Foundation Times - Issue 9 Winter 2014

Foundation Times A newsletter for every member of our trust

Welcome to the winter edition of Foundation Times Issue 9 Winter 2014

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Foundation Times A newsletter for every member of our trust

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Issue 9 Winter 2014

LOOKING BACK AT A BUSY AND CHALLENGING YEAR A message from Chairman Trevor Jones and Chief Executive Will Hancock.

We achieved a significant amount during 2013 and together with meeting our performance targets, we led the way on the development of some new health apps (Trauma bypass app and AED locator app).

2013 brought many challenges for us all and it has been heartening to see teams really pulling together to find new solutions to the issues that we are faced with.

In memoriam

Now that we are providing the NHS 111 service to the residents of the SCAS area, delivering NHS 111 national resilience to the rest of the country and the 999, Patient Transport and Commercial services locally, the service is busier than ever.

The New Year as always will bring new opportunities and we are confident that SCAS will continue to make innovative strides forward, taking increasingly skilled clinicians on to the frontline and providing more enhanced levels of care in the community and in people’s homes than ever before.

We would like to take this opportunity to remember the tragic loss of some of our staff members in 2013.

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Issue 9 Winter 2014

2013

Looking back at 2013.

We are very proud of what the Trust has achieved over the year, and much of this is due to the hard work, commitment and skill of our staff.

January ÙÙ On the 31st of January 2013 SCAS HART, our Hazardous Area Response Teams celebrated its 2nd birthday.

ÙÙ Health Minister Lord Howe visited the Trust’s Bicester headquarters and was given an overview of 999 and NHS 111 services before visiting the Trust’s Emergency Operations Centre.

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February

ÙÙ The Trust met its overall membership target of 12,000 ahead of its deadline of 31 March 2013. ÙÙ The Trust’s NHS 111 went live to the public in Hampshire.

March

ÙÙ Friday 1 March 2013, was the 1st anniversary of SCAS becoming a Foundation Trust (FT). ÙÙ The 9th series of Real Rescue aired on BBC1.

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Issue 9 Winter 2014

April

ÙÙ HEMS Crew Course set gold standard for clinical practice pre hospital

May

ÙÙ Tony Peters, Head of Emergency Operations Centre won Ambulance Leadership Forum award. ÙÙ SCAS attended the first Community First Responder Conference in Manchester 6

June

ÙÙ The Trust’s NHS 111 service went live to the public in Berkshire 7

Issue 9 Winter 2014

July

ÙÙ SCAS Fleet designed and constructed a cost effective new racking system for our Land Rovers response vehicles.

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SepTember

ÙÙ The Trust won the award for Efficiency in Transport and Logistics at the prestigious Health Service Journal (HSJ) Efficiency Awards as the first ambulance service with solar panels on vehicles.

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Issue 9 Winter 2014

OcTober

ÙÙ The Trust launched 999 Children awareness campaign aimed at teaching more young children how to use 999.

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The scheme was prompted by Maddox, a four year old boy, who managed to call the emergency services and get an ambulance for his mum when she collapsed.

November

ÙÙ The 10th series of Real Rescue aired on BBC1, proving once more that there is an appetite for people to learn more about our work. ÙÙ The Trust launched a lifesaving app which identifies over 600 AEDs across our four counties. The app could help local people save the life of a person suffering sudden cardiac arrest. ÙÙ The Trust starts providing NHS 111 in Buckinghamshire

December

ÙÙ 111 winter resilience service goes live

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Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

DAVID CAMERON, PRIME MINISTER AND MP FOR WEST OXFORDSHIRE, VISITED SCAS EMERGENCY OPERATIONS CENTRE THIS MONTH

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South Central Ambulance Service NHS Foundation Trust (SCAS) was privileged to host a visit from the MP for West Oxfordshire and Prime Minister David Cameron on Friday 10 January.

He also experienced at first hand which of our diverse range of resources were dispatched to those emergencies and learnt about the different care pathways that SCAS accesses, depending on the patient’s individual need.

Mr Cameron visited Will Hancock, Chief Executive at our Bicester headquarters, to find out more about our plans to integrate the NHS 111 and 999 services, to enable us to provide a seamless service to our patients.

