Elementary, Dear Right Honourable Ann Widdecombe

I may be late to the party but I felt it was time to come out of hiding to have a good old fashioned rant!

So, Richard Madeley of Richard and Judy fame managed to get the backs up of every single ambulance worker in the country with his badly written, badly researched tripe of an editorial about a crew who finished their break before going to the aid of a critically ill child. For those not aware the original story can still be found here. It should have come as no surprise when the article vanished, but it didn't take long for more of the gutter press to spread lies and mis-information and make slanderous, biased attacks on ambulance services and their staff. Why let the truth get in the way of a perfectly good story eh?! It seems to serve no other purpose other than to blacken our name and tarnish the public perception of the NHS as a whole and only goes to make a hard and volatile job just that little bit harder. This time we have The Right Honourable Ann Widdecombe to thank for providing us with one of the worst examples of 'journalism' I have ever seen.

"A BABY of eight weeks is facing possible disability for life as a result of an ambulance crew finishing its break before going on a 999 call."

Belittling the work of the ambulance, police and fire is a right giggle.....

I agree with what she starts with, 'I can think of few more genuine emergencies than a baby having a 'heart attack'. Neither can I. Unfortunately the cardiac arrest the poor child suffered is not the same as a heart attack; never has been, never will be, but that really is beside the point. The child was critically ill and should have had an ambulance quicker than 41 minutes. Why though was West Midlands Ambulance service solely reliant on a crew who was on a rest break? Obviously Mrs Widdecombe couldn't possibly blame the Tory cuts, must tow the party line after all (even when you've retired from office). We can't for a minute blame the lack of funding, not enough staff, not enough ambulances and too many calls for the delay can we?! Oh no... blame the greedy paramedics stuffing their faces ignoring cries for help from a dying baby.

She goes onto draw parallels between staff having the right to a rest break with babies having the right to live. In all seriousness, what does she expect?! Is this the Conservative ideal?! Ambulance crews working 12 hour shifts without the possibility of a break? What happens when we have finished our shift? Does she expect us to answer calls then too? What about before? Do we sign on when we wake up in the morning and offer to answer calls in our own cars? I'm sure she was never advised to starve herself for 12 hours at a time whilst on Celebrity Fit Club....

One of my favourite parts of the article was when she led with 'Members of that crew had better pray that if they ever need to call out the emergency services they don’t find themselves in a clash with a copper’s cuppa or a fire fighter’s elevenses.' It would have only taken asking one member of an ambulance crew to find out how rest breaks work. We have no idea what jobs are going on around us. We are dispatched by a computer (that computer's sole purpose is to assist us meet the government targets), and on the rare occasion we get a break at all, that computer makes us unavailable for that period and we cannot be sent a call. Does she really think that a crew would knowingly sit down and eat in the knowledge that a baby was in cardiac arrest around the corner? I think its disgusting to level such an unfounded accusation at a crew. As for interrupting elevenses, we all know that Trumpton are always at rest!!

As if that wasn't enough she went on.......

"It is bad enough when public servants worry more about their own safety than that of the public and refuse to enter 2ft of water or to hop on a bicycle without a helmet but when it comes to putting sandwiches before a dying baby and then defending such action as reasonable, Britain has sunk to a new depth."

Look at them all! Scum! Every single one of them in it for themselves....

I don't remember 'can expect to take regular abuse and beatings' as part of the job description of Paramedic, maybe I missed it. I was probably too busy stuffing my face while watching this model citizen use her public standing to earn a few extra quid prancing around on Strictly Come Dancing. Silly me! For the record Ann, yes, we do worry about our safety but that doesn't stop us doing our job. We just wear stab vests so it hurts less. I was recently at an award ceremony for my service where staff were given the Chief Ambulance Officers Commendation for bravery. There was a crew who were beaten with a fence post and still went on to treat their attacker despite numerous broken bones. A crew who continued to do CPR whilst being repeatedly stung by wasps. A crew who disarmed a man with a gun. A policeman who sat next to a burning motorbike to protect the man lying in the road. Crews who day in day out put their lives on the line and for what? For the appreciation of our wonderful politicians?! If Britain has sunk to a new depth it's because of people like you. People so deluded and out of touch, that they label the little people their servants. Ms Widdecombe is not alone. Only today Tory MP Christopher Chope refer to the House of Commons catering staff as his servants. It's YOU who is out of touch, YOU who should be defending actions and YOU who should be answering accusations of sinking Britain to new depths.

