MEMORANDUM OF UNDERSTANDING
THE STATES OF JERSEY AMBULANCE SERVICE
AND
The Commandery of the Bailiwick of Jersey
St John Ambulance
Reviewed/Updated January 2017
1. Introduction
This Memorandum of Understanding is between the States of Jersey Ambulance Service and St John Ambulance Jersey. It defines the various roles that St John Ambulance Jersey would play whilst supporting the States of Jersey Ambulance Service in situations such as Major Incidents or Pandemic Flu that would impact significantly on the Ambulance Service’s ability to provide the normal level of service and care to the people of Jersey.
2. Definition
A Major Incident is any emergency (including known or suspected acts of terrorism) that requires the implementation of special arrangements by one or all of the emergency Services and will generally include the involvement either directly or indirectly, of large numbers of people, some of whom although not necessarily injured may require a level of care and support.
3. Activation
The States of Jersey Ambulance Service will request the attendance of St John Ambulance Jersey as part of the Major Incident call in procedure.
4. Primacy
The States of Jersey Ambulance Service will have primacy for all Health and related resources deployed who will at all times act under the Command and Control of the States of Jersey Ambulance Service.
5. Consultation
Although primacy will remain with the Ambulance Service, St John Ambulance Jersey will nominate a Liaison Officer who will be part of the Command and Control team of the Ambulance Service. The Ambulance Incident Commander will consult with the St John Ambulance Liaison Officer (who would not necessarily be available on a full time basis in person) to ensure that the needs and welfare of the volunteer St John Ambulance members are properly represented.
6. Self Activation
Self-activation by individual members must not take place under any circumstances. All activations will be in accordance with the St John Ambulance procedures.
7. Communications
Primary incident communications and control will be under the direction of the States of Jersey Ambulance Service.
8. Closing Actions
The St John Ambulance members will be advised of a Major Incident Stand Down by the States of Jersey Ambulance Service.
9. Conditions of Service
The States of Jersey Ambulance Service will assume responsibility for the health, safety and welfare of the St John Ambulance members and as they will be deemed to be on the business of the States for the duration of the incident, will be covered by the States of Jersey Insurers.
Additional reasonable expenses for damage or equipment replacement will be payable by the States of Jersey Ambulance Service upon receipt of invoices for said expenses. The States of Jersey Ambulance Service should be notified as soon as possible after the event and may require evidence of any damage to equipment or vehicles.
10. Governance
St John Ambulance Jersey must implement a clinical governance and operate with it.
St John Ambulance provides its service in accordance with St John Ambulance clinical governance standard operating procedures.
All St John ambulance Jersey volunteers at every level shall comply with and adhere to the current St John Ambulance regulations, policies, standards and procedures in order to provide an improving quality of service which meets the changing demands of law, regulation and standards of best practice.
All St John Ambulance Jersey volunteers keep themselves up to date and operate in accordance with any changes and developments in regulations, policies, procedures and standards of best practice at all times. They are required to recognise the limits of their skill, ability, competence and personal fitness and act within them.
In the event of a Major Incident St John Ambulance Jersey, subject to the
availability of members will:
- Attend as requested by the States of Jersey Ambulance Service
- Provide a cadre of members (minimum age 21) trained to various levels.
- Ambulance crew – qualified to St John Ambulance Emergency Medical Technician and blue light driving
- Advance First Aider – AED, Medical gases & Trauma Management
- First Aider – Basic first aid ability and will be allocated suitable role not necessarily at the Major Incident. (Discretion of Ambulance Silver Commander)
- Make their fleet of front-line Ambulances available having ensured that they conform to Road Traffic Law requirements in liaison with the Ambulance Fleet and Technical Services Manager
- Support States of Jersey Ambulance staff in giving life saving Ambulance Aid and who will manage patients within their level of knowledge, skill and experience
- Transport casualties to the Hospital
- Assist the States of Jersey Ambulance Service by providing Island cover
- Assist with the moving of patients from the Hospital
- Support the Patient Transport Service
In the event of “a protracted Major Medical Emergency” St John Ambulance
Jersey subject to the availability of members will:
- Attend as requested by the States of Jersey Ambulance Service.
