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The London Ambulance Service NHS Trust (LAS) responds to medical emergencies in Greater London, England, with its ambulances and other response vehicles,[1] and over 4,500 staff at its disposal. It is one of 12 ambulance trusts in England providing emergency medical services, and is part of the National Health Service (NHS), receiving direct government funding for its role. There is no charge to patients for use of the service, every person in England has the right to the attendance of an ambulance in an emergency. The LAS responds to over 1.5 million calls for assistance every year.[2] All 999 calls from the public are answered at the Emergency Operations Centre (EOC) in Waterloo, which then dispatches the appropriate resources. To assist, the service's command and control system is linked electronically with the equivalent system for the Metropolitan Police. This means that police updates regarding specific jobs will be updated directly on the computer-aided dispatch (CAD) log, to be viewed by the EOC and the resources allocated to the job. Contents

1 History
2 Structure
3 Staff roles
4 Fleet
5 Notable incidents
6 Service difficulties
o6.1 1992 CAD failure
o6.2 2000 Ambulance response times
o6.3 2005 Reaction to events of 7 July 2005
o6.4 2006 Computer system crash
o6.5 2009 Heatwave
o6.6 2010 Loss of ECP funding
o6.7 2010 Frontline radios
o6.8 2010 Headquarters fire
o6.9 2011 CAD failure
o6.10 2012 CommandPoint implementation re-attempt
7 See also
8 References
9 External links

[edit] History
The first permanent ambulance service in London was established by the Metropolitan Asylums Board (MAB) in 1897, and was used to transport patients to its hospitals.[3] In 1930, the work of the MAB was taken over by the London County Council, who also took charge of the fleet of 156 ambulances.[3] During World War II, the London Auxiliary Ambulance Service was operated by over 10,000 auxiliaries, mainly women, from all walks of life. They ran services from 139 Auxiliary Stations across London. A plaque at one of the last to close, Station 39 in Weymouth Mews, near Portland Place, commemorates their wartime service. [4] In 1948 that the National Health Service Act (1946) made it a requirement for ambulances to be available for anyone who needed them. The present-day London Ambulance Service was formed in 1965 by the amalgamation of nine existing services in London[3] and in 1974, after a reorganisation of the NHS, the LAS was transferred from the control of local government to the South West Thames Regional Health Authority. On 1 April 1996, the LAS left the control of the South West Thames Regional Health Authority and became an NHS trust.[3] [edit] Structure

As an NHS Trust, the LAS has a Trust Board consisting of a chief executive, a chairman, five LAS executive directors and five external non-executive directors.[5] The chief executive and Chief Ambulance Officer have responsibility for oversight of seven directorates:[citation needed] •Accident and emergency (A&E)

Communications
Finance and business
Human resources
Medical
Patient transport services (PTS)
Technology
Operations are directed from service headquarters in Waterloo Road which houses the Emergency Operations Centre (EOC) for despatching emergency service vehicles and also coordinates major incident responses[citation needed] or from a back-up control room in east London should the main control room become compromised.[6] Special events in London are co-ordinated from the Service's event control room, also located in east London, or from the Metropolitan Police control room as appropriate. During mass casualty incidents, the command structure works on three (or four) levels: gold, silver and bronze.[7] •Platinum control: government level command (COBR);[8]

Gold control: strategic command, located in a situation room close to the main Emergency Operations Centre (EOC) and...
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