Scottish Ambulance Service Update
Argyll and Bute Council · 30 August 2023
Back to Mid Argyll, Kintyre and the Islands Area Community Planning Group — 30 August 2023 and its agenda
Text extracted from the council's PDF. Layout and reading order may differ from the original.
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Scottish Ambulance Service Argyll 1
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NHS Scotland 2 14 Territorial Boards & 8 National Boards: Scottish Ambulance Service NHS 24 Golden Jubilee National Hospital State Hospital (Carstairs) National Services Scotland National Education Scotland Healthcare Improvement Scotland Public Health Scotland
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Overview The Scottish Ambulance Service is in more demand than ever before: • Calls received per year: over 1.5 million • Average 2,600 999 calls received per day • Average 80,000 calls received a month • A&E incidents (999 calls) responded to annually: approx. 770,000, of which 660,000 were emergencies • Planned patient journeys annually: approx. 690,000 • Inter-hospital transfers annually: approx. 56,600 • Scotstar retrievals annually: 2,518 • Air Ambulance missions annually: 3,721 With the changing demand for patients in Scotland, we have developed a new clinical response model. Developed following an extensive clinical review, it focuses on improving patient survival and treatment rather than simply measuring the time it takes to respond. 3
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Major Incident Management Primary Response –AE Units Pre Hospital Emergency Medical Capabilities Ambulance Control Centre Co ordinate Response Specialist Response Teams Ambulance Control Centre Co ordinate Response Most incidents responded to by A&E ambulances In some cases we will use Air Ambulance Our SORT teams will respond to large and challenging incidents
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5 Our community first responders provide care in the first vital minutes before the Ambulance crew arrives Our Advanced Practitioners provide assessment and treatment in person or by a phone/video consultation Our scheduled care staff provide a vital service to some of the most vulnerable people in Scotland Our EMRS, neonatal and paediatric teams transfer some of the most ill patients
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Patient Transport 7 • Scheduled Care – 125,000 journeys per month
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Patient Transport 8 • Scheduled Care – 125,000 journeys per month • Finite resources means prioritisation:
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Patient Transport 9 • Scheduled Care – 125,000 journeys per month • Finite resources means prioritisation: – Patients with a medical need
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Patient Transport 10 • Scheduled Care – 125,000 journeys per month • Finite resources means prioritisation: – Patients with a medical need – Needing assistance
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Patient Transport 11 • Scheduled Care – 125,000 journeys per month • Finite resources means prioritisation: – Patients with a medical need – Needing assistance – Cannot use Public Transport
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Patient Transport 12 • Scheduled Care – 125,000 journeys per month • Finite resources means prioritisation: – Patients with a medical need – Needing assistance – Cannot use Public Transport – Mobility restrictions
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Patient Transport 13 • Scheduled Care – 125,000 journeys per month • Finite resources means prioritisation: – Patients with a medical need – Needing assistance – Cannot use Public Transport – Mobility restrictions • Challenges around alternative transport options • Patient transport strategy ongoing review
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Why do we triage calls? • Use our resources more effectively • Save more lives • Provide right response first time • Better patient and staff experience 14
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The new triage system 15 Purple Response Category(Target response 8’) Identified by Patients with a Cardiac Arrest Risk >10% Current responsetime median: 7’ 09” (90th percentile: 17’ 02”) Red Response Category(Target response 8’) Identified by Patients with a Cardiac Arrest Risk >1% <10% or defined need for resuscitation Current response time median: 8’ 20” (90th percentile: 18’ 18”) Amber Response Category(Target response 19’) Identified by acute pathway need I.E FAST+/STEMI Current response time median: 14’ 55” (90th percentile: 32’ 22”) Yellow Response Category (Target response 19’) Identified by exclusion of ILT and Amber categories Current responsetime median: 24’ 48” (90th percentile: 1h 39’ 00”) Green Response Category Exclusion of above categories and defined potential for potential alternative care pathway
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Hospital Turnaround Times 16
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Hospital Turnaround Times • Median: 43’ 17” 17
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Hospital Turnaround Times • Median: 43’ 17” • 90th percentile: 1h 30’ 17” 18
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What Next? 19
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Thank you Any Questions 20