Ambulance
Winter2016
Winter2016
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Focus on Independent <strong>Ambulance</strong> Provision<br />
of financially unstable subcontractor<br />
where they were parked for contractual<br />
convenience.<br />
For the transferred patient transport staff<br />
with an emotional commitment to the<br />
NHS this transfer of obligations was not<br />
comparable to an amicable divorce. They<br />
certainly did not feel they were to blame<br />
for the breakdown in their employment<br />
relationship with the NHS; in their eyes<br />
Coperforma were an adulterous third-party<br />
and the CCG a poor judge.<br />
The likelihood of these recent and angry<br />
divorcees rallying around and going the<br />
extra mile to support Coperforma when<br />
they could not get the new software to<br />
work optimally in the early fumbling days of<br />
their new contract is nil.<br />
Though probably for employment contract<br />
reasons, in this situation, the transferred staff<br />
would (through gritted teeth) do at least the<br />
minimum required. They certainly danced<br />
and cheered when Coperforma fell out<br />
of the marital bed and are now no doubt<br />
hoping to get back with their ex as soon as<br />
is decently possible.<br />
Working in patient transport, I learned over<br />
the years and perhaps Coperforma have<br />
also learned recently, that the staff actually<br />
are the service - and I am not saying that in<br />
an emotional or patronising tone, but in an<br />
economic sense - they are the organisation’s<br />
core “capability.” Advanced software, new<br />
technology and new ambulances are all well<br />
and good and of course they have a place,<br />
but it’s the staff who deliver and define the<br />
service.<br />
This commissioning failure will provide<br />
a deep pool of lessons learned for all<br />
concerned. I have no doubt the CCGs<br />
in Sussex will look to the future and<br />
commission an improved patient transport<br />
service and perhaps Coperforma will<br />
come back with an improved model, but<br />
I would advocate that this time around<br />
both consider the patient transport staff’s<br />
psychological contract and give it some<br />
weight in the contract-award process.<br />
Any patient transport provider with a<br />
mature strategic view of human-resource<br />
management that commits to developing<br />
and valuing its core employees (and crucially<br />
the rewards of the patient transport<br />
provider are aligned to the rewards that<br />
the staff receive) will create a competitive<br />
advantage and deliver patients a superior<br />
service.<br />
It does not matter (to me) if these<br />
key attributes are found in an NHS, an<br />
independent sector or a third sector<br />
provider, but what is clear to me is that they<br />
are missing from the offer that Coperforma<br />
sold to the CCG and that’s why I did not<br />
think it would succeed from the very outset.<br />
The views in this opinion piece are<br />
those of Joe Sheehan and are not<br />
necessarily endorsed by <strong>Ambulance</strong><br />
Today. If you would like to discuss<br />
this article with Joe Sheehan please<br />
email him at: JPSS2@kent.ac.uk<br />
Winter 2016 | <strong>Ambulance</strong>today<br />
Winter 2014 | <strong>Ambulance</strong>today3 47