Number of patients whose care was planned by a Paramedic

Roedd y cais yn rhannol lwyddiannus.

Dear Yorkshire 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

1 Atodiad

Dear Mr Parry

 

Thank you for your request for information under the Freedom of
Information Act.

 

The reference number for this request is 2017/18-264. Please ensure that
you quote this number in any future correspondence.

 

We will endeavour to respond to this request at our earliest convenience.
This will be no later than 04 December 2017, which is 20 working days
after the date your request was received. 

 

Issued by Yorkshire Ambulance Service

 

Legal Services Department

[1][Yorkshire Ambulance Service NHS Trust request email]

Tel: 01924 584116

 

[2]Description: YAS-AFT-letterhead-portrait-col

1 Atodiad

Dear Mr Parry

 

In order to response to your request, we require some clarification.

 

The department trying to collate the information you have requested has
come back to inform us that they cannot collate the information by the
number of patients. This is because they can only collate calls, and one
call can have more than one patient. In order to collate the information
by the number of patients would require manually looking at individual
call logs for the timeframe requested. There would be more than 750,000
records to check. This would exceed the appropriate cost limit of £450 (18
working hours) and would be exempt under Section 12 of the FOI Act.

 

Please can you confirm whether you are happy to receive number of
calls/responses for the response to your request rather than the number of
patients.

 

Please note that under the Freedom of Information Act, that because we
have requested clarfication this request is now on hold, and the 20
working days to respond will start upon receiving the clarification
required.

 

If we do not receive clarification within 60 working days of this email,
we will close the request and inform you that we have done so.

 

Issued by Yorkshire Ambulance Service

 

Legal Services Department

[1][Yorkshire Ambulance Service NHS Trust request email]

Tel: 01924 584116

 

[2]Description: YAS-AFT-letterhead-portrait-col

 

From: FOI
Sent: 06 November 2017 08:59
To: 'Theophilius Parry'; FOI
Subject: FOI 2017/18-264

 

Dear Mr Parry

 

Thank you for your request for information under the Freedom of
Information Act.

 

The reference number for this request is 2017/18-264. Please ensure that
you quote this number in any future correspondence.

 

We will endeavour to respond to this request at our earliest convenience.
This will be no later than 04 December 2017, which is 20 working days
after the date your request was received. 

 

Issued by Yorkshire Ambulance Service

 

Legal Services Department

[3][Yorkshire Ambulance Service NHS Trust request email]

Tel: 01924 584116

 

[4]Description: YAS-AFT-letterhead-portrait-col

dangos adrannau a ddyfynnir

Dear Sirs,

Thank you very much for your response.
I can confirm that proceeding using the number of incidents rather than the number of patients would be sufficient.

Thank you again,

Theophilius Parry

1 Atodiad

Dear Mr Parry

 

Thank you for your clarification to your request for information under the
Freedom of Information Act.

 

We will endeavour to respond to this request at our earliest convenience.
This will be no later than 18 December 2017, which is 20 working days
after the date your request was received. 

 

Issued by Yorkshire Ambulance Service

 

Legal Services Department

[1][Yorkshire Ambulance Service NHS Trust request email]

Tel: 01924 584116

 

[2]Description: YAS-AFT-letterhead-portrait-col

dangos adrannau a ddyfynnir

5 Atodiad

Dear Mr Parry

 

In reply to your request for information under the FOI Act, please find
enclosed with this email the Trust's response.

 

Issued by Yorkshire Ambulance Service

 

Legal Services Department

[1][Yorkshire Ambulance Service NHS Trust request email]

Tel: 01924 584116

 

[2]Description: YAS-AFT-letterhead-portrait-col

 

 

dangos adrannau a ddyfynnir

References

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1. mailto:[Yorkshire Ambulance Service NHS Trust request email]