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Annual Report 2015-16 Table of Contents

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Annual Report 2015-16 Table of Contents Scottish Specialist Transport And Retrieval Annual Report 2015-16 Table of contents 1. Welcome 3 2. Introduction 4 2.1 Organisational Overview 4 2.1.1 Team Overview 4 2.1.2 SCOTSTAR Role 5 2.1.3 Mission Statement 6 2.2 Governance 7 2.2.1 Governance Framework Overview 7 2.2.2 Information Governance 7 2.2.3 Reporting Arrangements 7 2.2.4 Governance Arrangements 9 2.2.5 Patient Safety & Quality 9 2.2.6 Workforce and Communications 10 2.3 About the Service – SCOTSTAR in 2015 10 2.3.1 Report on Activity 10 2.3.2 Resource Use 15 1. Welcome 2.3.3 Finance and Workforce 17 2.3.4 Quality Performance Indicators (QPIs) and HEAT targets 19 3. Strategic Objectives 20 “I am pleased to present the 2015/16 SCOTSTAR Annual Report on 3.1 Longer Lives 20 3.2 Healthy Lives 20 behalf of the Scottish Ambulance Service and NHS Scotland. Our three 3.3 Safe 20 clinical teams operating in a ‘Once for Scotland’ model, continue to care 3.3.1 Risk Register 20 3.3.2 Clinical Governance 20 for some of the most sickest patients who require Specialist Transport 3.3.3 Adverse Events 21 and Retrieval between health care facilities throughout Scotland. 3.4 Effective 21 3.4.1 Clinical Audit Programme 21 It’s been another busy year for The construction of the new state they do; day in day out; to provide 3.4.2 Staff Governance 21 SCOTSTAR. Our Adult team of the art Specialist Transport and communities across Scotland with 3.4.3 Clinical Outcomes/ External Benchmarking 21 completed 287 primary and Retrieval base at Glasgow airport a Service which is safe, effective 3.4.4 Service Improvement 23 239 secondary Retrievals, our is now complete and was formally and clinically excellent.” 3.4.5 Research and Development 24 Neonatal team completed 1,428 opened by the Cabinet Secretary 3.4.6 Training and Outreach Activities 24 secondary Transfers and our for Heath, Wellbeing and Sport 3.4.7 Response Times 25 Paediatric team completed on 11 March 2016. Our teams are 3.5 Person Centred 26 323 secondary Retrievals. The now benefiting from this modern 3.5.1 Patient / Carer/ Public Involvement 26 SCOTSTAR teams are now fit for purpose accommodation 3.5.2 Partner Involvement 26 benefiting from the Scottish which is enabling our teams to 3.5.3 User Surveys / Feedback 28 Ambulance Service’s new state of come together under the same 3.5.4 Communications 28 the art larger and more capable roof to learn and train together 3.5.5 Stories 28 aircraft to enhance the care they and share their knowledge and 3.5.6 Staff Engagement Index 33 provide to patients. experiences. 3.5.7 Equity: Geographical Access 34 Pauline Howie OBE Our Specialist Transport and Whilst it is acknowledged that Chief Executive Officer, 4. Conclusions: Celebration & Risk 36 Retrieval teams working in there is still much to do to further Scottish Ambulance Service 5. Looking Ahead - Expected Change & Developments 38 partnership with a number of strengthen governance and future organisations supported the workforce models, the service Appendix 1 – SCOTSTAR Financial Performance 2015-16 39 Scottish Ambulance Service continues to evolve and I would Appendix 2 – Glossary 40 at several Major Incidents like to take this opportunity to throughout the year. thank all our staff for the work Equality & Diversity 42 SCOTSTAR Annual Report 2015-16 SCOTSTAR Annual Report 2015-16 2 3 2. Introduction SCOTSTAR (Scottish Specialist Transport and Retrieval) is a division of the Scottish Ambulance Service (SAS) within the Service Delivery Directorate led by Daren Mochrie QAM the Director of Service Delivery that exists to provide a national service for the safe and effective transport and retrieval of neonates, children and adults in Scotland. Daren Mochrie, Director of Service Delivery Cabinet Secretary for Health, Wellbeing and Sport, Shona Robison at the opening of the new base It was launched on 1st April to track progress of the service Intensive Care Unit (PICU) a Critical Care Practitioner (CCP). partnership with the Ambulance triage and remote assessment. 2014 and has brought together against the previously agreed partners to provide an advice only It operates from the SCOTSTAR Service’s Ambulance Control On Friday 11 March 2016, Shona three existing services – Scottish deliverables. The stakeholders call service, whereby the duty Base at Glasgow International Centre (ACC), due to their close Robison, Cabinet Secretary for Neonatal Transport Service for SCOTSTAR are the Health SCOTSTAR and PICU consultants Airport, and covers the whole operational links and extensive Health, Wellbeing and Sport (Neonates), Emergency Medical Boards, service users, and the advise the referring clinician, which of remote and rural Scotland. experience in operational planning, officially opened the new purpose Retrieval Service (Adults), and wider NHS Scotland organisations prevents unnecessary transfers. call handling and transport built facility for our teams at Scottish Paediatric Retrieval such as Community Midwife Units SCOTSTAR