Air Ambulance Funding

Martyn Day Excerpts

Monday 26th April 2021 Westminster Hall

[Martyn Day (Linlithgow and East Falkirk) (SNP) [V]]

I beg to move,

That this House has considered e-petition 259892, relating to air ambulance funding.

The e-petition that we are considering today was submitted during the 2017-19 Parliament, and I am delighted that we have now found time to consider it, after previous scheduled debates were postponed, first because of the general election and latterly because of the pandemic. I thank the petitioner and everyone who took the time to sign the petition for their patience and understanding in relation to the delays.

The petition is entitled “The Air Ambulances to be government funded”, and it states:

“The air ambulances that operate around the UK cost around £12,000 per day to run and maintain, and are mainly funded through charity organisations. This petition is to ask the Government to fully fund the air ambulances through the emergency services.”

Of course, the funding that the petition called for was not awarded. The UK Government response was broadly dismissive of the need for change. On 3 July 2019 they stated:

“NHS ambulance services provide clinical staff and equipment to air ambulance charities. A charitable model gives charities independence to deliver specialised, specific services to each locality.

Air ambulance services are not NHS funded and are provided by 18 charitable organisations across England, with the majority of their resources supported by their own fundraising activities.”

The petition was launched by Bethany Billington, who has kindly given me permission to tell her story. On 31 March 2019, Bethany’s sister Lee-Anne Parkin and her partner were involved in a road traffic accident. Tragically, Lee-Anne’s partner died at the scene. Lee-Anne was airlifted to the major trauma unit in Teesside where sadly she passed away one week later, never having regained consciousness. During that time the Great North Air Ambulance Service team, who had attended the accident, kept in contact with the hospital to check on Lee-Anne’s progress. The gratitude of Bethany and her family to the air ambulance crew, as well as to the wonderful hospital staff, for doing everything in their power to try to save Lee-Anne’s life, inspired the aspiration behind the petition. I am sure that all Members here today will join me in sending their condolences to Bethany and her family.

It is important that we take the time to recognise the hard work and dedication of air ambulance crews across the UK. They are committed and talented professionals, who often find themselves having to work in the most extreme circumstances. For example, they can administer general anaesthetics and even perform open heart surgery at the scene of incidents. I wish to pass on my deepest thanks to all the dedicated air ambulance crews up and down the country. Many people will know a family who have benefited from this service. It is a vital link in our emergency services.

There are 22 air ambulance organisations across the UK, the structures of which can be extremely complex. I have to admit that I was shocked to discover that all but one of the UK’s 22 air ambulance organisations are charitable organisations. Scotland is the only country in the UK to have NHS-funded air ambulance provision; the other 21 organisations are all funded by donations from generous members of the public. According to Air Ambulances UK, the UK’s air ambulances collectively make over 25,000 life-saving missions a year, at an average cost of £2,500 per mission, or, to put it another way, at an annual cost of more than £62.5 million, the vast majority of which is funded by charitable donations.

Generally, the medical teams on board air ambulances are seconded from local NHS trusts. However, some charities are responsible for employing their own medical staff. In addition, some of these organisations have chosen to lease their helicopters. However, the purchasing of helicopters has become increasingly popular in more recent times. For instance, Cornwall Air Ambulance recently bought the charity’s first helicopter in its 32-year history, while Scotland’s Charity Air Ambulance launched its second air ambulance on 3 April last year.

The number of petitioners clearly demonstrates a strong public sentiment that air ambulances should receive Government funding. However, it would be injudicious of me not to mention that Devon Air Ambulance Trust actually asked its supporters not to sign this petition, stating:

“Whilst we appreciate the sentiment behind this petition, we firmly believe it is not in patients’ best interests. As we have seen over the last decade, government-funded services face significant cuts in funding alongside policy and priorities set by the government of the day. Many aspects of our essential services have been commercialised. The UK Air Ambulance sector has an excellent aviation safety record thanks to our ability to put patients and safety at the heart of our operations. Subject to the same constraints as our other essential services, we would face a stark choice between cutting services or cutting quality. Neither is acceptable or necessary.”

