London Ambulance Services

Source: LAS Referrals Pathway Activity Report 14-15

NHS Merton CCGNote: the following data is based on incidents (Emergency call resulting in an emergency response arriving at the scene of the incident.)

CCG Name Apr-14

May-14 Jun-14 Jul-14 Aug-

14Sep-14

Oct-14

Nov-14

Dec-14 Jan-15 Feb-

15Mar-

15 YTD

Patients Conveyed to ED 1,230 1,361 1,283 1,322 1,225 1,183 1,310 1,329 1,358 1,261 1,178 1,388 15,428

Patients Conveyed to Urgent ACP 4 14 15 14 10 13 9 8 9 10 4 13 123

Patients Conveyed to Acute ACP 26 43 33 31 28 33 36 30 29 24 28 32 373

Other Conveyance 59 39 55 51 56 62 55 60 76 57 55 55 680

Total Incidents 1,629 1,882 1,813 1,816 1,694 1,665 1,758 1,789 1,916 1,768 1,580 1,842 21,152

00.20.40.60.8 15,428

123 373 680

Total LAS Conveyances Apr 14 – Mar 15

Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-150

100

200

300

400

500

600

700

800

541 558510

549 551498

551 576

685601

529

645

Merton CCG 65YO+ Patients ED Conveyance Apr 14-Mar 15Nb = 6,794

Total conveyed/not conveyed

Total conveyed to ED Total over 65s 0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%48.77%

6,794

15.66%

Total Conveyances to ED by age 65+

LAS: Conveyances

Emergency Department

CCG Name Apr-14

May-14

Jun-14 Jul-14 Aug-

14Sep-14

Oct-14

Nov-14

Dec-14

Jan-15

Feb-15

Mar-15 YTD %

St Georges, Tooting 797 924 858 896 820 776 848 909 919 826 788 941 10302 66.77%St Helier 277 284 261 273 251 275 315 288 319 310 265 322 3440 22.30%Kingston 110 106 123 107 109 96 99 95 94 77 88 92 1196 7.75%Croydon University (Mayday) 41 38 35 41 39 31 43 32 22 37 31 28 418 2.71%St Thomas' 2 3 0 2 4 2 4 2 2 4 3 1 29 0.19%Kings College 1 1 2 0 2 2 0 1 2 3 0 1 15 0.10%Chelsea & Westminster 1 1 1 0 0 1 0 0 0 3 1 0 8 0.05%Charing Cross 0 2 1 1 0 0 1 0 0 0 0 0 5 0.03%Epsom 0 0 1 1 0 0 0 0 0 1 1 0 4 0.03%Princess Royal, Farnborough 0 0 0 0 0 0 0 2 0 0 0 1 3 0.02%Royal London (Whitechapel) 1 0 0 0 0 0 0 0 0 0 1 0 2 0.01%University College 0 0 0 0 0 0 0 0 0 0 0 1 1 0.01%Queen Elizabeth II, Woolwich 0 1 0 0 0 0 0 0 0 0 0 0 1 0.01%North Middlesex 0 0 1 0 0 0 0 0 0 0 0 0 1 0.01%King Georges, Ilford 0 0 0 0 0 0 0 0 0 0 0 1 1 0.01%East Surrey 0 1 0 0 0 0 0 0 0 0 0 0 1 0.01%St Peters, Chertsey 0 0 0 1 0 0 0 0 0 0 0 0 1 0.01%Total Patients Conveyed (to ED) 1,230 1,361 1,283 1,322 1,225 1,183 1,310 1,329 1,358 1,261 1,178 1,38815,428 100.00%

St Georges, Tooting

St Helier Kingston Croydon University (Mayday)

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

10,302

3,440

1,196418

Total % /No. of Patients Conveyed to ED by top 4 Trusts

Nb = 15,428

LAS: Conveyances

Source: LAS Referrals Pathway Activity Report 14-15

LAS: Conveyances SWL Comparison

CCG Name Incidents Conveyed Non conveyed

Non conveyed %

NHS Croydon CCG 2173 1893 280 12.9%NHS Kingston CCG 877 735 142 16.2%NHS Merton CCG 962 843 119 12.4%NHS Richmond CCG 774 648 126 16.3%NHS Sutton CCG 1000 858 142 14.2%NHS Wandsworth CCG 1004 878 126 12.5%

