Annual Review 2017/18

The difference you helped make in 2017/18

£13.1

million raised

1722

patients attended

ANNUAL REVIEW 2017-2018

Together we save lives

2725

total missions

225

patients received aftercare support

Our mission is to save lives by providing the best possible outcomes for patients involved in lifethreatening incidents and/or medical emergencies and by minimising the impact of trauma in the communities we serve, through:

East Anglian Air Ambulance achieved some remarkable milestones in 2017/18. The charity continued to deliver outstanding critical care to patients in life-threatening and life-changing accidents or medical emergencies, saving lives across Cambridgeshire, Bedfordshire, Norfolk and Suffolk, and beyond.

2. The delivery of first aid training to communities in East Anglia from our frontline crew, to help form the chain of survival

But our mission to save lives and provide the best patient care possible does not start and stop with our crews at scene; the charity’s growth over the past five years has enabled us to take an ever more holistic approach to patient care – from launching first aid training in June to developing our patient aftercare programme. Our mission to save as many lives as possible continues, and as the charity develops so does its long-term aim to minimise the impact of trauma and medical emergency in the community.

3. Dedicated aftercare support to help our patients and their families with recovery, as well as improve information sharing with hospitals in order to gather vital data on patient outcomes to aid further improvement of our service

4. Developing partnerships and collaborations with organisations which have aligned ambitions to ours to provide signposting and improved health service communications

In the last 12 months we have seen some stand-out statistics in our work – taskings to intentional self-harm has increased by 27% in the region and the number of cardiac arrests we attend has now surpassed road traffic collisions. But we have also seen some truly inspirational acts of bravery, from family members delivering CPR to save loved ones, to moving acts of kindness from our loyal supporters who continue to take on personal challenges to support our work.

The charity has also been delighted to achieve some firsts; in February we ranked 43rd in the Sunday Times Top 100 Companies to Work For awards at our first attempt. We launched our first ever medical trial Re-PHILL to try and better understand the effects of carrying blood on board, and after appointing a data analyst in December, we are about to publish our first paper on cardiac arrest outcomes. In March, we were also incredibly proud to receive an outstanding report from the Care Quality Commission, which highlighted excellent patient care and work ethos in the charity. Finally, we were delighted to feature in More4’s television series Helicopter Emergency Medics from April 2018, offering our supporters an insight into the high level of care and skill our crews bring to scene.

Over 365 days our highly skilled doctor and paramedic teams were dispatched 2,725 times by helicopter or fast road car - that’s

TASKINGs TO INTENTIONAL SELF HARM INCREASED by

27%

an average of eight times per day in the last financial year - and they treated 1,722 patients. Our crews treated patients at the roadside, in the city, on the beach, maybe near where you live. We saved numerous lives, and helped to rebuild many more.

This life-changing and life-saving work, that helps not only the patients but also their families and friends, is not funded by the NHS but by the generosity of people like you. So on behalf of our 1,722 patients last year, thank you. Help us in the next 12 months and beyond so we can be beside you if you need us.

Together we save lives

OUR MISSION

Our mission

1. The combination of a quick response time, advanced clinical care on scene and quick transfer to the appropriate hospital

02

30.3%

Road traffic collisions

40.8% Key

0.2%

8 81-90

91-100

3

1

20 71-80 16

19 61-70 17

34 51-60 21

54 41-50 13

51 31-40 13

80 21-30 21

Age (in years)

0 -10

-90 81

-80 71

91

Number of patients

-70

81-90 91-100

Other 2% (28) ; Exposure 1% (13) ; Other transport <1% (4)

37

71-80

61

3% (60)

-50

Sport/ leisure

42 41

4% (65)

61-70

-40

6% (103)

Assault

51-60

31

14% (236)

Intentional self-harm

41-50

-30

15% (259)

Medical emergency

31-40

21

27% (466)

Accidental injury

88

21-30

Age (in years)

OUR PURPOSE 03

total

patients

28% (484)

