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"Waited over 5 hours for an ambulance"

About: Welsh Ambulance Services NHS Trust Ysbyty Gwynedd / Accident and emergency

(as a friend),

[SUMMARY: it took an ambulance 5 1/2 hours to reach a casualty who was stuck on the side of the road in the middle on the night]

Whilst on holiday in Wales my friend dislocated her shoulder in the sea on a beach at about 7:30pm

. We rang emergency services and once they had assessed the severity of the injury through questions we were told an ambulance would be sent to the beach. 40 minutes later we were rung and told the injury wasn't a priority so a nurse was being sent instead but that the nearest a&e was over an hour away so it might be quicker to drive ourselves. 

My friend was in considerable pain but managed to get into our car so she could be driven to Bangor a&e. However 5 minutes down the road the movement of the car proved too painful and my friends were forced to stop in someone's driveway. The ambulance was rung to let them know where they were but they were again told the injury wasn't a priority so they would have to wait. 

The ambulance was rung several times over the next few hours by the people with the causality, a parent from home and myself. As we were a large group half of us had returned to our house when they set off for a&e and did not know what was happening or where our friends were. It was stressed that the casualty was stuck on the side of a road, in considerable pain and on the verge of being sick, which was a sign we had been warned about. However, I was rushed off the phone and not given any information as to when an ambulance might reach them. The people in the car with the casualty had a similar experience. When asked what call centre the person on the phone worked at, they were not given a definite answer. 

The injury occurred at roughly 7:30pm. An ambulance did not arrive until 1am. This was due partly to police who were passing the car stopping to help and calling for the ambulance to come quickly. In the time it took for help to reach them from a&e an hour away, a parent had driven the 3 hour journey from our home town in England. Upon arrival, a member of the crew was rude to my friends and commented that it would have been quicker if they had driven to a&e despite it being stressed countless times that they could not move without causing my friend considerable pain. 
Everyone involved found the whole experience extremely stressful, mostly down to the poor performance of the ambulance call centre and extremely slow response time of the ambulance itself. We are aware that they were dealing with other casualties that night but the response of the ambulance team was unacceptable and put our friends' safety at risk by leaving them on the side of a road for over 4 hours.
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Responses

Response from Leanne Hawker, Head of Patient Experience, Welsh Ambulance Service 5 years ago
Leanne Hawker
Head of Patient Experience,
Welsh Ambulance Service
Submitted on 26/07/2018 at 14:53
Published on Care Opinion at 16:16


I am really sorry for the distress caused to you and your friend following your call to our service. I appreciate that waiting for an ambulance can be a difficult and distressing time for those involved especially your friend.

The Welsh Ambulance Services NHS Trust uses a system called the medical Priority Dispatch System (MPDS) this system is used worldwide for the prioritisation of emergency medical calls. When a 999 call is received, the call taker will ask the caller a series of scripted questions and then a clinical priority code is provided for this call, these being Red, Amber or Green. Red calls are immediately life threatening and require the Trust to provide an eight minute response in 65% of occasions, to patients who are, for example, in cardiac or respiratory arrest. Amber and Green calls are responded to based on their clinical priority, and the Trust would aim to allocate an ambulance or Rapid Response Vehicle as soon as one is available. When a call is categorised as a green call, it can sometimes be deemed suitable for a nurse telephone assessment to ensure the most appropriate care pathway is provided for the patient.

Your friend was experiencing a great deal of pain adding to their distress waiting for an ambulance however, I would like to reassure you that our clinical response model puts the sickest patients first, and is designed to ensure that more of our busy ambulances are available for those whose situation really is life or death.

We want to try and minimise any further anxiety for patients in the future, and are constantly working to improve the service for patients in order to provide help to them when they need us. I am grateful for you sharing this experience with us. In order for us to improve our services to patients in the community we are working with our colleagues in the Clinical Contact Centre’s to improve the way we engage with patients/callers during calls to make sure that we are responsive to their individual needs. We are also, regularly reviewing the patient experiences and clinical outcomes of our patients as well as the processes for responding to callers.

Thank you again for sharing your experience, and I sincerely hope your friend makes a speedy recovery.

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