Reducing health inequalities is one of EMAS’s five strategic ambitions.

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We will work in partnership to reduce health inequalities 
to improve the health of our population, and ensure sustainability.

 

The information on this page summarises:

  1. What are health inequalities? 
  2. What is the ambulance service's role in reducing health inequalities?
  3. EMAS's role and our commitment to reducing health inequalities.
  4. What EMAS is doing to reduce health inequalities.

 

1. What are health inequalities?

"Health inequalities are unfair and avoidable differences in health across the population, and between different groups within society. These include how long people are likely to live, the health conditions they may experience and the care that is available to them.

The conditions in which we are born, grow, live, work and age can impact our health and wellbeing. These are sometimes referred to as wider determinants of health." - NHS England

NHS England and Integrated Care Boards (ICBs) have both committed to reducing health inequalities. NHS organisations have legal duties to reduce the factors that can contribute to health inequalities (Equality Act 2010, NHS Act 2006, Health and Care Act 2022).

 

2. What is the ambulance service's role in reducing health inequalities?

"Every day, ambulance services take thousands of calls from the public and see first-hand that in our least well-off neighbourhoods’ people are dying years earlier than they should." - Association of Ambulance Chief Executives (AACE), 2023

The ambulance service is often the first port of call for people who need emergency medical care. We deliver life-saving care and interventions to people across the country, often at their time of greatest need.

AACE has identified a range of opportunities for the ambulance service to reduce health inequalities. Their research shows that ambulance services can play a vital role in increasing the number of years that people in our communities are living in good health.

The AACE report and supporting information is available on the AACE website.

 

3. HI pillars.svgEMAS's role in reducing health inequalities

We believe that reducing health inequalities is everyone’s business. By playing our part in the East Midlands, EMAS can:

  • improve patient outcomes,
  • support the good health of people in the communities we serve, and
  • support the health and wellbeing of our staff and volunteers.

Our commitment

EMAS will promote an organisational culture that reduces health inequalities and improves access to preventative healthcare.

This includes:

  • Prioritising the needs of patients who are vulnerable, at high risk of illness, or regularly access healthcare services.
  • Making every contact count for every single patient.
  • Working in partnership with our local health and care systems to better understand the needs of our communities.
  • Supporting social and economic development in the East Midlands by:
    • conducting inclusive recruitment processes, and
    • using local supply chains to support local businesses where possible.
  • Achieving our goal to become net zero by 2040 by reducing the carbon footprint of our estates and vehicles.

4. What is EMAS doing to reduce health inequalities?

Our strategic commitment

Our commitment to reduce health inequalities is supported by our Five-year Strategy (2023-2028) and our five Sub-Strategies.

Our Clinical Strategy ensures that our patients are cared for in the most appropriate setting for their needs.

Health Equity​

  • Staff will have the skills and training to deliver the most appropriate care for each patient, ensuring that each patient receives equitable care and outcomes.​

  • Priority clinical conditions and population groups have been identified based on the opportunity to improve patient outcomes, clinical risk, demand and population need. These include end of life care, frailty, falls, cardiac and respiratory, mental health, stroke, trauma, children and young people, high volume service users and maternity. ​

Prevention​

  • Our organisational culture will champion reducing health inequalities and supporting preventative healthcare as core business.​

  • Staff will ‘make every contact count’, asking patients ‘what matters most’ to them to so that they can deliver preventative health care interventions opportunistically. ​

  • Enhance our data collection and data sharing capabilities to help inform our heath inequalities and preventative approach.​

Social Value​

  • Patients will be supported to receive the right care, by the right person, in the right setting. As well as improving patient outcome, this will reduce our environmental impact by reducing unnecessary attendances and conveyances. ​

  • EMAS will conduct research, in partnership with the wider systems, to benefit future patient care. ​

Community connections ​

  • EMAS will work collaboratively with system health and care partners to deliver our clinical operating model and improve accessibility to alternative community pathways. ​

