Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywTheophilius Parry mewngofnodwch a gadael i bawb wybod.

Number of patients whose care was planned by a Paramedic

Theophilius Parry made this Rhyddid Gwybodaeth request to North West Ambulance Service NHS Trust

This request has been closed to new correspondence. Contact us if you think it should be reopened.

We're waiting for Theophilius Parry to read a recent response and update the status.

Dear North West Ambulance Service NHS Trust,

Last year, the College of Paramedics published a recommendation that all patients dialing 999 should receive Paramedic-led care. This recommendation built upon the Francis reports' recommendation that all patients discharged from NHS Care have their discharge overseen by a registered healthcare professional.

In this context, please may I request the following data from you?

1) How many emergency patients did you respond to between the 31st October 2016 and the 31st October 2017? Please note that I am interested in unique numbers of patients, and not necessarily the number of 999 calls received. Please could I ask you to include only patients categorized as an emergency (for example those who have called 999/112), and not urgent cases or routine transfers (for example GP Admissions).

2) How many of those emergency patients were seen face-to-face by a registered paramedic?
3) How many of those emergency patients were seen face-to-face by a registered healthcare professional other than a paramedic (for example a nurse or doctor)?
4) How many of those emergency patients were seen face to face by a clinician other than a registered healthcare professional, however a registered paramedic* was involved in the care planning? (for example a patient who was seen by a technician-led ambulance crew and discussed with a Paramedic over the telephone, or where a patient received assessment from a paramedic over the telephone and then seen face to face by an unregistered member of staff)
5) How many of those emergency patients were seen face to face by a clinician other than a registered healthcare professional, however a registered healthcare professional other than a paramedic* was involved in the care planning? (for example a patient who was seen by a technician-led ambulance crew and discussed with a Nurse or Doctor over the telephone, or where an unregistered ambulance crew responded to a patient following assessment by a nurse over the telephone)
6) How many of those emergency patients were seen face to face by a clinician other than a registered healthcare professional where a registered healthcare professional was not involved in the care planning? (For example where a technician led ambulance crew saw a patient independently)
7) How many of those emergency patients were assessed otherwise than face to face by a paramedic, and who did not receive an ambulance response? (For example where a Paramedic closed a call following a telephone consultation)
8) How many of those emergency patients were assessed otherwise than face to face by a registered healthcare professional other than a paramedic and who did not receive an ambulance response? (For example, any patients who were referred to another NHS Service following a telephone assessment by a nurse)
9) How many of those emergency patients were assessed otherwise than face to face by a clinician other than a registered healthcare professional and who did not receive an ambulance response? (For example, any patients who were dealt with over the telephone by an Ambulance Technician)

10) How many of the emergency patients seen face-to-face by a registered paramedic were transported to an acute hospital?
11) How many of the emergency patients seen face-to-face by a registered healthcare professional other than a paramedic were transported to an acute hospital?
12) How many of the emergency patients seen face to face by a clinician other than a registered healthcare professional, but where a registered paramedic* was involved in the care planning, were transported to an acute hospital?
13) How many of the emergency patients were seen face to face by a clinician other than a registered healthcare professional, but where a registered healthcare professional other than a paramedic* was involved in the care planning were transported to an acute hospital?
14) How many of the emergency patients were seen face to face by a clinician other than a registered healthcare professional where a registered healthcare professional was not involved in the care planning were transported to an acute hospital?

15) Please could you supply copies of any policies or documentation you have regarding the deployment of paramedics or other registered healthcare professionals to patients (for example any patient groups for whom a paramedic is required to be sent)?
16) Please could you confirm if your ambulance service allows clinicians other than registered healthcare professionals to discharge emergency patients, and provide copies of any relevant policies (for example any restrictions on certain age groups of patients who cannot be discharged by unregistered staff)?
17) Please could you confirm if your ambulance service allows clinicians other than registered healthcare professionals to make patient referrals, and provide copies of any relevant policies (for example any services to which unregistered staff are not permitted to refer patients)?

*Please note: any references to a Healthcare Professional in this context would refer to a registered healthcare professional employed by your trust, and not a situation where an unregistered member of staff sought advice from a healthcare professional employed outside the trust (for example where a member of unregistered staff discussed a patient with the patient's own GP).

