St John has released emergency workload statistics for 2019 confirming the number of emergency ambulance responses continues to climb.
Every year the demand for ambulance services increases by approximately 4% and in 2019 St John responded to over 440,000 incidents, almost 18,000 more than in 2018.
St John Operations Director Norma Lane says the top five reasons an ambulance was called were referrals by GPs, falls, breathing problems, chest pain and people unconscious or passing out.
“While this is consistent with previous years, there are some notable trends coming through.”
Calls for mental health related incidents increased by 10% in 2019, a statistic consistent with current trends globally and nationally. The group with the largest increase was those aged 70-79, but the number of males calling for mental health reasons also increased, and they now make up 47% of all mental health call outs, up from 39% in 2018.
“In the last six months we have responded to nearly 20,000 people who are in some form of mental health crisis,” says Ms Lane.
Traumatic injuries also continue to rise, up 14% from 2018 and 22% from 2017, and Maori and Pacific people with these injuries are likely to be younger and in higher areas of deprivation than other ethnic groups.
Over 10,000 people needed an emergency ambulance response for stroke-related incidents, up nearly 12% on the previous year.
Ms Lane says that in addition to the increasing number of responses, ambulance officers are attending more complex cases with patients who have multiple health issues, and this is one reason job cycle times have increased by nearly 6% in the last two years.
“It can take time to stabilise and treat patients with serious and complex conditions, meaning ambulances are not available to respond as quickly to the next call.”
Despite the challenges faced by the emergency service, St John has worked hard to improve outcomes for patients and safety for ambulance officers and is in year three of a four-year programme to fully crew all ambulances.
“Ambulances are now fully crewed 97% of the time and we are on track for all ambulances being double crewed in 2021,” says Ms Lane.
Calls into the St John 111 Communications Centres in Auckland and Christchurch also increased with St John call handlers answering over half a million calls, and 46,000 more calls than in 2018. 92% of ambulance 111 calls are answered immediately, and 95% within 15 seconds.
Ms Lane says St John is continuing to focus on providing the most appropriate response for the situation as quickly as possible, and if the problem is life-threatening or critical, an ambulance will be sent immediately, however if the problem is not urgent there may be a delay in getting an ambulance to you.
“We continue to meet our response time targets for the most critical cases; however, the higher workload, increasingly congested roads and longer treatment and handover times has impacted the availability of ambulances.”
Not all calls into the 111 emergency call centre require an ambulance however, and Ms Lane says St John clinicians will help determine what care is best. That could be self-care, referral to a GP, referral to a private accident and medical centre or an alternative vehicle to treat the patient at home.
“A lot of work is being done to take pressure off the wider health system, and in 2019 170,000 incidents resulted in people being treated at home, given advice over the phone or directed to more appropriate care by our clinicians, rather than presenting at hospital emergency departments.”
“It is important that in the changing landscape we continue to innovate to provide the best possible care for New Zealanders.”
-ENDS-
About St John
• St John provides emergency ambulance services to 90% of New Zealanders and covers 97% of the country’s geographical area
• St John received over half a million calls into our 111 emergency Control Centres and treated and/or transported almost 500,000 patients in the last financial year (end June 2019)
• St John is made up of a mix of full-time paid employees and volunteer staff
• St John has contracts with Ministry of Health and ACC who fund approximately 72% of the operating costs for the ambulance service. The remaining 28% is funded through emergency ambulance part charges, fundraising and donations. St John’s fundraising and commercial activities also support the organisation’s charitable community programmes.
|
Reason for call **
|
2018 total
|
2019 total
|
Growth
|
|
GP Referral
|
83,323
|
82,661
|
-0.8%
|
|
Falls/back injuries
|
38,548
|
42,384
|
10%
|
|
Breathing problems
|
37,736
|
41,034
|
8.7%
|
|
Chest pain
|
36,092
|
38,998
|
8.1%
|
|
Unconscious/passing out
|
35,319
|
35,251
|
-0.2%
|
|
Sick person
|
34,377
|
35,615
|
3.6%
|
|
Unknown problem
|
20,073
|
18,833
|
-6.2%
|
|
Traffic accidents
|
18,484
|
18,011
|
-2.6%
|
|
Abdominal pain
|
16,219
|
17,888
|
10.3%
|
|
Traumatic injuries
|
15,063
|
17,213
|
14.3%
|
|
Haemorrhage/Lacerations
|
13,713
|
14,167
|
3.3%
|
|
Convulsions/Fitting
|
13,648
|
14,521
|
6.4%
|
|
Stroke – CVA
|
9,469
|
10,599
|
11.9%
|
|
Assault/rape
|
8,828
|
8,886
|
0.7%
|
|
Overdose/ingestion/poisoning
|
8,765
|
8,765
|
0.0%
|
|
Heart problems
|
7,010
|
7,475
|
6.6%
|
|
Psychiatric/suicide attempt
|
6,966
|
8,229
|
18.1%
|
|
Back pain – non traumatic
|
6,548
|
5,932
|
-9.4%
|
|
Back pain – other
|
6,025
|
6,718
|
11.5%
|
|
Cardiac/respiratory arrest
|
5,020
|
5,248
|
4.5%
|
|
Diabetic problems
|
3,837
|
3,858
|
0.5%
|
|
Headache
|
3,681
|
3,938
|
7.0%
|
|
Allergies/rash/med reaction/stings
|
3,241
|
3,426
|
5.7%
|
|
Pregnancy/childbirth/miscarriage
|
2,765
|
2,847
|
3.0%
|
|
Choking
|
1,680
|
1,784
|
6.2%
|
|
Burns/explosion
|
1,009
|
1,070
|
6.0%
|
|
Stab/gunshot wound
|
1,004
|
891
|
-11.3%
|
|
Animal bites/attacks
|
699
|
759
|
8.6%
|
|
Carbon/monoxide/inhalation/hazmat
|
570
|
643
|
12.8%
|
|
Eye problems/injuries
|
555
|
538
|
-3.1%
|
|
Drowning/diving accident
|
398
|
412
|
3.5%
|
|
Heat/cold exposure
|
173
|
210
|
21.4%
|
|
Industrial/machinery accidents
|
171
|
205
|
19.9%
|
|
Electrocution
|
111
|
94
|
-15.3%
|
|
Transfer/palliative care
|
17
|
15
|
-11.8%
|
** These statistics are based on calls received, not number of patients and therefore actual patient numbers are higher.
FOR FURTHER INFORMATION CONTACT:
Ngaire Jones
St John Communications Advisor
M 021 0549135
E ngaire.jones@stjohn.org.nz