ANNUAL REVIEW 2016-2017
Together we save lives
“Since 2015 /2016 we have seen a 47% increase in the number of missions”
Total missions per county during 2016/2017 Other Areas
Norfolk In the last year, East Anglian Air Ambulance has enjoyed significant growth, delivering outstanding critical care by air and road to more people across East Anglia and beyond than ever before.
This was also the first full reporting year with both bases in Cambridge and Norwich operating the new, larger and longer-endurance Airbus H145 helicopter which has enabled multiple missions before needing to refuel. As a result, we’re busier
Our Doctors and Critical Care Paramedics provide specialist pre-hospital care at scene for those typically suffering life-threatening or life-changing accidents or medical emergencies and need urgent treatment. Every second counts when dealing with these emergencies and our aim is to be airborne within three minutes of receiving a call. Our pilots can fly our medical crew to anywhere in the region within 25 minutes. Seventeen years ago EAAA started in Norfolk with a single pilot and a single paramedic on a small helicopter just one day a week. Fast forward
up to 2016 - 17 and it has been yet another fantastic year for East Anglian Air Ambulance. With the help and support of the entire community, we continue to drive the charity forward and deliver our outstanding critical care to those that need us most.
NEU RO 7%
AC DI EST R R % CA AR 26
485 *Bedfordshire, Hertfordshire
C RT 8% 2
We began the year with the introduction of an additional single Critical Care Paramedic shift four nights a week from Norwich using the rapid response vehicle (RRV). This not only provided an additional advanced clinical care resource but also allowed us to gain insight into the unmet need for a critical care team at night in the north of the region. Since its launch, the RRV-based night shift has attended 340 missions.
than ever before. In 2016/17, we were tasked to 3,004 missions – a figure that is up by almost half from the previous year. The charity has continued to push the boundaries of what it can achieve; Saturday 13th May was our most busy day ever with 17 callouts across our two bases.
OT H 21 ER %
& T E UL NC % SA LE 8 AS VIO
Attended over 3,000 missions
Together we.. Enjoyed these great ‘16/17 highlights
PHEM trainees join Pre-Hospital Emergency Medicine trainees joined us for the forthcoming year.
The AAA Awards
Our Clinical Governance Day
The Association of Air Ambulance Excellence Awards and Conference took place. Our Medical Director Alastair Wilson received the Lifetime Achievement Award for his work with air ambulances. Steve Norris, EAAA’s Senior Pilot won Pilot of the Year and one of EAAA’s volunteers Jamie Edghill won Volunteer of the Year.
Our monthly Clinical Governance Day took place providing training and reviewing previous missions with clinical crews.
Nembo Ferrari Spider auction The auction of a donated Nembo Ferrari Spider at Duxford took place raising over £500,000 for the charity.
A variety of events working with EAAA supporters took place, including the Archdeacon’s charge, the Lacey Lunch, charity clay shooting with Nidera and camel racing.
Staff first aid training & NAAW
Ipswich volunteers came to visit
Blood on Board meeting
Only The Brave mud run
We delivered our first ever staff first aid training in September. BBC Futures also featured an EAAA article during National Air Ambulance Week.
We welcomed our Ipswich based volunteers to our Norwich base to meet some of the crew and thank them for their hard work.
Our team had one of its first Blood on Board meetings, working collaboratively with the NHS, ambulance trusts, hospitals and other air ambulances in the UK.
Our flagship mud obstacle race Only the Brave raised just under £200K for EAAA.
Medical Director Alastair Wilson and Chief Executive Patrick Peal were invited to speak to the delegation of hospital administrators from China.
Cambridge base opens We were honoured to welcome Her Majesty the Queen with HRH the Duke of Edinburgh who graciously performed the opening of our new Cambridge base in July, with Capt. William Wales as one of the duty pilots that day.
Month of events
The Bank of England dinner The Bank of England hosted a dinner for EAAA in London.
The Chain of Survival
“National data indicates the ‘return home well after cardiac arrest’ is 1 in 10.”
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.
Formed the Chain of Survival Since its launch in 2000, EAAA has developed from providing a rapid means of transporting patients to an accident and emergency department, to providing the best possible critical care on scene before delivering the patient to the appropriate specialist hospital. In everything that we do, from considering our fundraising strategies to our operational services, the East Anglian Air Ambulance team does its utmost to provide the best outcomes for its patients - and their families. And we want to achieve the next life-saving step – ensuring people have access to vital first aid while they wait for the emergency services to arrive, through bystanders who are able to effectively administer CPR and confidently use defibrillators.
