Emergency medical services in the United Kingdom
Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services of England, Scotland and Northern Ireland. Emergency care including ambulance and emergency department treatment is free to everyone, regardless of immigration or visitor status; the NHS commissions most emergency medical services through the 14 NHS organisations with ambulance responsibility across the UK. As with other emergency services, the public access emergency medical services through one of the valid emergency telephone numbers. In addition to ambulance services provided by NHS organisations, there are some private and volunteer emergency medical services arrangements in place in the UK, the use of private or volunteer ambulances at public events or large private sites, as part of community provision of services such as community first responders. Air ambulance services in the UK are not part of the NHS and are funded through charitable donations.
Paramedics are seconded from a local NHS ambulance service, with the exception of Great North Air Ambulance Service who employ their own paramedics. Doctors are provided by their home hospital and spend no more than 40% of their time with an air ambulance service. Public ambulance services across the UK are required by law to respond to four types of requests for care, which are: Emergency calls Doctor's urgent admission requests High dependency and urgent inter-hospital transfers Major incidentsAmbulance trusts and services may undertake non-urgent patient transport services on a commercial arrangement with their local hospital trusts or health boards, or in some cases on directly funded government contracts, although these contracts are fulfilled by private and voluntary providers; the National Health Service Act 1946 gave county and borough councils a statutory responsibility to provide an emergency ambulance service, although they could contract a voluntary ambulance service to provide this, with many contracting the British Red Cross, St John Ambulance or another local provider.
The last St John Division, to be so contracted is reputed to have been at Whittlesey in Cambridgeshire, where the two-bay ambulance garage can still be seen at the branch headquarters. The Regional Ambulance Officers’ Committee reported in 1979 that “There was considerable local variation in the quality of the service provided in relation to vehicles and equipment. Most Services were administered by Local Authorities through their Medical Officer of Health and his Ambulance Officer, a few were under the aegis of the Fire Service, whilst others relied upon agency methods for the provision of part or all of their services.” The 142 existing ambulance services were transferred by the National Health Service Reorganisation Act 1973 from local authority to central government control in 1974, consolidated into 53 services under regional or area health authorities. This led to the formation of predominantly county based ambulance services, which merged up and changed responsibilities until 2006, when there were 31 NHS ambulance trusts in England.
The June 2005 report "Taking healthcare to the Patient", authored by Peter Bradley, Chief Executive of the London Ambulance Service, for the Department of Health led to the merging of the 31 trusts into 13 organisations in England, plus one organisation each in Wales and Northern Ireland. Following further changes as part of the NHS foundation trust pathway, this has further reduced to 10 ambulance service trusts in England, plus the Isle of Wight which has its own provision. Following the passage of the Health and Social Care Act 2012, commissioning of the ambulance services in each area passed from central government control into the hands of regional clinical commissioning groups; the commissioners in each region are responsible for contracting with a suitable organisation to provide ambulance services within their geographical territory. The primary provider for each area is held by a public NHS body, of which there are 11 in England, 1 each in the other three countries. In England there are now ten NHS ambulance trusts, as well as an ambulance service on the Isle of Wight, run directly by Isle of Wight NHS Trust, with boundaries following those of the former regional government offices.
The ten trusts are: East Midlands Ambulance Service NHS Trust East of England Ambulance Service NHS Trust London Ambulance Service NHS Trust North East Ambulance Service NHS Foundation Trust North West Ambulance Service NHS Trust South Central Ambulance Service NHS Foundation Trust South East Coast Ambulance Service NHS Foundation Trust South Western Ambulance Service NHS Foundation Trust West Midlands Ambulance Service University NHS Foundation Trust Yorkshire Ambulance Service NHS TrustThe English ambulance trusts are represented by the Association of Ambulance Chief Executives, with the Scottish and Northern Irish providers all associate members. On the 14 November 2018 West Midlands Ambulance Service became the UK's first university-ambulance trust; the service was operated before reorganisation in 1974 by the St Andrews’ Ambulance Association under contract to the Secretary of State for Scotland. The Scottish Ambulance Service is a Special Health Board that provides ambulance services throughout whole of Scotland, on behalf of the Health and Social Care Directorates of the Scottish Government.
