Neonatal Implementation. TRANSPORT PATHWAYS (Logistics)
|
|
- Randolph Lawson
- 5 years ago
- Views:
Transcription
1 Neonatal Implementation TRANSPORT PATHWAYS (Logistics) The plan is to transfer the longer term and complex neonatal intensive care to the Neonatal Intensive Care Unit (NICU) in Arrowe Park from January For the purpose of this paper a number of assumptions have been made:- 1. Both Ysbyty Glan Clwyd (YGC) and Wrexham Maelor Hospital (WMH) will operate as LNUs with a SCU at Ysbyty Gwynedd (YG) providing HDU. YG will retain 1 Intensive Care cot in order to resuscitate and stabilize babies prior to transfer to either the LNU or NICU. 2. Cheshire and Merseyside Neonatal Network Transport service will only provide a 24/7 retrieval service for the transfer of babies to the NICU and will not provide repatriations or uplifts within North Wales.. 3. It will be the responsibility of the North Wales Transfer team to provide a service to repatriate babies back to North Wales, uplifts, repatriation and transfers due to capacity / resource issues within North Wales. 4. South Wales is responsible for commissioning and organising the transfer of women and babies from Aberystwyth With all transfers and transport the following has been considered:- Commissioning responsibility What type of ambulance vehicle and crew is required What level/type/clinical competency of escort is required What is the target dispatch time Time taken to complete transfer Co-ordination of staff and equipment including return to their base Projected activity 1 Partner/family transport Any staff training issues will be picked up by the WOD workstream and contract negotiations will be addressed by the Finance & Contracts Workstream. The remainder of this paper will consider the range of scenarios requiring transfer of mother and/or baby. 1 For the purpose of this paper we have included the higher end of any estimates.
2 1. In-utero transfers from North Wales Obstetric Units to enable direct access to the Neonatal Intensive Care Unit YG, YGC, WMH Welsh Ambulance Services Trust () Collect mother and Midwife escort Arrowe Park Midwife to be transported back to referring unit by Taxi 40 mothers will require transfers per annum, with an estimated 50% delivering in Arrowe Park Transfers will be via Emergency Medical Service. (No other grade of ambulance crew are trained to assist the midwife if delivery occurs enroute). Dispatch time would depend upon the prioritisation of the 999, 2 response time target of 8 mins for a red call and 30 mins for a green call Midwife escort who will have clinical primacy (Will only need to carry drugs/medication as other equipment is standard on vehicles) Ambulance will be able to provide 1 seat for partner/relative (there are 3 seats and a stretcher in the saloon of all ambulances) Hand over and turnaround time in Arrowe Park estimate 60 mins Midwife will be transported back to referring unit by taxi allowing for the Ambulance and Crew to be deployed to any call once back in North Wales. BCU & WHSSC responsible for commissioning transport with 2 Red 1 calls are those where an immediate attendance is required to save life, e.g. Cardiac Arrest, Choking or exsanguinations haemorrhage including life threatening Ante Partum Haemorrhage or Post Partum Haemorrhage Red 2 calls are those where initial treatment and conveyance to a specialist facility is required to save life e.g. Heart attack or stroke Green 1 Calls where patients who require a face to face assessment to determine their needs. aim to attend these call within 30 mins.
3 2. Following transfer to Arrowe Park, if Mother does not deliver - discharged home or transferred back to local obstetric unit Arrowe Park Private Taxi or North West Ambulance Service (NWAS) Home, YG, YGC, WMH The vast majority of women will be discharged direct to their home and whenever possible use personal transport options. If this is not feasible, transport would be arranged via car e.g. hospital taxi (BCU funding responsibility) For those women requiring transfer back to the referring unit, a midwife escort will be required (not a paramedic crew). This will be a routine booking and be arranged by Arrowe Park with NWAS. Estimates that 20 mothers will not deliver (majority of these will be discharged from Arrowe Park, therefore not requiring ambulance/midwife). BCU will be responsible for commissioning any activity for transfer with NWAS.
