Annual General Meeting 2016 / 2017
Agenda Agenda • Chair’s Introduction and Welcome • Minutes from the 30 September 2016 Annual General Meeting • SCAS Review of the Year 2016/17 • Clinical Review • Financial Review including presentation of the 2016/17 Annual Report and Accounts • Council of Governors Review of the Year 2016/17 • Question and Answer Session • Closure of Annual General Meeting
Rev Review iew of the of the ye year ar Will Hancock – Chief Executive
Our Our ar area ea
Impr Improving ving inside inside • Health & wellbeing • Blue light pledge • Recruitment
Influenc Influencing ou ing outside tside • Shaping services with partners • Delivering more patient care than ever • National work • Listening, engaging, improving our services - journey to 'Outstanding'
I have no doubt that your paramedic saved my life that day so I am very grateful for their professional expertise and care #OPERATIONS 2016 = 2,400 followers The emergency call taker was ultra-professional and showed real They were 2017 = 10,033 followers empathy #EOC knowledgeable and caring and quickly handled my call #111 Your staff gave my mum the utmost consideration and help #NEPTS
Clinical Review John Black, Medical Director and Prof. Helen Young, Director of Patient Care and Service Transformation
Ca Care e Qu Quality ality Co Commiss mmission ion (CQC) (CQC) insp inspec ection tion May May 20 2016 16 • The CQC is an independent health and adult social care regulator • The CQC ensures health and social care services are safe, effective, compassionate and deliver high-quality care • First Ambulance Trust to be rated ‘GOOD’ • Progress with the action plan has been good
Sa Safeg fegua uarding rding 20 2016 16/201 /2017 7 Achiev Achieveme ements nts • Safeguarding training • Section 42 processes • Greater understanding of SCAS by partners • Development of new technologies • SCAS has developed very strong links with partner agencies across our whole areas and is now seen as a major NHS organisation contributing to the safeguarding community
The Work of the Team in 2016/17 • Adult safeguarding/welfare referrals 14,710 • Child safeguarding/welfare referrals 3,093 • Oxfordshire Multi-Agency Safeguarding Hub (MASH) 1,548 enquiries • Slough MASH (July to March only) 368 enquiries • Safeguarding forms validated 12,340 • Telephone enquiries 1,691 • Reports and reviews 23
Suicide Prevention. Dementia. Mental Health Crisis Care Concordat.
Elderly Adult Sensory Experience (EASE) and Dementia programme. EDUCATION • Bespoke programme for all ambulance staff, aimed at increasing awareness of the challenges associated with the process of ageing for our patients (uses sensory equipment/suit). • Part of statutory and mandatory training NEW IPAP Suicide Risk Assessment for 111/999 CCC, Non-Emergency Patient Tool. Transport Service and Community First • SCAS resources have been shared Responder staff. with other ambulance Trusts nationally. • A SCAS self-directed eLearning resource has been submitted for inclusion on a national NHS eLearning platform . POLICY/STRATEGY Mental Health Policy implemented. • Guidance for all staff who are involved in the care, treatment and support of Dementia Strategy. people who are experiencing a mental • SCAS Strategy has been used to produce disorder, relevant to role. a national ambulance service Best Practice Guidance document.
Mental Health • Prompt access to information and care plans (for patients already known to OHFT), Nurses in CCC to support shared care approaches. • Direct access to specialist expertise for patients known to OHFT. • Training and advice to call takers, to support confidence, capability and capacity • Strong partnership work with Oxford in managing MH calls. Health NHS Foundation Trust (OHFT). • Reduction in numbers attending • OHFT second 3 Band 6 nurses to Emergency Departments (ED) SCAS. inappropriately. • Nurses based in 111 and 999 contact centres, 7 days/week between 18:00 – 04:30hrs. • 998 calls during the first year. Average call length 22 minutes. • During the year, there was a 14% reduction in the number of unnecessary journeys to the local Emergency Departments (ED).
Some achievements for Infection, Prevention Control last year; • Increase in uptake of flu vaccine from 38% to >54% • Increase in auditing of stations and vehicles • Review of auditing tool with recommendations for improvements • Participating in Quality, Governance and Risk Directors Group (QGARD) project for vehicle cleaning benchmarking
Patient Experience (PE) contacts received 16/17 15/16 14/15 Complaints, Concerns and Healthcare Professional 2883 1311 1403 feedback Compliments 1322 1071 914 Total PE Contacts received 4205 2382 2317 2016/17 PE Total Activity % Year 111 511 1,222,111 0.04 999 Operations 510 562,837 0.09 PTS 1460 543,177 0.27 EOC 399 545,196 0.07 SCAS wide 3 n/a n/a Trust Total 2883 2,873,321 0.10 % refers to Complaints + Concerns + HCP feedback compared with activity of each service
• Number of formal complaints plus informal concerns has remained consistent at around 100 per month • Largest increase in issues received is in dissatisfaction raised by Healthcare Professionals (HCPs) regarding the Patient Transport Service (PTS) • Data was previously recorded locally. Following training/support provided by PE Team, PTS now manage their HCP feedback using Datix, allowing for clearer oversight of dissatisfaction against activity and clearer reporting and analysis of themes and trends by service and trust wide.
