ANNUAL REVIEW 2018/2019

Bringing the hospital to the patient Contents

Who we are 04 How we do what we do: Welcome from our Chair of – Operations 14 Trustees 05 – Clinical 16 Thank you from our CEO 06 – Fundraising and Marketing 20 Our missions 08 – Finance 28 Why we do what we do: Highlights of the year 32 – Patient stories 10 03

Acronyms used in this document: EHAAT Essex & Herts Air Ambulance AAA Association of Air Ambulances AED Automated External Defibrillator AW169 AgustaWestland AW169 CCD Clinical Coordination Desk EEAST East of England Ambulance Service NHS Trust HEMS Helicopter Emergency Medical Service MD902 MD902 Explorer PLM Patient Liaison Manager RRVs Rapid Response Vehicles SAS Specialist Aviation Services Essex & Herts Air Ambulance Who we are

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Essex & Herts Air Ambulance Your local is a charity that brings the life-saving hospital to the patient. Charity. Our aim is to save lives, reduce or prevent disability, or suffering from critical illness and injury, by delivering a life-saving pre-hospital emergency medical service to the people of Essex, Hertfordshire and surrounding areas.

Unlike NHS emergency services, Essex & Herts Air Ambulance is a charity. It costs £9 million every year to cover all charitable costs and aircraft operations. Without access to National Lottery funding and with only limited support from Government, we rely on the generosity of our supporters to remain operational and saving lives. Annual Review 2018/2019 Welcome from our Chair of Trustees

I am pleased to report that 2018/2019 announced that the maximum turnover 05 was another successful year for the cap will rise from £10 million to £50 million Charity. We continued to receive during 2020. The Charity has decided to outstanding support from our proceed with the planned additional licence communities across both Essex and application to allow us to grow further Hertfordshire enabling significant funds without breaching the current limit as there to be invested in securing the Charity’s is no date for the legislation to be passed. long term future. During the year we opened one more In particular, the Charity has submitted charity shop, this time in Frinton-on-Sea. planning for the building of a new airbase at This brought the total number of our North Weald, which was made after careful shops across both counties to seven in Jonathan Trower consideration had been given to whether it addition to our warehouse facility. We Chair of Trustees was more financially advantageous to lease continue to search the region for further the airbase or build our own. suitable shop locations.

The new facility will contain dedicated The trustees together with the executive areas for training, mentoring, patient liaison team have spent time reviewing the Charity and cross training with other emergency Governance Code and I am pleased to services, which will benefit both EHAAT report that this work highlighted that the The Charity and the local pre-hospital care community. Charity already applies much of the best has submitted The new facility will also provide a visitor practice set out in the code. Areas requiring centre which will allow us to welcome and further work have been identified and the planning for engage with the local community. There board will work towards strengthening our will also be space for our Hertfordshire governance in these areas. the building Fundraising Team to work more closely with of a new their clinical colleagues. The Charity can only provide its service because of the continued hard work and airbase at In addition to the new airbase at North commitment of many. These include not North Weald. Weald, the Charity is considering ways to only our clinical teams and air crew, but improve and future-proof facilities at its also our charity staff, our dedicated team Earls Colne Airbase to ensure the security of of volunteers and our loyal supporters the operation. across both counties. On behalf of my fellow trustees, I would like to thank An important enhancement to our service each and every one of you for your was introduced in March 2019, when we continued support. began carrying blood products on board our helicopters and RRVs. This major clinical Finally, I would like to thank our retiring development will provide a significant step trustee, Clare Dobie, for all her hard work in the clinical care that can be provided to and dedication over the many years she our patients. has been involved with the Charity, she will be much missed. I am, however, pleased The growth of our Flight for Life Lottery to welcome two new trustees, Andy continued apace this year, and now Tunningley, who is a senior executive at accounts for over half of our income. BlackRock, one of the largest investment As previously reported, its success has management firms in the world and Claire resulted in us approaching a £10 million Smith, a lawyer who has direct experience turnover cap imposed on society lotteries of the Charity, her baby daughter having through legislation designed to protect the been a patient in 2014. Both will be National Lottery. After consulting on society valuable additions to the board. lottery reform, the Government has now Essex & Herts Air Ambulance We can’t fly without you, thank you from our CEO

06 We have had another amazing year at Weald and Earls Colne, with a complete EHAAT with a huge amount of activity new build planned for North Weald and an within our charity and clinical teams. expansion and refurbishment at Earls Colne. We have also applied for £1.5 million for our In March 2019 we began to carry blood North Weald development from the £10 supplies on board our helicopters and RRVs. million released for air ambulance charities This major clinical development will provide in England by the Chancellor of the a significant improvement in the care that Exchequer in his October 2018 Budget. If can be provided to our patients. we are successful, this will mean that some of the funds initially put aside for our new Our ‘Skills for Life’ programme which premises at North Weald can now be used teaches CPR within schools, was launched to help develop and improve the life-saving Jane Gurney and we were able to deliver to the next service we provide for patients. CEO generation useful life-saving skills. In addition, we held a Defibrillator Awareness Finally, I was thrilled to win ‘Public/Third Day in Hitchin in conjunction with Hitchin Sector Director of the Year’ in the Institute AED Scheme and Hitchin Community First of Directors’ East of England Awards, a Responders to teach the public how to use wonderful accolade which demonstrates an AED (Automated External Defibrillator). how passionate and proud I am of the work Due to some generous donations and our team undertake to continue to provide grants, we now have AEDs located outside, our life-saving service to you. or close to, six of our charity shops across Essex and Hertfordshire. Thank you so much for all your continued support to enable us to remain operational Work has commenced to plan and saving lives. improvements to our two airbases at North

