1 00:00:00,160 --> 00:00:00,400 Speaker 1: We know. 2 00:00:00,480 --> 00:00:03,120 Speaker 2: The mother of a Darwin dancer has told the ABC 3 00:00:03,279 --> 00:00:06,520 Speaker 2: that she waited for more than six hours for an 4 00:00:06,519 --> 00:00:10,319 Speaker 2: ambulance to arrive after her daughter dislocated her knee at 5 00:00:10,320 --> 00:00:14,440 Speaker 2: a dance competition on Saturday. Now, twenty year old Monique 6 00:00:14,520 --> 00:00:17,720 Speaker 2: Dries fell to the ground and started screaming in pain 7 00:00:17,800 --> 00:00:21,360 Speaker 2: about eight fifteen pm, and was told by emergency call 8 00:00:21,400 --> 00:00:25,759 Speaker 2: operators to stay put until paramedics arrived. Her mother tried 9 00:00:25,800 --> 00:00:29,040 Speaker 2: to take her to hospital herself using a luggage trolley, 10 00:00:29,400 --> 00:00:32,280 Speaker 2: which was all the venue had on hand, but couldn't 11 00:00:32,360 --> 00:00:35,199 Speaker 2: due to the position of her knee. Now, paramedics did 12 00:00:35,200 --> 00:00:37,600 Speaker 2: eventually arrive, but that was at two point thirty in 13 00:00:37,640 --> 00:00:40,479 Speaker 2: the morning, but the family had to wait another forty 14 00:00:40,479 --> 00:00:44,479 Speaker 2: five minutes in the ambulance due to ramping at the hospital. 15 00:00:44,520 --> 00:00:48,040 Speaker 2: Now joining us on the line is Saint John Ambulance 16 00:00:48,159 --> 00:00:53,920 Speaker 2: Director of Ambulance Services, Andrew Thomas. Good morning, Andy, Good 17 00:00:53,960 --> 00:00:57,200 Speaker 2: morning Katie, and welcome back, thanks mate. Now, Andy, what 18 00:00:57,200 --> 00:00:59,600 Speaker 2: what was the go on the weekend? Was it an 19 00:00:59,680 --> 00:01:02,880 Speaker 2: ex aptionally busy night on Saturday for Saint John? 20 00:01:04,520 --> 00:01:07,840 Speaker 1: Look, Katie, well, I mean we know that on Saturday 21 00:01:07,920 --> 00:01:12,280 Speaker 1: nights traditionally we see an increase in our workload, and 22 00:01:12,880 --> 00:01:17,399 Speaker 1: our workload trending and mapping, we know is our busiest 23 00:01:17,400 --> 00:01:19,560 Speaker 1: times kick off from around about two or three o'clock 24 00:01:19,560 --> 00:01:21,759 Speaker 1: in the afternoon and go through to around about one 25 00:01:21,800 --> 00:01:24,399 Speaker 1: to two o'clock in the morning, and that's when we 26 00:01:24,440 --> 00:01:28,720 Speaker 1: see our peak workload. We are really you know, we've apologized, 27 00:01:28,760 --> 00:01:33,800 Speaker 1: We've reached out to Moniquan and mum Rebecca to express 28 00:01:33,840 --> 00:01:40,160 Speaker 1: our obviously our concerns and obviously acknowledge the delay and 29 00:01:40,200 --> 00:01:42,640 Speaker 1: the response that they got. And obviously we know that 30 00:01:42,680 --> 00:01:45,840 Speaker 1: obviously it's extremely distressing for her and the family and 31 00:01:45,880 --> 00:01:48,880 Speaker 1: everyone that was there that you know those delays. 32 00:01:48,360 --> 00:01:51,320 Speaker 2: Well, and yeah, and like I get that, you guys, 33 00:01:51,480 --> 00:01:54,520 Speaker 2: you know, it's a situation where you're having to triage. 34 00:01:55,000 --> 00:01:57,320 Speaker 2: I mean on that night, was there, like we're there 35 00:01:57,720 --> 00:02:00,680 Speaker 2: a number of incidents, what was so what was sort 36 00:02:00,720 --> 00:02:03,280 Speaker 2: of happening behind the scenes that might mean that she 37 00:02:03,520 --> 00:02:05,600 Speaker 2: had to wait for that long for what many would 38 00:02:05,720 --> 00:02:08,520 Speaker 2: would say is quite a serious issue. 