Whats happening with NSW EMS / Paramedics refuse to fly

[grenade]

Just heard a whisper that its all going out to private tender. No Surf Rescue or Careflights, just one big not so sleepy giant.

[200psi]

Like it did last time. Here we go again :rolleyes:

[pjohnson]

It's about time they got rid of the "weekend warrior" mentality that permeates EMS in NSW.

It's been tried before but the usual trick is for the Surf Life Saving Association to threaten the withdrawal of SLSA lifesavers from NSW beaches if the status quo is not retained. And, don't forget the Surfies have the Miners Federation behind them (all the flight crew of the Newcastle Base are members).

It will certainly take a very brave labour politician to pull this one off. Dreamtime me thinks.

[belly tank]

Too much politics involved i think!!

i would be very surprised if things change, the newcastle base provides a great service and has a very strong following, they are held in high public esteem and as PJohnson said it would take a brave politician to disrupt the apple cart!

BT

[eagle 86]

Maybe pjohnson should take his head out of his arse! Or couldn't you crack it for a job with one of these organisations! The "weekend warriors" left the scene years ago.
The NSW Health department is on too good a wicket - they pay stuff all for twin IFR 24/7 availability.
GAGS
E86

[Sarbe]

Rumors sometimes have an element of truth it appears !!!!!
Check out below

22 JULY 2004
DRAFT REPORT
REVIEW ROTARY WING SERVICES NSW
Following the commissioning of a review in March 2004 of rotary wing
(helicopter) services in NSW, the Ambulance Service today received the draft
report from Operational Research in Health (ORH) an international specialist
consulting firm undertaking the review.
Representatives from the Ambulance Service, NSW Health and all contracted
helicopter operators will meet next week to review the draft report in terms of
service delivery implications. Feedback and suggestions will be assessed prior
to finalising the report.
Chief Executive Officer, Mr Greg Rochford said a comprehensive analysis has
been undertaken and thanked all helicopter operators; associated unions;
Medical Advisory and Retrieval Committees and Teams; the NSW Health
Community Participation Council; and Critical Care Council; as well as staff
representatives from NSW Health, Area Health Services and the Ambulance
Service for their contribution to the review process to date.
I look forward to the continuing consultation partnership in determining the ideal
configuration for the aeromedical network to meet the future needs of the NSW
community, Mr Rochford said.


WATCH THIS SPACE:ok:

[yoobeedo]

Have Careflight Sydney recently aquired an A109 Power? (Aus Aviation, New Allocations) Is this an indication of a new performance standard for NSW?

[belly tank]

I was actually talking to a chap who had alot to do with that A109 Careflight deal.....in short i beleive its being funded by a special grant from the govt...i will know more details in the next day or two as this chap will be visiting me so ill find out the dirt!!!

[skidbita]

Careflights 109 is destined for a new contract sponsored by the NRMA.
The contract is called HIRT (Head Injury Response....)
Only in the sydney basin for a study on the "golden hour"
could last for 3 months or 3 years depending on when they reach their target figure for the study, not much job security for the extra guys they put on to cover it.
It is only responding to certain types of head injury as allocated in the contract so bad luck for any other unfortunate that does not fit in to the guidelines!!!
NRMA is doing the study to try and minimise insurance payouts in these type of accidents

:E

[yoobeedo]

Is it just me, or is this a bit over the top. Who pays for this and how can it possibly be good value for money?

Good luck, have fun.:rolleyes:

[eagle 86]

Suggest you look into the lifetime cost of looking after, say, an 18 year old head injured motor vehicle accident victim who doesn't get prompt, quality medical care but survives and then goes on to live until say his/her sixties requiring daily intensive care.
By the way I believe the review indicated status quo.
GAGS
E86

[yoobeedo]

Who is 'Aviation Professional Services' (consultants maybe), and what do they have to do with this review?

[Autorotate]

The Power is having its official launch approx middle of October, its still being fitted out at Careflights Orange facility at the moment.

The trial is for a 3 year period, not between 3 months and 3 years as Skidbita states.

Autorotate.

[skidbita]

Nev,

The contract may well be less than 3 years, It is not a fixed time interval just estimated to be 3 years, The actual time will rely upon when the quota for the amount of patients required is met.
At around 250 patients or so this may be 3 years or may be substantially less..... who knows in the EMS game.
:hmm:

[200psi]

Just heard a Westpac operation in NSW has stopped or is in the process of ceasing operations. Any ideas?