This sentiment appears to have been echoed in the findings of public engagement work that the Petitions Committee carried out on this topic. An e-survey, which ran between August 2020 and September 2020, was distributed to air ambulance charities via the Air Ambulances UK network and received 15 out of a possible 21 responses. All but one opposed the idea that air ambulance services should be fully funded by the Government. The reason provided by one charity was:

“Air ambulances would be a low priority for government funding”.

Another stated:

“The government is never going to be able to guarantee the same level of investment. The impact of austerity on public services has gone far beyond cost efficiency savings.”

Of the 14 charities that responded and opposed Government funding, it is worth noting that three of them were in favour of the Government providing capital grants for larger costs such as helipads.

Although UK Government support for air ambulances has been minimal, it is worth noting that these organisations receive sporadic access to Government funding. In the Government’s response to this petition, they said that in 2019 the 18 air ambulance charities across England were invited to bid for a share of £10 million of funding from the Department for Health and Social Care for a range of facilities and infrastructure projects, including high-tech medical equipment for critical care teams and new helicopters and helipads. However, only nine out of the 14 English air ambulance charities that put forward bids were successful. The money that was secured was used to upgrade equipment and improve facilities.

Responding at that time, Paula Martin, chair of the UK’s Association of Air Ambulances, or AAA, said

“this funding only represents a small amount of what has to be raised”

and that air ambulance charities were still heavily reliant on the public’s “kind and generous donations”. According to an article in the March 2019 edition of the AAA’s Airway magazine, this funding opportunity presented charities with something of a dilemma. There were concerns that it would adversely impact on their regular donors and entirely charity-funded status. For these charities, their independence is vital.

Funding for air ambulances has not been immune to the effects of coronavirus, either. All the charities that responded to the survey stated that their finances had been impacted by covid, with the relevant figures ranging between £500,000 and £3 million and the overwhelming reason appearing to be their inability to fundraise in the same way. A £6 million covid-19 Government funding grant for air ambulance charities was therefore warmly welcomed by the organisations at this very difficult time, although several had concerns about the bidding process, described as

“tortuous as projects must be unfunded but shovel-ready, which is illogical and high risk”

and “lengthy and delayed”; it was also said that

“funding only went to a select few AA’s and sadly they were mainly in the Southern half of the UK”.

As I have mentioned, Scotland is the only part of the UK to have fully NHS-funded air ambulance provision. I would like to take this opportunity to share the detail of that model. The Scottish Ambulance Service, which works closely with Scotland’s Charity Air Ambulance, has two helicopters and two planes, which are fully funded by the NHS. In 2019-20, 3,732 air ambulance missions were undertaken by the Scottish Ambulance Service. That amounts to just over 10 per day, or one every two hours and 20 minutes. Funded centrally, air ambulance services in Scotland have been provided for well over 30 years as part of the wider healthcare provision for the country, based on its unique geography and demographics, and before any charitable helicopter services commenced elsewhere in the UK. The Scottish model shows the potential of a hybrid charity and Government-funded model of air ambulances that, if emulated, would, I believe, serve other parts of the UK well. It addresses the risk that a drop in fundraising revenue poses to charity-only models, while protecting the independence of charity-funded services. Clearly, finding the solution need not be a “one or the other” situation, as Government-funded air ambulance services can operate alongside charity services, as Scotland shows.

In conclusion, this is quite a complex subject, with a range of models and challenges. I look forward to the debate and to hearing from the Minister about a way forward on this important matter.

--- Later in debate ---

[Martyn Day]

We have had a thoughtful and informed debate. I hope we have successfully highlighted the tremendous work of air ambulances throughout these islands, and I hope we have given them a publicity boost for their charitable work and the donations they require. As I discovered in my research, this is a very complex matter, with a range of models across the country, and perhaps a one-size-fits-all solution is not what is needed. There are a lot of lessons we can still learn, and I look forward to finding out more in the weeks and months ahead.

Question put and agreed to. 

Resolved,  

That this House has considered e-petition 259892, relating to air ambulance funding.