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A button has become that the five -life claim outside Kaikōura showed failures in the outdated emergency call system once again.
The boat of a bird observation party hit a whale in Goose Bay and turned, holding five of the 11 people in a smoke pocket underneath. They hit the hull for a few minutes.
The Captain at Hull took the police, but the 111 system caused “unnecessary delays” and risks.
Then, when the police tried to give the ambulance the coordinates of the accident, a second fragmented technology system, called Card, would not accept it because the sea is out of the habitual reach of the ambulance.
Instead, the card produced “an error message”. The system has a history of similar interruptions of one year, as it is fragmented between the police and the ambulance, as RNZ reported in 2024.
Successive governments have been warned that the 111 and card systems are flawed.
But Capsize’s inquiry released on Thursday stated: “The emergency system 111 … has delays in response to emergencies.”
“No action has been taken to resolve this security issue.”
Commissioner -Chief of the Transport Accident Investigation Committee (TAIC), David Clarke, said “there was delays in the system, there was the flow of restricted information and the incompatibility of the systems.”
“Although it is unlikely that any of these issues have contributed to the result of the tragedy in this case, in other circumstances, these delays may be critical,” he said.
Update
A systems update project was filed by the previous government and did not move on under this government, under financing pressures.
RNZ reported last year internal advice to the government about the deficiencies of the systems that cause real damage, for example, a woman stabbed to death by a partner who heard her make a call 111. If the system could carry the text, this could be avoided.
A business case in 2023 said the restriction on requests only for telephone and little integration between applications and agencies was to “risk lives, health and well-being.”
The system broke 59 times in the year 2021-22.
RNZ approached police minister Mark Mitchell and police to comment.
Fourteen months ago, Mitchell said: “It became obvious to us, because the government who enters the police had no main functions financed correctly and I am working with the police executive in solutions for this.”
Rnz asked what he and the police have achieved since.
Prime Minister Christopher Luxon said in 2024: “We know there are challenges in this triple one system, I know the minister is all on it.”
Capsize preceded this, however, the new discoveries of Taic said:
“The Communication and Implementation of Resources (Card) platforms of the three emergency services [police, ambulance, fire] They are not integrated, which delays and restricts the flow of information necessary to coordinate a response from various agencies.
“No action has been taken to resolve this security issue.”
Clarke said the people involved in the rescue worked together “to the best possible way and have an integrated response” but were postponed by the systems.
Taic was asking for criticism and improvements by police, MBI and the next generation critical communications agency, or NGCC, he added.
NGCC has been working since 2020 on a public security network of more than billions of dollars based on digital radios. But this is complementary and not a substitute for 111 and card.
“The commission recommended that the NGCC lead the establishment of a common communication platform for emergency services, to support the sharing of agency communications during a response,” the TAIC report said.
One minute, eight seconds
The report shows that it took a minute and eight seconds to the captain’s so -called 111 to do so from the first kista to the second stage. The police target is only 10 seconds.
When the firstker asked the captain what emergency service he wanted, he replied, “You tell me, we’re trained and we’re off the coast of Goose Bay, Kaikōura.”
“The two -stage system design has created an unnecessary delay and increased the risk of a call being withdrawn before the interlocutor explains his emergency to the police,” the findings said.
“When this occurs the [calltaker] It can provide the police with a verbal summary “but not with a recording of the 111 call, unless the police have a warrant.
“For the public, it is not always clear who is the most appropriate emergency service, and often several agencies should attend. This confusion can result in selecting the wrong emergency service, delaying the answer,” said Taic.
When the card did not accept the coordinates, the police had to do an alternative solution and call the ambulance service verbally.
The problem of fragmentation affected the coast guard. “To connect with the ambulance card platform, the police sought the address closest to the accident and entered the system. Later, when the coastal guard contacted the police emergency communication center that sought the coordinates … The place in the system had to be changed first to the original coordinates.
“As a result, the Coast Guard was informed that the accident occurred in Goose Bay, but the coordinates provided went to a different location.”
NGCC told Taic on March 25 that his priority was to deliver the public security network.
But it was also “actively involving stakeholders, analyzing how NGCC could evolve in due time, including to support government priorities about strengthening the largest public security and emergency management communication” in New Zealand. “
“This will consider future users of our current public safety network services and if and how we can develop other technologies. We will continue to contact you by progressing when considering the recommendation.”
Police have already told RNZ that the three services were making card improvements.
“We are focused on improving processes within the limits of our current systems,” he said in February 2024.
The agency said yesterday that it was working with the Rescue Coordination Center in the conclusions of the Goose Bay report.
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