Ambulance UK June 2016

Page 1

Volume 31 No. 3

June 2016

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Ambulance UK

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98 100

This issue edited by:

Improve maintenance costs by monitorin vehicle activity

Offer live and historic views of your spe

Sam English

c/o Media Publishing Company Provide clean and accurate information of an accident

48 High Street

The Face of Major Trauma is Changing

Allow control room operatives to see exa is happening


Schedule exception reports for Senior M ADVERTISING & CIRCULATION:


Media Publishing Company

Media House, 48 High Street We’re here to help… We’ve worked with a larg

specialist organisations and appreciate that all hav challenges and needs.






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Our approach is open and flexible, we are happy

and hardware to help you achieve the right solution any investment you have already made.

DataPoint is updated regularly to reflect our users n

would be delighted to demonstrate the system and PUBLISHED BI-MONTHLY:

we could work with you to improve your organisati

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The views and opinions expressed in this issue are not necessarily those of the Publisher, the Editors or Media Publishing Company. Next Issue August 2016

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These features and the high quality of our after sales support, are why The East of England Ambulance Service NHS Trust, The Welsh Ambulance Service NHS Trust and the UK Ministry of Defence, have selected Ortus Technology and the Corpuls3 Monitor Defibrillator, as their system of choice.

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


EDITOR’S COMMENT Welcome to this issue of AUK. Following a short but quite fascinating journey through the NHS as a patient, I thought I might share some thoughts about life as seen from the otherside.


“ some point there may well have to be a significant shift in Government thinking around roles, responsibilities and how the public can be encouraged to buy into inevitable change.”

I think sometimes we view illness and injury from some kind of ‘it won’t happen to me’ bubble, I certainly did. Illness happened to the people I provided care for and I believe I did a reasonable job of managing that. When the bubble bursts and you realise that you no longer control your destiny, the feeling of handing over that control is really both scary yet actually, from a professional point of view, quite informative. You realise that all the parameters you are used to change quite significantly, you don’t really make decisions, you rely on others to make them for you in most circumstances. What shocked me was the wide variation in compassion (and lack of it!) that I experienced, from the can’t do enough and solid support to the arguments over what was considered the best for me, in front of me. What shocked me more was the recognition that I have heard similar discussions take place in our world quite frequently, we forget that patients can hear and in many cases have an opinion, in some cases quite an informed opinion. Compassion should be at the heart of our care, even when that care is required to be provided under seemingly endless pressure. I, for one, have learnt that being a patient and trusting care providers does not come easily and the perception of how care is being provided is as important as the physical content of that care. Now that set me thinking about the nature of compassion and the tension between care quality and time targets... again! While I have always advocated quality before time, I’ve come to realise that actually time really is important to patients. I hated the wait for consultations and investigations and the delay in getting results was positively the most frustrating thing I have ever experienced, much more frustrating than my actual problem. I am, therefore, no longer sure that there is a clear distinction between the two seemingly opposite ends of the spectrum, I’m also not sure how you can achieve both simultaneously. My belief is probably that more clinically focussed structured triage and increased options for Paramedics to deliver more specific treatments and have access to more care pathways lies somewhere at the heart of the quandary. This is quite interesting in light of the recent Junior Doctors strike and the comments made by NHS employers about changing the skill profile of various roles within the NHS to ‘plug gaps’ as it were. Some of you might find that thought contentious, others exciting. Without any political spin whatsoever, my own thoughts surround the ‘what happens when there isn’t enough of anybody to plug a gap’. That really is a scary thought (especially at my age), but one which I feel is fast approaching without a change in the public expectation of what can and should be provided and more appropriate forward thinking from the DoH. This is extremely difficult ground but at some point there may well have to be a significant shift in Government thinking around roles, responsibilities and how the public can be encouraged to buy into inevitable change. What it will mean for tomorrow’s NHS is anyone’s guess, for the profession, most of us can recognise an opportunity in the making, but whilst it may open up doors that were once closed to Paramedics. It also brings a risk that rather than strengthening the profession, as more experienced and qualified staff gain the ability to move into alternative roles, there may well be dilution of the knowledge and skills available to continue to provide the best and most compassionate care in the prehospital environment, is that the future? I don’t know, only that I still feel we hold the keys to the gate and that change to our role can and should be mediated by what we can realistically provide to benefit the patients we care for, not what additional responsibility is thrust upon us because we are, some may say unfortunately, as a profession extremely adaptable and generalists in our ability to manage a wide variety of presentations. Quick and cheap fixes do not a health service make...

Sam English, Co-Editor Ambulance UK

92 For all your equipment needs visit:


GREAT CHOICE-GREAT VALUE-GREAT CPD OPPORTUNITIES! Diary Date: Tuesday 18 & Wednesday 19 October 2016 Kettering Conference Centre, Kettering, Northants, NN15 6PB


Specialist Paramedic: Critical Care Conference

Paramedic Practice Conference - Professor Sir Keith Porter, David Halliwell, Dan Cody and Amy Chan-Dominy are among this year's speakers who will be giving thought provoking presentations on a wide range of topics including: The Changing Face of Major Trauma, How Resuscitation Works, The Role of Critical Care Paramedics and Airway Management. Early Bird Offer - Book by July 29 to secure a delegate rate of £36.00 (saving £12) or pay £60.00 to also attend the Resuscitation Conference or Critical Care Conference taking place the following day (saving £36.00).

This conference programme includes excellent presentations being given by Professor Richard Lyon - Damage Control Resuscitation: Fluids in Trauma, Dr. Felicity Clark - Management of LifeThreatening Asthma & Anaphylaxis and Dr. Neil Thompson, Sedation in Acute Behavioural Disorder to name but a few. Early Bird Offer - Book by July 29 to secure a delegate rate of £36.00 (saving £12) ) or pay £60.00 to also attend the Paramedic Practice Conference taking place the previous day(saving £36.00).


generosity of WEL Medical we are able to offer subsidised places at only £18pp on a 'first come first served' basis, to include lunch, etc. Topics include: Enhancing the Scope of Practice for EFR's, Indirect Resources - Easing the Pressure on the NHS - Who Pays?, The Rise of the Machines. Speakers again include Professor Sir Keith Porter, David Haliwell, Steve Pratten, etc.

Pre-Hospital Care Consultancy Ltd Essentials of Advanced Airway Management Learn the full range of Airway Management techniques, including: The Use of Extraglotic Devices, Video Assisted Intubation and Surgical Cricothyrotomy. Only 16 places are available at a rate of £96.00 (50% below normal course costs)

WEDNESDAY 19 OCTOBER Resuscitation Today Conference

We are delighted once again to be hosting a resuscitation conference which this year will contain a number of topical presentations including: Human Factors in End of Life Care - Implications for Education & Training, Medical Command...The Future and Paediatric Retrieval/Resuscitation, presented by Ken Spearpoint, Stuart Blatston and Amy Chan-Dominy. Early Bird Offer - Book by July 29 to secure a delegate rate of £36.00 or pay £60.00 to also attend the Paramedic Practice Conference taking place the previous day.

First Aid Conference supported by AoFA

This year's programme is again made up of presentations that will be of great interest to first aiders and first aid trainers, including: Sepsis Guidelines - Early Recognition is the Key, Minor Injury Management, How Safe is Your Home?, and Practical Management of Paediatric Emergencies. Early Bird Offer - Book by July 29 to secure a delegate rate of £60.00

Pre-Hospital Care Consultancy Ltd "PHTLS for First Responders" Course

This continuing education course that teaches the principles of PHTLS is ideal for first responders, EMS practitioners, etc. Topics being covered include: Airway/Oxygenation & Ventilation, Circulation and Shock, Traumatic Brain Injury & Spinal Trauma. Only 16 places are available at a delegate rate of £96.00.

Meditech Global are running a Motorsport Medicine CPD Workshop, aimed at medics and rescue personnel involved or interested in motor sport events. The day will include: Concussion in Motorsport, Casualty Extrication - A New Way Forward, A Paramedics Life in Motorsport, The Use of Haemostatatic Dressings, etc. Speakers will include; FIA Doctors and active motor sport paramedics. Only 20 places are available at a rate £60 per person.

All prices quoted are inclusive of VAT. To secure your delegate place or to register for any of the above conferences/workshops visit or call the organisers office on 01322 660434

VCS MOVE TO PURPOSE BUILT PRODUCTION SITE Vehicle Conversion Specialists was established in 2010 operating from a 13,000 square feet facility. In June 2016 it moves its operation from a rented facility to a state of the art production facility which it owns, “it’s been a busy few months since Christmas” exclaims Mark Kerrigan (Joint MD). Mark continues - “As a Business we recognised some 8 months back that we needed to increase capacity in order to better service our existing customer base and also provide capacity to explore other markets in a more robust and professional manner. These are the reasons we have moved to our own premises which has a 45,000 square feet production facility.” Mark’s Business partner and (Joint MD) Mr Wayne Sullivan was tasked with sourcing a facility which would facilitate the requirements of modern day specialist vehicle production and 8 months on we have a premises which truly reflects our brand image which is one of quality and professionalism. The site incorporates 2 main buildings.

Part of the new production hall (factory 1)

The new premises allows VCS to scale up its operations:

Office space overview • Boardroom and training centre • Engineering and design office • Production office and sub assembly centre • Visitors facility including a dedicated coffee and refreshment room • Visitors waiting centre • 7 offices for indirect and operational staff

Front aspect (factory 1)

Production & capacity (45,000 square feet) Factory 1 • Main production hall has 3 production lines. 27 vehicles in production at any one time. • 9 stage build process per line (including PDI inspection bays) • Weekly output minimum capacity is 12 vehicles • Dedicated PDI inspection and weight examination bays • Entry point and gate release in one continuous loop (all 3 lines)

The facility boasts a large compound which can hold an additional 50 vehicles ready to enter the production process which is monitored 24/7 by a monitored CCTV system which is linked to a monitoring centre. If any factory perimeter is breached the Police are automatically called to site. Mark adds “Due to the nature of our business we’ve decided to enhance security to a new level which demonstrates our professional and responsible approach” Wayne Commercial Director explains “we’ve invested significantly into this property to bring it to a very high standard which will enhance the customer experience but also provide our staff with a modern facility which is geared up correctly for manufacturing of this nature.”

Factory 2

VCS produce every type of vehicle you can imagine which has a blue light attached. However VCS from its set up day was pushed heavily by its “Technical Director Mark Kerrigan” towards achieving the highest test approvals, enhanced training for staff and alliances with OEMs which has allowed VCS to grow rapidly and become a global brand. VCS hold numerous approvals and accreditations namely:

• Dedicated Research and development centre

• CEN compliancy

• Manufacturing and sub assembly centre

• European Whole Vehicle Type Approval

• Vehicle preparation bays (removing of panels and heavy steel work)

• COP (conformity of production)

• Production and Quality office • Factory 1 has a dedicated production line for RRV conversions and police cars

• Stores, stock control and line feed expeditors

• Numerous OEM associations (one stop shop agreements)

Mercedes Sprinter and Fiat Ducato Ambulances ready for delivery

VCS has also forged partnerships with various European builders which has allowed VCS to offer a wider scope of product for example the Amarok which is a bespoke body which has a specially extended chassis to give extra internal length. Noel Kerrigan Sales Development Director goes on to say that “partnerships are vitally important so that technical knowhow is exchanged, this is how products evolve and drives specialists builders to push forward with innovation, we will be launching a new product later this year which will coincide with our official factory launch, again the product will be the result of yet another partnership” Noel explains. VCS as a business has withheld from entering new markets due to capacity and the fear of letting customers down, however with the new premises it is clear that VCS intend to explore these markets both in the UK and further afield. Recently VCS attended the Rettmobil show in Germany (one of Europe’s largest blue light exhibitions) where they exhibited a European Type Approved Fiat Ducato DCA (dual crewed ambulance) along with a specialist 4x4 Amarok. The exhibition has proven to be a huge success and has now exposed the VCS brand to a

much wider customer base. However the Directors are keen to state that the UK market takes priority but as a Business VCS has to look further afield into new upcoming markets. VCS of course is not new to exporting to date VCS has exported Ambulances and Police vehicles to Gibraltar, Spain, Trinidad and Tobago, India and Nigeria “We have some interesting leads from the show” Wayne remarks, “I might get to travel somewhere exotic for a Sales meeting Wayne jokes.”

Vehicles on display at the German Rettmobil show

Office and Board Room at new facility

Our philosophy at V.C.S

Paul Croom VCS Sales Manager went on to say “The VCS product has the credentials and is good enough to sell into any market” Paul added “as the Sales team we have to be confident and passionate about the product we sell.”

• Committed to continuous improvements

Mark Sockett “Projects and Development Manager” explains that he is currently involved in various technical projects which are new to VCS but not outside our technical scope and capabilities and Mark added “I’m very excited to be able to show new customers around our superb facility.” Finally I asked the Board of Directors what was the secret to such rapid growth and achieving such a strong brand within a very short period of time? Almost in perfect unison they said one word “Staff” Mark Kerrigan exclaims “we have the best people in the Business, I have said it before and i will say it again the VCS staff are special, they care about this Business as if it is their own and that’s what makes this Business different and dare I say the best.”

• Partnership with OEM • In house training and up skilling • Listen to our customers • Work very close with fleet managers and staff • Take no risks • Deliver a reliable and engineered solution to serve the needs of our valued customers Tel: 01484 546284 Fax: 01484 543815 Web: VCS Limited Unit 1 Commondale Way Euroway Trading Estate Bradford BD4 6SF


THE FACE OF MAJOR TRAUMA IS CHANGING Major trauma is the commonest cause of death and disability in the

In addition, the 5 principle mechanisms of injury were recorded as:

under 40 age group1 where there is now misconception that in the UK this represents young males, frequently involved in road traffic

• Road traffic collision (RTC)

collisions (RTCs) .

• Falls from height greater than 2 metres


With improvements in medical care, including diagnostics, treatment and preventative strategies, the elderly are living longer where increasing years and enhanced quality of life increases their potential

• Falls from height less than 2 metres • Shootings and stabbings • All others

exposure to major trauma. Add to this any significant medical comorbidities, limited physiological reserve and rehabilitation potential

To determine further changes in trends in Major Trauma in recent times

and we have an emerging national crisis .

the Hospital Episode Statistics (HES) data was reviewed to determine


absolute number of patients recorded as suffering major trauma in UK It is important to have an agreed definition of “Major Trauma”.