Many thanks to all corporate partners, sponsors, trusts and A huge foundations that have supported us during the year, including: thank you Allianz Insurance GCS Alarms Pole Position Motorcycles to everyone Anglia Ruskin University GlobalGiving Redrow Homes who has BerryWorld Hampden & Co. Revere Charitable Trust Bikesafe Harrods Aviation Rosmarinus Charitable Trust supported us Bishop’s Stortford Hythe Hill Motorcycles Rossi Ice Creams Veterinary Hospital IOD East of England RSM UK Tax and Accounting this year and Blakemore Foundation Jamesons Chartered Accountants Safer Essex Road Partnership Beresfords Group continues to Just Wheel Repair Sorrymate.com Blue Bear Animal Rehabilitation Leonardo Helicopters Specialist Aviation Services do so. Bridgefoot Gospel Hall Trust Lloyd Cooper Motorcycles Swinton Group Brock Webb Trust Magnum and Hi-Tec The Clayson Williams CMS Herts Charitable Trust Masonic Charitable Foundation Colchester Kawasaki The Cowdray Trust MDS Civil Engineering Curtis Family Charitable Trust The John Walter Wynne Moores Motorcycles Charitable Discretionary Trust David Watson Transport MRH Retail The Viccarage Trust East Tilbury Relief in Need Charity Natta Building Company TK Cope Motorcycles Epson UK Norman Evershed Trust Waterhouse Cars Essex Media North Weald Aviation Wilkin & Sons Fin & Fur Pet Aquatic Centre Peter Janes Memorial Trust Woodland Group Ford Motor Company Annual Review 2018/2019

Across all areas of giving over 07 100,000 people and businesses support EHAAT

Over 600 fundraisers across the year

Over 360 volunteers

Over 41 16 08 103,500 25 Flight for Life Lottery players

Supporter legacies funded 1 in 10 missions Essex & Herts Air Ambulance ThankOur missions you all!

08 2,132 missions this year including: 824 medical emergencies 478 490 road traffic other trauma collisions incidents 340 including assaults, accidental self-harm, exposure injuries and sport/leisure/ including falls industrial incidents

1,578 554 missions delivered missions delivered by air ambulance by rapid response vehicle Annual Review 2018/2019

Figures from 1st April 2018 to 31st March 2019

1,342 09 missions in HERTS Essex ESSEX 406 missions in 384 in the Hertfordshire surrounding areas

Most frequently attended hospitals

The Royal London Hospital 165

Basildon Hospital 102

Broomfield Hospital 95

Addenbrooke’s Hospital 74

Colchester General 61

The total number of missions includes 805 stand downs. These are incidents when the crew return to base because it becomes apparent that their assistance is not required on-scene. This is one of the consequences of ensuring we respond to calls as quickly as possible in order to make sure that we get to patients who do need our help urgently.

1, 4 4 0 patients treated Essex & Herts Air Ambulance Why we do what we do: Patient stories

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Left: Tom visits the airbase. Right: The Goulding Family with Critical Care Paramedic Phil Almond

Freya Goulding was out with her four “Tom absolutely loved his visit to the young children in Highwoods Country airbase, he can’t stop telling people about Park, Colchester, when Tom, aged 4, it! It was very emotional when we saw the was struck by an out of control cyclist. helicopter and met the team. They are Tom’s heroes now.” She recalls: “We were walking around the lake when a teenager on a bike came down Thankfully, Tom has made a good recovery, the hill at speed and hit Tom. Even from a says Freya. distance I could see it was serious. Tom’s leg looked like it was snapped in half, and there “He’s running around again now and has Until you find was a lot of blood. He’d suffered a terrible taken part in a couple of Park Runs with his yourself in compound fracture to his tibia and fibula. It dad and older brother. He managed 2km in was a terrible injury. 11 minutes, but he’s frightened of a position bikes now.” where you “A land ambulance crew came quickly, but given his age they couldn’t give him gas and Although she was aware of EHAAT, Freya need it, you air, and called the air ambulance. admits she didn’t realise how much has to don’t fully be raised to keep the service operational: “The EHAAT critical care team were able “I knew the air ambulance was a charity, but appreciate it. to administer ketamine and fentanyl before I didn’t know how much it costs. Now I talk escorting him to the hospital where the to everyone about it! Until you find yourself major trauma team was waiting. in a position where you need it, you don’t fully appreciate it. “I dread to think how much worse it could have been, if they’d had to move him “I cannot thank the crew enough for what without those drugs. The care the team they did. They helped stabilise Tom, they took was amazing.” gave him the strong drugs he needed to be able to move him. I am forever thankful Tom had an operation the same day when for the help the air ambulance gave us a metal plate and six screws were put in his that day.” leg. Because of his age, these were taken out a few months later. Annual Review 2018/2019

