Patients Will Die, Thanks To The NHS Net Zero Drive

From NOT A LOT OF PEOPLE KNOW THAT

By Paul Homewood

h/t Philip Bratby/Paul Kolk

Will somebody please stop this nonsense now, before people die!

The NHS is to introduce electric ambulances, raising concerns that its drive for net zero is being put above patient safety.

Paramedics fear patients will be forced to wait longer because of the hours lost recharging the vehicles, with particular concern about coverage of rural areas, given the limited range.

The move next month is part of a series of measures that whistleblowers fear put green credentials above medical priorities.

The drive had created a bureaucracy that was diverting vast sums from the front line, and placing “grossly unethical” obstacles in the way of clinical decisions, one whistleblower warned.

NHS England has set up a Greener NHS team with a combined salary bill of £3 million a year, leaked documents reveal.

Officials created 48 roles, including five on six-figure salaries, as part of efforts to pursue an environmental agenda which means every medicine and product has to undergo an “evergreen assessment”.

The 135-question process means that no decision can be taken without a product’s social values and contribution to emissions targets being considered.

One supplier alleged that devices such as plastic cannulas were routinely being rejected on environmental grounds, despite the fact they would improve patient safety.

An extra layer of bureaucracy will be added next month, with every NHS supplier asked to draw up a carbon reduction plan.

Other eco-initiatives being rolled out include “climate-friendly pain relief” for mothers in labour and chemotherapy deliveries and GP visits via e-bikes.

A whistleblower told the Telegraph: “Every part of the NHS is under-resourced and waiting lists remain historically high, but commitment to green zealotry remains unchanged.

“The amount of resources dedicated to the green agenda is astounding, and the fact that it is now impacting clinical decision-making is, I believe, grossly unethical.”

Next month, electric ambulances will be piloted across swathes of the country. Under the scheme, electric ambulances will be trailed across the North West, East of England, Yorkshire, South West and London at a cost of around £150,000 each.

The West Midlands has already introduced the vehicles, although last year board papers from the West Midlands Ambulance Service revealed major concerns.

An evaluation of the pilot scheme found the ambulances took up to four hours to charge and travelled an average of 70 miles between charging, with the papers warning “range and recharge time is a significant limiting factor”.

While the vehicles had a range of 100 miles, which would cover a shift in urban areas, this would not be the case from most of its hubs, it states, adding: “Rural areas in particular are covering twice this mileage and more in a shift.” The report says that, as a minimum, ambulances need to be able to cover 160 miles.

Standard ambulances can cover up to 800 miles a day and be filled up in just minutes.

It follows warnings that ambulances are already spending vast amounts of time off the road, with two millions hours lost to waits in hospital car parks in the 12 months ending March 2023, while heart attack and stroke victims faced average waits of 36 minutes in 2023, twice the target.

Paramedics said they were fearful of the risks if electric ambulances were rolled out widely without a proper safety assessment.

Richard Webber, a paramedic and spokesman for the College of Paramedics, said he could see the benefits of such schemes in urban areas, for short distances.

He said: “I think they really need to produce the evidence that this is safe before this is rolled out beyond urban areas. I would be very wary of that. If I have got a very sick patient, someone who has had a heart attack and I am trying to get them to hospital I don’t want to be worrying about the battery.”

“Staff will want some convincing,” Mr Webber added, urging the health service to “go very cautiously” pushing the green agenda when safety was at risk.

One emergency medical consultant said: “If they could put the charging points at hospitals I would have less of a concern: waits are so long at Emergency Departments you could charge a jumbo jet. My worry is that they are looking to have charging points only in the ambulance station, so that’s even more time lost.”

One in 10 ambulances already spends more than an hour waiting outside hospitals, latest NHS data show.

The emergency medical consultant said: “The worst-case scenario is running out of juice with a patient in the back. I think this is untested territory, I would rather they started testing all of this in Patient Transport Services, where patterns are much more predictable, than in emergency care.”

Paul Bristow, a Tory member of the Commons health and social care committee, said: “Saving lives and patient safety must always come first. The idea that anyone can consider that climate concerns and green zealotry should come before what is best for patients boggles the mind.

“If concerns of first responders and ambulance crews are being overridden it just shows that eco group-think in our NHS is a very real concern.”

Mark Francois, a Conservative member of the public accounts committee urged the NHS not to forget its true purpose.

He said: “Florence Nightingale once famously said that ‘the very first requirement in a hospital is that it should do the sick no harm.’ While achieving net zero is a laudable aim, we cannot allow it to trump common sense, especially if it compromises patient safety.

