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Page 1: London's Air Ambulance Annual Review 2014/15

SupportLondon’s AirAmbulance

London’s Air AmbulanceAnnual Review 2014/15

Page 2: London's Air Ambulance Annual Review 2014/15

As a charity, it is onlythrough the supportof the community weserve that we cansave the lives ofcritically injuredpeople in London.Thank you.

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Page 3: London's Air Ambulance Annual Review 2014/15

Page

Chairman’s Report 4

Chief Executive Officer’s Report 6

Medical Director’s Report 8

A Year in Highlights 10

2014 Mission Map 11

About London’s Air Ambulance 12

Our NHS Partners 13

Our Mission & Values 14

Delivering on Our Mission 15

Our Strategic Objectives 16

Sharing Medical Innovation Through the Media 17

Our Patients 18

The Institute of Pre-Hospital Care 20

Patient Liaison Nurse 21

Our Supporters 22

Our Corporate Supporters 24

Our Trust, Foundation & Livery Company Supporters 25

Our Finances 26

Thank You to Our Sponsors & Patrons 27

Thank You to Our Supporters 28

3

Contents

Our Trustees

Mark Vickers (Chairman)

Sam Walker (Deputy Chairman)

Dr Gareth Davies

(Chairman until August 2014)

Maxine Jordan

Paul Lavender

Professor David Lockey

Dr Anne Weaver

(resigned July 2014)

Michael Weiss

(resigned April 2015)

Page 4: London's Air Ambulance Annual Review 2014/15

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The provision of world classpre-hospital care to the people of

London remains at the root of everythingwe do. Our mission is to deliver highly

professional medical treatment tocritically injured patients. The supreme

skills of our pilots and firecrews, and theoutstanding performance of our ChiefExecutive and his management team,

and the dedication and commitment ofour staff and volunteers make up an

organisation of which our manystakeholders can be justifiably proud.

We have achieved a huge amount over a short time but we

cannot be complacent and there is still a great deal of work to

be done for London’s Air Ambulance to establish and maintain

its status as one of the pre-eminent air ambulance charities in

the world.

I am delighted to report that this last financial year has been

one of transformational success for the charity. The

significant investments that have been made in the

organisation over the last 24 months have started to yield

material dividends and the charity has delivered a very

healthy financial performance across all of its key metrics.

Aggregate consolidated income increased by £3,279,880

representing a year-on year increase of 68.3% and the

charity has returned to a state of financial surplus after the

loss that was incurred in the prior year.

The impact of our positive financial performance has been

felt across London as we successfully delivered on a number

of strategic initiatives, not least the introduction of extended

daylight flying hours in March 2015, which has enabled us to

reach a further 67 critically injured patients by air in the first

summer of operation. Our brand new rapid response and

fundraising car fleet was also finalised and became

operational during the year in review. Our financial surplus

has allowed the Trustees to pursue the objective of

sustainability for the charity, as we have increased our

operational reserve cover from 2.5 months to 2.9 months.

Additionally we have set aside a proportion of funds to be

applied towards settlement of the balloon payment, which

falls due under the current aircraft financing arrangement in

December 2017.

Chairman’s Report

Page 5: London's Air Ambulance Annual Review 2014/15

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We are thrilled to have now completed the purchase of our

second MD902 Explorer helicopter, which occurred post this

review period. Whilst this is a truly exciting development for

London, we still have much work to do to get the aircraft ready

for UK HEMS operations and we look forward to sharing an

operational date with our supporters in due course.

All of these initiatives are helping to create a more robust and

resilient emergency medical service for the capital, thereby

helping us to fulfil our mission of providing our patients with the

world’s most effective pre-hospital care. The challenge for the

organisation now is to re-set the strategy for the coming years

and we are actively progressing in this regard, alongside our

key partners, notably Barts Health NHS Trust and the London

Ambulance Service. Notwithstanding our strong financial

performance this year, the cost of operating and delivering the

service, with extended daylight flying hours and a second

helicopter, will increase by £1.2 million p.a. Therefore the focus

on fundraising and income generation remains relentless as we

drive towards financial sustainability.

The charity sector has been subjected to some close scrutiny

in recent times, against a backdrop of negative media stories

and diminishing public perception. The Board of Trustees at

London’s Air Ambulance have recognised that it needs to

continue evolving, both in support of an increasingly dynamic

and fast-growing charity, but also to ensure that it is

appropriately focused on governance, risk and resource

allocation. The Board itself is in the process of being re-

constituted, not only in terms of personnel but also in terms

of its governance framework and, since my appointment as

Chairman, we have implemented a Board Charter, a Code of

Conduct and appropriate terms of reference so that we can

continue to comply with the various regulatory bodies that

oversee our business operations, and that we can continue

to be transparent and accountable in all that we do. As a

charitable organisation working in partnership with public

sector bodies, such as the NHS, we believe in and indeed

welcome an appropriate level of challenge and scrutiny from

donors, partners and stakeholders alike. With a re-formed

Board of Trustees in place, I am increasingly confident that

we can stand up to such scrutiny and that we can support

London’s Air Ambulance in the ongoing delivery of its mission

and public benefit to the people of London.

