UK boosts humanitarian support to help Ukraine’s beleaguered hospitals

  • UK is sending more ambulances and fire engines to Ukraine as part of continued support to the country
  • New UK funding to help train Ukrainian doctors to deal with mass casualties and vital medicine following Russian attacks on Ukrainian hospitals
  • Donations are in response to a request from Ukraine’s Government as they regain access to medical facilities in frontline cities

New ambulances, fire engines, funding for health experts and life-saving medical supplies are being donated to Ukraine as part of the UK’s continued steadfast solidarity with the country, the Prime Minister Boris Johnson announced today (Tuesday 26 April).

There have been more than 130 attacks on healthcare facilities since the invasion and the UN has recorded around 4,800 civilian casualties. More than 100 fire stations and 250 fire engines have been destroyed in Ukraine.

The UK is supplying 22 new ambulances to Ukraine – in addition to those from NHS Trusts already announced – equipped with paramedic kits and medical grab bags. They are due to leave for Ukraine in the coming days. This is in direct response to a request from the Ukrainian government.

Two further convoys of more than 40 fire engines – packed with thousands of items of rescue equipment including 300 fire hoses and almost 10,000 items of protective clothing – have arrived in Ukraine and are already providing vital support to firefighters on the frontline. This is the largest fire deployment to ever leave the UK.

The UK has already committed up to $1 billion in loan guarantees to support Multilateral Development Banks, such as the World Bank, to bolster Ukraine’s economy and allow the government in Kyiv to continue providing basic services. The total offer of humanitarian support to the current Ukraine crisis is around £400 million.

This goes alongside the Prime Minister’s commitment to continue to provide defensive military aid, including protected mobility vehicles, drones and anti-tank weapons to Ukraine – reiterated on a call to President Zelenskyy on the weekend.

Last week the Prime Minister announced Ukrainian personnel are being trained in the use of armoured vehicles in the United Kingdom.

Prime Minister Boris Johnson said: “We have all been appalled by the abhorrent images of hospitals deliberately targeted by Russia since the invasion began over two months ago.

“The new ambulances, fire engines and funding for health experts announced today will better equip the Ukrainian people to deliver vital health care and save lives.

“Together with our military support, we will help to strengthen Ukraine’s capability to make sure Putin’s brutal invasion fails.”

Frontline medical aid charity, UK-Med, will receive funding – worth up to £300,000 – from the Foreign, Commonwealth and Development Office (FCDO) to help train Ukrainian doctors, nurses and paramedics on how to deal with mass casualties.

They will also set up mobile health clinics to support the most vulnerable civilians remaining in Ukraine, including the elderly and young children.

The UK is also donating £300,000 worth of medicines and pharmaceutical supplies to UK-Med which could support a hospital for up to six weeks.

Foreign Secretary Liz Truss said: “The Kremlin continues to lie about deliberate attacks on Ukraine’s hospitals and the indiscriminate targeting of civilians.

“Now our vital humanitarian support will help save lives and deliver medical expertise to the frontline.”

Minister for Brexit Opportunities and Government Efficiency Jacob Rees-Mogg said: “I was privileged to be able to visit Ashford and meet the volunteers and civil servants behind the fire aid shipments to Ukraine.

“This aid demonstrates the tremendous practical work that Britain’s public servants are doing for the people of Ukraine, and is an example of the good-heartedness of the British people and their determination to help.”

More than five million medical items have also been donated to Ukraine including wound packs, intensive care equipment and medicines.

At the beginning of March, UK-Med launched a national fundraising appeal to fund its work in Ukraine and has sent 26 doctors, nurses, paramedics, surgeons and humanitarian health programme specialists to the country.

UK-Med CEO David Wightwick who’s currently in Eastern Ukraine said: “I’ve seen with my own eyes the devastating impact of this cruel war. Ensuring the more than 7 million internally displaced people across the country have access to vital primary health care is and will continue to be of the upmost importance for many months to come.

“This very welcome funding from the UK government will enable us to continue to deliver primary health care and lifesaving specialist clinical training in both the east and the west of the country, reaching those who need it most.

“We’re proud to stand in solidarity with the people and with our Ukrainian medical colleagues in this desperate time.”

UK to donate fleet of ambulances to Ukraine

A fleet of NHS ambulances will provide urgent care for those injured by Russian attacks in Ukraine following a donation from the UK.

  • UK NHS trusts donating around 20 ambulances to the Government of Ukraine
  • donations will help replace Ukrainian ambulances lost to Russian bombardments and provide urgent care to injured
  • Ukraine’s health services stretched as Russian attacks hit civilian shelters and hospitals

The donation of around 20 NHS ambulances will help bring vital lifesaving care to Ukrainians remaining in towns and cities under attack from Russian bombardments.

This donation will help replace those Ukrainian ambulances lost to Russian attacks, bolstering the existing fleet’s resilience as the barbaric war goes on.

It is estimated more than 12 million people are currently in need of humanitarian assistance across Ukraine.

The conflict has stretched Ukraine’s health services, with Russia’s indiscriminate attacks targeting civilian shelters and even hospitals.

