London's Air Ambulance Annual Review 2016/17

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London’s Air Ambulance Annual Review 2016/2017



Chairman’s Report


A Year in Highlights


CEO’s Report


About London’s Air Ambulance


Our NHS Partners


Medical Director’s Report


Mission Map


Our Vision, Mission and Values


Delivering on Our Mission


Our Patients


Our Role in Major Incidents


Helimed App


Launch of Our Digital Timeline


The Impact of the Second Helicopter


Patient Liaison Nurse


Plans for the Future


The Institute of Pre-Hospital Care


Our Finances


Thank You to Our Supporters


Chairman’s Report London’s Air Ambulance has seen another strong year, as we respond to the pressing needs of the people of London for pre-hospital trauma treatment. Yet again, we have been hugely humbled by the generosity of our supporters who have continued to provide us with the means to operate two fully equipped helicopters and our fleet of rapid response cars. The charity received £9.2 million in income which is an outstanding outcome, particularly when taking into account that £9.4 million was raised in 2015/16 when the ‘Your London, Your Helicopter’ campaign took place. Your unfailing support has kept us operational 24 hours a day, 7 days a week – allowing us to treat 1867 patients during the financial year. Many of those treated would not be here today without your donations and we can only thank you on their behalf and on behalf of their families. Every successful mission and operational achievement also owes much to our vital partners, Barts Health NHS Trust and


the London Ambulance Service NHS Trust. We gratefully acknowledge this crucial support. To be serving London alongside other emergency services is a privilege in itself and we were taken aback at the Pride of Britain Awards 2016 when we were awarded the honour of Emergency Service of the Year. This award is particularly meaningful to us as it is awarded by the public – the very community that we serve and whose support keeps us operational. One of our greatest challenges continues to be that many people are still not aware that we are a charity; many believe we are completely funded by the NHS or by the Government and are surprised to learn that we are a charity, in the same way as, for example, the RNLI. This impacts heavily on the level of support potential donors are prepared to provide. We will continue to do our utmost to change this situation, which has long been a predicament of air ambulance services generally.

The past years have seen much comment on the fundraising activities of some charities and the practices of the sector as a whole. We continually review our governance procedures and the efficiency of our fundraising as we strive to deliver to best practice standards, in recognition of the trust and faith placed in us by our patients, donors and other stakeholders. We look forward to another year of achievement for the world class service which is London’s Air Ambulance, and reiterate our grateful thanks for your generous support.

Mark Vickers Chairman of the Board of Trustees London’s Air Ambulance


A Year in Highlights April




Our Summer Gala raises over £200,000

Our Pre-Hospital Care Course turns 10 Dave Cooke breaks the Guinness World Record for Fastest Marathon in Chainmail for our charity

We treated on average five people every day. 6



Series 3 of ‘An Hour to Save Your Life’ premiers on BBC 2

‘Impact Brain Apnoea – a forgotten cause of cardiovascular collapse in trauma’, whose authors include London’s Air Ambulance doctors Gareth Davies and Mark Wilson, is published

National Air Ambulance week raises over £13,000







Over £340,000 is raised in unrestricted income, making February one of the best fundraising months of the year

Launch of our digital timeline to mark our 28th Anniversary

Our team wins the Pride of Britain Emergency Services Award London Freemasons donate £500,000 towards our second helicopter, taking their total donation to £2 million

We are a beneficiary of ICAP Charity Day 2016

We appoint Adrian Walker, Bob Forsyth and Ed Owen to our Board of Trustees, joining this year’s other new members Will Walden and James Charrington

1867 patients were treated in financial year 2016/17. 7

CEO’s Report I have the honour to present London’s Air Ambulance’s Annual Review, although what appears on the following pages precedes my tenure as CEO. I am excited to build on the achievements of our team under my predecessor and I have no doubt that we will continue the expansion of the past few years, as well as firmly rooting it in a sustainable financial model to safeguard the charity for the future. For any organisation, it is key to find the right balance between investing into innovation and safeguarding against risk. In our case, staying ahead of the curve is a direct prerequisite for truly delivering on our mission ‘to provide our patients with the world’s most innovative and effective pre-hospital care’. In my short time as CEO of London’s Air Ambulance, I have already met many people who simply wouldn’t be here if it wasn’t for the innovations our team introduced to pre-hospital care, including pre-hospital open heart surgery, blood transfusion and REBOA.


At the same time, safeguarding the future of a vital service like ours must be a priority. The NHS is under ever greater strain and the recent tragic events provided a stark reminder of the need for what we always understood as our duty – to make London’s emergency medical response as resilient as possible, both in an instance of a major incident and on an everyday basis. London’s Air Ambulance has been saving lives in London for the past 29 years. Yet a recent survey revealed that whilst over 80% of people in the Capital are aware of our service, two thirds do not know that we are a charity. This is one of our greatest challenges. We are determined to invert that statistic. I am convinced that if we can make two thirds of people in London aware of the need for their support, they will dig even deeper, and will ensure we provide the very best life-saving services for those patients in our care. There is a great deal of good will in London and greater awareness combined with the right kind of engagement could revolutionise our fundraising.

