Ambulance service fails to hit its response target

Swindon Advertiser: The South West Ambulance failed to achieve its emergency response target for October The South West Ambulance failed to achieve its emergency response target for October

THE SOUTH West Ambulance Service has failed to achieve its emergency call out response targets, according to a new report.

In October, the service which covers Swindon, achieved the eight-minute response time for 71.68 per cent of the most urgent calls, just missing the target of 75 per cent.

The most urgent calls, or ‘red 1 calls’ as they are referred to, include cardiac arrest or life threatening tramuatic injuries. Also causing real concern, according to the report to the board, are sickness levels across the trust which are higher than planned, and appraisal rates which are lower than expected for this time in the year.

A Trust spokesperson said: “The data for ambulance services nationally shows that the targets for red 1 and red 2 calls were narrowly missed during the month of October.

“South Western Ambulance Service was one of the organisations who unfortunately did not meet the required 75 per cent on this occasion. “Like all ambulance trusts around the country, the service is facing an ongoing increase in demand for its services meaning more calls to respond to and increasing numbers of patients requiring care.

“An additional challenge for the south west region is that it is predominantly rural, with many isolated communities. This area of the country also has the highest percentage of elderly people who are more likely to access our services, especially in the run up to and during winter.

“The Trust would like to make an assurance that the provision of high quality emergency and urgent care services remains our top priority.” Despite the failures, the report did state several areas of the service that are performing well and causing no concern, including the number of stroke patients receiving the appropriate care bundle and the outcome from cardiac arrest, survivial to discharge rates are both above the local thresholds.

South Western Ambulance Service provides emergency and urgent care, across Cornwall and the Isles of Scilly, Devon, Dorset, Gloucestershire, Somerset, Wiltshire and the former Avon area (Bristol, Bath, North Somerset, South Glos).

The trust employs 4,000 staff across 120 sites – including 96 ambulance stations, six air bases and five emergency operations centres as well as its headquarters in Exeter. It covers almost 10,000 square miles and serves a population of over 5.3m people, with an estimated annual influx of more than 17.5m tourists.

The enlarged SWASFT began life on February 1 this year, following its acquisition of Great Western Ambulance Service (GWAS).

Comments (4)

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10:41am Mon 9 Dec 13

Robh says...

With so many ambulances queued up at A&E it is not surprising. Normally they are strategically placed around the town to meet the targets.
With so many ambulances queued up at A&E it is not surprising. Normally they are strategically placed around the town to meet the targets. Robh

9:00pm Mon 9 Dec 13

anotherimigrant says...

I really doesn't matter. I don't see what the fuss is about. Better to stay in a nice warm ambulance outside the filth hospitals staffed by incompetent fools and idiots.

This is a true story, in the news to-day. DO REALLY WANT TO END UP DEAD.

1. Wrong surgeon documented on theatre documentation.

2. Communication of blood loss among theatre team.

3. Unsupervised student scrub practitioner.

4. Scrub practitioner not concentrating on procedure.

5. Scrub practitioner not checking blood loss.

6. Large number of staff in and out of theatre during procedure.

7. Anaethestic doctor went for a break just before Victoria was extubated (removal of breathing tube).

8. The surgeon did not inform his consultant of the bleed.

9. Post-op notes were not properly reviewed.

10. No record of blood loss on the theatre care plan.

11. Uncertainty surrounding the handover of blood loss information from theatre to nursing staff.

12. Missing information on handover notes from recovery to ward nurses.

13. Missing information was not handed over when ward nurses changed shifts.

14. Victoria's respiratory rate was only counted on every second set of observations by recovery nurses.

15. A staff nurse did not delegate post-op observations when she was called away, leaving a two-hour gap in monitoring.

16. The surgeon did not report the artery damage or blood loss during surgery to ward staff.

17. Routine post-op observations were discontinued.

18. No standard handover routine between day and night shift surgical doctors in place.

19. A junior doctor did not check Victoria's haemoglobin result after her surgeon ordered tests.

20. Supervision of the junior doctor was not clearly defined.

21. The junior doctor did not examine Victoria's abdomen while at her bedside - despite her complaining of pain in the area.

22. Inaccurate recording of medication.

23. The junior doctor did not make a note in Victoria's records when he took a sample of her blood.

24. A staff nurse did not follow proper procedure when re-dressing an abdominal wound.

25. The same nurse disrupted an intact dressing too soon after surgery.

26. Nurses did not complete a formal pain assessment despite increasing levels of discomfort.

27. Vital signs were not monitored before or after Victoria was given intravenous morphine.

28. Routine 2am observations was not completed.

29. A nurse performed a visual assessment of Victoria in the dark without using a torch.

30. Improper overnight monitoring.

31. Poor observation of the patient.

32. Lights were switched on at 4.50 am - contravening hospital policy on patient well-being and dignity.

33. Lacked of piped oxygen to beds on the ward.

34. The primary staff nurse was not made aware of the bleed in theatre.

35. Blood tranfusion policy was not followed.

36. A scribe was not present during resuscitation attempts.

37. Only two people performed chest compressions during attempts to revive Victoria.

38. The primary staff nurse did not remain at Victoria's bedside during resuscitation.

39. Unprofessional conduct by staff, who appeared 'visibly distraught' while colleagues tried to revive Victoria.

40. and 41. They attempted resuscitation was documented inaccurately.

