Analysis of Strategic Issues for London Ambulance Service Project

This undergraduate project provides a comprehensive analysis of the London Ambulance Service (LAS), an NHS trust responsible for emergency medical services in London. The project begins by identifying and analyzing key strategic issues, such as increasing medical costs, healthcare regulatory challenges, and technological advancements. It then delves into the challenges faced by the LAS, including the rising volume of demand, the complexities of the urban environment, and the reliance on its workforce. The project proposes and analyzes potential solutions, emphasizing patient experience improvement, alignment with mayoral plans, and workforce boosting through volunteer programs and technological advancements. The implementation section focuses on the LAS's efforts to recruit volunteers and leverage technology to address workforce challenges and improve service delivery. The project concludes with recommendations for addressing the identified issues and improving the LAS's operational effectiveness. The references section provides a list of relevant books and journals.

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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