We cannot thank our current supporters and partners enough. Every one of our donors and volunteers is enabling us to maintain our life-saving service for the 10 million people who live, work and travel in London every day. Our gratitude also goes to our partners at Barts Health NHS Trust and the London Ambulance Service. We could not do what we do without their continuous support and generosity. Thank you all. I am genuinely excited for the future.

Jonathan Jenkins CEO London’ s Air Ambulance


Helicopter from 08:00 to sunset

Rapid response at night

About London’s Air Ambulance London’s Air Ambulance is the charity that delivers an advanced trauma team to critically injured people in London in partnership with Barts Health NHS Trust and the London Ambulance Service. Our team, which at all times includes a trauma doctor and paramedic, perform advanced medical interventions, normally only found in the hospital Emergency Department, in time critical, life threatening situations. Our missions commonly involve serious road traffic collisions, falls from height, industrial accidents, assaults and injuries on the rail network. Based at The Royal London Hospital and founded in 1989, we operate 24/7, using a helicopter from 08:00 to sunset and rapid response cars at night and in adverse weather conditions. 10

The Physician Response Unit (PRU) is staffed by a senior doctor and a London Ambulance Service Emergency Ambulance crew member and carries advanced medication, equipment and treatments usually only found in hospital. The PRU takes the Emergency Department to the patient, meaning treatment can take place at scene or at home, potentially avoiding a trip to hospital. London’s Air Ambulance has an international reputation for clinical excellence and delivers advanced procedures which have been adopted across the world, including pre-hospital open heart surgery, blood transfusion and REBOA.

Our NHS Partners We operate in partnership with both Barts Health NHS Trust (“Barts Health”) and the London Ambulance Service NHS Trust (“London Ambulance Service”). Barts Health employs and remunerates the registrars who are attached to us, typically for six months, and the consultants who are permanently associated with the service, as well as providing direct financial support in the form of a monthly grant and the helipad facilities required for our operations. London Ambulance Service provides the paramedics who are attached to us, typically for nine months. As part of their rota, an advanced trauma paramedic operates from the London Ambulance Service Emergency Operations Centre and is responsible for dispatching our team to the most critically injured people in London, 24 hours a day. Patients are treated under the governance of the NHS. The regulatory requirements of the Care Quality Commission are covered by Barts Health and London Ambulance Service for all clinicians attached to the service.


Medical Director’s Report As ever, it has been a privilege to be working alongside the London Ambulance Service, Barts Health NHS Trust, and all the other agencies and hospitals over the year. Recent tragic events in London were a powerful reminder to us all of the bravery and selflessness implicit in the work of all our emergency services colleagues. It is safe to say that without each of its components, London’s emergency infrastructure could not operate. We are proud to be part of the 999 family.

We continue to push the boundaries of pre-hospital care with groundwork on future developments of cardiac life support that hopefully will flourish over the next few years. We have striven to further our understanding of injury. Our recent rediscovery of research dating back over 300 years has potential to save lives in the future. Our report in the journal ‘Resuscitation’ highlights Impact Brain Apnoea (IBA) – the cessation of breathing following a traumatic injury – and opens the door to quick and simple interventions that may improve outcomes for these patients and help save lives.

The generosity of our supporters allows us to treat on average five critically injured people in London every day. Whether our patients have been involved in a road traffic collision, fallen from height or were injured under any other circumstance, we strive to deliver the highest standard of care to them as quickly as possible. We aspire to deliver the same quality of care at major incidents as we do for any of our patients.

It is through innovation sharing, training and collaboration with our international colleagues that we can contribute towards improving patient outcomes beyond London. From helping to deliver the first ever pre-hospital open heart surgery training in Germany to speeches regarding REBOA in Sweden and terrorism in Paris, our efforts to benefit as many people affected by trauma as possible continued through 2016/17.


The everyday work of our Institute of Pre-Hospital Care continues to channel our understanding and learning into training opportunities to our own team and others which seeds elements of London’s Air Ambulance in places around the world. It is humbling to see our model of care being so enthusiastically embraced, most recently in Northern Ireland. On behalf of all of us at London’s Air Ambulance, thank you. Our gratitude goes to all our supporters who keep us operational and make the advances in pre-hospital care possible.

Dr Gareth Davies Medical Director at London’s Air Ambulance


Our Vision

Transforming the world of pre-hospital care.

Our Mission

To provide our patients with the world’s most innovative and effective pre-hospital care.

Our Values Our values sit at the centre of everything we do.







We believe that our passion drives us and makes our organisation unique.

We each perform a critical role and together we provide our worldleading service to enhance the outcome for patients.

We each strive to be the very best in our field and to deliver it in the most effective way possible.


We constantly innovate in order to achieve excellence in all that we do.

We demonstrate flexibility and strength in our determination to achieve our goals, often in the most extreme of situations.

We demonstrate honesty and integrity through the openness of our communication.

