1. London Ambulance Service NHS Trust
Operational Update
Clinton Beale Stakeholder Engagement Manager London Ambulance Service NHS Trust
London Ambulance Service NHS Trust

2. London Ambulance Service NHS Trust
About Us
Busiest Ambulance Service
1.8m Calls ( )
3,500 calls treated via phone
5000 staff (460 in SW)
70 Ambulance stations
Pan London NHS Trust
London Ambulance Service NHS Trust

3. How we care for the Capital
999 Call Handling
999 Clinical triage (hear & treat)
999 & Urgent response (see & treat)
Major events
Major incidents
London Ambulance Service NHS Trust

4. London Ambulance Service NHS Trust

5. London Ambulance Service NHS Trust
How do we respond
London Ambulance Service NHS Trust

6. London Ambulance Service NHS Trust
Care Pathways
Advise patients by telephone – hear & treat
Treat and advise patients on scene – see & treat
Onward referral – e.g. falls team, community nurse, GP, outreach teams
Accident & Emergency Unit/ UCC – Hospital
Maternity Unit – Hospital
Mental Health Unit – Hospital
Specialist Units – Hospitals
Cardiac, Neurology
Minor Injury Units / Walk in Centre – (UTCs)
London Ambulance Service NHS Trust

7. What to do when a resident becomes ill
Consider
On site registered Nurse/ District Nurse
GP (or out of hours GP)
NHS *6 rapid access
Call 999 if someone is seriously ill or injured, and their life is at risk
Difficulty in breathing/ unconscious
Severe loss of blood
Stroke or heart attack
London Ambulance Service NHS Trust

8. London Ambulance Service NHS Trust
Making the call
Dial 999, ask for an ambulance
If possible, remain with the patient (cordless or mobile phone)
If you can’t stay with the patient – make sure you know if the patient is alert, conscious, breathing
You could be offered advice over the phone, or a call back from the clinical hub
London Ambulance Service NHS Trust

9. How we prioritise your call
You will be asked a series of questions and taken through a triage tool
Appropriate response given
Life threatening – 8 minute response
London Ambulance Service NHS Trust

10. London Ambulance Service NHS Trust
Case study one
You walk into a residents room and find them on the floor.
It was an un-witnessed fall
How would you address it?
London Ambulance Service NHS Trust

11. London Ambulance Service NHS Trust
Case study two
You walk into a residents room and they are collapsed and not breathing
What would you do?
London Ambulance Service NHS Trust

12. What could delay us from getting to a patient?
Not met at door, not able to get in – no access code
Staff unsure which resident is the patient – let all staff know you have called for an ambulance
London Ambulance Service NHS Trust

13. Information to prepare for ambulance arrival
Full name, date of birth, next of kin details
GP details
Address of the home
Medication – up to date drug chart, medical history and current Obs
DNAR in place?
Copies of the above for us to take away
Patients personal belongings
Patient escort
London Ambulance Service NHS Trust

14. London Ambulance Service NHS Trust
Emergency stroke care
London Ambulance Service NHS Trust