R A Medical Services

A Message from Lord Pickles and Lord Blunkett, followed by R A Medical Services's best practice article

The ability to listen and learn from one another has always been vital in parliament, in business and in most aspects of daily life. But at this particular moment in time, as national and global events continue to reiterate, it is uncommonly crucial that we forge new channels of communication and reinforce existing ones. The following article from R A Medical Services is an attempt to do just that. We would welcome your thoughts on this or any other Parliamentary Review article.

Blunkett signature Rt Hon The Lord David Blunkett
Pickles signature Rt Hon The Lord Eric Pickles


Chairwoman Janet Pickles
Quantiflex MDM
In 1994 Janet and Chris Pickles identified the growing need
for a company dedicated to managing the requirement for
inhalation sedation equipment, which has been widely used
in the UK since the 1960s for pain relief. The manufacture of
this equipment was formerly conducted in West Yorkshire but
has since moved to the USA fragmenting the supply and care
of this vital equipment. In response, Janet founded RA Medical,
specifically targeting existing users with the intention to grow
the marketplace. Chris joined her a year later and the company
now has 14 employees. Janet tells the
As a background to our establishment, Chris accumulated a wealth of experience
in the field. His father Thomas was the works manager of Cyprane in Keighley
and as a result, Chris also joined the Cyprane team. Cyprane was instrumental in
developing the current generation of dedicated sedation flowmeters, incorporating
hypoxic guards and failsafe systems. This made them an extremely safe and reliable
unit, which remains true today. Because of the work undertaken there and the Tec
range of anaesthetic vaporiser development and manufacture, Keighley is often
termed the “anaesthetic capital of the world”.
The family involvement continues today, as all four of our sons are involved in
various aspects of the business, from IT to purchasing. This year we celebrate 25
years of business and it is our hope that one of our sons will take over when we
retire. As a family-centred company, the emphasis has always been on quality of
product and customer service. Our customers return to us year on year and we feel
confident in the products and services offered as evidenced by growing sales figures.
»Chairwoman: Janet Pickles
»Founded in 1994
»Based in Steeton, West
»Services: Manufacturer and
distributor of inhalation,
sedation and associated
scavenging equipment
»No. of employees: 14
»Operating by ISO 9001 since
1999, updated in 2015
»Celebrating its 25th
anniversary this year
R A Medical Services
Highlighting best practice
Pursuing innovative work
We have always possessed the ability
to identify a market gap, and in 2006,
following a two-year R&D project, we
launched a new item for scavenging
of nitrous oxide called a Miniscav.
Easy to install and simple to use,
this has benefited many dental and
medical staff, allowing compliance
with COSHH and workplace health and
safety. A very successful item in the
UK and Irish marketplace, it recently
caught the attention of the medical
sector in the USA, and after a period
of revision and FDA involvement, a
dedicated US model was launched
for use, initially in mostly obstetric
and urological settings. Early sales
are modest but have the potential to
improve significantly.
Our staff are an important resource
and with a very low staff turnover
across the years, we haven’t had to
waste time and resources inducting
and training new staff members. This is
a valuable asset for any company and
has given us a solid foundation upon
which to grow.
Use of inhalation sedation has been
steadily growing in the UK, as it is a
relatively cost effective and primarily
very safe method of offering pain
control to a variety of patients, being
particularly suitable for the paediatric
and special needs sector. It is widely
used in community dental clinics and
dental teaching hospitals. Over the
last few years, however, a growing
trend is emerging with considerable
interest being expressed for use in
hospital emergency departments
for both paediatric and adult cases
during potentially short but painful
As this can often prevent the patient
having to be referred for a general
anaesthetic, with all the upset and
cost involved in that, it is a much
more preferable scenario. Although
Entonox – a 50-50 mixture of oxygen
and nitrous oxide – is already widely
used in midwifery and emergency
situations, titratable oxygen and
nitrous oxide mixtures with a maximum
concentration of 70 per cent, while
still maintaining 30 per cent oxygen
flow, is often a preferable choice. This
offers a slight advantage that could
nonetheless make the difference
between treatment success and
failure. This makes for a very safe and
adaptable machine whose use has the
potential to save the NHS a significant
amount of money and to increase
efficacy of patient treatment services.
Miniscav production
As a family-
company, the
emphasis has
always been
on quality of
product and
Challenging out-of-date
Over the years, we have faced many
challenges, one of the major issues
being persuading our customers
of the advisability of regular and
documented maintenance and repair
of equipment. While this would
appear to be simple, it is not always
perceived as such. One obstacle to
implementation is the lack of up-to-
date standards. HTM 02-01 is one
such case – published in 2006, it is an
incomplete and ageing document for
the modern era.
One of the latest challenges has been
to convince our customers of the
desirability of replacing now elderly
Cyprane manufactured units; some
are up to 50 years old and still in use,
but they are now coming to the end
of their useful life. These flowmeters
were so well manufactured and have
given such excellent service over the
years that many of our clients lose
sight of just how old they are. With
the generally expected life cycle of
an item of medical equipment being
ten years, these units have proven the
excellence of British manufacturing
many timesover.
From a very modest beginning in 1994,
we have grown significantly and now
cover the whole of the UK, its offshore
islands and the Republic of Ireland.
Our team of engineers offer an on-site
maintenance and repair service with
more extensive facilities being available
in our workshop. The intention is to
maintain steady growth and continue
offering the same level of excellent
service to our customers, while also
developing a new product range. As
a result of our limited resources, this
may prove problematic. A further
challenge will be to cope with the lack
of available and suitably sized business
units in the immediate location as
space in the current facility is becoming
an issue.
Another current focus is on education
and to that end, we have redeveloped
our website, enhancing the amount
of educational materials that can be
accessed. A further range of materials
suitable for trainers is also available
and proving popular. We would like
to work more closely with the dental
and medical staff to promote and
ensure excellence of equipment and
its use. At the present time that is
proving problematic due to traditional
reservations that appear to exist
between professionals and business.
A great deal of work will be required
to break down these barriers but if it
can be achieved, then there should be
enhanced benefit to both staff and
patients. Quality of service is important
to us and our main emphasis will
remain on maintaining and enhancing
this while promoting steady and
sustainable business growth.
A very safe
and adaptable
whose use
has the
potential to
save the NHS
a significant
amount of
The Accutron Digital
Ultra mounted on a
Mobile 4-Cylinder stand