[belly tank]

I can probably guarantee its definately not Newcastle

[I'sabell]

I've heard it's Sydney/Woolongong, anybody know any more.

[skidbita]

This may shed some light on the subject of the Westpac story.

http://www.illawarramercury.com.au/articles/2004/09/03/1093939103741.html?from=storyrhs

[helo1]

Lifesaver 1 and 3 are still operational
They are only doing hospital jobs and land near accident site type jobs.
All has to do with a aircrewman dynamic rolling the carrabenier on the safety line inside the Helicopter and nearly fell out.
Ive heard quite abit about different people but wont post it as its only hear say.

[yoobeedo]

Heard something about a flight paramedic industrial issue at Lifesaver. Anyone got the goss.

[Autorotate]

Rescue chopper crisis deepens

TODAY marks three weeks since Wollongong's Westpac rescue helicopter has sat idle at its base, banned from performing any rescue missions.

Yesterday the helicopter wrangle worsened, when a Sydney helicopter which had been covering the region was grounded for routine mechanical inspections.

Two smaller helicopters - one without a winch, and unable to fly in bad weather - were flown into Sydney to cover the region temporarily.

Frustrated business and community leaders yesterday called for an end to the political bunfight which has engulfed the Westpac Rescue Helicopter Service and exposed people to unnecessary risk.

The Illawarra Business Chamber's chief executive officer Tim Lewis yesterday sent a letter to NSW Health Minister Morris Iemma and politicians demanding the problem be sorted out immediately.

"What the hell is going on? How did we get to this state? Someone needs to be answering some questions regarding how well catered for the people of NSW are at the moment," he said.

"A community that contributes more than $1million per year in support of this vital service are left bewildered and increasingly angry."

The dispute came to a head on August 27 when paramedics seconded to the Sydney-based Westpac Life Saver 1 helicopter refused to fly on rescue missions.

The paramedics, employed by the NSW Ambulance Service, expressed concerns about equipment used to hold the air crewman in the helicopter during a rescue. As a result, the Sydney and Wollongong helicopters were grounded from rescue missions.

Yet the Civil Aviation Safety Authority (CASA) said there were no safety problems with the helicopters.

"There is no reason from an aviation safety perspective why these helicopters can't be up in the air performing rescue missions," CASA spokesman Peter Gibson said.

Westpac Rescue Helicopter Southern Region boss Peter Mangles has been stood down from active duty but no reason has been given.

Sources close to the helicopter dispute have said the paramedics resent the management style of the helicopter service.

The NRMA CareFlight helicopter, based in Sydney, had been covering rescue missions, however yesterday CareFlight director Ian Badham said that helicopter needed routine maintenance.

CareFlight's second helicopter had been brought to Sydney from Orange as a backup. It is a single-engine aircraft which does not have a winch, and cannot fly in bad weather.

A single-engine Westpac helicopter was also flown in from Newcastle.

South Coast Labour Council secretary Arthur Rorris said millions of people across the state were being placed in a dangerous situation.

"If this isn't enough for the minister to finally step in and ground the head of the NSW Ambulance Medical Retrieval Unit until such time as an investigation takes place, I don't know what is," he said.

Westpac Rescue Helicopter Service acting chair Rod Oxley said the situation was frustrating because CASA had cleared the helicopter for flying, yet ambulance service members were still reluctant to fly.

"At the end of the day it is the ambulance service through the Medical Retrieval Unit that has to task the helicopters throughout the state, and they have got some concerns about some safety equipment," he said.

[WLM]

This is getting out of hand. What is next? Only Paramedics pilots will be allowed to fly the aircraft?:rolleyes:

[RDRickster]

Ya, and when it finally gets squared away there is going to be lots of love in the cabin of that aircraft. This is not exactly a team building experience between pilot(s) and crew... what were they thinking?

[B Sousa]

From what little is posted it sounds simple.
1. Either address the issue to those who are concernds satisfaction, "expressed concerns about equipment used to hold the air crewman in the helicopter during a rescue"
or
2. Hire New Crew

[SASless]

Hey Bert....

Reckon that is an Air Log operation out there? Sounds like the same management style.

In order to fix a problem....you first have to admit a problem exists....then you must identify the problem...and then find a solution.

