Ambulance UK August 2023

Ambulance UK August 2023

Ambulance UK August 2023


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Volume 38 No. 4<br />

<strong>August</strong> <strong>2023</strong><br />


Penthrox: First-Line emergency analgesic<br />

Simple to use<br />

Fast acting<br />

Effective<br />

JRCALC recommended 1<br />

Is your service using Penthrox?<br />

Penthrox is indicated for the emergency relief of moderate to severe pain in<br />

conscious adult patients with trauma and associated pain. 2<br />

Prescribing Information & details on adverse event reporting appear overleaf.


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

of Product Characteristics (SmPC) before prescribing. Abbreviated Prescribing Information.<br />

Presentation: Each bottle of PENTHROX contains 3 ml of methoxyflurane 99.9%, a clear, almost<br />

colourless, volatile liquid, with a characteristic fruity odour. Each PENTHROX combination pack<br />

consists of one 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 adult patients with<br />

trauma and associated pain. Dosage and administration: PENTHROX should be self-administered<br />

under supervision of a person trained in its administration, using the hand held PENTHROX Inhaler. It<br />

is inhaled through the custom-built PENTHROX inhaler. Adults: One bottle of 3 ml PENTHROX as a<br />

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

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

administration schedule is recommended: no more than 6 ml in a single day, administration on<br />

consecutive days is not recommended and the total dose to a patient in a week should not exceed 15<br />

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

of PENTHROX inhaled and should be instructed to inhale intermittently to achieve adequate analgesia.<br />

Continuous inhalation of a bottle containing 3 ml provides analgesic relief for up to 25-30 minutes;<br />

intermittent inhalation may provide longer analgesic relief. Patients should be advised to use the<br />

lowest possible dose to achieve pain relief. Renal impairment: Methoxyflurane may cause renal failure<br />

if the recommended dose is exceeded. Caution should be exercised for patients diagnosed with<br />

clinical conditions that would pre-dispose to renal injury. Hepatic impairment: Cautious clinical<br />

judgement should be exercised when PENTHROX is to be used more frequently than on one occasion<br />

every 3 months. Paediatric population: PENTHROX should not be used in children and adolescents<br />

under 18 years. For detailed information on the method of administration refer to the SmPC.<br />

Contraindications: Use as an anaesthetic agent. Hypersensitivity to methoxyflurane, any fluorinated<br />

anaesthetic or to any of the excipients. Patients who are known to be or genetically susceptible to<br />

malignant hyperthermia. Patients or patients with a known family history of severe adverse reactions<br />

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

liver damage after previous methoxyflurane use or halogenated hydrocarbon anaesthesia. Clinically<br />

significant renal impairment. Altered level of consciousness due to any cause including head injury,<br />

drugs or alcohol. Clinically evident cardiovascular instability. Clinically evident respiratory depression.<br />

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

dose to control pain should be used and it should be used with caution in the elderly or other patients<br />

with known risk factors for renal disease, and in patients diagnosed with clinical conditions which may<br />

pre-dispose to renal injury. Methoxyflurane causes significant nephrotoxicity at high doses.<br />

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

product. 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. In the past<br />

when used as an anaesthetic agent, methoxyflurane at high doses caused significant nephrotoxicity,<br />

which was determined to occur at serum levels of inorganic fluoride ions greater than 40 micromol/l.<br />

Nephrotoxicity is also related to the rate of metabolism. Factors that increase the rate of metabolism<br />

such as drugs that 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 status.<br />

Methoxyflurane is metabolised in the liver, therefore increased exposures in patients with hepatic<br />

impairment can cause toxicity. PENTHROX should be used with care in patients with underlying<br />

hepatic conditions or with risks for hepatic dysfunction. Previous exposure to halogenated hydrocarbon<br />

anaesthetics (including methoxyflurane when used as an anaesthetic agent), especially if the interval<br />

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

and heart rate are known class-effects of high-dose methoxyflurane used in anaesthesia and other<br />

anaesthetics. Caution is required with use in the elderly due to possible reduction in blood pressure.<br />

Potential CNS effects such as sedation, euphoria, amnesia, ability to concentrate, altered sensorimotor<br />

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

seen as a risk factor for potential abuse, however reports are very rare in post-marketing use.<br />

Respiratory depression has also been reported with analgesic doses. Respiration should be monitored<br />

due to the risk of respiratory depression and hypoxia. PENTHROX is not appropriate for providing<br />

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

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

028 3833 4974 and select the customer services option, or e-mail customer.services@galen-pharma.com. Medical information enquiries should also be directed to Galen Limited.<br />

Before administering PENTHROX, make sure you have read and fully understood the SmPC and educational materials, which provide important information about how to safely use<br />

the device to minimise risk of serious side effects. PENTHROX educational materials and training on its administration are available from Galen on request.<br />

References: 1. JRCALC Guidelines. Available at: https://www.jrcalc.org.uk/guidelines/ 2. Penthrox <strong>UK</strong> Summary of Product Characteristics. March <strong>2023</strong><br />

MAT-PEN-<strong>UK</strong>-000719 Date of preparation: July <strong>2023</strong><br />

www.penthrox.co.uk/<br />

healthcare/contact<br />

or scan the QR code above.<br />

hydroxytoluene (E321) which may cause local skin reactions (e.g. contact dermatitis), or irritation to the<br />

eyes and mucous membranes. To reduce occupational exposure to methoxyflurane, the PENTHROX<br />

Inhaler should always be used with the AC Chamber which adsorbs exhaled methoxyflurane. Multiple<br />

use of PENTHROX 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 ward staff when<br />

methoxyflurane was used in the past at the time of labour and delivery. There have been reports of<br />

non-serious and transient reactions such as dizziness, headache, nausea or malaise, and reports of<br />

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

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

significantly lower than those associated with nephrotoxicity. Interactions: Methoxyflurane is<br />

metabolised by the CYP 450 enzymes, particularly CYP 2E1, CYP 2B6 and to some extent CYP 2A6. It<br />

is possible that enzyme inducers (such as alcohol or isoniazid for CYP 2E1 and phenobarbital or<br />

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

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

be avoided concomitantly with methoxyflurane. Concomitant use of methoxyflurane with medicines<br />

(e.g. contrast agents and some antibiotics) which are known to have a nephrotoxic effect should be<br />

avoided as there may be an additive effect on nephrotoxicity; tetracycline, gentamicin, colistin,<br />

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

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

methoxyflurane nephrotoxicity is associated with raised serum fluoride. Concomitant use of<br />

PENTHROX with CNS depressants, such as opioids, sedatives or hypnotics, general anaesthetics,<br />

phenothiazines, tranquillisers, skeletal muscle relaxants, sedating antihistamines and alcohol may<br />

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

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

40–60 ml, there were reports of drug interaction with hepatic enzyme inducers (e.g. barbiturates)<br />

increasing metabolism of methoxyflurane and resulting in a few reported cases of nephrotoxicity;<br />

reduction of renal blood flow and hence anticipated enhanced renal effect when used in combination<br />

with drugs (e.g. barbiturates) reducing cardiac output; and class effect on cardiac depression, which<br />

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

surgery. Fertility, pregnancy and lactation: No clinical data on effects of methoxyflurane on fertility<br />

are available. Studies in animals have shown reproduction toxicity. As with all medicines care should<br />

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

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

methoxyflurane is administered to a nursing mother. Effects on ability to drive and use machines:<br />

Methoxyflurane may have a minor influence on the ability to drive and use machines. Patients should<br />

be advised not to drive or operate machinery if they are feeling drowsy or dizzy. Undesirable effects:<br />

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

generally easily reversible. Serious dose-related nephrotoxicity has only been associated with<br />

methoxyflurane when used in large doses over prolonged periods during general anaesthesia. The<br />

following adverse drug reactions have either been observed in PENTHROX clinical trials in analgesia,<br />

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

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

to the SmPC for further details): Very common (≥1/10): dizziness; common (≥1/100 to



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


6 FEATURE<br />






14 NEWSLINE<br />

42 IN PERSON<br />


This issue edited by:<br />

Matt House<br />

c/o Media Publishing Company<br />

Greenoaks, Lockhill<br />

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


Terry Gardner, Samantha Marsh<br />


Media Publishing Company<br />

Greenoaks, Lockhill<br />

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

Tel: 01886 853715<br />

E: info@mediapublishingcompany.com<br />

www.ambulanceukonline.com<br />


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

October, December<br />


Media Publishing Company<br />

Greenoaks<br />

Lockhill<br />

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


VCS Invest in <strong>UK</strong>’s largest dedicated ambulance and police vehicle factory<br />

VCS, the <strong>UK</strong>’s leading manufacturer of emergency services vehicles, have invested more<br />

than £5 million in a new manufacturing facility for ambulances, police, and specialist<br />

vehicle conversions in Bradford. The new factory ensures the <strong>UK</strong>’s supply of world-class<br />

emergency vehicles by creating the country’s largest dedicated manufacturing facility and<br />

trebling VCS’s previous production capacity to nearly 1500 vehicles annually.<br />


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 October <strong>2023</strong><br />

Designed in the <strong>UK</strong> by TGDH<br />

The Bradford-based company, which started with fi ve staff members in 2009, will have<br />

the capacity to grow its workforce to more than 150 owing to the new facility. Meanwhile,<br />

a dedicated training academy within the new site means that the company can recruit<br />

more local people without emergency services sector experience, providing a further<br />

boost to the local community.<br />

The new facility helps future-proof the <strong>UK</strong>’s emergency services fl eet, with a new<br />

dedicated R&D facility that doubles its engineering capability. This builds upon the<br />

company’s reputation for creating the lightest vehicle conversions available – in turn<br />

aiding fuel effi ciency and reducing emissions – without compromising on vehicle quality<br />

and reliability.<br />

This investment follows a period of exceptional growth for VCS, which posted a 30%<br />

increase in turnover over two years. The company currently sits in fi rst place on the<br />

NHS framework for ambulance convertors, while it also plans to target new international<br />

markets in the coming years.<br />

Do you have For anything further recruitment you would vacancies like to add visit: or include? www.ambulanceukonline.com<br />

Please contact us and let us know.<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />




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

One of my sons is twenty six. We call him The Boy. He’s had a few jobs in his time, and a few interests have<br />

come and gone, as they do. However, since a very young age, the one constant in his life has been football.<br />

From his early years, he has had a passion for it. Whether that is gaining an encyclopedic knowledge of the<br />

game; playing football consantly on the console, or playing it himself for school and then a local team; it has<br />

been a huge part of his life.<br />

“As time<br />

goes on, and<br />

I become<br />

reflective<br />

on what is<br />

important in life,<br />

I find myself<br />

coming back to<br />

the philosophy<br />

that “you only<br />

get one life to<br />

play football”.<br />

Try it, you may<br />

just find that it<br />

helps you make<br />

one or two<br />

decisions.”<br />

I was discussing some new potential jobs with The Boy recently. The change would have meant better<br />

money and prospects. However, it would also have interferred with his football training and practice nights.<br />

During the conversation he said “Dad, you only get one life to play football”.<br />

I relayed this to some friends last weekend. We were trying to persuade one of them to attend a course<br />

he has been hoping to start for some years. The trouble is, the course is three weeks long, and he was<br />

concerned about taking time off work. There are all the important meetings; the emails that need attention;<br />

and various projects he has a hand in. All of this, he felt, meant he couldn’t take three weeks off work. I told<br />

him about The Boy’s philosophy to football, and said that while not a football course, the same rationale<br />

could be applied.<br />

The work will always be there to prevent you doing things if you let it. It is important to recognise and<br />

understand that. After all, it is that work that inevitably pays the bills and allows you the freedom to do the<br />

other things that you need to do in life. In some ways, ambulance people often see their work as a vocation,<br />

so work does take up a lot of their time and interest even when not actually working. However, we all have<br />

something outside of work that is important to us. That might be family, or some other interest. It’s the thing,<br />

or things, that help make us who we are.<br />

As time goes on, and I become reflective on what is important in life, I find myself coming back to the<br />

philosophy that “you only get one life to play football”. Try it, you may just find that it helps you make one<br />

or two decisions.<br />

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

Publishers Statement<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

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

OF 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 help us confirrm 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 />

to thank the following companies for their support as without their contribution towards our print and<br />

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

Eberspaecher, EVS, Ferno, Galen, IPRS, Medacx, Mer Fleet Services, Ortus, St John W.A.,<br />

Stryker, VCS, Vimpex, Webasto.<br />

Terry Gardner<br />

Publisher<br />

4<br />

For further recruitment vacancies visit: www.ambulanceukonline.com

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Christopher T. Edmunds 1,4 *, Kate Lachowycz 1,4 , Sarah McLachlan 2,3 , Andrew Downes 1 , Andrew Smith 5 ,<br />

Rob Major 1,4 and Edward B. G. Barnard 1,6,7<br />

Scand J Trauma Resusc Emerg Med (<strong>2023</strong>) 31:27 https://doi.org/10.1186/s13049-023-01094-w<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />


Abstract<br />

Background: Helicopter Emergency Medical Services (HEMS) are a<br />

limited and expensive resource, and should be intelligently tasked. HEMS<br />

dispatch was identified as a key research priority in 2011, with a call to<br />

identify a ‘general set of criteria with the highest discriminating potential’.<br />

However, there have been no published data analyses in the past decade<br />

that specifically address this priority, and this priority has been reaffirmed<br />

in <strong>2023</strong>. The objective of this study was to define the dispatch criteria<br />

available at the time of the initial emergency call with the greatest HEMS<br />

utility using a large, regional, multi-organizational dataset in the <strong>UK</strong>.<br />

Methods: This retrospective observational study utilized dispatch<br />

data from a regional emergency medical service (EMS) and three<br />

HEMS organisations in the East of England, 2016–2019. In a logistic<br />

regression model, Advanced Medical Priority Dispatch System<br />

(AMPDS) codes with ≥ 50 HEMS dispatches in the study period were<br />

compared with the remainder to identify codes with high-levels of<br />

HEMS patient contact and HEMS-level intervention/drug/diagnostic<br />

(HLIDD). The primary outcome was to identify AMPDS codes with a ><br />

10% HEMS dispatch rate of all EMS taskings that would result in 10–20<br />

high-utility HEMS dispatches per 24-h period in the East of England.<br />

Data were analysed in R, and are reported as number (percentage);<br />

significance was p < 0.05.<br />

Results: There were n = 25,491 HEMS dispatches (6400 per year), of<br />

which n = 23,030 (90.3%) had an associated AMPDS code. n = 13,778<br />

(59.8%) of HEMS dispatches resulted in patient contact, and n = 8437<br />

(36.6%) had an HLIDD. 43 AMPDS codes had significantly greater<br />

rates of patient contact and/or HLIDD compared to the reference<br />

group. In an exploratory analysis, a cut-off of ≥ 70% patient contact<br />

rate and/or ≥ 70% HLIDD (with a > 10% HEMS dispatch of all EMS<br />

taskings) resulted in 17 taskings per 24-h period. This definition derived<br />

nine AMPDS codes with high HEMS utility.<br />

Conclusion: We have identified nine ‘golden’ AMPDS codes, available at<br />

the time of initial emergency call, that are associated with high-levels of<br />

whole-system and HEMS utility in the East of England. We propose that<br />

<strong>UK</strong> EMS should consider immediate HEMS dispatch to these codes.<br />

Keywords: Air ambulances, Emergency medical dispatch, Emergency<br />

medical services, Prehospital emergency care.<br />

Background<br />

Physician-staffed prehospital teams have existed for over 50 years.<br />

In 1967, there were 20,000 motor vehicle collision deaths in Germany,<br />

leading to emergency doctors demanding earlier and better treatment<br />

of injured patients. In response, the first Helicopter Emergency Medical<br />

Service (HEMS) ‘Christoph 1’ became operational in Munich in 1970<br />

[1]. Since then, over 2.2 million HEMS missions have taken place in<br />

Germany, and similar physician-staffed HEMS have been developed,<br />

predominantly in Europe and Australasia.<br />

The primary rationale for HEMS is the rapid deployment of a specialist<br />

team over a large geographic area, with the assumption that physicians<br />

working alongside paramedics infer better patient outcomes compared<br />

to paramedics alone. The latter point is multi-factorial, and includes<br />

higher-level decision-making [2, 3], and interventions that are either<br />

physician-level specific or require drugs that legally require their<br />

presence [3–5]; an example in the <strong>UK</strong> is prehospital emergency<br />

anaesthesia (PHEA) [6, 7]. There is contradictory evidence that<br />

physician-staffed teams are associated with better patient outcomes<br />

following trauma [8–14], and out-ofhospital cardiac arrest [15–18].<br />

However, the heterogeneity of systems makes conclusive synthesis of<br />

these data inappropriate, and physician-staffed HEMS remain a key<br />

component of many emergency medical systems (EMS).<br />

HEMS are a limited and expensive resource [19–21]. It is therefore<br />

important to ensure that these teams are intelligently dispatched [22],<br />

which may in time also lead to a better understanding of which patients<br />

6<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


have the greatest likelihood of benefit—these concepts are somewhat<br />

inter-dependent. HEMS dispatch was identified as a key research<br />

priority in 2011, with a call to identify a ‘general set of criteria with the<br />

highest discriminating potential’ [23]. It has again been identified as a key<br />

research priority in <strong>2023</strong> suggesting limited progress in this area over the<br />

last decade [24]. Since 2011, London’s Air <strong>Ambulance</strong> has reported that<br />

call-interrogation and crew request dispatch models were more accurate<br />

for HEMS utilization compared to an immediate dispatch model based<br />

on mechanism of injury. However, this was at the expense of delaying<br />

dispatch [25], which is likely to dilute HEMS benefit. There is also <strong>UK</strong><br />

data that suggests non-clinical dispatchers may improve HEMS dispatch<br />

accuracy when using a bespoke algorithm [21]. However, clinicians in<br />

dispatch systems often undertake additional roles; for example, remote<br />

clinical advice to EMS. Overall, there is a paucity of data that could<br />

be used to increase the accuracy of HEMS dispatch [26, 27], possibly<br />

owing to the intrinsic complexity of these systems.<br />

Therefore, the challenge lies in increasing the accuracy of HEMSappropriate<br />

taskings using information available from the initial<br />

emergency call. The positives of which may include: better patient<br />

outcomes (by reducing under-triage), greater availability of HEMS<br />

for those with the highest chance of benefit (by reducing over-triage)<br />

[28], reducing costs associated with helicopter dispatch [29], and<br />

reducing unnecessary emergency aviation risk to medical teams [30].<br />

The objective of this study was to define the dispatch criteria available<br />

at the time of the initial emergency call with the greatest HEMS utility<br />

using a large, regional, multi-organisational dataset in the <strong>UK</strong>.<br />

Methods<br />

Emergency medical system<br />

The East of England is a 20,000 km2 geographic area, containing a<br />

population of 6.3 million people (June 2021) [31]. The statutory regional<br />

EMS is the East of England <strong>Ambulance</strong> Service NHS Trust (EEAST),<br />

which receives approximately 4000 calls per day, and has been<br />

previously described [18]. EEAST is supported by three HEMS charities<br />

operating from five operational bases: East Anglian Air <strong>Ambulance</strong><br />

(EAAA) [32], Magpas Air <strong>Ambulance</strong> (Magpas) [33], and Essex & Herts<br />

Air <strong>Ambulance</strong> (EHAAT) [34]. The core of each team consists of a<br />

prehospital-trained physician and a critical care paramedic (CCP) with<br />

a minimum of three years’ postgraduate experience and role-specific<br />

training [6]. Occasionally, HEMS resources may be staffed by one or<br />

two CCPs without a physician. During the study period, HEMS teams<br />

typically responded by helicopter during the day and rapid response<br />

vehicle (RRV) at night, during periods of aircraft unavailability, and<br />

when an RRV dispatch was thought to be advantageous.<br />

Dispatch system<br />

EEAST uses the Advanced Medical Priority Dispatch System (AMPDS,<br />

Priority Dispatch Corporation, Salt Lake City, Utah, USA, version<br />

13.3). AMPDS provides a scripted caller interrogation protocol to<br />

prioritise calls and allocate EMS resources to incidents via the linked<br />

ProQA (Priority Dispatch Corp., ProQAv software system.<br />

The data end-point is a ‘number-letternumber’ sequence (AMPDS<br />

code) that describes the category, severity (in reference to the speed<br />

and configuration of EMS response required, A to E), and sub-type<br />

of the incident. For example, a cardiac or respiratory arrest (patient<br />

not breathing) would be coded as ‘09-E-01’; ‘09’ is the AMPDS<br />

code category of ‘cardiac or respiratory arrest’, ‘E’ is a capability of<br />

‘Advanced Life Support and special units’ with a response of ‘hot<br />

(multiple units) plus other first responders’, and the ‘01’ sub-type of<br />

this code refers to ‘not breathing at all’.<br />

AMPDS codes are available either during or directly after the<br />

initial emergency call, and therefore present an appropriate target<br />

in modelling HEMS dispatch utility using immediately available<br />

information. These codes are typically set within the initial call handling<br />

process, but they can be manually changed if more information<br />

becomes available during the triage process.<br />

HEMS are dispatched at the discretion of the EEAST Critical Care Desk<br />

(CCD), which is routinely staffed by a HEMS-dispatcher and a clinicallyactive<br />