- Provide a cadre of members (minimum age 21) trained to various levels.
- Ambulance crew – qualified to St John Ambulance Emergency Medical Technician and blue light driving
- Advance First Aider – AED, Medical gases & Trauma Management
- First Aider – Basic first aid ability and will be allocated suitable role not necessarily at the Major Incident. (Discretion of Ambulance Silver Commander)
- Make their fleet of vehicles available having ensured that they conform to Road Traffic Law requirements in liaison with the Ambulance Fleet and Technical Services Manager
- Support States of Jersey Ambulance staff in giving life saving Ambulance Aid
- Support States of Jersey Ambulance and medical staff by giving assistance in the community
- Transport patients to the Hospital
- Assist the States of Jersey Ambulance Service by providing Island cover.
- Support the Patient Transport Service
States of Jersey Ambulance Service Support for St John Ambulance Jersey
In recognition of the valuable support given by St John Ambulance Jersey Appendix “A”
will form part of the Memorandum of Understanding.
10. Term of Agreement
This agreement shall have immediate effect and run from year to year unless terminated by either party in writing of 6 months notice.
Date: Signature:
Name: Peter Gavey
Position: Chief Ambulance Officer
For: The States of Jersey
Ambulance Service
Date: Signature
Name: John Pinel
Position: Bailiwick Commander
For: St John Ambulance Jersey
To be reviewed in 2020
Annex A
The States of Jersey Ambulance Service recognises that St John Ambulance Jersey which is a charitable organisation, makes a valuable contribution in supporting the States of Jersey Ambulance Service and ultimately the people of Jersey.
It is in this context that the States of Jersey Ambulance Service will agree as an element of the Memorandum of Understanding with St John Ambulance Jersey that the States of Jersey Ambulance Service will use its best endeavours to help reduce costs and promote greater efficiency and capability within St John Ambulance Jersey in terms of support. The following areas of Ambulance Service support will be subject to regular review and dependant on normal budgetary constraints.
- Access to the Ambulance Services fleet management provision which includes purchasing of vehicles and vehicle servicing arrangements on a recharge of cost only basis.
- Access where appropriate, to “blue light” ambulance driver training, with a view to the appropriate St John Ambulance crews being given access to Ambulance Service training and to the same standard.
- To continue to include St John Ambulance Jersey within the Ambulance Services radio network and to facilitate the provision of equipment and training for that purpose.
- To ensure communality, continue to allow St John Ambulance Jersey to have access, at the appropriate cost, to such medical supplies as are reasonably requested in order to support St John Ambulance activities.
Appendix B
Temporary use of St John Ambulance Headquarters and the loan of St John Ambulance Jersey Vehicles to the States of Jersey Ambulance Service
St John Ambulance Jersey agrees to use all reasonable endeavours to make facilities at their Headquarters building in Midvale Road available on a temporary basis to the States of Jersey Ambulance Service in the unlikely event of an incident occurring that renders their Rouge Bouillon Station building uninhabitable.
The States of Jersey Ambulance Service will recompense St John Ambulance Jersey reasonable costs for the use of the facilities and consumables.
St John Ambulance Jersey agrees to use all reasonable endeavours to make their ambulances available to the States of Jersey Ambulance Service at short notice should a disaster render their fleet unusable. This could be as simple as a vehicle recall affecting the States of Jersey Ambulance Service fleet or the total loss of vehicles through fire etc. This arrangement would also be applicable in the event of a Major Incident or Major Medical Emergency.
Accordingly the period of loan is hard to predict but it is an element of the States of Jersey Ambulance Service disaster recovery plan to source ambulance vehicles from UK Ambulance Services as soon as possible.
A representative of each organisation will meet to identify and list current vehicle damage and carry out an equipment inventory if required.
The States of Jersey Ambulance Service will be responsible for returning the vehicles in the same condition at the end of the loan period. This will be verified by the same two representatives.
All vehicles will be comprehensively covered on the States of Jersey Motor Insurance Policy from handover to their return to St John Ambulance Jersey.
Once the vehicles have been returned the States of Jersey Ambulance Service will liaise with St John Ambulance Jersey regarding a suitable nominal sum toward wear and tear dependant on the period of the loan.