Since 30 March, a national system for ambulance capacity planning has been operational in the LCPS (National Coordination Centre Patient Distribution). Thereby, supra-regional movement of corona patients should become easier.
The initiative for ambulance capacity planning comes from a broad collaboration. It involves employees from Ambulance Zorg Nederland, Meldkamer Haaglanden, Dutch Medical Group, Topicus Ambulancezorg and the LCPS. The collaboration assumes that ambulance facilities have two vehicles available during the day and one at night. The LCPS uses this capacity to have patients transported to other hospitals.
Supra-regional moves challenging
In recent days, hundreds of corona patients were moved from North Brabant province to hospitals in other regions. Within the region North Brabant, the ROAZ (Regional consultation acute healthcare chain) was able to organise transfers of ICU patients itself. The moment there was insufficient capacity in the region, a problem arose. Supra-regional transfers proved challenging.
Now that the peak of corona infections in North Brabant may have passed, supra-regional transfers may also start to follow other routes in the near future, not only those from the province most affected so far.
According to the parties involved, the rollout is unprecedented in any case. Last Tuesday, the plan was developed for a national overview of available ambulance transport, linked to available beds/IC capacity. The name of the plan was 'Ambulance Assistance during Covid-19'. It was commissioned last Thursday and the system was operational by the weekend. From an 'additional' control room system (GMS) to an automated Ambulance Planning Board.
An important assumption is that if there is sufficient capacity, the ROAZ's work processes will be maintained. Especially since the various safety regions are also responsible for the care of non-corona patients