Ambulance Journeys and Injuries

The request was partially successful.

Dear South Western Ambulance Service NHS Foundation Trust,

I would be most grateful if you could supply the following data:

1: For the period from 1st Jan 2008 to 31 Dec 2018, for each calendar year (11-years):

1.1 the number of all ambulance journeys conducted by your Trust for vehicles with an Ambulance-Type Body ( for example, not including Response Cars and Taxis) including all response, conveyance and standby journeys for all calls including A&E, patient transport service (PTS) and specialist inter-facility journeys.

1.2 the number of road incidents-with-injury experienced by your Trust vehicles with an Ambulance type body as described above where any driver, passenger, patient within such vehicles were injured and/or any other party(s) including bystanders were injured, shown by category (ideally by Fatal, Serious, and Slight categories).

For clarification, the figures requested are not ‘responding to a road incident’ rather they are the figures for where your ambulance-body type vehicles were involved in a road incident-with-injury (collision etc.) themselves.

2 I would be most grateful if the data could be provided in the following format:

Columns:
Year

Rows:
Total no. of journeys
Total no. of Incidents-with-injury
Fatal incidents
Serious Incidents
Slight Incidents

Yours faithfully,

Daniel Martin

Information Governance, South Western Ambulance Service NHS Foundation Trust

2 Attachments

Dear Daniel,

 

Thank you for your request for information regarding road accidents which
we received on 28/5/19.  

 

We will deal with this request in accordance with your right of access to
information we hold under the Freedom of Information Act and I attach a
leaflet containing further information about both your rights and our
obligations under this legislation. You will see from this that we are not
obliged to generate information we do not already hold in order to provide
what we are asked for, such as by collating data or formulating direct
answers to questions, but you are entitled to receive copies of records
(or extracts from them) that contain the information you have requested.

 

We will research the information you have requested and we will respond
providing what we hold no later than 25/6/19 in accordance with the
timescales set by the Act.

 

We will inform you if:

a) We are unable to provide you with any of the information you have
requested, and explain the reason for this; and

b) Any fee that is payable for the information we are able to provide.

 

In the meantime, if you have any queries or require clarification on any
aspect of your request or how we will respond, please do not hesitate to
contact me.

 

Kind regards

 

Clare Lunk | Assistant Information Governance Manager

South Western Ambulance Service NHS Foundation Trust

[1]cid:[email address]

 

Direct Line 01392 261 603

Web [2]www.swast.nhs.uk

E-Mail [3][email address]

Abbey Court, Eagle Way, Exeter EX2 7HY

References

Visible links
2. http://www.swast.nhs.uk/
3. mailto:[email address]

Information Governance, South Western Ambulance Service NHS Foundation Trust

1 Attachment

Hi Daniel,

 

Our relevant departments have now had the opportunity to review your
Freedom of Information request and would like to clarify a couple of
points with you, if you do not mind:

 

+------------------------------------------------------------------------+
|FOI question |Clarification/points of note |
|------------------------------------+-----------------------------------|
|1.1 the number of all ambulance |Our Information Management team can|
|journeys conducted by your Trust for|extract the number of ‘allocations’|
|vehicles with an Ambulance-Type Body|by year, by resource type shown. |
| |Will this meet your requirements? |
| |This figure should give you an |
| |indication of the levels of |
| |activity our vehicles undertake. |
| | |
| |  |
| | |
| |In general terms, the Trust attends|
| |in the region of 900,000 incidents |
| |a year. |
|------------------------------------+-----------------------------------|
|1.2 the number of road |Our Health and Safety manager is |
|incidents-with-injury experienced by|going to try and collate this for |
|your Trust vehicles with an |you however extracting ten years’ |
|Ambulance type body |worth of relevant data will exceed |
| |the cost/time limit of the FOI Act.|
| |Would you therefore be happy with |
| |the past three financial years? Our|
| |H&S Manager believes this is |
| |achievable within the limit.   |
| | |
| |  |
| | |
| |Please note: our H&S has also |
| |advised: ‘I may not be able to give|
| |details of the vehicles (type) or |
| |the seriousness of the RTC as this |
| |is not always captured.’   |
+------------------------------------------------------------------------+

 

Could we also in more general terms enquire if your FOI is in relation to
a specific type of project/piece of work? It may help us in ensuring we
provide you with the most relevant data.

