ARCHIVE NEWS ... MAY to OCTOBER 2018
COMPLAINTS CHARTER - For Urgent and Emergency Care
8 pages Prepared by the LAS Patients' Forum in collaboration with the London Ambulance Service |
EXPERIENCE OF PREGNANCY AND 999 TELEPHONE TRIAGE
My project looks at determining the accuracy of our current maternity triage and I’d like to invite a patient representative to provide feedback on the study design, questionnaires and promotional material I’ll be producing.
I am looking for somebody who has previous experience of pregnancy and 999 telephone triage – is this something that you think one of your members would be appropriate for?
Otherwise, if you have an alternative contact, I’d be happy to get in touch!
Ayoola Ariyibi
Emergency Dispatch Researcher
Clinical Audit & Research Unit, London Ambulance Service NHS Trust, HQ Annexe, 8-20 Pocock Street, SE1 0BW |
(020) 7783 2584 | EXT:182584 | Ayoola.Ariyibi@lond-amb.nhs.uk edit.
My project looks at determining the accuracy of our current maternity triage and I’d like to invite a patient representative to provide feedback on the study design, questionnaires and promotional material I’ll be producing.
I am looking for somebody who has previous experience of pregnancy and 999 telephone triage – is this something that you think one of your members would be appropriate for?
Otherwise, if you have an alternative contact, I’d be happy to get in touch!
Ayoola Ariyibi
Emergency Dispatch Researcher
Clinical Audit & Research Unit, London Ambulance Service NHS Trust, HQ Annexe, 8-20 Pocock Street, SE1 0BW |
(020) 7783 2584 | EXT:182584 | Ayoola.Ariyibi@lond-amb.nhs.uk edit.
HART TEAM VISIT POSTPONEMENT
Very sorry to tell you that the HART visit cannot take place on November 1st. I am seeking a new date in December. Apologies
Malcolm Alexander, Chair, Patients' Forum for the LAS - 07817505193
_______________________________________________________________________________________________________
HART Team Visit - LAS, 6 South Crescent, E16 4TL - near station Star Lane - DLR
The HART team based in east London has offered Patients' Forum members a ‘show and tell’ type event presentation to demonstrate the capabilities of HART, CBRN and TRU and then an opportunity to see the equipment to put the presentation into perspective. If you are a Forum member and wish to attend on this date please let me know.
Hazardous area response teams (HART) provide medical care to patients in the "hot zone" of hazardous environments. Teams are activated and sent to incidents, such as CBRN, hazmat, collapsed buildings, patients at height or in confined space, water rescue, and flooding, firearms incidents and explosions. HART teams are made up of Paramedics and Doctors who have undergone specialised training in the use of special procedures, vehicles and equipment.
Very sorry to tell you that the HART visit cannot take place on November 1st. I am seeking a new date in December. Apologies
Malcolm Alexander, Chair, Patients' Forum for the LAS - 07817505193
_______________________________________________________________________________________________________
HART Team Visit - LAS, 6 South Crescent, E16 4TL - near station Star Lane - DLR
The HART team based in east London has offered Patients' Forum members a ‘show and tell’ type event presentation to demonstrate the capabilities of HART, CBRN and TRU and then an opportunity to see the equipment to put the presentation into perspective. If you are a Forum member and wish to attend on this date please let me know.
Hazardous area response teams (HART) provide medical care to patients in the "hot zone" of hazardous environments. Teams are activated and sent to incidents, such as CBRN, hazmat, collapsed buildings, patients at height or in confined space, water rescue, and flooding, firearms incidents and explosions. HART teams are made up of Paramedics and Doctors who have undergone specialised training in the use of special procedures, vehicles and equipment.
- TRU - Tactical Response Unit
- CBRN - Chemical, biological, radiological and nuclear defence (CBRN defence or CBRNE defence)
Kate Davies, OBE, Director of Health & Justice Services Commissioning. NHS England, PO Box 16738, Redditch, B97 9PT
October 8th 2018
Dear Ms Davies,
I am writing to raise concerns about the collaboration between the prison service, IRCs and ambulance services, in relation to emergency care and safeguarding.
Our principle concern is about the time taken for ambulance crew to obtain access to patients inside prisons and IRCs, when they are identified as being ARP Category 1 or 2 by Emergency Operations Centres. Paramedics have often told us that although their response to Cat 1 calls is immediate and should achieve their 7 minute target, that in practice they are often delayed at prison or IRC gates, and that the actual time to get to the patient can be much longer, creating a risk to life of the detained person.
We have asked the LAS for data on total times to reach patients in prisons and IRCs, but they do not hold this data and can only produce data on single responses that are classified as serious incidents or where there is a complaint being investigated. They tell us that the LAS has no jurisdiction once at the boundary of the prison or IRC and then they must adhere to local rules and regulations.
