As paramedics in Greater Manchester and other ambulance service staff take strike action across Greater Manchester today, NHS bosses have moved to issue guidance on what to do if you think you need an ambulance.
It is expected that all category 1 calls - the most life-threatening such as cardiac arrest - will be responded to. Some ambulance trusts have agreed to exemptions with unions for specific incidents within so-called category 2 which covers serious conditions, such as stroke or chest pain.
However, patients in category three - typically including falls - and category four are unlikely to be sent an ambulance during the strikes. NWAS' Patient Transport Service - which takes people from their homes to hospitals - will only prioritise patients attending cancer, renal and palliative care appointments.
North West Ambulance Service said ambulances would still be available to respond, although they will be prioritised for life-threatening injuries and illnesses. Typical emergencies, said the trust, included cardiac arrest, loss of consciousness, fits that aren't stopping, breathing difficulties, severe bleeding or allergic reactions and serious head injuries.
Ged Blezard, NWAS Director of Operations, said: "We have tried and tested plans to manage any disruption, including industrial action, however, it’s important to understand there will be an impact on the public. We want you to continue to ring 999 if you are in a life-threatening situation. However, we are advising patients, that they should consider other forms of transport if they still need to go to a hospital.
"We are maximising our own resources, using private providers and military support where appropriate and working closely with our Trade Unions to provide cover for the most serious emergencies. We are also working with our healthcare partners to maintain patient safety during these periods of industrial action."
"Also, if you have already called 999 to request an ambulance, please only call back if your condition has worsened or to cancel the ambulance. Repeatedly calling 999 can block phone lines for other emergencies.
"If you need urgent care – use the symptom checker at NHS 111 online, which will direct you to the most appropriate support. Again, you should call on friends or relatives for transport if necessary.”
"Also, if you have already called 999 to request an ambulance, please only call back if your condition has worsened or to cancel the ambulance. Repeatedly calling 999 can block phone lines for other emergencies.
NHS 111 Online can tell you:
- Where to get help for your symptoms, if you're not sure what to do
- How to find general health information and advice
- Where to get an emergency supply of your prescribed medicine
- How to get a repeat prescription
NWAS has also stressed the continuing mental health crisis lines available:
- Greater Manchester (Bury, Heywood, Middleton & Rochdale, Oldham, Stockport and Tameside & Glossop – 0800 014 9995)
- Greater Manchester (Bolton, Manchester, Salford, Trafford & Wigan)- 0800 953 0285
- Lancashire and Cumbria – 0800 953 0110
- Cheshire and Wirral – 0800 145 6485
- Liverpool or Sefton- 0800 145 6570
- Halton, St Helens, Warrington and Knowsley – 0800 051 1508
The Department of Health and Social Care have said the advice remains for people to call 999 in an emergency.
A spokesperson said: "Health leaders are also concerned that the prospect of strike action may affect how people decide to engage with the NHS, but the advice remains that if it is an emergency, it is vital they should still call 999."
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