Complicated....I know!

[Sarbe]

Scrap the lot I say. It's time for NSW to have a single professional service that covers the people of the state with professionalisim, same aircraft type, standards, dosen,t employ a marketing crew of thousands for each & every"community" service. A single head office, single managment structre.
Para's will be comfortable as each aircraft they get in would be exactly the same layout, patter, standards etc. We have been conned for long enough that we are getting value for money from the existing arrangments.
It's time to end the "safety" concerns, i.e. the infighting between the various services for their slice of the pie and scrap the lot & start fresh.
Don't get me wrong, some of the existing services do a great job, but their not all at the same standard. which is why you get para's scratching their heads at some of the practices on some aircraft. The para's may not be hugely aircraft savvy, but if their relying on the crew upstairs to keep em safe while their on the wire, you can understand concerns.

[Squeaks]

From what I hear (3rd hand), the issue seems weird. A crewie (NOT a medic) had an unsecured karabiner roll out of the harness, with the doors closed whilst in flight. On board Paramedic has had a dummy spit, and all ambo personnel are now refusing to fly any missions with the doors open.

Much more to this than meets the eye, but tragic that such a non event is being used to create an agenda issue, bringing the service into an unwanted media highlight :(

[catseye]

Ned,

wondering where the story was published or is it a Badman generation...

the eye

[TheStormyPetrel]

Ned's article seems to have come from the Illawarra Mercury (http://www.illawarramercury.com.au/articles/2004/09/17/1095320930114.html) There are also articles on the ABC Regional Online site Govt ignoring helicopter rescue issue: Opposition
The New South Wales Government has been urged to step in and solve the impasse over helicopter retrieval services in the Sydney basin and the Illawarra.

Opposition spokesman for the Illawarra, Peta Seaton, says the lifesaver rescue helicopters in Sydney and Wollongong, which have been out of action for rescue missions for three weeks, is a disaster waiting to happen.

Ms Seaton says the problems stem from an apparent dispute between various arms of the State Government over retrieval methods.

"It's an absolute tragedy to have two helicopters sitting idle when we need them in our region, when we need them in the Sydney basin," she said.

"Why is it that the Minister for Health is not making this a number one priority to fix this problem?
here (http://www.abc.net.au/news/newsitems/200409/s1201397.htm)

and No resolution to rescue chopper grounding
Thursday, 16 September 2004

Talks held in Wollongong have not succeeded in breaking the deadlock over the grounding of the Lifesaver Three Rescue Helicopter Service.

However, the helicopter service's acting chairman, Rod Oxley, says significant progress has been made and will consider an offer by the Civil Aviation Safety Authority (CASA) to facilitate further talks.

CASA spokesman Peter Gibson says the service is meeting all the relevant aviation safety requirements, but a breakdown in internal communication remains.

"One of the problems appears to be a breakdown in communication and understanding between the rescue helicopter service and the paramedics so CASA has offered to sit down with the paramedics, take them through what all the safety requirements are, reassure them that safety standards won't be being cut," he said. here (http://www.abc.net.au/illawarra/news/200409/s1200332.htm)

[John Eacott]

If the problem was with a carabiner, then maybe this recall by Metolius, here, (http://www.metoliusclimbing.com/Carabiner%20Safety-Posted%20version.pdf) could be relevant?

[yoobeedo]

Have the consultants finshed the review, what were the findings? Someone must know the goss.

[criticalpoint]

Re: professionalism.

If the paramedics aren't professional or capable enough to adapt to different a/c types, perhaps they should remain on the road driving their (presumably) standardised ambulances?

It seems Sarbe has let the cat out of the bag. The current scenario with one EMS operator may be a twofold operation - the ultimate agenda being the removal of all the current contract holders and installing the "one big not so sleepy giant" which seems to be favoured by some people (re: grenade).

Just a pity that the operator chosen as the sacraficial lamb has to suffer the indignity of having their reputation sullied in the somewhat dubious process at hand.

[yoobeedo]

Southcare tender in friday's Australian. Whats the go there? Is this the first of many NSW request for tender's to be advertised?

What changes are in the new spec.

[grenade]

How are those Sydney paramedics going. Have they found a shop that sells screw gate beeners yet?:ok:

[Too Cloudy]

What sound does a sleeping giant make when it awakens????