NHS Croydon CCG

NHS Kingston CCG

NHS Merton CCG

NHS Richmond

CCG

NHS Sutton CCG

NHS Wandsworth

CCG

0

400

800

1200

1600

2000 1,893

735 843648

858 878

280142 119 126 142 126

LAS Conveyed/Non Conveyed Comparison across SWL (To-tal = 962)

Conveyed Non conveyed

Source: LAS Care/Nursing Home Activity 14 - 15

NHS Croydon CCG

NHS Kingston CCG

NHS Merton CCG

NHS Richmond

CCG

NHS Sutton CCG

NHS Wandsworth

CCG

0

500

1000

1500

2000

25002,173

877 962774

1,000 1,004

LAS Incidents Comparison across SWLDefinition: Incidents are all calls where at least one re-

sponder arrived on scene. If 3 vehicles arrive at the loca-tion of a call, this is counted as one incident

CCG Name Incidents

NHS Croydon CCG 2173NHS Kingston CCG 877NHS Merton CCG 962NHS Richmond CCG 774NHS Sutton CCG 1000NHS Wandsworth CCG 1004

This data looks at the SWL sector as a whole for Incidents relating to

Care/Nursing homes.

LAS: Conveyances

Apr-14 May-14

Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-150

20

40

60

80

100

83 87 84

6774

64

8088 92 88

65

90

LAS Incidents Merton Ony by Month, (Total incidents = 962)

Mon Tue Wed Thu Fri Sat Sun0

40

80

120

160

200

149127

138158

134144

112

LAS Incidents Merton Only by Day, (Total Incidents = 962)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 240

20

40

60

80

100

19 16 19 2217

2330

34

52 49 49

64

53 50

70

5260

42

62

4137

46

3124

LAS Incidents Merton Only by Hour (Total incidents = 962)

Source: LAS Care/Nursing Home Activity 14 - 15

LAS Incidents to Care / Nursing home locations by Chief complaint for NHS Merton CCG by month

NHS Merton CCG

Chief Complaint Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15

Health Care Professional Admission Protocol 21 28 24 20 17 19 29 25 30 34 22 29Falls 17 18 19 13 16 14 15 16 14 14 16 15Breathing problems 13 11 7 4 6 5 7 7 13 8 5 8Sick Person (Specific Diagnosis) 8 7 8 7 3 8 3 6 13 5 5 13_unknown 8 5 3 5 8 3 7 8 11 6 2 5Unconscious/Fainting (Near) 4 2 - 4 3 6 3 3 5 8 3 7Chest Pain (Non-Traumatic) 2 4 6 3 6 2 3 1 1 2 2 3Convulsions/Fitting 2 3 3 2 4 1 1 3 2 3 4 2Haemorrhage/Lacerations 3 5 6 - 3 2 2 1 1 2 4 -Stroke (CVA) 1 - 3 3 1 - 4 2 1 1 - 1

Hea

lth

Care

Pro

fess

iona

l Ad

mis

sion

Pro

toco

l

Falls

Brea

thin

g pr

oble

ms

Sick

Per

son

(Spe

cific

Dia

g-no

sis)

_unk

now

n

Unc

onsc

ious

/Fai

nting

(Nea

r)

Ches

t Pai

n (N

on-T

raum

atic)

Conv

ulsi

ons/

Fitti

ng

Hae

mor

rhag

e/La

cera

tions

Stro

ke (C

VA)

0

100

200

300

400298

187

94 86 71 48 35 30 29 17

LAS Chief Complaint Merton Only (Total complaints = 962)Definition: Using a call taking triage system, through a number of questions we are able to determine what is the most relevant

issue relating to the patient

LAS: Conveyances Merton Only

Source: LAS Care/Nursing Home Activity 14 - 15

ccgname Location ConveyedNon conveyed

NHS Merton CCG Woodlands House 145 10NHS Merton CCG Kew House 104 18NHS Merton CCG Eltandia Hall Care Centre 82 17NHS Merton CCG Link House 76 12NHS Merton CCG The Cumberland 67 4NHS Merton CCG Fieldway Nursing and Residential Centre 59 6NHS Merton CCG Heathland Court Care Centre 56 6NHS Merton CCG Carter House 34 8NHS Merton CCG Manor House 28 3NHS Merton CCG Arthur House 25 4NHS Merton CCG Wimbledon Beaumont 20 5NHS Merton CCG Pelham House 18 5NHS Merton CCG Keychange Charity Alexander House Care Home 20 2NHS Merton CCG Barons Lodge 11 9NHS Merton CCG Queens Court 13 1NHS Merton CCG Abbey House - Morden 7 3NHS Merton CCG Kelstone Court Nursing Home 10 0

