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Health Correspondent Abeer Parkes
"Service is falling short of targets"
 real 28k

Ambulance service chief executive Adrian Lucas
"Paramedics have increased life-saving capabilities"
 real 28k

Wednesday, 8 December, 1999, 19:37 GMT
Ambulance death claim denied
Ambulance There is concern about target times being missed


The chief executive of the Scottish Ambulance Service has denied that lives are being lost because emergency call-out target times are being missed.

A report from the National Audit Office warns that the service's policy of answering 999 calls on a first come, first served basis could be costing lives.


That's actually quite ridiculous to assume that a slight delay in an ambulance results in a death
Adrian Lucas, Scottish Ambulance Service
And there is concern about the failure to meet emergency call-out response times, not only in rural areas but in cities as well.

The report, covering 1998-99, recommends a new approach to prioritising calls so that ambulances are diverted to more urgent cases.

But Adrian Lucas dismissed the suggestion that people were dying because of delays.

'Totally inappropriate

Responding to a newspaper report which says as many as 300 lives have been lost because of hold-ups, Adrian Lucas said: "That's actually quite ridiculous to assume that a slight delay in an ambulance results in a death.

Ambulance crew Delays could be life-threatening, the report warns
"It would be totally inappopriate to assume that. What we do know is that the intervention of paramedics has actually improved life-saving abilities.

"As much as one in four patients now survives in the time that paramedics have been introduced and the additional skills have been brought to the ambulances."

The report says: "The service and the Scottish Executive should act urgently to consider whether and how far to introduce deployment systems which give greater priority to life-threatening emergencies."

Missed target times

It says the current system could lead to potentially fatal delays in vehicles arriving at emergencies.

Many calls are not answered within the target time of 10 seconds.


The service should improve the planning and deployment of operational ambulance resources.
NAO report
In urban areas such as Glasgow and Edinburgh, the aim is for 50% of ambulances to arrive within seven minutes - and 95% of the call-outs being responded to within 14 minutes.

In Glasgow, 70% of call-outs missed the seven minutes target. Only about one in three Glasgow ambulances reach the scene of a 999 incident within that time.

Lothian and Lanarkshire also failed to meet the times, but Tayside, Grampian and Highland achieved their goals.

Planning and deployment

The Scottish Ambulance Service has already agreed to investigate this matter further.

The report goes on to say: "The service should improve the planning and deployment of operational ambulance resources.

"The service should review existing practice regarding the disposition and deployment of emergency ambulances and review the existing eight separate control centres."

Positive note

About £86m was spent in 1998-99 on the Scottish Ambulance Service. Its accident and emergency service swallowed up £67m of that amount.

During the year, 487,000 emergency and urgent ambulance responses were made.

On a positive note, the report points out that, although the Scottish Ambulance Service has had to cope with a 28% increase in demand over the past five years, it is performing well compared to other parts of the UK.

The Scottish Parliament's audit committee is to investigate the report's findings early next year
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See also:
07 Dec 99 |  Health
Ambulance services `to struggle at millennium'
05 Nov 99 |  Health
Ambulance staff demand body armour
10 Sep 99 |  Health
Ambulance workers 'traumatised by job'
01 Sep 99 |  Scotland
Sheriff criticises 999 control room man

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