[sling load]

The sound a sleeping giant makes is the sound of a Red Hummingbird

[w_ocker]

been a bit quiet on this front. Any news? Anyone...anyone??
Back to the top.:confused:

[RustyBitz]

Heard though the vine that paramedics have issues with some of the personel. They are going through the discussion process of trying to resolve some of their issues.

[winchop]

Just heard that Careflight and Westpac Sydney/Woollongong have all been grounded after a CASA audit found they were using uncertified and expired SAR gear.

Big call by CASA if it's true! Anyone in Sydney know whats going on?

yoobeedo..

SouthCare\'s (or Southpark:p ) contract was due at this time anyway, so it\'s not related to the review in NSW.

Cheers..

[grenade]

Are westpacs back flying yet. If people are being denied a rescue helicopter because of grounded ambos, it would want to be a very serious industrial issue, not just a personality driven power trip.

ACT is a very small territory. Its safe to assume Southcare does the majority of its flying in NSW. Just heard that prior to this tender, the hummingbirds were asked to extend to fit in with the ACT/NSW agreement.

[seagull hunter]

I heard today that CareFlight has just taken delivery of one of the best IFR A109’s around. The fit out was carried out at a secrete location in NSW. Does any body know what CareFlight are going to do with this aircraft?
Are they getting ready for the new ambulance contract? Are CareFlight going to take over all EMS in the Sydney region?? What is going on with Surf?

I herd CHC is out of it due cost! Is that true?

[200psi]

Seagull Hunter mmmmmm should be Shark Hunter good luck getting a bite :E

[trackdirect]

To answer a few questions,
The 109 was fitted out ar their orange base (not so secret) just convenient as this is where most of their major maintenance is carried out.
It is to be used on a new contract sponsored by NRMA for an insurance viability study called HIRT (Head Injury Response), designed to get care to car crash victims with head injuries within the scope of the study to see if early intervention in this type of injury is benificial to the patient, therefore reducing insurance costs paid out in 3rd party claims (greenslips).
Generally It is a study for an eventual cost saving to insurance company payouts, that is if the study proves successful.
It will be carried out over 3 years or until the quota is met, could be shorter if they are busy!!

I think the current EMS operators are pretty safe as CHC cant afford to operate at the pricing levels the ambulance service are paying them. A pittance for the services they provide, just another example of the government riding off the backs of 'not for profit organisations'
It is about time they paid properly for the services they are provided with:*

[Heliport]

Illawarra Mercury report Chopper CEO's contract withdrawn
October 19, 2004

THE board of the region's rescue helicopter service has voted to remove beleaguered boss Peter Mangles from the top job.
Mr Mangles was informed yesterday afternoon that his two-year contract as the chief executive officer of the Southern Region Westpac Life Saver Rescue Helicopter Service would not be renewed when it expires on December 5.

It is the latest in a series of controversies that has dogged the service in recent months. Mr Mangles was stood down from active duty in early September, however no reason was given for his suspension. Sources close to the helicopter service said he was suspended because of his independent management style and personality clashes within the organisation.

Yesterday board member Greg Nance held a meeting with Mr Mangles in Cronulla and informed him of the board's decision not to renew his contract. Mr Nance, who is also the CEO of Surf Life Saving Australia, said the board's five members held a teleconference last week and voted unanimously not to reinstate Mr Mangles. He could not detail the reasons for the decision.
"I can say that the board has determined not to renew Peter's contract," he said. "I'm not prepared to go into the reasons for that until the chairman (John Donohue) is back in Australia."
Mr Mangles last night said he could not comment on his position. The Mercury believes he is considering taking legal action, and will meet his lawyers today.

The service has been in crisis since August 27, when the Wollongong and Sydney helicopters were suspended from open-door rescue missions.
Sydney paramedics who fly on the Sydney chopper had refused to fly on rescue missions because they had safety concerns about a harness used to winch people to safety.
The Civil Aviation Safety Authority later formally approved the harnesses.
However Sydney paramedics said they were uncomfortable to wear.

Mr Mangles was suspended amid the controversy.

Last month a working party was formed by the Illawarra's business, civic and community leaders to discuss the possibility of forming a breakaway Illawarra organisation to run the Wollongong helicopter service separate from Sydney.

