BASICS Scotland ANNUAL REPORT • 2018 - 2019

Specialists in pre-hospital emergency care training CONTENTS

3 Our Vision, Our Aims , From the Chair

4 Course locations

5 Courses

6 Faculty

7 Annual Conference

8 Responders

9 Innovation

10 Partnerships

11 Financial Summary, Staff news, Thanks

OUR VALUES Excellence, Innovation, Strength in Partnership OUR VISION FROM THE CHAIR

Our Vision is two fold:-

To equip healthcare professionals across remote and rural Scotland with the skills, knowledge and training to pro- vide life-saving pre-hospital emergency BASICS Scotland plays a unique role in the field of care and to expand and develop our pre-hospital emergency care, providing specialist co-ordinated network of trained BASICS training for doctors, nurses and paramedics. This education and training of health practitioners Scotland Responders across remote working across remote and rural Scotland and rural communities. ultimately means improved patient outcomes. This year has seen BASICS enter a new era with changes in the staff team at Sandpiper House. Prof Colville Laird who has nurtured and grown BASICS Scotland into the outstanding organisation it is today, retired in December. Good friend and OUR AIMS colleague Graeme Ramage also retired; Dr Ben Education: Price stood down as Assistant Medical Director To provide pre-hospital care education and and ‘Big Al’ Mclean moved onto pastures new in training to health professionals throughout the Channel Isles. We wish them all well and thank Scotland, matched to local needs. The delivery them for their great support over the years. of training will be supported by multi-professional These changes have given us the opportunity to instructors identified and trained by BASICS recruit additional team members, and I would like Scotland. to welcome, Lisa, Graham and Heather to BASICS Scotland. I am so incredibly privileged and proud Pre-Hospital Care & Support: to work with such a hardworking, motivated, To develop a network of BASICS Scotland dedicated and professional group of staff and Responders that actively support the Scottish volunteers. The work each and every one of you Ambulance Service in providing immediate do is so important and plays a huge part in the medical care on scene in remote and rural needs of patients across Scotland. Scotland, and work in close partnership with the Sandpiper Trust to provide responders with On behalf of the Board of BASICS Scotland, and equipment and ongoing support. the patients whose lives you impact on a daily basis, Thank you. Innovation: To develop, pilot and deliver new educational resources, including using remote and other technologies to enhance the learning experience, underpinned by a rigorous examination of evidence bases to ensure high standards of education delivery. Dave Bywater Consultant Paramedic, SAS

3 COURSE LOCATIONS

PHEC course location Portfolio Project course location

Upper Row: Delegates take turns to lead each accident scenario with volunteer casualties. Lower left: Our Demonstration Extrication Vehicle is invaluable in showing the steps needed to manage patients in RTAs Lower right: Teaching on the Mobile Skills Unit means access to the latest manikin technology. 4 COURSES

Pre-Hospital Pre-Hospital Tele-Education Emergency Care Paediatric Life Tele-education courses allow us [PHEC] Support [PHPLS] to deliver high quality education Our PHEC was re-accredited We continue to deliver Scotland-wide without incurring during the year and our BIGCAT this paediatric pre-hospital travel costs for either party, and at formative assessment tool was resuscitation course, run under times to suit candidates, who can highlighted as an “exemplar” of licence from the Advanced Life struggle to take time away from pre-hospital education standards. Support group (ALSG) rural practice to attend courses.

152 18 142 7 1 3

COURSES DELEGATES COURSE DELEGATES COURSES PARTICIPANTS

Portfolio Project PORFOLIO PROJECT The aim of the Portfolio Project ATTENDANCE Attendance at our well is to provide effective bespoke established courses has evolved affordable and flexible training to reflect the needs of others for remote and rural multi 56% now increasingly providing pre- professional health practitioners. Nurses hospital care. Our core PHEC Course delivery of this new style and tele-education courses have 38% of educational training started this been traditionally attended by Doctors year. Four Skills days are now being General Practitioners. With the run across the country; Cardiac, introduction of the Portfolio Trauma, Deteriorating Patient and Project we are delivering to far Maternity & Neonatal Emergencies. 6% Paramedics more nurse practitioners.