1. Early access & recognition: being able to recognise someone is in cardiac arrest and getting assistance is the first step to helping them.
The charity has seen a significant increase in the number of cardiac arrests it attends. National data indicates the number of patients who “return home well after cardiac arrest” is approximately 1 in 10; a figure which is even lower in the east of England. EAAA attends more than one cardiac arrest mission a day. Thanks to considerable progress in connecting with NHS hospital data in the past 12 months, EAAA has been able to analyse patient data from Papworth Hospital covering 27 patients taken there by the charity in the last two years. Of the 27 patients EAAA delivered, 18 went home to their families and friends; that’s two thirds of patients surviving a cardiac arrest.
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. For every minute the patient doesn’t have a defibrillator, their chances of survival reduce by 10%.
The chain of survival for these people did not just include EAAA, but also bystander CPR and early defibrillator usage. These factors are significant in survival rates of people who have had a cardiac arrest. In 2016/17 and looking to the future, the charity has been and will continue working to ensure people, businesses and communities across East Anglia have easy and regular access to first aid training. To achieve this, we have been developing commercial training for both certificated and short basic life support courses, as well as building links with local schools and national heart charities to support moves to add CPR to the PSHE curriculum across the country.
CCP & Head of Clinical Operations Andrew Downes
4. Early advanced care: delivered by the Critical Care Paramedics and/ or Doctors who arrive shortly after.
Together we.. Improved patient outcomes
The emergency services were called at 15:24 and the air ambulance was activated at 15:31. They were at Briony’s side at 15:48. The 24 minutes waiting for the air ambulance to arrive were crucial. The teachers gave Briony immediate CPR to keep her blood circulating to her brain and EEAST used a defibrillator to resuscitate her heart on arrival. When Briony’s heart had restarted, she was flown with her dad in Anglia One to Addenbrooke’s Hospital being cared for by the EAAA medical team.
Briony Evans - Brown It started as a normal Monday morning for Alan. He got up, made his 12-year-old daughter Briony her breakfast and ironed her school uniform. They had a chat about everything and nothing. At 7.30am he gave her a kiss and said “I’ll see you tonight when I get home”.
Briony went straight in to have a CT scan, but it was delayed because she had another cardiac arrest in hospital. After an hour the doctors were able to complete the scan. She was then transferred to Great Ormond Street Hospital. Briony eventually had a pacemaker fitted. She left hospital after five weeks.
Briony walked to the bus stop to go to school. During the afternoon Alan got a phone call from Sir John Leman High School in Beccles to say Briony had fallen in the playground, hit her head and the air ambulance was on scene. The school asked him to get there as soon as possible. Alan said: “I don’t even remember driving there. When I arrived a Policewoman tried to calm me down. Seeing Briony on the stretcher, I thought the worst. I was then told she had a cardiac arrest.”
“A big big thank you to the EAAA. Without your dedication and commitment to Briony and all the other people you attend, many wouldn’t be here today. We, as many other families, are indebted to you all.” Alan, Father
Patient side (25 minutes)
Anglia One had been tasked from Norwich by the ambulance service and Critical Care Paramedic Chris Neil, Doctor Haris Begovic and supervising Doctor Marcel Rigaud were all on scene treating Briony. The medical crew administered a general anaesthetic to Briony, provided specialist prehospital care treatment, managed her airways and provided enhanced life support – essentially putting her into an induced coma to protect her brain.
“This year we have treated 26% more patients than we
Provided advanced critical care in medical emergencies Our medical crews provide world-class critical care 365 days a year for the critically ill and injured. They could not achieve this without the help of a wide range of people and organisations in East Anglia. We work in partnership with East of England Ambulance Service, the police, the fire and rescue service, the BASIC services such as SARS and NARS, and many more on a regular basis to achieve the best outcomes for patients. Beriplex We started using Beriplex in January, a drug which reverses anticoagulation allowing the blood to clot in the event of an accident or injury. This is to provide better care to our elderly patients on warfarin (a blood thinning drug), who can lose a lot of blood very quickly if they have an accident or injury.
did in 2015-2016”
“Our clinicians, often consultants in emergency medicine or anaesthesia, are passionate about developing the most advanced emergency pre-hospital treatment for our patients.” Alastair Wilson, Medical Director
Body-worn cameras Every incident is different; so it’s standard practice for every case we attend to be discussed in detail, to see what can be learned. Any relevant learning points are then shared with all of our operational crews. To facilitate this, the charity has equipped its crew members with body-worn video cameras (BWVC) to further enhance the standards of healthcare it offers. After-care team Last year we introduced a patient liaison team to help patients and their families come to terms with what happened to them – for example, PTSD is not uncommon. As a result EAAA patients now receive dedicated after-care and guidance; last year we supported 224 patients.