4 3 Ex-utero Transfers to NICU North Wales Unit contacts Cheshire & Mersey Side Cot Bureau to agree transfer to NIC. Time scales for retrieval will be agreed at this point Cheshire & Merseyside Neonatal Network Transfer Team (Based at LWH) inform Proceed to LWHs to collect team and travel to referring unit CMNTT and arrive at referring hospital YG, YGC, WMH Transfer to Arrowe Park Transport team and equipment back to LWH Estimates that there will be 20 3 babies requiring per year (this would be in addition to the 11 babies per year who are already collected from North Wales requiring surgical intervention). There for it is estimated that 31 babies will require transfer by the CMNN Team Response time for the transport team will be dependent upon clinical need and agreed between the referring unit and the cot bureau based at LWH. The average time for dispatch, retrieval and return the transport team to LWH is estimated to be 8 hours. Alternative transport arrangements will be needed for mother/parent if no seat available in Ambulance. 4 WHSSC/BCU responsible for commissioning this service with LWH and NWAS 3 Estimated activity of 15 babies born at < 26+ weeks gestation and 10 > 26+6 weeks requiring long term and complex intensive care 4 Three seats are available in the Ambulance, if they are not taken by the transferring team, the remaining seat will be available for one of the parents
5 4. Repatriation from NICU to LNU/SCUs in North Wales (This also applies for babies transferring back from Alderhey etc following surgery, which already takes place) North Wales Transfer Team (Based at YGC) Collect and transport team and incubator/equipment Arrowe Park YG, YGC, WMH Return Team and kit back to YGC Repatriation of neonates back to North Wales are not time critical (24 hours notice) and can be safely conveyed by an Urgent Care Crew with medical/nursing escort Arrowe park handover time approximately 60 mins time at YG and WMH will take approximately 60 mins. Staff and kit would then need transport back to YGC. Activity will be approximately 40 babies Alternative transport arrangements will be needed for mother/parent if no seat available in Ambulance. 5 BCU will be responsible for commissioning this service with 5 Three seats are available in the Ambulance, if they are not taken by the transferring team, the remaining seat will be available for one of the parents
6 5. Ex-Utero up-lifts from YG to YGC LNU (This already happens) North Wales Transfer Team (Based at YGC) Collect and transport team and incubator/equipment Arrive at referring unit YG Transfer Baby and team to YGC These transfers would not be time critical that is dispatch time within 1 hour of accepting referral. Response time would be a clinical decision depending upon individual babies need and will only be required between 9am 9pm time at referring hospital estimated to be 2 hours Predicted activity will be 15 from YG. If there is no LNU cot available in YGC, baby will be transferred to WMH (This already happens) Alternative transport arrangements will be needed for mother/parent if no seat available in Ambulance. 6 BCU/WHSSC responsible for commissioning service with 6 Three seats are available in the Ambulance, if they are not taken by the transferring team, the remaining seat will be available for one of the parents
7 6. Internal repatriation of Neonates within North Wales North Wales Transfer Team (Based at YGC) or Nurse from receiving Neonatal Unit Collect baby, transport team and incubator Arrive at receiving unit YG Transfer team and kit back to YGC Transfer back is not time critical (24 hours notice) Transfers can be carried out by an Urgent Care Crew with appropriate nursing escort ideally from receiving unit time at receiving hospital, 60 mins Based on the number of in-utero 7 and ex-utero transfers from YG to YGC, the estimated activity will be 30 Alternative transport arrangements will be needed for mother/parent if no seat available in Ambulance. 8 BCU responsible for commissioning service with 7 Estimated that 50% of in-utero transfers will result in delivery 8 Three seats are available in the Ambulance, if they are not taken by the transferring team, the remaining seat will be available for one of the parents
8 7. Internal in-utero transfers for access to LNU (This already happens) YG Collect Patient and Midwife Escort Glan Clwyd Obstetric Unit Midwife to return to base by taxi EMS Crew. May be a BLS Technician crew. There is no need for a Paramedic as the escorting midwife will have clinical primacy. Dispatch time would depend upon the prioritisation of the 999, 9 response time target of 8 mins for a red call and 30 mins for a green call Midwife escort return to base could be undertaken by taxi in order to release the Ambulance crew at earliest opportunity Estimated handover time 30 mins Partner would be able to accompany the mother on transfer. In-utero transfers from YG to YGC is estimated at 15 per year BCU/WHSSC will be responsible for commissioning this service with If the woman does not deliver and is stable she would be discharged home and use own transport. If no transport available this would be provided by taxi. There may be a very small number of women who are transferred back to their local obstetric unit and they would require ambulance and midwife escort. This transfer would not be time critical and could be done by UCS, this would only happen infrequently (refer to scenario 2) 9 Red 1 calls are those where an immediate attendance is required to save life, e.g. Cardiac Arrest, Choking or exsanguinations haemorrhage including life threatening Ante Partum Haemorrhage or Post Partum Haemorrhage Red 2 calls are those where initial treatment and conveyance to a specialist facility is required to save life e.g. Heart attack or stroke Green 1 Calls where patients who require a face to face assessment to determine their needs. aim to attend these call within 30 mins.
