Operational Performance Update John Nichols Interim Chief Operating Officer SCAS

Agenda Reporting/Performance Requirements Performance Activity and Other Contributing Factors Risks Conclusions

Standards Explained Red Calls –Triaged as “Immediately Life Threatening” –Require a suitable response (CPR and Defibrillator) in 8 minutes on 75% of occasions (Red 8) –If Transport is required, a suitable response must be on scene within 19 minutes on 95% of occasions (Red 19) –New sub category (Red1) introduced mid year –Aimed at identifying “really” life threatening emergencies, such as:  Cardiac Arrest  Respiratory Arrest –New “target” from April 2013 to be on scene of Red 1 calls in 8 minutes on 80% of occasions

Performance Requirements Monitor requires quarterly achievement (SCAS) –Red 1 – 75% in 8 Minutes –Red 2 – 75% in 8 minutes –Red 19 – 95% in 19 minutes Commissioners (currently our 8 PCTs) require full year by PCT Cluster Note 3 clusters:  Berkshire East and West  Buckinghamshire, Milton Keynes and Oxfordshire  North Hampshire, Portsmouth and Southampton –Red (1&2 combined) – 75% in 8 minutes –Red 19 – 95% in 19 minutes –Financial penalties apply for failure Commissioners also expect achievement of the above for each individual PCT area –No penalties apply.

SCASYTDQ2MTD Red Red 1 (8 minute) Red SCAS “Red” Performance – to 9 th Sept

Red Performance 2012/13 National Indicator (75%) Averaging 21 Red 1 calls per day (August) 6% of all Red Calls 1.3% of all E&U Calls

Red19 Performance

Red8 Performance - Cluster ClusterYTD MTD Berkshire Hampshire OxBucks/MK

Red19 Performance – Cluster ClusterYTDMTD Berkshire Hampshire OxBucks/MK

SCAS Demand 2011 vs 2012 Demand rising at 6% Peaked at over 8% for May

Handover delays April – August, 2011 vs 2012 Remains a real challenge and a real risk with Winter approaching

CFR Activity 7% increase in assignments – Up on percentage demand increase

Risks Activity –Planning was for +4% v current +6% (resource AND Finance) Weather –Bad winter Fleet –High VOR rates Abstraction Rates –Sickness Hospital delays –CEO contact –SHA & Commissioner support feels limited

Conclusions Confidence in achieving SCAS Q2 (National) Red 8. Q3 challenging Action plans and contingency in place to mitigate if demand continues above expectation Main risks associated with Red19, demand and delays at Hospitals Additional target resources/plans in place for September Resilience plans in preparation for Q3 and 4 All SCAS very focused on 999 delivery All staff and volunteers working hard!