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VAS v private training organisations
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#1 Posted : 06 December 2005 00:00:00(UTC)
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I learnt First Aid from St John and the Red Cross. I chose those
organisations because of their voluntary work and the feeling
that their teaching was not compromised by the need to make
profits. I never had proof of this, just a gut feeling that they had
the right motivation.

Reading some of the responses on this forum to the changes in
resuscitation guidleines has convinced me that my view of
private first aid training organisations was correct. It seems that
some forum contributors see the opportunity to sell their
organisation over the VAS by quickly implementing the Resus
Council changes is a bigger motivation than the safety aspects
of thoroughly learning and understanding the changes.

It's a shame that many potential customers will not see these
discussions. I am thorughly disheartened to see a rush for
profits before giving proper consideration to what for someone
may one day be a life or death situation.

The VAS organisations deserve support, not criticism, for rightly
taking some time to consider and implement the new guidelines.
Their approach is the right one. Shame on those who just see
the new guidelines as a way of making a quick profit.

Posted by abacusmann
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#2 Posted : 06 December 2005 00:00:00(UTC)
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We are a small independant training provider. All of us are very experienced and have good qualifications, and we have nothing against VAS's except they are our business competition. They like us are purely commercial training organisations who charge (and charge more) than us! We take our teaching and our students welfare very seriously. By implementing the new changes quickly we hope to improve the first aid we teach and yes gain any advantage over VAS's commercial companies that we can. I know many private companies and they are fantastic trainers, so please don't try to tell me that VAs's are somehow more moral or in any way better because they are not. We ourselves offer free places to unemployed people and charity groups and work with small voluntary groups for free (not many Vas's do this!)

Posted by stormer
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#3 Posted : 06 December 2005 00:00:00(UTC)
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But bare in mind how all of the VAS's activites benfit the public. Training and PTS work helps to fund the volunterr side which costs huge amounts.

Posted by mountainman
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#4 Posted : 06 December 2005 00:00:00(UTC)
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The VAS are, indeed, profit-making organisations, except their
profits are used for humanitarian purposes. There is a world of
difference between their activities and purpose, and the purpose
of a private training organisation.

I accept that there are good and bad trainers in both sectors.
That is only to be expected.

The point I was trying to make - and to kickstart a discussion -
is that the desire shown by some forum contributors to rush to
teach the new guidelines appears to arise from a questionable
motivation. Where lifesaving is involved, a financial profit motive
should not be uppermost in people's minds. Sadly it appears
that this is the criteria for some people. I find that somewhat
distasteful.

Posted by abacusmann
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#5 Posted : 06 December 2005 00:00:00(UTC)
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Indeed the VAS's do a lot of work, however the volunteers give up thier time freely, but the organisation still charges, sorry asks for voluntary contributions do they not.

Regards
Michael

Posted by ratty
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#6 Posted : 06 December 2005 00:00:00(UTC)
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Alot of places charge outright. I dont see that as wrong when you condider what is envolved and it allows other events to be carried out for a donation. There are events where you have over 40 VAS members docotrs and nurses working for two weeks the money reaches grass routes level and benfits local people.

Posted by mountainman
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#7 Posted : 06 December 2005 00:00:00(UTC)
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The question is when did you learn because for the last 10 years that I know off they have been profit making.
The reason they are not changing now is because they can not turn round as quick as the smaller companies who can

Posted by johng
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#8 Posted : 06 December 2005 00:00:00(UTC)
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I don’t think anyone is knocking the VAS. They do a good job, but they are also a commercial operation in a limited marketplace. They use their status and charity image to get work. Is this any different to an independent getting work relating to latest protocols or their ‘flexibility’?
First aid is overcrowded with training providers and there are good and bad trainers and training providers in both independent and VAS sectors. All training providers must seek to excel in both their training ability and business ability in order to survive.


Posted by Admin
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#9 Posted : 07 December 2005 00:00:00(UTC)
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The reason they are taking their time to implement the new guidelines is that the VAS organisations are HUGE, and have 100's of trainers to de-brief so that the "organisation" teaches the same way wherever they are in the country.

