Your local ambulance service
East Midlands Ambulance Service NHS Trust (EMAS) provides emergency 999, urgent care services for the 4.8 million people within Derbyshire, Leicestershire, Rutland, Lincolnshire (including North and North East Lincolnshire), Northamptonshire and Nottinghamshire. We also provide Patient Transport Services in north and north east Lincolnshire and parts of Nottinghamshire.
We employ over 2,700 staff at more than 70 locations, including two control rooms at Nottingham and Lincoln, with the largest
staff group being accident and emergency personnel.
Our accident and emergency crews respond to over 616,200 emergency calls during 2012/13.
Our Community Paramedics and Emergency Care Practitioners have enhanced skills, meaning that more and more people can be treated in their own homes if a hospital visit is not required.
We are continuously delivering improvements in the treatment
of patients, use of technology and opportunities for staff as
we move forward to provide high-quality care and to build on
the significant advances made in recent years.
Resident population: 4.8million
Area covered: 6,425 sq miles
999 emergency calls responded to each year: Over 616,200
Bases in the East Midlands: Over 70
Total staff: Over 2,700
Our performance and the quality of our care
Constantly monitoring our performance is essential as it is a vital indicator of how well we respond to patient need and how we can ensure standards of care are not only maintained but continuously improved upon.
All NHS ambulance services must respond to 75% of Red emergency calls (the most serious and life threatening) within 8 minutes. Red calls can include patients having a heart attack or experiencing severe breathing difficulties. The quicker a patient receives treatment the better the chance of survival.
For all other calls, ambulance services are not measured simply on time alone, but on how we treat patients and the outcomes of the treatment.
A set of Clinical Quality Indicators allow us to identify areas of good practice and areas which need improvement. Green calls mean that patients get the right treatment at the right time. Using information given to us by the caller the most appropriate response is allocated. If the patient’s condition is life-threatening or serious they will receive an ambulance response and a face-to-face assessment will be made. If the condition is non-life threatening a telephone assessment will be made by one of our skilled clinicians who will help direct the patient to the right care (this could be to visit their GP, a minor injury unit, call NHS Direct, or a non-emergency ambulance will be sent to assess the patient face-to-face).
Take a look at the call categorisation chart opposite to find out more about the way we respond to 999 calls.
To access the latest Ambulance Quality and Clinical Quality Indicator data, please click here
Taking healthcare to the patient
Modern ambulance services are not simply about response times. Just as important is how patients are treated when our frontline staff reach them.
The skills, training and working practices of our staff are continuously being improved. Our frontline teams are increasingly providing treatments that can either remove the need for patients to be transported to hospital or reduce the time they have to spend in hospital.
Working in partnership
The Trust is increasingly integrating with local NHS services and other partners as we pursue the delivery of patient centred care.
- EMAS is commissioned to provide services to patients by 11 NHS Primary Care Trusts (PCTs) in the East Midlands and by two in Yorkshire.
- We are maintaining and developing links with patient groups, voluntary organisations and local authority Health Overview and Scrutiny Committees.
- In keeping with our Category A status as a provider of services under the Civil Contingencies Act 2005, we maintain close links and partnerships with the Police and Fire and Rescue services.
- We also contribute to national policy through our links with the Department of Health.
Clinical Governance is how EMAS ensures the provision of quality clinical care by making individuals accountable for setting, maintaining and monitoring standards.
EMAS sets out to achieve this by consistently collecting and analysing performance data, which helps managers to identify areas for further education and training.
For example, we look at how many heart attack patients have been given clot-busting drugs by our staff, how well we have managed pain for our patients, and how many referrals under child protection guidelines our staff have made.
The Clinical Governance Department develops and monitors the healthcare provided by staff across the Trust, ensuring that patients receive the best possible care based on the latest knowledge, research and guidance.
It aims to improve the quality of clinical care to patients by assisting the training and development of staff.
In particular, this includes the understanding of clinical governance, child protection issues, complaints management, audit and research. The department also provides medical and clinical advice to our Trust Board.
Managing our finances
EMAS’ performance is monitored and measured against a set of key targets. These aim to ensure that the services provided by the Trust are carried out to national standards.
Click here to find out more about our services