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Operational Performance Update John Nichols Interim Chief Operating Officer SCAS. Agenda. Reporting/Performance Requirements Performance Activity and Other Contributing Factors Risks Conclusions. Standards Explained. Red Calls Triaged as “Immediately Life Threatening”
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Operational Performance Update John Nichols Interim Chief Operating Officer SCAS
Agenda • Reporting/Performance Requirements • Performance • Activity and Other Contributing Factors • Risks • Conclusions
Standards Explained • Red Calls • Triaged as “Immediately Life Threatening” • Require a suitable response (CPR and Defibrillator) in 8 minutes on 75% of occasions (Red 8) • If Transport is required, a suitable response must be on scene within 19 minutes on 95% of occasions (Red 19) • New sub category (Red1) introduced mid year • Aimed at identifying “really” life threatening emergencies, such as: • Cardiac Arrest • Respiratory Arrest • New “target” from April 2013 to be on scene of Red 1 calls in 8 minutes on 80% of occasions
Performance Requirements • Monitor requires quarterly achievement (SCAS) • Red 1 – 75% in 8 Minutes • Red 2 – 75% in 8 minutes • Red 19 – 95% in 19 minutes • Commissioners (currently our 8 PCTs) require full year by PCT Cluster • Note 3 clusters: • Berkshire East and West • Buckinghamshire, Milton Keynes and Oxfordshire • North Hampshire, Portsmouth and Southampton • Red (1&2 combined) – 75% in 8 minutes • Red 19 – 95% in 19 minutes • Financial penalties apply for failure • Commissioners also expect achievement of the above for each individual PCT area • No penalties apply.
Red Performance 2012/13 National Indicator (75%) Averaging 21 Red 1 calls per day (August) 6% of all Red Calls 1.3% of all E&U Calls
SCAS Demand 2011 vs 2012 Demand rising at 6% Peaked at over 8% for May
Handover delays April – August, 2011 vs 2012 Remains a real challenge and a real risk with Winter approaching
CFR Activity 7% increase in assignments – Up on percentage demand increase
Risks • Activity • Planning was for +4% v current +6% (resource AND Finance) • Weather • Bad winter • Fleet • High VOR rates • Abstraction Rates • Sickness • Hospital delays • CEO contact • SHA & Commissioner support feels limited
Conclusions • Confidence in achieving SCAS Q2 (National) Red 8. • Q3 challenging • Action plans and contingency in place to mitigate if demand continues above expectation • Main risks associated with Red19, demand and delays at Hospitals • Additional target resources/plans in place for September • Resilience plans in preparation for Q3 and 4 • All SCAS very focused on 999 delivery • All staff and volunteers working hard!