues here. This<br />

is what will drive our continued improvement<br />

and build on the progress we have made<br />

under Nicola, my predecessor as chair.”<br />

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

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



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

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19-20 SEPTEMBER <strong>2023</strong><br />






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

FIND OUT For MORE the latest <strong>Ambulance</strong> WWW.EMERGENCY<strong>UK</strong>.COM Service News visit: www.ambulancenewsdesk.com | #ESS<strong>2023</strong><br />


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