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«NWAS PARAMEDIC RECEIVES QUEEN’S HONOUR Paramedic, Frederick Lawrence is amongst the most recent recipients of the prestigious Queen’s Ambulance ...»

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Issue RB267 – 23 05 15 Issue 190 – 23 June 2015

Welcome to the Weekly Regional Bulletin which is issued every Tuesday and designed to make

sure staff have regular access to all key Trust information in one place.

If any staff members have any comments or feedback they would like to share with the team,

please feel free to get in touch by emailing: nwas.communications@nwas.nhs.uk.


Paramedic, Frederick Lawrence is amongst the most recent recipients of the prestigious Queen’s Ambulance Service Medal (QAM) for Distinguished Service which was announced in Her Majesty the Queen’s Birthday Honours list on Saturday 13 June.

Frederick Lawrence, who has 37 years’ service to NWAS has received the QAM for his, “tireless work training and influencing many of the paramedics working in Greater Manchester today. He continues to support new staff in many roles within his ambulance service using his vast experience to inform and influence the next generation of healthcare professionals.” Having only been told about the QAM a couple of weeks ago, Frederick was delighted to see his name appear in the honours list printed in the London Gazette earlier this month.

Speaking of his honour, Fred said: “I was surprised and humbled to be considered for this medal in recognition of the work my colleagues and I deliver to train a wide range of ambulance crew members at all different levels.” Fred, who is also involved in writing and reviewing training books for ambulance crew and writing examination questions for Edexcel, is now awaiting a letter from the Palace to let him know when he will be collecting his medal which is expected to be later in the year.

Congratulations Fred!


One of our emergency call handlers has been hailed a ‘hero’ for helping a mum to save the life of her two-year-old boy who was choking on a 2p coin at their home in Little Hulton.

With the coin lodged in Archie’s throat, frantic mum Vicky Martin called 999 and spoke to Emergency Medical Dispatcher (EMD), Zoe Scott who talked her through exactly what she needed to do to get the coin out. Calming Vicky down, Zoe instructed her to undertake abdominal thrusts on the toddler which got the coin out and saved Archie’s life.

Meeting her ‘guardian angel’ in person for the first time last week along with son Archie, Vicky talked about how calm and supportive Zoe was in giving her clear instructions and focusing her mind on what needed to be done.

Vicky, who presented Zoe with a bouquet of flowers, told her that she is ‘her and Archie’s hero,’ she said: “When Archie had the 2p coin stuck in his throat, as you can imagine, I was in a complete state hysteria and my mind had gone completely blank. Zoe answered my 999 call and somehow managed to completely calm me down and talked me through exactly what I needed to do.

"Without her calming influence and prompt instructions I know for a fact my little boy would have died, he wasn't far off when we got the coin out. That day Zoe turned up for work we found our guardian angel.

“North West Ambulance Service doesn’t get enough recognition for the amazing work all their staff do. It is beyond important and I can’t put a value on all their fantastic work. I have now signed up to a first aid training session – I’d advise any parent to sign up to a session so they’re prepared if it happens to their child.” Archie’s story has caught the attention of local media and the reunion between Archie, his mum Vicky and our life-saving EMD, Zoe was broadcast on Granada Reports on Wednesday 17 June.

Zoe Scott, said: “It’s an honor to be called a hero but it’s part of my everyday job. I’m so grateful for the outcome. It was amazing to meet Vicky and Archie now he’s all better. Things like this make my job worthwhile and it’s lovely to feel so appreciated.” JESIP – TRI-SERVICE REVIEW 2015 – STAFF SURVEY All staff members are asked to take part in this short online survey which gives you an opportunity to have your say on the Joint Emergency Services Interoperability Programme (JESIP).

Her Majesty’s Inspectorate of Constabulary (HMIC) – along with colleagues from the Chief Fire and Rescue Adviser (CFRA) and the Association of Ambulance Chief Executives (AACE) – has been commissioned to review how well JESIP has been embedded into routine work of the three blue light emergency services.

They are asking members of staff and officers at all levels of the three emergency services about their understanding of JESIP. The issue of how our services work together is hugely important as it affects the safety of the public. Staff views and experiences are essential to be able to produce a fully informed overview of the programme.

The survey should take no more than five minutes of your time to complete and responses are completely anonymised.

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The visit was arranged in collaboration with the Greater Manchester Community Resuscitation Team, and Lisa Stanway from the team provided education and Basic Life Support (BLS) and AED training. It was a great success and Ryan asked many questions finding that he had some fantastic positive knowledge about the ambulance service.

Kate and Lisa, said: “It was a pleasure to meet Ryan, he was open and honest about his previous reasons for ringing 999 and asked many questions, which I am sure he will take back to his school and peers, he is a delightful young man.” Ryan’s support worker passed on thanks and agreed the visit was a great success, he said following the visit Ryan could not wait to get home to tell him mum about what he had learnt. He was presented with a certificate for his achievement following the visit and BLS/AED training and is going back to his head teacher and peers with the offer of rolling out this training to them.

The frequent caller team will be in contact to further support Ryan if required, and ensure he is supported in the healthcare system.


The campaign was set up by the Lesbian, Gay, Bisexual and Transgender (LGBT) Charity to combat bullying and offensive behaviour in the workplace, encouraging staff to challenge the behaviour when and if they see it.