“The most important consideration must be patient safety, comfort and wellbeing.”

An NHS spokesman said: “NHS services must always put patients first when procuring products and it is also right we seek green alternatives, but only when they save the taxpayer money.

“The new electric ambulances are benefiting thousands of patients, hospitals report they are working efficiently, and they could help deliver annual operational savings of £59 million.”

https://www.telegraph.co.uk/news/2024/03/14/nhs-electric-ambulances-concern-net-zero-above-patients/

The chart shown above highlights everything that is wrong with the NHS’s obsession with Net Zero. Anybody who thinks it is appropriate to analyse carbon emissions in such minute detail, even down into supply chains, should not be working in the NHS. Or for that matter in any position of public responsibility.

Unlike buses, for instance, ambulances are needed around the clock, so every hour of downtime recharging is an hour when patients are not being treated/taken to hospital. This can only lead to patients dying – it is that simple.

The NHS claims electric ambulances will save £59 million a year, but this is farthings in terms of the £100 billion cost of running the NHS, even if true, which anybody with an ounce of commonsense would know disbelieve. (To be fair, patients dead on arrival will save the NHS money).

And note they use the weasel words “operational savings, but don’t mention the extra capital costs entailed in buying electric ambulances, and of course installing all of the charging points/sub stations required.

In any event, the NHS’ overriding priority is healing patients. If it is that concerned about money, it would immediately disband its decarbonisation team.

As usual the Telegraph’s commenters show why they should be deciding policy, but this comment stands out:

As we know too well, EVs struggle to get anywhere near their advertised mileage even in the best of conditions, never mind in winter.

Poppy is quite right to point out all of the other energy hungry devices in an ambulance. No wonder they only average 70 miles per charge.

And in an average environment, that would mean recharging maybe three or four times a day. In short, ambulances will be out of action for half of the time.

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claysanborn
March 15, 2024 10:18 pm

Each BEV Ambulance should have a Standby Sterling Engine over the batteries for when they catch on fire.

joe-Dallas
Reply to  claysanborn
March 16, 2024 9:52 am

A lot of cities send the ambulances though various parts of the city to locations where accidents frequently occur (based on historical records of where accidents frequently occur based on time of day, and other factors) in an effort to reduce response times. out

observa
March 15, 2024 11:19 pm

Not a problem in Oz public hospitals as they can stick plenty of chargers around the hospitals with all the ramping-
Ambulance ramping outside SA public hospitals increases in January following November record – ABC News
Who needs ICE ambulances full of fuel all the time?

ozspeaksup
Reply to  observa
March 16, 2024 3:41 am

and when one goes UP in the bay? blocking emergency entry etc or gets caught in a ext reb protest for 2hrs or so?

strativarius
Reply to  observa
March 16, 2024 4:17 am

Did you know?

“”Australian sport is failing to engage with or adapt to the climate crisis”” – The Grauniad

Reply to  strativarius
March 16, 2024 11:35 am

Good on em!

Drake
Reply to  observa
March 16, 2024 3:55 pm

Brilliant idea. Place the emergency vehicles near where the injured NEED TO GO, instead of near where the INJURIES HAPPEN.

Lets DOUBLE the travel time, and extensively delay the arrival and beginning of care BOTH, WITH THE SAME BRILLIANT IDEA!!

All to solve a non existent problem: ICE AMBULANCES FULL OF FUEL ALL THE TIME!!

Who would ever want that?? Almost always 100% of the time ready to respond ambulances?

Who needs more people to survive? Who needs to provide services in a way that reduce pain and suffering? Who needs to get to the heart attack victim in time to save their life? Who needs to get to the overdosed drug “victim” in time to give them the Narcan injection? For the typical liberal, that last one is the ONLY one that maters.

Your are either being sarcastic, or are just a full and total @ssh@t.

Of course with liberals, since EVERYBODY must live in a 15 minute city, anyone who lives of even TRAVELS farther away from the hospitals DESERVE the added pain and suffering and even death because they are NOT following the required leftist dictates.

Sometimes I just feel hopeless when I see posts like yours. I will know in November whether it really IS hopeless, at least in the US.

