Issue 11 2014 New ambulance inspection pilot Good to great Patients “very satisfied” with NHS 111 Awards’ winners NWAS’ Bootle baby (cover story) Commendation for HART Coronary on the cobbles New vehicle to make Blackpool safer What to do when an emergency vehicle approaches Lifeline Welcome from Lifeline Editor, Sarah Smith Welcome to the summer edition of Lifeline – the magazine for staff, members, the public and partners of North West Ambulance Service (NWAS). As the country has gone crazy for the World Cup, despite our early exit, we’ve been monitoring the demand on our service. During the 2010 tournament, we saw huge increases in calls on the days England played and a 34 percent increase in assaults on the night England were knocked out of the competition. This time, we’ve teamed up with police forces across the region to urge football fans to show the red card to violence (page 5). the new NHS number to call when you need medical help fast, but it’s not an emergency. Patients using the service have rated it highly, and you can read about this on page 4. You may have seen stories in the news recently about our plans to save money. This can only be achieved by us working differently, and our story on page 3, from Chief Executive, Bob Williams, talks about our plans to do this, whilst making the organisation even better. As usual, there are plenty of stories about our amazing staff in Lifeline. In this edition, you can read about our annual Going the Extra Mile (GEM) Awards’ Ceremony, which took place in April. There were plenty of cheers and tears at the event and I hope you enjoy reading about it. There’s some great news about the NHS 111 service in the North West. If you don’t know much about 111, it’s On page 13, you can read about the stars of Coronation Street and In the spotlight 3) What are the best bits of your job? Knowing you have done your best for each and every patient and that I may have saved some lives along the way. NHS 111 Call Handler, Cyd Gibson, takes to the hot seat for this edition’s In the Spotlight feature. 1) What does your job entail? My role as a Call Handler is to provide a safe assessment of presenting symptoms, using a clinical software tool, in order to signpost and refer patients to appropriate care providers. 2) How did you get to where you are today? I started with NHS Direct in Feb 2007. Having worked for an airline for 12 years as a member of cabin crew, it was a whole new experience which took some time to get used to. However, due to the dedication and support from fellow colleagues, I was able to overcome my fear of the phone and settle into my new role, and after all these years I am still here! 4) What are the challenges in your job? For me it is dealing with third party callers, as you cannot fully judge how the patient is responding to the questions posed. 5) What qualities do you need to do your job? Excellent communication skills, the ability to make critical decisions about a patient’s wellbeing whilst under pressure, and sensitivity while documenting often complex information, clearly and concisely. 6) What do you want to achieve in your role? I was lucky enough to be nominated as a finalist at the GEM awards 2014 and would like to continue my personal and professional development within the NWAS NHS 111 service. how they received basic life support training from our Community Resuscitation Team – simple skills that save lives. This is the second edition of the ‘digital only’ version of Lifeline and we’d like to know what you think. Is there anything we can do to improve the magazine? What type of stories would you like to read more of? Please email your opinions and suggestions to [email protected]. Until next time, take care. Sarah Sarah Smith Assistant Director of Communications 7) What advice would you give to someone thinking of getting a job like yours? For anyone looking for a rewarding career within a supportive network of high calibre staff, who can demonstrate the necessary skills, I would advise them to be ready for a challenging but satisfying role. 8) What are your long term career aspirations? I would like to continue my career with NWAS in the future and aspire to work my way to supervisory level. 9) What do you wish other people knew about your job? I wish we could better educate the public about what the NHS 111 service can offer and its limitations. It can frustrating for patients who want something we cannot provide. 10) What makes you proud to work at NWAS? As NWAS is one of the largest ambulance services in the country and is highly respected by the general public, I feel proud to be part of its team. Latest news from NWAS Ca-nine, nine, nine call A Paramedic was called to a potentially life threatening emergency, only to discover that the ‘patient’ concerned was, in fact, a dog. Speaking of the incident, the attending Paramedic said: “I had just been to a cardiac arrest patient so was obviously very shocked at this call – it was written all over my face. I told them that they should have called a vet, not 999.” Derek Cartwright, Director of Operations at NWAS, said: “Although we understand that losing a family pet can be upsetting, this incident is a blatant misuse of the emergency ambulance service. A person with a serious or lifethreatening condition could have been waiting longer than necessary for our help because