Download Patient`s Congress 18 October 2012 Green Lane Centre, Whitby

Patient’s Congress
10 October 2013
Sneaton Castle, Whitby
Welcome
Henry Cronin
Lay Chairman
Linda Lloyd
HEN rep for Whitby and surrounding areas
CCG update
Dr George Campbell
GP and CCG Governing Body Member
Latest developments
• Children's and maternity services at The Friarage
Hospital
• Fit 4 the Future
• CCG finance update
• Urgent care project update
Group discussion
Group discussion – NHS services in Whitby
Members will be asked to discuss what they would
like to see from their NHS services in Whitby and
the surrounding area
Feedback and next steps
COMMUNITY FIRST RESPONDER
SCHEME’S
Community First Responders save lives!
What is a Community First Responder?
Usually (but not exclusively) a lay person, who makes
himself or herself available to be dispatched by the
Emergency Operation Centre, to attend specific life
threatening emergency incidents.
A person is trained in basic life support (BLS) and
the use of an AED (Automated External
Defibrillator).
The Community First Responder (CFR) is expected to
arrive at the scene of the incident in advance of the
conventional ambulance but is by no means a
replacement for the ambulance.
What qualities would a Community First
Responder need?
• Willing to dedicate some of their own time
• Over the age of 18 – no upper age limit
• Full Driving Licence for > 12 Months (< 6 penalty points)
• Completion of an enhanced DBS disclosure application
(previously CRB)
• Occupational Health document (questionnaire)
• Willing to undergo training (community based)
• Prepared to use your own vehicle
• The ability to stay calm and composed in difficult situations
Why Use Community First
Responders?
• 6000 Square miles - Geographically
• > 5 Million Residents
• 61 Ambulance Stations
• 247 Front Line Ambulances
• 154 RRV’s
• National Service Framework (NSF) for
Coronary Heart Disease
• Return Of Spontaneous Circulation (ROSC) –
Survival to Discharge
• Community Responders Save Lives
EMERGENCY DEMAND
ACROSS YORKSHIRE
•
APRIL/MARCH 06/07
569,773
•
APRIL/MARCH 07/08
626,961
•
APRIL/MARCH 08/09
671,700
•
APRIL/MARCH 09/10
709,124
•
APRIL/MARCH 10/11
728,467
•
APRIL/MARCH 11/12
751,807
•
APRIL/MARCH 12/13
763,772
Community Resilience
Community First Responders across Yorkshire play a vital part
in helping Yorkshire Ambulance Service reach, treat and save
the lives of many patients.
•
Cardiac Arrest attended by CFR’s in 2011 – 2012 = 323
•
Cardiac Arrests attended by CFR’s in 2012 – 2013 = 502
Cardiac Arrests, attended by YAS CFR’s,
surviving to discharge =
57
Coronary Heart Disease
(CHD)
UK’s BIGGEST KILLER
•
•
•
•
•
•
2.5 Million people living with Heart disease in the UK
237,000 heart attacks each year – 126,000 male – 101,000 female
94,381 people died from a heart condition in 2012
1/3 of heart attack patients die before they reach hospital
41,000 of the 237,000 were under 75 years of age
Collectively Heart & Circulatory disease causes 1 in 3 deaths per
year – that’s 250 per day
• Cardiac Arrests 7160 across Yorkshire 2011-12
• Cardiac Arrests 8120 across Yorkshire 2012-13
• Daily average 22.24 Cardiac Arrests across Yorkshire
Community First Responder
Schemes in Yorkshire
Current Position May 2013
Area
No. of people in
CFR schemes
across Yorkshire
Number of CFR
Teams across
Yorkshire
Number of Static
Defibrillator Sites Across
Yorkshire
West Yorks
212
68
80
South Yorks
148
47
113
North Yorks
463
68
44
East Yorks
139
25
10
Totals
962
208
247
Life Threatening Calls
Heart Attack
Stroke
Diabetes
Asthma
Seizures
TRAINING NEEDS FOR CFR
• BLS (BASIC LIFE SUPPORT) - 8 HOURS
• AED (ADVISORY EXTERNAL DEFIB) - 8 HOURS
• 180 DAY REQUALIFICATION PERIOD - 3 HOURS
• ACTIVE AFTER 16 Hours
• ADDITIONAL BY–MONTHLY TRAINING - 2 hours
Training
Defibrillate (electronically stimulates the
heart)
Give early oxygen therapy including Basic
Life Support (BLS)
Comfort and reassure the patient, until the
ambulance arrives
How does the CFR scheme work?
•
Mobile Phone
•
SMS Text Messaging
•
Grid Reference for CFR scheme
coverage
•
Group Ownership of the scheme
•
Communication from YAS via
scheme team Leader
•
Equipment
YAS’ Commitment to You
•
Full training, on going support and help
provided by YAS
•
Access to Occupational Health professionals if
and when required provided by YAS
•
Car expenses paid for responding to incidents
requested by YAS
•
Equipment provided by YAS
•
Insurance indemnity and liability cover
provided by YAS
The Future
• More Defibrillators in more public places
(Osmotherley and Civic Centre, Northallerton are
recent additional sites)
• Additional code activations appropriate for CFR
to respond to as more advanced techniques in
airway management are developed and
introduced into the training.
• Improved hand held communication devices to
provide greater coverage and resilience in more
rural areas.
Thank you for your interest
and support
ANY QUESTIONS?
Yorkshire Ambulance Service and
Your local community needs you!
Any other business
• Q and A session
• Next event
• Please remember to fill in your
evaluation form
Thank you for attending