CYMRU INTER HOSPITAL ACUTE NEONATAL TRANSFER SERVICE - NORTH WALES
CYMRU INTER HOSPITAL ACUTE NEONATAL TRANSFER SERVICE - NORTH WALES STANDARD OPERATING PROCEDURES Ysbyty Glan Clwyd Telephone No: 01745 534686 Fax No: 01745 534681 Date: June 2015 Authors: Neonatal Transport
More informationCarol Jackson Cheshire and Merseyside Neonatal Network Nurse Consultant for Neonatal Transport
Carol Jackson Cheshire and Merseyside Neonatal Network Nurse Consultant for Neonatal Transport Transport Service Facilities 1. Access to 24/7 Cheshire and Merseyside Perinatal Cot Bureau and Data Management
More informationTogether for Health A Delivery Plan for the Critically Ill
Together for Health A Delivery Plan for the Critically Ill 2013-2016 March 2015 Approved at CPG Board 25 th March 2015 1. BACKGROUND AND CONTEXT Together for Health a Delivery Plan for the Critically Ill
More informationHEALTH CARE PROFESSIONAL (HCP) ADMISSIONS
HEALTH CARE PROFESSIONAL (HCP) ADMISSIONS Information Booklet Contents Page No Content 1 Index 2 Introduction What is a HCP Admission? 3 Booking Transport Who is authorised to book HCP Admissions? Who
More informationMaternity & Child Health Review
Maternity & Child Health Review PAEDIATRIC AND CHILD HEALTH WORKSTREAM NB This is a draft document for discussion and still very much in development. Any detail should not be considered a final proposal.
More informationSuRNICC Full Business Case. Benefits Realisation Strategy and Framework
SuRNICC Full Business Case Benefits Realisation Strategy and Framework Purpose The purpose of this document is to set out the arrangements for the identification of potential benefits, their planning,
More informationPaper for the Health Board Quality and Safety Committee. Out of Hours Upper GI Haemorrhage
Paper for the Health Board Quality and Safety Committee Out of Hours Upper GI Haemorrhage This short paper describes the current pathways within the Health Board for the management of out of hours emergency
More informationQuality and Safety Committee
Betsi Cadwaladr University Health Board Committee Paper 13.6.13 Item QS13/112.1 Name of Committee: Subject: Summary or Issues of Significance Quality and Safety Committee Endoscopy action plan Situation:.This
More informationNorth West London Perinatal Network (NWLPODN) Induction Package. NWLPODN March
North West London Perinatal Network (NWLPODN) Induction Package NWLPODN March 2015 1 Introduction This package is for staff working within the 7 NWLPODN hospitals: To explain how the NWLPODN functions
More informationRequesting Ambulance Transport (999 or Urgent) A Guide for Healthcare Professionals
Requesting Ambulance Transport (999 or Urgent) A Guide for Healthcare Professionals Contents Page No. Introduction... 3 Glossary of terms... 4 Which patients should have 999 or urgent ambulance transport
More informationSBAR Report phase 1 Maternity, Gynaecology & Neonatal services
North Wales Maternity, Gynaecology, Neonatal and Paediatric service review SBAR Report phase 1 Maternity, Gynaecology & Neonatal services Situation The Minister for Health and Social Services has established
More informationAmbulance Response Programme
Ambulance Response Programme Introduction NHS England announced its recommendations for changes to the ambulance service operating model and associated standards, developed through the Ambulance Response
More informationNORTH WEST REGIONAL POLICY AND GUIDANCE FOR CONVEYING MENTAL HEALTH PATIENTS
NORTH WEST REGIONAL POLICY AND GUIDANCE FOR CONVEYING MENTAL HEALTH PATIENTS Page 1 of 20 Approved by North West Regional Mental Health Forum Approval date 13 th February 2013 Version number 1.0 Review
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. Service E08/S/b Neonatal Intensive Care Transport Commissioner Lead Provider Lead Period Date of Review 12 Months 1. Population
More informationMATERNITY SERVICES ESCALATION POLICY
MATERNITY SERVICES ESCALATION POLICY AUTHOR: WOMEN & CHILD HEALTH Specialty: Maternity Services DATE APPROVED: 18 TH SEPTEMBER 2013 APPROVED BY: W&CH QUALITY & SAFETY COMMITTEE DATE FOR REVIEW: AUGUST
More informationStaffordshire, Shropshire & Black Country Newborn and Maternity Network. Neonatal Care Pathways 2015
Staffordshire, Shropshire & Black Country Newborn and Maternity Network Neonatal Care Pathways 2015 1 Introduction This is a revision to the original Staffordshire, Shropshire and Black Country Newborn
More informationUsing mortality data to improve the quality and safety of patient care December 2015
Using mortality data to improve the quality and safety of patient care December 2015 Version Date Published Notes 12.0 18/12/2015 12 th publication 11.0 18/09/2015 11 th publication 10.0 19/06//2015 10
More informationTransfer of Patients between Hospitals
Contents Contents... 1 Policy... 2 Purpose... 2 Scope/Audience... 2 Exemptions to this policy... 2 Definitions... 2 EWS... 2 Designated person... 2 Associated documents... 3 1 Outline of Responsibilities...