He also had the opportunity to talk to call handlers and clinicians in our NHS111 service, learning more about the process for guiding members of the public to the correct course of action for their urgent health need.

Mr Cameron also spent time meeting staff in our busy Emergency Operations Centre (EOC).

He was able to observe and appreciate the pressures on our staff as they responded to ‘999’ emergency calls and those received via NHS ‘111’.

Our staff explained that SCAS is still developing the directory of services, working closely with our partners, to ensure patients get assessment, advice and access to the most appropriate care.

Speaking after his visit Mr Cameron said “Clearly the time it takes to respond to a life threatening event is critical and it was helpful to see how this is done in practice and to also hear about changes that are being made to improve the service upon which people rely.

In addition, we have had the opportunity to tell him about our successes as well as inform him about the challenges that a modern ambulance service faces on a daily basis and the innovations that we are introducing to find new solutions to these.

The flooding provides an extremely difficult situation for those affected and I was impressed by what I heard in terms of the work that SCAS have done during this time.”

His visit was timely, given the extra pressures on us due to flooding, particularly in the Oxfordshire area and we worked very closely with our many partner agencies to respond to the additional pressure.

Chief Executive, Will Hancock said “We were really privileged to have Mr Cameron visit our service and were very proud to show him the highly regarded service that we provide.

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All photos © South Central Ambulance Service. Photos by Ben Hennessy

Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

November 28 saw our prestigious AMBIES Awards Ceremony take place at The Randolph Hotel in Oxford. The AMBIES are our annual awards event, which celebrate the dedication and commitment shown by staff to the Trust and our patients. ‘AMBIES’ is not an acronym, it’s a unique name derived from ‘ambulance services’.

Thank you to everyone who took the time to nominate and to everyone who was able to come along to celebrate our friends and colleagues achievements.

First up we celebrated those members of staff who were in receipt of their Queen’s Long Service and Good Conduct Medal.

The recipients are: »» Shea O’Hagan »» Susan May »» Ann Gilbert »» Sandra Stephens »» Darren Noakes »» Christopher Tate »» David Edwards »» Michele Behan »» Christopher Hurley We are very pleased to announce that the shortlisted and winners of this year’s AMBIES awards are: A&E Person of the Year Shortlisted »» Rebecca Cartwright »» Trudi Nicholls »» Debbie Plant 14

And the winner is…

DEBBIE PLANT

111 Person of the Year Shortlisted »» Richard Darch »» Claire Farrow »» Jane Shouler And the winner is…

CLAIRE FARROW Commercial Services Person of the Year Shortlisted »» Emma Crozier »» Andrea Reed »» Deborah Davison And the winner is…

EMMA CROZIER EOC Person of the Year Shortlisted »» Sally Hodgson »» Keith Roberts »» Claire Pond And the winner is…

CLAIRE POND Support Person of the Year Shortlisted »» Michelle Cobb »» Graham Sharman »» Lynnette Witt And the winner is…

MICHELLE COBB

Volunteer of the Year Shortlisted »» David Lewis »» Chris Wrey »» Brian Vowell And the winner is…

BRIAN VOWELL Team of the Year Shortlisted »» ICT Clinical »» PTS Oxfordshire »» TRiM Practitioners South And the winner is…

PTS OXFORDSHIRE Educator of the Year Shortlisted »» James Birdseye »» Sarah Somerville »» Richard Berry And the winner is…

RICHARD BERRY Governors Ambassador Award And the winner is…

MARK BROWNING

CEO’s Commendation Shortlisted »» Bronwyn Audin »» Eleanor Rutter »» Simon Brown And the winner is…

ELEANOR RUTTER Chairman’s Special Award Shortlisted »» Barry Marshall »» Els Freshwater »» Debbie Marrs And the winner is…

DEBBIE MARRS Congratulations to all those nominated, shortlisted and the winners and a big thank you to our special guests Bill Heine from BBC Radio Oxford and John Harwood, Vice Lord-Lieutenant of Oxford.

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Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

ELECTION UPDATE SCAS WELCOMES SIX NEW GOVERNORS We are pleased to announce the results of the Governor’s Election 2013.

