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Annual Report 2014-15 Scottish Specialist Transport and Retrieval

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Annual Report 2014-15 Scottish Specialist Transport and Retrieval Next Scottish Specialist Transport and Retrieval Annual Report 2014-15 Design: www.studio9scotland.com CONTENTS 1. WELCOME Home 1. Welcome 2. Introduction 3. Objectives 4. Conclusions 5. Looking Ahead Appendices Prev Next “I am pleased to present the first ScotSTAR Annual Report on behalf of 1. Welcome 1 the Scottish Ambulance Service and NHS Scotland. In this first year of operation, ScotSTAR has brought together three long-established services 2. Introduction 2 into a ‘One for Scotland’ model, further strengthening the clinical care provided to some of the most sickest patients who require Specialist 2.1 Organisational Overview 2Transport and Retrieval between health care facilities throughout Scotland. 2.2 Governance 3 As we look back on the first year of operation for ScotSTAR, there is much that we can be proud of. Our Adult, Neonatal and Paediatric Specialist 2.3 About the Service – ScotSTAR in 2014 6 Transport and Retrieval teams, working in partnership with a number of organisations, have undertaken over 2,600 retrievals providing high quality 3. Strategic Objectives 18 and timely clinical care to our patients while transporting them safely to the healthcare they need. 3.1 Longer Lives 18 The construction of the new state of the art Specialist Transport and 3.2 Healthy Lives 18 Retrieval base at Glasgow Airport is well advanced and due for completion in the summer of 2015. This base will provide our teams with modern fit 3.3 Safe 18 for purpose accommodation which will enable our teams to come together under the same roof to learn and train together and share their knowledge 3.4 Effective 19 and experiences. 3.5 Person Centred 25 The future direction of travel is very positive indeed and extensive work has been undertaken to further strengthen governance arrangements 4. Conclusions: Celebration & Risk 36 and future workforce models needed to continue to offer the NHS in Scotland and patients with a Service which is safe, effective and clinically 5. Looking Ahead 38 excellent and leading the way in how Specialist Transport and Retrieval Services are delivered.” Appendix 1 - ScotSTAR Financial Performance 2014/15 39 Appendix 2 - Glossary 40 Pauline Howie OBE Chief Executive Officer, Scottish Ambulance Service 1 ?.2. TITLEINTRODUCTION Home 1. Welcome 2. Introduction 3. Objectives 4. Conclusions 5. Looking Ahead Appendices Prev Next 2.1.2 Link between ScotSTAR 2.2 Governance From the launch of ScotSTAR in ScotSTAR (Scottish Specialist Transport and Retrieval) is a division of and the Scottish Ambulance April 2014 significant progress has the Scottish Ambulance Service that exists to provide a national service Service been made regarding governance for the safe and effective transport and retrieval of neonates, children and 2.2.1 Overview of ScotSTAR and performance. Agreement adults in Scotland. It was launched on 1st April 2014 and has brought 2,600 of the 600,000 emergency Governance Framework to review Standard Operating together three existing services – Scottish Neonatal Transport Service incidents attended annually by the Procedures (SOPs) and work (Neonates), Emergency Medical Retrieval Service (Adults), and Scottish Scottish Ambulance Service are The governance arrangements towards shared clinical governance Paediatric Retrieval Service (Paediatrics) into one specialist service. The attributable to specialist transport for ScotSTAR have been split into processes has been achieved. service provides a safe and dedicated transport service for a particular and retrieval, however these take the following categories – staff, Performance is reported into the patient group who, because of their clinical condition, require an significantly longer and are complex information, financial, clinical and Ambulance Service Executive Team augmented clinical team during retrieval/transport, and represent the in their delivery with many being corporate. and Board regularly through the most vulnerable of patients transported in Scotland. In total, ScotSTAR inter-hospital transfers. Management Group. The Clinical teams completed 2,654 transfers and retrievals in 2014/15. Day to day management is Governance Group for ScotSTAR The clinical coordination model for undertaken by the Head of Service has been established. Work has Courtesy of Carol McCabe the Division is being developed in and Associate Medical Director; who been undertaken on the agreement The need for providing an Annual Report for ScotSTAR to the NHS Chief is undertaken by a team of between partnership with the Ambulance form the ScotSTAR Management of standards and the development Executives Group was agreed at the time of its launch, since ScotSTAR is one and three