London Ambulance Service 14 September 2016 Sean Brinicombe, - PowerPoint PPT Presentation

London Ambulance Service 14 September 2016 Sean Brinicombe, Stakeholder Engagement Manager London Ambulance Service NHS Trust 1

LAS context • Covers all of London = 32 CCG’s, 41 NHS trusts, across 86 sites. • Population of 8.9m people • Employs over 4500 staff across 70 ambulance stations. • Annual income of around £300m • 1.8m 999 calls in 2015/16

We are one of the busiest Ambulance Services in the world 3 London Ambulance Service NHS Trust

Performance and demand • Demand has risen significantly recently – with March 2016 seeing the highest number of incidents ever • In 2015/16 we attended 20,000 more incidents than 2014/15 • Performance increased from 59.2% in 2014/15 to 63.3% in 2015/16 for Cat A8 calls (seriously ill and life threatening) • Performance in August 2016 was 66.96%. London Ambulance Service NHS Trust 4

Performance in Haringey • Performance in Haringey has been challenging – however it has been improving CAT A performance increased from 50.92% in July to 58.97% in August. • For Red 1 incidents (Cardiac/Respiratory Arrest or Unconscious, ineffective breathing) performance was 66.67% in August. • We reach 75% of Cat A 8 patients in Haringey in 10 and a half minutes London Ambulance Service NHS Trust 5

CQC report • Visited by CQC in June 2015 - Report published on 27 November 2015 • Good rating for care of patients, highlighted a number of areas of concern and judges the Service to be ‘inadequate’ overall • Trust was placed in special measures • Published our Quality Improvement Plan in Jan 2016, setting out the measures to get us out of special measures London Ambulance Service NHS Trust 6

Progress against the plan Workforce and morale – 717 new staff have been recruited in 2015/16. The Trust met its recruitment target to hit full establishment of 3,169 at end March 2016 London Ambulance Service NHS Trust 7

Progress against the plan • Vehicle Make Ready pilot carried out in NE sector. The pilot was successful showing a reduction in out of service vehicles and improvements in vehicle cleanliness and equipment availability. We’re now considering how we could roll this out across the Service. • Medicines management – Improvements made in medicines management processes, including communication to all frontline staff to outline the professional requirements and to clarify medicines management policies and an increased calendar of clinical audits . London Ambulance Service NHS Trust 8

Progress against the plan Fleet – the profile of the fleet has changed with 60 new Fast Response Units on road by end June, taking available cars to 180, 104 new ambulances are in production that by 31/3/17 half of the fleet’s vehicles will be under 2 years old . Senior managers are receiving training in leadership by Defence Medical Services. London Ambulance Service NHS Trust 9

Other actions to improve the Service Focus on reducing demand, recruiting staff and supporting our staff to work more efficiently. • Around 3,500 callers each week are dealt with over the phone • We’re working with care homes to manage their requests more appropriately • Running a project to manage our frequent callers • We are recruiting more frontline staff London Ambulance Service NHS Trust 10