On behalf of the Board of Trustees, I would like to say a

heartfelt ‘thank you’ to all our supporters, both existing and

new, for their generosity and trust. We are humbled by your

support and remain committed to be the very best that we

can be in looking after our patients and delivering world class

care at every opportunity.

Mark Vickers

ChairmanLondon’s Air Ambulance

Page 6: London's Air Ambulance Annual Review 2014/15

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Financial year 2014/15 was a highlysuccessful one for London's AirAmbulance. When I joined theorganisation in late 2012, there weresome key areas of focus for me as CEOthat I felt were pre-requisites for us to beconsidered a high performing charitythat could stand alongside the world-class standards already set by ourclinical and operational teams.

There needed to be a more

clearly defined strategy; a

meaningful investment

in our people and our

infrastructure and,

ultimately, a

heightened

purpose and clarity

to our

communications,

both internally and

externally to our

supporters and

stakeholders. In turn, all of

that needed to be underpinned by a

cohesive income generation plan that both diversified our

revenues and enhanced the quality of those streams through a

relentless approach to cultivating sustainable and mutually

reinforcing partnerships.

I am therefore thrilled to be able to update you on our progress

in this annual report. Strategically, we delivered on our promise

to extend our daylight flying hours to sunset each day in the

summer for the first time in our history; and through the 'Your

London, Your Helicopter' fundraising campaign, we are closer

than ever to realising our aspiration of getting a second

helicopter into operation for London. At the time of writing, we

have raised, or had pledged, almost £4 million towards our

target of £6 million.

Our investment in people is also paying dividends, and we have

attracted significant talent to the organisation in this timeframe,

as well as developing the people that we have. Our employees

are required to live our values of Passion, Teamwork,

Resilience, Transparency, Excellence and Professionalism and

this has been built into our performance management

frameworks, all aligned to our strategy and mission. We are

developing a track record of promoting from within, and we will

be undertaking further initiatives in the coming year to help

develop a pipeline of talent for the challenges ahead, including

participating in sector wide graduate and diversity initiatives.

Our internal communications strategy has developed at pace

over the year in review and there are a variety of internal

platforms in place that facilitate the dissemination of information

and progress. Externally, we believe our brand is emerging as a

trustworthy and dynamic one in the social sector. Our digital

and social media footprint is growing and we continue to build

constructive relationships with both print and broadcast media.

Chief Executive Officer’s Report

Page 7: London's Air Ambulance Annual Review 2014/15

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Ultimately I am most proud of how all of the above has

dovetailed to deliver the charity's most successful ever

fundraising year. Our audited accounts show that we raised a

total of £8,082,060 in consolidated income to the year ending

31st March 2015, an increase of 68.3% on the previous year.

Due to the investments alluded to above, and accounting for a

material increase in pro-bono professional services, our

consolidated costs also rose during the same period, to a total

of £6,050,368, albeit at the much slower incremental rate of

25.6% over the previous year.

As our Chairman rightly states, earlier in this Review, the charity

sector is very much under the spotlight at this juncture and

stories of fundraising malpractice, weak governance and

breaches to data protection are now front page tabloid news.

Public perception of charities is at its lowest point for seven

years, according to sector research. Against this backdrop I am

therefore particularly delighted with our financial performance in

this financial year. Whilst we continue to innovate in the

fundraising arena and drive more commercial revenues into our

business model, we constantly review our practices and

procedures to ensure that we are engaging with our supporters

in a way that is ethical and moral and which go beyond the

thresholds laid out by our regulatory bodies, including the

Charities Commission and the Gambling Commission (for our

society lottery scheme). We are members of the Fundraising

Review Standards Board and we take our approach to

supporter engagement and fundraising very seriously.

I would like to say a special thank you to all those that

volunteer their time and skills to London’s Air Ambulance as

without you there is so much that we couldn’t get done and

the charity simply wouldn’t be on the positive path that it

currently is without your contribution.

Thank you to all our supporters who have helped make this

financial year such a standout success. Everything we do is

focused on providing our patients with the best possible outcome

and we endeavour to remember that our life saving service is

mandated by you, the people of London and for your benefit.

I am truly excited by the next stage of our development, and I

would like to personally place on record my thanks to the team

here at London’s Air Ambulance, including clinicians who

volunteer their time through our Emeritus programme; for your

unwavering commitment, passion and ambition for the service.

Ours is a truly rewarding and humbling charity to be associated

with and I am deeply privileged to be your CEO.

Graham Hodgkin

CEOLondon’s Air Ambulance

Page 8: London's Air Ambulance Annual Review 2014/15

The global problem of serious injury, or‘trauma’, remains the biggest cause ofdeath in people under the age of 45 inthe UK. The partnership betweenLondon’s Air Ambulance, Barts HealthNHS Trust and the London AmbulanceService goes from strength to strengthin leading the challenge to this disease,not just in London but throughout theUK and the rest of the world.

This year, we performed the

world’s first pre-hospital

Resuscitative Endovascular

Balloon Occlusion of the

Aorta (REBOA). This

procedure is used to

control catastrophic

pelvic bleeding, an

injury that is most

commonly associated

with serious cycling

incidents and falls from

significant heights.

This new technique allows us to

prevent a patient from bleeding to death before they reach

hospital. This is a ground breaking initiative and one of the

most notable developments in pre-hospital care since we

pioneered pre-hospital thoracotomy (open heart surgery) at

the roadside. REBOA has already saved the lives of people in

London and will go on to benefit many others through the UK

and beyond as the procedure is taken up by other services.

