Prevention of Future Deaths reports · 2018

Steven Welch

Regulation 28 report to prevent future deaths, reference 2018-0267, written 7 Aug 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report7 Aug 2018
Reference2018-0267
DeceasedSteven Welch
CoronerSarah-Jane Richard
Coroner areaSouth Wales Central
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses published2

The report

Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.

ANNEX A
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

NOTE: This form is to be used after an inquest.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
Re: Mr. Steven John Welch who died on 29 December 2017 at Southmead Hospital
Bristol.

THIS REPORT IS BEING SENT TO:

His Honour Judge Mark Lucraft QC, Chief Coroner for England and Wales;
Mr. Jason Killens, Chief Executive Welsh Ambulance Service Trust;

Ms. Allison Williams, Chief Executive, Cwm Taf University Health Board;
Mr. Kamal Asaad, Medical Director, Cwm Taf University Health Board;

Mr. Len Richards, Chief Executive, Cardiff and Vale University Local
Health Board;

Dr. Graham Shortland, Medical Director, Cardiff and Vale University Local
Health Board;

. Co Director of Legal & Risk Service NWSSP; and
ee

CORONER

lam Sarah-Jane Richards, Assistant Coroner, for the coroner area of South Wales
Central

CORONER'S LEGAL POWERS

| make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009
and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013.

INVESTIGATION and INQUEST

On the 25" January, 2018 an investigation was commenced into the death of Mr. Steven
John Welch aged 45 years.

The investigation concluded at the end of the inquest on the 20" July 2018 having
identified several omissions in the healthcare provided to the deceased prior to his
transfer ‘out of area’ to Southmead Hospital, Bristol, England some of which have a
relevance to Regulation 28 and prevention of future deaths. The medical cause of death
was 1a - Pulmonary embolism; 1b - Deep vein thrombosis; and 1c Subarachnoid
haemorrhage due to ruptured cerebral artery aneurysm.

The conclusion of the inquest was a narrative determination.
CIRCUMSTANCES OF THE DEATH

Mr. Steven Welch reported having suffered a fall several days prior to being found on 26
December 2017, in a ‘rousable’ but immobile condition at home by his father,

The Welsh Ambulance Service Team (WAST) received 999 calls from
Mr. Graeme Welch at 12.09, 12.47 and 13.10 hrs on 26 December 2017. A separate
Regulation 28 has been provided in respect of delays in transferring Mr. Welch from
home to the Royal Gwent Hospital (RGH) on 26 December and again when transferring
Mr. Welch from the RGH to University Hospital of Wales, Cardiff (UHW) on 27
December 2017.

During this time, Steven Welch's condition deteriorated. Mr. Welch was admitted to the
Accident & Emergency Department RGH at 15.18 hrs whereupon he was triaged as a
collapsed aduit with a history of sustaining a head injury a few days previously,
unconsciousness and, as a yellow category, should have been seen by a clinician within
an hour according to Manchester triage guidelines. This did not occur.

Witness evidence at inquest reported high A&E demand at the RGH throughout 26
December, 2017 with most of Mr. Welch's care being nurse practitioner led. It was a
nurse practitioner who at 18.45 hrs undertook an assessment of Mr. Welch as he was
laying on a trolley. This was 3 hrs 30 mins after admission. He was noted to have a
reduced level of consciousness (Glasgow Coma Score of 11/15 from 15/15 on
admission) and he was not responding. A CT scan of head and x-ray of ankle and foot
were requested. He was found to have suffered a fracture of his right fibula which was
treated by the trauma team with a back-slab. At 20.00 hrs a CT scan of head was
undertaken.

The RGH does not support a neurosurgical team instead UHW Cardiff is the tertiary
neurosurgical centre for the RGH. Mr. Welch's CT scans were reviewed by the
neurosurgical team at UHW and a subarachnoid haemorrhage was diagnosed. A CT
angiogram was requested. Mr. Welch should have been transferred immediately to
Cardiff for monitoring of intracranial pressure, interventionist radiology and vascular
coiling to reduce the risk of a further bleed. However, for reasons unknown to the
inquest, UHW had received resignations of its interventionist radiologists and in
consequence, all patients requiring this form of treatment were sent out of area to
Southmead Hospital, Bristol.