171 370 individuals registered their interest 12 in the Portfolio Project on the website, illustrating the level of need that exists EVENTS DELEGATES

Medical Student Teaching Additional bespoke courses Sessions have been delivered to students from We have also delivered bespoke courses, to audiences Dundee University, University of St Andrews and including dental practitioners, individual GP practices, University of Central Lancashire, reaching future Occupational Health Doctors and Nurses, Custody potential remote and rural practitioners. Doctors and Immigration Centre Health Practitioners.

630 550 35 40

SESSIONS STUDENTS COURSES DELEGATES

5 FACULTY

BASICS Scotland is supported by a team of experienced volunteers from a diverse range of multi- “Excellent faculty – good coming from different professional roles within pre-hospital care. Over the backgrounds but all with real life experiences course of the year our volunteer faculty team have to share making it more relevant. Also excellent supported our educational programme in impressive delivery – engaging speakers, encouraging and proportions: pitched well, supportive“

PHEC & PHPLS UNIVERSITY & PORTFOLIO COURSES BESPOKE COURSES PROJECTS

43 1,260hrs 11 420hrs 11 320hrs FACULTY VOLUNTEERED FACULTY VOLUNTEERED FACULTY VOLUNTEERED

Which equates to:

54 TOTAL hrs DIFFERENT 2,000 SESSIONS faculty active of professional pre-hospital 37 during the year training provided by volunteers supported over the year

“Amazing faculty, very knowledgeable, friendly and approachable“

The professional faculty volunteers that support each of our courses make a huge difference to the learning that takes place, supporting and engaging with course delegates.

6 ANNUAL CONFERENCE

This year’s BASICS Scotland Annual Conference (6-7 September 2019) has the theme of Pre-Hospital Emergency Trauma.

It will feature an evolving RTA scenario with multiple casualties, illustrating the complexities of triage, role allocation, communications, managing treatment and extrication. There will be workshops on risk and scene management, scene safety, equipment and triage. Delegates will learn about the patient’s viewpoint, paediatric trauma and how the Scottish Ambulance Service Trauma Desk ticks.

2018 CONFERENCE

The 2018 Conference theme was “pre-Hospital "Very informative and supportive throughout, really Emergency Care Across the Generations”. The two-day well organised, ran very smoothly." conference included talks, case studies and workshops DELEGATE on Mental Health, Paediatrics, Cardiac, Silver Trauma & Obstetrics and the Mobile Skills Unit.

The Annual Instructors’ Day which takes place the "Liked the overview of all age groups ... good to link following day, gave a valuable opportunity to share interesting talks and subsequent workshops to put updates on IT and course development as well as to what was discussed into action." review new medical equipment. DELEGATE

 87 registrants  96% satisfaction

Our Annual Conference is a fantastic learning and networking A wide range of exhibitors means our conference delegates learn opportunity for health practitioners across remote and rural Scotland about the latest developments in training technology   

RESPONDERS

The valuable outcome of our training is that some GPs, nurses and paramedics go on to become BASICS Scotland Responders. Our Responders provide vital voluntary professional support to the Scottish Ambulance Service (SAS) in remote and rural areas, as they can be called-out to help give live-saving support on scene.

There were 51 new Responders set up last year.

This brings our total number of BASICS Scotland resources to 227.

THANKS TO THE SANPIPER 53 of these are surgeries that can be TRUST - ALL called upon (“fixed resources”) RESPONDERS ARE EQUIPPED WITH A SANDPIPER BAG

174 are individual Responders.

In the last year, the ambulance service requested a BASICS Scotland Responder App BASICS Scotland responder on 1115 occasions. The responder was recorded on scene in 786 of these cases This invaluable tool for our Responders to access at and was first on scene in 498. any time has seen significant updates over the year based on feedback from users. These include the 58% of these call outs were to the sickest patients as submission of electronic Patient Report Forms, updated classified by The Scottish Ambulance Service Clinical clinical guidelines and a faster way of contacting the Response Model as Purple, Red and Amber calls. A Alternative Response Desk (ARD) direct from the App. breakdown of these calls identifies:

23% 16% 11% Transport Falls Unconscious injuries patient

9% 8% Cardiac Fitting / Arrest Seizure 8 

INNOVATION

Using Virtual Reality This year we piloted the use of VR in “setting the scene” of a trauma scenario. This provides for a more realistic introduction to the scenario and it has received excellent feedback from all involved.

