A brief history

From our beginnings in the late 19th century we have grown to become the busiest emergency ambulance service in the world. This is our story.

Starting out

litter pic for websiteIt may be hard to imagine today, but in the 1890s, if you were injured, it was left to the police, firefighters and even taxi-drivers to staff a fleet of wheeled stretchers, named ‘litters’, to take patients to the nearest hospital or doctor’s surgery.

A full-time ambulance service was established shortly before the turn of the 20th century. The Metropolitan Asylums Board ran just six ambulance stations, each adjoining the Board’s hospitals at Deptford, Fulham, Hampstead, Homerton, Stockwell, and Woolwich. Almost the whole of London fell within a three-mile radius of one of the stations.

Early on, the ambulance fleet was horse-drawn. The first petrol-driven ambulance appeared in 1904 and could carry a single stretcher at up to 15mph.

horse drawn cartMajor change came in 1930 when the Government announced proposals for the reorganisation of local government in England and Wales, including the transfer of responsibilities for the ambulance service to the county councils. So, on 1 April 1930, the Board’s duties and responsibilities passed to the London County Council, which also took over responsibility for all the hospitals.

As the Second World War approached, an auxillary ambulance service was set up as part of the Government’s civil defence service. Ennis Smith became a well-known figure for she was the youngest ambulance driver at the age of just 16. After the war, she joined London Ambulance Service.

The National Health Service is born

Post-war reorganisation led to the National Health Service Act of 1948. As part of this, for the first time, there was a requirement for ambulances to be available for all those who needed them.

By now, a more recognisable service was beginning to take shape. In the 1950s the London County Council’s ambulance service moved to Headquarters at Waterloo Road, but it was already clear this wouldn’t be large enough. By the early 1960s it was agreed a new headquarters would be built further up Waterloo Road. ‘Londam’, the Service’s newsletter, described it as ‘the promised land’.

A London-wide service was created in 1965 when one ambulance service was formed in London from parts of nine existing services. It comprised nearly 1,000 vehicles and 2,500 staff.

In 1974, when the National Health Service was reorganised, the London Ambulance Service was transferred from the control of local government to the South West Thames Regional Health Authority.

In 1989 staff took part in a nationwide strike for better pay and working conditions. Every station was involved with many giving out the phone number of the stations so that the public could call the crews directly in case of emergency. After six months of not being paid and living on donations from the public, a pay deal was reached and the crews went back to work.

In 1992 the failure of a new computer system led to worldwide public and media interest. The crash of the computer-aided dispatch system led to long delays in dispatching ambulances.

Service managers continued to report to South West Thames until 1 April 1996, when the organisation became an NHS trust. London Ambulance Service as we know it today officially came into being.

A 21st century service

We have many years’ experience of dealing with terrorist incidents in the capital and responding to major incidents including the King’s Cross Underground fire of 1987, the Harrow and Wealdstone triple train crash of 1952, and the various IRA bombings of the 1970s–1990s.

Most recently, our staff were called upon to put into practice all their planning and training during the London bombings of 7 July 2005. More than 250 members of staff were involved with the emergency response to the bombings of three Underground trains at King’s Cross, Aldgate and Edgware Road, and a bus at Tavistock Square. They treated more than 400 patients, some of whom had sustained horrific injuries, giving them the emergency care and support they needed and clearing all scenes within three hours.

patients and paramedicJust like the capital itself, our Trust continues to grow and develop. The London Ambulance Service of today, and the skills and capabilities of our staff, bear little resemblance to the Service of even 20 years ago. There are now more than 5,000 staff based at over 70 ambulance stations and support offices across London.

We continue to see a rise in demand for our service. We received a record number of 999 calls last year, making it our busiest ever year. In 2011/12 we handled over 1.6 emergency calls from across London, that’s over 4,380 calls a day, and attended more than one million incidents.

Historically, we have designed our service around a small number of our patients—those with life-threatening conditions. We are now turning our attention to our largest group of patients whose conditions, whilst not life-threatening, still need medical care. Many of these patients need different treatment to that offered by an A&E department. This could be treatment at home, referrals to a GP or social services, or treatment elsewhere at minor injuries units or walk-in centres.

The way we respond to calls is changing too. Our staff now attend to patients in cars, and on motorbikes and bicycles, as well as in ambulances. This enables us to reach patients quicker in busy built-up areas. We are increasing public access to defibrillators—machines used to restart a patient’s heart when it has stopped beating—and are providing training in how to use this equipment, so that people in the community can provide life-saving treatment while ambulance staff make their way to a call.

We play a vital role in the London trauma system, taking patients with life-threatening injuries such as amputations and stab wounds to specialist centres for treatment. Latest figures show that, as a result, an additional 58 of these patients survived in London compared to the national average.

The 2012 Olympic and Paralympic Games were our biggest challenge yet, requiring us to continue to provide day-to-day emergency services to Londoners whilst also providing medical care to Games-related patients.

Further reading

If you’d like to learn more about the history of the London Ambulance Service, you might like to read the full version of ‘Now & Then: The story of the capital’s ambulance service’, which was published in August 2008 to mark 60 years of the NHS.