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Number of patients whose care was planned by a Paramedic

Theophilius Parry made this Freedom of Information request to East of England Ambulance Service NHS Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

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

Theophilius Parry

Dear East of England 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 (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST),

Thank you for your email. This acknowledgement has been triggered
electronically and means that your email has been received by the
Information Governance Department. Your request will be dealt with under
the Freedom of Information Act 2000 and it is our intention to respond to
you within twenty working days.

Please note that the volume of FoI requests received by this Trust now
exceeds available resources and given the need for all Trusts to reduce
corporate expenditure to within those targets set by the Carter Review, no
additional capacity is available to support our increasing workload.
Depending on the complexity and volume of your request, this context may
impact on our ability to respond to your request as soon as we would like.

show quoted sections

foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST),

Dear Theophilius

Thank you for your email.

In order that we can process your request correctly, please could you respond to our clarifying questions below:

1. For question 1, we cannot provide this information by patient numbers, would the number of responses suffice as an alternative? Also, please could you confirm that calls by Healthcare Professionals should also be excluded?

2. For questions 2, 7, 8 and 10, should this data exclude or include SAPs and ECPs?

Once we have received your clarification we will continue to process your request. Please note that if we do not receive a response from you within 14 days the Trust will determine that you no longer require this information and will close your request.

Kind regards

FoI Officer
East of England Ambulance Service NHS Trust

Please note our new email address: [East of England Ambulance Service NHS Trust request email]

________________________________________
From: Theophilius Parry <[FOI #444295 email]>
Sent: 07 November 2017 16:50
To: foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST)
Subject: Freedom of Information request - Number of patients whose care was planned by a Paramedic

Dear East of England 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

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

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show quoted sections

Dear Sirs,

Thank you very much for your request for clarification.

Other Ambulance Services are also finding it very difficult to provide the number of patients due to the constraints of the CAD system. I can confirm that the number of incidents/responses would be very useful to me as an alternative.

I would indeed like to exclude calls by a Healthcare Professional.

Please could I ask you to include responses by ECPs/CCPs under the response figures for registered Paramedics. As Student Ambulance Paramedics (SAPs) are not yet registered healthcare professionals, please could I ask you to include them with unregistered ambulance staff?

Yours sincerely,

Theophilius Parry

foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST),

2 Attachments

Dear Theophilius

Further to your email, and with our apologies for the delay, please find
the Trust's response below.   Your request has been allocated the
following reference: 13418, please could you quote this reference in any
future correspondence with the 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?

We apologise for the delay in fulfilling your request, however following
the introduction of the Ambulance Response Programme to our organisation,
we have been required to rebuild our reporting systems and resources have
been prioritised to ensure we meet our Department of Health and
contractual reporting requirements.

Combined with this and due to the large data request you have submitted,
we advise that the data you have requested will be available by the end of
February.

 

Once again, we apologise for the delay in our response

 

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)?

Please find attached 'ESOP25 - Deployment Guidelines'

In addition, please see the Trust's Conveyance and Discharge of Care
Policy on our website: 
[1]https://www.eastamb.nhs.uk/Policies/clin...
(under review)

The Trust has also provided accountability guidance for staff, and we are
planning to release guidance on the use of National Early Warning Scores

 

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)?

The Trust enables a range of clinicians to deliver patient care and
discharge. This is from technician upwards. We expect individuals to
operate within their scope but we don't stipulate restrictions/guidance
except for newly qualified paramedics.

 

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)?

Referrals are accepted from technicians above. This is based on the scope
of practice and ability to assess/diagnose. We have specific referral
guidelines for certain pathways. And other pathways and services, are
accessed via the use of a mobile directory or services.

 

*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).

I am obliged to advise you that if you are dissatisfied with the Trust’s
response to your request you have a right to complain to the Trust and
should set out your concerns to the Freedom of Information Officer, EEAST,
Hospital Approach, Broomfield, Chelmsford, Essex, CM1 7WS or by email to
[East of England Ambulance Service NHS Trust request email]. If you remain dissatisfied following this, you have a
right under Section 50 of the FOIA to seek a determination from the
Information Commissioner on whether the Act has been properly applied by
the Trust. For more information, please see [2]www.ico.gov.uk/

Under the Accessible Information Standard the Trust is required to ask our
FoI applicants equality and diversity questions. You are under no
obligation; however we would be grateful if you could complete the form
attached and email this back to us.

Please do not hesitate to contact me should you require any further
information.

Kind regards

FoI Officer

East of England Ambulance Service NHS Trust

Please note our new email address: [East of England Ambulance Service NHS Trust request email]

________________________________________

From: Theophilius Parry <[FOI #444295 email]>

Sent: 20 November 2017 18:33

To: foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST)

Subject: Re: Freedom of Information request - Number of patients whose
care was planned by a Paramedic

Dear Sirs,

Thank you very much for your request for clarification.

