Advertisement
Opinion

For those in the ambulance service, strike days are no different from business as usual

As 10,000 ambulance workers take part in a national strike, one paramedic writes to health secretary Steve Barclay laying bare the scale of the NHS crisis and pleading with the government to fix it

Dear Steve Barclay, I’m a paramedic at an NHS ambulance service in England. Today is strike day, and I’m begging you to put aside your party’s dispute with trade unions and fix our NHS. The strikes aren’t going to break it, it’s already broken. 

A few days ago, I went to a man in his 30s with a treatable illness who had been waiting 12 hours for an ambulance. His heart had stopped beating by the time I arrived. 

I truly believe that if he had been seen in 18 minutes – the target for category 2 emergency calls like his – he would have lived. He should have been taken to hospital, spent a few days in a bed cared for by world-leading nurses, and discharged in time for Christmas.

I’ve never seen anything like the crisis we’re facing now. It’s unsafe and the level of suffering is more than I saw even during the pandemic. I very rarely cry at work. To work in the ambulance service you have to develop an outer shell that keeps your mind on the job, whether that’s a rape scene, murder or violence against children. But that day I sat in my cab crying my eyes out thinking of that dead man’s poor family. Because this was completely avoidable. 

Your support changes lives. Find out how you can help us help more people by signing up for a subscription

In one trust there were 420 patients waiting for an ambulance in a single evening earlier this month and more than 150 ambulances were waiting outside a hospital to hand over a patient. The South Western Ambulance Service has already issued a warning to the public that ambulances may only be able to respond to calls when “there is the most immediate risk to life”. The East of England Ambulance Service has already declared a critical incident. This is before the strikes have taken place.

Advertisement
Advertisement

This is our new business as usual. This story is not a one-off antidote but an hourly occurrence up and down the country. These people should not be dying and their families should not be going through this. You, as health secretary, have warned that ambulances may not get to all emergency calls during the strike. They’re not getting to all of them anyway. 

During that worst shift of my life, we might as well have had all our staff on strike. And the crazy thing is, if all our staff are on a picket line, they are legally required to leave to respond to the most serious category of emergencies. In that scenario they might be able to get to patients quicker than during my shift when there were hundreds of ambulance crew members stuck in queues outside hospitals. 

I pay my union subs, but I’m no trade unionist. If that man had died during a strike day because my colleagues were standing on a picket line rather than going to save his life, I couldn’t support that. But he died on a “normal day”. This is our new normal.

Personally, I’m not too concerned about my pay as I don’t have any dependents. But to do this job, what I need more than anything is more colleagues. 

And if the only way we can persuade my colleagues to stop quitting, or to persuade new recruits to do this job that exposes you to traumatic events daily, is terrible for your mental health, and takes up your nights and weekends, is to raise their pay, then we’re going to have to give them the pay they want.

Get the latest news and insight into how the Big Issue magazine is made by signing up for the Inside Big Issue newsletter

Advertisement

Become a Big Issue member

3.8 million people in the UK live in extreme poverty. Turn your anger into action - become a Big Issue member and give us the power to take poverty to zero.

Recommended for you

Read All
The budget was a start from Labour – but we need much more to transform disabled people's lives
rachel reeves preparing for autumn budget
Chloe Schendel-Wilson

The budget was a start from Labour – but we need much more to transform disabled people's lives

Big Shaq comedian Michael Dapaah: 'Young people are the future – I want to help them to thrive'
Michael Dapaah

Big Shaq comedian Michael Dapaah: 'Young people are the future – I want to help them to thrive'

Labour's autumn budget was another failure to make real change for disabled people
rachel reeves
Mikey Erhardt

Labour's autumn budget was another failure to make real change for disabled people

'No two prisoners are the same': 6 ways we can break the UK prison system's cycle of failure
prison leavers
Sid Madge

'No two prisoners are the same': 6 ways we can break the UK prison system's cycle of failure

Most Popular

Read All
Renters pay their landlords' buy-to-let mortgages, so they should get a share of the profits
Renters: A mortgage lender's window advertising buy-to-let products
1.

Renters pay their landlords' buy-to-let mortgages, so they should get a share of the profits

Exclusive: Disabled people are 'set up to fail' by the DWP in target-driven disability benefits system, whistleblowers reveal
Pound coins on a piece of paper with disability living allowancve
2.

Exclusive: Disabled people are 'set up to fail' by the DWP in target-driven disability benefits system, whistleblowers reveal

Cost of living payment 2024: Where to get help now the scheme is over
next dwp cost of living payment 2023
3.

Cost of living payment 2024: Where to get help now the scheme is over

Citroën Ami: the tiny electric vehicle driving change with The Big Issue
4.

Citroën Ami: the tiny electric vehicle driving change with The Big Issue