retrieval operations in The Adults team has dispatch. There are essential links four functions: Glasgow International Airport. The Service (Paediatrics) into one and Rural General Hospitals. The Edinburgh concluded on 31 March between the different elements new facility brings the Service’s specialist service. The service Governance system included 2016 and the team now works • Secondary retrieval of of these different services provides a safe and dedicated an Advisory Group, chaired by from the new base in Glasgow. West of Scotland Air Ambulance critically ill and injured within the Scottish Ambulance transport service for a particular Dr Annie Ingram, reporting to helicopter and fixed wing patients from remote and Service and SCOTSTAR, which patient group who, because of the Chief Executives Group, operations into a single location, Scottish Neonatal Transport rural health care facilities; is an operating division of the their clinical condition, require and the production of an Annual alongside SCOTSTAR, Scotland’s Service (Neonates) • Telephone advice to remote Ambulance Service maximises an augmented clinical team Report, building on the system of national Specialist Transport and and rural hospital staff with the operational, clinical and cost during retrieval/transport, and Annual Reporting which the three The Neonatal team provides a regard to resuscitation and benefits through integration of the Retrieval Service for critically ill represent the most vulnerable of previous services had used. national service delivered by three safe transfer of patients transport infrastructure, technology children, babies and adults. patients transported in Scotland. regional teams in the West, South with critical illness; infrastructure and the specialist In total, SCOTSTAR teams The three established East and North of Scotland, all of • Primary retrieval of patients transport clinicians. In addition The base has immediate access completed 2,087 transfers national specialist transport which provide cross-cover for each with major trauma in West to this the Scottish Ambulance to specialist vehicles and aircraft and retrievals in 2015/16. teams are outlined below. other. They transfer and/or retrieve and Central Scotland; Control Centre has recently taken as part of a £9.5 million investment babies up to five kilograms. • Major incident pre-hospital over the Perinatal Advisory Service in patient care. It is the first time As a National Service, SCOTSTAR 2.1 Organisational Each neonatal transport is medical response. from NHS 24. This links in with anywhere in the UK that multi- ensures that critically ill patients Overview undertaken by a team of the co ordination role undertaken are transferred within and outside between one and three clinicians, disciplinary clinical retrieval 2.1.2 SCOTSTAR Role by the Specialist Services Scotland to the definitive level 2.1.1 Team Overview including consultants, Advanced teams operate from a single Desk in the ACC which allocate of care that the clinical condition Neonatal Nurse Practitioners base. The Cabinet Secretary Nearly 2,100 of the 740,000 missions to the retrieval teams. of a patient demands. All of the Scottish Paediatric Retrieval (ANNPs), middle grade doctors met with staff and was given a emergency incidents attended territorial Boards in Scotland Service (Paediatrics) and transport nurses. tour of the base and capabilities, annually by the Scottish The Ambulance Service is rely on the service and have an which included an overview of interest in the performance and In 2015-16, the Paediatrics team Ambulance Service are well placed to manage service Emergency Medical the specialist vehicles, aircraft, operation of SCOTSTAR. When provided a national service from attributable to specialist transport delivery and outcomes for Retrieval Service (Adults) and equipment available to use. the new Service was established, Edinburgh and Glasgow for the and retrieval, however these SCOTSTAR, by scheduling the There are approximately 85 it was agreed that the service retrieval for children from newborn The Adult team provides a take significantly longer and are availability of vehicles and drivers, would be funded nationally through to 16 years of age. The team is national service, with two teams complex in their delivery with many coordinating and integrating critical staff who work from the new top-slicing and that a governance predominantly consultant led; available 24 hours a day. Each being inter-hospital transfers. infrastructure with service provision base which includes the national system would be established, supported by trainees, nurse team is led by a consultant with whilst supporting the most efficient administrative and managerial which would include separate practitioners and nurses. The the second team member being The clinical coordination model for use of high value assets through functions of both SCOTSTAR reporting to allow stakeholders team works closely with Paediatric either a senior medical trainee or the Division is being developed in medically supported tasking, and the Air Ambulance Division.
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