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dr time an artist he radio

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one sponsored by zurich create

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a brighter future with a savings plan

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from zurich visit zurich dot i e

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to find out more an unpublished

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h a c workforce plan seen

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by archie he news today warns of an urgent

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need to recruit more stuff into

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the national ambulance service the

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document says that at present recruitment efforts

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are being surpassed by service demands this

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poses a risk to the national ambulance service

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to deliver urgent and emergency

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care services so should you be worried

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about waiting times if you ever have to call nine

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nine nine and a few moments i speak to emily

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o'connor a consultants in emergency medicine

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economy hospital the first of all though i'm joined

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by david hall the ceo of lifeline

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ambulance services and david years

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of the private ambulance service but you do carry out

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work on behalf of the h s the

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stuffing seems to be the main issue here for

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the national ambulance service i suppose like

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so many other sectors now is this

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grieving john yeah i am lifeline

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i'm services the number one provider to

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the agency and and us to base

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has been for ten years and we would move and

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eighteen thousand patients year for

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the for the from the house agency yemen

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services seems to be integrated school dinners increase

1:09

in masked by cove which which was a great

1:11

excuse for the length of time

1:13

would take to do and over patience and too

1:16

deeply in vehicles and amazon another c

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code of a difficult time for many services

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and if you look at the report the employer

1:23

sports to have very small numbers of

1:25

a difference between those that less than those that have

1:27

we hired that we harden and a gap

1:30

only twenty or thirty i missed out the sixteen

1:32

hundreds of another excuse and the snobbery a tenable

1:34

excuse any longer and relation to

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the health service as busy as services air

1:39

overwhelmed and that is something is ongoing

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for long time to challenge here is we

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don't have and major regulate

1:45

are we don't have one single regulator it's like

1:48

mannequin fall we have equal who

1:50

definitive i was when we the pre hospital emergency

1:52

care council to defend into post without proper

1:55

full fledged of stuff statuary

1:57

powers to remove some be from a register

1:59

so we don't have

1:59

independent oversight hundred and and

2:02

you know or understanding of what the actual challenges

2:04

are we just had internal report on a department

2:07

has fallen in turn reports that the same

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problem as happened last ten years visible light

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john

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the repeated like

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no apologies that i have a commercial and

2:15

see the funny part with this whole discussion the

2:17

funny part the leap to spacing this is the

2:20

cheapest part of the contract as i have had

2:22

with a to see for ten years would be to do

2:24

emergency calls this is actually not

2:26

if anyone looked this independently that the same

2:29

or is your man on given out about this because

2:31

they know to money to be paying you for the caused by

2:33

default is actually the lowest amount possible

2:35

a contract and disappeared lives is

2:38

about the risks lives your listeners waiting

2:40

promises this were life and death from somebody

2:42

needs to die nine nine nine at one one two

2:45

and then each will i be the best stuff in the world

2:47

we have a fantastic and control room

2:49

staff who yeah i'll ask relevant

2:51

question run medically prioritizing for we

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have a waiting times that are already horrific

2:56

and know this report says certainly going to get worse

2:58

and yes there's nothing funny about as if you're waiting

3:00

for an ambulance is an emergency and you're right

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we hear of many times we've reported on it many times

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and right time specifically in certain

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parts of the country where ambulance times have any concerns

3:10

for many years so that was using

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cold is not excuse now this isn't just another

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staff and crack the seals what's the solution

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i don't know what's your few months go the

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heat you see i'm a service come up with a good plan that