Woo

dlan

ds H

ouse

Kew

Hou

se

Elta

ndia

Hal

l Car

e Ce

ntre

Link

Hou

se

The

Cum

berl

and

Fiel

dway

Nur

sing

and

Res

iden

tial C

entr

e

Hea

thla

nd C

ourt

Car

e Ce

ntre

Cart

er H

ouse

Man

or H

ouse

Arth

ur H

ouse

Wim

bled

on B

eaum

ont

Pelh

am H

ouse

Keyc

hang

e Ch

arit

y Al

exan

der H

ouse

Car

e H

ome

Baro

ns L

odge

Que

ens C

ourt

Abbe

y H

ouse

- M

orde

n

Kels

tone

Cou

rt N

ursi

ng H

ome

020406080

100120140160 145

10482 76 67 59 56

34 28 25 20 18 20 11 13 7 1010 18 17 12 4 6 6 8 3 4 5 5 2 9 1 3 0

LAS Conveyed/Non Conveyed by Home Merton Only (Total incidents = 962)

Conveyed Non conveyed

LAS: Conveyances

Source: LAS Care/Nursing Home Activity 14 - 15

Woo

dlan

ds H

ouse

Kew

Hou

se

Elta

ndia

Hal

l Car

e Ce

ntre

Link

Hou

se

The

Cum

berl

and

Fiel

dway

Nur

sing

and

Res-

iden

tial C

entr

eH

eath

land

Cou

rt C

are

Cent

re

Cart

er H

ouse

Man

or H

ouse

Arth

ur H

ouse

Wim

bled

on B

eaum

ont

Pelh

am H

ouse

Keyc

hang

e Ch

arit

y Al

exan

der H

ouse

Car

e H

ome

Baro

ns L

odge

Que

ens C

ourt

Abbe

y H

ouse

- M

orde

nKe

lsto

ne C

ourt

Nur

sing

H

ome

050

100150200 155

12299 88 71 65 62 42 31 29 25 23 22 20 14 10 10

LAS Incident by Home Merton Only (Total incidents = 962)

Note: Majority of these homes will have patients funded by NHS, LB and/or join funding Woodlands and Carter

also provider I/C beds for MCCG

NHS Merton CCG Total Location

Apr-14

May-14

Jun-14

Jul-14

Aug-14

Sep-14

Oct-14

Nov-14

Dec-14

Jan-15

Feb-15

Mar-15

Total

Woodlands House 10 10 5 12 13 14 19 21 11 9 15 16 155Kew House 10 16 13 8 7 14 12 8 10 9 4 11 122Eltandia Hall Care Centre 6 15 7 5 6 5 7 15 14 11 7 1 99Link House 5 4 9 3 10 2 6 2 12 14 7 14 88The Cumberland 4 5 18 7 7 3 5 5 6 2 0 9 71Fieldway Nursing and Residential Centre 11 4 5 5 7 3 5 3 4 5 7 6 65Heathland Court Care Centre 4 4 6 6 3 0 3 3 6 12 5 10 62Carter House 3 6 3 1 7 3 3 5 4 3 2 2 42Manor House 8 1 3 5 1 2 2 1 0 5 1 2 31Arthur House 4 4 3 2 3 1 1 3 4 2 2 0 29Wimbledon Beaumont 1 1 4 2 2 5 3 1 1 2 2 1 25Pelham House 4 3 2 0 0 1 2 1 7 1 0 2 23Keychange Charity Alexander House Care Home 3 2 1 0 2 3 1 2 2 1 2 3 22Barons Lodge 0 5 0 0 3 1 2 5 3 0 0 1 20Queens Court 0 1 1 3 1 3 1 1 0 2 1 0 14Abbey House - Morden 1 0 0 0 0 0 1 1 2 0 2 3 10Kelstone Court Nursing Home 0 0 2 0 1 0 1 1 3 2 0 0 10

LAS: Conveyances (Care/Nursing Home Activity)

Source: LAS Care/Nursing Home Activity 14 - 15