39 00:02:09,160 --> 00:02:11,320 Speaker 1: Yeah, So look over around that sort of you know, 40 00:02:11,960 --> 00:02:15,160 Speaker 1: six to seven hour period when that case came in, 41 00:02:16,000 --> 00:02:20,440 Speaker 1: we had eighteen Priority one cases, which is our highest 42 00:02:20,520 --> 00:02:22,760 Speaker 1: level of case, which is our lights and sirens response 43 00:02:24,280 --> 00:02:26,799 Speaker 1: and an average turnaround on an ambulance crew for those 44 00:02:26,919 --> 00:02:28,600 Speaker 1: is around about one and a half hours by the 45 00:02:28,639 --> 00:02:32,679 Speaker 1: time we get there, respond, treat, take them through to 46 00:02:32,720 --> 00:02:36,560 Speaker 1: hospital and then obviously you know, hand over to the hospital, 47 00:02:36,600 --> 00:02:38,720 Speaker 1: tidy up and then be able to respond again. We 48 00:02:38,760 --> 00:02:43,480 Speaker 1: also had another fourteen cases, both priority to seven Priority 49 00:02:43,520 --> 00:02:46,440 Speaker 1: two cases which are not lights and sirens but are 50 00:02:46,480 --> 00:02:52,359 Speaker 1: still urgent, and then also another seven lower acuity cases 51 00:02:53,480 --> 00:02:56,040 Speaker 1: in that period of time. So you know, we're looking 52 00:02:56,080 --> 00:02:59,160 Speaker 1: at around about you know, thirty two thirty three cases 53 00:02:59,200 --> 00:03:02,040 Speaker 1: over that period of time time and on that night 54 00:03:02,080 --> 00:03:05,720 Speaker 1: we had four emergency ambulances across the Darwin region. Oh yeah, 55 00:03:05,800 --> 00:03:10,639 Speaker 1: we know, and we've said before we are underresourced. Our 56 00:03:10,680 --> 00:03:13,280 Speaker 1: staff do an amazing job that we have the best 57 00:03:13,320 --> 00:03:17,080 Speaker 1: staff who continue to go out there and deliver really 58 00:03:17,120 --> 00:03:20,760 Speaker 1: high quality care and what to acknowledge and be thankful 59 00:03:20,840 --> 00:03:24,040 Speaker 1: obviously too to the family who have acknowledged the really 60 00:03:24,080 --> 00:03:26,880 Speaker 1: good care of the paramedes provided where they actually got there. 61 00:03:27,400 --> 00:03:29,440 Speaker 2: And this is the thing I guess Andy, is you know, 62 00:03:29,880 --> 00:03:33,440 Speaker 2: in my experience, most people are really you know, like 63 00:03:33,560 --> 00:03:37,360 Speaker 2: they're very satisfied with the service and with the care 64 00:03:37,400 --> 00:03:40,080 Speaker 2: that they receive from our paramedics and from Saint John. 65 00:03:40,680 --> 00:03:42,760 Speaker 2: But the issue seems to be I mean, when you 66 00:03:42,800 --> 00:03:45,040 Speaker 2: take into account what you've just told me, thirty two 67 00:03:45,120 --> 00:03:48,920 Speaker 2: cases in that period of time for emergency ambulances, I 68 00:03:48,960 --> 00:03:52,000 Speaker 2: think you said on the road, how on earth do 69 00:03:52,080 --> 00:03:54,040 Speaker 2: you deal with that volume of cases? 70 00:03:55,160 --> 00:03:58,200 Speaker 1: Yeah, look, we are you know, we've been talking for 71 00:03:58,200 --> 00:04:01,160 Speaker 1: a long time. We need more resources, we need ways 72 00:04:01,200 --> 00:04:04,280 Speaker 1: of managing that demand as well. So we're you know, 73 00:04:04,360 --> 00:04:08,640 Speaker 1: we are in discussions obviously for the contract going forward, 74 00:04:08,640 --> 00:04:12,960 Speaker 1: and we're looking at the opportunities to obviously increase resourcing 75 00:04:13,080 --> 00:04:15,640 Speaker 1: and then look at ways of also managing some of 76 00:04:15,640 --> 00:04:19,200 Speaker 1: that demand. And you know, so some of that some 77 00:04:19,279 --> 00:04:21,280 Speaker 1: of those opportunities we're looking for is to put more 78 00:04:21,320 --> 00:04:24,800 Speaker 1: clinicians in comms to be able to really assess those 79 00:04:24,839 --> 00:04:27,080 Speaker 1: cases and give more advice and be able to work 80 00:04:27,120 --> 00:04:29,720 Speaker 1: out the priorities that are