National Workstreams

AMBULANCE BG Generic 825_A2The AACE oversees a broad range of national workstreams as outlined below.

Each workstream is overseen by a Chief Executive, who maintains a watching brief over the national group and associated sub-groups.

Communications

Chief Executive Lead: Martin Flaherty, Managing Director, AACE

Lead: Mark Cotton, North East Ambulance Service

Purpose

  • To provide specialist advice and support to the Association of Ambulance Chief Executives (AACE) on matters relating to strategic communications in supporting the direction of travel for ambulance services
  • To deliver against a pre-agreed milestone plan providing reports to the AACE every four months
  • To act as a community of interest to: share best practice, expertise and information; extend communications skills and knowledge; and provide mutual aid
  • To co-ordinate handling strategies (including media management and stakeholder engagement activities) to manage public perceptions and understanding of ambulance issues which seek to protect the positive reputation of ambulance services nationally
  • To provide specialist advice and support to the Association of Ambulance Chief Executives (AACE) on matters relating to strategic communications in supporting the direction of travel for ambulance services

Areas of focus

  • Production and implementation of communications strategy for the AACE
  • Development and implementation of an ambulance quality indicator dashboard
  • Emergency preparedness, business continuity management and mutual aid
  • Public perception campaign
  • National media and freedom of information requests
  • Stakeholder engagement
  • Communications for winter planning and demand management
Finance

Chief Executive Lead: Will Hancock, South Central Ambulance Service

Director Lead: Jennie Kingston, South Western Ambulance Service

Purpose

The purpose of the National Directors of Finance Group is to provide collective leadership for NHS finance in ambulance services in England working in collaboration with the Association of Ambulance Chief Executives (AACE).

It also has an important role in advising the AACE on specific topics as delegated to the Directors of Finance Group.  In addition, the Directors of Finance Group will make suggestions to the AACE on its proposed work programmes for individual financial years.

Areas of focus

  • Relationships: with NHS Improvement
  • Engagement: respond to national consultations and discussion documents on financial matters
  • Procurement: review of current arrangements; recommendations to create further savings
  • Competition law: enhancing understanding of its impact upon ambulance services
  • Benchmarking: across the ambulance sector
  • Activity: consideration of growth across ambulance sector; review of  NHS 111 impact
Operations

Chief Executive Lead: Ken Wenman, South Western Ambulance Service

Director Lead: Richard Henderson, East Midlands Ambulance Service

Purpose

The purpose of the National Directors of Operations Group (NDOG) is to provide specialist advice and support to the Association of Ambulance Chief Executives (AACE) and to carry out specific work associated with the delivery of operational ambulance services.

Areas of focus

  • Demand management: scope and deliver a project to identify causes of increased demand across the ambulance sector and determine sector response
  • Progression of the relevant sections of the Francis Report
  • Share examples of good practice in respect of performance improvement measures and ambulance clinical quality indicators
  • Contribute to the development of future performance and clinical measures in the light of the Urgent & Emergency Care Review (U&ECR)
  • Consider appropriate response models for patients experiencing mental health crisis in light of the U&ECR, Crisis Care Concordat and Parity of Esteem agenda.
Equality, Diversity and Inclusion

Chief Executive Lead: Sue Noyes, East Midlands Ambulance Service

Lead: Tracy Myhill, Welsh Ambulance Service

Purpose

To provide strategic leadership in relation to equality, diversity and human rights to English ambulance services.

Areas of focus

  • Create resources to develop culturally competent diverse workforce
  • Ensure fair, compliant procurement, tendering and commissioning processes
  • Consistency of national patient data reporting and monitoring through use of Diversity Monitoring Toolkit
  • Effective community engagement models for ambulance services
  • National Conference: sharing good practice and forum development plan
Human Resources

Chief Executive Lead: Ken Wenman, South Western Ambulance Service

Director Lead: Kim Nurse, West Midlands Ambulance Service

Purpose

The purpose of the National Directors of Human Resources’ (HRD) Group is to provide specialist advice and support to the Association of Ambulance Chief Executives (AACE) and to carry out specific work associated with the delivery of human resource, organisational development, education, training and development activity throughout ambulance services in England.