Mission Map 2016

76 54 32




64 44



123 40 41


Ealing Hammersmith & Fulham






City Of London





45 28

Kensington & Chelsea













Waltham Forest








Barking & Dagenham





22 46



Tower Hamlets








Outside London




were treated in calendar year 2016 by our advanced trauma doctors and paramedics 15

Number of critically injured patients treated across London

Delivering on Our Mission* In the financial year under review, we treated 1867 critically injured patients, administering advanced medical procedures, including the innovative REBOA procedure, when minutes are vital for survival and recovery. In addition, we treated a further 881 patients via our Physician Response Unit.

Our flight speed

Average speed of traffic in London

Patients treated by mechanism of injury RTC







Patients treated by the PRU


Falls from height




a m u



*financial year 2016/17 data


Our Patients

We treated on average five people every day



In 2007, firefighter Paul found himself in need of help when he was hit by a truck whilst cycling to work. Paul’s jaw was shattered, his airway was compromised, he had broken vertebrae in his back and had sustained severe injuries to his elbow and arms. Paul was at the roadside for an hour undergoing treatment before he could be transferred to hospital. Ten years on, he is still a proud member of the London Fire Brigade, even working alongside the same paramedic who treated him at the roadside. This year, Paul joined thousands of other cyclists to take part in Ride London, raising money for London’s Air Ambulance “as a way of saying thank you to the charity and celebrating that I am still able to cycle.” Sonal

Sonal was just five minutes from home when she was hit by a car. She needed treatment for a head wound, fractures in her lower back, a dislocated hip and a broken ankle. It was ten days before Sonal had recovered enough to return home. Sonal has since visited the helipad to learn more about the service and meet some of the team, and shared her story at our Parliamentary Reception. “If London’s Air Ambulance hadn’t been there for me, it would have been a very different story. London’s Air Ambulance will always have a special place in my heart.”


Matt explains how it all began: “I was in year 6 and I was riding down to the shops on my bike. That’s where my memory goes blank. I made the mistake of putting the heavy shopping on my handlebars while cycling home, which unfortunately toppled me into the road into the path of a huge lorry.” Matt suffered a compound fracture of the skull and was intubated at the scene by London’s Air Ambulance. In 2017, Matt ran his first ever London Marathon for London’s Air Ambulance.


Our Role in Major Incidents London’s Air Ambulance forms part of London’s emergency response, alongside our colleagues at the London Ambulance Service, Metropolitan Police, British Transport Police, City of London Police and London Fire Brigade amongst many other agencies and hospitals. We have responded to and helped coordinate the medical response to the majority of major incidents in the Capital since our inception 29 years ago – varying from train and tram crashes to terror attacks and fires.


In financial year 2016/17, London’s Air Ambulance attended the Croydon tram crash and Westminster Bridge attack, and since has responded to the London Bridge and Finsbury Park Mosque attacks and the Grenfell Tower fire. We spend a considerable amount of time planning, training and preparing for major incidents. We treat patients with traumatic injuries similar to those sustained in major incidents daily and regularly attend incidents involving multiple casualties. Therefore, we can bring additional skills and expertise to support our emergency service colleagues in dealing with major incident responses at the frontline. In a major incident our role changes somewhat; we become responsible for scene management and casualty clearance, as our medical team are trained in rapid assessment and diagnosis. We work alongside colleagues at the London Ambulance Service to ‘triage’ patients – a process for sorting

injured people into groups based on their need for or likely benefit from medical treatment. Priority 1 patients require urgent treatment whereas Priority 3 patients are less critical. In a major incident, we also want to ensure that the injured are safe, so we work with the ambulance, police and fire services to clear the area of casualties. In some instances, our medical team will assist the fire service with extrication procedures of injured patients. While we only usually have one trauma team on duty for London at any time, in a major incident a pager alert is activated and multiple teams make their way to the helipad to be ready should they be required. These teams respond in a voluntary capacity and we are always so proud of how many come forward to help – at the recent London Bridge attack nine teams made themselves available on a Saturday night. In a major incident, the helicopter is usually not used to take patients to hospital, but to deliver teams to the scene as quickly as possible. During the 7th July 2005 terrorist bombings, we deployed 18 teams to the scene, some ferried by helicopter, which then went on to deliver more medical kit and equipment, conducting 32 trips in total. We have five rapid response cars so these can also be used and at night will be our only mode of transport. Every major incident is different and we scrutinise our response to learn what we could do better and hone it, as we do after every mission, to ensure that we deliver the best possible response should the unthinkable happen again. 19

Helimed App In June 2016, we launched a new educational app, ‘HELIMED’, which allows users to undertake life-saving missions in a race against the clock. Designed for school children aged 11-14, but available to download free to all internationally, HELIMED aims to inspire a new generation of enthusiastic, technologically skilled young people in pursuing STEM (Science, Technology, Engineering and Mathematics) subjects. The HELIMED app – developed by Milo Creative in partnership with science education centre Centre of the Cell - enables users to understand more about aviation, medical innovation, leadership and teamwork, while experiencing four virtual missions based on reallife roadside scenarios that our advanced trauma team attends. Players will be tested on a range of subjects including their maths, physics and medical knowledge and decision making. Including scenarios where patients have been involved in a road traffic collision, stabbed, or fallen from height, participants assume roles as our doctors, paramedics or pilots to try and save their lives. They must first decide if the 999 call fits the criteria for automatic dispatch of the advanced trauma team. Next, they must use their navigation skills to fly the advanced trauma team to the scene of the incident and choose the most appropriate landing site. Once on scene, they must perform surgery and administer treatment before choosing which hospital the patient should be taken to. 20

