The West Herts Hospitals Trust, which manages the contract for Medical Services Ltd, the private company providing the ambulances, ordered an investigation into the incident and a review of the service.
The inquiry confirmed that my wife, Margaret, had in fact, waited 5 hours 15 minutes for the ambulance.
It then found the following damning facts:
The excessive delay was caused, as I expected, by the company supplying insufficient numbers of ambulances to do the job. They had only two vehicles – an ambulance and a seven seater minibus – on that Saturday afternoon and evening – to supply the entire needs of West Hertfordshire.
The company did not manage the call -indeed it appears it disappeared off their radar because they didn’t have proper management controls to check why nobody had turned up.
Neither the company nor Hemel Hemsptead Urgent Care Centre even reported the delay – which amounted to a big breach of Medical Services Ltd contract – until days after the event. Indeed there is a hint in the report they may not have bothered – if I had not publicly raised it in this blog and with the Berkhamsted and Tring Gazette.
The report is honest enough to admit that both Medical Services and the West Herts Health Trust have let my wife down. West Herts admit ” it could have been avoided with closer controls and proactive management of the activity levels.” The investigators also found “no examples of good practice ” in managing this contract.
The good news is that West Herts and Medical Services Ltd have pinpointed deficiencies in the service and are taking action to put things right.
The main changes are:
Medical Services will contract some patient ambulance services to a taxi firm where people are mobile enough to get in a taxi.This will mean that people like my wife who couldn’t get out of her wheelchair to get in a taxi will get priority ambulance treatment.
Medical services Ltd will review ambulance rosters to put more on at the weekend and employ an additional member of staff at Watford.
The senior management at Medical Services Ltd will take direct charge for a trial period of their control room and take action if anybody is waiting for more than an hour.
West Herts are also strengthening their management procedures and using the information to change the procurement of new contracts. This includes financial penalties for breach of contract – all patients not to wait for more than two hours is written into current contract.
There are two lessons to be learned from this. Far too many people are happy just to grumble rather than complain if the NHS service is not up to scratch. this shows if you do complain you can get something done.
Second, West Herts Hospitals Trust are to be congratulated for taking the complaint on the chin and doing something about it. They have also been honest and open in releasing the report to me without having to go to the trouble of putting in a Freedom of Information request.
The proof of the pudding will now be whether the services does improve – but I see Medical Services Ltd contract is up for renewal next May. They had better step up to the plate.