The introduction of extended daylight flying hours has also

been a significant development for the service. For seriously

injured patients every second counts and getting to their side

as soon as possible is vital, the London’s Air Ambulance

helicopter makes this possible. We are getting to more patients

and in a more timely and effective way. The impact of extended

daylight flying hours cannot be understated.

The Institute of Pre-hospital Care at London’s Air Ambulance

has provided a powerful platform for research, innovation and

education in pre-hospital care. 2014/15 has been a pivotal year

for The Institute, with the very first cohort of students accepted

to the UK’s first Intercalated BSc degree in Pre-Hospital

Medicine. Delivered in partnership with Queen Mary University

London the course is an unprecedented opportunity to develop

the specialty field of pre-hospital emergency medicine.

I have no doubt the incredible financial boost which the charity

has delivered this year will translate into lives saved in London

and beyond as we continue to innovate and lead the world in

pre-hospital emergency care.

Thank you for your generosity,

Dr Gareth DaviesTrustee & Medical DirectorLondon’s Air Ambulance

Medical Director’s Report

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Page 9: London's Air Ambulance Annual Review 2014/15

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Page 10: London's Air Ambulance Annual Review 2014/15

A Year inHighlights

Public appeal for a 2nd helicopter -‘Your London, Your Helicopter’

campaign launched

Life-saving dispatchapp launched

Documentary series:Over 3 million watched our work

Daylight flying hours extendedWorld’s first pre-hospital

REBOA performed

London Freemasons pledge £2 milliontowards the 2nd helicopter campaign

New livery of rapid responsecars revealed

Awarded £1,000,000 byChancellor of Exchequer

Charles Newitt, ChiefOperating Officer appointed

Autumn Reception with City LiveryCompanies at Barber-Surgeons’ Hall

£120,000 raised atSilver Gala Ball10

Page 11: London's Air Ambulance Annual Review 2014/15

In 2014 our advancedtrauma doctors andparamedics treated

1806PATIENTS

Havering36Redbridge40

Enfield69Barnet55

Haringey66

WalthamForest57

Hillingdon82 Ealing67

Hounslow9

Richmondupon Thames45

Barking &Dagenham44

Kingston19

Sutton21

Merton17

Lambeth93Wandsworth41

Kensington& Chelsea43

Southwark47

Lewisham66

Greenwich55Bexley31

Croydon66

Bromley56

OutsideLondon30

Harrow32Brent55 Camden51

Westminster 120Hammersmith

& Fulham 38

Islington45 Newham76Hackney101

TowerHamlets104City Of

London 29

2014 Mission Map

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London’s Air Ambulance is the charitythat delivers an advanced trauma teamto critically injured people in London inpartnership with Barts Health NHS Trustand the London Ambulance Service.

The service provides pre-hospitalmedical care at the scene of the incidentand serves the 10 million people thatlive, work and travel within the M25.

Based at The Royal London Hospital and founded in 1989, the

service operates 24/7 with the single helicopter operating in

daylight and rapid response cars taking over at night or

adverse weather conditions.

The team, which at all times includes an advanced trauma

doctor and paramedic, perform advanced medical interventions

normally only found in the hospital emergency department in

time critical, life threatening situations. Missions commonly

involve serious road traffic collisions, falls from height, industrial

accidents, assaults and injuries on the rail network.

The Physician Response Unit car, staffed by a doctor and a

London Ambulance Service paramedic carries specialist

drugs and equipment to treat a range of medical incidents

including patients who suffer from cardiac arrest. A high level

of diagnostics and treatment can be initiated on-scene, giving

the optimal outcome for the patient and often avoiding

admission to an Emergency Department and use of an

ambulance asset with many patients receiving diagnosis or

treatment in their home or community.

London’s Air Ambulance has an international reputation for

clinical excellence and delivers pioneering procedures which

have been adopted across the world, including pre-hospital

open heart surgery, blood transfusion and now REBOA.

About London’s Air Ambulance

Page 13: London's Air Ambulance Annual Review 2014/15

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The longstanding partnerships we havewith Barts Health NHS Trust and theLondon Ambulance Service areinvaluable to our work.

Barts Health NHS Trust provides direct financial support and

the helipad facility at The Royal London Hospital, our

operational home. It also employs and remunerates the

advanced trauma doctors who are seconded to the service.

The London Ambulance Service similarly provides funded

paramedics who are seconded to the service.

As part of their duty roster with us, seconded paramedics

rotate to operate from the London Ambulance Service

Emergency Operating Centre and are responsible for

dispatching us to the most critically injured people in London;

our service simply cannot be delivered without them.

London Ambulance Service

Our NHS Partners

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MissionOur mission is to provide our patients with the world’smost innovative and effective pre-hospital care.

ValuesOur values sit at the centre of everything we do.

PassionWe believe that our passion drives us and makes our

organisation unique.

TeamworkWe each perform a critical role and together we provide our

world-leading service to enhance the outcome for patients.

ProfessionalismWe each strive to be the very best in our field and to deliver it in

the most effective way possible.

ExcellenceWe constantly innovate in order to achieve excellence in all

that we do.