Perhaps you have access to data on the arrival times of ambulances at prison and IRC gates until patient contact for ambulances for Cat 1 and Cat 2 calls that you can share with us? In relation to serious incidents and PFD notices when there has been a delay in the ambulance crew making patient contact causing death or serious harm, can you share with the Forum details of these SIs and PFD notices?
We are also concerned about the issue of safeguarding when an LAS crew has concerns about the safety of a prisoner or someone detained in an IRC. The LAS has told us that:
“Local Authorities receive all safeguarding concerns raised and triage accordingly and pass to the relevant agencies to engage. Prisons are different as the Local Authorities do not have jurisdiction over them - safeguarding concerns are dealt with in house”
Clearly, the point of safeguarding is to enable an independent local body to assess the level of harm or potential harm and to take appropriate action. I cannot see how this is possible if safeguarding is dealt with in-house.
As the commissioner for healthcare in prison and IRC sectors, you will share our concern that people who are detained in these establishments have the right to receive care and treatment in a way that is equal to all other people in the UK. This right to equality of access and treatment is built into the fabric of law and rights by the NHS constitution and the Human Rights Act. We would, therefore, very much like to discuss with you how we can ensure that people who are detained in prisons or IRCs receive equal access to emergency care and effective safeguarding.
Could I also invite you to attend a public meeting of the Patients’ Forum for the LAS to discuss these issues?
I look forward to receiving your reply and I hope we can meet soon for discussion and resolution of these extremely serious matters.
Yours sincerely, Malcolm Alexander, Chair, Patients’ Forum for the LAS
07817505193, WWW.Patientsforumlas.net
Copy to: The Rt Hon Sajid Javid MP, Home Secretary, 2 Marsham Street, SW1P 4DF
Diane Abbott MP, Shadow Home Secretary, House of Commons
Medical Justice - [email protected]
October 8th 2018
Dear Ms Davies,
I am writing to raise concerns about the collaboration between the prison service, IRCs and ambulance services, in relation to emergency care and safeguarding.
Our principle concern is about the time taken for ambulance crew to obtain access to patients inside prisons and IRCs, when they are identified as being ARP Category 1 or 2 by Emergency Operations Centres. Paramedics have often told us that although their response to Cat 1 calls is immediate and should achieve their 7 minute target, that in practice they are often delayed at prison or IRC gates, and that the actual time to get to the patient can be much longer, creating a risk to life of the detained person.
We have asked the LAS for data on total times to reach patients in prisons and IRCs, but they do not hold this data and can only produce data on single responses that are classified as serious incidents or where there is a complaint being investigated. They tell us that the LAS has no jurisdiction once at the boundary of the prison or IRC and then they must adhere to local rules and regulations.
Perhaps you have access to data on the arrival times of ambulances at prison and IRC gates until patient contact for ambulances for Cat 1 and Cat 2 calls that you can share with us? In relation to serious incidents and PFD notices when there has been a delay in the ambulance crew making patient contact causing death or serious harm, can you share with the Forum details of these SIs and PFD notices?
We are also concerned about the issue of safeguarding when an LAS crew has concerns about the safety of a prisoner or someone detained in an IRC. The LAS has told us that:
“Local Authorities receive all safeguarding concerns raised and triage accordingly and pass to the relevant agencies to engage. Prisons are different as the Local Authorities do not have jurisdiction over them - safeguarding concerns are dealt with in house”
Clearly, the point of safeguarding is to enable an independent local body to assess the level of harm or potential harm and to take appropriate action. I cannot see how this is possible if safeguarding is dealt with in-house.
As the commissioner for healthcare in prison and IRC sectors, you will share our concern that people who are detained in these establishments have the right to receive care and treatment in a way that is equal to all other people in the UK. This right to equality of access and treatment is built into the fabric of law and rights by the NHS constitution and the Human Rights Act. We would, therefore, very much like to discuss with you how we can ensure that people who are detained in prisons or IRCs receive equal access to emergency care and effective safeguarding.
Could I also invite you to attend a public meeting of the Patients’ Forum for the LAS to discuss these issues?
I look forward to receiving your reply and I hope we can meet soon for discussion and resolution of these extremely serious matters.
Yours sincerely, Malcolm Alexander, Chair, Patients’ Forum for the LAS
07817505193, WWW.Patientsforumlas.net
Copy to: The Rt Hon Sajid Javid MP, Home Secretary, 2 Marsham Street, SW1P 4DF
Diane Abbott MP, Shadow Home Secretary, House of Commons
Medical Justice - [email protected]
HEALTH COMMITTEE - INVESTIGATION OF THE LONDON AMBULANCE SERVICE
Thursday, 11 October 2018 AT 2PM IN THE CHAMBER
The Health Committee will meet to question senior management of the London Ambulance Service on its recent performance, current and future challenges, and how the Mayor can support an efficient and effective ambulance service for all Londoners.