Rod Evans
March 15, 2024 11:52 pm

Time for the beer and popcorn.
When this BEV ambulance policy goes into full swing the impact on emergency transportation will be dire.
One of the most noticeable features of ambulance practices these days in the UK, is the use of them to keep patients comfortable and warm while a bed is found for them in accident and emergency wards.
This requires the ambulances to be used as mini care centres with the engine running all of the time to maintain systems to power the equipment and heat the space. It is not unusual for patients to spend hours stuck in an ambulance waiting for a ward bed. Ambulances are already heavy vehicles in ICE power configuration. Adding another tonne of batteries to an already fully loaded chassis suggests bigger ambulances will be needed.
The waiting list for operations in the NHS now stretches to eight million people. The space/beds needed to unload patients from ambulances into, is just not there. The NHS budget is already £150 billion/year and employs 1.4 million people. The employment figure is planned to increase to 2 million by 2028.
With this latest policy intention, adopting BEV patient care ambulances, maybe the additional 600 thousand employees slated for the NHS are electrical engineers and fire fighters. Those skills then permanently on staff for when the inevitable need for them arises….

observa
Reply to  Rod Evans
March 16, 2024 12:44 am

This requires the ambulances to be used as mini care centres with the engine running all of the time to maintain systems to power the equipment and heat the space.

I hadn’t thought of that with our ramping ambulances. Hopefully the brains trust have??

The waiting list for operations in the NHS now stretches to eight million people.

We’ve got plenty of them too as private health insurance rockets in price.

Scissor
Reply to  observa
March 16, 2024 5:26 am

Enter the EV crematorium.

Reply to  Rod Evans
March 16, 2024 3:47 am

The NHS is ahead of target for once. They have beaten that 2028 employment figure 4 years early as they are reported to be employing 2 million people now.

The largest public employer in the world. Eat your heart out N. Korea.

EDIT: And we still have the worst outcomes in Europe for terminal diseases like cancer.

Writing Observer
Reply to  Rod Evans
March 16, 2024 10:35 am

You might not want to get to the head of the queue. Looking at where most of their “greenhouse gas” emissions come from, you’ll find yourself in a freezing cold (or stifling hot, depending on season) operating room with a bite block in your mouth – and hoping that the “nurse” holding the flashlight on where your surgeon is cutting has steady hands.

strativarius
March 16, 2024 12:37 am

The No Hope Service

atticman
Reply to  strativarius
March 16, 2024 2:13 am

A triumph of virtue-signalling over patient-care. The NHS seems to have forgotten what it exists for. Sad.

strativarius
Reply to  atticman
March 16, 2024 2:23 am

Since 2020 the NHS has become something we must protect – and not use

When they advertise NHS services what they are really saying is: Get to the back of the queue

Scarecrow Repair
Reply to  atticman
March 16, 2024 6:19 am

It exists to help politicians harvest votes. That’s all any socialist scheme is for. If the goal was health, politicians would have left health care in private hands.

March 16, 2024 1:35 am

A few observations, I live in Leicestershire which has a single Emergency Department covering 1.2 million people and is quite rural. The NHS trust that operates the ED also operates the cardio respiratory centre for the East Midlands.
The ED is amongst the worse for ambulances being held waiting to offload patients to the ED.
I used to work as a nurse practitioner in a town some 20 miles from the ED.
If I had to request an ambulance for an emergency transfer then that ambulance could be anywhere in the area covered by East Midlands Ambulance Service (EMAS), this covers the counties of Derbyshire, Nottinghamshire, Lincolnshire, Rutland and Northamptonshire, which for the U.K. is a significant area mostly rural.
Ambulances are deployed across various points across the counties, but even so
I estimate that each electric ambulance could only respond to and transport 2 or 3 emergency calls before the battery needed recharging.

March 16, 2024 2:37 am

The WHOLE green agenda is GROSSLY UNETHICAL.

But they treat that as a feature or as a necessity.

strativarius
March 16, 2024 2:43 am

OT

The new entente cordiale


“”According to one transcript of a telephone conversation seen by the French news agency AFP, a migrant told the French coastguard on the phone: “Please help … I’m in the water!”


“Yes – but you are in English waters,” the coastguard replied.””
https://apple.news/AZgq_W0V1ROqpWTqQNkxB-g

ozspeaksup
March 16, 2024 3:40 am

heaven help the patients! ambulances are already huge n heavy adding a battery to that? on potholed and rough roads? sure wouldnt work here its a 120k trip to the closest large hospital on very rough roads, and our ambos might do 2 trips a night(more and even longer distances at holiday times with rd accidents all over the place

strativarius
Reply to  ozspeaksup
March 16, 2024 3:48 am

Nobody has mentioned this

“”The world’s first electric fire engine was launched from Cumnock, Scotland, today by Emergency One the UK’s leading manufacturer of fire, rescue and emergency vehicles. The company has been supported by Scottish Enterprise…

Scottish Enterprise’s innovation teams worked closely with the company to develop the project and awarded a £500,000 R&D grant””
https://www.scottish-enterprise-mediacentre.com/news/worlds-first-electric-fire-engine-designed-and-built-in-scotland-by-emergency-one

Reply to  strativarius
March 16, 2024 7:41 am

Madness. Where can I get off this insane misery-go-round, please?

oeman50
Reply to  strativarius
March 16, 2024 8:34 am

Who puts out the fire on an electric fire engine?

atticman
Reply to  oeman50
March 16, 2024 10:50 am

Its crew, one assumes – well, at least they should know what to do!

