The national standard states that all ambulance trusts must respond to 90% of Category 3 calls in 120 minutes. pain control) and transport or clinical assessment and management at the scene. They are problems (not immediately life-threatening) that need treatment to relieve suffering (e.g. The average response time was 24 minutes 35 seconds and the 90 th centile response time was 49 minutes 58 seconds.Д¬ategory 3 ambulance calls are those that are classified as urgent. In May 2021, there were 429,809 incidents. Since then, the number of Category 2 incidents has increased and response times have worsened. This came alongside a fall in the number of Category 2 incidents following the onset of the Covid-19 pandemic, to a low of 323,047 incidents in May 2020 вЂ“ 16% lower than in May 2019. The 90 th centile target was first met in April 2020 and the average target was first met in May 2020, when the average response time fell to 13 minutes 29 seconds. Therefore, if a patient requires transportation in an emergency, the clock will only stop when the conveying resource arrives.ДЇrom the introduction of the Category 2 targets in April 2018 to March 2020, both the average and 90 th centile response time targets were never met. The aim for Categories 2, 3 and 4 is to ensure that patients in these categories who require transportation receive a conveying resource in a timeframe that is appropriate to their clinical needs. All ambulance trusts should respond to Category 2 calls in 18 minutes on average, and respond to 90% of Category 2 calls in 40 minutes under the new standards.

For example, a person may have had a heart attack or stroke, or be suffering from sepsis or major burns.

Performance against the previous target, that 75% of Category A (immediately life-threatening) calls should receive a response within eight minutes, had been declining and was last met in January 2014.Д¬ategory 2 ambulance calls are those that are classed as an emergency or a potentially serious condition that may require rapid assessment, urgent on-scene intervention and/or urgent transport. The 90 th centile target is consistently being met.ДЄround 10% of incidents fall under Category 1, and it covers a wider range of conditions than the former Red 1 category (which only included cardiac arrest patients who were not breathing and did not have a pulse, and other severe conditions). There were 67,982 Category 1 incidents вЂ“ 50% higher than in May 2020 (when the number fell during the coronavirus pandemic) and 17% higher than in May 2019. In May 2021, the average response time worsened slightly to 7 minutes 25 seconds, which came alongside an increase in the number of Category 1 incidents. Since then, the average response time has fluctuated between a high of 8 minutes 7 seconds in March 2020 and a low of 6 minutes 31 seconds in May 2020. The average Category 1 response time improved from 7 minutes 37 seconds in April 2018 to 6 minutes 54 seconds in May 2019. The national standard sets out that all ambulance trusts must respond to Category 1 calls in 7 minutes on average, and respond to 90% of Category 1 calls in 15 minutes. The proposed new bundle of standards includes response times for ambulances and reducing avoidable trips to emergency departments by ambulances.Д¬ategory 1 ambulance calls are those that are classified as life-threatening and needing immediate intervention and/or resuscitation, e.g. The 'clock' only stops when the most appropriate response arrives on scene, rather than the first.ДЄs part of the review of NHS access standards, NHS England recently consulted on a proposed new set of standards for urgent and emergency care. Ambulances are now expected to reach people with life-threatening illnesses or injuries in an average time of seven minutes. Under the new system, all calls are triaged into four categories according to the patient's condition. The redesigned system is a triage system, which focuses on a patient's clinical needs and aims to ensure that the highest quality and most appropriate response is provided for each patient first time.ДЄmbulance services are measured by the time it takes from receiving a 999 call to a vehicle arriving at the patient's location. The new standards are set out in the addendum to the Handbook to the NHS Constitution. In July 2017, NHS England announced a new set of performance targets for the ambulance service.

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