The successful candidates from the elections were: Public: Berkshire Constituency - 2 vacancies »» Melanie Hampton (re-elected) »» Ian Hammond (elected) Public: Buckinghamshire Constituency – 2 vacancies »» David Ridley (re-elected) »» Dave Johnson (elected) Public: Hampshire Constituency – 4 vacancies »» Jeni Bremner (elected) »» Tricia Kelly (elected) »» Jonathan Cotterell (elected) »» Allan Read (re-elected) There were not enough candidates to contest Oxfordshire constituency which means that the following people were elected unopposed: Public: Oxfordshire Constituency – 2 vacancies »» Michael Shread »» Tim Windsor- Shaw (re-elected)

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The Trust currently has over 13,000 public members and their support is vital and highly valued. Trust Chairman, Trevor Jones, said: “These have been the first public governor elections since the initial elections when the Council of Governors was first formed in the run-up to SCAS achieving Foundation Trust status. The Council of Governors has developed considerably over the last eighteen months and, therefore, I am delighted that Melanie Hampton, David Ridley, Allan Read and Tim Windsor-Shaw (unopposed) have all been re-elected.

“As a result of the elections, I am delighted to welcome six new governors in the shape of Ian Hammond, Dave Johnson, Michael Shread (unopposed), Jeni Bremner, Tricia Kelly and Jonathan Cotterell.

They join us at a very exciting time for SCAS and I look forward to working with them over the next three years”.

The official election process was conducted on behalf of the Trust by the Electoral Reform Services.

“Given their major contribution, it is with much sadness that we will be losing Al Tottle and Richard Ryan in Hampshire, and Gary Clark in Berkshire, when their terms of office expire on 1 March 2014, but I know that they will continue to offer SCAS great support in their role as members.

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Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

Council of Governors 2013 achievements Melanie Hampton, lead governor of our Council of Governors gives here an overview of the membership and engagement activities overtaken in the last year.

Following our successful membership drive the Governor group are now concentrating on feedback from members.

Colleagues attended a number of community events throughout the year, such as Tim Windsor-Shaw at the Newbury Cultural Festival who really enjoyed meeting constituents.

Al Tottle took along his friendly skeleton ‘bones’ to an event in Southampton and had great fun getting the children involved while David Ridley and Bob Duggan gave presentations to local parish councils.

The sun shone on the Reading Pride and it was a real pleasure for me to meet so many people and to catch up with our marvellous and dedicated crews.

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(pictured above, left, Nic Morecroft, Divisional Responder Manager (Hampshire) and Melanie Hampton, lead governor and Berkshire governor).

We have just had Governor Elections so welcome to our new governors and thanks to Al Tottle and Richard Ryan for all their hard work as retiring governors.

John Sparrow from the Hampshire Air Ambulance and I went to the Burgclere Community group. We had a lively audience of 35 who put us through our paces. They were quite rightly indignant about the waste of resources of some 999 calls and sent us back to SCAS with some robust suggestions such as fining those who misuse the service.

We look forward to 2014 being another exciting year for the trust, dealing with the challenges and reaching out and engaging with more of the community that we serve.

If any of you have a group that you would like us to address please contact us on. getinvolved@scas.nhs.uk.

Our partner governors We have six governors appointed by partner organisations we work closely with.

Three of our partner governors have recently joined the trust. They are: Allan Glass (New Forest District Council), David Chilvers (Fareham and Gosport Clinical Commissioning Group) and Sabrina Chetcuti (NHS South Reading Clinical Commissioning Group).

In this issue Allan Glass tells us more about his role. Also find out more about Councillor Keith House, one of our existing governors.

ALLAN GLASS, NEW FOREST DISTRICT COUNCIL “I am a well qualified professional engineer and I have worked in many types of engineering from weaponry to boats and beyond. I am also a member of the Chartered Institute of Management and Institute of Quality Assurance.

While in Hospital I underwent several rounds of chemotherapy as the first session was not strong enough but luckily the one we nicknamed DOMESTOS because it killed all known germs worked and I am here to prove it.

Unfortunately I had to retire at the age of 60 when I was diagnosed with acute myeloid leukaemia and rushed into hospital where I was treated for the next three years.

During one of my treatments I was approached by a Cancer charity and we raised £380,000 for a camera. I then became a patient representative for my ward and my factory layout knowledge was used when I took part in the design of the New Wing C6 at Southampton General Hospital and I was part of the Red & White appeal by the hospital charity.