I run an Independant HSE Approved company, who employs myself and my partner.

We can de-brief each other within a few HOURS, therefore can implement the changes immediately.

The other reason the VAS organisations will be waiting, is that they have to be seen to follow their "bible", and it's not printed yet, so have to wait.

Simple really



Posted by derek
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#10 Posted : 07 December 2005 00:00:00(UTC)
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As this site has shown, there appear to be some ambuiguities in the protocols - one of the delays for the AVS is simply that their medical directors are meeting to go through the protocls and resolve any issues as to what should be taught and to what audience.

I'm not privy to the discussions, but there might be differences in what would be taught on a FAW course, as agsint for instance, a childminders course. Likewise members who are involved in public duties might receive different training to the FAW course, or might get the same -it might be those members who have ataken a resusitation support course that get taught the differences.

Once this is answered, then they can update the training materials, then the trainers, then the members.

If its only "internal" courses that are different, then they may well start earlier - as someone else has suggested on the site, the HSE may decide to mandate a start date at which point they would need to comply and if it came to it, do you think they would be unable to sort things out in a hurry ?

Posted by gplinge
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#11 Posted : 07 December 2005 00:00:00(UTC)
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What is perhaps not fair is their Vat exempt status this does not create a level playing field.Apart from that I enjoyed having them as competitors they are big inflexible and as a result have more or less been forced to shut down in our area.

Posted by earl
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#12 Posted : 07 December 2005 00:00:00(UTC)
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"Indeed the VAS's do a lot of work, however the volunteers give up thier time freely, but the organisation still charges, sorry asks for voluntary contributions do they not"

I am in St John, in a division with just under 30 members. Our budget for this year is £7500. That is what it is going to cost the 30 members to provide the voluntary services. We have to buy all our own first aid equipment, uniform, and vehicle. We insure our vehicle, (£700), pay for servicing, MOT, Road fund licence, buy our own first aid manuals, training materials, cleaning materials, building hire, insurance and cleaning costs etc. You get the picture. So far this year, our 30 volunteers have given over 3000 hours of public duty time, undertaken over 3000 hours of continuation training, and over 2000 hours working with our youth groups. Only the public duties bring in money, but not enough to cover costs, and we still have to fund-raise. So please excuse me if I get the hump when I see complaints that we charge, despite using volunteers.

Posted by tomdavison
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#13 Posted : 08 December 2005 00:00:00(UTC)
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Why shouldn't the private training providers have a cut of the profits. After all we are business people just like the VAS (yes I did say that). The last St. John's course I went on had 26 students who each paid £200 + VAT and also enrolled with the local college (through St. John's) which will bring them an extra £30 per head in FEFC funding. I make that £6890 they took for that course. I charge an awful lot less than this and employ 5 loyal staff who are committed to running an efficient business. It is nice to think that members of the VAS can get on their morale high horse and quote their own views on the implications of new changes, which have been agreed by powers much higher than ourselves, however I am running a business and any edge I can get to take some of that pie will be very nice thank you very much.
I think it may be time to realise that some of us are doing this for profit; this does not mean we are not committed to giving the best training using the most up to date methods, simply that we are running a business.

Posted by nsingle111
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#14 Posted : 08 December 2005 00:00:00(UTC)
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Get real abacusman!!! The newly announced protocols ARE SAFE and evidence shows real clinical benefit to outcome - why else would ILCOR, AHA, ERC, RC(UK) etc announce them? To say that commercial orgasnisations who implement 'BEST PRACTICE TRAINING'are doing it just to get ahead of the VAS and in some way this causes a 'safety' issue' is a moronic assumption. Some Primary Care Trusts are already teaching the new guidelines as a part of their mandatory training for all staff. Are you saying that by doing this they are unsafe and putting the public at risk?

Posted by Maverick
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#15 Posted : 29 December 2005 00:00:00(UTC)
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I don't think it matters who the organisation is or if they are private or not for profit. The changes are available for implementation now and any organisation that has the ability to bring in the new guidelines should do so.

Given that the changes have already been reviewed there is not a lot to consider, so the only question is how long will it take to roll them out in the various organisations.

