Patients Will Die, Thanks To The NHS Net Zero Drive
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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Incredible bollocks.
Sorry can’t think of another word, well not printable anyway.
Paul, if I may:
https://cliscep.com/2021/10/27/an-unhealthy-obsession/
The latest telegraph analyis show the costs of Net Zero ambulance plans are horrendous. See: https://www.telegraph.co.uk/news/2024/03/15/nhs-net-zero-ambulance-plans-cost-halfabillionpounds/. Any sensible government would stop all the wasteful bureacracy and green and woke nonsense that now prevails throughout the NHS. We are truly governed by idiots (or the government is controlled by the UN/WEF) – take your pick.
The emergency ambulance, police and fire service vehicles are all between 5–10 times higher the costs over an ICE vehicle …no wonder my council tax is increasing
Amanda Pritchard heads up NHS, but she is invisible, never on tv or interviews, I guess she agrees with all this net zero crap but how to hold her responsible for the failure to treat patients baffles me.
A good lawyer, that’s how
The NHS has it easy. Staff can murder, maim, mistreat, accidentally kill, be as inefficient as they like and all you get is “politicians don’t give the NHS enough money”
Sounds like lawsuits incoming – it would be if any of mine were injured by these net zero malfeasances
The additional electrical load inside an ambulance, would also flatten the battery quicker – I would love to know who signed this wreckless endangerment off
Letter in DT refers to the fact that in Norfolk, a rather large county, it is not unususl for an ambulance to travel 70 miles to a shout. Given that, with all the electronic kit carried in ambulances, the range of EV ambulances would be 70 miles between charges…..
That never seems to bother them much as ‘lessons are learned’.
Keep clapping, proles……….
This sentence in parenthesis, “To be fair, patients dead on arrival will save the NHS money” will also result in a lower carbon footprint from NHS and in the broader society. Imagine a world where carbon credits are given when the healthcare system fails to provide proper care and patients die. Talk about perverse incentives.
NHS England – ‘’We are changing ventolin and generic salbutamol inhalers over to a new inhaler called salamol— here’s why: The propellants used in inhalers make up 5% of the carbon emissions the NHS generates each year’’. …..the people trust and want ‘ventolin’, and that ‘5%’ is 5% of inhaler products and not 5% across the whole NHS
That seems very unlikely. 5%? Of course all the evidence is asthma is hugely over-diahnosed, so why not start there?
Presumably the propellants end up in the lungs if the patient. Can they point to a study that shows what proportion are later exhaled?
There’s no study, it like net-zero, its guesstimates, forecasts and modelling ….with the goal of another tick-in-the-box well done
A Mercedes Sprinter diesel panel van does around 30mpg with a fuel tank in excess of 20 gallons (not sure if exact capacity). Which would give a range of 600 miles.
An ambulance version with all the additional load from electrical equipment safely 500 miles on a full tank.
In the event of a major incident involving multiple injuries and deaths ambulances and other emergency vehicles are called in from a wide area. Having arrived they can then spend lengthy periods at the scene before departing with casualties to a hospital possibly in a town a dozen miles away with all ambulance charging stations occupied. Sorting out the charging backlog could take 24 hours or more to sort.
Madness
But – Green Madness.
Auto
Our local Ambulance Service has used Merc Sprinters for years – and the staff love them. In business, I ran a fleet of Sprinters for the under 5-ton work. By a country mile (kilometre?) the best vans at their weight EVER made. Our Sprinters would do 3-400k+ miles without issues (their design lifespan was way north of 500,000 miles). Last time I was a ‘passenger’ – ‘customer?’ in one of the Mercedes Ambulances, the crew were bemoaning the decision to order replacement Fiat units instead – on purely cost-of-purchase basis. Anyone familiar with Fiat vans could tell them that they’re just buying a world of unreliability and cost for a few £K initial saving.
That’s before this new ‘green’ lunacy! In common with most responders here, I just cannot put into (polite) words what a completely idiotic idea an EV Ambulance will be. We’re doomed, I tell you!
Are the Fiats the ones where drivers with large feet can’t get their boots on the pedals?
they are just c**p vans, full stop, – but cheap….
Will JSO/XR let an electric ambulance through one of their walking road blocks?
I think I saw in the recent UK Budget documentation [last week? You remember … an Overwhelming Success?] that the cost of the NHS this – 23/24 – Financial Year was £182,000 million. I think – but am not certain – that that figure did not include the £3,000 million [or £6,000 million?] top up announced that day.
Even if it does include the top-up, it’s still pretty close to £500,000,000 a day – every day of the year. Every penny taken – in one way or another – from tax-payers and charge-payers [prescriptions etc.].
NHS was considered unfit for purpose during COVID. Nothing has changed. Amanda Pritchard, the chief exec should be sacked and replaced by someone more concerned with patient’s treatment and safety, which should be the first consideration, not virtue signalling about climate change resulting in extra cost and bureaucracy of which there is already far too much.
