NHS Horizons has been commissioned to support the Ambulance Service in a 12 month programme of work aimed to give frontline ambulance staff a greater role in the innovation, service design and problem solving.

Our work will mobilise frontline ambulance staff (both frontline clinical teams and in control centres) and patients to contribute to improvement:

  • To have a positive impact on winter 2018/19
  • To identify issues the crews want to work on that will have a positive impact
  • To develop, test and implement solutions, using and building on existing programmes and creating new ideas, that add up to significant improvements

Our aim is to engage 10% of the 22,000 frontline Ambulance staff in contributing to ideas for improvement. We have developed the programme of work in collaboration with the Association of Ambulance Chief Executives.

ProjectA was launched in June 2018 with hundreds of frontline ambulance staff. Read more about the launch event.

Over the summer, an 608 ideas were shared via the ideas platform and tweet chats as part of phase 1 of the project. Read more about phase 1.

We categorised the 608 ideas as per the diagram below:

Twelve of those ideas were selected for a two day virtual ‘innovation burst’ where 198 staff collaborated to test and prototype them.  

What’s next?

Six specific activities emerged from the innovation burst for further work and progression:

  1. Action on falls: The aim is to develop and implement a falls response framework that will be relevant to every ambulance service and that will lead to better, more appropriate services for people who fall, less conveyance and/or help stop people from falling in the first place or falling again.
  2. Action on mental health and emotional distress: To create an actionable “knowledge bank” for use by frontline ambulance staff and share and test approaches to supporting people in mental health crisis and emotional distress.
  3. Action on partnership: people, families and the wider community: To co-produce a campaign that focusses on how to access and use services. It will be a two-way partnership, created in the spirit of community engagement, co-creation and activism, using multiple communication channels including social media.
  4. Action on staff wellbeing: Develop a virtual collaborative that looks to support ongoing work within the Human Resource Directors’ Group (HRDs) and Strategic Partnership Forum (trust and union representatives) with a focus on implementing clinical supervision across all ambulance services.
  5. A directory of ideas for improvement: Share the 70 ideas with the most potential for implementation from the #ProjectA ideas platform and create a series of challenges to help make trusts introduce them.
  6. Virtual collaboration: Build the capability of the ambulance workforce to collaborate virtually; reducing time away from work and abstraction; increasing opportunities for sharing, learning and speeding up change.

Download the image below (right click and ‘save as’) to share with your colleagues.

Get involved! Join one the six collaboratives.  Ask your local #ProjectA lead, have a look on Twitter (@HorizonsNHS / #ProjectA); or drop us a line.

Directory of Good Ideas

We are compiling a directory of good ideas that showcases the work already ongoing in Trusts. The directory is in response to front line staff feedback: to share good ideas between trusts, and for senior leadership to help implement them.

We are expecting to launch the directory by the end of 2018. We’re hoping you will read it, share it, and implement the ideas.

Get Involved!

#ProjectA is an improvement programme led by front line staff, and we want to make sure it remains true to this ethos. Please do keep getting involved –  if you’re in the ambulance service keep an eye out for internal communications, and everyone can get involved via Twitter (@HorizonsNHS / #ProjectA).