Teddington RNLI were tasked at 13:48 on New Year's Day with the request to assist London Ambulance Service (LAS) and Hazardous Area Response Team (HART) on scene with a medical evacuation from a houseboat at Isleworth Ait on the River Thames.

The woman was suffering from abdominal pains aboard a houseboat/barge opposite Lion Wharf Road.

The sleeves were up at Richmond Lock and following a quick launch Teddington RNLI crew of helm Angus Prentice and crew Toby Banks and Pete Doyle on D class D-785 Peter Saw made it down to Richmond Lock in five mins, helped by a fluvial flow overpowering the flood tide.

LAS and HART team were on the Middlesex bank when Teddington RNLI arrived at Isleworth Ait.

After a quick liaison, Teddington RNLI established that LAS/HART had got two of their team across to the riverboat/barge moored alongside Isleworth Ait.

Teddington RNLI Crew Toby Banks and Pete Doyle went on board to assist.

Chiswick RNLI arrived to support in the rescue of the casualty having completed a 'shout' nearby.

After deciding that the safest least slippery evacuation point was a little further down river at the slipway outside the London Apprentice pub, Teddington RNLI decided that the

optimal method of casualty transfer was from the barge to the D class using the basket stretcher borrowed from the Chiswick RNLI E class lifeboat.

Teddington RNLI and Chiswick RNLI agreed a plan to ferry one of the LAS/HART attending medics with Teddington RNLI crew Toby Banks and all the required equipment.

As part of the plan, Teddington RNLI crew Pete Doyle and Teddington RNLI helm Angus Prentice took the casualty in the basket stretcher position across the boat on the side

sponsons and the other LAS/HART medic to the evac point.

By this time, the LAS/HART team who had been on the Middlesex bank had re-located to the slipway outside the

London Apprentice and could take over the casualty from there.

Pete Doyle said: "Toby and I boarded the casualty vessel where Hazardous Area Response Team and London Ambulance Service were already on scene dealing with the

casualty.

"We liaised with them and I got a situation report from the head clinician. The medical teams wanted us to extract the casualty back to shore.

"After a couple of minutes Chiswick RNLI arrived to support us and Toby and Angus liaised with them. Toby and I

agreed the safest way to bring the casualty off the boat would be on Chiswick RNLI's basket stretcher.

"As I helped to prepare the casualty, Toby and Angus worked out the landing site which was to be at the London Apprentice slip.

"We then lifted the casualty onto the D class D-785 Peter Saw across the sponsons. I travelled with the casualty with

Angus at the helm to shore where we all assisted the casualty safely into the awaiting ambulance.

"It was great teamwork between Teddington RNLI, Chiswick RNLI and Hazardous Area Response Team and London Ambulance Service."