Mr Nance said no decision had been made about Mr Mangles' replacement. Acting CEO Perry Wells will remain in the position until mid-December, when a replacement is expected to be announced.

[w_ocker]

Once again guys, back to the top. Anyone hear anything?
Sorry to all those who clicked on this one again. Just hoping for some new goss...

Anyone?...Anyone???

w_ocker

[eagle 86]

Boys,
As you should have gathered by now this is a VERY sensitive issue, what with the renewal of contracts coming up and all. I doubt very much that you will get anything from anyone who really knows anything.
GAGS
E86

[RustyBitz]

I see Westpac have advertised 3 positions in the Aussie last week. Surely you would have to think twice before applying with all the problems they are experiencing. Are they going to be there after Xmas?

Why would you give them the contract, Westpac have paramedics who get upset and spit the dummy when they can't get their own way. These guys are a poisonous breed who know very little about aviation but try to go beyond the rules that PICs and organisational management must follow to cover their behinds. Until these paramedics are put in their seat, (ie the back seat) and let the guys who know about aviation do their job then things won't change.

[helmet fire]

RustyBitz: I note that you have created a username just for this thread - and used it just to snipe at the paramedics at Westpac.

Fishing hard?
OR: personal issues with paramedics/medical crews/backseaters?
OR: some contractual/political related interest in this?

[RustyBitz]

Maybe both to your "fishing hard" enquiry. No personal experience but through some close sources a lot of pretty ordinary things have happened over the past couple of months. Not really the stuff you want to be happening when these crews need to gel as one unit to perform some of the terrific tasks/missions they are called upon to do in the worst possible conditions.

[Phoenix Rising]

Heard an interesting rumour this morning and wanted to know if anyone knows if there is any truth to it.

Seems the rumour mill is running amuck with the topic of Lifesaver failing their safety audit and NSW Health deciding what to do about it.

Anyone got any info on this.

:E

[grenade]

Perhaps they are cleaning out the nest so the red hummingbirds can move in. :D

[one-are]

I have been watching this topic with much intersts. Thursday's Illawarra Mercury has an interesting article on what may ahead for the surf fratenity in Wollongong. Is this the start of the end for SLSA in Wollongong. It appears that the community doesn't want them in their area, surely it will be difficult to be accepted after all these problems and why would you donate to an unstable organisation.

Phoenix Rising...

If you can't read the article let me know and I will attach the article in a new post.

[helmet fire]

And yet another "sniper" registered on pprune for a 1 off go at something.

grenade, rusty bitz and one-are. Why not contribute instead of run off with personal vendettas? Or are you the same person? What is your interest here?

My interest is the truth, so lets clear up two issues you all seem to misinterpret so blindly:
1. The paramedics NEVER refused to fly. (Gee that makes a few of you look sillly - and the Illawarra Mockery)
2. Lifesaver did NOT fail their safety audit.

:8

[one-are]

Hemet Fire...
Just confirm with me you are not the moderator of Rotorheads because you seem to be the E- police on people of this site. No I am not Rustybits or Grenade but you do have to have your first post sometime, I am sure you started at number one post sometime ago?

We out here read what is presented through the print media and yes I grant they never let a good story get in the way of the truth, however, are we not to believe para's didn't obstruct the introduction of a new harness system into the aircraft. Are we also not to believe local businessmen are withdrawing their financial support because of the turmoil. Are we not to believe that local workers striked and marched to the base to show their displeasure in the service they have been receiving from their 'supposive' local chopper. The archives in the Mercury indicates a lot more but from all your reports this is all myth.

Maybe I should stop reading the newspaper and watch for your personal posts on this topic! We out here just want to know the truth on a organisation that seems to be having a lot of internal problems. I wait with baited breath.

[helmet fire]

I can confirm that I am not the moderator (you seem to know the system well) nor the e police. Just seems to be a lot of first timers attracted to this thread, but please accept my appology one-are, and welcome to pprune. I look forward to your contribution.

The newspaper "truths" are based on the falsity that the paramedics refused to fly in SYDNEY. Then the issue about a harness that was (contrary to inferences in the paper) NOT approved by CASA - seems to me to be a reasonable position not to fly in it doesnt it?

Only the paper can draw a connection between that and some misconception about whose helicopter it is. The businessmen, local workers, and you (by your comments of "supposive local chopper") , all believe there is an issue too - and as you point out, the paper certainly would leave that impression - so believe me, I am not having a go at you (or them).