More informationManaging Emergency Pressures Within The Neonatal Unit. Escalation Policy. V3
Managing Emergency Pressures Within The Neonatal Unit. Escalation Policy. V3 Lead Person(s) : Ian MacLennan, Nurse Manager. Centre : Women and Children s First developed : March 2012 Last updated : March
More informationCardiff & Vale of Glamorgan Community Health Council
MONITORING VISIT REPORT Service/ward monitored: Date/time: Monitoring team: UHB/Trust staff: Purpose of visit Brief description of area visited: Cardiff East Ambulance Station 14 th January 2015 2.00pm
More informationRadiology CPG Annual Report for Quality, Safety and Experience Sub-Committee- April 2015
Radiology CPG Annual Report for Quality, Safety and Experience Sub-Committee- April 2015 1. Purpose of report To provide assurance to the QSE sub-committee of the Radiology CPG s commitment to quality,
More informationWales Critical Care & Trauma Network (North)
Wales Critical Care & Trauma Network (North) CRITICAL CARE ADMISSION & DISCHARGE GUIDELINES Revised 2016 1 CONTENTS: 1.0 Introduction 1.1 Scope of the Guideline 1.2 Levels of Care 2.0 Admission Guidance
More informationEMRTS Cymru Overview
EMRTS Cymru Overview (Published 07/04/16) 1 Who are we? The Emergency Medical Retrieval and Transfer Service (EMRTS Cymru) is an exciting new service that provides consultantdelivered pre-hospital critical
More informationRequesting A&E Ambulance Transport A Guide for Healthcare Professionals
Requesting A&E Ambulance Transport A Guide for Healthcare Professionals Contents Page No. Introduction... 3 What patients should travel with A&E ambulance transport?... 4 Procedure for calling an ambulance...
More informationNumber here HMIP/01 HOSPITAL MAJOR INCIDENT PLAN YSBYTY GWYNEDD
Version: 0.1 Number here HMIP/01 HOSPITAL MAJOR INCIDENT PLAN YSBYTY GWYNEDD Date to be reviewed: July 2013 No of pages: 98 Author(s): Emma Binns Author(s) title: Business Continuity Manager Responsible
More informationQuality Surveillance Team. Neonatal Critical Care (NCC) Quality Indicators
Quality Surveillance Team Neonatal Critical Care (NCC) Quality Indicators Neonatal Critical Care Quality Indicators Introduction These neonatal critical care quality indicators have been developed using
More informationEmergency Medical Technician (EMT)
Technician (EMT) When every second counts... when the situation is at its worst... when there s an accident or medical emergency that s when an Technician (EMT) is at their best. EMTs are first responders,
More informationPRIMARY PERCUTANEOUS CORONARY INTERVENTION (PPCI) PROTOCOL
PRIMARY PERCUTANEOUS CORONARY INTERVENTION (PPCI) PROTOCOL EXTRACT FOR USE BY NORTH WEST AMBULANCE SERVICE PARAMEDICS Revised April 2013 Liverpool Heart and Chest Hospital Aintree University Hospital Countess
More informationLLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010
SITUATION LLANDUDNO HOSPITAL PROJECT CYCLE TWO REPORT FOR UNSCHEDULED CARE PROJECT TEAM: IDENTIFICATION OF PREFERRED SERVICE SOLUTIONS MAY 2010 The Cycle One SBAR report detailed the solutions which had
More informationBurton Hospitals NHS Foundation Trust. On: 24 October Review Date: October Corporate / Directorate. Clinical / Non Clinical
POLICY DOCUMENT Burton Hospitals NHS Foundation Trust DISCHARGE POLICY Approved by: Trust Executive Committee On: 24 October 2017 Review Date: October 2020 Corporate / Directorate Clinical / Non Clinical
More informationPre-hospital emergency care key performance indicators for emergency response times
Pre-hospital emergency care key performance indicators for emergency response times Item Type Report Authors (HIQA) Publisher (HIQA) Download date 05/09/2018 21:43:37 Link to Item http://hdl.handle.net/10147/324297
More informationSERVICE SPECIFICATION 2 Vascular Access
SERVICE SPECIFICATION 2 Vascular Access Table of Contents Page 1 Key Messages 1 2 Introduction & Background 2 3 Relevant Guidelines & Standards 2 4 Scope of Service 3 5 Interdependencies with other specialties
More informationInformation for Midwives in relation to the Midwifery Scope of Practice Further interpretation, March 2005
Information for Midwives in relation to the Midwifery Scope of Practice Further interpretation, March 2005 March 2005 Although the Midwifery Council provided information in October 2004 about midwives
More informationApproval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee
The Delivery Suite Shift Co-ordinator: Roles and Responsibilities (GL819) This document forms appendix 4 of the Policy document Delivery Suite Staffing (Obstetric, Anaesthetic, Paediatric and Midwifery
More informationLinking the LAS with Health & Social Care. 6 th December 2016
