Operational Update Clinton Beale Stakeholder Engagement Manager London

Operational Update Clinton Beale Stakeholder Engagement Manager London Ambulance Service NHS Trust 1

About Us • • • Busiest Ambulance Service 1. 8 m Calls (2016 -17) 3, 500 calls treated via phone 5000 staff (460 in SW) 70 Ambulance stations Pan London NHS Trust London Ambulance Service NHS Trust 2

How we care for the Capital • 999 Call Handling • 999 Clinical triage (hear & treat) • 999 & Urgent response (see & treat) • Major events • Major incidents London Ambulance Service NHS Trust 3

London Ambulance Service NHS Trust 4

How do we respond London Ambulance Service NHS Trust 5

Care Pathways • • Advise patients by telephone – hear & treat Treat and advise patients on scene – see & treat Onward referral – e. g. falls team, community nurse, GP, outreach teams Accident & Emergency Unit/ UCC – Hospital Maternity Unit – Hospital Mental Health Unit – Hospital Specialist Units – Hospitals • Cardiac, Neurology Minor Injury Units / Walk in Centre – (UTCs) London Ambulance Service NHS Trust 6

What to do when a resident becomes ill Consider • On site registered Nurse/ District Nurse • GP (or out of hours GP) • NHS 111 - *6 rapid access Call 999 if someone is seriously ill or injured, and their life is at risk • Difficulty in breathing/ unconscious • Severe loss of blood • Stroke or heart attack London Ambulance Service NHS Trust 7

Making the call • Dial 999, ask for an ambulance • If possible, remain with the patient (cordless or mobile phone) • If you can’t stay with the patient – make sure you know if the patient is alert, conscious, breathing • You could be offered advice over the phone, or a call back from the clinical hub London Ambulance Service NHS Trust 8

How we prioritise your call • You will be asked a series of questions and taken through a triage tool • Appropriate response given • Life threatening – 8 minute response London Ambulance Service NHS Trust 9

Case study one • You walk into a residents room and find them on the floor. • It was an un-witnessed fall How would you address it? London Ambulance Service NHS Trust 10

Case study two • You walk into a residents room and they are collapsed and not breathing What would you do? London Ambulance Service NHS Trust 11

What could delay us from getting to a patient? • Not met at door, not able to get in – no access code • Staff unsure which resident is the patient – let all staff know you have called for an ambulance London Ambulance Service NHS Trust 12

Information to prepare for ambulance arrival • • Full name, date of birth, next of kin details GP details Address of the home Medication – up to date drug chart, medical history and current Obs DNAR in place? Copies of the above for us to take away Patients personal belongings Patient escort London Ambulance Service NHS Trust 13

Emergency stroke care London Ambulance Service NHS Trust 14