Misplaced Pages

#128871

79-460: The East of England Ambulance Service NHS Trust ( EEAST ) is an NHS trust responsible for providing National Health Service (NHS) ambulance services in the counties of Bedfordshire , Cambridgeshire , Essex , Hertfordshire , Norfolk and Suffolk , in the East of England region. These consist of approximately 6.2   million people across an area of 7,500 square miles (19,000 km). It

158-423: A fit and proper person test . All trust boards are required to have an audit committee consisting only of non-executive directors, on which the chair may not sit. This committee is entrusted not only with the supervision of financial audit , but of systems of corporate governance within the trust. Hospital board members have a duty to act on signals of poor performance on quality and safety data, and yet many of

237-715: A Freightliner factory in Gaffney, South Carolina , where they were reassembled. The cargo versions, classified as light trucks , are subject to the 25% chicken tax if imported as a complete unit, which is avoided by the disassembly and importation as a semi knock-down kit, with subsequent reassembly in the U.S. Passenger vans were not subject to the same tax classifications and were imported as an assembled unit through Mercedes-Benz in Jacksonville, Florida. 2002–2003 Sprinters sold in North America were only available with

316-644: A Mercedes-Benz, because it felt the utilitarian Sprinter would interfere with the luxury image that the Mercedes-Benz brand had in North America, and instead used the Freightliner and Dodge nameplates, as both of those brands had more experience selling trucks and commercial vehicles. Cargo versions of the Sprinter were manufactured in Düsseldorf, Germany, partially disassembled, and then shipped to

395-503: A cargo capacity of 10.5 m (370 cu ft). Winter endurance testing under arctic conditions reduced range to 100 km (62 mi). The production vehicles have an estimated range of 115 or 168 km (71 or 104 mi) for the 41 or 55 kW-hr batteries, giving an energy consumption of 32.5 or 37.1 kWh/100 km (64.4 or 56.5 mpg‑e; 0.523 or 0.597 kW⋅h/mi), respectively, under Directive 692/2008/EC test requirements. The gross vehicle weight rating

474-492: A local newspaper that a body had been left lying next to dustbins at its station in Ely, Cambridgeshire the previous month. Chief executive Anthony Marsh said the trust was "very sorry for what happened" and had started a "thorough investigation". An EEAST spokesman confirmed the investigation involved "the transportation of a deceased patient", but said he could not comment further as inquiries were ongoing. The newspaper which published

553-490: A national basis, deal with NHS-wide issues. An example is NHS Blood and Transplant . Mercedes-Benz Sprinter The Mercedes-Benz Sprinter is a light commercial vehicle ( van ) built by Mercedes-Benz Group AG of Stuttgart , Germany as a large van , chassis cab , minibus , and pickup truck . In the past, the Sprinter had been sold under the Mercedes-Benz , Dodge , and Freightliner nameplates. In

632-453: A number of emergency charities, such as air ambulances , who provide doctors for serious incidents. The trust controls the mobilisation of critical care charities throughout its area. These include Magpas ( HEMS ), Essex & Herts Air Ambulance (HEMS), East Anglian Air Ambulance (HEMS), BASICS Essex Accident Rescue Service (BEARS), Suffolk Accident Rescue Service (SARS), Norfolk Accident Rescue Service (NARS), BASICS Hertfordshire, and

711-424: A prototype of a new generation home-delivery van, which is currently being used in select stores, aiming to cut emissions, costs and increase time efficiency. Sprinters have been used globally as television production vehicles, most commonly as ENG (Electronic News Gathering) and SNG (Satellite News Gathering) vehicles. These are a popular choice for local affiliates for their maneuverability in metropolitan areas and

790-399: A range of capacities from outpatients to renal patients, as well as discharges from wards and emergency departments . 2015 saw a new fleet of Citroen Relay , Fiat Ducato and Peugeot Boxer vans brought into the trust along with some of its older Renault vehicles which remain in use for bariatric transport. The new vehicles have the ability to carry a number of patients at a time or have

