Leadership message from Carl Smith

Carl Smith, Quality Improvement & Professional Standards officer/ CCP
Carl Smith, Quality Improvement & Professional Standards officer/ CCP

It is an absolute privilege to be given the opportunity to provide this week’s leadership message.  I would like to thank you all for your continued support, especially during this week, which has followed a busy bank holiday weekend.

There have been some subtle changes with the way the Clinical team operate, resulting in the Quality Improvement (QI) team and clinical leads working together as one centralised team, to deliver the Trust's clinical strategy. The Clinical team will provide a point of contact and will continue to support the Operational Management Team and our staff with any clinical issues or concerns.

There has been some great ongoing work around maternity, with the recent introduction of the maternity action cards, the management of postpartumhaemorrhage with misoprostol and the inclusion of Tranexamic Acid (TXA) in the management of postpartumhaemorrhage. There is a requirement to sign a Patient Group Direction (PGD) for the recent change inTXA, so please speak to your Local Operations Manager (LOM) to get this signed. The Trust has also invested in the latest pocket sized Joint Royal Colleges Ambulance Liaison Committee (JRCALC) ‘Emergency Birth in the Community’ booklet, which will be personally issued to all frontline staff. These are in the process of being delivered, so please look out for them.

As part of my role, I am required to attend and support crews at Coroners Court, to support staff who are called to give evidence. For those of you who have had the daunting experience of attending an inquest, which can be months or years after an incident, you will appreciate that it is not until you are called to attend Court and reflect on your patient care record, that you wish you had made it more comprehensive, especially when you are challenged on its content!

At a recent inquest, one of the crew's Electronic Patient Care Reports (EPCR) was read out verbatim and thankfully it had been completed in detail, documenting their findings, assessment, treatment and how they had safety netted their patient. Having the care record printed made it easy to read and highlighted to me again the importance of completing comprehensive documentation. The exceptional standard of the documentation was also highlighted by the Coroner. We plan to share this great example with you, as it is equally important for us to not only learn from incidents but also to learn from excellence.

On another positive note, I would like to thank you for the excellent suggestions that continue to come into the Quality Improvement (QI) team. Ideas from all areas of the Trust can be sent to QI@eastamb.nhs.uk and one of the team will make contact to discuss your ideas. The QI team will also continue to hold QI cafes around the Trust - please look out for these, come and meet the team and chat about any ideas you may have.

Finally, you may have seen the recent advert in Need to Know offering places to attend QI courses - these are filling up fast, so if you are interested, book a place. We are almost nine months into the five year strategy, which will see QI embedded into all areas of the organisation, with the opportunity for you to learn about QI. We already have a number of staff who have completed the one day QI fundamentals course and others are working towards becoming QI Practitioners, who will then form part of the faculty to deliver QI.

As an Ambulance Service, we are leading on QI, with many other Trusts showing considerable interest in the work we are doing. You all have the ideas; the role of the QI team is to assist you to implement them. More information on QI can be found on the EAST24 home page, when you click on You Matter. 

I hope you all have a great week!


Published 31st May 2019

Leave a Comment
Name (required)
Email Address (required, never displayed)
Enter a message

(all comments are moderated - your submission will be posted on approval.)