Linking the LAS with Health & Social Care 6 th December 2016 Outline: About me.. LAS Context Integrating LAS with H&SC London Ambulance Service NHS Trust 2 LAS context London Ambulance Service NHS Trust
More informationDischarge Care Pathway for Infants from Neonatal Unit, CAH
Title: Author: Designation: Speciality / Division: CLINICAL GUIDELINES ID TAG Discharge care pathway for infants from the neonatal unit, Craigavon Area Hospital Una Toland Lead Nurse for Neonatal Services,
More informationSpecialised Services Service Specification: Inherited Bleeding Disorders
Specialised Services Service Specification: Inherited Bleeding Disorders Document Author: Assistant Specialised Services Planner Cardiac and Cancer Specialised Services Planner Cancer and Blood Executive
More informationAmbulance Response 90th Percentile Times
Time Perth County Paramedic Services Perth County EMS Provincial Response Time Reporting: Prior to the downloading of land ambulance services in 2000 to the upper tier municipalities (UTM) and Designated
More informationSCHEDULE 2 THE SERVICES. A. Service Specifications
Appendix 2 SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. Service Commissioner Lead Provider Lead Period Date of Review E08/S/a Neonatal Critical Care (Intensive Care, HDU
More informationPATIENT TRANSPORT SERVICE IN MERSEYSIDE
PATIENT TRANSPORT SERVICE IN MERSEYSIDE From 1 July 2016 the North West Ambulance Service NHS Trust (NWAS) will be managing the Patient Transport Service in Merseyside. Outlined in this document is all
More informationBwrdd Iechyd Prifysgol Betsi Cadwaladr University Health Board
Thursday 25 th November 2010 Liberty Stadium / Optic Technium Bwrdd Iechyd Prifysgol Betsi Cadwaladr University Health Board Betsi Cadwaladr University Health Board Ysbyty Glan Clwyd Ysbyty Gwynedd Ysbyty
More informationUrological Cancer Peer Review Betsi Cadwaladr University Health Board Ysbyty Glan Clwyd, Ysbyty Wrexham Maelor and Ysbyty Gwynedd
Urological Cancer Peer Review Betsi Cadwaladr University Health Board Ysbyty Glan Clwyd, Ysbyty Wrexham Maelor and Ysbyty Gwynedd MEETING ATTENDANCE Peer Review Team Name Job Title Organisation Dr Tom
More informationClassification: Official. Cheshire & Merseyside Maternity Escalation and Divert Policy
Cheshire & Merseyside Maternity Escalation and Divert Policy 1 Document Title Cheshire and Merseyside Maternity Escalation and Diversion Policy Subtitle (please add or delete this text) Version number:
More informationSTEP 1: STEP 2: STEP 3: STEP 4: STEP 5: Version: 1.0 Document Reference: 7716
Welsh Ambulance Services NHS Trust National Collaborative Commissioning: Quality and Delivery Framework Ambulance Quality Indicators: October - December 2017 STEP 1: STEP 2: STEP 3: STEP 4: STEP 5: AQI
More informationMORTALITY OF POWYS CITIZENS. Medical Director. This paper supports:
MORTALITY OF POWYS CITIZENS QUALITY & SAFETY COMMITTEE 05 MAY 2016 AGENDA ITEM 2.2 Report of Medical Director Paper prepared by Safety & Quality Improvement Manager Purpose of Paper Action/Decision required
More informationLHH Acute Care Transfers Update
LHH Acute Care Transfers Update July 12, 2016 LHH Joint Conference Committee Background LHH patients requiring acute hospital care frequently cannot be admitted to ZSFG, which may result in compromised
More informationAdvanced Training Skills Module - Labour Ward Lead August Labour Ward Lead
Labour Ward Lead The labour ward is an area of complexity within any hospital. At any time there may be women experiencing normal childbirth, as well as others, fortunately fewer in number, who may be
More informationConveyance of Patients S6 Mental Health Act (Replaces Policy No. 182.Clinical)
(Replaces Policy No. 182.Clinical) POLICY NUMBER TPMHA&MCA/103 VERSION NUMBER V.4 RATIFYING COMMITTEE Pan Sussex MHA Monitoring Committee DATE OF EQUALITY & HUMAN 01 August 2015 RIGHTS IMPACT ASSESSMENT
More informationCommittee of Public Accounts
Written evidence from the NHS Confederation AMBULANCE SERVICE NETWORK/NATIONAL AMBULANCE COMMISSIONING GROUP KEY LINES ON FUTURE MODELS FOR AMBULANCE SERVICE COMMISSIONING Executive Summary Equity and
More informationThe Neonatal Transport Project. Lady Ridgeway Hospital, Colombo
The Neonatal Transport Project Lady Ridgeway Hospital, Colombo Table of Contents Introduction... 2 Scope and objectives... 2 The Visit... 3 Blueprint for action... 7 Hardware... 7 Training... 8 Development
More informationNON-EMERGENCY PATIENT TRANSPORT SERVICE
South Central Ambulance Service NHS Foundation Trust NON-EMERGENCY PATIENT TRANSPORT SERVICE A reference guide for Healthcare Professionals - Sussex 2017 INTRODUCTION South Central Ambulance Service NHS
More informationAnalysis Method Notice. Category A Ambulance 8 Minute Response Times
