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What we spend and how we spend it


The majority of our income is generated through various Service Level Agreements with each of the Clinical Commissioning Groups in the area. These agreements for service are reviewed and renegotiated on an annual basis.

The Patient Transport Service is commissioned by Clinical Commissioning Groups and Hospitals on a contract basis.

Additional income is generated from providing support at public events, commercial training and other activities.

Capital income is largely sourced from internal resources.

Income is allocated to services within the Trust and capital expenditure planned by the setting of the budget each year. Every March, the Trust Board receives a report from the Director of Finance proposing budgets for the forthcoming financial year, which starts on 1 April.

The Community First Responders schemes are the main source of income for the Trust’s charitable funds. Additional funding is also achieved via legacies.

Annual Statement of Accounts

Papers containing our Annual Statement of Accounts can be found in our publications section.

Annual Audit Letters

Papers containing our Annual Audit Letters can be found in our publications section.

Budgets and variance reports

Papers containing updated budget information are presented at each meeting of the Trust Board, please click here for dates of next meetings.

Contracts and tendering

The Trust follows the Tendering and quotation procedure

Staff pay-and-grading structures

The NHS Careers website contains information about the pay-and-grading structures for ambulance service staff, managers and the healthcare team.

The key functions of the Trust Board members can be found in the code of conduct and accountability for NHS boards.