I don't recall her or any Tory writing an article about the members of the emergency services who have sustained serious, life changing injuries in the course of duty as one of their 'servants'. Then again when she has the opinion that 'the service exists for the benefit of those who staff it rather than those who need it' it's of no surprise that these articles are not forthcoming.

'The purpose of education is teaching the young, not keeping bad teachers in their jobs, the purpose of the National Health Service is to make people well, not to give doctors evenings and weekends off and the purpose of the emergency services is to protect the public, not the staff’s nosh. Elementary, Dear West Midlands Ambulance Service.'

The purpose of education is teaching the young, so stop moving the goalposts and start supporting your teachers. The purpose of the National Health Service is to make people well, so stop privatising it, cutting funds, cutting staff to line your pockets. The purpose of the emergency services is to protect the public, so stop trying to turn the public against us, stop cutting ambulance funding, stop cutting police numbers, stop reducing wages, stop taking away our pensions, stop expecting us to work for 12 hours with no breaks and stop lying. Elementary, Dear Right Honourable Ann Widdecombe.

Oh and just for the record, you of all people should know that we the ambulance services are NOT emergency services. We are essential services. School girl error there! And I thought you were an educated woman, how on earth did you land the role of questionmaster in Cleverdicks?! They certainly didn't teach you the art of investigative journalism in your time at Birmingham University or Oxford! (See what I did there? Researched! You should try it some time.) You simply cannot put an article making sweeping statements into such a public forum, full of conjecture based on inaccurate information. It is nothing short of negligent, especially from someone with your social standing.

Like Ann, I also rage against the society we have become and when I heard about Thomas Passant it was indeed upsetting and heart wrenching. As a parent I know only too well what I would be feeling in that situation but putting food before the life of a child is not what we have become, not what we have ever been nor will ever be. We will always, always always try everything in our power to help anyone who needs it whether or not we have eaten, whether or not we have had a break, whether or not we have been at work for 14 hours already and whether or not we may get hurt along the way. We certainly don't work 80 hour weeks, 12 hour shifts, long nights, take abuse, receive violence and take repeated public attacks from washed out politicians for the money! £10.12 an hour is only tolerated because it's a job we love. If I wanted money and an easy life I'd work in McDonalds or go into politics. I reckon I'd be rather good at fiddling expenses and reality TV! Maybe that's what I'll do!

Perhaps Ann Widdecombe would like to come for a 12 hour night shift on a Friday (Or Richard Madeley). Would she be happy to face her adoring public in their time of need? Would she like to explain the real cause of the delays? Would she be happy to interrupt her rest break for a 43 year old male bleeding from the wrists, holding a knife and threatening to stab the first person through the door? Come on Ann! It'll be fun! I'll bring the nosh! Or maybe you'd like to find somewhere safe and warm, paid for by your servants, and write about it instead.

'Nero fiddling while Rome burned is the image which comes to mind.' Indeed.

Dial 999... & wait?

"A country in apparent shock at having to wait for an ambulance"

On Monday 3rd September the BBC aired a programme called 'Dial 999...& wait?' detailing the failings of the emergency services in this country. It's shocking isn't it; having to wait for something? Just terrible. Like with most documentaries, articles and reports about the emergency services, we all come under attack. I say all, as per usual the PR department for the Fire service has been working overtime so they came away unscathed. There was no such escape for the Police and Ambulance services. The culture of targets and response times was what the programme was about and, rather than talk about the real causes, it just highlighted the failings of the services using some well-placed stories about people suffering due to waiting times. 

First in the firing line was the police; the shocking statistic that out of 1 in 5 calls made, the police take more than 15 minutes to arrive. Outrageous. We surely expect more from our police?! I wonder what the government had to say about it... oh yeah, they declined an interview. Obviously the cuts are to blame, there is no denying that; a 20% budget cut is huge, but instead of doing a programme blaming the government they blame the police for basically being greedy. The short interview with Andrew Haldenby from the "think-tank" Reform showed only the attitudes of those not directly involved in working with or in the police. The police have 'never had more money than they have now' and 'for far to long, forces have rested on their laurels'. If cuts are being made, services will be affected. The reason the police have more money now than ever before is because year-on-year the call volume goes up. Don't for one minute believe isolated statistics of a decrease in crime; it is simply that the type of crime is changing. The police still require resources to deal with the 100's of 1000's of daily calls. This call volume will not change, yet somehow, on skeleton staff, they are expected to arrive anywhere within minutes of a call.

