Thank you, Madam Mayor and committee members. I am the inspector at Richmond Ambulance Station, and here with me today is Superintendent Ross Chivers, who's the zone manager of Nepean Blue Mountain. Thank you for inviting us along today. I think there may be not a good understanding of how we operate, so hopefully we can give you an overview of some of the things that happen with New South Wales Ambulance in the Hawkesbury. Hopefully I can answer your questions. So New South Wales Ambulance is an integral part of New South Wales Health. We deliver mobile health services and provide high-quality clinical pre-hospital care. We operate differently to emergency services such as police and fire and rescue, who will typically respond and manage incidents in their own area.
We work a little bit differently than that. So, for example, a Richmond crew may attend to a motor vehicle collision, which requires transport to a major trauma centre. That is not Nepean. Under the Ministry of Health matrix, Nepean is a regional trauma centre, so that may mean that that Richmond crew will transport to Westmead Hospital. When they clear the hospital, they may be the closest and most appropriate resource to a triple zero call in Dundas, which may result in them then transporting to Ryde Hospital. So whilst this is happening, the Sydney Control Centre are having a look at all of the triple zero calls and the acuity of those incidents. They will put crews onto triple zero incidents, and they will attempt to cover geographical areas with other ambulances.
So this could mean crews are being sent back to their home station or to another station for area cover. New South Wales Ambulance is an evolving organisation, and it's no longer you call, we haul, which was the old way of doing things. Triple zero calls are triaged and may be referred to an alternate pathway, such as the New South Wales Ambulance Virtual Clinical Care Centre, to determine if an ambulance response is actually required or people simply just need some health advice. For on-road paramedics, they also have referral pathways where transport to hospital may not be required. So the objective behind this is to get the best patient care, but also to assist with delays in our emergency departments.
Now, obviously, there's going to be complicating factors such as access to own private transport, the availability of alternate resources such as GPs and medical centres, and own willingness. So there's still a misconception out there that if you attend the ED in the back of an ambulance, you are going to get seen sooner. That is definitely not the case. Paramedics work tirelessly across the state during the pandemic, and that's how a lot of these changes actually came around. So obviously, in the Hawkesbury, we've had a fair share of our natural disasters over the past few years. During the Gospers Mountain bushfire, New South Wales Ambulance supported the Rural Fire Service with liaison officers at the fire control centre, Special Operations paramedics on the fireground to provide immediate medical support, plus ambulances on standby at various RFS stations to support firefighting activities around the clock in those high-risk areas.
During flooding of the Hawkesbury River, which we've seen a lot of, New South Wales Ambulance activates the Richmond Station BCP and sets up a temporary paramedic response point, or PRP, on the western side of the river. We move a pre-prepared medical cache, equipment, medication, vehicles and personnel to the PRP so that we can maintain service delivery. Previously, we had an agreement with St John of God Richmond, but due to their major renovations, we needed to find an alternate site that was appropriate. We're extremely grateful to Currajong Baptist Church, who we now have an agreement with, and we activated that in the last flood and it was extremely successful. The activation of this temporary PRP by New South Wales Ambulance is the same as when Fire and Rescue New South Wales or New South Wales Police Hawkesbury Station move their personnel and activate their equivalent BCPs and move to the other side of the river.
The New South Wales Ambulance Strategic Workforce and Infrastructure Team, or SWIFT, was established to oversee the implementation of the $1.76 billion investment from the New South Wales Government's 2022-23 budget to boost and transform frontline services with extra paramedics, new stations and hundreds of ambulances on the road. When this committee first invited us to speak, and it was quite a while ago, our roster at Richmond Station was two-day shift, one afternoon shift, one night shift and a volunteer on-call option. The station was a skills mix, which essentially meant that intensive care paramedics would not be reserved for high acuity incidents and the crews would respond to jobs on a job about rotation.
From the 4th of May 2024, Richmond Station received a SWIFT enhancement. So we onboarded a 12 extra paramedic permanent staff. We received two brand new vehicles and we have ongoing upgrades at Richmond Station. Our SWIFT enhancement roster is now two general duty crews on day shift, one on afternoon shift, one on night shift, and then we have a maintained intensive care paramedic crew on day shift and night shift. And we will see that the intensive care crew will normally be kept for that higher acuity work rather than a job about rotation. The voluntary on-call has now been removed from Richmond Station. The SWIFT team advised that modelling was undertaken by operational research in health for staffing and infrastructure requirements.
These were modelled based on current and future demand projections and identified where additional stations would provide the greatest improvement in response performance. The purchase of land in South Windsor means that we are one step closer to getting a second ambulance station in the Hawkesbury. The first I heard about the new station was when I read the article in the Hawkesbury Post. Our sector management, including Superintendent Shivers, were also not aware until this article was published. So, like many of you, I was surprised by the announcement and the location of the site. But this was made by a decision made by people with much more delegation than what I have. And as a member of the Hawkesbury community, as an inspector, I have expressed some concerns about the chosen site and the lack of consultation.
I even raised it again this morning and as yet, I am still here to get any feedback. In preparation for speaking with you today, I was provided with some data, which can be freely found on the Bureau of Health Information website, and I investigated the data further. The data is indicative of the differences in the number of incidents in the two statistical areas of the Hawkesbury suburbs. So, on the BHI, the Richmond Windsor SA incorporates the suburbs of Yarramundi, North Richmond, Richmond, Londonderry, South Windsor, Bligh Park, Berkshire Park and Windsor. From January 2022 until the most recent data collection of December 23, the Richmond Windsor SA had an average of 504 incidents per month, with roughly 39 incidents per 1,000 people.
The Hawkesbury Statistical Area covers a large geographical area. So from Kurrajong right up to Mount Wilson, Freemans Reach right through to Colo Heights, almost up to Putty, Ebenezer through to Higher Macdonald and up to Bucketty. The Hawkesbury SA had an average of 139 incidents per month and roughly five incidents per 1,000 people. I've recently been made aware that the Honourable Ryan Park, Health Minister, has communicated that New South Wales Ambulance Service planning has identified Bilpin as a location appropriate for an ambulance community emergency response team, or CERT. This requires extensive consultation and will be considered in future planning for volunteer services. Under a CERT model, members of communities can apply to be a New South Wales Ambulance clinical volunteer.
New South Wales Ambulance provides volunteers with a non-transport capable response vehicle and clinical equipment. Members are required to attend monthly training and will be responded to an incident to initiate clinical care until paramedics arrived. The CERT units are only established in locations New South Wales Ambulance has identified a need for a response capability. The paramedics of Richmond Station will continue to serve the Hawkesbury community despite the lingering fears from the pandemic, the stress of natural disasters, and the organisational and political decisions which impact in the way in which they work every day. We will continue to be involved in community events and share our experience and knowledge with others.
Us being involved in community events encourages the undertaking of the public to undertake first aid courses, learn CPR and download the GoodSAM app to assist with better outcomes in our community. I hope that I have addressed some of your concerns, and I'm definitely open to some questions. However, some of them I may not be able to answer because I simply do not have that information. But thank you, Madam Mayor.