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Date: November 22, 2024 Fri
Time: 11:50 am
Time: 11:50 am
Results for emergency calls, ambulances
3 results foundAuthor: Quigg, Zara Title: Violence-Related Ambulance Call Outs in the North West of England 2010/2011 Summary: Data summary In 2010/11, the North West Ambulance Service (NWAS) recorded 30,236 violence-related call outs, accounting for 3% of all ambulance call outs. The majority of patients were male and aged 18 to 34 years old. Peaks times for violence-related call outs were between 10pm and 3.59am on Fridays/Saturdays and Saturdays/Sundays. Overall, 13% of violence-related ambulance call outs were recorded as involving a weapon. Over a fifth (6%) were identified as domestic violence. The crude rate of violence-related ambulance call outs per 1,000 population across the North West was 4.4. Violence-related call out rates were significantly higher than the regional average in Blackburn with Darwen, Blackpool, Burnley, Halton, Liverpool, Manchester, Preston, Rochdale, St. Helens and Tameside. For call outs recorded as stab/gunshot, Blackpool, Knowsley, Liverpool, Manchester and Salford had significantly higher rates than the regional average (0.3 per 1,000 population). Six in ten of all violence-related call outs were transferred to another healthcare provider (e.g. emergency department) for further assessment, and treatment if required. With the average cost of an emergency ambulance journey being around three hundred pounds, it is estimated that violence-related call outs cost NWAS over five million pounds in 2010/11. Details: Liverpool: North West Public Health Observatory, 2012. 19p. Source: Internet Resource: Accessed July 30, 2012 at: http://www.nwph.net/nwpho/Publications/NWAS%20violence%20call%20outs%20March%202012.pdf Year: 2012 Country: United Kingdom URL: http://www.nwph.net/nwpho/Publications/NWAS%20violence%20call%20outs%20March%202012.pdf Shelf Number: 125803 Keywords: Emergency Calls, AmbulancesEmergency Medical ServicesHospitalsViolence (U.K.)Violence Prevention |
Author: Upton, Val Title: Violence-related Accident & Emergency Attendances by English Local Authority Area Summary: This report details the first full national violence-related Accident & Emergency (A&E) first attendance dataset by local authority in England. The report outlines the methodology used to create an experimental complete national dataset using the HES A&E Attendances in England (experimental statistics). This work has been undertaken to address data quantity and data quality issues in the HES A&E dataset. • A&E departments see many individuals involved with assaults that are not reported to the police. Therefore, this experimental national dataset has been created to enhance existing intelligence on police recorded violent crime at the local authority level using A&E department data, and explore the geographical inequalities in violence-related A&E attendances across England. • This resident based experimental analysis provides new intelligence for a variety of agencies working in violence prevention (local authorities, police, NHS Trusts, community safety partnerships, public health research, and the voluntary sector). • Across England, based on HES A&E (experimental) and imputed values, the model estimates that in the 12 month period April 2010 to March 2011 there were 189,672 violence-related A&E first attendances (360.1 per 100,000 resident population). • At the regional level, violence-related A&E first attendances are higher in the north of England compared to southern regions (with the exception of London). Across the English Regions the estimates range between 224.9 per 100,000 in the East of England and 512.2 per 100,000 in the North West. • The estimates highlight wide geographical variation in violence-related A&E first attendances across English local authorities, ranging from 54.9 per 100,000 in East Devon to 994.8 per 100,000 in Liverpool. • Residents of larger cities, smaller provincial towns and coastal towns experience higher levels of violence-related A&E first attendances (e.g. Preston 806.2 per 100,000; Middlesbrough 809.4 per 100,000; Blackpool 696.6 per 100,000) than less densely populated areas (e.g. Mid Devon 64.4 per 100,000; West Somerset 99.0 per 100,000). • There is a strong positive correlation between deprivation and violence-related A&E attendances (r = 0.74; p<0.001) indicating that A&E attendances rise with increasing levels of deprivation. • The relationship between levels of urbanity and violence-related A&E attendances is significant albeit weaker than for deprivation (r = 0.53; p <0.001) indicating that higher numbers of attendances are not exclusive to more densely populated areas, and that some predominantly rural areas experience high levels of violence-related attendances (e.g. Allerdale 310.6 per 100,000). However, at the local authority level, areas with the lower violence-related A&E first attendance rates were predominantly rural (e.g. West Devon 60.3 per 100,000; South Lakeland 69.4 per 100,000). a The data used in this study are restricted to ‘first attendances’ to avoid duplicates (e.g. a patient may attend A&E subsequent to their first attendance as a planned follow up appointment to have a dressing changed, or as an unplanned follow up attendance relating