East Midlands Ambulance Service NHS Trust

“EMAS also continue to include mental health workers in their call centre, with a 24/7 service with 2 clinicians being on shift at any given time.”

“EMAS report that they cannot cope with the current demands placed on their service due to insufficient funding which is resulting in unacceptable vehicle response times.”

“The revised version has been approved within EMAS and | have attached a copy for your reference.”

“The guidance from the document provides the following information around 'futility' and when decisions not to attempt CPR because it will not be successful may be made. The following section has been added to the procedure to provide additional guidance to clinicians”

“We heard that EMAS relies on emailing changes in protocol to staff. There is no check that busy staff have read and understood these, and there has been no training on this change”

“EMAS policy around diagnosis of death differs in a key respect from JRCALC guidelines - but there is no equivalent pocketbook/amending to existing pocketbook/similar which reflects local policies”

“an initial meeting has been scheduled for Wednesday 3 August 2016”

“HMP Gartree has revised the local contingency plans and re-issued instructions in May 2016 to ensure that all staff understand that they must not delay calling an ambulance in all cases where there are serious concerns about the health of an offender.”