Where to begin
"You don't have to be a fireman to use a fire extinguisher, you don't have to be a paramedic to use a defibrillator."
Congratulations! You have made the right decision to investigate providing a defibrillator for your community. We work with you every step of the way to implement your project, bringing it to completion and ensuring it is fully supported and continues to function correctly for years to come.
What equipment do I need?
Supporting or purchasing a community defibrillator scheme is not just about the defibrillator and the cabinet. It is very easy for a public body to go down the route of seeking the cheapest combination of defibrillator and cabinet, without taking into account the differences between defibrillators - not all are suitable or ideal for community use - and similarly for the cabinets. For further information click here to find out about AED types.
In recent years several new makes of "defibrillator cabinet" have appeared on the market. Many of these are not made by specialist cabinet makers, do not comply with many of the rules, regulations and guidelines issued, and are there to seek sales profit, rather than protect the defibrillator. The first step in assessing which equipment will be fit for purpose is to have an idea of where the unit may be located. For instance IP65 Stainless Steel cabinets when going outdoors will weather for years to come but may not be necessary for an indoor location or Telephone Box. To see which cabinet may be suitable for you please refer to our Cabinet Types.
How much does it cost?
As a guide, complete cPAD projects range in cost from approximately £1400 - £2200 depending on the equipment chosen, either with or without VAT as appropriate and we will always strive to provide the best equipment for a project*, whilst working within the budget allocated.
*Please note that installation is not included as a standard
The Community Heartbeat Trust (CHT) believe that a genuine cPAD project is more than just a defibrillator in a box, it should be complete, resilient and sustainable providing a holistic approach and therefore we always provide our partner communities opting for a complete scheme with the following services at no additional cost.
- WebNos cPAD internet based Governance System
- Post Event Trauma Counciling (Click here for more information)
- AED Signage
- Rescuer Safety Kit (Hi-Vis Jacket and torch)
- Community Cardiac Arrest Response Seminar (For as many people as necessary)
- Fund raising support of which further information is available here
- Project Banking Facilities
- Individual online project donation page
- Complete policies and procedure pack
- Post event patient data downloading (Tier 1 defibrillators only*)
Also a budget will need to be allocated for maintenance and replacement parts. The costs of these vary but generally with CHT Tier 1* equipment, every two years (and after a rescue) pads will need replacing at approximately £30 a set and the battery every 4 years at £166-195 depending on model of AED.
*Tier 1 equipment is what we suggest is the most suitable for untrained users.
The last cost to consider is the electricity for powering a defibrillator cabinet. We advise that this should be very low, around £10-30 per annum dependent upon climate. The electricity is needed to heat the cabinet to eliminate the possibility of the electrodes freezing in winter.
What if I only need a cabinet or defibrillator?
Should you only need one or the other we can advise based on what you already have regarding suitability to match your needs. Already have a defibrillator or looking to get one? We can register you on our governance system and provide replacement parts for your unit. With access to a post rescue trauma councillor and if needed a cabinet in which to house the unit. As a standard this will include registration with the local ambulance service.
We can also assist in providing insurance and public liability for your unit which will vary dependant on model. Please call on 0845 86 277 39 to tell us what you have and we will advise accordingly.
Who carries out installation?
Community Heartbeat does not offer installation as a standard, however, with the support of LOL Contracts in Leicestershire we can offer installations within this area. Whilst we can provide a quote for other areas in the country we would advise to get your local electrician to fit. Approximate cost for the installation of a cabinet is £150-200. Please contact us and we will be happy to help with this on 0845 86 277 39.
The law and liability
The Social Action Responsibility And Heroism Act (SARAH) received its Royal ascent in April 2015. Covering the area of protection for a lay rescuer in an emergency, this new law will aid the development of community defibrillation and give reassurance to members of the public wishing to act to help in an emergency. However the placement of community defibrillators is not just about making sure all legal aspects are addressed in the actual rescue. You need the right equipment, the right governance, the right support and the right attitude. Buying "cheap" can mean buying twice.
The owner or responsible people for the defibrillator have a duty of care to bystanders to have the equipment properly maintained and rescue ready, Community Heartbeat assists communities with this by providing an easy to use checking system that keeps a history of the equipment and can be used to flag up any potential problems quickly, all done through WebnoS.
We also provide access to a post rescue trauma therapist to make sure our communities are being looked after post rescue where needed. To have this in place for
We believe that adhering to this governance should include support and processes to include all of the following.
- Making sure all policies and procedures are in place. These include policies covering – Health and Safety; Duty of Care; recommissioning of the defibrillator; planning, listed building and conservation areas; training.
- Making sure the right equipment is uses, and that this is managed in accordance to the manufacturers recommendations and limits (eg temperature)
- Sharing data across all stakeholders, along with copies of policies and procedures.
- Initial installation records, electrical safety, ‘responsible person’, compliance and equipment manifest
- Weekly, Monthly, Annual checks in line with DoH and MHRA recommendations
- Instant reports to record usage of the defibrillator, reporting out of action and back in action details.
- Reporting to the Resuscitation Council on rescue details
- Training and maintenance of training records
- Equipment consumable resupply and/or replacements
- Statutory notifications, investigations and outcomes, and recording of these
- Coroner reports; ambulance service reports; stakeholder reports
- A full history and provenance of the equipment, its usage, changes to the configuration, battery and electrode replacement dates, and other required audit information.
- Any PLI; theft and damage insurances; and management insurances (assuming the clinical liability is addressed through TPLC)
The Ambulance Service have their own liability but this is only applicable to when they arrive on the scene to when they leave. CHT also provides public liability to schemes either independently or as part of it's managed solution.
Will we need training?
As regards to training, Community Heartbeat provide as part of there cPAD package an awareness session. There is no ‘legal’ requirement to train users in the defibrillator. However failing to provide and recommend a training regimen may be viewed as being negligent. Thus again we strongly recommend a community has in place a training regimen, that is not just an initial plan, but provides for longevity and resilience. Whilst ideal, it is not realistically possible to train all potential users of the equipment in a public setting, and therefore most communities use ‘best endeavours’ to ensure training is made available to the community. It does stress the importance of using equipment that is simple to use and does not place the end ‘untrained’ user into any stress or a difficult situation.
We can also provide Training of different levels to communities who have been supplied there equipment elsewhere. We will send you a form and if you can suggest some dates for training we will work to match them as best we can
Whilst there is no accounting for how long the fundraising stage may be, on confirmation of an order we aim to provide the equipment within 2 weeks time. Once installation is complete, we will then register your site with your local ambulance service. Confirmation from the Ambulance service that your site is now on their system may take a week or so, therefore realistically, completion a project may take 3-4 weeks.