Traditionally and put simply a major trauma patient can be regarded as anyone with “life threatening injuries”. To facilitate comparative

Kehoe and colleagues2 reviewed 116,467 cases from which the

outcomes and scientific publications it is important to have an agreed

following results were determined:

definition that has international recognition. • In 1990 the mean age of patients suffering major trauma was The most widely used system is the Injury Severity Score (ISS) where

recorded as 36.1 years, with the largest single group being under 25

an ISS greater than 15 is the definition of major trauma. This number is

years of age (39.3%).

derived from knowledge of the Abbreviated Injury Scale (AIS); where a score of 1 is a minor injury, a score of 5 a critical injury and a score of 6 an unsurvivable injury. The ISS is the number derived from the sum of the square of the AIS scores taken from the 3 most severely injured body areas. A score in excess of 15 may be achieved from a single injury or a series of lesser injuries.

• The mean age for patients suffering major trauma has increased year on year during this study and in 2013 was 53.8 years. • The percentage of major trauma patients in the over 75 year age group rose from 8.1% in 1990 to 26.9% in 2013. • The proportion of male patients suffering major trauma fell slightly from a peak of 75.5% in 2001 to 68% in 2013.

In a landmark study Kehoe et al2 have reviewed cases submitted to the Trauma Audit Research Network (TARN) between 1990 and the end of 2013. To be TARN eligible patients need to be admitted for 72 hours or over, or have spent time in Critical Care, or died from their injuries in hospital. Simple pubic rami and patients over 65 years of age with fractures of the neck of femur are ineligible.

• In 1990 the predominant mechanism of injury was RTCs being responsible for almost 60% of TARN returns. By 2013 this had reduced to 39.1%. • In 1990 the percentage of major trauma due to low falls (falls from a standing height) was 4.7%. By 2013 figures had risen to 39.1% - the most common cause.

The aim of this study was to review changes in the year on year demographics of patients suffering major trauma in England and Wales

Whilst the increase in the number of elderly trauma victims was

over 2 decades. Recorded data included:

anticipated5 over the last decade the average age of patients suffering major trauma has risen on average 1.43 years per year2.

• Age Kehoe et al2 made a number of additional comments on their results:


• Mechanism of injury • Percentage of patients undergoing CT examinations Patients were categorised by age into: • 0 - 24 years • 25 - 49 years • 50 - 74 years • > 75 years

• The National Office of Statistics report a significant reduction in death and severe injuries from RTCs in the course of the last 20 years. This is attributed to better roads, car designs, accident prevention and clinical care. • Review of HES data has shown the number of TARN submissions in patients under 50 years has remained stable between 2004-2010 whereas there was a 50% increase in the 50-75 year age group and a 75% increase in the over 75 year age group. This was reported to match the increase in the number of older people in the population.

98 For further recruitment vacancies visit:

FEATURE • This increase in the elderly may reflect better reporting, better diagnoses and better investigations. • There has been a significant increase in CT scan usage with adaptation into National Guidelines for Head Injury or pan-CT for major trauma6. • Without the use of CT scans many patients with ISS over 15 missed detection.

Once again it is a challenge to get the right patient with the right assessment, with the right level of pre-hospital care, by the right transport platform, to the right hospital, in the right time for prompt acute investigations and treatment irrespective of their age.

References: 1. Krug EG, Sharma GK, Lozano R. The global burden of injury. Am J Public Health 2000;90:523-6

Kehoe A et al2 quote as an example an elderly patient with an intracranial contusion, two fractured ribs and a wedge fracture of the first lumbar vertebrae which cored an ISS of 17 (32x22x22). The challenge to pre-hospital practice is the development of better field triage tools. Whilst the advent of Major Trauma Centres has led to major improvement in patient mortality annually to a figure of 30% more survivors in England in the first 3 years, a progressive decrease in the sensitivity of field triage tools with each decade beyond 60 years has been demonstrated. However in one UK Major Trauma Centre the overall sensitivity of the local field triage tool was estimated to be only 52%7. This is not surprising as the pathophysiological responses are different in the elderly compared to the young4,8. This is particularly relevant when assessing shock by pulse and blood pressure and using the Glasgow Coma Scale (GCS) for head injuries where the elderly patient may be GCS 14 or 15 and have life threatening head injuries. Paradoxically many Ambulance Services in England have recently decreased their field triage score from GCS 14 to 13 because of the percentage overtriage to MTCs. Certainly using 14 or less in the elderly produces better sensitivities for the recognition of major head injuries in the over 65 years old age group9. Because the elderly frequently do not trigger the field triage tool either on mechanism of injury or altered physiology these patients do not

2. Kehoe A, Rennie S, Smith JE. Glasgow Coma Scale is unreliable for the prediction of severe head injury in the elderly trauma patient. Emerg Med J 2015;32:911-915 3. Grossman MD, Ofurum U, Stehly CD, et al. Long term survival after major trauma in geriatric trauma patients: the glass is half full. J Trauma Acute Care Surg 2012;72:1181-5 4. Bruijns SR, Guly HR, Bouamra O, et al. The value of traditional vital signs, shock index, and age based markers in predicting trauma mortality. J Trauma Acute Care Surg 2013;74:1432-7 5. MacKenzie EJ, Morris JA Jr, Smith GS, et al. Acute hospital costs of trauma in the United States: implications for regionalized systems of care. J Trauma 1990;30:1096-101; discussion 101-3 6. Huber-Wagner S, Lefering R, Qvick LM, et al. Effect of wholebody CT during trauma resuscitation on survival: a retrospective, multicentre study. Lancet 2009;373:1455-61 7. Potter D, Kehoe A, Smith JE. The sensitivity of pre-hospital and in-hospital tools for the identification of major trauma patients presenting to a major trauma centre. J R Nav Med Serv 2013; 99:16-9 8. Heffernan DS, Thakkar RK, Monaghan SF, et al. Normal presenting vital signs are unreliable in geriatric blunt trauma victims. J Trauma 2010;69:813-20 9. Caterino JM, Raubenolt A, Cudnik MT. Modification of Glasgow Coma Scale criteria in injured elders. Acad Emerg Med 2011;18:1014-21 10. Jenkins P, Rogers J, Kehoe A, et al. An evaluation of the use of a two-tiered trauma team activation system in a UK major trauma centre. Emerg Med J 2015;32:364-7 11. Battle C, Hutchings H, Lovett S, et al. Predicting outcomes after blunt chest wall trauma: development and external validation of a new prognostic model. Crit Care 2014; 18:R98

generate trauma team activation. Whilst a full trauma team response for all elderly patients would generate a non-achievable workload, a tiered trauma response to generate senior clinical assessment of elderly patients and rapid access to CT scans is workable10. Some centres now have a tiered activation for elderly patients with head injury trauma11. In conclusion the study by Kehoe et al2 has shown that the average age of patients suffering major trauma is now getting progressively greater metres which equates to falling from a standing height. It falls within clinical colleagues, including the Ambulance Service, College of Paramedics and researchers to work towards better field triage tools for our elderly trauma patients and for colleagues in the Emergency Department to give appropriate priority to this group of patients where better assessment, timely investigations and aggressive


and the predominant mechanism of injury is falls from less than 2

management will reduce both the morbidity and mortality of major trauma in our elderly patients.

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

NEWSLINE SG Technical Systems Ltd wins Queens Award for Enterprise

innovation across its full range of

on the road rather than out of

2016 is set to be our most

products but in particular for the

service with ramp faults.

successful year with orders from

SG EasyLoad wheelchair/stretcher

UK, France, Germany, Hong Kong

ramps used in ambulances

Simon Chacksfield, Managing

and South Korea amongst others.

across the UK.

Director, said: “It is a huge honour

SG Technical Systems currently

for SG to receive the Queens

has a talented and dedicated

The SG EasyLoad ramp was

Award for Enterprise. This award

workforce of eight, expected to

designed to be highly robust

recognises our continual pursuit

that SG Technical Systems Ltd,

increase during 2016, and works

and reliable and has a proven

of innovation and quality and the

closely with a number of key

based in Market Weighton, East

track record of being so. During

hugely positive benefits for our

suppliers in the local region.

Yorkshire is one of the select

development four separate


UK businesses awarded the

ramps were each tested to in

prestigious 2016 Queens Award

excess of 250,000 open/close

The company was set up in 2010

for Enterprise. The award is

operations and all versions of the

during the UK’s worst recession

received for Innovation.

ramps have been load tested, by

in 50 years with a vision to create

Lloyds British, to 1000Kg with no

innovative, high quality products

The Queens Award for Enterprise

adverse effects. As a direct result

backed by a reputation for the

is the UK’s highest accolade for

of its robustness and reliability

highest standards of reliability.

business success. SG Technical

operators using the SG ramps

We have stayed true to our vision

Systems award has been received

have seen very substantial cost

and the business has grown

South East Coast Ambulance

in recognition of its dedication to

savings with ambulances being

substantially year on year.

Service NHS Foundation Trust

We are delighted to announce

Website Twitter @SGTechSystems


Fleet achieves further recognition


Photo taken outside SG premises in Market Weighton. Shows SG EasyLoad ramp, in the closed position, mounted in an East Midlands Ambulance Service [EMAS] front line A&E ambulance. Ambulance supplied and manufactured by Vehicle Conversion Specialist ltd [VCS Ltd] of Huddersfield, HD2 1UB. From left to right: Simon Chacksfield, Nik Harrison, Jack Falkingham, Dean Lockyer, Howard Roberts and Maura Chacksfield

100 For more news visit:

NEWSLINE (SECAmb) has been shortlisted

automatic stretcher which eliminates

as finalists at this year’s Motor

the need for a heavy tail lift –

Trade Awards.

another feature expected to deliver significant fuel savings compared to

SECAmb has been named a

a traditional box ambulance.

finalist in the Technical Excellence Award category for the steps it

SECAmb’s Head of Fleet Justin

has taken in relation to its Driver

Wand said: “These programmes

Safety System and the design of

support crew and patient safety,

its newly- delivered Ferno concept

improve ergonomics and layout and

‘connected ambulance’, which will

enhance patient experience. The

be tested in the Chertsey area.

programmes also have the potential to deliver significant financial

The news is further recognition

efficiencies and operational benefits.

for the Trust’s Fleet and Logistics

I’m extremely proud of the efforts of

department which has already

everyone in the Fleet and Logistics

celebrated awards success this

team. This further recognition

year, most recently coming top in

demonstrates how far we have

three categories at the Fleet News

come in recent years to provide an


effective support mechanism for both our frontline operations and of

SECAmb’s driver safety

course our patients.”

programme has been developed with new technology linking a telematics system and CCTV to give an overall perspective to the challenges faced by staff when responding to patients. The updated driver training programme has also seen the introduction of 10 dedicated driver training vehicles – five vans and five cars. The vehicles have been specially converted and fitted with hi-tech equipment and driver safety technology to enable trainers to reconstruct

Midlands Air Ambulance Charity Opens Specialist Training Centre As part of Midlands Air Ambulance Charity’s commitment to advanced clinical training and development, the charity has opened an Education and Training Centre at the Tatenhill airbase in Staffordshire.

The new building forms part of the service’s ongoing clinical and operational plan and is the charity’s second education facility, the first of which opened in 2013 and is based at the Strensham airbase in Worcestershire. The Tatenhill Education and Training Centre, which opened on 26th April 2016, includes a well equipped meeting room, and more importantly a specially designed scenario simulation room, complete with medical equipment and props which will enable the flight paramedics and doctors to act out various scenarios as part of their advanced medical training. The room will allow the simulation of both indoor and outdoor environments, and is one of a kind in the air ambulance sector. Dr Nick Crombie, clinical lead for Midlands Air Ambulance Charity, states: “As a worldclass air ambulance operator, continued improvement through the training and development of our flight paramedics and doctors is paramount. The new centre at Tatenhill is part of our five year strategic plan to ensure the aircrew have the best possible training and to test and build their clinical skills in some of the most

difficult and traumatic situations they may face in real life. “The new facility will also provide space for our clinical meetings and clinical research analysis, helping to develop the future of prehospital emergency patient care.” In addition, the centre is also being offered to schools and colleges who want to find out more about the charity and the lifesaving service. Jason Levy, fundraising and marketing director for Midlands Air Ambulance Charity, adds: “We have a close link to local schools and support the curriculum as part of our education programme. We often visit schools with our decommissioned helicopter pod and Maac mascot bear, teaching children about our service and the importance of their own safety as approximately 12 per cent of the air ambulance missions we carry out involve children. “The new centre will give a greater number of children in the region the chance to visit one of our air ambulance airbases, as part of their experiential learning in an outdoor environment, and learn about the service directly from the aircrew.”

critical incidents and feed live data directly into the Trust’s fleet management system. A dynamic speed controller has also been fitted to vehicles restricting speed and managing the acceleration profile during normal driving, being derestricted as soon as blue lights are AMBULANCE UK - JUNE

activated. This technology has contributed to approximately 13% savings on fuel equating to £800,000 a year. Overall the programme has also contributed to a drop in the number of critical vehicle failures. The Trust’s connected ambulance features include a state-of-the-art

101 For all your equipment needs visit:


Conclusion of Hillsborough Inquests Rod Barnes, Chief Executive of Yorkshire Ambulance Service

and friends of those who died.

“Working together, the crews

“These results are testament

Our thoughts remain with them.”

carried the woman, who had been

to the hard work of all of my

immobilised, to the 4x4 ambulance

colleagues who continue to

which was able to get back to the

deliver exceptional levels of care,

roads and onto hospital.

despite the pressures placed


Even the 4x4 struggled to get there

on us as a result of increased “Once again, the decision to have a wide range of vehicles with different

NHS Trust, said: The skilful driving of a member “I would like to extend my deepest

of staff in a 4x4 ambulance

sympathy to the bereaved

ensured a woman who had

families of the 96 people who

fallen from a horse got to

lost their lives as a result of the

hospital in a timely manner.

Hillsborough tragedy.

capabilities has proved its worth.”


Praise for Exemplary Service

The woman was unseated about “We fully accept the jury’s

800 metres away from the nearest

The region’s “exemplary”

conclusions that after the crush

road, up a dirt track.

ambulance service has been praised in a new survey.

began to develop there were mistakes made by the ambulance

An emergency 999 call was

service; lives could have been saved

received to the location, which

More than 100 patients in the East

on the 15th April 1989 had the

was in the middle of fields up

who received emergency treatment

emergency response been different.

a track between the villages

in January – the busiest start to

of Brandon and Bretford in

a year on record - completed


questionnaires, with 98% very

“On behalf of Yorkshire

satisfied, satisfied or fairly satisfied.

