|Scrutiny Review of Defibrillators|
The Scrutiny Officer gave an update, key points as follows:
- An evidence session was held on 20th June - see Appendix 1, page 5.
- Ambulance Service North Tees Trust information - Appendix 2, including a document provided to community groups who may be considering purchase of a publicly accessible defibrillator.
- A survey had been undertaken to inform the review. 21 responses were received from primary schools including some academies - 11 have static AEDs on site, although not publicly available. Some have been funded by schools, parents or local charities. One school has an active plan to obtain an AED and 7 other schools said they would consider it in the future.
- 18 respondents had a combination of first aid and defibrillator training in place for staff - most first aid training now contains CPR.
- Some schools carry out pupil first aid training - some at Key Stage 2, Year 5 or 6.
- One school had taken part in Heart Start, the national training programme.
- 9 responses received from secondary schools which included two special schools - 8 of those have static defibrillators on site, and of those one said they would consider having a CPAD on site, subject to any safeguarding issues. The remainder said they would consider this in future. All schools had some form of staff training in place, with one school in place at Year 8 and one at Sixth Form stage.
- Stockton Riverside College have a self-funded static in place.
- Across all schools and colleges, none have been used to date.
- From 7 responses had been received from Parish Town Councils:
- Longnewton and Grindon have publicly accessible CPADs
- Stillington and Whitton - Whitton are planning to install a defibrillator after seeking final funding. Three are already in place at Stillington - at the doctors surgery and Darchem Works that are currently static but there are plans to make one publicly accessible at the factory.
- Billingham Town Centre was reported as having two CPADs in place - TSB and Fulton Foods. One had been taken to a scene as a precaution but not used.
- None were recorded at Wellington Square or Castlegate centres in Stockton Town Centre.
- Thornaby are in the process of having CPAD in place, donated by a local business. A response was awaited from Teesside Park.
Members noted that in addition CPADs were installed at Beckfield Community Centre, Ingleby Barwick, sometimes in pharmacies such as Boots.
Discussion took place around better identification and mapping of equipment location. It was suggested by Members that information could be shared and published in Stockton News.
Tees Active Limited
An overview was given by Tees Active, the key points as follows:-
- AEDs are located in The Forum, Splash, Pavillion and Thornaby Pool.
- One will shortly be sited at Tees Barrage due to an increase in footfall following further development, and a request from voluntary canoe clubs for an AED on site. This would be funded by Park Run, and sited publicly.
- It was felt that there was a demonstrable need for equipment to be located within a building and not taken out by staff if it would compromise a leisure centre's ability to operate safely.
- The Forum had used their equipment 3 times in the gym, all with positive outcomes. Training is given within Tees Active for use of defibrillators and this had no doubt contributed to the results.
- Requirement for equipment is where there are large numbers of people.
Members were pleased to hear of positive outcomes where equipment had been used in an emergency situation, and noted that the speed of the response by trained operators was crucial.
Members asked if Tees Active or care home based equipment could be used if located close to an emergency situation. Discussion took place around equipment being taken from within a care home, for example. However, if used, with the extra down-time needed for it to be subsequently maintained and returned, this could pose a risk to elderly residents during that period. Tees Active would consider making their defibrillators more publicly accessible if this could be done in a safe manner.
Public Health advice referred to a study which estimated that any location with over 1,000 adults over the age of 35, during normal hours, could expect one incident of sudden cardiac arrest every 5 years.
Cleveland Fire Brigade
An overview was given by Cleveland Fire Brigade, key points as follows:-
- Although Cleveland Fire Brigade does not deliver heart education programmes, this is carried out by their partner organisation, Cleveland Fire Support Network, a charitable trust working in close association with the Fire Brigade.
- In 2016/17 period, 17 sessions were delivered in schools, colleges, voluntary organisations and youth clubs.
- Seven sessions carried out to date in 2017.
- Six volunteers First Aid trained to Level 2, two to Level 3 and two volunteers to be defibrillator trained in the near future.
- The Fire Rescue Service itself carries defibrillators in all front line appliances - 7 in Stockton, two in Thornaby, one in Billingham (Seal Sands) and one at Yarm Fire Station - all crews are trained in their use.
- A co-responder service was in place in conjunction with NEAS. Since the scheme was introduced in 2016, there had been 641 attended calls in 2017, and defibrillators had been used twice.
Members asked if front-line appliances carrying defibrillators were used to undertake home fire safety checks. This was confirmed that often these appliances may be used for visits to higher risk, vulnerable people, but not always low risk visits where volunteers were often used.
Members discussed the vital role of the Fire Brigade and their ability to check for vulnerability, particularly in elderly people. It was advised that 65% of calls gain successful access to premises.
The Scrutiny Officer drew Members attention to the information from NEAS around the change of ambulance response time categories in Appendix 3 & 4.
AGREED that the information be noted.
Quarterly Inspections Update
The Scrutiny Officer gave a brief overview of the latest Quarterly Inspections report.
Members requested further information on how the CQC ratings were weighted and overall judgements arrived at. Members also requested further information to be included in future reports, including details of the recommendations made by inspectors in individual cases.
AGREED - that the information be noted and requested information be circulated.