The example they used of peoples' suffering was a shop owner who had been burgled. She was 'shocked' at the police not arriving for 20 minutes. How many shop alarms are triggered each night? How many violent assaults are there? How many domestics? How many hoaxes? How many RTCs? How many requests from the ambulance service? How many raids are being done? How many criminals are being hunted? That is just a fraction of the work our police force is doing. In the London borough where I live there are about 330,000 residents. The borough covers 87 square kilometers and is the second largest in London. While chatting to an officer a few weeks ago on a Sunday morning, he told me there were only 13 front line officers responding to calls. He also told me he remembers when there were 30+. It's no surprise that with such huge cuts low priority calls like a shop alarm are getting a delayed response. To be perfectly honest I'm 'shocked' that the police got there so quickly.

Avoiding the fire, ironically, was the Fire Service; no shock there. No talk of missed targets, only that they arrived at a fire within 6 minutes. To be fair, it is easy to arrive anywhere in 6 minutes if you are sitting and waiting for that call to come in and get to spend all day perfecting the art of getting into your vehicle quickly. Last year the London Fire Brigade had a budget of around £437 million compared to £288 million the Ambulance Service got. They received 230,000 calls compared to the 1.6 million the London Ambulance Service received. They attended only 138,385 calls compared to 1.2 million that LAS did. They did so with their 5800 operational staff (almost double that of the ambulance service) from their 112 fire stations (compared to the ambulance service's 70), and of their calls attended, only 29,215 were fires. That is about 80 a day across London. Considerably less than 1 per fire station. Is it any wonder that they are able to respond quickly?! What was highlighted by the programme though was the crippling cuts that they are now facing. A whopping 3% in their budget! Wow! How will they cope?! Maybe they will have to send less than 25 fire-fighters to rescue a seagull from a 3ft pond. Oh wait... they refused to go in; they just sat around and watched a member of the public go in. Yes, THIS happened. Click here. It's weird how all of these facts and figures were omitted from the programme, hmm?

Saving the best until last, the Ambulance Service came under attack for people having to wait. They opened with a tale of an elderly lady waiting on the floor for hours, with the addition of an interview from her daughter about how terrible this was. I agree. In an ideal world no one would have to wait for an ambulance, least of all our elderly population. Unfortunately, the medical world uses a triage system based on what the caller tells the call-taker. As horrible and uncomfortable as it is, an elderly lady with a knee injury is not a high priority and when there are only a handful of ambulances covering a large area priorities have to be made. In this instance it wasn't life or death. Who knows what other calls were in progress. Long have I banged on about the fact that time wasters and nonsense calls just need to be told 'NO'. Sadly, Panorama decided to interview Tony Hughes for the GMB union who decided to highlight the few calls that slip through the net and are wrongly triaged. SO WHAT?! Out of the millions of calls the services receive that is bound to happen every now and again. There are not enough ambulances and staff to send one to every single 999 call that comes in.  Fact.

What annoyed me most about the programme was the failure to highlight the cause of these delays and lack of ambulances. Yes, we have faced cuts like everyone else but as of yet it hasn't had a huge impact in the amount of ambulances working on the front-line. The problem is that the call volume is going up year on year. This wasn't mentioned once. Nor was the massively high proportion of calls that we go to that are a complete waste of time and resources. No mention of the alcohol related calls we go to, the hoaxes, the split nails, the stubbed toes, the headaches, the colds, the can't sleeps, the noise in ear, the finger injuries, the needing a lifts to hospitals; basically 80% of the work we do. No mention at all that the delays people are facing are caused by the public's misuse of its ambulance service. Despite all of that though, for the first time all of the services met the category A target of reaching 75% of life threatening calls within 8 minutes. Instead of leaving it there and heaping praise on the service they interview people to highlight the apparent cheating that is going on. Calls being downgraded to meet the target? Calls being upgraded to meet the target? Is there any proof that this goes on? All ambulance staff, myself included, moan about the conspiracies, the stitch ups and mis-categorising of calls, but personally I don't think this is done to meet targets. The categories of calls change as new information comes in and I think it's highly irresponsible of Panorama to throw out accusations without a scrap of evidence. Then again, who ever said investigative journalists were supposed to research...?!

