The South Western AmbulanceNHS Foundation Trust
Introduction• Public Governor of the South WesternAmbulance NHS Foundation Trust(SWASFT);• Not an employee and not medicallytrained;• Presentation will provide:– An overview of SWASFT;– Insight into my role;– How the public can become involved.
Mission, Vision & ValuesMission: “We respond quickly and safely to save lives,reduce anxiety, pain and suffering”Vision: “To deliver high performing emergency and urgentcare and non urgent patient transport services thatare responsive, safe, clinically effective, financiallyviable, legally constituted and well governed”Values: * Respect and dignity * Compassion* Improving lives * Everyone counts* Commitment to quality of care* Working together for patients
SWASFT• One of 11 NHS Ambulance Trusts in England;• The first Ambulance Trust to become authorised as aFoundation Trust – March 2011;• Acquired GWAS – February 2012;• Covers Bath & North East Somerset, Bristol, Cornwall &the Isles of Scilly, Devon, Dorset, Gloucestershire,Somerset, Swindon and Wiltshire – an area equal to 20%of England, with a 5.3 million resident population andvisitor influx of 17 million each year;• Three core services of Emergency Ambulance Service(999), Urgent Care Services (including out of hours andNHS 111)
Emergency Ambulance Service(999 A&E)• Call handling, triage and emergency response to999 calls;• Identifying appropriate treatment for patient andreferring where necessary;• Provision of front line and rapid responsevehicles (with appropriately qualified clinicians);• Transport for psychiatric patients;• Provision of clinical staff for four air ambulances.
Urgent Care ServicesOut of Hours Medical Care & NHS 111• Out of Hours services delivered across Dorset,Gloucestershire and Somerset;• NHS 111 provided for Dorset;• Call handling and triage;• Identification and onward referral to alternative carepathways including non-emergency responses –but not the provision of emergency advice, care,diagnosis or treatment;• Treatment by doctors, paramedics and nurses.
Patient Transport Services(PTS)• Ambulance non-emergency medicalpatient transport, such as out-patientappointments;• Covers whole region except for Torbay;• Provides specialist patient transportvehicles with appropriately qualified staff;• Inter hospital transport of non-emergencypatients;• Out of area transfers.
Facts and Figures• During 2011/12– 765,500 emergency 999 calls;– over 500,000 PTS journeys;– 341,175 GP urgent/out of hours calls;• 97 ambulance stations, six air bases, four clinical hubsand 1 headquarters site in Exeter;• Fleet: A&E double crewed ambulances, Rapid ResponseVehicles, PTS vehicles, resilience and logistics vehicles,paramedic cycle units and a boat for the Isles of Scilly;• A workforce of around 4,000;• 2013/14 estimated income around £210 million.
The Ambulance Service– Then and Now• What was the ambulance service?– Predominantly transport to hospital.• What is the ambulance service today?– Right Care– Right Place– Right Time
Right Care, Right Place, Right Time• Demand for ambulance services is constantlyincreasing – driven mainly by patients who haveurgent care needs rather than serious lifethreatening conditions;• The proportion of patients treated for serious lifethreatening emergencies constantly remains ataround only 10%;• Transforming NHS Ambulance Services – NationalAudit Office recommendations:– More patients should be offered help or advice overthe telephone;– Patients should get the right treatment by being taken
Right Care, Right Place, Right TimeProviding 999 callers with the most appropriatecare. Care that:•Meets the caller’s clinical need;•Is delivered by the most appropriate clinician;•Is provided at a local most suitable to the needs of thepatient and the wider healthcare community.This means:•Change of focus – quality care pathways;•No automatic transfer to emergency departments•More integrated healthcare provision.
Right Care, Right Place, Right TimeDialing 999 no longer automatically meansthat you have to make a trip to hospital
Being an NHS Foundation Trust (FT)– what does it mean?FTs are still part of the NHS and provide free carebased on need rather than the ability to pay.However, FTs:•Have greater freedom to prioritise budgets toensure local needs are met;•Are more accountable to patients, staff and thelocal community;•Have Governors and a membership which caninfluence future strategy and development.
The Council and Governor Role• Governors link the Trust and its members, staff,stakeholders and wider public, ensuring that the voices ofthose they represent are heard at the highest level.• Governors inform the development of the future strategyand direction of the Trust and monitor performance inachieving aims and targets.• The Council represents the interests of local communitiesin the development and stewardship of the Trust by– holding the Board of Directors to account for Trust performanceand its compliance with its Foundation Trust terms ofauthorisation;– developing Trust membership and representing the interests ofmembers;
The Council and Governor RoleKey role for FT Governors:•Linking the Trust and its membership, staff andstakeholders ensuring that their views are fed throughto the Board of Directors.•advising the Board of the wishes of Members and thewider community, when Directors have to makechallenging or difficult decisions; and•providing Members and the wider public relevantinformation about the Trust’s performance and itsForward Plan.
FT Membership• FTs have a membership so that they canbetter understand the needs of the public andtheir views of the services provided.• Our members are people who care abouttheir local NHS services, who would like toshow their support or want to help improvethe services that we provide.• Membership is completely free and howinvolved our members become is entirely upto them.
FT Membership• Why become a Member?– Show your support for your ambulance service;– Learn about the work we do and wider health issues;– Get access to the NHS Discounts Scheme;– Help shape the future of our services;– Vote for a Governor or stand for election to become a Governoryourself.• Who can become a Member?– Anybody who is 16 years of age or older and lives in the SouthWest.• How to become a Member?– Fill in the application form;– Phone the Membership Office on 01392 261526;– Go online at www.swast.nhs.uk
Patient Experience• The Trust is committed to providing thehighest possible quality care;• To help us to achieve this we would likeyou to share your views to assist us indeveloping our services to make sure thatwe continue to provide the right care, inthe right place, at the right time.
Patient Experience• How to share your views:– Contact your Governor – email@example.com– Have Your Say– Patient Opinion www.patientopinion.org.uk or 0800122 3135• Compliments will be passed on to the staffinvolved.• Concerns will be followed up with an open,flexible and personal response if required.
South Western Ambulance NHSFoundation TrustYour ambulance serviceprovidingRight Care, Right Place, Right TimeQuestions?