In partnership with EMRTS Cymru
Annual Review April 2018/March 2019
Serving Wales. Saving Lives. Contents
Introduction Foreword 3 Our Service - Fast Facts 4 Foreword In 2019, the Wales Air Charity and NHS Wales. The This service thrives thanks to The Charity Operation Ambulance Charity came medical part of the operation is the support of our trustees, About Wales Air Ambulance 6 of age, marking its 18th known within NHS Wales as the employees, volunteers, medics, anniversary on 1 March. In that Emergency Medical Retrieval and pilots (past and present) Public and Corporate Support 7 time, we have grown from a and Transfer Service (EMRTS and their dedication to our Charity Income and Expenditure 8 one helicopter service into the Cymru), or the ‘Welsh Flying cause of serving Wales and Foreword 2018/19Annual Review // Legacy Tributes 9 largest air ambulance operation Medics’. EMRTS Cymru focuses saving lives. in the UK. on the medical workforce and medical governance of the Our incredible success has The Medical Operation With the introduction of service. been made possible thanks About the Medical Operation 10 consultants and critical care to you, the people of Wales. practitioners to the service in NHS Wales, through EMRTS Over the past eighteen years, Medical Governance 12 2015, along with pioneering Cymru, supplies the medics you have helped us raise over Medical Financial Statement ED-standard equipment, we while the Charity works £100 million and save countless (EMRTS) 14 have also become one of the tirelessly to raise the £6.5 million lives. Thank you for your most medically advanced required every year to keep the overwhelming and ongoing Additional Information air ambulance operations in helicopters flying. support. Europe. April 2018 - March 2019 For the first time since the Wales Air Ambulance was Mission Data 16 This medical enhancement partnership began, we have created by the people of Wales, Success Stories 18 has been possible thanks to a brought together our end- for the people of Wales. Our unique Third Sector and Public of-year summaries into one success is your success and the Patient Case Studies 20 Sector partnership between document – this Annual Review. information in this review is a The Future 22 the Wales Air Ambulance testament to that.
Trustees D. Gilbert OBE (Chair) K. Jacques (Vice Chair) M. James D. Kitto D. Jones-Morris Registered in England and Wales J. Wagstaffe Company number: 4036600 S. Curtis Charity number: 1083645 O. Davies Dave Gilbert OBE Professor David Lockey B. Kirsop Patron: Sir Bryn Terfel. Chair of Trustees, Wales Air National Director, EMRTS R. Locke Company Secretary: J. Stephens. Ambulance Charity Cymru L. Dafydd Chief Executive: A. Hughes.
2 April 2018 - March 2019 // Annual Review April 2018 - March 2019 // Annual Review 3 Our Service - Fast Facts
Medical Helicopter • Superior oxygen capacity. Crews can carry 600 litres of Capability Capability oxygen on a flight. Our Service - Fast Facts Our Service - Fast • Consultants and critical care • Two powerful turboshaft • Customised stretcher practitioners on scene to engines and large fuel tanks. system. The stretcher can be make advanced assessments Enables crews to fly long wheeled out of the aircraft and critical management distances without the need and directly into the hospital, decisions. to refuel. and has brackets around the • The ability to undertake • The helicopter can fly at 130 stretcher to fix the crews’ blood transfusions. We knots (around 150mph). specialist equipment to it
Annual Review 2018/19Annual Review // carry four types of blood • It has five seats. Allows when moving patients. products supplied through a for additional passengers, • Pioneering bracket systems partnership with the Welsh such as specialist medical for medical equipment. Blood Service: red blood crew or a patient’s relative if Unique designs have been cells, freeze-dried plasma, appropriate. used to secure our advanced fibrinogen concentrate • A high-speed internet medical equipment into the and prothrombin complex connection. Crews can aircraft. Equipment can be concentrate. communicate vital charged in the helicopter, so • The ability to administer information to hospitals it is ready to go as soon as the anaesthesia and analgesia directly from medical crews get a 999 call – saving (pain relief). equipment en route. time and reaching patients • Point-of-care-testing • The latest weather radar even faster. devices: portable blood gas technology, and traffic and analysers and an ultrasound terrain avoidance systems. scanner. • Ergonomic storage. A • Advanced technology customised storage system (e.g. life support ventilators specifically for the medics, so suitable for all ages). they can access all their kit • An advanced flight precisely when they need to. incubator system. • Advanced lighting systems. • Automated chest Night-flight technology will compression devices to aid help us to extend our hours CPR. of flight.
