Palliative Care Paramedics advice
Dear Welsh Ambulance Services NHS Trust,
With regard to your 'End of Life Palliative Care' scheme, reported on in October 2021, please can you provide me with the specific protocols paramedics receive training in, particularly involving end of life medications?
Yours faithfully,
N Davies
Dear N. Davies,
Your request for information has been received and will now be processed by the Trust.
Your reference is: 9622
Regards.
Jeff Prescott
Dear N. Davies,
Please find attached the response to your request under the Freedom of
Information Act 2000.
Regards.
Jeff Prescott
Jeff Prescott LL.B (Hons), PC.foi
Swyddog Llywodraethu Corfforaethol/Corporate Governance Officer
Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru/Welsh Ambulance Service
NHS Trust
Ffordd Richard Davies
Parc Busnes Llanelwy/ St Asaph Business Park
LLanelwy/ St.Asaph
Sir Ddinbych / Denbighshire
LL17 0LJ
Ffon/Tel: 01745 532948 (Mewnol/Internal - 43948)
WHTN - 17143948
Ebost/Email: [1][email address]
[2]Welsh Ambulance trust_4COLOUR_updated
Mae’r Ymddiriedolaeth yn croesawu gohebiaeth yn y Gymraeg neu’r Saesneg –
byddwn yn ymateb yn gyfartal i’r ddwy ac yn ateb yn eich dewis iaith heb
oedi
The Trust welcomes correspondence in Welsh or English – we will respond
equally to both and will reply in your language of choice without delay
References
Visible links
1. mailto:[email address]
Dear Jeff Prescott (Welsh Ambulance Service NHS Trust - 020),
Thank you for your response. Are you able to clarify the list of anticipatory medications that are recommended and whether co prescribing of benzodiazepines with opioids is advised against?
Yours sincerely,
N Davies
Dear Jeff Prescott (Welsh Ambulance Service NHS Trust - 020),
Did you receive my last reply?
Yours sincerely,
N Davies
Dear N. Davies,
I have not received any further correspondence from you since the Trust replied to you request for information on 1st July 2022.
If you have any further queries, please submit these to the Freedom of Information Team via [email address]
Regards,
Jeff Prescott
Dear Jeff Prescott (Welsh Ambulance Service NHS Trust - 020),
I replied on 2nd July and this is showing as delivered.
Yours sincerely,
N Davies
Dear N. Davies,
I have checked the Freedom of Information request inbox and there is nothing showing for 2nd July 2022. Could you please re-submit the request and I will do all I can try and get it processed as soon as possible. Could you confirm whether this is a new request or a follow up question to your previous request for information?
Regards,
Jeff Prescott
Dear Jeff Prescott (Welsh Ambulance Service NHS Trust - 020),
Please read back in this thread. My question of July 2nd is clearly visible and as yet still unanswered.
Yours sincerely,
N Davies
Diolch am eich neges. Rwyf allan o'r swyddfa tan 01 Awst. Os yw eich neges
i mi yn bersonol, byddaf yn ymateb pan fyddaf yn dychwelyd.
Os oedd eich ymholiad yn ymwneud â cheisiadau Rhyddid Gwybodaeth,
cysylltwch â Caroline Jones. Os yw eich ymholiad yn ymwneud â chyfarfodydd
Bwrdd neu Bwyllgor, cysylltwch â Steve Owen. Manylion cyswllt yw:
Thank you for your message. I am away on leave until 1st August. If your
message is for me personally, I will respond when I return.
If your query related to Freedom of Information requests, please contact
Caroline Jones. If your query is in regards to Board or Commitee meetings
please contact Steve Owen. Contact detail are:
Caroline Jones
CP i'r Ysgrifennydd Corfforaethol/PA to Corporate Secretary
Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru/Welsh Ambulance Service
NHS Trust
Pencadlys yr Ymddiriedolaeth/ Trust Headquarters
Ty Elwy, Ffordd Richard Davies
LLanelwy/ St.Asaph
LL17 0LJ
Ffon/Tel: 01745 532970 (Internal - 43970)
WHTN - 17143970
Ebost/Email: [1][email address]
Steve Owen
Swyddog Llywodraethu Corfforaethol/Corporate Governance Officer
Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru/
Welsh Ambulance Services NHS Trust
Pencadlys yr Ymddiriedolaeth / Trust Headquarters
Ty Elwy, Ffordd Richard Davies
LLanelwy/ St.Asaph
LL17 0LJ
Ffôn/Tel: 01745 532994
Ebost/Email: [2][email address]
References
Visible links
1. mailto:[email address]
2. mailto:[email address]
Dear N. Davies,
I have read through this thread and I am still unable to see a question?
This may be due to the 'Whatdotheyknow' email exchange not forwarding the full thread but all I am receiving is the latest message but no previous correspondence.
Could you please just let me know what your question was?
Regards
Jeff Prescott
Dear Jeff Prescott (Welsh Ambulance Service NHS Trust - 020),
My question was are you able to clarify the full list of anticipatory medicines that may be used?
If benzodiazepines and opioids are among these, is co-prescribing of these medications advised against, as per MHRA guidance?
Yours sincerely,
N Davies
Dear N. Davies,
The drugs that are carried on Welsh Ambulance Services NHS Trust (WAST) EMS vehicles and are specific in their use for End of Life Care (subject to a verbal order from a doctor) are; Midazolam 10mg/2ml Haloperidol 5mg/1ml Hyoscine hydrobromide 400mcg/1ml Levomepromazine 25mg/1ml
Our paramedics also have access to morphine, which can be administered autonomously in EoLC.
With regards to co-prescribing, with the exception of morphine, all of the drugs require a verbal order by a medical practitioner. It is possible that the doctor providing the verbal order may co-prescribe, where one or more drugs may be used to manage symptoms, however, this would be entirely at the discretion of the prescribing doctor.
Please note that this only applies to WAST JIC drugs carried on our vehicles.
Regards,
Jeff Prescott
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