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Nonetheless, there are many decisions which are subject to fundamental uncertainty,
especially in highly dynamic or innovative domains. In the case of such uncertainty, financial
evaluation is unlikely to be helpful, putting too much emphasis on the quantifiable, and liable
to underestimate the importance of the unquantifiable. Sometimes, therefore, managers may
Video assignment
South Western Ambulance Service Trust (SWAST)
This video case is focused on issues of evaluation of strategy and in particular performance
management and performance measures see Section 11.2. The South Western Ambulance
Service Trust was formed after a series of mergers and now serves over 5.3 million people,
employs over 4,000 staff and operates 96 ambulance stations. In 201112, the service responded
to over 690,000 emergency calls and the Patient Transport Service completed over 350,000
patient journeys. Ken Wenman, as the chief executive, and Norma Lane as the Director of
delivery, discuss the performance management framework used in the Trust and the
performance measures they use. The case is particularly useful in reminding students that issues
in strategy apply equally well to not-for-profit organisations and that in such organisations a
much broader set of performance measures are required as it is not about profit.
1. It is worth starting with a discussion of the difference between economic performance and
effectiveness as explained in Section 11.2.1. Clearly, a non-profit organisation like an
ambulance service cannot measure performance in terms of profit (it doesnt make any) or
growth (this is determined by need) but there are measures of effectiveness that are very
2. Both Ken Wenman and Norma Lane refer to the increasing role of technology in improving
performance and in measuring it. Wenman refers to the importance of investing in new
technology in the control room in order to deploy ambulances more effectively and
improve response times. Modern technology allows the control to track where every
ambulance is and they can respond accordingly. He also refers to the computer systems that