Service Developments


Sepsis, also referred to as blood poisoning or septicaemia, is a potentially life-threatening condition triggered by an infection or injury.

In sepsis, the body's immune system goes into overdrive as it tries to fight an infection. This can reduce the blood supply to vital organs such as the brain, heart and kidneys. Without quick treatment, sepsis can lead to multiple organ failure and death.

It is extremely important to be able to detect the signs of sepsis as quickly as possible and the Trust has been working to improve the diagnosis of sepsis by developing a new screening tool which is being circulated to all clinical staff.

Penrith Admissions Avoidance Response Vehicle - The Cumbria Success Regime has recently produced a case study, on the Penrith Admissions Avoidance Response Vehicle. The admission avoidance car operating in the Penrith area is a new initiative combining the skills of a senior occupational therapist and a paramedic. By working together it ensures that an enhanced and comprehensive assessment takes place, resulting in the best possible outcome for the patient and their family.



A six month pilot scheme, which commenced on Monday 1 August 2016, will see NWAS clinicians and crews referring appropriate patients aged 18 years and above, throughout North Lancashire, to a dedicated falls team with a falls car.

The falls car is a dedicated rapid response vehicle primarily for patients who have fallen but also appropriate for other patients.  The car is also available to respond to 999 calls. 

The falls vehicle will be based at Lancaster Ambulance Station and manned by a multi - disciplinary team, comprising two NWAS clinicians alongside Occupational Therapist, Kerry Jo Tyrer from Blackpool and Fylde & Wyre Hospitals.

The vehicles hours of operation are 0800-1800, Monday to Friday with the falls element available between 0800-1600. 

The scheme has been developed and implemented to reduce  unnecessary hospital admissions for patients.  It is also a resource for patients, who do not need to be conveyed but whom, in a clinicians opinion, would benefit from enhanced care or assessment within their own community.

The team has strong links with the REACT and Rapid Response teams locally, so that they are able to refer patients to the most appropriate service for their care needs.



The new ‘Care of the Dying Patient’ documentation aims to improve end of life care for people in their last days or hours of life, by communicating respectfully and involving the patient, and the people important to them, in order to maintain comfort and dignity of the individual at end of life.

In line with NICE NG13 (Dec 2015) and Leadership Alliance for Care of Dying People (June 2014), the Care of the Dying Patient assessment and documentation was implemented throughout Cumbria from July 2016.



Funded by Lancashire County Council and working in partnership with the regional CCGs as part of integrated care, the Lancashire Wellbeing Service provides a trusted resource for NWAS clinicians and crews, enabling appropriate referrals for patients throughout Lancashire.

The Lancashire Wellbeing Service is a free service offering short-term, practical support for residents of Lancashire, aged 18 and over who may be struggling with issues affecting their happiness and health. Over a number of sessions one of the service’s wellbeing workers will support the individual and encourage them to set realistic, achievable goals and take steps needed to improve their quality of life and their sense of independence.

The Lancashire Wellbeing Service is a non-clinical service and will not provide social care support or manage long term conditions; however it could provide support for the following type of patient:

  • Mild mental health problems i.e. low mood, anxiety, stress and mild depression
  • Social isolation, loneliness and few or poor social network
  • Experiencing difficult circumstances (problems with family, finances or employment)
  • Struggling to cope or feeling overwhelmed
  • Need support in relation to healthy living and developing a healthier lifestyle, through understanding and adapting behaviour