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Home , Coll, Gometra, Isle of Mull

Scottish Ambulance Service

Presentation to Islands Connection Group.

20th October 2016

Andy Brady Area Service Manager Agenda

• Service overview • Local issues • Service developments • Open forum Operating Divisions

North Service Divided into 5 Divisions

East Central 4300 staff

3 Ambulance Control Centres: - (East) - Cardonald (West) West - Inverness (North) Central South East South West Scheduled Care co-located at ACC’s Service Overview – A&E

• Respond to 999 calls

• Accident & Emergency Incidents 2015/2016 – 629,000 (approx) nationally (approx 12,000 per week) – 14,000 (approx) in & Bute (approx 270 per week)

• Responding to more emergency calls than ever before

• Responding faster than ever before

Service Overview

• Respond in a number of different ways • Crews are more skilled than ever before • Transport patients to hospital but also see and treat/hear and treat. • Paramedic Response Units • Specialist Paramedic Practitioners • First Responders – 121 schemes – 1000 volunteers • Emergency Medical Retrieval Service (EMRS) • SAS Air Fleet 2 x Helicopters 3 x Fixed wing planes • Coastguard Search and Rescue, Life Boats and Land Support.

• Clinical Advisors • Special & Operations Response Team (SORT) Service Overview - PTS

• Patient Transport Service – 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 review Overview 999 call processing • Every time our call takers receive a 999 call, they question the caller in detail about the nature of the emergency to ensure we respond quickly in the most appropriate way. Using sophisticated world-class software, call takers categorise calls into three types.

• Category A are classed as life threatening and as the most serious calls are always prioritised above any other type of call. • Calls which are serious, but not life threatening, are prioritised as Category B and may sometimes receive a slightly slower response as life threatening calls are prioritised ahead of them • Calls which are neither serious or life threatening are graded as Category C and in many cases do not require the skills of an emergency ambulance crew. Many of these calls are referred to the most appropriate agency, such as NHS 24.

• Our call takers often give life saving medical advice over the phone while the ambulance is on its way and our highly skilled crews are trained to deal with a wide range of medical emergencies • The Scottish Government sets targets for us to reach patients within certain timescales. The targets are: – 75% of Category A calls in eight minutes ; – 95 % of category B calls in 19 minutes, depending on population density. – 91% of urgent calls within the specified time from clinician

Argyll & Bute Argyll & Bute

 2,480 square miles  23 inhabited islands 143 staff total  123.5 A&E 19.5 PTS staff  48 vehicles  89,800 residents Approx Island Locations

• There are 23 Islands covered in Argyll by the SAS.

Settlement (1) Proposed Remote Population Drive time to settlement Response time from closest Comment & Rural (3) of 10,000 (4) SAS location (if different) classification (2) Isle of Island Community 123 145 mins Island Class Vehicle + volunteers Isle of Jura Island Community 212 240 mins GP & Volunteers + Island Class Vehicle Isle of Island Community 217 180 mins Island Class Vehicle + GP Island Community 3127 80 mins <8mins 1 x AEU (on-call) Community AED’s Isle of Island Community 725 240 mins Contractor & GP Isle of Island Community 3441 200 mins <8mins 1 x AEU (on-call) Community AED’s Isle of Bute Island Community 6894 60 mins <8mins 1 x AEU (on-call) Police first responder Isle of Danna Island Community 5 No Ferry Isle of Davaar Island Community 2 No Ferry Isle of Island Community 58 40 mins Isle of Island Community 8 100 mins Isle of Island Community 110 120 mins Island Class Vehicle + Contractor Isle of Island Community 5 90 mins Isle of Inchtavannach Island Community 3 70 mins Isle of Innischonan Island Community 1 No Ferry Isle of Island Community 125 100 mins Isle of Island Community 42 6 mins Isle of Lismore Island Community 146 25 mins Island Class Vehicle + Volunteer Isle of Island Community 212 40 mins Island Class Vehicle + Volunteer Isle of Lunga Island Community 7 30 mins Isle of Oronsay Island Community 5 140 mins Isle of Community 1 No Ferry Isle of Accessible Rural 560 20 mins Road Bridge to Mainland Isle of Shuna Island Community 1 35 mins Isle of Island Community 16 80 mins

Community First Responders

Scheme Name\Operating Area Call Sign Number of active members

Ardfern ARDFRU 20

Croabh Haven CRHFRU 2 Garelochhead GLHFRU 6 Isle of Luing LUIFRU 11 Lochgoilhead LOCGFRU 7 ROMFRU 5 Iona IONFRU 1

Dervaig DERFRU 2

Tobermoray TOBFRU 5

Ulva Ferry Not yet Active

Island & Argyll Resources

Location Establishment Numbers Skill Mix Arrochar 5 3 Paramedics 2Technicians Inverary 5 3 Paramedics 2 Technicians Helensburgh 16 1 Paramedic Team Leader 1 Technician Team Leader 7 Paramedics 4 Technicians 1ACA Dunoon 31 2 Paramedic Team Leader 6 Paramedics 12 Technicians 7 Driver 2’s 4 ACA’s 13 1 Technician Team Leader 3 Paramedics 6 Technicians 4 ACA’s Lochgilphead 15.5 5 Paramedics 8 Technicians 2.5 ACA’s

Tarbert 5 1 Paramedic Team Leader 1 Paramedics 3 Technician Campbeltown 18 1 Paramedic Team Leader 9 Paramedics 3 Technicians 5 ACA’s Islay 6 1 Paramedic Team Leader 1 Paramedic 2 Technicians 2 Driver 2’s

Oban 23 1 Technician Team Leader 8 Paramedics 11 Technicians 3 ACA’s Mull 5 2 Paramedic 1 Technicians 2 Driver 2’s

Engagement

• The SAS engage with HSCP through Locality Planning Groups and Health Board Liaison meetings. There is also community engagement through community cafes and numerous sub groups • Improving stakeholder involvement and communication is part of the SAS’s strategic aims • Open and honest communications • Working in partnership with staff • www.scottishambulance.com Service Developments

• Remote & Rural working initiatives • Extended training for Paramedics • Paramedic Practitioner role • Community First Responder • Defibrillator programme 540 A&E 414 PTS • Developing alternative pathways • New model of clinical working • Integrated health care working • Introducing a new communication systems Challenges

• Ever increasing demand • Centralisation of Medical Services • Increased Inter-Hospital Transfers • H&S, on-call working, meal breaks, fatigue • Integrated transport solutions • Island cover and recruitment and retention. • Financial Questions and Open Forum