Bucks ambulance service 'worst' for cardiac arrest, figures suggest

Ambulances 'worst' for cardiac arrest, according to figures Ambulances 'worst' for cardiac arrest, according to figures

NEW figures suggest the ambulance service for Bucks has the worst survival rate for patients whose hearts suddenly stop beating.

Out of a sample of 160 incidents during 2011-12, the out-of-hospital cardiac arrest survival rate for the South Central Ambulance Service was 10.8 per cent.

The best performer out of 12 trusts was the London Ambulance Service - where the 31.7 per cent survival rate included the remarkable case of Bolton footballer Fabrice Muamba.

It is the first time all ambulance services in England have measured the cardiac arrest survival rate - with the figures submitted to the Department of Health for collation.

South Central Ambulance Service, which also covers Berkshire and Oxfordshire, urged caution when considering the stats - saying there are "real challenges" in obtaining reliable data in this area.

Spokesman James Keating-Wilkes added: "This means it’s hard to make direct performance comparisons until each ambulance service is able to get robust data back from all hospitals.

"The trust is working closely with other NHS organisations to improve the quality of data available on patient outcomes and has put a number of initiatives in place towards increasing the accuracy of data reporting.

"SCAS is very focussed on ensuring that we work together with our partners in all our emergency departments to continue to improve cardiac arrest survival rates.

"Figures are reported on a monthly basis to the Department of Health and as such fluctuations in these are inevitable."

There were about 1,500 cardiac arrests in the South Central region last year - but the stats have been drawn from 160 cases using the internationally-recognised Utstein cardiac arrest survival rate.

The figure achieved by London Ambulance Service is among best to be published in Europe and represents a marked increase in the last decade.

Bosses attributed the improvements to staff reaching patients quicker and delivering more effective clinical care.

It also appears that more members of the public than ever before are attempting cardiopulmonary resuscitation (CPR) while ambulance staff are on the way, which can double the survival chances.

Comments(10)

J B Blackett says...
4:17pm Wed 29 Aug 12

Perhaps the other ambulance services don't have to attend from remote outstations or are obliged to take heart attack victims on longer distance journeys (20 miles+) for treatment as in the same way as appears to be done in Bucks , Berks and Oxon.
.
eg. Marlow area to Stoke Mandeville.
Perhaps. Perhaps it's all about saving costs , efficiency and effectiveness. Perhaps. Perhaps it's about a management who don't care anyway. Perhaps.

RH10049 says...
5:45pm Wed 29 Aug 12

I'd like to state that anywhere in London you're less than 5minutes to any hospital...of course they're going to have the highest survival rate! Bucks service actually have to travel a greater distance to hospital.

Also, what the public has to be bare in mind is that when the call is made that a person is in cardiac arrest and an ambulance is sent, it takes 2-3minutes and then the crew/responder has to travel the distance (whether it be 2miles or 10miles), and then either wait for backup or rapidly transfer to the nearest receiving hospital which in my head would work out around 20-30minutes in total...and the chances of survival then are slim. It's so unfortunate yet it's reality. Fabrice Muamba was a miracle to be dead for 72 minutes and brought back to life.

What Bucks Free Press haven't mentioned in this article is the great efforts of the ECA's/Techs/Paramedi
cs who saved a man's life this year and personally thanked the crew for saving his life. This article does not give any credit towards SCAS, particularly Bucks for this case.

Lastly, using the internationally-reco
gnised Utstein cardiac arrest survival rate is NOT reliable, especially considering it has only used 160 cases out of a total 1500 arrests. Whose to say that out of the remaining 1340 arrest there were more survivors in this number than the 160 arrests....

LoggedOn says...
9:08am Thu 30 Aug 12

My experience at the weekend. My father had severe chest pain, 2 paramedics came very quickly in the car, treated him on scene assuring us all the time the ambulance was following and due any minute. They administered approproiate drugs/treatment etc to keep his heart rate up - which was falling to the mid 30's - eventually after 40 mins approx - felt like a lifetime, the paramedic phoned for expected arrival time of the ambulance (which should have arrived straight after) to be told the crew had just finished lunch and were about to leave base at Stoke Mandeville - meaning another half an hour wait for them to arrive. This was supposed to have been an emergency call! Cant fault the first team to arrive who were prompt - and also very unhappy about the arrival time of the ambulance

realist_highwycombe says...
1:42pm Thu 30 Aug 12

The issue is that the Ambulance service like the police are so stretched that being able to provide a great service is impossible.

Police Officers & Paramedics work darn hard to try and do the best possible for the public but when jobs are lost/positions not replaced it becomes harder and harder to do it.

SCAS can be so short that on a regular basis they have to employ private ambulance companies to provide cover to the area (which costs a fortune)- rather than investing in new paramedics on their own teams.

Ambulances are often sent from Wycombe or SMH all the way over to Chesham and Gerrards Cross for emergency calls - that is not the fault of the paramedics but the management.

The same goes for the police - working out of Wycombe they cover Marlow, all the way down to the Henley border, Princes Risborough (And Little Kimble & Great Kimble), down to the Amersham border and down to Beaconsfield - and everywhere inbetween. They do that quite often with a skeleton staff. The same goes for SCAS.

The Government need to take a long, hard look at just how hard their spending cuts are biting - because it is only a matter of time before it will cost lives!

Slacker says...
10:23pm Thu 30 Aug 12

This is a very unfair statistic because coupled with that it might also mean that patients in Bucks are the unhealthiest and have a higher risk of dying from a massive heart attack anyway. Perhaps we can see that figure to see if it works out?

chris toff says...
11:59am Fri 31 Aug 12

"Out of a sample 160 cases the survival rate for south Central Ambulance for out of Hospital cardiac arrest 10.8%" .Nice to know were all Percentages ......... that means roughly 138.1 persons survived ... ....... whom is the .1% of a Person i wonder ...............??

miccles says...
6:58pm Fri 31 Aug 12

I thought the Ambulance Service was all about helping and saving lives, not to score points against each other.

Does it really matter??????

They do a great job.

realist_highwycombe says...
12:11am Sat 1 Sep 12

I agree to an extent miccles but Ambulance service trusts just like every other public funded body need to be assessed and held accountable if things are not going right would you not agree?

richardoxuk says...
12:39pm Tue 18 Sep 12

As noted in another article - recent published research suggests that for every 6 travelled - 20% of Category A patients are likely to die in transit.
That does not reflect on the expertise of the ambulance staff - its a matter of time & distance!
Yet still Bucks "commissioning group" push Stoke Mandeville as the ideal site for centralised services - This is simply not the case - especially if you come from the South Bucks area...about 1 in 2 Cat A (most urgent) patients can expect to die in transit to Stoke Mandeville -hardly encouraging prospects for the new "super-site" so beloved of the Bucks NHS medical establishment.

richardoxuk says...
12:39pm Tue 18 Sep 12

Sorry - should say 6 MILES..travelled

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