to the original reason for the first attendance). • Approximately 59% of the variance in A&E attendance rates across England can be explained by levels of deprivation or levels of urbanity, with deprivation (ß = 0.63) having a much greater influence on violence-related A&E attendances than population density (ß = 0.23). • There is a strong positive correlation between violence-related A&E attendances and police recorded violence against the person (with injury) figures (r = 0.86; p <0.001) indicating a close link between the rate of A&E assault attendances and more serious police recorded violence. There are more A&E assault presentations per police recorded assault with injury in the most deprived areas of England, compared to more affluent areas. The process to derive these estimates has identified both data quality and quantity issues (e.g. missing data, invalid data) within the published HES A&E national dataset (experimental). With increased use of the data (e.g. to inform local policy and target local interventions to prevent violence) reporting should improve and the data will become a valuable resource for public health and health care planners as well as for multi-agency working with police and other services. The NHS Public Health Outcomes Framework (PHOF) 2013-16 proposes the use of violencerelated hospital admissions as an outcome measure of violent crime. Using hospital admissions data (HES) for the outcome measure does identify more serious violence-related incidents however A&E attendances could be more informative. Hospital admissions data has been used as part of this model using linear regression to predict missing and invalid A&E attendance data. As a key finding, the analysis in this report identifies that hospital admissions data are a strong predictor of A&E attendances, legitimising the use of violence-related hospital admissions as an interim PHOF measure while A&E data quality and quantity improves. The government is committed to the use of A&E department data to achieve a reduction in violence. A range of evidence based and cost effective violence prevention interventions can be delivered to at risk communities by health, educational and social support services. A&E data can form a critical part of targeting such interventions as well as providing additional intelligence to inform criminal justice activities. Details: Liverpool: North West Public Health Observatory, Centre for Public Health, Liverpool John Moores University, 2012. 45p. Source: Internet Resource: Accessed April 4, 2013 at: http://www.cph.org.uk/wp-content/uploads/2013/03/Violence-related-Accident-Emergency-Attendances-front-page.pdf Year: 2012 Country: United Kingdom URL: http://www.cph.org.uk/wp-content/uploads/2013/03/Violence-related-Accident-Emergency-Attendances-front-page.pdf Shelf Number: 128255 Keywords: Emergency Calls, AmbulancesHospitalsViolence (U.K.)Violence-Related InjuriesViolent Crime |
Author: Sutherland, Alex Title: Using ambulance data to inform violence prevention: Summary: he use of ambulance data for crime reduction is a form of injury surveillance. Under this practice, data for assault-based injuries is shared with the police and Community Safety Partnerships (CSPs) to help them identify where violent crime is taking place, which in turn allows police to target their resources to reduce violent offending. Emergency Department (ED) data have been shown to help police identify violent crime that goes unreported to police, and aid in problem-solving activities that have demonstrably reduced violence. Ambulance data are a parallel data source that can also be used to the same ends, but its utility has not been explored to the same extent as ED data. This guidance is aimed at those interested in violence reduction and who do not currently use ambulance data, or wish to extend their current use of ambulance data. It is based on the knowledge of practitioners who are currently involved in sharing ambulance data, research into the uses of these data in the UK and internationally and expert opinion. It identifies a number of potential uses of ambulance data as well as common issues associated with the sharing and use of this information. Key Findings Ambulance data are a source of intelligence for injury surveillance that may be effective in supporting violence-reduction initiatives. Once data sharing partnership has been established, the data then need to be used to identify areas for intervention and support the police in reducing violence. This requires not only good analysis of the data but also an understanding among relevant partners about how the data can be used and interpreted. Many of the suggested violence reduction interventions related to these uses have not been empirically tested to know if they are effective. Therefore, uses of ambulance data should be approached as potentially good practice rather than as proven best practice. Details: Santa Monica, CA: Cambridge, UK: RAND Europe, 2018. 49p. Source: Internet Resource: Accessed May 25, 2018 at: https://www.rand.org/pubs/research_reports/RR2253.html Year: 2018 Country: United Kingdom URL: https://www.rand.org/pubs/research_reports/RR2253.html Shelf Number: 150369 Keywords: Emergency Calls, AmbulancesEmergency Medical Services Injury Surveillance Law Enforcement Violence Prevention |