# data[].attributes.body
The NHS needs to be more realistic about the services it provides, we do not have the capacity to continue treating the "worried well". More education for the general public on how to self-care, self-treat and when to access NHS services and for what. Giving the NHS the ability and the support to say no.

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We need a National advertising campaign to educate the public about when to call 999 for an ambulance. I would like to see the NHS/Government put out a very powerful message around the inappropriate/misuse of the service and to use real stories to show negative patient outcomes that were solely due to a delayed ambulance response. The message needs to show evidence of exactly why an ambulance attendance or hospital conveyance was not needed. Maybe to show a heart attack victim at home, awaiting a crew and a young person who has fallen down on a park being treated by a crew who had been flagged down on route to the Category 2 call. At the end of the story, in an attempt to create maximum impact, to tell the public that the two patients were related and how this affected the family. The older person (let's call him grandad) passed away due to a delayed ambulance response whilst the young child (his grandson) was treated on scene and all was well. Let's not pretend that everything will improve with more resources and money alone when education is key.

# data[].attributes.subject
We need a National advertising campaign to educate the public about when to call 999 for an ambulance. I would like to see the NHS/Government put out a very powerful message around the inappropriate/misuse of the service and to use real stories to show negative patient outcomes that were solely due to a delayed ambulance response. The message needs to show evidence of exactly why an ambulance attendance or hospital conveyance was not needed. Maybe to show a heart attack victim at home, awaiting a crew and a young person who has fallen down on a park being treated by a crew who had been flagged down on route to the Category 2 call. At the end of the story, in an attempt to create maximum impact, to tell the public that the two patients were related and how this affected the family. The older person (let's call him grandad) passed away due to a delayed ambulance response whilst the young child (his grandson) was treated on scene and all was well. Let's not pretend that everything will improve with more resources and money alone when education is key.

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Have receiving tents set up which could be staffed by ambulance services with the hospital and/or army medics. If we can free staff quicker it would reduce frustrations, allow us to respond again and reduce lengthy waiting times which also impacts on staff as they will also feel helpless, frustrated, tired with the constant pressure and feeling the need to do more at the cost of their own health.

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Refreshments for staff and patients. When stuck at hospital for long periods of time it can be exhausting.

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As the UK's largest employer the NHS could do a lot more to negotiate with companies to get discounts and free access to resources for staff. Using staff as a resource rather than human capital seems to be the usual way of working which needs to change.

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Promote bluelight card and NHS discounts better so colleagues know where they can shop to lighten the cost of living crisis.

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Outsourcing all the support to EAP may not be the most effective way of checking in on staff. A simple text message after their shift asking how they feel on scale of 1-10 with interventions in place from a mental health first aider or counsellor if staff respond with low scores may be a better way to manage staff mental health.

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Run listening forums for staff to be able to share how they are feeling.
Break down the feedback into things within direct line management control and those you cannot influence.
Work on an action plan to address some of the immediate feedback, that is within your control, to gain some quick wins for the team.
Set up employee reps to support with communication and capturing feedback that can be fed into the forums.

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Actively leading this agenda: providing an  EAP, actively encouraging physical exercise, creating safe spaces, practicing gratitude daily

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Highlighting all the positives and good news stories that have happened in the month, I.e case studies, stats

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We need pressure for a proper plan for recruitment and retention, currently there is no NHS workforce plan. We cannot just train more staff, because those staff in training need support. There is a merry-go-round of staff moving from the ambulance sector, to GP and secondary care. It is all robbing Peter to pay Paul. The public also need to be aware of this.

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Staff Bonus for absence attendance, along with other support packages as Gym facilities, slimming clubs for health promotion. Also a rota designed for incorporation of Stat and mand education PDRs etc - study days to promote a learning culture

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Staff Bonus for absence attendance, along with other support packages as Gym facilities, slimming clubs for health promotion. Also a rota designed for incorporation of Stat and mand education PDRs etc - study days to promote a learning culture

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bring back regular shift meetings / face to face time with senior managers to talk openly and honestly about matters and bring quick changes. since covid, its moved to TEAMS chats and messages etc - we need to return to in person meetings so people can feel they are valued enough for someone to make a journey to see and speak to. online just doesnt have the same effect/impact. 

