Brian Gardiner

Experience

• 

  Hudsons Coffee

  Dec 2010 - Feb 2016

  - Hospitality skills - food and beverage service - Customer Service - Staff Management - Financial Management and Reporting

  • Shift Manager

    Nov 2011 - Feb 2016

  • Barista

    Dec 2010 - Feb 2016
• 

  London Ambulance Service NHS Trust

  Sept 2018 - now

  The Deputy General Manager - CAS is a key senior leadership role within the Integrated Urgent and Emergency Care Directorate leading the Clinical Assessment Services in both 111 and 999 ensuring that patients receive a high quality safe service. The role is integral to the management of the LAS CAS clinical workforce responsible for service delivery, quality improvement and the design of innovative service delivery models as part of the growth and expansion of the IUEC directorate within LAS and the wider London system. The role includes a rotating rota with some shifts providing interoperability support to both 111 and 999 within the Tactical Operations Centre reporting directly to the on duty Tactical Commander to support clinical service delivery in real time. The role also serves as a secondary line manager managing the CAS first line managers - the Clinical Team Navigators (CTN) who are responsible for an on shift telephone clinical assessment workforce of between 20-100 clinicians at a time. Show less Responsible for providing HCPC Registered Paramedic level care, assessment, diagnosis, treatment and movement of patients in and out of hospital in emergency and non-emergency situations across a wide range of patient groups and in a wide range of difficult settings.This role requires acute problem solving and time management skills to be applied to a fast-paced, often emotional, environment whilst maintaining professionalism and empowering the community to be involved in their healthcare to the best of their ability. Show less The primary function of the role is as a Clinical Manager of Clinical Advisors (Paramedics and Nurses) within the London Ambulance Service's Clinical Hub in the Emergency Operations Centre (EOC). The Clinical Hub provides remote clinical telephone assessments to patients to ensure patients receive the right care at the right time whether that is an emergency ambulance or clinical referral to alternative care. Clinical Advisors ring suitable patients based on service and NHS England policies alongside those dynamically reviewed by the Clinical Team Navigator whom undertakes continuous reviews of the calls holding pan-London to understand and reduce the level of clinical risk at times of demand and escalate as appropriate through other management and on-call structures. Other duties include but are not limited to providing clinical support to frontline ambulance clinicians and non-clinical control room staff, taking clinical handovers from external agencies, quality assurance and performance monitoring. Show less LAS Emergency Operations Centre Clinical Advisors remotely monitor emergency calls received by The Trust to ensure the most clinically appropriate care outcomes are delivered to the patient; “the right care, to the right patient at the right time in the right place”. Clinical Advisors are required to make dynamic telephone triage assessment decisions that are supported through the effective use of evidence based clinical telephone decision support tools (Manchester Triage Tool). Clinical Advisors are also required to routinely engage in reflective practice through monthly peer reviews of calls alongside formal quality assurance feedback from managers. Show less

  • Deputy General Manager - Clinical Assessment Services

    Jan 2022 - now

  • Paramedic

    Mar 2016 - now

  • Clinical Team Navigator

    Jul 2019 - Jan 2022

  • Clinical Advisor

    Sept 2018 - Jun 2019