David R HoggProfessional Profile
01 May 2017

Arran Resilience: a model for integrated rural prehospital care?


Arran is an island community with finite – but committed – emergency medical resources.  Prior to October 2010 no mechanism existed for regular dialogue between emergency teams such as the ambulance, mountain rescue, coastguard and fire services.  We sought to change this with the aim of better networking and interagency training.


We aimed to improve communication between team leaders, and sought to build a partnership based on four key principles: 1) Local ownership; 2) Can-do attitude; 3) Working within existing competences/frameworks; and 4) Cost neutrality.


We have now held twenty five liaison meetings.  In the initial stages we  ran eight island-wide workshops on casualty care, and until recently, organised three multi-agency exercises at very low cost.  Regular dialogue between teams has been facilities via a group email, and this has resulted in better understanding of each team’s skills and capabilities.  Our ‘Team Profiles Document’  summarises equipment, skills and personnel for each of our emergency teams, and is updated on an annual basis.  This is particularly helpful for new staff e.g. police officers to understand capabilities of the emergency teams.   We are now focussing on simulation training and refining the multi-agency response to cardiac arrest on Arran. There has been  interest in the Arran Resilience model of immediate care from other island and rural communities.

In 2013 we were named the UK Resilience Team of the Year by the Emergency Planning Society


The Arran Resilience model offers a cost-neutral, easily implemented model of immediate care delivery to rural areas.  It seeks to recognise the skillbase of emergency teams, and improve co-ordination of emergency responses at high demand or in the event of a major incident or complexity.

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