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Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: There is someone in Dublin Fire Brigade who is tasked with ringing NAS.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: Even if it is continuous dialogue, there is a human being involved. It is not an automatic system.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: So there is no Eircode postcode-type system. I imagine that when British Telecom is sending a notification of a call to either the Dublin Fire Brigade or the NAS, it generates an Eircode postcode and a case number but when the two organisations are talking to each other, somebody picks up the phone and speaks to the other party.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: Are calls ever bundled?

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: Okay. I ask Mr. Keeley to explain what bundling calls means.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: Okay and are there guidelines for bundled calls in terms of response or turnaround times?

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: I presume the calls are being bundled by priority category.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: They are not being bundled by location, for example.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: Obviously we are working on timelines here so would the priority standards-----

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: When a person calls the NAS, does the service have a standard for saying something is a DELTA call, and if the service cannot answer, will the caller get off the phone at a particular stage? Does the service have a timeline?

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: It goes on a queue for the DFB.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: I am aware this is hard to follow but it is useful to understand what this looks like on a day-to-day basis. Let us say I am the person in Mr. Keeley's organisation and I ring the NAS. The person I speaks to apologises and says the service does not have anything right now. Does that close out that call for the NAS, and it goes back into the DFB's queue?

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: What happens if the NAS has resources in ten minutes' time? Does the call ever get resent?

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: I am trying to understand how quickly the data are being generated and then closed off. I turn to the NAS. As far as the service is concerned, once the DFB gets off the phone, that is a closed-out call and the fire brigade must then recontact the NAS.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: Will Mr. Morton comment on the efficacy of that as a mode of communication? It contrasts with what I had imagined, namely, a fairly automated phone service. This is very human-based, if Mr. Morton does not mind my saying so.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: I did not suspect anything other than that.

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: Will the task and finish group be looking at whether that phone system should be one phone system? Is that on the table?

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: What are the respective attitudes to a move towards such centralisation?

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: Does Mr. Morton agree?

Joint Oireachtas Committee on Health: Ambulance Services, Recruitment and Retention of Personnel, and Response Times: Discussion (22 Feb 2023)

Neasa Hourigan: Is it fair to say the figures Mr. Keeley provided of 63,000 calls to the NAS with resources not being available 76% of the time are impacted by that interaction between two different phone services?

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