19392 - Addison's Disease

How many people does your trust's catchment area cover?

How many adrenal crisis events or emergencies did your trust attend in 2018 (or most recent 12 month period)?

Do all your first response ambulance vehicles carry injectable hydrocortisone? If not, approximately what percentage of vehicles do carry injectable hydrocortisone?

Do you operate a scheme for patients with Addison's Disease or adrenal insufficiency or steroid dependency to be "red flagged" or pre-identified to your call handlers and/or first response crews?

If yes, what is the process for patients to become "red flagged"? (eg can patient request this, must GP request it - if so, how?)

If yes, does that scheme allow patients to be red flagged at work (or school) as well as at their home address?

When a patient or their family request assistance via 999, what is the preferred expression they should use to indicate an adrenal crisis emergency is happening :

Patient experiencing adrenal crisis?

Patient experiencing Addisonian crisis?

Something else?

 

 

 

 

  • Reference:
    19392
  • Response:

    How many people does your trust's catchment area cover?

    Nearly 6 million - please note that this information can be found on our website: https://www.eastamb.nhs.uk/about-us/

    How many adrenal crisis events or emergencies did your trust attend in 2018 (or most recent 12 month period)?

    This information is not routinely collated by the Trust and in order to collate this we would have to look through all of our incident records over the last 12 months to see if there is mention of an adrenal crisis.The Trust has determined that this would take over the 18 hour limit laid down in the Freedom of Information Act, therefore we are applying exemption s.12 to this part of your request.

    Do all your first response ambulance vehicles carry injectable hydrocortisone? If not, approximately what percentage of vehicles do carry injectable hydrocortisone?

    Yes

    Do you operate a scheme for patients with Addison's Disease or adrenal insufficiency or steroid dependency to be "red flagged" or pre-identified to your call handlers and/or first response crews?

    Yes, we have a specific procedure that covers this so all calls are upgraded to a C2.

    If yes, what is the process for patients to become "red flagged"? (eg can patient request this, must GP request it - if so, how?)

    When they mention they are in crisis or have Addisons, then the call in upgraded by the Clinical Coordinator team.

    If yes, does that scheme allow patients to be red flagged at work (or school) as well as at their home address?

    We have flags for some patients, they can be put on anywhere.  But they just tell us we can upgrade the call too.

     When a patient or their family request assistance via 999, what is the preferred expression they should use to indicate an adrenal crisis emergency is happening :

    Patient experiencing adrenal crisis?

    Patient experiencing Addisonian crisis?

    Something else?

    Addisons or adrenal crisis will be picked up.

  • Area:
    Trust wide
  • Category:
    • Clinical
    • Calls
  • Month:
  • Year: