London Ambulance Service

What are the main things you expect from London’s Ambulance Service?

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The London Assembly Health Committee is currently looking at how Londoners could have more of say in the way that the London Ambulance Service works, what Londoners want from the Ambulance Service in the future and how it can be helped to perform better.

What are the main things you expect from London’s Ambulance Service? What do you think are the main challenges that the Service is facing today? And what do you think the London Ambulance Service could do about the number of alcohol related call outs?

Summary

The London Assembly Health Committee published their report ‘Supporting London’s ambulance service’, which makes recommendations on how best to support the London Ambulance Service. The committee listened to members of the public, representatives of the London Ambulance Service Patients Forum and Talk London. 

The recommendations include:

  • Develop an access to work programme to help unemployed Londoners get a job within the service.
  • Share best practice to encourage workforce diversity and engage more with London’s diverse communities.
  • Identify community safety needs and the resource needed to maintain a safe and secure environment.
  • Identify gaps in existing provision for falls, mental health, maternity care and end of life care by developing a city-wide response.

The discussion ran from 25 June 2018 - 25 September 2018

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Comments (108)

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Immigration.

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Immigration.

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Avatar for - American pika

I believe that there were some changes to the service. It seems that they will cut the amount of ambulances to transport and help people and increase the number of medical first response medics. Still, that is being done  and I don't know...

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I believe that there were some changes to the service. It seems that they will cut the amount of ambulances to transport and help people and increase the number of medical first response medics. Still, that is being done  and I don't know how it is going to affect the need for people to be transported to hospitals.

My suggestion is that there is the need to increase the number of ambulances, qualified personnel, and of course of the first response medics.

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Reduce the number of "top level" management and make sure the ones who are there are suitably qualified.

Improve pay and conditions for front line staff and give them the proper equipment to do the job they have trained for.

Make the...

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Reduce the number of "top level" management and make sure the ones who are there are suitably qualified.

Improve pay and conditions for front line staff and give them the proper equipment to do the job they have trained for.

Make the roads better so ambulances can travel at a reasonable speed without risking damage to the vehicles and give them some kind of "priority button" so they change traffic lights in their favour. 

Make better use of first responders

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Expectations include speed of response, ability to handoff to secondary urgent care that is able and ready to receive patients, well trained staff, and properly equipped to handle all manner of incidents - this includes up to date IT...

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Expectations include speed of response, ability to handoff to secondary urgent care that is able and ready to receive patients, well trained staff, and properly equipped to handle all manner of incidents - this includes up to date IT, communications as well as modern medical equipment.

The challenges include the congested secondary care system and the delays this causes, the use of ambulances by repeat callers without life threatening conditions, and traffic in London and available equipment.

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The biggest problems facing the London Ambulace Service today is poor and badly managed roads in London, an excess of road works and road blocking construction works, rickshaw taxis and traffic congestion caused by all of the above and...

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The biggest problems facing the London Ambulace Service today is poor and badly managed roads in London, an excess of road works and road blocking construction works, rickshaw taxis and traffic congestion caused by all of the above and including an excess of cycle lanes, some of which are not even used.

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The ambulance service is clearly under a huge amount of pressure. I lived in Australia for a while. There, if you are in a higher earning bracket, you pay for annual ambulance insurance. This is either a separate insurance or within general...

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The ambulance service is clearly under a huge amount of pressure. I lived in Australia for a while. There, if you are in a higher earning bracket, you pay for annual ambulance insurance. This is either a separate insurance or within general health insurance package. This costs for a couple, roughly $100 per year. If you don’t have insurance and you call an ambulance you risk a bill of $1000.  This is good as it helps further fund the ambulance service and also discourages people for calling out ambulances for non emergencies.

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The Australian system is shameful.

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The Australian system is shameful.

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London's Ambulance Services are doing a great job and considering the size of London it is certainly not the easiest job. 

However, I always wonder, and pretty much every Londoner I talk to, why the sirens are the most ear pearcing of all...