Can you draw the connection between the falsity of "Paramedics refuse to fly", and "supposive" local chopper for me please? Is there something about this issue I, or my source are not getting?

[Katfish]

I have been reading all the comments on this issue for several months. All are very interesting, and most prove why this is called the Rumour Network.
However, as an ex member of the organisation, I would like to present a few facts......just in the interests of truth you understand.
1. After a series of disastrous and fraudulent CEO's, Peter (Alby) Mangles was appointed CEO. There were a few of us who saw this as our last hope. The organisation had for many years been run behind the scenes by "the boys club", a mix of part timers and Surf. A part timer even ran the Crweman roster. These part timers I might add, had full time jobs in Fire, Ambulance & Police. But they had the power at the time. Any desire to put the organisation on a more permanent and professional level was World War 3.
2. Peter Mangles mangement style was brilliant. He had just come from CEO of the Prince of Wales hospital, and had turned that around during his tenure. Such was his belief and passion about the organisation, he was also a volunteer crewman in Wollongong during his time as CEO of the P of W.
3.Peter tried to put the organisation on a more professional and equitaqble footing. When he joined, it was broke. we couldn't even afford to buy a full uniform set for new employees. At the time of his standown, he had brought in over a million dollars. And this is the guy the boys club wanted to get rid of!! They were too short sighted to realise he was the last hope.
4. Wollongong communnity has always been very supportive and proactive about their helicopter. They are understandable upset at what has happened. In contrast to their city cousins, the "gong paramedics are a great bunch of professionals, very keen to do anyhting to support the helicopter. And again unlike their city cousins, they leave the runing of it to those who are responsible for it.
5. The issue with the safety equipment was a total red herring. The club used it as a means to get rid of Peter Mangles and his supporters.
6. The pilots grouped together to get rid of a chief pilot with whom they disagreed. Instead of open, frank and honest discussion, they went behind his back and caused him to resign. The culture of the place was like a vipers nest. Huddled conversations between small groups, conversations that would stop when one entered the room. It was a terrible place to work.

It is all very sad, but as a few of us have said over the years, the best thing would be to sack the lot and start agian with a new fresh group. Many have tried to bring a modicum of sense to the organisation, but failed. I sincerely hope thatwhoever takes it on, has better luck. The community deserves better, but that was never a priority with most of the members.

[grenade]

Stirring yes, personal vendetta NO.

We perhaps should take the Illawarra Mercury with a grain of salt, even Media Watch has given up trying to get sense there.

REMINDER

This is not a Westpac thread, its supposed to be about NSW EMS and the new contracts. We are still waiting to hear from anyone who has seen the 'Operational Research & Health' or 'Avipro' submissions to NSW Health. These documents could reshape the future of many aviators in NSW. Lets find them and post them.

[one-are]

Well it is nice to hear the truth Katfish from someone who has been there. Interesting comment " but as a few of us have said over the years, the best thing would be to sack the lot and start agian with a new fresh group".
Looks like you are on the money Katfish with that one as I hear the ball has started to roll and it is beginning to pick up speed in the local area. No doubt surf will try to fight it out but I can't see them having much local support if the old CEO is at the helm of the new consortium. What do you think helmet fire (no I am not being a smart ar5e) just looking for your thoughts as you seem to be closer to it than the rest of us. Do you think Westpac will remain in the 'gong, a long struggle could be costly? And as it is rightly pointed out as a NSW EMS outfit, would Careflight or even the Hummingbird be anymore welcome than Westpac?

[helmet fire]

one-are,
I think you posed the $64,000 question. I have no idea what the intent is at Lifesaver, and my mates aren't saying (or wont). But having worked in Wollongong as a casual some years back, I will say that the organisation went through hell to establish a helicopter there, and the people working there were passionate and proud of both the organisation and of being in Wollongong. The work ethic was outstanding and they busted a gut to bring a credible response asset to the people of Wollongong.

I should say "re establish" because Illawarra Resuce have been there, the NSCA, and even the Red Hummingbird briefly (post NSCA) I believe. The real question though is to what extent the asset fits into the NSW Ambulance and NSW Health review because it doesnt matter how credible the asset is if it is not manned, supported, and tasked by NSW Ambulance. As grenade calls for: any rumours from the review?