Ambulance Trusts: ARP and Dispatch on Disposition...can the workforce respond to changes in demand?

With many Ambulance Trusts facing staff shortages and a rise in demand, it’s important that the ambulances are only dispatched under blue light conditions when it is appropriate to the patient’s condition.

The ARP and Dispatch on Disposition pilot aims to find a solution which will address this…but how it could affect demand is still an unknown.

If ARP and Dispatch on Disposition is rolled out, the requirement for paramedics and vehicles could change the demand profile significantly. This could mean many existing shift patterns no longer effectively align labour supply with demand.

Gaps in labour provision can lead to high reliance on overtime and private ambulances, compromised service levels, employee stress or sickness and breaches of working time or health and safety legislation.

Conversely, over-supply can occur when demand fluctuates hour-by-hour and day-by-day which can lead to low productivity. Clearly these hours would be better deployed during peak times.

Using accurate demand data, expert insight and powerful specialist software, Ambulance Trusts can design, implement and maintain demand-led crewing patterns with built-in flexibility to meet changing demand requirements, while ensuring high service standards are maintained.

We worked with London Ambulance Service on a project which implemented 200 new frontline rosters across 70 ambulance stations, releasing an additional 3,414 people hours through aligning supply with demand. You can read more about the project in this article.

Our software also enables clients to scenario plan, ensuring the impact and requirements of potential operational changes such as ARP and Dispatch on Disposition can be modelled in advance of implementation.

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