Road traffic collision

Cardiac arrests

11-20

*Bedfordshire, Hertfordshire

RRV

Cardiac arrest

0-10

Other Areas

taskings

1722

8

Undefined patients

-20

11.1%

Total missions by type

Female patients

Patient ages

Essex

7

866

563

11-20

302

Male patients

11

210

Undefined

1151

18

15.5%

7.7%

1859 helicopter taskings

Suffolk

Number of patients

Herts*

Female

423

0

6.1%

0-1

Beds*

69.7%

Male

12

18.6%

166

0-10

Cambridgeshire

Total missions per county during 2017 /2018

Total RTC

Age (in years)

OUR PURPOSE

1111

506

Our patients 2017 /2018

Norfolk

14

Our purpose

04

OUR HIGHLIGHTS

Our highlights

05

Turn

During summer 2017, we said goodbye to EAAA pilot and team member HRH The Duke of Cambridge, known as William Wales to his colleagues, who left the charity to carry out royal duties.

August Our new cohort of pre-hospital emergency medicine trainees joined the charity.

October

December

EAAA volunteer Nathan Shoesmith won Young Person of the Year and we hosted our annual volunteer celebration day to thank our dedicated volunteers.

We launched our first Christmas appeal marking a year since ex-patient Allison Allen’s road traffic accident, which changed her life.

January September EAAA, Magpas, EHAAT and London Air Ambulance joined forces to celebrate ‘National Air Ambulance week’, bringing all four helicopters together in one place for the first time.

November Five EAAA nominees were shortlisted at the Air Ambulance Awards of Excellence in London.

Our first medical trial RePhill launched with SERV Norfolk, Suffolk and Cambridgeshire.

March

May

June

EAAA received an ‘outstanding’ Care Quality Commission report with no areas for improvement.

Three new paramedics are welcomed to the EAAA team.

EAAA launched first aid training in a bid to save more lives. The charity also officially opened a new helipad at Ipswich hospital.

February EAAA ranked 43rd in The Sunday Times Top 100 Companies to Work For awards in our first attempt.

April EAAA starred in new TV documentary ‘Helicopter Emergency Medics’on More4.

OUR HIGHLIGHTS

July

06

Our work Whether dealing with major trauma incidents or medical emergencies, East Anglian Air Ambulance aims to provide the highest quality patient-centred care to those who need it most in the region.

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At EAAA our aim is always to provide the very best outcomes for our patients.

With this in mind, as of January 2018 we began participating in a medical trial at our Norwich Base, followed shortly after by our Cambridge base. The Re-PHILL trial is a nationwide study run by Birmingham University Hospital, which aims to determine whether giving blood in a pre-hospital environment improves patient outcomes in a trauma setting.

This is a blind trial so our crew will not know what product they are receiving; this minimises the risk of bias in testing the treatment. To take part in this trial we

need to receive daily provisions of blood and saline (salty water) every day for three years. SERV Norfolk and SERV Suffolk and Cambridgeshire, the blood bike charities, collect these products from the Norfolk and Norwich University Hospital and Cambridge University Hospital and deliver them to us by car or bike. We are incredibly grateful to the SERV groups for their time and support, without which we wouldn’t be able to take part in a trial that could lead to more lives being saved.

There is currently no evidence to suggest either way whether giving pre-hospital blood products on scene will actually improve patient outcomes, and we don’t know if giving blood and plasma early in

CQC inspection We are delighted to have received a glowing report from the Care Quality Commission (CQC) for both our Cambridge and Norwich bases in March. the course of injury aids survival. This trial will determine whether this strategy is effective or not. This is an important trial, which will ensure we are giving our patients the best possible treatment on scene.

The CQC is an independent regulator and registers health and adult social care service providers in England, inspecting whether or not standards are being met.

As a non-NHS healthcare provider, EAAA elected to be regulated by the CQC, which highlights good practice and issues that need improvement.

With four areas highlighted as ‘outstanding’ and no areas of improvement, we are thrilled that the dedication of our staff to provide outstanding patient care has shone through.