Areas of focus

  • Paramedic Evidence-based Education Project: review and implementation of subsequent recommendations
  • Francis Report: review of Code of Practice Education Standard and National Job Profile in light of report; development and implantation of recruiting for attitude and compassion framework
  • Development of talent/succession planning toolkit
  • Implementation of changes to agenda for change: sick pay; pay progression
  • Increasing staff survey response rates
  • Equality and diversity: improved participation in the workplace
Information Management and Technology

Chief Executive Lead: Yvonne Ormston, North East Ambulance Service

Director Lead: Vic Wynn, London Ambulance Service       

Purpose

The purpose of the Information Management and Information Technology (IM&T) Leads’ Group is to support the implementation of local IM&T workstreams by monitoring national programmes and sharing best practice across the ambulance services.

Areas of focus

  • Ambulance Radio Project (ARP) / Emergency Service Mobile Communication Programme (ESMCP) progress monitoring and engagement
  • Develop and disseminate a CAD (999) interoperability message
  • Explore the development of a DOS mobile application
  • Work with British Heart Foundation (BHF) on a national public access defibrillator database with feeds to all ambulance service CAD systems
Medical

Chief Executive Lead: Fionna Moore, London Ambulance Service

Director Lead: Julian Mark, Yorkshire Ambulance Service

Purpose

The purpose of the National Ambulance Services Medical Directors’ Group (NASMeD) is to improve clinical safety and quality of care by reducing unwarranted variation and sharing best practice across the English ambulance services.

Areas of focus

  • To lead on behalf of the English/UK ambulance services the development of AACE UK ambulance service clinical practice guidelines.
  • To act as the point of reference for clinical related issues for UK ambulance services and represent UK ambulance services on clinical matters at the request of other external bodies such as the Department of Health (DH) and NHS England
  • To provide specialist clinical advice to the Association of Ambulance Chief Executives (AACE) and relevant sub groups
  • To lead on specific projects/areas of work to support the delivery of AACE’s strategic priorities.
  • To provide information and advice on emerging relevant legislation and guidance.
  • To promote evidence based practice that will provide value for money, and improve effectiveness/ efficiency.
Quality, Governance and Risk

Chief Executive Lead: Robert Morton, East of England Ambulance Service

Director Lead:  Sandy Brown, East of England Ambulance Service

Purpose

The purpose of the Group is to provide a leadership role to UK ambulance services in relation to quality, governance and risk management, within the overarching strategic framework of the Association of Ambulance Chief Executives (AACE).

Areas of focus

  • Safety: Maintenance of national risk register, sharing learning from serious incidents and best practice in the use of safety systems
  • Safeguarding: Evaluation and improvement of ambulance service Safeguarding arrangements
  • Infection control: Sharing best practice in the prevention and control of health care infection
  • Patient experience: Benchmarking and learning from patient experience
  • Security: Implementation and evaluation of security systems, policies and practices
  • Quality Governance and compliance
Resilience

Chief Executive Lead: Dr Anthony Marsh, West Midlands Ambulance Service

Lead: Keith Prior, Director, National Ambulance Resilience Unit (NARU)         

Purpose

NARU will support the resilience objectives of NHS England, the Association of Ambulance Chief Executives and Ambulance Commissioners. In addition NARU will also provide support to the UK’s Civil Resilience and counter-terrorism (CONTEST) strategies and the Health commitments and the National Security Council.

Areas of focus

  • Respond to any changes in policy or Government guidance in respect of emergency preparedness, resilience or response (EPRR) including major incident planning and response to high priority risks as identified through the National Capabilities Programme and the National Risk Assessment
  • Liaise with and advise Ambulance Chief Executives regarding any changes to policy and expected ambulance response
  • Horizon-scan for potential operational requirements for EPRR capabilities, including developments in equipment technology, research and clinical interventions
  • To contribute to the review and revision of DH and NHS England policy and guidance specific to EPRR
  • Provide ambulance contribution to public enquiries and reviews, for example, 7/7 inquest outcomes, and ensure lessons are shared and implemented
  • Advise and coordinate development of any new pre-hospital clinical interventions in respect of major incidents involving specialist operations or assets
  • Respond to outcomes and decisions regarding the  Joint Emergency Services Interoperability Programme

For more information about the Workstream Groups, log in to the Members’ Area.