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 West Midlands Ambulance Service University NHS Foundation 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 recent responses and update the status.

Dear West Midlands Ambulance Service NHS Foundation 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

:Freedom Of Information Mailbox, West Midlands Ambulance Service University NHS Foundation Trust

Good morning,

Thank you for your below request, however, we are unable to assist on this occasion. We respond to over 3000 calls a day and therefore, to provide a detailed analysis you have requested, we would have to manually check each incident to break down the information into the sections you have requested which would take us beyond the appropriate limit set out under section 12 of the Freedom of Information Act. An incident may have more than one patient, or patients may decline treatment after contact has been made for example, there may be a doctor on scene that we are not aware of until we arrive etc. All this will be in the free text of the medical records and our call dispatch system of each patient and each incident.

We are sorry we are not able to assist any further.

Kind Regards

Lynsey Kumari
Freedom of Information & Document Control Officer
West Midlands Ambulance Service NHS Foundation Trust
Millennium Point, Waterfront Way, Brierley Hill, Dudley, DY5 1LX

Have you seen our previous FOI responses? Or Our frequently asked FOI page? Check it out by clicking here

Dear Freedom Of Information Mailbox,

Thank you for your exceptionally prompt reply.
I must confess that I am slightly disappointed that you are unable to help me on this occasion, as the question was designed to be easily extractable from the CAD system.

Is there any way you would be able to provide any information within the scope of my request, for example the number of patients who received a face-to-face assessment and the number of these patients who received a face-to-face assessment by a paramedic versus the number of these patients who did not?

I note your concern regarding there being multiple patients at some incidents, and if this is the principal issue, do you feel you would be likely to provide the information on the number of incidents instead of the number of patients, please?

Yours sincerely,

Theophilius Parry

:Freedom Of Information Mailbox, West Midlands Ambulance Service University NHS Foundation Trust

Good morning,

Thank you for the below.

Leave this with me, I shall liase with our Business Intelligence Unit to see what else we can provide for you.

Kind Regards

Lynsey Kumari
Freedom of Information & Document Control Officer
West Midlands Ambulance Service NHS Foundation Trust
Millennium Point, Waterfront Way, Brierley Hill, Dudley, DY5 1LX

Have you seen our previous FOI responses? Or Our frequently asked FOI page? Check it out by clicking here

dangos adrannau a ddyfynnir

:Freedom Of Information Mailbox, West Midlands Ambulance Service University NHS Foundation Trust

Good afternoon,

 

We write further to your request and upon further investigation into what
is required of your request, we are seeking further clarification which we
have requested in red below each question required –

 

We look forward to hearing from you in due course.

 

Kind Regards

 

Lynsey Kumari

Freedom of Information & Document Control Officer

West Midlands Ambulance Service NHS Foundation Trust

Millennium Point, Waterfront Way, Brierley Hill, Dudley, DY5 1LX

 

Have you seen our previous FOI responses? Or Our frequently asked FOI
page? Check it out by clicking [1]here

 

As previously advised, we are unable to provide numbers on the number of
patients but we can provide the number of incidents (which you have
advised you are happy to accept therefore, please note, our queries below
are based on the number of incidents;

 

Essentially all we can provide is technician led vs paramedic led crews
with their transport rates.

 

We can provide information where the Paramedic triage also spoke to the
patient (although this may just have been a ring back, not ‘planning their
care’ so we are unclear if this information you require).

 

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)?

We can provide the number of cases where a MERIT/BASICs/HELIMED resource
was deployed and arrived at scene  however, we would not be able to
confirm if the patient actually saw anyone other than a Paramedic such as
the Doctor/Mental Health Nurse etc without manually checking their patient
report form which would take us beyond the appropriate limit set out
within section 12 of the Freedom of Information Act (and there would also
have been a paramedic on scene, so we are unsure if this is what you
require) could you please confirm on how you wish for us to proceed?