869-413: A storm of protest. The trust decided controversially sometimes to ask one ambulance to deal with two patients. A senior trust paramedic stated, “It's desperate. I’ve never heard anything like this. A paramedic might have a clinically stable patient on board but if that patient then becomes unstable and you're sitting on scene with perhaps two unstable patients, what do you do? Do you separate one of them from

SECTION 10

#1732786598129

948-659: A whistleblower, led to the deaths of at least 19 patients and serious harm to 21 more during January 2018. A patient taken to the Norfolk and Norwich University Hospital , had to wait in the back of the ambulance that took him there for 4.5   hours before being seen by a doctor inside the building. A summit was held with NHS England and NHS Improvement in January 2018. It was announced that it would “take steps to improve staff availability at peak times, including action to improve staff health through flu vaccination and reviewing

1027-583: Is chaired by a non-executive director. There were about 2,200 non-executives across 470 organisations in the NHS in England in 2015. Non-executive directors are recruited by open advertisement. All trusts ( foundation trusts and those which have yet to reach foundation trust status) are regulated by NHS England and the Care Quality Commission . Board members are, from November 2014, subject to

1106-529: Is 3,500 kg (7,700 lb); given the maximum payload is 891 or 1,040 kg (1,964 or 2,293 lb) for the 55 or 41 kW-hr battery, respectively, the kerb weight is 2,360–2,609 kg (5,203–5,752 lb), and a single battery module is estimated to weigh 250 kg (550 lb). One year after eSprinter production started, Mercedes-Benz announced its successor in December 2020. The second-generation eSprinter 2.0 will be released in late 2023. It

1185-449: Is a challenge" with so many stations, covering six counties and an area of 7,500   square-miles. In 2015/16, the trust received 1,037,119 emergency calls and handled 500,620 non-emergency patient transport journeys. The trust arrived at 73.6% of emergency Red 1 calls within eight minutes, and 69.4% of emergency Red 2 calls within eight minutes. EEAST employs more than 4,000 staff and has around 1,500 volunteers. As of July 2016,

1264-478: Is based on the Mercedes-Benz "Electric Versatility Platform" (EVP), a bespoke chassis designed for large vans; EVP shifts the traction motor to the rear axle and enables Mercedes-Benz to offer variants, including pickup truck, chassis cab, and cutaway versions. Three different battery capacities will be available, as Mercedes is aiming to double the range of the Europe-only first generation eSprinter. Production

1343-768: Is built by the Gorky Automobile Plant at Nizhny Novgorod for service in Russian/Eastern European markets only. With 2.7L I5 OM 612/OM 647 156 hp CDI engine: The second-generation Sprinter was introduced in Europe in 2006. It was voted Van of the Year for 2007 and again in 2008 by Professional Van and Light Truck Magazine. Also known as the NCV3 or New Concept Van 3, the second generation Sprinter appeared in Europe and in other countries as

1422-480: Is one of ten ambulance services trusts providing England with emergency medical services , and is part of the NHS , receiving direct government funding for its role. As well as providing an emergency ambulance service, the trust also provides non emergency patient transport services, commercial services and special operations such as emergency planning, and hazardous materials incident response. The service also support

1501-488: Is performing badly): NHS trust NHS trusts were established under the National Health Service and Community Care Act 1990 and were set up in five waves. Each one was established by a statutory instrument . NHS trusts are not trusts in the legal sense but are in effect public sector corporations . Each trust is headed by a board consisting of executive and non-executive directors , and

1580-615: Is responsible for the allocation and dispatch of resilience assets and staff, such as the HART team and NILOs and the handling of any critical or major incident. Staff roles in the department: The trust took over patient transport services in Hertfordshire and Bedfordshire in February 2018, after the private provider, Private Ambulance Service went into administration. A two-year contract was awarded on an emergency basis. In 2013/14,

1659-588: Is scheduled to start in the second half of 2023 at the three Sprinter factories: Ladson; Düsseldorf; and Ludwigsfelde. In October 2022, a preproduction extra-long, high-roof eSprinter 2.0 was driven for 295 mi (475 km) on a single charge, taking a roundtrip journey from the Mercedes-Benz Museum to the Munich Airport and back. The computed energy consumption was 21.9 kWh/100 km (96 mpg‑e; 0.352 kW⋅h/mi) and

