Operational Performance
Update
John Nichols
Interim Chief Operating Officer
SCAS
Agenda
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Reporting/Performance Requirements
Performance
Activity and Other Contributing Factors
Risks
Conclusions
Standards Explained
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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
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Monitor requires quarterly achievement (SCAS)
– Red 1 – 75% in 8 Minutes
– Red 2 – 75% in 8 minutes
– Red 19 – 95% in 19 minutes
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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
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Commissioners also expect achievement of the above for each
individual PCT area
– No penalties apply.
SCAS “Red” Performance – to 9th Sept
SCAS
YTD
Q2
MTD
Red 8
75.57
75.54
76.79
Red 1 (8 minute)
75.25
77.34
84.04
Red 19
94.86
94.37
95.15
Red Performance 2012/13
Red 1 and All Red Performance
86
84
82
80
78
76
SCAS Red Performance Red 1
74
SCAS Red Performance All red
72
70
68
66
64
April
May
June
July
Averaging 21 Red 1 calls per day (August)
6% of all Red Calls
1.3% of all E&U Calls
August
September
National Indicator (75%)
Red19 Performance
SCAS Red Performance Red 19
96
95.5
95
94.5
94
93.5
93
92.5
April
May
June
July
August
September
Red8 Performance - Cluster
Cluster
YTD
MTD
Berkshire
72.04
74.5
Hampshire
77.02
79.36
OxBucks/MK
79.95
77.38
Red19 Performance – Cluster
Cluster
YTD
MTD
Berkshire
95.18
95.45
Hampshire
95.11
95.37
OxBucks/MK
95.26
95.28
SCAS Demand 2011 vs 2012
Overall Emergency demand
40000
39000
38000
37000
Overall Emergency Demand
2011/12
36000
Overall Emergency Demand
2012/13
35000
34000
33000
32000
April
May
June
Demand rising at 6%
Peaked at over 8% for May
July
August
Handover delays April – August, 2011 vs 2012
Hospital Handover Delays (Hours)
1400
1200
1000
800
Excess Handover Hours 2011/12
Excess Handover Hours 2012/13
600
400
200
0
April
May
June
July
August
Remains a real challenge and a real risk with Winter
approaching
CFR Activity
SCAS CFR - Monthly Incidents "mobilised"
4500
4000
3500
3000
2500
SCAS CRFassigned 2011/12
SCAS CRFassigned 2012/13
2000
1500
1000
500
0
April
May
June
July
Aug
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!