NAME – Council of Governors

What is swasft?

• We provide emergency, urgent and unscheduled care• We are a Foundation Trust (March 2011) – aliened • Acquired Great Western Ambulance Station in Feb 2013 • We serve 5.3 million residents and 17.5 million visitors

each year• Employ over 4000 staff and supported by 2785

volunteers*• Cover 10,000 square miles or 1/5 of England

Trust Mission Statement

‘To respond to patients’ emergency and urgent care needs quickly and safely to save lives, reduce anxiety, pain and suffering

Our operational area

Our key delivery linesEmergency Ambulance 999 Services

Helps 2,500 patients a day

Urgent Care Services – which includes

Out of hours services helped 175,600 patients

NHS 111

390,791 calls received

Our key delivery lines in XXXXXEmergency Ambulance 999 Services

Urgent Care Services

- which includes 111 and out of Hours

Patient Transport Service

Patient pathways• Hear and treat

• Hear and refer

• See and treat

• See and refer

• See and convey

• See, treat and convey

Did you know in 2013/14• We took 872,836 999 calls

• Helped 175,600 patients calling out of hours

• Received 390,791 NHS 111 calls

• PTS journeys - TBC

• Responder attendance increased by 10.5% in 2013/14

Our Targets achieved 2013-14Category A8 Red 1 73.15%

Category A8 Red 2 77.23%

Category A19 95.76 %

Category A8 (Red 1)• Red 1 calls are the most time critical and

cover cardiac arrest patients who are not breathing and do not have a pulse, and other severe conditions. For Red 1 calls, the existing call connect clock start will remain, ensuring that patients who require immediate emergency ambulance care will continue to receive the most rapid response.

Category A8 (Red 2)• For Red 2 calls, which are serious but less

immediately time critical and cover conditions such as stroke and fits, a new clock start will allow call handlers to get more information about patients so that they receive the most appropriate ambulance resource based on their specific clinical needs.

Category A19• Incidents presenting conditions that may

be immediately life-threatening and require ambulance at scene within 19 minutes, a non conveyancing vehicle will however arrive in 8 minutes, such as bleeding no life threatening, chest pain with no other associated symptoms, maternity cases.

Our Fleet • 298 ambulances

• 50 patient transport vehicles

• 231 rapid response vehicles

• 6 helicopters

• 5 motorcycles

• 5 bicycles

• 1 boat

How much do they cost to buy?• Ambulance - £131,942.26

• Rapid response vehicle - £34,061.33

• UCS (out of hours Dr’s car) - £25,934.40

• Motorbike - £19,158.50

• Boat (2003) - £248,309*

• PTS vehicle (march 2013) - £53,934

• Bicycle £800**

And how much to run?• Ambulance

• Rapid response vehicle

• UCS

• Motorbike

• Boat

Responders• We have over 3000 responders which

include fire, staff and community members

• 1747 community defibrillators

Right Care (Right Care, Right Time, Right

Place)• Todays service provides a much greater role and ensures patients receive care:

• that meets their needs• delivered by the most appropriate clinician• meets the need of the patient and of the wider health

community

Non Conveyance PerformanceArea Non-conveyance performance %

Gloucestershire 54.63

Swindon 58.76

Wiltshire 56.18

Bath and North East Somerset 54.25

South Gloucestershire 48.83

Bristol 53.81

North Somerset

Devon

Cornwall

Patient Experience • 1454 compliments (0.16% ) and

• 1020 comments and concerns (0.11%) of the

872,836 emergency and urgent calls we received

• We attended 147 public engagement events

including county shows, community fetes and fairs

• Participated in the NHS Friends and Family test

Compliment Received

‘my grateful thank to the crew, they were so kind and patient and are a credit to the service. We are so very lucky to have such a good, fast service’

How the Trust is runBeing a Foundation Trust:• gives us independence and lets us develop our services to meet the needs of the communities we service;•Makes us directly accountable to our patients, staff and local communities who, as ‘members’ are able to influence our decisions•Gives us a Board, Council of Governors and Membership.

Governors• Public constituency made up of 8 areas

with a total 19 Governors

• Staff constituency made up of 6 areas with a total of 6 Governors

• 9 Appointed Governors over 8 areas

• What do they do

Role of Council of Governors • Hold the non-executive directors,

individually and collectively, to account for the performance of the board of directors

• Represent the interests of the members of the trust as a whole and the interests of the public

Our Board • Non Executive Chair and Chief Executive

• 5 Executive Directors

• 6 Non Executive Directors

• What do they do

Members• 14,300 public members

• 4500 Staff members

• What do they do

• Level 1 - informed

• Level 2 - involved

• Level 3 - influential

Bristol

Members Target Shortfall

1218 1479 261

Membership In this area

Membership In this area

• Out of the 1218 members in Bristol only 40% are contactable by email.

Benefits of being a member• Showing your support for your ambulance service;• Helping to shape the future of the service to meet their

need in their community;• Access to the NHS discount scheme;• Receive regular information and news from the Trust;• Vote in the Trust Governor Elections;• Stand for election when a vacancy arises;• Membership is free and flexible;

Continued Plans of the Trust• Over the next five years we want to:

• Promote high quality services 24 hrs a day seven days a week

• Deliver compassionate care to patients in the most clinically appropriate safe and effective way

• Influence local health and social care systems

Future Plans• Build a workforce of competent capable

staff who are flexible and responsive to change and innovation

• Ensure our future sustainability by maintaining and enhancing financial stability

• Be leaders of emergency and urgent care

Continued plans of the Governors• To promote the Trust

• To enguage with the members and public and put their views forward

Quality improvement for 2014/15• Priority 1 – Sepsis

• Priority 2 – Electronic Patient Care Record

• Priority 3 – Primary angioplasty

• Priority 4 – Friends and family test

How you can help • Sign up as a member• Take part in our surveys and give your opinion• Attend Annual Members Meeting • Use 111 & 999 services appropriately • promote the use of 111• Tell us about the service you actually require • What message do you want me as a Governor to take

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