AM Notice: AM 2014/03 Date of Issue: 29/04/2014 Analysis Method Notice Category A Ambulance 8 Minute Response Times This notice describes an Analysis Method that has been developed for use in the production
More informationSerious Incident Report Public Board Meeting 28 July 2016
Serious Incident Report Public Board Meeting 28 July 2016 Presented for: Presented by: Author Previous Committees Governance Dr Yvette Oade, Chief Medical Officer Louise Povey, Serious Incidents Investigations
More informationDraft Version:
1 Annual Operational Plan 2017-2018 Draft Version: 0.08 2017-03-10 2 Contents 1. Foreword 2. Executive Summary 3. Introduction 4. Strategic Overview Our Purpose, Vision and Values Our Strategic Goals responding
More informationINVESTIGATION UNDER SECTION 17 OF THE WELSH LANGUAGE ACT Betsi Cadwaladr University Local Health Board
INVESTIGATION UNDER SECTION 17 OF THE WELSH LANGUAGE ACT 1993 Betsi Cadwaladr University Local Health Board Background The main aim of the Welsh Language Commissioner, an independent role created in accordance
More informationPatient Pathway Guidelines:
Welsh Ambulance Services NHS Trust: Patient Pathway Guidelines: For Fallers, Resolved Hypoglycaemia and Resolved Epileptic Seizures aged 18 years and over Version 1.7 DOCUMENT CONTROL SHEET Document Version
More informationStroke care in Wales. This report is for stroke survivors and their families
Stroke care in Wales This report is for stroke survivors and their families Based on patients treated between April June 2014 1 2 Table of Contents Introduction to the SSNAP Easy Access Version Report...
More information2012/13 NHS STANDARD CONTRACT FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH AND LEARNING DISABILITY SERVICES (MULTILATERAL) E8a SSNDS 23
E8a 2012/13 NHS STANDARD CONTRACT FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH AND LEARNING DISABILITY SERVICES (MULTILATERAL) SECTION B PART 1 - SERVICE SPECIFICATIONS Service Specification No. Service
More informationStewart Mason, Emergency Planning and Resilience Officer Tom Jones, Clinical Programme Manager
Paper 8 Recommendation DECISION NOTE Reporting to: The Trust Board is asked to RECEIVE and APPROVE the Emergency Department Service Continuity Plan (Princess Royal Hospital site). Trust Board Date Thursday
More informationPatient Transport Services Information Pack
Patient Transport Services Information Pack March 2014 This document replaces all previous editions of the BNSSG PTS Information Pack and can be found on the NHS Bristol web page together with supporting
More informationAcceleration for ACS. NSTEMI Event 09 November. Outputs from Table Discussions
Acceleration for ACS NSTEMI Event 09 November Outputs from Table Discussions 1 1. What mechanism do we need to have to identify patients early (within 6 hours of admission to hospital)? Have identification
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE MATERNAL TRANSPORT TEAM
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE MATERNAL TRANSPORT TEAM EFFECTIVE DATE: REVISED DATE: STANDARD TYPE:, 4/95 1/18 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS PROVIDING NURSING
More information^Çãáëëáçå=íç=íÜÉ=kÉçå~í~ä=råáí==
tljbkûpeb^iqe j^qbokfqvrkfq ^ÇãáëëáçåíçíÜÉkÉçå~í~äråáí ^ãéåçãéåíë Date Page(s) Comments Approved by July 2012 Whole Document Document Reviewed Women s Health Guidelines Group Jan 2013 Admission to SCU
More informationRedesigning the Acute Coronary Syndrome (NSTE- ACS) pathway at Morriston Cardiac Centre - The case for change
Redesigning the Acute Coronary Syndrome (NSTE- ACS) pathway at Morriston Cardiac Centre - The case for change 4 th July 2012 Dr D Smith & Dr S Dorman Introduction... 2 NSTE-ACS Where are we now?... 2 NSTE-ACS
More informationGuideline for the Management of Malpresentation in Labour, HSE Home Birth Service
Guideline for the Management of Malpresentation in Labour, HSE Home Birth Service Document reference number HB012 Document developed by Sub-group of the Clinical Governance Group for the HSE Home Birth
More informationSpecialised Services: CPL-008 Referral Management Policy
Specialised Services: CPL-008 Referral Management Policy 2017 Version 2.0 Document information Document purpose Document name Policy Referral Management Policy Author Welsh Health Specialised Services
More informationAdult Practice Review Report
Adult Practice Review Report North Wales Safeguarding Adults Board (NWSAB) Concise Adult Practice Review Re: APR2/2016/Conwy 1. Brief outline of circumstances resulting in the Review 1.1 Patient A died
More informationObstetric, Maternity and Gynaecology Services