This article was sponsored by R A Medical Services. The Parliamentary Review is wholly funded by the representatives who write for it. The publication in which this article originally appeared contained the following foreword from Rt Hon Michael Gove.

Rt Hon Michael Gove's Foreword For The Parliamentary Review

By Rt Hon Michael Gove

This year's Parliamentary Review comes at a momentous time for parliament, as we collectively determine the destiny of the United Kingdom. 

On October 31, the UK will leave the European Union. The successful implementation of this process is this government's number-one priority.

Three years after a historic referendum vote, we will deliver on the decisive mandate from the British people. Trust in our democracy depends on it. Until that final hour, we will work determinedly and diligently to negotiate a deal, one that abolishes the backstop and upholds the warm and close relationship we share with our friends, allies and neighbours in the EU. But in the event that the EU refuses to meet us at the table, we must be prepared to leave without a deal.

As the Chancellor of the Duchy of Lancaster, it is my job to lead on this government's approach, should that scenario happen. Preparing for Brexit is my department's driving mission. But while I am leading this turbocharged effort, the whole of government is committed to this endeavour.

Ministers across Whitehall are working together to ensure that every possibility is considered, every plan is scrutinised and every provision is made. A daily drumbeat of meetings means that we are holding departments accountable, so that preparations are completed on time.

The chancellor has confirmed that all necessary funding will be made available. And we have mobilised thecivil service, assigning 15,000 of our most talented civil servants to manage our exit from the EU.

We will make sure that on November 1, there is as little disruption to national life as possible. Our trade relationships will continue to thrive, thanks to agreements with countries around the world worth £70 billion. Our country will remain secure, thanks to nearly 1,000 new officers posted at our borders. And the 3.2 million EU nationals now living and working among us can remain confident, with absolute certainty, of their right to remain in the UK.

Above all, our goal is to be transparent. Soon, we will launch a public information campaign so that citizens, communities and businesses are ready and reassured about what will happen in the event of “no deal”.

In my first few weeks in this role, I have travelled to ports and tarmacs, borders and bridges, all across the UK –from the seaside of Dover to the rolling green hills of County Armagh. I have heard from business owners and border officials, farmers and hauliers. They are ready to put an end to uncertainty. And they are ready to embrace the opportunities ahead.

Our departure from the EU will be a once in a lifetime chance to chart a new course for the United Kingdom. Preparing for that new course will be a herculean effort. But this country has made astounding efforts before. We can do it again.
Rt Hon Michael Gove
Chancellor of the Duchy of Lancaster