 

We will put your FOI request on hold whilst we await the above information
– thank you in advance for your assistance.

 

If we do not receive a response by 21/6/19 we will close your FOI request
however we can always re-open it in future as required.

 

Kind regards,

Clare Lunk | Assistant Information Governance Manager
South Western Ambulance Service NHS Foundation Trust

 

Direct Line 01392 261 603 | Web [1]www.swast.nhs.uk | E-Mail
[email address]

Trust Headquarters, Abbey Court, Eagle Way, Exeter, EX2 7HY, TrustHQ

References

Visible links
1. http://www.swast.nhs.uk/

Dear Clare Lunk (Assistant Information Governance Manager),

Thank you for your email requesting clarification. Firstly, I would like to state how much I appreciate your help and co-operation. It may be useful if I answer your third question first. For each year requested, I intend to collect data from all Ambulance Trusts within England to for the number of journeys by vehicles with ambulance type bodies (i.e. ambulances not RRV) and the number of incidents that such ambulances were involved in (that also had a minimum of 1 injury to any occupant, bystander or 3rd party). A minimum of ten years of recent data is required.

So, you know, the formatting of your clarification request email appears to place your text amongst the original text of my FOI request and therefore makes reading it difficult. To ensure that I have understood your clarification points correctly, I have repeated what I believe your text says below - above my replies. Please let me know if my responses do no wholly cover or answer your clarification points. Thank you.

1.1. Qu: Our Information Management team can extract the number of ‘allocations’ by year, by resource type shown. Will this meet your requirements? This figure should give you an indication of the levels of activity our vehicles undertake.

ANS: Would you be able to confirm what would be included in the ‘Allocations’ data please? Would the data include stand-downs before the ambulance has moved? If so then I would not be able to count it as a journey and the data would be invalid for my analysis. Perhaps if you could expand on the categories of journeys that are included within ‘allocations’ then I will be able to give you an answer. Thank you.

1.2 Our Health and Safety manager is going to try and collate this for you however extracting ten years’ worth of relevant data will exceed the cost/time limit of the FOI Act. Would you therefore be happy with the past three financial years? Our H&S Manager believes this is achievable within the limit. Please note: our H&S has also advised: ‘I may not be able to give details of the vehicles (type) or the seriousness of the RTC as this is not always captured.’

ANS: Thank you. Just to ensure that I have made a clear request: I am requesting, for each year stated, the number of incidents for ambulances (vehicles with ambulance type body) that such vehicles have been involved in themselves and included an injury to the occupants of that ambulance, pedestrian, bystander or other 3rd party, I believe that the number of incidents that involves the ambulance itself is relatively low per year across England and is usually reported to the Trust Board and DofT in categories of Slight (Minor), Serious and Fatal. I would be most grateful if the full period requested could be provided.

I am afraid that only 3-years’ worth of data would be insufficient for a statistical analysis and invalidate my research. Such a short period of data may also mean that data from your Trust skews the combined data (inc. data from other Trusts) and leads to an erroneous calculation - we would have to state this as a limitation of the data provided . Would it possible that the data requested is already reported to the Board and the DofT on an annual basis and is accessible within the FOI time/work limits? Thank you

Yours sincerely,

Daniel Martin

Yours sincerely,

Daniel Martin

Information Governance, South Western Ambulance Service NHS Foundation Trust

1 Attachment

Dear Daniel,

 

Thank you very much for your email.

 

We forwarded your response to our Health and Safety Manager. She confirmed
that, regrettably, our H&S Department do not routinely report these
incidents to the Board and the DofT on an annual basis, nor is there a
requirement for the team to do so.