The neurosurgical team at Cardiff advised that in the absence of UHW being able to
provide the specialist radiology required, RGH should arrange admission directly with
Southmead Hospital. The neurosurgery team at Southmead Hospital agreed in principle
to accept Mr. Welch subject to the review of the CT scans undertaken at the RGH.

The inquest heard that commissioning of software required for transfer of radiology
images is Wales based, thus while images could be transferred between Welsh
hospitals for neurosurgical review they could not be sent across the border for review by
non-Welsh hospitals. This is a serious commissioning omission as neuroimaging
transfer between hospitals nationally and internationally has been available for
approximately 20 years. Southmead Hospital reasonably insisted upon receipt and
review of neuro-radiology before accepting Mr. Welch as a patient. Had RGH had
electronic transfer technology to ‘out of Wales’ hospitals, Mr. Welch’s neuro-images
could have been reviewed within minutes of being sent electronically to Bristol. Had this
been the case, Mr. Welch could have been transferred to Southmead Hospital on the
evening of 26 December 2017 when vascular coiling remained an option. Instead, the
CT images were to be printed and faxed to Southmead for review. However the only
printer available had run out of ink and there were no spare ink cartridges available.
Eventually, the images were sent electronically to Prince Charles Hospital, Merthyr Tydfil
where they were printed and dispatched by taxi to Southmead Hospital.

Throughout this delay, Mr. Welch's condition further deteriorated. The A&E nurse
practitioner responsible for Mr. Welch at the RGH repeatedly requested Mr. Welch's
transfer to UHW which unlike the RGH, supported a neuro-surgical team which could
monitor intracranial pressure and undertake emergency surgical intervention if required.

At 05.00 on 27 December 2017, Mr. Welch was admitted to UHW where he was
diagnosed as suffering from hydrocephalus, subarachnoid haemorrhage, anterior
communicating artery aneurysm and a fluctuating GCS of 10-14/15. He was referred to
the neurosurgical team for emergency external ventricular drain insertion and continuous
cerebrospinal fluid drainage in order to reduce cranial pressure. He suffered two
seizures. He was intubated by the anaesthetic team for safe transfer to Southmead
Hospital at 4pm on 27 December 2017 for further endovascular management.

Upon arrival at Southmead Hospital Mr. Welch was considered too unwell to undergo
prophylactic vascular coiling. His cardiac function was causing great risk to his life. He
had received a pulmonary embolism risk assessment on 27 December 2017 and
provided anti-embolism stockings. In spite of supportive treatment Mr. Welch continued
to deteriorate and died. Post mortem findings confirmed that Mr. Welch had not suffered
a further cerebral bleed and that the cause of death was a pulmonary embolism most
likely originating from a deep vein thrombosis of the left leg.

It is accepted that the delays in providing neurosurgery at UHW and the provision of CT
images for review by Southmead Hospital did not cause the death of Mr. Welch and the
extent to which they contributed to the death, if any, is unclear. However, rapid diagnosis
and treatment of cerebral bleeds and reduction of increased cranial pressure invariably
increases the likelihood of survival and for this reason, the Cwm Taff and Cardiff and
Vale University Local Health Boards, are invited through this Regulation 28 to address
the following concerns arising from Mr. Steven Welch's treatment on 26/27 December
prior to being transferred out of area to Southmead Hospital:

i)

Failure by the RGH to provide a timely assessment upon A&E admission
including head CT scans of a man who was known to have suffered a head
injury;

ii) Knowing that neurosurgical cover is provided to RGH patients by UWH why
UHW delayed admitting Mr. Welch and performing essential neuro-surgery
when it was always the case that the Southmead neurosurgical team could

have denied the admission of Mr. Welch to their facilities upon reviewing his

radiology;

ii) Failure by Cwm Taff Health Board through its tertiary UHW (Cardiff and Vale
University Local Health Board) to have access to interventionist radiologists
within Wales at the time (and one only at the time of inquest) thereby having
to send patients who have suffered cerebral bleeds and who require

