Ambulance Services in Australasia 2013

Agenda Overview Who is CAA? Dimensions and Services Current Issues Demand Performance and Measurement Regulation Questions www.caa.net.au

Who is the CAA ? The Council of Ambulance Authorities Inc. Established in 1962 Incorporated in 2002 (+ first staff member) Charity (no income tax) Ten members – public ambulance services Governed by a Board of ten Directors Small secretariat, headed by CEO Australasia’s equivalent of AACE www.caa.net.au

International Links AACE Paramedic Chiefs of Canada www.caa.net.au

Dimensions Activity (Incidents): Population: www.caa.net.au Australia 22.6m New Zealand 4.5m TOTAL 27.1m (UK 62.7m) Activity (Incidents): Emergency 1.7m Urgent 0.9m Non-Urgent 1.2m TOTAL 3.8m Not Transported 0.4m (11% Patients) www.caa.net.au

CAA’s Member Services www.caa.net.au 8 Australian Services ACT Ambulance Service Ambulance Service New South Wales Ambulance Tasmania Ambulance Victoria Queensland Ambulance Service SA Ambulance Service St John, Northern Territory St John, Western Australia 2 New Zealand Services St John, New Zealand Wellington Free Ambulance Australian Capital Territory The UK would fit into Australia 31.6 times (into New Zealand 1.1 times) Texas fits 11 times! Note: NZ not to scale in this map www.caa.net.au

Governance www.caa.net.au Non-Government - Contract State Government – Emergency Services Departments State Government - Health Departments www.caa.net.au

Dimensions $2.5 billion 80% Operational Staff (=13,400 FTE) 8,900 Volunteers 30% of Response Locations Covered only by Volunteers www.caa.net.au

www.caa.net.au PAID STAFF (FTE 000s) STATIONS VEHICLES INCIDENTS St John, WA 1,126 189 597 230,000 St John, NT 167 9 58 N/A SA Ambulance 1,210 114 399 256,000 Queensland Ambulance 3,895 266 1,244 833,000 AS New South Wales 4,360 267 1,574 973,000 ACT Ambulance 224 7 46 39,000 Ambulance Victoria 3,449 230 1,092 795,000 Tasmanian Ambulance 357 49 164 68,000 St John, NZ 1,705 913 416,000 Wellington Free 214 30 71,000 TOTAL 16,707 1,329 6,117 3,681,000 2011-12 Annual Report Data More on CAA web site www.caa.net.au

Current Issues Demand Performance Measurement Regulation Emergency Management www.caa.net.au

Demand Continued increase Incidents and patient numbers: 4.5%+ growth pa (higher in NZ than Aus) Reduce non-emergency load Out-sourcing, secondary triage and referral Community Paramedicine - ‘Urgent Community Care’ Better integration with health services - end ‘ramping’ Developing the value proposition – support future investment www.caa.net.au

Performance Measurement From process measures to patient outcomes Eg. ‘Response time’ to ‘Survival to discharge’; Pain… Balanced suite of indicators Would look familiar to you Systems – EPRs - ‘Big Data’ for ambulance www.caa.net.au

Regulation Paramedics Registration or black list (Code of Conduct)? Australia different to New Zealand? Risk Management or cultural change ? Paramedic practice Clinical Governance Third party providers Event Medical Services NEPT Industrial www.caa.net.au

Emergency Management Floods, Fires, Cyclones, Earthquakes Increased incidence - due to climate change Increased exposure to risk Including reputational risk Greater Recognition of Ambulance Capability needed Management of care and resources in the field Delivery of health care in uncontrolled environments Resourcing Ambulance Capacity ‘Surge’ resourcing www.caa.net.au

A strong voice for the sector Appreciation of the ambulance role My Mission A seat at the table A strong voice for the sector Appreciation of the ambulance role Attention to our issues www.caa.net.au

Questions ? www.caa.net.au