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Johnnythefox |
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Johnnythefox Traffic Copper
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M.C |
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M.C Super Spammer
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stevo as b4 |
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stevo as b4 World Chat Champion
Joined: 17 Jul 2003 Karma :
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Posted: 02:06 - 20 Dec 2018 Post subject: |
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How can we fix all of this though instead of saying "Oh well it's an impossible myriad of issues"?
The cap on Immigration, minimum £30k wage to qualify for permanent UK immigration, and a 12month UK resident limit to lower paid migrant workers, with a 12month ban from re-entering the country after that could and should help the immigration issue.
But what about:
1, oldies living longer but with numerous and complicated on going health issues? Maybe we look after them for the next decade and the olds will die out or reduce in numbers as the baby boomer generation expire?
2, The thick stupid and worthless piece of shit scummy people taking up too much ambulance and hospital time. Well maybe they should charge people £1000 if they make ambulance calls and receive treatment more than twice for non life threatening conditions.
3, Then there's the year on year increase in mentals and lonely or mentally vulnerable people, that we are expected to treat and look after and tie up resources looking after. There's no real fix for many mentals, or suicidal or unstable people, and there's not enough institutions to lock em up in, but it's OK for us to spend millions and tie up resources looking after them all, and some of these people will have an almost life long dependence on the health service.
4, I'm surprised that Tierbirdy hasn't mentioned the morbidly obese and the smokers, or the stupid pricks on construction sites doing stuff like cutting hazardous materials with no dust masks on, or climbing scaffolding towers with no harness or not wearing safety helmets etc.
The flip side to all that though is that if we don't look after our health and many more Brits die of these issues, then as long as the birth rate stays low then one day the hospitals and ambulance staff will have far fewer people to treat, but then fewer patients will mean less funding and more redundancy leading to more benefits being paid out to the masses out of work.
There ain't a fix to any of this really is there? |
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Ste |
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Ste Not Work Safe
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Sister Sledge |
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Sister Sledge World Chat Champion
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UnknownStuntm... |
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UnknownStuntm... World Chat Champion
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Ste |
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Ste Not Work Safe
Joined: 01 Sep 2002 Karma :
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Posted: 09:55 - 20 Dec 2018 Post subject: |
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There was a breakdown in communications somewhere along the lines and that's got fuck all to do with politics.
Anyway, it's feedback as much as it's a complaint.
Stuntman might be wasting his time and their time by providing feedback but the only thing he can be one hundred percent sure of is that if he doesn't give them that feedback then there's no chance at all of anything ever changing.
You'd think that paramedics / ambulance people like Tierbirdy would want as much feedback to be provided about situations where that's been a breakdown in communication as presumably, it's useful for them to know as much as possible before they get to the scene.
Everyone is on the same side. |
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- Super Spammer
Joined: 22 Oct 2013 Karma :
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Posted: 10:46 - 20 Dec 2018 Post subject: |
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stevo as b4 wrote: | How can we fix all of this though instead of saying "Oh well it's an impossible myriad of issues"?
The cap on Immigration, minimum £30k wage to qualify for permanent UK immigration, and a 12month UK resident limit to lower paid migrant workers, with a 12month ban from re-entering the country after that could and should help the immigration issue.
But what about:
1, oldies living longer but with numerous and complicated on going health issues? Maybe we look after them for the next decade and the olds will die out or reduce in numbers as the baby boomer generation expire?
2, The thick stupid and worthless piece of shit scummy people taking up too much ambulance and hospital time. Well maybe they should charge people £1000 if they make ambulance calls and receive treatment more than twice for non life threatening conditions.
3, Then there's the year on year increase in mentals and lonely or mentally vulnerable people, that we are expected to treat and look after and tie up resources looking after. There's no real fix for many mentals, or suicidal or unstable people, and there's not enough institutions to lock em up in, but it's OK for us to spend millions and tie up resources looking after them all, and some of these people will have an almost life long dependence on the health service.
4, I'm surprised that Tierbirdy hasn't mentioned the morbidly obese and the smokers, or the stupid pricks on construction sites doing stuff like cutting hazardous materials with no dust masks on, or climbing scaffolding towers with no harness or not wearing safety helmets etc.