interventionist radiology, out of area for treatment;

iv) Failure by Cwm Taff and Cardiff and Vale University Local Health Boards to
have software in place in 2017 permissive of radiological review by
hospitals and specialist centres out of Wales; and

v) Related to iv) above, in the absence of an ability to transfer radiological images
electronically from Cwm Taf Health Board and Cardiff and Vale University
Local Health Board hospitals to hospitals and specialist centres out of
Wales, why the RGH did not ensure a printer was always maintained to print
and fax images for external review and for a back-up to be available at all
times in case of technical failure. No patient transfer should be delayed and
life put at risk as a result of a printer not having ink in its cartridge.

vi) Whether or not concerns rightly raised by Advanced Nurse Practitioner,
(RGH) and Consultant in Emergency Medicine
Te-hospital Emergency Medicine through an incident report to UHW

have been acted upon and feedback provided in each case.

CORONER'S CONCERNS

During the course of the inquest the evidence revealed matters giving rise to concem. In
my opinion there is a risk that future deaths will occur unless action is taken. In the
circumstances it is my statutory duty to report to you.

The MATTERS OF CONCERN are as follows. —

At inquest, the errors in assessing the urgency of the need for medical assistance and
the delay in providing that assistance were considered unlikely to have contributed to
Steven Welch's death. However, it was acknowledged that such errors could cause or

contribute to the death of others where a subarachnoid haemorrhage had been
sustained and for this reason, the Cwm Taf University Health Board is invited through
this Regulation 28 to consider the following:

i) Provision of rapid A&E review of a patient with a reported head injury and
reducing or fluctuating Glasgow Coma Score even at times of public
holidays;

ii) Rapid transfer to a hospital or specialist centre providing neurosurgical
diagnosis and treatment when such facilities are unavailable within the
admitting hospital;

iii) Failure by the Cardiff and Vale University Local Health Board to have any
interventionist radiologists in employment at the time thereby failing to
provide tertiary support to the RGH and necessitating its patients to be sent
out of area to England for treatment with inevitable delay;

iv) Failure by the Cwm Taf Health Board and Vale University Local Health Board to
have computer software in place to enable electronic transfer of radiology to
hospitals and specialist centres out of Wales for review and consultation.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe the Royal
Glamorgan Hospital and its Health Board and the University Hospital of Wales and its
Health Board, have the power to take such action in the areas of:

i) ensuring its A&E Department is appropriately staffed and facilitated at all times
including statutory holidays;

ii) that all Cwm Taf Health Board and Cardiff and Vale University Local Health
Board hospitals have the benefit of software which enables radiology to be
sent to hospitals and specialist centres out of Wales for review;

iii) that as the University Hospital of Wales and the teaching hospital for Cardiff -
the capital city of Wales - interventionist radiology is restored as an area of
specialism at the level required for its catchment population; and

iv) in the event the Cardiff and Vale University Local Health Board is unable to
provide facilities to hospitals run by other Health Boards (as was the case
here) that those hospitals are notified of such unavailability (whether
temporary or permanent) and alternative access to specialist healthcare
treatment is advised.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 5 October 2018. |, the Coroner, may extend the period.

Your response must contain details of action taken or proposed to be taken, setting out
the timetable for action. Otherwise you must explain why no action is proposed.

COPIES and PUBLICATION

| have sent a copy of this report to the following:

His Honour Judge Mark Lucraft QC, Chief Coroner for England and Wales; Mr. Jason
Killens, Chief Executive Welsh Ambulance Service Trust; Ms. Allison Williams, Chief
Executive Cwm Taf University Health Board; Mr. Kamal Asaad, Medical Director, Cwm
Taf University Health Board; Mr. Len Richards, Chief Executive, Cardiff and Vale
University Local Health Board; Dr. Graham Shortland, Medical Director, Cardiff and Vale
University Local Health Board; , Director of Legal & Risk
Service NWSSP; an ather of the deceased.

lam also under a duty to send the Chief Coroner a copy of your response.