Dr. Maha Mahdi CCP Chris Neil Dr. Drew Welch 10
Barbara, Fundraising Manager
Raised £12.8m to develop and deliver our service 2016 - 2017 has been another amazing year of fundraising in order to keep our pre-hospital emergency care crews flying. The east of England is full of generous people; the general public, corporate partners and trusts. We could not provide our services without you and would like to say thank you for every ball, golf day or coffee morning, every race run or cycled, every lottery player, every legacy and donation. Our supporters inspire us every day with their creativity and continued support. Thanks to your amazing efforts we raised an incredible £12,815,652 to ensure East Anglian Air Ambulance can develop and deliver its service. The charity’s strengthened senior fundraising management structure was implemented last year.
The team has provided significant value to the charity as new fundraising projects and initiatives move forward; our aim is to increase other fundraising income streams whilst maintaining income from our lottery which this year totalled £4,986,037. In the wider charity sector, digital fundraising income is increasingly becoming an important source of income. EAAA will be focusing on this over the next 12 months by exploring new technologies and avenues to engage with people from across the region. We need to raise £28,242 per day to keep our helicopters and crew flying and saving lives in East Anglia.
Only The Brave
Barbara has worked for EAAA for over 10 years and heads up the fundraising team in Melbourn, working closely with the local community.
Our flagship event Only The Brave was hugely successful, bringing in a fantastic £195,000. The event helped us to attend 56 missions last year.
Virgin London Marathon We had 20 supporters run the marathon on our behalf, five of which were gold bond places, raising £32,500.
Glow in the Park We have been looking at new, exciting and different ways to fundraise in East Anglia. We will be partnering with Glow in the Park in April ‘18 to establish a new 5k race in Peterborough.
Jenny Stevenson, Pilot Gifts in Wills Gifts left to East Anglian Air Ambulance in Wills are a vital part of our funding, paying for one in every four missions.
Grants & Trusts
Together we.. Achieved financial sustainability and resilience for the charity Local businesses continued to support East Anglian Air Ambulance generously in 2016/17 with corporate fundraising and by engaging with our events.
EAAA recently launched two new rapid response vehicles, thanks largely to charitable trusts. The funds for the Cambridge vehicle were provided by The ALBORADA Trust.
Gifts left to us in Wills made up one quarter of the charity’s annual income and are an incredibly important resource for the charity.
Corporate Donations We raised just under £250k thanks to the generous support of businesses across East Anglia, many of whom made us their charity of the year and took part in our events.
Jenny has been flying with EAAA since 2014, becoming the first ever female pilot at EAAA based in Cambridge. Jenny trained for her Private Pilot’s Licence in the UK and completed her commercial licence in Florida, USA.
Thanks to your generosity we have grown in ways - such as purchasing the new Rapid Response Vehicles (RRVs) - that otherwise would not have been possible.
“Legacies accounted for 25% of EAAA annual income in 2016 - 2017”
Grants from trusts and foundations also contributed towards the running of our life-saving service, allowing us to purchase specialist medical equipment.
East Anglian Air Ambulance would like to thank all charitable trusts, businesses and those who have pledged us a legacy over the past year.
Corporate donations £248,555
Trusts & Grants £253,767
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Total income raised
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Raffle & merchandise
ner £1,0 ating co 78,6 mmu nity 75 f
Ensured every penny spent benefited the patient
Generating lottery, merchandise & raffle funds
Sam joined EAAA in February 2015 and is responsible for the lottery team, facilities and all financial aspects of the charity.
Sam Demetriou, Head of Financial & Support Services
£1,265,937 Libor Income from investments
Annual comparison 15
Trusts & grants
2016/17 The full accounts are available from the Charity Commission. The figures used in this review are extracts from the unsigned draft accounts.