needed to get the right 81 00:04:29,800 --> 00:04:33,280 Speaker 1: patient to the right crew at the right time. But 82 00:04:33,320 --> 00:04:36,680 Speaker 1: also we just need more resources at times, particularly in 83 00:04:36,720 --> 00:04:40,240 Speaker 1: that afternoon, evening and nighttime period. We know our workload 84 00:04:40,279 --> 00:04:44,880 Speaker 1: continues to increase. We've seen yet again another eleven percent 85 00:04:45,000 --> 00:04:48,600 Speaker 1: increase in call volume in the last year coming into 86 00:04:48,640 --> 00:04:51,800 Speaker 1: triple zero with over one hundred thousand triple zero calls 87 00:04:52,040 --> 00:04:56,960 Speaker 1: entered in the last last financial year. Our workload continues 88 00:04:56,960 --> 00:04:59,720 Speaker 1: to increase, including and what we're seeing this year is 89 00:05:00,120 --> 00:05:04,000 Speaker 1: that the higher acuity cases, those lights of Sirens jobs 90 00:05:05,200 --> 00:05:07,520 Speaker 1: are the ones that we've seen the greatest increase in 91 00:05:07,560 --> 00:05:09,839 Speaker 1: the last twenty four hours. And we know that, you know, 92 00:05:09,880 --> 00:05:12,080 Speaker 1: with those, those cases obviously put a lot of stress 93 00:05:12,080 --> 00:05:14,600 Speaker 1: on our service because we want to try and get 94 00:05:14,640 --> 00:05:17,800 Speaker 1: there and they're obviously very difficult to deal with in 95 00:05:17,880 --> 00:05:20,640 Speaker 1: terms of that takes out a lot of time about 96 00:05:20,680 --> 00:05:22,120 Speaker 1: to do that and then obviously the time to be 97 00:05:22,160 --> 00:05:24,120 Speaker 1: able to get from through the hospital and hand over. 98 00:05:24,200 --> 00:05:27,039 Speaker 2: And look, we talk a lot about alcohol issues in 99 00:05:27,080 --> 00:05:30,000 Speaker 2: the Northern Territory. What kind of you know, what what 100 00:05:30,080 --> 00:05:32,760 Speaker 2: kind of impact does that alcohol issue? Some of the 101 00:05:32,800 --> 00:05:37,240 Speaker 2: incidents that are alcohol related have then on our crews 102 00:05:37,279 --> 00:05:39,760 Speaker 2: and on Saint John being able to get out to 103 00:05:40,279 --> 00:05:42,920 Speaker 2: other incidents and to get out to everything. 104 00:05:44,240 --> 00:05:48,479 Speaker 1: Look, I mean, we see alcohol related incidents, but I 105 00:05:48,520 --> 00:05:51,000 Speaker 1: think you know, it's not that that. What we end 106 00:05:51,080 --> 00:05:52,719 Speaker 1: up seeing is the end point of it. And so 107 00:05:53,480 --> 00:05:58,920 Speaker 1: the significant road trauma, the significant traumas related from you know, 108 00:05:59,040 --> 00:06:03,400 Speaker 1: either violence and theression or domestic violence. We see the 109 00:06:03,480 --> 00:06:07,880 Speaker 1: sort of the poor health states and comorbidities within our 110 00:06:07,960 --> 00:06:12,640 Speaker 1: population that leads to really sick and unwell patients that 111 00:06:12,680 --> 00:06:16,640 Speaker 1: obviously require our attention. And as I said, predominantly a 112 00:06:16,680 --> 00:06:19,839 Speaker 1: lot of that tends to be in the latter part 113 00:06:19,880 --> 00:06:22,000 Speaker 1: of the day and into the night when a lot 114 00:06:22,040 --> 00:06:24,200 Speaker 1: of the other services aren't around, and we know that 115 00:06:24,200 --> 00:06:25,880 Speaker 1: that then flows into the hospital. 116 00:06:26,120 --> 00:06:28,920 Speaker 2: So you spoke then as well about that high demand 117 00:06:28,960 --> 00:06:32,039 Speaker 2: and trying to manage that high demand. I mean, does 118 00:06:32,080 --> 00:06:34,680 Speaker 2: this just come down is it a funding or a 119 00:06:34,760 --> 00:06:39,160 Speaker 2: resourcing issue or is it both? And really what does St. 120 00:06:39,240 --> 00:06:42,279 Speaker 2: John need as you talk about the renewal of that 121 00:06:42,400 --> 00:06:43,479 Speaker 2: ambulance contract. 