@MentalHealthCop I'm presenting some initial work at ALF 2025 from YAS entitled "RCRP: Are we achieving the right care and sending the right person where concerns for welfare exist? " based on our latest data/evidence which might expand the knowledge base a bit.

@em_bulance If answered Q1 of National HCP Framework as Yes - Then No. They are indicating a pre-hospital life saving intervention required. If it's being transported for an intervention, then it potentially doesn't make a large amount of difference where they wait.

@DrHWazir You do realise interim care advice and hear and treat activity are not the same thing? Trusts do between 10 and 20% of calls closed with clinical phone advice currently...

@robertgmason I thought there was also data showing individual incidents which also is on the increase? It is quite a stretch to say the extra demand is purely calls for ETAs.

@TheLeeMcLaren Is it poor paramedic retention in ambulance service or as professionals? Paramedics I know haven't left healthcare/NHS but moved to new roles. You could argue that's of net benefit to patients

@RogerthePolice @ArmeriaVillosa Sorry if wasn't clear - I'm in no way supporting disciplining of police officers trying to do best in a situation they are definitely not trained for. They are not HCP

@RogerthePolice @ArmeriaVillosa I think it's hard without knowing all info. But just to be clear - just because something isn't category 1 doesn't mean it isn't an emergency

@RogerthePolice @ArmeriaVillosa Why would it be a category 1?! Heart attacks, strokes etc don't get category 1 - I'd expect this to be cat 3 or 2 depending on presentation and clinical input

@ArmeriaVillosa @RogerthePolice So quite a different situation in fairness than a paramedic at the scene. Really sad for the family.

@RogerthePolice Assuming they were there? The bbc news article implies the ambulance wasn't because of operational delays not because it wasn't highly prioritised - hence the question.

@RogerthePolice Paramedics definitely give advice over the phone to police in some areas. Also conscious we use paramedics interchangeably with ambulance including call takers. Bbc news article suggests ambulance weren't on scene which is why I ask.

@AliJaneMoore @Carlynotcarley @suemidd58863059 That risk is not very well established though - if pressure areas are being relieved regularly, hydration and nutrition provided - how significant is that risk? Compared to (for example) a MI or a CVA?

@suemidd58863059 @Carlynotcarley @AliJaneMoore I mean, I think you need to go back and read what I posted - I've tried to explain once that it has "Vs" in there for a reason...

@Carlynotcarley @suemidd58863059 @AliJaneMoore Exactly, terrify people with urban legends of "paralysis" caused by lifting someone carefully that nobody can actually ever remember happening and instead leave people on floor for hours with harm we see every, single, day.

@suemidd58863059 @AliJaneMoore Traffic?! The quote above is lifting people up from the floor, i.e for the huge numbers of people who fall and are left on the floor for little/no reason every day waiting for an ambulance to arrive "just in case" as "they might not know they are injured"

@suemidd58863059 @AliJaneMoore I said vs leaving them there. So how many examples is there of someone who was paralysed because they were lifted up (remembering ambulance crews are presumably going to lift them up anyway) compared to the huge numbers of reported harm, morbidity etc from being left on the floor

@suemidd58863059 @AliJaneMoore Source? Note specifically someone that wasn't paralysed when they hit the floor, but was permanently paralysed specifically by someone carefully assisting them off the floor (and that does not mean continued to do it whilst they screamed in pain)

@TheRealRead @aled_fellowes So, arguably the definition of a cat 3 response? 90% in 2 hours? Once you start altering categories based on operational response it defeats point of triaging in first place.