Strategic Issues in London Ambulance Service

This document discusses the strategic issues faced by the London Ambulance Service in the healthcare sector. It identifies and analyzes the challenges and provides solutions to improve services. The document also explores the implementation of one of the solutions.

Undergraduate Major
Project

Table of Contents
INTRODUCTION...........................................................................................................................1
Question 1........................................................................................................................................1
Identify and analyse strategic issues...........................................................................................1
Question 2........................................................................................................................................2
Identify and analyse Challenges..................................................................................................2
Question 3........................................................................................................................................3
Identify and analyse solutions.....................................................................................................3
Question 4........................................................................................................................................4
Implement one of solutions.........................................................................................................4
REFERENCES................................................................................................................................5

INTRODUCTION
The London Ambulance service is an NHS trust liable for conducting ambulances and
answering and reacting to urgent and emergency medical situations within the London, region of
England.
Question 1
Identify and analyse strategic issues
In present time health care sector increase in broad manner due to occur major accidents
and disease. In this sector hospitals and trust are facing some strategical issues underneath:
 Increase medical cost for owner: As per the affordable care act, there is about 40% tax
obligatory on staff members who provides excess advantages to their employees. When
hospital recruit any staff member so paid highly salary because of respond to this new tax
by necessitate for staff members to pay more for their insurance. The government set
some taxes and provision on medical services that paid by the employer so for this
company paid high cost to become leader in health care sector (Craig, 2018).
 Health care regulatory challenge: It is main issue that create problem for overall sector in
political arena. When government apply any changes in health care sector so it is directly
impact on the strategy that prepare by every health organisations. Political regulations
changes based on the government and take consideration into staff how handle the
changes effectively. Regulatory challenges drive up with the cost of offering different
services and care.
 Technological advancement issues: In present time technology increase day by day in
every sector that influence on the strategies that adopt by the organisations. In the context
of health care sector technology advancement introduce by leading hospitality
organisation. To become modern every organisation try to adopt modern technology but
small organisation can not afford this. It become problem for them because according to
that they are applying changes in their strategies that set by them to operate different
regulatory activities. The technology advancement is providing opportunity and
challenges to company.
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There are defined different types of strategic issues that become problem for an
organisation. According to these problems organisations can change their policies in appropriate
manner.
Question 2
Identify and analyse Challenges
Volume of demand: It is a key challenge that face by the London ambulance services.
As per the research past 5 years demand for Ambulance for critically ill of injured patients has
enhanced at average year on year rate about 6%. This trend is awaited to ongoing. LAS long
term estimation advise that when no action is taken to arrange demand then the increase serious
patient list that reach about 14000 calls a week that arise 30% as compare of 2016 – 17 (Halonen
and Dunn, 2018).
Wide urban environment: It is new challenge that rising as the ambulance services
select to the demands of offering responsive, high quality services to a growing and changing
population. There are wider complexness in the urban environment like quickly new progression
and competition for road space and the cost of living is costly that impact on the man power of
LAS The LAS work impact on the broader physical city atmosphere in which it operates. The
design of the develop atmosphere and how transport services impact on the considerations of
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requirement of the LAS are crucial. Along with, the cultural life of the capital consist of night
time economy and level of culture and sporting events will impact on LAS operation.
Highly dependant on work force: The services of LAS mainly based on their staff
members who provides services into different cities. LAS staff are paid as per the salary bands, it
means the LAS has little flexibility in regard of work as well as changing terms and conditions
that provide by employer. Due to increasing cost of living people wants good salary that enough
for family so employee turn over face by the organisation in broad manner. They are facing
financial challenge of communicating long distances to work, often at unsocial hours where
transport options can be limited (Pollard, 2019).
Question 3
Identify and analyse solutions
There are identifying different types of problems that require to sort out by the LAS in
broad manner:
Solution 1
To meet with current and future demand require to improve experience of patient. The
LAS is looking different new ways in order to deliver care and reducing the number of individual
who take treatment from the hospital. The trust must assure about the public fully understands
that apply changes as per the service requirement. If it is continue the distributed public trust it
presently enjoys.
Solution 2
The mayor is presently work on the plan that will be modified as per the new recruitment
strategy. The spatial development strategy has been set in particular structure in order to
planning and improvement across the capital. The main plan of London should more explicitly
identify the requirement of the LAS due to apply new improvements. For wider environment
LAS acts as barometer for remove wider stress over the system. To reducing difficulties open
new department of GP and mental health with winter pressure facing A&E divisions.
Solution 3
Boosting the work force: The Mayor can support the LAS to develop a sustainable,
spirited and different manpower. They are applying new strategy for recruitment that based on
the sets an ambitious goal for increasing unpaid and aims to hire 1% of the London population to
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save life of people on time. They are getting about 100,000 new volunteers who are working as
social contribution with health equalities strategies. As a result LAS become independent easily
provide their services any where without any problem. The London ambulance services is
highest service assets which is trained for different situation but the LAS continue gain
experience in regard of recruiting and retaining employees long time in business.
Question 4
Implement one of solutions
LAS is providing emergency medical services to people which is a part of the national
health service. These services are providing by the chief executive Garrett Emmerson. There are
recruiting about 5300 staff members. The NHS trust face different types of challenges that sort
through various methodology. The trust does not pay sufficient amount to staff members and in
London cost of living has increased extent. As a result employee turn over increase in trust that
impact on the medical services so company take action and contact with GLA group in order to
set effective working relationship (Sternquist, Huddleston and Fairhurst, 2018). It is inviting
different peoples who wants to provide services in medical line as a volunteer. The LAS trust
provide training those people who are providing social services at free of cost. For these actions
LAS take about 1 month to provide training volunteers and more people engage with the trust
effectively. In order to provide solution on based on work force that apply new technology in
which not required more staff members. In present time artificial intelligence work much better
of human that take less time and no financial problem face by trust. The volunteers are engaging
to provide social services and work in free of cost as a result trust do not face labour turn over
and easily manage all the work activities.
Recommendation
As per the different problems it is recommended that to sort out different types of
challenges motivate to staff members in regard of work and ready of any changes that apply by
the business entity. LAS provide emergency medical services to people for this require different
volunteer so encourage people for this and ready for the social activities.
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REFERENCES
Books and Journal
Balwant, P., 2019. Stay close! The role of leader distance in the relationship between
transformational leadership, work engagement, and performance in undergraduate
project teams. Journal of Education for Business. 94(6). pp.369-380.
Barnett, A.E. and Olinger, S., 2019. UTILIZING UNDERGRADUATE RESEARCH TO
INFORM COMMUNITY RESOURCES FOR OLDER ADULTS: A SERVICE-
LEARNING PROJECT. Innovation in Aging, 3(Supplement_1). pp.S537-S538.
Baumer, and et. al., 2020. Integrating data science ethics into an undergraduate major. arXiv
preprint arXiv:2001.07649.
Bhushan, G.D., 2019. A systemic approach to understand plants’ responses under abiotic stress:
a laboratory exercise for undergraduate biology majors. Journal of Biological
Education. pp.1-9.
Chapman, R., 2019. The rules of project risk management: Implementation guidelines for major
projects. Routledge.
Craig, P. A., 2018. Lessons from my undergraduate research students. Journal of Biological
Chemistry. 293(27). pp.10447-10452.
de la Puente Pacheco, M.A., and et. al., 2019. Undergraduate students’ perceptions of Project-
Based Learning (PBL) effectiveness: A case report in the Colombian Caribbean. Cogent
Education. 6(1). p.1616364.
do Amaral, J.A.A., 2019. Combining community-based learning and project-based learning: A
qualitative systemic analysis of the experiences and perceptions of students and
community partners. Partnerships: a journal of service-learning and civic engagement.
10(1). pp.129-145.
Fewings, P. and Henjewele, C., 2019. Construction project management: an integrated
approach. Routledge.
Gratton, P. and Gratton, G., 2020. Selecting the Project. In Achieving Success with the
Engineering Dissertation (pp. 43-58). Springer, Cham.
Gregson, J., Lane, A. and Foster, M., 2019. Adaptive Project Design: Early insights from
working on the transformation of the Distance Education System in Myanmar.
Haggard, S., 2019. The imposter phenomenon in first-generation undergraduate students.
Halonen, J. S. and Dunn, D. S., 2018. Embedding career issues in advanced psychology major
courses. Teaching of Psychology. 45(1). pp.41-49.
Hart, J.L., 2019. Interdisciplinary project-based learning as a means of developing employability
skills in undergraduate science degree programs. Journal of Teaching and Learning for
Graduate Employability. 10(2). pp.50-66.
Hussain, S., and et. al., 2019. A Systematic Review of Project Allocation Methods in
Undergraduate Transnational Engineering Education. Education Sciences. 9(4). p.258.
Klein, W.M., 2019. Cross-Disciplinary Team Science with Trainees: From Undergraduate to
Postdoc. In Strategies for Team Science Success (pp. 469-474). Springer, Cham.
Knox, and et. al., 2019. A positive student experience of collaborative project work in upper-
year undergraduate chemistry. Chemistry Education Research and Practice. 20(2).
pp.340-357.
5