4 April 2018 - March 2019 // Annual Review April 2018 - March 2019 // Annual Review 5 The Charity Operation // About Wales Air Ambulance everyone inWales (seepage 22). ambulance available service to strive for air anoutstanding continually and day night, and so we peopleboth canhelp To provide a24-hour operation Our Vision transfers across Wales. airambulance and Services Helicopter Emergency Medical to protect humanlife through We are onstandby every day Our Mission flying. each year to keep ourhelicopters donations to raise £6.5 million to, Wales rely and entirely on charity based dedicated in,and We are onlyairambulance the country.the relieve across injury and illness Wales. We provide aircover to official airambulance service for 2001, Wales AirAmbulance isthe David’sLaunched onSt. Day Ambulance About Wales Air Operation CharityThe 6
emergency missions. as providing vital aircover on acrosshospitals UK,aswell the specialist patients to from and airlift paediatric neonatal and youngest patients. Ourcrews expert care for ofWales’ some a specialistdivisionto provide Children’s Wales AirAmbulance, CharityThe alsorunsthe Air Ambulance Children’s Wales operation onpage 10. out more aboutourmedical directly to Find patient. the emergency (ED) department within 20 minutes, taking the be there for anyone inWales Wales AirAmbulance can Department) (Emergency ED Flying needed. are ready to save lives wherever WelshpoolLlanelli, Cardiff and airbase operations inCaernarfon, vast ranges. mountain Ourfour Welshthe coastline across and townsbustling cities,along and day, covering rural countryside, ofWales whole the every single Wales AirAmbulance covers Saving Lives Wales,Serving collection service. collection service. to orviaourfree ourshops donated to directly us,either toysa-brac, more) and are clothes, DVDs, CDs,bric- Pre-loved goods(furniture, Goods of Pre-loved Donations lottery 95,027 had members. week. As of31March 2019, the incashprizes every£1,500 Our Lifesaving Lottery offers Lottery Lifesaving Charity (seepage 9). invaluable way to the support Gifts inWills have become an Legacies or viaourFacebook page. (walesairambulance.com), through ourwebsite (0300phone 0152), 999 via postalmail,over the Donations are made Donations Monetary of how we are supported: difference to whatwe do. Here are examples some every and Every spare pound makes hour avital Wales support businesses AirAmbulance. There are many ways publicand inwhich the Corporate Support Public and functions atourbases. functions to administrative supporting community events, inaddition They alsoattend fundraising and teams. ourtransport assisting warehouses,and aswell as usinourshops support and are lifeblood the Charity ofthe people ofWales. Ourvolunteers an airambulance for service the mission ofcontinuing to provide Volunteers are crucial for our Volunteering Air Ambulance. ways ofraising money for Wales own personal, often and creative, Across Wales, their peoplefind Fundraising HEMS (seepage 19). Caernarfon calledCaffi Airport award-winning café based at across Wales. We alsohave an CharityThe located has17shops Café and Shops • • • • service (seepage 18). service to generate for funds the new venture which willhelp lease ofCardiff ina Heliport Ambulance took over the In August Wales 2018, Air Cardiff Heliport supplies. or services Donating work-place fundraising. Volunteering or stafftime Year.the usasCharityNominating of Payroll Giving. beforeDonating taxwith followingdo sointhe ways: employees. their and They businesses directly from We often receive support Support Employee Corporate/ 7
The Charity Operation // Public and Corporate Support Charity Income and Legacy Expenditure Tributes Total income 2016/17 £13,287,000 2017/18 Income by We dedicate this page to the For the financial year ending July 2018 source people below, who have left the greatest gift; a legacy that will 8 support those in need and save LIBOR lives. 15 • Allan John George Beaumont • Helen Vivian George • Morgan Davies Retail Trading • Ann Voisey • Irene Emma Hancock • Nance Keevil