of this call.” Good to Great In the last edition of Lifeline, I told you about the Trust’s Good to Great campaign which outlines the aspirational aims of the organisation’s Business Plan for 2014 -2019. I believe that the North West Ambulance Service is a good organisation but we aspire to be great and, in order to achieve this, we have consulted with our staff and devised a five year plan which we would like to share with you, our members and partners. I have recently presented to our Board our new values and the areas I want the Trust to focus on – ‘delivering safe care closer to home’, ‘being a great place to work’ and ‘cause no harm’. It is these three elements that we are building our objectives upon and, over the course of the summer, we will be commencing a Good to Great engagement programme to help demonstrate to partners how we hope to achieve them. For example, focussing on our objective to reduce the numbers of patients who attend emergency departments and ensuring patients receive the right care, at the right time and in the right place - through the initiatives of ‘Hear and Treat’, ‘See and Treat’ and ‘Treat and Convey’, we can ensure that those patients who need alternative care pathways can be signposted to them and those who really need to be in hospital can arrive there in a timely fashion. New ambulance inspection pilot The North West has been chosen by the Care Quality Commission (CQC) as the place to test its new regulations for ambulance services. The CQC is the independent regulator of health and adult social care in England. Its document A Fresh Start for the Regulation of Ambulance Services outlines the priorities for improving how it monitors, inspects and regulates ambulance services. It describes how the CQC will work with people who use our services to deliver these priorities. Expert inspection teams will land on our doorsteps in August to test this new approach, which will look to answer five key questions - are we safe, effective, caring, responsive to people’s needs and well-led? A 999 call to the ambulance service can result in various outcomes You may be aware of some of the recent media coverage centred upon our cost improvement measures which, no doubt, has raised questions for many of you which you would like the Trust to respond to. These measures play a part in our five year plan and a key aim of the Good to Great engagement programme will be to help put those into context. North West Ambulance Service prides itself on being an open and honest organisation and the views of all our stakeholders – staff, members and health care partners – are very important to us. As part of our engagement programme we will be meeting with MPs and visiting other stakeholder groups such as Overview & Scrutiny Committees and patient representative groups such as HealthWatch organisations across the North West. We will also be setting-up a dedicated microsite which will act as a central online resource for all things related to the Good to Great campaign and will allow you to submit any questions or queries you may have on the planned developments. Look out for an update on how the Good to Great campaign is progressing in the next edition of Lifeline. Bob You can read the full document here. Bob Williams Chief Executive Patients “very satisfied” with NHS 111 About 111 The NHS 111 service is staffed by a team of fully trained call advisers, supported by experienced nurses and paramedics. Recent patient surveys have revealed that 69 percent of patients were very satisfied with the NHS 111 service in the North West, currently being run by North West Ambulance Service. 36 percent of patients would have attended A&E or rang 999 for an ambulance if the NHS 111 service was not available and 85 percent of patients were either completely better or their conditions had improved seven days after calling NHS 111. This is great news for the service, which we took over from NHS Direct in 2013. Well done to everyone involved! Anyone who calls NHS 111 will be asked questions to assess the patient’s symptoms, then they will be given healthcare advice or directed straightaway to the local service that can help them best. That could be A&E, an out-of-hours doctor, an urgent care centre or a walk-in centre, a community nurse, an emergency dentist or a lateopening chemist. Where possible, the NHS 111 team will book an appointment or transfer the patient directly to the people they need to speak to. If NHS 111 advisers think the patient needs an ambulance response, they will immediately arrange help from the ambulance service. When to call 111 Call 111 if: You need medical help fast but it's not a 999 emergency You think you need to go to A&E or need another NHS urgent care service You don't know who to call or you don't have a GP to call You need health information or reassurance about what to do next For less urgent health needs, contact your GP or local pharmacist. Patients’ experiences shared on film Building on our collection of 15 patient stories, the Patient Experience Team has been really busy filming another ten patient stories. All are based on real life experiences; either witnessed by the team or explained to them by patient feedback at community events, observations on ambulances, patient surveys, compliments or complaints. The stories celebrate what we do well and also recognise where we can make improvements and changes so that a better patient experience is provided in the future and, this time, two were filmed in-house by our Communications and Patient Experience Teams. This year’s stories include themes around Voluntary Car drivers and the fantastic service they provide for our patients, raising awareness of the bariatric ambulances, a story about a patient who suffers from dementia and the difficulties this presents, along with other stories that cover themes such as good communication, discharge processes, mapping issues for crews locating addresses and difficulties for patients using our service who may be deaf or experience language barriers. William’s experience is shared on film All the patient stories will be available on DVD for training purposes, if you would like the opportunity to use these stories and provide feedback then please contact the patient experience team at: [email protected]. Emergency services show abuse the red card They may be coming home now, but when the England Football team headed to Brazil for the World Cup, we teamed up with emergency services across the region to send strong messages to fans. In Lancashire, “the ugly consequences of the beautiful game” campaign was launched by Lancashire Police to address traditional spikes in crime during major football tournaments. Whilst in Manchester, “none for the road” was launched by Greater Manchester Police to tackle the issue of drink driving, along with the “red card” appeal which aimed to put an end to the shocking rise in domestic abuse during major tournaments. When the England team was knocked out of the 2010 World Cup, we recorded a 34 per cent surge in the number of 999 calls for assaults, and a 21 per cent increase in the number of 999 calls compared to the previous weekend that year. Director of Operations at NWAS, Derek Cartwright, said: “In previous tournaments we have seen the combination of expectations, emotions, warm weather and alcohol consumption result in an increase in 999 calls for assaults. We urge people to think first, drink sensibly and remain aware of their actions so they can enjoy the matches in good spirit and avoid harm to themselves and other people.” The media launch in Lancashire at Preston North End New Directors in post The Director of Operations and Director of Organisational Development positions have been filled by our very own Derek Cartwright and Mick Forrest respectively. Derek’s responsibilities include emergency and urgent care; comprising of the paramedic emergency service, complementary resources, NHS 111, resilience, fleet and estates. Mick is responsible for the strategic development of the workforce; comprising human resources and learning and development. Derek Cartwright Mick is also the lead for annual organisational business planning and the Trust’s project management office. Mick Forrest The role of Director of Organisational Development does not vote at Board level. This appointment of Mick and Derek now completes the Executive Management Team which comprises of Bob Williams - Chief Executive, Alan Stuttard - Director of Finance/ Deputy Chief Executive, Sarah Faulkner - Director of Quality and Kevin Mackway-Jones - Medical Director. Friends and Family Test #Team999 campaign results The #Team999 campaign launched last year to educate the public about what to expect from us when calling 999. Would you recommend our service to friends and family? That’s the question we’ve been asking patients as part of two NHS England funded pilots. The Friends and Family Test gives patients the opportunity to provide feedback on the care and treatment they receive and to improve services. Patients were invited to respond to the question, "How likely are you to recommend our service to friends and family if they needed similar care or treatment?” by choosing one of six options, ranging from "extremely likely" to "extremely unlikely". Over 3,000 emergency calls are answered by our Emergency Medical Dispatchers every day, but not all calls require an ambulance to be dispatched or a trip to hospital; some patients may receive care within the community and others could be given self-care advice over the phone. #Team999 highlights the various care options available to patients and is made up of seven representative members; who ultimately determine which route of care the patient will follow. Roadshows, case studies, media releases, media partnerships, live Facebook Q&As, Twitter takeovers and short films formed part of the campaign – highlighting what happens behind the scenes. Results of the campaign include: 101 pieces of news coverage 170% increase in website visits 33% increase in Twitter followers 148% increase in Facebook fans The Team will be out and about over summer. Find out where you can see them on page 15. Emergency Medical Dispatcher A first point of contact, asks a set of questions to find out what’s happened and where, can provide instructions over the phone. Specialist Paramedic Calls back patients with a non-serious condition and triages over the phone, can refer to appropriate service and provide self-care advice. Resource Dispatcher Sends the most appropriate resource to incidents, if needed and communicates with other emergency services. Ambulance Technician and Paramedic Highly skilled practitioners who offer emergency support for