 

As such she and her team would need to conduct a manual review of each
incident report during the time period you are interested in to extract
the information you require, and would also have to access one of our old
obsolete reporting systems for historic data. These combined processes
would take in excess of the FOI cost/time limit to produce the 10 years of
data you have requested.

 

As in your email below you stated that less than 10 years of data would
invalidate your research how would you like us to proceed? I am very sorry
that we cannot provide you with the full data range you require so please
let us know if there is anything else we can assist with, or if you would
prefer to cancel your FOI.

 

We will put your request on hold for now and await your further
instructions/preferences.

 

Kind regards,

Clare Lunk | Assistant Information Governance Manager
South Western Ambulance Service NHS Foundation Trust

 

Direct Line 01392 261 603 | Web [1]www.swast.nhs.uk | E-Mail
[email address]

Trust Headquarters, Abbey Court, Eagle Way, Exeter, EX2 7HY, TrustHQ

 

 

show quoted sections

Dear Clare Lunk
Assistant Information Governance Manager
Information Governance

Thank you kindly for the update. I do not wish to cancel this FOI.

It is shame that the accidents with injury data cannot be provided beyond 3 historical years - as I am receiving this data from other Trusts. I will continue to research the best way of obtaining this data and feedback to you - please send the past 3-financial years worth of accident-with-injury data that you offered in your first response. From your first response, I also understand that you are able extract the number of 'allocations'. Before we go ahead with this - would you be able to provide an answer to my previous question to your first response in terms of how the allocations are broken down by category please. Once I double-check this to make sure it is suitable - I think we will be able to proceed with this one. I'll wait for your reply first.

Thank you for your kind assistance and perservance in this matter
Kindest Regards
Dan Martin

Information Governance, South Western Ambulance Service NHS Foundation Trust

1 Attachment

Hi Daniel,

 

Thank you. I am sorry that we are unable to provide data in the same way
that other Trusts are, unfortunately differences in reporting mechanisms
between Trusts are not uncommon.

 

Our Information Management team have broken down 'allocations' by vehicle
type (Emergency ambulance, Event DCA, Pathways Support Vehicle, and
Patient Transport Service) and whether the journey type was 'arrived at
scene' or a 'stood down journey' (i.e. where a vehicle started driving
towards an incident but was stood down en route). Figures on allocations
are available from 2008-2018.

 

I will let our Health and Safety Manager know that you would still like
the three years' worth of data relating to accidents/injuries however it
anything changes please let us know.

 

 

Kind regards,

Clare Lunk | Assistant Information Governance Manager
South Western Ambulance Service NHS Foundation Trust

 

Direct Line 01392 261 603 | Web [1]www.swast.nhs.uk | E-Mail
[email address]

Trust Headquarters, Abbey Court, Eagle Way, Exeter, EX2 7HY, TrustHQ

 

 

 

 

show quoted sections

Information Governance, South Western Ambulance Service NHS Foundation Trust

4 Attachments

Dear Daniel

 

I refer to our acknowledgement on 31/5/19  in respect of your request for
information under the provisions of the Freedom of Information Act.  

 

A PDF of the below text is also attached due to a known formatting issue
with What Do They Know.

 

We are able to provide the following information:

 

Information requested Trust response
1: For the period from 1st Jan 2008 to Please see attached ‘Copy of data
31 Dec 2018, for each calendar year for requestor – Question 1’ Excel
(11-years): workbook. As advised during
previous email correspondence with
  you the figures comprise vehicle
allocations to incidents which
1.1 the number of all ambulance either arrived ‘on scene’ or were
journeys conducted by your Trust for stood down en route.
vehicles with an Ambulance-Type Body (
for example, not including Response  
Cars and Taxis) including all response,
conveyance and standby journeys for all As you may be aware the Trust has
calls including A&E, patient transport experienced a number of changes in
service (PTS) and specialist our scope of operation and
inter-facility journeys. services during the reporting
period specified. On the 1^st
  February 2013 Great Western
Ambulance Service merged with
South Western Ambulance Service
resulting in one Trust covering
the counties of Cornwall & IOS,
Devon, Somerset, Dorset,
Gloucestershire, Wiltshire, and
the BNSSG area.