Yours faithfully,

Theophilius Parry

FOI Enquiries, North West Ambulance Service NHS Trust

2 Atodiad

Thank you for your request for information which is currently being
reviewed under the terms of the Freedom of Information Act 2000.

 

We will contact you again with a response within the 20 working days
commitment outlined in the Freedom of Information Act.

 

In some circumstances a fee may be payable and if this is the case, we
will let you know. A fees notice will be issued which will need to be paid
before we proceed with your request.

 

If you have any queries, please contact the FOI Co-ordinator on 01204
498306.

 

Thank you.

FOI Enquiries, North West Ambulance Service NHS Trust

North West Ambulance Service

Email: mailto:[email address]

FOI 885

Dear Theophilius Parry,

Thank you for your request for information.

Your request was received on the 06 November 2017 and is currently being reviewed under the terms of the Freedom of Information Act 2000.

We will contact you again with a response to your request within the 20 working days commitment outlined in the Freedom of Information Act. However if there are any queries with your request which I need to clarify with you, I will contact you at the earliest opportunity.

In some circumstances a fee may be payable and if that is the case, I will let you know. A fees notice will be issued to you, and you will be required to pay before we will proceed to deal with your request.

If you have any queries about this letter, please contact me. Please remember to quote the reference above in any future communications.

Yours sincerely

Elle Atherton
Communications Administrator

North West Ambulance Service NHS Trust
Headquarters, Ladybridge Hall, 399 Chorley New Road, Bolton, BL1 5DD

01204 498306

Internal ext : 4210
[email address]
www.nwas.nhs.uk

Alice Rawsthorne, North West Ambulance Service NHS Trust

2 Atodiad

Hi Theo

 

Thank you very much for your recent FOI request. Unfortunately this is far
beyond the information that we will be able to provide within the time
frame allocated under freedom of information. Would you be happy to
significantly reduce the amount of information that you are requesting?

 

Thank you very much,

Alice

 

Alice Rawsthorne

Communications Officer

North West Ambulance Service NHS Trust

Headquarters, Ladybridge Hall, 399 Chorley New Road, Bolton, BL1 5DD

[1][email address]

0161 279 4998

Internal ext : 4797

[2]www.nwas.nhs.uk

 

 

 

 

 

 

dangos adrannau a ddyfynnir

 

Please use this email address for all replies to this request:

[4][FOI #443378 email]

 

Is [5][North West Ambulance Service NHS Trust request email] the wrong address for Freedom of
Information requests to North West Ambulance Service NHS Trust? If so,
please contact us using this form:

[6]https://www.whatdotheyknow.com/change_re...

 

Disclaimer: This message and any reply that you make will be published on
the internet. Our privacy and copyright policies:

[7]https://www.whatdotheyknow.com/help/offi...

 

For more detailed guidance on safely disclosing information, read the
latest advice from the ICO:

[8]https://www.whatdotheyknow.com/help/ico-...

 

Please note that in some cases publication of requests and responses will
be delayed.

 

If you find this service useful as an FOI officer, please ask your web
manager to link to us from your organisation's FOI page.

 

 

-------------------------------------------------------------------

 

References

Visible links
1. mailto:[email address]
2. http://www.nwas.nhs.uk/
3. mailto:[FOI #443378 email]
4. mailto:[FOI #443378 email]
5. mailto:[North West Ambulance Service NHS Trust request email]
6. https://www.whatdotheyknow.com/change_re...
7. https://www.whatdotheyknow.com/help/offi...
8. https://www.whatdotheyknow.com/help/ico-...

Dear Alice ,

Thank you for your response.
Having recieved similar feedback from other NHS Ambulance Services, it would appear that information relating to number of patients is significantly harder to extract from CAD systems than I had anticipated.
Other trusts have suggested that it may be easier to request the above information relating to the number of incidents rather than the number of patients - please could I amend my request accordingly?

Yours sincerely,

Theophilius Parry

Alice Rawsthorne, North West Ambulance Service NHS Trust

2 Atodiad

Hello

 

Thank you for your email.