I am now over five years post transplant and most of my bits still work so I stood for election as a District Councillor for New Forest District and was elected, I have been a Councillor for Fawley Parish for well over twenty years. As District Councillor I was voted to be the council’s representative as a governor of SCAS.”

KEITH HOUSE, EASTLEIGH BOROUGH COUNCIL “As a partner governor I come to the Trust looking at issues from a local government perspective in Hampshire, but also as a resident thinking about the needs of four generations of my family in the community from my father in his 80s to my five year old granddaughter.

In my day job I have been Leader of Eastleigh Borough Council since 1994 and am the Lib Dem Leader on Hampshire County Council.

When I get spare time I like going to rock and folk gigs and travelling around parts of Africa where by lack of phone signal I can escape from email.”

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Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

Membership and Engagement

Stats and figures of 2013

Public membership: truly representative On the 1st March last year we celebrated our first year as a foundation trust and we want to thank you, our members, for the support in achieving this status.

We now have a truly representative public membership and here are in brief our targets (by 31 March 2013) and achievements.

ACHIEVED

12,000 members

GENDER

BALANCE

AGE A B C1 C2 D E SOCIO-ECONOMIC

12,159

13,153 at 14/01/14

ACHIEVED

ACHIEVED

ACHIEVED

GEOGRAPHY

ACHIEVED 20

Breakdown of public membership by constituency

2,723

Oxfordshire

2,414

Buckinghamshire

2,551

Berkshire

4,471

Hampshire

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Foundation Times A newsletter for every member of our trust

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Issue 9 Winter 2014

@ S C AS999

No. of recruitment and engagement events held in 2013

Main recruitment methods used in the trust’s membership campaign: »» attendance at local community events including summer fairs and local health events »» appeals to staff to encourage them to help with direct recruitment »» online recruitment through link on website homepage »» regular press releases giving membership office contact details and details of events

By type of event

Year

2013 (Jan to Dec)

Internal events (organised

by SCAS) 36

External events

63

SCAS organised 99 membership and/or engagement events in 2013 (see table below).

This number does not include school visits to pre-schools, primary schools and cub and scout groups.

The table shows that the number of events is commensurate to the size, population, configuration and, up to 31 March 2013, number of members needed to meet targets for each county.

By constituency

Total

Berks events

Bucks events

Hants events

Oxon events

18

12

59

10

Total no. of events attended

by SCAS 99

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Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

OUR 2013 INITIATIVES 24

SCAS launched the following membership and engagement initiatives in 2013:

ANNUAL MEMBERSHIP SATISFACTION AND PATIENT CARE SURVEY The first annual membership survey was undertaken in June last year and the results were published in the summer issue of Foundation Times.

10% responded to postal survey and 1.2% to online survey and we hope to increase these figures this year.

111 Roadshows

As part of our winter pressure campaign, we worked with our 111 education department and CCGs in promoting NHS 111. A series of 111 roadshows were scheduled from autumn onwards and will conclude at the end of March this year.

Check where your nearest 111 roadshow will be held by clicking here.

PATIENT FORUMS CONSTITUENCY MEETINGS Last June we embarked on a programme of constituency meetings across the four counties we serve thus ensuring that the views of patients, members and the public at large are heard.

Events were held in Hampshire, Berkshire and Buckinghamshire and we will soon hold two more in Oxfordshire.

We launched our first patient forum at our Bucks constituency meeting last September. Hants patient forum was held last December and we are planning to hold Berks and Oxon ones in spring and summer this year.

If you would like to join one of our Patient forums please contact the Membership Office on 01869 365125 or email getinvolved@scas.nhs.uk

SPEAK UP IF YOU’RE AGED 14-16 CAMPAIGN The trust wanted to hear more views and opinions from young people aged 14-16 about their local ambulance service and launched a press campaign throughout our four counties.

We are still interested in involving young people and so if you’re aged 14-16, or you have a child, nephew, niece, grandchild who is, why not suggest they become a member of their local ambulance Trust.

It doesn’t cost anything, gives you an opportunity to have a say about how ambulance services are developed in the future and is a great addition to your CV when applying for a job, college or university place.