The Chief Coroner may publish either or both in a complete or redacted or summary
form. He may send a copy of this report to any person who he believes may find it useful
or of interest. You may make representations to me, the coroner, at the time of your
response, about the release or the publication of your response by the Chief Coroner.

Dr. Sarah-Jane Richards
HM Assistant Coroner

Responses

2 responses published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from NHS Wales (PDF)
Partneriaeth
Cydwasanaethau
Gwasanaethau Oyfreithiol a Risg

law
X97
we

WALES | Shared Services
Partnership
Legal and Risk Services
Ffén/Phone: 039 3090 3769
Dr $ J Richards Ebost/Email:
HM Assistant Coroner Eich cyf/Your ref:
South Wales Central Area Ein cyf/Our ref qytoaisget wie

The Coroner’s Court,
Courthouse Street
Pontypridd

CF37 1JW

Dyddiad/Date: 9) gctober 2018

Mr Steven John Welch (deceased)

This letter is in response to the two Regulation 28 Reports to Prevent Future Deaths that you issued
to me on 7 August 2018 following the conclusion of the inquest into the death of the late Mr Steven

John Welch at which one of my staff, MM represented both th bulance
Services Trust and Cwm Taf University Health Board. Following the inquest, wrote by
email to to provide him with contact details for the three health bodies involved

in the care of his son, to enable him to ask further questions directly if he wished.

My role is as Director of the NHS Wales Shared Services Partnership Legal and Risk Services and
the Welsh Risk Pool Service. Solicitors employed by Legal and Risk Services provide advice and
support to all health bodies in Wales across a range of legal issues including clinical negligence and
those relating to inquests. When requested by a health body, we assist in the investigation of the
circumstances of a death; provide support in respect of the taking of witness statements and advise
of the likely issues which will be the focus of a Coroner’s attention. During the course of the
conduct of clinical negligence claims, including those where there has been or will be an inquest, it
is common for us to recommend obtaining an independent expert opinion to identify those issues
which may represent a standard of care which falls below that which is acceptable: on occasion, that
expert identifies a real cause for concern which may affect patient safety. In those circumstances
the content of the report is drawn to those senior clinical directors in the health body who are in a
position to review the current provision of care and policies and who will be able to make urgent
changes where necessary. We are not responsible for ensuring those changes are made and nor do
we seek to influence clinical decisions. That is not to say that I do not recognise the importance of

Cyfarwyddwr / Director
Anne-Louise Ferguson

4th Floor, Companies Hause

*e = i Crown Way
Mae Gwasanaethau Cyfrelthial a
Risg yn is-adran ofewn Partneriaeth ronnie eee Boao

‘yowasanaethau ymru .
Legal and Risk Services ts a + Fax: 029 2090 4146
division of the NHS Wales | o Le “Eel DX: 124592 Cardiff (Co. House}
Shared Service Partnership } j if Legat Practice Quality Mark.

Lee «| Law Societv

the work that we do to support the clinical teams to reduce harm to patients by our careful review of
the internal and the independent reports obtained into care complained of.

The Welsh Risk Pool Service has two primary functions: the first is to reimburse health bodies
which have paid compensation and costs in respect of a clinical negligence or other personal injury
claim made against it. In order for the advisory board of WRPS to approve reimbursement, a
careful scrutiny of papers submitted to provide evidence of the lessons learned from the events
leading to the claim is undertaken, notwithstanding that these events may have been some years
before. Insufficient or unsubstantiated submissions are rejected and reimbursement deferred or
even, in extreme cases refused, until clear, auditable action plans are produced. The second
function is to provide support and assistance to health bodies in the provision of training to improve
risk management and clinical standards. Staff spend lengthy periods undertaking reviews into
issues which present as a trend in the claims reimbursement process, for example, review into the
incidence and early identification of pressure sores. The Head of Safely and Leaming of WRP is
invited by health bodies to offer advice and assistance to clinical departments to improve patient
outcomes; however we have no mandate to introduce any reforms or improvements ourselves. The
issue of the transfer of radiology between health bodies both within Wales and across the border
will be scheduled into the current work programme.

