1. London Ambulance Service NHS Trust The ambulance service and out of hours primary care Kathy Jones, Head of A&E Development London Ambulance Service NHS Trust Kathy.jones@lond-amb.nhs.uk

2. London Ambulance Service NHS Trust Outline Ambulance service workload Ambulance service skills Bridging the gap between them Implications for out of hours primary care

3. London Ambulance Service NHS Trust Ambulance service workload 5 million 999 calls per year (England) of which: 4 million incidents attended, of which: –One million are potentially life threatened cases –Three million go to hospital But half may not need A&E care Key Groups: –Sick – don’t know why- Older fallers – no injury –Abdominal pains- Minor injuries