gwas – the future the proposed acquisition of gwas by swast
Post on 19-Jan-2016
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GWAS – the future
The proposed acquisition of GWAS by SWAST
The current position• Ambulance Quality Indicators – response and
beyond
• Centre of excellence for 999 handling
• Clinical excellence: Clinical Indicators: stroke, heart attack, diabetes, asthma
Cutting edge work: dementia and ‘end of life’ care
Research: REVIVE - airway study
• PTS contracts
• OoH service
Why is GWAS proposing this change?
Smallest ambulance trust in England• Difficulties in recruiting & retaining Execs/CE • Relatively high-cost service (higher than average
% spent on management functions)• Limited capacity to invest in service improvements
Public sector spending review requires year-on-year efficiencies
Required to be an FT (or part of an FT) by April 2014
How did GWAS reach this decision?
August 2011 – GWAS announced no longer working to become an FT and that it was looking for a partner
September 2011 – replies from all ambulance trusts following invitation to express interest in partnering GWAS collated
October 2011 – GWAS confirmed that SWAST had expressed an interest in acquiring GWAS and that they are the preferred partner
Why would SWAST make a good partner?
• One of the best performing ambulance trusts
• One of the first ambulance trusts to get FT status
• Similar clinical and operational priorities
• Shared boundary lines
• Strong existing relationship
Benefits
• Improved services for patients
• Improved ability to meet key performance and contractual targets
• More robust organisational model
• A more robust financial position
• Ability to pursue innovation and continuous quality improvement
• More economic and efficient fleet management and logistics
Who is involved?
• NHS South of England (SHA)
• SWAST
• GWAS
• NHS Gloucestershire and Swindon
Overall objectives
To provide a solution that delivers:• Consistent high-quality, locally responsive and
trusted care to patients across the South West• Ensure long-term sustainability and financial
strength• Provide better value for money for commissioners
By:• Creating a single ambulance trust providing
services across the South West within 2012-13• Ensuring that all stakeholders are meaningfully
engaged and informed
What has happened so far?
• October to December 2011 – Due diligence undertaken
• 21 December 2011 – SWAST confirmed they will be proceeding to the next phase
• January 2012 – integration planning has begun
The existing GWAS map
The existing SWAST map
Key factsGWAS SWAST
Size of area covered 3,000 square miles 6,600 square miles
Number of residents 2.4 million 2.9 million (plus 17.5 million visitors)
Number of employees 1,645 (FTE) 2,200 (FTE)
Total number of community responders (including CFRs, other emergency organisations and non-clinical staff) 435 600
Number of operational sites – including headquarters and airbases 33 74
Number of operational ambulance stations 30 65
Number of control rooms 3 2
Number of emergency calls responded to in 2010-11 264,000 397,913
Number of out-of-hours/urgent calls dealt with in 2010-11 139,000 204,245
Number of PTS journeys carried out in 2010-11 238,000 304,000
% of CAT A responded to within 8 minutes 2010-11 74.3% 76.8%
% of 999 CAT A calls backed up by ambulance within 19 minutes 95.1% 96.1%
% of CAT B calls responded to within 19 minutes 91.4% 95.6%
Number of operational emergency vehicles 192 plus 3 helicopters 457 plus 4 helicopters
Number of PTS vehicles 115 108
Next steps
• Development of business case
• Third party reviews
• Stakeholder engagement
• Integration planning – has to commence before final decisions made
• Membership recruitment
• SWAST final decision
• Secretary of state decision to dissolve GWAS
• New organisation begins operations
Sharing our plans
• Using existing channels
• HOSCs (inc JOSC)
• LINks (inc joint working group)
• External reference group
• Website
• Media relations
• Working with our NHS colleagues
• Membership recruitment
GWAS – the future
Discussion
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