CCP. However, at times CCD may be staffed by a dispatcher<br />

without a CCP. CCD personnel continuously review EEAST emergency<br />

calls 24 h per day, with the aim of identifying incidents believed to<br />

be most appropriate for HEMS, either as an ‘immediate’ dispatch<br />

based on AMDPS codes and other information in the Computer Aided<br />

Dispatch (CAD) system, or as an ‘interrogate’ (additional information<br />

from the caller), as well as responding to EMS requests for a HEMS<br />

co-response (crew request).<br />

Data inclusion criteria<br />

All HEMS dispatches by EEAST (EAAA, Magpas, EHAAT) during a fouryear<br />

period (2016–2019) where an AMPDS code was available. In order to<br />

ensure that AMPDS codes with the highest system utility were identified,<br />

EEAST provided complete system (EMS and HEMS) AMPDS code<br />

dispatches for a 12-month period (2021)—the ‘EMS reference group’.<br />

Data collection<br />

All services use HEMSbase (MedicOne Systems Ltd, <strong>UK</strong>) electronic<br />

medical record software. The following data were extracted from<br />

HEMSbase. HEMS taskings: incident type, call result (stand down,<br />

or patient attended), callsign (helicopter, or RRV), job timings (day—<br />

0700– 1900, or night—1900–0700), CCD team composition (CCP<br />

team, or dispatcher alone), and the EEAST unique case identification<br />

number (CAD date/number). The following data were additionally<br />

collected for all patients attended by HEMS: patient age and gender,<br />

all drugs given, all interventions performed, and attendance result<br />

(air conveyance, ground escort, scene assist (HEMS team did not<br />

accompany patient to hospital), and stood down (before mobile, en<br />

route or at scene). The CAD number/ dates were shared with EEAST<br />

in order to obtain the AMPDS codes. Combined data from the three<br />

HEMS were collated into Excel data sheets and stored on a secure<br />

server protected by double-authenticator security and only accessible<br />

to the team working on the project; all data were anonymised.<br />

Definitions<br />

HEMS-level intervention/drug/diagnostic (HLIDD)—all HEMS-delivered<br />

actions were compared against Schedule 17 of the <strong>UK</strong> Human<br />

Medicines Regulations 2012 (exemption for registered paramedics<br />

from the restrictions on administration of prescription-only medicines)<br />

[35, 36], and the Joint Royal Colleges <strong>Ambulance</strong> Liaison Committee<br />

(JRCALC) clinical guidelines October 2022 [37], to identify a list of<br />

HLIDD; additionally, we included helicopter conveyance to hospital.<br />

A list of HLIDDs is in Additional file 1. Not all HLIDDs are routinely<br />

delivered by every HEMS in this region.<br />

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Patient contact was defined as clinical contact with the patient by a<br />

member of the HEMS team. Stand-down was defined as no clinical<br />

contact (either stood-down before mobile, en route, or at scene).<br />

AMPDS codes were defined as the complete three-part data (09-E-<br />

01). AMPDS categories were defined as the first data descriptor of the<br />

AMPDS code (09). High system utility was predefined as AMPDS codes<br />

that had > 10% HEMS dispatch rate of all EMS taskings in the EMS<br />

reference group (2021), in order to ensure that codes identified in the<br />

primary outcome had significant whole-system frequency; for example,<br />

code 09E01 was found to comprise of 13.7% of all HEMS tasking by<br />

EEAST.<br />

Owing to the lack of previously published data in the area of HEMS<br />

dispatch we planned to undertake an exploratory analysis for<br />

the primary outcome of paired ‘patient contact rate’ and ‘HLIDD’<br />

proportions (60%, 70%, 80%, 90%) to identify codes that would<br />

result in an optimal number of high-utility HEMS dispatches in a 24-h<br />

period. This was pre-defined as 10–20 HEMS dispatches (two to four<br />

dispatches on average for each of the five HEMS teams in the East<br />

of England). The authors derived optimal dispatch frequency through<br />

consensus based on operational experience, which also takes into<br />

account the potential limitations to activity (weather, fuel, equipment<br />

and drug restocking during a duty period).<br />

Primary outcome<br />

The primary outcome was to identify AMPDS codes with a > 10%<br />

HEMS dispatch rate of all EMS taskings that would result in 10–20<br />

high-utility HEMS dispatches per 24-h period in the East of England.<br />

Secondary outcomes<br />

The secondary outcomes were to identify plausible associations with<br />

the chance of patient contact and the chance of an HLIDD using<br />

individual logistic regression models for the ten most frequently HEMSdispatched<br />

AMPDS categories. The pre-specified variables of interest<br />

were: age, sex, time of day (day, night), HEMS transport platform<br />

(helicopter, RRV), and CCD team composition (dispatcher and CCP,<br />

lone dispatcher).<br />

Data analysis<br />

For the primary outcome, the EMS reference group data were<br />

interrogated to identify AMPDS codes with a > 10% HEMS dispatch<br />

rate in 2021. In the HEMS dispatch data (2016–2019), codes were<br />

identified that resulted in ≥ 50 HEMS dispatches in the four-year<br />

period. Codes with < 50 HEMS dispatches were used as the reference<br />

group in two logistic regression models. The first model identified<br />

codes with a significantly high rate of patient contact compared with<br />

the reference group (using a binary outcome of 1 = patient seen, 0 =<br />

stand down). A second logistic regression analysis identified codes<br />

with a significantly high rates of HLIDD compared with the reference<br />

group (using a binary outcome of 1 = HLIDD, 0 = no HLIDD) for jobs<br />

where a patient was seen. We then undertook an exploratory analysis<br />

to determine the optimal patient contact and/or HLIDD proportions<br />

(with a > 10% HEMS dispatch rate of all EMS taskings) that would<br />

result in 10–20 high-utility HEMS dispatches in 24 h.<br />

For the secondary outcomes, all variables in the HEMS dispatch data<br />

(2016–2019) were included in further individual logistic regression<br />

models for each of the ten most prevalent AMPDS categories with<br />

two outcomes— patient contact and HLIDD. Age was separated into<br />

bins (< 16, 16–55, > 55 years old) based on clinically pragmatic ranges<br />

(all other variables were binary). Taskings that resulted in more than<br />

one patient being treated were excluded from the analysis of age and<br />

sex. A logistic regression model was built for each of the ten AMPDS<br />

categories, starting with all variables followed by sequential elimination,<br />

to retain only those with significance for the outcome (patient contact<br />

and/or HLIDD). For all models, the assumptions of logistic regression<br />

were tested, checking for linear relationships in the logit of the<br />

outcomes, unduly influential values and multicollinearity. Plausible<br />

interactions were tested with likelihood ratio tests to determine the<br />

final best model. Missing data were handled as ‘missing at random’.<br />

Significance was predefined as p < 0.05 throughout.<br />

Data have been reported as number (percentage), and median<br />

[interquartile-range] as appropriate. Results of logistic regression have<br />

been reported as an adjusted odds ratios (OR) with 95% confidence<br />

intervals (95%CI), both derived from coefficients in the logistic<br />

regression model. Data manipulation and statistical analyses were<br />

performed using the R statistical programming language (R Core Team<br />

[2018]; R: A language and environment for statistical computing [R<br />

Foundation for Statistical Computing, Vienna, Austria]).<br />

Results<br />

During the four-year study period there were n = 25,491 HEMS<br />

dispatches (6400 per year), of which n = 20,030 (90.3%) had an<br />

associated AMPDS code, Fig. 1.<br />

HEMS dispatches<br />

Approximately half of all HEMS dispatches were immediate, and the<br />

majority occurred when the dispatch team included a CCP. More<br />

dispatches occurred during the day shift (0700–1900) compared to<br />

the night shift, and the HEMS transport platform was a helicopter in<br />

more than half of cases. The 23,030 HEMS dispatches included n =<br />

678 unique AMPDS codes, and the most prevalent AMPDS categories<br />

were cardiac/respiratory, road traffic collisions (RTC), and falls, Table 1.<br />

HEMS dispatches with patient contact<br />

N = 13,778 (59.8%) of HEMS dispatches resulted in patient contact,<br />

and therefore the stand-down rate was approximately 40%. The<br />

median age was 49 [29–65] years and included n = 1060 (7.7%)<br />

patients under 16 years old (n = 63 missing age data). There were<br />

n = 9109 (66.1%) male patients and five (0.04%) were recorded<br />

as transgender (n = 86 missing gender data). n = 8437 (61.2%) of<br />

missions with patient contact resulted in use of HLIDD for at least<br />

one patient, and a total of n = 8967 patients received an HLIDD—this<br />

number is greater than the ‘missions with patient contact that resulted<br />

in an HLIDD’ number as some missions included treatment of more<br />

than one patient, Table 2.<br />

Primary outcome<br />

A small proportion, n = 84 (12.4%), of AMPDS codes resulted in ≥ 50<br />

HEMS dispatches per code, but represented more than three-quarters<br />

of all HEMS dispatches (n = 18,240, 79.2%) as total number.<br />

43 AMPDS codes were identified that had significantly greater rates of<br />

patient contact and/or HLIDD compared to the reference group. These<br />

codes were associated with 11,640 (50.5%) HEMS dispatches in the<br />

8<br />

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study period. In the exploratory analysis, a cut-off of ≥ 70% patient<br />

contact rate and/or ≥ 70% HLIDD (with a > 10% HEMS dispatch of all<br />

EMS taskings) resulted in 17 taskings per 24-h period. Additional file 2<br />

includes the sensitivity analysis to explore the impact of thresholds on<br />

estimated tasking numbers per 24-h period. This definition derived nine<br />

‘golden’ AMPDS codes with a high whole-system and HEMS utility,<br />

and an optimal frequency of HEMS dispatches, Table 3.<br />

A complete description of the 43 AMPDS codes with significantly<br />

high rates of patient contact or HLIDD is in Additional file 3.<br />

Secondary outcomes<br />

The ten most prevalent AMPDS categories of HEMS dispatch were<br />

analysed, n = 19,384 (84.2%) of taskings. Only variables that had<br />

significance in the univariate models for each AMPDS category (not<br />

presented) were included in the multivariate analyses.<br />

HEMS at night (compared to day) and dispatch by RRV (compared to<br />

helicopter) both had a significantly lower chance of patient contact and<br />

HLIDD for several AMPDS categories. The exception to this was road<br />

traffic collisions, which had significantly higher rates of patient contact<br />

at night compared day.<br />

The presence of a CCP in the CCD team had no effect on the chance<br />

of patient contact or HLIDD, other than for penetrating injury codes<br />

(stab/gunshot, 27-X-XX) for which a CCP on the desk was associated<br />

with an increased chance of patient contact but had no effect on the<br />

chance of HLIDD.<br />

Age < 16 years old (compared to 16–55 years old) was associated with<br />

a lower chance of HLIDD for the majority of categories, and age > 55<br />

years old had a greater chance of HLIDD for cardiac/respiratory and<br />

traumatic injury categories, and lower for burns. Male sex (compared<br />

Figure 1. HEMS dispatches in the East of England (2016–2019)<br />

with complete AMPDS code data. HEMS patient contact, and<br />

HEMS-level intervention/drug/diagnostic (HLIDD). HEMS<br />

Helicopter Emergency Medical Service. AMPDS Advanced<br />

Medical Priority Dispatch System. Stand-down—the HEMS team<br />

were not required and were cancelled before patient contact<br />

Table 1. A description of HEMS dispatches in the East of England<br />

2016–2019, n = 23,030<br />

n (%)<br />

Dispatch type<br />

Immediate 12,463 (54.1)<br />

Interrogate 5428 (23.6)<br />

Crew request 4918 (21.4)<br />

Dispatch characteristics<br />

CCP in dispatch team 20,912 (90.8)<br />

Day shift (0700-1900) 16,552 (71.7)<br />

Helicopter 14,750 (64.1)<br />

RRV 8280 (36.0)<br />

AMPDS category (category number)<br />

Cardiac/respiratory (09) 5299 (23.0)<br />

RTC (29) 4951 (21.5)<br />

Falls (17) 2491 (10.8)<br />

Stab/gunshot (27) 1532 (6.7)<br />

Unconscious/fainting (31) 1204 (5.2)<br />

Convulsions/fitting (12) 1183 (5.1)<br />

Traumatic injuries (30) 1114 (4.8)<br />

Breathing problems (06) 902 (3.9)<br />

Burns (07) 361 (1.6)<br />

Chest pain (10) 347 (1.5)<br />

Other (>10 in rank order) 3646 (15.8)<br />

CCP Critical Care Paramedic, RRV rapid response vehicle (car), AMPDS<br />

Advanced Medical Priority Dispatch System, RTC road traffic collision<br />

Table 2 Patients attended by HEMS in the East of<br />

England (2016–2019) who received a HEMS-level<br />

intervention/drug/diagnostic (HLIDD), n = 8967. Only including<br />

HLIDD received by > 400 patients<br />

HLIDD N %<br />

Endotracheal tube 3883 43.3<br />

Advanced analgesia 2576 28.7<br />

Conveyed by helicopter 2463 27.5<br />

PHEA 2194 24.5<br />

POCUS (Cardiac) 1070 11.9<br />

Gastric Tube 1047 11.7<br />

Procedural sedation 867 9.7<br />

Oesophageal Temperature Probe 842 9.4<br />

Intravenous antimicrobial 771 8.6<br />

Thoracostomy 651 7.3<br />

Intravenous electrolyte 643 7.2<br />

Splintage 558 6.2<br />

POCUS (FAST) 513 5.7<br />

POCUS (Lung) 492 5.5<br />

Radial arterial line 471 5.3<br />

HLIDD HLIDD HEMS-level intervention/drug/diagnostic (complete list at<br />

Additional file 1); advanced analgesia includes intravenous fentanyl and<br />

inhaled methoxyflurane (Penthrox); PHEA prehospital emergency<br />

anaesthesia (drug-assisted intubation); POCUS point-of-care ultrasound;<br />

gastric tube includes oro and nasogastric decompression tubes;<br />

intravenous electrolyte includes magnesium, calcium chloride, and<br />

sodium bicarbonate; intravenous antimicrobial includes coamoxiclav,<br />

ceftriaxone, and acyclovir<br />

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with female sex) was associated with a greater chance of HLIDD<br />

for cardiac/respiratory, road traffic collisions and convulsions/fitting<br />

categories, Tables 4 and 5.<br />

Discussion<br />

We have used large, multi-organisational, data to identify nine ‘golden’<br />

AMPDS codes with significant utility in improving the accuracy of<br />

HEMS dispatch with respect to patient contact rates and HEMS-level<br />

intervention/ drug/diagnostic rates. In addition, we have demonstrated<br />

some important associations with these outcomes for age, sex, time of<br />

day, HEMS transport type, AMPDS categories, and the presence of a<br />

clinician (a critical care paramedic) in the dispatch team.<br />

There is a distinct paucity of published data in the area of HEMS<br />

dispatch despite this being an expensive and limited resource where<br />

research has been identified as a priority for the last decade. It is likely<br />

that this is due to a combination of factors, which includes the volume,<br />

complexity, and availability of data in these systems. We have therefore<br />

had to make pragmatic consensus decisions on appropriate data<br />

definitions, together with an exploratory analysis of HEMS dispatches<br />

per 24-h time period to determine the optimal cut-off for specificity<br />

of the primary outcome, which has a ≤ 30% over-triage rate. By<br />

happenstance, this over-triage rate is compliant with the American<br />

College of Surgeon’s Committee on Trauma (ACS CoT) guideline for the<br />

triage of prehospital major trauma (25–35% over-triage) [38]. However,<br />

as we were only able to determine the patient contact and HLIDD rates<br />

for patients that HEMS were dispatched to we are unable to determine<br />

the under-triage rate (i.e. what proportion of EMS dispatches should<br />

have had a HEMS patient contact and/or HLIDD, but did not). Arguably,<br />

this is a more important metric when considering the performance of a<br />

triage system, and the ACS CoT recommends an under-triage rate of <<br />

5% [38]. It is very likely that under-triage in <strong>UK</strong> EMS for HEMS patient<br />

contact and HLIDD is much higher than 5%, but there are no data<br />

that verify this assumption. However, we have been able to identify<br />

an easily applied method to reduce the over-triage rate from > 40%<br />

(HEMS stand-down rate in our complete data) to ≤ 30%, whilst also<br />

assisting the very early identification of emergency calls with a greater<br />

chance of leading to HEMS-level actions. We believe that these data<br />

are unique in addressing the paucity of HEMS dispatch data [26], and<br />

the associated 2011 and <strong>2023</strong> prehospital research priority [23].<br />

The main controversy in this area of research is whether there<br />

is patient-centered benefit from HEMS compared to EMS-only<br />

attendance. Whilst the existing evidence is perhaps equivocal [8–18],<br />

a key factor in robustly answering this question (and in providing<br />

optimal patient care across a system) is ensuring that HEMS are<br />

dispatched to the right patients (i.e., those who are most likely to<br />

benefit), which may be aetiology-dependent [12, 15]. Exact aetiology<br />

is often not available at the time of the initial emergency call, which<br />

therefore necessitates using a time-sensitive surrogate, which in the<br />

case of this study was AMPDS codes. Overall, there is a low level of<br />

evidence supporting the accuracy of dispatch systems in identifying<br />

acuity [27]. However, we have been able to rely on the pragmatic<br />

judgement of prehospital clinicians in the need for HEMS patient<br />

contact and HEMS interventions, the frequency of which we have been<br />

able to use to identify an optimal number (for operational delivery)<br />

of AMPDS codes associated with the highest levels of HEMS utility.<br />

We cannot control for the major constraint of not knowing the undertriage<br />

rate for these codes, and they should be prospectively tested<br />

in multiple settings to confirm their utility. The expectation is that<br />

identification of high-utility AMPDS codes is a step towards a better<br />

understanding of the benefit of HEMS.<br />

We observed that night and RRV taskings, compared to day and<br />

helicopter respectively, are both associated with lower patient contact<br />

and HLIDD rates overall. This effect has been previously described<br />

in the <strong>UK</strong> and Norway [19, 39], in contrast to The Netherlands where<br />

no day-night effect has been reported [28]. The lower rates for RRV<br />

taskings, even after adjusting for time-of-day remain unexplained, but<br />

it may be that standing-down a road vehicle response is perceived<br />

to be more acceptable that re-routing a helicopter. Our data also<br />

suggests that the absence of a clinician in dispatch has no effect on<br />

the chance of HEMS patient contact for most taskings, with the notable<br />

exception of the stab/gunshot call category. Furthermore, there was<br />

no signal across any of the ten most prevalent AMPDS categories that<br />

this variable had any effect on the chance of a HLIDD (including stab/<br />

gunshot). This somewhat agrees with previous <strong>UK</strong> HEMS data [21], but<br />

as there was a CCP in dispatch for > 90% of HEMS taskings, this may<br />

represent a type-2 error (small numbers), and we are also unable to<br />

control for the likelihood that non-clinical dispatchers have learned from<br />

co-dispatching with a CCP for the vast majority of duties. Therefore, we<br />

do not believe that our data support nonclinician HEMS dispatch.<br />

We observed significantly higher rates of HLIDD in patients > 55 years<br />

old in two AMPDS categories: cardiac/ respiratory, traumatic injuries.<br />

The first of these is likely to represent a higher acuity of age-related<br />

aetiology in these categories, and the latter is likely to reflect the Silver<br />

Trauma phenomenon [40]. Older age has previously been identified<br />

in <strong>UK</strong> HEMS as a potentially useful dispatch criteria [41], and our data<br />

provide support for this in a more specific and actionable way. In the<br />

East of England, we have used the nine ‘golden’ codes to better inform<br />

clinicians on the Critical Care Desk in their decisions around HEMS<br />

dispatch. It is anticipated that this will reduce the over-triage rate by<br />

approximately 10% (as per our retrospective findings). It may also<br />

be useful to utilize these codes as a framework for key performance<br />

indicators in HEMS dispatch.<br />

The major limitation of this study is that we were only able to<br />

interrogate data for taskings that HEMS had been dispatched on.<br />

Table 3 AMPDS codes with a significantly greater chance of HEMS<br />

patient contact and/or HEMS-level intervention/drug/ diagnostic<br />

(HLIDD) compared to the reference group (2016– 2019). Nine<br />

‘golden’ codes had a ≥ 70% rate of patient contact and/or HLIDD<br />

(2016–2019) and were > 10% of EEAST incidents<br />

AMPDS code category<br />

Burns<br />

Cardiac/respiratory<br />

Convulsions/fitting<br />

Falls<br />

RTC<br />

AMPDS code<br />

07-C-03<br />

09-E-01<br />

12-D-01<br />

17-D-02P, 17-D-06, 17-D-06P<br />

29-D-06, 29-D-06 V, 29-D-07<br />

AMPDS Advanced Medical Priority Dispatch System, HEMS helicopter<br />

emergency medical service, EEAST East of England <strong>Ambulance</strong> Service NHS<br />

Trust, RTC road traffic collision<br />

10<br />

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Table 4 Variables associated with significant high or low rates of HEMS patient contact (multivariate model)<br />

AMPDS category/n<br />

Night (ref: day)<br />

RRV (ref: helicopter)<br />

Adjusted odds ratio (95% confidence interval)<br />

Dispatch desk<br />

CCP (ref: no<br />

CCP)<br />

06–Breathing problems<br />

n = 902<br />

07—Burns<br />

n = 361<br />

09—Cardiac/respiratory<br />

n = 5299<br />

10–Chest pain<br />

n = 347<br />

12—Convulsions/fitting<br />

n = 1183<br />

17—Falls<br />

n = 2491<br />

27—Stab/gunshot<br />

n = 1532<br />

29—RTC<br />

n = 4951<br />

30—Traumatic injuries<br />

n = 1114<br />

31—Unconscious/fainting<br />

n = 1204<br />

0.6 (0.4–0.8) ns ns<br />

0.5 (0.3–0.9) 0.5 (0.3–0.8) ns<br />

0.8 (0.7–0.9) 0.8 (0.7–0.9) ns<br />

0.3 (0.1–0.4) ns ns<br />

ns ns ns<br />

0.5 (0.4–0.7) 0.8 (0.6–0.9) ns<br />

0.7 (0.6–0.9) ns 1.6 (1.1–2.5)<br />

0.8 (0.7–0.9) 0.8 (0.7–0.9) ns<br />

ns 0.5 (0.4–0.7) ns<br />

0.6 (0.5–0.8) ns ns<br />

HEMS Helicopter Emergency Medical Service, AMPDS Advanced Medical Priority Dispatch System, RRV rapid response vehicle, CCP critical<br />

care paramedic, ns not significant (p-value ≥ 0.05). An odds ratio < 1 is a reduced chance of the outcome (not highlighted bold); an odds<br />

ratio > 1 is an increased chance of the outcome (highlighted bold)<br />

Table 5 Variables associated with significant high or low rates of HEMS-level intervention/drug/diagnostic (multivariate model)<br />