I believe that the legal and support services we provide to health bodies in Wales is proactive in
helping them recognise and respond to clinical risks which we identify in claims and our
investigations at their request but we do not have a place on their boards and have no influence or
contro] to bring about service change which must be a matter for the boards themselves.

I should be happy to meet with you to discuss my role and that of my team should that be of
assistance.

Yours sincerely

Febery

=

Legal & Risk Services
Response from Welsh Ambulance Services (PDF)
Ymddiriedolaeth GIG G Bwrdd lechyd Prifysgo!
Gwasdscthau AmBiwlans Cymru L ~ G IG L ~ ow Caerdydd a'r Fro

Welsh Ambul: 5 Cardiff and Vale

NHS Trust eee eS Ov N HS \ 7 HS University Health Board

Pencadlys yr Ymddiriedolaeth, Safle H M Stanley, Llanelwy, Sir Ddinbych LL17 ORS
Trust Headquarters, H M Stanley Site, St Asaph, Denbighshire LL17 ORS
Tel/Ffén 01745 532900 Fax/Ffacs 01745 532901

www.ambulance.wales.nhs.uk
Our ref: JKO1/tf/5233
2"4 October 2018

Dr SJ Richards

HM Assistant Coroner
South Wales Central Area
The Coroner's Court
Courthouse Street
Pontypridd

CF37 1JW

Dear Dr Richards
Re: Mr Steven John Welch (deceased)

This is the response of the Welsh Ambulance Services NHS Trust to the Regulation
28 Report to Prevent Future Deaths that you issued to ourselves (the Trust) on 7
August 2018 following the conclusion of the inquest the late Mr Steven John Welch.

Within your report you asked the Trust to consider and address the following specific
issues:

Training needs of 999 emergency call telephonists for medical assistance.

| can confirm that the call handlers, known as Emergency Medical Dispatchers
(EMDs), training schedule was last reviewed prior to the last induction of new recruits
in July 2018. All trainees have to be signed off as competent before they are allowed
to go live within the operational service. The auditors within the clinical contact centre
act as mentors to the new EMDs and are experts in the level of competency required
to take 999 calls.

There is another group of staff who are responsible for allocating ambulance
responses to incidents, these are called Allocators who dispatch the ambulance via
the Computer Aided Dispatch (CAD) system. They can elecironically send a message

Cadeirydd Dros Dro/interim Chair: Martin Woodford

Prif Weithredwraig /Chief Executive: Jason Killens

Mae'r Ymddiriedoteeth yn croesawu gohebloeth yn y Gymraeg neu’r Soesneg
The Trust welcomes correspondence in Welsh or English

to the vehicles to allocate them to an incident. The Allocators are supported by
Dispatchers who assist with meal break management, vehicle breakdowns and radio
communications etc.

We do not expect Allocators/Dispatchers to maintain their call taking skills unless they
are undertaking regular calls. If for any reason an EMD has not been call taking due
to prolonged sickness or being seconded to a different role they would be expected to
undertake a refresher course and have their competency reassessed prior to
commencing live independent call taking.

The purpose of the Medical Priority Dispatch System (MPDS) Quality Assurance and
Improvement is to ensure staff adhere to a standardised practice and procedure as
defined by the international Academies of Emergency Dispatch® (IAED™) when using
their prioritisation software product. The quality improvement audit process is intended
to support staff and identify learning needs as well as recognising performance
strengths. Therefore, auditing calls is a vital function to ensure these standards are
maintained. If any skills gaps are identified the EMD will receive extra coaching, be
supported with a coaching plan and capability may be considered if they fail to reach
an acceptable standard following appropriate support.

EMDs are required to undertake recertification every 2 years, sit an exam and
demonstrate they have undertaken 24 hours of Continuing Dispatch Education (CDE)
in that time.

