Clinical Services

Clinical Services

We are proud to be CQC registered and to have achieved 16 outstanding practices in our last inspection. We offer caring and professional service which is not only valuable in supporting our patients and the public but is integral to us providing high quality, supportive and realistic placement opportunities for our students.

Supporting a number of clients for over 5 years, including:
- North East Ambulance Service NHS trust
- North West Ambulance Service NHS trust
- Yorkshire Ambulance Service NHS trust
- St John Ambulance

As education and training is at the heart of our organisation, all clinical staff hold nationally recognised qualifications that mirror those within the NHS as well as mentorship and assessing awards. Our Paramedics are registered with the HCPC (Health & Care Professions Council).

There was a genuinely open culture in which all safety concerns raised by staff, people who use services and from the NHS Trusts from which the service sub-contracts, are highly valued as integral to learning and improvement.

Robust investigations were carried out. Feedback and lessons learnt because of incidents were shared amongst staff.

There were reliable systems in place to prevent and protect people from health-care associated infections. Infection prevention and control procedures were embedded.

Equipment and vehicles were well maintained.

Medicines were stored and handled appropriately and regular audits took place. Patient group directions were in place and all were signed and in date.

Safeguarding vulnerable adults, children and young people was given sufficient priority.

Record keeping was in line with best practice. Records were stored confidentially and an audit of all the patient report forms allowed the management team to benchmark and ensure that staff were following the correct care and treatment for patients. The management team would feedback any underperformance to the crews and take appropriate action.

Staff were aware how to detect and respond to deteriorating patients and followed national guidelines. A national early warning score was used to detect early deterioration. Crews could access advice and support from a clinical hub at the NHS Trust from whom the service sub-contacts.

Staffing was managed by a resource manager. All shifts were able to be covered. Shift patterns were in line with the working time directives.

The service had a proven track record in the management of first on scene at a major incident and exercising their business continuity plan.

A range of pathways were used that complied with the National Institute for Health and Care Excellence (NICE) guidelines and the Joint Royal Colleges Ambulance Liaison Committee (JRCALC) guidelines. These pathways were from the NHS Trust from whom the service sub-contracts.

An audit of patient report forms captured if the pathways were followed correctly and we saw evidence of learning when this was not the case.

Key performance indicators were audited and results were excellent.

Patients had their needs assessed and their care provided in line with evidence-based practice

Response times were in line with the NHS Trusts from which the service sub-contracted. If the service did not meet the response times then the NHS provider would contact the management team who would investigate.

Training and education was high priority and a strong focus for the service. The service worked in close collaboration with their sister training and education organisation. They provided training programmes for the emergency care assistant and ambulance technician roles and supported their staff through these programmes.

The continued development of staff skills, competence and knowledge was recognised as being integral to ensuring high quality care. Staff were proactively supported to acquire new skills.

The service was committed to working collaboratively and had taken part in joint training sessions with the fire and rescue services and the mountain rescue teams.

If you want to read the full report you can view the PDF here, or you can view it on the CQC website following this link,
http://www.cqc.org.uk/location/1-2473227719

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