AMPDS category / n<br />

Night (ref: day)<br />

Night<br />

(ref: day)<br />

RRV (ref:<br />

helicopter)<br />

Dispatch desk<br />

CCP (ref: no<br />

CCP)<br />

Male<br />

(ref: female)<br />

Age < 16 years<br />

(ref:<br />

16–55 years)<br />

Age > 55 years<br />

(ref:<br />

16–55 years)<br />

06—Breathing problems<br />

n = 493<br />

07—Burns<br />

n = 200<br />

09—Cardiac/respiratory<br />

n = 3128<br />

10—Chest pain<br />

n = 277<br />

12—Convulsions/fitting<br />

n = 760<br />

17—Falls<br />

n = 1785<br />

27—Stab/gunshot<br />

n = 549<br />

29—RTC<br />

n = 3018<br />

30—Traumatic injuries<br />

n = 786<br />

31—Unconscious/fainting<br />

n = 682<br />

ns 0.4 (0.3–0.6) ns ns 0.1 (0.1–0.3) ns<br />

0.3 (0.1–0.6) ns ns ns 0.5 (0.2–0.9) 0.4 (0.2–0.9)<br />

ns 0.7 (0.6–0.8) ns 1.2 (1.1–1.4) 0.6 (0.5–0.9) 1.3 (1.1–1.5)<br />

ns 0.3 (0.2–0.6) ns ns ns ns<br />

ns ns ns 1.4 (1.1–1.9) 0.5 (0.3–0.7) ns<br />

0.7 (0.6–0.9) 0.6 (0.5–0.8) ns ns 0.4 (0.3–0.6) ns<br />

ns 0.3 (0.2–0.4) ns ns ns ns<br />

1.3 (1.0–1.5) 0.5 (0.4–0.6) ns 1.5 (1.2–1.8) ns ns<br />

0.5 (0.3–0.9) 0.6 (0.3–0.9) ns ns 0.6 (0.4–0.9) 1.4 (1.1–2.1)<br />

ns 0.7 (0.5–0.9) ns ns 0.1 (0.1–0.3) ns<br />

HEMS Helicopter Emergency Medical Service, AMPDS Advanced Medical Priority Dispatch System, RRV rapid response vehicle, CCP critical<br />

care paramedic, ns not significant (p-value ≥ 0.05). An odds ratio < 1 is a reduced chance of the outcome (not highlighted bold); an odds<br />

ratio > 1 is an increased chance of the outcome (highlighted bold)<br />

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Therefore, it is possible that patients not attended by HEMS in the<br />

study period would have had AMPDS codes assigned that would<br />

meet the utility criteria. However, the large data capture over four<br />

years for three HEMS organsiations operating five teams somewhat<br />

mitigates this. Some AMPDS codes that are used very infrequently,<br />

and were therefore excluded from this analysis, are likely to be<br />

important when considering HEMS dispatch. Examples include<br />

codes relating to major or mass casualty incidents, and there are<br />

others (for example: ‘34—automatic crash notification’) that may<br />

become more important in the future as technology develops [42].<br />

Our data are likely to have generalizability to HEMS systems that<br />

operate a physician-paramedic model in mixed urban and rural<br />

geographies that use AMPDS for dispatch. However, these data<br />

have less utility in non-AMPDS dispatch systems (for example, those<br />

using NHS Pathways in some regions of the <strong>UK</strong>) without robust<br />

mapping of AMPDS and non-AMPDS codes. In addition, whilst the<br />

East of England includes a broad mix of urban and rural populations,<br />

it is very flat. Therefore, our data may have reduced generalizability<br />

in more mountainous geographies where the limitations of patient<br />

accessibility, weather, and potentially a different epidemiology<br />

of disease and trauma may have a different impact on important<br />

dispatch codes.<br />

We have identified nine ‘golden’ AMPDS codes, available at the time<br />

of initial emergency call, that are associated with high-levels of wholesystem<br />

and HEMS utility in the East of England. We propose that <strong>UK</strong><br />

EMS should consider immediate HEMS dispatch to these codes, or<br />

automated notification to HEMS dispatchers when these codes are<br />

generated from emergency calls within a robust governance framework.<br />

Abbreviations<br />

HEMS Helicopter Emergency Medical Services<br />

EMS Emergency medical service<br />

AMPDS Advanced Medical Priority Dispatch System<br />

HLIDD HEMS-level intervention/drug/diagnostic<br />

PHEA Prehospital emergency anaesthesia<br />

EEAST East of England <strong>Ambulance</strong> Service NHS Trust<br />

EAAA East Anglian Air <strong>Ambulance</strong><br />

Magpas Magpas Air <strong>Ambulance</strong><br />

EHAAT Essex & Herts Air <strong>Ambulance</strong><br />

CCP Critical Care Paramedic<br />

RRV Rapid Response Vehicle<br />

RTC Road traffic collisions<br />

POCUS Point of Care Ultrasound<br />

ACS CoT American College of Surgeon’s Committee on Trauma<br />

Supplementary Information<br />

The online version contains supplementary material available at https://<br />

sjtrem.biomedcentral.com/articles/10.1186/s13049-023-01094-w.<br />

Additional file 1. HEMS-level intervention/drug/diagnostic. A list of all<br />

HLIDDs used within this study.<br />

Additional file 2. Sensitivity analysis to explore impact of thresholds<br />

on estimated tasking numbers/24 h. Demonstration of the impact of<br />

specific thresholds for intervention and/or patient contact on code<br />

availability.<br />

Additional file 3. AMPDS codes with significantly high rates of patient<br />

contact and/or HLIDD. A table listing the p value for both HLIDD and<br />

patient contact for specific codes.<br />

Acknowledgements<br />

We acknowledge the assistance of EEAST in aiding with providing core<br />

data to allow the analysis in the paper to be undertaken.<br />

Author contributions<br />

The authors confirm contribution to the paper as follows: study<br />

conception and design: CTE, KL, RM, EBGB; data collection: CTE,<br />

KL, AS, AD, SM; analysis and interpretation of results: CTE, KL, EBGB;<br />

manuscript preparation: CTE, KL, RM, EBGB. KL is the data guarantor.<br />

All authors approved the final version of the manuscript.<br />

Funding<br />

No funding was provided for this work.<br />

Availability of data and materials<br />

Data are available on reasonable request.<br />

Declarations<br />

Ethics approval and consent to participate<br />

This study met the Health Research Authority criteria for a service<br />

evaluation. The protocol was approved by the Anglian Ruskin<br />

University School Research Ethics Panel for Allied Health, Nursing<br />

& Midwifery & Medicine (ref no. AHSREP- 21-032), and registered<br />

with the EAAA Department of Research, Audit, Innovation, and<br />

Development (RAID), Reference Number: EAAA 2021/028.<br />

Consent for publication<br />

Patients and the public were not involved in the design, analysis,<br />

or reporting of this research.<br />

Competing interests<br />

We have no competing interests to declare.<br />

Author details<br />

1 Department of Research, Audit, Innovation, and Development, East<br />

Anglian Air <strong>Ambulance</strong>, Gambling Close, Norwich Airport, Norwich<br />

NR6 6EG, <strong>UK</strong>. 2 Essex & Herts Air <strong>Ambulance</strong> Trust, Colchester,<br />

Essex, <strong>UK</strong>. 3 Anglia Ruskin University, Cambridge, <strong>UK</strong>. 4 University of<br />

East Anglia, Norwich, <strong>UK</strong>. 5 Magpas Air <strong>Ambulance</strong>, Huntingdon, <strong>UK</strong>.<br />

6 Academic Department of Military Emergency Medicine, Royal Centre<br />

for Defence Medicine (Research & Clinical Innovation), Birmingham,<br />

<strong>UK</strong>. 7 Emergency Department, Cambridge University Hospitals NHS<br />

Foundation Trust, Cambridge, <strong>UK</strong>.<br />

Received: 24 February <strong>2023</strong> Accepted: 7 June <strong>2023</strong><br />

Published online: 12 June <strong>2023</strong><br />

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Publisher’s Note<br />

Springer Nature remains neutral with regard to jurisdictional claims in<br />

published maps and institutional affiliations.<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />



‘Phenomenal results’<br />

achieved by first<br />

paramedic degree<br />

apprenticeship group<br />

The first cohort of East of<br />

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

(EEAST) staff to qualify<br />

as paramedics through<br />

a new apprenticeship<br />

degree programme with the<br />

University of Cumbria have<br />

been celebrated at a special<br />

ceremony after achieving<br />

‘phenomenal results’.<br />

The group of 20, who graduated<br />

at the University of Cumbria<br />

in June, were presented with<br />

a certificate to mark their<br />

achievements on completing the<br />

Level 6 Degree Apprenticeship<br />

Paramedic Programme at a<br />

ceremony at The Athenaeum in<br />

Bury St Edmunds.<br />

Over 80 per cent on the<br />

programme achieved an upperclass<br />

honours degree with five of<br />

the group achieving a first and 11<br />

achieving a 2:1.<br />

EEAST was one of seven<br />

ambulance services to sign<br />

up to the new BSc (Hons)<br />

apprenticeship paramedic degree<br />

course in 2021. The course<br />

was devised by the University<br />

of Cumbria for existing patientfacing<br />

staff, such as emergency<br />

care assistants, ambulance<br />

technicians and associate<br />

ambulance practitioners.<br />

The course takes two years to<br />

complete, compared to three for<br />

a traditional degree in paramedic<br />

science, and allows staff to<br />

continue to work in frontline roles<br />

at EEAST while studying.<br />

This opens an important career<br />

progression pathway for staff who<br />

want to become a paramedic but<br />

feel that university is not the right<br />

option for their circumstances.<br />

Katie Burst, Head of Education<br />

& Learner Experience at EEAST,<br />

said the success will mean more<br />

future paramedics qualifying<br />

through this partnership with the<br />

University of Cumbria.<br />

Katie said:<br />

“We are all delighted and proud<br />

of the success achieved by the<br />

first group on this new apprentice<br />

paramedic degree programme<br />

with the University of Cumbria.<br />

“The feedback on the course<br />

has been excellent and the<br />

partnership with the University of<br />

Cumbria has worked so well.<br />

“The Trust sees this programme<br />

as an important pathway<br />

for developing our staff to<br />

becoming paramedics and we<br />

are fully committed to expanding<br />

availability.”<br />

Hanna Stevens, principal<br />

lecturer in paramedic<br />

apprenticeships at the<br />

University of Cumbria, said:<br />

“The first group of students all<br />

worked exceptionally hard and<br />

they have produced phenomenal<br />

results, with 80 per cent<br />

achieving an upper class degree<br />

honours.<br />

“That is testament to the<br />

partnership working from all<br />

involved who have helped make<br />

this course such a success.<br />

“We look forward to working<br />

with EEAST on this exciting<br />

educational pathway for many<br />

years to come.”<br />

Lee Sweetlove, 36, a student<br />

on the course, said:<br />

“I found the course really<br />

challenging but also very<br />

rewarding. I describe it as<br />

hiking up a steep mountain but<br />

at the top the views are worth the<br />

effort.<br />

“We are now registered<br />

healthcare professionals, and it<br />

has opened up so many career<br />

pathways, so it is a really exciting<br />

time to be a paramedic.<br />

“I always wanted to progress my<br />

career and become a paramedic,<br />

expanding my skillset to be able<br />

to help more patients. I worked<br />

for the Trust as a technician<br />

initially and, if I had decided to<br />

take the traditional route, I would<br />

have had to spend three years at<br />

university and pay for that course.<br />

“By gaining this qualification<br />

through the Trust and the<br />

apprenticeship pathway, you<br />

are still able to earn a salary. I<br />

was able to get married and we<br />

were able to buy our first house<br />

together while I was on the<br />

course.<br />

“For me, this was definitely the<br />

better route. I have built lots of<br />

confidence and experience as I<br />

have been mainly working on the<br />

ambulance with a mentor and<br />

putting my university learning into<br />

practice.’’<br />

The Trust is currently running<br />

three courses on this apprentice<br />

paramedic degree each year<br />

and the pathway is expected to<br />

provide the Trust with 500 newly<br />

qualified paramedics over the<br />

next seven years.<br />

Nine new electric<br />

vehicles introduced<br />

to boost community<br />

response<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

We are pleased to announce<br />

the introduction of nine new<br />

electric vehicles into our fleet<br />

which will be provided to nine<br />

of our Community Response<br />

schemes across the East<br />

Midlands.<br />

This exciting development follows<br />

funding secured from charity<br />

grants in 2022 to help support<br />

several different projects at East<br />

Midlands <strong>Ambulance</strong> Service as<br />

14<br />

For further recruitment vacancies visit: www.ambulanceukonline.com

part of its Community Response<br />

Volunteer Strategy.<br />

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

said:<br />

With the help of the NHS<br />

Charities Together grant, we<br />

have been able to purchase nine<br />

of the new vehicles to support<br />

the vital work carried out by<br />

our Community Responder<br />

schemes, so they can continue<br />

providing lifesaving care to our<br />

communities.<br />

All the electric vehicles have<br />

sat-nav fitted as standard and<br />

our Community First Responders<br />

(CFR) will be able to re-charge the<br />

vehicles at numerous charging<br />

points across the region. In<br />

addition to the normal kit carried<br />

by our CFRs these vehicles are<br />

equipped with a Raizor lifting<br />

chair enabling our volunteers to<br />

assist patients following a fall.<br />

By investing in our fleet and<br />

replacing older vehicles with<br />

electric ones, it also supports<br />

EMAS’ goal to deliver greener,<br />

sustainable healthcare and is<br />

part of our ongoing commitment<br />

to becoming a net zero trust by<br />

2040.<br />

James Hornby, Service Delivery<br />

Manager for Community<br />

Response at East Midlands<br />

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

“Thanks to the funding secured,<br />

we have been able to provide<br />

these state-of-the-art vehicles<br />

to our Community Response<br />

schemes across the region.<br />

“These nine vehicles join the<br />

other eight electric vehicles which<br />

our schemes have and will help<br />

ensure our volunteers, who make<br />

a huge and valued contribution<br />

at EMAS can continue to make a<br />

difference to the lives of people<br />

within our communities across<br />

the region.”<br />

Cara Turton-Chambers,<br />

Sustainability, Energy and<br />

Compliance Manager at East<br />

“It’s great to see that our EV CFR<br />

fleet is expanding. The NHS has a<br />

big challenge ahead to reach net<br />

zero by 2040. However, at EMAS<br />

we know this transition is not only<br />

best for the planet, but best for<br />

our patients and service users.<br />

“Climate change is a health<br />

emergency and action to slow<br />

climate change, helps create a<br />

healthy future. As well as lower<br />

carbon emissions, these vehicles<br />

will have no tail pipe emissions<br />

and so as we respond we aren’t<br />

worsening air pollution, further<br />

helping keep people healthy.<br />

“Projects like this support the<br />

implementation of our Green Plan<br />

and the wider NHS’ journey to<br />

deliver greener, more sustainable<br />

healthcare.”<br />

This investment will see every<br />

division in the East Midlands<br />

region (Derbyshire, Leicester,<br />

Leicestershire and Rutland,<br />

Lincolnshire, Northamptonshire<br />

and Nottinghamshire) receive one<br />

of the electric vehicles.<br />

In May <strong>2023</strong> EMAS launched its<br />

new five-year strategy (<strong>2023</strong>-<br />

2028) and five new strategic<br />

ambitions to help the organisation<br />

achieve its overall vision. This<br />

investment supports ambition<br />

5 – ‘We will work in partnership<br />

to reduce health inequalities<br />

and improve the health of<br />

our population, and ensure<br />

sustainability’.<br />

We began the introduction of<br />

electric vehicles into our fleet<br />

as early as 2017.<br />

In 2022, we replaced all Non-<br />

Emergency Patient Transport<br />

Service (NEPTS) cars in<br />

Derbyshire with fully-electric<br />

cars; reducing our emissions<br />

by 96 tonnes of carbon dioxide<br />

equivalent (tCO2e) per year.<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />



AMBULANCE <strong>UK</strong> – AUGUST<br />

EEAST represented<br />

at Westminster<br />

Abbey service to<br />

mark NHS 75th<br />

Birthday<br />

Staff at the East of England<br />

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

(EEAST) joined colleagues from<br />

across the NHS at a service at<br />

Westminster Abbey to mark the<br />

NHS’s 75th Birthday.<br />

Terry Hicks, head of operations<br />

for Cambridgeshire and<br />

Peterborough, Zoe Martindale,<br />

Philip Bygrave, and Chaplain<br />

Tony Mills all made the journey to<br />

attend the service on Wednesday,<br />

July 5.<br />

The event, which was attended<br />

by Their Royal Highnesses The<br />

Duke and Duchess of Edinburgh<br />

and senior political leaders,<br />

started with a procession of<br />

the George Cross, which was<br />

presented to the NHS in 2022 by<br />

Her Majesty The Queen.<br />

The Cross was carried by nurse<br />

May Parsons, who administered<br />

the world’s first COVID vaccine.<br />

May was joined by Kyle Dean-<br />

Curtis, 17, St John <strong>Ambulance</strong><br />

cadet of the year, and Enid<br />

Richmond, 91, who worked for<br />

the NHS at the time it launched.<br />

Zoe Martindale is an<br />

improvement manager for the<br />

Emergency Operations Centre<br />

which handles incoming 999<br />

emergency calls. She said:<br />

“I felt extremely honoured and<br />

privileged to be invited to attend<br />

the service to celebrate the<br />

75th anniversary of the NHS at<br />

Westminster Abbey. It was a<br />

really moving experience and I felt<br />

lucky and honoured to have been<br />

picked to attend”,<br />

“Attending the service gave<br />

me an opportunity to reflect on<br />

the past 15 years that I have<br />

spent working for the Trust,<br />

and although it’s not always<br />

been easy, I’m still so incredibly<br />

proud and grateful to wear my<br />

uniform and I look forward to<br />

what the future holds for all of us<br />

here within the EOC and across<br />

EEAST.”<br />

Philip Bygrave is a Make Ready<br />

Group lead for King’s Lynn and<br />

Peterborough, which prepares<br />

ambulances and other vehicles<br />

ready for deployment. He said:<br />

“Attending the service on behalf<br />

of EEAST was a great honour<br />

and it was humbling to be with so<br />

many people who have dedicated<br />

so much to the NHS. I have<br />

worked in the ambulance service<br />

for 23 years and was in patientfacing<br />

roles before joining the<br />

Make Ready Service at EEAST<br />

in 2020. Knowing that you are<br />

making a difference to patients’<br />

lives is extremely rewarding and<br />

makes you feel proud to work in<br />

the NHS.”<br />

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

Service awarded<br />

prestigious<br />

environmental<br />

management<br />

standard<br />

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

has been recognised for its<br />

commitment to reduce its<br />

environmental footprint and<br />

improve its performance.<br />

The Trust has been awarded<br />

the prestigious ISO 14001<br />

Environmental Management<br />

Systems Standard by British<br />

Standards Institution after a<br />

rigorous five-day inspection of its<br />

environmental governance system.<br />

ISO 14001 is an internationally<br />

recognised standard for<br />

environmental management<br />

systems, which supports<br />

organisations in identifying,<br />

managing, monitoring and<br />

controlling environmental<br />

processes.<br />

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

is currently the only ambulance<br />

service in the <strong>UK</strong> to hold this<br />

standard.<br />

Richard Davies, the Trust’s<br />

Assistant Director of Capital<br />

and Estates, said: “To retain<br />

accreditation is a massive<br />

achievement.<br />

“It’s a validation of the great work<br />

headed by the Estates team<br />

and especially Environment and<br />

Sustainability Manager Nicci<br />

Stephens and Environment and<br />

Sustainability Support Officer<br />

Sharon Jones.<br />

“A massive thanks are owed to<br />

the team who have supported<br />

and delivered on this, we are all<br />

extremely proud.”<br />

The Trust introduced a<br />

catalogue of new initiatives in<br />

its bid to secure ISO 14001,<br />

which includes new plug-in<br />

hybrid rapid response cars to<br />

replace the older diesel-powered<br />

vehicles, 270 speed-limited<br />

non-emergency patient transport<br />

vehicles installed with solar<br />

panels to minimise the need for<br />

mains charging, continued the<br />

use of video conferencing to<br />

reduce travel time, emissions and<br />

cost, installed new renewable<br />

energy systems and reduced<br />

its reliance on fossil fuels by<br />

installing low carbon heating.<br />

Leading the work has been<br />

Environment and Sustainability<br />

Manager Nicci Stephens, who<br />

said: “I am so pleased to say that<br />

after five days of auditing, the<br />

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

kept the ISO 14001 accreditation<br />

for <strong>2023</strong>.<br />

“The accreditation provides<br />

assurance to the Trust’s<br />

management and employees, as<br />

well as external stakeholders that<br />

the environmental impacts of the<br />

Trust are being measured and<br />

improved.<br />

“The assessor noted that during<br />

their visit, the Trust demonstrated<br />

that the environmental<br />

management systems in place<br />

continue to support the strategic<br />

direction of the organisation<br />

and achieve objectives relating<br />

to improving environmental<br />

performance, which we are very<br />

proud of.<br />

“In order to support the Welsh<br />

Government’s ambition of a<br />

net zero carbon public sector<br />

by 2030, we have developed a<br />

decarbonisation plan and are<br />

working towards the NHS Wales<br />

decarbonisation target reduction<br />

of 34%.”<br />

The Trust was accredited following<br />

an audit which took place at a<br />

sample of stations and office<br />

buildings across Wales during May.<br />

16<br />

For further recruitment vacancies visit: www.ambulanceukonline.com

Seamless Synchronisation<br />

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In the <strong>Ambulance</strong><br />

