Welsh Ambulance Services NHS Trust

Action Planned (AI summary) The Trust acknowledged a paramedic's lack of awareness regarding Rivaroxaban and is implementing an action plan for individual learning and organizational changes. They will ensure all clinical staff are aware of the effects of Novel Oral Anti-coagulant drugs.

Action Planned (AI summary) The Health Board reports improvements in ambulance response times and highlights several initiatives to improve the timeliness of releasing crews at the hospital, including practitioners reviewing WAST calls and additional doctors in the Emergency Department. The Welsh Ambulance Services NHS Trust acknowledges concerns and has completed and continues to work on strategic and operational quality improvements in patient safety, including training of Clinical Contact Centre staff, recruitment of clinicians, and improvements to policies and collaborative working; the Trust will also undertake a concerns investigation to address whether the delay had any impact and would welcome an opportunity to meet with the family.

Action Planned (AI summary) • The Trust is working on strategic and operational quality improvements in patient safety that have been completed or are underway. • Continuous improvements are ongoing with Health Board colleagues and they are working collaboratively to progress safety, effectiveness and a positive experience for patients and their carers. • Initiatives include ensuring planned resources are sufficient to meet overall demand, aligning production against demand by local and time of day, reducing sickness absence, and reducing handover to clear duration.

Action Planned (AI summary) The Welsh Ambulance Services NHS Trust and Cardiff and Vale University Health Board confirmed the continued actions of reminding CCC Clinical Leads to address Protocol 23 cases promptly, approach the Police to extend the MOU to include overdose cases, expand the clinical desks, rolling out the APP model across Wales and implementing a Level 1 response to people who have fallen and are not injured. The Welsh Ambulance Services NHS Trust (WAST) is considering options to increase capacity on its clinical support desk and exploring options for third sector organisations to support delivery of welfare checks. The Cabinet Secretary has commissioned a review of the ‘Amber’ category.

Action Planned (AI summary) The University Health Board and Welsh Ambulance Services NHS Trust are collaborating on several actions to improve patient flow, including implementing SAFER patient flow bundles, developing integrated discharge hubs, and working with local authorities to reduce delayed transfers of care.

Action Planned (AI summary) Betsi Cadwaladr University Health Board, Welsh Ambulance Services NHS Trust, and the four Local Authorities are collaborating on actions to improve patient flow, including Innovation Unblocked event programmes and SAFER patient flow bundles.

Action Planned (AI summary) The Welsh Ambulance Service NHS Trust has made progress against key actions identified in an attached action plan, with the most significant impact from the Welsh Health Circular regarding hospital handover guidance. Lessons learned from the case are being monitored through a Task and Finish Group. The University Health Board is scrutinizing two working action plans relating to the case, which will be monitored by the Quality and Safety Group.

Action Planned (AI summary) The Welsh Ambulance Services NHS Trust has developed an action plan and is monitoring progress through a Task and Finish Group of senior staff, led by the Director of Quality, Safety and Patient Experience.