Other Ambulance Services are also finding it very difficult to provide the
number of patients due to the constraints of the CAD system. I can confirm
that the number of incidents/responses would be very useful to me as an
alternative.

I would indeed like to exclude calls by a Healthcare Professional.

Please could I ask you to include responses by ECPs/CCPs under the
response figures for registered Paramedics. As Student Ambulance
Paramedics (SAPs) are not yet registered healthcare professionals, please
could I ask you to include them with unregistered ambulance staff?

Yours sincerely,

Theophilius Parry

show quoted sections

foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST),

Dear Theophilius

 

My apologies, our response should have stated that the information will be
available at the end of March, and not February.

 

My apologies for this error and any inconvenience this delay may cause.

 

Kind regards

FoI Officer

East of England Ambulance Service NHS Trust

 

Please note our new email address: [1][East of England Ambulance Service NHS Trust request email]

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

From: foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST)
Sent: 21 February 2018 09:49
To: [FOI #444295 email]
Subject: FoI - 13418
 

Dear Theophilius

Further to your email, and with our apologies for the delay, please find
the Trust's response below.   Your request has been allocated the
following reference: 13418, please could you quote this reference in any
future correspondence with the 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?

We apologise for the delay in fulfilling your request, however following
the introduction of the Ambulance Response Programme to our organisation,
we have been required to rebuild our reporting systems and resources have
been prioritised to ensure we meet our Department of Health and
contractual reporting requirements.

Combined with this and due to the large data request you have submitted,
we advise that the data you have requested will be available by the end of
February.

 

Once again, we apologise for the delay in our response

 

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)?

Please find attached 'ESOP25 - Deployment Guidelines'

In addition, please see the Trust's Conveyance and Discharge of Care
Policy on our website: 
[2]https://www.eastamb.nhs.uk/Policies/clin...
(under review)

The Trust has also provided accountability guidance for staff, and we are
planning to release guidance on the use of National Early Warning Scores

 

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)?

The Trust enables a range of clinicians to deliver patient care and
discharge. This is from technician upwards. We expect individuals to
operate within their scope but we don't stipulate restrictions/guidance
except for newly qualified paramedics.

 

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)?

Referrals are accepted from technicians above. This is based on the scope
of practice and ability to assess/diagnose. We have specific referral
guidelines for certain pathways. And other pathways and services, are
accessed via the use of a mobile directory or services.

 

*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).

I am obliged to advise you that if you are dissatisfied with the Trust’s
response to your request you have a right to complain to the Trust and
should set out your concerns to the Freedom of Information Officer, EEAST,
Hospital Approach, Broomfield, Chelmsford, Essex, CM1 7WS or by email to
[East of England Ambulance Service NHS Trust request email]. If you remain dissatisfied following this, you have a
right under Section 50 of the FOIA to seek a determination from the
Information Commissioner on whether the Act has been properly applied by
the Trust. For more information, please see [3]www.ico.gov.uk/

Under the Accessible Information Standard the Trust is required to ask our
FoI applicants equality and diversity questions. You are under no
obligation; however we would be grateful if you could complete the form
attached and email this back to us.

Please do not hesitate to contact me should you require any further
information.

Kind regards

FoI Officer

East of England Ambulance Service NHS Trust

Please note our new email address: [East of England Ambulance Service NHS Trust request email]

________________________________________

From: Theophilius Parry <[FOI #444295 email]>

Sent: 20 November 2017 18:33

To: foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST)

Subject: Re: Freedom of Information request - Number of patients whose
care was planned by a Paramedic

Dear Sirs,

Thank you very much for your request for clarification.

Other Ambulance Services are also finding it very difficult to provide the
number of patients due to the constraints of the CAD system. I can confirm
that the number of incidents/responses would be very useful to me as an
alternative.

I would indeed like to exclude calls by a Healthcare Professional.

Please could I ask you to include responses by ECPs/CCPs under the
response figures for registered Paramedics. As Student Ambulance
Paramedics (SAPs) are not yet registered healthcare professionals, please
could I ask you to include them with unregistered ambulance staff?

Yours sincerely,

Theophilius Parry

show quoted sections

foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST),

Dear Theophilius

 

My apologies for the delay in our responding to your remaining questions. 
The Trust has determined that to provide the exact information you have
requested accurately, would take over the 18 hour limit set down in the
Freedom of Information Act.  Rather than simply apply exemption s.12 to
your request, we have looked into what alternative information we can
offer in line with our obligations under s.16 of the Act.  Please find
below a link to the 'Frequently Requested Information' page on our website
which contains general demand information that may assist you.  This can
be located here:

[1]https://www.eastamb.nhs.uk/about-us/freq...