Emergency transport carries risk<br />

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seated whilst in transit. Rhythm<br />

control and shock delivery can be<br />

performed on the corpuls 3 while<br />

the medic is seated.<br />

In tight spaces<br />

Whether in a lift, a stairwell, or<br />

on tricky terrain, synchronised<br />

resuscitation means that therapy<br />

can continue where it wouldn’t<br />

have been possible before. Once<br />

in place, a medic can control the<br />

corpuls 3 monitor, defibrillator and<br />

CPR parameters of the corpuls cpr.<br />

In the air<br />

Patient access is extremely limited<br />

in air rescue. Thanks to the perfect<br />

interaction of the corpuls 3 with<br />

the corpuls cpr, movement within<br />

the cabin is reduced. Synchronised<br />

mechanical chest compressions<br />

can be given, without having to<br />

accept long hands-off times.<br />

• Shorter hands-off time.<br />

• Automated pre-shock compressions.<br />

• Can be used in manual and AED mode.<br />

• Increased safety & minimised interruptions.<br />

• Less resources required.<br />

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Brand new<br />

ambulance service,<br />

IPRS MTS launched<br />

A brand-new specialist<br />

patient transport service IPRS<br />

MTS has recently launched<br />

operations in Gatwick, West<br />

Sussex, offering a wide-range<br />

of specialised ambulance<br />

transportation services across<br />

the United Kingdom and to<br />

and from Europe with plans<br />

for rapid expansion.<br />

IPRS MTS is the latest member of<br />

the IPRS Group, an organisation<br />

with over 27 years’ experience<br />

delivering a wide-range of awardwinning<br />

clinical products and<br />

services to both the public and<br />

private sectors.<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

A strong emphasis on clinical<br />

excellence, compliance, and an<br />

exceptional patient experience<br />

is at the heart of all IPRS<br />

Group services with IPRS MTS<br />

embracing this to provide a firstclass<br />

service to all clients and<br />

patients in their care.<br />

Martyn Jackson, CEO of the IPRS<br />

Group, is excited by the launch of<br />

IPRS MTS and is confident that<br />

the new start-up will be another<br />

successful member of the group.<br />

He said, “It’s very exciting to<br />

finally launch IPRS MTS as it’s<br />

been something we’ve been<br />

working on for a long time now<br />

in the background and it’s great<br />

that the news is out, and we have<br />

began delivering our services.<br />

We firmly believe that our<br />

experience in repatriation<br />

positions us favourably to build<br />

upon it through our new venture.<br />

We have already assembled a<br />

team with extensive expertise<br />

in this field, and I am greatly<br />

enthused about the growth<br />

prospects of this organisation.”<br />

IPRS MTS has developed<br />

four distinct medical transport<br />

services consisting of transfers of<br />

high-dependency patients from<br />

the ICU, secure transportation<br />

services for individuals suffering<br />

mental health issues, bariatric<br />

transfers for patients requiring<br />

medical assistance during and<br />

non-emergency repatriation<br />

services to and from Europe.<br />

IPRS MTS collaborate directly<br />

with NHS trusts, commissioning<br />

bodies, private ambulance<br />

services, and the general public<br />

to fulfil the unique transportation<br />

requirements of patients.<br />

The success of IPRS MTS will be<br />

built on three key pillars which all<br />

services will be delivered upon.<br />

Exceptional clinical quality, utilising<br />

technology and delivering services<br />

in a manner that is sustainable.<br />

Providing the highest standard of<br />

clinical care is key to IPRS MTS.<br />

Each member of their paramedic<br />

team is registered with the Health<br />

Practice Associates Council<br />

with all colleagues undergoing<br />

extensive training upon joining<br />

to ensure that all patients under<br />

their care receive an optimal<br />

level of care and compassion in<br />

every journey.<br />

Technology and innovation<br />

lie at the core of IPRS MTS’s<br />

operations. To facilitate a safe<br />

and comfortable service, they<br />

possess a fleet of ambulances<br />

equipped with state-of-the-art<br />

medical equipment utilised by<br />

their paramedics to provide<br />

exemplary care. For the secure<br />

transportation of patients with<br />

mental health conditions, they<br />

employ vehicles fitted with<br />

Home Office Category B cells<br />

and seating arrangements that<br />

allow for assessments and<br />

conversation throughout the<br />

journey. All services undergo<br />

rigorous auditing to preserve<br />

the highest quality standards<br />

possible and maintain patient<br />

satisfaction.<br />

Delivering services is a<br />

sustainable manner is important<br />

to IPRS MTS, the organisation<br />

will be constantly looking for<br />

more sustainable ways to deliver<br />

their services and have aligned<br />

themselves to the Greener NHS<br />

Programme. Sustainability is<br />

extremely important across the<br />

IPRS Group who have planted<br />

over 3,000 trees, capturing more<br />

than 1,200 tonnes of CO2.<br />

Phil Bayliss, the Director of<br />

IPRS MTS, is excited by the<br />

launch saying, “I am thrilled to<br />

announce the launch of IPRS<br />

MTS. We are enthusiastic about<br />

delivering our services to the<br />

market and truly believe that our<br />

offerings are unparalleled. We<br />

align ourselves with the Greener<br />

NHS program, embrace cuttingedge<br />

technology, and maintain a<br />

strong focus on clinical expertise.<br />

Being a part of IPRS MTS is truly<br />

exciting, and I eagerly anticipate<br />

the growth of the organisation in<br />

the months and years ahead.”<br />

IPRS MTS is currently recruiting<br />

for a variety of clinical roles<br />

at varying levels of expertise.<br />

Despite IPRS MTS being a new<br />

company, they are part of IPRS<br />

Group who have won numerous<br />

employer awards including<br />

winning Best Employer in the<br />

Healthcare Industry at the 2021<br />

Best Employers Eastern Region<br />

along with being named a<br />

Platinum Employer.<br />

18<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


Chief Paramedic<br />

awarded top<br />

ambulance medal in<br />

the King’s Birthday<br />

Honours<br />

The Chief Paramedic at<br />

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

has been awarded His Majesty<br />

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

Medal for distinguished service<br />

as part of the monarch’s<br />

Birthday Honours.<br />

A paramedic since 2002, Dr John<br />

Martin has had a phenomenal<br />

career at the forefront of the field,<br />

dedicating his life to improving<br />

patient care and developing the<br />

expertise of clinicians within the<br />

profession.<br />

Dr Martin joined the London<br />

<strong>Ambulance</strong> Service in March<br />

2021 in a newly-created Chief<br />

Paramedic role which brought<br />

together responsibility for both<br />

clinical quality at the Trust and<br />

for ensuring paramedics and<br />

ambulance clinicians have access<br />

to world-class training, education<br />

and professional development.<br />

With over 650 apprentices at<br />

the Service, John has helped<br />

LAS become the biggest<br />

apprentice provider in the NHS<br />

and spearheaded work to<br />

protect our staff from violence<br />

and aggression, including the<br />

installation of crew safety systems<br />

and body worn cameras.<br />

LAS Chief Executive Daniel<br />

Elkeles said: “John epitomises<br />

what it is to be a highly<br />

compassionate, respected and<br />

inclusive NHS leader. He also<br />

exemplifies what it is to be a<br />

professional paramedic, using<br />

every opportunity to develop the<br />

profession for the benefit of staff<br />

and the patients they care for.<br />

“His leadership and foresight has<br />

turbocharged the development<br />

of the country’s paramedic<br />

workforce, improving the quality<br />

of care received by thousands<br />

of patients across the country.<br />

These achievements will deliver<br />

lasting improvements for the<br />

paramedic profession.”<br />

Dr Martin has also been President<br />

of the College of Paramedics<br />

since 2017, and has been active<br />

in developing the College of<br />

Paramedics for many years, all of<br />

which he has volunteered to do in<br />

his own time.<br />

In May <strong>2023</strong>, he finished his<br />

second term as the College’s<br />

president. Under his tenure,<br />

membership has grown by<br />

2,000% and the College is close<br />

to achieving a Royal Charter<br />

and continuous professional<br />

development is now a mandatory<br />

part of paramedic practice.<br />

Dr John Martin said: “I am hugely<br />

honoured and humbled to receive<br />

this medal on behalf of London<br />

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

paramedic profession.<br />

“I’m proud to have been a<br />

paramedic for over 20 years<br />

and work with such dedicated<br />

and talented clinicians at LAS,<br />

ambulance services and the<br />

wider NHS to ensure that our<br />

patients get the best possible<br />

care in their time of need.”<br />

In 2006 Dr Martin led the<br />

curriculum guidance development<br />

for paramedics, paving the way<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />


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For further recruitment vacancies visit: www.ambulanceukonline.com<br />


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The scenarios are filmed using<br />

actors and will help clinicians<br />

when they make safeguarding<br />

referrals and ultimately help<br />

protect patients.<br />

LAS is hoping bespoke scenarios<br />

could also be developed for call<br />

handlers as they can also help<br />

identify patients at risk when<br />

taking 999 calls.<br />

The Service is also considering<br />

using VR technology for<br />

clinical education. It already<br />

has immersive training suites<br />

at its education centres where<br />

simulated scenarios play out.<br />

Two EEAST clinicians<br />

have talked about<br />

how being a reservist<br />

in the armed forces<br />

has enhanced both<br />

their clinical skills<br />

and developed their<br />

confidence and<br />

professional abilities.<br />

Gavin Smith, a paramedic and<br />

former Leading Operations<br />

Manager for EEAST has also<br />

enjoyed a career in both the<br />

Army and the Royal Air Force<br />

as a regular and reservist<br />

which has spanned 33 years.<br />

Since joining the Trust in 2015, he<br />

has maintained a position within<br />

the Royal Auxiliary Air Force,<br />

initially in a Chemical, Biological,<br />

Radiological and Nuclear (CBRN)<br />

specialist role, and more latterly,<br />

as a field gunner in an Immediate<br />

Operational Response (IOR) role.<br />

“These are just a few of the skills<br />

that my service career has given<br />

me,” said Gavin, “Others include<br />

linguistics, cultural awareness,<br />

intelligence, communications,<br />

investigatory, report generation<br />

as well as a myriad of others<br />

- nearly all have been directly<br />

transferable or have found some<br />

use during my time within the<br />

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

“Personally, my journey through<br />

the <strong>Ambulance</strong> Service has been<br />

as a direct result of my time within<br />

the armed forces, and I have<br />

found that EEAST have been<br />

truly supportive in allowing me to<br />

continue both roles side-by-side.<br />

Sadly, Gavin who now works in<br />

an investigation role for EEAST,<br />

said he will be stepping down<br />

as a reservist shortly, but he<br />

would recommend it to others<br />

considering becoming a reservist:<br />

“Given the choice, I would<br />

continue forever, however, there<br />

of course comes a point where<br />

the mind is willing but the body<br />

less so!<br />

“Sometimes the journey to<br />

become a reservist may be<br />

arduous, other times it may be<br />

fun, but at all times, you will<br />

become part of a camaraderie<br />

and a team that is like no other -<br />

and when you return to your dayto<br />

day role, the skills you learn will<br />

be as valued as those that you<br />

already possess and will bring to<br />

your reservist role - whatever that<br />

may be!”<br />

Mia Gill has been working for<br />

EEAST since 2016. As a reservist<br />

with the Royal Army Medical<br />

Corps she is a recognised<br />

paramedic and a combat medical<br />

technician (CMT (P)).<br />

She said:<br />

“I am incredibly proud to be a<br />

part of both organisations which<br />

have had a positive impact on<br />

my life and as a professional. I<br />

feel both roles really complement<br />



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AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />


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each other and EEAST are so<br />

supportive in allowing me time to<br />

conduct my military exercises.<br />

“The military has helped me<br />

gain confidence and grow into<br />

an individual with integrity and<br />

discipline. This has helped me in<br />

my civilian role as a paramedic<br />

as I have the confidence to air<br />

my opinions, and act as a better<br />

advocate for my patients. I have<br />

also developed my trauma skills<br />

greatly, which I have utilised when<br />

attending patients and mentoring<br />

students and colleagues. I have<br />

evolved from a timid young<br />

individual to a confident and<br />

knowledgeable clinician.”<br />

Pioneering mental<br />

health joint response<br />

unit shortlisted<br />

for prestigious<br />

NHS Parliamentary<br />

Awards<br />

A ground-breaking scheme at<br />

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

(LAS) which pairs a mental<br />

health professional with a<br />

paramedic to treat people<br />

experiencing a mental health<br />

crisis has been shortlisted<br />

for the prestigious NHS<br />

Parliamentary Awards.<br />

The Service’s mental health joint<br />

response unit allows a more<br />

tailored response to a patient’s<br />

mental and physical needs,<br />

ensuring vulnerable patients get<br />

the treatment they need at home<br />

or through local community<br />

services, and wherever<br />

possible avoids unnecessary<br />

visits to hospital emergency<br />

departments.<br />

More than 17,000 people have<br />

been helped by this specialised<br />

team since January 2020 when<br />

the service expanded across<br />

the capital. Ensuring equity of<br />

access to care is a key focus at<br />

LAS and, thanks to the expertise<br />

of this joint team, just 16% of<br />

patients experiencing a mental<br />

health crisis have needed to<br />

be taken to an emergency<br />

department.<br />

Alison Blakely, Director of<br />

Clinical Pathways and Clinical<br />

Transformation at London<br />

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

“I’m delighted that the team<br />

have been nominated for their<br />

incredible work. Thanks to their<br />

expertise, we can ensure that<br />

we can provide a response that<br />

meets each patients’ individual<br />

needs and sees their mental<br />

health treated with the same<br />

level of importance as their<br />

physical wellbeing.<br />

“This importantly helps patients<br />

receive the best possible care<br />

away from busy emergency<br />

departments that may not be<br />

conductive to their recovery.”<br />

The unit, which was launched as<br />

a single car in south east London<br />

in November 2018 before<br />

expanding to six response cars,<br />

was nominated for the honour by<br />

eight London MPs.<br />

Dr Rosena Allin-Khan MP,<br />

Shadow Minister for Mental<br />

Health and Labour MP for<br />

Tooting, who nominated the<br />

team for the award, said:<br />

“I am thrilled to see the London<br />

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

health joint response unit has<br />

been shortlisted for an award.<br />

Every patient deserves the<br />

very best standard of care,<br />

and through this team, patients<br />

experiencing a mental health<br />

crisis are being directed to the<br />

services that work best for<br />

them. This is a well-deserved<br />

recognition of the brilliant<br />

efforts that these mental health<br />

professionals put in every day.”<br />

Members of the mental health<br />

team also work in our 999<br />

control rooms, supporting<br />

colleagues answering calls<br />

from members of the public<br />

who are experiencing a mental<br />

health crisis, guiding teams<br />

who are dispatching LAS crews<br />

to patients, and providing<br />

patients with direct telephone<br />

assessments.<br />

The team works closely with<br />

local mental health trusts to<br />

ensure the patients they support<br />

receive the care they need from<br />

community services in the most<br />

efficient way possible. The<br />

scheme has benefited from close<br />

collaboration between LAS and<br />

mental health trusts to ensure<br />

the patient gets the right care in<br />

the right place, first time.<br />

The NHS Parliamentary Awards<br />

launched in 2018 to celebrate<br />

the NHS’ 70 birthday and<br />

recognise the outstanding<br />

contribution of staff, volunteers<br />

and others working in the health<br />

and care sector. Now in its sixth<br />

year, the awards have been an<br />

overwhelming success with<br />

more than 700 nominations<br />

being submitted by over half of<br />

MPs representing constituencies<br />

in England last year alone.<br />

The MPs who nominated the<br />

mental health response team<br />

are: Ellie Reeves (Labour,<br />

Lewisham West and Penge), Lyn<br />

Brown (Labour, West Ham), Sir<br />

Keir Starmer (Labour, Holborn<br />

and St Pancras), Catherine<br />

West (Labour, Hornsey and<br />

Wood Green), Feryal Clark<br />

(Labour, Enfield North), Stephen<br />

Hammond (Conservative,<br />

Wimbledon), Rosena Allin-Khan<br />

(Labour, Tooting) and Marsha De<br />

Cordova (Labour, Battersea).<br />

The winners will be announced<br />

at an Awards Ceremony on the<br />

health service’s 75th anniversary<br />

on Wednesday 5 July <strong>2023</strong>, to<br />

which all nominees, their relevant<br />

MPs and other key figures will<br />

be invited. The ceremony will be<br />

held at the Queen Elizabeth II<br />

Centre in Westminster.<br />

SECAmb thanks<br />

colleagues and their<br />

families this Armed<br />

Forces Day<br />

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

Service NHS Foundation<br />

Trust (SECAmb) would like<br />

to pay tribute and thank all<br />

colleagues and their families<br />

with links to the armed forces.<br />

The Trust is proud to have close<br />

links with the armed forces with<br />

of its staff and volunteers either<br />

having served in a previous<br />

career or continuing to serve<br />

as a reservist alongside their<br />

ambulance service role.<br />

SECAmb signed up to the<br />

Armed Forces Covenant<br />

in 2018. The covenant is a<br />

commitment to member of<br />

the reserves, armed forces,<br />

veterans, or family members<br />

and outlines how the Trust will<br />

support them, officially, as<br />

a military-friendly employer.<br />

Further details on the<br />

covenant can be found on the<br />

Trust’s website here: Armed<br />

Forces Covenant - NHS South<br />

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

(secamb.nhs.uk)<br />

In 2022, SECAmb was proud<br />

to achieve an Armed Forces<br />

Silver Award. The award is a<br />

progression on the Bronze<br />

Award it was granted in 2018/19<br />

and is evidence of the Trust’s<br />

commitment to employing and<br />

supporting those with a current<br />

or previous role in the armed<br />

forces.<br />

SECAmb Chief Executive,<br />

Simon Weldon, said: “I would<br />

like to thank each and every<br />

colleague who has a previous<br />

link to the armed forces or who<br />

is a reservist. We are proud<br />

of our strong links with the<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

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armed forces and I am keen to<br />

ensure this continues and that<br />

our associations are further<br />

strengthened in the years ahead.<br />

“I would also like to thank the<br />

families of our colleagues who have<br />

links to the armed forces. They play<br />

a vital and difficult role in supporting<br />

their loved ones in managing the<br />

dual challenge of managing a career<br />

in both sectors.”<br />



AT LEAST 9,500<br />




SHOWS<br />

Almost 1,250 recorded sexual<br />

assaults and true number likely<br />

to be far higher, says GMB Union<br />

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

Service NHS Foundation Trust,<br />

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

vehicles as part of its plans<br />

to reduce carbon emissions and<br />

introduce zeroemission vehicles<br />

on to its fleet.<br />

<strong>Ambulance</strong> workers been subject<br />

to at least 9,500 violent attacks<br />

in the line of duty over the last<br />

five years, a GMB investigation<br />

has revealed.<br />

Attacks, which saw blue light<br />

crews bitten, head-butted, spat<br />

at and struck with weapons, took<br />

place more than 9,565 times<br />

from the financial year 2017/18<br />

to 21/22. [1]<br />

A total of 1,248 of these were<br />

sexual assaults.<br />

The true numbers of assaults<br />

are likely to be far higher as only<br />

eight out of 13 ambulance trusts<br />

across England, Scotland, Wales<br />

and Northern Ireland responded<br />

to GMB’s Freedom of Information<br />

Act request.<br />

<strong>Ambulance</strong> workers took to<br />

the stage at GMB’s annual<br />

congress in Brighton on Sunday<br />

4 June to discuss the attacks<br />

they face daily, as well as the<br />

national NHS strikes they took<br />

part in and much needed<br />

reform to ambulance worker<br />

retirement age.<br />

GMB’s ambulance members<br />

successfully changed the law in<br />

2018 when the Assaults Against<br />

Emergency Workers (Offences)<br />

Act made assaults on ambulance<br />

workers an aggravating factor for<br />

sentencing. [2]<br />

Rachel Harrison, GMB National<br />

Secretary, said:<br />

“<strong>Ambulance</strong> workers go to work<br />

every day to save lives.<br />

“Despite this, thousands of them<br />

are bitten, attacked, spat at and<br />

even sexually assaulted.<br />

“No one should have to put up<br />

with that, least of all those who<br />

are there to protect us.<br />

“GMB members helped change<br />

the law but more needs to be<br />

done.<br />

“We demand full enforcement<br />

of the Protect the Protectors<br />

legislation, investment in better<br />

systems to flag offenders, and<br />

much better support for the<br />

victims of violence.”<br />

[1] <strong>Ambulance</strong> service<br />

2018/2019 1,597<br />

2019/20201,924<br />

2020/2021 1,871<br />

2021/2022 2,141<br />

2022/<strong>2023</strong> 2,032<br />

Total9,565<br />

The EMERGENCY SERVICES SHOW <strong>2023</strong> Stand D180<br />


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AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />



AMBULANCE <strong>UK</strong> – AUGUST<br />

*SWAST provided figures per<br />

calendar year, rather than<br />

financial year<br />

[2] MPs back tougher measures<br />

in Protect the Protectors Bill<br />

| GMB<br />

Heroic acts, heartwarming<br />

tales and<br />

long service were<br />

celebrated at West<br />

Midlands <strong>Ambulance</strong><br />

Service’s annual<br />

awards ceremonies<br />

on Thursday June 15.<br />

The Staff Long Service &<br />

Excellence Awards and<br />

Excellence in the Community<br />

Awards were held at The<br />

Copthorne Hotel in Brierley<br />

Hill with almost 700 guests<br />

attending across the two<br />

events. Guests included the<br />

Deputy-Lieutenant of the West<br />

Midlands, Ian Sargeant, and<br />

the High Sheriff of the County<br />

of West Midlands, Wade Lyn.<br />

This year, 56 members of staff<br />

were recognised for having given<br />

20 years of service to WMAS,<br />

15 staff were commended for<br />

25 years’ service, 14 received<br />

certificates for 30 years’ service,<br />

three members of staff were<br />

honoured for 35 years in the<br />

Trust whilst two celebrated<br />

the incredible landmark of 40<br />

years of service. Other awards<br />

to be handed out included<br />

Chief Officer Commendations,<br />

Student Paramedic of the Year,<br />

Mentor Awards, Apprenticeship<br />

Awards, Community Initiative<br />

and Partnership Awards; St John<br />

<strong>Ambulance</strong> Awards; CFR Long<br />

Service Awards and the CFR of<br />

the Year.<br />

Trust Chief Executive, Anthony<br />

Marsh, said: “In the aftermath<br />

of the pandemic, the continuing<br />

cost of living crisis and everything<br />

else that is presenting us all with<br />

CFR Volunteer of the Year, Jean Morgan<br />

(Credit: West Midlands <strong>Ambulance</strong> Service ).<br />

challenges at the moment, it is<br />

fantastic to have the opportunity<br />

to celebrate some of the<br />

incredible achievements of our<br />

staff, volunteers and members of<br />

the public.<br />

“We are extremely lucky to have<br />

such a professional workforce<br />

and team of volunteers who have<br />

a desire to always do their very<br />

best for the patient.<br />

“There were so many stories of<br />

people going above and beyond,<br />

in all sorts of situations, and to<br />

everyone who was recognised<br />

at these fantastic events, I would<br />

like to say a big well done, and<br />

thank you.”<br />

Deputy-Lieutenant of the West<br />

Midlands, Ian Sargeant, said:<br />

“Being at the awards made me<br />

extremely happy. There are lots<br />

of others words I could use here,<br />

but ‘happy’ is the right one.<br />

“That is because an organisation<br />

such as West Midlands<br />

<strong>Ambulance</strong> Service only works if<br />

everybody comes together, from<br />

those on the frontline to those<br />

behind the scenes, and everyone<br />

in between.<br />

“We’ve heard about tales of<br />

commitment to care, loyalty,<br />

bravery and dedication and it was<br />

an honour to be present to see<br />

some outstanding members of<br />

staff recognised.”<br />

High Sheriff of the County of<br />

West Midlands, Wade Lyn, said:<br />

“It is so important people are<br />

recognised for the excellence<br />

they show, and we have seen<br />

people from across the region<br />

celebrated, which is fantastic.<br />

“There are so many selfless<br />

people recognised at these<br />

events, all of whom are a real<br />

inspiration to their communities.<br />

By celebrating heroes we<br />

recognise the positive impact they<br />

make and encourage others to<br />

follow in their footsteps, which is<br />

so important. Well done to you all.”<br />

Prof Ian Cumming, WMAS<br />

Chairman, said: “It is important<br />

we recognise our staff, volunteers<br />

and members of the community<br />

because they all do remarkable<br />

things, day in, day out, despite the<br />

NHS facing some of the toughest<br />

challenges every seen. I send a<br />

huge and heartfelt thank you to<br />

them all for everything they do.”<br />

The Trust’s awards were<br />

sponsored by Coventry<br />

University, University of<br />

Wolverhampton, University of<br />

Worcester, Mills and Reeve,<br />

Medskills Academy, Birmingham<br />

City University, Jays Sourcing,<br />

Staffordshire University, VCS Ltd,<br />

DS Medical, G4S, Advantage<br />

Storing and Handling Ltd and<br />

Defibshop.<br />

SCAS re-signs Armed<br />

Forces Covenant<br />

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

Service NHS Foundation<br />

Trust (SCAS) has reiterated<br />

its commitment to support<br />

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 />

SCAS was the first ambulance<br />

trust in the country to sign up to<br />

the covenant in 2014 and a formal<br />

re-signing took place at the<br />

Trust’s North Harbour Resource<br />

Centre in Portsmouth on<br />

Wednesday, 5 July. Signatories<br />

to this latest commitment<br />

were Dr John Black, medical<br />

director for SCAS and retired<br />

lieutenant colonel, and Surgeon<br />

Commodore Stuart Collett<br />

CBE KHP.<br />

By signing the covenant,<br />

organisations give a formal<br />

commitment to ensure that<br />

members of the armed<br />

forces community are never<br />

disadvantaged through service life.<br />

Serving personnel, veterans and<br />

their families can sometimes be<br />

affected by the frequent house<br />

moves, separation from loved<br />

ones and support networks,<br />

and unfamiliarity with civilian life<br />

meaning they can find themselves<br />

on the back foot when accessing<br />

public goods and services, such<br />

as healthcare.<br />

Dr Black said: “It was a privilege<br />

to once again sign the Armed<br />

Forces Covenant on behalf of<br />

SCAS as a demonstration of our<br />

support to serving personnel,<br />

veterans, reservists and their<br />

families.<br />

“As well as taking into account<br />

the needs of the armed forces<br />

community in the development<br />

of our services and policies,<br />

I am also delighted that we<br />

continue to offer veterans and<br />

reservists a range of employment<br />

opportunities within SCAS.”<br />

28<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


The covenant was signed at the<br />

end of a recruitment event hosted<br />

at the North Harbour Resource<br />

Centre by SCAS and the Career<br />

Transition Partnership (CTP).<br />

The CTP has been the official<br />

provider of resettlement support<br />

for leavers from the Armed<br />

Forces for over 20 years.<br />

At the event, SCAS opened its<br />

doors to serving members of<br />

the armed forces community as<br />

well as recent leavers, who were<br />

able to hear about the career<br />

opportunities in the emergency,<br />

NHS 111, patient transport and<br />

support services that SCAS<br />

provides. They were also able<br />

to speak to a number of military<br />

veterans who had already made<br />

the transition into SCAS and<br />

were enjoying successful and<br />

rewarding second careers.<br />

Laura Farrow, recruitment<br />

manager and military champion<br />

at SCAS, said: “Thank you to<br />

everyone who took the time to<br />

visit and from the conversations<br />

I had with attendees, people left<br />

with a deeper understanding<br />

about the services we provide<br />

and were excited about the<br />

opportunities we can offer them<br />

after they have finished their<br />

military service.<br />

“SCAS has over 150 veterans,<br />

reservists and military champions<br />

working in the organisation,<br />

some of whom enjoyed spending<br />

time showing visitors around our<br />

vehicles and equipment, and<br />

talking to them about their own<br />

real life experiences.<br />

“I am sure that today’s event,<br />

along with others we have<br />

planned, and the formal re-signing<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />



AMBULANCE <strong>UK</strong> – AUGUST<br />

of the Armed Forces Covenant will<br />

continue to keep SCAS at the front<br />

of many people’s minds when<br />

considering a career after leaving<br />

the armed forces.”<br />

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

Service colleagues<br />

praised for long<br />

service<br />

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

celebrated its long-serving<br />

staff and volunteers at an<br />

awards ceremony in North<br />

Wales yesterday.<br />

Colleagues with 20, 30, 40<br />

and 50 years of service were<br />

presented with medals at<br />

Deganwy’s Quay Hotel in an<br />

event to recognise length of<br />

service.<br />

Colleagues with 20 years<br />

in the Emergency Medical<br />

Service were also presented<br />

with a Long Service and Good<br />

Conduct Medal by the King’s<br />

representative in Clwyd, High<br />

Sheriff Kate Hill-Trevor.<br />

Among the recipients at<br />

yesterday’s event was urgent care<br />

assistant Trefor Lloyd Jones from<br />

Caernarfon, who was recognised<br />

for a half-century of service.<br />

Trefor joined the NHS in 1972 aged<br />

17, starting his career as a filing<br />

clerk at the Caernarfonshire and<br />

Anglesey (C&A) Hospital in Bangor.<br />

He worked his way up to clerical<br />

officer before joining Gwynedd<br />

<strong>Ambulance</strong> Service in 1977.<br />

Trefor said: “There was no such<br />

thing as a paramedic back then<br />

– I joined as an ‘ambulance man’<br />

and that’s what we all were.<br />

“I did two weeks of training at<br />

the ambulance headquarters in<br />

Bodfan at Eryri Hospital, then six<br />

weeks at Wrenbury Hall in Crewe,<br />

and then I was qualified.<br />

“Back then, we did both<br />

emergencies and nonemergencies,<br />

so taking people to<br />

clinic appointments.<br />

“There was also a standby shift,<br />

which meant the duty ambulance<br />

driver would take the vehicle home<br />

and he’d get a call on his landline<br />

telephone from control if there was<br />

an emergency in the night.”<br />

Later qualifying as an Emergency<br />

Medical Technician, Trefor says<br />

a lot has changed in the last<br />

50 years.<br />

“In the 1970s, we were essentially<br />

just providing basic life support,<br />

and not a lot else,” he said.<br />

“We didn’t have the skills or<br />

equipment back then – in fact,<br />

the only equipment we had was<br />

a stretcher, splints, blankets<br />

and a ‘minuteman’ to help with<br />

resuscitation.<br />

“Our ‘ambulance’ was a Ford<br />

Transit with two stretchers in the<br />

back and a small blue light on<br />

the roof.<br />

“The standard of care has<br />

improved fantastically, but we’ve<br />

had no choice but to evolve<br />

because demand on the service<br />

has also increased drastically.<br />

“There’d be some nights where<br />

you wouldn’t turn the wheel of the<br />

ambulance, but these days, it can<br />

be job after job after job.”<br />

Trefor’s wife Julie recalls: “In the<br />

80s, I remember getting calls at<br />

home from the control room to say<br />

‘Trefor’s had a dirty job – please<br />

could you have a bath ready?’<br />

“I’d have to run a hot bath and<br />

make sure the washer was empty<br />

so his dirty clothes could go<br />

straight in.<br />

“I’d also have a bowl of hot water<br />

and Savlon antiseptic by the back<br />

door for his stethoscope to go in<br />

and any loose change from his<br />

pocket.<br />

30<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


“This was at the time of the<br />

meningitis outbreak, but there<br />

was no such thing then as PPE.<br />

“The ambulance service also<br />

gave us six vouchers a year<br />

for Johnson Cleaners, so we<br />

could take Trefor’s uniform to be<br />

laundered and dry cleaned.”<br />

Trefor added: “If we had a<br />

‘dirty’ job, we’d have to mix two<br />

chemicals together in a bowl<br />

and leave it in the back of the<br />

ambulance with the doors locked<br />

for it to have a reaction and<br />

disinfect everything.”<br />

Trefor, 68, whose nickname<br />

locally is ‘Trefor <strong>Ambulance</strong>’, is<br />

these days working part-time as<br />

an Urgent Care Assistant.<br />

He said: “Caernarfon is such a<br />

small community that everyone<br />

knows everyone.<br />

“Often, you’ll have people coming<br />

up to you to say ‘You helped my<br />

mam’ or ‘You helped my auntie.’<br />

“One time, a woman came up to<br />

me and said ‘You see that boy<br />

there – you helped to deliver him.’<br />

“He must have been about<br />

11-years-old but I did remember<br />

it – it’s a nice feeling.”<br />

Trefor, a father-of-four and a<br />

grandfather-of-five, has even<br />

inspired his two sons to follow in<br />

his footsteps.<br />

His eldest son Gareth, 44,<br />

works for the Royal Air Force in<br />

Bedford and is also a Community<br />

First Responder for the East of<br />

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

His youngest son Dewi, 33,<br />

is a paramedic at the Welsh<br />

<strong>Ambulance</strong> Service in Bargoed,<br />

who next week takes up a new<br />

role as a Cymru High Acuity<br />

Response Unit Paramedic.<br />

Trefor added: “Of the 27<br />

colleagues who did their training<br />

back in 1977, I’m the last one<br />

standing, but I enjoy it as much<br />

now as I did on day one.”<br />

Almost 200 colleagues across the<br />

Trust have been invited to receive<br />

a Long Service Award this year.<br />

Patient-facing colleagues at<br />

yesterday’s event included<br />

paramedics, emergency medical<br />

technicians, call handlers,<br />

allocators and operations<br />

managers, while a practice<br />

educator, project support officer<br />

and a safeguarding specialist were<br />

among the corporate colleagues.<br />

Recipients came from all four<br />

corners of North Wales, including<br />

Holyhead, Bangor, Llanfairfechan,<br />

Rhyl, St Asaph, Wrexham, Ruthin,<br />

Dolgellau and Dobshill, Flintshire.<br />

Chief Executive Jason Killens<br />

said: “Working for the ambulance<br />

service is not just any job – it’s a<br />

job that makes a real difference.<br />

“Often when people are at their<br />

lowest ebb, our staff are the<br />

people to whom they turn, and<br />

it takes remarkable people to do<br />

the remarkable job they do, day<br />

in, day out.<br />

“It’s mindboggling to think that<br />

all the Long Service Awards we<br />

presented yesterday amount to<br />

more than 600 years of service.”<br />

Chair Colin Dennis added: “The<br />

reason the Welsh <strong>Ambulance</strong><br />

Service is what it is rests with its<br />

people who work tirelessly, 24/7,<br />

to serve the people of Wales.<br />

“All our staff and volunteers<br />

play a part in saving lives and<br />

I am extremely proud of their<br />

achievements.<br />

“Congratulations to all of our<br />

recipients.”<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />



AMBULANCE <strong>UK</strong> – AUGUST<br />

NHS Charities<br />

Together Patrons The<br />

Prince and Princess<br />

of Wales surprise<br />

health workers with<br />

75th anniversary<br />

party – even helping<br />

make the cake!<br />

Marking the 75th anniversary<br />

of the NHS on Wednesday 5th<br />

July, Their Royal Highnesses<br />

The Prince and Princess of<br />

Wales have surprised NHS<br />

staff and patients from across<br />

the <strong>UK</strong> with a very special NHS<br />

Big Tea party – even arriving<br />

early to help lay the tables, put<br />

finishing touches on a birthday<br />

cake, and debate the age-old<br />

question: jam or cream first.<br />

Hosted by NHS Charities Together<br />

– the national charity caring for<br />

the NHS, of which Their Royal<br />

Highnesses are Patrons – and<br />

television presenter Mel Giedroyc,<br />

the event was attended by<br />

members of the workforce and<br />

patients representing myriad<br />

achievements of the NHS and NHS<br />

charities over the last 75 years. It<br />

was held in the wellbeing garden of<br />

St Thomas’ Hospital in London – a<br />

wellbeing initiative funded by Guy’s<br />

and St Thomas’ Charity.<br />

The Prince and Princess met<br />

with guests ranging from Aneira<br />

Thomas, the first baby born on<br />

the NHS, to pioneers in research<br />

and those on the frontline tackling<br />

Covid-19. The guest list honoured<br />

staff past and present, including<br />

three generations of NHS workers<br />

from one family – inspired by<br />

grandmother and former nurse of<br />

nearly 50 years, Blanche Hines,<br />

who was part of the Windrush<br />

generation.<br />

Their Royal Highnesses<br />

discussed current challenges and<br />

thanked staff for the work they<br />

continue to do, and – in the spirit<br />

of the tea party – even attempted<br />

to settle the long-standing scone<br />

debate regarding jam or cream<br />

first, with The Princess voting for<br />

jam, and Prince William preferring<br />

whatever is closest. They<br />

concluded their visit with a video<br />

message for the entire NHS:<br />

“Wishing everyone a very happy<br />

75th birthday for the NHS.<br />

Thank you so much for all<br />

you do.”<br />

Ellie Orton OBE, Chief<br />

Executive of NHS Charities<br />

Together, said: “We want to<br />

say a huge thank you to our<br />

Royal Patrons, and everyone<br />

who’s helped celebrate the 75th<br />

anniversary of our beloved NHS<br />

this year. As the national charity<br />

caring for the NHS, NHS Charities<br />

Together is here for anyone who<br />

wants to give something back to<br />

its people, who all give so much<br />

to us, and that extra support<br />

has never been so important.<br />

It includes providing staff<br />

psychologists, counselling, peer<br />

support training and so much<br />

more.<br />

“It’s not too late to arrange<br />

your own NHS Big Tea party<br />

and raise vital funds to support<br />

NHS charities – find out<br />

how you can get involved at<br />

nhscharitiestogether.co.uk.”<br />

Dr Neil Rees, a Consultant<br />

Clinical Psychologist leading<br />

the staff wellbeing programme<br />

at Guy’s and St Thomas’, which<br />

has benefited from NHS charity<br />

funding, said: “The Prince of<br />

Wales was very mindful of the<br />

support that’s been given by<br />

NHS charities and how essential<br />

that is, and really understood<br />

the issues and complexities<br />

– particularly with the current<br />

challenges we’re facing. The<br />

pandemic shone a light on the<br />

needs of staff, but he was keen<br />

to talk about how we maintain the<br />

care roles like mine provide, and<br />

how charities play a major role in<br />

that. It was incredibly special to<br />

be recognised in that way.”<br />

Eurovision and former Great-<br />

British Bake Off presenter<br />

Mel Giedroyc was the host<br />

for the event on behalf of<br />

NHS Charities Together, and<br />

said: “The NHS is part of our<br />

DNA in this country so it was<br />

an utter privilege to be involved<br />

in this NHS Big Tea surprise to<br />

celebrate 75 years of the NHS<br />

and NHS charities. People were<br />

so delighted and it was just a<br />

quintessentially lovely, British day,<br />

celebrating our health service<br />

that we all love so much. I hope<br />

we will continue to love and take<br />

care of it for the next 750 years,<br />

because it’s something truly<br />

precious – and what would we do<br />

without it? I have it to thank for<br />

my hernia operations!”<br />

The Prince and Princess of<br />

Wales became Royal Patrons<br />

for NHS Charities Together in<br />

December 2020, during the<br />

height of the Covid-19 pandemic.<br />

Since then, their support for<br />

the charity has helped to shine<br />

a light on the incredible and<br />

ongoing contribution of the NHS<br />

workforce and the role of NHS<br />

charities in helping the NHS go<br />

further for everyone.<br />

Now entering its sixth year, the<br />

NHS Big Tea brings the nation<br />

together to celebrate the NHS<br />

and raise funds to provide the<br />

extra support needed for staff,<br />

patients, and volunteers. All<br />

funds raised from the NHS Big<br />

Tea contribute to key projects<br />

supporting the incredible NHS<br />

workforce, the long-term recovery<br />

of the NHS following Covid-19,<br />

and projects improving care for<br />

patients and communities.<br />

To find out more about the<br />

work of NHS charities, or how<br />

you can host your own NHS<br />

Big Tea event pack, please visit<br />

www.nhscharitiestogether.<br />

co.uk<br />

Six new community<br />

first responder cars<br />

for the South Western<br />

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

thanks to NHS<br />

Charities Together<br />

Thanks to a £128,000 grant<br />

from NHS Charities Together,<br />

patient care provided by<br />

South Western <strong>Ambulance</strong><br />

Service NHS Foundation Trust<br />

volunteer Community First<br />

Responders, will be boosted<br />

by the arrival of six new Dacia<br />

Dusters response vehicles.<br />

The new vehicles were officially<br />

presented to the ambulance<br />

service at an event at Buckfast<br />

Abbey in Devon, on the last day of<br />

Volunteers’ Week.<br />

Every day, volunteers from across<br />

the South West support the South<br />

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

Foundation Trust (SWASFT) by<br />

attending emergencies within<br />

their local communities ahead<br />

of an emergency ambulance.<br />

Sometimes the difference is<br />

providing reassurance; sometimes<br />

it is saving someone’s life.<br />

In the last 12 months, Community<br />

First Responders were mobilised<br />

approximately 24,000 times, to<br />

medical emergencies such as:<br />

cardiac arrests, chest pains,<br />

breathing difficulties and patients<br />

who had fallen.<br />

The grant was secured by the<br />

South Western <strong>Ambulance</strong><br />

Charity as part of a collaborative<br />

project with the Trust’s<br />

Volunteering and Community<br />

Services team and delivered with<br />

the support of the Fleet team.<br />

Each car has been converted and<br />

equipped with a full Community<br />

First Responder kit including<br />

a defibrillator and observation<br />

equipment. Each car also carries<br />

a Raizer lifting chair to assist<br />

32<br />

For further recruitment vacancies visit: www.ambulanceukonline.com

TESTED<br />



patients who have had a fall.<br />

Will Warrender, Chief Executive<br />

of SWASFT, said: “The funding<br />

received by the South Western<br />

<strong>Ambulance</strong> Charity is enabling us<br />

to better support our volunteers,<br />

who, in turn provide incredible<br />

support to the communities<br />

they serve.<br />

“The six cars that are being<br />

provided through the charity<br />

will enable Community First<br />

Responders to respond to<br />

emergencies across a wider<br />

geographic area and support the<br />

training of new volunteers through<br />

observer shifts.”<br />

Zoe Larter, Head of South<br />

Western <strong>Ambulance</strong> Charity, said:<br />

“We would like to thank NHS<br />

Charities Together for awarding<br />

us this grant. It’s really going to<br />

make a huge difference and help<br />

improve the patient care delivered<br />

by our dedicated volunteers.”<br />

Ellie Orton OBE, Chief Executive<br />

of NHS Charities Together,<br />

said: “NHS Charities Together<br />

is the national charity caring for<br />

the NHS, and we’re delighted<br />

to support South Western<br />

<strong>Ambulance</strong> Charity with this<br />

project. Our ambulance services<br />

are facing pressures on a colossal<br />

scale, and CFRs provide vital<br />

support when every second<br />

counts. We hope these new<br />

response vehicles will help them<br />

reach vulnerable patients even<br />

faster in emergency incidents –<br />

and ultimately help save lives.”<br />

SWASFT has over 500 active<br />

volunteers who support the<br />

service in patient-facing and<br />

non-patient facing roles. To find<br />

out about volunteering roles at the<br />

Trust and to express an interest,<br />

please visit - https://www.swast.<br />

nhs.uk/welcome/community-firstresponders/volunteer-recruitment.<br />

The cars will enhance the<br />

work of the Community First<br />

Responders in their communities<br />

by supporting operational<br />

requirements in the following<br />

ways:<br />

• Additional response vehicles<br />

to extend Community First<br />

Responder capacity and<br />

improve patient experience<br />

• Provided a response vehicle<br />

that allows two Community<br />

First Responders to respond<br />

together to patients across the<br />

South West<br />

• Volunteer training activities,<br />

such as experienced crew<br />

members taking out new<br />

volunteers on familiarisation<br />

shifts<br />

• For double-crewed shifts to<br />

enhance skills or to enable work<br />

with other professionals<br />

Cars may also be used to target<br />

specific types of incidents, e.g. as<br />

a Falls Vehicle or Welfare Support<br />

Car, or to work alongside a skilled<br />

professional such as with the<br />

Mental Health Team or Home<br />

Treatment Team.<br />



Contact us for further<br />

information and brochures<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />



AMBULANCE <strong>UK</strong> – AUGUST<br />

A Day in the Life Of<br />

… a 999 call handler<br />

mentor<br />

After 15 years of answering<br />

emergency ambulance calls,<br />

Suman Legah has heard it all,<br />

and now she spends most<br />

of her days mentoring and<br />

inspiring the next generation<br />

of 999 call handlers. We joined<br />

her to see what a day in her life<br />

is like.<br />

“<strong>Ambulance</strong> service, is the patient<br />

breathing?”<br />

One ring of the phone is all our<br />

Emergency Medical Dispatchers<br />

have before they speak directly<br />

to someone in their hour of need,<br />

and the first call of today is for an<br />

elderly lady who has had a fall<br />

in a Lincolnshire care home and<br />

suffered a nasty head injury.<br />

Emergency call handler and<br />

mentor Suman Legah carefully<br />

and calmly takes all the details<br />

needed for an ambulance to be<br />

dispatched, before talking the<br />

concerned carer through how to<br />

stop the bleeding with a clean, dry<br />

towel. Suman reassures the caller<br />

an ambulance will be sent as soon<br />

as possible and ends the call to<br />

take the next one.<br />

The phone rings again, this time<br />

a General Practitioner (GP) with a<br />

patient experiencing chest pain,<br />

followed by a call for an elderly<br />

lady stranded on the toilet for 10<br />

hours having been found by her<br />

carers when they arrived for their<br />

morning visit.<br />

Suman explains that while she’s<br />

taken some very traumatic calls<br />

over the years, it’s actually these<br />

elderly patients who concern her<br />

the most.<br />

She said: “It’s the older callers<br />

that get me – the little Dorises – if<br />

people aren’t looking out for each<br />

other now, what is it going to<br />

be like for me when I’m older. It<br />

makes you think.<br />

“I once took a call from the police<br />

who had forced entry to an elderly<br />

woman’s house and found she<br />

had been on the floor for two<br />

weeks – no medication, no food,<br />

no water – no-one had checked<br />

up on her. But she was still alive!<br />

“As it was a fall, the call was<br />

automatically categorised as a<br />

Category 3, so I immediately went<br />

over to our Clinical Assessment<br />

Team to ask them to upgrade it<br />

given the circumstances so we<br />

could get there as quickly as<br />

possible.”<br />

The two EMAS 999 control<br />

rooms – one in Bracebridge Heath<br />

in Lincolnshire and one near<br />

Nuthall in Nottinghamshire – take<br />

challenging calls every day, and<br />

so Suman explains that anyone<br />

looking to join as a 999 call<br />

handler needs to be emotionally<br />

resilient to cope with such calls.<br />

Suman said: “I’ve taken calls from<br />

people who have seen loved ones<br />

stabbed, or drivers who have<br />

come across traumatic road traffic<br />

collisions where the patient’s limbs<br />

have come off due to the force of<br />

the impact. It’s the picture painted<br />

in your mind by the caller which<br />

can be difficult.<br />

“You also get the callers who<br />

shout and swear at you – it gets<br />

easier over the years, but I am<br />

human too.<br />

“All I can do is my best for each<br />

caller, which means taking control<br />

of the situation, getting the<br />

information I need to send help<br />

to them, and providing them with<br />

reassurance until an ambulance<br />

crew can arrive.”<br />

To help her process and reflect<br />

on the calls she answers, Suman<br />

walks around 16,000 steps a day<br />

– including walks before her 6am<br />

shift starts, in her 45-minute meal<br />

break, and to help her wind down<br />

when she gets home to Ilkeston in<br />

Derbyshire.<br />

She said: “I don’t sleep much and<br />

I’m an early riser so I’m up before<br />

4am and do some yoga, prayer,<br />

read, have a shower and a cup of<br />

tea, and then come to work about<br />

half an hour early.<br />

“Then I park up, do a few laps<br />

around the headquarters site as<br />

I love walking, and then I set my<br />

desk up, log in, and I’m ready to<br />

take on whatever comes my way.<br />

“After work I use the time to<br />

think about what I could have<br />

done better, but without beating<br />

myself up.”<br />

Before becoming a 999 call<br />

handler, Suman travelled the world<br />

as a buyer for big-name brands<br />

such as BHS, Asda and Tesco.<br />

After getting married, she stopped<br />

travelling and looked for a more<br />

local role and began working in<br />

the control room at EMAS.<br />

She said: “I was very intimidated<br />

coming to work in the office as<br />

everyone knew more than me<br />

and I kept worrying ‘what if I<br />

kill someone?’.<br />

“Back then you only had three<br />

shifts with a mentor and then you<br />

were taking calls by yourself. Now<br />

we mentor new colleagues for<br />

around 10 to 12 shifts. I make sure<br />

they feel confident and reassured<br />

and know they can still always<br />

come to me to ask anything they<br />

are not sure about.”<br />

Suman’s first solo shift was tough,<br />

especially as the first call she ever<br />

answered was for someone who<br />

had taken their own life and there<br />

was little she could do to help<br />

them.<br />

She said: “In my mind I hadn’t<br />

helped because the patient had<br />

died, and there wasn’t much<br />

support back then for us. I went<br />

home and cried, and then carried<br />

my resignation letter in my bag<br />

with me for six months.<br />

“However, it turned out I needed<br />

to give the job a chance, and<br />

within six months it all started<br />

coming together and I was asked<br />

to become a mentor for new<br />

colleagues.<br />

“Now I say to my mentees that<br />

they need to give the role six to<br />

nine months, and then one day it<br />

will all suddenly click in your head,<br />

and you’ll walk in buzzing, and<br />

you won’t need to ask anyone<br />

anything.”<br />

Throughout her EMAS career to<br />

date, Suman estimates that she’s<br />

mentored somewhere between 30<br />

and 40 people, and every single<br />

one of them have passed their<br />

Emergency Medical Dispatcher<br />

certification.<br />

However, she is clear that people<br />

applying for the role need to be a<br />

certain type of person and willing<br />

to work bank holidays, weekends,<br />

days and nights as part of a shift<br />

pattern.<br />

Suman added: “This job isn’t<br />

for everyone. You need to be<br />

confident and assertive, and<br />

you cannot get upset after every<br />

traumatic call. At the end of the<br />

day, if you are not alert enough<br />

and practising active listening with<br />

each caller to catch something<br />

which may indicate that someone<br />

is seriously unwell, then someone<br />

could die.<br />

“This is a really serious job, and<br />

I need to feel confident that all<br />

my colleagues around me in the<br />

control room are able to do the<br />

right thing for our patients.<br />

“We need to be following the<br />

script for compliance, but<br />

without it sounding like we are<br />

reading from a script, still making<br />

it personal for them, and still<br />

thinking outside the box when we<br />

34<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


need to in order to do the right<br />

(Gorseinon), Tamsin Turner<br />

the island, but if you think the<br />

hosted the visit.<br />

thing for that patient.”<br />

(Pembroke Dock), Callum<br />

domestic calls would be in any<br />

Paramedics<br />

switch gears at TT<br />

motorsport festival<br />

PARAMEDICS from the Welsh<br />

<strong>Ambulance</strong> Service have been<br />

supporting the world-famous<br />

TT motorsport festival in the<br />

Isle of Man.<br />

McNamara (Holyhead), Aimee<br />

Griffiths (Dobshill), Amanda Binks<br />

(Aberystwyth) and Lesley Spanner<br />

(Gorseinon) were picked to attend.<br />

The team were led across the<br />

two-week period by Dorian<br />

James, operations manager<br />

in Powys.<br />

Dorian said: “The TT is a fantastic<br />

learning experience, and you<br />

way dull, you couldn’t be more<br />

wrong.<br />

“The island’s Mountain Road has<br />

no speed limit and unfortunately,<br />

lots of race-goers and tourists had<br />

accidents here, so what we saw<br />

was predominantly trauma jobs.<br />

“We worked really closely with the<br />

Isle of Man <strong>Ambulance</strong> Service<br />

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

He said: “We had an absolutely<br />

brilliant welcome from the Isle of<br />

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

“From the managers to the ‘makeready’<br />

staff, they couldn’t do<br />

enough for us.<br />

“We presented them with a Welsh<br />

dragon plaque at the end of the<br />

trip as a token of our appreciation.<br />

Every May and June, the world’s<br />

greatest road racers gather on<br />

the Isle of Man to test themselves<br />

against the 37.73 mile ‘Mountain<br />

Course’ carved out of the island’s<br />

public roads.<br />

The festival attracts 40,000 visitors<br />

annually, and when the Isle of<br />

Man <strong>Ambulance</strong> Service made an<br />

appeal for mutual aid, the Welsh<br />

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

acquire so many new skills.<br />

“For example, we learnt in<br />

our induction how to perform<br />

a surgical airway procedure<br />

and how to use a ‘Lucas-3’<br />

device to deliver mechanical<br />

chest compressions, a piece of<br />

equipment which only high acuity<br />

paramedics in Wales are trained<br />

to use.<br />

which flew patients from the island<br />

to the <strong>UK</strong> mainland.<br />

“Callum even got opportunity to<br />

spend time on the air ambulance<br />

and ended up in Liverpool and<br />

Northern Ireland during some<br />

of the transfers.<br />

“It was a completely different way<br />

of working there.”<br />

“I’d encourage all of my WAST<br />

colleagues to think about applying<br />

next year.”<br />

Clare Langshaw, the Welsh<br />

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

of Emergency Preparedness,<br />

Resilience and Response,<br />

said: “Mutual aid arrangements<br />

like this not only enable us<br />

to deliver services across<br />

geographic boundaries but it’s<br />

“Our job was to attend the<br />

Dorian has extended a thanks to<br />

also a wonderful opportunity for<br />

Paramedics Sarah Raddenbury<br />

‘business as usual’ activity on<br />

the Isle of Man colleagues who<br />

individuals to develop their skills<br />

Helping to Power the<br />

Healthcare Services<br />

Now’s the time to<br />

electrify blue light fleets.<br />

Electrifying the response vehicles of the ambulance services will have a major<br />

positive impact on reducing emissions.<br />

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AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />



and get a whole new perspective<br />

on things.<br />

“It helps to strengthen<br />

relationships with our partner<br />

agencies, as well as introduce us<br />

to new people and new ideas.”<br />

Judith Bryce, Assistant Director of<br />

Operations for National Operations<br />

and Support, said: “This is the<br />

second year that we’ve supported<br />

the TT event, and each year,<br />

colleagues come back with bags<br />

of enthusiasm having experienced<br />

something completely different,<br />

and lots of ideas for improvement<br />

based on what they observed.<br />

“We’re proud and grateful to these<br />

seven colleagues for flying the flag<br />

for Wales in such a professional<br />

way.”<br />

Will Bellamy, Head of the Isle of<br />

Man <strong>Ambulance</strong> Service, added:<br />

“I’d like to take this opportunity<br />

to offer my personal thanks to<br />

Dorian, Sarah, Tamsin, Callum,<br />

Aimee, Amanda and Lesley for<br />

their invaluable support during the<br />

TT fortnight, and for their tireless<br />

devotion in keeping both Manx<br />

residents and visitors to the island<br />

as safe as possible.<br />

“It was a great opportunity for our<br />

teams to be able to learn from<br />

their Welsh colleagues too.<br />

Chief Executive Jason Killens<br />

(Credit: Wales Online)<br />

King’s <strong>Ambulance</strong> Service Medal<br />

for distinguished service, it was<br />

announced tonight.<br />

Meanwhile, Volunteer Car Service<br />

Driver Ian Cross has been<br />

awarded a British Empire Medal<br />

for services to the Trust.<br />

The King’s Birthday Honours<br />

List recognises the outstanding<br />

achievements of people across<br />

the <strong>UK</strong>, from all walks of life.<br />

Colin Dennis, Chair of the Welsh<br />

<strong>Ambulance</strong> Service, said: “We’re<br />

beyond thrilled that Jason and<br />

of highly skilled, engaged and<br />

healthy people, and it shines<br />

through in all he does.<br />

“These awards recognise the<br />

dedication of some of our very<br />

best ambulance professionals,<br />

and I’d like to extend a huge<br />

congratulations to Jason and Ian.”<br />

Jason began his career as an<br />

Emergency Medical Technician<br />

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

where he held various senior<br />

leadership roles, including<br />

Executive Director of Operations.<br />

“I’ve had 27 years in ambulance<br />

services in the <strong>UK</strong> and Australia<br />

and I love it as much now as I did<br />

on day one.<br />

“<strong>Ambulance</strong> work for me is all<br />

about doing the best we can for<br />

our people and our patients, so the<br />

King’s <strong>Ambulance</strong> Service Medal is<br />

as much for them as it is for me.<br />

“A huge congratulations also to<br />

Ian, who is an integral cog in the<br />

wheel of our non-emergency<br />

service.”<br />

Ian Cross, a civil servant from<br />

Pontypool, volunteers two days<br />

per week to take patients to their<br />

hospital appointments, including<br />

dialysis, oncology and outpatient<br />

appointments.<br />

Ian, who is severely deaf, is usually<br />

accompanied by his hearing dog<br />

Buddy, a 10-year-old Cocker<br />

Spaniel trained to assist Ian by<br />

alerting him to important sounds,<br />

like smoke alarms.<br />

In 2022/23, Volunteer Car Service<br />

Drivers made 51,924 journeys<br />

across Wales and covered more<br />

than one and a half million miles in<br />

their own vehicles.<br />

Ian, 53, said: “I couldn’t believe<br />

it when the letter landed on my<br />

doormat.<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

“I look forward to welcoming<br />

more colleagues from the Welsh<br />

<strong>Ambulance</strong> Service to the island<br />

in 2024!”<br />

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

Service staff<br />

recognised in King’s<br />

Birthday Honours List<br />

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

staff have been recognised in<br />

His Majesty the King’s Birthday<br />

Honours List.<br />

Chief Executive Jason Killens has<br />

been awarded the prestigious<br />

Ian have been recognised in<br />

King Charles’ first Birthday<br />

Honours List.<br />

“We’re incredibly proud of all<br />

colleagues who go the extra mile<br />

for patients, at all levels, including<br />

hard-working volunteers like Ian.<br />

“Jason meanwhile has a near<br />

30-year ambulance service career,<br />

his talent and tenacity as a Chief<br />

Executive taking him literally<br />

around the globe.<br />

“He’s passionate about the<br />

delivery of high quality patient care<br />

in partnership with a workforce<br />

He was appointed the Chief<br />

Executive of the South Australia<br />

<strong>Ambulance</strong> Service in 2015 before<br />

joining the Welsh <strong>Ambulance</strong><br />

Service as Chief Executive<br />

in 2018.<br />

He is an Honorary Professor at<br />

Swansea University’s College<br />

of Human and Health Sciences,<br />

and the Chief Executive lead for<br />

Operations at the Association of<br />

<strong>Ambulance</strong> Chief Executives.<br />

Jason, 48, said: “I’m proud and<br />

delighted to be recognised in the<br />

King’s Birthday Honours List.<br />

“I saw ‘On His Majesty’s Service’<br />

and thought: ‘Oh no, I’m in<br />

trouble.’<br />

“I was shaking like a leaf and it<br />

gave me goose bumps to read –<br />

I have goose bumps talking about<br />

it even now.<br />

“Poor old Buddy was wondering<br />

where his tea was because I just<br />

kept re-reading the letter.<br />

“The fact that it’s the King’s first<br />

Birthday Honours List makes<br />

me especially proud, and I’m<br />

really looking forward to the<br />

presentation of the medal.”<br />

36<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


To learn more about becoming<br />

a Volunteer Car Service Driver,<br />

visit: Become a Volunteer<br />

Car Service Driver - Welsh<br />

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

Secretary of State for Wales,<br />

David TC Davies, said: “It is<br />

incredibly inspiring to hear<br />

about the extraordinary and<br />

invaluable work of so many people<br />

from across Wales who have<br />

deservedly been recognised in the<br />

King’s Birthday Honours.<br />

“Welsh recipients from a wide<br />

range of fields have been<br />

recognised, whether it’s for<br />

their commitment to their local<br />

community, their contribution<br />

to sport, education, culture or<br />

health – and I’m thrilled that<br />

their endeavours have been<br />

commended.<br />

“I would like to congratulate all the<br />

recipients being honoured and<br />

thank each and every one for their<br />

contribution.”<br />

LGBT+ staff survey<br />

finds EEAST ‘a<br />

modern and inclusive<br />

organisation’<br />

Chief executive recognises<br />

progress, but says there is<br />

‘much further to go’.<br />

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

Service is publishing the results<br />

of an independent survey of<br />

colleagues who identify as LGBT+.<br />

https://www.eastamb.nhs.uk/<br />

about-us/equality-and-diversitysurveys.htm<br />

This follows independent surveys<br />

of BME staff and employees living<br />

with a disability and is part of<br />

the Trust’s on-going programme<br />

to making EEAST an inclusive<br />

environment for everyone.<br />

65% of LGBT staff took part<br />

and shared their views. 72% of<br />

respondents reported that they<br />

consider the Trust to be ‘a modern<br />

and inclusive organisation, which<br />

recognises and embraces people<br />

of all sexual orientations and<br />

different gender identities.’<br />

Tom Abell, CEO of EEAST, said:<br />

“We have made good progress in<br />

improving the culture at EEAST as<br />

evidenced by our improved Care<br />

Quality Commission report and<br />

the lifting of CQC and European<br />

Human Rights Commission<br />

conditions. We are also optimistic<br />

that our results from our recent<br />

staff survey show that we are<br />

beginning to move in the right<br />

direction.<br />

“However, we still have much<br />

further to go in making our<br />

Trust an inclusive environment<br />

for everyone. The key areas<br />

to improve include ensuring<br />

that our staff are confident that<br />

complaints or concerns raised<br />

within EEAST are taken seriously<br />

and not dismissed, trivialised,<br />

or explained away, and that we<br />

tackle ignorance that can lead to<br />

discrimination.<br />

“We have a three-year plan to<br />

make EEAST a more inclusive<br />

place to work and have a skilled<br />

team in the Strategy, Culture and<br />

Education Directorate to drive<br />

forward this plan. We will work<br />

with our employee networks to<br />

ensure that the voice of our people<br />

is represented and valued in all<br />

our plans.”<br />

Ground-breaking<br />

degree turns out first<br />

qualified paramedics<br />

A group of London <strong>Ambulance</strong><br />

Service medics are celebrating<br />

completing a new twoyear<br />

university degree in<br />

paramedicine.<br />

The 45 students are the first<br />

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

cohort to graduate from<br />

the University of Cumbria’s<br />

Paramedicine Course.<br />

The new programme, which is<br />

fully-funded for the students and<br />

started in 2021, aims to make<br />

becoming a paramedic more<br />

accessible and allows clinicians<br />

who are already on the frontline to<br />

continue to work while they earn<br />

their degree.<br />

Lee Knowles, 50, from East<br />

London, was a driving instructor<br />

until the age of 46. He started<br />

working on ambulances four<br />

years ago and is one of the frontline<br />

workers to benefit from the<br />

programme.<br />

He said: “I got my paramedic<br />

registration this month (July) as I<br />

turned 50. At my age, to be given<br />

the opportunity to go back to<br />

university, debt-free, was amazing.<br />

It has opened many doors for me.<br />

“I left school at 16, with good<br />

enough GCSEs. But 30 years<br />

ago, I would have never thought<br />

I would have joined an ambulance<br />

service and even possibly become<br />

a qualified paramedic.”<br />

Donna Buckman, 35, from Surrey,<br />

worked as a florist before joining<br />

the Service at 30. She said the<br />

course was a challenging but<br />

rewarding experience:<br />

“I don’t think I would have<br />

considered a degree without this<br />

opportunity.<br />

“I was diagnosed with dyslexia<br />

years ago and more recently with<br />

dyscalculia. I knew that would be<br />

a challenge, but I tried not to let<br />

that get in the way.<br />

“When I saw I had finished with<br />

a first, I was shocked. I didn’t<br />

know I could do it because I<br />

found the academic side of<br />

things challenging. I hope my<br />

achievement inspires other<br />

neurodivergent people to not give<br />

up on their dreams.”<br />

Jamie Haig, 47, from North<br />

London, became an ambulance<br />

worker in 2019 after a career in IT.<br />

He said: “I went through a period<br />

in my life when I needed change.<br />

I became an Emergency Medical<br />

Technician four years ago and that<br />

change was wonderful – I wish I’d<br />

done it 20 years ago.<br />

“But as fantastic as the Technician<br />

job was, I wanted to qualify as<br />

a paramedic. It was great to be<br />

back in the classroom, I loved the<br />

academic challenge. This degree<br />

has opened up a huge number of<br />

options for me. I have nothing but<br />

gratitude for this job.”<br />

Dr John Martin, Chief Paramedic<br />

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

joined the celebrations at<br />

University of Cumbria and said:<br />

“Huge congratulations to the<br />

graduates – it’s incredibly<br />

inspiring to see them get to<br />

this milestone. Studying for a<br />

university degree while working<br />

on the frontline can be extremely<br />

challenging, so everyone should<br />

be immensely proud!<br />

“We know demand on our<br />

services continues to grow and<br />

the need to secure a pipeline<br />

of paramedics is a key priority.<br />

This degree has created a new<br />

route, helping our staff gain the<br />

same standards of education as<br />

those who take the usual degree<br />

route, while continuing to work on<br />

the frontline.<br />

“It has also proved to be an<br />

amazing opportunity for those<br />

who may have thought university<br />

wasn’t for them and we hope it will<br />

help us attract a more diverse pool<br />

of talent from the local area.”<br />

The new degree programme<br />

runs alongside the successful<br />

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

apprenticeship, which is a route to<br />

becoming an Emergency Medical<br />

Technician (EMT) without any prior<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />



medical qualifications. Following<br />

the apprenticeship, frontline<br />

workers can move onto the<br />

two-year degree course without<br />

pausing their careers.<br />

In 2022, London <strong>Ambulance</strong><br />

Service launched the most<br />

ambitious recruitment programme<br />

in its history. In the last year, 1600<br />

people have joined the Service<br />

including 900 frontline ambulance<br />

staff and 370 call handlers. The<br />

increased numbers mean the<br />

Service now has around 400<br />

ambulances on the road every<br />

day responding to 999 calls – 100<br />

more than pre-pandemic levels.<br />

Last year, London <strong>Ambulance</strong><br />

Service was ranked as the top<br />

NHS employer for apprenticeships<br />

in the country by the Department<br />

for Education – ahead of big<br />

name companies like Tesco<br />

and Amazon.<br />

Magpas Air<br />

<strong>Ambulance</strong> signs<br />

the Armed Forces<br />

Covenant, alongside<br />

armed forces<br />

personnel and the<br />

Lord Lieutenant of<br />

Cambridgeshire,<br />

Julie Spence OBE<br />

Cambridgeshire-based charity<br />

Magpas Air <strong>Ambulance</strong><br />

received a Gold Award in the<br />

Defence Employer Recognition<br />

Scheme for its support of<br />

Armed Forces personnel<br />

on 12 July. It’s a coveted<br />

achievement, with only a<br />

handful of businesses in the<br />

<strong>UK</strong> receiving the award—which<br />

is the highest badge of honour<br />

available in the scheme and<br />

recognises the positive role that<br />

employers play in supporting<br />

the Armed Forces community.<br />

Not only does it make the charity<br />

one of a small percentage<br />

of companies across the <strong>UK</strong><br />

to achieve this, Magpas Air<br />

<strong>Ambulance</strong> has also become the<br />

first air ambulance in the <strong>UK</strong> to<br />

receive the Gold Award too.<br />

The Defence Employer<br />

Recognition Scheme confirmed<br />

the charity was to receive the<br />

Gold Award after Magpas Air<br />

<strong>Ambulance</strong> made a series<br />

of pledges and worked for<br />

accreditations to demonstrate<br />

the charity’s support for<br />

their colleagues in the forces<br />

over the past few years. This<br />

included signing the Armed<br />

Forces Covenant in 2021, which<br />

represents a promise to those<br />

who serve or have served—and<br />

their families—that they will be<br />

supported and treated fairly by<br />

the charity.<br />

Magpas Air <strong>Ambulance</strong>’s Chief<br />

Executive Daryl Brown MBE<br />

DL, who is also Honorary<br />

Commander for the US Air<br />

Force, 423rd Medical Squadron<br />

of the 501st Combat Support<br />

Wing, summarises, “Magpas Air<br />

<strong>Ambulance</strong> has a really strong<br />

relationship with the Armed<br />

Forces, with a number of our<br />

founding doctors coming from<br />

army and RAF backgrounds. For<br />

over 50 years, this partnership<br />

has thrived—with Magpas Air<br />

<strong>Ambulance</strong> continuing to host<br />

many Armed Forces doctors,<br />

paramedics and flight crew—and<br />

some of our non-clinical staff<br />

are current or former service<br />

personnel, including two trustees.<br />

“As a charity we have signed up<br />

to the Armed Forces Covenant<br />

and we’re incredibly proud of<br />

our colleagues who have and<br />

continue to serve in the Armed<br />

Forces, as well as their families,<br />

and will always ensure they are<br />

treated fairly and get the support<br />

they need from Magpas Air<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

38<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


<strong>Ambulance</strong>. As well as signing<br />

the Armed Forces Covenant<br />

and working with the Defence<br />

Employer Recognition Scheme,<br />

we also have a partnership with<br />

our local medical reserve force<br />

(254 medical regiment), and<br />

are proud to have a reservists<br />

policy—which has been<br />

developed in consultation with<br />

our Armed Forces personnel. We<br />

also work closely with the US Air<br />

Force bases and international<br />

forces located in our region.<br />

We hope all of this supports<br />

our current workforce and will<br />

encourage other members of the<br />

forces to join this 24/7 lifesaving<br />

service.”<br />

Natalie Church, Magpas<br />

Air <strong>Ambulance</strong> Director of<br />

Operations, continues “One of<br />

our charity’s greatest strengths<br />

is our dedication to education<br />

and training—including learning<br />

from other services, such as<br />

the Armed Forces. The Magpas<br />

Air <strong>Ambulance</strong> medical team<br />

regularly utilise procedures and<br />

equipment that are used on<br />

the battlefield and endorsed<br />

by our military staff to enhance<br />

patient care.<br />

“The skills and experience of<br />

our Armed Forces personnel<br />

complement our lifesaving<br />

service, and in return Magpas<br />

Air <strong>Ambulance</strong> provides these<br />

clinicians with the opportunity<br />

to not only maintain but further<br />

develop their clinical expertise<br />

in the field when they’re not on<br />

active operations.”<br />

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

charity that saves lives 24/7<br />

across the whole of the east of<br />

England by bringing pre-hospital<br />

emergency care to critically ill<br />

and injured patients is not state<br />

funded and relies on generous<br />

public donations to continue<br />

saving lives. To find out more<br />

about the service, just visit:<br />

https://magpas.org.uk/.<br />

Great-grandad<br />

recalls ambulance<br />

career as<br />

paramedics<br />

transport him back<br />

to the sixties<br />

A 98-year-old man with<br />

dementia was able to recall<br />

events from his career on<br />

London ambulances when two<br />

paramedics visited his care<br />

home in a 1960s ambulance<br />

and wearing uniform dating<br />

back to that time.<br />

Albert Gibbs, a Normandy<br />

veteran from the Second World<br />

War who worked on ambulances<br />

in London between 1965 and<br />

1990, now lives in Essex and<br />

often refers back to his time as an<br />

ambulance worker, but memory<br />

loss means many important<br />

events from his career have<br />

been forgotten.<br />

However, when London<br />

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

Craig Henty and Terence<br />

Thomson visited him recently in<br />

an original 1967 Morris Wadhams<br />

ambulance and period uniforms,<br />

it took him right back to his days<br />

as a medic.<br />

He immediately said: “I wore the<br />

same uniform and the same hat.<br />

Then, he added: “I recognise<br />

your badge. It’s from the northeast<br />

sector, where I used to<br />

work. I was stationed at Ilford,<br />

but sometimes also worked<br />

in Romford.”<br />

Before visiting, Craig and Terence<br />

had researched material from<br />

Albert’s time in the ambulance<br />

through the Service’s Historic<br />

Collection and traced thank-you<br />

letters from patients Albert had<br />

cared for, as well as pictures of a<br />

work holiday he had organised.<br />

Albert said: “I had a holiday club<br />

that people called ‘Gibbs Tours’.<br />

I once arranged a weekend in<br />

Benidorm and got 43 people to<br />

go, including ambulance workers,<br />

nurses, doctors, and their<br />

families. It was a good weekend!”<br />

Reminiscing about some<br />

important jobs he attended, he<br />

said: “I delivered five babies and<br />

saved a person who fell under<br />

a train.<br />

“I had a good time and a lot of<br />

laughs at the Service, especially<br />

when I rang the ambulance<br />

bell on the Woolwich ferry. We<br />

weren’t allowed to do that, but I<br />

did it once and then sped down<br />

the ferry. It got me into some<br />

troubles!”<br />

Craig Henty, London <strong>Ambulance</strong><br />

Service Paramedic and Head of<br />

Historic Collections, commented:<br />

“I sat with Albert in the back of<br />

the ambulance for a chat and it<br />

felt as if we had just finished a<br />

job together.<br />

“His mannerism and familiarity<br />

with the vehicle are classic<br />

of someone who works in an<br />

ambulance. He even rested his<br />

feet on the rail in front of him and<br />

that’s exactly what an ambulance<br />

crew would do.<br />

“I was amazed to see that<br />

the experience brought him<br />

right back.”<br />

Head Nurse at Elizabeth House<br />

Care Home Tracy McGuinness<br />

explained that people with<br />

dementia can benefit from visual<br />

and sensory cues to stimulate<br />

their brain and trigger their<br />

memory.<br />

She said: “It was emotional to<br />

see Albert recall his time as an<br />

ambulance worker.<br />

“We encourage our patients to relive<br />

important experiences from<br />

their lives as that keeps their brain<br />

engaged and can reduce their<br />

cognitive decline. We try to keep<br />

their mind ticking and give them<br />

purpose.”<br />

Albert Gibbs’ daughter Elaine<br />

Dettmar said: “My dad served in<br />

the ambulance service for many<br />

years and that was a huge part of<br />

his life – it was moving to help him<br />

re-live it.<br />

“As he talked and engaged with<br />

the pictures more memories were<br />

coming out.”<br />

Throughout his 25-year<br />

ambulance career, Albert Gibbs<br />

saw the development of what<br />

grew to be known as ‘London<br />

<strong>Ambulance</strong> Service’, which<br />

today is the busiest emergency<br />

ambulance service in the world.<br />

On the year he became a medic,<br />

in 1965, a London-wide service<br />

was formed in the capital after<br />

nine existing services merged<br />

together, comprising nearly 1,000<br />

vehicles and 2,500 staff.<br />

In 1974, when the National Health<br />

Service was reorganised, the<br />

Service was transferred from the<br />

control of local government to<br />

the South West Thames Regional<br />

Health Authority.<br />

Service managers continued to<br />

report to South West Thames<br />

until 1 April 1996, when the<br />

organisation became an NHS<br />

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

as we know it today officially<br />

came into being.<br />

This year, the NHS celebrates<br />

75 years since post-war<br />

reorganisation led to the National<br />

Health Service Act of 1948. As<br />

part of this, for the first time,<br />

there was a requirement for<br />

ambulances to be available for<br />

all those who needed them.<br />

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

collects original items that trace<br />

the history of the Service in its<br />

Historic Collection. This includes<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />



horse carriages and blitz<br />

ambulances from the Second<br />

World War, as well as medical<br />

equipment, uniforms, and medals<br />

of historical significance.<br />

NHS 111 staff to<br />

move into new<br />

ambulance centre<br />

in Gillingham<br />

Staff from South East Coast<br />

<strong>Ambulance</strong>’s NHS 111 service<br />

will begin to move into a new<br />

multi-purpose ambulance and<br />

contact centre in Gillingham<br />

this week.<br />

The staff, who are currently<br />

based in Ashford, Kent, are<br />

expected to move in to the<br />

building from Wednesday, 28<br />

June. They will join their 999<br />

frontline operations colleagues<br />

who moved into the building<br />

earlier this month with both teams<br />

being joined later this year by<br />

their 999 Emergency Operations<br />

Centre (EOC) colleagues.<br />

The multi-purpose centre, in<br />

Bredgar Road, Gillingham,<br />

will consist of a Make Ready<br />

Centre, EOC, and NHS 111<br />

contact centre. It will be the first<br />

ambulance centre in the country<br />

to bring all three functions<br />

together under one roof.<br />

people across both 999 and 111<br />

services.<br />

John J O’Sullivan, Associate<br />

Director for Integrated Care (999<br />

& 111) at SECAmb said: “I’m<br />

really pleased that our NHS 111<br />

teams will be joining their frontline<br />

colleagues at the new centre this<br />

week. This is an important move<br />

as we continue to evolve and<br />

share best practice across our<br />

999 and 111 functions.<br />

“I would like to thank all those<br />

involved in this project which is a<br />

significant undertaking and which<br />

will be of real benefit to the Trust<br />

and our patients. I wish everyone<br />

well in their new home.”<br />

Resuscitation<br />

Council <strong>UK</strong> raise<br />

awareness of the<br />

urgent need for a<br />

rehabilitation plan<br />

for survivors of<br />

cardiac arrest at<br />

Westminster event<br />

On Monday 19 June,<br />

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

(RC<strong>UK</strong>) hosted a parliamentary<br />

event to raise awareness of the<br />

urgent need to have a recovery<br />

plan to ensure people who have<br />

a cardiac arrest get the follow<br />

up care they urgently need.<br />

Cross party MPs and Lords<br />

attended the successful event,<br />

where they heard powerful<br />

testimonies from cardiac arrest<br />

survivors, who spoke about their<br />

challenging individual and family<br />

experiences, and the significant<br />

barriers to recovery and quality of<br />

life post-arrest. They highlighted<br />

the absence of a formal care<br />

pathway for post cardiac arrest<br />

care across the <strong>UK</strong>.<br />

A cardiac arrest is the ultimate<br />

medical emergency, when the<br />

heart stops beating, and the<br />

individual is clinically dead. Yet<br />

cardiac arrest survivors are not<br />

offered the same well-established<br />

rehabilitation services that stroke,<br />

and heart attack survivors get.<br />

My Right To Cardiac Arrest<br />

Recovery campaign raises<br />

awareness of the lack of support<br />

available for individuals who have<br />

experienced a cardiac arrest and<br />

aims to achieve a formal care plan<br />

for cardiac arrest survivors, which is<br />

consistently applied across the <strong>UK</strong>.<br />

Lord Aberdare said: “I was<br />

delighted to attend Resuscitation<br />

Council <strong>UK</strong>’s parliamentary event<br />

on Monday 19th June: ‘My Right<br />

to Cardiac Arrest Recovery’.<br />

“I spoke to many cardiac arrest<br />

survivors and their families,<br />

who told me that as a result<br />

of a cardiac arrest, they often<br />

struggle with anxiety, depression,<br />

and post-traumatic stress. They<br />

explained that the support<br />

available for cardiac arrest<br />

care is inconsistent across the<br />

<strong>UK</strong>, and there needs to be a<br />

formal care pathway, similar to<br />

what heart attack and stroke<br />

survivors receive.<br />

“I support this campaign and<br />

believe everyone has the right to<br />

make their best possible recovery<br />

after a cardiac arrest.”<br />

To ensure cardiac arrest survivors<br />

receive the care and support they<br />

need, RC<strong>UK</strong> are asking people<br />

to sign a petition to get MPs to<br />

prioritise this very important issue.<br />

James Cant, CEO at<br />

Resuscitation Council <strong>UK</strong>, said:<br />

“It is great to have everyone<br />

in one room to get this very<br />

important conversation going,<br />

so we can begin to implement<br />

change.<br />

“Currently, we are failing people<br />

who survive a cardiac arrest -<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

Integrating both 999 and<br />

111 services is a key part of<br />

SECAmb’s aim to deliver more<br />

joined up integrated care and<br />

to increase efficiency. The<br />

development will also bring the<br />

east of SECAmb’s region in<br />

line with its West Emergency<br />

Operations Centre (including NHS<br />

111), based in Crawley, which<br />

opened in 2017.<br />

The new centre will provide<br />

the Trust with greater contact<br />

centre capacity and provide<br />

greater resilience and operational<br />

flexibility. It will also bring local<br />

recruitment opportunities for<br />

40<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


there is no personalised care plan<br />

for rehabilitation for these patients,<br />

they are often sent home with<br />

severe neurological, physical, and<br />

emotional difficulties, missing out<br />

on the vital services they need to<br />

help them recover.<br />

“Please take a spare moment to<br />

sign our petition or write to your<br />

local MP, as a cardiac arrest can<br />

happen to anyone and anytime –<br />

meaning it could be a loved one,<br />

so although you may not think<br />

this concerns you now, it may do<br />

in the future.”<br />

Data suggests that as little as<br />

29% of survivors of out of hospital<br />

cardiac arrest are assessed for<br />

neurological rehabilitation in their<br />

post-cardiac arrest care, and<br />

psychological reviews are only<br />

offered to 20% of survivors.<br />

RC<strong>UK</strong> is developing a new set<br />

of guidelines for cardiac arrest<br />

survivors, aimed at ensuring<br />

consistent, effective, and<br />

sustainable care for cardiac arrest<br />

survivors and their families.<br />

For more information or to<br />

request for an interview or<br />

case studies please call<br />

Tom Shearsmith, Media and<br />

Campaign Officer by email tom.<br />

shearsmith@resus.org.uk<br />

<strong>Ambulance</strong> employee<br />

responded to<br />

emergency call while<br />

working from home<br />

A member of East of England<br />

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

abandoned an online meeting<br />

to help save a man’s life has<br />

been commended.<br />

George Barber, acting Chief of<br />

Staff for the Trust, was working<br />

from home in a meeting with the<br />

Emergency Operations Centre<br />

in January, when the call came<br />

through the GoodSam app for<br />

first responders.<br />

Mr Barber, who is qualified as<br />

an emergency care assistant,<br />

checked the Trust’s computeraided<br />

despatch system, and saw<br />

the nearest ambulance was still<br />

some distance away.<br />

He left the meeting and jumped<br />

into his car, arriving at the leisure<br />

centre in Saffron Walden to find a<br />

man had gone into cardiac arrest<br />

in the pool.<br />

Mr Barber said: “I arrived to find<br />

police giving good quality CPR<br />

and confirmed with control that it<br />

was both a cardiac arrest and that<br />

critical care were still attending.<br />

Then I supported doing CPR and<br />

maintaining the patient’s airway,<br />

and I had to pull the patient further<br />

out of the water before they were<br />

shocked due to safety.”<br />

The patient eventually regained<br />

partial consciousness before<br />

being taken to hospital, where he<br />

made a full recovery.<br />

Mr Barber, who has gone on<br />

to become a community first<br />

responder for EEAST, has<br />

been given the Chief Officer<br />

Commendation for his actions.<br />

He is just one of 131 people who<br />

received an award as part of<br />

the Trust’s annual ceremony on<br />

Wednesday, July 4.<br />

The ceremony honours courage<br />

and swift action in medical<br />

emergencies by blue-light<br />

colleagues and members of<br />

the public. It also recognises<br />

outstanding commitment,<br />

long service and dedication by<br />

members of EEAST staff.<br />

Tom Abell, chief executive, said:<br />

“George recognised this was<br />

an opportunity to save a life<br />

and instantly stepped out of his<br />

everyday role. Without a doubt, his<br />

actions helped bring this patient<br />

back from the brink of death.<br />


<strong>Ambulance</strong> <strong>UK</strong> welcomes the submission of<br />

clinical papers and case reports or news that<br />

you feel will be of interest to your colleagues.<br />

Material submitted will be seen by those working within the public and private<br />

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If you have any queries please contact the publisher Terry Gardner via:<br />

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AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />




Essex & Herts Air<br />

<strong>Ambulance</strong>’s Centre for<br />

excellence takes shape<br />

with key appointments<br />

In a significant step forward in delivering<br />

its vision, to create a world-leading<br />

community through which prehospital care<br />

is developed to achieve the best possible<br />

outcomes for all patients, local life-saving<br />

charity, Essex & Herts Air <strong>Ambulance</strong><br />

(EHAAT), has made four key appointments<br />

to its Centre for Excellence.<br />

The Centre for Excellence is underpinned<br />

by its four pillars: Research and Scholarship,<br />

Innovation, Education and Training, and<br />

Community, which support three overarching<br />

clinical domains of cardiac arrest, head injury<br />

and patient experience and outcomes. Together<br />

these create a framework where working<br />

collaboratively, the highest possible standards of<br />

pre-hospital clinical care can be reached.<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

