111 call firm told: improve

111 call firm told: improve 111 call firm told: improve

HARMONI, the private firm which has been sending ambulances to people with minor ailments such as hiccups, has been told it must improve.

Since the company started testing the 111 service in the evenings and at weekends three weeks ago, South Western Ambulance Service has been inundated with extra calls and crews say the vast majority are inappropriate.

It has put on extra staff to cope with the calls passed to it from 111 operators.

Harmoni was due to operate the 111 number 24/7 from next Tuesday, replacing NHS Direct.

But NHS Wiltshire, which awarded the £6.5m five-year contract to Harmoni, said yesterday it would not support this until improvements have been made.

Dr Ian Orpen, chairman of Bath and North East Somerset Clinical Commissioning Group, said: “We remain extremely concerned about it and the bottom line is we would not be happy to sanction 111 going into the next phase at its current level of performance.”

Ambulance crews have spoken of their frustration at continuing to be sent to inappropriate cases and say they are being run ragged.

A paramedic in Wiltshire said: “The workload is unbelievable and staff are exhausted. Most of the jobs we are being sent on via 111 are minor, such as people who have had back pain for several days or have a cough. It’s horrendous, I have never known such chaos or inappropriate calls being passed to us.

“We are an emergency service and shouldn’t be going to most of the 111 calls. Patients are embarrassed when we turn up and say they wanted to speak to a doctor for advice.”

The experienced paramedic estimated that 20 per cent of 111 calls they have been sent to had resulted in patients being taken to hospital by ambulance.

Jo Fowles, branch secretary for Unison in Wiltshire, Gloucestershire and Avon, said if inappropriate 111 calls lead to South Western Ambulance Service not meeting its performance targets staff would be very disappointed.

She said: “It would be a real kicking for morale especially as we have pulled out all the stops to paper over the cracks of 111.”

A spokesman for the South West Ambulance Service said: “We have had cases of patients with stroke symptoms, and those who didn’t realise they were having a heart attack, rightly passed to the 999 service and ambulance staff have provided an excellent service to those patients in critical need.

“Equally, we know that there are still inappropriate calls being referred to 999. NHS 111 is a new service and we expect it to take a while to bed in.”

Comments(8)

gina948 says...
1:10pm Thu 14 Mar 13

Last year my husband fell ill with, as we believed, gastroenteritis. Over the course of the week he got worse and despite phoning for medical assistance no one visited him. I couldnt lift him into the car because he was too heavy and after two weeks he was bed bound. One night in the early hours his forehead was swollen, his eyes sunken and he was pale. He'd lost a lot of weight and despite the prescribed over the phone drugs finally taking effect he wasnt conscious so in desperation I phoned for an ambulance. The fact that he was still breathing meant that they wouldnt come out. I supplied a sample of his stools while he was ill and the results came back to say he had suffered from campylobacter.
He'd lost three stone in two weeks and was poorly for around a month. His stomachs still not 100% recovered 12 mths on. So people who need the help dont get it and people who dont, do!! Work that one out!!

house on the hill says...
2:04pm Thu 14 Mar 13

This is what happens when you employ a private profit driven company to run a vital public service. They try and run it as cheaply as possible to maximise their profit and just provide the minimum service to ensure payment. They dont care or go the extra mile, its all about profit.

LordAshOfTheBrake says...
2:30pm Thu 14 Mar 13

gina948 wrote:
Last year my husband fell ill with, as we believed, gastroenteritis. Over the course of the week he got worse and despite phoning for medical assistance no one visited him. I couldnt lift him into the car because he was too heavy and after two weeks he was bed bound. One night in the early hours his forehead was swollen, his eyes sunken and he was pale. He'd lost a lot of weight and despite the prescribed over the phone drugs finally taking effect he wasnt conscious so in desperation I phoned for an ambulance. The fact that he was still breathing meant that they wouldnt come out. I supplied a sample of his stools while he was ill and the results came back to say he had suffered from campylobacter.
He'd lost three stone in two weeks and was poorly for around a month. His stomachs still not 100% recovered 12 mths on. So people who need the help dont get it and people who dont, do!! Work that one out!!
Are you seriously saying that an ambulance would attend a 999 call because the patient was breathing....?