Ambulance Service, I am truly sorry. Our thoughts remain with

A West Midlands Ambulance

the families as they continue to

Service spokesman said: “The

The East of England Ambulance

grieve and come to terms with the

initial ambulance crew that was

Service NHS Trust (EEAST)

evidence they have heard over the

dispatched quickly realised that

scored 100% to questions around

last two years.

their ambulance was not going to

the professionalism, attitude,

make it to the patient due to the

appearance and care provided

“As one of the successor

wet mud on the track, so walked

by its staff. Top marks were also

organisations of South Yorkshire

the half mile to the patient with

given for the cleanliness of the

Metropolitan Ambulance Service, we

their equipment.

interior of the Trust’s ambulances and equipment.

have had a responsibility to ensure a full and fair examination of their

Given her injuries and the location

response. We have done our best

they requested an air ambulance be

More than 95% of respondents

to make sure all relevant evidence

sent to provide advanced pain relief

rated the handling of their call as

about the ambulance service

and the Midlands Air Ambulance

very acceptable or acceptable

response has been put before

from Strensham was sent.

and nine out of 10 said the length of time they waited for the Trust

the Court, placed in context and properly explored in an open way.

demand on the 999 service.


East Midlands Ambulance Service to help run NHS 111 service East Midlands Ambulance Service (Emas) is set to be a partner in running the 24-hour NHS 111helpline. It has joined forces with Derbyshire Health United, providers of the services, to win a five-year contract to run the service across Leicestershire, Rutland, Derbyshire, Nottinghamshire, Northamptonshire and Lincolnshire from October 1. A spokesman said the new service could lead to about 100 jobs being created in Leicestershire and Derbyshire. He said recruitment for health, clinical and dental advisors has now begun. Richard Henderson, Emas acting chief executive, said: “It has been important for us to have a close working relationship

“The woman who was in her 40’s

to arrive was very acceptable,

with Derbyshire Health United

needed to be taken to hospital,

acceptable or fairly acceptable.

over recent years, and there are


“The ambulance service has

but due to two other patients in

changed a great deal in the last

critical conditions being airlifted

Comments from respondents

to come as we work even more

27 years. A huge amount has

into the nearby University Hospital

included “very caring and

collaboratively together.

been learned from Hillsborough

Coventry & Warwickshire, there

reassuring”, “brilliant,” “excellent”,

and other incidents.

would not have been anywhere

and “first class”. Another patient

“The announcement that our joint

to land the aircraft at the hospital.

praised staff as “exemplary,

tender has been announced as

“We, as an organisation, are not

The crews decided that the best

courteous, calming, efficient and

preferred bidder is wonderful

complacent. I would like to reassure

option was to use one of the

very caring”.


the public that the ambulance

Trust’s 4x4 ambulances.

many benefits to patient care

Robert Morton, EEAST Chief

“We look forward to working with

major disaster such as this has

“It was able to make its way

Executive, said: “Such high

DHU and to the contract being

changed beyond all recognition.

to within about 100m of the

satisfaction scores are fantastic,

signed in the near future.”

scene before the driver became

especially after such a busy start

“We understand the importance

concerned that even it wouldn’t

to 2016 and our busiest January

The joint operation has been

of the anniversary for the families

make it through the mud.

on record.

welcomed by health campaigners.

service’s ability to respond to a

102 For further recruitment vacancies visit:


Paramedic Practice Conference Programme

Tuesday 18th October 2016

Kettering Conference Centre, Kettering, Northants NN15 6PB. Early Bird Delegate Rate…£36 including VAT. Book by 29th July 2016. Normal Delegate Rate £48 including VAT. Special Offer…Book Now to also secure a delegate place on our Resuscitation or Critical Care Conference taking place the following day for a combined rate of £60 including VAT Time




Professor Julia Williams

Professor of Paramedic Science

Stuart Blatston



09.30 – 09.45


09.45 – 10.30

Medical Command…The Future

10.30 – 11.15

Tea/Coffee, Exhibition

11.15 – 11.45

Something Old, Something New…Novel Psychoactives in the Pre-Hospital Setting

John Talbot

Professional Lead Paramedic Science

11.45 – 12.15

Airway Management in Cardiac Arrest

Tim Edwards

Advanced Paramedic Practitioner

12.15 – 13.30

Lunch and Exhibition

13.30 – 14.00

How Resuscitation Works

David Halliwell

MSc Paramedic FIfL

14.00 – 14.30

The Changing Face of Major Trauma

Prof Sir Keith Porter

Professor in Clinical Traumatology, University Hospital, Birmingham

14.30 – 15.15

Tea/Coffee, Exhibition

15.15 – 15.45

The Role of Critical Care Paramedics

15.45 – 16.15

Is Education Making a Difference

16.15 – Close

Airway Management

Dan Cody

Associate Clinical Director Magpas Helimedix

John Donaghy

Senior Lecturer

Amy Chan-Dominy


Topics & Speakers correct at the time of press but may be subject to change Do you have anything you would like to add or include in Newsline? Please contact us and let us know.


08.30 – 09.30


NEWSLINE Life Connections 2016 We are delighted to announce that Life Connections 2016 will again be taking place at the Kettering Conference Centre, Kettering, Northants on Tuesday 18th and Wednesday 19th October and that those interested in attending will again have a number of conferences / workshops to choose from. On Tuesday 18th October a Paramedic Conference is in place which includes speakers including Professor Sir Keith Porter, David Halliwell, John Talbot, Tim Edwards etc who once again will be giving excellent presentations on The Changing Face of Major Trauma, How Resuscitation Works, Novel Psychoactives in the Pre-Hospital setting and Airway Management in Cardiac Arrest. We are also hosting an Emergency First Responder conference which will provide delegates with an insight into Enhancing the Scope of Practice for CFR’s; Public Access Defibrillators, Governance versus

Vigilance and Observing and Observations of Children in the pre-hospital phase. Jamie Todd of Pre-Hospital Care Consultancy Ltd is also running an “Essentials of Advanced Airway Management” Course. On Wednesday 19th October we are hosting three

conferences which include a Resuscitation Conference incorporating presentations by Professor Sir Keith Porter on “The Changing Face of Major Trauma”, Ken Spearpoint presenting “Human Factor in end of life care - implications for education and training” and Amy Chan-Dominy presenting “Paediatric Retrieval / Resuscitation”.

A Critical Care Conference which includes presentations on IntraArrest Thrombolysos, Asthma and Anaphylaxis, Damage Control Resuscitation, and Developing Specialist Paramedic Practise which are all being given by keynote speakers. And a First Aid Conference which includes presentations on Minor Injury Management and Sepsis Guidelines - Early Recognition is the Key. Two further workshops are also be taking place these being a Motorsport Medicine Workshop run by Meditech Global and a PHTLS Course for First Responders.


For those able to book their places in advance a discounted early bird rate is available until Friday 29th July and there are discounted rates on offer for those wishing to attend more than one conference. To view all conference programmes please visit our dedicated website where you can also register to secure your place. Alternatively you can also register by calling the organiser’s office on 01322 660434.

104 For further recruitment vacancies visit:


Specialist Paramedic Critical Care Conference Programme Wednesday 19th October 2016

Kettering Conference Centre, Kettering, Northants NN15 6PB Early Bird Delegate Rate…£36 including VAT. Book by 29th July 2016. Normal Delegate Rate £48 including VAT. Special Offer…Book Now to also secure a delegate place on our Paramedic Conference taking place the previous day for a combined rate of £60 including VAT Time




Mark Hodkinson

Specialist Paramedic Critical Care

Ian Wilmer

Advanced Paramedic Practitioner

08.30 – 09.30


09.30 – 09.45

Welcome and Introduction

09.45 – 10.15

Fit for Purpose? Advanced Seizure Management

10.15 – 10.45

Intra-Arrest Thrombolysis

10.45 – 11.30

Tea, Coffee, Exhibition

11.30 – 12.00

Management of Life-Threatening Asthma and Anaphylaxis

Dr Felicity Clark

Consultant in Anaesthetics and Intensive Care

12.00 – 12.30

Sedation in Acute Behavioural Disorder

Dr Neil Thompson

Assistant Medical Director

12.30 – 13.00

Cutting Up Rough…Surgical Skills for Specialist Paramedics

Tim Edwards

Advanced Paramedic Practitioner

13.00 – 14.30

Lunch and Exhibition

14.30 – 15.00

Retrieval Medicine…Developing the Welsh System

Dr Mike Greenway


15.00 – 15.30

Damage Control Resuscitation…Fluids in Trauma

Prof Richard Lyon

Consultant in Emergency Medicine

15.30 – 16.00

Developing Paramedic Specialist Practice

16.00 – Close

Closing Address


Associate Clinical Director Magpas Helimedix

Prof Julia Williams

Professor of Paramedic Science

Topics & Speakers correct at the time of press but may be subject to change Do you have anything you would like to add or include in Newsline? Please contact us and let us know.


Dan Cody



Surrey co-responding trial to include more medical emergencies The trial of a potentially lifesaving scheme in which Surrey firefighters attend certain medical emergencies with South East Coast Ambulance Service has been expanded. Following early success of the trial, which began at the end of September last year, trained firefighters will now not only attend cardiac arrest calls but also other serious calls such as someone fitting or falling unconscious. All firefighters involved in the trial have volunteered to undertake Immediate Emergency Care Responder training developed by

across its region, is similar to a number of trials taking place elsewhere in the country with SECAmb also working with its three other fire services in its region to improve patient care. The trial officially runs until the end of June and it is hoped that following analysis it will be made permanent. To date, more than 190 firefighters have signed up and in total co-responded to more than 370 incidents. SECAmb Clinical Quality Manager and co-responding lead Matt England said: “This collaboration is about ensuring our most seriously ill patients are seen as quickly as possible. We’ll also always assign an ambulance response to the call at the same time but if firefighters reach the scene of an emergency before ambulance crews, they will

SECAmb. The training enables

be able to begin vital life-saving

firefighters to provide treatment


to patients in the moments before ambulance crews arrive much

“We’re very pleased with the early

in the same way as SECAmb’s

feedback from the trial and that

Community First Responders

we’ve been able to expand the

(CFRs). Ambulance clinicians

trial to include other potentially

are always assigned to attend a

serious emergencies. When

call at the same time as a fire co-

someone is in cardiac arrest,

responder or CFR.

with every minute that passes their chances of survival diminish

The trial, which is part of

significantly. Likewise with other

SECAmb’s wider ongoing work of

serious but not immediately

emergency service collaboration

life-threatening calls, a quick

response and treatment is vital to try and prevent a situation from deteriorating.” Kay Hammond, Surrey County Council’s Cabinet Associate for Community Safety Services, said: “This initiative is progressing well and I’m pleased we’re able to expand it so that firefighters can respond to a wider range of incidents. Working closely with the ambulance service in this way means we can better serve our communities by giving the fastest possible response to people who


are seriously ill. “Fire and rescue emergencies of course come first for firefighters but when there are trained crews and vehicles available they will do all they can as part of this pilot Karen Pointer Assistant Group Commander for Operational Development at Surrey Fire and Rescue who worked alongside SECAmb’s Dave Wells (also pictured) in developing the scheme

scheme to improve a patient’s chances of survival while an ambulance is on its way.”

106 For more news visit:

“This collaboration is about ensuring our most seriously ill patients are seen as quickly as possible.”


EFR Conference Programme


Tuesday 18th October 2016

xxx xxx

Kettering Conference Centre, Kettering, Northants NN15 6PB



xxx xxx

Thanks to the generosity of Wel Medical we still have 50 subsidised places available on this conference. The subsidised rate is £18pp to include lunch, tea, coffee etc.



xxx xxx



08.30 – 09.30


09.30 – 09.45


09.45 – 10.15

How Resuscitation Works

10.15 – 10.45

Public Access Defibrillators – Governance versus Vigilance

10.45 – 11.30

Tea/Coffee, Exhibition

11.30 – 12.00

Enhancing the Scope of Practice for CFRs

12.00 – 12.45

Rise of the Machines

12.45 – 14.00

Lunch and Exhibition

14.00 – 14.30

Medical Command – The Future

14.30 – 15.00

Observing and Observations of Children in the Pre-Hospital Phase

15.00 – 15.45

Tea/Coffee and Exhibition

15.45 – 16.15

The Changing Face of Major Trauma

16.15 – Close




Derek Middlehurst

Community Responder Team Leader

David Halliwell

MSc Paramedic Flfl



Steve Pratten

Community Response Manager

Amy Chan-Dominy


Stuart Blatston


Christopher Preston

Advanced Paramedic Practitioner

Prof Sir Keith Porter

Professor in Traumatology



Topics & Speakers correct at the time of press but may be subject to change

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

NEWSLINE crisis – such as an elderly person

She added: “Other factors include

Ambulance services report launched at University of Sheffield

with heart failure and diabetes

health needs such as chronic

having a fall, or someone with

conditions, socioeconomic factors

lung disease experiencing

such as isolation and loneliness,


lack of social support and

A pioneering report reviewing the care given by ambulance services has been launched at the University of Sheffield.

Janette Turner, Reader in

Leading researchers from the University’s School of Health and Related Research (ScHARR) contributed to the Care at the Scene review conducted by the National Institute for Health Research (NIHR) Dissemination centre to assess the UK research on urgent and emergency care patients receive outside of hospital. The volume of 999 calls for ambulances has more than doubled in the last 10 years and in 2014-15 a record nine millions calls were received in England. At the same time there have

deprivation and the supply of local

also been parallel increases in other parts of the emergency care system with rising numbers of NHS 111 calls, Accident and Emergency department attendances and unplanned admissions to hospitals. The role of ambulance services


Emergency and Urgent Care Research at ScHARR, conducted

“There is little research overall

a study used in the review

in this area and the relationship

examining why demand on

between these and demand for

the ambulance service has

services is not yet known.”

dramatically increased. A number of ground-breaking “It is well known that demand

studies conducted by leading

for emergency services is

academics from ScHARR are

increasing,” said Janette.

amongst 40 papers featured in

has changed radically over

the themed review of research

recent decades and they are now

“We know some of the reasons for

funded by the NIHR in the last 10

expected to provide high quality

this increased demand, reflecting


care and not just transport to the

wider pressures on health and

nearest hospital.

care services.

