1. London Trauma System Launch Event Thursday 10th September Church House, Dean' s Yard, Westminster, London SW1P 3NZ

2. Prehospital Care London Ambulance Service Emergency Medical Services – Day time helicopter response (HEMS) – Night time car service BASICS MERIT

4. 1988 charitable / public initiative Pan London Service – 30% activity going to Royal London Hospital Team – Clinical team is a senior doctor & experienced paramedic Crewed by staff from all over London – Wider team: pilots, fire crew, data, driving manager “Intensive Care at the Road Side” Ensures – Best & quickest treatment post injury – Quickest transfer times to cities major trauma centres HEMS – London’s Air Ambulance

5. Unparalleled Care Attracts other world leaders as service providers – e.g. Norway, Australia Unique levels of patient care

7. Unparalleled Care Thoracotomy Unique levels of clinical scrutiny

8. Night Time – Response Cars

9. Available when aircraft is off line – Night – Bad weather or maintenance Not complete cover – Periods in night / earlier morning when no funding for cover Night Time – Response Cars

10. BASICS Voluntary group of doctors – Support at times when HEMS not online – Support for times of surge

11. MERIT Response (Medical Emergency Response Incident Teams)

12. Dedicated medical support for major incidents Described in latest national guidance for major incidents Currently doesn’t exist in London – An onerous system falling to each hospital – Supported by a voluntary system. Proposal for a commissioned system designed around the response on the 7 th July 2005 bombings – Builds on local expertise of the EMS teams – Uses economies of scale for recruitment, training, exercising, equipping etc – Delivers accurate levels of triage – Helps deliver the best survival rates for critical patient groups MERIT Response (Medical Emergency Response Incident Teams)

13. Thank You