South Thames Retrieval Service Explained

South Thames Retrieval Service
Org/Group:Guys and St Thomas' NHS Foundation Trust
Address:Level 2 - ForestEvelina London Children’s Hospital, Westminster Bridge Road, London, SE1 7EH
Location:London,
State:England
Country:UK
Healthcare:NHS England
Opened:1998
Website:https://www.evelinalondon.nhs.uk/our-services/hospital/south-thames-retrieval-service/overview.aspx
Map Type:United Kingdom London Lambeth
Coordinates:51.4982°N -0.1184°W

South Thames Retrieval Service (commonly referred to by the acronym STRS) is a paediatric intensive care transport service operating out of the Evelina London Children's Hospital in London, as part of the National Health Service.[1] [2] It provides both telephone advice and retrieval for seriously unwell children within Kent, Surrey, Sussex,[3] and London based hospitals south of the river Thames.[4] Occasionally it will operate in other areas, when the usual service for that area is out of capacity.

Service operation

Should a seriously unwell child, that may require intensive care level support, present to a district general hospital within the service's operational geographic area, then the local hospital team will phone the STRS number and will discuss the presentation. The team may immediately activate or may provide advice on a "wait and see" basis.[5]

A retrieval team is made up of a minimum of three staff members, though they have capacity to have four staff members on the team. A normal team will have a dedicated ambulance technician, a paediatric nurse, and then either a retrieval nurse practitioner or doctor. The service is overseen by a consultant who provides remote advice.[6] When the team activates, they will simultaneously organise a bed for the child and plan the transport. Transport is primarily provided by one of three dedicated vehicles operated from the Evelina site, provided by a third party company (British Emergency Ambulance Response - BEARs). Previously the vehicles have been owned and operated by St John Ambulance. If the travel time is excessive then a helicopter provided by the Children's Air Ambulance may be used.[7] STRS also provides the retrieval element of the paediatric intensive care provision to Gibraltar, as their only civilian hospital (St Bernard's Hospital) has no paediatric intensive care unit.[8] They use fixed wing aircraft, contracted from third party organisations, and an STRS ambulance is used for the final transfer from the airfield.

Notes and References

  1. Web site: South Thames Retrieval Service Evelina London . 2024-02-14 . www.evelinalondon.nhs.uk.
  2. Web site: 2023-06-30 . Children’s intensive care ambulance service celebrates 25 years of saving lives . 2024-02-18 . The Independent . en.
  3. Lynch . F. J. . Bickell . F. . 2008-11-01 . South Thames Retrieval Service: Transporting the Critically Ill Child—Lessons Learnt from 10 Years on the Road . Archives of Disease in Childhood . en . 93 . Suppl 2 . pw637–pw637 . 0003-9888.
  4. Web site: South Thames Retrieval Service (STRS) team Evelina London . 2024-02-14 . www.evelinalondon.nhs.uk.
  5. Web site: South Thames Retrieval Service (STRS) referrals Evelina London . 2024-02-14 . www.evelinalondon.nhs.uk.
  6. Web site: Joanna Davies . Karen Starkie . Role of retrieval nurse practitioners in safely transferring critically ill adults and children during COVID-19 . 2024-02-18 . journals.rcni.com . en.
  7. Web site: Children's Air Ambulance . 2024-02-14 . The Air Ambulance Service . en-GB.
  8. Web site: 2019-07-16 . “Landmark” Children’s Health Centre Opens . 2024-02-14 . Your Gibraltar TV . en-gb.