122 00:06:44,839 --> 00:06:47,599 Speaker 1: Yeah, look, I mean obviously the factors that obviously really 123 00:06:47,680 --> 00:06:52,800 Speaker 1: impact into those response times is obviously the community demand, 124 00:06:53,000 --> 00:06:58,680 Speaker 1: ambulance crew and vehicle availability, the hospital capacity, patient flow 125 00:06:58,760 --> 00:07:01,560 Speaker 1: through the emergency department. But I think you know, really, 126 00:07:01,640 --> 00:07:04,600 Speaker 1: we know that across all the locations in our springs 127 00:07:04,680 --> 00:07:09,279 Speaker 1: Catherine uh and in Darwin, the resources we have quite 128 00:07:09,279 --> 00:07:11,880 Speaker 1: often are outstripped by the demand that I'm from that's 129 00:07:11,880 --> 00:07:14,280 Speaker 1: coming from the community. And so we really need to 130 00:07:14,280 --> 00:07:16,160 Speaker 1: look to make sure that we have the right amount 131 00:07:16,160 --> 00:07:19,800 Speaker 1: of resourcing in the right time when the result when 132 00:07:19,840 --> 00:07:22,760 Speaker 1: the demand is needed. And you know, clearly we are 133 00:07:22,840 --> 00:07:25,880 Speaker 1: under resourced in major city like Darwin's. 134 00:07:25,920 --> 00:07:28,400 Speaker 2: So I guess we're getting though, does that come down 135 00:07:28,480 --> 00:07:32,000 Speaker 2: to needing more funding to be able to get more 136 00:07:32,040 --> 00:07:34,320 Speaker 2: staff or not being able to fill those positions. 137 00:07:35,360 --> 00:07:37,960 Speaker 1: Look at the moment, this is where where these are 138 00:07:38,000 --> 00:07:40,520 Speaker 1: what we're currently are contracted to provide. And we've been 139 00:07:40,760 --> 00:07:43,200 Speaker 1: talking and that's the discussions of having this government is 140 00:07:43,600 --> 00:07:46,400 Speaker 1: we need more resources. We need to make sure that 141 00:07:46,440 --> 00:07:49,840 Speaker 1: the resources are targeted where they are and how we 142 00:07:49,880 --> 00:07:52,480 Speaker 1: can better use it to manage that demand. And you know, 143 00:07:52,560 --> 00:07:55,120 Speaker 1: so we are looking obviously, you know, we've been speaking 144 00:07:55,200 --> 00:07:59,720 Speaker 1: about needing more ambulance crews to meet the increase that 145 00:07:59,720 --> 00:08:02,040 Speaker 1: we've seeing over the you know, the last four to 146 00:08:02,120 --> 00:08:06,480 Speaker 1: five years, we've seen continual increase in our workload, you know, 147 00:08:06,600 --> 00:08:09,240 Speaker 1: up around about seven to eight percent across each year. 148 00:08:09,280 --> 00:08:12,600 Speaker 1: We're seeing that growth. And what we are seeing, as 149 00:08:12,600 --> 00:08:14,280 Speaker 1: I said in last year, is that the patience that 150 00:08:14,280 --> 00:08:17,760 Speaker 1: we're going to a sicker and obviously that obviously enties 151 00:08:17,800 --> 00:08:19,440 Speaker 1: some of our vehicles up or we need to send 152 00:08:19,440 --> 00:08:22,160 Speaker 1: a second vehicle to support to provide the appropriate treatment. 153 00:08:22,280 --> 00:08:25,120 Speaker 2: Now, just in terms of them that ambulance ramping in 154 00:08:25,240 --> 00:08:28,120 Speaker 2: hospital bay is what needs to happen to address this. 155 00:08:28,320 --> 00:08:30,280 Speaker 2: By the sounds of things, you know, there's an enormous 156 00:08:30,320 --> 00:08:33,800 Speaker 2: demand on our emergency ward and so you know, if 157 00:08:33,880 --> 00:08:36,000 Speaker 2: they're not able to bring somebody in who's in and 158 00:08:36,440 --> 00:08:40,000 Speaker 2: in a you know, in an ambulance, or they're out 159 00:08:40,000 --> 00:08:42,320 Speaker 2: the front, they're waiting for a bed or waiting for 160 00:08:42,360 --> 00:08:43,840 Speaker 2: some availability, I'm assuming. 