Random Thought #3

In the eyes of the government this is a 'successful' job.

For the patient, for the parents, for the staff involved, for everyone that matters – this is not a successful job.

If ambulance services weren't chasing government targets then this may well have been a 'unsuccessful' job for the government – but a success for everyone else.

12 thoughts on “Random Thought #3”

  1. I think that the 8 minute target should apply only to ambulances as well.I did post about how we actually need *more* targets, but ones that actually move to improve the service.

    And I happen to think that 'public perception' is not how we should be aiming our services – otherwise we become a PR company, not an emergency service. Sure, it's good to be thought of nicely, but not at the expense of actual patient care.

  2. Pity it has to be the ambulance service that is sued and not the idiot who thought the target thing might be a good idea to start with….

  3. Unfortunately stories like this are only going to get more frequent with the government insisting ambulance trusts move towards the 'front loaded model' of more response vehicles and less ambulances.Its not about the patient its about the targets and that just wrong in anybodies eyes.

  4. The people who dream up these daft “new ways of working” and all our response times etc have not actually worked “properly” for an ambulance service for a long, long time, if at all. No real concept of how road staff are constrained, how they work, or the real pressures and stress control room staff are under.It's the PBI [Poor Bloody Infantry] on the road and in control rooms across the country who are left to implement their lunatic ideas. They just sit back – or, more correctly – loom over us – telling us how to do our jobs, with no real knowledge of how the job actually can (and should) be done. All they see is a computer screen with figures and statistics.

    The people who really NEED our help – the elderly, the chronically ill etc – calls frequently under-categorized by AMPDS – are held for ages whilst we deal with the feckless, the selfish, the lazy, the people who want something for nothing, those who “know their rights”.

    Frankly – it's now a soul-destroying job, and not the one I joined 14 years ago.

  5. Couldn't we have RRU/FRUs responding to the maternataxi and broken nail calls thus achieving the goal of reaching these calls within the time limit, and then telling the callers politely “You don't need an ambulance”At the same time this will free up real ambulances to go to real calls which do need transporting.

    The fakers get used to not having a real ambulance turn up, and if it is a real call an ambulance can soon be called by the FRU as backup.

  6. Yes, but it's not the rig that's expensive to run – it's the personnel. A van has 2 bods, whereas a FRU only has one, factor in that a modified estate car is also half the price of a fully equipped van and you can just seethe dollar signs spinning in the accountants eyes!PS Just finished da bk!

  7. As always, the bean counters and politicians sit in their offices and make the rules, getting promotion by dreamning up schemes with names like Orcon. (I have searched, unsucessfully for the origin of the word Orcon. Is it maybe a contraction of the phrase 'trick or con'?)The problem with the system is, as has been noticed in education, if you rely solely on hitting performance targets, then you will create an organisation which is very good at doing just that, hitting targets. The performance standards become the goal in themseleves instead of an indication of how well an organisation is really performing. The tail wags the dog.

  8. I'm not sure that this is the arguement against performance targets you might hope, merely an arguement for a different taregt. In my mind the 19 minute target for these type of calls should apply to Ambulances only, that would take care of this issue.Truth is that the public still see time taken to arrive on scene as the best indication of the quality of the service and after all, they are the ones that pay the bills.

    Just my tuppence worth of course.

  9. When Rapid response paramedics in cars were first introduced they were, to get to the scene before an ambulance to give potential life saving skills to aid the front line ambulance crew and hopefully improve patient outcome. Sounds ideal. Unfortunately it is now a cheaper alternative to a fully crewed vehicle to make “magic god orcon” which when dealing with the sore throat or sudden onset of D+V after eating a fine fast food !!! is ok. But to send a car to a potential life threatening call without backup is almost criminal. How many calls have we been sent too with the words are you all right to assess. I do the job because people matter. I dont care about call connect and I dont think I ever will. It must be very sad for the family and my heart and thoughts go to them, but I do feel sorry for the RRV who had to sit on scene for almost an hour waiting for help. It is now becoming a regular occurrence. We are human please stop treating us like machines, we do hurt we do bleed and we do CARE.

  10. Was working on a night shift last week on an ambulance and got hammered going from one call to the next; there were 4 cars on station which barely turned a wheel all night. 2 were normal rostered cars, 1 was an extra car and the other was an extra-extra car.There was an ambulance on station but control refused to delta the extra cars up which really takes the piss. So if it had been busier then there would have been just us to taxi their patients to hospital.

  11. I was watching David Cameron's speech yesterday, and I am no tory but I was thinking, yeah, the NHS is still messed up and has too many targets.

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