South Central Ambulance Service NHS Foundation Trust
South Central Ambulance Service NHS Foundation Trust (or SCAS for short) is part of the National Health Service (NHS). We were established on the 1 July 2006 following the merger of four ambulance trusts. On 1 March 2012, we became a foundation trust. Our emergency operations centres handle around 500,000 emergency and urgent calls each year. We serve the counties of Berkshire, Buckinghamshire, Hampshire and Oxfordshire. This area covers approximately 3,554 square miles with a residential population of over four million. Our three main functions are: • the accident and emergency service to respond to 999 calls • the 111 service for when medical help is needed fast but it's not a 999 emergency • the Patient Transport Service We also offer: • First Aid Training to organisations and the public • The Commercial Logistics collection and delivery service for our partners in the NHS • Resilience and Specialist Operations offering medical care in hostile environments such as industrial accidents and natural disasters • Community First Responders are volunteers trained by us to provide life-saving treatment
- 11 June 2019
- South East
- Emergency Services Sector, Health
- Local Alliances:
- West Berkshire Dementia Action Alliance, Reading Dementia Action Alliance, Bracknell Forest Dementia Action Alliance, Buckinghamshire Dementia Action Alliance, Milton Keynes Dementia Action Alliance, Aylesbury Town Dementia Action Alliance, Dementia Friendly Southampton (Southampton DAA)
1. Action Plan
1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?
At a local level, SCAS’s role in delivering better outcomes for people with dementia and their carers focuses on the provision of dementia awareness training to all of our workforce. For staff groups who have patient contact, either in person or over the phone, the training we are delivering has an underpinning focus on outcome 1 of the The National Dementia Declaration:
I have personal choice and control or influence over decisions about me
The training we deliver focuses on person centered care. In addition, for staff with patient contact, the training considers the time and decision specific issues of consent and capacity for people living with dementia.
SCAS are grateful to have had support from Health Education England (Thames Valley) for our dementia education lead and training.
At regional levels, our dementia education lead is an active member of several DAAs and is ‘working towards becoming dementia friendly’ as a trust. By working towards becoming dementia friendly SCAS are demonstrating our aim to provide a dementia friendly service to all of our patients/service users. This is in line with outcome 2 of the The National Dementia Declaration:
2. I know that services are designed around me and my needs
At a national level, our dementia education lead shares our progress at relevant inter-agency and NHS events.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
The challenge for SCAS in delivering these outcomes was in designing and facilitating suitable training for a geographically diverse workforce based over 40 sites comprising of over 3,000 staff, many of whom work shifts across a 24/7 rota 365 days a year. The prior knowledge and experience of our staff is hugely varied, as are their training needs for different roles within the organisation. We have a mixture of clinical and non-clinical, patient facing and call taking staff working alongside administrative/support staff.
A limited availability of dementia awareness resources specifically aimed at the pre-hospital / Emergency Services was recognised by SCAS in 2013/14.
An additional challenge of note is that previously we did not have a educator leading on dementia.
We have overcome these challenges with the appointment of a dedicated educator to lead on dementia. This has enabled the design and production of training materials designed specifically for ambulance staff, including video podcasts, which have been incorporated into our dementia awareness training from 2015/16 onwards.
Dementia Education Lead
SCAS have appointed an educator to lead on improving Dementia awareness and education across the Trust.
This appointment would not have been possible without the support of Health Education England (Thames Valley). SCAS would like to publically acknowledge and thank HEETV for providing support for our Dementia lead.
2016 - First Quarter Update
SCAS continue to have an education manager for dementia, and this is now a permanent role. This role has expanded to include responsibility for improving the education ambulance staff receive around caring for older adults and people with frailty, in addition to people living with dementia.
SCAS have a Dementia Strategy, the most recent version (2018-2021) was published in January 2018.
Dementia Awareness Training
Dementia awareness training is offered to all SCAS staff via a blended learning approach, comprising of a mixture of e-learning and face to face training. This training meets or exceeds Tier 1 of the HEE Core Skills & Knowledge Framework for Dementia.
2016 - First Quarter Update
Tier 1 Dementia training continues to be delivered to all new staff who have ‘patient contact’ (either in person or over the telephone) at induction, including Frontline, Emergency Operations Centre (EOC) and Non-Emergency Patient Transport staff (NEPTS). Getting Dementia embedded into the induction courses has significantly improved the numbers of SCAS staff who have completed this training.
The 2015/16 face to face training for existing staff included Tier 1 Dementia. Operational demand resulted in the cancellation of some of this training for frontline staff.
All existing SCAS staff are currently also required to complete a Tier 1 dementia e-learning course as part of their stat and mand training requirements.