urgent issues; a precious, finite resource. Hazardous Area Response Team (HART) A team of specially trained paramedics, who use advanced equipment to respond to challenging or hazardous incidents. Paramedic/Rapid Response Vehicle A paramedic in a car, placed in a strategic location, providing care to patients in lifethreatening situations as quickly as possible. The 12 week pilots, which stared in May, explored different ways in which the question could be asked; for the emergency service the use of a partnership approach with two hospitals, where patients can feedback on both the partners and us via feedback kiosks located inside the hospitals, and for the patient transport service a texting facility. Results Patient Transport Service 78% of patients said extremely likely 13% of patients said likely 4% of patients said neither likely nor unlikely 2% of patients said unlikely 2% of patients said extremely unlikely. Emergency Service 41% of patients said extremely likely 24% of patients said likely 6% of patients said neither likely nor unlikely 6% of patients said unlikely 9% of patients said extremely unlikely. Now that the pilots have come to an end, we’re continuing to ask patients the Friends and Family Test question so that we can learn from their feedback and provide the best possible service. We have amazing staff at NWAS Awards’ Winners On Thursday 10 April, our hidden gems were revealed at the Trust’s Going the Extra Mile Staff Awards’ Ceremony. The annual event celebrated the achievements of our staff members who have ‘gone that extra mile’ for patients, their colleagues and the service when carrying out their day to day jobs, with special commendations also awarded on the night. The ceremony, which took place at Ribby Hall Village in Lancashire, was funded entirely by the generosity of sponsors; Virgin Media Business, MIS Emergency Systems Limited, Physio Control, Call Vision Technologies, Dell, Conduit Global and Truck Training UK Limited. Almost 200 staff members and guests attended the ceremony which was hosted by BBC Radio Lancashire’s John Gillmore, with awards presented by our Chairman, Mary Whyham, and Chief Executive, Bob Williams. Guests enjoyed the event, presented by BBC Radio Lancashire’s John Gillmore And the winners are... Frontline Staff Member of the Year Emergency Service (PES) Jessica Heardman Frontline Staff Member of the Year Emergency Operations Centre (EOC) David Marquis Frontline Staff Member of the Year Patient Transport Service (PTS) David Reid Frontline Staff Member of the Year NWAS NHS 111 Service 2014 Phyllis Rodgers Manager of the Year Lesley Wells-Earp Team of the Year Financial Planning Team Support Staff Member of the Year Alison Baxendale Student Learner of the Year Frank Mills Volunteer of the Year – Community First Responder Keith and Olwen Hansen Volunteer of the Year - Voluntary Car Service Eric Ruth Staff Suggestion Award 2014 Cheshire and Merseyside South Sector Special Commendations - Christopher White - Michaella Green - Senior Paramedic Team (Greater Manchester Central Sector) Clinical Quality Improvement Russell Bennett - Stuart Beattie - 111 Implementation Team The Chairman’s Special Commendation was given to all those involved in our #Team999 campaign. Before the final award of the evening was presented; the 2014 CEO Award for Care and Compassion, in honour of our dear and former colleague, Simon Williams, was awarded to Mike Huddart and Andy Jackson. Congratulations to our winners! The event was a real success and we would like to take the opportunity to thank everyone who made the event possible. Bob Williams, Trust Chief Executive said: “The evening was a great success and I was delighted to present the awards. Some of the actions of our staff are truly heroic and heart-warming and it really is a privilege to be leading an organisation which has so many dedicated and hard-working individuals.” Turn the page for more images from the awards’ do! Guests arrive in style on the red carpet! Thank you to: Long service awards Long serving members of staff in Greater Manchester have been awarded with certificates and plaques in celebration of their dedication to the service. Those with 20 years’ long service and good conduct, such as Tim Fenten (pictured above) have been awarded with a special medal from The Queen. Tim’s proud partner posted the photo on our Facebook page and we couldn’t resit sharing it with you! Congratulations and thank you to our long serving staff! Baby born at Bootle station returns for cuddles with Colin In the early hours of a spring morning in April, staff at Bootle ambulance station in Liverpool heard the frantic sounding of a car horn outside their gates. After rushing to see what was happening, they were met by a panicked gentleman in need of urgent help, as his heavily pregnant daughter was about to give birth! Advanced Paramedic, Colin Whiley, rushed the expectant mum and her family into the station and set up a makeshift delivery room in the office. Within 30 minutes, a baby boy was delivered, healthy and well. Advanced Paramedic, Colin with the happy family! Chief constable’s commendation for Hazardous Area Response Team Five members of our Hazardous Area Response Team (HART) have been formally recognised by the Chief Superintendent of Merseyside Police, in acknowledgement for being part of the supportive team