I think that organisations that roll out the changes early should be supported and certainly I do not believe that there is a rush for profits, rather a rush towards easier methods to teach.

The VAS orgainsations operate in a commercial environment and will be subject to market pressures, and private organisations will promote any area where that are clearly ahead by implementing the changes.

The question that you need to ask is if there is a later version of a proceedure would you want to be taught that method or the new method.

Posted by parasolemt
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#16 Posted : 08 January 2006 00:00:00(UTC)
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A manual is a guide or aid for training and trainers. It is reference and used for uniformity and underpinning knowledge.

When things change you simply rule through the changes and add the amendments. You do (should) no do not hold off from teaching the new protocol because you do not have a book.

The resuscitation council have issued in writing both adult and paediatric BLS.

This is not about mony but delivering changes as soon as is possible.


Posted by Graham8600
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#17 Posted : 24 January 2006 00:00:00(UTC)
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I think its time for some people to wake up to the real world.To imply that the VAS dont make money from their work is total rubbish. They are as driven by profit as any organisation. Yes they do great voluntary work as well but they have the same outlook as any ethically run private training group. The pompus attitude displayed in your message is one of the reasons more and more people are using private training companies. There are good and bad in all, but because somebody is able to train improved techniques quicker then others suddenly means its profit based. St Johns dont have the monopoly on public spirit, and the self righteous thinking of their trainers doesnt help their cuase at all.

Posted by ffpc3339
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#18 Posted : 24 January 2006 00:00:00(UTC)
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The new changes are the new changes and should be implemented. As for VAS being somehow not Commercial organisations is simply laughable. Private and small companies are simply doing their best to compete in an increasingly difficult Commercial world - they are no better or worse than their VAS counterparts but often less rigid. By the way just wait til the new First Aid Council effectively monopolised and run by the VAS's takes over from the HSE FAAMS then we'll see just how fair and reasonable they are! Small companies be afraid, be very afraid!

Posted by stormer
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#19 Posted : 25 January 2006 00:00:00(UTC)
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I started teaching the new protocols immediately I had digested the information.

This was not to gain a competitive advantage over anyone else, it was because it has been proven to give casualty's a better chance of survival.

Therefore, why teach old stuff when new and better methods are available ?

I guarantee that if any of my students talk to members of any of the VAS organisations, then they will be told :

"Nobody should be teaching the new resuscitation procedures until the 9th edition First aid manual has been published"

Rubbish !!

The 9th edition, or any other edition of the VAS First aid manual is the "bible" for VAS, NOT me or any other independants out there.

We normally use this book as a good reference, but as this is written for use in the ideal world, and I don't live in the ideal world, I use common sense when teaching.

Therefore I will not be advising my First aiders to apply traction to a fracture of the Hip and Thigh, just because it says so in the book !!

Red Cross etc ARE in this game to make money, and lots of it !!

They refuse to run on-site First aid courses unless there's 10-12 persons attending.

Why ? Because they don't make enough money to fill the coffers.

And I thought they were supposed to demonstrate Christian and Moral values !!!

I've also lost count of the number of times they've refused to provide First aid cover at events because "it's only a small event so it's not worth our while".
And if they do bother to turn up, they leave early because there's nothing to do.

Many a time I've had desperate phone calls from event organisers who are faced with cancelling shows etc because the BRC have pulled out at the last minute.
Why ? Either lack of volunteers or a bigger event (more money) needs covering.

These local events are just as deserving of their support as the big concerns, possibly even more because local communities spend lots of time and effort organising gala days etc to serve their people.

Surely all they have to do is turn up with their First aid kits, set up a stall, and raise money while providing First aid cover.

Or is supporting their local community "not worth their while" ?



Posted by derek
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#20 Posted : 25 January 2006 00:00:00(UTC)
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Evening all

Quite frankly i have had a long day and do not wish to end it with a long winded reply to this post. However, for the record i do find the initial post slightly insulting and the term 'sweeping generalisation' comes to mind.

If you are a firm supporter of the VAS organisations that is completely fine with me. But please do not label the majority of private organisations as money grabbers intent on making money and nothing else.

Yours Sincerely
Dave



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