The project began with schools in Newham and Tower Hamlets and the launch took place at St Paul’s Way Trust School in East London. As of April 2017, the app has been downloaded over 3500 times. The development of the HELIMED app was made possible through funding from the Cisco Foundation. Additional funding towards the project was provided by a United Way Worldwide grant to London’s Air Ambulance on behalf of Wells Fargo, The Simmons & Simmons Charitable Foundation, The David & Claudia Harding Foundation and The Shanly Foundation.

“This app shows science at its finest, it is focused on the science and technology that saves lives, it is a great education resource and deserves to be used widely in schools.” Graham Price, Headmaster of St Paul’s Way Trust School, East London









Launch of Our Digital Timeline In January 2017, we marked 28 years since London’s Air Ambulance was founded. To celebrate the anniversary, we released a digital timeline telling our story. It shows how if it hadn’t been for a pioneering group of people and the generosity of the London public, our charity may not have existed at all. Thank you to all the staff, volunteers, people and organisations of London who have enabled us to get to where we are today. It is thanks to you that we could have treated over 37,000 people since our inception in 1989. Our Story In the mid 1980s the need for a helicopter emergency medical service was becoming ever more apparent. An increase in traffic in London, plus increased road traffic collisions and a need for greater medical expertise at accident sites meant that people were dying unnecessarily. Thanks to a handful of emergency consultants with a vision and with crucial financial and political backing, London’s Air Ambulance was established in 1989. Since then it has grown into the world-leading service renowned for life saving innovations such as REBOA and blood on board.

Yael’s Story Yael was 15 when she was hit by a car on her way to school. 26 years later, she recalls her accident: “I looked at my leg and it was really tangled and I could see my bones. There was shattered glass everywhere and I remember yoghurt splattered among it as it fell from my school bag.” Yael lost four pints of blood, had water on her lungs, a broken leg in several places and a broken shoulder. The Police had told her school that she was a fatality. “I owe my life to London’s Air Ambulance. The recovery was slow and difficult but not only do I walk, I run three times a week 10k and 5k. My son is now the same age I was when I was hit by a car. I tell my kids that the reason I survived is so that I could have them and so that they could be really good people.” 21

The Impact of the 2nd Helicopter In January 2016, our second Helicopter, G-LNDN, landed at The Royal London Hospital for the first time. Following the ‘Your London, Your Helicopter’ campaign, we were delighted to have raised the £4 million needed to get our second aircraft off the ground, with your generosity making the mission a success. Why did we need a second helicopter?

• To increase the scale, impact and resilience of our service by aiming to increase helicopter availability from 83% to above 98%. • In 2014 our helicopter G-EHMS was offline for planned and unplanned maintenance for the equivalent of 55 days. • When our aircraft is offline for servicing or maintenance (planned or unplanned), we need to have recourse to a back- up helicopter immediately. • Delivery of our advanced trauma team to the patient via aircraft is the most effective way. • The second helicopter provides more flexibility for the training of our aviation crew. • In event of a major incident we can mobilise both aircraft if needed. • To be available for very selective circumstances as an additional PR asset for the charity. 22

What has been the impact of the second helicopter so far? The main impact of G-LNDN can be seen during our annual maintenance period, in which our first helicopter, G-EHMS, is taken offline for essential repairs and maintenance. In the past, unless we could find a suitable helicopter to loan, London’s advanced trauma team would have been without a helicopter for this time, affecting our response time. Now that we have recourse to a helicopter during this period, we can reach patients up to 8x faster. G-LNDN was also on the scene at the Westminster Bridge attack, bringing our advanced trauma team to the incident. We estimate that, along with the introduction of extended flying hours, the second helicopter allowed us to treat an additional 198 patients in 2016.





Operationally Available

We are excited to see how G-LNDN will continue to improve our service in the year ahead.

Patient Liaison Nurse Our role in the recovery of our patients does not stop once the pre-hospital phase is over. For three years, the role of the Patient Liaison Nurse has provided ongoing practical and emotional support for patients as they make the transition to independent living from critical injury. The role provides an interface between our medical services and patients, providing face-to-face support and guidance and signposting patients where needed in conjunction with the treating clinicians. Unique upon creation, the role has now inspired other air ambulances to recruit for their own Patient Liaison positions, bridging the gap between rapid on-scene response and the patient’s long-term recovery.

• The facilitation of patient and family visits to the helipad to meet the teams who looked after them. 36 such visits were organised during the reporting period.

Frank Chege, our Patient Liaison Nurse, has been in the post since its inception, providing this ongoing support and guidance. This work includes:

• The continued provision of bereavement consultations for families giving them the opportunity to meet and hear from the teams who treated their loved ones. During the reporting period 15 consultations were undertaken.

