Ambulance Quality Indicators
Association of ambulance chief executives Ambulance Quality Report

1. Red 1 performance

A Red 1 priority is assigned to patients in cardiac arrest. A cardiac arrest happens when your heart stops pumping blood around your body. If someone has collapsed, is not breathing normally and is unresponsive, they are in cardiac arrest. This is a time critical priority.

Ambulance services are expected to reach 75% of Red 1 calls within 8 minutes

MARCH 2018

Target

TARGET

RESULT

1. Red 1 performance

A Red 1 priority is assigned to patients in cardiac arrest. A cardiac arrest happens when your heart stops pumping blood around your body. If someone has collapsed, is not breathing normally and is unresponsive, they are in cardiac arrest. This is a time critical priority.

Ambulance services are expected to reach 75% of Red 1 calls within 8 minutes

 
Result
 
Target

2. Time critical Red 1 response

Because Red 1 calls are a time critical priority, this indicator shows the time in which the ambulance arrived in 95% of all cases against the English national average.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

2. Time critical Red 1 response

Because Red 1 calls are a time critical priority, this indicator shows the time in which the ambulance arrived in 95% of all cases against the English national average.

 
Result
 
National Average

3. Red 2 performance

A Red 2 priority is assigned to other types of potentially life-threatening incidents. These include stroke, difficulty breathing, major loss of blood and heart attack.

A heart attack differs from cardiac arrest because the supply of blood to the heart is suddenly blocked, usually by a blood clot.

These cases are serious but less immediately time critical. Ambulance services are expected to reach 75% of Red 2 calls within 8 minutes.

MARCH 2018

Target

TARGET

RESULT

3. Red 2 performance

A Red 2 priority is assigned to other types of potentially life-threatening incidents. These include stroke, difficulty breathing, major loss of blood and heart attack.

A heart attack differs from cardiac arrest because the supply of blood to the heart is suddenly blocked, usually by a blood clot.

These cases are serious but less immediately time critical. Ambulance services are expected to reach 75% of Red 2 calls within 8 minutes.

 
Result
 
Target

4. Red 19 performance

This target relates to how quickly ambulance services get a vehicle to the scene able to transport a patient. Trusts are expected to get a patient-carrying vehicle to Red 1 and Red 2 incidents within 19 minutes in 95% of the time.

MARCH 2018

Target

TARGET

RESULT

4. Red 19 performance

This target relates to how quickly ambulance services get a vehicle to the scene able to transport a patient. Trusts are expected to get a patient-carrying vehicle to Red 1 and Red 2 incidents within 19 minutes in 95% of the time.

 
Result
 
Target

5. Return of spontaneous circulation

This is a measure of the number of patients who have suffered a cardiac arrest, but as a result of life-support started or continued by the ambulance service, had a pulse again by the time they arrived at hospital.

1 2018

Target

NATIONAL AVERAGE

RESULT

5. Return of spontaneous circulation

This is a measure of the number of patients who have suffered a cardiac arrest, but as a result of life-support started or continued by the ambulance service, had a pulse again by the time they arrived at hospital.

 
Result
 
National Average

6. Return of spontaneous circulation – Utstein

This is a measure of the number of patients who have suffered a cardiac arrest, but as a result of life-support started or continued by the ambulance service, had a pulse again by the time they arrived at hospital, and went on to be discharged from hospital.

1 2018

Target

NATIONAL AVERAGE

RESULT

6. Return of spontaneous circulation – Utstein

This is a measure of the number of patients who have suffered a cardiac arrest, but as a result of life-support started or continued by the ambulance service, had a pulse again by the time they arrived at hospital, and went on to be discharged from hospital.

 
Result
 
National Average

7. Cardiac arrest – survival rates

This is a measure of the overall number of patients suffering a cardiac arrest, but as a result of life-support started or continued by the ambulance service, and treatment in hospital, they were successfully resuscitated and survived.

1 2018

Target

NATIONAL AVERAGE

RESULT

7. Cardiac arrest – survival rates

This is a measure of the overall number of patients suffering a cardiac arrest, but as a result of life-support started or continued by the ambulance service, and treatment in hospital, they were successfully resuscitated and survived.

 
Result
 
National Average

8. Cardiac arrest – survival rates (Utstein)

This is a measure of the overall number of patients who were witnessed suffering a cardiac arrest and received life support started or continued by the ambulance service and treatment in hospital so they were successfully resuscitated, and where their initial heart rhythm allowed it to be shocked with a defibrillator, and survived.

