Number of patients whose care was planned by a Paramedic
Dear Welsh Ambulance Services 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
Dear Theophilius Parry,
Your request for information has been received and will now be processed by the Trust.
Your reference is: 18817
Regards.
Jeff Prescott
Dear Theophilius Parry,
Due to the highlighted sentence the Trust are unable to provide the data
as requested.
The Trust do not hold accurate patient details for many incidents, as we
only get information given to us from callers and it could be related to
someone that has collapsed in the street etc. Other patient details that
have been recorded in other circumstances may also have inconsistencies
making it difficult to match with other incidents in order to get “unique”
patients.
The Trust can only accurately supply the number of incidents. Would this
be satisfactory?
In addition, it should also be noted that due to the volume and nature of
the questions set out below, the Trust would be unable to answer this
request within the 18 hours allowed under section 12 of the Freedom of
Information Act 2000.
Therefore, would it be possible to refine your request so that the Trust
may answer the query effectively. This may include re-wording the request
or prioritising the questions that you would like answering before the 18
hour limit is exhausted.
Please note, this only applies to questions 1 – 14 below.
Regards,
Jeff Prescott.
Dear Welsh Ambulance Services NHS Trust,
Last year, the College of Paramedics published a recommendation that all
patients dialling 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?
Jeff Prescott
Jeff Prescott
Gweinyddwr Trefn rheoli Corfforaethol/Corporate Governance Administrator
Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru/Welsh Ambulance Service
NHS Trust
Pencadlys yr Ymddiriedolaeth/ Trust Headquarters
Safle H M Stanley/ H M Stanley Site
LLanelwy/ St.Asaph
LL17 0RS
Ffon/Tel: 01745 532948 (Internal - 43948)
WHTN - 17143948
Ebost/Email: [1][email address]
References
Visible links
1. mailto:[email address]
Dear Theophilius Parry,
Could you please advise on how you wish to proceed with your Freedom of
Information request outlined below?
Regards,
Jeff Prescott.
Dear Mr Prescott,
Thank you very much for your email; I apologise for the rather extraordinary delay in responding.
Given your information above, and indeed the feedback from other Ambulance Services, I can confirm that I would like to proceed using the number of incidents rather than the number of patients.
Yours sincerely,
Theophilius Parry
Dear Theophilius Parry,
Please see below. For some of the questions, the Trust do not hold the
data in the format required and do not currently have reports or measures
on these. However, the Trust have given some indications of what could be
supplied as an alternative. Could you please let me know if you are happy
o proceed on this basis?
Regards,
Jeff Prescott
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).1 Hour
2) How many of those emergency patients were seen face-to-face by a
registered paramedic? 1 Hour
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)? 1 Hour
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 don’t hold this data
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) we don’t hold this data
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 don’t hold this data
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) 4 hours but cannot break down by role, as they are just
termed Clinicians
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) see Q7
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) see Q7
10) How many of the emergency patients seen face-to-face by a registered
paramedic were transported to an acute hospital? 1 hour
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? 1 hour
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 don’t hold this data
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? we don’t hold
this data
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 don’t hold this data
Re Q12-14, we could supply a table showing the number of incident
responses and conveyances to hospital broken down by highest qualification
level on board the vehicles 6 hours
Dear Theophilius Parry,
Your request for information is still being processed by the Trust.
The Trust are conscious of the 20 working day deadline however this was extended for questions 1-14 while clarification was being sought and the new deadline is December 18th for those questions.
In the meantime, the Trust have been able to answer questions 15-17. Could you please confirm if you would like a partial response covering those questions or whether you would prefer to wait for the full and complete response, currently scheduled for release no later than December 18th 2017.
Regards,
Jeff Prescott
Dear Mr Prescott ,
Thank you for your response; I apologise for the delay in replying to your email.
I would indeed be happy to proceed with the suggestions you have made in your email, and a table showing the dispositions against the highest skill level on board would be incredibly useful.
Yours sincerely,
Theophilius Parry
Dear Theophilius Parry,
Please find attached the partial response to your request under the
Freedom of Information Act 2000.
As discussed, the remaining questions will be answered in due course.
Regards.
Jeff Prescott
Jeff Prescott
Gweinyddwr Trefn rheoli Corfforaethol/Corporate Governance Administrator
Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru/Welsh Ambulance Service
NHS Trust
Pencadlys yr Ymddiriedolaeth/ Trust Headquarters
Safle H M Stanley/ H M Stanley Site
LLanelwy/ St.Asaph
LL17 0RS
Ffon/Tel: 01745 532948 (Internal - 43948)
WHTN - 17143948
Ebost/Email: [1][email address]
References
Visible links
1. mailto:[email address]
Dear Theophilius Parry,
Please find attached the response to your request under the Freedom of
Information Act 2000.
Regards.
Jeff Prescott
Jeff Prescott
Gweinyddwr Trefn rheoli Corfforaethol/Corporate Governance Administrator
Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru/Welsh Ambulance Service
NHS Trust
Pencadlys yr Ymddiriedolaeth/ Trust Headquarters
Safle H M Stanley/ H M Stanley Site
LLanelwy/ St.Asaph
LL17 0RS
Ffon/Tel: 01745 532948 (Internal - 43948)
WHTN - 17143948
Ebost/Email: [1][email address]
References
Visible links
1. mailto:[email address]
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