Patient Patient Safety Safety Long Waits / Delays – Keeping Patients Safe • Cases reviewed at Long Waits Group • Closer mapping of rosters to demand • Escalation policy in times of increased demand • Meal break policy • Welfare checks by clinical coordination centre clinicians • Identify and prioritise vulnerable patients • Use of the resources we do have, HCP Tier and Co responders • Innovative pilots including alternative transport
Amb Ambulan ulance ce Clinical Quality Indica Clinical Quality Indicato tors rs (ACQI) (ACQI) • SCAS finished 2016/17 in the upper quartile for two of the eight ACQI’s when benchmarked against the other English Ambulance Trusts • SCAS was above average in four of the eight ACQI’s • SCAS had the best ‘survival to discharge’ for the all cardiac arrest patients.
ACQI Full year position 2016/17 Ambulance Clinical Quality Indicators YTD Apr to March 2016/17 Upper Quartile Rating South East East of Isle of North North South South West Clinical Quality Indicator Units London East Yorkshire Midlands England Wight East West Central Western Midlands Coast STEMI - Care % 84.02% 91.46% 63.01% 71.66% 84.52% 86.60% 76.26% 66.94% 73.69% 81.52% 85.76% Stroke - Care % 98.76% 99.09% 98.39% 96.77% 97.74% 99.68% 98.78% 95.72% 95.10% 97.19% 98.55% STEMI - 60 % - - - - - - - - - - - STEMI - 150 % 91.07% 91.69% 36.84% 90.30% 92.77% 79.87% 86.84% 89.65% 72.90% 86.54% 84.16% Stroke - 60 % 52.02% 50.59% 67.44% 62.08% 56.39% 52.56% 54.14% 62.40% 36.94% 57.46% 44.38% ROSC % 24.78% 28.49% 17.12% 29.40% 24.99% 35.78% 27.55% 27.88% 25.20% 29.55% 27.82% ROSC - Utstein % 46.83% 56.93% 39.13% 54.46% 59.31% 56.96% 39.76% 52.31% 46.17% 46.23% 55.89% Cardiac - STD % 6.26% 8.45% 10.81% 8.46% 7.12% 8.13% 11.90% 6.40% 8.00% 9.00% 10.07% Cardiac - STD Utstein % 21.30% 31.38% 30.43% 26.04% 34.25% 24.10% 22.84% 22.16% 23.42% 25.47% 36.86% Rag key 1st 2nd 3rd 4th If highlighted represents within upper quartile
National Clinical Performance Indicators (NCPI) • SCAS finished the last cycle in the upper quartile for three of the four NCPI’s • The NCPI cycles were cancelled at the end of cycle 17 due to the changes being made as part of the Ambulance Response Programme (ARP) • SCAS have continued to audit 50 records per indicator reported internally and externally in order to monitor compliance.
NCPI Full year position 2016/17 National Clinical Performance Indicators Cycle 17 Year to Date Upper Quartile Rating June 2016 to December 2016 South East East of Isle of North North South South West Clinical Quality Indicator Units London East Yorkshire Midlands England Wight East West Central Western Midlands Coast Asthma Care Bundle % 64.9 86.7 66.7 65.7 64.8 77.9 66.4 74.0 59.3 84.7 69.0 Single Limb Fracture Care Bundle % 28.6 51.4 66.7 30.7 67.3 53.5 58.4 54.3 70.0 55.8 44.7 Febrile Convulsion Care Bundle % 69.4 100 0 40.3 72.7 82.3 92.3 56 86.5 89.3 84.4 Elderly Falls Care Bundle % 17.4 69.3 50.0 48.7 26.5 46.3 89.3 4.0 12.0 10.6 12.3 Cancelled Mental Health Self harm (Pilot) % Rag key 1st 2nd 3rd 4th If highlighted represents within upper quartile
Annual Report and Financial Statements 2016 / 2017 Charles Porter, Finance Director Annual Report and Accounts can be accessed at: http://www.scas.nhs.uk/wp-content/uploads/SCAS- Annual-Report-2017.pdf
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