SECTION 20

#1732786598129

1738-609: Is still limited in both sales and service. Special orders typically take one to three months for delivery, and may take even longer due to the assembly and disassembly in Germany, and exporting parts to South Carolina for re-assembly. The exception is passenger van models which are assembled in Germany and exported as complete vehicles. This is because of the United States Chicken Tax . As an unintended consequence , several importers of light trucks have circumvented

1817-484: The Clinical Commissioning Group performance had "deteriorated overall in comparison to prior year at both regional and local level". In August 2014, the trust was fined £1.2   million over these failures. It was also fined £300,000 over turnaround times at hospitals. The fines were accrued between April and July 2014. EEAST, which handles more than 900,000 emergency 999 calls a year, said it

1896-560: The 128" wheelbase nor the rear super single tires were available in the U.S. market. The U.S. cargo version was reassembled from kits in an assembly plant located in Ladson, South Carolina, while the passenger models were imported directly from Germany. The second-generation 906 was produced in Argentina only for export markets—except Mercosur markets (Brazil, Uruguay and Paraguay)—from 2007 until 2010, but in 2011, announced new production of

1975-553: The 1992 merger of Bedfordshire and Hertfordshire Ambulance Services. In 2009, the trust was censured by the Care Quality Commission (CQC) after inspection of an ambulance depot and seven of its 100 ambulance stations found patient-carrying vehicles were "dirty" and that staff were "unsure of basic measures for infection prevention and control". The service launched an "urgent and comprehensive review" of its ambulance cleaning programme and reiterated its stance on patient safety, adding that "ensuring consistent high standards of cleanliness

2054-528: The 2.7L OM612 inline-5 diesel engine, and were only available in 49 states as it was not compliant with CARB emissions standards; 2004–2006 models used the OM647 engine, which replaced the OM612's air-cooled EGR valve with a water-cooled unit, among other changes, which made the 2004–2006 Sprinters CARB-compliant. The only transmission offered in North America was the 5-speed 5G-Tronic transmission. The product

2133-437: The 2006 model year. North America received its own NCV3 for the 2007 model year. The U.S. cargo version of the 906 NCV3 came in two wheelbase options (144", 170"), two roof heights (standard 60.6", high 72.4"), three lengths (Short 233.3", Standard 274.2, Extended 289.8"), and two weight classes (2500, 3500). 3500 models had the option of dual rear wheels or extra-wide "super single" wheels in some, but not all, markets. Neither

2212-532: The Bedfordshire and Hertfordshire Emergency Critical Care Service (BHECCS). The service can also, if required, mobilise London's Air Ambulance and even the Kent, Surrey and Sussex Air Ambulance if there is a major incident requiring more than one critical care team, and where other teams in the region are operating at maximum capacity. The trauma teams are dispatched by a critical care paramedic and dispatcher at

2291-621: The Boost by Mercedes-Benz custom transportation program. The second generation Sprinter was updated in 2013 with changes including the addition of new assistance systems ( crosswind stabilization , collision avoidance system (optional), blind spot monitor (optional), adaptive highbeam , lane departure warning system ), Euro VI emissions compliance, redesigned radiator grille, more angular headlights, new upholstery and seat coverings, thicker steering wheel, optional fresh air nozzles boast chrome applications, new-generation radio system. The vehicle

2370-558: The East of England, with one concept vehicle being designed exclusively for and by the trust. In May 2018, the trust bought 32 five-year-old Fiat Ducato vehicles decommissioned by the West Midlands Ambulance Service – described as "clapped out vehicles which colleagues in other trusts would have sent to the scrapyard" and contrasted with the luxury cars with which senior managers were provided in 2017. In 2019,

2449-557: The Essex Ambulance Service NHS Trust. The result was a service covering an area of 7,500 square miles (19,000 km) with a population of 6.2   million people, and one which answers around one million emergency calls per year. The East Anglian Ambulance NHS Trust had been formed by the 1993 merger of Cambridgeshire, Norfolk and Suffolk Ambulance Services and the Bedfordshire and Hertfordshire Ambulance and Paramedic Service NHS Trust had been formed by