With regard to the use of the breathing tool the Trust is and has been working with the
International Academy of Emergency Dispatch (IAED) to try and improve the
assessment of breathing over the phone. It is well recognised that this is very difficult
to assess with callers and to aid EMDs the Breathing Verification tool has been
developed. It is very clear in MPDS guidelines that if there is uncertainty about whether
the patient is breathing they should act as if the patient is not breathing. If the patient
is unconscious and is reported as breathing abnormally the caller is asked to check if
they can feel or hear breathing. If the answer is “no”, then Cardio Pulmonary
Resuscitation is started. If the answer is “yes”, the breathing will be further evaluated
using the Breathing Verification tool. The caller is asked to indicate every time the
patient takes a breath to ensure the patient is breathing effectively. The auditors
monitor the use of the breathing tool to ensure it is being used correctly.

Whilst the Trust does not propose to change its systems following the receipt of the
Regulation 28 report, | hope this reassures you that the Trust does have in place
systems for considering call takers initial training needs, as well as monitoring their
ongoing performance, with built in occasions to identify and act on remedial training
needs.

The complexity of the emergency call ranking system (MPDS) for users and
whether or not this may contribute to errors occurring.

MPDS has been designed to generate a code in response to an emergency call. As |
am sure you will appreciate given the vast number of possible reasons for making a
clinical call and the clinical conditions that can exists, MPDS can generate 1,933
different codes. These codes are then matched to the 5 different categories of
response (Red, Ambers and Greens) in the Clinical Response Model.

MPDS has been designed to be screen driven thus making it easier for the EMD to
use. It follows a ‘flow chart’ type system with one answer leading to the next question.
This depends on the EMDs correctly recording into the system the responses received
from the caller.

In response to the Regulation 28 received from yourself we have undertaken a review
of the calls taken for the first 6 months of the year to explore if there is any evidence
to support the supposition that MPDS is too complex for call handlers to use effectively.
Of the calls audited only 7% of calls were non-compliant. A total of 85% were of high
compliance and in order to get a recorded result of high compliance the call taker has
to have scored a perfect 100%.

Number of
Cases

High Compliance || 85% 2990
Compliant [ 6% 203

Partial Compliiance 2% 60
[ 7% 247

Percent

Low Compliance
Non-Compliant

Totals 100% 3515

From this data it can be concluded that the EMDs generally do use the MPDS software
correctly. The audit data was examined to identify if there was any particular aspect of
the call taking that the EMDs had difficulty with. No one aspect of call taking stood out
as presenting an issue other than the delivery of Dispatch Life Support (DLS)
instructions. Dispatch Life Support includes all instructions given during the call, this
does not affect the category of the call. The DLS deviations relate to a moderate
deviation. Moderate deviations are those deviations from expected performance
considered to be incongruent with the desired function and design of the protocol
without a direct impact on safety. These deviations can affect the most appropriate
instructions provided, but they are not expected to have a direct negative impact on
the patient/victim or scene outcome.

On each of the critical deviations 97% or more of the times the calls were managed
correctly. A critical deviation are those deviations from expected performance that not
only fail to meet the minimum standard of practice but also pose a substantial risk to
the caller or patient/victim or that impact responder safety. Examples of critical
deviation can include the address not being verified correctly, even if the correct

address was given, failure to choose the correct chief complaint, however this might
not affect the final categorisation. So although they will be marked as critical it does
not always follow that the patient came to harm.

Having reviewed this evidence the Trust does not believe the EMDs find MPDS too
complex to use. The Trust will continue to monitor the EMD's performance using
MPDS and continue to work to improve call takers performance.

Percentage of Deviations Moderate

Si
—=—————
SS

The Trust is an MPDS Centre of Excellence, one of only 250 such centres worldwide.
This is from a pool of over 2500 using the system. Annually, MPDS is used in the
prioritisation of 65 million Emergency Medical calls worldwide and has been shown to
be a safe system.

The failure to predict accurately emergency demand over a public holiday
thereby not having sufficient resources at hand or in reserve.

As described at the Inquest the Trust currently uses the previous year’s emergency
demand profile, with a percentage uplift when trying to predict the daily emergency
demand.

The Trust is aware of the need to consider changes to the demographics in Wales,
both current and predicted, and as such the Trust's Planning & Performance
Directorate, since July 2018, have been working on a project in relation to Optima
Predict.

Optima Predict is a powerful interactive strategic planning solution for Emergency
Medical Services (EMS) that provides a platform to undertake Operational Demand &
Capacity Review.