The following guests will attend the meeting:
For more information, please contact the media team on 020 7983 4283. For out-of-hours media enquiries, call 020 7983 4000 and ask for the London Assembly duty press officer. Non-media enquiries should be directed to the Public Liaison Unit on 020 7983 4100.
The London Assembly London Assembly's current investigations. The future of London's Ambulance Service
Thursday, 11 October 2018 AT 2PM IN THE CHAMBER
The Health Committee will meet to question senior management of the London Ambulance Service on its recent performance, current and future challenges, and how the Mayor can support an efficient and effective ambulance service for all Londoners.
The following guests will attend the meeting:
- Heather Lawrence OBE, Chair of the London Ambulance Service Trust Board
- Garrett Emmerson, Chief Executive of the London Ambulance Service
For more information, please contact the media team on 020 7983 4283. For out-of-hours media enquiries, call 020 7983 4000 and ask for the London Assembly duty press officer. Non-media enquiries should be directed to the Public Liaison Unit on 020 7983 4100.
The London Assembly London Assembly's current investigations. The future of London's Ambulance Service
HART Team Visit - NOVEMBER 1st - Provisional date: LAS, 6 South Crescent, E16 4TL - near station Star Lane, DLR
The HART team, based in East London, has offered Patients' Forum members a ‘show and tell’ type event presentation to demonstrate the capabilities of HART, CBRN and TRU, and then an opportunity to see the equipment to put the presentation into perspective.
If you are a Forum Member and wish to attend on this date, please let me know.
Malcolm Alexander - Chair, Patients Forum - 07817505193
Hazardous Area Response Teams (HART) provide medical care to patients in the "hot zone" of hazardous environments. Teams are activated and sent to incidents, such as CBRN, hazmat, collapsed buildings, patients at height or in confined space, water rescue, and flooding, firearms incidents and explosions.
HART teams are made up of Paramedics and Doctors who have undergone specialised training in the use of special procedures, vehicles and equipment.
The HART team, based in East London, has offered Patients' Forum members a ‘show and tell’ type event presentation to demonstrate the capabilities of HART, CBRN and TRU, and then an opportunity to see the equipment to put the presentation into perspective.
If you are a Forum Member and wish to attend on this date, please let me know.
Malcolm Alexander - Chair, Patients Forum - 07817505193
Hazardous Area Response Teams (HART) provide medical care to patients in the "hot zone" of hazardous environments. Teams are activated and sent to incidents, such as CBRN, hazmat, collapsed buildings, patients at height or in confined space, water rescue, and flooding, firearms incidents and explosions.
HART teams are made up of Paramedics and Doctors who have undergone specialised training in the use of special procedures, vehicles and equipment.
- TRU - Tactical Response Unit
- CBRN - Chemical, biological, radiological and nuclear defense (CBRN defense or CBRNE defense)
RESUSCITATION NEWSLETTER - October 2018
Cardiopulmonary Resuscitation - Automated Defibrillators and the Law
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SHOCKING TRUTH: DEFIBRILLATOR LEGISLATION IS ESSENTIAL FOR CARDIAC ARREST SURVIVAL
------------------------------------------------------------------------------------------------------------------------------------------------------------ SIGN THE PETITION
https://www.change.org/p/shocking-truth-defibrillator-legislation-is-essential-for-cardiac-arrest-survival
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------------------------------------------------------------------------------------------------------------------------------------------------------------ SIGN THE PETITION
https://www.change.org/p/shocking-truth-defibrillator-legislation-is-essential-for-cardiac-arrest-survival
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REVIEW OF THE LAS BY THE LONDON ASSEMBLY - PUBLIC MEETING July 17th at 3.30pm - City Hall
Meeting with the London Assembly Health Committee - July 17th at 3.30pm - City Hall
The Health Committee’s Investigation into the LAS
The London Ambulance Service (LAS) is the busiest ambulance service in the country and the London Assembly want to know how well it is being run. In 2016/17 it handled over 1.8 million emergency calls from across London and attended more than 1.1 million incidents.
There were concerns about operation and performance of the LAS, which led to it being placed in Special Measures by the CQC in 2015, but they emerged from Special Measure in 2018. Unlike the other blue light services, the Mayor and GLA currently have no formal role in holding the Service to account. The Assembly has previously called for this anomaly to be addressed; to make the LAS more democratically accountable to Londoners, and to facilitate improved co-working between the LAS, Metropolitan Police and London Fire Brigade.
The meeting on July 17th is one of several to be held by the Health Committee. They want to hear about your experiences of the LAS.
