| West Midlands Ambulance Service University NHS Foundation Trust | |
|---|---|
| WMAS UNHSFT | |
 | |
 Area served by West Midlands Ambulance Service University NHS Foundation Trust | |
| Type | University NHS foundation trust |
| Established | 1 July 2006 |
| Headquarters | Brierley Hill |
| Region served | West Midlands region,England |
| Area size | 5,000 square miles (13,000 km2) |
| Population | 5.6 million |
| Budget | £280 million (2018/19)[1] |
| Chair | Professor Ian Cumming |
| Chief executive | Professor Anthony C Marsh |
| Staff | 5,000[2] |
| Website | wmas |
TheWest Midlands Ambulance Service University NHS Foundation Trust (WMAS UNHSFT) is responsible for providing NHSambulance services within theWest Midlands region ofEngland. It is one of tenambulance trusts providing England withemergency medical services, and is part of theNational Health Service.
The West Midlands Ambulance Service University NHS Foundation Trust (WMAS UNHSFT) provides a999 emergency medical response service for the counties ofHerefordshire,Shropshire,Staffordshire,Warwickshire,Worcestershire, the seven boroughs of theWest Midlands metropolitan county and combined authority area:Birmingham,Coventry,Dudley,Sandwell,Solihull,Walsall andWolverhampton, and theunitary authorities ofStoke-on-Trent andTelford & Wrekin. The trust also provides non-emergency patient transport services inBirmingham, theBlack Country,Arden,Cheshire and theWirral. 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 theNHS 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 750community 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 is one of the highest-performing ambulance services in England and one of only two to exceed all of its national performance targets in 2018/19. Having previously been graded Outstanding byCare Quality Commission (CQC) inspectors in January 2017 and 2019, it was downgraded to Good in its most recent inspection. It is also the UK's first university-ambulance trust.
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.[3]
On 1 October 2007, the service merged withStaffordshire Ambulance Service NHS Trust.[3][4]
It became anNHS foundation trust on 1 January 2013.[5]
It was announced on 14 November 2018, that the West Midlands Ambulance Service NHS Foundation Trust had gone into partnership with theUniversity 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 (WMAS UNHSFT).[6][7][8]
In 2019, the trust lost the contract forpatient 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.[9]
The trust had a contract to runNHS 111 across most of the West Midlands from 2019 but handed it back in 2022 as NHS England was pushing for NHS 111 contracts to cover larger geographical areas.[10]
In the 2017/18 contract negotiations withclinical 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 60 minutes, and "a smaller second tariff" for delays over 30 minutes, which would have come to around £6 million. After mediation byNHS England andNHS Improvement it was agreed to pay the trust an additional £2.1M in 2017/18.Worcestershire Acute Hospitals NHS Trust andShrewsbury and Telford Hospital NHS Trust were singled out as the main culprits.[11]
In 2017, it got an outstanding rating from the CQC. This was repeated in a 2019 CQC report.[2][12]
In 2021, under the pressure arising from theCOVID-19 pandemic in England it decided to stop sending ambulances for mostcategory 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.[13]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 15,000 hours were lost in October 2021 due to hospital handover delays over 30 minutes.[14]
In June 2022 there were 98 patient harm incidents up from 49 in June 2021, mostly due to worsening hospital handover delays. Average response times for category one calls reached nearly nine minutes against the target of seven. For category two – which include suspected heart attacks and strokes – it increased to 99 minutes against the target of 18.[15]
In its last inspection of the service in 2023, theCare 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):
| Area | Rating 2017[16] | Rating 2019[17] | Rating 2023[18] |
|---|---|---|---|
| Are services Safe? | Good | Good | Good |
| Are services Effective? | Outstanding | Outstanding | Good |
| Are services Caring | Outstanding | Outstanding | Outstanding |
| Are services Responsive | Good | Outstanding | Good |
| Are services Well-led | Good | Outstanding | Good |
| Overall rating | Outstanding | Outstanding | Good |
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:[19] Millennium Point,Brierley Hill; Stone Road, 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[when?] 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.
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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 asSt John Ambulance andBritish Red Cross or private ambulance.[citation needed]