Action Plan Arising from RCPCH Evaluation Recommendation Obstetric, Maternity and Gynaecology Services Strategy and Patient safety 1 Expedite the Phase Two business case and commence development to provide
More informationInternational TRAINING CENTRE
_ International TRAINING CENTRE _ INTERNATIONAL TRAINING CENTRE We are pleased to introduce King s College Hospital London - International Training Centre (ITC). Our ITC s vision is to improve overall
More informationGetting the right outcome for 000 patients: Revising AV s Operating Model. Sue Cunningham Thursday 17 th October 2013
Getting the right outcome for 000 patients: Revising AV s Operating Model Sue Cunningham Thursday 17 th October 2013 Agenda AV s Challenges Current Operating Model Revising Our Operating Model - what are
More informationPERINATAL COLLABORATIVE TRANSPORT STUDY (CoTS) FINAL REPORT
Scottish Neonatal Transport Service Cuthbertson Building, Glasgow Royal Infirmary Alexandra Parade, Glasgow, G31 2HR PERINATAL COLLABORATIVE TRANSPORT STUDY (CoTS) FINAL REPORT Ms Catriona Macintyre-Beon
More informationNorth Wales CHC Urology & Catheterisation Review
North Wales CHC Urology & Catheterisation Review Urinary catheterisation is not a treatment. Catheterisation can only be a temporary measure for male patients suffering urinary obstruction Introduction
More informationPATIENT TRANSPORT SERVICE IN LANCASHIRE
PATIENT TRANSPORT SERVICE IN LANCASHIRE From 1 July 2016 the North West Ambulance Service NHS Trust (NWAS) will be managing the Patient Transport Service in Lancashire. Outlined in this document is all
More informationBirmingham, Sandwell and Solihull Eligibility Criteria Policy for NHS Non-Emergency Patient Transport (NEPT)
Birmingham, Sandwell and Solihull Eligibility Criteria Policy for NHS Non-Emergency Patient Transport (NEPT) Version: 0.1 Ratified by: Date ratified: 1 st June 2016 Name of originator/author: Name of responsible
More informationIMPROVING UNSCHEDULED CARE IN WALES - UPDATE
AGENDA ITEM No. 10 MEETING : TRUST BOARD DATE : 22 APRIL 2009 REPORT OF : CLINICAL DIRECTORATE Contact : Grayham McLean, Unscheduled Care Lead Officer Tel: 01792 562900 Email: grayham.mclean@ambulance.wales.nhs.uk
More informationStandards for competence for registered midwives
Standards for competence for registered midwives The Nursing and Midwifery Council (NMC) is the nursing and midwifery regulator for England, Wales, Scotland and Northern Ireland. We exist to protect the
More informationCongenital Heart Disease Services
Congenital Heart Disease Services We are changing the way care is delivered across the North West of England, North Wales and Isle of Man for people living with congenital heart disease. Please read below
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE OBSTETRICAL TRIAGE ACUITY SCALE (OTAS) SCOPE Provincial: Women s and Infant s Health APPROVAL AUTHORITY Vice-President, Research, Innovation & Analytics SPONSOR Maternal Newborn Child & Youth, Strategic
More informationObstetric, Maternity & Gynaecology Services
Action Plan Arising from Royal College of Paediatrics and Child Health (RCPCH) Evaluation Progress Update as at 30 th September 2016 Obstetric, Maternity & Gynaecology Services Strategy & Patient Safety
More informationEfficiency Review of The Welsh Ambulance Services NHS Trust
Efficiency Review of The Welsh Ambulance Services NHS Trust Undertaken by Lightfoot Solutions in association with Lis Nixon Associates And Baker Tilly on behalf of Health Commission Wales and The Welsh
More informationReview of 2017/18 & looking forwards
Review of 2017/18 & looking forwards Daren Mochrie QAM, Chief Executive Aspiring to be better today and even better tomorrow Who we are and what we do South East Coast Ambulance Service NHS Foundation
More informationWorkforce and Organisational Development Committee. Minutes of the meeting held on in the Board Room, Ysbyty Gwynedd and via videoconference
Workforce and Organisational Development Committee Minutes of the meeting held on 13.3.14 in the Board Room, Ysbyty Gwynedd and via videoconference Present: Dr P Higson Ms J Dean Dr C Tillson Mr K McDonogh
More informationImproving Care, Delivering Quality Reducing mortality & harm in Welsh Ambulance Services NHS Trust
National Learning Session - 10 th June 2011 Improving Care, Delivering Quality Reducing mortality & harm in Insert name of presentation on Master Slide Reducing Mortality & Harm in the Welsh Ambulance
More information106,717 people accessed mental health. 192,192 access A&E. 1,011,942 patient contacts with community staff. 2,245,439 patient contacts
Employs 15,285 2,245,439 patient contacts 192,192 Assisted 91,360 Dispensed 13,598,605 prescription items** 38,107 1,011,942 patient contacts with Across 11 clusters, 540,850 people are registered with
