L
CONFIDENTIAL
CC(87)62
Tiering
17
There is currently
no
Page
7
distinction between the composition of ambulance crews when they respond to routine or emergency calls. That is, the present system is a single tier system under which ambulances are employed for emergency and routine transfers inter-changeably. HORU proposes that a two tier system should be developed under which emergency and non-emergency services would be organised separately,
separately, thereby achieving the following benefits
and,
(a) the level of routine demand is growing
substantially
if experience in developed countries is mirrored, it will quickly swamp the service. A separate routine service will therefore become
essential in the years to come;
(b)
a
separate
of
Control for non-emergency work could be established, relieving FSCC routine requests and further facilitating liaison with hospital staff;
(c) although three man Crews
(d)
are considered
necessary for emergency calls, many routine journeys could be satisfactorily undertaken. with two man Crews in fully equipped ambulances,
thus saving considerable manpower. This would not be possible with a single tier, as crews are assigned to calls interchangeably. In short, it would not be practicable continuously to monitor which vehicles had three and which had two crew members under the present single tier system;
on
as a separate tier, the weekday routine work could be handled by ambulancemen working a 9 a.m. to 6 p.m. shift, five days per week. This would avoid manning a 12 hour shift at a level necessary only in nine of those hours. Currently, all ambulancemen work a shift system
day-day-night-off-off. Each shift spans twelve hours. For example, an ambulanceman might work on Monday and Tuesday (both from 8:30 am to 8:30 pm), then on Wednesday night (8:30 pm to 8:30 am Thursday) after which he would have two days leave. On Saturday of the same week cycle would start again;
the
CONFIDENTIAL
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