SWASFT provides ambulance services across an area of 10,000 square miles…equating to 20% of mainland England. The operating patch includes the counties of Cornwall and the Isles of Scilly, Devon, Dorset, Somerset, Wiltshire, Gloucestershire and the former Avon area (Bristol, Bath, North and North-East Somerset and South Gloucestershire).

The trust serves a total population of over 5.3 million people and the area is estimated to receive an influx of over 17.5 million visitors each year, with significant peaks in the summer months. Whilst predominantly rural, SWASFT is also responsible for services in large urban centres including Bristol, Plymouth, Exeter, Bath, Swindon, Gloucester, Bournemouth and Poole. Across three divisions (North, East and West), the trust employs 4,000 staff in 96 stations and operates over 600 vehicles. 

We helped South Western Ambulance Service NHS Foundation Trust (SWASFT) complete a highly successful trust-wide roster review of front-line emergency services. Drawing on our shift planning, rostering and workforce management expertise and software, SWASFT has ensured resources are better aligned to changes in demand created by the ‘Ambulance Response Programme’ (ARP). Through collaboration between senior management, unions and employee groups, the project saw new shift patterns designed for ‘Double Crewed Ambulances’ (DCA) and ‘Fast Response Vehicles’ (FRV) across the entire trust.


  • Improving patient care
  • Improving performance
  • Delivering efficiencies
  • Improving employee wellbeing
  • Securing adoption
  • Delivering shift patterns aligned to the ARP demand
  • Improving response times, performance and productivity
  • Helping limit overworking and stress  
  • Improving work-life balance
  • Establishing a more equitable use of relief planning
  • Mitigating risks
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