More informationEmergency Medical Technician (EMT)
Emergency Medical Technician (EMT) When every second counts... when the situation is at its worst... when there s an accident or medical emergency that s when Emergency Medical Technicians (EMTs) are at
More informationPOSITION STATEMENT ON THE FUTURE MODEL OF NEUROSCIENCES IN MID AND SOUTH WALES. Chief Executive
AGENDA ITEM 5.2 23 October 2009 POSITION STATEMENT ON THE FUTURE MODEL OF NEUROSCIENCES IN MID AND SOUTH WALES Report of Chief Executive Paper prepared by Purpose of Paper Action/Decision required Link
More informationhttp://www.bls.gov/oco/ocos101.htm Emergency Medical Technicians and Paramedics Nature of the Work Training, Other Qualifications, and Advancement Employment Job Outlook Projections Data Earnings OES Data
More informationNELHIN- Non-Urgent Inter-Facility Patient Transportation Pilot / Demonstration Projects
NELHIN- Non-Urgent Inter-Facility Patient Transportation Pilot / Demonstration Projects Timiskaming District Non-Urgent Interfacility Patient Transportation Demonstration Project A Growing Problem Over
More informationNational Collaborative Commissioning: Quality & Delivery Framework
Frequently Asked Questions National Collaborative Commissioning: Quality & Delivery Framework Emergency Ambulance Services PREFACE Emergency Ambulance Services have a critical role to play in the provision
More informationThe Urgent Care Conundrum The importance of Information and Technology
The Urgent Care Conundrum The importance of Information and Technology Mark Newton MSc Head of Service Urgent Care NWAS NHS Trust Consultant Paramedic Informatics: So what s it all about? Deals with the
More informationNote performance against the 30 minute standard for SAS call outs broken down by category of calls across NHS Highland Board area
Argyll & Bute CHP Committee Date of Meeting: 27 October 2010 Item No: 11.3 UPDATE ON STRATEGIC OPTIONS FRAMEWORK FOR EMERGENCY AND URGENT RESPONSE IN REMOTE AND RURAL COMMUNITIES AND MEMORANDUM OF UNDERSTANDING
More informationKIDS INTENSIVE CARE & DECISION SUPPORT (KIDS) & NEONATAL TRANSFER SERVICE (NTS)
KIDS INTENSIVE CARE & DECISION SUPPORT (KIDS) & NEONATAL TRANSFER SERVICE (NTS) KIDS-NTS SERVICE DESCRIPTION & OPERATIONAL OVERVIEW Alex Philpott Sanjay Revanna V1 November 2017 Next Review November 2018
More informationWESTCHESTER REGIONAL
WESTCHESTER REGIONAL EMERGENCY MEDICAL SERVICES COUNCIL POLICY STATEMENT Supersedes/Updates: New Policy No. 11-02 Date: February 8, 2011 Re: EMS System Resource Utilization Pg(s): 5 INTRODUCTION The Westchester
More informationBetsi Cadwaladr University Health Board. Quality and Safety Committee Item QS12/60.4. Subject:
Betsi Cadwaladr University Health Board Quality and Safety Committee14.6.12 Item QS12/60.4 Subject: Summary or Issues of Significance Wales Ombudsman s Report Section 16 aggregated review: Serious Concerns
More informationWelsh Ambulance Services NHS Trust Annual Report from Healthcare Inspectorate Wales
Welsh Ambulance Services NHS Trust Annual Report from Healthcare Inspectorate Wales 2016-17 July 2017 This publication and other HIW information can be provided in alternative formats or languages on request.
More informationAmbulance Operations Procedure Appropriate Hospital Access for ST Elevation Myocardial Infarction Patients. National Ambulance Service (NAS)
Ambulance Operations Procedure Appropriate Hospital Access for ST Elevation Myocardial Infarction Patients National Ambulance Service (NAS) Document reference number Revision number Approval date NASCG017
More informationPATIENT TRANSPORT SERVICE IN GREATER MANCHESTER
PATIENT TRANSPORT SERVICE IN GREATER MANCHESTER From 1 July 2016 the North West Ambulance Service NHS Trust (NWAS) will be managing the Patient Transport Service across Greater Manchester, taking over
More informationStandard 22 Managing Risk and Health & Safety
Betsi Cadwaladr University Health Board Board Paper 6.5.14 Item 14/84 Subject: Summary or Issues of Significance Corporate Risk Register This paper provides an overview of the current risks on the Corporate
More informationConsultation on proposals to introduce independent prescribing by paramedics across the United Kingdom
Patient and public summary for: Consultation on proposals to introduce independent prescribing by paramedics across the United Kingdom The full consultation document is available on the NHS England consultation
More informationEMAS and Lincolnshire division update
EMAS and Lincolnshire division update Page 67 Chief Executive Richard Henderson and General Manager David Williams 2016/17 overview 2016/17 was a real challenge across NHS and Social Care services. Page
More information