• Following up directly with patients and families to provide vital post-trauma support and guidance. This has included a total of 347 bedside visits during the reporting period. • Establishing support networks by acting as a patient advocate to identify and create working relationships with a number of charitable organisations, including Samaritans and Limbless Association, and establishing health care providers that are equipped to support patients and their families through the rehabilitation process. During the reporting period, 101 patients were sign-posted to other charitable organisations.

• The provision of further support for our patients through an inclusive peer network (where patients with similar injuries provide support to one another). We have begun this through the facilitation of peer-to-peer support opportunities whenever appropriate and in discussion with the treating clinicians. During the reporting period, 17 such opportunities took place. • The introduction of a monthly support group for family members of brain injured patients in partnership with the neuro-surgical teams.

In the next year, we intend to continue to provide support to patients and their families through the Patient Liaison Nurse, as well as looking to increase the capacity of this function. A grant from The City of London Corporation’s charity, City Bridge Trust, enabled us to fund for this role for the first time in October 2013, and this support was extended to continue until 2018. We would like to extend our thanks for all of their support during this time.


Plans for the Future 2 Make 3 of people in London aware that we are a charity and double income over the next 5 years


Individual Giving



Significantly grow and retain regular givers and London’s Air Ambulance lottery players.

Launch a legacy campaign.

Grow community fundraising.



Major Donors

Secure long-term grants and donations from charitable trusts, foundations and livery companies and statutory sources.

Increase the number of corporate partnerships and sponsorships.

Launch a major donor programme.

Continue to innovate in pre-hospital care and drive operational excellence for the benefit of our patients

24 Hours, 7 Days a Week In partnership with Barts Health NHS Trust and London Ambulance Service, continue the provision of a 24 hours per day, 7 days a week service using our helicopters and fleet of rapid response cars.

Launch the Remodelled PRU Launch the remodelled PRU, extending hours to be operational 12 hours a day, 7 days a week, with improved mobile IT support to provide the best possible care to patients.

Clinical Trials Support Barts Health with two clinical trials over the coming year.

Rapid Response Cars

Support Patients

Thanks to ICAP and their fundraising Charity Day, replace our rapid response car fleet this coming year with minimal disruption to the continuity and resilience of our operational service. One of our cars will be upgraded to provide flexibility to help deliver medical pre-hospital trials.

Continue to support patients and their families on their road to recovery through our Patient Liaison Nurse and look to increase the capability of this crucial function.

Rework the Clinical Model Rework the clinical model, including ensuring from Autumn 2017 that a consultant will be present alongside the doctor and paramedic on most clinical missions.

Develop Response to Major Incidents Continue to work with the emergency services across London to develop the lessons from major incidents over the last year and undertake exercises to plan how London develops its responses to major incidents.


The Institute of Pre-Hospital Care In 2013, The Institute of Pre-Hospital Care at London’s Air Ambulance (“The Institute”) was founded to drive excellence in pre-hospital care standards and practice through research, innovation and education, and by fostering collaboration across medical disciplines and institutions dedicated to improving outcomes for people afflicted by critical injury and illness. Education The Institute’s education practice is led by Dr Gareth Grier. The Institute and Queen Mary University’s (QMUL) Barts and The London School of Medicine and Dentistry are now in the fourth year of running the UK’s first Intercalated BSc degree in PreHospital Medicine with a new MSc in Pre-Hospital Medicine currently in planning. Pre-hospital medicine is an innovative and growing field that is now recognised as a subspecialty by the General Medical Council. 2016/17 saw the BSc degree’s third cohort of 20 students achieving outstanding results and setting yet higher standards for future cohorts. Furthermore, two exceptional students from this cohort were selected to receive our Beaverbrook Scholarship, kindly supported by The Beaverbrook Foundation. The scholarship programme covers the full cost of the student’s tuition fees for the duration of the degree, as well as providing funding for students to attend appropriate courses and conferences to supplement their studies. 26

Following the success of our inaugural scholars in 2015/16, the 2016/17 scholars, Carl Evans and Lauren Gault, continued to represent The Institute, QMUL, and The Beaverbrook Foundation at a high level. “It has been a real privilege to be a student on the BSc course this year; to also be a Beaverbrook Scholar has been the icing on the cake. The prestige of both will undoubtedly help me in future applications but, more significantly, the impact of the course and wider opportunities has moulded and developed my outlook, such that even everyday things are seen in a different light. “As expected, I very much enjoyed the clinical shifts every other Friday. What surprised me was the opportunity to learn during quiet periods in the car, ambulance or trauma bay by being there as part of the team”. Lauren Gault, 2016/17 BSc student and Beaverbrook Scholar “The last year studying the intercalated BSc in Pre-Hospital Medicine has been an incredible experience that I simply cannot describe in enough detail to do it justice. Every single day of the last year I have genuinely looked forward to our teaching sessions and I appreciated the unique opportunity to spend a year with other students who are as passionate and enthusiastic about pre-hospital medicine as I am. “I have now returned to Brighton and Sussex Medical School where I am in my penultimate year, ready to graduate in 2019.