1 2018

Target

NATIONAL AVERAGE

RESULT

8. Cardiac arrest – survival rates (Utstein)

This is a measure of the overall number of patients who were witnessed suffering a cardiac arrest and received life support started or continued by the ambulance service and treatment in hospital so they were successfully resuscitated, and where their initial heart rhythm allowed it to be shocked with a defibrillator, and survived.

 
Result
 
National Average

9. Treatment of a heart attack – arrival at a specialist centre

This is a measure of the number of patients who have suffered a specific type of heart attack and need what’s called a ‘stent’ fitted to free a blockage in their heart. This graph shows the percentage that were fitted with a stent at a specialist hospital within 2½ hours of their 999 call.

1 2018

Target

NATIONAL AVERAGE

RESULT

9. Treatment of a heart attack – arrival at a specialist centre

This is a measure of the number of patients who have suffered a specific type of heart attack and need what’s called a ‘stent’ fitted to free a blockage in their heart. This graph shows the percentage that were fitted with a stent at a specialist hospital within 2½ hours of their 999 call.

 
Result
 
National Average

10. Treatment of a heart attack by ambulance crew

This is a measure of the proportion of patients who have suffered a specific type of heart attack (called a ST-elevation myocardial infarction, or STEMI), and received the correct treatment in line with ambulance guidelines. This includes certain drugs being given and observations being taken and recorded.

1 2018

Target

NATIONAL AVERAGE

RESULT

10. Treatment of a heart attack by ambulance crew

This is a measure of the proportion of patients who have suffered a specific type of heart attack (called a ST-elevation myocardial infarction, or STEMI), and received the correct treatment in line with ambulance guidelines. This includes certain drugs being given and observations being taken and recorded.

 
Result
 
National Average

11. Stroke – arrival at stroke centre

Patients who have suffered a confirmed stroke can be eligible for treatment with a clot-busting drug. This is called stroke thrombolysis. This graph is a measure of the percentage of patients that arrived at a thrombolysis centre within 60 minutes of their 999 call.

1 2018

Target

NATIONAL AVERAGE

RESULT

11. Stroke – arrival at stroke centre

Patients who have suffered a confirmed stroke can be eligible for treatment with a clot-busting drug. This is called stroke thrombolysis. This graph is a measure of the percentage of patients that arrived at a thrombolysis centre within 60 minutes of their 999 call.

 
Result
 
National Average

12. Stroke – care and treatment by ambulance crew

This is a measure of the percentage of suspected stroke patients who were assessed and received the correct treatment in line with ambulance guidelines. This includes certain observations being taken and recorded.

1 2018

Target

NATIONAL AVERAGE

RESULT

12. Stroke – care and treatment by ambulance crew

This is a measure of the percentage of suspected stroke patients who were assessed and received the correct treatment in line with ambulance guidelines. This includes certain observations being taken and recorded.

 
Result
 
National Average

13. Time of arrival of a healthcare professional (50%)

This is the measure of time taken for a healthcare professional to arrive at the scene of a Red call.

Healthcare professionals include doctors, paramedics, nurses or ambulance technicians. It excludes emergency care support workers, emergency care assistants, community first responders, and static defibrillator sites.

This graphic shows the time by which 50% of all patients were reached.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

13. Time of arrival of a healthcare professional (50%)

This is the measure of time taken for a healthcare professional to arrive at the scene of a Red call.

Healthcare professionals include doctors, paramedics, nurses or ambulance technicians. It excludes emergency care support workers, emergency care assistants, community first responders, and static defibrillator sites.

This graphic shows the time by which 50% of all patients were reached.

 
Result
 
National Average

14. Time of arrival of a healthcare professional (95%)

This is the measure of time taken for a healthcare professional to arrive at the scene of a Red call.

Healthcare professionals include doctors, paramedics, nurses or ambulance technicians. It excludes emergency care support workers, emergency care assistants, community first responders, and static defibrillator sites.

This graph shows the time by which half 95% of patients were reached.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

14. Time of arrival of a healthcare professional (95%)

This is the measure of time taken for a healthcare professional to arrive at the scene of a Red call.

Healthcare professionals include doctors, paramedics, nurses or ambulance technicians. It excludes emergency care support workers, emergency care assistants, community first responders, and static defibrillator sites.

This graph shows the time by which half 95% of patients were reached.

 
Result
 
National Average

15. Time of arrival of a healthcare professional (99%)

This is the measure of time taken for a healthcare professional to arrive at the scene of a Red call.

