1) Over 500 people participated in a #ProjectA tweet chat about ambulance partnerships with patients and the public, generating over 1,400 tweets and 77 new ideas. 2) The tweets were analyzed and sorted into 7 themes: listening to patient stories, education for all, being a community asset, working differently, right access/right time, sharing data, and system leadership. 3) The ideas will be added to the #ProjectA ideas platform to be further developed and potentially implemented to improve ambulance services, with the goal of starting changes by winter 2018/19.

1. Compiled by: Bev Matthews @BevMatthews and
Catherine Murrey @CatherineMurre2 of the NHS
Horizons team, David Morgan @djmtees of North
East Ambulance Service NHS Foundation Trust and
Dan Ralevic @__DanR of East of England
Ambulance Service Trust.
We acknowledge the extensive analytical support
that Graham MacKenzie @gmacscotland gave us in
compiling this report.
#ProjectA
Tweet chat
summary
17th July 2018

2. Contents
Slide
What is #ProjectA? 3
Crowdsourcing the ideas? 4
What happened in the tweet chat? 5
What were the outputs? 6
The themes that emerged: 7 - 15
• Listening to patient stories
• Education for all
• Being a community asset
• Working differently
• Right access, right time
• Sharing and data
• System leadership
Data sources 16
Dates of tweet chats 17
The #ProjectA Ideas Platform 18

3. What happened in the tweet chat?
On 17th July at 7pm a tweet chat was hosted for
one hour for #ProjectA seeking responses to the
following questions:
1. Why is the partnership between ambulance
staff, patients and the public important?
2. How could ambulance staff play a bigger role
in educating the public to prevent people
getting into emergency situations with their
health?
3. How can the public (including volunteers)
play a bigger role in emergency care,
supported by ambulance services?
4. What’s your ‘big idea’ to improve ambulance
services through partnerships with patients
and the public?
537 people participated with a total
audience of 1,239,175 generating 1,409
tweets and 77 new ideas!
This analysis shows a high level of engagement with the community and
strong connections between key influencers. Source: NodeXL
Source: FollowtheHashtag
People took part
in the tweet
chat from across
the world
Source:
FollowtheHashtag

4. What were the outputs?
The #ProjectA team evaluated the 1,400 tweets* from the tweet chat and identified 77 as
specific ideas that could be added to the ideas platform. Some will be new posts and
others may add support or breadth to existing ideas.
We fitted the ideas that were identified into the following themes:
• Listening to patient stories
• Education for all
• Being a community asset
• Sharing and data
• Working differently
• Right access, right time
• System leadership
Each person who initiated the
tweet has been invited onto
the ideas platform to post
their idea.
*Please note that this curation includes only those tweets that included the hashtag #ProjectA

5. Theme 1: Listening to patient stories

6. Theme 2: Education for all

7. Theme 3: Being a community asset

8. Theme 4: Working differently

9. Theme 5: Right access, right time

10. Theme 6: Sharing and data

11. Theme 7: System leadership

12. What is #ProjectA?
#ProjectA (for ambulance) is a twelve
month project to mobilise frontline
ambulance staff and patients to identify
and implement ideas that will
contribute to improvements in urgent
and emergency services.
The project was initiated by Simon Stevens, the Chief Executive of NHS England, after he
spent time with ambulance crews in London and the Midlands. Simon identified the
potential for frontline ambulance staff to play a much bigger role in innovation, service
redesign and problem solving. He has asked the NHS Horizons team to work with the
Association of Ambulance Chief Officers (AACE) to develop a year-long initiative that
supports and builds on the excellent work that is underway in many parts of the system
and builds on the ideas and energy of frontline ambulance staff.
The ambition is to identify at least 4 major change ideas that can be developed,
prototyped and implemented by frontline staff across all ten ambulance trusts, in time to
start making a difference in winter 2018/19. The whole ethos and approach of #ProjectA is
one of co-production and collaborative decision making.

13. Crowdsourcing the ideas
The #ProjectA Ideas Platform has been designed around five specific challenges that
emerged from the work at the launch event on 28th June. These are:
• The partnership with the public challenge
• The patient pathways challenge
• The roles, practices, wellbeing and career progression challenge
• The working with partners challenge
• The thinking the unthinkable and current “rules” and perceptions challenge
The #ProjectA Ideas platform will remain live until September 2018 and is being
underpinned by five tweet chats, each focused on one of the five challenges.
“Tweet chats are just one of many possible methods of genuine engagement and co-
production in healthcare, by which patients and staff can work together to create
change.
A benefit of tweet chats is that they provide a huge avenue for participation.”
Leigh Kendall, Communications Lead, NHS Horizons
How to run a successful twitter chat

14. Data sources for this analysis
1. Twitter binder:
• Advanced version: https://www.tweetbinder.com/rs/eECJq95klXf
• Infographic version: https://www.tweetbinder.com/rsmini/eECJq95klXf
2. NodeXL:
• https://nodexlgraphgallery.org/Pages/Graph.aspx?graphID=159503
• TAGS: https://t.co/8pkXcMdGdp (in the 'archive' tab)
3. Follow The Hashtag:
• http://analytics.followthehashtag.com/#!/archive/projecta-dashboard-v1-
2018-07-18-15?id=dashboard
4. Symplur healthcare hashtag project:
• https://www.symplur.com/healthcare-
hashtags/ProjectA/analytics/?hashtag=ProjectA&fdate=7%2F8%2F2018&shour
=6&smin=30&tdate=7%2F18%2F2018&thour=6&tmin=30

15. Dates of future tweet chats
Partnership with the public Tues 17 July 7-8pm #ProjectA
Patient pathways Thurs 26 July 7-8pm #ProjectA
Roles, practices, our wellbeing and
progression
Wed 8 August 7-8pm #ProjectA
Working with partners Wed 15 August 7-8pm #ProjectA
Thinking the unthinkable, current
“rules” and perceptions
Tues 21 August 7-8pm #ProjectA
Join us on the tweet chats:

16. Continuing the conversation:
ProjectA.Crowdicity.com