East of England Ambulance Service - Misplaced Pages Continue

2528-588: The Ladson factory in 2016, and the first Ladson-built Sprinter rolled off the assembly line in September 2018. The Freightliner version was discontinued after the 2021 model year as part of the Daimler Truck divestment in the Freightliner brand in October 2021. The third generation Sprinter was updated for the 2023 model year in the U.S., offering a new, all-time all-wheel-drive option with retirement of

2607-514: The Mercedes-Benz logistics center in Duisburg and was available to purchase from June 2018. It is the first generation to include a front-wheel-drive van in the line-up. A new range of standard and optional technology and comfort features were made available. To prepare for the third-generation van, in 2015, Mercedes-Benz Vans decided to switch North American Sprinter production to complete knock-down kit (CKD) assembly, kicking off an expansion of

2686-531: The Sprinter currently make up the majority of the supermarket Home Delivery fleet across the UK, but demand for these vans has begun to decline. ASDA recently announced that its new fleet would be primarily custom IVECO vans, following in the footsteps of Tesco. Ocado & retail partner Morrisons are primarily taking delivery of Ford Transits for their newer fleet. Mercedes are currently working with Waitrose Home Delivery, who currently use chilled LWB HR Sprinters, on

2765-673: The Sprinter van with its cargo space of 13.5 ft (4.1 m) has allowed van expediters to take three 48 in × 48 in (1.2 m × 1.2 m) skids or pallets, where previously they were limited to a capacity of two pallets. A Sprinter is capable of hauling approximately 3,000 lb (1,400 kg) of cargo. The vehicle has been adopted by the police in Hong Kong , United Kingdom and in Poland , and also as an ambulance by countries in Western Europe, Scandinavia,

2844-669: The Sprinter's fuel economy more competitive, North American models received the 2.1L OM651 two-stage turbo diesel engine formerly only available overseas, along with an optional 3.0L engine. The 2.1L engine (and in Europe, also the 3.0L) was mated to a new 7-speed automatic transmission. A 1.8L supercharged I-4 gasoline engine was mated to 6- and 7- speed automatic transmissions. The 2014 Sprinter added several new driver assistance technologies including standard Crosswind Assist, optional Blind Spot Assist and Collision Prevention Assist, as well as Lane Keeping Assist and Highbeam Assist. The 2014 Sprinter began offering LED running lights. Air suspension

2923-400: The U.S. and was originally branded as a Freightliner . In 2003, it received Dodge branding, as DaimlerChrysler chose to replace the aging Dodge Ram van with the Sprinter rather than redesign it. After 2003, they were sold concurrently under the Freightliner and Dodge nameplates, and were identical except for minor styling details and badging. DaimlerChrysler chose not to badge the Sprinter as

3002-954: The U.S., Australia, New Zealand and Singapore. The 515 CDI has become the standard ambulance for use by the National Health Service (NHS) in the United Kingdom, and the Health Service Executive (HSE) & Dublin Fire Brigade Ambulance Service in the Republic of Ireland. Another market in which Sprinters are gaining ground is as van conversions and recreational vehicles . Conversions include RVs, limousines, family and luxury vans, office vans, wheelchair accessible vans and golf vans. Sprinter RV conversions can also be called Sprinter campervans . Sprinter conversions have been produced by several RV and coach manufacturers. Chilled box versions of

3081-587: The U.S., it was built from complete knock down (CKD) kits by Freightliner. Re-badged and re-engined Sprinters were also sold by Volkswagen Commercial Vehicles as the Volkswagen LT and the Volkswagen Crafter . They are now primarily marketed by Mercedes-Benz. In the Mercedes-Benz van lineup, the Sprinter is the largest model offered, followed by the mid-size Vito (aka Viano, V-Class, and EQV) and small Citan . The first generation Sprinter

3160-640: The United States mostly for personal and church van uses. Typical Sprinter wagons accommodate 8 to 10 passengers and have glass in all possible factory positions. Vans shipped to the United States on-spec (speculation to sell by dealer/distributor) are mostly sent in Arctic White color, but many colors are available. The Dodge dealer network for Sprinters is limited to certified locations (known as "Business Link" certified dealers, usually only awarded to "Five Star" certified dealers), and dealer knowledge

