Tag: college of paramedics

“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.”

Three quarters of Scottish paramedics have feared for their safety or felt threatened at work

Three quarters (75%) of Scotland-based paramedics who took part in a major UK-wide survey by their professional body, the College of Paramedics, said they had feared for their safety or felt threatened while carrying out their duties.

This is higher than the UK-wide figure of 70% which has been revealed by the College of Paramedics today. The survey, which was completed by 2,345 UK paramedics including 148 based in the Scotland, also revealed that almost half (49%) of all respondents had suffered physical abuse while 80% said they had been verbally abused during the course of their work.

These findings come one month after new NHS England figures revealed that paramedics have suffered a 32 per cent rise in assaults over the past five years, with 3,569 incidents taking place in 2020-21 alone.

Tracy Nicholls, Chief Executive of the College of Paramedics, said: “We have long been aware of the physical and verbal abuse that paramedics suffer and the toll it takes on their health and wellbeing – but this is the first time that a large-scale survey of this kind has revealed the extent of the problem.

“It’s absolutely outrageous to think that so many paramedics have been abused whilst carrying out their duties, going above and beyond to help people when they are at their most vulnerable, and often in the most challenging of circumstances. Worryingly, the abuse appears to have increased during the pandemic when paramedics are already exposing themselves to greater personal risk.

“Enough is enough! It is time for us all to take a stand and find new ways of working together to prevent abuse from happening, as well as  demanding zero-tolerance  when it does occur.

“We welcome the steps that the Government has taken to mitigate some of the risks by announcing that funding will be made available for body worn cameras and by introducing harsher custodial sentences for perpetrators of violence against paramedics – but more needs to be done.

“After years of lobbying, the legislation is now in place to ensure that the worst offenders are severely and appropriately dealt with. The problem is that the law is not being used to full effect and sentences are still far too lenient. We are calling today on the courts to step up and impose the harshest penalties available to them.”

The College of Paramedics has warned that the abuse paramedics are experiencing is having a direct impact on their health and wellbeing. Most paramedics surveyed (89%) said their jobs were taking a toll on their mental health and 69% said this had intensified since the start of the covid pandemic.

Tracy Nicholls continued: “One of the most worrying aspects is that paramedics are continuing to soldier on, despite in some cases being pushed to breaking point.

“It’s a disgrace that paramedics are having to work under these conditions – whether they are part of our NHS ambulance service, in a military or prison environment, working in private practice or wherever they are. These issues deserve much greater attention and we will be working hard to bring about change.”

The College of Paramedics will form part of the NHS Health & Wellbeing team and will focus dedicated resources on the prevention of abuse and the provision of support to paramedics who have been affected.

As part of its five-year strategy, the College of Paramedics will engage with national initiatives which promote the health and wellbeing of its members and will include it within its Continuous Professional Development programmes so that members can access up-to-date information and guidance on how to keep themselves safe.

Tracy Nicholls added: “With the results of this survey, we are well placed to push forward collaboratively to make a difference in this area which is vital for the safeguarding of paramedics and the patients they are trying to assist.”