1. Council of Governors
Trust Overview

2. Who are we? South Western Ambulance Service NHS Foundation Trust
Provides emergency, urgent and unscheduled care
Covers 10,000 square miles or one fifth of England
Serves 5.5 million residents and up to 17.5 million visitors
Operates a Public Access Defibrillator Scheme with 285 locations
South Western Ambulance was the first Ambulance Service to become a Foundation Trust (March 2011) which we will look into in more depth in the next few slides

3. Trust Operational Area
4497 staff
870 volunteer Community First Responders
87 St John Ambulance Community Responders
352 Fire Co-Responders
3972 Business based Responders
96 Ambulance Stations
3 Clinical Control Rooms
6 Air Ambulance bases
2 Hazardous Area Response Teams (HART)
This map shows our stations and operational divisions (West, East, North)
We cover 7 counties
41 local authorities
14 Acute Hospitals
55 MPs
We are commissioned to provide our services by 12 Clinical Commissioning Groups (CCG)

4. Being a Foundation Trust
Gives us independence and lets us develop our services to meet the needs of the communities we service
Makes us directly accountable to our patients, staff and local communities who, as ‘members’ are able to influence our decisions
Means we have a Council of Governors and Membership made up of public, staff and volunteers
The reason the organisation became a Foundation Trust was to enable us to have independence.

5. Trust Mission Statement
“ To respond to patients’ emergency
and urgent care needs quickly
and safely to save lives,
reduce anxiety, pain and suffering”
The full mission, vision and goals can be found on the Trust Website www. swast.nhs.uk

6. Trust Strategic Goals Safe, clinically appropriate responses
Right people, right skills, right values
Providing 24/7 emergency and urgent care
Creating organisational strength

7. Services we provide Emergency Ambulance 999 Services
Helping 2,500 patients every day
Urgent Care Services
NHS 111
GP Out of Hours Services
Tiverton Minor Injuries Unit
999 Services in whole of the operational area
NHS 111 services in Dorset and Cornwall
GP Out of Hours services in Dorset

8. In 2016/17
We took 899,129 calls to 999
Helped 100,244 patients calling out of hours
Received 583,235 NHS 111 calls
Undertook 104,833 Patient Transport Journeys
The Trust no longer provides PTS in any area.

9. Patient Pathways Hear and Treat Hear and Refer See and Treat
See and Refer
See and Convey
See, Treat and Convey
It’s not just about taking people to hospital with blue lights and sirens.
The Trust ensures that patients receive the Right Care, at the Right Time, in the Right Place:
Run through the pathways:
Hear and Treat – offering advice over the telephone
Hear and Refer – to the most appropriate care provider
See and Treat – attending to a patient at home/scene and treating at that location
See and Refer – attending to a patient at home/scene and referring them onwards to the most appropriate care
See and Convey – taking a patient to the most appropriate place for care
See, Treat and Convey – attending to a patient at home/scene, stabilising them and taking them for further treatment

10. The Trust Fleet 369 Dual Crewed Ambulances (DCA)
25 Pathways Support Vehicles (PSV)
172 Rapid Response Vehicles (RRV)
34 Civil Contingency Units
24 Hart vehicles
92 blue light cars
6 helicopters (staffed by SWASFT not owned)
7 motorcycles
5 bicycles
1 boat
Pathways Support Vehicles (PSV) are re-deployed former Patient Transport Service (PTS) vehicles which have been adapted to provide support to operations in various locations. They are crewed by two ECA’s (Emergency Care Assistants) and will respond to purple or red calls if they are the closest resource, and then green calls where conveyance is required but the patient is not in a critical condition nor requiring of paramedic treatment.
Rapid Response Vehicles (RRV) are liveried Ambulance cars which are crewed by Paramedics or Technicians working alone. They can convey patients but only if they are stable and able to be conveyed seated.
Civil Contingency units – Emergency planning vehicles utilised at major incidents
Hart Vehicles – these include vehicles with off road capability, specialist units, rescue vehicles like the polaris which can reach patients in inaccessible areas.
Blue light cars are response vehicles used by operational staff, so they are not liveried, but have blue light capabilities. This allows us to respond quickly across our operational area.
The Star of Life is the Trust ambulance boat which operates in the Isles of Scilly