Together we.. Delivered against our values
Jenny, Norwich Receptionist Jenny joined EAAA in 2003 and works at the Norwich base. Having also volunteered for the charity, she is one of its longest-serving members of staff.
Our core values: Quality, Community, Innovation, Accountability and Passion
Our Supporter Promise
We will seek the best patient outcomes and best value with the money we raise.
2016/17 has been another challenging year for charity fundraising with new data protection
• Our focus is on doing the best for our patients and their families.
regulations coming into force. East Anglian Air Ambulance is a responsible and ethical
• We will use all donations with care and seek best value.
charity and we take our responsibilities to our supporters, patients and other stakeholders very seriously. Over the past 12 months we have been reviewing how we manage our relationships with our supporters and working hard to ensure our policies and procedures positively reflects how we manage their details.
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• We will only publish patient stories with their permission. • We are leading the way in the UK in developing objective measures of our patient outcomes. • Our fundraisers and third parties will follow the EAAA approach to fundraising and we will fundraise ethically.
We will look after your data; please see our policy on data protection: www.eaaa.org.uk/privacy We will thank you appropriately as we believe everyone who supports us deserves our thanks and the thanks of our patients – we receive no regular funding from the government. We follow the Code of Fundraising Practice laid down by the Fundraising Regulator. We plan for a secure long-term future by having cash reserves (invested prudently) equivalent to one year’s operating costs. The interest we receive from these investments goes towards our operating costs.
Jamie Edghill, Volunteer Jamie lives in Cromer, Norfolk and became a volunteer for EAAA in 2005. He is one of EAAA’s top volunteer fundraisers and volunteers alongside his wife, Maureen.
Together we.. Were part of the community In 2017, aproximately 300 volunteers gave up 3,800 hours of their time to support us - that’s worth around £30,000 to the charity. We depend on a dedicated, diverse and flexible group of individuals who volunteer to support us in delivering our life-saving service. In June, East Anglian Air Ambulance was delighted to be accredited to the Five Star Focus scheme by the Volunteer Centres of Cambridgeshire and Peterborough. This initiative endorses excellence in volunteer management – and EAAA was inspected across all aspects of its volunteer programme and procedures.
EAAA Volunteer wins Volunteer of the Year at the Air Ambulance Awards of Excellence In November 2016, one of EAAA’s most dedicated volunteers won Volunteer of the Year Award at the Association of Air Ambulances’ Excellence Awards. Jamie Edghill became a volunteer for EAAA more than twelve years ago when he retired having had a long career with the fire service. He began his journey with EAAA as a collection box volunteer, which he continues to do. He also visits local schools to educate children and young people about the vital work of the emergency services and the East Anglian Air Ambulance. He has raised over £600,000 for the charity since becoming a volunteer.
“Planning for the future will allow us to continue providing the very best care for more patients in need”
Plan for the future Our five year strategy, which was introduced in March 2016, guides the charity to improve patient outcomes, be financially stable and ensure it is consistently held in high regard. We cannot stand still. Expanding our services Most notably, we are considering if and how we might expand to a full 24/7 operation, ensuring that our critical care can be provided when people need us most, no matter what time of the day or night it is.
Tom Wells, Trustee 22
Currently our Norwich helicopter is on shift every day from 7am to 7pm, with a single Critical Care Paramedic on night shifts four times a week in our RRV. Our Cambridge helicopter and RRV delivers two shifts each day from 7am to 4.30pm and 4.30pm to 1.30am.
Blood on board EAAA clinicians will be taking part in a ground-breaking new study to investigate the effectiveness of giving patients blood products immediately after a major injury – before they reach hospital. Although blood is already used by some pre-hospital care providers, there is still no clear evidence of the benefit to recipients. However, we believe that in a small number of patients, giving some form of blood product may make a critical difference. In the national trial, air ambulances will be randomly stocked with or without blood products. Therefore, for eligible patients, the receipt of blood products prior to hospital admission will be determined by what the team that attends to them is carrying.
Data We are establishing collaborations with our regional hospitals to access NHS patient data and to assess objectively how our services affect patient outcomes. As a result we will recruit a data analyst in the next year to work through this large amount of data. New Norwich base We are firming up proposals to build a new headquarters and operating base at Norwich Airport, which will be fit for purpose and allow the charity to develop in line with the significant growth it has achieved since its launch.
Steve Norris, Senior Pilot 23
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