The majority of 999 calls are not

“These include people living

ScHARR, contributed her

traffic accidents or heart attacks

longer with the number of people

findings evaluating the impact of

but more typically involve people

over 75 attending Emergency

Emergency Care Practitioners in

with complex and ongoing

Departments tripling over the last

different UK health settings on

health problems experiencing a

20 years.”

patient pathways.

Suzanne Mason, Professor of Emergency Medicine at


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NEWSLINE “In the past, ambulances

standard to which they were being

together with other fire services

care and we already carry trauma

transported all patients to

compared. However cost savings

across the region, are working

kits and defibrillators on our fire

hospital. Now some ambulances

may be limited to certain settings

with East of England Ambulance


treat up to half of all 999 cases at

and services.

Service Trust (EEAST) to attend 999 calls for cardiac arrests.

the scene,” said Professor Mason. Other ScHARR researchers who

these life-saving skills to support

“The change in the nature of work

also contributed to the report

The pilot scheme, which is started

has been driven by rising demand

include Dr Rachel O’Hara, Colin

in Watford and Stevenage in

and changes in technologies and

O’Keeffe, Dr Emma Knowles,

May and is intended to run for

remit, beyond immediate lifethreatening conditions. “At the same time, new specialist roles have developed requiring particular training and knowledge including advanced practitioners, who can assess and treat patients with minor injuries or conditions on the spot without necessarily

Professor Jon Nicholl and

successfully treating cardiac

More than 70 researchers, health

getting help to them as quickly as

attended the launch of the report which took place at Firth Hall at the University of Sheffield on Wednesday (27 April 2016).


first national evaluation on the impact and cost effectiveness of advanced practitioners. The key

arrest patients depends on possible. Now, when a 999 call is made to the ambulance service about a cardiac arrest in Watford or Stevenage, their control room will send either paramedics or

referring them to other services.” Professor Mason conducted the

six months, was set up because

Professor Alicia O’Cathain.

care professionals and patients

Hertfordshire firefighters to attend cardiac arrest calls

“It makes sense for us to use

firefighters depending on who is nearest, so emergency care can be given as quickly as possible.

the ambulance service in situations where we can get to a patient more quickly. “We aren’t trying to turn firefighters in to paramedics, it’s about making the best use of the emergency services capabilities, regardless of which uniform they wear.” Firefighters will not convey patients to hospital but will offer trauma care at the scene until an ambulance arrives, and the pilot should not affect the fire service’s ability to attend fires and road traffic collisions.

Roy Wilsher, chief fire Officer and director of community protection,

Around the country, 20 fire and

delivered was safe and well-liked

Hertfordshire County Council’s

said: “Firefighters are trained to

rescue services are already working

by patients and as good as the

Fire and Rescue Service,

provide immediate emergency

with their local ambulance services.

findings showed that the care they



Tel: 01942 888 800

109 Life Connections - The Affordable CPD Provider:


Patient thanks lifesaving staff and ambulance crews after cardiac arrest in Suffolk golf centre

that Chris used the defibrillator

After taking pillowcases, sheets

was pivotal in saving Tim’s life.”

and towels from their apartment William and Laura made the brave

The defibrillator at the golf centre

decision to go back out on to the

was one of the 1,000 that EEAST

street, to help treat people who

distributed across the region last

had been seriously injured outside

year to help save more lives.

a nearby restaurant.

Jon Needle, Community

William said: “We made the

A man was reunited with staff

Partnership Manager for Suffolk,

from Bramford Golf Centre

said: “I’d encourage any public

and ambulance crews after

places to have a defibrillator fitted.

they saved his life following a

They are a crucial bit of kit and

cardiac arrest last year.

can be instrumental in saving lives, this incident demonstrates

Tim Wright, from Ipswich,

that. If you ever need to use one

collapsed in the car park and

and have access to one, you

went into cardiac arrest.

should not be afraid to do so, they are incredibly easy to use.”

Thankfully, staff including Chris Collins began cardio pulmonary

Chris added: “You’re not going to

resuscitation (CPR) and used

get it wrong [using a defibrillator],

a defibrillator which had been

it’s so easy to use.”

donated to the centre through the East of England Ambulance Service NHS Trust’s (EEAST) ‘1000 defib’ programme. In total, Tim was shocked 28 times between his collapse and arrival at Ipswich Hospital where he made a full recovery.

decision to go back down to the street and see what we could do

Paramedics commended for helping to save lives in the Paris terror attacks

Student nominated for award after saving first aid teacher’s life A student paramedic from Hertfordshire is set to receive a Royal Humane Society Award after saving the life of his former

to help so we grabbed some linen

first aid teacher in September

from around our apartment.

last year.

“We came across the restaurant

Dan Rawlings, who works for

that had been attacked and there

the East of England Ambulance

was a car outside that had been

Service NHS Trust (EEAST), was

hit with lots of bullets.

off duty on the 10th September 2015 when his former tutor Geoff

“We found two people lying next to the car that were bleeding quite badly. We treated their wounds using the things we had taken from our apartment as makeshift



bandages to try and stop the bleeding.” Laura and William carried on treating the victims until the emergency services arrived.

Poore went into cardiac arrest at the wheel of his car and crashed outside Dan’s house in Welwyn Garden City; a completely coincidental event, but one which provided to be a miracle in disguise for Geoff, who has since gone on to make a full recovery. Along with Red Cross volunteers Beth and Christine Whitbread, and passers-by Nathan Persaud and Martin McGovern, Dan is set

They received a standing ovation

to receive the award in June after

Tim doesn’t remember anything

Two London paramedics who

at a staff awards evening on

from that day, but it’s quite

went to the aid of victims of

being nominated by Hertfordshire

Thursday 29 April where Chief

different for everyone else who

Police Sergeant Sam Cordingley.

last November’s Paris terrorist

was there. Chris said: “It was the

Executive Dr Fionna Moore

attacks while on holiday in the

first time I’d done CPR for real

presented them with their award,

A spokesman for Sgt Cordingley

French capital were presented

as well as using the defibrillator

said: “The nominations were made

with a Chief Executive’s

she said: “It was an honour

- after it was all over I was a

because we were so impressed by

Commendation award last week

to present William and Laura

blubbering mess.”

the actions of everyone involved;

in recognition of their bravery.

with this thoroughly deserved commendation.

it may seem like luck that made

A paramedic was on scene

Laura Mannes and William Harrison were seated at a café

“The actions they took that day

hard work and effective cardio

within five minutes of the 999 call at 11.39am, followed by an

with Laura’s parents when

ambulance crew and East Anglian

they heard what they believed

Air Ambulance.

to be gunshots. They quickly returned to their hotel apartment


Speaking of that day, Tim said:

ushering Parisians off the street

“I’m just so glad that everyone

and to the safety of their room.

did what they did, I was extremely

were brave and inspiring and also showed the level of commitment and dedication they have to helping save lives, wherever they are and whatever situation they find themselves in. They should be extremely proud.”

lucky, the luckiest person in

the difference that day, but its pulmonary resuscitation that also played a part.” Dan still remains humble following the nomination: “I joined EEAST because I wanted to help people, not for recognition, but it’s extremely humbling and unexpected to receive an award.

the world. Thanks to everyone,

Laura said: “It was truly humbling

I’m now able to watch my six

to receive this award. This was a

career that I’ll never forget and am

grandchildren grow up.”

terrifying incident to be caught up

hugely proud of.”

It’s a moment in my life and

in and affected us both deeply but Emergency Care Assistant Dale

we knew we had to do anything

Geoff, who has now been

Banyard-Sawyer said: “The fact

we could to help.”

medically cleared to drive, has

110 For more news visit:

NEWSLINE nothing but praise for everyone involved: “I’m so pleased for them, they all completely deserve it. I and my family are so proud to know them and regard them as friends.” He added: “It shows how important basic CPR is and I wish more people were trained in it.”

Welsh Ambulance Service is up for two NHS Wales Awards The Welsh Ambulance Service is celebrating after two of its projects made the finals of this year’s NHS Wales Awards, announced on Friday 6 May, 2016. The Trust is up for the following awards: Working Seamlessly Across Organisations (supported by Welsh NHS Confederation): - For a service provided by Aneurin Bevan University Health Board and the Welsh Ambulance Service to put Emergency Department consultants on the road to see and treat patients before hospital. - For a collaboration between health, third sector, local authority and other agencies to reduce demand on emergency services. Chief Executive Tracy Myhill said: “I’m delighted that two of our nominations have been shortlisted for the NHS Wales Awards.

“What is really important is that these nominations are examples of how hard our staff are working to modernise and enable the Welsh Ambulance Service to

“It makes me very proud to be leading the Welsh Ambulance Service and I’d like to thank staff for all their efforts and commitment. I wish the teams who are behind these nominations every success at the final hurdle in September.” The annual NHS Wales Awards celebrate the work of organisations and teams across Wales in delivering excellent care and the winners will be announced in a ceremony on 23 September 2016. This year the Awards received 167 entries and the judging panel of NHS experts had the tough task of selecting the 24 finalists in eight award categories. The next stage is for the judging panels to visit each finalist to find out more and see first-hand the benefits they’ve brought to patients. The NHS Wales Awards are organised by 1000 Lives which is the national improvement service for NHS Wales delivered by Public Health Wales. They were launched in 2008 to celebrate the 60th anniversary of the NHS. For a full list of finalists please visit WMAS

Complaints down, compliments up West Midlands Ambulance Service is celebrating on two fronts after new figures revealed that the number of compliments received by the Trust rose in 2015-16 compared to the previous 12 months, whilst the number of complaints fell by 9%. Across the course of the last year, the Trust received 1,279 contacts of appreciation, up 4% from the 1,229

received in 2014-15. Members of the public used various methods of engagement to pass on their praise including letters, emails, tweets and Facebook posts. Pleasingly, the number of complaints and concerns fell from 393 in 201415 to 358 this time around. The figures equate to one in every 4487 patients making a formal complaint whilst one in 1256 choose to say thank you for the service they have received. Trust Chairman, Sir Graham Meldrum, said: “I am delighted to see that the figures are continuing to go the right way and that more and more people are praising the work that we do. “To see the number of complaints fall by 10% is also an excellent result and we will continue to work hard in order to ensure that number falls further. “When you consider that we receive almost 3,000 emergency calls and hundreds of nonemergency patient transport service (PTS) calls each day, we should all be very proud as to how few complaints we get.” Trust Chief Executive Anthony Marsh added: “These numbers are a fantastic result and are just reward for the excellent work of our hard working staff. “It demonstrates we are providing a very high level of patient care to people in their hour of need. “Congratulations to all of our staff who work incredibly hard to make these results possible whilst maintaining the highest level of patient care.” Head of Patient Experience, Marie Tideswell, said: “As a Trust, we know the value of listening to patient feedback. While we believe we have a high level of patient care, we are far from complacent and know that we can always learn more and make further improvements.”

30 Brooklyn Drive Rayleigh, Essex SS6 9LW Tel/Fax : 01268 833666


“It is evidence that the Trust is innovative in its approach to improving services, and also shows the ways we are working in partnership with our NHS colleagues and other agencies to deliver a better service across the whole of Wales.

provide the high-class service we are all aiming for.

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

NEWSLINE The Level 3 represents the

What kills more people than breast, bowel and prostate cancer combined? Although sepsis is a massive killer, training seems void of such an important subject. The number one qualification awarded to over 300,000 learners each year is the Emergency First Aid. This qualification focuses on the main, life threatening subjects but not sepsis. This


prostate cancer combined in the UK.

more ‘Autonomous’ nature

S: Slurred Speech.

Health Secretary Jeremy Hunt has

of the responder, this new

E: Extreme shivering or muscle

said around 12,000 sepsis deaths a

regulated qualification consists


year may be avoidable.

of 16 major learning outcomes

P: Passing no urine (in a day).

including the recognition

S: Severe breathlessness.

Although many current guidelines

features of red flag sepsis in

I: “I feel like I might die”

include the assessment and

S: Skin mottled or discoloured.

management of sepsis in specific

the pre hospital care setting. This qualification is further clinically endorsed by the Royal College of Surgeons Edinburgh, Faculty of Prehospital (FPHC) Care. To promote Sepsis awareness the Association of First Aiders will shortly be announcing a

is especially of concern if you

free Webinar on this highly

consider that a person with

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a severe form of sepsis is up

subgroups within their remit, most Sepsis happens when the

do not provide guidance for all

body’s immune system goes

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immune system overreacts

assessment and treatment.

it leads to an unintended but catastrophic attack on the body.

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An NHS England report suggests


to five times more likely to

Sepsis is seen as difficult

die than a patient with a heart

to diagnose as it can have

people suffered from sepsis,

attack or stroke.

a number of faces but there

whilst the National Confidential

some basic indications which

Enquiry into Patient Outcome and

This is where the AOFAQ Level

we can all understand and use.

Death(NCEPOD) published in

3 Award in First Person on

And there is an easy mnemonic

November 2015, says sepsis kills

East Midlands Ambulance

Scene is positioned.

to remember it by:

more people than breast, bowel and

Service (EMAS) has signed

in 2014, more than 123,000

EMAS awarded Patient Transport Service

on et re el.n mo erj ad at Re w.w ww


Professional burn care, anywhere - anytime!

112 For further recruitment vacancies visit:

NEWSLINE the contract, confirming them

looking forward to working with

“Our patient population is at the

appointments, and for mental

as the new provider of Non-

the commissioners and NSL on

heart of all our work.

health patients travelling to

Emergency Patient Transport

a smooth transition for patients

across Derbyshire from 1

and the wider healthcare

“We’re thorough in our

is estimated that EMAS will

August 2016.


approach to commissioning

be providing approximately

services from providers to make

232,000 patient journeys a year,

a community day centre. It

EMAS has years of experience

“This contract is another step

sure we achieve the best quality

which is around 4,500 each

of operating Patient Transport

forward in our transformation

and value for money each and


Services (PTS) throughout the

and demonstrates that others

every time for the people we’re

East Midlands, and is delighted

see EMAS as an improving

responsible for looking after.

to be welcoming the Derbyshire

organisation. The result

service back into the NHS (the

is testament to the skills,

“We’d like to thank NSL for

beginning of an exciting

current private provider NSL

determination and hard work

providing a high quality service

and rewarding career in the

was awarded the contract in

of all my EMAS colleagues

and look forward to working

Ambulance Service with


involved in our bid and

closely with EMAS to ensure

opportunities to move into the

negotiations, and I thank them

patients continue to have a

Emergency Service as well as


good, safe and supportive

within PTS.