 

I am currently out of the office until Tuesday 21 November

 

If you require an urgent reponse please forward your email to
[email address]

 

Kind regards,

Alice Rawsthorne

Communications Officer

 

dangos adrannau a ddyfynnir

Alice Rawsthorne, North West Ambulance Service NHS Trust

North West Ambulance Service

Email: mailto:[email address]

Hello Theo

Thank you very much for getting back to me. I'm afraid that it is the volume of information that you are requesting that is a difficulty for us, this would go significantly over the time allowed under the Freedom of Information Act and if not something that we have capacity to provide and therefore I would have to ask you to significantly reduce the amount of information that you are requesting.

Kind regards,
Alice

dangos adrannau a ddyfynnir

Theophilius Parry

Dear Alice,

Thank you for your email; I'm sorry to hear that you feel my amended request would exceed the 18 hour limit.

Do you feel that refining my request to Questions 1-6, Q10-14 and Q15-16 would bring it under the appropriate limit, please?

Yours sincerely,

Theophilius Parry

Alice Rawsthorne, North West Ambulance Service NHS Trust

2 Atodiad

Hiya Theo,

 

Thank you for getting back to me.

 

I have spoken to our data team and they have let me know the data that
they will be able to provide:

 

1) For this we can tell  how many emergency incidents that we responded to
during the date range.

 

Note the following definitions

Definition of Emergency Calls:  All calls received including duplicates
(other calls relating to the same location) but excluding test calls,
calls for information only, out of area calls, or calls entered in error. 

Definition of Emergency Incidents: Emergency calls which resulted In face
to face attendance at the scene, excluding duplicate calls.

 

2) We can tell how many emergency incidents had at least one registered
paramedic on scene / how many had no paramedic attends.  Please note it is
not always clinically appropriate to send a paramedic to scene, therefore
we would break this down by category of call (Red1-Green4).  This data is
available up until 31/07/2017.

 

3) We can attempt to tell how many emergency incidents had an attendance
by a vehicle which would have a registered health care professional on
board.  This would be based on a list of vehicle types, we would need to
liaise with control to ensure we are using correct list.  If we can get a
finalised list of correct vehicle types for this, we would split by
category of call and data would be available up until 31/07/17.

 

4) We cannot determine whether these crews had a paramedic on the phone
advising, with the data we have available. 

 

5) We cannot determine whether these crews had a nurse/doctor on the phone
advising, with the data we have available. 

 

6)  Not possible

 

10) Can tell how many emergency incidents which had at least one
registered paramedic on scene, resulted in transportation.

 

11) If we can get a finalised list of relevant vehicle types, we can tell
how many of these emergency incidents resulted in transportation

 

12) We cannot determine whether these crews had a paramedic on the phone
advising, with the data we have available. 

 

13) We cannot determine whether these crews had a nurse/doctor on the
phone advising, with the data we have available

 

14) Not possible

 

Please can you let me know if you would find this acceptable? I apologise
that we aren’t able to help you with all the information that you have
requested

 

Thank you,

Alice

 

 

 

Alice Rawsthorne

Communications Officer (Media)

Strategy and Planning Directorate

North West Ambulance Service NHS Trust

Headquarters, Ladybridge Hall, 399 Chorley New Road, Bolton, BL1 5DD

[email address]

0161 279 4998 or ext 4797

Twitter: @NWAmb_Alice

www.nwas.nhs.uk

 

 

 

 

 

dangos adrannau a ddyfynnir

Please use this email address for all replies to this request:

[2][FOI #443378 email]

 

Disclaimer: This message and any reply that you make will be published on
the internet. Our privacy and copyright policies:

[3]https://www.whatdotheyknow.com/help/offi...

 

For more detailed guidance on safely disclosing information, read the
latest advice from the ICO:

[4]https://www.whatdotheyknow.com/help/ico-...

 

Please note that in some cases publication of requests and responses will
be delayed.

 

If you find this service useful as an FOI officer, please ask your web
manager to link to us from your organisation's FOI page.

 

-------------------------------------------------------------------

 

References

Visible links
1. mailto:[email
2. mailto:[FOI #443378 email]
3. https://www.whatdotheyknow.com/help/offi...
4. https://www.whatdotheyknow.com/help/ico-...

Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywTheophilius Parry mewngofnodwch a gadael i bawb wybod.