On 2nd June, Andrew Bord from Bushey “She quickly sedated him which was 11 was taking a shower when he slipped extremely frightening for me - the word and fell. ‘coma’ makes you think the worst. However this was to make it easier for them to staple “Nobody is sure whether he fell and had his wound and also apparently to let his a seizure because he banged his head, or brain relax from the trauma. In retrospect whether he had the seizure first”, explains she clearly did a great job as this had his wife Emma. “Whatever happened, I allowed him to calm down and the scar is heard a thud and rushed up to find him minimal now.” shaking, with a huge amount of blood pouring from his head. While Andrew was airlifted to The Royal London Hospital, Emma was taken by “I went downstairs, screamed out the door police car. to my neighbours for help and rang 999. My neighbour took our two young children “I was surprised that he was being taken so aged 1 and 3, who thankfully didn’t see far, however it was a major trauma hospital anything, away to look after them. I rushed and the air ambulance got there in eight back upstairs and followed the instructions minutes which is absolutely amazing and from the 999 team to try and help my definitely helped save him. husband. After the seizure he started becoming quite aggressive, shouting and “When I arrived I feared the worst, or if pushing whilst having no idea who I was, not, that he may have a severe brain injury which is apparently quite a normal reaction and not be able to remember my name. It’s an utterly to a head injury. I was holding a towel over Unbelievably he has made an amazing the bleeding, but it was difficult to hold him recovery. He was back home within a few amazing down at this point. days and is doing really well. After a few service, and weeks he was nearly back to his old self. “A land ambulance arrived, followed quickly It’s an utterly amazing service, and I want I want to by EHAAT, which was able to land in the to say a huge thank you for saving my say a huge field behind our house. I was shocked to husband’s life. I can’t thank you enough for see it arrive as whilst I knew my husband everything. The team on the helicopter, the thank you for was in an awful state the knowledge of the speed of their work and the decisions they helicopter made it feel even more serious. made were simply amazing. saving my However Katja, the pre-hospital care doctor, husband’s was amazingly calm, and made an awful I’m a keen runner and I am planning on situation seem less horrific. doing a marathon next year. I’ll be doing it life. to raise money for EHAAT, no question.”

Left: Andrew and Emma after the accident. Right: The Bord family are all smiles 12

We are: Passionate, Professional, Innovative, Trustworthy, Dedicated. 13 Essex & Herts Air Ambulance How we do what we do: Operations

14 During this, the first full year of we ensure a safe working environment operating our own AW169, the critical that complies with stringent Civil Aviation care teams were able to use the Authority, Care Quality Commission and additional space and access to provide Health and Safety requirements. This even better care to our patients. operating structure across the two counties helps us to be more effective and has many The advanced aircraft systems and cost-saving benefits for the Charity too. Our performance of the AW169 permit us to service is operational seven days a week. fly further, faster with increased safety Each base works a nine hour shift during margin in demanding flying conditions. Our weekdays and ten hours at weekends. other aircraft is a MD902 Explorer leased Both the bases and the flying operation are from Specialist Aviation Service (SAS). regularly inspected by the Civil Aviation Both the MD902 and the AW169, which Cliff Gale Authority to ensure we operate safely and is owned by the Charity, are maintained Operations Director comply with all the relevant regulations. by SAS, who also provide our pilots. SAS has been providing helicopters, pilots and Located at each airbase are two RRVs: aircraft maintenance for the emergency specially equipped cars to support our services for over 30 years and is recognised HEMS operation. These are used when the as one of the leaders in the industry. SAS helicopter is unavailable due to weather, and representatives of the Charity meet daylight limitations or maintenance, and will formally twice a year to review the contract be an essential part of our work as we move arrangements and ensure compliance. We towards being operational 24/7. By the have been trading with SAS since 2008. end of 2019 our fleet of RRVs will consist entirely of Volvo XC90s, offering stability, We operate out of our airbases at Earls cost savings and the safety of a modern Colne and North Weald airfields, where emergency service fleet.

24/7 operation Our emergency service partners Our two bases work together to provide Our partnership working with the East of optimum cover for both counties and England Ambulance Service NHS Trust surrounding areas from 7am to 9pm (EEAST) continues to strive for effective throughout the year. In addition, a RRV tasking (activation) of the critical care teams is operational on a Friday and Saturday through the Clinical Coordination Desk evening from 6pm to 2am. In March (CCD). The CCD is responsible for we extended the RRV cover on Fridays the tasking of all specialist assets, and Saturdays to 7am. This meant the including helicopters, across the East Collaborative working with EEAST Charity’s critical care teams were available of England region. continuously from 7am on Friday through to 9pm on Sunday. The effectiveness of the tasking continues to be monitored at monthly operations We plan to be operational 24 hours a day, meetings involving EHAAT, EEAST, and 365 days a year from October 2019 using a our neighbouring air ambulances, East combination of helicopters and RRVs. Anglian Air Ambulance and Magpas Air Ambulance. The strategic group involving representatives from senior management Plans for 24-7 operations of all four organisations meet on a are underway quarterly basis. Annual Review 2018/2019