Richard Henderson, Acting Chief Executive at EMAS, said:

Working in the Patient Transport Service is often seen as the


“Our priority is to deliver a

NSL will continue running the

safe and excellent service for

service until the changeover

Patient transport is pre-planned

to thank the current Derbyshire

patients. For this reason, it has

on 1 August 2016, when EMAS

(routine, booked journeys) and

PTS staff for their patience while

been appropriate that we, along

becomes the new provider.

on the day non-emergency

we agreed the details of the

transport between a patient’s

service with our commissioner.

with the commissioners and

Richard added: “We would like

NSL, take the time to make sure

Kate Schroder, Director of

home and a hospital or clinic.

We warmly welcome them to

we have everything in place

Acute Commissioning for NHS

For example, EMAS will be

EMAS, and look forward to

that needs to be before we

Southern Derbyshire Clinical

providing a transport service to

meeting our new colleagues

take over the service. We are

Commissioning Group said:

renal patients for their dialysis

over the next month.”

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113 For all your equipment needs visit:


Call handler recognised at 112 awards ceremony Emergency Medical Dispatcher, Harley Forbes was presented with the

Matt follows in his paramedic father’s footsteps – with a helping hand from the University of Northampton

Outstanding Call Taker award at the 112 awards ceremony.

A paramedic with 40 years’ experience has praised the

The ceremony took place

University of Northampton for

in Prague, where over 500

thoroughly preparing his son

attendees (representing

for a successful career on the

emergency services, public


authorities, European and international organisations,

When Dave Thorne joined the

and public safety solution

service in 1976, it was the norm

providers) gathered to honour

for trainee paramedics to be

the winners and celebrate

thrown in at the deep end and

with them their hard work and

expected to learn on the job.

achievements. “When I first started, all Harley was there to accept

you needed was a first aid

the award on behalf on behalf

certificate, you were given a

of our control room, he was

hand-me-down, mismatched

recognised for demonstrating

uniform and that was that,

excellent international working.

you were on the road,” said

This was following a call he

the 61-year-old from Burbage,

received where a patient who


was unable to speak English became unwell in England and

“On my second day in the job,

rang his partner in the Czech

we were called to an accident

Republic for help. She called

where a child had gone under

their emergency services on

a bus and I remember just

112 who contacted Harley

staring, not knowing what to

in our control room. Harley

do, as my colleagues leapt into

located the address of the


patient and ensured that an

“You can just see a clear

“For somebody to do

difference between somebody

something for so long, and still

who has trained at university

have that enthusiasm for the

and somebody who joined

job is great to see,” said Matt.

straight from school like me. “To see Dad in a professional “My son Matt is unflappable

light has been amazing for me,

when he’s working on the

I’ve learnt so much from him,

ambulance, and while that’s got

and to follow in his footsteps is

a lot to do with his character, it’s

something I’m really proud to

also got plenty to do with the

be doing.”

thorough training he receives at the University. He could not be

Proud parent Dave added:

any more prepared.”

“One part of the job will never change, and that’s caring for

Matt joined the University in


September 2015, and has already seen the benefit of

“Matt is caring, intelligent and

studying before going out on

knows when to have a laugh

the road.

and a joke, which is an art in itself – his bedside manner is

“There is so much information


to take on board at the start of the course, and when you go on

“I’ve worked a few shifts

your first work placement, it all

with him and I’ve been so

makes sense – you see things

impressed with how he gets

in an accident you’ve already

on with the patients – I just

learned about,” said Matt.

stand back and let him get on with it. He’s a pleasure to work

He added: “The job is amazing.

with and I’m just really proud

I love the spontaneity of it, not

of him.

knowing what you’ll find when you arrive at your destination – you get a real adrenaline rush, and total satisfaction from being

Partnership working saves a life in Devon

able to help people who are relying on you.

When Robin Taylor visited his local tennis club in Ivybridge,

“You have to put 100 per cent into

Devon on 14 November last

the job. You need to treat each

year little did he know it


ambulance from East Midlands

Things couldn’t be more

person in the way you would like

would end tragically when

Ambulance Service attended.

different for Dave’s son Matt,

your own family to be treated. We

he unexpectedly went into

who is receiving a careful

see a lot of elderly people with

cardiac arrest. Fortunately,

Emergency Medical Dispatcher,

blend of training and on-the-

chronic illnesses and you need

there were two men at the

Harley Forbes said: “It was a

job experience as part of his

to interact with them, they really

scene who commenced

real honour to go to Prague

Paramedic degree course at the

appreciate you taking your time to

CPR immediately – Andy

and accept this award on


talk to them. You go that extra mile

Kellett and Adam West. Two

for them, make them a cup of tea

Devon and Somerset Fire

“The training he receives is

and spend some time with them

and Rescue Service Co-

excellent,” said Dave. “Trainees

– just like you would for your own

Responders, Ed Durante

“It must have been distressing

are taught about the patient


and Alan Lake, were then

for the patient to fall unwell in

autonomy and the physiology

a country where he couldn’t

side of the job in their first year

Working alongside his dad while

the ambulance service. They

speak the language. I’m

and the pharmaceutical side in

on placement at Narborough

arrived quickly and were

pleased to have been able to

their second year – they are a

ambulance station, near Leicester,

able to successfully use a

work so well together with 112

lot more skilled than we were

Matt’s come to appreciate the

defibrillator, at which point

to get him some help.”

when I joined the service.

tough act he has to follow.

he began breathing again.

behalf of everyone who works in control services.

dispatched to the scene by

114 For more news visit:


An ambulance crew arrived

having responders based in

shortly afterwards and

towns like Ivybridge is very

continued treating him. He

important. They can and do

was then taken to Derriford

save lives. ”

hospital in Plymouth. Rich Buckley, the Lead He recovered very quickly and

Responder Officer for SWASFT

was discharged from hospital

is delighted that the outcome

after three weeks. He is

is so positive and commented:

extremely grateful to all those

“All of our responders do

involved in helping to save his life. Ed Durante, one of the responders who was one of the first on scene to treat Mr Taylor, has recently started working as an Emergency Care Assistant (ECA) for South Western Ambulance Service (SWASFT) and is based at Derriford ambulance station in Plymouth. Robin was recently reunited with the people who saved his life at Ivybridge Tennis Club in Devon. He was delighted to meet them and said: “I am extremely lucky to be here and owe my life to the bystanders who were able to give me CPR straight away, to the responders for administering the defibrillator, which got me

an amazing job and I would like to take this opportunity to sincerely thank them for

Resuscitation and Emergency Care

A full range of products for use in an emergency and resuscitation situation.

their invaluable support. Their presence really does make such a positive difference, as this incident clearly demonstrates. I am delighted that Mr Taylor has recovered so quickly and wish him all the best for the future.”

• • • • •

Bag-Valve-Mask (BVM) Pocket Resuscitation Mask Oxygen and Nitrous Oxide Delivery Systems Airway Management Oxygen Therapy

Fire Co-Responders are just one of the groups of volunteers operating across the Trust area. They work as retained firefighters but respond to certain incidents, like cardiac arrests, when literally every second counts whilst an ambulance is on its way. They operate predominantly in rural

ambulance crew for the

areas and receive training

fantastic treatment they gave

and equipment from SWASFT.

me. It was a pleasure to convey

Fire Co-Responders work in a

my thanks to them in person.

similar way to Community First

They carry out a fantastic job

Responders (CFRs). St John

in serving the local community

Ambulance and the RNLI are

and I am very grateful for

just a few of the organisations

everything they have done for

operating similar schemes in

me. As this incident shows

partnership with SWASFT.

To view the full range visit

Quality, innovation and choice lnteract with us


breathing again and attending

The complete solution from the respiratory care specialists

115 AMBULANCE_UK_06.16_resus.indd Do you have anything you would like to add or include in Newsline? Please1contact us and let us know.

16/05/2016 17:12

NEWSLINE won the forum’s top prize of

services in England conducting

Health Technology Assessment

Award success for SW ambulance researchers

£1,000 which will go towards the

the AIRWAYS-2 study which is

(HTA) funded study.

funding of a trip in November

comparing the clinical and cost

when Kim presents the study

effectiveness of two ways to

Sarah Black, Research and Audit

at the Paramedics Australasia

manage the airway of patients

Manager said: “Our research

International Conference in

who have had a cardiac arrest out

activity has grown significantly in

Research active staff at

Auckland, New Zealand.

of hospital.

recent years, which has given our

Kim, who has been research

Maria said: “AIRWAYS-2 is a large

take part in clinical studies out of

active since 2012, said: “PROXY

complex study with recruitment

hospital than ever before. We are

was a study designed to see if

targets of 9,000 patients

currently delivering six studies.

it is feasible to conduct a study

and 1,300 paramedics. The

in paramedic practice that

recruitment model for the study

“We couldn’t have achieved this

investigates whether a lower

enables patients that are attended

without the fantastic support

research forum.

level of oxygen administered

by a participating paramedic to

of the NIHR Clinical Research

to patients is superior to 100%

be automatically enrolled. This

Network in the South West to

This year SWASFT came away

oxygen in patients who have

means that patient recruitment

ensure we were research ready.

regained a heartbeat after having

is entirely dependent on having

And our achievements to date

Forum prize giving event in

an out of hospital cardiac arrest.

enough paramedics to take part.

our testimony to the tenacity

Newcastle with the award for

This was a really interesting and

the highest quality research by

challenging study to be involved

In SWASFT there are almost 500

who have seized research

research paramedic Kim Kirby

in and the success of this study is

paramedics – approximately 25%

opportunities and embraced new

and the best poster by Maria

testament to the paramedics who

of eligible staff – trained to take

ways of working and training

Robinson and the Airways 2 study

were involved. I am really proud

part in the study.

to ensure we can run studies

research team.

that PROXY won the award for the


South Western Ambulance Service NHS Foundation Trust (SWASFT) have maintained an impressive record – having now won over the past three years every prize awarded by a specialist emergency medicine

from the 999 EMS Research

Chair of the 999 EMS Research Forum Professor Helen

patients greater opportunity to

and flexibility of SWASFT staff

effectively. It has been a great

highest quality research and felt

“These paramedics have

team effort and everyone should

privileged to be able to present it

enrolled 744 patients and in

be proud of what they have

to the forum conference.”

March 2016 over 3,000 patients

achieved to date.”

have been enrolled across the

Snooks said: “Our forum aims to encourage, promote and

Research Facilitator Maria

four ambulance service sites

disseminate research and

Robinson and her colleagues

in England. Achieving these

evidence-based policy and

from the AIRWAYS-2 research

recruitment levels has been a

practice in 999 healthcare. Kim

study team received £100 for first

huge undertaking and the credit

and Maria have continued South

place in the best poster award

for this goes to all those involved

Western Ambulance Service

category. AIRWAYS-2 is funded

in this study.”

Foundation Trust’s track record of

by the National Institute for Health

excellent research in this area.”

Research* and is co-ordinated by

Last year SWASFT scooped the

from Worcestershire who is

the Clinical Trials and Evaluation

999 EMS Research Forum Best

determined to help ‘Rebuild

Unit in Bristol.

Use of Routine Data award and

Nepal’ has returned from a

in 2014 the Trust won the forum’s

second visit to the earthquake

award recognition for the research

hit country.

Research paramedic Kim Kirby’s presentation of the Post ROSC OXYgenation study

SWASFT is one of four ambulance


Paramedic helps rebuilding mission in Nepal An advanced paramedic

most likely to influence practice. This means over the last three

Phil Llewellyn, who is based

years SWASFT has won every

in Pershore, first visited the

prize given by this prestigious

country to offer aid in the wake

research forum.

of the devastating 7.8 magnitude earthquake that struck on April


Six years ago SWASFT was not

25th, 2015. A second earthquake

conducting a single research

with a magnitude of 7.4 was to hit

study on the National Institute for

the region on May 12th.

Health Research (NIHR) portfolio and had no research-active

Phil was so touched by the


damage and devastation caused, particularly in the village

Maria Robinson

Kim Kirby

In 2014/15 SWASFT was the top

of Kaule, where he has friends,

patient recruiting ambulance

that he decided he wanted to

trust in England and it is the first

help further. The village had

ambulance service to sponsor a

been completely decimated with

116 For further recruitment vacancies visit:


West Midlands Ambulance Service

West Midlands Ambulance Service people that have been forgotten.”

homes and schools having been

professionals with him and

Reflecting on the trip, Phil said:

destroyed, as well as people

because Kaule relies heavily on

“Kathmandu looks a lot better

losing their lives.

tourist income generated by the

since the earthquake, but the

Now back in the UK, Phil plans to

trekking and climbing industry,

remote villages, such as Kaule,

start fund-raising again in a bid

As a result, Phil set up the

they set off on an expedition to

look pretty much the same. For

to raise more money to purchase

charity ‘Rebuild Nepal’. In the

Annapurna Base Camp at an

almost 12 months these people

materials needed to rebuild more

months that followed, he worked

altitude of 4250m.

have lived under tin sheets and


tarpaulin and it is really sad to see.

tirelessly to raise funds to

If you would like to help fund-

support Kaule, giving talks and

During the visit Phil handed

holding a Summer Ball, all of

over the £8000, enough money

“The Nepalese people are so

raise, or would be interested

which helped to raise £8,000.

to rebuild four houses, and the

loving and genuine and are full

in arranging Phil to give a talk,

group were afforded a heart-

of smiles no matter what, but


On his return to Nepal in March,

warming reception by the people

people should not be distracted

RebuildInNepal or email

Phil took eight healthcare

of Kaule.

by the smiles – they are desperate


West Midlands Ambulance Service

117 For all your equipment needs visit:

NEWSLINE Ambulance and fire crews report for duty at new joint Resource Centre Wrexham’s ambulance and fire crews reported for their first shift at the state-of-the-art new resource centre on 12 April.