gina948 says...
2:43pm Thu 14 Mar 13

LordAshOfTheBrake wrote:
gina948 wrote: Last year my husband fell ill with, as we believed, gastroenteritis. Over the course of the week he got worse and despite phoning for medical assistance no one visited him. I couldnt lift him into the car because he was too heavy and after two weeks he was bed bound. One night in the early hours his forehead was swollen, his eyes sunken and he was pale. He'd lost a lot of weight and despite the prescribed over the phone drugs finally taking effect he wasnt conscious so in desperation I phoned for an ambulance. The fact that he was still breathing meant that they wouldnt come out. I supplied a sample of his stools while he was ill and the results came back to say he had suffered from campylobacter. He'd lost three stone in two weeks and was poorly for around a month. His stomachs still not 100% recovered 12 mths on. So people who need the help dont get it and people who dont, do!! Work that one out!!
Are you seriously saying that an ambulance would attend a 999 call because the patient was breathing....?
LordAshOfTheBrake says...
2:30pm Thu 14 Mar 13
"Are you seriously saying that an ambulance would attend a 999 call because the patient was breathing....?”


Hahahahahahahahahaha
hahahaha!

LordAshOfTheBrake says...
6:47pm Thu 14 Mar 13

gina948 wrote:
LordAshOfTheBrake wrote:
gina948 wrote: Last year my husband fell ill with, as we believed, gastroenteritis. Over the course of the week he got worse and despite phoning for medical assistance no one visited him. I couldnt lift him into the car because he was too heavy and after two weeks he was bed bound. One night in the early hours his forehead was swollen, his eyes sunken and he was pale. He'd lost a lot of weight and despite the prescribed over the phone drugs finally taking effect he wasnt conscious so in desperation I phoned for an ambulance. The fact that he was still breathing meant that they wouldnt come out. I supplied a sample of his stools while he was ill and the results came back to say he had suffered from campylobacter. He'd lost three stone in two weeks and was poorly for around a month. His stomachs still not 100% recovered 12 mths on. So people who need the help dont get it and people who dont, do!! Work that one out!!
Are you seriously saying that an ambulance would attend a 999 call because the patient was breathing....?
LordAshOfTheBrake says...
2:30pm Thu 14 Mar 13
"Are you seriously saying that an ambulance would attend a 999 call because the patient was breathing....?”


Hahahahahahahahahaha

hahahaha!
I clearly meant wouldn't attend, but hay ho, we all make little errors.


Back to the original point though.

Are you seriously saying that an ambulance would attend a 999 call because the patient was breathing....?

Your original message said "so in desperation I phoned for an ambulance. The fact that he was still breathing meant that they wouldnt come out."

gina948 says...
9:27am Fri 15 Mar 13

Yes I am seriously saying that I honestly thought my husband was seriously ill and no one came out to help him. I sat at 1am on the bed beside him with the phone in my hand waiting for a physician to call me back, (a tactic they use to avoid sending help!) which they did and all they said was that if he was no better by the morning then I was to take him to A&E. Quite how I was supposed to physically get him out of bed, down the stairs and into the car was a mystery considering he was delirious which was why I phoned for help in the first place and the fact his forehead was swollen like I've never seen before and the fact he had lost so much weight and the fact his eyes had sunk clearly showing signs of dehydration! Its shocking that not even a doctor would come out and visit him over the course of the two weeks he was so ill and I've lost all faith in the NHS since this happened. He had flu last week and started with horrendous chest pains. He asked me to call for help and said that I would happily take him to A&E to be checked out but there was no point in phoning a doc or ambulance because we knew from last time that we wouldnt get any help! He agreed and suffered but his brother had exactly the same thing a week later and he had to be put in the recovery position!

LordAshOfTheBrake says...
10:48am Fri 15 Mar 13

I get the point that you had poor service and were given the run around etc. That is absolutely shocking in its own right.

My father had a similar experience, but luckily his partner called a local doctor who knew my father who decides that it must be very serious for him to be wanting a doctor came straight away and within an hour he was in hospital.

However your original post suggests that even the 999 for ambulance had someone say they wouldn't attend because he was still breathing. That I find especially hard to believe. If that's what you really meant then that is absolutely shocking!

gina948 says...
2:11pm Fri 15 Mar 13

Yes its shocking but thats what I was told, words to that affect. I wish, to be honest, looking back, I'd written a complaint in full but I didnt because we had so much going on and the fact my husband had recovered meant we just moved on but the experience has left a bitter taste in ones mouth. I find, when it comes to Services in general, Swindon is terrible and considering the amount of places I have lived I am able to compare this with full validation! From Social services right the way through to the ambulance service and its not the people who do the hard graft its all the managers who havent got a **** clue about anything! This article just proves it (again)!

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