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Focus on Evolutionary Change within St John New Zealand Refreshing Our Values to Benefit Our Patients and Our People By Peter Bradley, CBE, CEO of St. John, New Zealand. Peter Bradley, CBE is known globally across EMS as the author of the “Bradley Report,” the groundbreaking 2005 strategic review of NHS ambulance services in England, Taking Healthcare to the Patient, which was the catalyst for a major transformation in UK ambulance services. After a highly-successful decade-plus tenure as CEO of London <strong>Ambulance</strong> Service (LAS), Peter returned to New Zealand in 2012 to take on the challenging role of CEO of St John New Zealand at a time of organisational change and development. The last three years have seen improvements in clinical and operational service delivery at SJNZ but, as Peter explains below, the job isn’t finished and nobody at SJNZ, least of all himself, is resting on their laurels. It’s been an interesting transition, moving from CEO of the London <strong>Ambulance</strong> Service to CEO of the main ambulance service in New Zealand (NZ) – St John. I have been back here three-and-a-half years having left NZ for London in 1996. St John is a worldwide organisation operating in many countries, but we are one of only three that run the frontline emergency ambulance service – the other two are both in Australia (Western Australia and Northern Territory). Spring 2016 | <strong>Ambulance</strong>today Our five year strategy – which we have called the ‘Bigger Picture’ (a version of which appeared in a recent edition of this magazine) has five ambitions over five years and these are shown below. Most of these would align well with other ambulance services, however our fifth – ‘Partner of Choice’ focuses on our partners and reflects the much wider role that St John plays beyond running an ambulance service. - Right care right time - Local pathways - Quality care - People prepared for change - Partner of choice In terms of our ambulance service, I will start by outlining what is similar to the UK: well clearly the types of patients we see are the same, although we do get more traumarelated calls. We have similar ambulances, uniforms, kit and clinical guidelines. We have five frontline ambulance roles, starting with First Responder, then Emergency Medical Assistant (EMA), Emergency Medical Technician, Paramedic and finally Intensive Care Paramedic (ICP). All but First Responder and EMA must have an Authority to Practice (ATP), undertake annual refresher training and be exposed to a specific number of patient contacts each year to maintain their ATP. Our Medical Director has overall responsibility for approving ATP and the Clinical Procedures and Guidelines. Paramedics are not a registered health profession in NZ, however it is likely that this will happen over the next 18 to 24 months. Biography: Peter Bradley, CBE, CEO of St. John, New Zealand Peter was a paramedic in Auckland in the early stages of his career, and became Regional Director of <strong>Ambulance</strong> Services for St John New Zealand’s Northern Region before taking time out in 1995 to complete an MBA at Otago University. In 1996 he joined LAS as Director of Operations, and served as Chief Executive of the LAS from 2000 until his return to New Zealand. During his time in the UK, Peter was also the Chairman of the Association of <strong>Ambulance</strong> Chief Executives (AACE), and National Director of <strong>Ambulance</strong> Services for the Department of Health in England. He led the strategic review of NHS ambulance services in England, Taking Healthcare to the Patient, which was the catalyst for a major transformation in UK ambulance services. Winter 2014 | <strong>Ambulance</strong>today3 41