Our teams are dispatched on average 15 6 times a day

As of April 2019 23,206 missions have been attended by Essex & Herts Air Ambulance

The average cost per mission is £2,200

During the year, the busiest time of day for missions was between 1pm and 2pm

What the operations team are working towards in the next financial year:

Prepare for the start of 24/7 operations, anticipated to begin in October 2019. Working on plans for our new North Weald Airbase. Implement plans to improve our airbase and team areas at the Earls Colne Airbase. To go live with a RRV fleet of Volvo XC90s. Essex & Herts Air Ambulance How we do what we do: Clinical

16 The focus for the clinical team over where pertinent. On-call senior clinical the last year has been to deliver a safe, consultants continue to give expert well-led, and effective service for our help and advice to our teams on scene. patients. This has been achieved with Governance is shared with NHS and other a multi-team approach to all aspects of Emergency Services through our monthly the clinical operation. Clinical Governance Days.

A Delphi Study was carried out by the Trauma and cardiac network relationships EHAAT Research Fellow to set the future continue to grow and strengthen as do direction for research. Other projects those with NHS Ambulance Service Trusts included an in-depth review of the clinical that we work alongside. The PLMs are operation, student resilience and use of pre- pivotal in developing these relationships Dr Ronan Fenton hospital blood. as they regularly visit the speciality centres Medical Director to offer help and advice to patients we Safeguarding has been a focus with links have treated. Our PLMs also reach out strengthened with neighbouring NHS to bereaved families and friends to help ambulance trusts. This has included shared provide answers and support the grieving case studies and best practice at Clinical process. This can include a visit to meet the Governance Days. EHAAT continues to critical care team who attended to them. be strong in this field with the Patient The EHAAT national and international Liaison Managers (PLMs) having a proactive student elective programme has gone from overview of all cases and highlighting areas strength to strength, with applications that may need review. from high calibre candidates from many specialties who spend up to four weeks Clinical Governance continues to be with the critical care teams. The range of strong. A team of three consultant level skills learnt from clinical through to human pre-hospital care doctors with a variety of factors allows development with world class core specialities provides a broad range of mentorship. 2019 will be the first time an Stuart Elms experience. This enables the clinical team EHAAT elective student comes back to the Clinical Director to openly and honestly discuss their work, Charity to join as a full time pre-hospital looking for best practice and to identify care doctor nine years after first spending where improvements can be made. These time with us. findings are shared within the team or wider

Blood on board In March we started carrying blood supplies on board our helicopters and RRVs. This major development provides a significant improvement in the care given to our patients. Packed red blood cells and dried (lypholized) plasma are now fully available to those patients needing a pre-hospital transfusion. This development is a result of partnership working with The Princess Alexandra Hospital (Harlow) NHS Blood Representatives from EHAAT, The Princess Alexandra Hospital and Essex Voluntary Blood Service launch blood on board. Annual Review 2018/2019

and Transport Team, Essex Voluntary Blood Recruiting for 24/7 17 Service (Blood Runners), Air Ambulance The EHAAT Kent Surrey Sussex, London’s Air Ambulance and MEQU (blood warmers). As national and the first UK user of MEQU, a close working international partnership was required to get the training HEMS DOCTOR: and readiness done together. EHAAT are A CHALLENGING student indebted to all involved for their support ROLE, A PASSIONATE elective and help. TEAM. MAKE A REAL DIFFERENCE! programme Being able to give a pre-hospital transfusion at the scene of an incident could be a life- has gone saving intervention for patients suffering from strength significant bleeding and blood loss. Patients who have suffered blood loss were to strength. previously given a saline solution, which doesn’t carry oxygen or help with clotting of injuries.

We will carry packed red blood cells of blood group O Negative, meaning they can be used on any patient. When required, these are given with plasma, the other major component of human EHAAT has moved to a 24 hour blood. Together these form an effective operation on Fridays and Saturdays with replacement for patients who have the use of RRVs in the hours of darkness. lost blood. Already there have been incidents where interventions offered by the The blood is delivered daily and stored in critical care teams outside of normal special cool boxes that keep the blood at operating hours have been vital to the a cool temperature for at least 24 hours. patient. This has included pre-hospital If unused after 24 hours the blood is emergency anaesthetics. returned to the blood donation system for use elsewhere, preventing wastage of this To support our plans for being operational precious commodity. 24/7 from October 2019, we have invested in the team. This has included the recruitment of the additional pre-hospital care doctors and critical care paramedics needed for the additional hours of operation. A clinical lead consultant and a larger consultant doctor team help provide extra levels of governance and training. Our recruitment process has been supported by The Mid Essex Hospital Trust and the major trauma centres. Essex & Herts Air Ambulance

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Our Aeromedical Conferences have been going from strength-to-strength over the years, especially after winning the Innovation of the Year Award at last year’s Association of Air Ambulance’s Awards of Excellence.

This year we wanted to ensure that we continue to push the boundaries for our EHAAT Critical Care Paramedic, Adam Carr and free to attend conference and we hit Paediatric Registrar, Dr Hannah Pool discuss challenges record numbers of over 350 clinicians, professionals, students and partner agencies travelling from across the UK to attend. The theme for the event was ‘Paediatrics - Our Care, Their Future’. Speakers focused on the causes, prevalence and changing face of paediatric cases and care in pre- hospital medicine.