that helped with an incident that took place in October 2012. Ciaran Martin, Peta Watts, Steve Hodgson, Derek Welch and Brandon Newman were presented with their official letter of thanks at the Merseyside Police Wirral Reward and Recognition Ceremony at the Leverhulme Hotel in Port Sunlight, Wirral. Special thanks were also given to Tim Pugh, Steve English, Mal Pike and Brian Simpson for their involvement in the incident. Well done to all involved! Colin and his colleague Judith Ramsey attended to the new mum, Katie, whilst the crew members took the baby into the mess room and decided to wet the head with the new Dad and Granddad with a cup of Yorkshire Tea! Katie was then wheeled to a waiting ambulance and taken to the hospital cradling her new baby boy, Alfie. Katie returned to the station a few weeks later with baby Alfie and her daughter Daisy, to thank the staff that helped safely deliver her son, bearing gifts for all. Well done to Colin and Judith, with special thanks to Ged Davies, Steven Cusack, Frank Gower and Mark Brooks who were also present and helped with the birth. To thank our staff, go to: http:// www.nwas.nhs.uk/talking-to-us/ thanking-our-staff/#.U6GxNlP-J6Y. Take care this summer HEALTH & WELLBEING As the weather heats up and schools are set to close, we’re urging the public to take extra care. During periods of hot weather, we expect to receive an increase in 999 calls for people experiencing respiratory problems. We need your help in making sure that our ambulance crews are free to respond to such emergencies by avoiding dangerous situations. Director of Operations, Derek Cartwright explains: “We all want to enjoy the warm weather and no-one wants to spend an evening in an accident and emergency department. During the summer, we traditionally see a rise in the number of cases such as assaults and falls due to the influence of alcohol, accidents with barbecues and children who go swimming in lakes and rivers, so we would urge people to think carefully about what they are doing. “Our services are urgently needed by those who are seriously ill, or have lifethreatening conditions, and the public can help us by taking care of themselves and others.” Top tips If you are thinking of doing a spot of gardening at the weekend, check your tools are in good working order and take care when using power tools or climbing ladders. Alternate alcoholic drinks with water or soft drinks – in the heat you will become dehydrated and alcohol makes that worse. Wear appropriate sun protection to avoid sunburn and sunstroke – remember to wear hats and cover up children as much as possible. Don’t swim in lakes, rivers, canals or reservoirs – some have unseen currents which can pull you under and the water is a lot colder than you would expect. Keep your children safe when they are playing on scooters and bikes – provide them with safety headwear to avoid a head injury should they fall. Our Emergency Operations Centres answer over 3,000 emergency calls every day Barbecues and alcohol do not mix! Never use an accelerant to light the barbecue and remember the coals are hot for a long time after they have gone out. Derek adds: “The advice may seem straightforward but these are the types of avoidable accidents we see every day during the hot weather. “By keeping safe, we can all enjoy the Summer, however brief it may be, and we can ensure that those who really need our help get a timely response.” If you need medical help fast, but it’s not an emergency, call NHS 111. For health advice, visit www.nhs.uk. Working with local communities A message from your Governors In recent months, members of the Council of Governors have had opportunities to participate in events and campaigns that demonstrate the dedication of staff in all areas of the service. Visits to the Middlebrook site in Bolton brought a wider understanding and appreciation of the NHS 111 service, and involvement with awareness raising campaigns to support #Team999 across the region have enabled Governors to talk to members and service users. Governors also had the opportunity to celebrate the successes of staff and volunteers at the Going the Extra Mile Awards in April 2014, which included an award to PTS Staff Governor, David Reid. The citations for the various awards gave us a real appreciation of the incredible work that is being done across a range of service areas. With further community engagement events planned over the summer months (see page 15 for details), members are encouraged to come along and introduce yourselves as we would be most interested to meet you and hear your views on the service. Sue Murrin-Bailey Public Governor (Lancashire) Chair of Membership & Communications Sub-Group Find out which Governor represents your views: https://www.nwas.nhs.uk/gettinginvolved/council-of-governors/meet-thegovernors/#.U6GiFFP-J6Y. Coronary on the cobbles Anyone suffering from cardiac arrest on the cobbles of the country’s most deadly street - Coronation Street, will be given a fighting chance thanks to our community resuscitation team. Since the nation’s favourite soap began, there have been 160 deaths on Coronation Street. Hopefully the ratio of three deaths per year will reduce now the street has received two Automated External Defibrillators (AEDs) and basic life support training from our team. “Crew and cast members, including