North Wales, said: “A lot of hard

can be proud of, which provides

work has gone into this project

modern, improved and upgraded

from the partnership, so we’re


delighted to be using this facility. The ambulance accommodation “This development will provide

incorporates a fleet workshop,

the modern and upgraded

make ready facility, a six-bay

services that our crews deserve.

garage, offices for fleet staff and

“It also presents the perfect


Thames Valley Air Ambulance now carries life-saving Plasma on-board

management, debrief room and a

Thames Valley Air Ambulance

deployment base for response staff.

now carries life-saving Fresh Frozen Plasma (FFP) on board

opportunity to work more closely with our fire service colleagues,

Ambulance crews start their shift

its helicopter and emergency

with whom we already have an

at the AFSRC then will move to

response vehicle, the vital

The Welsh Ambulance Services

excellent working relationship and

strategically located deployment

clotting components of human

NHS Trust and North Wales Fire

attend many incidents together.”

points across Wrexham and Chirk,


and Rescue Service have jointly

where call demand data predicts

invested more than £15 million in

Kevin Roberts, Senior Operations

the purpose-built facility – the first

Manager at North Wales Fire and

of its kind in Wales – which boasts

Rescue Service, added: “This is

Newly-recruited fleet assistants

to use FFP. It is now administered

an eight-bay fire station, a six-bay

an exciting time for all involved

will clean stock and clean vehicles

together with O Negative red

ambulance station, a make ready

and we’re delighted to be making

after use, enabling clinicians to

blood cells (which have been

facility and fleet workshop plus

the move into this high quality

spend more time face-to-face with

carried on board since 2014) to

top-of-the-range training facilities.

resource centre which will provide

patients delivering better care for

give blood transfusions to patients

both improved facilities for our

the area.

suffering from severe blood loss.

The fire accommodation includes

In the past two weeks, TVAA’s

a local community safety office,

medical crews have given two

The Ambulance and Fire Services

staff and a better service for the

Resource Centre (AFSRC) on

public in the area.

Croesnewydd Road has replaced

the next 999 call will come from.

TVAA is one of very few air ambulance charities in the country

the existing fire station on Bradley

“Operating from one base will

an eight bay garage, gymnasium,

life-saving blood transfusions with

Road in Wrexham, and the

allow greater co-ordination

training house and drill tower with

the addition of plasma to patients

existing ambulance stations in

when it comes to responding to

a road traffic collision training area.

with major haemorrhaging in the

Chirk and Wrexham.

incidents and will make the best

The project has been three

Thames Valley.

use of resources for both of our

Facilities like the rest room, dining


room, communal kitchen, main

TVAA Emergency Medical Doctor,

office, locker room, meeting and

Dr James Raitt, has worked

years in the making and Sonia Thompson, the Welsh Ambulance

“This partnership has allowed us

training rooms will be shared by

closely with Julie Staves and the

Service’s Head of Operations in

to create a joint facility which we

both services.

Transfusion Laboratory at the John Radcliffe Hospital’s blood bank in Oxford to enable the service to carry FFP on board and explains its importance: “Blood transfusions are given to treat a multitude of illnesses as well as to replace blood loss in major trauma, therefore when it is donated it is separated into various components that are used to treat patients in different ways,”


says Dr Raitt. “Current evidence and NICE trauma guidelines now recommend that if a patient is bleeding to death, they should receive both ‘packed red cells’ (which carry oxygen) and ‘plasma’ (which carries the clotting factors to help stop the bleeding).

118 For more news visit:

NEWSLINE “Up until now, it has only been

a structured approach to

viable for TVAA to carry red

neonatal, adult and paediatric

blood cells on board due to it

transfers, and the knowledge

being more readily available

of the processes involved

and the way it is able to be

in the transportation of the

stored and recycled. Plasma is

sick neonate, child or adult,

scarcer and once thawed from

emphasising the preparation

its frozen state it only has a five

required prior to transfer.

day shelf-life before it has to be discarded.

The ACCEPT methodology consists of the following:

“As the John Radcliffe is the

Assessment, Control,

major Trauma Centre for the

Communication, Evaluation,

region, we are confident that

Preparation and Packaging and

thawed plasma not used by


the air ambulance in a 48 hour period can be returned to the

Using this approach

hospital via the blood bank

substantially improves patient

and used by the emergency

care and outcomes, both inter–

medical teams there without

and intra-hospital.

any waste. This partnership is pivotal in improving survival

The Fold away ambulance

rates for patients needing

creates the feeling of the

blood products (red blood cells

confinements of an ambulance,

and plasma) to treat severe

but can be used in any

haemorrhaging before they

classroom setting.

reach hospital.”

Retailing for between £3500

TVAA is committed to

and £4000 (depending on the

developing and enhancing its

artwork design) the fold away

helicopter emergency medical

classroom has become a

service in the region to provide

fantastic addition to Paramedic

the highest level of emergency care outside of a hospital environment. A full range of life-saving equipment is carried on board, including two state of the art ultrasound devices, a blood transfusion kit and an immediate blood analyser, helping to shave off valuable

and Transfer Courses. All patients are vulnerable when it comes to transfer; and the time spent transferring presents increased risk to the patient in that it’s time not spent treating. Furthermore, the challenges posed in transferring are

substantial, both clinical and non-clinical.

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

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New ambulance centre to begin operations Ambulance crews began operating out of South East Coast Ambulance Service’s (SECAmb’s) newest Make Ready Centre and Hazardous Area Response Team (HART)

to clean and restock their vehicles themselves. The centre will not only serve as a place where ambulances are ‘made ready’ for crews but will also provide the regional home for the HART team, which is currently based in temporary premises near Gatwick. The site will also provide modern training and meeting facilities.

base in Crawley on 18 April.

SECAmb Paramedic and Operating

A phased opening saw the first

great deal of work took place ahead

crews begin to report to the new centre in Faraday Road, Northgate, prior to the centre becoming fully

Unit Manager Peter Radoux said: “A of the centre becoming operational. Make Ready ensures we have a system in place where our staff are

operational by the end of April.

spending more time doing the job

Horsham staff began shifts at


the new centre with crews from Horley and Crawley joining their

they are trained to do – treating

“Crews will still respond from the


same towns under this system

SECAmb’s Make Ready system

at staggered times at the new

minimises the risk of cross-

but will begin and end their shifts centre with a vehicle prepared for

infection; frees up front-line staff,

them that is fully operational. The

who historically have cleaned and

purpose of the new system is to

re-stocked ambulances, to spend

minimise the time when crews are

more time treating patients; and

not available to respond to patients.

keeps vehicles on the road for

The modern facilities the new

longer. Specially-trained operatives

centre provides will also ensure

regularly deep-clean, restock and

crews have access to improved

check vehicles for mechanical faults.

training opportunities and greater management support.”

The centre is supported by a network of Ambulance Community

Paramedic and SECAmb HART

Responses Posts (ACRPs)

Manager Neil Harrison added:

where there are facilities for staff.

“We’re pleased the Trust has

Ambulance stations in Horsham,

secured a permanent base for

Crawley and East Grinstead have

the Gatwick HART team. The

been retained as response post

centre provides the facilities the

sites along with an ACRP already

teams need to respond to calls

serving as such in Horley, thus

across the region as well as the

protecting the delivery of services to

space for essential training linked

local communities. Other potential

specifically to the HART role.”

sites for additional ACRPs based SECAmb has already developed

be explored.

two purpose-built Make Ready centres in Ashford and Paddock

Within the new system, staff are

Wood in Kent as well as Make

also able to return and pick up a

Ready Centres in Chertsey,

‘Made Ready’ vehicle during their

Hastings and Thanet. Centres are

shift should they need to, thus

also being developed in Tangmere

ensuring they can begin to respond

and Polegate with a further planned

to emergencies more quickly than

for Brighton. SECAmb has another

in the past when they would have

HART team based in Ashford, Kent.


on patient demand will continue to

121 Life Connections - The Affordable CPD Provider:


behalf of everyone at SECAmb

Paramedics represent Trust at Queen’s garden party

who attended the Shoreham

Two South East Coast

was surreal. The obvious

Ambulance Service paramedics had a day out to remember when they attended Buckingham Palace as guests

Airshow disaster. It was a very special day and being able to park on The Mall and walk through the gates to the palace highlight of the day was seeing The Queen who looks fantastic at 90. It was an honour to represent SECAmb albeit with

at a Royal Garden Party.

a feeling of obvious sadness

Clinical Operations Manager


at the loss of life on that tragic

(COM) for Burgess Hill, Haywards Heath, Lewes and

Roy added: “I was extremely

Hove, Roy Nightingale and

proud to be invited to attend

recently-retired Steve Andrews,

such a smashing day and

from Bognor Regis, were

represent everyone at SECAmb

nominated to attend the event

involved in attending the

for their roles in attending the

Shoreham Airshow. It was a

Shoreham Airshow disaster

great experience to see The

and their long service. They

Queen and for both Steve and I

attended the event, hosted by

to be able to have such special

The Queen, with their wives on

memory to treasure.”

Roy (left in uniform) and Steve in the palace garden

Tuesday 10 May. Sussex Regional Operations

served their local communities

were able to represent the

Steve said: “I was very proud

Manager James Pavey added:

with a huge amount of

service and their colleagues at

at being chosen to attend on

“Both Steve and Roy have

dedication. I am delighted they

such a prestigious event.


122 For more news visit:


Cambridgeshire firefighters will be sent to heart attack patients, for new trial scheme

cases where a patient is not

to a patient in cardiac arrest

communities and have been

breathing and their heart has

the better chance they have of

very enthusiastic during the

stopped beating.


planning stages and are keen to get started.

Rob Ashford, acting director

“The ambulance service will

of service delivery for EEAST,

continue to send clinicians to

“We are passionate about

said: “We already work closely

such patients as a top priority,

providing the best possible

with 999 colleagues and this is

but the best thing for the patient

service to the people of

an extension of our partnership

is to get someone trained in

Cambridgeshire and by linking

Heart attack victims in

to help patients with an

basic life support to their side

up with EEAST we will be able

Cambridgeshire could be

immediately life-threatening

as quickly as possible.”

to help each other in delivering

treated by fast-response


life-saving assistance.” Firefighters are currently

firefighters, as part of a new scheme being trialed in the

“Building on the collaborative

trained in basic life support and

The trial scheme will begin in


work already undertaken through

equipped with defibrillators.

Ramsey and March, before being rolled to more than 20

community first response (CFR),

locations in the East of England.

The East of England Ambulance

public access defibrillation and

However, the ambulance trust

Trust has been working with six

RAF co-response schemes,

will be providing on-going basic

fire and rescue services on the

we also believe co-response

life support to those taking part

The EEAST has been highly

new pilot programme, which it

schemes can add significantly

in the trial.

praised for its service, with 100

says could save lives.

to our ability to respond to

The ‘co-response’ experiment

per cent of participants in a

patients quickly and start basic

Rick Hylton, assistant chief fire

recent survey saying they were

life support.

officer at Cambridgeshire Fire

satisfied with their treatment.

and Rescue Service, said: “We

will begin in Cambridgeshire,

are very excited to begin this trial.

However it is under increasing

with firefighters in response

“We know that the

cars deployed in addition to

quicker someone starts

ambulance clinicians and

cardiopulmonary resuscitation

“Our on-call crews taking part

21 per cent rise in emergency

community first responders, in

(CPR) and gets a defibrillator

are already at the heart of their


strain, with March seeing a

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123 Do you have anything you would like to add or include in Newsline? Please contact us and let us know. | Hall 5 | NEC | Birmingham | 21-22 September 2016 | | Hall 5 | NEC | Birmingham | 21-22 September 2016 | | Hall 5


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Trust moves forward following leadership appointments The East of England Ambulance Service NHS Trust (EEAST) has appointed Kevin Brown as Director of Service Delivery, and Wayne Bartlett-Syree Director of Strategy and Sustainability. The appointments are the latest milestone in helping with the establishment of a stable executive team and Board to ‘drive the organisation forward’. Chief Executive Robert Morton said: “I am delighted that we have been able to make these appointments. After joining, and during my subsequent travels meeting with colleagues, the lack of stable leadership and direction was an area of concern which was consistently raised by staff in every area. “Creating a stable and permanent executive team and Board is absolutely essential in enabling us to move the Trust forward. Kevin and Wayne are both exceptional candidates and the knowledge and skills they bring will help further build our leadership capability.” Kevin, who has always lived in the east of England, has more than 18 years’ experience in the ambulance service. He spent his first 10 years as a paramedic in the Beds and Herts Ambulance and Paramedic Service, before moving onto the police service and then into commercial healthcare specialising in critical care. He then worked for London Ambulance Service for nine years as an experienced strategic commander and, amongst other achievements, led the planning and delivery of

the ambulance response for one of the London 2012 Olympic Games Zones. Kevin said: “Having worked as a paramedic and also having been a community first responder, I am delighted to be given the opportunity to lead the great staff and volunteers across the east of England who work exceptionally hard to provide high quality patient care. I look forward to working with our people to ensure that they have the best possible support in place to deliver outstanding patient care.” He continued: “I bring a wealth of experience to help us do that and having lived all my life in the region, it is a great opportunity to ensure we provide the standard of service that I would expect for myself and my family.” Wayne has extensive NHS experience in a career that has taken him from the sluice rooms to the Board room. Wayne started as a nurse auxiliary at Bedford South Wing Hospital in 1998 before training as a nurse at the Queen’s Medical Centre in Nottingham. After qualifying he progressed to becoming a senior nurse in critical care. Wayne then moved into management working in clinical networks delivering a range of service improvement programmes before leading urgent and emergency care reform in Coventry and Warwickshire and the West Midlands. More recently Wayne was a member of the national team for specialised commissioning at NHS England where he led the strategic planning function. Wayne said: “I am very pleased to have been appointed to this role; I cannot wait to work with an exceptional group of staff and be part of the team that improves the ways in which we support communities across East of England.”

For more information on the EEAST Board, visit: News

IAA announces Executive Chair, four new directors Directors of the Independent Ambulance Association (IAA) are pleased to announce the following new appointments. Alan Howson, is appointed as Executive Chairman. Alan has been a Non-executive Director since the inception of the IAA in November 2012, and was acting Chairman in 2014. Margaret Serna, Managing Director at Thames Group, re-joins the Board as a member Director. Margaret has vast experience of managing ambulance services, having been Chief Executive of Lincolnshire Ambulance Service and managed Thames Ambulance Service since 2010. Clare Smith and Andrea Maynard, Care Quality Managers at BEARS and Prometheus Medical respectively, join the Board as Directors. As a registered Nurse, Andrea brings a wealth of clinical knowledge, experience and understanding to the Board. Steve Burton, Pro-Medicus, also joins the Board of Directors. Existing Directors Matt McDonnell (Medicare EMS Group) and Dan Squibb (X9 Services) complete the Board. Matt will continue as Deputy Chairman, bringing valuable experience and continuity to the role. “I am genuinely excited to have been appointed to the role of Executive Chairman, a role that combines the leadership and management of the Association, with the challenge of making things happen. The Independent sector plays a crucial role in many and varied settings, and it is of vital importance that our voice is heard, particularly given the changes taking place in commissioning and regulation.

