A New Model of Operation We are proud to introduce a new operating model for the provision of its advanced medical care in 2018. Next year will be a pivotal year in our history, as we take responsibility for our clinical governance. We are also providing an expansion to the provision of advanced critical care across the Thames Valley. We are very fortunate to be an incredibly well supported charity. As a charity, we are committed to enhancing patient care through innovation, research and continued training of our clinical team. Over the last few years, the specialism of Pre-Hospital Emergency Medicine (PHEM) has developed both regionally and nationally. The development of PHEM has changed the access all patients receive to healthcare, be it acute, chronic or immediate. We have worked with South Central Ambulance Service (SCAS) to enhance the care provided to the most immediate and critically injured patients. Improvements include, the addition of doctors onboard, on scene blood transfusions, rapid diagnosis, and the ability to perform emergency surgical procedures on the roadside. We have worked hard to improve access and availability. However, this is becoming an increasing challenge in times of heightened financial pressure on the NHS. Over the last few months, we have worked to identify a solution that will us to continue to expand and enhance the vital service across Berkshire, Buckinghamshire and Oxfordshire. Amanda McLean, CEO explains, “Thanks to the generous support TVAA receive from the public, we are now in a position to move to a new operating model. We will be able to assume responsibility for clinical governance and the delivery of advanced critical care across the Thames Valley. We will continue to work closely with SCAS to deliver the highest level of care to patients by bringing the expertise of the hospital to the roadside”. Dr Syed Masud, Medical Director, said, “TVAA are delighted to have been able to reach this point. We are confident that this future model will allow us to continue to enhance the critical care service to meet the need of the public that we serve”.