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London's Ambulance Services are doing a great job and considering the size of London it is certainly not the easiest job. 

However, I always wonder, and pretty much every Londoner I talk to, why the sirens are the most ear pearcing of all countries. Sirens are necessary and saving lives, I am not criticising the use of it, but I think it is a serious problem for pedestrians that live in the vincinity of areas like a hospital, where we get about 40 times a day the numbing volume on the hearing system. 

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Avatar for - Atlantic cod

Emergency vehicles need to be loud for good reason. On the street, I agree that they are ear-piercing. But if you are in an ambulance, on the way to save a life, and the driver in front of you doesn't hear the siren or get out of the way...

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Emergency vehicles need to be loud for good reason. On the street, I agree that they are ear-piercing. But if you are in an ambulance, on the way to save a life, and the driver in front of you doesn't hear the siren or get out of the way because they are sitting in a vehicle with the windows up and music blasting from the speakers (and not paying attention), you have delays which could be the difference between life and death. Sirens are meant to alarm, to get pedestrians to take action and get out of the way, and to alert people of their arrival.

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Why can't the London Ambulance Service and the London Fire Brigade be a combined emergency service.

It works well in other countries, just one control room answering emergency calls for fire and ambulance. One station to garage vehicles...

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Why can't the London Ambulance Service and the London Fire Brigade be a combined emergency service.

It works well in other countries, just one control room answering emergency calls for fire and ambulance. One station to garage vehicles, all employed by one employer. It must reduce costs.

The NHS could still run the ambulances for routine journeys and the vehicles would be garaged at the hospitals.

At the moment there are too many chiefs and not enough Indians in both the Ambulance Service and the Fire Brigade 

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Avatar for - Staghorn coral

I tend to agree with this idea.

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I tend to agree with this idea.

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Fire crew receive first aid training and some have paramedic training, so another reason this combined emergency service idea sounds like a good one.

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Fire crew receive first aid training and some have paramedic training, so another reason this combined emergency service idea sounds like a good one.

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Service reserved for cases where a rapid response and time to hospital is key to saving life. I'd like to see more air ambulances in use and more regional centres that take on cases responded to by air ambulance. More training for staff...

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Service reserved for cases where a rapid response and time to hospital is key to saving life. I'd like to see more air ambulances in use and more regional centres that take on cases responded to by air ambulance. More training for staff. Staff are well rested, well paid - ideally, no conflicts with other roles they have so they're not overtired and stressed. 

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I agree with this. Ambulance station closures have reduced effectiveness and leads to fewer ambulances having to travel greater distances and this puts a strain on staff and organisational resource. Well trained, well rested and well...

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I agree with this. Ambulance station closures have reduced effectiveness and leads to fewer ambulances having to travel greater distances and this puts a strain on staff and organisational resource. Well trained, well rested and well compensated staff will provide greater returns where the closures have taken place. Increasing strain on existing resources doesn't lead to efficiency

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Speedy service, knowledgable, competent staff who are not under time pressure or suffering extreme fatigue, who are well paid and respected.

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Speedy service, knowledgable, competent staff who are not under time pressure or suffering extreme fatigue, who are well paid and respected.

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Avatar for - Staghorn coral

Couldn't have said it better.

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Couldn't have said it better.

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Yep that sums it up pretty perfectly.

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Yep that sums it up pretty perfectly.

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I agree with Laura as well. I haven't dealt with London ambulance services but I've seen first hand how they work in a couple of occassions in the Midlands. Another good aspect to add is to make sure they can differentiate between true...

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I agree with Laura as well. I haven't dealt with London ambulance services but I've seen first hand how they work in a couple of occassions in the Midlands. Another good aspect to add is to make sure they can differentiate between true medical emergencies and more minor cases (e.g. alcohol-related minor injuries) when they are on-site. At the same time also have enough time to put focus on the tasks at hand whatever the case.

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