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|Welsh Ambulance Services NHS Trust|
|Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru|
|Type||NHS Wales Trust|
|Established||1 April 1998|
|Headquarters||St Asaph, Denbighshire, Wales|
|Area size||8,006 square miles (20,740 km2)|
|Population||around 3 million|
|Budget||around £175 million|
|Chief executive||Jason Killens|
The Welsh Ambulance Services NHS Trust (Welsh : Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru) is the national ambulance service for Wales. It was established on 1 April 1998 and as of December 2018 [update] has 3,400 staff providing ambulance and related services to the 3 million residents of Wales.
The trust headquarters is located at St Asaph, Denbighshire. The service is currently divided into three regions:
The trust provides a number of services:
Emergency Medical Services (EMS) - responds to emergency 999 calls and GP's urgent calls. A standard crew combination for this service would normally consist of a paramedic and an emergency medical technician. However double paramedic / double technician crews are not uncommon. As of 2013 [update] , the majority of the EMS fleet consists of Wilker Mercedes Benz 519 Sprinter Ambulances and Honda CRV or Ford Focus rapid response vehicles (RRV).
Non Emergency Patient Transport Service (NEPTS) - deals with the planned care aspect of ambulance work. NEPTS staff usually provide transport between home and healthcare facilities or some inter-hospital transfers.
Urgent Care Service (UCS) - bridges the gap between NEPTS and EMS, allowing for patients to be transferred between home and hospital or hospital to hospital while meeting the advanced needs that some of these patients may have (such as oxygen administration and continuous monitoring). UCS ambulance crews may also be allocated to EMS calls at times of high demand and following clinical telephony triage by a nurse or face to face triage by advanced paramedic practitioners or paramedic practitioners working from a RRV.
NHS Direct Wales / 111 Wales - a 24-hour telephone and internet health advice service provided by NHS Wales to enable people to obtain advice when use of the national emergency telephone number (999 or 112) does not seem to be appropriate but there is some degree of urgency. NHS Direct Wales / 111 Wales supports EMS Operations by providing clinical triage for "Green 3" calls that are deemed suitable. More than 45% of 999 calls have a disposition of not requiring 999 conveyance. In addition during times of escalation other calls deemed suitable are triaged. It does not replace any of the existing emergency or non-emergency medical services but complements those already existing and enables callers who might not be fully able to diagnose themselves to be directed to care of an appropriate level of urgency, including transport to hospital if the diagnosis merits that action.
Community First Responders (CFR) - volunteers from the community trained in basic first aid, oxygen administration and the use of an automated external defibrillator (AED). They are used by the ambulance service mostly in rural areas to provide basic care, such as cardiopulmonary resuscitation (CPR) before an EMS crew arrives. As a CFR is usually only sent to local calls in specified communities, they often arrive before an EMS ambulance crew, even without the use of blue lights and sirens. Whilst most CFR teams are the sole responsibility of WAST, a number of teams (especially in the county of Powys) are made up of regular divisions from St John Ambulance Cymru although this does not give them any exemptions.
There are developing numbers of advanced paramedic practitioners in the service who through their extended scope of practice are working toward advancing the service their patients receive with "see and treat" and "see and refer" models of care. This removes the need for some patients to travel in an ambulance to A&E.
In 2012, a strategic review of the service was commissioned by the Welsh Government and was conducted by Professor Siobhan McClelland and published in April 2013.
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.
An emergency medical technician (EMT), also known as an ambulance technician, is a health professional that provides emergency medical services. EMTs are most commonly found working in ambulances. In English-speaking countries, paramedics are a separate profession that has additional educational requirements, qualifications, and scope of practice.
A paramedic is a registered healthcare professional who works autonomously across a range of health and care settings and may specialise in clinical practice, as well as in education, leadership, and research.
A certified first responder is a person who has completed a course and received certification in providing pre-hospital care for medical emergencies. Certified individuals should have received much more instruction than someone who is trained in basic first aid and cardiopulmonary resuscitation (CPR) but they are not necessarily a substitute for more advanced emergency medical care rendered by emergency medical technicians (EMTs) and paramedics. First responders typically provide advanced first aid level care, CPR, and automated external defibrillator (AED) usage. The term "certified first responder" is not to be confused with "first responder", which is a generic term referring to the first medically trained responder to arrive on scene and medically trained telecommunication operators who provide pre-arrival medical instructions as trained Emergency Medical Dispatchers (EMD). Many police officers and firefighters are required to receive training as certified first responders. Advanced medical care is typically provided by EMS, although some police officers and firefighters also train to become emergency medical technicians or paramedics.
The London Ambulance Service NHS Trust (LAS) is an NHS trust responsible for operating ambulances and answering and responding to urgent and emergency medical situations within the London region of England. The service responds to 999 phone calls across the region, and 111 phone calls from certain parts, providing triage and advice to enable an appropriate level of response.