Due to the remote nature of many areas of Scotland compared to the other Home Nations, the Scottish Ambulance Service has Britain's only publi
The United Kingdom the United Kingdom of Great Britain and Northern Ireland, sometimes referred to as Britain, is a sovereign country located off the north-western coast of the European mainland. The United Kingdom includes the island of Great Britain, the north-eastern part of the island of Ireland, many smaller islands. Northern Ireland is the only part of the United Kingdom that shares a land border with another sovereign state, the Republic of Ireland. Apart from this land border, the United Kingdom is surrounded by the Atlantic Ocean, with the North Sea to the east, the English Channel to the south and the Celtic Sea to the south-west, giving it the 12th-longest coastline in the world; the Irish Sea lies between Great Ireland. With an area of 242,500 square kilometres, the United Kingdom is the 78th-largest sovereign state in the world, it is the 22nd-most populous country, with an estimated 66.0 million inhabitants in 2017. The UK is constitutional monarchy; the current monarch is Queen Elizabeth II, who has reigned since 1952, making her the longest-serving current head of state.
The United Kingdom's capital and largest city is London, a global city and financial centre with an urban area population of 10.3 million. Other major urban areas in the UK include Greater Manchester, the West Midlands and West Yorkshire conurbations, Greater Glasgow and the Liverpool Built-up Area; the United Kingdom consists of four constituent countries: England, Scotland and Northern Ireland. Their capitals are London, Edinburgh and Belfast, respectively. Apart from England, the countries have their own devolved governments, each with varying powers, but such power is delegated by the Parliament of the United Kingdom, which may enact laws unilaterally altering or abolishing devolution; the nearby Isle of Man, Bailiwick of Guernsey and Bailiwick of Jersey are not part of the UK, being Crown dependencies with the British Government responsible for defence and international representation. The medieval conquest and subsequent annexation of Wales by the Kingdom of England, followed by the union between England and Scotland in 1707 to form the Kingdom of Great Britain, the union in 1801 of Great Britain with the Kingdom of Ireland created the United Kingdom of Great Britain and Ireland.
Five-sixths of Ireland seceded from the UK in 1922, leaving the present formulation of the United Kingdom of Great Britain and Northern Ireland. There are fourteen British Overseas Territories, the remnants of the British Empire which, at its height in the 1920s, encompassed a quarter of the world's land mass and was the largest empire in history. British influence can be observed in the language and political systems of many of its former colonies; the United Kingdom is a developed country and has the world's fifth-largest economy by nominal GDP and ninth-largest economy by purchasing power parity. It has a high-income economy and has a high Human Development Index rating, ranking 14th in the world, it was the world's first industrialised country and the world's foremost power during the 19th and early 20th centuries. The UK remains a great power, with considerable economic, military and political influence internationally, it is sixth in military expenditure in the world. It has been a permanent member of the United Nations Security Council since its first session in 1946.
It has been a leading member state of the European Union and its predecessor, the European Economic Community, since 1973. The United Kingdom is a member of the Commonwealth of Nations, the Council of Europe, the G7, the G20, NATO, the Organisation for Economic Co-operation and Development and the World Trade Organization; the 1707 Acts of Union declared that the kingdoms of England and Scotland were "United into One Kingdom by the Name of Great Britain". The term "United Kingdom" has been used as a description for the former kingdom of Great Britain, although its official name from 1707 to 1800 was "Great Britain"; the Acts of Union 1800 united the kingdom of Great Britain and the kingdom of Ireland in 1801, forming the United Kingdom of Great Britain and Ireland. Following the partition of Ireland and the independence of the Irish Free State in 1922, which left Northern Ireland as the only part of the island of Ireland within the United Kingdom, the name was changed to the "United Kingdom of Great Britain and Northern Ireland".
