The NHS oil tanker: heading towards a new horizon for urgent and emergency care

‘The reality is that the pressure our A&E departments and ambulance services are experiencing is absolutely not a sign of failing services, but that these services have become victims of their own...

Dwindling staff numbers leads to healthcare rationing at its lowest form

‘Safe paramedic care requires that there are sufficient paramedics available to meet patient demand’ .

Falls assessment and prevention in older people: an evaluation of the Crisis Response Service

The CRS in Northamptonshire comprises a range of health and social care professionals within partner organisations providing a variety of clinical, health and social care assessments and...

A retrospective observational study to explore the introduction of the National Early Warning Score in NEAS

The aim of this study is to explore the introduction of NEWS into NEAS..

The decision is yours

Decision making is a cognitive process, and no matter which model is adopted, the judgement is almost always based on sound reasoning: that is, it is rational. One approach to decision making is rule...

Spotlight on Research

Using a qualitative research approach involving Flanagan's Critical Incident Technique (Flanagan, 1954), this paper reports on ambulance staff's experiences of managing pain in people with a suspected...

Book Review

It is about this time of year that any New Year's resolutions are firmly relegated to the ‘must try harder’ list or ‘better luck next year’ category. I would suggest, however, that the importance of...

Introducing the interim executive director of the College of Paramedics

The waiting game: resolving the crisis

Considering the implications of changing ambulance response time targets

Election fever and the football: a game of rhetoric

‘As with any election there will always be changes afoot, usually in the form of policy change’ .

Sir Bruce Keogh admits health system is ‘creaking’ and ‘under pressure’

‘The system is creaking. A&Es are having to address increasing demand, the ambulance services are struggling in many parts and we have a number of issues to deal with, which we are tackling.’ .