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Call to scrap ambulance target

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THE WELSH AMBULANCE SERVICE TRUST (WAST) has told AMs that almost 40,000 hours were ‘lost’ in 2014 because of so-called ‘handover delays’. The evidence given to the Senedd’s Health and Social Care Committee on March 5, also reports that the figure is up from around 8,000 hours lost in 2008.

Giving evidence to the assembly’s Health and Social Care Committee on the March 5, WAST’s Chairperson, Mick Giannasi, told AM’s that the ambulance service’s performance is unacceptable. He went on to detail actions intended to tackle ‘long-standing and complex problems’.

The session before the Senedd began with the testimony of Professor Siobhan McClelland, who is chair of the emergency ambulance service committee (EASC) and the author of a 2013 review into emergency transport provision. Suggesting that the eight minute target time for ambulance response times was outdated, she commented: “There is limited evidence to support the existence of the eight-minute target. I think there is a move towards looking specifically, in addition to the eight-minute target, at the most life-threatening or red 1 calls and focusing on those.”

Her contribution was supported by the new ambulance service commissioner, Stephen Harrhy, who said: “There are a number of conditions where it is absolutely essential that we get to a patient as quickly as we possibly can. In some cases, eight minutes is an appropriate time for that; in some cases, it’s less than eight minutes. So, we have to be ambitious. I also think that the standard is an old standard, and it is time to have a re-look at that.”

With reference to the targets, figures for December show that WAST’s ‘unacceptable level of service delivery’ meant that only 42.6% achieved the target time of eight minutes.

One concerned member of staff told us that ambulances based in Pembrokeshire have been forced to cover incidents in Ceredigion and as far afield as Llandeilo, as Carmarthenshire-based ambulances have been overwhelmed by calls to Swansea and beyond.

Shadow Health Minister, Plaid Cymru’s Elin Jones, highlighted the issue of ambulances waiting at hospitals outside their home areas: “I am concerned that ambulances from Blaenau Gwent or Ceredigion or Powys, when they are making transfers to centres, Morriston or Cardiff, then end up as part of the response call in those areas and do not return, possibly for a whole shift, to the areas where they were meant to be serving to start with.”

Without flexibility from unions on staff rosters and cooperation from health boards, WAST’s Chief Executive Tracy Myhill painted a bleak picture: “We need to work with the health boards. We can’t do this on our own, absolutely. If we were perfect, if all our rotas were perfect and our sickness absence was really low, we still couldn’t provide the service that we would need, because we can’t do it without the whole system.”

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New Quay RNLI lifeboat crew trains with lifeguards

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NEW QUAY lifeboat station hosted a special training evening with the lifeboat crew and Ceredigion’s RNLI lifeguards last week.

Pete Yates, one of New Quay RNLI’s inshore lifeboat helms, worked closely with Ceredigion lifeguard supervisor, Tirion Dowsett, to plan scenarios for the teams to practice working together in casualty care situations.

A large scale scenario included four casualties to be dealt with by the inshore lifeboat crew and two lifeguard teams on a nearby beach, whilst a third lifeguard team and lifeboat crew members dealt with a separate scenario at the lifeboat station.

Pete said: “It was a great evening of training. We had 9 lifeguards and 13 lifeboat crew in attendance.

“The main scenario included casualties suffering from hypothermia and propeller injuries. A second scenario involved a mechanic suffering head injuries in the forepeak of the all-weather lifeboat and requiring extraction on a stretcher.

“On completion of these scenarios we all gathered back at the station where one of our senior crew members sprung a great act at being a diabetic having a hypo, and being suitably angry and aggressive.”

Roger Couch, New Quay RNLI’s Lifeboat Operations Manager, added: “It was great for our lifeboat crew members to work with the lifeguards as it builds a deeper understanding of each other’s roles and encourages teamwork between us. This is of great benefit when dealing with real life casualty care situations.”

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Coastguard rescues dog stuck on cliffs

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LAST TUESDAY (Aug 27), New Quay RNLI’s inshore D-class lifeboat, Audrey LJ, was tasked by Milford Haven Coastguard to assist the Coastguard with a dog stuck on the cliffs near New Quay.

The volunteer crew launched the inshore lifeboat at 1.50pm with four crew members on board and made their way south down the coast.

Brett Stones, New Quay RNLI’s helm said: “We located the dog on the cliffs by Castell Bach, near Cwmtydu. We stood by while the Coastguard team caught the animal. The dog was unharmed and safe with the Coastguard so we were stood down.

“However, while returning to station we were then tasked to a small vessel with engine failure. We towed the stricken boat with three people on board back to New Quay. We rehoused the inshore lifeboat and it was ready for service by 2.40pm.”

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New maintenance Lorries cut carbon emissions

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The Ground Maintenance Team has purchased three new lorries to support ground maintenance services in Ceredigion.

The new lorries will move Ceredigion County Council’s Ground Maintenance Service’s equipment to and from the grounds that they look after. The lorries will also take cut grass away for composting. This provides the most efficient way of maintaining the areas that the team is responsible for.

Councillor Dafydd Edwards is the Cabinet member responsible for Highways and Environmental Services together with Housing. He said: “The new vehicles replace ones which had provided excellent service for almost 20 years. They are fitted with Euro 6 engines which are considerably more efficient and better for the environment.”

The Grounds Maintenance Team is also incrementally introducing electric-powered mowers, blowers, hedge cutters and strimmers into its fleet. This equipment is better for the environment, is easier to use and causes less noise and vibration.

The new lorries support Ceredigion County Council’s commitment to be a net-zero carbon council by 2030.

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