those who play popular characters such as Tyrone, Tracey, Eileen, Maria and Jason, took part in the training which covers how to recognise a cardiac arrest, what to do in the most extreme emergency and how to save lives.” The team has also put ITV in touch with other ambulance services so it can get AEDs for its sites throughout the country. Do we know about your defib? Over 60 people at the Corrie set received training by Community Resuscitation Manager, David McNally. In addition, a further two AEDs were placed within ITV studios by David’s team, with another 50 production staff trained in how to save a life. For a person suffering a cardiac arrest, every minute lost can reduce their chance of survival by 10%. If you have a defibrillator, why not let us know? It could make the difference between life and death in the event of a sudden cardiac arrest. David said: “We had extremely good relationships with ITV when they were at the Quay Street site and this has continued now it has moved to Media City. To let us know about your defib, go to www.cardiacsmart.nwas.nhs.uk. New vehicle to make Blackpool safer Blackpool has a new Night Safe Haven vehicle to help prevent unnecessary hospital admissions. The new purpose-built ambulance boasts facilities such as a private treatment and recovery area, disabled access, external CCTV and a large screen to show prevention and safety messaging. Night Safe Haven, originally launched in 2008, helps to support vulnerable people who are in distress in the town centre at night from a variety of causes ranging from physical violence, excessive alcohol consumption, drug taking, separation from friends and family or people who are lost. It is staffed by the North West Ambulance Service, Lancashire Police, Blackpool Council, St John’s Ambulance and NHS community nurses as well as workers from the Renaissance project, part of Drugline, Lancashire and is situated on the apron outside Blackpool’s Town Hall between 9pm4am every Saturday night. Every year, the Night Safe Haven helps to prevent almost 1000 avoidable hospital admissions, providing major relief to Blackpool Victoria Hospital’s Accident and Emergency department and the ambulance services. Fylde Sector Manager, David Rigby, said “Night Safe Heaven is something I am immensely proud to be involved with. I hope we can continue to provide this service well into the future; looking after Blackpool’s night time dwellers, keeping them safe and ensuring that Blackpool is a safe town for people come and enjoy themselves.” What to do when an emergency vehicle approaches You’re going about your day when suddenly you hear sirens and see blue flashing lights behind you. What do you do? We’ve teamed up with the Highways Agency to bring you some tips... You should look and listen for ambulances, fire engines, police, doctors or other emergency vehicles using flashing blue, red or green lights and sirens or flashing headlights, or Highways Agency Traffic Officer and Incident Support vehicles using flashing amber lights. When one approaches do not panic. Consider the route of such a vehicle and take appropriate action to let it pass, while complying with all traffic signs. If necessary, pull to the side of the road and stop, but try to avoid stopping before the brow of a hill, a bend or narrow section of road. Do not endanger yourself, other road users or pedestrians and avoid mounting the kerb. Do not brake harshly on approach to a junction or roundabout, as a following vehicle may not have the same view as you. Go to our Facebook page to check out a handy video with hints and tips on how to react when an emergency vehicle is behind you! Summer’s hottest events We’ll be taking the opportunity to meet as many of you as we can at community events throughout the summer months. Representatives from the Trust will be out and about, helping to educate the public about the different roles within the service, when to call 999 and what to expect when they do. We’ll take a range of interactive activities on the road, including Cardiopulmonary Resuscitation (CPR) demonstrations, the opportunity to explore emergency vehicles and put questions directly to #Team999. You’ll find us here: Friday 27 June Healthy Liverpool Extravaganza World Museum, Liverpool Saturday 28 June Lancashire Science Festival: Family Day University of Central Lancashire, Preston Saturday 28 June Community Resuscitation Day Barnoldswick Market Square PandaMedic to the rescue! Custard the Cow took a turn for the worse at Walby Farm Park’s Emergency Services’ Day in Carlisle in May. We’re pleased to say he made a full recovery and was ‘udderly’ impressed with the service! Contact us This is your magazine, so please let us know what you think of it or send any news stories to us at [email protected]. Don’t forget you can also keep in touch with the latest news on our website www.nwas.nhs.uk and follow us on Facebook, Twitter and YouTube. /nwasofficial You can also find us on @NWAmbulance /northwestambulance Saturday 05 July Spirit of Bolton Festival Victoria Square, Bolton Sunday 13 July Disability Awareness Day Walton Hall and Gardens, Warrington Saturday 02 August Liverpool PRIDE Thursday 07 August Emergency Services Open Day Trafford Centre, Manchester Saturday, Sunday & Monday 23 – 25 August Manchester PRIDE
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