3:21

was bad thousand and looted

3:23

by many people over the last number years which was you

3:25

know to deluise screwing on the

3:27

amends with emergency medical technician switch

3:29

be like a junior paramedic and paramedics

3:32

disclosure skill you by the agency

3:34

two or three months go and then all of a sudden

3:36

that plan stopped which was a good time how

3:38

to cook plan wonderful certain would help save

3:41

lives and would as as lessons

3:43

pains people under serious questions raised

3:45

as to what stopped that was that

3:47

an eye or issue of stop stop plan

3:50

i was a good plan a practical plan a radical plants

3:52

and out a most certainly would have given

3:55

additional resources to the national i'm service

3:57

to help air which things i don't

3:59

emerged

3:59

the movie older excuses as using a regular

4:02

basis emerged farmers are absolutely

4:04

inundated and that's been something

4:07

is an ongoing for five years and would also been reported

4:09

by you your colleagues job and

4:11

we know is it a case that outside emerges apartments

4:14

and it's be and over area for allen services

4:16

can com speed a patient supervised by

4:18

others colleen and really stretcher back into

4:21

being against let us the emergency medical

4:23

consultant that david say with me as he can because

4:25

i'm going to the line as of a emily o'connor consultant

4:27

in emergency medicine as conley hospital

4:29

and emily thank you for joining the on try time as well

4:31

as the seasoning can you tell me about delays

4:33

are are ambulance have response times

4:36

that are causing problems or how it does affect you an emergency

4:38

room

4:39

so when someone dies nine

4:42

nine nine one one to our as david

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pointed out it's guess they

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, some dumbass control center

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which dispatches ambulance for both

4:51

are that of the fire brigade answer

4:53

the muscle ambulance service both of which brings

4:55

patience to at the emergency department

4:58

i work in in colds

5:00

am est once again says at the priority

5:02

of those colds are based on at the

5:04

cynical at questions that are asked

5:06

of the patient making the cold so depressing

5:09

scooped remember is that called is very

5:11

important and to concentrate to what's been

5:13

asked of you and six to

5:15

help the dispatcher it gets your prioritize

5:17

a should a and then the dispatcher

5:20

both has to aren't to spot aren't

5:22

vehicle for that the an ambulance

5:25

that the correct crew

5:28

so there are different levels of crude as

5:30

emergency medicine technicians paramedics

5:32

and advance paramedic so if it's an

5:34

echo so which would be at

5:37

a cardiac arrest or respect your best

5:39

that gets an ambulance call honest guess

5:42

our an advanced paramedic in

5:44

guess term magic to do that

5:46

it's really manager a cardio was virtue

5:48

rests pre hospitals say elvis

5:50

sensical to the way we can choose and a hospital

5:53

so at the delays and dot nobody

5:56

wants to him calls to be delayed on

5:58

you can only imagine the distress caused

6:01

to an individual lying on the ground or

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to someone trying to avoid arms

6:05

at city or if those delays

6:07

are are is it was delays to

6:09

those ambulance arrived at an increasingly

6:12

it's worth pointing out like all of us that

6:14

are been asked to provide delayed

6:16

care in the healthcare sector it's

6:18

also very stressful for a cruel arriving

6:21

at a situation like dust where they

6:23

know there's been a delay and i'm guessing that

6:25

you mention echo cause cardiac

6:27

and respiratory related emergencies according

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to the report at this unpublished reporting

6:32

by our t news they will responded to within

6:34

ninety minutes seventy nine percent

6:36

of the time in the first six months of last year

6:38

at that sell to seventy two percent in

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the first half a twenty twenty two and then

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they talk about more than fifty percent of

