Response to the National Audit Office report, “Transforming NHS ambulance services”

10 June 2011

To be attributed to Chief Executive Peter Bradley:

“We welcome the report by the National Audit Office and are already implementing many of its recommendations in London.

“In particular we are pleased that the NAO recognises the wider role the ambulance service has in delivering improved health outcomes for patients. We now provide healthcare direct to the patient, either over the phone, by treating them at the scene or taking them to the most suitable place for further care – whether that is a hospital A&E department, a major trauma centre or a minor injuries unit.

“We agree that efficiencies can be made and have already delivered savings by working differently in London, while making sure our patients get the right treatment when they need it. As an example, we are now giving more clinical advice over the phone and are taking patients to a range of different places if they need more help. Traditionally we have sent an ambulance to the majority of patients and taken them to hospital, and, while that is the right response for the most seriously ill people, others – with less serious illnesses such as stomach upsets, cuts and bruises or minor injuries – will receive better care elsewhere.

“We will take on board the other recommendations in the report and will continue to benchmark with other ambulance services and share data to further improve our services.

“We recognise that we need to become more efficient by reducing the number of resources we send to individual incidents; we will always need to send more than one ambulance crew to the most serious calls, but increasingly we want to send single ambulance responders to patients with less serious conditions who can assess them on scene to determine what care will best meet their needs. We also welcome the report’s comments about the need for quick and efficient clinical handovers at hospitals.

“And we will continue to work with our NHS partners and other ambulance services on the introduction of the 111 non-emergency number that will help patients find the most suitable services for them and further improve patient care.”

- Ends -

Notes to editors

  • In 2010/11 the London Ambulance Service received 1,494,207 emergency calls and responded to 1,058,132 incidents.
  • 347,675 of these incidents were categorised as immediately life-threatening (Category A).
  • In 2010/11 we gave 50,058 patients clinical help and advice over the telephone and referred a further 46,054 patients to NHS Direct, potentially saving almost 100,000 ambulance journeys.
  • The cost per incident in London is £225. The cost ranges from £176 to £251 across England.

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