Decision details
Debate: The Professor McClelland Review of Welsh Ambulance Services
Decision Maker: Plenary - Fourth Assembly
Status: Recommendations approved
Is Key decision?: Yes
Decision:
The item started
at 16.19
NDM5230 Lesley Griffiths (Wrexham)
To propose that the National Assembly for Wales:
1. Notes the publication of Professor Siobhan
McClelland’s Review of Welsh Ambulance Services;
2. Notes the 12 recommendations proposed by Professor
McClelland;
3. Recognises the need to:
a) agree a clinical vision for Welsh Ambulance Services;
b) give time for any future model of ambulance service
delivery to mature.
The following
amendments were tabled:
Amendment 1 - Aled
Roberts (North Wales)
Add as new point 1 and renumber accordingly:
Notes with concern that:
a) despite holding nine reviews in six years, Wales still
has the lowest response times in the UK;
b) the all-Wales eight minute target has not been
achieved for the past ten months;
c) latest statistics show Wales' ambulances have failed
to meet national response time targets for life-threatening calls in every
local authority area;
d) the 95% target for the admission, transfer or discharge
of new patients in emergency care facilities within four hours of arrival has
never been met;
e) ambulances have spent almost 55,000 hours waiting
outside Welsh hospitals in the last six months;
f) the Welsh Ambulance Service Trust's latest performance
report shows it only achieved 56.9% of patient handovers within 15 minutes,
against the national target of 95%.
Amendment 1 was agreed in accordance with
Standing Order 12.36.
Voting on the motion and the remaining
amendments under this item was deferred until Voting Time.
Amendment 2 - William
Graham (South Wales East)
Delete sub-point 3b) and replace with:
‘b) publish a clear timetable for the delivery of
improvements to the Welsh Ambulance Service.’
A vote was taken on Amendment 2:
For |
Abstain |
Against |
Total |
22 |
5 |
28 |
55 |
Amendment 2 was not
agreed.
Amendment 3 - Aled
Roberts (North Wales)
Add as new sub-point 3b) and renumber accordingly:
establish a clear timetable for the agreement and implementation
of a new model of ambulance service delivery;
A vote was taken on Amendment 3:
For |
Abstain |
Against |
Total |
55 |
0 |
0 |
55 |
Amendment 3 was
agreed.
Amendment 4 - Jocelyn
Davies (South Wales East)
Add as new point at end of motion:
Recognises that the systematic
failings in unscheduled care significantly impacts on the performance of the
WAST and therefore adversely effects outcomes for patients.
A vote was taken on Amendment 4:
For |
Abstain |
Against |
Total |
55 |
0 |
0 |
55 |
Amendment 4 was
agreed.
Amendment 5 - William
Graham (South Wales East)
Add as new point at end of motion:
Notes that in March 2013, only 53% of Category A calls
received a response within 8 minutes, the lowest figure since December 2010 and
that the Welsh Government’s 65% target for Category A calls has not been hit
for ten successive months.
A vote was taken on Amendment 5:
For |
Abstain |
Against |
Total |
55 |
0 |
0 |
55 |
Amendment 5 was
agreed.
Amendment 6 - William
Graham (South Wales East)
Add as new point at end of motion:
Notes that there have been at least 13 reviews or audits
into the delivery of services by the Welsh Ambulance Service since 2006 and
regrets that the outcome of these reviews have not been fully implemented.
A vote was taken on Amendment 6:
For |
Abstain |
Against |
Total |
55 |
0 |
0 |
55 |
Amendment 6 was
agreed.
Amendment 7 - William
Graham (South Wales East)
Add as new point at end of motion:
Calls on the Welsh Government to take swift action to address
the issues raised in the review and ensure any future model of the ambulance
service is structured in the best interests of patients and staff.
A vote was taken on Amendment 7:
For |
Abstain |
Against |
Total |
55 |
0 |
0 |
55 |
Amendment 7 was agreed.
Amendment 8 - William
Graham (South Wales East)
Add as new point at end of motion:
Calls on the Welsh Government to ensure the Welsh
Ambulance Service receives appropriate funding to ensure an efficient and
robust ambulance service.
A vote was taken on Amendment 8:
For |
Abstain |
Against |
Total |
55 |
0 |
0 |
55 |
Amendment 8 was
agreed.
Amendment 9 - Aled
Roberts (North Wales)
Add as new point at end of motion:
Calls
on the Welsh Government to develop additional targets with a greater focus on patient
experience and outcomes and to publish the Welsh Ambulance Trust performance
report including the monthly executive key performance scorecard.
A vote was taken on Amendment 9:
For |
Abstain |
Against |
Total |
46 |
9 |
0 |
55 |
Amendment 9 was agreed.
A vote was taken on the motion as amended:
NDM5230 Lesley Griffiths (Wrexham)
To propose that the National Assembly for Wales:
1 Notes with concern that:
a) despite holding nine reviews in six years, Wales still
has the lowest response times in the UK;
b) the all-Wales eight minute target has not been
achieved for the past ten months;
c) latest statistics show Wales' ambulances have failed
to meet national response time targets for life-threatening calls in every
local authority area;
d) the 95% target for the admission, transfer or
discharge of new patients in emergency care facilities within four hours of
arrival has never been met;
e) ambulances have spent almost 55,000 hours waiting
outside Welsh hospitals in the last six months;
f) the Welsh Ambulance Service Trust's latest performance
report shows it only achieved 56.9% of patient handovers within 15 minutes,
against the national target of 95%
2. Notes the publication of Professor Siobhan
McClelland’s Review of Welsh Ambulance Services;
3. Notes the 12 recommendations proposed by Professor
McClelland;
4. Recognises the need to:
a) agree a clinical vision for Welsh Ambulance Services;
b) establish a clear timetable for the agreement and
implementation of a new model of ambulance service delivery;
c) give time for any future model of ambulance service
delivery to mature.
5. Recognises that the
systematic failings in unscheduled care significantly impacts on the
performance of the WAST and therefore adversely effects outcomes for patients.
6. Notes that in March 2013, only 53% of Category A calls
received a response within 8 minutes, the lowest figure since December 2010 and
that the Welsh Government’s 65% target for Category A calls has not been hit
for ten successive months.
7. Notes that there have been at least 13 reviews or
audits into the delivery of services by the Welsh Ambulance Service since 2006
and regrets that the outcome of these reviews have not been fully implemented.
8. Calls on the Welsh Government to take swift action to
address the issues raised in the review and ensure any future model of the
ambulance service is structured in the best interests of patients and staff.
9. Calls on the Welsh Government to ensure the Welsh
Ambulance Service receives appropriate funding to ensure an efficient and
robust ambulance service.
10.
Calls on the Welsh Government to develop additional targets with a greater
focus on patient experience and outcomes and to publish the Welsh Ambulance
Trust performance report including the monthly executive key performance
scorecard.
For |
Abstain |
Against |
Total |
55 |
0 |
0 |
55 |
The
motion as amended was agreed.
Publication date: 07/05/2013
Date of decision: 07/05/2013
Decided at meeting: 07/05/2013 - Plenary - Fourth Assembly