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Secamb boss Paul Sutton leaves post after 111 scandal Secamb boss Paul Sutton leaves post after 111 scandal
(about 3 hours later)
The chief executive of a scandal-hit NHS trust that came under intense scrutiny over dealing with emergency callouts has left his job. The chief executive of a scandal-hit NHS trust which came under intense scrutiny over emergency callouts has left his job.
Paul Sutton, who was on a leave of absence, has now left "to pursue other interests". Paul Sutton, who had been on a leave of absence from South East Coast Ambulance Service (Secamb), will now "pursue other interests".
Last year, it emerged South East Coast Ambulance Service (Secamb) had delayed sending help for some emergency calls. Last year, it emerged the trust ran a secret and controversial pilot which delayed sending help for some calls.
A review in March said basic failings in how the trust was run led to the "high risk and sensitive" project. A review said failings in how the trust was run led to the "high risk" project.
The secret pilot did not have approval from board members, the 111 NHS helpline or commissioners. The pilot did not have approval from board members, the 111 NHS helpline or commissioners.
Up to 20,000 patients had their ambulances delayed.Up to 20,000 patients had their ambulances delayed.
How call-handling was changedHow call-handling was changed
Secamb provides NHS 111 services across the region and responds to 999 calls.Secamb provides NHS 111 services across the region and responds to 999 calls.
Some 111 calls were transferred to the 999 system to give Secamb more time for more urgent calls.Some 111 calls were transferred to the 999 system to give Secamb more time for more urgent calls.
The calls affected were in the second most serious category - Category A Red 2 - which covers conditions like strokes or fits but which are less critical than where people are non responsive.The calls affected were in the second most serious category - Category A Red 2 - which covers conditions like strokes or fits but which are less critical than where people are non responsive.
Under NHS rules, calls designated as life-threatening are supposed to receive an ambulance response within eight minutes.Under NHS rules, calls designated as life-threatening are supposed to receive an ambulance response within eight minutes.
The trust allowed itself an extra 10 minutes to deal with some calls by "re-triaging" patients in the 999 system.The trust allowed itself an extra 10 minutes to deal with some calls by "re-triaging" patients in the 999 system.
Secamb said the process for finding a permanent replacement would start immediately and in the interim period, Geraint Davies would continue as acting chief executive.Secamb said the process for finding a permanent replacement would start immediately and in the interim period, Geraint Davies would continue as acting chief executive.
Its chairman, Tony Thorne, resigned as the report by Deloitte was released.Its chairman, Tony Thorne, resigned as the report by Deloitte was released.
'Ultimate decision'
The review said there was a strong suggestion of an "intentional effort by members of the executive team to present their scheme in a positive light despite its governance failings and risks."The review said there was a strong suggestion of an "intentional effort by members of the executive team to present their scheme in a positive light despite its governance failings and risks."
And it said: "The CEO made the ultimate decision to proceed with the pilot and played a critical leadership role throughout".And it said: "The CEO made the ultimate decision to proceed with the pilot and played a critical leadership role throughout".
At the end of March the ambulance service for Surrey, Sussex, Kent and North East Hampshire also revealed it was working at a "critical level". Patient safety
BBC correspondent Mark Norman said at the time it was "one level away from Secamb hitting a 'nuclear button' of declaring service failure and asking other parts of the NHS for support." Peter Kyle, MP for Hove and Portslade, paid tribute to the professionalism of ambulance staff "from the frontline to the top".
He said he would continue to focus his attention "on making sure Secamb implements the reforms to the way it is governed and managed to ensure patient safety into the future".
Katherine Murphy, chief executive of the Patients' Association, said: "Any decision that downgrades urgent category ambulance calls in order to massage performance targets is deplorable.
"This scheme was dangerous... It is right that the leaders of Secamb are held responsible for their actions.
"The trust should apologise to all those affected and the NHS should ensure this never occurs again at any trust."