Optima Predict takes into account key performance indicators (KPls) such as
response times, vehicle coverage and shift requirements and allows users to quickly
build scenarios that make logistical and business sense. It can be used to estimate
call volumes, for the coming year and beyond, test different coverage and posting
plans, test proposed roster changes and then analyse their impact, enabling the Trust
to select the most effective option and take action.

The project is ongoing and the Trust is currently modelling the plan for Optima Predict
and the issues that will be selected for analysis. | hope this reassures you that the
Trust is taking action to address and further strengthen future planning by using this
software.

The use of the software will assist the Trust in planning the utilisation of available
resources to inform our Integrated Medium Term Plan.

The Trust has also undertaken the recruitment of 90 additional staff, who are
undergoing training and will be operational by December 2018. Whilst the increase in
staff is pan Wales, a proportion of the new staff will be operational in the Cwm Taf
area. This will enable the Trust to increase the number of staff available to it and the
number of staff that can be considered as being available “in reserve", allhough we
are obviously restricted by the number of vehicles available and available budgets.

The impact of lengthy patient handover delay times between emergency
ambulance and recipient hospitals, upon the delivery of an effective emergency
service.

The Cwm Taf University Health Board (the Heaith Board) and the Trust already work
closely together to minimise delays in hospital handover and ensure patients receive
the care they need in a timely manner. The Health Board can experience occasions
when the number of ambulances arriving at the emergency unit temporarily exceeds
the capacity of the unit to safely receive the patients, leading to a delay in handover
from the Trust's crews. We are very aware that these waits are not only sub-optimal
for the patient on the ambulance at the time but can also affect the ability of the Trust
to respond to patients in the community. For these reasons we endeavour to keep
these delays to an absolute minimum and closely monitor our performance on an
hourly and daily basis. It should be noted that Cwm Taf University Health Board is
commended for their focus on flow improvement model that has achieved the least
lost hours for hospital handover from the Trust in NHS Wales.

Whilst our colleagues at the Health Board will share with you the actions they are
taking to continue to minimise handover delays, in response to the Regulation 28
report you issued separately to them, | would like to assure you that the Trust also
continues to try and avoid conveyance of patients to the Emergency Departments
when it is safe to do so. Whilst the following actions do not directly affect how long
ambulances take to hand over the care of patients when they arrive at hospitals, these
actions see a reduction in the number of patients being conveyed to Emergency
Departments across Wales and improve the flow of patients within the NHS. Please
find appended to this response further details of these supporting actions.

The Trust has developed robust winter planning actions that will support the
requirements of this Regulation 28 report received from you. We would like to reassure
you that the Welsh Ambulance Services NHS Trust and Cwm Taf University Health
Board continue to work together to drive the improvements and learning forward that
we commenced last year and we continue to strengthen the out of hospital alternative
pathways to improve efficiency and effectiveness of care for our patients and make
best use of our resource.

In conclusion:

We hope that we have been able to assure you that as a result of the Regulation 28
the Trust:

e Has in place robust systems for the training of call taking staff and systems for
the continued monitoring.

e Has undertaken a review of errors made by call takers in the last 6 months and
the findings provide assurance that the complexity of MPDS is not contributing
to the errors made.

e Will be using the Optima Predict software to assist the Trust in more accurate
predictions in relation to emergency demand and resource deployment.

e Continues to work collaboratively with Cwm Taf University Health Board to
further reduce patients being conveyed by ambulance to the Emergency Units,
increasing the capacity of appropriate resources and assisting in patient flow.

We would like to extend the offer to meet with you to discuss our response in more
detail and to provide you with assurance of our commitment to learning and the
continuous quality improvement our service provision.

Yours sincerely

Jason Killens
Chief Executive

Related reports

More reports categorised “Hospital Death (Clinical Procedures and medical management) related deaths”

See all →

Track Hospital Death (Clinical Procedures and medical management) related deaths

See every Prevention of Future Deaths report matching Hospital Death (Clinical Procedures and medical management) related deaths, and how often a new one appears.

What would an alert for this have sent me? Search the full text

Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.

These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.