3239-587: The amount spent previous year. In 2019, the trust disbanded its health and wellbeing service and outsourced the occupational health function to a new supplier, Kays Medical. In its last inspection of the service in June 2020, the Care Quality Commission (CQC) gave the following ratings on a scale of outstanding (the service is performing exceptionally well), good (the service is performing well and meeting our expectations), requires improvement (the service isn't performing as well as it should) and inadequate (the service

East of England Ambulance Service - Misplaced Pages Continue

3318-575: The capability to lock a wheelchair in place or accept a Ferno Stretcher . A number of these vehicles are fitted with blue lights and sirens for use in major incidents. Contrary to popular belief, these vehicles are rarely used for high dependency transfers, a job which is performed by the Emergency Operations side of the trust or a contracted charity (e.g. St John Ambulance England ) or private company. The trust provides critical care paramedics (CCPs) to three local charity air ambulances in

3397-471: The claims said it had done so after being approached by a whistleblower . The trust was accused of putting patient safety at risk in July 2017 because of a “fixation” with hitting response time targets, using a practice referred to as “stopping the clock” - sending a rapid response vehicle to a call within the target time, leaving the patient to wait longer for the arrival of an ambulance. Delays, according to

3476-405: The community and the hospital trusts are generally planning to follow these initiatives. Foundation trust status may be applied for by the above categories of NHS trust. Successive governments have announced that all NHS trusts should become foundation trusts, and deadlines have been set for this transformation, which have repeatedly been missed. Several special health authorities , organised on

3555-473: The control centres to strategically stage crews across towns and cities to allow for better response times. Some response posts consist of small rented industrial units spread out across a city, or reserved spots in large commercial areas or other service buildings such as fire stations. The trust used exclusively the Mercedes-Benz Sprinter as front-line double staffed ambulances (DSA), with

3634-593: The critical care desk, housed in the Tactical Operations Centre based at Chelmsford AOC, who filter through every call the ambulance service receives, interrogates it and makes a clinical decision on whether to dispatch a critical care resource. The trust was formed in 2006 from the three-way merger of the Bedfordshire and Hertfordshire Ambulance and Paramedic Service NHS Trust, the East Anglian Ambulance NHS Trust and

3713-407: The eSprinter commenced at Düsseldorf in December 2019 for European markets. It is equipped with one of two batteries, with a usable/gross battery capacity of 35/41 (3 modules) or 47/55 kW-hr (4 modules), and is driven by an electric traction motor with an output of 85 kW (114 hp) and 295 N⋅m (218 lbf⋅ft). Initially, it was available exclusively as a high-roof panel van with

3792-728: The eSprinter indicated there were 20 km (12 mi) of range remaining when the trip was completed, giving an estimated usable battery capacity of 108.5 kW-hr. The Sprinter is designed primarily for business, not private users, although recreational vehicle (RV) conversions are available. In the United States, the first generation Sprinters (2001–2006) were offered solely with the Mercedes-Benz 2.7 litre straight 5 cylinder turbocharged Diesel . Companies are replacing van conversions with wide bus bodies—Sprinters with side-facing benches and tall right-side doors—as campus shuttles. Limited numbers of complete " wagons " (passenger vans) are being produced in Germany and shipped complete to

3871-588: The end of May 2014, Mercedes-Benz Vans sold around 134,000 units of the new model of Mercedes-Benz Sprinter in Europe and North America. The production version of the Sprinter-based Volkswagen Crafter by Mercedes-Benz Vans was set to end in 2016. A class action lawsuit was filed in California state court against Mercedes-Benz alleging the defendant had sold Mercedes-Benz Sprinter 2500 and 3500 models with water that leaked from

3950-478: The equipment? Who do you pick?” In 2018, the trust said it would need 100 more paramedics to meet the new ambulance performance standards. This could cost £5M a year. The Midlands and East regional director of NHS England expressed concern in November 2018 that the trust was prioritising category-4 calls in order to meet its targets, at the expense of more clinically urgent patients, and that the trust's winter plan

