Regulation 8

maintain an ambulance log system in respect of the movements of every approved emergency ambulance or approved medical transport, as the case may be;

ensure that —

the performance of the applicable service provided by the licensee is continuously monitored and evaluated; and

the licensee and each Clinical Governance Officer appointed by the licensee are informed periodically of the performance of the applicable service;

ensure that, in relation to a relevant event —

the occurrence of the relevant event is contemporaneously and accurately recorded;

the circumstances of the relevant event are reviewed to identify its causes; and

appropriate steps are taken to prevent or reduce the likelihood of the recurrence of the relevant event; and

develop and implement written protocols, written care protocols and processes to ensure that the applicable service is provided safely and in accordance with the Act, the licence conditions imposed under section 13(1) of the Act and any other written law.

any adverse event affecting the care and safety of patients using the applicable service; or

any finding or observation that indicates or implies that the care and safety of patients using the applicable service may have been adversely affected.