Advanced Paramedic Practitioner, Lisa<br />

Burrell, has joined the Centre for Excellence<br />

team as Education and Training Lead. A<br />

busy mother of three, she brings a wealth<br />

of experience to the new role, and also runs<br />

a MSc in Advanced Clinical Practice at St<br />

George’s, University of London.<br />

Lisa’s role in the Centre for Excellence will<br />

be primarily focused on embracing the<br />

training needs and professional development<br />

of EHAAT’s clinical teams, and the wider<br />

medical community. Working alongside<br />

colleagues, she will also be responsible for<br />

creating a strategy which focuses on sharing<br />

best practice, to ensure prehospital care<br />

is developed to make a real difference to<br />

patients and their families.<br />

Lisa said: “I am thrilled to join such a highly<br />

motivated and talented team. EHAAT has a<br />

strong reputation for leading development<br />

in prehospital critical care, and it is a great<br />

privilege to be part of the innovative journey<br />

going forward with the Centre for Excellence.”<br />

Consultant Neurosurgeon, Professor Chris<br />

Uff, has been appointed as the Centre for<br />

Excellence Academic Lead for Head Injury.<br />

Keen triathlete and violin maker, Professor Uff<br />

is head of neuro trauma and neurovascular<br />

surgery at The Royal London Hospital and<br />

Major Trauma Centre in East London. His role<br />

will see him working with the clinical teams<br />

at EHAAT, and linking up with other partner<br />

organisations, to understand more about head<br />

injury and what new and innovative treatment<br />

options are available to reduce the lasting<br />

effects of what can be a catastrophic injury.<br />

Professor Uff said: “I’m delighted to join the<br />

EHAAT team as academic head injury lead.<br />

Working with such diverse and unique talent<br />

places us in an enviable position to deliver<br />

outstanding and innovative care to our<br />

patients.”<br />

Adam Carr, who has been with EHAAT since<br />

2013 as a Critical Care Paramedic and more<br />

recently Head of Patient & Family Liaison,<br />

has been promoted into the new role of<br />

Community Lead (Clinical) at the Centre for<br />

Excellence. In this new role, Adam will deliver<br />

and oversee a co-ordinated community<br />

training programme covering CPR and<br />

defibrillators, so that the public are better able<br />

to make life-saving interventions in the crucial<br />

minutes following an incident.<br />

Adam said: “Being given the opportunity and<br />

resources to set up the ‘Community’ pillar<br />

of EHAATs Centre for Excellence is such a<br />

huge and exciting opportunity for me. Over<br />

my time with EHAAT, I have seen, on a regular<br />

basis, the difference bystander CPR makes to<br />

the outcome of our patients. For this reason,<br />

one of my main initial projects is going to be<br />

ensuring CPR and AED (defibrillator) training<br />

is accessible and available to as many of the<br />

good people of Essex and Hertfordshire as<br />

possible. I genuinely believe this will benefit<br />

our local communities and beyond, I can’t<br />

wait to get started!”<br />

Dr Sarah McLachlan has been appointed<br />

as Centre for Excellence Research Lead.<br />

Having worked with EHAAT for the last five<br />

years, she is also a Senior Research Fellow in<br />

Health Sciences Research at Anglia Ruskin<br />

University. Sarah’s new role at EHAAT will be<br />

focused on building and leading a team to<br />

deliver the charity’s research and scholarship<br />

strategy. She will also lead on research<br />

collaborations with other organisations, as<br />

well as patients and members of the public.<br />

Sarah said: “I am delighted to have the<br />

privilege of leading the implementation of<br />

our exciting Centre for Excellence research<br />

and scholarship strategy. The strategy<br />

focuses on enhancing our understanding of<br />

patients’ experiences and outcomes, and<br />

producing high quality evidence to help drive<br />

continual improvements in the care that we<br />

provide, especially around head injury and<br />

cardiac arrest.”<br />

42<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


Dr Gareth Grier, Project Lead at the Centre<br />

for Excellence, is delighted to welcome<br />

Sarah, Lisa, Chris, and Adam to the Centre<br />

for Excellence team. He said: “Our vision for<br />

the Centre for Excellence is bold, innovative<br />

and sits at the heart of the community. With<br />

Chris, Sarah, Adam and Lisa on board, and<br />

their combined knowledge and experience,<br />

I have no doubt that we will be able to take<br />

constructive steps in our aim to create a world<br />

leading community, where clinical excellence<br />

sits at the centre of our ambition, ensuring<br />

prehospital care is developed to make a real<br />

difference in achieving the best possible<br />

outcomes for patients and their families in our<br />

region and beyond.”<br />

To support, donate and find out more about<br />

EHAAT and the Centre for Excellence visit<br />

https://www.ehaat.org.<br />

NEWS<br />

New Medical Director,<br />

Dr Andy Lockyer<br />

Prior to his appointment as Medical Director<br />

at GWAAC, Dr Lockyer among other activities<br />

completed several fundraising challenges,<br />

organised a Women in PHEM event to<br />

encourage female Doctors to consider this<br />

career path, and was Blood Transfusion<br />

Clinical Governance Lead for three years.<br />

“It will be a great honour to serve GWAAC<br />

going forward. The organisation has seen<br />

a few challenges over the years including<br />

the move to our current airbase and the<br />

pandemic. I can see a real opportunity to<br />

progress the medical team. We have an<br />

incredibly talented team of people; I want to<br />

harness this as best as possible so we remain<br />

a cutting-edge critical care service, with all the<br />

latest developments that we can provide.”<br />

Dr Andy Lockyer, Medical Director, Great<br />

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

As GWAAC’s Medical Director, Dr Lockyer<br />

will take leadership of all aspects of GWAAC’s<br />

medical team, including performance,<br />

standards, overseeing audit processes, and<br />

staffing. He will represent all GWAAC Doctors<br />

and work closely alongside Advanced Clinical<br />

Practitioner in Critical Care, Vicki Brown,<br />

who is the lead for GWAAC’s Specialist<br />

Paramedics in Critical Care.<br />

Jonny joins the Trust from North West<br />

<strong>Ambulance</strong> Service, where he is currently the<br />

Chief of Digital and Innovation.<br />

Prior to that, he spent 15 years in the private<br />

sector, including as a Business Intelligence<br />

Director at Health Management Ltd and Client<br />

Intelligence Manager at Capita.<br />

Chief Executive Jason Killens said: “The<br />

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

significant transformation over the last couple<br />

years and is today celebrated as one of the<br />

most innovative of its kind internationally.<br />

“We want this to continue, and Jonny’s<br />

appointment is testament to just how<br />

committed we are to using digital technology<br />

to enhance our services.<br />

“Jonny brings a wealth of expert knowledge<br />

and experience, and we look forward to him<br />

joining the #TeamWAST family.”<br />

Jonny’s priorities on entering the Trust<br />

will be to deliver and evolve the digital<br />

strategy, create the right conditions for<br />

digital innovation and review the technology<br />

adoption and training approach.<br />

He will also develop a pipeline of development<br />

NEWS<br />

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

appoints new Director of<br />

Digital<br />

opportunities, harness partnerships to help us<br />

become a digital exemplar organisation and<br />

ensure our cyber security continues to meet<br />

and overcome daily challenges.<br />

Jonny said: “I am absolutely thrilled to be<br />

joining the Welsh <strong>Ambulance</strong> Service as its<br />

new Director of Digital.<br />

“I’m excited to be a part of such a forwardthinking<br />

organisation and as I settle into the<br />

Dr Lockyer joined GWAAC in 2016 when he<br />

started his pre-hospital emergency medicine<br />

(PHEM) training. He qualified as a Critical Care<br />

role, I am eager to support the organisation<br />

through delivery of our digital innovations and<br />

solutions.<br />

Doctor in 2017 and achieved the Fellowship in<br />

Immediate Medical Care in 2019.<br />

He has been a Consultant in Emergency<br />

Medicine at the Bristol Royal Infirmary since<br />

2018, where he is the Clinical Lead for major<br />

incident planning, public health, major trauma,<br />

education, and global health. He is also the<br />

BRI’s Global Emergency Medicine Program’s<br />

lead consultant, for which he won their <strong>2023</strong><br />

Unsung Hero award, and a Trustee of the<br />

related international medical charity.<br />

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

appointed a new Director of Digital.<br />

Jonny Sammut has been appointed to<br />

oversee an ambitious digital services strategy<br />

which will support the delivery of patient care<br />

and improve the experience of staff.<br />

“I believe that digital has a big part to play in<br />

further enhancing the care we provide to our<br />

patients and the day-to-day experience of our<br />

colleagues.<br />

“I’m looking forward to solving everyday<br />

problems and building on our digital<br />

ecosystem by exploring state-of-the-art<br />

technologies and data-driven insights.<br />

“I am excited to embark on this journey.”<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />



Jonny is the successor of Andy Haywood,<br />

who joined the Trust in 2020 as its first ever<br />

Director of Digital.<br />

Since Andy’s departure for pastures new last<br />

year, Leanne Smith, Assistant Director for<br />

Data and Analytics, has been carrying the<br />

portfolio on an interim basis.<br />

Jonny will join the Trust officially in September.<br />

NEWS<br />

NHS England appoints Chief<br />

Information Officer<br />

transformations throughout his career, and so<br />

brings a wealth of experience and expertise to<br />

the role of Chief Information Officer.<br />

“I’ve found John’s measured, insightful, and<br />

outcomes-oriented approach to problem<br />

solving invaluable since he joined NHS<br />

England.<br />

“I know the whole team will continue to value<br />

his wise and caring leadership style, as we<br />

adopt the latest technology to transform the<br />

NHS and improve care for patients.”<br />

NEWS<br />

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

chief paramedic appointed<br />

as visiting professor in<br />

Paramedic Science<br />

“The paramedic role has evolved dramatically<br />

over the last two decades and there is now an<br />

incredible wealth of experience, and expertise<br />

within the profession, as well as career<br />

development and board-level opportunities.”<br />

In 2021 Dr Martin was appointed the first<br />

Chief Paramedic at London <strong>Ambulance</strong><br />

Service, a newly created role which brings<br />

together responsibility for clinical quality and<br />

for ensuring paramedics and ambulance<br />

clinicians have access to world-class training,<br />

education and professional development.<br />

In this role, he has overseen accountability<br />

for emergency preparedness, resilience and<br />

response during Her Majesty the Queen’s<br />

funeral.<br />

He was invited to be the paramedic advisor to<br />

the emergency medical committee during the<br />

London 2012 Olympics games, supporting<br />

expert provision on the field of play.<br />

Also among his many career highlights, Dr<br />

Martin has given evidence in both the House<br />

of Lords and at the Commons Health and<br />

NHS England has appointed a new Chief<br />

Information Officer to oversee digital<br />

technology across the health service.<br />

John Quinn has been offered the role<br />

following a rigorous recruitment process.<br />

His key responsibilities will include running<br />

and evolving the NHS’s critical technical<br />

infrastructure and managing cyber security for<br />

national services.<br />

The most senior paramedic at London<br />

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

appointed to a prestigious teaching post<br />

at his former university where he will share<br />

his experience with the next generation of<br />

Social Care Select Committee.<br />

Daniel Elkeles, Chief Executive at London<br />

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

“John is a fantastic role-model for others in the<br />

NHS and I’m so pleased that he continues to<br />

inspire the next generation of paramedics and<br />

leaders in the London <strong>Ambulance</strong> Service and<br />

wider ambulance workforce.<br />

John has been filling the role on a temporary<br />

basis since February and was previously<br />

the Executive Director of IT Operations and<br />

Enterprise Services at NHS Digital.<br />

He also spent eight years in leadership roles<br />

at the Medicines and Healthcare products<br />

Regulatory Agency (MHRA), including as the<br />

Executive Director for Technology, Digital Data<br />

and Delivery during the pandemic.<br />

paramedics.<br />

Chief Paramedic Dr John Martin has been<br />

appointed visiting professor in Paramedic<br />

Science at the University of Hertfordshire. It<br />

is the second honour this week for Dr John<br />

Martin who was awarded His Majesty’s<br />

the King’s <strong>Ambulance</strong> Service Medal for<br />

distinguished service in the monarch’s<br />

Birthday Honours last weekend.<br />

“We are very lucky to have someone who is<br />

so passionate and inclusive about developing<br />

others starting out in the profession and<br />

helping to shape the skills and knowledge<br />

that our medics need to serve the people of<br />

London.”<br />

Many graduates of the University of<br />

Hertfordshire go on to have successful<br />

careers at London <strong>Ambulance</strong> Service.<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

He spent the earlier part of his career in<br />

the Department for Education in Digital,<br />

Technology, Project Delivery and Knowledge<br />

Management roles.<br />

Dr Tim Ferris, National Director of<br />

Transformation at NHS England, said:<br />

“John has led significant digital<br />

Dr John Martin, Chief Paramedic and Deputy<br />

Chief Executive at London <strong>Ambulance</strong><br />

Service, said:<br />

“Being a paramedic is an incredible and<br />

satisfying career and I’m delighted to return to<br />

the University of Hertfordshire as a professor<br />

where I completed my original Paramedic<br />

Science degree over 20 years ago.<br />

Each year we recruit around 500 paramedics,<br />

50 percent of whom are recruited through<br />

apprenticeships and Paramedic Science<br />

degrees in the <strong>UK</strong>, with the rest of the<br />

paramedic workforce recruited internationally<br />

and from other NHS organisations. The<br />

Service is hoping to recruit over 1,400<br />

frontline staff, including paramedics, as part of<br />

its 2022-23 recruitment programme.<br />

44<br />

For further recruitment vacancies visit: www.ambulanceukonline.com

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



500+<br />


10,000+<br />


CPD<br />


16,000+<br />






AMBULANCE <strong>UK</strong> – AUGUST<br />

Mer helps NHS trust<br />

take a lead on fleet<br />

electrification<br />

An NHS trust is taking a<br />

leading role in transitioning its<br />

fleet to electric vehicles (EVs)<br />

after a major project to install<br />

charging infrastructure.<br />

London, <strong>UK</strong>, 05 July <strong>2023</strong> –<br />

Cumbria, Northumberland, Tyne<br />

and Wear NHS Foundation Trust<br />

has been able to accelerate its<br />

fleet electrification after Mer<br />

installed charge points at 13<br />

of its sites. Mer worked on the<br />

project with NTW Solutions<br />

Ltd, which is the subsidiary<br />

responsible for support services<br />

to the Trust. NTW Solutions<br />

provides the Trust with estates<br />

and facilities management, car<br />

leasing, finance, workforce and<br />

procurement services.<br />

Lee Cant, Commercial Director<br />

of NTW Solutions, said: “Working<br />

with Mer to procure these<br />

chargers has been an enabler<br />

for us to move forward with our<br />

decarbonisation strategy. We<br />

benchmark ourselves against<br />

other trusts in the region and<br />

we know that we are out in front<br />

in terms of fleet electrification<br />

thanks in part to this project.”<br />

NTW Solutions runs a fleet<br />

of 1,400 lease cars for Trust<br />

employees as well as around 90<br />

service vehicles ranging from<br />

pool cars to vans and trucks.<br />

“In total 40 percent of the lease<br />

cars are now fully electric or plugin<br />

hybrids, while about a quarter<br />

of the service fleet is the same,”<br />

added Lee. “Some of the service<br />

vehicles are larger and they<br />

need full payloads for operations<br />

like laundry, so they won’t be<br />

electrified yet, we’ll concentrate<br />

for now on the lighter vans.”<br />

Mer won a competitive tender<br />

to deliver the charge points after<br />

meeting all the key criteria. One<br />

of the main priorities for the Trust<br />

was the ability to set different<br />

tariffs – free charging for fleet<br />

vehicles, a preferential rate for<br />

staff, and a higher rate for visitors.<br />

Working with Mer<br />

to procure these<br />

chargers has been<br />

an enabler for us to<br />

move forward with<br />

our decarbonisation<br />

strategy. We<br />

benchmark ourselves<br />

against other trusts<br />

in the region and we<br />

know that we are out<br />

in front in terms of<br />

fleet electrification<br />

thanks in part to this<br />

project..<br />

“It was imperative that we could<br />

set different rates for public<br />

charging, staff charging, and also<br />

for our fleet service vehicles,”<br />

said Lee. “It was important to be<br />

able to differentiate for different<br />

use cases and also to have<br />

different methods of accessing<br />

the chargers, from contactless<br />

payment to RFID cards and key<br />

fobs.<br />

“We were also keen on having a<br />

viable management system that<br />

we could extract data from, in<br />

order to ascertain which chargers<br />

were the most popular and<br />

identify where we might need<br />

additional infrastructure to meet<br />

demand.<br />

“Mer has been fantastic;<br />

they have gone above and<br />

beyond in terms of customer<br />

service. Working with them<br />

has significantly increased the<br />

speed of electrification and the<br />

decarbonisation of our fleet.<br />

“We had a lot of wards that were<br />

not prepared to go electric until<br />

there were chargers on site. For<br />

example, we have a 24/7 crisis<br />

service that operates around the<br />

clock so needs constant access<br />

to the vehicles. With the mileage<br />

that they do and the size of the<br />

area they cover, they needed<br />

reliable charging infrastructure on<br />

site to give them that confidence<br />

to go electric.<br />

“It has enabled us to change our<br />

policy so that all new vehicles<br />

added to the fleet have to be<br />

electric unless there is a very<br />

good operational reason why they<br />

can’t be EVs.”<br />

Scott Duncan, associate<br />

consultant at Mer, said: “We<br />

are proud to be helping the<br />

Trust with the decarbonisation<br />

of its fleet. This was a complex<br />

but rewarding project to install<br />

chargers across multiple<br />

locations. The Trust is making<br />

full use of the smart charger<br />

technology to set different tariffs<br />

for various use cases and utilise<br />

Mer’s proprietary back-office<br />

software for data analytics.”<br />

For more information visit https://<br />

uk.mer.eco/emergency-services/<br />

Durabook upgrades<br />

its U11I fully rugged<br />

tablet to better<br />

support emergency<br />

services<br />

Durabook, the global rugged<br />

mobile solutions specialist,<br />

has significantly upgraded<br />

its U11I fully-rugged tablet to<br />

offer unparalleled versatility<br />

for emergency service crews<br />

performing their critical work.<br />

Not oema With its 12th Gen Intel ®<br />

CPU processor and architectural<br />

innovations, the U11I is the most<br />

versatile 11-inch rugged tablet,<br />

exceeding standard requirements<br />

and elevating the user experience<br />

for mobile workforces and<br />

response teams.<br />

Performance is up to 225% faster<br />

than its predecessor, ideal for<br />

ambulance workers operating<br />

in time-critical situations, while<br />

its Coolfinity fanless thermal<br />

solution offers increased<br />

dependability and reduced<br />

downtime so crews are assured<br />

of optimal performance in any<br />

conditions.<br />

Designed for endurance, the<br />

tablet is certified to withstand<br />

drops of up to 6 feet and<br />

remains functional in the extreme<br />

temperatures conducive to<br />

emergency services work.<br />

Additionally, its ultra-long battery<br />

life of up to 10 hours, plus an<br />

optional extra 20 hours, means<br />

emergency services crews can<br />

trust it to last an entire shift.<br />

Performance is up<br />

to 225% faster than<br />

its predecessor,<br />

ideal for ambulance<br />

workers operating<br />

in time-critical<br />

situations, while its<br />

Coolfinity fanless<br />

thermal solution<br />

offers increased<br />

dependability and<br />

reduced downtime so<br />

crews are assured of<br />

optimal performance<br />

in any conditions.<br />

The U11I is equipped with<br />

advanced wireless capabilities<br />

for powerful yet simple and<br />

flexible connectivity. Response<br />

teams benefit from increased<br />

throughput, simultaneous<br />

connections and improved<br />

consistency in dense areas so,<br />

wherever they are, they can<br />

connect with the hospital to<br />

46<br />

For further recruitment vacancies visit: www.ambulanceukonline.com


receive critical patient data for<br />

rapid diagnosis and treatment.<br />

“The upgraded U11I tablet<br />

far exceeds expectations by<br />

boosting productivity and<br />

offering unparalleled versatility<br />

and reliability, which is critical<br />

for emergency services teams<br />

operating in the most challenging<br />

situations.” said Twinhead CEO<br />

Fred Kao.<br />

For more information on how<br />

the U11I can enhance your<br />

organisation’s operations, visit<br />

www.durabook.com, or contact<br />

marketing@durabook.com<br />

Mer x <strong>Ambulance</strong> <strong>UK</strong><br />

Healthcare services are<br />

actively supporting the net<br />

zero transition. Electrifying<br />

emergency service fleets is a<br />

fundamental part of meeting<br />

key sustainability goals in the<br />

coming years.<br />

With the transition to zeroemission<br />

emergency vehicles<br />

comes the need for the right<br />

kind of charging infrastructure,<br />

to ensure the vehicles are ready<br />

and available to respond to<br />

unforeseeable situations at all<br />

times. No two emergency fleets<br />

are the same, and neither is the<br />

charging infrastructure required<br />

to power the fleet.<br />

Fleet managers do not have to<br />

think about how, when and where<br />

their fleets will charge alone. Mer,<br />

a leading EV charging company<br />

backed by Statkraft, Europe’s<br />

largest renewable energy<br />

generator, supports healthcare<br />

teams transition their emergency<br />

fleets to electric by providing<br />

suitable, reliable EV charging<br />

infrastructure.<br />

As a leading supplier of EV<br />

charging to <strong>UK</strong> public services<br />

and with more than 10 years’<br />

experience in the industry, Mer<br />

provides free consultancy for<br />

Fleet managers do<br />

not have to think<br />

about how, when and<br />

where their fleets will<br />

charge alone. Mer, a<br />

leading EV charging<br />

company backed by<br />

Statkraft, Europe’s<br />

largest renewable<br />

energy generator,<br />

supports healthcare<br />

teams transition<br />

their emergency<br />

fleets to electric by<br />

providing suitable,<br />

reliable EV charging<br />

infrastructure.<br />

NHS and ambulance services.<br />

Mer offers expert guidance on<br />

infrastructure requirements,<br />

operation models and power<br />

connections. It’s Operator<br />

Portal offers clear visibility<br />

of charger health, availability<br />

and functionality, and the<br />

company provides full aftercare,<br />

maintenance, and 24/7 support<br />

once the infrastructure has been<br />

installed.<br />

Mer is hosting a webinar to help<br />

personnel in the healthcare<br />

services understand how to build<br />

an EV charging infrastructure<br />

portfolio that is reliable, future-fit<br />

and attentive to the demands of<br />

their specific fleet.<br />

To learn more about how Mer<br />

can help you transition your<br />

emergency service fleet to<br />

electric, attend its Electrifying the<br />

Emergency Services webinar.<br />

Link: https://uk.mer.eco/<br />

emergency-services/?utm_<br />

medium=editorial&utm_<br />

source=ambulanceuk&utm_<br />

campaign=Emergency%20<br />

Services<br />

Webasto heating<br />

and air conditioning<br />

systems<br />

Webasto heating and air<br />

conditioning systems are used<br />

by front line fleets with systems<br />

designed to meet exacting,<br />

tailored requirements. Our<br />

products are designed<br />

to provide exceptional<br />

performance and service.<br />

Not only do we provide<br />

comfortable working climates for<br />

the crew, we can also achieve a<br />

reduction in idling times which<br />

in turn lowers fuel consumption,<br />

decreases overall operating<br />

costs and helps us to remain<br />

focused towards improving the<br />

environment.<br />

Webasto products have been a<br />

mainstay for one of the largest<br />

fleets in the <strong>UK</strong> for many years,<br />

based on an impressive reliability<br />

record and ease of operational<br />

function.<br />

Not only do we<br />

provide comfortable<br />

working climates for<br />

the crew, we can also<br />

achieve a reduction<br />

in idling times<br />

which in turn lowers<br />

fuel consumption,<br />

decreases overall<br />

operating costs and<br />

helps us to remain<br />

focused towards<br />

improving the<br />

environment.<br />

A parts locator and replacement<br />

part service are available to<br />

ensure your own people get<br />

the best operational efficiency<br />

from the fleet. Clear and concise<br />

training material, with regular<br />

updates are also offered either at<br />

Webasto’s training academy, or at<br />

your own depot locations to suit<br />

your needs.<br />

For many large fleets, demands<br />

placed on both crew and vehicle<br />

can be extremely arduous, so it<br />

is of vital importance that both<br />

remain fully optimised to respond<br />

when it really matters. When<br />

considering these demands and<br />

agreeing on a build specification<br />

for your frontline ambulance,<br />

rapid response, and patient<br />

transport service vehicles we<br />

will only specify products that<br />

meet the exacting standards<br />

and performance expected from<br />

Webasto.<br />

Webasto is the largest producer<br />

of auxiliary heaters and air<br />

conditioning in Europe. Let us<br />

take you through the options.<br />

For an informal chat, call David<br />

Stafford on 01302 381141 or<br />

email david.stafford@<br />

webasto.com<br />

AMBULANCE <strong>UK</strong> – AUGUST<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />


Data Driven Vehicle Telematics & Asset Monitoring<br />

Prior to deployment, during the mission and post event.<br />

Vehicle<br />

Maintenance<br />

Reduce<br />

unnecessary<br />

VOR time.<br />

Role<br />

Equipment<br />

Detailed status<br />

and activity<br />

logs.<br />

Fuel<br />

Consumption<br />

Increase mpg<br />

and reduce<br />

emissions.<br />

Make Ready<br />

Improve vehicle<br />

turnaround<br />

times.<br />

Equipment<br />

Compliance<br />

Comply with<br />

device servicing<br />

schedules.<br />

Inventory<br />

Monitoring<br />

Monitor real<br />

time equipment<br />

inventories.<br />

Consumables<br />

Management<br />

Manage<br />

consumable item<br />

replenishment.<br />

The Insight Platform provides unrivalled levels of data for fleet and asset management, as well<br />

as CCTV capability. Whether you’re aiming for a net zero fleet or want to know where your most<br />

valuable assets are at any given time, to understanding compliance levels of key assets or replay any<br />

crashes/ incidents in real time, the Insight Platform can help.<br />

Visit us at stand K150 to learn how our technology benefits<br />

multiple clients across <strong>UK</strong> <strong>Ambulance</strong> Trusts, and other<br />

mission critical sectors.<br />

www.theortusgroup.com<br />

E: hello@ortus.co.uk<br />

T: 0845 459 4705

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