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Looming Workforce Crisis In Ambulance Sector
Union - Media Releases

Media Release: National Distribution Union
Wednesday, 3 March 2010

Looming workforce crisis in ambulance sector

Ambulance officers are warning of a crisis in the sector as overworked paramedics miss meal breaks because of heavy workloads.

“Very few employees have to wait seven hours to get a meal break, but in the ambulance sector this is becoming more frequent as paramedics struggle to manage the increasing demand on the current resource base,” says NDU Ambulance Sector Coordinator and former paramedic Craig Page.

“With an annual growth of between 6-8%, emergency call volumes are overwhelming the availability of ambulances.”

“Paramedics are suffering as they miss their meal breaks and constantly exceed their work time limits imposed by legislation.”

More double crewed emergency ambulances with well qualified staff were needed, he said.

“Everyone understands that from time to time workload peaks or a true emergency occurs, but when there aren’t enough resources at the best of times or when decisions are made not to cover vehicles, then our members say this just isn’t good enough.”

“Ambulance officers want St John and the government to acknowledge the issue and do something about it. Things briefly improved a couple of years ago when we implemented a penalty for non compliance, but the situation has got worse.”

“Put simply, if nothing improves the sector will lose experienced career Paramedics to Australia. Demand is just as great there, but the pay is better and their employers manage meal breaks significantly better with appropriate compensation to their workers when they can’t get breaks,” Craig Page says.

Ends. For further comment: Craig Page on (021) 776-026.

 
Paramedics Protest at Failing Service
Union - Media Releases
Wairarapa paramedics will be protesting against the local DHB outside the Masterton ambulance station on Wednesday, October 1.

Craig Page, Ambulance Sector Coordinator for the National Distribution Union says Wairarapa ambulance services are chronically short staffed, under resourced and at risk of failing.

"This is partly because they pay their paramedics $10,000 a year less than their St John counterparts.

"We are trying to negotiate a multi employer collective agreement to bring all the paramedics in the district on to the same conditions but the DHB refuses to come to the table.

"An improved agreement would provide a platform for ensuring paramedics could be retained and recruited and be the first step towards establishing a safe and sustainable service for the area."

Mr Page says the base ambulance coverage during normal working hours is two ambulances for a population of nearly 40,000.

"This is critically low and because of the isolation of the area there is a real risk that if the workload were above normal, or there was a serious event, the service would not cope."

 
Ambulance Strategy a Mixed Bag
Union - Media Releases
The NDU says the recommendations in a Draft New Zealand Ambulance Strategy released today are a mixed bag.

Ambulance Sector Coordinator Craig Page says the union is pleased that paramedics will be recognised as frontline health care providers and welcomes a move towards national consistency in service delivery. He is not so happy with other aspects of the strategy.

"The draft fails to comment on the critical safety issue of single crewing in ambulances," he says. "There has been widespread public concern about this and it should not be ignored. "We are also disappointed there is no specific model for service delivery to rural and provincial communities. Population based models don't work well in these areas."

Mr Page says the report should have looked at whether ambulance services should continue to be run by individual District Health Boards.

"These services are increasingly complex and expensive and the NDU has previously recommended that there should be only one national ambulance provider. "We were not consulted prior to the release of the draft strategy. As a representative of paramedics we are a key stakeholder and should have been part of the development committee."

 
Risk to Patients Stays High after Ambulance Inquiry
Union - Media Releases

"Needs resuscitation," is how the National Distribution Union (NDU) and their colleagues in the Federation of Ambulance Unions (FAOUNZ) have described today's report from a select committee inquiry into New Zealand's ambulance services.

"Given a chance to bring New Zealand's cut price and fragmented ambulance services into the 21st century the committee has pointed to the failure of the current service arrangements but backed off recommending the reform needed," said NDU Ambulance Co-ordinator, Craig Page.

"The best way to deliver effective and consistent ambulance services is through one well resourced national ambulance service provider. The report has backed off recommending this even though its own analysis tends to support it. That approach is totally inconsistent with the consolidation of ambulance services in Australia and the United Kingdom,"

"The recommendation in favour of a single funding stream and longer contract duration will be undermined by the committee's tolerance of the fragmentation of the emergency ambulance sector."

"Professionals told the committee of our  concerns with a lack of regulation, multiple service providers, under-funding, poor quality assurance, inadequate network coverage and single crewing in rural centres,"

"As long as these issues are glossed over patients remain at risk," said Mr Page.

The NDU is pleased that the committee supports registration of Paramedics and the development of nationally consistent, portable tertiary level qualifications to ensure consistent standards.

"But we need a legislative structure that, defines and protects the role of Paramedics, sets out minimum standards for providers, mandates levels of performance and promotes transparency. Such legislation is common across Australia. The committee has taken the easy option and recommended regulating Paramedics. Whilst important, the real need is to regulate the myriad of public and private ambulance service providers. "

Mr Page says the committee has overestimated the role of the Fire Service in providing emergency response.

"The level of intervention in most instances is limited to basic first aid and lifting assistance, completely different from Paramedic level treatment.  Whilst recovery of costs seems reasonable, the NDU is concerned that the real issues of poor community coverage, inadequate resources and single crewing have been sidelined in favour of bolstering the Fire Service."

- ENDS -

Further information is available from:

Craig Page
National Ambulance Sector Coordinator
National Distribution Union
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Fax: 09 622 8353
DDI: 09 622 8365
Cell: 021 776 026