Demonstrations take place in the break

The speakers of the 2018 conference conference, with EHAAT’s CEO, Jane Gurney and Medical Director, Dr Ronan Fenton. Annual Review 2018/2019

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Topics discussed during the day included:

• Whether ‘down-time’ in paediatric arrests • Continuing to learn from malicious is a good prognosticator. threats and incidents. • The importance of dealing with fears and • Caring for each other and thinking about anxieties before treating children. how paediatric cases might continue to • The value of training and being familiar affect us. with equipment in high pressure situations. Feedback from the day was overwhelmingly • How and what we can learn from positive and we look forward to seeing how other industries. we can further enhance the conference • Developing new systems for the benefit next year for its tenth anniversary. of patients and their families.

What the clinical team are working towards in the next financial year:

Preparing for 24/7 operations.

Research into the impact of carrying blood supplies.

Major incident training with EEAST.

Continue working with Anglia Ruskin University and develop relations with Hertfordshire University.

Review of simulation equipment needs.

Further improving the safe, legal and appropriate collection and sharing of patient information.

Welcoming the first pre-hospital emergency medicine trainees.

Developing training and simulation for those challenging but rarer incidents that involve young children and babies. Essex & Herts Air Ambulance How we do what we do: Fundraising and Marketing

20 It has been another busy and saw a record number of patients attended memorable year for the Charity, with by our critical care teams. Just before the plenty of events, fundraising initiatives, end of the year covered by this report, our clinical and operational developments critical care teams began carrying blood on to share with our supporters. board the helicopters and RRVs. All three announcements received widespread media Our Motorcycle Run events continued to coverage. flourish, and the 10th Anniversary Strictly Air Ambulance saw professional dancers Neil The Charity relies on the generosity of and Katya Jones add some star quality to the people and businesses of Essex and the proceedings. Hertfordshire. It’s the support we receive for our events, shops, fundraising efforts, Pam Withrington We were delighted to be able to announce Flight for Life Lottery, gifts in wills and via Fundraising & that a planning application had been our 3,000 collection tins that enables us to Marketing Director submitted to Epping Forest District Council fund our life-saving work. for our new airbase at North Weald. We were also able to share the news that 2018 We can’t fly without you.

FUNDRAISING

Flying to New Heights Legacy income In September 2018 we hosted ‘Flying to We continue to promote legacy giving New Heights’, a highly successful event through a range of sensitive campaigns that gave business leaders across Essex across different media platforms including and Hertfordshire an insight into the world radio, local press and social media. We also of aviation, and in particular the Charity’s hold yearly legacy events: one in Essex life-saving work. The event was held at our and one in Hertfordshire. In the year to the North Weald Airbase in partnership with end of March 2019 the amount received the Institute of Directors East of England. via legacies went up from £1,265,000 to Mandy Hickson speaking at ‘Flying to New Heights’ During the evening, which was compered £1,561,000 an increase of 23.4%. by BBC presenter David Whiteley, guests heard from inspirational speaker Mandy Hickson, a former RAF Fast Jet Pilot.

Regular Giving In March 2019 we appointed a Regular Giving Manager to develop and implement a regular giving programme as part of our income diversification plans. We hope to attract new supporters into the programme Support us with predominantly with telemarketing and regular donations direct mail campaigns. Annual Review 2018/2019

EVENTS Our programme of events enjoyed mixed fortunes. Strictly Air Ambulance and our two 21 motorcycle events flourished, and both our Heli Hound dog walks attracted a good number of supporters. Regrettably we had to cancel both our cycling events due to problems signing up sufficient participants and marshals.

Harwich Motorcycle Run 2018 Strictly Air Ambulance 2019 More than 4,000 motorcyclists took part The 10th anniversary Strictly Air Ambulance, in the Motorcycle Run on Sunday 9th held in front of a packed house at September 2018 from Ford Dunton to the Colchester’s Charter Hall on Saturday 23rd Family Fun Day at Harwich. The event March 2019, raised more than £17,500. raised an amazing £41,000. EHAAT Critical Care Paramedic, James Mullett, danced his way to victory at the Spectators and participants enjoyed a day event in front of a panel of judges that of entertainment including live music, included celebrity dancers Neil and Katya trade stands and a range of food outlets. A Jones. Partnered by professional dancer highlight of the afternoon was a visit by the Emma Burrell of Starlight Dancing in Charity’s MD902 helicopter and critical Colchester, James wowed the audience care team. with his two dances. After performing foxtrot to ‘I Can’t Take My Eyes Off Of You’ We are grateful to the biking community his showdance saw him dressed as Freddie for supporting this event so enthusiastically, Mercury for ‘I Want To Break Free’. to all the people who turned out along the route and at the finish to support them. As well as scoring the five couples, Neil and Katya took to the floor for two demonstration dances before leading the audience in a ‘Gangnam style’ dance.