ResilienceWe demonstrate flexibility and strength in our determination to

achieve our goals, often in the most extreme of situations.

TransparencyWe demonstrate honesty and integrity through the openness of

our communication.

Our Mission & Values

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Delivering on Our Mission

Our Firsts in 2014/15World’s first pre-hospital REBOAperformed

We performed the world’s first roadside balloon surgery to

control internal bleeding. Resuscitative Endovascular Balloon

Occlusion of the Aorta (REBOA), a technique used first in the

Emergency Department at The Royal London Hospital of Barts

Health NHS Trust, is a significant innovation to control

haemorrhage in trauma patients at the scene of their accident.

On average we are deployed five times a day to deliver life-

saving medical interventions to people critically injured in the

Capital. Many of these patients are suffering from catastrophic

bleeding. Tragically some die at the scene as a result of their

severe blood loss and never make it to hospital. London’s Air

Ambulance can now perform REBOA on patients suffering

severe pelvic haemorrhage, an injury most commonly

associated with cycling incidents and

falls from height. During the period

of this review, we performed the

REBOA procedure twice with

both patients surviving their

life-threatening injuries.

Extended daylight flying hours introducedFor the first time in our history, we have been

flying longer hours during the summer

months of 2015. From 29 March 2015, the

start of BST, until 2 September 2015 we

deployed a second flight crew each day

and have been able to deliver our

advanced trauma team to critically injured

people in London via helicopter every day

until sunset. Previously, due to flight

restrictions of 12 hours for a single crew, our

medical team had to revert to a rapid response car at 18.45.

The introduction of extended daylight flying hours enabled us

to reach, and treat, 67 patients by aircraft.

Dispatch app A revolutionary new mobile app and EE’s

4G network are helping us save lives by

reducing the time it takes to dispatch our

advanced trauma teams by up to two

minutes. Developed by mobile app

developer Mubaloo and EE, the app

increases emergency dispatch efficiency by

automatically providing London’s Air Ambulance

trauma teams with incident information via EE 4G directly to

iPads which helps us reach patients quicker than ever before.

In the calendar year 2014 we treated 1806 critically injured patients. We striveto find new ways to enhance the outcomes for our patients through innovation,both in clinical interventions and our operations, ensuring we fulfil our missionof providing our patients with the world’s most effective pre-hospital care.

Page 16: London's Air Ambulance Annual Review 2014/15

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• Delivering greater resilience through bringing into service a

second helicopter combined with the extension of our

daylight flying hours.

• Continuing the successful growth of the Institute of

Pre-Hospital Care (“The Institute”).

• Developing and delivering a schools’ outreach programme.

• Working closely with Barts Health NHS Trust and the London

Ambulance Service to deliver improved pre-hospital care

procedures and pathways.

• Continuing to expand on the success of the role of the

Patient Liaison Nurse.

This is a truly exciting era of development for London’s Air

Ambulance and other initiatives will be embarked upon as our

planning phase concludes, all of which will be underpinned by

our improving financial performance.

As we come to the end of our current three year plan, we are now starting todevelop our strategy for 2020 and beyond. As well as continuing to deliver on ourmission as previously outlined, our strategic objectives for 2015/2016 will include:

Our Strategic Objectives

Page 17: London's Air Ambulance Annual Review 2014/15

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Channel 5’s ‘Trauma Doctors’Channel 5's 'Trauma Doctors: Every Second Counts' returned

for a second series in May 2014, providing an insight into the

thought processes and decision making that takes place when

our advanced trauma team is treating London’s most critically

injured. Viewers saw our team in action and making the split

second decisions in time-critical situations. Over 1 million

people tuned in to watch the series.

BBC2’s ‘An Hour to Save Your Life’The three-part second series returned to BBC Two in 2015,

capturing life-saving medical situations at the roadside, and at

The Royal London Hospital. The series included many of our

pre-hospital innovations: roadside open heart surgery, blood

transfusion and REBOA – the innovative balloon surgery used to

combat catastrophic bleeding which we pioneered in 2014.

Over 2 million people tuned in to watch the series.

Dr Gareth Davies, Trustee and Medical Director, said: “Our aim

is to provide our patients with the world’s most innovative and

effective pre-hospital care. The documentaries we chose to

participate in capture procedures and chains of care, to try to

reverse the dying process and literally bring patients back from

the brink of death. With their vast viewership, these

programmes allow us to raise awareness of our pre-hospital

innovations and how they change the prospects of patients who

previously might not have survived their injuries”.

We have long pioneered innovation in trauma care and have an internationalreputation for a world class standard of care. Our work, delivered in partnership withBarts Health NHS Trust and London Ambulance Service, continues to be showcasedin high-profile TV documentaries, raising awareness of and sharing the innovativemedical procedures performed in the pre-hospital environment in London.

Sharing Innovation Through the Media

Page 18: London's Air Ambulance Annual Review 2014/15

When Orhan got off the bus, he was hit by alorry and thrown 80 feet along the road.He had a swelling on his brain, a lacerated liver, heavily bruised

lungs and multiple fractures to his face. From that moment every

minute made a difference to the 13 year old. Our advanced

trauma team sedated Orhan on scene to prevent further

damage to his brain and immediately airlifted him to hospital.

