Our position as a trusted provider to the NHS means we are regularly called upon to provide more specialist services – allowing us to prove our innovative credentials.
One such example occurred at the Hartpury Suite at Cheltenham General Hospital.
The Hartpury Suite is a specialist unit for Percutaneous Coronary Intervention (PCI) – previously known as angioplasty. Many of the patients undergoing treatment at Hartpury are inpatients at Gloucestershire Royal Hospital, which is also part of Gloucestershire Hospitals NHS Foundation Trust.
The initial contract specification did not have provision for a specialist service to transport PCI patients, who require clinical supervision as well as dedicated and timely transport, between Gloucester and Cheltenham.
We were commissioned by Gloucestershire CCG to provide a dedicated Hartpury shuttle stretcher ambulance, operating 12 hours every day, Monday to Friday. We proposed an innovative contract arrangement in which Gloucestershire CCG only pays for the vehicle while it is carrying out Hartpury work. For the rest of the time the vehicle is performing core contract work, which is already funded from the main contract. We also ensure that the dedicated vehicle only carries out core PTS work within an agreed geographical zone to ensure it available for Hartpury work when required.
To deliver a specialist service for PCI patients requires specialist training for our staff, which was given to our Gloucester crews. The training involved:
- Managing medical emergencies in post-PCI patients (heightened risk of haemorrhage)
- Supporting patients wearing a post-surgical compression bracelet
- Enhanced oxygen administration up to 15 litres per minute
- Use of suction to manage a patient’s airway
Training was delivered through a combination of in-house education and practice-based observation at the Hartpury Suite itself.
The Hartpury shuttle has been a major success. We have an excellent relationship with the staff at the Hartpury Suite as they know their patents will receive a dedicated service by ambulance care assistants who are trained for their specific needs.
The arrangement is also proving to be cost effective for the CCG while providing a safe and high quality service for Gloucestershire patients undergoing cardiac treatment.« BACK