Although the United Kingdom is a sovereign country, Scotland and Northern Ireland are widely referred to as countries. The UK Prime Minister's website has used the phrase "countries within a country" to describe the United Kingdom; some statistical summaries, such as those for the twelve NUTS 1 regions of the United Kingdom refer to Scotland and Northern Ireland as "regions". Northern Ireland is referred to as a "province". With regard to Northern Ireland, the descriptive name used "can be controversial, with the choice revealing one's political preferences"; the term "Great Britain" conventionally refers to the island of Great Britain, or politically to England and Wales in combination. However, it is sometimes used as a loose synonym for the United Kingdom as a whole; the term "Britain" is used both as a synonym for Great Britain, as a synonym for the United Kingdom. Usage is mixed, with the BBC preferring to use Britain as shorthand only for Great Britain and the UK Government, while accepting that both terms refer to the United K
Barton-le-Clay is a village and a civil parish located in Bedfordshire, England. The village is mentioned in the Domesday Book. To the southwest of the town, across the A6 is Sharpenhoe Clappers, an Iron Age hill fort. Barton-Le-Clay Domesday Book entry, taken from 210d 2. In FLITT Hundred M; the Abbot holds Barton. It answers for 11 hides. Land for 12 ploughs. In lordship 3 hides. 20 villagers have 9 ploughs. 7 smallholders and 6 slaves. 1 mill, 2s, meadow for 6 ploughs. In total, value £10; this manor always lay in St Benedict's Church. With this manor the Abbot claims against Nigel of Aubigny and Walter the Fleming 12 acres of meadow which lay there before 1066, but John of Les Roches dispossessed him wrongfully, this the Hundred testifies. Barton-le-Clay is in Central Bedfordshire between Luton, 34 miles north of London. Nearby villages include Sharpenhoe, Silsoe and Pulloxhill; the A6 which runs from Luton continues through Bedford to Carlisle. The village bypass was constructed in January 1990. In the southeast of the parish are the Barton Hills, which form the northeast extremity of the Chiltern Hills and are designated an Area of Outstanding Natural Beauty.
Much of this area of chalk downland is now a nature reserve, managed by Natural England. Baptist – Hope Chapel Church of England – St. Nicholas Church Methodist – Barton-le-Clay Roman Catholic – St. Matthew There are two major schools in Barton, Ramsey Manor Lower School and Arnold Middle School, together serving pupils aged from 5 to 13; the lower school only takes pupils from within the village while the middle school has a much wider catchment area including Westoning and Greenfield. Upper school children have the choice to go to Harlington Upper School. A small private nursery and prep school for children aged 0 to 9, Orchard School & Nursery, is based on the outskirts of Barton; the village has a pre-school. The closest railway station to Barton is 4 miles away in Harlington; the is no public transport connection to the station. Bus services through Barton are those connecting the towns of Luton in the south to Bedford in the north. A cross-country routes joins the village to other local villages including Shillington and Shefford.
There is a weekly bus service to connect with Hitchin in the east. Barton-le-Clay has a football club; the club competes in the Southern League Division One Central. Organisations offer football. A Rotary Club meets at The Bull Hotel. Barton Players, the main local amateur dramatics group, hold plays and summer workshops for children in the village hall. However, it is open to new members. There is a youth drama group in the village called Up-Stage, including two branches for young people aged 13 and over, called CentreStage and Stage Right. Barton host Scouting and Guide organisations for all ages. A local history group meets in the library on the last Saturday of each month at 10:30 am; the village was the place where the mighty Lea Sports Reserves was initiated. Barton Library GP Surgery Dental Surgery Richard Miller-White There are two World War memorials, one near the main road and the other in the Parish Church – both have identical names. A list of all the people on the memorials has been compiled on the Roll of Honour website.