 

PTS contract changes also took
place within the reporting period.
At the start of 2013/14 Trust
provision covered Cornwall and the
Isles of Scilly, Devon (excluding
Torbay), Dorset, Somerset, the
former Avon area, Gloucestershire
and Wiltshire and, on occasion, to
those on the borders within
neighbouring counties. Following
numerous tendering activities it
was confirmed to the Trust in
Quarter 1 of 2013/14 that all of
its PTS contracts, with the
exception of the BNSSG area and
the Isles of Scilly, had been
awarded to private providers. As
such all PTS contracts (except
BNSSG) with the Trust ceased
operation on 30^th September 2013.

 

The Trust retained the BNSSG
contract until 31^st March 2017.

 

Please note – data under the PTS
heading for 2018 refers to a PSV
resource erroneously coded to PTS
– this has since been corrected
further to the attached report
being produced.

 
1.2 the number of road As previously advised via email
incidents-with-injury experienced by unfortunately the Trust does not
your Trust vehicles with an Ambulance report in this format therefore
type body as described above where any our Health and Safety Manager
driver, passenger, patient within such collated the attached spreadsheet
vehicles were injured and/or any other for you manually. It was therefore
party(s) including bystanders were only possible to provide three
injured, shown by category (ideally by years’ worth of data rather than
Fatal, Serious, and Slight categories). ten years within the cost and time
limits of the Freedom of
  Information Act.

For clarification, the figures  
requested are not ‘responding to a road
incident’ rather they are the figures The Trust does not classify
for where your ambulance-body type injuries by the types you have
vehicles were involved in a road specified (Fatal, Serious, Slight)
incident-with-injury (collision etc.) therefore a description of the
themselves. injuries  has been provided for
you to categorise how you see fit.
  There are however a proportion of
cases where the injuries are not
2 I would be most grateful if the data known and therefore we are unable
could be provided in the following to provide data. In these cases a
format: summary of the incident has been
provided for your personal
  analysis.  

Columns:  

Year Incidents have been included where
either a DCA, PTS vehicle, or RRV
  was involved. Although an RRV does
not have an ‘ambulance type body’
Rows: it is common type of emergency
vehicle used to respond to
Total no. of journeys incidents.

Total no. of Incidents-with-injury  

Fatal incidents Abbreviations used in dataset:

Serious Incidents  

Slight Incidents RRV = Rapid Response Vehicle

  DCA = Double Crewed Ambulance

 

Please note that, under the Re-use of Public Sector Information
Regulations, if you wish to publish or otherwise use this information
besides for your own means, you will need to seek our permission to do so.

 

Please feel free to contact me if you require further clarification of the
information provided, or to discuss any aspect of the way in which we have
responded to your request. 

However, if you are dissatisfied with our response, you also have the
right to make use of the following complaints procedures:

 

In the first instance you may write to the Chief Executive of this Trust

 

Mr Ken Wenman

South Western Ambulance Service NHS Foundation Trust

Abbey Court

Eagle Way

Exeter  EX2 7HY

 

Mr Wenman will then either make arrangements for your complaint to be
reviewed and for the outcome to be communicated to you, or will convene a
panel of Trust Directors to consider an appeal against a decision to
withhold information.

 

If you are unhappy with the response to your complaint, or findings of the
Panel, you can contact the Information Commissioner at:

 

Information Commissioner’s Office,

Wycliffe House,

Water Lane,                                 

Wilmslow,

Cheshire.  SK9 5AF

 

Tel: 01625 545 700

Fax: 01625 524 510

 

Kind regards

 

Clare Lunk | Assistant Information Governance Manager

South Western Ambulance Service NHS Foundation Trust

[1]cid:[email address]

 

Direct Line 01392 261 603 

Web [2]www.swast.nhs.uk

E-Mail [3][email address]

Abbey Court, Eagle Way, Exeter EX2 7HY

References

Visible links
2. http://www.swast.nhs.uk/
3. mailto:[email address]