Oireachtas Joint and Select Committees
Tuesday, 2 December 2014
Joint Oireachtas Committee on Health and Children
Ambulance Service Review: Health Information and Quality Authority
4:40 pm
Ms Mary Dunnion:
No. They would all have had the controls in place in that regard.
The review itself was conducted beginning in June 2014. It involved meeting in excess of 200 members of the national ambulance service staff. They ranged from leadership levels down to front-line care providers. Reciprocally, we met 10% of the Dublin fire brigade staff.
Our meetings with staff were conducted through focus groups which were randomly selected. We randomly selected them from their duty rosters. It referenced and brought together staff from all sites all over the country.
Each control centre was visited and a lengthy time was spent in each control centre run by the national ambulance service, and the one control centre run by Townsend Street. In addition, the review team went on ambulance trips and responded to emergency calls across the country with the ambulance service. That was the on-site component of the review.
The methodology associated with that was in line with the terms of reference which we published in April. Mr. Quinn outlined them in his presentation. In tandem with that we had an extensive documentation request which mostly looked at governance, management and workforce issues. We then looked at the data. We used the data in the context of response times which are nationally published. They were 18 minutes and 59 seconds. We also looked at unpublished data, which is the seven minute and 59 second response. We also pulled 24-hour data ourselves on St. Patrick's Day. In the timeframe of our review it was our opinion that would have been a busy 24 hours.
We took those data from all over the country and analysed and reviewed them. We came to our conclusions through that whole process. In that context, we were assured that we covered the geographical terrain. In addition, we looked at other jurisdictions, particularly those that have rural settings. Though we did access English data, we particularly looked at Wales, Scotland and Northern Ireland. We had an expert from Northern Ireland on the review team. We also looked at other jurisdictions. That is an indication of how complete was the methodology we applied.