6:45

deaths to cause as being a

6:47

responded to a with in nineteen minutes

6:49

last year down to forty two percent in

6:52

the first six months of this your water delta cause emily

6:54

that's a cold would also be

6:56

arm concerts be life threatening calls

6:58

but there were a patient is not for the heart

7:00

some stuff to other breathing hasn't stopped

7:03

but they may be unconscious or they

7:05

may have uncontrolled bleeding though

7:07

also very seriously ill or injured injured

7:09

patients an echo and else of course

7:12

get the highest prioritise asian

7:14

from the ambulance consoles center but

7:16

they also have to deal with colds charlie

7:19

, and omega calls

7:21

also calls where there's a lot of much

7:23

lower level of priority given to add

7:25

it to those patients and they would be

7:27

examples of patients prop sunni

7:29

transfers between hospitals or

7:32

patience for a third there is no

7:34

immediate life stress so ambulance controller

7:36

to drug at educating thought the vehicle

7:39

and the personnel to go on that vehicles

7:41

and all the time and the

7:44

the response times like

7:46

all response times and health care represents

7:48

ah i'm the variation across

7:50

the health care assessing many ambulances

7:53

are guessing just but it it dispatched in a

7:55

timely manner but then there are then cases

7:57

arm outfield arrange for at that was it is

8:00

in a particular yeah i think as toddler

8:02

a side job learn from small rural

8:04

areas i hear an ambulance dispatch

8:06

something to send arms and strom ah

8:09

another counties because the armed

8:11

the ambulance crews and their own

8:13

come to your delayed and am

8:16

open to much and some of those distances are

8:18

also quite big so if he's us to name

8:20

the ambulance been dispatched and put

8:23

us on top of the ambulance ah

8:25

it's too late dispatch than you can

8:27

be running into prolong times from you

8:29

that was fun

8:30

yeah and i know of any areas of indeed we've heard

8:32

them under program where where people would would would be telling

8:34

us that there was a lot longer than the nineteen

8:37

minutes david hold you think that's a fair measurements

8:39

of the ambulance service

8:41

that old religion and and amazon's incorrect

8:43

and as and you know we we need the independence

8:45

of electoral party to as you

8:47

just have a look see why do we have the longest paramedics

8:49

course in the world fly

8:52

, are the details of yeah she recalls

8:54

the a condenser called broken down nationally

8:57

an anon i say the same of my own amazon

8:59

john you need a license to have

9:01

a dog dog to have a television

9:04

you do not lead and license hundred and two roman

9:06

own of programs committee or public i'm surprised

9:09

it is not your jokes these people's lives

9:11

under pressure and stress and others as and the crux

9:13

of staff are under immense pressure they

9:15

have been flat out altering

9:18

covert and been and full steam ahead as

9:20

of and his colleagues and and everybody needs

9:22

some independence vehicle or beats

9:24

piosa mertesacker council to evaluate

9:26

those calls and one of the rural parts

9:29

and challenges here is that when a call

9:31

is dispatched tournaments dispatched that

9:33

on this could be dispatched from a neighboring county but the boxes

9:35

tickets on the system will be don't actually know

9:38

what that means for patients i'm starting to

9:40

be fair to say to seek and the

9:42

you know some of the response times or crude

9:45

measurement there are other ways of measuring

9:47

these on that into the system that looked at

9:49

as well as into squat accrued and

9:51

sing looking at times where timid locums know

9:53

the jurisdictions are looked down and recorders

9:55

be and i'll come boss who's going to police

9:58

the amazons who's currently

9:59

like minimum service we need a competent

10:02

coherent independence day to make

10:04

sure this consequence people who don't protect

10:06

life we ask for a spokesperson for the

10:08

last eleven and service to speak with and right and to see

10:10

the non was available but in a statement i'm told

10:13

the national i'm and service currently employs approximately

10:15

two thousand a staff of which seventeen

10:17

hundred workers paramedics has been a fourteen percent

10:20

an increase in demand since twenty nineteen

10:22

with more people calling nine nine nine than ever before

10:24

projected growth for demand and services

10:27

poses a serious way to the continued

10:29

ability of the national been in service to deliver

10:31

high quality urgent and emergency care

10:33

services and the hate to see is confident

10:35

in the ability of the national ambulance service to

10:38

deliver urgent an emergency their

10:40

services in the future and to deliver

10:42

on it's strategic plan to grow the range of services

10:45

provided to the public emily

10:47

what do you think of that that statement and indeed

10:50

what what are the solutions you would suggest

10:52

an old far as

10:54

far as i'm were all aspiration

10:57

are into are move or public health service

10:59

to live

11:00

the best virus patients

11:02

and i was working in in the

11:04

hospital sector we also have two hands often

11:06

say the overcrowding an emergency

11:09

departments also causes huge

11:11

problems are our colleagues in the ambulance

11:13

service accrue if

11:16

it's an alford child to call, we would always

11:18

try and turn round ambulances very

11:20

quickly because they are patients

11:22

with allies shouldn't be a at the mayan offloading,

11:25

those patients because

11:33

of overcrowding in emergency departments and

11:36

ambulances and aren't you on

11:41

the so we have our part to play

11:43

in the hospital today and also and

11:45

also helping us around

11:47

you very much for joining joining

11:49

me both of you to seating o'connor, consultants,

11:51

in, emergency medicine of connally hospital, and

11:54

david hall of lifeline, ambulance services

11:57

back in just a moment fear

11:59

text