Welsh Ambulance Service aiming to reduce handover times

Speaking at the Welsh Ambulance Services NHS Trust’s bi-monthly board meeting, Chief Executive Jason Killens gave an update on the action being taken on handover times, both by the service itself and by working with other partners such as the health boards.

He told members that good progress had been made under its new immediate release directions policy.

This policy is to deal with ‘red’ (immediately life-threating) or ‘amber one’ (serious but non-immediately life-threatening) call-outs, were there is no ambulance available to immediately respond to that patient locally because the fleet is delayed at an emergency department handover.

What that situation happens, the service makes a request to that emergency department for the vehicle to be released immediately and the trust is monitoring compliance with those directions.

Jason Killens, Chief Executive of the Welsh Ambulance Service NHS Trust

Mr Killens said: “What we are able to see in the data which we share weekly with health boards is a good improvement in compliance with red immediate release directions, and some improvement in compliance with amber one but there is always more to do. Overall we have seen improvement as a result of the new policy.”

Where the service has not seen in improvement is reducing the hours lost to handovers, with the service having aimed to reduce handover hours ‘lost’ by 25 per cent

Mr Killens said: “Regrettably, this is not going in the right direction.

“Last week it closed at just over six and a half thousand hours lost for the week. I think it’s our second worst week ever. This led to significant delays for some patients, so that’s gone the wrong way.”

Mr Killen said the service was working on eradicating delays of more than four hours, so that no-one is waiting more than that length of time to be handed over to an emergency department, but in the last week the service had experienced some “extreme” handover delays.

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He added: “While we’ve got some progress, it’s fair to report that in some of the actions that are the responsibility of health board colleagues that we work in partnership with to deliver, we have still got progress to be made.

“In terms of the action within our control, from my report earlier colleagues will see we have seen improvement (on sickness), we have our new rosters going live.

“For those actions within our control we’ve got progress, good traction on recruitment and we’ve got high confidence now that we will see genuine growth with a hundred full-time staff deployed operationally by January next year.”

The board was told the service will do whatever it can to help health board colleagues to reduce handover times ahead of what could be a difficult winter. Members of the public have also been urged to get their flu and Covid vaccinations to help reduce demand on the service.