Published by the NOF Digitise Architecture England Consortium. St Nicholas Church plans from 1879 Two weekly newspapers are delivered free to many houses in Barton, with news about Barton and the surrounding area. Herald and Post – delivered every Thursday Luton and Dunstable Express – delivered every Sunday Barton-Le-Clay Airfield Parish council Pictures of England – Barton-le-Clay Barton-Le-Clay Community Barton in the Domesday Book
In England, a civil parish is a type of administrative parish used for local government, they are a territorial designation, the lowest tier of local government below districts and counties, or their combined form, the unitary authority. Civil parishes can trace their origin to the ancient system of ecclesiastical parishes which played a role in both civil and ecclesiastical administration; the unit rolled out across England in the 1860s. A civil parish can range in size from a large town with a population of about 75,000 to a single village with fewer than a hundred inhabitants. Eight parishes have city status. A civil parish may be known as and confirmed as a town, neighbourhood or community by resolution of its parish council, a right reserved not conferred on other units of English local government. 35% of the English population live in a civil parish. As of 31 December 2015 there were 10,449 parishes in England; the most populous is Weston super Mare and those with cathedral city status are Chichester, Hereford, Ripon, Salisbury and Wells.
On 1 April 2014, Queen's Park became the first civil parish in Greater London. Before 2008 their creation was not permitted within a London borough. Wales was divided into civil parishes until 1974, when they were replaced by communities, which are similar to English parishes in the way they operate. Civil parishes in Scotland were abolished for local government purposes by the Local Government Act 1929, the Scottish equivalent of English civil parishes are community council areas, which were established by the Local Government Act 1973; the Parish system in Europe was established between the 8th and 12th centuries and in England was old by the time of the Conquest. These areas were based on the territory of one or more manors, areas which in some cases derived their bounds from Roman or Iron Age estates. Parish boundaries were conservative, changing little, after 1180'froze' so that boundaries could no longer be changed at all, despite changes to manorial landholdings - though there were some examples of sub-division.
The consistency of these boundaries, up until the 19th century is useful to historians, is of cultural significance in terms of shaping local identities, a factor reinforced by the adoption of parish boundaries unchanged, by successor local government units. There was huge variation in size between parishes, for instance Writtle in Essex was 13,568 acres while neighbouring Shellow Bowells was just 469 acres, Chignall Smealy 476 acres; until the break with Rome, parishes managed ecclesiastical matters, while the manor was the principal unit of local administration and justice. The church replaced the manor court as the rural administrative centre, levied a local tax on produce known as a tithe. In the medieval period, responsibilities such as relief of the poor passed from the Lord of the Manor to the parish's rector, who in practice would delegate tasks among his vestry or the monasteries. After the dissolution of the monasteries, the power to levy a rate to fund relief of the poor was conferred on the parish authorities by the Act for the Relief of the Poor 1601.
Both before and after this optional social change, local charities are well-documented. The parish authorities were consisted of all the ratepayers of the parish; as the number of ratepayers of some parishes grew, it became difficult to convene meetings as an open vestry. In some built up, areas the select vestry took over responsibility from the entire body of ratepayers; this innovation allowed governance by a self-perpetuating elite. The administration of the parish system relied on the monopoly of the established English Church, which for a few years after Henry VIII alternated between the Roman Catholic Church and the Church of England, before settling on the latter on the accession of Elizabeth I in 1558. By the 18th century, religious membership was becoming more fractured in some places, due for instance to the progress of Methodism; the legitimacy of the parish vestry came into question and the perceived inefficiency and corruption inherent in the system became a source for concern in some places.
