Sunday, 20 March 2016

DIY,DIY,DIY must do DIY

Easter is here and the long DIY weekend starts. How many falls from ladders and other home improvement related attendances will emergency departments see?
Locally Easter marks the traditional start of the influx of visitors to the local area. This leads to an increase in demmand on local emergency services.
These calls come when the service is already under increased demand due to increased call levels , so please think do you really need to call 999 could your problem be dealt with by a pharmacist, the local minor injuries unit or walk in centre? Please let's make sure ambulances are available for those that need them.
As I write this the clocks have gone forward British Summer Time has begun, the sun is shining the beaches are full. OH wait, a gale of wind , a hail shower and more rain on the way situation normal for a bank holiday weekend!
Lucky to have two days off this weekend and then back in tomorrow I am sure it will be a busy day but the one thing you can count on is that all of your emergency service and NHS staff and volunteers will be there to provide you the care and help you need.
Responder and Co responders gave 2009 hours of their own time yesterday to help those in need across the SWASTFT area yesterday, when you look at the bigger picture across the whole country how many hours were given by volunteers? The amount must be staggering.
I hope you enjoy what's left of the weekend and above all stay safe.

Saturday, 19 March 2016

Days off

A short blog this week as I have had a few days off this week so time to get out on my motorbike , catch up with some jobs at home and enjoy a take away.
A trip up to London yesterday to collect daughter from uni combined with a visit to the London Musuem of Water and Steam a great place if you are into that kind of thing.
There have been lots of posts on social media giving great feedback on the JESIP app, if you could be involved in managing an incident well worth downloading. It gives some great information and prompts on the principles of JESIP and how they should be embedded in our practice.
Time to enjoy the rugby now.
More next week.

Sunday, 13 March 2016

Busy, busy, busy

This week has seen me on nights over the weekend. Busy doesn't really sum it up!
As with all emergency services weekends bring a new set of challenges. Across the country it seems the NHS is creaking under the weight of demand put on it.
All three of my nights have been spent managing trolley waits in my local two acute hospital trusts.
Before even thinking about anything else I would like to give credit to the ambulance crews and hospital staff who have worked so hard to minimise these waits and  to continue to deliver high levels of care under difficult conditions.
So how do we solve this problem? If you can come up with an answer that does not cost money your on to a winner. Seriously though there is no magic cure , no magic wand that is going to sort these delays out. There are many systems  in place to help reduce the number of calls to ambulance services and reduce the number of patients that are conveyed to hospital emergency departments.
Do people expect to much from their ambulance services and hospitals, could their problem be dealt with by someone different. The answer is probably yes on both counts however do the public know how to access these other services , do they know that their GP surgery may be open over the weekend? Do they know that their pharmacist can help with lots of every day problems.
So how do we get those messages out there, press releases, adverts on TV and radio, social media.
As clinicians we also need to ensure we make use of the alternative pathways available to us to avoid admissions where possible.

Did someone mention social media? There are many health care professionals and organisations actively using social media to help deliver important messages to the wider community and far more use of this will be seen in the future.
This week also sees the budget and I like most of my colleagues wait to see what this will bring and the impacts it may have on us and our services.

Thursday, 3 March 2016

Variety, the spice of life

Another week gone and what a busy and varied one it has been.
I spent Monday to Wednesday on day shifts as operational officer for East Dorset. This involved a variety of tasks including scene command at a RTC, attending two fires both of which were false alarms luckily, as well as responding to other incidents.
By far the majority of my time was spent dealing with ambulance delays at the two local acute hospitals. Ambulance delays impact on our ability to deliver care to the local community however the one thing that was obvious this week is the huge amount of effort that hospital staff put in to try and solve these problems.
Combined working across the whole of the hospitals and partner organisations ensures that these delays are kept as short as possible.
Today was spent carrying out a my career conversation with a member of my team and a workplace health and safety inspection. 
As you can see a varied week with a variety of challenges that what makes my job so intresting.