Harwich Motorcycle Run 2018 Strictly Air Ambulance 2019 Essex & Herts Air Ambulance

MARKETING

22 The Charity was well prepared for the managed on our CRM system. This introduction of GDPR in May 2018 thanks means we are confident that we are only to our ‘Keep in Touch’ campaign. This contacting people who wish to hear from important campaign ensured that us, about subjects they are interested in and EHAAT was GDPR-compliant well before by the most appropriate means. Being able the May 2018 deadline, with a to be more targeted when we approach clean database consisting only of supporters has reduced wastage and costs. supporters who wish to stay in touch This is welcomed by our supporters. with details of their preferences. GDPR is now built in to all EHAAT activities After contacting all our supporters to going forward. It is part of who we are and establish their preferences, we can now what we do. effectively use the names stored and

We continue to see strong growth and interaction across all forms of communication:

21% 49% increase increase on users visiting the website compared to in Instagram followers over the year. previous year. Increase Increase in website users of 3,343 aged 25-34. followers on Facebook and Twitter over the year.

50/50 split between male and female audiences visiting the website. 3,707 mentions Most visited across 482 newspapers, websites, website pages TV and radio stations. are mission statistics, Harwich Motorcycle Run and the lottery results. Annual Review 2018/2019 Our year in headlines

“Busy year for “Essex & Herts “Strictly Air 23 air ambulance Air Ambulance Ambulance charity sees to carry blood fundraiser record number supplies” raises £17.5k” of life-saving Potter’s Bar Today 13.03.18 Braintree and Witham Times flights” 29.03.18 Dunmow Broadcast 13.02.18

“Still flying high “Mont Blanc “Helipad after 20 years trek raises takes Basildon of life saving” £24,000” Hospital Evening Gazette 28.05.18 Evening Gazette 28.05.18 services to above par” Evening Gazette 28.05.18

“Meet the “Ambulance “Cardiac arrest flying heroes chief Jane’s bystanders are of Essex” dedication is encouraged Braintree & Witham honoured” to use Times 15.06.18 Basildon Echo 18.06.18 defibrillator” Stevenage Comet 18.10.18

“Defibrillators “Air ambulance “Students and in public charity appoints staff make a places set to new trustees” splash to raise help save lives” St Albans and Harpenden £6,500” Basildon Advertiser 08.11.18 09.11.18 Hertfordshire Mercury 12.12.18 Essex & Herts Air Ambulance

VOLUNTEERS

24 Our dedicated team of volunteers play helping us raise the money that enables us a vital part in raising awareness of our to carry out our life-saving work. life-saving work, assisting with support in our local communities and helping to Our existing volunteers do a fantastic job, increase income. By the end of the year but we are always keen to hear from people the number of volunteers had increased with some time to spare. We can use from 310 to 369. existing skills and help develop new ones. Volunteers help us collect tins, marshal at EHAAT could not do the work it does our big events, assist with administration without the support of volunteers. From tasks and give airbase tours. There’s a role helping at fundraising events to working to suit everyone. in our shops, volunteers play a vital role in

A day with Ray EHAAT could In June 2018 British actor Ray Winstone, not do the our celebrity patron, volunteered a day of his time and acting talents to support work it does the Charity which was used in marketing without the campaigns to help raise awareness of EHAAT. support of volunteers. He said: “It’s a pleasure to volunteer with EHAAT, they always make me feel welcome Charity shop challenge with a bacon sandwich on arrival!” In January 2019 groups of staff from Tesco gave a massive boost to sales across six of our charity shops by volunteering for the day. They brought treats to tempt customers through the doors, donated clothes and lots of enthusiasm!

The volunteers did everything from tagging clothes and restocking the shelves to dressing the windows and persuading passers-by to take a look inside, all with many smiles on their faces.

Takings were well up on a usual day across the shops and in addition to fundraising efforts also going on at the Tesco Office in Welwyn Garden City an outstanding £10,894 was raised to support the Charity! Annual Review 2017/20182018/2019

RETAIL

The retail division generated income of helps three afternoons a week at the 25 £533,000, an increase of 70% over the Buntingford shop. previous year. We continued to grow and opened a new shop in Frinton-on-Sea She explains: “When I retired I was as well as scope out many potential wondering what to do to keep myself active. locations for shops to open in the coming I wanted to give something back. I really financial year. enjoy helping in the shop. Everyone is Frinton shop opening very friendly.” In addition, the growth of our retail premises continued with the opening of Lesley says she particularly enjoys meeting our new warehouse and donation drop-off customers: “We have quite a few regulars, point in Stevenage in May 2018. As well and it’s good when you get to know people. as offering the facilities to receive many Quite a few interesting items get donated. donation items which will be distributed to Only recently a really nice guitar came in. and sold through the charity shops across We had lots of fun when one customer who Essex and Hertfordshire, the warehouse knew how to play it dropped in and started also houses a new E-commerce team who singing some songs!” sell donated high value and collectable goods online. Retired teacher Bronwyn Martin, who Donation drop-off point currently works in EHAAT’s Hitchin shop “Everyone works as a team to make sure has been a volunteer for five years, and that we get as much money as we can from had special reason for getting involved with donated items”, explains Tracey Gwynne, the Charity. E-commerce Manager. “The first stop for most items is the shops. The managers She explained: “One of my sons was one of then cast their eyes over donated items and the first paramedics on the Herts aircraft. I maybe do some research online. Our motto promised him when I retired it was one of is ‘if in doubt, don’t throw it out’. Something the things that I would do.” you might throw in the bin could be worth thousands.” Bronwyn is struck by the lengths that some people go to help out: “Two retired Volunteer, Lesley Greensmith, at the Buntingford shop All our shops are run by charity shop ladies filled their trollies and came from the managers and supported by volunteers other side of Hitchin by bus to donate. It’s Lesley Greensmith has been a volunteer amazing what people do, they really go out in several of EHAAT’s shops, and currently of their way!” Essex & Herts Air Ambulance

