Challenges and Solutions for London Ambulance Service NHS Trust

London Ambulance
Service NHS Trust

The London Ambulance Service NHS Trust is a NHS trust service that is responsible for
answering and responding to emergency or urgent medical situations and operating various
ambulances within the capital London region of England. The London Ambulance Service NHS
Trust is designed to respond to two major phone numbers the 999 and the 111 phone calls, with
the intention to provide the callers with triage and advice in order to respond back to the grieved
caller in an appropriate manner. The London Ambulance Service NHS Trust is one of the most
busiest ambulance services around the whole world, and is in fact the busiest ambulance service
in the entire UK, as it provides emergence care to more than 8.6 million different individuals
who make their living and work in London. In order to effectively be able to conduct its daily
operations, the London Ambulance Service NHS Trust employs more than 5,300 distinct
individuals within its hierarchical chain of command at various different roles and positions. As
the London Ambulance Service NHS Trust is a part or component of the National Health
Services of UK, it receives direct funding from the UK government for its roles and
responsibilities (Nunan and et.al., 2020). The London Ambulance Service NHS Trust does not
charge any individual of UK for procuring the ambulance services provided by them and every
citizen of the UK has a right to avail the ambulance provided by London Ambulance Service
NHS Trust in cases of urgency or emergencies. In 2016/17, The London Ambulance Service
NHS Trust responded to over 1.8 million emergency calls from grieved individuals from all over
the London region and also responded to over 1.1 million incidents. The main roles of London
Ambulance Service NHS Trust are as follows:
 Handling and responding to all 999 calls taking and prioritising emergency cases of
grieved individuals.
 Responding to 999 emergencies and urgent cases from individuals all over the London
region.
 Providing clinical telephone advice to aggrieved citizens within the London region who
are suffering from less serious illness and injuries, that do not require the immediate
response of London Ambulance Service NHS Trust.
 Providing and dispatching paramedics for the london’s air ambulance service in cases of
extreme emergencies.
 Planning for being able to effectively respond to large scale emergencies or serious
events that occur in the capital region of London.

 Running the NHS 111 service for the south-eastern part of London.
Through its vital roles and responsibilities, the London Ambulance Service NHS Trust
performs critical services for maintaining the health and safety of a large number of the London
population and hence any issues or challenges that the London Ambulance Service NHS Trust
faces during its daily operations has the potential to risk and endanger the lives of the London
citizens. This is because such challenges and issues can keep the emergency response services
from being able to effectively reach the aggrieved citizens, within critical timing restriction,
which endangers the health and safety of the injured, ill or aggrieved citizen of London
(Tollinton, Metcalf and Velupillai, 2020). This report analyses the main issue or challenge that
London Ambulance Service NHS Trust faces during its daily operations, evaluates a viable
solution to the proposed challenge faced by London Ambulance Service NHS Trust and assesses
how London Ambulance Service NHS Trust can effectively implement the proposed solution in
order to address the challenges and issues that they face daily for their operations, enhancing the
ability of the London Ambulance Service NHS Trust to provide critical healthcare to the
individuals who are suffering from an emergency situation.
TASK 1
One of the most critical and major issues or challenges that the London Ambulance
Service NHS Trust faces during its daily operations towards providing the London citizens with
emergency response and ambulance services relates to the steadily increasing patient demand for
the services of London Ambulance Service NHS Trust in the last five years. Since 2015, the
London Ambulance Service NHS Trust has observed an average increase of over 6% per year in
the number of London patients demanding for the services provided by the London Ambulance
Service NHS Trust. As this trend has been going on for the last five years, experts assess that
there exist no external reasons for the trend to slow down or stop. This is a major challenge or
issue for the London Ambulance Service NHS Trust as it increases the overall pressure on the
public trust to keep servicing an ever greater number of London patients while financial
resources allocated to the London Ambulance Service NHS Trust by the UK government stay
constant (Shaw, Murphy-Jones and Fothergill, 2018). After conducting long term forecasting of
the impact and effect of this trend on the operations of London Ambulance Service NHS Trust,
experts UK are of the opinion that if no alternative solution or strategy is implemented towards