# data[].attributes.subject
bring back regular shift meetings / face to face time with senior managers to talk openly and honestly about matters and bring quick changes. since covid, its moved to TEAMS chats and messages etc - we need to return to in person meetings so people can feel they are valued enough for someone to make a journey to see and speak to. online just doesnt have the same effect/impact. 

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better welfare provisions - the welfare wagons worked well but were costly to hire - i submitted an idea to use the existing "police rooms" within hospital A&E departments so that EMAS crews could grab a quick drink and quiet time if they needed five mins away from public view but was told this wasnt viable. i think this should be pushed again - the police have this (for taking statements but also welfare time) so why cant other 999 services if its using the same facilities - it will cost less than welfare wagons - its worse to have have given crews welfare wagons then remove than to not have provided at all!

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better welfare provisions - the welfare wagons worked well but were costly to hire - i submitted an idea to use the existing "police rooms" within hospital A&E departments so that EMAS crews could grab a quick drink and quiet time if they needed five mins away from public view but was told this wasnt viable. i think this should be pushed again - the police have this (for taking statements but also welfare time) so why cant other 999 services if its using the same facilities - it will cost less than welfare wagons - its worse to have have given crews welfare wagons then remove than to not have provided at all!

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Mental health first aiders

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An annoymous internal secure page where staff can post whatever they want, venting about the news and their personal take on it-it will allow freedom of speech without worry of being judged or sacked...but can also be read by others to feel supported, and also give senior management a better idea of how people really feel

# data[].attributes.subject
An annoymous internal secure page where staff can post whatever they want, venting about the news and their personal take on it-it will allow freedom of speech without worry of being judged or sacked...but can also be read by others to feel supported, and also give senior management a better idea of how people really feel

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A National Campaign to highlight if people stop ringing 999 for non emergency issues, we do have the resources to effectively manage - we need adverts on TV and radio explaining its the demand that is sinking the NHS, not lack of resources, shown by how we coped well in the first lockdown when everyone was scared to go to hospital...if we managed then we can manage now - better education is needed as to when to call 999, and not say call 111 as this defaults (through risk management) to 999 anyway - need a better non 999 pathway for the public

# data[].attributes.subject
A National Campaign to highlight if people stop ringing 999 for non emergency issues, we do have the resources to effectively manage - we need adverts on TV and radio explaining its the demand that is sinking the NHS, not lack of resources, shown by how we coped well in the first lockdown when everyone was scared to go to hospital...if we managed then we can manage now - better education is needed as to when to call 999, and not say call 111 as this defaults (through risk management) to 999 anyway - need a better non 999 pathway for the public

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Pressures include the impact of slow or above average time on scene, post handover times. staff need to be seeing their own data to improve their own practices to support small change efficiencies (every little helps).

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Ensuring staff have access to free tea, coffee, biscuits, fruit. Time to attend dentist and GP appointments. Many of our staff will be struggling to pay bills and feed their families, can you link with a local foodbank to be able to refer staff and their families or make a donation point at work. Milton Keynes hospital is very well know for supporting staff, good retention etc may be worth a look at some of their incentives which are working. Good Luck

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Make the ambulance service an emergency service again. This improves pride in the job and may remove some of the frustration where whole shifts can be spent dealing with non emergency chronic conditions (that should be at the GP)

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The situation is not going to change, unless something radical in community care takes place. Patients cant leave the hospital so we cant get patients in! Being honest with staff about the situation and not "fluffing" over the issues.

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A pot / process  to help those in financial difficulties - we have a charity that supports in this space 

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A pot / process  to help those in financial difficulties - we have a charity that supports in this space 

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SLT to be more present on the ground and be there with staff to properly understand the effects.

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Access to financial guidance such as budgeting apps, sources of support and info 

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Access to financial guidance such as budgeting apps, sources of support and info 

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Employee support via access to an assistance programme (we use lifeworks for instance) 

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Employee support via access to an assistance programme (we use lifeworks for instance) 

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The government needs to stop bashing all NHS staff and give a decent pay rise. All Agenda for change staff will strike soon enough and that will change the headlines.

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Staff discounts for everyday costs (gym, travel, childcare etc)

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How to Support Ambulance Staff with the current pressures and news headlines. 

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How to Support Ambulance Staff with the current pressures and news headlines. 