PS UK produces 1/2% of the world’s CO2 emissions which are vital for plant growth and have no effect on changing climate which mainly depends on the relationship between the sun and earth.
Amanda Pritchard, the chief exec should be sacked and replaced by someone more concerned with patient’s treatment and safety, which should be the first consideration, not virtue signalling about climate change resulting in extra cost and bureaucracy of which there is already far too much.
This is exactly the problem, but Amanda is just one of many decadent overlords. I would suggest an independent audit/investigation of all management, with intent to fire all – with possible prosecution – for official actions not related to health care, or malfeasance in execution of duties.
Given the nature of a government enterprise, I would recommend annual audits. Decadent behavior should not be tolerated. Electric ambulances? Really?
Even if CO2 did effect the climate (which of course it doesn’t), Britain’s ~1% contribution to world CO2 emissions is trivial. Even if we shut down Brtain completely and we all perished, it wouldn’t have the slightest effect on the climate.
So all this green nonsense is virtue signalling, and employees with grand names such as “Head of Sustainability” justifying their overpaid jobs.
It is disgraceful that an NHS that cannot treat the ill in a timely and successful way is spending any time and money on this absolute nonsense.
Oh, just great. You can get cremated on your way to hospital.
Hah! Beat me to it!
I live in the W. Midlands, opposite a bunch of old folks bungalows and not 10 miles from an Amazon warehouse. Ambulances and Amazon vans are frequent visitors to the close.
The ambulances are often around for 30 minutes or more, sometimes with engines idling, presumably to keep stuff working.
In the winter the sleek grey electric Amazon vans get replaced with any old 3rd party rusty white diesel van/ someone’s car – anything they can lay their hands on it seems to me. Is 10 miles too far when it’s cold?
Doesn’t fly does it? Still, maybe the oldies will get a free NHS cremation thrown in with expiring en-route to A&E.
green ideology comes before peoples health and safety . .
Given the amount of time people are left in ambulances outside hospitals, how long before a battery blows up and kills a patient?
As with everything NHS, take the waiting times with a sack full of salt. As the article says, 1 in 10 ambulances spend 1 hour waiting but it doesn’t say in what time period.
The move next month is part of a series of measures that whistleblowers fear put green credentials above medical priorities.
And? Net Zero will kill millions. This is just details.
The “off road” charging time is easy to overcome, they just need 3 or 4 times as many Ambulances than ICE ones.
It’s only tax payers money after all.
/sarc off
Notwithstanding there are more expensive than proper ones in the first place. And what about insurance costs?
If others pay for you to pursue your obsession why not indulge in it to the fullest extent that time - not money - will allow.
You would think that this and related subjects would be an open door if the serious media could see what is staring them in the face . No action from the Guardian would be expected as it might annoy the public sector unions. What’s to stop The Times and the D. Telegraph however?
All this from me may indeed be covered in the text alerted to us by Mark Hodson above. Will now be silent while I take it on board.
I have today written to my MP about this. I suggest you all do the same now.
I would like to write to my (Tory) MP but instead of responding to his constituents’ needs he slavishly follows the brief from the CEN - Conservative Environment Network – which is really all about putting the Con into the Green Party. (And I wrote and told him so – and that he’s lost my vote).
Its oobvious more must die or be otherwise adversely affected, unless they increase the number of vehicles available
Increasing the numbers of EV ambulances won’t make a blind bit of difference to the range problem, David. Perhaps they could arrange for towable diesel generators to be hooked up to ambulances….
The NHS is one of the largest organisations in Europe, and yet – in some ways – it’s a cottage industry, primarily due to incompetent management at all levels. A measurement of this is that the effectiveness of the service can vary substantially according to geographical area and according to the particular NHS personnel involved with providing the service.
One of the major problems the NHS has had is the constant desire by politicians for reorganisation of the service. They never seem to let any reorganisation bed in properly before they are thinking about reorganising it again.
But, but…the NHS is the envy of the world. Strange how it always needs fixing.
Given the reality of all the problems that this article and comments to it, emphasised during the next bad winter that many are predicting will be sooner than later, helicopters will become much more in demand especially in rural areas. I suspect the current air ambulances are at maximum affordable numbers. The next step would bring in the RAF’s and the associated military responders.
We know the MOD want to decarbonise the armed forces. I am sure the NHS have a plan to convert the helicopters to electricity.
I can’t think what all the fuss is about. All they have to do is place charging stations outside Casuaty and they can recharge whilst they’re waiting to discharge the patient.
You might need a considerable number of chargers at each hospital especially as several ambulances may need to run a lot of equipment for their patients whilst awaiting admission. And then there are the ones that just need to charge their batteries to move.
This whole thing is truly a stupid idea.
Sarcasm?
Last month our son had flu, the good old fashioned type, which lead to pneumonia, we when to the Doctor, to see a nurse and were rushed to A and E. Our son was on oxygen the whole time. We had to sit in two different ambulances, as the team that took us had ended their shift ( but could leave for ages as the ipads would exchange the data by wi-fi!) we sat in them for about two hours with the engines running for the oxygen and all the other monitoring equipment. Thank god it wasn’t electric.