OUR WORK

OUR WORK

Re-PHILL trial

08

We supported 225 ex-patients in 2017/18.

Our aftercare programme is developing to ensure that our patients and their families receive the best possible support in their recovery journey. For many of our patients recovery can take months, and sometimes years, and their injuries can be life-changing.

OUR WORK

The aftercare service helps patients to understand what happened to them before they were admitted to hospital and directs patients and their families to other organisations, such as charities and free legal advice, which may be of additional support. This service can also help families during the patient’s recovery or following bereavement.

09

The Aftercare Team offers the opportunity for recovering patients and their families to meet the doctors and paramedics who treated them by arranging visits to our bases in Norwich and Cambridge. This is seen as an important part of the patient’s recovery and can provide the crew with some much desired feedback on the outcome of the patients they treat.

“In a short time of being with EAAA I can see how aftercare can really benefit our patients”

Introduction of the Pneupac babyPAC ventilator EAAA introduced a Pneupac babyPAC in February 2018, a piece of equipment which is specially designed to deliver ventilation to the small, fragile lungs of new-born or young patients. The ventilator allows our critical care team to take over a patient’s breathing and deliver specialist support throughout a transfer to hospital.

- Alison, Aftercare Manager

Our future vision Currently only around 12% of expatients are supported by the Aftercare Team. Our vision is to significantly increase the number of patients that are supported by us and provide additional care and interventions.

New paramedics

Our aim is to reach patients earlier in their recovery by building a strong personalised network in all hospitals across our region. With improved information sharing between our charity and these hospitals we plan to gather vital data on patient outcomes, providing learning to influence service delivery.

Therefore in January 2018 we appointed an Aftercare Manager and we also plan to appoint two Clinical Liaison Officers who will offer aftercare support across our four counties.

This year we have been joined by three new paramedics; Page Chamberlain, Liam Sagi and Sam Sweeney, who all went through a rigorous and highly competitive process to become part of the EAAA team. They initially worked on-board the helicopter alongside some of our more qualified critical care paramedics to gain experience in the helicopter emergency medical service (HEMS) environment, after which they began taking up standard shifts alongside our doctors.

Patient Richard Woodstock visiting our Cambridge base with CCP Tim Daniels

Our clinicians completed extensive training prior to the babyPAC ventilator being introduced on board and went through a lengthy process of adapting the aircraft interior to carry the ventilator. Before this, our doctors and critical care paramedics would take control of a patient’s breathing manually for the duration of the journey to hospital.

Introducing the babyPAC ventilator allows the critical care team to set specific time and pressure on the machine and control oxygen concentration levels to suit the patient’s breathing requirements.

OUR WORK

Developing our patient aftercare programme

10

EVERY YEAR

Our impact

APPROXIMATELY

12000

In June, East Anglian Air Ambulance (EAAA) launched a new First Aid Training programme with the aim to raise awareness and encourage members of the community to feel confident in delivering cardiopulmonary resuscitation (CPR) and using a defibrillator.

OUR IMPACT

This training has been launched to ensure that more people are ready to take action if someone nearby suffers a cardiac arrest.

Every year approximately 12,000 people suffer a cardiac arrest whilst at home, work or play in the East of England. That’s 30 people a day across our six counties.

11

Only about 40% of these receive any form of bystander CPR before the arrival of the ambulance service and less than 20% have a defibrillator deployed before emergency services arrive. Yet we know that early bystander CPR trebles the chances of surviving a cardiac arrest; coupled with

the early use of a defibrillator, survival chances of a patient can improve to between 40-70%.

Once again we are relying on the communities we serve to help us save more lives by not only learning vital first aid skills themselves, but by encouraging friends and families to learn too. Together we can form the chain of survival and ensure more lives, just like Charlotte Salmons (patient story overleaf), are saved each year. www.eaaa.org.uk/firstaid

PEOPLE SUFFER A CARDIAC ARREST

AT HOME, WORK OR PLAY IN THE EAST OF ENGLAND

The Chain of Survival

THAT’S AN AVERAGE OF

The Chain of Survival is made up of four key areas, the first three of which can be performed by members of the public who have learnt basic life-saving skills.