“My son got the treatment he would have received in the

Emergency Department – right there, on the ground. When

Orhan woke up in the children's intensive care unit, he knew

who we were and he had no life changing injuries. It was such a

relief for our family,” said Orhan’s mother.

Orhan is now back at school and has made a full recovery.

ORHAN’S STORY

IAN’S STORY

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Our Patients

Ian fell 15 feet, landing on his back, ontoconcrete after a football match at Wembley.He fractured his skull, broke six bones in his back and

was at great risk of his spine splintering into his spinal

cord and paralysing him for life.

“That day, I came dangerously close to never walking

again. The doctor and paramedic from London´s Air

Ambulance put me in an induced coma and packaged

me, securing my spine to prevent further spinal injury. I

was millimetres away from puncturing my spinal cord and

it is still unreal for me to think that I could have been

paralysed today if I was moved in a wrong way.” said Ian.

Ian is now back at work. Not only can he walk again, he

can lift his youngest daughter into his arms.

Page 19: London's Air Ambulance Annual Review 2014/15

When his motorcycle collidedwith a lorry, James sustained

severe head injuries, his lungshad collapsed and he brokehis shoulder and elbow. Our

advanced trauma teamperformed surgery at the

roadside to re-inflate James’lungs before airlifting him to

the hospital. He has nowreturned to running his ownbusiness and is riding again.

We would like to thank all our patientswho shared their story to help raiseawareness and funds for our vital work.Our patients are at the heart of everythingwe do so it’s crucial their voices are heard.

MECHANISM OF INJURY33% Road Traffic Collisions27% Falls from Height24% Penetrating Trauma16% Other

Mac’s heart stopped after hewas stabbed in the chest at aparty. Our advanced traumateam brought him back to lifewith on-scene open heartsurgery and blood transfusion.Mac is remarkably now backat work and as an ambassadorfor the charity.

Following treatment onscene, we airlifted Caitlin tohospital after she was hitby a bus in front of herschool. The children sawour helicopter land andrallied behind our charity,raising almost £5,000.Caitlin is now back atschool with her friends.

19

Andrew suffered a severebrain injury after falling off astaircase. Our advancedtrauma team anaesthetisedhim on scene and he spentfour days in an inducedcoma. Weeks aftersustaining this potentially lifechanging injury, Andrewmarried his fiancée.

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The Institute of Pre-Hospital Care

In 2013, The Institute of Pre-Hospital Care at London’s Air

Ambulance (“The Institute”) was founded to drive excellence in

pre-hospital care standards and practice through research,

innovation and education; and by fostering collaboration across

medical disciplines and institutions dedicated to improving

outcomes for people afflicted by critical injury and illness.

Education The Institute’s education practice is led by Dr Gareth Grier. The

Institute and Queen Mary University of London’s Barts and The

London School of Medicine and Dentistry have partnered to

create the UK’s first Intercalated BSc degree in Pre-Hospital

Medicine. Pre-hospital medicine is an innovative and growing

field that is now recognised as a sub-specialty by the General

Medical Council. 2014/15 was a pivotal year for the BSc degree

with the very first cohort of 11 students achieving outstanding

results and setting a high standard for the course.

As part of multidisciplinary training, The Institute runs a

Pre-Hospital Care Course, an Underground Training Course

simulating incidents on the train network in realistic settings

and works closely with the military.

Dr Gareth Grier, Institute Director, said: “The Institute was

founded to be a world-class training institute to educate the

next generation of trauma doctors; to innovate and research;

and foster collaboration across medical disciplines and

institutions dedicated to improving outcomes for people

afflicted by critical injury and illness. It has been an

exceptionally busy year for the Institute and I am delighted that

we are making a significant impact on this vision.”

ResearchThe Institute’s research practice, led by Professor David

Lockey, uses London’s Air Ambulance’s twenty-six years of

patient data to study the effectiveness of pre-hospital medical

interventions, to address other topics of pressing concern to

the international pre-hospital care community. In 2014/15, The

Institute's clinical leadership contributed to seven publications,

covering topics ranging from pre-hospital anaesthesia,

intubation and airway management to reporting of pre-hospital

major incident medical management.

Innovation The Institute’s innovation practice, led by Dr Gareth Davies,

works closely with London’s Air

Ambulance operations to

devise safer, faster and

more effective

options for treating

critically injured

and ill patients in a

pre-hospital

environment.

London’s Air Ambulance has been a leader in thedevelopment and practice of pre-hospital care inthe UK and abroad for the last 26 years.

Page 21: London's Air Ambulance Annual Review 2014/15

21

Patient Liaison Nurse

The initiative to appoint a Patient LiaisonNurse stemmed from a need to providean interface between our medicalservice and our patients during theirlong and often difficult recoveries.

Sadly, many of our patients sustain injuries that have a

substantial physical and mental impact on their lives. Previously

London's Air Ambulance was only resourced to treat our

patients at their moment of greatest need, hand over their care

to specialist teams at the hospital Emergency Department and

then typically have no further contact.

Thanks to a generous grant from The City of London

Corporation’s charity, City Bridge Trust, to fund the role for three

years, our Patient Liaison Nurse, Frank Chege, has been able to

assist those most vulnerable patients through what is likely to

be the most challenging time of their lives, the transition from

injury and disability to recovery and independent life.