4029-477: The exception of a single Vauxhall Movano four-wheel drive vehicle for use at Newmarket Racecourse . In 2009, the service started the transition to a brand-new Sprinter only fleet from a wide range of other brands – including Ford, Vauxhall and older Mercedes-Benz vehicles. The scheme was finished in 2016, when the last brand-new Sprinter was delivered, although many of the older ones are now ending their cycle life. In March 2018, four new vehicles were trialled across

SECTION 50

#1732786598129

4108-472: The first quarter of 2015 as 2015 model year vehicles. Early models included 144" and 170" wheelbases in low and high roof configurations, 5 body styles (Passenger Van, Crew Van (mixed 2-row passenger and cargo application), and Cargo Van (both 8,550 and 11,030 GVWRs)), 1 engine choice (3.0 L V6 BlueTEC (exclusive 4x4 powertrain)). For the 2014 model year, the Sprinter received an updated grille with Mercedes-Benz's signature three-slat design. In an effort to make

4187-525: The lack of DOT regulations (in the under 10,000 lbs versions). Despite not being marketed as a family vehicle, a custom-modified Dodge-branded Sprinter was used by the ten-member Gosselin family, the subjects of the TLC reality series Jon & Kate Plus 8 . In Colombia, the Sprinter is the most popular van for intercity transport. The purchase of a luxuriously appointed Sprinter by the son of former President Julio Cesar Turbay, Julio Cesar Turbay, Jr. prompted

4266-495: The larger stations are known as make ready stations or hub stations which house a team of make ready operatives who clean, fuel, restock, maintain and care for frontline accident and emergency ambulances. The larger stations also have the ability to house the resistance teams, which comprise Class C or C1 vehicles laden with equipment for response to major incidents. The trust also utilises response posts across its service area, which house restrooms, kitchen and seating areas, allowing

4345-546: The original staff were retained, though the base of operations shifted from North Carolina to Auburn Hills, Michigan. The Sprinter van was sold as the Mercedes-Benz Transporter T1N due to Toyota using the name Toyota Sprinter , a version of the Corolla. The model 314 of the first generation is still assembled by Iran Khodro Diesel . It is used as an ambulance. The first generation Sprinter

4424-598: The papers presented to them have been found to be lacking good data visualisations. The High Court of Justice decided in December 2019 that NHS trusts were not charities for the purposes of the Local Government Finance Act 1988 , so they have to pay business rates at the full rate. A study by the University of Exeter in 2020 found that in 70 out of the 213 trusts all the board members were white. Overall BAME representation at board level

4503-470: The pieces to South Carolina, where American workers put them back together in a small kit assembly building." The resulting vehicles emerge as locally manufactured, free from the tariff. In North America, most Sprinters are sold as cargo vans to expediters in the United States. Such expediters are similar to truck drivers, except they take smaller loads and will wait after unloading until dispatchers find another customer nearby to transport goods. The advent of

4582-485: The region: Magpas , Essex & Herts Air Ambulance and the East Anglian Air Ambulance . These paramedics work alongside doctors, to administer advanced treatment at the scene of the accident. Although the service uses the air ambulances, it does not fund the charities. The tactical operations centre (TOC) has regional oversight of all calls, resources and system pressures. They have oversight of

4661-497: The remaining NHS trusts to become foundation trusts, saying "We are frankly kidding ourselves if we think the non-FTs are going to pass the kinds of criteria that have been set by Monitor ." There are several types of NHS trusts: Over time the distinction between different types has eroded, and both hospital and mental health trusts have taken on responsibility for various community services. Sustainability and transformation plans all propose to move services out of hospitals into

4740-451: The roof air conditioning unit into the passenger area. The leaking air conditioning unit was also discovered on Dodge Sprinters made by Mercedes-Benz from 2003 through 2009. The lawsuit affected California residents with the rooftop AC units and Sprinters equipped with the rear AC. From 2014, Algeria started manufacturing the latest model of Sprinter 319/519 4×2 and 4×4 for civilian and military use. Mercedes-Benz Sprinter vans were used in