30 PEOPLE A DAY

1

Early access & recognition: being able to recognise someone’s in cardiac arrest and getting assistance is the first step to helping them.

2

Early CPR: performing chest compressions can ensure oxygen reaches the brain until a defibrillator arrives.

3

Early defibrillation: be confident in using a defibrillator to restart the heart.

The instructions are on the box.

4

Early advanced care: delivered by critical care paramedics and/ or doctors who arrive shortly after.

OUR IMPACT

First Aid Training

12

Forming the chain of survival On 23 August 2017 Charlotte’s life was turned upside down when she suffered a cardiac arrest.

CHARLOTTE SALMONS

It was a normal weekday; her two young children were asleep in bed and she was set to enjoy a quiet evening with her husband, James. Charlotte was ordering birthday presents for her daughter online when she said she felt faint. In just seconds she was unresponsive having suffered a cardiac arrest.

13

James instantly reacted to help his wife, calling 999 at 22:27, and having previously learnt first aid he began immediate CPR. First responders quickly arrived on scene and Charlotte received two shocks from a defibrillator to get her heart back into a rhythm.

The EEAST team then arrived and continued her care, followed by the EAAA crew of Doctor Laszlo Hetzman and Critical Care Paramedic Jemma Varela, who arrived by helicopter at 22:51.

The EAAA team assessed & monitored Charlotte’s heart via ECG (electrocardiogram) and cardiac ultrasound, gained IV (intravenous) access to administer medication and intubated her to take control of her breathing.

Charlotte has since been diagnosed with an arrhythmia and fitted with an Implantable Cardioverter Defibrillator (ICD) which sends electrical pulses to regulate the heart rhythm should it need to. Unfortunately this device has since had to go off recently for Charlotte, but it did the job it is there to do, and her condition continues to be monitored.

“When you get married you say until death do us part – and I was not ready for that to happen” - James, Charlotte’s husband

James said, “When you get married you say until death do us part – and I was not ready for that to happen”.

Despite suffering an arrest at such a young age Charlotte quickly bounced back to normality and was soon picking up life as a busy mum once again. She came into the Cambridge base to meet Dr Laszlo Hetzman who helped save her life. Her husband James said about Laszlo, “I’ve never seen someone throw a chair across a room so quickly to make space to help.”

EAAA First Aid and Resuscitation Manager and Critical Care Paramedic, Mark Milsom, said; “I was fortunate enough to be on the base when Charlotte came for her visit and knowing the details of what had happened I was delighted to see the incredible recovery she had made. People often associate cardiac arrest with older people, but that is not the case, and Charlotte as a young woman with two young children is proof of that. However Charlotte’s story is also the ultimate reminder of the importance of knowing how to perform good CPR and we are so pleased she has become such an ambassador for it.”

Charlotte says that James saved her life by knowing to start CPR immediately, and since her arrest she has become an ambassador for the EAAA First Aid Training programme.

The chain of survival was in perfect order to save Charlotte’s life that night but her courage and determination are what have helped her along her road to recovery.

Only 1 in 10 people in our community know basic life-saving first aid skills.

CHARLOTTE SALMONS

Charlotte Salmons

Charlotte was then taken by road ambulance to Addenbrooke’s Hospital with the EAAA crew by her side, constantly monitoring and assessing her condition. She remained in hospital for two weeks after the arrest and said she could not remember anything from the week leading up to that day.

14

“We raised an incredible £13.1m in ‘17/18.

We couldn’t have achieved this without your support”

Your Impact

Joanna Dew, Director of Fundraising

Celebrating our supporters

15

We trialled new events such as Glow in the Park 5k run, raised more income from Trusts than ever before, received significant legacies, and delivered successful events such as Only The Brave. Our supporters continued to astound us in 2017/18 as they took on bigger challenges, became more innovative in their fundraising and inspired us with their stories.

