Ambulance Services (Devon)

Debate between Sarah Wollaston and Luke Pollard

Wednesday 12th July 2017 Westminster Hall

[Dr Wollaston]

I think we are all glad to hear that Murphy is making a good recovery. As my hon. Friend says, we must focus not just on the immediately life-threatening incidents but on the kinds of incidents that he described, where an ambulance is very important and somebody’s condition could deteriorate because of a long wait. For SWASFT we must keep an eye on not just the category 1 incidents, but the others as well, and I hope the Minister will do so.

In this debate we should also celebrate the successes, because there are undoubtedly those as well. We have seen examples of very good co-working between our blue light services. For example, in the “collapsed behind closed doors” scheme fire services co-operate with the ambulance service where there are concerns that somebody might be collapsed in a residence. In the past the police may have responded, but now the fire service can also provide that assistance, and I pay tribute to those co-responders in the fire service. From my time as a rural GP in Chagford, I remember the number of occasions when people phoned me in surprise because the fire service had arrived instead of the ambulance service, but it is actually providing a fantastic resource. On occasions when it is absolutely critical that somebody has a defibrillator on site as soon as possible, the fire service can and does perform an amazing job. We have got further to go, particularly in remote rural communities where a fire resource might be closer to hand. I hope the Minister will look at how we can go further to make sure that we develop a multi-skilled workforce who are properly rewarded for the expertise and skills that they develop across the fire service.

[Luke Pollard (Plymouth, Sutton and Devonport) (Lab/Co-op)]

The ambulance crews across Devon do a fantastic job. I represent an urban seat in Plymouth, but the demand that is placed on both urban and rural ambulance services has a knock-on effect, because there is no wall that divides Plymouth from the rest of Devon. Demand needs to be understood between both urban and rural areas. Will the hon. Lady comment on what happens in the summer months when the south-west becomes an even more popular tourist destination and additional demand is placed on not only the ambulance services but our wider emergency services? That moves the ambulance resources out of their normal patterns. Ambulances are increasingly moved to further away places with longer response times than their normal patterns might take them.

[Dr Wollaston]

The hon. Gentleman makes an extremely important point. He will know that for both our ambulance services and our police services those kinds of influxes from outside are not adequately reflected in the funding formula. That is in addition to the rurality that he referred to. In fact, the key point remains that the greater danger is to people living in rural areas where, for example, a resource might take somebody to Derriford Hospital but not return, and then when the ambulance service dispatches the nearest ambulance it will be in Derriford. That is why ambulance services tend to get tied up.

I would briefly like to mention the impact of the 111 service. SWASFT is doing extremely well—it is, in fact, the best-performing in the country—at treating patients at home rather than conveying them to hospital. That is the so-called “see and treat” model, and they are also doing well with “hear and treat”. However, there is a concern about the increase in calls, because there has been an overall increase in calls of 24% for the whole of the SWASFT area over five years, with 470 more calls per day, although only an additional 81 people per day are having to go to hospital. While that may reflect the great success of paramedics’ expertise in seeing and treating at home, will the Minister consider whether it also reflects unnecessary calls and the impact of 111, which has been raised many times in this House? Are too many people still having an ambulance called on their behalf when it could have been avoided?

Finally, I would like to end on a positive note in thanking all our volunteers who do so much to save lives across Devon, working alongside our blue light services. I would like to praise all those who support our Devon air ambulance service, all the volunteer community first responders and those who support, fund and supply defibrillators in our communities. On behalf of all in this House, we thank them and our wonderful paramedics and ambulance service crews.