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Ambulances cut 30 seconds off times despite rise in calls



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Published Date: 29 April 2008
AMBULANCES are reaching patients faster in the Lothians – despite receiving a growing number of call outs.
On average, patients needing to go to accident and emergency over the last 12 months were picked up in 8.3 minutes.

The response time is a shade above the eight-minute target the Scottish Ambulance Service will be expected to hit in three-quarters
of cases by next March.

However, it has already cut half a minute off the previous year's figure, despite receiving almost 4000 more calls.

Ambulance call outs have rocketed in recent years – emergency calls rose by six per cent in 2005/06 and by four per cent in 2006/07 to 88,300.

Some paramedics put the increase down to people being unable to get a doctor out of hours and resolving to go to accident and emergency instead.

It remains to be seen whether the new contract, signed last month and which should see GPs make themselves available at evenings and weekends, will result in numbers going down.

John Morton, Scottish Ambulance Service spokesman, revealed it is looking into why demand continues to rise.

"There are a whole range of things that can affect ambulance demand," he said. "We are analysing our demand.

"We seem to get an average rise of about four per cent a year, so the latest increase is normal. Our target is to get to three-quarters of all life-threatening calls within eight minutes by March 31, 2009.

"We are certainly heading in the right direction, which demonstrates the commitment of our staff to what is a very difficult and challenging job."

One reason for the high level of demand is the soaring number of patients being treated at the ERI.

Already Scotland's busiest A&E department – about 50 per cent more so than its nearest rival – it was seeing 8500 patients a month by the end of last year, a nine per cent increase on 2005.

NHS Lothian believes it has become a victim of its own success, with 98 per cent of A&E patients seen within four hours – comfortably hitting the Scottish Government's target.

The Scotland Patients Association also believes that deteriorating health and greater willingness to call for an ambulance have contributed to the rise.

Dr Jean Turner, chief of the Scotland Patient Association, said: "It is good to see these response times coming down. The ambulance service gets through a tremendous amount of work and I think it will be very difficult for it to meet these targets.

"People are living longer and have more complex needs. Demand is also going up because of education – people know when to phone an ambulance."

www.scottishambulance.com
www.scotlandpatients.com





The full article contains 462 words and appears in Edinburgh Evening News newspaper.
Page 1 of 1

  • Last Updated: 29 April 2008 2:14 PM
  • Source: Edinburgh Evening News
  • Location: Edinburgh
  • Related Topics: Health of the NHS
 
1

Voldemort,

Edinburgh 29/04/2008 11:34:57
This really surprises me ... The speed bumps must be hell at that pace !

Well done though to the boys and girls involved - really good to see someone making progress!
2

Shave,

Edinburgh 29/04/2008 12:32:10
Well done.
3

Ruxpin,

29/04/2008 13:14:30
What good is a fast response, if you do not have enough crew in the ambulance. I refer to the recent story where an ambulance worker (working alone) was advised not to get out the ambulance and help a dying man, who had been stabbed in the neck, until further help arrived. The worker in question feared they would lose their job if they helped. Well, I would rather lose my job and save a dying man. This is just another meaningless set of figures that do not tell the whole story.
4

1 Reiver,

Edinburgh 29/04/2008 13:22:41
Well done to the crews involved.

Pity it is a waste of time chasing an made up figure so that the bosses can claim their bonus at the end of the year.

There is no medical basis behind the eight minute timeline.

Don't believe me go to http://randomreality.blogware.com/
5

,

29/04/2008 13:48:02
Comment Removed By Administrator
Reason:
6

Heretic_,

29/04/2008 14:30:53
I wonder how they plan to further reduce the response time - by driving faster? Or is money available to buy more ambulances?
7

,

29/04/2008 16:37:08
Comment Removed By Administrator
Reason:
8

Blue Light Daddy,

Edinburgh 01/05/2008 12:11:29
This story is full of lies. The times mentioned are only for Category A calls and only for those within urban areas. It does not cover lower category calls. It is also a fact that the figures have been massaged by new software that marks a crew as "on scene" when they get within 200m. of a call's locus even though they might spend another five minutes searching for an address.

As to the 8 minute time, this is based on a study from the 70's, a time before ambulance crews had the life saving drugs and equipment they now carry. A further study (the Sheffield Study) has comprehensively dispelled the myth that a crew must get to a cardiac arrest in 8 minutes to save a patient.

Add to this a current culture of fear and intimidation that pervades the SAS as crews are threatened with sackings for failing to achieve target times for activation, response and turnaround. Coming on top of a paycut for 60% of frontline emergency staff, sackings of paramedics for misdemeanours and plans to axe ambulances morale is very low.

 

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