Medical emergencies
Sponsor: Assistant Director Response - ID no. 5
Area of focus
There is a significant number of people in Kent and Medway who have complex medical needs. We are an ageing population and the impact on healthcare services is increasing. We see the direct effect of this as we are now being requested to attend more calls to assist the ambulance service. We believe we can help by providing support within our communities.
Addresses
Risk 9: Medical emergencies
Strategic priority
Improve our capacity and capability to assist the ambulance service in responding to medical incidents. We want to improve customer outcomes from these types of emergencies by providing timely and effective support.
What we currently do to reduce the impact
- Work with partners agencies to identify those at risk of falls, or other vulnerabilities, through our safe and well visits.
- Ensure we have firefighters trained to an advanced first aid standard (IECR).
- Give our firefighters training and equipment, recognising that treating, lifting, and moving patients is a specialist skill.
- Evaluating which of our resources are best placed to deal with this additional demand so that it does not adversely affect our ability to respond to fires and other emergencies.
- Continue to work with colleagues in the ambulance service to further improve our response.
How we respond to the impact
- Further integrate medical response into all fire and rescue operations.
- Respond with equipment that is designed for the task, improves patient outcomes, and reduces risk to our colleagues.
- Allocate the right resources to the incident depending on need – this may mean that in non-life-threatening circumstances we send a resource that is slightly further away or not on an immediate response.
New actions to deliver the strategic priority
- Review the way we currently provide ‘assistance to ambulance’ and implement changes in policies, procedures, training, and equipment to deliver improved outcomes in a more efficient and sustainable way. Agree any improvements, in consultation with partner agencies in the health sector.
- Hold regular meetings between fire and ambulance services to discuss ongoing collaborations, review case studies and address operational challenges. This will help identify areas for improvement.
- Ensure that our colleagues understand when and how to raise issues involving medical vulnerabilities (for example during Home Fire Safety Visits).
- Work with partners in the health sector to further improve the identification of fire risk in the home to people with complex medical needs (we know there is a strong link between vulnerability and fire). For example, following up hospital discharge with safe and well visits.
- Improve our post incident arrangements (the things we do after someone has had a fire or emergency in their home) to ensure we are signposting potential increase in vulnerability to other agencies (we know a fire in the home can result in a big increase in the vulnerability of people living there).
- Liaise with ambulance service to assess the impact / helpfulness of our response.
Performance indicators
Incidents:
- Number of gain entry incidents requested by the ambulance service.
- Number of complex and non-complex rescues measured by emergency and non-emergency response.
- Time spent on incidents assisting the ambulance service.
- Time taken to triage customers using the clinical helpdesk before the ambulance service arrives.
Community:
- Number of targeted home safety visits that highlight complex medical needs and referral for a safe and well visit.
- Number of referrals from other agencies for customers with complex medical needs.
- Population age profile.
- Population disability profile.
Colleague preparedness:
- Immediate emergency care qualifications in date (clinical governance).
- Complex rescue training in date for all operational colleagues.
- Number of musculoskeletal injuries due to work.
- Health and safety incidents related to manual handling
Interdependencies
ID No. 6 – Medical Emergencies occurring at water rescues.
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