As we look to the future, we will continue to explore different ways of developing our service. As mentioned in our future

Vicki George, Volunteer

Volunteers

plans overleaf, we know there is a vital need to become a 24/7 service. We are currently looking at ways to fund a larger operation, as well as additional flying hours, ensuring our community has first-class critical care by air round the clock.

In the last twelve months, our dedicated team of volunteers across East Anglia gave their time generously to support our event, fundraising and charity initiatives.

Our fundraising strategy over the next 12 months will focus on our partnership working with local businesses across the region, looking at ways we can better work together. We will also be launching new and exciting fundraising events for the community, including a Neon Night Time Ultimate 5k run in Norwich and a ‘Get Up and Go Yellow’ day in September for National Air Ambulance Week.

Throughout the year they supported Only The Brave mud run and Glow In The Park, helped our aftercare team deliver base visits and attended collection bucket days, amongst many other things.

Every minute that a volunteer gives to the charity helps ensure we can keep our crews in the air, so a heartfelt thank you from all at East Anglian Air Ambulance for their ongoing dedicated support.

We couldn’t achieve any of this without you.

Thank you!

EAAA volunteers at our annual volunteer celebration day in October 2017

YOUR IMPACT

YOUR IMPACT

We are a life-saving charity that is only kept airborne thanks to everyone who donates, takes part in our events, volunteers their time and champions our cause. Thanks to your incredible support we have grown our income year on year and this year raised an incredible £13.1m.

“I enjoy everything I do for the EAAA and feel, for the first time since my husband died, that I have a purpose and that I am doing something useful with my time.”

16

Grants and trusts

Other £969,516

Income from investment

£472,726

Total income raised

Expenditure

£13,128,076

Op £7 erati 41 on ,56 al s up 5

Gifts in wills

£266,015

£5,144,900

Helicopter & aviation £5,140,183

rt

l

Grants & trusts

Lottery

po

ica

£3,348,643

Finally, The George Bairstow Charitable Trust enabled us to purchase equipment to support our newly launched first aid programme in June.

Elle Green,

Supporter Marketing Manager

Lottery and raffle Lottery income continues to fund a hugely important part of our life-saving service with an income of £5,144,900. In May 2018 we launched our first ever lottery advert with Sky, focusing on our supporters – without them we could not deliver our service. Our raffle also raised over £470,000 in ‘17/18. Together these account for 43% of our income.

Office support £1,055,744

£10,636,846

ed m r& 9 cto 38 Do 50, £9

FINANCE REPORT

Depreciation £325,881

ty

Raffle & merchandise

We also received funding to support our new pre-hospital emergency medicine trainees from the Paul Bassham Charitable Trust, the Alfred Williams Charitable Trust, the Thriplow Charitable Trust, the Utley Foundation, and the Helen Roll Charity.

G fu ene nd ra s £ tin 1, g c 13 o 3, mm 73 u 4 ni

£2,926,276

Generating lottery £1,289,350

Bank interest £9,145

Community fundraising

17

We received funding towards replacement patient monitors (to be purchased in 2019) from the Morrison’s Foundation, the Martin Laing Foundation, the Adrian and Jane Frost Charitable Trust, and the Wixamtree Trust.

£367,228

The full accounts are available from the Charity Commission.

The figures used in this review are extracts from the draft accounts and may be subject to change.

Community fundraising

Events

Community support and general donation income continued to grow from the previous financial year; we received £225,771 from business partnerships across East Anglia, £772,224 from general donations, £157,867 from collection boxes and £357,522 from in-memory funds.

Third party and charity events raised an incredible £1,169,428. Our flagship event Only The Brave mud run raised £164,829 alone and saw an increase in participation from the previous year. We were also delighted to team up with Glow in the Park 5k in Peterborough for the first time.