161 00:08:45,000 --> 00:08:47,800 Speaker 1: Yeah, Look, we know that that ability for us to 162 00:08:47,840 --> 00:08:50,960 Speaker 1: transfer a care or ramping as it's often returned to, 163 00:08:51,559 --> 00:08:54,440 Speaker 1: is an issue unfortunately we see in Darwin, but it 164 00:08:54,559 --> 00:08:57,720 Speaker 1: is a significant issue across all states. Anyone who's come 165 00:08:57,760 --> 00:08:59,360 Speaker 1: from any of the other states where as well and 166 00:08:59,440 --> 00:09:02,920 Speaker 1: truly aware that you know, it causes major problems with 167 00:09:02,960 --> 00:09:06,440 Speaker 1: the health system right across Australia. You know, it is 168 00:09:06,480 --> 00:09:09,200 Speaker 1: a whole of health issue. It's not just you know, 169 00:09:09,400 --> 00:09:12,400 Speaker 1: we do some really great work and our teams work 170 00:09:12,480 --> 00:09:15,480 Speaker 1: really well with the hospital teams to where we can 171 00:09:16,040 --> 00:09:19,199 Speaker 1: move those patients through the hospital. Have done some really 172 00:09:19,200 --> 00:09:21,320 Speaker 1: great work to try and assis stuff to get those 173 00:09:21,400 --> 00:09:24,920 Speaker 1: crews back out to respond to cases. But you know, 174 00:09:25,040 --> 00:09:28,120 Speaker 1: as I said, similarly, we spoke around the resourcing that 175 00:09:28,160 --> 00:09:31,440 Speaker 1: we have. Unfortunately, at times, you know, the flow and 176 00:09:31,480 --> 00:09:34,640 Speaker 1: the demand coming in just doesn't fit the size of 177 00:09:34,640 --> 00:09:36,440 Speaker 1: the pipe that is trying to get through, and we 178 00:09:36,559 --> 00:09:39,120 Speaker 1: do see that backlog and obviously that then has an 179 00:09:39,160 --> 00:09:42,080 Speaker 1: impact and you know, we are seeing you know, at 180 00:09:42,120 --> 00:09:45,480 Speaker 1: times over three months periods, you know, loss of around 181 00:09:45,480 --> 00:09:48,280 Speaker 1: two thousand hours where our crews aren't able to respond 182 00:09:49,280 --> 00:09:51,520 Speaker 1: you know, in extended time at the hospital, and. 183 00:09:52,320 --> 00:09:55,040 Speaker 2: Around two thousand hours over what period. 184 00:09:54,800 --> 00:09:58,160 Speaker 1: Of time over three months. 185 00:09:57,360 --> 00:09:59,840 Speaker 2: Three months spent ramping at the hospital. 186 00:10:01,320 --> 00:10:04,400 Speaker 1: And as I said that, you know, we we you know, 187 00:10:04,520 --> 00:10:07,199 Speaker 1: we do really great work and this is not you know, 188 00:10:07,480 --> 00:10:09,480 Speaker 1: we work really well with health and we understand the 189 00:10:09,480 --> 00:10:12,280 Speaker 1: pressures there under but it does obviously then flow into 190 00:10:12,840 --> 00:10:17,040 Speaker 1: situations when we have unfortunately what happened on the Saturday 191 00:10:17,120 --> 00:10:18,920 Speaker 1: night where we have a person who is in pain, 192 00:10:18,960 --> 00:10:22,719 Speaker 1: and unfortunately, while we would like to have got there, 193 00:10:22,800 --> 00:10:25,120 Speaker 1: we were seeing receiving calls that were triarched at a 194 00:10:25,240 --> 00:10:30,240 Speaker 1: higher level and that means that those delays come result 195 00:10:30,240 --> 00:10:33,920 Speaker 1: at times in delays and responses to patients. 