In the presenter's introduction he said 'What happens when the ambulance service decides you're not sick enough to get an ambulance?' Well as far as I'm concerned the answer is pretty simple; you don't get an ambulance because you are not sick enough. If the public and the media want an ambulance immediately then give us a budget proportional to the calls we attend. Based on the London Fire Brigade's budget per calls they receive, the London Ambulance Service's budget should be around £3 billion a year. Now mirror that across the across the country and you'll see the shortfall we face. Just imagine how quickly we would arrive with that budget at our disposal! We could probably all sit around waiting for calls, practicing getting into our ambulance really quickly, sending 5 ambulances to an elderly faller and do countless public demonstrations of our equipment... ring any bells? People expect miracles and in this economic climate miracles are not going to happen. 

So, you dial 999....& wait?! Yes. That's life. Build a bridge and get over it.

Hospital Corridors.........

"48 year old male, RTC car vs car, neck pain"

A pretty average job on the surface. A low impact collision, two patients with neck pain, no real trauma but all the necessary immobilisation precautions needed to be taken. Our patient was a big lad. We collar and boarded him, gave him a full assessment and took him to hospital. The other crew did the same and we arrived within minutes of each other. It was the arrival at hospital where winter pressures and government cuts were there for the everyone to see. As we entered the corridor leading to the A & E department we were greeted by 4 crews. Each with their patient on a trolley bed. Sitting patients, waiting to hand over to the nurse. With our two patients that made 6 trolly beds, 6 patients and 12 staff. There were long delays to hand over due to a lack of capacity in the hospital.  Within 20 minutes of us arriving another 5 crews arrived with their patients. That is 11 trolly beds, 11 patients and 22 staff. 11 ambulances were sat outside, unmanned and unable to answer calls. Out patient began to get distressed about the delay. Bear in mind lying on a spinal board, with a collar round your neck and strapped down is not comfortable. Add to the the pain you're in, the lack of privacy, the need for the toilet and the view of a dirty, tiled suspended ceiling and no one would be happy. We made a number of attempts to get the spinal patients assessed so we could let them out of their prison but all requests fell in death ears. All in all, we waited just over 3 hours for a handover and we were 5th in the queue. I have no idea how long number 11 had to wait. It's also worth noting that the 4 hours hospitals have to discharge or admit a patient doesn't start until they have been handed over! 

We are not far from this.......

Recently the media has latched onto patients waiting in hospital corridors due to a lack of beds. The problem is, it is a seasonal story, repeated every year. They want to blame. Whether it be through political agenda or personal opinion the same inaccurate stories (usually the Daily Mail) are published. The problem is, it isn't anything new, it happens all year round, every single day, the only difference being, in the winter there are more people waiting than normal. Hospitals are at bursting point and until the 'winter pressures' have passed it won't ease off. And let's make one thing clear, it isn't a physical lack of beds that cause the problem. It is a lack of staff to look after the patients, and a lack of staff caused by a lack of money. That lack of money is a direct result from mindless government cuts. I'm not saying cuts don't need to be made, they do, but cutting hospital staff where they are needed most is crazy. In hospitals all over the country, wards lie empty, in darkness, locked from the world.  That is why ambulance crews line the corridor waiting to offload their patients. There is nowhere to put patients who need admitting. 

It's all well and good though, making us wait in a corridor, but what effect is this having on the public? Call volume for the ambulance service is hugely inflated at this time of year as it is, factor in 11 ambulances waiting at 1 of the 30+ A & E departments and it's easy too see how the precious government targets are being missed. The increase in call volume has a knock on effect for every hospital and with decreasing bed availability the hospital corridor is the only place left to put them. The hospital corridor however loses the monitoring ability and resources a cubicle has, it loses the patient confidentiality the NHS constantly tries to protect and it loses the dignity that our patients are so keen to protect. The media is correct that waiting in corridors is an outrage but they should turn their blame and attentions to the only place which can do something about it. Westminster. Until policy makers wake up and realise their drastic cuts are causing irreversible damage to the health care system which is in turn costing lives, the waits, the queues and the frustrations will continue to grow.