1. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive Will Hancock Chief Executive

2. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive 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

3. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive  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 TRUST OVERVIEW

4. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive THE SERVICES OF THE TRUST Accident & EmergencyTraining Patient Transport ServiceDispatch

5. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive 24 hour emergency cover Urgent GP’s referrals for treatment/admission to hospital Routine journeys to & from hospitals for admission, discharge and outpatient treatment Humanitarian Assistance WHAT DOES THE TRUST PROVIDE?

6. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive 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

7. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive Urgent GP’s referrals for treatment/admission to hospital from GP’s, Hospital Doctors and Midwives Provided by the A&E Service and also Technician/HDep Assistant crews (depending on diagnosis and the patient’s clinical requirements) Time limited, usually 1 - 3 hours (specified by the doctor) Takes precedence over Routine Journeys

8. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive Routine journeys to & from hospitals for admission, discharge and outpatient treatment Accessed only by GP’s, Hospital Doctors/Departments & Midwives. Provided by the Patient Transport Service according to the patient’s clinical requirements and mobility Mostly provided under contract from the purchasing Acute and Community Trusts In 2004/2005 BHAPS Undertook 288,490 Patient Journeys

9. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive 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.

10. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive THE TRUST BOARD Chief Executive Will Hancock Chair Maria Ball Acting Director of Corporate Affairs & HR Sian Goodwin Director of Clinical Services Jill Moseley 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

11. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive 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 In 2004/2005 BHAPS received 139,395 Emergency Calls

12. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive KEY TARGETS CATEGORY B presenting conditions which are serious but not immediately life threatening CATEGORY C presenting conditions which are not serious or life threatening CATEGORY A presenting conditions which may be immediately life threatening

13. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive If there is even the slightest doubt a call is treated as a Category A

14. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive Why is Response Time so Important?

15. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive VF SURVIVAL - TIME RELATED 80% 60% 40% 20% 0 2 4 6 8 10 12 14 16 Delay in minutes

16. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive   Diabetes   Fitting   Breathing difficulties   Heroin overdose   Heart Attack   Unconsciousness   Cardiac Arrest Medical Research Evidence strongly suggests that initial fast response and immediate care determines the outcome for many serious emergencies

17. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive HOW DO WE KNOW WHERE TO PUT OUR RESOURCES?

18. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive DEMAND ANALYSIS TIMEGEOGRAPHY COMBINED ROTA

19. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive WHAT ELSE DOES THE TRUST DO? First Aid at Work training Basic Life Support Training Defibrillator training Specialist First Aid training

20. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive Visits to Schools and other groups Coordinates medical cover at large sporting events Coordinates medical cover at large public events

21. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive 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

22. BHAPS GENERAL INFORMATION – Will Hancock, Chief Executive FINALLY Over to you for Questions!