• Anne Elizabeth Murphy • Jane Malltwen Williams • Nesta Vaughan Brazell Tributes Legacy // Operation The Charity • Anne Nest Humphreys • Joan Ellen Susan Deneen • Olive Betty Goddard 18 • Anne Thomas • Joan Emma Mynott • Patricia Maura Hackett Donations / Other • Arthur Walford Griffiths • Joan Hooper • Patricia Sadie Harbridge
£1m £1.084m £1.905m £1.995m £2.463m £2.404m £1.489m £3.274m £4.062m £4.530m • Barbara Muriel Dance • Joan Mary Merchant • Patricia Tonkins LIBOR Retail Donations/ Legacies Lifesaving • Bertie Humphrey Jones • Joyce Ceridwen Edwards • Robert Andrew Miggiano Trading Other Lottery 25 • Beryl Patricia Gwen Vaughan • June Hopkins • Ronald Hubert Noot Legacies • Catherine Kirkham • Jane Malltwen Williams • Sarah Ellen Pritchard Generating • Catherine Roberts • Joan Ellen Susan Deneen • Sheila Jean Badham funds • Charles Norman Steele • Joan Emma Mynott • Stan Clarke For every £1 we spend on fundraising, £1 £5 34 • Charles Perry • Joan Hooper • Stanley Reginald Salt we generate more than £5 in income. Lifesaving Lottery • Cyril James Jones • Joan Mary Merchant • Sylvia May Bithell Building • David Clifford Davies • Joyce Ceridwen Edwards • Thomas Zedric Gwyn Jones Income vs Expenditure • David Ivor Jones • June Hopkins • Valerie Edna Jones Resilience • David Langmaid • M Barrs • Vera Robinson • David Wyndham John • M E Williams • Vincent Davies Delivering a healthy surplus is • Desmond Edward Jenkins • Madge Bolton • Wendy Angela Kitty Doye crucial to ensuring we can • Dilys Clwydwen Jones • Mair Alwyna Jones • William Hubert Evans 2017/18 continue to offer our lifesaving
*Wales Air Ambulance received a donation of £1.084m in 2017/18 and £1m a donation of £1.084m in 2017/18 in 2016/17 received from Air Ambulance *Wales Treasury. by the fines fund held the LIBOR banking • Edith Edna Thomas • Margaret Nona Priscilla • William Huw Rees service. As of 31 July 2018, we • Elizabeth Diana Jones Edwards • William Lewis Roberts have sufficient unrestricted • Elizabeth Fay Garrett • Margaret Novello Morgan cash reserves to fund our • Ernest Hedley George • Margaret Roberts 2016/17 operational cost for over 7 • Ethel Hillidge • Marion Hughes • Eunice Mary Hagelstein • Mary Frampton months. For more information • Evelyn Tearall • Maureen Linda Jackson regarding the Charity’s • George Arthur Llewellyn • Meira Rice-Jones
2015/16 finances, please see the Hawkins • Michael Edwin Daws financial statements • Gwenda Jones Williams • Mona & Derek Hansing £0 £2 £4 £6 £8 £10 £12 £14 published on our website. Millions 8 9 • Our Service will deliver clinical • Supporting midwife units and Twilight Critical and skills sustainability in Wales. home deliveries by stabilising Care Car The Medical We will support consultant neonates and women with To support frontline and critical care practitioner life-threatening problems ambulance and hospital (CCP) recruitment into Wales and transporting them to a services in South Wales Operation by offering opportunities with consultant-led delivery unit. during the pressurised winter the Service as a part of the months, the Service ran an recruitment of appropriate NHS Finally, the Service provides a additional critical care car- About the Benefits Wales positions. We will also multitude of roles at major- based service. Medical The Wales Air Ambulance support educational activities incident or mass-casualty events Operation Charity and NHS Wales across NHS Wales. and a strategic medical advisor introduced EMRTS Cymru in the Every Friday, Saturday In April 2015, a new and more is available 24/7. This advisor is and Sunday between 4 About The Medical Operation About The Medical Operation belief that it would bring a series