Kevin Brown

Wayne Bartlett-Syree


The appointment of new Directors, who bring high level expertise, knowledge and enthusiasm to the board will both re-energise and re-focus the work of the Association. I relish the opportunity of working with Directors, our members and affiliates to ensure the voice Independent Ambulance sector is heard and responded to.” Alan Howson, Executive Chairman, IAA.

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Determined Dermot wins Management Apprentice of the Year Award A long-serving paramedic has picked up a prestigious award for the lengths he has

The year-long course, which Dermot completed at the Rhos-on-Sea campus, is for those who are have management responsibilities but no formal training, and are serious about developing their abilities. Sonia Thompson, the Trust’s Head of

gone to further his education.

Operations in North Wales, said: “We’re

Dermot O’Leary, who is based in Rhyl

for his dedication, which knows no bounds.

delighted that Dermot has been recognised

Ambulance Station, won the Management Apprentice of the Year Award at Coleg

“Dermot is such a worthy recipient for this

Llandrillo’s Apprenticeships Awards Ceremony.

award, and we’re over the moon that his

The father-of-two, who has worked for the

a distinguished way.”

commitment has been recognised in such

Welsh Ambulance Service for 15 years,


North West Ambulance Service announces new Chief Executive North West Ambulance Service NHS Trust is pleased to announce the appointment of Derek Cartwright as its new Chief Executive. Following a rigorous and challenging selection process, the decision to appoint Derek was announced on Tuesday 10 May 2016. Derek has held the role of Interim Chief Executive since the departure of former chief Bob Williams in March and has had a long

was recognised for the work he produced

Dermot, who lives in Penmaenmawr, joined

career in the ambulance service in the North

while studying for his ILM Level 3 Diploma in

the Welsh Ambulance Service in 2001 as


Leadership Management.

an Emergency Medical Technician, and qualified as a Paramedic two years later.

Dermot, who is also a Clinical Team Leader,

Derek joined Greater Manchester Ambulance Service (GMAS) as a member of its patient

and supervises a team of 14 colleagues, said:

He is also one of the Trust’s road safety

transport service in 1986. He progressed to the

“I was shocked and stunned when they called

champions and spends much of his

emergency service in 1988 where he became

out my name at the awards ceremony.

own time visiting schools and colleges

a paramedic and then a manager. Derek

delivering hard-hitting lessons in road

continued his career in Greater Manchester


and in 2003 he was appointed to the post

“I thought that the other candidates were

of Operations Director and operated as a

far more ahead of the game than me, and I Justine Grew, Work-Based Learning

certainly didn’t expect to win.

member of the GMAS Board.

Manager at Coleg Llandrillo, said: “Dermot “The diploma was tough because you’re

is an exemplary student, going far beyond

On establishment of the North West

trying to juggle your studies with a full time job,

what is required.

Ambulance Service in 2006, Derek was appointed to the post of Area Director for

but it was so worth it and I’m glad I did it. “He has demonstrated innovation and

the Cumbria and Lancashire area and

“I was chuffed just to be nominated to be

dedication to his role. His assessor and

was subsequently promoted to Director of


tutor are very proud of his success.”

Emergency Services in 2009.

AMBULANCE UK - JUNE Dermot O’Leary with his award

Derek Cartwright, Chief Executive at North West Ambulance Service NHS Trust

126 For further recruitment vacancies visit:

IN PERSON In November 2012, Derek was appointed to

Mr Sunderland commented “It was a truly

of the Yorkshire Air Ambulance for over

the role of Director of Operations and then in

fantastic and overwhelming day at Windsor

12 years now and have seen some huge

March 2016 he was appointed as Interim Chief

Castle. Up until arriving, I had been given

changes to the Charity over those years.


no clue as to who would be awarding my

We now own our two current helicopters,

MBE, so to find out it was Her Majesty was

with two new brand new replacement

just wonderful.

state-of-the-art models on order, have two

Derek said: “I am very proud to be given this opportunity to take the Trust forward and am

flagship air support units in the region,

looking forward to working together with staff

The ceremony itself was quite surreal but

a fantastic head office facility as well as

and partners in the region to make sure we

walking towards The Queen to collect my

brilliant paramedics, Pilots and Doctors,

provide quality, compassionate care for our

MBE will certainly go down as one of the

Charity team and group of volunteers. The


most memorable and proudest moments of

YAA really is going from strength to strength

my life.”

however none of this would have been

Commenting on the appointment, Trust Chair,

possible without the amazing support of

Wyn Dignan said: “I am very pleased to

Mr Sunderland joined the YAA after retiring

the people of Yorkshire. Something we will

announce this decision which came after a

from his role at the RMC Group PLC, where

always be eternally grateful for. It truly is an

challenging selection process.

he worked for over 27 years as one of their

honour to be its Chairman”

UK Directors, bringing with him a wealth “Derek has many years of experience with the

of experience in senior management,

As well as his work with the YAA, Mr

Trust and is a very highly respected member of

monitoring & delivering of business

Sunderland has also been a member of the

the NWAS team. I have no doubt that with his

targets, workshops, strategic development,

Wakefield Cathedral Council, and is a past

passion and drive for the Service our staff and

financial & budgetary control and project

President and Subscribers Secretary of

patients will all benefit from his leadership.


Huddersfield Choral Society.

“With this appointment, we are now in a

After spending an initial 3 years as a Trustee

In 2007 he was appointed a Deputy

position to move forward and look to the

for the YAA, he then became Chairman in

Lieutenant of West Yorkshire by the Lord-

future – we want to ensure that the North

November 2006, and continues to hold the

Lieutenant, Dr Ingrid Roscoe.

West Ambulance Service can continue to be a

position today, supported by his Vice-

Service that the people of the North West are

Chairman, Trustees and a strong senior

Mr Sunderland was joined at his investiture by his

proud of.”

management team.

wife Margaret and his two eldest grandchildren

Derek received the Queen’s Ambulance Medal

Mr Sunderland continued “I have been part

Lillie and Jacob. He is also supported by sons Richard, Matthew and Nicholas.

(QAM) in the New Year’s Honours list on 2014. He lives in Bolton with his wife Joanne, has four grown up children and a Grandson.

YAA News

Yorkshire Air Ambulance Chairman receives MBE from Her Majesty The Queen at Windsor Castle The Yorkshire Air Ambulance Chairman, Peter Sunderland DL, has been awarded an MBE by Her Majesty The Queen at a ceremony at Windsor Castle which took place on 13th April 2016. He was AMBULANCE UK - JUNE

named in her New Year Honours list for ‘Voluntary service to the Yorkshire Air Ambulance and the community in West Yorkshire’ Mr Sunderland, 73, has been a Trustee of the life-saving Charity for over 12 years, with just over 9 of those as its Chairman, and has been responsible for some momentous changes at the YAA in recent years.

Peter Sunderland MBE, DL with his wife Margaret and grandchildren Jacob and Lillie at Windsor Castle

127 For all your equipment needs visit:

IN PERSON ambulance service. I’ve never looked back. The people in the Service are incredible and I’ll definitely miss my colleagues the most.”


The trust’s dedicated longest serving paramedic retires after 44 years

Bob McGowan, Interim Head of Service for Cheshire and Merseyside said: “Steve has been a brilliant member of the team and brought a great deal of dedication, passion and enthusiasm to his roles. He will be truly missed in the Trust by colleagues up and down the North West. We all wish Steve a long and happy retirement and thank him for all his incredible work over the years.”

The longest Serving paramedic for North West Ambulance Service (NWAS) Steve Evans has retired after 44 dedicated years in the Service. In 1971 at the age of 16, a fresh-faced Steve began his career as an ambulance cadet in the Merseyside area. Steve remained in the Merseyside and Cheshire area for his entire career, becoming a paramedic in 1989 and in the last six years he has trained other paramedics across the Trust. Steve, 60, has always busied himself in undertaking a wide range of successful projects outside his commitments as a paramedic. Writing medical books and his world famous ‘Don’t Walk Away’ campaign, aimed at protecting young people, saw him rewarded with an MBE in this year’s New Year’s Honours list. Saving thousands of lives over his many years in the Service and delivering 19 babies, including one on Christmas day, Steve was given a special send off by the Trust with a retirement presentation. Speaking at the retirement presentation Steve said: “It’s been an incredible experience

Steve plans to spend his retirement continuing his work training street pastors and using the lawnmower he received from colleagues as a leaving gift. Steve will also by cycling Land’s End to John o’ Groats in September and will be spending the next five months training for his ‘epic’ cycle ride. WAS News

watching the ambulance service change over the years. The main thing I’ve always wanted to do as a paramedic is to make a difference. Whether you’re out on the road saving lives or training the next generation of paramedics, you’re always part of a team making a huge difference to so many lives every day. “I didn’t have the qualifications to get into the police, so my Mum told me to sign up with the

Gordon collects Queen’s Ambulance Service Medal from Her Majesty A Welsh Ambulance Service spearhead with more than 38 years of service has collected a Queen’s Ambulance Service Medal at a ceremony hosted by Her Majesty. Gordon Roberts, the Trust’s Deputy Director of Operations, picked up his medal at a ceremony in Windsor Castle after he was recognised in last year’s Birthday Honours list. The Queen’s Ambulance Service Medal is awarded to distinguish exemplary service from ambulance workers in the NHS and reward exceptional devotion to duty. Of his investiture, Gordon said: “To collect a medal from the Queen is an honour it itself but the fact that my family were there to share it with me made it all the more special. “The ceremony itself was fantastic. It was an experience I’ll never forget.”


Gordon joined Gwynedd Ambulance Service in 1978 as an Ambulance Technician in Bala after he undertook training at Wrenbury Hall in Cheshire. Two years later he transferred to Conwy and embarked on his paramedic training, qualifying in 1992.

Steve Evans at the retirement presentation with NWAS Head of Driving Standards Paul ones-Roberts

128 For more news visit:

In 2001, he was appointed Locality Manager for Conwy, and four years later as Locality Manager for Conwy and Denbighshire.

IN PERSON The Queen’s Ambulance Service Medal was introduced in 2012, when now retired Director of Ambulance Services, Dafydd Jones-Morris, was commended in the Queen’s Birthday Honours list. In 2013, Mike Collins, then Head of Service in the Abertawe Bro Morgannwg University Health Board area, also collected the medal for dedicating his 32-year career to the ambulance service in Wales. There was double delight in 2014 when not one but two members of staff were recognised in the New Year’s Honours list – Andrew Jenkins, Deputy Director of Medical and Clinical Services, and Advanced Paramedic Practitioner Richard Hook, father of Wales international rugby union player James Hook. And in December last year, Rob Jeffery, the Trust’s Head of Operations responsible for the Hywel Dda and Powys areas, was commended in the New Year’s Honours list. In 2007, he was promoted to Production Manager for North Wales before he was seconded to Regional Director for the South East Wales region in 2009, where he remained until 2011. For a period he was Regional Director for the North Wales region until a management restructure in 2012 meant the role became the Head of Service, and eventually Head of Operations for the Betsi Cadwaladr University Health Board area. He is currently the Trust’s Deputy Director of Operations, and is based temporarily in Cwmbran, Newport. It was Gordon’s Executive Team colleagues who nominated him for the award. Gordon said: “It was fantastic honour to have been nominated by the Trust.

WAA News

Being A Wiltshire Air Ambulance pilot is top job NEW Wiltshire Air Ambulance (WAA) pilot Rob Collingwood says his job is the best in the world. Rob, 35, began as a full-time pilot with WAA in April and has flown a number of missions in Wiltshire and surrounding counties responding to medical emergencies, including road traffic collisions and cardiac arrests. This is his first HEMS (Helicopter Emergency Medical Service) role. He served in the UK Army Air Corps for ten years as a helicopter pilot and before joining WAA was a helicopter pilot in the oil industry based in Aberdeen.

Rob, who lives near Devizes, said: “I carried out casualty evacuation in the Army and what attracted me to HEMS work was flying specialist paramedics to patients and flying patients to hospital within the golden hour to give them the best chance of recovery. “Being a HEMS pilot is the best job in the world. Trying to help people who are seriously injured or ill is so rewarding. I’m incredibly impressed by the professionalism of our paramedics, they have exceptional capability. We can’t always save everyone and that is sobering, but we do the very best we can. “I’m delighted to be part of Wiltshire Air Ambulance. All of my colleagues in the crew, the operational side and the charity team are so passionate about what Wiltshire Air Ambulance does and are committed to delivering the best service to the people of Wiltshire and surrounding counties. “There is so much goodwill amongst the public for Wiltshire Air Ambulance. When I speak to people about Wiltshire Air Ambulance everyone seems to have an anecdote about it, they either know someone who has been helped by it or they’ve fundraised for it.” WAA is the first air ambulance in the UK to use a Bell 429 helicopter and Rob said he is impressed with it. Rob, who is originally from Durban, South Africa, and has a partner and 16-month-old son, said: “It’s a lovely modern cab and it is spacious in the back for the paramedics to work in with patients. It’s a very smooth and fast aircraft and the power is incredibly impressive. It’s pitched perfectly for HEMS work.” Rob is employed by Heli Charter, who WAA leases the Bell 429 helicopter from.

“To actually receive the award is recognition not just for me, but for all the people I’ve worked alongside throughout my career in the ambulance service. “The amount of goodwill messages from colleagues has been enormous and is very humbling.” AMBULANCE UK - JUNE

Gordon has been instrumental in a number of large-scale projects, including the original Trustwide roster review in 2007 and the introduction of a performance management framework. Tracy Myhill, Chief Executive of the Welsh Ambulance Service, said: “Gordon is such worthy recipient for this award, and I’m delighted that his commitment has been recognised in such a distinguished way.”

Wiltshire Air Ambulance’s new pilot Rob Collingwood

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New Non-Executive Director joins Board of Welsh Ambulance Service A new Non-Executive Director has joined the Board of the Welsh Ambulance Service. Paul Hollard was appointed by the Minister for Health and Social Care following a rigorous fourmonth recruitment process, and commenced his role on 1 April 2016.

Paul Hollard

James Mycroft

Paul Hollard began his NHS career as a

James Mycroft enjoyed a 15-year career

registered nurse before he moved into nurse

as an executive at the BT Group, where he

education and later into general management.

worked as Director of Customer Service and Director of Transformation, among other

Paul has been involved in health service


education and management in Europe and spent time in Lesotho, South Africa, supporting

In 2013 he founded Rapid High Impact,

change in their major referral hospital.

a company providing interim executive management and team development.

