Lord Carter Review of ambulance productivity:
“Too many patients are being unnecessarily taken to ED by ambulances, putting further pressure on hospital services that are already on the back foot.
Not only is this financially costly, but it takes up staff’s time and means patients are having to spend time waiting in ED when they should be recovering at home… Paramedics and other staff have worked incredibly hard as demand for ambulances has soared. It is now vital that improvements are made in the infrastructure of the wider NHS to help frontline staff work as efficiently as possible.”
Reducing avoidable conveyance could save £300 million across the wider health system by treating these patients at home or directing them to more appropriate health services. This requires significant improvements in the availability and accessibility of the urgent and emergency care system.
Delivering the best outcome for patients and helping them stay at home can be achieved by reducing avoidable conveyance and will also enable productivity improvements.
Ambulance trusts and CCGs must work together to co-design the system and develop effective pathways for urgent and emergency care. This includes integrated 999 and NHS 111 call handling and triage to ensure that the impact of decisions in local areas considers the effect on ambulance services. Through this collaborative approach trusts will be able to manage demand more appropriately and reduce avoidable conveyance to A&E.
Lord Carter Review of ambulance productivity