advanced medical workforce Medical Services known as a top cover consultant. of benefits to Wales, as follows: January 2019 and 31 March began to operate from the The medical services we offer are 2019, a critical care team Wales Air Ambulance bases. The as follows: In addition to the Wales Air • Our Service will deliver equity was operational in a Rapid Wales Air Ambulance Charity Ambulance Charity helicopters, of access to pre-hospital critical Response Vehicle. It ran partnered with NHS Wales to • Pre-hospital critical care for all medics have access to a fleet care for the people of Wales. between the hours of 2pm create a consultant-led medical age groups (i.e. any treatment/ of Rapid Response Vehicles • Our Service will deliver health and 2am, identified as a operation – known within decision that is carried outside of (RRVs). Five Audi Q7s have been gains through early ED - period of high demand for normal paramedic practice). converted into state-of-the-art
The Medical Operation // The Medical Operation the NHS as the Emergency standard treatment (provided medical services in the South About The Medical Operation // The Medical Operation Medical Retrieval and Transfer • Undertaking time-critical, emergency response vehicles outside of normal paramedic Wales region. It worked Service (EMRTS Cymru). EMRTS life or limb-threatening adult designed to enable the team practice) and direct transport to alongside the existing 12- Cymru is responsible for the and paediatric transfers to reach the scene of a medical specialist care centres. hour (8am-8pm) Wales Air medical workforce and medical from peripheral centres (inc. emergency, by road, as fast as Ambulance/RRV operation. governance of the service. Emergency Departments, possible. A vehicle is stationed at This should improve the recovery Medical Assessment Units, each Wales Air Ambulance base. of a patient and increase A consultant and critical Intensive Care Units, Minor Injury Medical equipment has been Medical Mission the number of ‘unexpected care practitioner (CCP) team Units) for patients needing designed to be interchangeable To provide advanced decision- survivors’. staffed the car and the specialist treatment at the between the Charity’s making and critical care scope of practice was the receiving hospital. helicopters and the RRVs. for life or limb-threatening • Our Service will deliver same as the existing 12-hour emergencies that require downstream benefits for operation. In addition, our Service provides Our medical operation is transfer for time-critical hospitals across Wales. More an enhancement of neonatal coordinated and tasked centrally treatment at an appropriate patients will be taken directly Statistics relating to the and maternal pre-hospital via the Charity-funded Air facility. to the most appropriate centre Twilight Critical Care Car critical care - both for home Support Desk (ASD) which is with fewer requirements for are included in the overall deliveries and deliveries in free- based at the Welsh Ambulance secondary transfers. Previously, mission data presented on standing midwifery-led units Service headquarters in this would have depleted page 16. (MLUs). Cwmbran. hospitals of specialist medics (such as anaesthetists) and This includes: created additional cost for the • Transporting neonatal teams to Welsh Ambulance Service. distant time-critical cases by air.
10 April 2018A Year - March of Saving 2019 Lives // Annual Review April 2018 - March 2019 // Annual Review 11 Medical Governance
Our medical operation (EMRTS) has developed a robust system of organisational and clinical governance, as indicated in the graphic below.
Medical Governance // The Medical Operation ergen A an e A er a e ro organn g Servi es o i ee AS Swansea Bay UHB since 01/04/19
(All NHS Wales Trusts, Welsh Government, (CEO, Medical Director, Governance WAA, EMRTS) Sub-Committee)