Now Frank provides face-to-face support to patients and their

families, answering their questions and identifying un-met

needs. By facilitating reunions between patients and the

London's Air Ambulance paramedic and doctor that delivered

their care, Frank has offered our patients the opportunity to find

out what happened to them and feedback on the care they

received. Our charity is now able to evaluate and improve

medical interventions as guided by patient feedback and

enhanced outcome records, helping to improve the systems

used for treating critically ill patients.

Over the last financial year, Frank has established support

networks for our patients by identifying and creating working

relationships with a number of charitable organisations, including

Samaritans and Limbless Association, and established alternative

health care providers that are equipped to support patients and

their families through the rehabilitation process. In 2014/15, Frank

followed up with 220 patients to provide vital post trauma

support and guidance.

Now in its second year, the role of the London's Air Ambulance Patient Liaison Nurseassists patients with their transition back to independent living. This role bridges thegap between the rapid on-scene pre-hospital treatment that the charity is renownedfor and the patient’s long-term recovery.

Page 22: London's Air Ambulance Annual Review 2014/15

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We are incredibly humbled to have somany passionate, dedicated andgenerous supporters making ourwork possible.

We rely on your support to maintain and enhance our life-

saving service. Thanks to you, we can continue to deliver our

advanced trauma team to critically injured people 24 hours a

day, 7 days a week. We can be by a patient’s side within

minutes of their injury to perform advanced medical

procedures, normally only found in the hospital’s Emergency

Department.

In February 2015 our ‘Your London, Your Helicopter’ campaign

was launched to raise the funds needed to acquire and sustain

a second helicopter and extend our daylight flying hours for five

years. Our supporters have risen to the challenge and we are

incredibly grateful for this.

Thank you for helping us give ourpatients the best possible chance ofsurvival and recovery.

Support from Corporates

We are a dynamic and innovative organisation with an

inspirational and truly compelling cause. We are passionate

about creating mutually beneficial partnerships and ensuring

that working with us is a rewarding and exciting experience. We

work with a range of corporate partners and continue to benefit

from corporate support in a variety of ways; sponsor partners

for our helicopter and rapid response cars, charity of the year

partnerships, cause-related marketing and corporate donations.

Our Supporters

Page 23: London's Air Ambulance Annual Review 2014/15

Support fromTrusts,Foundations andLivery Companies

We are supported by a

growing range of Trusts,

Foundations and Livery

Companies. We share their

values and priorities, with a

commitment to excellence,

innovation and highly

impactful use of funding.

Donations and grants are

awarded to support our core

services, specific innovative

projects, life-saving medical

equipment or for ground-

breaking educational

outreach projects.

Our Livery Company

supporters have highlighted

that our charity resonates with

them because of their deep-

seated history of addressing

the challenges facing London,

and commitment to building

upon their heritage and

remaining highly relevant in

today’s society.

Support fromIndividuals

Over the year we have

achieved our objective of

growing our regular giving

programmes by increasing

both the number of

supporters who take part in

our weekly lottery and those

who donate to us monthly.

The funds generated from

individual supporters through

regular giving are sustainable

and unrestricted, which helps

us plan and deliver the

services we provide, with a

greater degree of confidence

and sustainability.

As the charity matures and

we increase our community

of loyal supporters, gifts in

Wills will be an important

future income stream for us.

It is the individuals who have

supported London's Air

Ambulance in their lifetime,

who are passionate about

making sure our work lives

on, that will choose to leave a

gift in their Will.

Many people take part

in challenge events and

raise money through

sponsorship. We have a

range of London charity

events including abseiling,

running and cycling or

supporters can hold their own

event to raise money for us.

Support from theCommunity

Many Londoners feel proud

to be associated with and to

raise funds for London's Air

Ambulance. There is a

genuine sense of ownership

and, as a result, we have a

very strong fundraising

programme within the

communities we serve. Local

clubs and societies hold

events. We run stalls and

bucket collections throughout

London and many shops,

pubs and restaurants host

our collection pots which, as

well as providing significant

income, also raise awareness

of our vital work and our

charitable status.

Support from ourVolunteers

Our dedicated volunteers are

key to making our fundraising

a success and act as

ambassadors for the charity.

We could not achieve all that

we do without them. Our

volunteers help out at events,

support our charity office

team and work within the

local community to raise

awareness and funds.

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Page 24: London's Air Ambulance Annual Review 2014/15

Phoenix GroupIn 2014, staff from Phoenix Group choseLondon's Air Ambulance as one of its twocharity partners for the year with an aim toraise £140,000 to be split equally between usand Midlands Air Ambulance Charity.

Staff rose to the challenge, abseiling, cycling, trekking and

running in events up and down the country whilst clients and

stakeholders supported through a gala dinner and an auction.

Staff engagement and commitment to the air ambulances led

to extensive fundraising involvement and individual challenge

participation along with creative ideas including a ‘Big Sleep

Out’ and a ‘Gunge the Manager’ event at their Head Office.

The company raised a staggering £230,000 in just 12 months

and the relationship has proved so successful that it has been

extended for a further two years.

Hogan Lovells Hogan Lovells came on board as a charitypartner in 2014 for a period of two years, aimingto raise £50,000 in the first year - to be splitequally between London’s Air Ambulance andLend with Care.

