End of shift trial - Joint statement and staff information

Trust crest and UNISON logo

Late finishes are a key priority for the organisation and we continue to work in partnership with Unison on this issue. A recent successful trial across Cambridgeshire, Suffolk and Norfolk indicated a reduction in the longest ("tail") late finishes with no impact identified to patients (for example in Category 2 performance).

EEAST UNISON Branch welfare officers Michael Whitcombe & Graham Hillman said:

"Feedback from crews who took part in the initial trial has been positive and the data backs this up showing that during the trial there was a 10% drop in the average length of late finishes, with the average late finish being less than 30 minutes."

The initial pilot does not bring an end to finishing late where there is a patient need, but showed a step forward for our members and gives a building block on which to learn and improve. UNISON reps will be keeping an eye on the Trust wide pilot to ensure that there is no negative impact on staff and patients and encourage staff to feedback on how it’s working.

Following discussions with UNISON, the latest regional pilot will commence at 14:00 on Wednesday 24th April 2019. This will focus on two main changes to the current EOC procedure (ESOP 01) for end of shift:

1. Amendment to RRV and DSA deployment

An amendment to this SOP will now see a change in the calls that RRVs and DSAs can be deployed to in the last 30 minutes of their shift to the following:

  • Category 1 calls
  • Predicted category 1 calls (if coding is subsequently confirmed not to be a category 1 the crew should be stood down)
  • Hot 1 back ups

In the period 60 to 30 minutes from end of shift, current arrangements will still apply.

2. IX status

When an RRV or DSA travel time back to station is expected to result in a late finish they will be placed into Intelligent X-ray (IX) status. This effectively extends the historical IX 15 to a new IX 0.

Any potential clinical risks or concerns must be immediately escalated to the EOC Clinical Coordinator, Duty EOC Officer or another senior EOC clinician for further assessment and upgrade where appropriate.


Please read the full document in the downloads section below as it includes some frequently asked questions on the end of shift trial.

We will continue to look for new ways to reduce late finishes for crews. If you have any thoughts, feedback or comments on this trial, please send your comments to Nicola Karabardak.

Published 23rd April 2019

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