196 00:10:33,320 --> 00:10:36,079 Speaker 2: Absolutely absolutely, And look, Andy, I know that a lot 197 00:10:36,080 --> 00:10:38,680 Speaker 2: of people listening this morning will have had interactions with 198 00:10:38,760 --> 00:10:41,800 Speaker 2: Saint John. I know myself. You know, the Saint John 199 00:10:41,840 --> 00:10:44,600 Speaker 2: crew do a phenomenal job, there's no doubt about that, 200 00:10:45,040 --> 00:10:48,720 Speaker 2: as do our overburdened health stuff. So this is not 201 00:10:48,800 --> 00:10:51,480 Speaker 2: a criticism of stuff in any way. But I think 202 00:10:51,480 --> 00:10:53,400 Speaker 2: for a lot of us what we're hearing. And I 203 00:10:53,800 --> 00:10:56,680 Speaker 2: took calls before I went on leave as well from 204 00:10:56,800 --> 00:10:59,440 Speaker 2: a couple of parents who'd been in contact, who also 205 00:10:59,520 --> 00:11:02,920 Speaker 2: had kids, you know, waiting at the basketball courts, waiting 206 00:11:02,960 --> 00:11:05,880 Speaker 2: at other sports for an ambulance to arrive under similar 207 00:11:05,920 --> 00:11:09,319 Speaker 2: situations to what we've seen reported this week by the ABC, 208 00:11:09,840 --> 00:11:12,200 Speaker 2: you know. So I think that people, you know, they're 209 00:11:12,200 --> 00:11:14,760 Speaker 2: happy with the service that they get once they have 210 00:11:14,840 --> 00:11:17,240 Speaker 2: Saint John there or once they are at the hospital. 211 00:11:17,240 --> 00:11:21,760 Speaker 2: But the concern is that they're seriously worried about people 212 00:11:21,840 --> 00:11:25,000 Speaker 2: waiting for those extended periods of time. So I suppose 213 00:11:25,000 --> 00:11:26,520 Speaker 2: what I'm trying to get to the bottom of, not 214 00:11:26,600 --> 00:11:29,079 Speaker 2: just with you, but also with health and then obviously 215 00:11:29,120 --> 00:11:32,360 Speaker 2: with the government, is how do we try to work 216 00:11:32,440 --> 00:11:35,400 Speaker 2: through these so that Territorians can be rest assured that 217 00:11:35,400 --> 00:11:37,360 Speaker 2: they're not going to be waiting for six hours. 218 00:11:38,600 --> 00:11:41,959 Speaker 1: Yeah. Look absolutely, And as I said, we've done a 219 00:11:42,000 --> 00:11:45,800 Speaker 1: lot of work into modeling with future protected growth and 220 00:11:46,520 --> 00:11:49,640 Speaker 1: what the service delivery model that is needed for those 221 00:11:49,679 --> 00:11:53,920 Speaker 1: types of situations moving forward, so that we can we 222 00:11:53,960 --> 00:11:55,600 Speaker 1: want to make sure that we have the right amount 223 00:11:55,600 --> 00:11:58,559 Speaker 1: of resources and in in the right time of the 224 00:11:58,640 --> 00:12:00,680 Speaker 1: day to be able to get to patients within the 225 00:12:00,679 --> 00:12:05,439 Speaker 1: appropriate time. And we know that obviously healthcare is a 226 00:12:05,480 --> 00:12:10,120 Speaker 1: big important issue for Territorians, and we know that you 227 00:12:10,160 --> 00:12:13,079 Speaker 1: know that accessibility that when you are sitting there and 228 00:12:13,120 --> 00:12:15,640 Speaker 1: you're waiting for an ambulance, it feels like ours, when 229 00:12:15,800 --> 00:12:18,120 Speaker 1: you know, minutes feel like ours, and we want to 230 00:12:18,160 --> 00:12:20,160 Speaker 1: make sure that you know we want to reduce that 231 00:12:20,240 --> 00:12:23,600 Speaker 1: stress and have ambulances turning up in a timely manner 232 00:12:23,600 --> 00:12:25,320 Speaker 1: to be able to treat people and take them to 233 00:12:25,360 --> 00:12:29,160 Speaker 1: hospital and have processes in place that you know, when 234 00:12:29,200 --> 00:12:31,240 Speaker 1: we take the phone calls that we can actually then 235 00:12:31,880 --> 00:12:32,960 Speaker 1: deliver that response. 236 00:12:33,920 --> 00:12:37,280 Speaker 2: Well, Andy, I really appreciate your time this morning, Saint John, 237 00:12:37,440 --> 00:12:41,480 Speaker 2: Director of Ambulance Services, Andrew Thomas, thank you very much 238 00:12:41,520 --> 00:12:44,600 Speaker 2: for having a chat with us. Much appreciated, No problem, 239 00:12:44,679 --> 00:12:46,320 Speaker 2: Katie thank you very thank you, thanks very much,