Premier Rescue Ambulance Service Ltd
NHS / Health Body
Action Taken
AI-generated response summary
• Premier Rescue Ambulance Service Ltd. decided that all staff, including drivers, would receive CPR training; an authorised trainer has completed relevant courses, and 12 staff have already received internal training. • The company revised its internal investigation procedure, appointed an interim assessor, and is investigating the use of an independent assessor for future investigations. • New policies were implemented for patient transport, including requirements for patient responsiveness, medical fitness-to-travel documentation, and detailed medication lists for risk assessment.
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Response of Premier Rescue Ambulance Service Ltd to Regulation 18 Notice This Response is sent in response to Regulation 18 Notice dated 28th May 2021 and is sent on behalf of Premier Rescue Ambulance Service Ltd.
1. In response to the concerns raised by the Coroner, Premier Rescue Ambulance Services Ltd., have made a decision that ALL members of staff, including drivers, are tG have training in relation to CPR. As a consequence of this de.cision, has attended the following courses: a) First Aid Assessors and Internal Quality Assurance CPD Training 31st January 2020 b) level 3 Award in Education and Training- 10th February 2020 c) Cardiopulmonary Resuscitation and Automated External Defibrillation
- 29th January 2020 d) · First Aid at Work Instructor - 31st January 2020 e) First Aid at Work- 31st January 2020 f) Immediate Management of Anaphylaxis Instructor- 30th January 2020 g) Oxygen Therapy Administration - 30th January 2020 h) Oxygen Therapy Administration Instructor - 30th January 2020 i) Defibrillation Instructor - 29th January 2020 Certificates attached
As a consequence of the training, is now authorised to train others within Premier Rescue Ambulance Services Ltd.
2. As a consequence of the training, 12 staff have received internal training and the 8 remaining staff hold valid external certificates. Upon expiry of those external certificates, internal training will be provided. A copy of the relevant Training Manual is attached.
3. In the current case Premier Rescue Ambulance Service Ltd., accept that only one member of staff had been fully trained in basic life support. The above courses and training seeks to address that deficit. The intention is that in future ALL members of staff conveying patients will have received basic life support training, including drivers of the vehicles. The course will cover recognition of cardiac arrest and recognising distress in patients.
4. Premier Rescue Ambulance Service Ltd., merely observe that the request to transfer Peggy Copeman was received late in the afternoon of the lSth December with a request to transfer her on the morning of the 16th December. Accepting instructions such as this in such a short timeframe has been identified by the Company as a weakness in procedures which led to two untrained staff accompanying one trained member of staff.
5. The Company regret their initial investigation did not highlight
or as not having CPR training. They have now revised their internal investigation procedure and they are now investigating the possibility of a qualified independent assessor carrying out such a role in the future should the need arise. In the meantime, any internal investigation pending such an appointment will be carried out by
. who is a State Registered Nurse and has undergone iuff trilmtng by NUCO as Htwt ~ly. The dlanges. m lnter'181 imrestiptlo11area> beimplemented: immediately.