For this reason, during the early 19th century the parish progressively lost its powers to ad hoc boards and other organisations, for example the loss of responsibility for poor relief through the Poor Law Amendment Act 1834. Sanitary districts covered England in Ireland three years later; the replacement boards were each entitled to levy their own rate in the parish. The church rate ceased to be levied in many parishes and became voluntary from 1868; the ancient parishes diverged into two distinct, nearly overlapping, systems of parishes during the 19th century. The Poor Law Amendment Act 1866 declared all areas that levied a separate rate: C of E ecclesiastical parishes, extra-parochial areas and their analogue, chapelries, to be "civil parishes". To have collected rates this means these beforehand had their own vestries, boards or equivalent bodies; the Church of England parishes, which cover more than 99% of England, became termed "ecclesiastical parishes" and the boundaries of these soon diverged from those of the Ancient Parishes in order to reflect modern circumstances.
After 1921 each ecclesiastical parish has been the responsibility of the parochial church councils. In the late 19th century, most of the ancient irregularities inheri
Fire services in the United Kingdom
The fire services in the United Kingdom operate under separate legislative and administrative arrangements in England and Wales, Northern Ireland, Scotland. Emergency cover is provided by over fifty agencies; these are known as a fire and rescue service, the term used in modern legislation and by government departments. The older terms of fire brigade and fire service survive in informal usage and in the names of a few organisations. England and Wales have local fire services which are each overseen by a fire authority, made up of representatives of local governments. Fire authorities have the power to raise a Council Tax levy for funding, with the remainder coming from the government. Scotland and Northern Ireland have centralised fire services, so their authorities are committees of the devolved parliaments; the total budget for fire services in 2014-15 was £2.9 billion. Central government maintains national standards and a body of independent advisers through the Chief Fire and Rescue Adviser, created in 2007, while Her Majesty's Inspectorate of Constabulary and Fire & Rescue Services provides direct oversight.
The devolved government in Scotland has HMFSI Scotland. Firefighters in the United Kingdom are allowed to join unions, the main one being the Fire Brigades Union, while chief fire officers are members of the National Fire Chiefs Council, which has some role in national co-ordination; the fire services have undergone significant changes since the beginning of the 21st century, a process, propelled by a devolution of central government powers, new legislation and a change to operational procedures in the light of terrorism attacks and threats. See separate article History of fire safety legislation in the United Kingdom Comprehensive list of recent UK fire and rescue service legislation: Fire services are established and granted their powers under new legislation which has replaced a number of Acts of Parliament dating back more than 60 years, but is still undergoing change. 1938: Fire Brigades Act 1938. This Act provided for centralised co-ordination of fire brigades in Great Britain and made it mandatory for local authorities to arrange an effective fire service.
1947: Fire Services Act 1947 This Act transferred the functions of the National Fire Service to local authorities. Now repealed in England and Wales by Schedule 2 of the Fire and Rescue Services Act 2004. 1959: Fire Services Act 1959 This Act amended the 1947 Act. It was repealed in Wales along with the 1947 Act. 1999: Greater London Authority Act 1999 This act was necessary to allow for the formation of the Greater London Authority and in turn the London Fire and Emergency Planning Authority. In 2002, there was a series of national fire strikes, with much of the discontent caused by the aforementioned report into the fire service conducted by Prof Sir George Bain. In December 2002, the Independent Review of the Fire Service was published with the industrial action still ongoing. Bain's report led to a change in the laws relating to firefighting. 2002: Independent Review of the Fire Service published 2004: Fire and Rescue Services Act 2004 only applying to England and Wales. 2006: The Regulatory Reform Order 2005 This piece of secondary legislation or statutory instrument replaces several other acts that dealt with fire precautions and fire safety in premises, including the now defunct process of issuing fire certificates.