Ed Zuiderwijk
Reply to  strativarius
March 16, 2024 12:16 pm

Water and electricity. That will be fun.

Reply to  strativarius
March 16, 2024 1:22 pm

The world’s first electric fire engine

Los Angeles has one and does Charlotte (NC). I’m just waiting for something to go wrong in some way – electric fire trucks sound like a bad idea.

March 16, 2024 4:30 am

I took a job as a patient transport Ambulance driver in the NHS on the outskirts of London for a while after I retired. I have been lucky all my life and figured I would like to help out as best I could. Pay is so low and conditions so bad it can only be described a charitable endeavour.

The NHS is obligated to provide transport for patients who can’t afford, or are to infirm to, make their way to hospital. It’s means tested to an extent but it has it’s fair share of lead swingers.

Most of the patients are those with chronic, long term conditions that need regular care, kidney dialysis for example, but often short term, end of life conditions.

Around one third, I would guess, were immigrants, legal or otherwise, many who couldn’t speak English and were what can only be described as ‘health tourists’.

The demand was so intense because of staff shortages (it is a service outsourced to G4S, an international, private business where profit alone is the the objective) that it was difficult to find time during the day to fuel up the vehicles. That was usually squeezed in at the end of a shift.

We could easily cover 200- 300 miles per day, more often than not in and out of London, so the claim that 160 miles per day should be the minimum mileage target, on a practical level, is nonsense. That might work out on the basis of, frequently abused, average mileages but if you ever attend a major London hospital you will see legions of private patient transport Ambulances queued up outside with nothing to do. A vast waste of taxpayers money and an example of wasteful resource allocation.

As a little asides, and to demonstrate how disinterested in patient care the NHS is, after I left the job I got to work redesigning a piece of equipment known as a Carry Chair. It’s probably one of the most dangerous pieces of equipment used in almost any working environment, to both patients and operators. Two Ambulance crew members literally carry patients strapped to a chair up and down domestic stairs. The chances of injury from falling are high but the strain on the muscular-skeletal system to the Ambulance crew are enormous.

My design was cheap, practical, and almost completely eliminated any danger to the patient and crew and eliminated, almost completely, muscular-skeletal crew injuries.

Was the NHS interested? Nope, they didn’t even want to assess it.

MyUsername
Reply to  HotScot
March 16, 2024 5:19 am

May I asked for more details on your design?

Reply to  MyUsername
March 16, 2024 3:05 pm

If you want to support it financially, yes.

I worked with one of the leading aerospace engineering universities to develop it. This wasn’t just a daft idea I dreamed up. They wanted to progress it but we couldn’t raise public funding.

Getting private funding in the UK is incredibly difficult.

2hotel9
March 16, 2024 5:46 am

Since NHS wants more people to die in order to reduce their workload and better utilize their budgets for holidays and bonuses this will be a win/win!

2hotel9
March 16, 2024 5:46 am

Since NHS wants more people to die in order to reduce their workload and better utilize their budgets for holidays and bonuses this will be a win/win!

Brian0127
March 16, 2024 7:19 am

Replacing ICE ambulances with EV versions may well just be the start of it.
The first question though is are these to be frankenstein versions like most road car EVs being ICE version with engines and fuel tanks swapped out with electric motors and batteries, leaving front radiators and drive shaft tunnels in place, partly why they are so heavy rather than starting again to achieve lightweight purpose built..
Then we move onto whether public sector buildings are to follow domestic building in having heating and cooking move away from fossil fuels over to air-source/ground source heating . This would involve a hugely expensive update for a lot of already outdated public sector buildings to accommodate the uprated radiators and supporting plumbing and improved insulaton/double glazing for windows , doors and roofs.
Not just for hospitals but all public sector buildings.
I don’t see a lot of forethought going into Net Zero, just people running into problems and individually solving them rather than any joined-up thinking.
The lack of forethought by people who aren’t even aware of what they don’t know let alone start to ask the right questions to get to the right joined-up answers across the board.