Healthcare professionals include doctors, paramedics, nurses or ambulance technicians. It excludes emergency care support workers, emergency care assistants, community first responders, and static defibrillator sites.

This graph shows the time by which half 99% of patients were reached.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

15. Time of arrival of a healthcare professional (99%)

This is the measure of time taken for a healthcare professional to arrive at the scene of a Red call.

Healthcare professionals include doctors, paramedics, nurses or ambulance technicians. It excludes emergency care support workers, emergency care assistants, community first responders, and static defibrillator sites.

This graph shows the time by which half 99% of patients were reached.

 
Result
 
National Average

16. Time to answer call (50%)

Ambulance services are expected to answer 95% of all 999 calls within five seconds. This graphic shows the time by which 50% of all 999 calls were answered.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

16. Time to answer call (50%)

Ambulance services are expected to answer 95% of all 999 calls within five seconds. This graphic shows the time by which 50% of all 999 calls were answered.

 
Result
 
National Average

17. Time to answer call (95%)

Ambulance services are expected to answer 95% of all 999 calls within 5 seconds. This indicator shows the time in which this ambulance service answered 95% of all 999 calls.

MARCH 2018

Target

TARGET

RESULT

17. Time to answer call (95%)

Ambulance services are expected to answer 95% of all 999 calls within 5 seconds. This indicator shows the time in which this ambulance service answered 95% of all 999 calls.

 
Result
 
Target

18. Time to answer call (99%)

Ambulance services are expected to answer 95% of all 999 calls within 5 seconds. This indicator shows the time in which this ambulance service answered 99% of all 999 calls.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

18. Time to answer call (99%)

Ambulance services are expected to answer 95% of all 999 calls within 5 seconds. This indicator shows the time in which this ambulance service answered 99% of all 999 calls.

 
Result
 
National Average

19. Calls resolved on the telephone

The proportion of 999 calls that have been resolved by providing advice over the phone (no physical response sent).

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

19. Calls resolved on the telephone

The proportion of 999 calls that have been resolved by providing telephone advice. No ambulance was sent.

 
Result
 
National Average

20. Calls resolved by the ambulance crew

The proportion of 999 patients who were seen by an ambulance crew but not taken to an accident and emergency department.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

20. Calls resolved by the ambulance crew

The proportion of 999 patients who were seen by an ambulance crew but not taken to an accident and emergency department.

 
Result
 
National Average

21. Abandoned calls

The percentage of 999 callers who have hung up before their call was answered.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

21. Abandoned calls

The percentage of 999 callers who have hung up before their call was answered.

 
Result
 
National Average

22. Re-contact by telephone in 24 hours

The number of patients who have re-contacted the ambulance trust within 24 hours of them having called 999 and been offered clinical advice over the phone.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

22. Re-contact by telephone in 24 hours

The number of patients who have re-contacted the ambulance trust within 24 hours of them having called 999 and been offered clinical advice over the phone.

 
Result
 
National Average

23. Re-contact after being seen by ambulance in 24 hours

The number of patients who have re-contacted the ambulance trust within 24 hours of them having called 999 and had a face to face assessment from an ambulance crew, but were not taken to hospital or referred elsewhere for treatment.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

23. Re-contact after being seen by ambulance in 24 hours

The number of patients who have re-contacted the ambulance trust within 24 hours of them having called 999 and had a face to face assessment from an ambulance crew, but were not taken to hospital or referred elsewhere for treatment.

 
Result
 
National Average

24. Frequent callers

The number of patients who have re-contacted the ambulance trust within 24 hours for whom a locally agreed frequent caller procedure is in place.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

24. Frequent callers

The number of patients who have re-contacted the ambulance trust within 24 hours for whom a locally agreed frequent caller procedure is in place.

 
Result
 
National Average

25. Number of transported incidents to A&E

This is the number of emergency and urgent incidents ending up with a patient being taken to hospital accident & emergency department.

MARCH 2018

Target

NATIONAL AVERAGE

RESULT

25. Number of transported incidents to A&E

This is the number of emergency and urgent incidents ending up with a patient being taken to hospital accident & emergency department.

 
Result
 
National Average

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The way ambulance performance is measured has changed, which may impact the availability of data for the report you are currently viewing.

You can read more about these on the NHS England website.

The new performance standards will be published in Spring 2018. Ambulance clinical care is still being reported as usual – check out the other Quality Reports for this information.