The flip side to all that though is that if we don't look after our health and many more Brits die of these issues, then as long as the birth rate stays low then one day the hospitals and ambulance staff will have far fewer people to treat, but then fewer patients will mean less funding and more redundancy leading to more benefits being paid out to the masses out of work.
There ain't a fix to any of this really is there? |
But we've been doing all that in the past more than in the present, so that's not the issue is it?
Smoking and drinking in on the decline at a massive rate, diets are improving, health and safety at work is a lot stricter, life expectancy has stagnated and is not longer rising, birth rates to indigenous mothers is under 2.
There's only one other explanation for this massive increase in NHS spending, but it;s the elephant in the room which nobody dare address and the government has given up on. ____________________ TZR250 2MA road, TZR250 1KT road, TZR250 2MA race, TDR250, YZF-750R Boost colours.
Jaguar S Type 3.0 V6 Sport R, VW Transporter T5 GP LWB Shuttle 140ps DSG. |
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UnknownStuntm... |
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UnknownStuntm... World Chat Champion
Joined: 13 Sep 2007 Karma :
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Posted: 11:05 - 20 Dec 2018 Post subject: |
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Update:
So, Gwen has a busted hip.
After filling in the online complaint form, I got a call today from someone. Very well scripted response. Extremely well scripted and practised to be honest. Like they had spent a shitload of money mitigating this very thing.
So after consideration of points raised in this thread, at my earliest opportunity I made it very clear I don't want to waste anyone's time that could be spent fixing people. And that my comments about the wait time and not passing the key information on from the first responder to the crew are 'feedback', and that I don't need an investigation, internal or otherwise.
Still, the lady on the phone told me how seriously they take these incidents and an internal investigation would follow but as requested I would not get a notification of the outcome by email.
Then a few moments later I received an email documenting that conversation.
I find it ironic that there are all these systems in place to ensure I did not experience anxiety or distrust while using the service. |
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Ste |
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Ste Not Work Safe
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Sister Sledge |
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Sister Sledge World Chat Champion
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Ste |
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Ste Not Work Safe
Joined: 01 Sep 2002 Karma :
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Posted: 11:35 - 20 Dec 2018 Post subject: |
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PALS are fucking useless. |
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UnknownStuntm... |
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UnknownStuntm... World Chat Champion
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Ste |
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Ste Not Work Safe
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Posted: 11:52 - 20 Dec 2018 Post subject: |
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Ah, basically the same thing even though they are just additional unnecessary layer of bureaucracy. |
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Freddyfruitba... |
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Freddyfruitba... World Chat Champion
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Tierbirdy |
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Tierbirdy Spanner Monkey
Joined: 25 Jun 2014 Karma :
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Posted: 15:17 - 20 Dec 2018 Post subject: |
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UnknownStuntman wrote: |
She is called Gwen, not Little Old Doris. And it's not about waiting in the cold, it's about telling three different 999 responders the same piece of information twice - a total of six times - and then the first paramedic on scene immediately saying he knew nothing about her being outside.
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All elderly ladies are "Little Old Doris" until known otherwise
I still can't fathom how the call handler can possibly have missed that vital piece of information 6 times, Im more inclined to believe the paramedic on scene simply meant that they personally didn't know she was outside because that's not always a piece of information that gets passed down to the crew. Generally what we get is a one line summary of the call typed by the call handler as the call comes in, it would likely have looked something along the lines of "fallen, ?hip#, unable to get up. Bystander ONS" because that's all the computer has room to display. There may well have been an O/S (for outside) next to the address(123 Fake Street o/s) but that's all the clues we get, and as Im sure you can see it's easily missed. plus regardless of if it had it wouldn't have made any difference to their response time. It's not like we sit around twiddling our thumbs for half an hour then think "well, I suppose we better make a move then".
Understandably you're angry about this, but unless the paramedic specifically said "this bit of information was ignored by the call handler" (which of course they have no way of knowing) you may well be angry about something that's simply out of anyones hands. The call handler and notes may well have been aware she was outside, but that doesn't necessarily get passed on to the crew, or they may have simply not seen it. We don't get every single detail passed down the phone.