With a busy fundraising calendar including a spin-athon,

abseiling, swishing and pub quizzes, staff were also keen to

utilise their talents and the Hogan Lovells choir sang at the

London's Air Ambulance Christmas Carol Service 2014.

Additionally the aviation team at Hogan Lovells is providing pro-

bono support on the acquisition and financing of our second

helicopter.

Following the success of the 18 months, having raised £80,000

in 2014 alone, Hogan Lovells decided to extend the charity

partnership with London’s Air Ambulance to three years.

24

Our Corporate Supporters

Page 25: London's Air Ambulance Annual Review 2014/15

London Freemasons

We are delighted to partner with London

Freemasons to help raise funds to acquire

and sustain a vital second helicopter. The

partnership, which aims to raise £2 million

between March 2015 and spring 2017,

will represent the most significant current

contribution from a single organisation to

the London’s Air Ambulance ‘Your

London, Your Helicopter’ campaign.

In March 2015, London Freemasons

launched the appeal to its 40,000

members across 1,350 lodges in London

to fundraise towards the £2 million target.

London Freemasons kicked off the

partnership with a cheque presentation of

£250,000 at their Annual General Meeting

where members of the London’s Air

Ambulance operational and clinical teams

gave an address. London Freemasons will

hold fundraising events, dinners and

collections from individual lodge donations

until the £2 million target is raised.

Livery Companies

In October 2014 London's Air

Ambulance hosted an Autumn

Reception at the Barber Surgeons’ Hall.

We are very grateful to the Worshipful

Company of Barbers for making this

wonderful venue available to us for the

evening. Following this event, a number

of the City Livery Companies awarded

donations to support our life-saving core

service and medical equipment vitally

needed by the charity.

We look forward to continuing to work

closely with the Livery Companies of

London in the upcoming financial year.

For a full list of our Livery Company

supporters, please see page 30.

Mactaggart Third Fund

The Mactaggart Third Fund has been a

committed supporter of London’s Air

Ambulance for a number of years. In

2014, the Trustees enhanced this support

by providing Special Project funding for a

much needed second ultrasound scanner

for our service. The additional ultrasound

is absolutely vital to our most recent

clinical innovation, REBOA. This ground-

breaking new procedure was first carried

out in 2014 and represents the world’s

first balloon surgery to control

catastrophic pelvic bleeding. Later in the

year, the Trustees also part-funded the

purchase of a third ultrasound scanner.

The generous support of the Mactaggart

Third Fund has allowed us to have a full

REBOA kit available 24/7 for our

medical teams to utilise in both the

helicopter and rapid response cars, with

back up and contingency for each and

to support our clinical training.

25

Our Trust, Foundation &

Livery Company Supporters

Page 26: London's Air Ambulance Annual Review 2014/15

Note: Based on stand-alone charity audited accounts and excludes investment income

OUR INCOME (%) £6,879,789 OUR EXPENDITURE (%) £4,855,159

CHARITABLEACTIVITIES

60%

COST OFGENERATINGVOLUNTARYINCOME 37%

GOVERNANCE 3%

BARTS NHS TRUST17%

LIBOR GRANT15%

COMMERCIAL ARM(MERCHANDISE, LOTTERY,

SPONSORSHIPS)

25%

GIFTSIN KIND

13%

TRUSTS &FOUNDATIONS

9%

INDIVIDUALS8%

CORPORATEGIVING 5%

EVENTS7%

COLLECTIONS 1%

It costs approximately £6 million

(consolidated cost) per year for the

service of advanced trauma care to be

provided to critically injured patients in

London, 24 hours a day, 7 days a week.

In 2014/15 London’s Air Ambulance

raised £6,879,789 excluding investment

income of £7,082 (72% more than last

year) from individuals, trusts and

foundations, companies, community

groups and statutory grants. We are

extremely grateful for the generosity of

our partners and supporters and rely on

this in order to continue saving lives and

improving patient outcome.

We are absolutely committed to

spending our money as efficiently as

possible and scrutinise how every

pound is used. The majority of our

income (60p in every pound) is spent

directly on delivering an advanced

trauma team to critically injured people

in London. We spend on average 3p of

every pound on governance. We

believe it is important to invest in

fundraising because this allows us to

secure sustainable income for the

charity in the future. For every £1 we

spend on fundraising we generate

more than £4 in income.

In 2015/16 we are continuing to

fundraise to support a second helicopter

for five years – currently London is the

only major capital city with one

emergency helicopter. A second

helicopter will provide resilience and

cover during periods of maintenance.

For the first time in our history we have

been able to provide extended

helicopter coverage during summer

daylight hours. This is costing our

charity an additional £1.2 million a year.