Reply to  Brian0127
March 16, 2024 7:48 am

Solving problems? You actually think that people have been solving problems to do with Net Zero?
Hahahahaha.
They’ve solved not one single solitary bloody thing. All they’ve done is forced electric batteries on us, forced heat pumps on us and forced unworkable systems on us that, frankly, should’ve never have even been considered.
People will die – large numbers of people will die and those stupid arseholes will wipe their hands of the whole mess and walk away.

Mr.
Reply to  Brian0127
March 16, 2024 7:55 am

Exactly.
Nothing gets thought through, prototyped, or tested.

Just rushed out for the sake of “an announcement”.

0perator
March 16, 2024 8:16 am

Depopulation/anti-natalism is an integral part of the Net-Zero agenda.

March 16, 2024 8:27 am

Shouldn’t have got past somebody saying “….but for that price we can pay for twice as many ambulances…”

Brian0127
March 16, 2024 9:15 am

The other problem with Net Zero is that it puts the focus on emissions rather than on how to move to a post-oil world, which many seem to take for granted.
Just running the clock down on fossil fuels is the easy part the difficult part is replacing the multitude of ways that society has come to rely on the derivatives for production of pharmaceuticals, rubbers and plastics for PPE,and the construction of hi-tech equipment, paints, adhesives, then more broadly fertilisers, pesticides, lubricants, and then on the many days when renewables don’t turn up there will remain a need to gas fired power stations to enable the NHS to run.

March 16, 2024 9:27 am

In addition to the charging time issue impacting availability, who’s going to make them?
Wasn’t there a fleet of buses taken out of commission because the company that made them went bankrupt? (The city couldn’t get the parts to repair faulty doors or something like that.)

Beta Blocker
March 16, 2024 9:58 am

We need a metric for comparing the levelized costs of EV and ICE ambulances in the same way we compare renewable and fossil fuel methods of electricity production. This metric shall be called the LOCA – the Levelized Cost of Ambulances.

For example, if the capacity factor of an EV ambulance is roughly the same as the most efficient of the very best wind turbines, we will need three EV ambulances to reach the production capacity of a single ICE ambulance.

And so the LOCA comparison among the two ambulance types must reflect the true difference if it is to be honestly and accurately calculated.

March 16, 2024 10:32 am

It’s interesting that the percentages in the chart regarding carbon emissions add to 106%. Rounding, they’d claim, but with only 12 entries, each would have to be exactly x.5%, rounded up, for that to work. I suspect they’re rounding up every entry to the next percentage, even if it’s x.001%.

There’s no integrity to the green blob. It seems most of the time they just make things up. In cases like these, where there’s an attempt to provide what would ordinarily be informative, they can’t resist propaganda – even on a trivial level.

John the Econ
March 16, 2024 10:48 am

Meh. It’s my understanding that waiting times at NHS emergency rooms is now 12 hours or more. So will this really make all that much difference?

March 16, 2024 12:13 pm

For those like me (American) who aren’t familiar with “NHS”, I think it stands for “National Health Service”.
(Was it a lazy typist who invented acronyms or just someone who wanted to confuse people?) 😎

Reply to  Gunga Din
March 16, 2024 12:59 pm

Acronyms are a part of jargon – those that know the jargon or acronym’s believe they are in an exclusive club and can keep the riff-raff (who don’t know them) out. It’s been going on for centuries, just human nature really.

Reply to  Richard Page
March 16, 2024 1:36 pm

And the military would cease to exist if it couldn’t use acronyms.

Reply to  Tony_G
March 16, 2024 3:04 pm

You know who invented acronym’s? The Romans – that’s another thing they gave us – the Roman Army marched under the acronym ‘SPQR’.

babelshark
Reply to  Richard Page
March 16, 2024 3:18 pm

NHS isn’t an acronym it’s an initialism. 🙂

March 16, 2024 12:16 pm

Back up each ambulance with two that are fully charged standby. Problem solved.

Reply to  Ollie
March 16, 2024 1:00 pm

Back up each BEV ambulance with a single ICE ambulance, or just don’t bother with the BEV one. ‘Problem’ solved.

Bob
March 16, 2024 2:01 pm

I think we need a proper trial period before another dime is wasted on this nonsense. My suggestion is that all government employees and all green organization employees and volunteers be restricted to only have electric ambulances available to them. All the rest of us will use internal combustion powered ambulances. My guess is that by next year all ambulances would be required to be fossil fuel powered.