Gifts in wills All gifts in wills, whether large or small, play a huge part in our fundraising and made up 26% of our income last financial year, remaining a vital income stream.

We received £3,348,643 in total.

FINANCE REPORT

Finance report

Grants and trusts income continued to fund vital equipment within the charity in ‘17/18.

Libor £593,143

“We currently have 103,100 lottery players supporting EAAA – every single play counts!”

18

Our future plans

Building partnerships and signposting

Our plans for the future aim to provide the very best care to patients in need and focus not only on saving lives, but minimising the impact of trauma and medical emergencies in the community.

Data sharing

19

Through research we have confirmed a significant unmet need in the region for all night critical care, particularly in rural areas.

Therefore we aim to become a 24/7 helicopter service in the future, starting with a 24/7 operational service in Norwich by car. In the meantime, we also plan to extend our helicopter cover in Cambridge from midnight to 0130 hours.

Part of this milestone development for the charity will also be the construction of a new Norwich base which will enable us to house a 24/7 operation sustainably and unite our Norfolk-based charity staff under one roof.

We continue to look at ways to improve data sharing with regional hospitals to not only improve our patient aftercare, but also to extend our capability of analysing patient outcomes and the impact we are having as a helicopter emergency medical service (HEMS).

Helipads We are also looking at ways and means of developing our network of lit hospital helipads throughout the region to improve our service at night and ensure we can deliver the best possible care to our patients.

OUR PLANS

OUR PLANS

Becoming a 24/7 service and a new Norwich base Currently, there is a 12 hour overnight gap in our helicopter service from our Norwich base and a 7 hour gap from our Cambridge base. During these times, critical care cover by air is unavailable across East Anglia. However the type of incidents we attend – serious road traffic collisions, cardiac arrests, traumatic injuries and other medical emergencies – don’t stop when our helicopters go offline.

As we take a more holistic approach to patient care, we aim to build further partnerships and collaborations with health charities and organisations regionally and nationally, to ensure our patients receive the best possible recovery journey when they leave our care.

20

Your support

East Anglian Air Ambulance exists to save lives by delivering highly skilled doctors and critical care paramedics by air to seriously ill or injured patients as quickly as possible. If you’d like to join our community of supporters and help keep our crews airborne, there are many ways to get involved:

Volunteering We always need more volunteers to help with a whole range of jobs to support us in our work. It can be a really rewarding thing to do, whilst utilising your skill set and helping the cause. Please email Sarah Hurren for more information on how you could help.

Attending events

Play our lottery

There are lots of fantastic events being put on throughout the year in aid of EAAA. By attending events you will be contributing to EAAA and hopefully having great fun too.

Visit our website for some great events that you can attend.

By becoming a lottery player you will be joining over 100,000 other people in East Anglia and beyond who ensure we can keep our crews in the air. The lottery funds over 39% of our life-saving service so your play really does make a difference.

www.eaaa.org.uk/events

lottery@eaaa.org.uk

volunteer@eaaa.org.uk

21

Leave a gift in your will

Regular giving

There are so many different ways that you can help fundraise for EAAA, such as running an event, a sponsored beard shave or a skydive. Please email us and we can put you in touch with our local fundraisers who can assist you.

Gifts in wills fund around 1 in 4 of the life-saving missions we attend. There is no obligation to include us in your will and of course loved ones come first, but if there is a small gift you would like to leave to EAAA it could make a real difference to the lives we save in the future. To find out more email:

Making a regular donation to EAAA is a really simple way of helping us, and helps us to plan our monthly budgets. You can set up a monthly direct debit today by visiting our website.

info@eaaa.org.uk

info@eaaa.org.uk

Thank you

www.eaaa.org.uk/regulargiving

YOUR SUPORT

YOUR SUPORT

Fundraising

22

Thank You

Together we save lives www.eaaa.org.uk

03450 669 999

Registered office East Anglian Air Ambulance Hangar E, Gambling Close Norwich, NR6 6EG

Registered Charity in England and Wales. Registered Charity number 1083876