With clocks turning back this coming weekend (29 October)
 and the evenings closing in, South East Coast Ambulance Service
 (SECAmb) is asking the public for its support by ensuring they take
 time to prepare for winter.
Pressure faced by the ambulance service has remained high
 throughout the year but demand is expected to increase further
 during the winter months.
In November alone last year, the Trust attended more than 61,000
 incidents. The following month, (December 2016), this increase to
 some 67,000 – an average of more than 2,100 each day and 90
 responses an hour.
In addition to arranging attendances to these incidents, staff
 in the Trust’s Emergency Operations Centres handled thousands more
 calls including those who didn’t require an emergency response.
By taking just a few precautionary steps to keep themselves,
 their family and friends safe, people can help lessen the impact
 the colder months will have on the ambulance service and the wider
 NHS.
SECAmb is urging everyone to follow the check list below.
SECAmb winter check list
• Check your home medicines cabinet – is everything in
 date? Restock with essentials including cold remedies, pain
 killers, indigestion tablets and diarrhoea and constipation
 remedies
 • Keep up-to-date with any repeat prescriptions you or your
 family or friend need.
 • If you or someone you look after is in an at-risk group –
 don’t forget to book a flu vaccination
 • Look out for any vulnerable friends and neighbours – what
 could you do to help them? Are there any hazards in their homes? Do
 their slippers need replacing? We attend falls to older and
 vulnerable people all year round
 • Wear appropriate shoes when outside especially during icy
 weather. We typically see an increase to slips and trips during
 colder spells
 • When was the last time your vehicle was serviced? If your
 car is safer, so are you
 • Carry some useful items in your vehicles such as a blanket
 and a spade for colder and possible snowy weather
 • Wear bright colours at night. Can you be clearly seen as a
 pedestrian or cyclist? If walking at dusk or at night use a
 torch
 • Heat homes to at least 18C (65F). You might prefer your main
 living room to be slightly warmer
 • Keep your bedroom window closed on winter nights – breathing
 cold air can be bad for your health as it increases the risk of
 chest infections. If outside in the cold, cover your nose and mouth
 – especially if you have a long-term health condition which might
 be exacerbated by the cold air
 • Keep active when you’re indoors. Try not to sit still for
 more than an hour or so
 • Wear several layers of light clothes. They trap warm air
 better than one bulky layer
 • 999 should only be dialled in the event of a
 life-threatening or serious emergency
 • People who are not facing a serious emergency should make
 alternative arrangements such as dialling NHS 111 or seeking
 alternative advice from a GP or pharmacist so we can focus on those
 who need us most.
SECAmb Executive Director or Operations Joe Garcia said: “We
 know that, as ever, winter is going to be busy and challenging for
 us and the wider NHS. I also know that all our staff, both in our
 Emergency Operations Centres and out on the road, as well as in a
 huge variety of support roles, will be working flat out to meet the
 additional demand we’ll face.
“There are going to be times where we take longer than we would
 like to reach some patients who are not in a serious or
 life-threatening condition. In order to limit the number of times
 this happens, we’d urge everyone to remember that 999 is for
 serious emergencies and using it for any other purpose impacts on
 our ability to respond to those who genuinely need our help.
“Everyone can help us by taking the time to prepare themselves
 for winter. By undertaking a few simple tasks such checking
 medicines cabinets, having a flu vaccination or helping a
 vulnerable relative or neighbour, people can, in turn, help their
 local ambulance service.”
For further information on how to protect yourself and others
 this winter please click on the following link: https://www.nhs.uk/staywell/#d7bxHGEs0CmHyO1R.97
When to call 999:
If you think a patient is suffering from one of the following
 you must dial 999 for an ambulance:
• heart attack (e.g. chest pain for more than 15
 minutes)
 • sudden unexplained shortness of breath
 • heavy bleeding
 • unconsciousness (even if the patient has regained
 consciousness)
 • traumatic back/spinal/neck pain
 You should also call for an ambulance if: 
 • you think the patient’s illness or injury is
 life-threatening
 • you think the illness or injury may become worse, or even
 life-threatening on the way to the hospital
 • moving the patient/s without skilled people could cause
 further injury
 • the patient needs the skills or equipment of the ambulance
 service and its personnel