James Goulding
@JGoulding444
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999
Paramedic working in the North of England. Views not representative of any NHS Trust
Yorkshire
Joined April 2014
RT @karlbloomberg: 🚨 job ad! 🚨 . New senior clinical role to continue the development and growth of @NIAS999 Integrated Clinical Hub! 📞 🏥 🩺….
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I am glad to see the acknowledgment issue regarding pay do not uniquely affect nursing. I haven't seen anything supporting that problems need solving for nurses alone as compared to the entire AHP workforce.
The govt has rejected a plan for a separate nursing pay spine, despite 94% of nurses who responded backing the idea:
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This is something reflected in 999/111 triage processes too! Been asked many times this exact thing.
I frequently get requests to do something different in EDs for a specific patient group. Here's the thing, asking us explicitly to prioritise one condition is also tacitly asking us to deprioritise others.
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Check this out if you are looking for a PhD looking at Sound Analysis to Predict Cat 1 calls to 999. I appreciate it has been a long time since my Computer Science studies but I hear that the industrial partner is very supportive!.
soundfutures.salford.ac.uk
Autumn 2025 applications If you want to know more about a project, please contact the named supervisors. You can also suggest your own project, but in 2025 most projects will be the ones funded by...
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I had a really insightful day with #TeamWAST with my colleagues from YAS. Lots of interesting viewpoints, ideas, approaches to consider for own work - but also reaffirming to see another ambulance trust that is putting Remote Patient Care at heart of what they do.
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It's interesting that there were 51 deaths investigated by the IOPC following contact with police for concern for welfare but nowhere in this report can I find RCRP mentioned. Is right care right person really what's being delivered? #rcrp.
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BBC News - Anti-overdose spray helps police save seven lives.
bbc.com
Hundreds of police officers in North Yorkshire are being trained to administer life-saving naloxone.
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RT @_LeeBrooks: 🚀From Progress Over Perfection to Safe-to-Fail🚀. Incremental change actually propels us toward innovation and sustainabilit….
linkedin.com
Introduction My article last week explored the tension between perfection and progress, emphasising the importance of valuing continuous incremental improvement over unattainable perfection. As we...
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RT @RCollEM: RCEM has launched a unique training programme to empower paramedics and emergency care professionals to engage in academic res….
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RT @DrMikeBrady1: Over-triage is damaging & is not an acceptable byproduct of running a “safe” service. Workforces need to be confident & c….
magonlinelibrary.com
NHS 111 services aim to help people get the right advice and treatment when needed. The national NHS 111 service in Wales is delivered by Welsh Ambulance Services University NHS Trust. There have...
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RT @bjhcm: How can NHS 111 calls be safely triaged to ensure patients receive the most appropriate care, while avoiding unnecessary 999 re….
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This is really pushing forward with patient engagement. WAST doing some really exciting and novel stuff at the moment.
Ambulance service launches ‘virtual video booth’ for feedback - Emergency Services Times
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RT @ImtaBrendan: Researchers at MIT have questioned whether SMART goals (specific, measurable, achievable, realistic, time-bound) actually….
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It's been surprisingly and suddenly quiet on medtwitter last day or two about all those undifferentiated primary care patients being attended to by paramedics, nurses and AHPs of ambulance service and 111 hasn't it?.
Following the global IT outage that has impacted some NHS services across the capital, our call handlers and ambulance crews are incredibly busy with huge increases in the number of calls to both our 999 and 111 services. Full statement:
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RT @EmergencyMedBMJ: #OriginalResearch. Outcomes of adult patients discharged at scene by emergency medical services. "The occurrence of ho….
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Lots of frustration tonight from medical community. I note nurses work on ambulances, paramedics work in emergency departments etc. I think I'd say your profession shouldn't dictate where you work but what you do.
Why is this not controversial…. 🚑 Only paramedics should work as paramedics. 💉Only nurses should work as nurses. 💊Only pharmacists should work as pharmacists. 🦿Only physiotherapists should work as physiotherapists. Yet this IS. 🩺 Only doctors should work as doctors . Our.
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Not sure why there is an assumption that only a doctor can go to a coronial inquest. Allied healthcare professionals are representing their organisations at inquests every single day.
ANPs have a vital role in primary care - I fully support this. However replacing GPs is beyond a joke. ⚠️ who completes the death certificates? .⚠️ who attends coroners if there’s an inquest?.⚠️ who reviews complex patients ON-SITE?.⚠️ if a patient (rightly) chooses to be.
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It looks like I'm going to be doing something very different later this year for me - and presenting at AMPDS Navigator for UK. Pleased to have been selected - but definitely a combination of excitement and nerves!
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I wonder if this is because of the capability of those other services or because people are more unwell?. I.e. are we providing the right alternative services as a NHS? Or are the filters like 111, GP and Ambulance Services providing that signposting further upstream than ED?.
EXC: A&Es not being overwhelmed by ‘low acuity’ patients, NHS England review finds. NHSE expected 20-40% of A&E attends to be patients who could be seen elsewhere. But figure was just 4%. Story:
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