The Northern Ireland Ambulance Service is an ambulance service that serves the whole of Northern Ireland, approximately 1.8 million people. As with other ambulance services in the United Kingdom, it does not charge its patients directly for its services, but instead receives funding through general taxation. It responds to medical emergencies in Northern Ireland with the 300-plus ambulance vehicles at its disposal. Its fleet includes mini-buses, ambulance officers' cars, support vehicles, RRVs and accident and emergency ambulances.
The Scottish Ambulance Service is part of NHS Scotland, which serves all of Scotland's population. The Scottish Ambulance Service is governed by a special health board and is funded directly by the Health and Social Care Directorates of the Scottish Government.
The South Western Ambulance Service NHS Foundation Trust (SWASFT) is the organisation responsible for providing ambulance services for the National Health Service (NHS) across South West England. It serves the council areas of Bath and North East Somerset, Bournemouth, Christchurch and Poole Council, Bristol, Cornwall, Devon, Dorset, Gloucestershire, North Somerset, Plymouth, Isles of Scilly, Somerset, South Gloucestershire, Swindon, Torbay and Wiltshire.
The Yorkshire Ambulance Service NHS Trust (YAS) is the NHS ambulance service covering most of Yorkshire in England. It is one of ten NHS Ambulance Trusts providing England with emergency medical services as part of the National Health Service it receives direct government funding for its role.
The South Central Ambulance Service NHS Foundation Trust (SCAS) is the ambulance service for the counties of Berkshire, Buckinghamshire, Oxfordshire and Hampshire. It is a foundation trust of the National Health Service, and one of ten NHS ambulance trusts in England.
The East of England Ambulance Service NHS Trust (EEAST) is an NHS trust responsible for providing National Health Service (NHS) ambulance services in the counties of Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Norfolk and Suffolk, in the East of England region. These consist of approximately 6.2 million people across an area of 7,500 square miles (19,000 km2).
The North East Ambulance Service NHS Foundation Trust (NEAS) is an NHS foundation trust responsible for providing NHS ambulance services in North East England. Headquartered in Newcastle upon Tyne, NEAS provides emergency medical services to the metropolitan boroughs of Newcastle upon Tyne, Gateshead, North Tyneside, South Tyneside and City of Sunderland; the ceremonial counties of County Durham and Northumberland; and the area of North Yorkshire commonly known as Teesside. NEAS was formed on 1 July 2006, following the merger of the existing North East Ambulance Service with the Tees division of the Tees, East and North Yorkshire Ambulance Service (TENYAS). Northumbria Ambulance Service and County Durham Ambulance Service had previously merged on 1 April 1999.
The West Midlands Ambulance Service University NHS Foundation Trust (WMAS) is responsible for providing NHS ambulance services within the West Midlands region of England. It is one of ten ambulance trusts providing England with emergency medical services, and is part of the National Health Service.
Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services (NHS) of England, Scotland, Wales, and Northern Ireland. Emergency care including ambulance and emergency department treatment is only free to UK residents and a charge may be made to those not entitled to free NHS care. The NHS commissions most emergency medical services through the 14 NHS organisations with ambulance responsibility across the UK.
Emergency medical personnel in the United Kingdom are people engaged in the provision of emergency medical services. This includes paramedics, emergency medical technicians and emergency care assistants. 'Paramedic' is a protected title, strictly regulated by the Health and Care Professions Council, although there is tendency for the public to use this term when referring to any member of ambulance staff.
NHS Direct Wales is a 24-hour telephone and internet health advice service provided by NHS Wales to enable people to obtain advice when use of the national emergency telephone number does not seem to be appropriate but there is some degree of urgency; it also functions as a confidential advice service for some medical matters which a patient might be reluctant to discuss with their own General Practitioner (GP) and has subsidiary helplines for specific health matters such as human papillomavirus (HPV).
The East Midlands Ambulance Service NHS Trust (EMAS) provides emergency medical services, urgent care and patient transport services for the 4.8 million people within the East Midlands region of the UK - covering Nottinghamshire, Derbyshire, Leicestershire, Rutland, Lincolnshire and Northamptonshire. It was formed in 1999 by amalgamating several county ambulance services, and in July 2006 was dissolved and reformed under the same name as part of a nationwide reorganisation of ambulance service provision.
Essex & Herts Air Ambulance Trust (EHAAT) is a charity air ambulance service providing a free, life-saving Helicopter Emergency Medical Service (HEMS) for the critically ill and injured of Essex, Hertfordshire and surrounding areas.
The Wales Air Ambulance Charitable Trust, known as Wales Air Ambulance Charity (WAAC) or, is an charity air ambulance service providing a free, life-saving helicopter emergency medical service (HEMS) for the critically ill and injured in Wales. It is not funded by NHS Wales, but only by charitable donations. It also provides the Children's Wales Air Ambulance (CWAA) emergency transfer service. The charity aims to save lives and reduce or prevent disability or suffering from critical illness and injury, by delivering a pre-hospital emergency medical service.
The Ambulance Service Long Service and Good Conduct Medal is a long service medal of the United Kingdom established in 1995. The medal is awarded to recognise long service by all clinical grades of the ambulance services who serve on emergency duty.
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