Islington HOSC LAS Performance Report 24th June 2021 We are the only About Us pan-London NHS London Ambulance Service five Trust year strategy (2018 – 2023) 8.9 million 1.81 million Over 1 million Londoners to 111 calls protect We exist to: Provide outstanding care for all our patients Be a first class employer, valuing and developing the skills, diversity and quality of life of our people We have over 6 mins 16 secs Provide the best possible value for the tax paying We attend more than 3,000 public, who pay for what we do 8,000 emergencies a day Partner with the wider NHS and public sector to people who work for optimise healthcare and emergency services provision us across London London Ambulance Service NHS Trust 2 COVID-19 challenges: First and Second Wave 8,500 Nearly 300% 20% 999 calls received on increase in normal operational staff off our busiest days 111 call volumes at sick/isolation at one one point point London Ambulance Service NHS Trust 3 COVID-19 response Increased call-handling capacity • Rapidly expanded our 999 & 111 call handler teams by training new staff and volunteers, inc. furloughed British Airways & Virgin cabin crews • Built an extra 999 call handling facility and trained around 130 2nd year paramedic students (from our partner universities) to answer COVID specific calls • Strengthened our clinical assessment teams in 999 & 111 to effectively and safely triage patients • Collaboration with ambulance services nationwide to develop and agree a national 999 call handling mutual aid framework to support surges in 999 calls and maintain resilience. London Ambulance Service NHS Trust 4 COVID-19 response More ambulances out on the road • Partnership with the AA to enable our workshops to run 24/7 to keep vehicles on the road • 62 extra new ambulances urgently commissioned into service • 51 second hand vehicles bought/leased • Converted 50 non-emergency transport (NETs) vehicles for frontline ambulance use • Transformation of our logistics operation to deliver over 1m items of PPE in 6 weeks London Ambulance Service NHS Trust 5 COVID-19 response Extra Ambulance Crews • Changed our operating model to maximise Double Crewed Ambulance (DCA) resources • Transferred staff and volunteers from office-based & other frontline roles • Recruited 100+ new clinicians and former/retired LAS staff • Bought in around 90 3rd year student paramedics to work alongside our experienced crews on the road • Partnered with the London Fire Brigade to train around 400 firefighters to work alongside paramedics driving ambulances and supporting care • Partnered with the Metropolitan Police Service to train around 75 police officers to work alongside our paramedics in the second wave. London Ambulance Service NHS Trust 6 Demand: The COVID Impact London Ambulance Service NHS Trust 7 Performance Cat 1 Mean Cat 2 Mean 00:10:00 00:09:00 00:45:00 00:08:00 00:36:00 00:07:00 00:27:00 00:06:00 00:18:00 00:05:00 00:04:00 00:09:00 00:03:00 00:00:00 2019 2020 2021 7 Minute Target 2019 2020 2021 18 Minute Target Cat 3 Mean Cat 4 90th Centile 03:30:00 12:00:00 03:00:00 10:00:00 02:30:00 08:00:00 02:00:00 06:00:00 01:30:00 04:00:00 01:00:00 00:30:00 02:00:00 00:00:00 00:00:00 2019 2020 2021 60 Minute Target 2019 2020 2021 180 Minute Target London Ambulance Service NHS Trust 8 Conveyances % Conveyance to ED % Conveyance to Non-ED See & Treat Rate 65.0% 7.5% 50.0% 7.0% 60.0% 45.0% 6.5% 55.0% 6.0% 40.0% 50.0% 5.5% 35.0% 45.0% 5.0% 40.0% 4.5% 30.0% 4.0% 25.0% 35.0% 3.5% 30.0% 3.0% 20.0% 2019 2020 2021 2019 2020 2021 2019 2020 2021 • More patients are receiving care closer to home when appropriate • Between 2019/2020 and 2020/2021 the % of patients conveyed to ED has reduced due to increased utilisation of ACPs. • A significant decrease in % Conveyed to ED can be seen in March and April 2020 as a result of the COVID impact during Wave 1. London Ambulance Service NHS Trust 9 Our People • Brought all health and wellbeing initiatives together in a central Wellbeing Hub. Access to 24/7 wellbeing support. • Tea Trucks – refreshments to ambulance crews at hospitals across London • Wellbeing webinars in collaboration with NWL Mental Health lead • Isolation packs and provision of hot and cold meals across the Trust. • Virtual messrooms – for staff shielding or isolating • By November achieved 78% vaccination rate for Flu vaccines • Secured early access to COVID-19 vaccine and have focused our efforts on promoting up take across the Trust. • Recruited two Violence Reduction Officers as part of our ongoing work to protect staff. • Started a Body Worn Camera Trial in February 2021 London Ambulance Service NHS Trust 10 Any Questions? London Ambulance Service NHS Trust 11.