Rob Cole, proud member of @ECISTNetwork

Passionate about facilitating & enabling improvement for the benefit of all. If you always do what you always did, you will always get what you always had! !

[The Association of Ambulance Chief Executives @AACE_org]

. @SCAS999's @OxFedUK#PrimaryCare Visiting Service enables a dedicated team to respond to same-day #homevisit requests, allows earlier assessment of #patients, mobilises of out of #hospital #care & prevents admissions where possible.

See how it's done at https://t.co/88VGRVC5l6

[Alison Moore @alijanemoore also on Bluesky @AliJaneMoore]

Concern among amb trusts that paramedics may "defect" to primary care - not sure the impact of this scheme has been fully thought through https://t.co/1PeeZiloOn

[London Ambulance Service @Ldn_Ambulance]

Mental health nurse Anna and #paramedic Dan are one of our mental health joint response crews.

Here, MH nurses respond with paramedics to 999 calls. This is reducing unnecessary and stressful hospital trips and improving the care we provide.

#TeamLAS #NHSParlyAwards

[London Ambulance Service @Ldn_Ambulance]

Please help us to help you at a busy time.

If you need urgent medical help, but you don't need an emergency ambulance - or you're not sure what to do - go to NHS111 online (https://t.co/oWFZ4iE4Ef) first for the right help for your needs.

[Kate Pound RN MPhil 💙 @KateSlater2]

Change may be uncomfortable at the start, but always a joy at the end. Fab week working with the amazing @RoyalLondonHosp @towerHamletsNow @NHS_ELFT teams for #ReadySteadyFlow #ResetWeek #PDSA The best is still to come, well done all on such brilliant work in the first 4days.

[London Ambulance Service @Ldn_Ambulance]

Our Chair, Heather Lawrence OBE, today announces that Daniel Elkeles will join as the Service’s new Chief Executive in August.

@Danielelkeles, who will join on secondment, has significant experience in the NHS and healthcare, and is currently Chief Executive of @epsom_sthelier.

[Lesley Roberts @LesleyR34005627]

We continue to see increasing pressure on our ED. All health and social care professionals please think of using alternative pathways for our patients. 📞 our @CareCoordinati1 for an @CrisRapid 2 hour response for any admission avoidance clinical support @OFFICIALWMAS @drziadin

[Kate Pound RN MPhil 💙 @KateSlater2]

Ready steady Flow! Today @ECISTNetwork are supporting @RoyalLondonHosp #ResetWeek well done #TeamRLH great start to the week 👍🏻

[Rob Cole, proud member of @ECISTNetwork @RobCole76]

@VivekKhashu In this case you are entirely correct .. should not get to this point ..

[Rob Cole, proud member of @ECISTNetwork @RobCole76]

Vivek, couldn't agree more, we all need to get involved. We must create opportunity along the entire pathway to stop the inevitable ED admission. I see the ambulance service being paramout here .. if recognise ED not appropriate .. don't transport !

[Rob Cole, proud member of @ECISTNetwork @RobCole76]

@VivekKhashu Totally heartbreaking ... more reason to improve .. this really lays the issue bare ..

[Rob Cole, proud member of @ECISTNetwork @RobCole76]

@VivekKhashu @ECISTNetwork West Mids Ambulance have done some amazing work on ED avoidance in collaboration with SWFT and ICS partners .. need this to evolve into normal practice ..

[Rob Cole, proud member of @ECISTNetwork @RobCole76]

@ECISTNetwork @CottingtonN @ipridding1 @JamesPagetNHS @sjdunc @PeteGordon68 @timgillatt @helenbenn1 @leigh_rehab @ValentineV1967 @karla_parker @FarrrllP @wolvesboy @HughMcCaughey Fab bitesize Ian .. some really powerful stuff here !

[Elective & Emergency Care Improvement Support Team @ECISTNetwork]

📽️ECIST Bitesize Podcast Series - New Episode📽️
As #pride month comes to an end, our latest episode we hear from @CottingtonN and @ipridding1 talking about the importance of embracing and supporting diversity in the workplace.
@JamesPagetNHS
https://t.co/qmQg7b6fQ2

[Rob Cole, proud member of @ECISTNetwork @RobCole76]

Absolutely fantastic collection of initiatives that aid the correct avoidance of ED and appropriate patient disposition. Some amazing work here by ambulance and wider system colleagues .. now needs to ensure they are appropriately evaluated and commissioned if successful ..

[The Association of Ambulance Chief Executives @AACE_org]

The @AACE_org and @NHSEngland Repository of Best Practice for Safely Reducing Ambulance Conveyance to Emergency Departments features over 30 initiatives - from #Ambulance Trusts across the UK.

Please read, learn and share them: https://t.co/kxUzBD1Typ

#paramedic @ParamedicsUK

[The Association of Ambulance Chief Executives @AACE_org]

. @SCAS999's @OxFedUK #PrimaryCare Visiting Service enables a dedicated team to respond to same-day #homevisit requests, allows earlier assessment of #patients, mobilises of out of #hospital #care & prevents admissions where possible.

See how it's done at https://t.co/88VGRVC5l6

[The Association of Ambulance Chief Executives @AACE_org]

Get more on @swasFT's placement of #MentalHealth Practitioners providing #care in the #Clinical Hub, whereby #MH Nurses from @AWPNHS support the increased frequency of patients calling with #MH presentations, and also reduce the impact on their resources.

https://t.co/msLpTbk916

[Rob Cole, proud member of @ECISTNetwork @RobCole76]

@Pega_sus7 @rcpsych I was discussing just this the other day with colleagues .. agree entirely terminology is not currently helpful .. its ambiguous, non threshold specific and open to varying interpretations.. all unhelpful in a clinical setting.. suggested "severely agitated delerium" ?

[Elective & Emergency Care Improvement Support Team @ECISTNetwork]

Still time to register to today’s (and the next 4) webinar.
The creator of the #SAFER patient flow bundle @PeteGordon68 is joined by @DrGenever for the first session, looking at S - All patients have a senior review every day

[Rob Cole, proud member of @ECISTNetwork @RobCole76]

@MikeStone2_EoL @NWAmb_Kieran Thanks Mike! Ambulance services are making significant improvements to resuscitative decision making and decisions at EOL, with the introduction of helpful guidance and increased autonomy. More work to do but some real momentum taking place ..