42. No record of cardiac arrest and subsequent death in the patient's nursing record.

43. No record made of discussions with relatives after Victoria died.

there's no mention in the EA as they don't want to spread alarm. But it is NEWS, or is it every day somewhere this is happening to someone's loved ones.

Same about the chief constable, no comments are allowed as he lies his way through to his next pay packet with crime figures that are manipulated to show crime coming down/ but it's not.
I really doesn't matter. I don't see what the fuss is about. Better to stay in a nice warm ambulance outside the filth hospitals staffed by incompetent fools and idiots. This is a true story, in the news to-day. DO REALLY WANT TO END UP DEAD. 1. Wrong surgeon documented on theatre documentation. 2. Communication of blood loss among theatre team. 3. Unsupervised student scrub practitioner. 4. Scrub practitioner not concentrating on procedure. 5. Scrub practitioner not checking blood loss. 6. Large number of staff in and out of theatre during procedure. 7. Anaethestic doctor went for a break just before Victoria was extubated (removal of breathing tube). 8. The surgeon did not inform his consultant of the bleed. 9. Post-op notes were not properly reviewed. 10. No record of blood loss on the theatre care plan. 11. Uncertainty surrounding the handover of blood loss information from theatre to nursing staff. 12. Missing information on handover notes from recovery to ward nurses. 13. Missing information was not handed over when ward nurses changed shifts. 14. Victoria's respiratory rate was only counted on every second set of observations by recovery nurses. 15. A staff nurse did not delegate post-op observations when she was called away, leaving a two-hour gap in monitoring. 16. The surgeon did not report the artery damage or blood loss during surgery to ward staff. 17. Routine post-op observations were discontinued. 18. No standard handover routine between day and night shift surgical doctors in place. 19. A junior doctor did not check Victoria's haemoglobin result after her surgeon ordered tests. 20. Supervision of the junior doctor was not clearly defined. 21. The junior doctor did not examine Victoria's abdomen while at her bedside - despite her complaining of pain in the area. 22. Inaccurate recording of medication. 23. The junior doctor did not make a note in Victoria's records when he took a sample of her blood. 24. A staff nurse did not follow proper procedure when re-dressing an abdominal wound. 25. The same nurse disrupted an intact dressing too soon after surgery. 26. Nurses did not complete a formal pain assessment despite increasing levels of discomfort. 27. Vital signs were not monitored before or after Victoria was given intravenous morphine. 28. Routine 2am observations was not completed. 29. A nurse performed a visual assessment of Victoria in the dark without using a torch. 30. Improper overnight monitoring. 31. Poor observation of the patient. 32. Lights were switched on at 4.50 am - contravening hospital policy on patient well-being and dignity. 33. Lacked of piped oxygen to beds on the ward. 34. The primary staff nurse was not made aware of the bleed in theatre. 35. Blood tranfusion policy was not followed. 36. A scribe was not present during resuscitation attempts. 37. Only two people performed chest compressions during attempts to revive Victoria. 38. The primary staff nurse did not remain at Victoria's bedside during resuscitation. 39. Unprofessional conduct by staff, who appeared 'visibly distraught' while colleagues tried to revive Victoria. 40. and 41. They attempted resuscitation was documented inaccurately. 42. No record of cardiac arrest and subsequent death in the patient's nursing record. 43. No record made of discussions with relatives after Victoria died. there's no mention in the EA as they don't want to spread alarm. But it is NEWS, or is it every day somewhere this is happening to someone's loved ones. Same about the chief constable, no comments are allowed as he lies his way through to his next pay packet with crime figures that are manipulated to show crime coming down/ but it's not. anotherimigrant

9:21pm Mon 9 Dec 13

anotherimigrant says...

And now for something to make you all laugh and chuckle for weeks.

MPs to bring money managing skills to schools. This was in the paper tonight.

If these guys worked as hard on our economy as they want us to, we would,nt be in austerity measures and "were all in it together Dave" could give us all a 7.5pc pay rise by lowering taxes by the same amount. Then we would all be in it.

Get your own house in order MP,s, before you lecture us on how we should manage on our lowly wages and not a second house in sight.

Our crap medical services wouldn't need propping up. the hospitals wouldn't be manned by fools who cant speak ENGLISH and can perform simple operations.

Look after these things Tomlinson and Buckland and well leave the teaching to TEACHERS.
And now for something to make you all laugh and chuckle for weeks. MPs to bring money managing skills to schools. This was in the paper tonight. If these guys worked as hard on our economy as they want us to, we would,nt be in austerity measures and "were all in it together Dave" could give us all a 7.5pc pay rise by lowering taxes by the same amount. Then we would all be in it. Get your own house in order MP,s, before you lecture us on how we should manage on our lowly wages and not a second house in sight. Our crap medical services wouldn't need propping up. the hospitals wouldn't be manned by fools who cant speak ENGLISH and can perform simple operations. Look after these things Tomlinson and Buckland and well leave the teaching to TEACHERS. anotherimigrant

8:47am Tue 10 Dec 13

Ringer says...

Ahh, yes, the good old NHS, 'best in the world'.

Only, it isn't. We receive a terrible return for the MASSIVE investment that we're forced to pay.
Ahh, yes, the good old NHS, 'best in the world'. Only, it isn't. We receive a terrible return for the MASSIVE investment that we're forced to pay. Ringer

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