4819-679: The second generation in the Centro Industrial J. Manuel Fangio, in Buenos Aires with the brand-new OM 651 engine (also locally made) and exported to the rest of South America (including Mercosur markets). Since 2012, it has been manufactured for the Mercosur and 40 other countries. 70% of its production is exported. The Mercedes-Benz Sprinter was built in Daimler's Mercedes-Benz Düsseldorf and Ludwigsfelde production plants. For

SECTION 60

#1732786598129

4898-487: The second-generation Sprinter marketed in the United States, to avoid "chicken tax" import duties, the cargo version was disassembled partially, shipped to the United States, and reassembled at a plant in Ladson, South Carolina (near North Charleston ), in a process known as semi knock-down assembly (SKD), starting in June 2006; the passenger version continued to be imported as a complete unit. The Ladson factory previously

4977-405: The selectable "4×4" option; additionally, a 2.0L 4-cylinder OM654 engine replaced the previous diesel engines with standard and high-output tunings offered. Power steering was updated to electromechanical from hydraulic. The first eSprinter was announced in February 2018. It is a large battery-electric van based on the third-generation Sprinter with a unique front-wheel drive chassis; production of

5056-455: The tariff via loopholes , known as tariff engineering . Ford (ostensibly a company that the tax was designed to protect), imported its first-generation Transit Connect light trucks as "passenger vehicles" to the U.S. from Turkey, and immediately stripped and shredded portions of their interiors (e.g., installed rear seats, seatbelts) in a warehouse outside Baltimore. To import vans built in Germany, Mercedes-Benz "disassembled them and shipped

5135-470: The trust 'surge' levels, vehicle out of service time and hospital delays. They are responsible for effective escalation of extended hospital handover delays to the senior management, integrated care boards and NHS England. The tactical operations centre also houses the critical care desk (CCD), who are responsible for the allocation and dispatch of the HEMS teams and house the incident command desk supervisor who

5214-438: The trust began rolling out the new, lightweight box body Fiat Ducato ambulances across the trust, and therefore Mercedes Sprinter ambulances are gradually being replaced. Ninety-four staff were identified as being unable to drive the vehicles, mostly because they were too tall. The trust provides a patient transport service (Rated "Requires Improvement") bringing patients to and from the regions hospitals and healthcare services in

5293-482: The trust has the following resources in operation: The trust has its own emergency driving school, which trains drivers in 999 emergency driving under blue lights and sirens. EEAST has 90 stations spread across the six counties the trust covers. Each station can house a mixture of accident and emergency vehicles, RRVs and patient transport services vehicles. The station has facilities for staff to rest, prepare ambulances and restock consumable medical equipment. Some of

5372-480: The trust missed all of its targets in Cambridgeshire and Peterborough. 73.6% of "red 1 calls" for immediately life-threatening situations were met within eight minutes against a target of 75%. 69.4% of "red 2 calls", which may be life-threatening but less time critical were responded to within eight minutes against a 75% target. In north Norfolk, rapid responses during one month were as low as 25%. According to

5451-589: The trust's leave policy” and that it would hire extra vehicles. The trust directors were accused by Norman Lamb of misleading MPs after a meeting about these allegations and several MPs said they had no confidence in the trust's leadership. The trust is one of the poorest performing in England on most urgent response times and is considering employing military drivers and volunteer drivers due to staff shortages. Proposals made in August 2018 to restrict staff holiday leave between 12 November and 12 January were greeted with

5530-427: Was 8.9%. Medical directors of BAME ethnicity accounted for 19.4%, about the same as the overall percentage of BAME doctors. In September 2015 Jeremy Hunt was reported as saying "I think we do have too many trusts as independent organisations" in a context where mergers between trusts and the establishment of chains of hospitals were being discussed. Subsequently Simon Stevens made it clear that he did not expect

5609-466: Was an available option on the 3500-series model. The 2014 Sprinter also gained navigation, iPod integration, and an air suspension for heavier-duty models. For the UK market in 2015, to celebrate 20 years since the first Sprinters were manufactured, a run of 1,200 special edition vans were sold to the public. These vans included the following additional interior comforts and exterior trim level: The third-generation Sprinter debuted on 6 February 2018, at

