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 CampbellGP 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.

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.

A person is trained in basic life support (BLS) and the use of an AED (Automated External

Defibrillator).

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 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

Community Resilience

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 2013Area 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

StrokeStroke

Heart AttackHeart Attack

DiabetesDiabetes AsthmaAsthma

SeizuresSeizures

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