 

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)

We may be able to provide this information on technician led crews where
Paramedic triage has spoken to the patient (however, this may just have
been a ring back, not ‘planning their care’ so again, unsure If this is
what you require) could you please confirm on how you wish for us to
proceed?

 

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)

Unfortunately, we do not hold this information.

 

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)

We may be able to provide this as technician led crews where Paramedic
triage took place and the Paramedic was not actually present on the job
itself.

 

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)

We do not have nurses/doctors who provide a telephone assessment.

 

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?

As per question 3, we can provide the number of cases where a
MERIT/BASICs/HELIMED resource was deployed and arrived at scene  however,
we would not be able to confirm if the patient actually saw anyone other
than a Paramedic such as the Doctor/Mental Health Nurse etc without
manually checking their patient report form which would take us beyond the
appropriate limit set out within section 12 of the Freedom of Information
Act (and there would also have been a paramedic on scene, so we are unsure
if this is what you require).

 

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?

We may be able to provide technician led crews where Paramedic triage have
spoken to patient.

 

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?

No, we are not able to provide the data that can identify these cases.

 

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?

We may be able to provide technician led crews where Paramedic triage took
place but no paramedic actually at the incident and on the job.

 

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).

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Theophilius Parry

Dear Lynsey,

Thank you for your comprehensive response; I hope I have managed to answer your queries below?

Your suggestion of a breakdown of the number of incidents and the number of conveyences by Technician and Paramedic led crews would very much strike at the heart of what I was asking; thank you.

To answer your more specific queries:

3 & 11) I am happy to assume that where a non-paramedic Healthcare Professional was on scene (eg: Doctor from MERIT), that they took clinical primary and directly saw the patient; although I thank you for your caveat that this may be an oversimplification.
4) I am happy to assume that where a Paramedic has had contact with the patient by telephone this should be counted as Paramedic-led assessment (not face to face). To clarify, is your caution here referring to paramedics performing welfare checks but not adopting clinical primary for the patient?

I think there may be some confusion in the definitions I was adopting for 5, 6 & 7. Q5 would include patients where a paramedic has had telephone contact with the patient but they were then seen by a technician led crew, whereas Q6 would include to calls which were not assessed by telephone by a paramedic but where a technican crew assessed and planned the care independently. Q7 was intended to capture the number of incidents which were hear-and-treated by a Paramedic by telephone, and which didn't require a physical ambulance response.

For Question 13, I understand that you do not employ any healthcare professionals other than Paramedics for providing Hear & Treat Services or providing advice to crews on scene; if this is the case, then the answer to this question would be none.

Yours sincerely,

Theophilius Parry

:Freedom Of Information Mailbox, West Midlands Ambulance Service University NHS Foundation Trust

Good morning,

Thank you for clarifying the below.

Should we require any further clarification, we shall contact you in due course.

Kind Regards

Lynsey Kumari
Freedom of Information & Document Control Officer
West Midlands Ambulance Service NHS Foundation Trust
Millennium Point, Waterfront Way, Brierley Hill, Dudley, DY5 1LX

Have you seen our previous FOI responses? Or Our frequently asked FOI page? Check it out by clicking here

dangos adrannau a ddyfynnir

:Freedom Of Information Mailbox, West Midlands Ambulance Service University NHS Foundation Trust

2 Atodiad

Good Afternoon

Please see the attached letter in respect of your recent request for information under the Freedom of Information Act.

We have also attached a quick survey and we were wondering if we could spare a few moments of your time to complete and return to either myself or the Head of Governance and Risk [email address] to help us improve the service we currently provide.

Kind Regards

Lynsey Kumari
Freedom of Information & Document Control Officer
West Midlands Ambulance Service NHS Foundation Trust
Millennium Point, Waterfront Way, Brierley Hill, Dudley, DY5 1LX

Have you seen our previous FOI responses? Or Our frequently asked FOI page? Check it out by clicking here

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[WMAS - Trust Us to care]
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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.