BSc Students




Educated in 2016/17: 20

Educated in 2016/17: 161

Educated in 2016/17: 140

Educated in 2016/17: 4

Overall Educated: 48

Overall Educated: 388

Overall Educated: 561

Overall Educated: 28

This last year has cemented my ambition to train in Emergency Medicine with an aim to sub-specialise in Pre-Hospital Emergency Medicine. These ambitions are based on my experiences from the last year immersed in an advanced pre-hospital system alongside high-calibre pre-hospital clinicians which provided a strong foundation of knowledge and experience of what the role entails, what skills are required and what challenges the clinicians face.” Carl Evans, 2016/17 BSc student and Beaverbrook Scholar Carl was also awarded the ‘Principal’s Award’, a prestigious award in the medical school recognising outstanding academic achievement, from QMUL. As part of multidisciplinary training, The Institute continues to run a number of other world-class courses and training programmes. It works closely with other organisations and institutions to deliver bespoke courses on various aspects of pre-hospital trauma and medical care, such as the London Ambulance Service, UK Sport and the military to name a few. This year The Institute launched the rebranded Underground Training to the Pre-Hospital Underground & Novel Concepts Course (PUNCC). The course was rebranded to ensure that, although many of our clinicians are familiar with railway incidents, everyone can get as much as possible out of the sessions along with working with a multi-agency approach. We are fortunate enough to conduct our training alongside Transport for London (TFL) and the British Transport Police (BTP). The course also

includes training around novel concepts and ideas for those who would like an update on some of the newer ideas and procedures that the service (London’s Air Ambulance) has introduced. Research The Institute’s research practice, led by Professor David Lockey, uses London’s Air Ambulance’s 29 years of patient data to study the effectiveness of pre-hospital medical interventions to address other topics of pressing concern to the international pre-hospital care community. In 2016/17, London’s Air Ambulance contributed to many publications, abstracts and presentations in the UK and overseas. Innovation The Institute’s innovation practice, led by Dr Gareth Davies, works closely with London’s Air Ambulance operations to devise safer, faster and more effective options for treating critically injured and ill patients in a pre-hospital environment. The Institute would like to say a huge thank you to all of the agencies that we have worked with this year, including QMUL, Barts Health NHS Trust, London Ambulance Service, Metropolitan Police, RNLI, London Fire Brigade, Transport for London, British Transport Police, the military and UK Sport. 27


£9.4 million

£9.2 million

£7.4 million


£7.4 million


£7.4 million


£4.8 million

£4.8 million


Trusts & Foundations

Other Income Streams

Where our funding came from In 2016/17 we raised £9.2 million (consolidated income) from our supporters and partners (comparative figure from 2015/16 £9.4 million*). All income streams performed well, with income from commercial activity (including lottery, sponsorship & shop) increasing by 15% from £3.2 million last year to £3.7 million this year. Corporate and individual donations amounted to £1.6 million. Our supporters have donated generously both in cash and gifts in kind and every stream of income is vital to the ongoing sustainability, growth and development of the charity. We continued to provide service for 24 hours a day, 7 days a week, using our helicopters and fleet of rapid response cars and this year’s income funded the operation of extended flying hours until sunset each night from April to September, resulting in a total of 317 additional hours’ coverage during which the helicopter was launched on 106 occasions and the team treated 68 critically injured patients. *Change in accounting policy: The cost of clinical staff provided by our partners, Barts Health NHS Trust and the London Ambulance Service of £1.2 million (2015/16 £1.3 million) has been excluded from the above income and expenditure figures this year (and last year’s comparative figures are re-stated to show a true comparison).



£9.5 million

£4.3 million


£1.1 million

£1.6 million

£3. million

Income 2017

£4.5 million

Income 2016

£3. million

Our Finances

How resilient are we? As of 31 March 2017, we have sufficient unrestricted cash reserves to fund 6.4 months’ operational costs should all our funding sources cease. The final repayment on the helicopter loan was made in January 2017 meaning that for the first time in our history, the charity owns all its assets. How we spent our funding It cost approximately £7.4 million (consolidated costs) to provide London with an advanced trauma care service 24 hour a day, 7 days a week (very close to the restated cost of providing the service last year). Over £4 million went towards funding our charitable activities, including approx. £3 million on operating and maintaining the helicopters.

Giv ing C ol le ct io ns

Co rpo rat e 1%


11% Individuals

& ts % us 2 Tr n 1 t io da

un Fo



in Kin

d 9%

tute 2% Insti rcial mmeonsorship) o C 40% ottery, Sp

Total Income £9.2 million

ts en v E

12% Barts Health NHS Trust

il, L (Reta

Investment Strategy For every £1 we spend on raising funds, we generated £3 in income. With the aim of doubling the income of the charity in the next five years to safeguard its future, we have made substantial investment in fundraising in the past year and will continue to invest in fundraising over the coming years. For every pound of spending, 54p** was spent delivering our service and 46p went towards fundraising. This follows a strategic decision to invest significantly in growing individual giving (including lottery) over the coming years. This requires upfront funding to recruit new supporters to provide long-term, sustainable income. Our Charitable Spending Ratio*** as calculated by the charity Commission BETA version is 70% (2015/16 75%). This is calculated as charitable spending (including governance costs) as a percentage of our income available for charitable spending.