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Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

Joint events with other trusts Last November SCAS embarked on a programme of exclusive members-only events, in collaboration with other trusts, aimed at showing how NHS trusts work together.

The first event (Emergency Care Specialist evening- Behind the scenes of health emergencies) was held to great success at Southampton General with Solent Trust and the hospital trust.

Here is what journalist and Itchen councillor Rowenna Davis (pictured below with 111 Educator Stuart Turner) had to say about the event: “Once again I was bowled over by the great job emergency health workers do for our city. From the ambulance crew to the specialist consultants in our trauma unit, people are working hard to give the best service to Southampton patients.

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We know they do this in difficult circumstances as they face cuts and reforms and a population with greater health needs, but I was pleased to see how they work together as a team to meet these challenges.”

Here are also comments from some of our members and governors: ÙÙ “The event was both interesting and informative. The speakers were excellent.” ÙÙ “I learned a lot from the event. The presentations were very good”. ÙÙ “I thought it was a very good presentation and covered all I thought it should.” ÙÙ “Very enlightening.” ÙÙ “I found it most interesting.” ÙÙ “A very interesting talk.”

Events at private companies The trust also attends whenever possible educational events for private organisations and here is what Geoff Long from Southern Electric - Oxfordshire, had to say about the Driving at Work event, held last November at their Kidlington premises.

[Photo below of Erica Cowley, Technician at Kidlington station, with Geoff Long and representatives from the police and the fire services] “I would like to take the opportunity to say a massive thank you to Erica Cowley and the presenters from the Police and Fire services who produced excellent presentations that were thought provoking, informative and a reminder to us all about the dangers we face on the roads.

The trust also attended its second health oriented campaign in Berkshire, facilitated

by Mayoor Deep Dutta, one of our public members. Here is Mayoor’s feedback.

“Just wish to thank you and the team ever so much for all the support provided to us during the Health Orientated Campaign held at our premises.

The big impact was the talking about the organs.

The Powerpoint presentation came across very well, interacted with the staff giving us food for thought, good information on reducing tiredness and speed etc.”

– Geoff Long, Southern Electric

South Central Ambulance Service NHS Foundation Trust does not endorse any companies, products or services.

Both Jack and Kevin who were there from SCAS were very helpful and supportive to the event, patient and very accommodating to the needs of the employees. All who attended had good things to say and we certainly look forward to conducting this in the new year.

Thanks again for all your help and support.”

- Mayoor Deep Dutta, Senior Manager – Operations Support – Europe, Wipro Technologies

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Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

Name the bear competition - 999 children awareness campaign In autumn 2013 SCAS helped primary schools across our four counties educate children about using the emergency telephone number, 999, with the help of the SCAS mascot bear.

Every primary school in the region was contacted via email with a list of 10 things which we would like kids to know about calling 999 along with a quiz to test children’s knowledge.

To make this an even more fun and exciting activity for children, we also asked them to come up with a name for our mascot bear, along with a colourful, bright picture.

We received 47 entries from primary schools across our four counties and we are now pleased to present our SCAS mascot.

His name is 999 Ted and here is what he looks like. The winning drawing has been redrawn by SCAS designer Ben Hennessy.

Our mascot will be now be used in all our publications whenever suitable.

If you want to view the list of all shortlisted names and drawings together with runners-up please go to our website www.scas.nhs.uk

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999 TED

Second place

Winning drawing

Highly commended

Third place

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Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

HEALTH CORNER Five ways to stay healthy this winter.

It may be cold outside but winter needn’t be the unhealthiest time of year for you and your family.

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Here are five ways to make sure that even when your body is telling you to hibernate you can keep healthy and fit, no matter what the weather’s like:

1. ELIMINATE YOUR SLEEP DEBT

In winter, we naturally sleep more, due to the longer nights. Use the time to catch up if you usually sleep six-and-a-half hours a night, much less than the seven to nine hours recommended.

2. DRINK MORE MILK

You are 80% more likely to get a cold in winter so making sure your immune system is in tip-top condition is important. Milk and dairy products such as cheese, yoghurt and fromage frais are great sources of protein and vitamins A and B12.