Developing Clinical Guidelines BASICS Scotland continue to be involved in the national pre-hospital guideline project. It has involved considerable interagency collaboration between SAS, the trauma and retrieval teams. These are available on both the App and in the Responders’ section of the website.

Video-Conferencing This is invaluable in assisting communication between our remote and rural responders Scotland-wide. We hold a quarterly Clinical Governance Meeting to support a shared debrief and learning process.

IT Systems Our in-house IT staff have introduced a new specialist cloud-based database and events management tool ‘Administrate’ to streamline management of data on all courses, students, instructors and workflows.

We have developed out own cost saving training equipment including Virtual Reality was introduced to course participants in January 2019, building our own Cricothyroidotomy trainer and manufacturing our setting the scene for an emergency trauma situation in a pub. own synthetic skin in-house. Once the patient was reached the participant removed the headset and had to manage the treatment of the patient.

9 PARTNERSHIPS

We are indebted to The Sandpiper Trust for their invaluable support. Our BASICS Responder network benefits immensely from the unique and close partnership we have with the Sandpiper Trust. They provide Sandpiper Bags, which contain live-saving medical equipment. Over the year, they spent a total of £95,803 on new Sandpiper Bags and replacement equipment for Responders.

The Sandpiper Bag and its contents are used in the majority of our courses

Clinical Skills Managed Scottish Educational Network [CSMEN]: Ambulance We have worked in partnership to deliver our new Service: Portfolio Project Skills Days in remote areas around Scotland using CSMEN’s award winning Mobile Skills We have worked closely to make significant progress Unit, which provides state of the art simulation facilities. over the year. The SAS Alternative Response Desk is used to identify opportunities to callout BASICS Responders to support the SAS response. The dispatchers have been using a tasking algorithm for the past year and feedback from both control and responders has been positive. Geofencing is used to define precise operational areas for responding, which ensures GP practices are called out for appropriate cases within their practice area.

NHS Highland PICT Response Team: The prestigious ASPIRE 2018 Award for Excellence in Simulation from the Association for Medical Education This is a joint BASICS Scotland, SAS and NHS Highland in Europe was won by the partnership of NHS Education for Scotland, BASICS Scotland and the Scottish Centre for initiative that now offers a rapid response medic and Simulation & Clinical Human Factors paramedic weekend team for patients in the highlands.

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THE SRMC aims to develop ways to improve the BASICS Scotland Responders are recognised as an recruitment and retention of GPs working in rural integral part of the Scottish Trauma Network major Scotland, has been a great advocate of our work in trauma developments. piloting the delivery of our Portfolio Project skills days.

10 FINANCIAL SUMMARY Course Charges

24%

Funds carried forwards £458,400 from 2017–2018 FUNDING % Total Income 4 £539,654 SOURCES April 2018 – March 2019 Membership Fees Total Expenditure £546,401 April 2018 – March 2019 69% Funds carried forward % £451,653 Grant 3 to 2019 – 2020 funding Sponsorship & Donations

FAREWELL TO COLVILLE

The end of 2018 saw the end of an era as Professor Colville Laird took a very well-earned retirement. As the Founder and Medical Director of BASICS Scotland he has been fundamental to the development of pre- hospital care training and delivery across Scotland over the last 25 years. His dedication and enthusiasm has led BASICS Scotland to become the leading organisation in pre-hospital emergency care training in Scotland, and our reputation for excellence is international. From very small beginnings in 1993 when Colville decided to put a small amount of funding to good use by running a course for to help Perthshire GPs be able to undertake

Prof Colville Laird handed over the reins of BASICS Scotland emergency care, the organisation has grown to deliver in December 2018 a whole range of course types, and in the remotest corners of the country.

THANK YOU THANK YOU TO OUR FUNDERS TO OUR TEAM

Thanks to our staff team and all the incredible

ttis co h S volunteers who donated their time and expertise over ic ed ine M the last year! Whether through instructing on courses, C

SRMC e o v n i c i ad l i e ur le l t R M a a working across the countryside as a BASICS Responder, C b r e o o v i l l t a r o b a or by assisting in the governance of the organisation at Board level – you are all just awesome!

11 BASICS Scotland Sandpiper House Aberuthven Enterprise Park Main Road Aberuthven PH3 1EL

 (01764) 663 671 / 664 014  [email protected]  basics-scotland.org.uk Company No: SC226924 Registered Charity No: SC030189