clinicians, including Service’s Ambulance Control Centre Team together with the clinical of provisional Quality Performance a national service that is funded nationally through top-slicing. The Health consultants, Advanced Neonatal (ACC), due to their close operational and service leads of each team. Indicators (QPIs) during the course Boards have an interest in the performance and operation of ScotSTAR and Nurse Practitioners (ANNPs), middle links and extensive experience in The diagram below sets out the of the year. rely on the service to move critically ill patients within and outside of Scotland. grade doctors and transport nurses. operational planning, call handling accountability arrangements. ScotSTAR therefore needs to provide information regarding service delivery to and transport dispatch. There justify efficient use of this funding. As ScotSTAR is a developing service, the Emergency Medical Retrieval are essential links between the purpose of separate reporting is to allow its stakeholders to track progress of Service (Adults) Scottish Ambulance Service and the service against the previously agreed deliverables. The stakeholders for ScotSTAR – being managed by Figure 1: ScotSTAR Governance Arrangements ScotSTAR are the Health Boards, service users, and the wider NHS Scotland The Adults team provides a national the Ambulance Service maximises organisations such as Community Midwife Units and Rural General Hospitals. service with two teams available 24 the operational, clinical and cost hours a day. Each team is led by benefits due to integration of the Chief Executive Scottish Ambulance Service The three established national specialist transport teams are outlined below. a consultant, with the second team transport infrastructure, technology NHS Scotland Board member being either a senior medical infrastructure and the specialist trainee or a critical care practitioner. transport clinicians. It operates from the Heliport at 2.1 Organisational Overview Glasgow, and covers the whole of The Ambulance Service is well remote and rural Scotland. placed to manage service delivery Scottish Ambulance Service 2.1.1 Introduction and overview the referring clinician, which prevents and outcomes for ScotSTAR, by of the three teams unnecessary transfers. The Adults team has four functions: scheduling the availability of vehicles Chief Executive and drivers, coordinating and Specialist Paediatric Retrieval Scottish Neonatal Transport Secondary retrieval of critically ill integrating critical infrastructure with Service (Paediatrics) Service (Neonates) and injured patients from remote service provision whilst supporting and rural health care facilities the most efficient use of high The Paediatrics team provides a The Neonatal team provides a Telephone advice to remote and value assets through medically Scottish Ambulance Service Scottish Ambulance Service national service out of Edinburgh and national service delivered by three rural hospital staff with regard to supported tasking, triage and remote Medical Director Director of Service Delivery Glasgow for the retrieval of children regional teams (West, East and resuscitation and safe transfer of assessment. from newborn to 16 years of age. North) from four centres (Glasgow, patients with critical illness The team is predominantly consultant Edinburgh, Aberdeen and Dundee), Primary retrieval of patients led; supported by trainees, nurse all of which provide cross-cover with major trauma in West and ScotSTAR ScotSTAR practitioners and nurses. An advice for each other. They transfer Central Scotland Associate Medical Director Head of Service only call service is also provided, and /or retrieve babies up to five Major incident Pre-Hospital whereby the duty consultant advises kilograms. Each neonatal transport Medical Response 2 3 2. INTRODUCTION Home 1. Welcome 2. Introduction 3. Objectives 4. Conclusions 5. Looking Ahead Appendices Prev Next 2.2.2 Information Governance The ScotSTAR Research & producing this Annual Report. The diagram below outlines the the Scottish Ambulance Service. Development Group exists to A reporting timetable has been governance and reporting framework As an interim arrangement all The NHS Scotland Information support the continuous improvement developed and implemented. In for the ScotSTAR, and the links ScotSTAR teams continue to use Assurance Strategy is adhered of the national service through addition ScotSTAR has initiated work between the Ambulance and the the systems they have in place to within ScotSTAR. Information the use of research, and ensures with Information Services Division ScotSTAR Advisory Group. and regularly review incidents Governance responsibility is all studies go through the agreed (ISD) to ensure retrieval data is locally. A highlight report on delegated by the Ambulance approval process. The Group linked
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