
St John said the delay was because the Dunedin ambulance crew was attending other priority jobs, and a crew arrived as soon as it could.
Members of the public, including a passing doctor, were with the woman while she waited in pain after falling just after 11am on Monday.
Delays of an hour to three hours were cited in emails and posts by readers of the article, but yesterday St John said people could have faith in its service.
Cheryl Tapp said an ambulance took two and a-half hours to arrive when her elderly neighbour fell after a small crash last month.
The woman was bleeding from the back of her head and unable to be moved.
Mrs Tapp went to Green Island Family Health Care for help and a doctor and a nurse put pressure on the wound until the ambulance arrived, she said.
At one point it was suggested they take her to the hospital themselves, but the doctor advised the patient would be seen faster if she was brought in by an ambulance, Mrs Tapp said.
The doctor was unable to be reached for comment.
"This shouldn’t be left to the Good Samaritans and goodwill of doctors in the area to do," Mrs Tapp said.
Another man said that he waited more than an hour last year for an ambulance after his grandson broke his leg at a football game.
Karen Gray Currie said her husband waited three and a-half hours for an ambulance after he fell and hit his head last year.
"We were told they were busy with the drunk students in town. I could have lost my husband."
Dale Batchelor said he waited one and a-half hours while his partner lay bleeding on the floor.
The Otago Daily Times asked to talk to someone from St John about whether this was a new problem and about factors contributing to delays.
In an emailed statement attributed to St John Southland-Otago district operations manager Pauline Buchanan, she said Dunedin had four frontline ambulances working during the day and three at night.
If all other ambulances were committed to high priority incidents, an emergency call handler would make a welfare check with the waiting patient to establish whether there had been any change in their condition.
"In [the Green Island] incident, a welfare check was made on the patient’s condition at 11.44am and an ambulance dispatched at 12.06pm, taking her to Dunedin Hospital."
There were 35 full-time paid ambulance officers in Dunedin, and another 12 assigned to the rescue helicopter.
She recited a series of national figures, including that across New Zealand demand for ambulances increased 3% annually over the past five years.
Emergency staff were highly qualified and were supported by rescue helicopters, Prime (primary response in a medical emergencies) doctors and firefighters in life-threatening incidents.
"The public can have faith in St John Ambulance and the service we provide."
Southern District Health Board director of nursing medicine Jenny Hanson said a delay in arriving at the hospital emergency department might prolong discomfort and be upsetting for a patient and their family, but hospital staff could not make informed comment about the condition of patients until they arrived at the emergency department and were assessed.
Every patient, whether they walked into hospital, were brought by car, or arrived by ambulance was assessed and triaged by the triage nurse using the same set of Australasian triage guidelines.
"Ambulance patients are not given priority over others.
"Arriving by ambulance does not always indicate acuity."
Comments
It would seem pretty straight forward, its broken and not up to standard, the government needs to fully fund the service, it has the money and should use it rather than propping up its supporter base with hand outs.
I know of a situation where an elderly gentleman took a fall and and had a suspected broken hip and broke his knee joint, it took an hour and a half until the ambulance turned up, we were told it had come from Mosgiel, someone else called three times to see where the ambulance was and no, the ambulance service didn't make any type of "welfare check".
The obvious answer is vastly increased funding. However, in the interim, St John needs to change its operating model. Put the most highly qualified ambulance officers (paramedics) in fast response vehicles. These would be station wagons or SUVs, not ambulances. These officers respond to calls in the first instance. Upon arrival they can quickly offer life-saving support or, in less urgent cases, perhaps provide pain relief in the short term. They then triage the patient to determine how urgently they need an ambulance for transport. Indeed, they may consider that transport to hospital is not necessary in many cases. Or they may be able to stabilise a patient so that a friend or relative can take them to hospital or a GP. Or they may determine that transport by ambulance is needed immediately. The ambulances themselves would be crewed by an ambulance officer and, perhaps, a St John volunteer. Ambulances would largely be just for transport. In serious cases, the first responding paramedic would travel to hospital in the ambulance with the patient. I feel the model currently used by St John in Dunedin is not efficient use of their limited resources. But, increased funding is urgent.
Taieri B & Robbie – the govt cannot “fully fund” St John as they put in for commercial tenders to provide the service in each region.
To fully fund an ambulance service then the govt would have to run it itself. That's what should happen, but the public love their St John.
So Robbie it is NOT “obvious” to “vastly” increase their funding.
Your suggestion of triage staff is already implemented in many areas and doesn’t often work. They get stuck on scene waiting for an ambulance themselves and then threatened and abused.
From what I read st john don't want govt funding as they would loose their charitable status.
want MORE govt funding you mean = correct
They govt pay St John at the contract rate St John put in for tenders plus any new schemes the govt introduces and on top of that extras for things like Covid care etc.
A petition is needed to get the govt to run a state service, not Pauline Lattas petition to "fully fund St John" when St John cannot be fully funded! She was told that but St John got her to do her petition as a publicity stunt.
You see the best way for St John to get public donations is to cry and people will feel sorry for them.
The government could fully fund St John to run an adequate ambulance service tomorrow. Just do a "contract variation". The suggestion that they are locked into a contract that cannot possibly be varied is ridiculous. Any contract can be varied with the agreement of the parties. If the government said to St John tomorrow, "We would like to give you tens of millions of dollars more to run a decent ambulance service", do you think St John would say, "No, sorry, we have a contract with you and we can't accept any more money"? The government could scrap the tendering system tomorrow. And as for ambulance officers being abused and threatened, call the police. You seem to suggest that St John enjoys being underfunded so they can play some sort of "Woe is us!" game. This is becoming a political issue and the government continues to ignore it at its peril.
I have replied to you Robbie last night in more detail - the answer is St John would lose their charity status and that may also answer your 2nd to last sentence. I am happy to discuss in more detail by phone (and my credentials) if that can be arranged through the ODT.











