_ (1) Whether the Trust's Emergency Care Assistants (ECA) and Emergency Medical Technicians EMTLare assessed at intervals_to ensure compliance with Basic Life and and Artery hrs _ day:

Support(BLS) and Immediate Life Support (ILS) standards and scope of practice_ (2JWhether the Trust's paramedics or otherwise only those with Advanced Life Support (ALS) training should be mandated to attend all Code Red ambulance transfers of patients diagnosed with acute coronary syndrome(ACS) (3)Whether at the point of community referral (patient's home, GP surgery or elsewhere) the referring individual or team are made aware by the ambulance crew of the scope of their training(i.e. BLS, ILS or ALS) to ensure an informed and optimal decision to transfer is taken.
4.Whether the Trusts paramedics, or only those with current ALS training should be mandated to attend all transfers post-activation of the Trusts Primary Percutaneous Coronary Intervention protocol EoE PPCI).as stipulated in that protocol:
5. Whether the Trust's ECA and EMT crews should be made familiar with and instructed to adhere to the EoE PPCI protocol following any PPCI referral from the community or hospital and whether practical guidance in support of the protocol should be given on the lines suggested in the appendix attached.
6. Whether ECA's and EMT's should be provided with additional training and instruction on the full operation and interpretation of ECG machines and whether should attend the Trust's ILS Courses
7. Whether contact with and continuing dialogue with relatives should the subject of specific guidance once next of kin details have been established,