3. 3. Statement: The Independent Evaluation of the Emergency Ambulance Services Clinical Response Model

Part of the debate – in the Senedd at 2:43 pm on 28 February 2017.

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Photo of Rhun ap Iorwerth Rhun ap Iorwerth Plaid Cymru 2:43, 28 February 2017

(Translated)

May I thank the Cabinet Secretary for the update and, of course, thank the paramedics and those working behind the scenes in the ambulance service for all their hard work? Of course, I look forward to seeing ongoing monitoring of this programme. Certainly, the outcomes are the most important thing here, and therefore it’s difficult to disagree with a programme that prioritises the most urgent cases. But what we need to guard against, of course, is that we don’t put all our focus on those most urgent cases and that that doesn’t lead us to miss problems in other parts of the performance of the ambulance service. For example, the median waiting time for amber calls has deteriorate. Are you comfortable with that as a Government? Following on from what was raised by the Member for Carmarthen west, we hear that the categorisation is under review, but how likely is it that we will see the need for a new subcategory—a dark amber, perhaps—to deal with certain cases such as stroke that don’t need an immediate response like the 5 per cent, but where there would be a benefit, perhaps, of setting a specific target? And if that is a consideration, what assessment has been made of the impact of that, then, on the response to the red calls?

I spent an interesting few hours, and a very valuable few hours, in the north Wales ambulance response centre, having a look for myself at the problems being faced there, and a few things were encapsulated in my own thoughts, and I have two questions emerging from my own experience there. What steps are being taken to ensure that there is less demand for ambulances in relation to calls from other health professionals where there is in fact no emergency?

Secondly, we know that these delays in hospitals are a huge problem. It has become clearer to me, having seen it for myself and the impact that has on the operation of the ambulance service. The problem, of course, is these vehicles lined up outside hospitals, vehicles that could be responding to emergency calls. Now, as I understand it, in Stoke hospital, which is used as a trauma centre for the north, there is a service where a paramedic or a paramedic team actually takes patients immediately before they are transferred to the trauma team, and what that means, of course, is that the vehicle and the team of paramedics manning that vehicle are ready to go immediately. So, what work has been done or is being done to introduce similar systems in hospitals across Wales in order to speed up that transfer process and ensure that the vehicles and the teams are back on the road as soon as possible?