 

I am obliged to advise you that if you are dissatisfied with the Trust’s
response to your request you have a right to complain to the Trust and
should set out your concerns to the Freedom of Information Officer, EEAST,
Hospital Approach, Broomfield, Chelmsford, Essex, CM1 7WS or by email to
[East of England Ambulance Service NHS Trust request email]. If you remain dissatisfied following this, you have a
right under Section 50 of the FOIA to seek a determination from the
Information Commissioner on whether the Act has been properly applied by
the Trust. For more information, please see [2]www.ico.gov.uk/

Please do not hesitate to contact me should you require any further
information.

Kind regards

 

FoI Officer

East of England Ambulance Service NHS Trust

 

Please note our new email address: [3][East of England Ambulance Service NHS Trust request email]

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

From: foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST)
Sent: 21 February 2018 09:57
To: [FOI #444295 email]
Subject: Fw: FoI - 13418
 

Dear Theophilius

 

My apologies, our response should have stated that the information will be
available at the end of March, and not February.

 

My apologies for this error and any inconvenience this delay may cause.

 

Kind regards

FoI Officer

East of England Ambulance Service NHS Trust

 

Please note our new email address: [4][East of England Ambulance Service NHS Trust request email]

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

From: foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST)
Sent: 21 February 2018 09:49
To: [FOI #444295 email]
Subject: FoI - 13418
 

Dear Theophilius

Further to your email, and with our apologies for the delay, please find
the Trust's response below.   Your request has been allocated the
following reference: 13418, please could you quote this reference in any
future correspondence with the 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?

We apologise for the delay in fulfilling your request, however following
the introduction of the Ambulance Response Programme to our organisation,
we have been required to rebuild our reporting systems and resources have
been prioritised to ensure we meet our Department of Health and
contractual reporting requirements.

Combined with this and due to the large data request you have submitted,
we advise that the data you have requested will be available by the end of
February.

 

Once again, we apologise for the delay in our response

 

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)?

Please find attached 'ESOP25 - Deployment Guidelines'

In addition, please see the Trust's Conveyance and Discharge of Care
Policy on our website: 
[5]https://www.eastamb.nhs.uk/Policies/clin...
(under review)

The Trust has also provided accountability guidance for staff, and we are
planning to release guidance on the use of National Early Warning Scores

 

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)?

The Trust enables a range of clinicians to deliver patient care and
discharge. This is from technician upwards. We expect individuals to
operate within their scope but we don't stipulate restrictions/guidance
except for newly qualified paramedics.

 

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)?

Referrals are accepted from technicians above. This is based on the scope
of practice and ability to assess/diagnose. We have specific referral
guidelines for certain pathways. And other pathways and services, are
accessed via the use of a mobile directory or services.

 

*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).

I am obliged to advise you that if you are dissatisfied with the Trust’s
response to your request you have a right to complain to the Trust and
should set out your concerns to the Freedom of Information Officer, EEAST,
Hospital Approach, Broomfield, Chelmsford, Essex, CM1 7WS or by email to
[East of England Ambulance Service NHS Trust request email]. If you remain dissatisfied following this, you have a
right under Section 50 of the FOIA to seek a determination from the
Information Commissioner on whether the Act has been properly applied by
the Trust. For more information, please see [6]www.ico.gov.uk/

Under the Accessible Information Standard the Trust is required to ask our
FoI applicants equality and diversity questions. You are under no
obligation; however we would be grateful if you could complete the form
attached and email this back to us.

Please do not hesitate to contact me should you require any further
information.

Kind regards

FoI Officer

East of England Ambulance Service NHS Trust

Please note our new email address: [East of England Ambulance Service NHS Trust request email]

________________________________________

From: Theophilius Parry <[FOI #444295 email]>

Sent: 20 November 2017 18:33

To: foi (EAST OF ENGLAND AMBULANCE SERVICE NHS TRUST)

Subject: Re: Freedom of Information request - Number of patients whose
care was planned by a Paramedic

Dear Sirs,

Thank you very much for your request for clarification.

Other Ambulance Services are also finding it very difficult to provide the
number of patients due to the constraints of the CAD system. I can confirm
that the number of incidents/responses would be very useful to me as an
alternative.

I would indeed like to exclude calls by a Healthcare Professional.

Please could I ask you to include responses by ECPs/CCPs under the
response figures for registered Paramedics. As Student Ambulance
Paramedics (SAPs) are not yet registered healthcare professionals, please
could I ask you to include them with unregistered ambulance staff?

Yours sincerely,

Theophilius Parry

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