I have to say all the nurses and staff we’re brilliant, given that they are about 3 wards short of beds etc.
Given everything that the NHS could do with, this is a fantastic waste of money that could be better spent.
Petition to repeal the Climate Change Act and Net Zero targets:
https://petition.parliament.uk/petitions/657353
Please sign, only 2,405 signatures so far…
At 100,000 signatures, this petition will be considered for debate in Parliament
2454 now
Now 2,530 signatures, inc me, at 21.00. Amazingly few for the most important this country faces. Another truth failure ?.
2634 now! Thank you!
Given everything that the NHS could do with, this is a fantastic waste of money that could be better spent.
Dismally incompetent management. For BEV emergency vehicles, it’s almost as if there were no reality checks during the decision-making process.
Probably the only way to deal with this madness is to change the law, or to enforce the current laws. NHS spending should only be for patient care, it should be a sackable offence to spend money on anything else.
70 mile range? Where I live in Suffolk I’m approximately equidistant from 3 NHS hospitals (Norwich, Ipswich and Buy-St-Edmonds). Traffic and roadworks permitting it takes just under an hour to get to any of them in my ICE car. No hope then.
If you set up a department of 40 people whose sole job is to look into and advise on greenness of everything you use and do what do you expect? Imagine all the extra work companies now have to do to report on environmental effects their products might have, not to mention the extra costs involved. The deadening effect on innovative medical devices and medicines in the UK was already large, mainly due to bureaucracy and turf protection, and this will be the final nail for some companies.
My daughter is a CEO of a small medical company in the States. She has over 20 years experience in the pioneering medical field with different start-up companies and she now is very reluctant to try and penetrate the British market. She had one product that would vastly reduce an ongoing £2bn annual cost to the NHS. Fully tested, FDA approved etc. Despite many meetings with the NHS, the device is not being used here but is well entrenched in the US hospital system. As she said ” Want a meeting with various heads of departments in the NHS? No problem, you can have a whole series of them. Want a decision? No way but we can have another meeting to discuss it if you like.” So now she would have another department to deal with, no thanks.
NHS is getting out of the amulancing business. Being green is more important to them.
Private ambulance companies should begin popping up.
Just as you can’t expect prompt treatment from NHS, you can’t expect prompt transportation, either. Practice getting invalid family members into a car, so YOU can drive them to the National Hospice System.
And make sure it’s an ICE car and not an EV!
and the effect on the planet? Zero. And the effect on local air quality? Well, some, I suppose , exporting their fumes to the power station? (But I’ve just had a marvellous NHS experience with a very sick wife)
Yes, it seems, if you can actually get in front of the medic, they are generally great. “Lions led by donkeys” come to mind.
It must be quite demoralising to be working in an organisation that comes in for so muck flak when you are doing your best.
NHS isn’t run as a business; it is run as a hobby.
Like the man said though, if they put out extension leads they can charge the ambulances while they are waiting. They spend so much time waiting this would be more than enough.
Problem is, they won’t have the sense to implement that.
They could reel out extension leads on their way out, and reel it up on their way back in.
Someone in some department or other will say it’s against regs or diversity or maybe you can’t do it in a Monday otherwise you might upset someone.
Bot programming is clearly deficient on extension lead power ratings as well as health and safety on trailing lead dangers. Never mind, I understand programming improves under real world test conditions.
Ambulance dispatcher: “Do you have a place where we can plug in our ambulance?”
Caller: “Uhh . . . no.”
Dispatcher: “Sorry, then, we can’t come out.”
How ’bout ambulances pull a trailer with a generator/charger on it?
Gamecock – given 15 min cities, Active Transport (aka walking/cycling) etc …. How ’bout horses pull the trailer with the patient on it? But only if they are fed seaweed to prevent methane emissions.
This is all beyond barking mad.
For a short time there was a good article from a doctor on the Telegraph. Vanished in the day – but here it is:
https://web.archive.org/web/20240315234447/https://www.telegraph.co.uk/news/2024/03/15/net-zero-green-ambulance-electric-vehicle-nhs-backlog/
Did something happen that I missed that turned lots of people’s brains to mush and made them mentally ill?
Some years back, the UK government stopped fearing the UK people. The government now does whatever the heck they want to. Without fear.
Net Zero.
Invasion.
Hate speech.
Petition to repeal the Climate Change Act and Net Zero targets:
https://petition.parliament.uk/petitions/657353
Please sign, only 2,633 signatures so far…
At 100,000 signatures, this petition will be considered for debate in Parliament
Just came back to review comments and re-read the original post: I was taken by the fact that in the chart showing where ‘NHS emissions’ occur the line for patient travel (which I assume includes ambulances) was just 5%. I wonder if any of those sharing in the £3M costs know what a Pareto Analysis is?