Will Hancock Chief Executive

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Will Hancock Chief
Executive
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OUR HISTORY

• The Bedfordshire Hertfordshire Ambulance and
  Paramedic Service (BHAPS) Became an NHS Trust in
  1993 After the Two Ambulance Services of
  Bedfordshire and Hertfordshire Merged in 1992

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TRUST OVERVIEW

• 11,100 square miles
• services run from 23 locations
• southern border with the LAS
• six main acute hospital sites
• 72 Ambulances
• 17 Fast Response Vehicles
• 900 staff
• Three Star Trust for three consecutive years

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THE SERVICES OF THE TRUST
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WHAT DOES THE TRUST PROVIDE?
24 hour emergency cover
Urgent GPs referrals for treatment/admission to
hospital
Routine journeys to from hospitals for
admission, discharge and outpatient treatment
Humanitarian Assistance
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24 hour emergency cover
for Doctors and the Public via the 999
System Provided by the A E Service with
Ambulances crewed by a Paramedic/Technician and
single Paramedics in Response Units (backed up
with an ambulance)
Takes precedence over all other demands on the
Service
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Urgent GPs referrals for treatment/admission to
hospital
from GPs, Hospital Doctors and Midwives Provided
by the AE Service and also Technician/HDep
Assistant crews (depending on diagnosis and the
patients clinical requirements)
Time limited, usually 1 - 3 hours (specified by
the doctor) Takes precedence over Routine Journeys
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Routine journeys to from hospitals for
admission, discharge and outpatient treatment
Accessed only by GPs, Hospital
Doctors/Departments Midwives. Provided by the
Patient Transport Service according to the
patients clinical requirements and
mobility Mostly provided under contract from the
purchasing Acute and Community Trusts
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Humanitarian Assistance
Carried out subject to the Service being able to
fulfill its Primary roles. (Some tasks, such as
transfers to Private Nursing Homes, may be
chargeable) Examples are admissions to Nursing
Homes. Transfer from upstairs to ground level
accommodation.
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THE TRUST BOARD
Chair Maria Ball
Chief Executive Will Hancock
Director of Clinical Services Jill Moseley
Acting Director of Corporate Affairs HR Sian
Goodwin
Director of Performance Management Oskan Edwardson
Acting Director of Finance Facilities Jane Rice
4 Non Executive Directors Masood Akhtar, Paula
Grayson, Ron Kennett, Sue Montague
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Prior to November 2000,BHAPS had to respond to
50 of all Emergency Calls within 8 Minutes and
95 Within 19 Minutes
But this meant that a cut finger was treated with
the same degree of priority as a cardiac arrest-
In November 2000, BHAPS introduced a system that
gave priority to 999 calls that were life
threatening-
The Trust now reaches over 75 of life
threatening calls within 8 minutes
and 95 of non life-threatening calls within 19
minutes
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KEY TARGETS
CATEGORY A presenting conditions which may be
immediately life threatening
CATEGORY B presenting conditions which are
serious but not immediately life threatening
CATEGORY C presenting conditions which are not
serious or life threatening
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If there is even the slightest doubt a call is
treated as a Category A
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Why is Response Time so Important?
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• VF SURVIVAL - TIME RELATED
• 80
• 60
• 40
• 20
• 0 2 4 6 8
  10 12 14 16
• Delay in minutes

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Medical Research Evidence strongly suggests that
initial fast response and immediate care
determines the outcome for many serious
emergencies

• Diabetes
• Fitting
• Breathing difficulties
• Heroin overdose
• Heart Attack
• Unconsciousness
• Cardiac Arrest

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HOW DO WE KNOW WHERE TO PUT OUR RESOURCES?
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DEMAND ANALYSIS
COMBINED
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WHAT ELSE DOES THE TRUST DO?
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NEW WAYS OF WORKING IN BEDFORDSHIRE AND
HERTFORDSHIRE

• ?Emergency Care Practitioners
• Allow treatment of more patients at first point
  of contact
• ?Clinical Support Desk
• To manage non life threatening calls
• ?Changes in Operational Policies
• More effective use of traditional resources

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FINALLY
Over to you for Questions!