6. !n:the meantimerltie<tara.Quality Commission•have seNed aSNl)ensio11 · ~ upon prem(er ~e~we Ambu1anee Sl':ITTlite ltd.; p-g a hl.lltto tOll\leyante danypatfent until at least.the.end d.July. ~ter,•fte$(Ue Amt>•teseMi:~ Ltd;, have now imp1emem:ed a Poli~ Ulat~arenQ l~ger p!'li}pa~ tQ. a.~tor~nsl)J)rtpatient$ wh<> are not awake and re!ilponsive at the tommencemellt d tilejourney., This is so'the\!tan ~ally~~anytha~s.in ffil!irbehavio~ron theJQ~ey, They wm also. tf:!<l1J~re a sip~ ~ument ~ a qtialffi~ Medltal Practitioner confirming a patie.nt's ftmess to travel 11nd also require a d$i'led ll$tofmer:t~~nspa~t$~ reteMng·so ilsto.enablet~t-0 <:alTJ mat 1t .risk a~ent as to whether It Is asrpmprlate tor those
p.itfflats·m..betransfetredby·Premier~eA.mbijlil~Servi<:eltd•.The detaiki!d list d meditatJQilS willbe .r~ewed by and . ·Tuose.Potides h.webHII implemented 1mmedtately. Signed:
1. In response to the concerns raised by the Coroner, Premier Rescue Ambulance Services Ltd., have made a decision that ALL members of staff, including drivers, are tG have training in relation to CPR. As a consequence of this de.cision, has attended the following courses: a) First Aid Assessors and Internal Quality Assurance CPD Training 31st January 2020 b) level 3 Award in Education and Training- 10th February 2020 c) Cardiopulmonary Resuscitation and Automated External Defibrillation
- 29th January 2020 d) · First Aid at Work Instructor - 31st January 2020 e) First Aid at Work- 31st January 2020 f) Immediate Management of Anaphylaxis Instructor- 30th January 2020 g) Oxygen Therapy Administration - 30th January 2020 h) Oxygen Therapy Administration Instructor - 30th January 2020 i) Defibrillation Instructor - 29th January 2020 Certificates attached
As a consequence of the training, is now authorised to train others within Premier Rescue Ambulance Services Ltd.
2. As a consequence of the training, 12 staff have received internal training and the 8 remaining staff hold valid external certificates. Upon expiry of those external certificates, internal training will be provided. A copy of the relevant Training Manual is attached.
3. In the current case Premier Rescue Ambulance Service Ltd., accept that only one member of staff had been fully trained in basic life support. The above courses and training seeks to address that deficit. The intention is that in future ALL members of staff conveying patients will have received basic life support training, including drivers of the vehicles. The course will cover recognition of cardiac arrest and recognising distress in patients.
4. Premier Rescue Ambulance Service Ltd., merely observe that the request to transfer Peggy Copeman was received late in the afternoon of the lSth December with a request to transfer her on the morning of the 16th December. Accepting instructions such as this in such a short timeframe has been identified by the Company as a weakness in procedures which led to two untrained staff accompanying one trained member of staff.
5. The Company regret their initial investigation did not highlight
or as not having CPR training. They have now revised their internal investigation procedure and they are now investigating the possibility of a qualified independent assessor carrying out such a role in the future should the need arise. In the meantime, any internal investigation pending such an appointment will be carried out by
. who is a State Registered Nurse and has undergone iuff trilmtng by NUCO as Htwt ~ly. The dlanges. m lnter'181 imrestiptlo11area> beimplemented: immediately.
6. !n:the meantimerltie<tara.Quality Commission•have seNed aSNl)ensio11 · ~ upon prem(er ~e~we Ambu1anee Sl':ITTlite ltd.; p-g a hl.lltto tOll\leyante danypatfent until at least.the.end d.July. ~ter,•fte$(Ue Amt>•teseMi:~ Ltd;, have now imp1emem:ed a Poli~ Ulat~arenQ l~ger p!'li}pa~ tQ. a.~tor~nsl)J)rtpatient$ wh<> are not awake and re!ilponsive at the tommencemellt d tilejourney., This is so'the\!tan ~ally~~anytha~s.in ffil!irbehavio~ron theJQ~ey, They wm also. tf:!<l1J~re a sip~ ~ument ~ a qtialffi~ Medltal Practitioner confirming a patie.nt's ftmess to travel 11nd also require a d$i'led ll$tofmer:t~~nspa~t$~ reteMng·so ilsto.enablet~t-0 <:alTJ mat 1t .risk a~ent as to whether It Is asrpmprlate tor those
p.itfflats·m..betransfetredby·Premier~eA.mbijlil~Servi<:eltd•.The detaiki!d list d meditatJQilS willbe .r~ewed by and . ·Tuose.Potides h.webHII implemented 1mmedtately. Signed: