Strategic Issues and Solutions: London Ambulance Service Project
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This undergraduate major project provides a comprehensive analysis of the London Ambulance Service NHS Trust, addressing key strategic issues, challenges, and potential solutions. The project begins by identifying political, internal, and competitive issues impacting the organization, suppo...

Running head: UNDERGRADUATE MAJOR PROJECT
Undergraduate major project
Name of the Student:
Name of the University:
Author note:
Undergraduate major project
Name of the Student:
Name of the University:
Author note:
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1Undergraduate major project
Question 1. Identification and analysis of the strategic issues that is being faced by London Ambulance Service NHS Trust.
Point Strategic Issues Evidence from different
references (financial, reports,
news etc.)
Model(s)/Theory(ies)
1. Political issues Political stability is one of the major issues that has been faced
by the organisation since a long time.
Due to changes in the political
parties, there has been various
changes in the laws of the country
bringing in changes in the
organisation (Coster et al. 2017).
This turns out to be one of the
major issues as with the changes
in the laws the organisation is
being impacted financially.
PESTEL analysis
2. Internal issue Extra time taken to reach the patients due to lack of vehicles
and employees who are enable enough to handle serious
It has been notice the SWOT
analysis performed by Aksu and
SWOT analysis
Question 1. Identification and analysis of the strategic issues that is being faced by London Ambulance Service NHS Trust.
Point Strategic Issues Evidence from different
references (financial, reports,
news etc.)
Model(s)/Theory(ies)
1. Political issues Political stability is one of the major issues that has been faced
by the organisation since a long time.
Due to changes in the political
parties, there has been various
changes in the laws of the country
bringing in changes in the
organisation (Coster et al. 2017).
This turns out to be one of the
major issues as with the changes
in the laws the organisation is
being impacted financially.
PESTEL analysis
2. Internal issue Extra time taken to reach the patients due to lack of vehicles
and employees who are enable enough to handle serious
It has been notice the SWOT
analysis performed by Aksu and
SWOT analysis

2Undergraduate major project
patients. BAYAR (2019) that the lack of
employees is a weakness of the
organisation.
3. Competitive Issue Increase in the number of competition in the market. With the development of the
market and people being more
aware of their health. Various
other organisations has been
development who are providing
better services than London
Ambulance Service NHS trust
(Sarfo-Frimpong,, Oduro, Forson
and Bonney 2017). Hence, the
organisation must try to develop
its weakness.
SWOT analysis
patients. BAYAR (2019) that the lack of
employees is a weakness of the
organisation.
3. Competitive Issue Increase in the number of competition in the market. With the development of the
market and people being more
aware of their health. Various
other organisations has been
development who are providing
better services than London
Ambulance Service NHS trust
(Sarfo-Frimpong,, Oduro, Forson
and Bonney 2017). Hence, the
organisation must try to develop
its weakness.
SWOT analysis

3Undergraduate major project
Question 2. Identification and analysis of three challenges that are being faced by London Ambulance Service NHS Trust.
Point Challenges Evidence (financial, reports, news
etc.)
Model(s)/Theory
1. Cooperation with the
clients
The patients’ family is often not convinced with the delay in
the serviced that leads to issues in handling patients (Nuttall
et al. 2019). This also creates a negative impression on the
patients and as a result, they do not opt for the service later on.
In most of the case that has been
taken place in last moth it has
been observed that the patients are
not must convinced to use the
service for the next visit. It has
been understood from a survey
that has been carried out last
month.
SWOT analysis
2. Cooperation among
the employees
The lack of able workers or employees is one of the major
factors that the organisation has been facing to run the service
efficiently (Arshad, Noordin and Othman 2017).
From the SWOT analysis that has
been recently conducted by the
organisation it is evident that the
lack of employees in the
SWOT analysis
Question 2. Identification and analysis of three challenges that are being faced by London Ambulance Service NHS Trust.
Point Challenges Evidence (financial, reports, news
etc.)
Model(s)/Theory
1. Cooperation with the
clients
The patients’ family is often not convinced with the delay in
the serviced that leads to issues in handling patients (Nuttall
et al. 2019). This also creates a negative impression on the
patients and as a result, they do not opt for the service later on.
In most of the case that has been
taken place in last moth it has
been observed that the patients are
not must convinced to use the
service for the next visit. It has
been understood from a survey
that has been carried out last
month.
SWOT analysis
2. Cooperation among
the employees
The lack of able workers or employees is one of the major
factors that the organisation has been facing to run the service
efficiently (Arshad, Noordin and Othman 2017).
From the SWOT analysis that has
been recently conducted by the
organisation it is evident that the
lack of employees in the
SWOT analysis
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4Undergraduate major project
organisation is one of the major
reason that has been holding the
organisation back.
3. Understanding the
global market
It is necessary that the organisation must keep a good check
on the global market that will help in reducing the competition
or help the organisation to be stable in the market.
With the PESTEL analysis the
organisation needs to keep a
check on the competition and the
rise in the GDP that will help in
the estimation of the global
market.
PESTEL analysis
Question 3. Identification and analysis of the three solutions to address the challenges that are being faced by London Ambulance Service NHS
Trust.
Point Solutions Evidence (financial, reports,
news, best practice guidance, etc)
Model(s)/Theory
1. Cooperation with the The organisation must confirm the patients that the service The organisation keep a check on PESTEL analysis
organisation is one of the major
reason that has been holding the
organisation back.
3. Understanding the
global market
It is necessary that the organisation must keep a good check
on the global market that will help in reducing the competition
or help the organisation to be stable in the market.
With the PESTEL analysis the
organisation needs to keep a
check on the competition and the
rise in the GDP that will help in
the estimation of the global
market.
PESTEL analysis
Question 3. Identification and analysis of the three solutions to address the challenges that are being faced by London Ambulance Service NHS
Trust.
Point Solutions Evidence (financial, reports,
news, best practice guidance, etc)
Model(s)/Theory
1. Cooperation with the The organisation must confirm the patients that the service The organisation keep a check on PESTEL analysis

5Undergraduate major project
clients will be delivered within the particular time while the patient
will be booking the service for (Ortega, Rodríguez, Vázquez
and Ricardo 2019). Moreover, the organisation can develop
the communication style with the patients by tracking the
vehicle as well as through verbal communication. The
organisation must find various ways of building
communication with the clients that will make it easier for
the clients to understand the position of the service that will
be delivered within time or not. Hence, it is important that
the organisation must find various ways that will help in the
resolving of the impatience of the clients and there will be a
development of relation with the customers.
the service that is being provided
to the patients. It has been
identified by the survey that has
been recently performed that the
patients are not receiving
satisfactory result from the
organisation.
2. Cooperation among
the employees
It is important that the organisation must develop the hiring
style of the employees and ensure that the employees those
who are being hired are good enough and skilful. With the
right hiring, the organisation can deliver the best service to
The organisation from its internal
analysis and decline in the finance
of the organisation is evident that
the employees are not being
SWOT analysis
clients will be delivered within the particular time while the patient
will be booking the service for (Ortega, Rodríguez, Vázquez
and Ricardo 2019). Moreover, the organisation can develop
the communication style with the patients by tracking the
vehicle as well as through verbal communication. The
organisation must find various ways of building
communication with the clients that will make it easier for
the clients to understand the position of the service that will
be delivered within time or not. Hence, it is important that
the organisation must find various ways that will help in the
resolving of the impatience of the clients and there will be a
development of relation with the customers.
the service that is being provided
to the patients. It has been
identified by the survey that has
been recently performed that the
patients are not receiving
satisfactory result from the
organisation.
2. Cooperation among
the employees
It is important that the organisation must develop the hiring
style of the employees and ensure that the employees those
who are being hired are good enough and skilful. With the
right hiring, the organisation can deliver the best service to
The organisation from its internal
analysis and decline in the finance
of the organisation is evident that
the employees are not being
SWOT analysis

6Undergraduate major project
the customers ensuring satisfactory results. The organisation
must also develop a good training process that will help in
providing right service to the patients.
efficiently working.
3. Understanding the
global market
It has been observed by the SWOT analysis of the
organisation that it is very lenient in making decision and
strategies. Hence, the organisation is unable to find that
other organisation that has been giving a difficult
competition to the organisation.
According to Sarfo-Frimpong,
Oduro, Forson, and Bonney
(2017), the service has been
facing various financial issues
since a long time. However, the
organisation is very lenient in
making a strict decision.
PESTEL analysis
Question 4. Explanation of the practical implementation of the solution by London Ambulance Service NHS Trust
Specific objective Approach (marketing,
HRM, Operations,
Practice etc.)
Stage 1: Inputs,
financial,
technological,
Stage 2: Actions and
timeline
Stage 3: Delivery and
Evaluation
Model(s)
the customers ensuring satisfactory results. The organisation
must also develop a good training process that will help in
providing right service to the patients.
efficiently working.
3. Understanding the
global market
It has been observed by the SWOT analysis of the
organisation that it is very lenient in making decision and
strategies. Hence, the organisation is unable to find that
other organisation that has been giving a difficult
competition to the organisation.
According to Sarfo-Frimpong,
Oduro, Forson, and Bonney
(2017), the service has been
facing various financial issues
since a long time. However, the
organisation is very lenient in
making a strict decision.
PESTEL analysis
Question 4. Explanation of the practical implementation of the solution by London Ambulance Service NHS Trust
Specific objective Approach (marketing,
HRM, Operations,
Practice etc.)
Stage 1: Inputs,
financial,
technological,
Stage 2: Actions and
timeline
Stage 3: Delivery and
Evaluation
Model(s)
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7Undergraduate major project
material, and human.
1. Cooperation with
the clients
The organisation has
developed applications
wherein the patients
can easily track the
ambulance that will be
help to understand the
location and the time
required.
Technological help has
been taken by the
organisation to meet
the demands of the
clients.
The work has been
implemented and will
be executed within a
month.
With the development
of the application the
directors of the
organisation will be
using it and will ensure
that the application is
appropriate or not.
PESTEL analysis
2. Cooperation among
the employees
The HRM can help in
the hiring of better and
skilful employees. As
mentioned by Tani
(2016), the HRM plays
an important role in
the development of the
With the new hiring,
the HRM must ensure
that the employees
those who are being
hired are efficient. The
HRM must also train
the old employees and
According to the
organisation, once a
month employees are
being hired. With the
next batch there will
be changes in the
hiring system. And in
Within the next two
months, there will be
changes in the
employees as well as
the production of the
employees.
HRM policies
material, and human.
1. Cooperation with
the clients
The organisation has
developed applications
wherein the patients
can easily track the
ambulance that will be
help to understand the
location and the time
required.
Technological help has
been taken by the
organisation to meet
the demands of the
clients.
The work has been
implemented and will
be executed within a
month.
With the development
of the application the
directors of the
organisation will be
using it and will ensure
that the application is
appropriate or not.
PESTEL analysis
2. Cooperation among
the employees
The HRM can help in
the hiring of better and
skilful employees. As
mentioned by Tani
(2016), the HRM plays
an important role in
the development of the
With the new hiring,
the HRM must ensure
that the employees
those who are being
hired are efficient. The
HRM must also train
the old employees and
According to the
organisation, once a
month employees are
being hired. With the
next batch there will
be changes in the
hiring system. And in
Within the next two
months, there will be
changes in the
employees as well as
the production of the
employees.
HRM policies

8Undergraduate major project
organisation. The
HRM also have an
efficient role in
improving the skills of
the employees by
delivering them
training.
ensure productivity. the next one month the
employees will be
provided with training.
3. Understanding the
global market
The development of
the differentiation
strategy helped to
understand the
competition that has
been existing in the
market.
There has been
development of risk
strategies that will help
in the improvement of
the working of the
employees bringing in
changes in the
financial condition of
the organisation (Van
Within the next three
to four months, there
will be implementation
of the changes that will
be brought in the
organisation.
It will bring changes in
the organisational
values of the working
that will help in the
development of the
financial condition of
the work.
Differentiation strategy
organisation. The
HRM also have an
efficient role in
improving the skills of
the employees by
delivering them
training.
ensure productivity. the next one month the
employees will be
provided with training.
3. Understanding the
global market
The development of
the differentiation
strategy helped to
understand the
competition that has
been existing in the
market.
There has been
development of risk
strategies that will help
in the improvement of
the working of the
employees bringing in
changes in the
financial condition of
the organisation (Van
Within the next three
to four months, there
will be implementation
of the changes that will
be brought in the
organisation.
It will bring changes in
the organisational
values of the working
that will help in the
development of the
financial condition of
the work.
Differentiation strategy

9Undergraduate major project
Barneveld, Bhulai and
van der Mei 2016).
Barneveld, Bhulai and
van der Mei 2016).
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10Undergraduate major project
Reference list
Aksu, A. and BAYAR, K., 2019. Development of Health Tourism in Turkey: SWOT Analysis of Antalya Province. Journal of Tourism
Management Research, 6(2), pp.134-154.
Arshad, A., Noordin, M.B. and Othman, R., 2017. A synthesis on swot analysis of public sector healthcare knowledge management information
systems in Pakistan. (IJACSA) International Journal of Advanced Computer Science and Applications, 8(8).
Coster, J., Siriwardena, A.N., Turner, J., Jacques, R., Crum, A. and Nicholl, J., 2017. OP06 Multi-method development of new ambulance
service quality and performance measures. Emergency Medicine Journal, 34(10), pp.e2-e2.
Nuttall, C., Izzi-Engbeaya, C., Mendoza, N., Nair, R., Abbara, A., Martin, N. and Hatfield, E., 2019, November. Review of acromegaly
management and outcomes in Imperial College Healthcare NHS Trust over eleven years. In Society for Endocrinology BES 2019 (Vol. 65).
BioScientifica.
Ortega, R.G., Rodríguez, M., Vázquez, M.L. and Ricardo, J.E., 2019. Pestel analysis based on neutrosophic cognitive maps and neutrosophic
numbers for the sinos river basin management. Neutrosophic Sets and Systems, 26(1), p.16.
Rahman, M., 2019. PESTEL analysis of Germany.
Sarfo-Frimpong, J., Oduro, G., Forson, P.K. and Bonney, J., 2017. Emerging Mobile Health (mHealth) in KATH ED: Assessing it’s Strengths,
Weaknesses, Opportunities and Threats (SWOT ANALYSIS) among Healthcare Workers. Prehospital and Disaster Medicine, 32(S1), pp.S38-
S38.
Reference list
Aksu, A. and BAYAR, K., 2019. Development of Health Tourism in Turkey: SWOT Analysis of Antalya Province. Journal of Tourism
Management Research, 6(2), pp.134-154.
Arshad, A., Noordin, M.B. and Othman, R., 2017. A synthesis on swot analysis of public sector healthcare knowledge management information
systems in Pakistan. (IJACSA) International Journal of Advanced Computer Science and Applications, 8(8).
Coster, J., Siriwardena, A.N., Turner, J., Jacques, R., Crum, A. and Nicholl, J., 2017. OP06 Multi-method development of new ambulance
service quality and performance measures. Emergency Medicine Journal, 34(10), pp.e2-e2.
Nuttall, C., Izzi-Engbeaya, C., Mendoza, N., Nair, R., Abbara, A., Martin, N. and Hatfield, E., 2019, November. Review of acromegaly
management and outcomes in Imperial College Healthcare NHS Trust over eleven years. In Society for Endocrinology BES 2019 (Vol. 65).
BioScientifica.
Ortega, R.G., Rodríguez, M., Vázquez, M.L. and Ricardo, J.E., 2019. Pestel analysis based on neutrosophic cognitive maps and neutrosophic
numbers for the sinos river basin management. Neutrosophic Sets and Systems, 26(1), p.16.
Rahman, M., 2019. PESTEL analysis of Germany.
Sarfo-Frimpong, J., Oduro, G., Forson, P.K. and Bonney, J., 2017. Emerging Mobile Health (mHealth) in KATH ED: Assessing it’s Strengths,
Weaknesses, Opportunities and Threats (SWOT ANALYSIS) among Healthcare Workers. Prehospital and Disaster Medicine, 32(S1), pp.S38-
S38.

11Undergraduate major project
Tani, S.S., 2016. CASE ANALYSIS OF BELLA HEALTHCARE INDIA.
Van Barneveld, T.C., Bhulai, S. and van der Mei, R.D., 2016. The effect of ambulance relocations on the performance of ambulance service
providers. European Journal of Operational Research, 252(1), pp.257-269.
Tani, S.S., 2016. CASE ANALYSIS OF BELLA HEALTHCARE INDIA.
Van Barneveld, T.C., Bhulai, S. and van der Mei, R.D., 2016. The effect of ambulance relocations on the performance of ambulance service
providers. European Journal of Operational Research, 252(1), pp.257-269.
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