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Dublin: 8 °C Friday 24 May, 2013

Calls made for regulation of Irish ambulance service

The calls come after reports of a Carlow footballer waiting several hours for treatment because of delays.

Image: Photocall Ireland!

Updated, 19.56

CALLS HAVE BEEN made for the establishment of an independent regulator for the ambulance service in Ireland following reports that a Carlow footballer waited for several hours for treatment of a broken leg because of delays.

David Hall, managing director of Lifeline Ambulance Service, has said that the ordeal of a footballer whose experience was highlighted on RTÉ’s Liveline yesterday raises important questions.

“Serious public concern is being expressed about this unacceptable delay and important questions are being asked,” he said.

Shane Webb, a Carlow minor footballer, fractured his leg in two places during a Leinster match on Wednesday at Dr Cullen Park. It’s reported that an ambulance was called at 8.05pm but none arrived for almost an hour because a unit was not available in Carlow.

Terry Reilly in the Irish Examiner reports that a second ambulance was dispatched to the Kilkenny hospital so that the injured teenager could be transferred for treatment at Waterford Regional Hospital. That vehicle was diverted to Naas in Kildare because of an emergency cardiac arrest. Seven hours and three ambulances later, Webb eventually arrived at Waterford at 3am.

Hall said that the response times published by HIQA as a guideline should be given statutory protection so they can be properly enforced to avoid such unacceptable delays.

Calling on Minister for Health James Reilly to introduce full regulation of public, private, voluntary and auxiliary ambulance services, he explained that “anyone can set up and run an ambulance service within the State”.

“There is no regulation,” he added.

A spokesperson for the HSE told TheJournal.ie that an ambulance arrived at the scene at 8.47pm following a call at 8.05pm, and that Webb received medical treatment from a GP while he waited. The footballer was then transferred to St. Luke’s Hospital in Kilkenny, arriving there at 10pm.

It was decided that he required further treatment at Waterford Regional Hospital and an ambulance was requested at 10.41pm. However due to the vehicles being engaged in emergencies, he did not leave St. Luke’s until 1.43am.

The HSE has said that two emergency ambulance vehicles and crew are on duty in Carlow seven days a week from 9am to 12am and at least one overnight., while Kilkenny is covered by two crews on a 24 hour basis.

It also said that all emergency ambulances from adjacent locations, such as Waterford, Clonmel and Portlaoise for instance, are now available to assist with emergency calls in Co. Carlow and Kilkenny.

Last year, a man who collapsed some 100 metres away from Our Lady of Lourdes Hospital in Drogheda was left waiting on the street for paramedics for 25 minutes. Peter Sherlock was eventually to the hospital in the back of a van. He passed away a short time later.

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Comments (20 Comments)

  • The public would want to cop on and if so, those in need of cardiac assitance or other life threatening conditions could get the response time they need. There is a belief with a large amount of the public that the ambulances are their right for small injuries or as a fast route past triage. This view ties up the service putting critically ill people at risk by taking the crews away. A general veiw change by us joesoaps and the correct installation of a first responder system could do wonders.

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  • What about PHECC?

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  • People think the ambulance is there just sitting there waiting for a call. Most day we leave the base and don’t get back till well after finishing time. There is a lot of work to do and most of it is patient transport for appointments and transport from hospital to nursing homes. And this is being done by emergency ambulances The ambulance service is trying to bring in a patient transport service that will free up emergency ambulances but mr hall has the hse in court trying to stop it because he will lose business. But his company and the other private company’s won’t do the nursing home runs because health insurance won’t cover it they want to cherry pick the calls. So that is why it takes so long to get an ambulance.

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  • briewee 11/05/12 #

    anyone who lives in carlow/kilkenny area knows if you have a break you are better off just getting someone to drive you to waterford because st lukes will only send you to waterford anyway, they don’t deal with bad breaks, and this is the a&e that covers the carlow kilkenny area its a joke. the hospital is under staffed (who are over worked and great) and no resourses to deal with major accidents and I am speaking from experince.

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  • For God sake, why do we have to regulate everything? Another Quango? why don’t the bosses of the ambulance service and HSE just do the job they are paid damn well to do…i.e. get ambulances to sick people!!!

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    • Peter 11/05/12 #

      Agreed

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    • The reason ambulances aren’t getting to sick people is because people constantly ring 999 for non-emergency conditions, which ties up crews… You wouldn’t believe some of the stuff people call us out for… People think they get seen quicker if you go to a&e by ambulance. This is NOT the case, you will still be triaged the same as everyone else. There can only be so many ambulances on the road at once!!
      On another note, David hall has a vested interest. He runs a private ambulance service and only cares about getting work from the hse. He couldn’t give a damn if an ambulance in Carlow took 2 hours to arrive…

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    • Totally agree Michael! It’ll never happen though! That HSE’s a total mafia! And then you have proper upstarts like Liam Doran stirring up trouble in his guise of representing nurses! The public hasn’t a hope of getting looked after!

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  • Too many chiefs and not enough indians ….. Why does every one have to be a chief ??

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  • Poorly reported story. Complete misrepresentation of the facts here theJournal. This guy appears to have been brought to hospital fairly promptly don’t you think? The transfer to Waterford is irrelevant to the rest of the article. He was brought to hospital by the first ambulance. Treated. Better experience with dealing with BAD breaks (2 places) in Waterford so transfer arranged. More pressing issues for the ambulances so there was a delay. Nice to see you are interpreting the facts objectively

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  • I had the terrifying experience of waiting for an ambulance with my baby fitting and struggling to breathe in my arms last year. I live at most 5 mins with sirens etc from the ambulance despatch centre in Cork yet it took 40 mins to arrive and then two came. I wasn’t even thinking about getting to the hospital I wanted emergency medical personnel to take care of her. They were wonderful when they arrived but delays like that can cost lives. I’m not sure a regulator is the answer but scheduling and availability has to be looked at.

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  • Totally agree Robert Murphy

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  • sarah 11/05/12 #

    This is similar to what is happening in Dundalk with only 2 ambulances serving the town the fire brigade are have been called to attend medical 999 calls. But I agree with above comments about people phoning for an ambulance life threatening.

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    • I have to correct you here Sarah. There are 4 ambulances in Dundalk during the day and 2 at night. The fire brigade are not dispatched to medical calls. I have only seen this happen once before and the ambulance was there a couple of minutes after the tender. Dun

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  • unfortunatly people in rural areas will always have to wait alittle longer for ambulance gardai and fire services.
    there is nothing can be done about geography if you live in a secluded rural area due to the fact we dont have postal codes getting to you is always going to be delayed.

    the difficulties experienced in st lukes ie having to transport to waterford also effects st colmcilles in loughlinstown and st michaels in dunlaoirghe where most trauma cases cardiac cases etc have to either divert to st vincents elm park …………..if an ambulance is caught up doing a transfer it can’t be in 2 places at the same time.
    the ambulance service do an excellent job both the NAS and in dublin the DFB.
    if you had 50 ambulances on duty some people would still have to wait at certain times of the day…………….every emergency is traumatic to the family of the patient unfortunatly you are not the only one needing an ambulance but you will never be left without one.
    as for the private sector……they just want to make money,……..they just want the business. they won’t do any better.
    do people want a proficient ambulance service or an ambulance service version of ryan air.
    as for voluntary services not all have paramedic qualification and therefore cannot provide trauma / cardiac services…..plus they are volunteers unpaid and not always available.

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  • Aren’t there high skilled volunteer ambulance services like Irish red cross and civil defence that could be made available ?

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