  • The EMAS Volunteer scheme will support local communities by responding to cardiac arrests, training members of the community to deliver bystander CPR, installing community defibrillators and raising awareness of the ambulance service. ​

  • In partnership, we will ensure an integrated response to Major Incidents, Mass Casualty events and Marauding Terrorist Attacks, keeping our communities safe.​

Our Quality Strategy commits to delivering high quality care and treatment to all patients and developing a culture of continuous quality improvement.​

Health Equity​

  • Deliver a reliable and high-quality patient experience to all patients, using patient feedback and stories to continue to improve our services. ​

Prevention

  • By enabling staff to deliver the best care possible and feel empowered to contribute to delivering continuous improvements, patients will experience better outcomes.

Social Value​

  • Working with system partners to deliver high quality care across the whole care pathway and share learning to inform continuous quality improvement.​

Community connections ​

  • Strengthening the voice of the public in co-production of services and service improvements.​

Our Digital Strategy will support the delivery of safe, effective and timely care through our digital services.​

Health Equity​

  • Digital systems developed to support population health management and system integration, ensuring patients and staff can access the information they require.

  • Digital systems that enable collection of data that will inform our data intelligence function.​

  • Support digital inclusion for staff and patients​

Prevention​

  • Enable digital access to health resources for patients and staff.​

Social Value​

  • In partnership with system partners, develop digital systems which help address health inequalities and advance our digital capabilities in population health management.​

Community connections ​

  • Work in partnership with local health and social care providers to share data and insights to help support population health management approaches.​

Our People Strategy supports our staff to deliver safe, effective and compassionate care to our patients by developing and retaining a skilled and diverse workforce.

Health Equity​

  • Our people will have access to a positive and healthy workplace culture, where their physical and psychological needs are supported. ​

  • An inclusive approach to recruitment, ensuring our workforce is representative of local populations. ​

Prevention​

  • People services deliver a comprehensive proactive and preventative approach to health improvement and staff wellbeing, with Human Resources policies modelling best practice. ​

Social Value​

  • Commit to becoming an Anchor Institution, providing opportunity for secure employment to the local community.​

  • Introduce flexible and agile working practices, supporting a healthy work-life balance.​

Community connections ​

  • Strive to recruit from the local population, becoming an employer of choice and increasing the diversity of our workforce. ​

  • Work in partnership with local education institutes to provide training opportunities for our staff.​

  • Recruiting local volunteers to be a part of our community first responder programme, ensuring their contributions are valued. ​

Our Business Services Strategy will meet the need for financial, environmental and social sustainability in our workforce and communities. ​

Health Equity​

  • Share our research and intelligence with wider health and care organisations to improve health equity and population health outcomes.​

  • Use data intelligence to drive EMAS service improvement ensuring patients receive the best possible clinical outcomes.​

  • Enable patients and service users to share their experiences so we can improve our services.​

Prevention​

  • Through our internal and external communications, promote health and wellbeing campaigns that encourage healthy and socially responsible behaviours.​

  • Share data intelligence with commissioners and partners to identify and address preventative opportunities. 

Social Value​

  • Deliver our EMAS Green Plan to reduce our carbon footprint and achieve net zero carbon by 2040, embedding a consideration for net zero in day-to-day practice and decision making.​

  • Estate and vehicles will be as environmentally friendly as possible, including growing our electric vehicle infrastructure.

  • Provide modern facilities for our people.​

  • We will develop our role as an Anchor Institution.​

Community connections ​

  • Though our Partnership and Engagement Framework, engage with local communities, health and social care providers, primary care and our volunteer network.​

  • Explore opportunities to co-locate with the NHS and other blue light organisations, creating community hubs. ​

  • Support staff to engage with and understand the needs of seldom heard and local communities.​

Our commitment to sustainability

We have mapped our commitment to reduce health inequalities against the United Nations (UN) Sustainable Development Goals.[1] 

UN Sustainability Goal 1: No Poverty
  • We are committed to being an attractive employer of choice for people who live in the communities we serve.
  • Our Non-Emergency Patient Transport Service (NEPTS) supports eligible patients to travel to appointments.

