Agenda Item No 2.3
Paper No 209.09
LONDON AMBULANCE SERVICE: CONSULTATION ON
APPLICATION FOR FOUNDATION TRUST STATUS
1. Executive Summary
London Ambulance Service (LAS) are currently consulting the public on their proposal to
become a Foundation Trust and the benefits this could have for our patients and those who
live and work in London.
Feedback has been requested on the consultation by Friday 15th May 2009. Ambulance
trusts can apply for Foundation Trust status for the first time from April 2009 and believe that
the greater freedoms that come with this will give them the opportunity to improve services
3. Strategic Context
The consultation document “Looking After Londoners” (attached with the Board papers)
seeks our views on LAS’s plans for becoming an NHS Foundation Trust. The consultation
document sets out proposals for how LAS will be run as a Foundation Trust and plans for
The key priorities outlined in the consultation document include:
• providing an accessible service
• responding appropriately to all patients, ensuring they get the right care in the
right place at the right time
• continuing to focus on delivery
• engaging with the public, patients and partners
• developing a culture based on core values
The cited potential benefits arising from FT status include:
• greater accountability to the public (governors)
• more freedoms and flexibilities
• more stability (longer contracts)
• increased opportunities to improve services
5. Key Issues
There are ongoing performance issues in relation to meeting the basic targets of
Category A (response within 8 minutes) and Category B (response within 19
minutes). CHPCT would therefore respond by highlighting concerns on deliverables
within the City and Hackney locality as well as seeking ongoing reassurance that the
key performance targets are met universally across London. LAS must hold itself
accountable for delivering responsive services and achieving performance at a local
(PCT) as well as a London wide level.
The PCT would wish to ensure that mechanisms for local debate around service
delivery are further developed within the proposed model.
Emergency Care Practitioners’ (ECPs) roles have been funded on a locality basis.
Within any move to Foundation Trust status, CHPCT would support LAS on the
condition that they continue to improve performance against key targets and actively
support local initiatives also.
The public constituency outlined in the consultation document groups the borough of
Newham with Waltham Forest and Haringey and the borough of Hackney with Tower
Hamlets and City of London. LAS should consider aligning the constituencies to
reflect emerging collaborative commissioning groups that are developing such as
Inner North East London Sector which comprises of City and Hackney PCT, Newham
PCT and Tower Hamlets PCT.
Despite considerable additional investment by PCTs over an extended period, LAS
has been slow to demonstrate improvements in performance. The last quarter of
08/09 is the first time in which the Trust has achieved its performance targets on
Category A patients. We would seek reassurance that the FT regime and
requirements would not be allowed to distract the Trust from its core purpose.
6. Engagement with Stakeholders
The LAS consultation document has been widely circulated and can also be accessed on the
7. Next Steps
Submission of a letter/completion of the form included in the consultation document on behalf
of City and Hackney PCT to give opinions on the application for Foundation Trust status.
The Board are asked to endorse the proposal subject to these comments and delegate
responsibility to Jane Winder, Chair, to provide a formal response to LAS on behalf of City
and Hackney PCT regarding the Foundation Trust consultation.
Director of Strategic Commissioning
21 April 2009