3. EAT MORE FRUIT AND VEGETABLES

When it’s cold and dark outside it can be tempting to fill up on unhealthy comfort food, but it’s important to ensure that you still keep your diet healthy and include five portions of fruit and veg a day.

4. TRY NEW ACTIVITIES FOR THE WHOLE FAMILY

Don’t use the cold winter months as an excuse to stay in and lounge around. Instead, get out with the whole family to try out a new activity, maybe ice-skating or taking a bracing winter walk on the beach. Regular exercise helps to control your weight and boost your immune.

5. HAVE A HEARTY BREAKFAST

Eating a warm bowlful of porridge on a cold morning isn’t just a delicious way to start your day, it also helps you to boost your intake of starchy foods and fibre, which give you energy and help you to feel fuller for longer, stopping the temptation to snack mid-morning.

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Get to know your governors Public governors

Berkshire constituency

Gary Clark

Melanie Hampton

Vacant

Appointed partner governors

Staff governors

Public governors

Hampshire constituency

Kemi Adenubi

Vacant

Paul Carnell

Vacant

Allan Read

John Donne

David Palmer

Carol Watts

Eddie Cottrell

Christina Fowler

Cllr Simon Hoare

David Chilvers

Cllr Keith House

Barry Lipscomb

Sabrina Chetcuti

Al Tottle

Cllr Allan Glass

Contact the Membership Office

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Email: getinvolved@scas.nhs.uk Please get in touch with the membership office if you: or Tel: 01869 365126 »» want more information about what we do »» have a story you want to share with other members »» want us to come along to an event in your local area »» change your contact details »» want to get more involved and update your involvement choices »» want membership forms or other literature to distribute »» want to raise an issue with a governor

Have your say and support your governors.

Buckinghamshire constituency

Make a difference by helping them shape the future of your local ambulance service.

Email them at getinvolved@scas.nhs.uk

Bob Duggan

Vacant

David Ridley

Oxfordshire constituency

Patrick Conafray

Vacant

Tim WindsorShaw

COUNCIL OF GOVERNORS

The Council of Governors meets five times a year and represents the interests of members and stakeholder organisations. Meetings are open to the public. For more information please visit our website at www.scas.nhs.uk/ft The next COG meeting will be on 24 March 2014 at Shaw House, Newbury (6.30pm 9.00pm).

Want to find out who your governors are? Go to www.scas.nhs.uk/ft 33

Foundation Times A newsletter for every member of our trust

Issue 9 Winter 2014

How we’re doing Year to date (April - December) Total 999 activity

368,908

Activity variance

7.55%

Non conveyance

142,506

Non conveyance %

42.91%

Category A [Red 1]

78.92%

Category A [Red 2]

75.85%

Red 19

95.56%

111 calls answered

637,767

Number of CFR responses

13,318

Number of PTS journeys

330,425

All figures are provisional.

What does it mean?

Total 999 activity equates to the number of calls which received a SCAS response or were dealt with by our clinical support desks Activity variance over the same period last year.

Non conveyance is the number of incidents we responded to where the patient was not taken to hospital.

Non conveyance % is the percentage of incidents we responded to where the patient was not taken to hospital.

Category A [Red 1] - indicates a performance target for an emergency response, which is categorised as immediately life-threatening, to reach an incident within 8 minutes from the time a call is connected to the ambulance emergency control centre. The national target is to respond to 75% of all these calls within 8 minutes.

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Category A [Red 2] - indicates a performance target for an emergency response which may be life threatening but less time-critical. Calls should receive an emergency response within 8 minutes.

RED19 performance - indicates a performance target for a conveying response (ambulance or rapid response vehicle) to reach an incident of a lifethreatening nature within 19 minutes from the time a call is connected to an ambulance emergency control centre. The national target is to respond to 95% of all these calls within 19 minutes.

111 calls answered is the number of calls answered through the non-emergency healthcare service.

CFR stands for Community First Responder.

PTS stands for Patient Transport Service.

Produced by South Central Ambulance Service NHS Foundation Trust Units 7 and 8 Talisman Business Centre Talisman Road Bicester Oxfordshire OX26 6HR Tel 01869 365000 | Fax 01869 322814 | getinvolved@scas.nhs.uk | www.scas.nhs.uk Design > Ben Hennessy

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