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By the end of March 2019 more than All complaints received are followed up 100,000 supporters were playing our Flight with the canvassing companies concerned More than for Life Lottery, with a total of 191,952 and are reported to the board of trustees. chances. This was an increase of 12% During 2018/2019, we received 34 such 100,000 on last year. This growth means we are complaints, out of over 62,000 new sign- supporters approaching the £10 million annual sales ups. The activities of these organisations are cap imposed on society lotteries. also regulated by the Gambling Commission were playing and Fundraising Regulator. We contract two professional canvassing our Flight for organisations which represent our values to In our efforts to help protect vulnerable Life Lottery. the wider community. Through contractual people, we require all canvassers to terms and conditions, regular meetings and be Dementia Friends and to attend a training we ensure they follow the Charity’s dementia awareness training course. values and that their activities Underage players are not permitted to join are monitored. the Lottery; we also limit the number of chances players may have in the Lottery.

What the fundraising and marketing teams are working towards in the next financial year: Proceeding with the additional lottery license application. Working on our core areas of fundraising diversification including: retail, regular giving and major donors. Opening more charity shops and implementing an EPOS system so that we can capture Gift Aid. Two major donor events are planned. Developing a line of branded merchandise for our new online shop. Increase awareness of the Charity in Hertfordshire. Hosting the 20th anniversary Motorcycle Run and Family Fun Day at Harwich. We bring the hospital to the patient. 27 Essex & Herts Air Ambulance How we do what we do: Finance

28 The Charity had another strong financial year, together with the two new Volvo RRVs year, generating a total £14.5 million purchased during the year. We have also in income. Of this, £9.7 million came designated reserves totalling £4.75 million from our Flight for Life Lottery which towards forthcoming capital projects at both continues to be our main source of North Weald and Earls Colne. This leaves income. However, we also saw a big the Trust with unrestricted general increase this year in income from reserves (free reserves) of £16.5 million legacies, which at almost £1.6 million at the year end. increased by over 23% from the previous year. To safeguard the operation of the service should our income fail or in the event of We continued to invest this financial year in an unexpected eventuality, the trustees Jonathan Ager retail growth, opening a further new shop aim to hold between 12 and 24 months’ Finance Director and expanding our E-commerce presence total expenditure in unrestricted general as we follow our strategy to diversify our reserves. They also take account of the sources of income. current strategy to significantly expand both service delivery and related fundraising The year saw our expenditure on charitable activities in the medium term, and will activities increase by 13.6% to £5.9 million. review future plans should free reserves fall This included a full year of running costs outside of this range. The Charity remains The surplus and depreciation relating to the AW169, well placed to fund the expansion of its life- of income purchased part way through the previous saving service. year. We also incurred costs involved in was added putting the necessary infrastructure in place The majority of the Charity’s reserves to reserves to allow for the introduction of carrying are represented by cash and short term blood products on board our helicopters fixed deposits. An Investment Advisory available and RRVs. Committee, which includes both trustees for future with relevant experience and a professional The £4.1 million surplus of income over fund manager, helps to advise the board delivery of expenditure for the year was added to on investment matters and is tasked reserves available for future delivery of our with protecting cash reserves from the our charitable charitable objectives. By the end of the year depreciating effects of inflation and to objectives. our total reserves stood at £28.2 million, of optimise returns over the longer term within which £6.9 million relates to fixed assets an acceptable level of risk. and includes the AW169 purchased last

For every £1 given in 2018/2019:

£1 27p 40p 33p

is retained is spent on is spent on for future delivery charitable services raising funds Annual Review 2018/2019

Key sources of income for 2018/2019: 29

41 16 08

25

Collection tins: Lottery and Raffles: Legacies: £117,154 £9,723,739 £1,561,318

Charity Shops: Grants: Donations: £532,965 £66,620 £1,473,304

In memoria: Fundraising events: Investment income: £272,670 £188,758 £109,427

What the finance team are working towards in the next financial year: Maximising the functionality of the new accounts system throughout the charity. Restructuring of the Lottery to obtain a second Gambling Commission licence to enable the Lottery to grow past the current £10 million cap. Increased investments as the trustees seek to protect cash reserves from the depreciating effects of inflation and optimise returns over the long term. Essex & Herts Air Ambulance

30 All financial information within this Annual Review has been extracted from the Trust’s audited financial statement for 2018/2019 which was filed at Companies House.