11. Patient Experience
The Trust received 2235 comments and compliments (Plaudits) from the public in 2016/17 Sample Compliment Received: ‘My grateful thanks to the crew, they were so kind and patient and are a credit to the service. We are so very lucky to have such a good, fast service’

12. Patient Experience
During 2016/17 - of the 899,129 incidents - the Trust processed 1616 comments, concerns and complaints, an increase of 6.4% on 2015/16 but representing only 0.17% of the incidents
98.95% of all comments, concerns and complaints received feedback within the statutory timeframe of three working days from receipt
Of the 1428 complaints received and closed during 2016/17 only 28 were re-opened
The principle theme of complaints related to delays due to demand
Only 28 were re-opened as a result of the complainant not being satisfied with the Trust’s initial response

13. Public Engagement
The Trust has an active social media and internet presence
9050 Twitter followers
7532 Facebook “Likes”
1672 LinkedIn followers
62,464 visitors to the Trust website in the last year
The Trust
surveyed 4762 patients, with a return rate of 24%, of whom 90% would recommend the Trust for the care and treatment provided
Received 620 responses to the Friends and Family Test
The Restart a Heart event enabled us to teach 3127 children CPR on the same day across the region
The Trust also undertook 319 Education, Information and Community Visits
Patients are surveyed following NHS 111 or GP Out of Hours contact

14. Quality Priorities 2017/18
Awareness and improving the management of the older patient
Improving the quality and timeliness of response to patients
Impact of delays on patient safety
The Trust have selected several priorities to focus on. These are all related to improving the quality of the services we provide to our community.

15. Trust Board of Directors
Trust Chairman
Trust Chief Executive
5 Executive Directors
6 Non-Executive Directors
The Trust Board of Directors are the corporate decision making body of the Trust whose role it is to consider the strategic and managerial issues facing the Trust in carrying out its statutory and other functions
5 Executive Directors
Deputy Chief Executive and Finance
Medical
Nursing & Quality
Human Resources and Organisational Development (HR & OD)
Information Management and Technology (IM&T)

16. Council of Governors
Public constituency made up of 8 geographical areas with a total 19 Governors
Staff constituency made up of 6 work areas with a total of 6 Governors
8 Appointed Governors who represent stakeholders such as Local Authorities, Clinical Commissioning Groups, and other emergency services
The role of the council of governors
to hold the Non-Executive Directors individually and collectively to account for the performance of the Board of Directors, and
to represent the interests of the Members of the Trust as a whole and the interests of the public
It is a constitutional requirement for a Foundation Trust to have a Council of Governors
Other Statutory duties include:
Appointment of the Chair
Appointment of the Non-Executive Directors
Approve the appointment of the Chief Executive
Appoint the auditor
Receive the NHS Foundation Trusts annual accounts, any report of the auditor on them and the annual report
Approve significant transactions
Approve any merger, acquisition, separation or dissolution
Approve amendments to the constitution

17. Trust Members We currently have Over 14,000 Public Members
5000 Staff members
Members fall into 3 levels of engagement
Level 1- informed (receive information about the Trust)
Level 2 –involved (take part in occasional surveys, consultations and events)
Level 3 – influential (stand for election to the Council of Governors)
Public membership is open to people aged 16 or over who live within our operational area

18. Benefits of being Trust Members
Help to shape the future of the service to meet the needs of your community
Access to the NHS Discount scheme
Receive information and news from the Trust
Vote in the Trust Governor Elections
Stand for election when a vacancy arises
Membership is free!
HOW CAN THEY HELP?
Become a Member
Attend the Annual Members Meeting
Give your opinion
Use the 999 Services appropriately – only in an emergency
Show your support for YOUR Ambulance service – join us!