** The charitable costs of the clinical provision are not included within these figures. *** Calculated using the methodology published by the Charity Commission on the BETA version –


Thank You to Our Supporters Without our supporters, we would not be able to do what we do. Thank you to the many individuals, companies, organisations and trusts that have given their money, time and energy to allow us to keep flying and to keep treating our patients. It is thanks to your passion, dedication and generosity that the achievements in this Annual Review are possible.

In 2016, London’s Air Ambulance became an Investing in Volunteers accredited organisation. The process enabled us to review and develop the way in which we work with and support our volunteers and puts us in a strong position to recruit and expand the work that our volunteers do in the future.

From everyone at London’s Air Ambulance, our patients and their families, thank you for everything you do to help us save lives in London.

The accreditation has been shown to improve the experience of volunteers and all those who work with them. It enables people to volunteer in a positive and supportive environment with proper management systems in place. It is also designed to help with volunteer recruitment, retention and productivity. The quality standard mark will be used to promote volunteering at the charity and be displayed on the charity’s website and publicity materials.

Our Volunteers We would like to extend a huge thank you to our volunteers for their continued hard work and dedication to our charity. Unpaid volunteers assist charity employees in a range of roles, including fundraising collections, coordinating collection pots, working in our retail shop and selling merchandise at external events. Volunteers also assist with office administration and we have recruited volunteers to represent us as speakers to inform community groups about our work.


In 2016/17, a total of 164 volunteers supported the charity, with 65 taking part in volunteering activity on a regular basis (more than once a month). Our National Air Ambulance Week activity in 2016 included in excess of 125 volunteers taking part in charity collections across London.

Our Individual Supporters We feel so grateful to be able to say that the people that live, work and travel within the M25 – the population we serve – provide the heart of our supporter base. Income from individual givers - cash and regular donors, raffle players and lottery members - continues to grow and is a significant part of our income. At the end of March 2017, the number of chances in our Lottery had increased to 70,000. We ran two successful raffle campaigns including our first ever summer raffle, which was promoted to existing supporters as well as new supporters via a digital marketing campaign. Following our response to the Westminster attacks in March 2017, we saw an increase in cash donations, especially via text and online.

fantastic year for the three-day event with 198 participants taking part and raising just under £94,000. The event was kicked off by ex-patient Clive Kraus, who was inspired to go over the edge after being treated for a workplace fall. Freemasons Community Lodges We are humbled by the generosity of London Freemasons who went above and beyond their original pledge to donate over £2.1 million towards the acquisition of our second helicopter. We are extremely grateful to all those individuals from Lodges and Chapters across the Capital that made personal contributions in support of the two-year partnership.

We ran a full calendar of events that anyone can take part in to raise money through sponsorship. Supporters challenged themselves this year by cycling, running, taking on obstacle courses or abseiling. The abseil is an annual London’s Air Ambulance event where supporters abseil off The Royal London Hospital (17 floors), the home of our helipad. It was another


Our Patrons

The Earl of Arran Lord Maxwell Beaverbrook Philippe Chappatte Esq The Rt Rev & Rt Hon Dr Richard Charters Glenn Earle Martin Gilbert Ward Hamilton Bernado Hartogs Mike Hussey Sir George Iacobescu CBE Dr Hilary Jones Julia Leal Sir Stirling Moss OBE Sir Stephen O’Brien CBE Jeremy Sandelson Sir Harry Solomon Maurice Thompson Baroness Jo Valentine General Sir Roger Wheeler GCB, CBE Paul White Dr Alastair Wilson OBE


Our Corporate Supporters

VocaLink HSBC Bank plc Old Mutual plc Geographers’ A-Z Map Company Limited Jupiter Fund Management Limited Frogmore Property Company Limited Deutsche Bank ICAP Plc The M&G Group Hogan Lovells Aberdeen Standard Investments LDC The Berkeley Group Holdings plc Heron International plc Skanska Macquarie Group XL Catlin Aspen Insurance Allianz Insurance (UK) Newton Investment Management Stewarts Law LLP Tokio Marine Kiln Phoenix Group CIS Security

Elite Insurance Sumitomo-Misui Banking Group NYSE Euronext Foxtons ALFA (CHP Consulting) Troy Asset Management Wells Fargo Bank Hyperion Insurance Group Haysmacintyre The London Helicopter Lloyds Global Transaction Banking Barclays plc Joseph Joseph Fairview Homes Ltd Leigh Day ERS Insurance Euroclear UK & Ireland Limited Canary Wharf Group plc SMBC Europe Ltd Fitch Ratings Limited

Our Sponsors

Our bright red helicopters and immediately discernible rapid response cars are highly visible and recognised throughout London. Brand association with our vehicles is a fantastic opportunity for companies to leverage their profile to the community they serve – their employees, stakeholders and customers. Thank you to our sponsors. This level of commitment makes a massive difference to our ability to fund lifesaving an innovative treatment: Foxtons City of London London Freemasons Aberdeen Standard Investments

