To ask the Scottish Executive what changes have been made to rapid response procedures for ambulances since May 2007.
Since 2002 the Scottish Ambulance Service (SAS) has operated a system of priority based dispatch. The principles of priority-based dispatch are that calls should receive a speed and type of response that is appropriate to their clinical condition, and that the dispatching of response resources should therefore be prioritised on the basis of information received from callers. The processes that support the operation of this system have remained largely unchanged since they were introduced.
Paramedic response units (formally referred to as rapid response vehicles or fast response vehicles) have been a feature of the service''s response to emergency calls since 2002 when priority-based dispatch was introduced in Scotland. As a rule, where the service sends a paramedic response unit (PRU) it will automatically be backed up by a traditional accident and emergency ambulance. This back up resource can be stood down should the first paramedic on scene consider that it is not required.
Since late 2007, paramedic response units have been deployed to all categories of call, previously they had only been sent to category A calls. Since that time, and only for a small number of clinically appropriate conditions, the paramedic response unit is not automatically backed up. Should the first paramedic on scene require it, they can request a back up crew.
Any revisions to the way the service operates are, and will continue to be, subject to close clinical scrutiny by Scottish Ambulance Service clinical and staff governance structures.
Ambulance response times are continually monitored by the Scottish Ambulance Service at all levels of the organisation, including regular performance reporting to the SAS board.