5688-718: Was assembled by Mercedes Benz Vietnam in Ho Chi Minh City from CKD kits to avoid high local import duties. Since 2013, the 2000–2006 Sprinter model has been revived in Russian markets only as the Mercedes-Benz Sprinter Classic. The Phase II 2002–2006 grille was chosen for use on the Sprinter Classic and the 2000–2006 dashboard design. The Sprinter Classic used the steering wheel from the 2006–2014 Sprinter models. The Sprinter Classic

5767-414: Was driven by the most powerful diesel engine in its class, with a power output of 90 kW (120 hp). The Sprinter was voted International Van of the Year for 1995. The styling was updated in 2000 and 2002, accompanied by technical changes that included standard electronic stability control (2002). The first generation (VA chassis) North American Sprinter was launched for the 2002 model year in

5846-737: Was inadequate. In September 2020 the CQC criticised the poor leadership of the trust for fostering bullying and not acting decisively on allegations of predatory sexual behaviour towards patients. It was required by the Equality and Human Rights Commission to sign a legally-binding agreement stating how it will protect its staff from sexual harassment in April 2021. In 2019, the CQC reported that ambulance services were relying on private providers because of lack of capacity. The trust spent £9.5M on private ambulances for 999 and non-urgent work in 2018/19, double

5925-646: Was launched and supported by DaimlerChrysler Vans LLC, a small division based in Huntersville, North Carolina . Key individuals from DaimlerChrysler Commercial Vehicle Division and Freightliner Trucks were selected to spearhead the effort and made up the bulk of the division. DaimlerChrysler Vans LLC retained sole responsibility for the North American Sprinter market until the sales, service and parts support responsibilities were absorbed by Chrysler Commercial Vehicle Division in 2004. Nearly all of

6004-496: Was launched in Europe in 1995 to replace the famous but outdated T1 Transporter van dating from 1977. Compared to the T1, the Sprinter had reduced the aerodynamic drag and moved the engine 290 mm (11 in) further forward to increase cabin space. It was the first Mercedes-Benz product to carry a name rather than an alphanumeric designation. It was released with four-wheel disc brakes equipped with an antilock braking system and

6083-553: Was recruiting hundreds of new staff and investing in new ambulances. In a statement in November 2014, chief executive Anthony Marsh blamed EEAST's continued failure to meet its emergency response time targets on a lack of staff. Acknowledging that the service was still "not good enough” he said that "significant progress" had been made; 536 student paramedics and a further 69 graduate and qualified paramedics and emergency medical technicians had been recruited since January 2014. In October 2014, EEAST apologised after claims were published in

6162-1135: Was unveiled in 2014 International Commercial Vehicles show. Ordering began in June 2013, followed by deliveries in September 2013. Early models include ECO-Gear six-speed manual transmission or the 7G-TRONIC PLUS seven-speed automatic transmission with lock-up clutch. US models went on sale in the fall of 2013 as 2014 model year vehicles. Early models included a choice of 2 engines (2.1-liter 4-cylinder turbo diesel (163PS) with 7-speed automatic, 3.0-liter V6 turbo diesel (190PS) with 5-speed automatic), 144" & 170" wheelbase (both engines), 3 body lengths, high-roof option, 5 configurations (Cargo, Crew, Passenger, MiniBus, Cab Chassis). In September 2018, e-commerce platform Amazon announced that they had contracted to acquire 20,000 Amazon-badged Sprinters to be available for small business partners of their proprietary logistics service. Early models include Sprinter 313/513 BlueTec 4x4, Sprinter 316/516 BlueTec 4x4, Sprinter 319/519 BlueTec 4x4; Eco Gear six-speed manual or five-speed automatic (transmission with converter Sprinter 319/519 BlueTec 4x4). US models were set to go on sale in

6241-504: Was used as an American LaFrance factory for firefighting trucks. The previous SKD reassembly facility in Gaffney resumed operations under Freightliner Custom Chassis Corporation. The Ladson plant was known as DaimlerChrysler Manufacturing International until the parent corporation was dissolved; importation and SKD reassembly of the Sprinter cargo van continued at Ladson under the auspices of Mercedes-Benz Vans, LLC. Between July 2013 and

#128871