Our Finances

26

Page 27: London's Air Ambulance Annual Review 2014/15

27

Thank You to Our Sponsors

The Earl of Arran

Lord Maxwell Beaverbrook

Philippe Chappatte Esq

The Rt Rev. & Rt Hon. Dr Richard Chartres

Glenn Earle

Martin Gilbert

Ward Hamilton

Bernardo Hartogs

Mike Hussey

Sir George Iacobescu CBE

Dr Hilary Jones

Julia Leal

Sir Stirling Moss OBE

Sir Stephen O'Brien CBE

Jeremy Sandelson

Sir Harry Solomon

Maurice Thompson

Baroness Jo Valentine

His Grace, The Duke of Westminster

General Sir Roger Wheeler GCB, CBE

Paul White

Dr Alastair Wilson OBE

g r e e n e r sma r t e r t r a v e l

We would like to extend a special thank you to our helicopter and rapidresponse car sponsors:

Thank You to Our Patrons

Page 28: London's Air Ambulance Annual Review 2014/15

28

Aker Solutions

Ashurst

Aspen Insurance

A-Z Maps

Berkeley Group

BlackRock

Canary Wharf Group

CHP Consulting

CIS Security

Daiwa Capital Markets

Deloitte

Fairview

Fidelity Worldwide Investments

Frogmore

Galliard

Heron

Hogan Lovells

HSBC

Informa

International SOS

LDC

On behalf of everyone at London’s Air Ambulance, our patients andtheir families, we would like to say a heartfelt thank you to the manyindividuals, companies and trusts that have supported us this year.Our work simply wouldn’t be possible without you.

Corporate Supporters

ThankYou toOur Supporters

Page 29: London's Air Ambulance Annual Review 2014/15

M&G Investments

Marcol

MBN Events

Mubuloo

Ocean Outdoors

Oracle Corporation

Parkeray

Phoenix Group

Reuben Brothers

RLM Finsbury

Rothschild

Shipleys

Simmons & Simmons

Skanska

Slater & Gordon

UIB

Vocalink

Xchanging

XL Group

Zoll

29

Page 30: London's Air Ambulance Annual Review 2014/15

Trust, Foundation & Livery Company Supporters

30

The A&L Sussman Charitable Trust

The Adint Charitable Trust

The Adrian Swire Charitable Trust

The Baker Charitable Trust

The Beale Trust

The Beaverbrook Foundation

The Bothwell Charitable Trust

The Brian Maguire Charitable Trust

The Broad Street Ward Club

The CA Redfern Charitable Foundation

The Chandris Foundation

The City Bridge Trust

The Doris Pacey Charitable Foundation

The Doughty Hanson Charitable Trust

The Edith Murphy Foundation

The Ettling Charitable Trust

The Fitton Trust

The Foresters Charity Stewards UK Trust

The Freemasons’ Grand Charity

The Galaxy Hot Chocolate Fund

The Gerald Ronson Charitable Trust

The Golden Bottle Trust

The Guild of Freeman of the City of London

The Heathside Charitable Trust

The Helianthus Charitable Trust

The Henderson Foundation

The Highfields Trust

The Hintze Family Charitable Trust

The Honourable Society of the Middle Temple

The Hospital Saturday Fund

The Human Aid UK Foundation

The Inch Trust

The JDR Charitable Trust

The John & Lorna Trust

The Kass Charitable Trust

The Khoo Teck Puat UK Foundation

The Kirsh Foundation

The Leeds Building Society Charitable Foundation

The Lexus Foundation

The London Freemasons

The London Parachute Regimental Association

The Mackintosh Foundation

The Mactaggart Third Fund

The Michael & Anna Wix Charitable Trust

The Michael & Ruth Jacobs Charitable Trust

The Misses Barrie Charitable Trust

Page 31: London's Air Ambulance Annual Review 2014/15

31

The Mistra Trust

The Modiano Charitable Trust

The Mrs Hilda Beer Charitable Trust

The Mrs Maud Van Norden's Charitable Foundation

The Oddfellows West London District Lodge (No 10011)

The Ormsby Charitable Trust

The Orr Mackintosh Foundation

The Polo Charity Trust

The Rest-Harrow Trust

The Romeera Foundation

The S A Brihi-Brightwell Charitable Trust

The Sandra Charitable Trust

The Sir Victor Blank Charitable Settlement

The SNR Denton UK LLP Charitable Trust

The Spear Charitable Trust

The St James's Place Foundation

The Stanley Grundy Foundation Ltd

The Swire Charitable Trust

The Tinsley Charitable Trust

The Trevor Chinn Charitable Trust No 2

The Vandervell Foundation

The Virgin Unite Foundation

The Vodafone Foundation

The WAB Trust

The Warshaw Family Charitable Trust

The Weaver Family Trust

The Worshipful Company of Blacksmiths

The Worshipful Company of Builder Merchants

The Worshipful Company of Carmen

The Worshipful Company of Chartered Secretaries &

Administrators Charitable Trust

The Worshipful Company of Drapers

The Worshipful Company of Educators

The Worshipful Company of Firefighters

The Worshipful Company of Fletchers

The Worshipful Company of Glovers

The Worshipful Company of Gold & Silver Wyre Drawers

The Worshipful Company of Launderers

The Worshipful Company of Management Consultants

The Worshipful Company of Pewterers

The Worshipful Company of Security Professionals

The Worshipful Company of Spectacle Makers

The Worshipful Company of Tallow Chandlers

The Worshipful Company of Tax Advisors

The XI'AN 2009 Trust

Page 32: London's Air Ambulance Annual Review 2014/15

@LDNairamb

London’s Air Ambulance

visit londonsairambulance.co.uk

Registered Charity London’s Air Ambulance is the registered charity that delivers anadvanced trauma team to critically injured people in London. Registered Charity (801013).

For more information please contact:

Graham Hodgkin, Chief Executive Officer

E [email protected]

T 020 7220 5470