His management career has focused on quality, strategic planning and driving service change in

In 2015, he joined the Principality Building

the Welsh NHS.

Society in Cardiff as Operations Director, and also sits on the Board of one of Principality’s

Like all of the Trust’s Non-Executive Directors, Paul will have Wales-wide corporate governance responsibilities but will have a particular focus on the Cwm Taf Local Health Board area. He will work closely with the Medical Director to provide support and challenge to the Trust’s ambitious Clinical Modernisation programme, and will also act as the Board’s Champion for Children and Young Persons and Older People. The Trust is also pleased to report that the Minister has extended the tenure of appointment of two other Board members; Chairman Mick Giannasi and Non-Executive Director James Mycroft.

Prior to his retirement, he led the South Wales Health Collaborative.

some further strengthening of the Executive Director team – provide the Trust with the prospect of stable longer term leadership

James holds the portfolio for Workforce and Organisational Development and in

Of his appointment, Paul said: “I am absolutely

geographical terms, is aligned to the Cardiff

delighted to be appointed to the Board of the

and Vale University Health Board area.

Welsh Ambulance Service at such an exciting time in its development.

Of his re-appointment, James said: “I’m really pleased that the Minister has extended

“I look forward to working with the Board and

my term for a further four years.

other colleagues in continuing the improvement journey the Trust is making.”

“The Board has overseen a considerable amount of change during the last two years,

Mick Giannasi added: “Paul brings with him

not least the construction of a new Executive

a wealth of experience as a clinician, as a

Team, led by a new Chief Executive.

strategic planner and as a former senior executive in the NHS.

Mick said: “These appointments – together with

subsidiaries, Nemo Personal Finance.

Programme and established the NHS Wales

“We have just submitted our three-year plan, implemented a new clinical model,

“His skills and personal attributes will add

launched a new set of desired behaviours

significant value to a Non-Executive team which

across the organisation, and have built a

is growing in confidence and stature.”

strong relationship with our Commissioner.

at Board level as it continues to pursue its ambition to transform the ambulance service into a modern, safe and effective service that the people of Wales can be truly proud of.” The Trust Board at the Welsh Ambulance Service is comprised of; the Chairman and Non-Executive Directors, the Chief Executive and Executive Directors and Trade Union representatives, all of whom work collectively as the Board. Non-Executive Directors are appointed by AMBULANCE UK - JUNE

the Health Minister and bring independent judgement and a range of financial, legal, commercial or corporate governance expertise to the Board. They will work with their Executive Director colleagues to develop strategy, policy and ensure sound governance, and ensure the Trust delivers services and performs effectively at a strategic and operational level.


130 For further recruitment vacancies visit:

James Mycroft

IN PERSON “It feels to me that the Trust is embarking on a really exciting journey, and that is something I wanted to be part of for the next few years.” Mick Giannasi added: “Over the last two years, James has made a tremendous contribution to the work of the Board. “His insight, drawn from his extensive and varied experience in the commercial sector, has been invaluable in encouraging new ways of working and thinking within the Trust.” Mick Giannasi Mick Giannasi retired from the police service in April 2011 after a distinguished career spanning 31 years. During that time, he served in three police forces and ultimately attained the rank of Chief Constable in Gwent. He was awarded the Queen’s Police Medal in the 2011 Birthday Honours for his outstanding contribution to policing.

following a competitive recruitment and selection process. Of his re-appointment, Mick said: “The last two and a half years have been challenging but rewarding as we have worked hard as a Trust to put in place the foundations for an improved ambulance service in Wales. “I believe that those foundations are now firmly in place and whilst I am under no illusions about the scale of the challenge which remains, I am delighted that the Minister has given me with the opportunity to continue to work with the Chief Executive and her team to bring our ambitious plans to modernise the service to fruition.” News

Non-Executive Director Reappointment at Yorkshire Ambulance Service NHS Trust

Following his retirement from the police service, he was appointed by the Welsh Government to act as a Commissioner for the Isle of Anglesey County Council.

The NHS Trust Development Authority (now NHS Improvement) has confirmed the reappointment of Erfana Mahmood as a NonExecutive Director of Yorkshire Ambulance Service NHS Trust (YAS) from 15 May 2016 for a further two-year term.

He carried out this role until May 2013, when the Government’s intervention in the Council’s affairs was brought to a successful conclusion.

Erfana joined the Trust Board in May 2012 in a Non-Executive Director capacity. She is a non-practising qualified solicitor with extensive

governance experience in the public and private sectors. She is a Senior Independent Director at the Trust, Chairman of the Yorkshire Ambulance Service Charitable Fund Committee and a member of the Quality, Audit and Remuneration and Terms of Service Committees. Non-executive appointments to NHS trusts made by the NHS Trust Development Authority (now NHS Improvement) are subject to the Code of Practice of the Commissioner for Public Appointments. Erfana has been appointed from 15 May 2016 until 14 May 2018. She has declared no political activity in the last five years. Interim Chairman of the Yorkshire Ambulance Service NHS Trust Board Pat Drake said: “It is very important that we balance refreshing membership of the Board with maintaining a degree of continuity. I am very pleased that Erfana has agreed to serve as a Non-Executive Director for up to an additional two years. She will continue to contribute her legal expertise, as well as working with various committees, the YAS Charitable Fund and the Black and Minority Ethnic (BME) Staff Network.” Erfana Mahmood said: “I am delighted to have been re-appointed to the Trust Board for a further two years which will allow me to remain involved in developing the services delivered by Yorkshire Ambulance Service and further improving patient care.”

He was appointed Chairman of the Trust in September 2013 on an interim basis and appointed substantively in February 2014


Mick Giannasi

131 For all your equipment needs visit:



132 For more news visit:

COMPANY NEWS Will Broughton – Paramedic and Director of the Academy explained, “We want to afford emergency medical staff and others the chance to understand how environmental factors and complex decisions challenge their practice. Using our immersive classrooms we can control sound, light, images, temperature and smell.”

Fixed immersive classroom; garden scene

“We are heavily involved in writing new and innovative courses with Awarding Bodies and Higher Education Institutions to match the technology – and enhance the student experience and depth of understanding.”

New Education Centre – The Academy of Professional Development The Academy of Professional Development is a stateof-the-art immersive education facility based near Beaconsfield (just 25 minutes from Heathrow Airport). The only facility in the UK with 3 immersive classrooms within one building, our focus is emergency medical team and Paramedic education. With partners across the UK, Europe and beyond the venue is also used by Military, Security and Corporate clients. The education team are committed to the development and delivery of meaningful education, using immersive technology and understanding how environments shape behaviour.

Why is immersive education required? Over many years, our team have noticed that Student Paramedics appear to miss many of the subtleties that occur in clinical practice – this is because they have not been exposed to the environments that challenge their behaviour in the real world. Immersive classrooms allow us to simulate those challenging environments and carry out live debriefing at the site of the incident. The technology we use is the same as that put into St Georges University and used by our colleagues in Yorkshire Ambulance Service. What we offer? At present, the Academy offers a range of ambulance specific courses including the First

Student Paramedics in immersive fire situation at St Georges University

Response Emergency Care (FREC) programme. We also offer Emergency Ambulance Driving (FutureQual). Supported by a network of highly experienced educators we are able to offer a bespoke design and development service, to tailor a course to your specific needs. Open Days 25th – 29th May 2016 The Academy team are hosting public open days from the 25th to 29th May 2016 (08:30hrs-16:30hrs). We will be showcasing our

immersive classrooms, advanced simulation technology, high-fidelity realistic manikins and the team will be on hand to discuss our courses and bespoke development service. To book an open day visit, just let Will Broughton (wb@ know which day and time. To view course details and for further information please visit:


Fixed immersive classroom; woodland scene

Realistic manikin produced in partnership with TraumaFX

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

COMPANY NEWS New Zoll state-ofthe-art life support equipment New state-of-the-art life support equipment is being installed by The Air Ambulance Service on two of its helicopters and in two night cars. The charity is investing more than £100,000 in ZOLL X Series® monitor/ defibrillators for Warwickshire & Northamptonshire Air Ambulance and Derbyshire, Leicestershire & Rutland Air Ambulance. The units, which are highly portable, have been designed for use at major trauma incidents such as road traffic accidents, and for medical emergencies such as heart attack or severe difficulty in breathing. The new ZOLL X Series monitors enable air ambulance doctors and Critical Care Paramedics to: • Defibrillate a patient to restore a normal heart rhythm • Monitor the heart’s electrical output using an electrocardiogram

• Monitor oxygen content of the

directly at the patient’s side.

blood “It will help our doctors and The ZOLL X Series also has

Critical Care Paramedics

a CPR dashboard™ which

gather all the information

can be used to ensure

they need to deliver expert

chest compressions during

trauma care at the scene

in the blood following smoke

cardiopulmonary resuscitation

of any accident or medical


(CPR) are to the right depth and


• Support a patient’s heartrate through ‘external pacing.’ • Measure carbon monoxide


frequency. “In total, we have invested

• Measure carbon dioxide in the patient’s blood following a

Richard Clayton, Director of

more than £100,000 in these

medical & trauma emergency

Operations for the local air

new units. Because the charity

ambulance, said: “This is an

receives no government

amazing diagnostic and patient

funding, this has only been

monitoring device. It is highly

possible thanks to the

portable and rugged, so can

generosity of local communities

easily be taken off the helicopter

across the five counties we

or the night car and used

serve,” said Richard.

• Monitor a patient’s blood pressure • Monitor a patient’s temperature

134 For more news visit:

“This is an amazing diagnostic and patient monitoring device. It is highly portable and rugged, so can easily be taken off the helicopter or the night car and used directly at the patient’s side.”

AUK_August_AUK_August_2013 11/10/2013 10:53 Page 254


For further information or to make a reservation please contact Terry or Brenda Tel: 01322 660434 Fax: 01322 666539 email: or by post to: Media House, 48 High Street, Swanley Kent BR8 BQ

Fo informa ar ple


Tel: 0 Fax: 0

info@m com

or Me 48 H


We are recruiting Paramedic and ECP opportunities South West, Surrey, London, South East, Worcester, Milton Keynes & Kent. We have a number of opportunities for Paramedics and ECP's to join our 111 and Out of hour services. Within 111 we are looking for Paramedics to work as Clinical Advisors & provide over the phone advice to patients with non-emergency/urgent care needs. We have both full & part time vacancies and the role offers great career progression. Home-working and bank opportunities available for pathways trained staff on satisfactory completion an assessment day In our OOH sites we have bank contracts available for ECP's to work alongside our GP's and ANP's. This involves attending out of hour visits and also providing over the phone triage. Full system training is provided for the roles within 111 and can be completed on a part or full time basis. For more information please contact on 07501728277.

Life Connections 2014 To apply visit Exmed Study Day

We currently have the following vacancy:

Lecturer/Senior Theme: DifficultLecturer Airway Course EMS™ – An intro in Paramedic Science Thursday 15TH May 2014 Kettering Salary: £31,656 - £47,801 paConference Full time position working 37 hours per week TIME: A.M PRESENTATION (part time would be considered) 08.30 - 09.00

Job Ref: 013607 09.00 - 09.15

Centre, Kettering NN15 6P


Tea/Coffee, Exhibition

You will be a Paramedic registered with the 11.30 - 12.00 Stations (4 rotations/30 min. each) Health and Care Skills Professions Council (HCPC). Ideally you a ETI sound knowledge and Group 1 will have BVM, experience of teaching and/or supporting Group 2 EGD’s & Rescue Airways students and an interest in developing innovative Group 3 Needle & Surgical Airway ways of delivering our curricula. 4 a solid Video Laryngoscopy YouGroup will have knowledge base of

PRESENT Skill Stations Rotation 2

Introduction & History of the Course

An exciting opportunity has arisen for 09.15 - 09.45 The Airway Algorithms an enthusiastic Paramedic committed to 09-45 - 10.30 Prediction of the Difficult Airway enhancing the profi le of Paramedic Practice in10.30 the UK to join our dedicated and friendly - 11.15 BVM and Laryngoscopy team of Paramedic lecturers. 11.15 - 11.30

TIME: P.M 12.00 - 12.30

12.30 - 13.30 13.30 - 14.00

Lunch, Ex Skill Stations Rotation 3

14.00 - 14.30

Skill Stations Rotation 4

14.30 - 14.45

Airway Self Scope Vid

14.45 - 15.00 15.00 - 17.00 17.00

Tea/Coffee, E Practical Moulages Wrap up

pathophysiology, history Topics and Speakersbiosciences correct at theand timeexcellent of press but may be subject to change


taking and physical assessment skills; our lecturing Delegate Rate: £72.00 (inc VAT) staff participate in teaching, assessment and includes: delegate bag, refreshments and the opportunity to visit over 60 tra module management on our range of Paramedic programmes. Initially you will be expected to participate primarily in teaching and assessment on the undergraduate BSc (Hons) in Paramedic Science. You may also be required to teach on our post graduate programme, short courses and have opportunities to be involved in Paramedic research, an area we are consistently developing.

Only 7 places remain available!!

To register call 01322 660434 or visit:

All our programmes are supported by world-class learning resources, comprehensive on site skills facilities and extensive web based resources that can be accessed from office or home.

Closing date: 3 July 2016.

The University offers a range of benefits including a guaranteed pension, professional development, family friendly policies and discounted memberships at the Hertfordshire Sports Village.


For an informal discussion about the post, please contact: John Talbot, Professional Lead for Paramedic Science on 01707 284538 ( or Dr Karen Beeton, Head of Department on 01707 284114 (

135 For all your equipment needs visit:

Does he need a trauma centre or the local hospital? Twenty-year-old male in a motor vehicle accident. Airbag has deployed. Car has significant front-end damage. Is he bleeding internally? Will he need a trauma centre? These are some of the questions you need to answer on a suspected trauma call, as haemorrhage is the leading cause of death after injury.1 The new trauma parameters on the ZOLL X SeriesÂŽ help you accurately and quickly assess your patients so you can feel more confident in your treatment decisions.

Insight for informed decisions. Acosta JA, et al. Journal of the American College of Surgeons. 1998;186(5):528-533.


Š2016 ZOLL Medical Corporation, Chelmsford, MA, USA. X Series and ZOLL are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries. MCN IP 1601 0092-05

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