Corporate Supporter Case Study Phoenix Group In 2016/17, our partnership with Phoenix Group saw another incredible year. Our partnership with the life insurance company began in 2013, when staff voted for the 2014-15 Charity of the Year to be a split between London’s Air Ambulance and Midlands Air Ambulance, the two primary locations of Phoenix’s offices. Since then, Phoenix has been an outstanding fundraiser for our charity, with the organisation matching all fundraising pound for pound. This last year has proved no different. The Phoenix Mile and the Reindeer Run, yearly events in London and Birmingham, were huge successes, with the Reindeer Run raising £18,000 in donations. These formed parts of a calendar of fundraising activities, including dress down days, ‘Gunge the Manager’ and firework displays. Andy Moss, CEO of Phoenix Group, championed a yearly corporate dinner, which this year was with none other than Heston Blumenthal.

With over £600,000 raised to date, in June 2016 Phoenix Group announced that the partnership would be extended for another three years. Allianz Allianz Insurance plc has been supporting London’s Air Ambulance since February 2016, when they launched a national partnership across their 25 offices with the Association of Air Ambulances Charity to raise funds for air ambulances across the UK. The partnership aims to raise £1million for the air ambulance community nationally over the course of a three-year partnership. Terrific staff engagement and commitment has led to extensive fundraising, individual challenge participation and senior level involvement meaning they are well on their way to reaching this target. So far, Allianz has raised £590,000 for the Association of Air Ambulances, having hosted two highly successful trekking challenges last year and running a calendar of quizzes and competitions across their network of offices. 33

Our Trusts, Foundations and Livery Company Supporters

The Borrows Charitable Trust

The Heathside Charitable Trust

The Branbourne Charitable Trust

The Helianthus Charitable Trust

We are grateful to be supported by a growing range of Trusts, Foundations and Livery Companies.

The C A Redfern Charitable Foundation

The Highfields Trust

The Cadogan Charity

The Hobson Charity Limited

The Chandris Foundation

The Honourable Company of Air Pilots

The City of London Corporation’s charity, City Bridge Trust

The Ian Mactaggart Trust

The David Wentworth-Stanley Charitable Trust

The Jean and Hugh Dinan Charitable Trust

The A & L Sussman Trust The A L Sober Charitable Trust The A S Lloyd Charitable Trust The Adint Charitable Trust The Adrian Swire Charitable Trust The Air Pilots Benevolent Fund The Albert Hunt Trust The Antony Hornby Charitable Trust The Aspect Charitable Trust The Astor Foundation The Baker Charitable trust The Basil Samuel Charitable Trust The Beale Trust The Beaverbrook Foundation The Bernard Sunley Charitable Foundation The Bertie Black Foundation 34

The Doris Pacey Charitable Foundation The Drapers’ Company

The J W W Charitable Trust

The J M Charitable Trust

The Edith Murphy Foundation

The John and Cecilia Gordon Charitable Trust

The Este Kalms Charitable Trust

The John and Lorna Trust

The Ettling Charitable Trust

The John Lewis Partnership General Community Fund

The Fitton Trust The Gerald Micklem Charitable Trust The Gladys Jane Wightwick Charitable Trust The Golden Bottle Trust The Goreeb and Eatheem Trust Fund

The Joseph Strong Frazer Trust The Kenneth & Julian Layton Charity Trust The Khoo Teck Puat UK Foundation The Kristina Martin Charitable Trust

The Grace Trust

The Lloyd Eist Foundation

The Guild of Freemen of the City of London

The Mackintosh Foundation

The Lynn Foundation

The Mactaggart Third Fund The Marie Helen Luen Charitable Trust The Masonic Charitable Foundation The Michael and Anna Wix Charitable Trust The Michael and Ruth Jacobs Charitable Trust The Misses Barrie Charitable Trust The Modiano Charitable Trust The Mrs P C Gluckstein Charity Trust The Persula Foundation The Rest-Harrow Trust The Roger Raymond Charitable Trust and Trust No.2 The Sandra Charitable Trust The Simon Marks Charitable Trust The Sir Trevor Chinn Charitable Trust No2

United Way Worldwide (on behalf of Wells Fargo) The Vandervell Foundation The W Wing Yip and Brothers Foundation The Weaver Family Trust The Worshipful Company of Arts Scholars The Worshipful Company of Builders’ Merchants The Worshipful Company of Gold and Silver Wyre Drawers The Worshipful Company of Launderers The Worshipful Company of Security Professionals The Worshipful Company of Tallow Chandlers The Worshipful Company of Tylers and Bricklayers

The Stanley Foster Charitable Trust The Swire Charitable Trust The Thousandth Man - Richard Burns Charitable Trust The Trelix Charitable Trust 35

For more information please contact: E T 020 3023 3300 @LDNairamb London’s Air Ambulance visit Registered Charity London’s Air Ambulance is the registered Charity that delivers an advanced trauma team to critically injured people in London. Registered Charity (801013). Design by GeoMedia :