It came into force on 1 October 2006. The DfCLG has published a set of guides for non-domestic premises: 2006: The Government of Wales Act 2006 gave the National Assembly for Wales powers to pass laws on "Fire and rescue services. Promotion of fire safety otherwise than by prohibition or regulation." But does not prevent future legislation being passed by the UK government which applies to two or more constituent countries. There are further plans to modernise the fire service according to the Local Government Association, its website outlines future changes, specific projects: "The aim of the Fire Modernisation Programme is to adopt modern work practices within the Fire & Rescue Service to become more efficient and effective, while strengthening the contingency and resilience of the Service to react to incidents. " The fire service in England and Wales is scrutinised by a House of Commons select committee. In June 2006, the fire and rescue service select committee, under the auspices of the Communities and Local Government Committee, published its latest report.
Committee report The committee's brief is described on its website: The Communities and Local Government Committee is appointed by the House of Commons to examine the expenditure and policy of the Department for Communities and Local Government and its associated bodies. Government response This document, the subsequent government response in September 2006, are important as they outlined progress on the FiReControl, efforts to address diversity and the planned closure of HMFSI in 2007 among many issues. Both documents are interesting as they refer back to Professor Bain's report and the many recommendations it made and continue to put forward the notion that there is an ongoing need to modernise FRSs. For example, where FRSs were inspected by HMFSI, much of this work is now carried out by the National Audit Office. Fire Control On 8 February 2010 the House of Commons Communities and Local Governm
Aley Green is a hamlet located in Bedfordshire, England. Aley Green is located within the civil parish of Caddington; however the cemetery and the southern end of Mancroft Road are in the parish of Slip End, though they are considered to be part of Aley Green. Throughout its history, Aley Green has been a border settlement between Bedfordshire and Hertfordshire; the settlement straddled the border of the two counties, until boundary changes in 1965 which brought Aley Green into Bedfordshire. Aley Green pages at the Bedfordshire and Luton Archives and Records Service
Icknield Way Path
The Icknield Way Path or Icknield Way Trail is a long distance footpath in East Anglia, England. The ancient Icknield Way itself is unique among long-distance trails because it can claim to be ‘the oldest road in Britain’, it consists of ancient when the Romans came. It survives today in green lanes along the ` chalk spine' of southern England; the Icknield Way Path runs for 110 miles from the end of the Ridgeway at Ivinghoe Beacon in Buckinghamshire, to the start of the Peddars Way at Knettishall Heath in Suffolk. The Icknield Way Association has aimed to find the most pleasant route for walking, as close as possible to the general line of the ancient Icknield Way; the Path connects with: Angles Way, Bunyan Trail, Chiltern Way, Harcamlow Way, Hertfordshire Chain Walk, Hertfordshire Way, Peddars Way, Stour Valley Path and Swan's Way. The path was supported by the Ramblers Association, it was part of a plan to achieve National Trail status for the whole length of the ancient trackways linking the South Coast and The Wash.
The path was recognised by local authorities in 1992. The association was founded by Charles Thurstan Shaw and long-distance walker, in 1984, the same year he produced the first walker’s guide to the route. In 2004 the Icknield Way was further developed into a multi-use route so that most of the route is available for horse riders and off-road cyclists providing a complete walking and riding link between the two National Trails. Crossing six counties, the Icknield Way Trail is a 170-mile route linking the Peddars Way National Trail in Suffolk with the Ridgeway National Trail in Buckinghamshire, which in turn links with the Wessex Ridgeway. Wherever possible the Icknield Way Trail follows the walkers' route, the Icknield Way Path, but diverges at several locations to ensure the Icknield Way Trail follows bridleways and where necessary roads. Walkers therefore can access more direct and/or scenic routes. Commencing at Ivinghoe Beacon with places en route: Dagnall, Whipsnade Tree Cathedral, Dunstable Downs, Houghton Regis, Chalgrave, Toddington, M1 motorway, Upper Sundon, Warden Hills and Warden Hills, Ickleford, Baldock, Sandon, Royston, Elmdon, Great Chesterford, Balsham, Burrough Green, Cheveley, Dalham, Tuddenham, Icklingham and finishing at Knettishall Heath Country Park.
Icknield Way Path Walking Pages