All calls are recorded and transcribed, it'll be a 30 second job to listen to the call, review the call handler notes and see if it was missed, but they won't tell you the outcome as despite you being the caller it will contain "patient identifiable material" which can't be shared with anyone other than the patient. Gwen could possibly request a copy of the outcome but I think she'd have to request it herself, or alternatively you write up a letter in her name about it and get her to sign it. |
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Freddyfruitba... |
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Freddyfruitba... World Chat Champion
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Tierbirdy |
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Tierbirdy Spanner Monkey
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Posted: 17:01 - 20 Dec 2018 Post subject: |
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Yes it would make a difference. So the triaging categories go as follow:
Cat 1 - critical response, usually reserved for cardiac arrests and other things that will kill you quickly. Response time target is 8 minutes.
Cat 2 - immediately life threatening, here's where you get all your "unconscious" drunks, "difficulty in breathing" etc. Response time 14 minutes. This is where any public faller comes in, you don't have a choice in the system. If an elderly faller outdoors or in a public place it's a cat 2 response regardless of injuries or not.
Cat 3 - emergency response, generally here's where your elderly fallers go when they're in their own home and possibly injured. Response time is 30 minutes.
Cat 4 - non emergency response. Will not get lights and sirens. Response time 1 hour. These are usually when the GP has been to visit and thinks they need to go to hospital but won't die soon. This is also usually where non-injured elderly fallers in their own home come. Where all they need is someone to pick them up.
Cat 5 - non emergency response, response time 4 hours. Usually patient transport pre-booked stuff. Doris to the bunion clinic etc.
So if the call handler correctly heard and logged that Gwen had fallen outside, she would be a cat 2 response. If they'd thought she was inside and uninjured, a cat 4. Cat 3 if they're unsure.
However this doesnt mean a crew will see "oh sweet it's a cat 3, we can wait 10 mins before we have to leave the station, let me finish my cuppa" the level of triage doesn't matter if there's no ambulance to send.
The majority of calls are automatically dispatched by computer to the nearest available ambulance. Which could be 15 miles away. Then it gets 2 miles away and gets diverted to a higher priority call. So it auto dispatches another ambulance which is 8 miles away, which then gets diverted to another call. When a job is dispatched to us we are allowed 5 seconds to accept the job and 30 to start moving. We don't sit around waiting for someone to send us on a call, there is ALWAYS a call waiting for us. Generally once we leave the ambulance station in the morning we don't see it again until end of shift, 12+ hours of being run ragged job to job. |
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UnknownStuntm... |
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UnknownStuntm... World Chat Champion
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kawakid |
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kawakid World Chat Champion
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Irezumi aka Reuben |
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Irezumi aka Reuben Carrot Top
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stevo as b4 |
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stevo as b4 World Chat Champion
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Jayy |
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Jayy Mr. Ponzi
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Posted: 01:06 - 21 Dec 2018 Post subject: |
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I would be going mad if that were someone I knew or same happened to me. Is complaining going to help? Probably not.
Friend of mine hit a roundabout raised curb at considerable speed and flew the best part of about 70ft and landed at the bottom of a hill.
He was there for about 1hr 45mins because "it wasn't serious", even though he couldn't move, was fucked in pain but fully conscious / no obvious signs of external bleeding, etc.
I get it, a serious emergency may be a pile up where people are trapped in cars, blood everywhere, that type of thing but it wasn't like he just fell off his skateboard. The bike was in 2 pieces and nobody had any idea of possible internal injuries, which as somebody who knows absolutely fuck all like myself, I would have thought internal injuries, based on how fast he was going, how far he went and him complaining of serious pain in lower back / abdomen area... would be highly likely to be internal?
Anyway... he was fine, he was actually completely fine, nothing broken, no internal injuries... quite how he got away with that is beyond me. |
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temeluchus |
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temeluchus World Chat Champion
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Sister Sledge |
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Sister Sledge World Chat Champion
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Old Thread Alert!
The last post was made 5 years, 126 days ago. Instead of replying here, would creating a new thread be more useful? |
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