Meeting with the London Assembly Health Committee - July 17th at 3.30pm - City Hall
The Health Committee’s Investigation into the LAS
The London Ambulance Service (LAS) is the busiest ambulance service in the country and the London Assembly want to know how well it is being run. In 2016/17 it handled over 1.8 million emergency calls from across London and attended more than 1.1 million incidents.
There were concerns about operation and performance of the LAS, which led to it being placed in Special Measures by the CQC in 2015, but they emerged from Special Measure in 2018. Unlike the other blue light services, the Mayor and GLA currently have no formal role in holding the Service to account. The Assembly has previously called for this anomaly to be addressed; to make the LAS more democratically accountable to Londoners, and to facilitate improved co-working between the LAS, Metropolitan Police and London Fire Brigade.
The meeting on July 17th is one of several to be held by the Health Committee. They want to hear about your experiences of the LAS.
VOLUNTEER FOR THE LAS ACADEMY
The LAS Academy runs two year courses to enable Emergency Ambulance Crew and Technicians to become paramedics. Part of the assessment and training requires the participation of people to act as patients (mock patients) for trainees assessments. The process requires the mock patient to act as if they are ill, while the trainee questions them and assesses their condition.
Limited physical contact takes place except perhaps checking the pulse or blood pressure. In some of the patient assessment the trainee may need to perform some hands on assessment. This would be discussed and agreed in writing prior to participation.
If you are a member of the Forum and would like to participate please let me know.
It is a very enjoyable process. The training school is located in Fulham nor far from Earls Court and West Brompton stations.
The LAS Academy runs two year courses to enable Emergency Ambulance Crew and Technicians to become paramedics. Part of the assessment and training requires the participation of people to act as patients (mock patients) for trainees assessments. The process requires the mock patient to act as if they are ill, while the trainee questions them and assesses their condition.
Limited physical contact takes place except perhaps checking the pulse or blood pressure. In some of the patient assessment the trainee may need to perform some hands on assessment. This would be discussed and agreed in writing prior to participation.
If you are a member of the Forum and would like to participate please let me know.
It is a very enjoyable process. The training school is located in Fulham nor far from Earls Court and West Brompton stations.
LAS Clinical Reviews ... Cardiac Care Pack ... Major Trauma Care Pack (Nov-Dec 2017)
Major Trauma Care Pack (Jan-March 2018) ... Stroke Care Pack
Major Trauma Care Pack (Jan-March 2018) ... Stroke Care Pack
COMPLAINTS CHARTER - For Urgent and Emergency Care
8 pages Prepared by the LAS Patients' Forum in collaboration with the London Ambulance Service |
LONDON AMBULANCE SERVICE STRATEGY - 2018/19 - 2022/23
113 pages Chair's Introduction . Chief Executive's Forward . Executive Summary . Challenges and opportunities for the urgent and emergency care systems . A world-class ambulance service for a world class city . Strategic Themes 1 - 3 . Estimating the impact of the strategy . Delivering our strategy . Appendices |
QUALITY ACCOUNT 2018 - PATIENTS' FORUM RESPONSE
7 pages Letter to Trisha Bain, Chief Quality Officer, London Ambulance Service |
GENDER PAY REPORT - As at 31 March 2017
Background - Our commitment to Equality of Opportunity and Inclusion - What is the Gender Pay Gap? - The difference between the Gender Pay Gap and equal pay - What does the Gender Pay Audit cover? - Gender profile at the LAS - Our gender pay audit data Gender Pay Gap Reporting Narrative - Our Action Plan |
RESOURCE BANK FOR PUBLIC ENGAGEMENT
NHS England is launching a free national resource of guidance, case studies, templates and toolkits to support NHS colleagues to plan and deliver public engagement and consultation on major health service changes.
The resource bank is available on the future NHS collaboration platform in the, ‘Engagement and communications for sustainability and transformation’ workspace.
Colleagues can find out more and access to the resource by emailing [email protected]. Please note that this site requires a login.
NHS England is launching a free national resource of guidance, case studies, templates and toolkits to support NHS colleagues to plan and deliver public engagement and consultation on major health service changes.
The resource bank is available on the future NHS collaboration platform in the, ‘Engagement and communications for sustainability and transformation’ workspace.
Colleagues can find out more and access to the resource by emailing [email protected]. Please note that this site requires a login.
CO-PRODUCTION WITH THE LAS
PowerPoint Presentation ... 12 slides What is Co-Production - Complaints Charter for Urgent and Emergency Care - Working with Sickle Cell Organisations - Care of Patients with Diabetes - LAS Academy - Stroke Care - Aspiration One: LAS Strategy - Aspiration Two: Complaints Investigations Aspiration Three: Q Volunteering - Working with BME Volunteers - Aspiration Four: Learning from Patients - Bariatric Care |