Tuesday 15 January 2013

On a break

So the New year resolution was to write a blog a month and of course, I immediately wondered what on Earth I should choose as a topic to set the standard high enough to keep interesting but not so amazing I'd never top it.

And so it is with surprise that I bid a grand thank you to Richard and Judy, and their delightful article in the Daily Express on Saturday:

RISKING A BABY'S LIFE FOR LUNCH

West Midlands Ambulance Service’s finest continued to munch their lunch after a six-week-old baby boy suffered a heart attack. His family dialled 999 but had to wait 41 minutes for an ambulance to come, because a crew were on their break and couldn’t be interrupted.
A spokesman for the West Midlands Ambulance Service says that staff work 12-hour shifts and ‘have the right to request’ that their breaks are not disturbed. So the shift in question didn’t even know about the 999 call until they’d wiped their mouths.
Undisturbed lunch breaks? Even if that means a baby might die while you’re finishing off your Muller Fruit Corner, guys? Really?
If you believe that, you’re in the wrong bloody job, the lot of you.


http://www.express.co.uk/posts/view/370313

This is an excerpt on an opinion piece by some experts in daytime entertainment. When you pick away at their words it becomes clear that the actual gist of the story is not quite as clear cut. I think it essentially boils down to there not being an available ambulance rather than a crew actively rejecting to "save a baby's life" as so artfully depicted in the article. It's probably worth noting that the child in question didn't die.

Now you might want to argue, just like Richard and Judy, that a baby is more important than a sandwich. But then it's easy to simplify things down to a simple black-and-white choice like that and sit back in your armchair, content that the world has been put to rights



The article itself notes that the paramedic crew in question were unaware of the nature of the call when it went out, or even that one had gone out. I would bet anything that their Muller Corner would have been cast aside and the blue lights flicked on immediately if they had known. Not that it would have made any difference to this child... who was still alive at the time of writing.

For me the issue is a bigger one of taking a "break" and the notion that this might not be considered acceptable. Forgetting about the legal aspects of taking a break at work, working a 12 hour day, where you might have to try to save a baby's life, rush a stroke victim for treatment, talk a suicidal person out of their intentions... or indeed pick up a drunk teenager; it seems reasonable that you'd want that paramedic team to be at the top of their game and that having some food and drink in that time would be a good idea. It's not as if the job allows you to eat whilst you work - the one-handed CPR whilst chowing down on a chicken wrap technique has yet to be developed.

It's not just about the nutritional elements though - the amount of things a paramedic has to see and deal with in a day, and the amount of abuse they get for it - means the break time is a stop to take stock and psychologically re-adjust. Knowing you have some time to yourself is an important element of that healing. 

London Ambulance Service - Staff perspective

"Day in the Life of a London Paramedic" - video - BBC News

To be pedantic, if we follow Richard & Judy's ill-thought logic out, must we ask all trained paramedics to remain at work, without stopping, until there are no more 999 calls to answer? Should we join them in a crusade to breate anyone who does not use their skills 24 hours a day, 365 days a year regardless of their own personal welfare

I wonder how Judy would feel about doing such a job?
http://www.dailyrecord.co.uk/entertainment/tv-radio/judy-finnigan-says-she-doesnt-miss-1520878 

Oh right.

Let's be clear, I don't support the idea of laziness. But I do think that we shouldn't hound healthcare workers for doing something that is both legal and sensible, and in the best interests of the population as a whole. There are plenty of decisions that have to be made that will not suit everybody, all of the time and to take the long view, I would rather have an ambulance service of focussed and mentally sharp paramedics than an overworked, tired and berated one. In Richard's ideal world, I'm not sure many school leavers are going to be jumping for the career of a paramedic, where crimes such as going to the toilet or an inability to work for twelve hours constantly at a time (maintaining excellent driving and clinical skills, of course) are inexcusable.

One question that the Ambulance Trust will be trying to answer and explain though is the length of time it took to respond - why was there no crew available. Perhaps rather than blame the Ambulance Trust, we should turn and look at ourselves. Every so often, a story like this will appear, reminding us of those who feel the emergency service is their personal private direct line to sort out any element of their life.  (Just out of coincidence, the man who calls 999 in the Guardian article for his pigeon was from the Midlands... where the crews in the Express article were allegedly busy). 

West Midlands Ambulance Services
This isn't about a sandwich. It's easy to take this solitary situation, without any knowledge of the greater context in which that situation was just one part. The very same West Midlands Ambulance Trust dealt with just under 2000 calls in the 8 hours over New Year - that's an astonishing 250 calls an hour or about one every 15 seconds. [http://www.bbc.co.uk/news/uk-england-20881278]. In another story from last year, the number of attacks on paramedic staff in the West Midlands in 2012 was 210. This does not sound like a service that is sitting back eating yoghurts, but one that is working pretty hard. This is an ambulance service that is so busy it is struggling to see an ill baby, which is almost certainly a high priority call (http://www.nhs.uk/NHSEngland/AboutNHSservices/Emergencyandurgentcareservices/Pages/Ambulanceservices.aspx). Despite all that though, let's not forget that the "victim" at the core of this story is actually ok.

So to re-write the headline, "Baby lives thanks to work of local Ambulance Trust so busy paramedics made to feel guilty for eating a meal"

Oh, and to all aspiring journalists out there, and I include our favourite telly couple in that category, I spent about 5 minutes doing these searches to find the information about West Midlands Ambulance - shame good old Richard and Judy didn't have just five minutes to spare to do their jobs properly. 

Perhaps they were on a break.

Ambulances are for life-threatening emergencies

  


  

Tuesday 1 January 2013

New Year Resolutions

Let's see how we get on with these, but good to have goals right?!

  1. I will aim to write at least one blog post per month with a vague theme of NHS politics. I mean, at almost 4000 views, this (http://seb-pillon.blogspot.co.uk/2012/06/fair-not-preferential-treatment-for-all.html) did pretty well.
  2. To take up a new active hobby - likely to be climbing and/or ballroom dancing
  3. To visit Slovenia again (http://www.slovenia.info/) - let me know if you'd like to go!
  4. To buy a new suit for one of the 2 weddings of lovely friends I have this year
  5. To send Christmas cards