South Central Ambulance Service NHS Foundation Trust (SCAS) is leading the way, donating four of its ambulances, with further donations from NHS trusts across the country soon to follow.

The first ambulances will arrive in Ukraine this week, destined for Lviv in the west of the country, where they will be transported on to those areas most in need.

Foreign Secretary Liz Truss said: “We have sadly seen day after day the horrific impacts of Putin’s cruel war on the people of Ukraine, including evidence of appalling acts by Russian troops in towns such as Irpin and Bucha.

“The UK has been among the biggest aid donors, providing food, medicines and generators to help those affected. These world class NHS ambulances will now help bring lifesaving care directly to those injured in the conflict.”

Health and Social Care Secretary, Sajid Javid, said: “The UK government has stood shoulder to shoulder with Ukraine and provided them with the lifesaving medical equipment they need.

“The invasion has damaged key medical infrastructure and the generous donation of four ambulances by South Central Ambulance Service will ensure people in Ukraine can receive urgent care. It marks the first of many ambulances the UK government and the NHS is donating to Ukraine in the coming days.”

Paul Kempster, SCAS Chief Operating Officer said: “Ambulance Trusts around the country have been rallying to provide ambulances and we in SCAS are immensely humbled to also be able to support those in need in Ukraine.

“We hope that this small gesture goes some way to helping provide immediate frontline healthcare support to the many people who desperately need it.”

This latest funding and donation comes in addition to the nearly £400 million (£394 million) already pledged by the UK for the conflict in Ukraine, including £220 million of humanitarian aid.

To date, the UK has donated more than 5 million items of medical supplies to Ukraine to help the country cope with the medical emergency caused by the Russian invasion. 

“Shocking”: Ambulance handover delays are threatening patient safety, experts warn

A new snapshot survey by the Royal College of Emergency Medicine has found that in August 2021 half of respondents stated that their Emergency Department had been forced to hold patients outside in ambulances every day, compared to just over a quarter in October 2020 and less than one-fifth in March 2020.

The survey, sent out to Emergency Department Clinical Leads across the UK, also found that half of respondents described how their Emergency Department had been forced to provide care for patients in corridors every day, while nearly three-quarters said their department was unable to maintain social distancing every day.

One-third said that the longest patient stay they had had in their Emergency Department was between 24 and 48 hours, with seven per cent reporting the longest stay to be more than 48 hours.

Dr Ian Higginson, Vice President of the Royal College of Emergency Medicine, said: “It is shocking to see the extent of the challenges faced by Emergency Departments across the UK.

“Holding ambulances, corridor care, long stays – these are all unconscionable practices that cause harm to patients. But the scale of the pressures right now leaves doctors and nurses no options.

“We are doing all we can to maintain flow, maximise infection prevention control measures, and maintain social distancing. Our priority is to keep patients safe, and ensure we deliver effective care quickly and efficiently, but it is extremely difficult right now.

“The data is stark, and this is August. Our members are really worried about what may come in autumn and winter. We have a duty to our patients and staff. Currently there is extremely high demand – for a number of reasons – but demand is not the whole picture.

“Demand presents a challenge because of the limitations of hospital space, workforce shortages, difficulties arranging quick ambulance handovers, smooth care and safe discharge of patients from wards, and a lack of services and alternatives to admission, particularly in the evenings and at weekends.

“The health service entered the pandemic short of staff, with less beds, and underprepared. Throughout the pandemic these shortages have been felt, but with demand higher than ever before, and with a workforce that is burned out, these shortages are felt more acutely than ever.”

Commenting on the increase in ambulance handover delays, Tracy Nicholls, Chief Executive of the College of Paramedics, said: “The College of Paramedics’ members also speak passionately about the potential for harm to those patients who, as a consequence of these lengthy ambulance handover delays, can wait an unacceptably long time for help. It is deeply concerning.

“Like the Royal College of Emergency Medicine, we recognise that all partners are working exceptionally hard to manage this situation and current demand. The reality is, however, that unless effective actions are taken now to ease the system pressures, more and more patients will face these delays as we head into another difficult winter, and both paramedics and ambulance clinicians across the UK will face the brunt of any further increase in demand.

“We urge NHS leadership to take action now to mitigate this risk wherever possible and protect both patients and our collective workforce from the inevitable pressure that we face if nothing is done.”

The survey also found that over 80% of respondents had little or no confidence in their organisation’s ability to safely and effectively manage the current or predicted combination of pressures as we head into winter.

Dr Higginson continued: “The final response that found an overwhelming lack of confidence signals something deeply troubling.

“The College has consistently warned of the upcoming winter and ongoing pressures. It is time we saw leadership and an equivalent response. There must be a comprehensive plan for the current demand and upcoming winter that include short- and long-term solutions to tackle these serious challenges.

“If ambulance services and Emergency Departments cannot cope with ongoing pressures, then it is patients and the workforce looking after them who will suffer. The winter could lead the health service into a serious crisis. Patients and staff must have assurance that they, their Emergency Department and their hospital will get what they need to manage.”