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Ambulance service

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The institution offers pre-arranged transport services for the patients and secures the hospital beds. Also, LAS works with fire service and police to deal with health incidences in London. For instance, in the year 2012/2013, the service received over 72, 070 alcohol patients. About one in five of the 999 calls received in a day are for alcohol. Most of such figures are gotten from the 999 control room, and the records indicate that the frontline staff record creates the need for treating an alcohol patient. The figures never contain records for small incidences like minor falls, assaults or other injuries.

LAS structure LAS has over 5000 staff at various support offices and stations across London. The emergency response operates in three areas; West, East and South London, with each area under assistant director of operations. LAS has 70 ambulance stations in London sitting within the 26 operational areas referred to as complexes to enhance the management. An ambulance operations manager oversees a complex with the support of training officers, team leaders and station officers (Halter et al 2006, p. 865).

Fig 1: LAS Service Organization Chart The cost of the ambulance Most jobs in NHS have been covered by the pay scales outlined in Agenda for Change (AfC). The pay system covers all the staffs except dentists, senior managers and doctors. The job evaluation in NHS on basis of AfC scale determines points score used in matching the jobs to the nine pay bands as well as determine the basic salary levels. Every nine pay band comprised of several pay points where staff progressed annually from one point to the next until they reach top band.

Extra pay was paid on top of the basic salary for staff working in high cost areas like London (Halter et al, 2006). The career in NHS started in emergency service or patient transport and progressed to other areas of higher responsibility. Below is a tabular representation of actual payments for bands 1 and 2. Table 1: Actual Band Payments Point 1 Point 2 Point 3 Point 4 Point 5 Point 6 Point 7 Point 8 Band 1 14294 14653 15013 Band 2 14,294 14,653 15013 15,432 15,851 16,271 16,811 17,425 However, for the supplements, those in inner London received 20 percent of the basic salary that was subject to minimum of £4,076 and maximum of £6,279.

Those in outer London received 15 percent with minimum of £ 3, 448 and maximum of £4, 395. For those in the fringe, thy received 5 percent of the basic salary with minimum of £ 942 and maximum of £ 1,632.

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