West Midlands Ambulance Service
The West Midlands Ambulance Service University NHS Foundation Trust (WMAS) is responsible for providing NHS ambulance services within the West Midlands region of England. It is one of ten ambulance trusts providing England with emergency medical services, and is part of the National Health Service. The West Midlands Ambulance Service University NHS Foundation Trust (WMAS) provides a 999 emergency medical response service for the counties of Herefordshire, Shropshire, Staffordshire, Warwickshire, Worcestershire, the five boroughs of the West Midlands metropolitan county and combined authority area: Birmingham, Coventry, Dudley, Sandwell, Solihull, Walsall and Wolverhampton, and the unitary authorities  of Stoke-on-Trent and Telford & Wrekin. The trust also provides non-emergency patient transport services in Birmingham, the Black Country, Arden, Cheshire and the Wirral. The contract for Worcestershire, which had been run by the ambulance service for 30 years, ended in March 2020 when it lost out to a private provider. In November 2019, the trust took over the running of the ”111“ service in the West Midlands, except Staffordshire. The trust is led by chief executive Professor Anthony Marsh and chair Professor Ian Cumming. It employs around 5,000 staff and is supported by a number of volunteers , including 750 community first responders. It has 15 ‘Make Ready’ ambulance hubs where emergency vehicles are prepared, maintained and cleaned by specialist staff ready for the clinical staff to use for treating patients. The trust now responds to over one million emergency calls every year. WMAS was the highest-performing ambulance services in England and one of only two to exceed all of its national performance targets in 2018-19. It is the best-performing English ambulance service in the NHS, being graded Outstanding by Care Quality Commission (CQC) inspectors in January 2017 and 2019. It is also the UK 's first university-ambulance trust. History. The trust was formed on 1 July 2006, following the merger of the Hereford & Worcester Ambulance Service NHS Trust, Coventry & Warwickshire Ambulance NHS Trust, and WMAS and Shropshire services. On 1 October 2007, the service merged with Staffordshire Ambulance Service NHS Trust. It became an NHS foundation trust on 1 January 2013. It was announced on 14 November 2018, that the West Midlands Ambulance Service NHS Foundation Trust had gone into partnership with the University of Wolverhampton to form the UK's first university-ambulance trust. It has since signed similar agreements with Staffordshire  University, Coventry University, the University of Worcester and The University of Warwick. As a result, the trust has changed its name to West Midlands Ambulance Service University NHS Foundation Trust. In 2019, the trust lost the contract for patient transport in Worcestershire to a private firm, E-zec Medical Transport, which already operates the contract in Herefordshire. The trust said it lost out because it "refused to compromise on patient safety", and was not prepared to outbid the offer of E-Zec Medical Transport. Performance. In the 2017–18 contract negotiations with clinical commissioning groups (CCG), where Sandwell and West Birmingham  CCG negotiated on behalf of all the West Midlands CCGs the trust sought financial compensation for the delays to ambulances caused by patient handover delays at local hospitals. WMAS wanted a "full second tariff" on top of the standard tariff for delays over 60minutes, and "a smaller second tariff" for delays over 30minutes, which would have come to around £6million. After mediation by NHS England and NHS Improvement it was agreed to pay the trust an additional £2.1M in 2017–18. Worcestershire Acute Hospitals NHS Trust and Shrewsbury and Telford Hospital NHS Trust were singled out as the  main culprits. In 2017, it got an outstanding rating from the CQC. This was repeated in a 2019 CQC report. In 2021, under the pressure arising from the COVID-19 pandemic in England it took the decision to stop sending ambulances for most category 3 and 4 calls in order to increase capacity to deal with more urgent calls. These callers will be diverted to other sources of help, such as community-based rapid intervention services, or attempts will be made to resolve the issue on the phone. In October 2021, the Trust board warned that it was causing “catastrophic” harm  to patients due to handover delays, and the knock on effect of reaching patients too late. More than 15,000hours were lost in October 2021 due to hospital handover delays over 30minutes. CQC performance rating. In its last inspection of the service in April 2019, the Care Quality Commission (CQC) gave the following ratings on a scale of outstanding (the service is performing exceptionally well), good (the service is performing well and meeting our expectations), requires improvement (the service isn't performing as well as it should) and inadequate (the service is performing badly): Emergency operations centres. Following the merger of  the trusts, WMAS inherited a number of standalone control rooms. This resulted in five centres spread across the region operating independently using varying levels of technology at sites: Millennium Point, Brierley Hill, Tollgate Drive, Stafford, Abbey Foregate, Shrewsbury, Bransford, Worcester and Dale St, Leamington Spa. On 28 November 2007, the trust agreed to go ahead with proposals for the reconfiguration of its emergency operations centres (EOC). WMAS now operates two EOCs based at Millenium Point, Brierley Hill (Trust HQ) and Tollgate Drive, Stafford. They operate as a single virtual EOC so waiting calls at either of the trusts two EOCs  can be answered by the other. This increases the speed at which vehicles can be dispatched. Resources. As of 2019, the trust had over 450 emergency ambulances with a similar number of non-emergency patient transport service vehicles. In addition to the fleet, the service has several specialist teams available should the requirement arise: The trust does not use either voluntary aid societies such as St John Ambulance and British Red Cross or private ambulance.