South CentralAmbulance Service

NHS Foundation Trust

Annual Plan

2019/20

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To ensure we develop as a responsible healthcare provider, we have introduced a values-based set of behaviours for all staff that is monitored throughout the year:

Professionalism: setting high standards and delivering what we promise

Teamwork: delivering high performance through an inclusive and collaborative approach which values diversity, collaboration and connectivity

Caring: for our patients and each other

Innovation: continuous improvement through empowerment of our people

“I’m delighted to introduce this summary of our Annual Plan for 2019/20 which highlights the key areas that SCAS will be focusing on over the next 12 months in order to continuously improve the healthcare services you rely on.”Will Hancock - Chief Executive

Our aim

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Our focus in 2019/20

Deliver against all national performance targets under ARP

Continue to develop career pathways and opportunities for all paramedics

Adjust workforce and vehicle mix to meet requirements of the Ambulance Response Programme (ARP)

Support our specialist practitioners to support more people in their own homes and communities, working with local partners in new and innovative ways

999

Manage 3% increase in demand

Add further NHS 111 call centre at Whiteley, Hampshire to increase resilience of the service

Continued focus on retention of NHS 111/IUC staff

Further develop clinical abilities within CCCs, such as mental health and booking GP appointments

PTS

Continue to deliver high-quality, patient-focused services that meet targets agreed locally with our commissioners

Corporate Services

Deliver approx. £7.5 million savings across the Trust

Open new tri-services hub in Milton Keynes and key upgrades to other resource centres

Significant investment in new ambulance fleet with 52 van conversions and additional HART vehicle

Significant investment in IT, including projects under the Global Digital Exemplar Programme

NHS 111 / Integrated Urgent Care

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How does SCAS support national and local priorities

999 and NHS 111/IUC available 24-7-365

Seven-day services:

award-winning Labour Line in Otterbourne CCC

Better births:

sophisticated and robust approach shares learnings

across the Trust

Serious incidents:

comprehensive policies and procedures in place and

monitored locally and centrally

Infection prevention and control:

fallers referred to community-based falls teams

to avoid hospital admission when appropriate

Falls:

early warning tools and training ensure staff have knowledge and ability to

recognise early signs of sepsis

Sepsis:

partnership working to ensure more people get the care they want at the end of their life

End of life care:

increase the proportion of NHS 111 callers referred to more appropriate services than A&E or 999

More appropriate NHS 111 referrals:

ongoing recruitment plans, increasing face-to-face training and action plans to improve sickness and absence rates

Right staff, right place, right skills:

improve support available to staff and deliver actions as a result of our staff survey

Staff health and wellbeing:

SCAS SUPPORT

engaging more patients in helping design new services and improve the delivery of existing ones

Patient experience:

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Working with local systems

SCAS delivers services across six sustainability and transformation partnerships (STPs). Some of these STPs are very large and sub-divided into local care systems:

Whilst individual STP plans differ, they all share some common themes:

Promoting health and preventing illnessSCAS can identify patients who might be at risk of deterioration from an existing condition, have unmet needs or at risk of requiring emergency, urgent or crisis services, and work with partners to develop plans for these individuals

Improving emergency responsivenessRising call demand, increasing acuity of conditions and growing workforce shortfalls are a national problem. SCAS working locally, and nationally, to ensure ambulance services are better able to respond appropriately to emergency, life-threatening calls.

Integrating urgent care systemsSCAS will work with local hubs that are being developed in each area that bring together primary care and community teams, including the possibility of developing SCAS paramedic visiting services offering patients face-to-face assessments in such hubs and/or home visits.

Care coordinationBuilding on the existing infrastructure for NHS 111 services, more people will be supported in their own homes and signposted to more appropriate and effective services (other than 999 or A&E).

Integrated Care Systems Currently either Sustainability & Transformation Partnership (STP to become ICS by 2021) or already a national pilot Integrated Care System (ICS)

Local care systems Some local care systems are developing into Integrated Care Partnerships

Buckinghamshire, Oxfordshire & Berkshire West (BOB ICS)

BuckinghamshireBerkshire WestOxfordshire

Dorset ICS

Frimley Health ICSBerkshire EastNorth East Hampshire & FarnhamSurrey Heath

Hampshire & Isle of Wight STP

North and Mid HampshireSouth West HampshireSouthampton CityPortsmouth & South East HampshireIsle of Wight

Milton Keynes, Bedfordshire & Luton ICS Milton KeynesSurrey Heartlands ICSSussex & East Surrey STP

Emergency 999 Patient Transport NHS111 / IUC NHS111 Dental

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visit us at:

scas.nhs.uk

Engaging with our local communities as a Foundation Trust

Effective engagement is a key element for providing excellent patient care and staff retention. As a Foundation Trust we have a large body of members – both public and staff – as well as a Council of Governors, whose views and opinions can help shape our services and improve the experience of our patients.

Over the next 12 months, SCAS will focus on:

è Recruiting more members in under-represented areas

è Delivering a wide-range of engagement opportunities for members and the public

è Keep members informed through a wide range of communications channels

è Undertake an election process for new governors