Following the largest clinical ambulance trials in the world, NHS England is to implement new ambulance standards across the country.
In a letter to Jeremy Hunt, Secretary of State for Health, Sir Bruce Keogh outlines why the impressive results from the trial demonstrate that changes should be adopted nationally.
The new system will update a decades old system and will provide a strong foundation for the future.
What are the changes?
The changes focus on making sure the best, high quality, most appropriate response is provided for each patient first time.
Historically ambulance services are allowed up to 60 seconds from receiving a call to sending a vehicle. They told us this isn’t long enough.
So from now on call handlers will be given more time to assess 999 calls that are not immediately life-threatening, which will enable them to identify patients’ needs better and send the most appropriate response.
Ambulance services are measured on the time it takes from receiving a 999 call to a vehicle arriving at the patient’s location.
Life-threatening and emergency calls, under the current standards, should be responded to in eight minutes. We know that most patients do not need this level of response.
So, in future there will be four categories of call.
Category 1 – Calls from people with life-threatening illnesses or injuries
This short animation explains more about these calls:
Category 2 – Emergency calls
Hear more about these types of calls:
Category 3 – Urgent calls
Watch this short animation on what an urgent call is:
Category 4 – Less urgent calls
Learn more about what this means:
Benefits for patients
Under the new system early recognition of life-threatening conditions, particularly cardiac arrest, will increase. A new set of pre-triage questions identifies those patients in need of the fastest response.
The new targets will also free up more vehicles and staff to respond to emergencies.
For a stroke patient this means that the ambulance service will be able to send an ambulance to convey them to hospital, when previously a motorbike or rapid response vehicle would ‘stop the clock’ but cannot transport them to A&E.
From now on stroke patients will get to hospital or a specialist stroke unit quicker because the most appropriate vehicle can be sent first time.
Patient safety at the heart of new system
Patient safety is paramount. Academics at Sheffield University monitored more than 14 million ambulance calls under the trial and found no patient safety incidents.
- Read Sheffield University’s report on the Ambulance Response Programme.
- Our easy read document helps explains the changes in accessible language.
- You can also watch our short film on some of the ways in which the ambulance service is changing.
You may also be interested in reading:
- The Ambulance Response Programme Review: This independent review shows that ARP has been successfully implemented across England.
- Commissioning Framework: A Framework for the Commissioning of Ambulance Services: a simple, easy to use document to support system leaders in reducing unwarranted variation in the way ambulance services are provided and commissioned.
- Letter from Professor Jonathan Benger, National Clinical Director for Urgent Care to Phillip Dunne regarding the Ambulance Response Programme Clinical Coding Trial.
- Letter from Professor Keith Willett, Director of Acute Care for NHS England and Professor Jonathan Benger, National Clinical Director for Urgent Care to Phillip Dunne regarding the Ambulance Response Programme Evaluation Report on Dispatch on Disposition.
- Letter from Professor Keith Willett, Director of Acute Care for NHS England, to Lord Prior of Brampton explains the progress of the Ambulance Response Programme.
- Letter from Professor Keith Willett, Director of Acute Care for NHS England, to Lord Prior of Brampton informing him of the decision for West Midlands Ambulance Service Foundation Trust (WMAS) to join the Ambulance Response Programme.