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More information on the campaign can be found at www.nobystanders.org or www.stonewall.org.uk If you require any further information or support from the LGBT Network please contact via LGBT@nwas.nhs.uk

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I always happy to develop my skills and have been advised to attend a motivational interviewing course, as part of my CSP role. Motivational interviewing is a technique whereby the patient is encouraged to talk more than the healthcare professional and ultimately take responsibility for their own health. Our role as healthcare professionals is to encourage this responsibility utilising a variety of techniques. Although not wholly applicable to those with a genuine emergency, in an ambulance service where 90 per cent of our workload is urgent care work, this technique can be applied successfully to a number of our patients and when used well, could reduce future calls. The day was delivered by two ladies with a nursing background, with not a power point slide in sight. A really thought provoking day and I take away useable skills and techniques.

Wednesday Today I am driving an RRV, spending the morning observing with the Children’s Community Nursing Team. The team promote a lot of early discharges from ED at MRI, they have an excellent skill remit and are very knowledgeable. They undertake home visits and clinics for a number of paediatric conditions and support inhaler therapy through acute onset respiratory conditions such as bronchiolitis and exacerbations of asthma. The team encourage the patients and parents to follow a plan of action and are available from 8.00am until 10.00pm every day. I am keen to look at any opportunity whereby NWAS could link into this team for our paediatric patients eliciting 4 pathfinder amber outcomes. In the afternoon I met with one of the two nominated GPs at Chorlton Family Practice responsible for care planning. We have agreed to start by creating a Community Care Plan (CCP) for every care home resident in the two care homes attached to the surgery.

Thursday This morning I attended the weekly Chorlton Good Neighbours meeting which is a local charity and successful Neighbourhood Care Group looking after mainly older people in our community, including the wards of Chorlton, Chorlton Park and Whalley Range, Manchester. The volunteers work to ensure elderly people do not become isolated, encourage socialisation at ability level and provide for basic health needs through invitation of opticians, podiatrists, nurse clinics etc.

The group have been fundraising for and have purchased an AED, so the group would like to know the best location for storing it. I consult with Dave McNally for advice and feedback to the group and I’ve agreed to deliver AED and CPR training, along with a presentation about pathfinder and possible ambulance call out outcomes. Next week, I’m going to observe ACM Janet Martin within the group’s drop-in session. The session enables attendees to approach the nurse with questions relating to increased falls, medication queries and blood pressure checks. The session is exceptionally popular and successfully averting predictable deteriorations through early intervention. There is scope for me to become a second clinician at this clinic setting. I spend the remainder of the day completing CCP’s and being available to respond to 999 calls.

Friday Embedding myself within the local community is a key aspect of my role and the time spent this week observing and meeting with healthcare colleagues and groups is crucial to my role. Today, I observed with the Intermediate Care Community Assessment Team. The team have a bed base at Gorton Parks for those who cannot be at home independently due to a temporary recent decline in functioning but whom do not need to be hospitalised. The team also has a community assessment element, whereby they receive referrals from GPs, Social Workers, families and NWAS to conduct an assessment and implement any aids that may be required to improve wellbeing, such as, physiotherapy, lifeline pendants, grab rails or perhaps a step-up to the bed base unit for up to six weeks. The team is already known to local crews as they receive our falls and diabetes referrals, they are an excellent team due to the thoroughness of the assessment conducted on their visit. In the afternoon, I’m available to respond to RED1 & RED2 calls within a two mile radius.

SOS EMERGENCY WRISTBANDS – 24/7 MONITORED SERVICE Plus Dane Housing are promoting their emergency SOS wristband service therefore you may come across someone wearing one. These bands are very different than the traditional SOS talisman as a telephone number is printed on the band that is monitored 24/7 it also has a

unique ID number that identifies:

 Who the person is and where they live  Important medical information  Emergency contacts that the person has nominated to be contacted in an emergency

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Mastercall, provider of the GP referral schemes within Stockport and Trafford have kindly provided patient information and feedback on a recent referral made to the Stockport scheme. This patient study clearly illustrates the importance of these schemes to patients, who experience better outcomes and safe care closer to home. The patient concerned, is 99 years of age and suffers from dementia.

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However, quite quickly Mr B. seemed to be having real difficulty with his mobility, he was struggling to get out of his chair. The interim carer was concerned about his overall condition and decided to call 999.

Mr B’s mobility started to improve and when the ambulance crew arrived, Mr B. was clinically assessed, with a full set of observations taken and reviewed.

Mr B. could now mobilise to a normal level but obviously did not want to be taken to hospital. After assessing the patient, the clinician decided that Mr B. could and should be transferred to the local GP referral scheme as this was most appropriate for his immediate and ongoing care needs. A call was made to the local scheme, a clinician-toclinician discussion took place about Mr B. and the GP agreed that he would visit the patients home later that day.

Just under an hour later, the GP from the referral scheme arrived to assess Mr B. The GP assessed Mr B’s condition again and noted that Mr B. appeared to feel tired but that he was eating and drinking well and his pulse and blood pressure were all normal.

After chatting with Mr B’s daughter, the GP recommended that the frequency of Mr B’s B12 injections be increased from twelve weeks to every ten weeks. He also recommended to Mr B’s daughter that a pressure relieving mattress might be of benefit to Mr B.

The referral to the local GP service ensured that, despite his main carer being away from home, Mr B. was supported and enabled to remain in his home, in line with his and his daughters wishes.

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The group is private and has a disclaimer to ensure specific Trusts and incidents are not mentioned with the main aim to offer peer support from like-minded people particularly following an illness or injury but also just offering somebody to talk to.

To find out more about the group, visit the BLIPS public Facebook page, facebook.com/BlueLightPeerSupport or to join the private support group which is for emergency responders, follow this link: http://www.facebook.com/groups/914456385243185/.

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Clare Crystal – Clinician Clare is 42 years old and lives in Urmston. She previously worked for NWAS as a Paramedic for the South Manchester Group. Clare decided to come to the 111 service for a change in career and as she worked on the rapid response car, it was a safer option.

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