Koopmann, R., and et. al., 2019, January. Empowering Research by the Undergraduate
ALFALFA Team: An NSF-Sponsored Model for Involving Undergraduates in Major
Legacy Astronomy Research. In American Astronomical Society Meeting Abstracts#
233 (Vol. 233).
Lai, J. and Lin, X., 2019, August. Research on Practice Teaching Reform of Network Marketing
Course Against the Background of Application-oriented Undergraduate. In 2019
International Conference on Education Innovation and Economic Management
(ICEIEM 2019). Atlantis Press.
Liu, Y., and et. al., 2019. A social recommendation system for academic collaboration in
undergraduate research. Expert Systems. 36(2). p.e12365.
Manirakiza, A., and et. al., 2019. Oncology Training in Rwanda: Challenges and Opportunities
for Undergraduate Medical Students (The EDUCAN Project). Journal of Cancer
Education, pp.1-7.
Mao, A., and et. al., 2019, October. Fusion of Research Project in Undergraduate Subject Course
Teaching: The Case of South China University of Technology. In Proceedings of the
2019 11th International Conference on Education Technology and Computers (pp. 30-
33).
Marbouti, F., and et. al., 2019. Written feedback provided by first-year engineering students,
undergraduate teaching assistants, and educators on design project work. European
Journal of Engineering Education. 44(1-2). pp.179-195.
Martinez-Vargas, C., Walker, M. and Mkwananzi, F., 2019. Access to higher education in South
Africa: Expanding capabilities in and through an undergraduate photovoice project.
Educational Action Research. pp.1-16.
Matt Graham, C. and Jones, N., 2019. Impact of a Social Network Messaging App on Team
Cohesiveness and Quality of Completed Team Projects in an Undergraduate Team
Project. Journal of Educational Technology Systems. 47(4). pp.539-553.
Ottosi, S., Guglielmo, S. and Tavarez, Y., 2019. In Service of Language Development:
Outcomes of a Community-Engaged, Undergraduate SLP Course.
Pollard, C. E., 2019. Lessons learned from client projects in an undergraduate project
management course. Journal of Information Systems Education. 23(3). p.3.
Pollard, C.E., 2019. Lessons learned from client projects in an undergraduate project
management course. Journal of Information Systems Education. 23(3). p.3.
Poston, R.S. and Richardson, S.M., 2019. Designing an academic project management program:
A collaboration between a university and a PMI chapter. Journal of Information
Systems Education. 22(1). p.6.
Shine, K. and Cullen, T., 2019. Student responses to a new project model capstone unit in
journalism. australian journalism review. 41(2). pp.241-255.
Shuguang, L., and et. al., 2019, May. Construction of Teaching Quality Monitoring System in
Application-oriented Undergraduate Colleges. In Proceedings of the 2019 4th
International Conference on Distance Education and Learning (pp. 93-98).
Sternquist, B., Huddleston, P. and Fairhurst, A., 2018. Framing the undergraduate research
experience: Discovery involvement in retailing undergraduate education. Journal of
Marketing Education. 40(1). pp.76-84.
Torres, A.S., Sriraman, V. and Ortiz, A.M., 2019. Implementing Project Based Learning
Pedagogy in Concrete Industry Project Management. International Journal of
Construction Education and Research. 15(1). pp.62-79.
6

Zhao, D., Muntean, C. and Muntean, G., 2019, March. The Restaurant Game: a NEWTON
PROJECT Serious Game for C Programming Courses. In Society for Information
Technology & Teacher Education International Conference(pp. 1867-1874).
Association for the Advancement of Computing in Education (AACE).
7