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Joint Royal Colleges Ambulance Service Liaison Committee (JRCALC) Conference

Joint Royal Colleges Ambulance Service Liaison Committee (JRCALC) Conference. “What does the Ambulance Service need from JRCALC in the New Millennium?”. A.S.A. Video. The Ambulance Service Map. 32. As at 12:00Hrs 3 rd November 2000.

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Joint Royal Colleges Ambulance Service Liaison Committee (JRCALC) Conference

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  1. Joint Royal Colleges Ambulance Service Liaison Committee (JRCALC) Conference

  2. “What does the Ambulance Service need from JRCALC in the New Millennium?”

  3. A.S.A. Video

  4. The Ambulance Service Map 32 As at 12:00Hrs 3rd November 2000

  5. “Where does the Ambulance Service see its Future Strategic Direction?” How can we Help?

  6. Towards Perfect Vision 2010 Strategic review undertaken by The School of Health and Related Research, Sheffield University. Draft Report scheduled - December 2000

  7. Public Safety Public Health or Health Care Arm of the Emergency Services Emergency Arm of the Health Care Service

  8. Current Issues • Role (scope of practice, disasters  home care; is ‘ambulance service a good name) • Organisation (links, mergers, networks, etc) • The ASA and the NHS confederation • Demand and demand management, targeting and prioritisation • Management staff (NHS / AS) • Operational staff (lay, drivers,EMTs, paramedics, PECS, nurses and doctors, control room staff) • Operational Technologies (IT, vehicles, AVL, GIS, EMD, digital radio)

  9. Current Issues • Therapeutics (telemetry, drugs, thrombolysis, etc) • Variations in practice and protocols (audit) Evidence based practice (research) • Protocols (therapeutics, timings, treat and leave, by passing, etc) • Clinical Skills (education and training, maintaining skills, rotation) • Performance standards (time,clinical practice,c-calls, outcomes) • Non-emergency work (PTS, NHS Direct, etc) • Voluntary sector (St. Johns / Red Cross) • Funding (economic viability; funding levels; local contracting) • Legal and regulatory framework (clinical governance ..)

  10. Options for the Future • The Organisation of Ambulance Services • Links, Mergers and Networks • The Emergency Health Care Trust

  11. The Journey To-Date Clinical Role of Ambulance Services 1970/80 Millar Ambulance Personnel 1990 Paramedics & Emergency Medical Technicians 2000 State Registered Paramedics 2005 Practitioners in Emergency Care

  12. Professional Registration a pre-requisite • Evidence Based • ‘Selective’ Clinical Skills • Guidelines for Clinical Judgement Clinical Practice

  13. 0845 46 47 0845 4N HS (Direct)

  14. NHS Direct • Walk-in Centres • Capacity Management • GP ‘Out of Hours’ Review • On-line Services • Web Cam Facilities

  15. Millennium Ambulance Service

  16. Bashed Bashed JRCALC Bashed Local Medical Steering Committee CHI Bashed Bashed Individual Clinicians NICE Clinical Practice Bashed Bashed Faculty of pre - Hospital Care BASMED Bashed Medical Directors BAEMS j BASICS

  17. Medicines Commission Medicines Control Agency A.S.A. JRCALC Ambulance Education and Training Committee Clinical Effectiveness Committee • Standard Protocols • Clinical Leadership • Evidence Based Practice • Lead Advisory Body on all Clinical Issues

  18. The NHS Plan 21st Century Service for the needs of the Public

  19. The Millennium Ambulance Service will :- • Develop its capability and potential for an enhanced integrated role within the primary care setting • Maximise the advantages to be gained from the developments in clinical treatments and telemedicine technology • Provide the emergency communications gateway for the National Health Service • Stronger medical influence through the appointment of Medical Directors

  20. The Millennium Ambulance Service will :- • Audit and Evaluation (in partnership with Primary and Secondary Care providers) • Clinical outcomes determining future practice • Enhanced interventions within the community (Practitioners in Emergency Care) • Community programmes of education in CPR and automatic defibrillation

  21. The Millennium Ambulance Service will :- • Integrated and seamless pathways of care • Single gateway for emergency access • Enhanced response performance (90%) for life threatening conditions • Application of digital technology and telemedicine leading to the introduction of mobile health care

  22. 999/112/08 45 46 47 Single Gateway • Health Development • Health Information • Health Promotion • Chronic Disease • Management Emergency Ambulance Nurse Triage Sub-structure ‘electronically networked for home care diagnosis’ Full range of patient telematics Electronic Access

  23. That’s all Folks

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