Total Total funds funds 2019 2018 £ £ Income from: Donations and legacies 3,846,294 3,526,897 Charitable activities 66,620 53,124 Trading activities 10,494,111 9,452,411 Investments 109,247 103,426

TOTAL INCOME 14,516,272 13,135,858

Expenditure on: Raising funds 4,781,140 4,493,355 Charitable activities 5,949,513 5,238,668

TOTAL EXPENDITURE 10,730,653 9,732,023

Net surplus before investment gains/(losses) 3,785,619 3,403,835 Net gains/(losses) on investments 281,753 199,055

Net income/(expenditure) before other recognised gains and losses 4,067,372 3,204,780

Net movement in funds 4,067,372 3,204,780

Reconciliation of funds: Total funds brought forward 24,105,684 20,900,904

TOTAL FUNDS CARRIED FORWARD 28,173,056 24,105,684 Annual Review 2018/2019

31

2019 2018 £ £ £ £ Fixed assets Intangible assets 57,027 33,094 Tangible assets 6,849,389 7,109,639 Investments 8,994,333 4,766,517

15,900,749 11,909,250

Current assets Stocks 19,761 43,565 Debtors 432,912 301,404 Investments 4,561,698 7,391,986 Cash at bank and in hand 13,657,420 5,774,595

18,671,791 13,511,550

Creditors: amounts falling due within one year (1,385,113) (1,315,116)

Net current assets 12,272,307 12,196,434

Net assets 28,173,056 24,105,684

Charity funds Restricted funds 784 1,977 Unrestricted funds 28,172,272 24,103,707

TOTAL FUNDS 28,173,056 24,105,684 Essex & Herts Air Ambulance Highlights of the year

32

April 2018 May 2018 June 2018 EHAAT clinicians flew to Bologna, We opened a Donation Drop-off CEO, Jane Gurney, is named Italy, to give a workshop on pre- Point and Warehouse in Stevenage, Director of the Year in the Public/ hospital REBOA (a technique Hertfordshire. As well as offering Third Sector category by the used to control haemorrhage in the facilities to receive and store Institute of Directors for the East of trauma patients) and thoracotomy many donation items which will England. She accepted the award on (a surgical incision into the chest be distributed and sold across the behalf of everyone who has helped wall to access the organs) at the Charity’s shops, the warehouse also make EHAAT what it is today and Exposanita Health Exhibition houses a new E-commerce team hopes the award will help further and Conference. who sell donated high value and raise the profile of the Charity. collectable goods online.

October 2018 November 2018 December 2018 EHAAT opened a new helipad to We welcomed Claire Smith and The Charity applied for planning service patients in accessing Basildon Andy Tunningley as trustees of permission to build new premises Hospital. The helipad was constructed EHAAT and thanked Clare Dobie at North Weald Airfield. Building free-of-charge by Natta Building who stepped down as a trustee after our own facility at North Weald will Company. Previously patients arriving nearly ten years’ service. Claire and give us security of tenure, result in in the air ambulance would land at Andy bring a wealth of business significant cost savings over leasing South Essex College before being experience and a real passion for a new building built to the same transported by land ambulance to the the work of the Charity and we look specification and it will not only hospital. The development continues forward to working with them. benefit EHAAT but the local pre- to ensure patients receive the best care hospital care community due to its as quickly as possible. planned facilities. Annual Review 2018/2019

33

July 2018 August 2018 September 2018 We visited London Luton Airport All existing EHAAT charity shops It was a busy but incredibly successful to say thank you to the airport and were updated with the new red and month in the fundraising calendar: a Harrods Aviation. Harrods Aviation yellow colours adopted by EHAAT group of intrepid trekkers took part agreed to waive all handling costs if last year in order to bring staff, in our Master Mont Blanc fundraising one of EHAAT’s helicopters needs volunteers and supporters across challenge and raised nearly £25,000 to call at the airport, while London the two counties together with a between them, collections during Luton Airport agrees to supply fuel single unambiguous identity. A spike National Air Ambulance Week raised free-of-charge should the aircraft in sales was immediately noticed over £25,000 and the Motorcycle Run need to refuel on the way back from across the shops after re-opening from Dunton to Harwich brought in a mission. with the new look! over £41,000!

January 2019 February 2019 March 2019 Statistics show that in 2018, EHAAT We opened a new charity shop Our helicopters and RRVs started attended a total of 1,491 patients, in Frinton-on-Sea, taking the total carrying blood on board. The ability making it the busiest year ever for number of EHAAT shops across to give a pre-hospital transfusion at the Charity’s critical care teams. Essex and Hertfordshire to seven. the scene of an incident could be a The figures show an increase of 2% The shop is officially opened by Mrs life-saving intervention for patients on 2017 with 1,461 patients and Bonnie Hill MBE, Deputy Lieutenant suffering significant bleeding and a rise of 38% on the 2016 total of of Essex who is joined by guests Iris blood loss. This early transfusion will 1,077 patients. Johnson, The Mayor of Frinton, and significantly reduce the time lost in Tina Whatling from Harwich, who having to take a patient to a hospital was airlifted in 2016. to receive blood. We can’t fly 34 without you. 35 Flight House, The Business Centre, Earls Colne Business Park, Earls Colne, Colchester, Essex, CO6 2NS

T: 0345 2417 690 E: [email protected] W: ehaat.org

Charity Number: 1108989