To ask the Scottish Executive how many air ambulance flights originating in Orkney have been classified as “emergency” in each year since 1998.
Between 1998 and 2003, the Scottish Ambulance Service categorised its air ambulance flights into four sections – emergency, very urgent, urgent and planned. The criteria for these four categories were:
Emergency – 999 calls or doctors’ emergencies which require an aircraft to be activated as soon as possible.
Very urgent – Time for air ambulance to be with patient up to six hours.
Urgent – Time for air ambulance to be with patient up to nine hours.
Planned – This category applied when ordering doctors considered it necessary, because of the patient’s medical condition, that he/she was transported to hospital by air ambulance, but where it was not required to get the patient to hospital within the nine hour period. This category applied to most inter-hospital transfers.
In January 2004, the categories were reduced to two – emergency and planned. The criteria for these two categories are:
Emergency – Immediate threat to life or limb – a time factor can be agreed with the clinician ordering the air ambulance if they feel that is appropriate.
Planned – For all cases where there is a time factor agreed with the clinician ordering the air ambulance.
The following table shows the number of air ambulance flights from Orkney by case type in each calendar year since 1998.
Year | Emergency | Very Urgent | Urgent | Planned | Total |
1998 | 76 | 97 | 70 | 46 | 289 |
1999 | 46 | 73 | 72 | 34 | 225 |
2000 | 59 | 97 | 92 | 49 | 297 |
2001 | 62 | 83 | 69 | 38 | 252 |
2002 | 85 | 99 | 92 | 70 | 346 |
2003 | 114 | 71 | 71 | 191 | 447 |
2004 | 101 | - | - | 276 | 377 |
2005 | 30 | - | - | 310 | 340 |
Of the 30 missions categorised as emergencies, 27 had a timescale which had been agreed with the requesting clinician. The ambulance service met the timescale in all but one of those cases – a performance of 96% against a target of 95%.
There have been fluctuations in the number of calls classified as “emergency” in the past eight years and over the last year the ambulance service has been trying to ensure that the definitions for ordering air ambulance services - across the whole of Scotland - are followed more consistently. A new guidance leaflet describing the ordering process is due to be issued to clinicians shortly.