Patient’s Congress 10 October 2013 Sneaton Castle, Whitby

Welcome Henry Cronin Lay Chairman Linda Lloyd HEN rep for Whitby and surrounding areas

CCG update Dr George Campbell GP and CCG Governing Body Member

Latest developments Children's and maternity services at The Friarage Hospital Fit 4 the Future CCG finance update Urgent care project update

Group discussion Group discussion – NHS services in Whitby Members will be asked to discuss what they would like to see from their NHS services in Whitby and the surrounding area

Feedback and next steps

COMMUNITY FIRST RESPONDER SCHEME’S Community First Responders save lives!

What is a Community First Responder?

Usually (but not exclusively) a lay person, who makes himself or herself available to be dispatched by the Emergency Operation Centre, to attend specific life threatening emergency incidents. The Community First Responder (CFR) is expected to arrive at the scene of the incident in advance of the conventional ambulance but is by no means a replacement for the ambulance. A person is trained in basic life support (BLS) and the use of an AED (Automated External Defibrillator).

What qualities would a Community First Responder need? Willing to dedicate some of their own time Over the age of 18 – no upper age limit Full Driving Licence for > 12 Months (< 6 penalty points) Completion of an enhanced DBS disclosure application (previously CRB) Occupational Health document (questionnaire) Willing to undergo training (community based) Prepared to use your own vehicle The ability to stay calm and composed in difficult situations

Why Use Community First Responders? 6000 Square miles - Geographically > 5 Million Residents 61 Ambulance Stations 247 Front Line Ambulances 154 RRV’s National Service Framework (NSF) for Coronary Heart Disease Return Of Spontaneous Circulation (ROSC) – Survival to Discharge Community Responders Save Lives

EMERGENCY DEMAND ACROSS YORKSHIRE APRIL/MARCH 06/07 569,773 APRIL/MARCH 07/08 626,961 APRIL/MARCH 08/09 671,700 APRIL/MARCH 09/10 709,124 APRIL/MARCH 10/11 728,467 APRIL/MARCH 11/12 751,807 APRIL/MARCH 12/13 763,772

Community First Responders across Yorkshire play a vital part in helping Yorkshire Ambulance Service reach, treat and save the lives of many patients. Cardiac Arrest attended by CFR’s in 2011 – 2012 = 323 Cardiac Arrests attended by CFR’s in 2012 – 2013 = 502 Cardiac Arrests, attended by YAS CFR’s, surviving to discharge = 57 Community Resilience

Coronary Heart Disease (CHD) UK’s BIGGEST KILLER 2.5 Million people living with Heart disease in the UK 237,000 heart attacks each year – 126,000 male – 101,000 female 94,381 people died from a heart condition in /3 of heart attack patients die before they reach hospital 41,000 of the 237,000 were under 75 years of age Collectively Heart & Circulatory disease causes 1 in 3 deaths per year – that’s 250 per day Cardiac Arrests 7160 across Yorkshire Cardiac Arrests 8120 across Yorkshire Daily average Cardiac Arrests across Yorkshire

Community First Responder Schemes in Yorkshire Current Position May 2013 AreaNo. of people in CFR schemes across Yorkshire Number of CFR Teams across Yorkshire Number of Static Defibrillator Sites Across Yorkshire West Yorks South Yorks North Yorks East Yorks Totals

Life Threatening Calls Stroke Heart Attack Diabetes Asthma Seizures

TRAINING NEEDS FOR CFR BLS (BASIC LIFE SUPPORT) - 8 HOURS AED (ADVISORY EXTERNAL DEFIB) - 8 HOURS 180 DAY REQUALIFICATION PERIOD - 3 HOURS ACTIVE AFTER 16 Hours ADDITIONAL BY–MONTHLY TRAINING - 2 hours

Training Defibrillate (electronically stimulates the heart) Give early oxygen therapy including Basic Life Support (BLS) Comfort and reassure the patient, until the ambulance arrives

How does the CFR scheme work? Mobile Phone SMS Text Messaging Grid Reference for CFR scheme coverage Group Ownership of the scheme Communication from YAS via scheme team Leader Equipment

YAS’ Commitment to You Full training, on going support and help provided by YAS Access to Occupational Health professionals if and when required provided by YAS Car expenses paid for responding to incidents requested by YAS Equipment provided by YAS Insurance indemnity and liability cover provided by YAS

The Future More Defibrillators in more public places (Osmotherley and Civic Centre, Northallerton are recent additional sites) Additional code activations appropriate for CFR to respond to as more advanced techniques in airway management are developed and introduced into the training. Improved hand held communication devices to provide greater coverage and resilience in more rural areas.

Thank you for your interest and support ANY QUESTIONS? Yorkshire Ambulance Service and Your local community needs you!

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