 

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  • We are committed to the welfare of our staff, offering meal breaks in line with national guidance and payments for a late meal break.
  • As an NHS organisation, our staff can access a range of discounted or free food and drink.

     

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  • Our core business is to support the health and wellbeing of the populations we serve.
  • We support patients to remain at home where possible, using local pathways developed with partners.
  • Our NEPTS team supports patients to access further assessment and treatment in the community.
  • Our staff wellbeing offer includes: flexible working, occupational health, and staff networks.

     

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  • Our apprenticeship programme provides ‘on the job’ training. In 2023-24, 89 new apprentices included frontline and senior management roles.
  • Frontline staff can claim overtime for training.
  • We provide training around high priority conditions that are linked to health inequity.
  • Frontline staff have access to translation services, reducing language barriers with patients.

     

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  • EMAS actively promotes gender equity. 50% of our staff identify as female. We have a 50:50 gender split at Board level.
  • Our Women's Network and LGBT+ Network support staff on a range of areas.
  • We offer virtual men’s and women's health events.
  • We use sex-based questioning, not gender-based questioning.

     

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  • We provide period products for those who need them - both patients and colleagues.
  • Our staff can request sanitary waste bins in any toilet facilities in our buildings.

     

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  • The EMAS Green Plan commits to achieving Net Zero carbon for the emissions we control directly, by 2040.
  • We have Heat Decarbonisation Plans for our buildings.
  • We encourage our staff to use Lift Share and other commuting programmes that reduce the C02 footprint.
  • We have 86 electric vehicles, and 20 more in conversion.

     

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  • We are committed to recruiting from the communities we serve.
  • In 2023/24 we created 422 additional frontline roles.
  • Our Community First Responder schemes have 671 volunteers. They attended 32,545 incidents in 2023/24.
  • We are supporting veterans into work, via the NHS Step Into Health programme.
  • We visit schools and community events to promote ambulance service careers, when our service demand allows.

     

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  • We continue to innovate our Clinical Delivery Model to maximise our resources and deliver the best care to our communities.
  • Community public access defibrillators are installed in over 7,000 locations in our local communities.
  • Our Health Inequalities Data Dashboard informs our approach to health inequalities.

     

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  • We train our staff to 'Make Every Contact Count'. We support them to deliver healthy lifestyle advice to their patients.
  • We share data with our partners to inform health inequality prevention approaches.

     

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  • Our Green Plan commits to reaching net zero carbon for the emissions we can influence by 2045.
  • We participate in the Ride to Work scheme, making purchasing a bike up to 42% cheaper for staff.
  • The HeartSheild Programme is helping to improve cardiac arrest survival. In 2023-2024 over 8,000 members of the public were trained in CPR and using a defibrillator.

     

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  • Social value is embedded in all of our procurement contracts. 10% of contract scoring is attributed to delivering social value.
  • We have committed to social value and health inequalities action plans for our 999 services and Non-Emergency Patient Transport Service contracts.

     

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  • Our Green Plan commits to the NHS target of reaching net zero for our direct emissions by 2040 and net zero for the emissions we can influence by 2045.
  • We have pledged to a 35% reduction in our carbon footprint by 2029.

     

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  • Our Green Plan commits to increasing the non-clinical waste recycling rate to 40%.
  • We've also committed to improving how we dispose of ‘offensive waste’ to reduce the carbon footprint of waste disposal.

     

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  • We work in partnership with health, care, voluntary and wider blue light services across the region to improve health outcomes.
  • With the Association of Ambulance Chief Executives, we a collective commitment to reducing health inequalities.
  • We are committed to eliminating bullying and harassment of staff and volunteers.
  • We have strong working relationships with Trade Unions. We work together to deliver benefits for staff and the patients we serve.
  • Our Freedom to Speak Up policy enables staff to raise concerns.

 

1. The content of this publication has not been approved by the United Nations and does not reflect the views of the United Nations or its officials or Member States. More information about the UN Sustainable Development Goals is available on the UN website.