North West Ambulance Service is exploring ways to minimise lengthy waits during high demand periods and has secured funding for additional frontline staff and new vehicles. It defends its coding system and response, citing pressures and circumstances at the time. (AI summary)
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3. The fact that the call taker coded the call properly and yet this case involved a patient who was clearly criticolly injured and despite that fact it still did not generate & Red response, suggests that the algorithms used for coding are not accurate and not fitfor the purpose. In my view this is an extremely serious flaw and may/will lead to future deaths occurring unless it is remedied: (NWAS, SECRETARY OF STATE and NHS ENGLAND): Taking each point in turn, confirm that the vehicle response time for the incident in question, was inextricably linked to the activity pressures, NWAS faced during this extremely challenging winter period. Despite winter weather contingency planning activity within the Greater Manchester area saw an unexpected 22% increase, which was directly compounded by significant hospital turnaround pressures faced at Stepping Hill, North Manchester and Oldham Headquarters: Ladybridge Hall, 398 Chorley New Road, Bolton. BL1 SDD
The wider NHS reported similar pressures and it is recorded that Yorkshire Ambulance Service declared a Major incident at 14.30 due to the volume of work faced on the date in question; It should be noted that Green 2 response times are 'as soon aS practicable' and whilst NWAS strives to attend these types of incidents as soon as practicable, due to the challenges faced on the date in question, the response time was regrettably longer than we would have hoped; NWAS is currently exploring better ways to minimise lengthy waits during high demand periods and has also secured funding for 400 additional frontline staff and 60 new vehicles which hope will assist in alleviating some of these pressures. In regards to AMPDS system, | confirm that based on the priority symptoms given during the 999 call, the system correctly coded the incident as a Green 2. It should be noted that if the patient's chest had been 'concaved in' this would have directly affected his respiratory system and been captured during the breathing algorithm question, resulting in a higher response note that the attending police officers evidence supported that the patient was breathing; conscious and able to walk, when they attended the scene, shortly after the first call which supports that the patients condition, at that time was not time critical, requiring an 8 minute response (life sustaining treatment) Furthermore this assertion was reinforced byE IPathologist report which supported that the critical injury was sustained during the second assault: you will accept that these are difficult issues to resolve, with no quick fix solutions, but continued efforts are being made to consider better ways of managing these challenging periods. Ifyou do have any further concerns or questions please feel free to contact me: Kind regards Head Of Services they hope very Legal