Ambulance service in all regions miss response time targets

Date Published : January 17th, 2014    Published By : admin

The Health Information and Equality Authority is being ordered by the Minister for Health James Reilly to speed up its investigation into ambulance emergency response times amid serious concern for patient safety. The Minister has demanded an urgent review of the country's ambulance services after it emerged that crucial response targets are still being missed.

The Oireachtas Health Committee has reveal that figures supplied to them show ambulance services across every ambulance region has missed response time targets last year in cases of life-threatening emergencies.

It has emerged that targets for responding to the most critical of these emergencies, such as cardiac or respiratory arrests, are still not being met in the Dublin and the West regions. Ambulance services are set two different HSE targets which outline how long it should take for an ambulance to respond to an emergency. A higher rate of compliance is set by health watchdog HIQA.

‘ECHO’ calls are the most serious of emergencies and the HSE states that 70pc these calls should be responded to within 18 minutes and 59 seconds.

A lower compliance rate of 68pc is set in the case of 'DELTA' calls, which are life-threatening emergencies other than cardiac or respiratory arrests.

The report revelas:

  • The West and Dublin ambulance regions failed to meet the 'ECHO' target, recording 60.8pc and 61.4pc respectively

  • Each region missed the 'DELTA' target last year, while most recorded improvements;

  • South recorded the highest 'ECHO' grade (89.5pc) but the lowest 'DELTA' grade (57.4pc);

  • North Leinster and Dublin services were the only two to record improvements in both grades in 2013.

It emerged last year that the HIQA has been asked to investigate the ambulance service and issues such as response times.

However, Dr Reilly told the committee yesterday that he had requested HIQA to "accelerate" its investigation in light of recent incidents where there were long delays in ambulances arriving at the scene of an emergency.

"HIQA were due to do a review of the ambulance service in the second quarter of the year," he said. "I've spoken to both the chairman and the CEO and I've requested -- and they've agreed -- that they will expedite that and bring it forward with a degree of urgency to investigate this situation."

Dr Reilly said he has become aware of a situation where four ambulances were parked outside a hospital on a day when there were issues with trolleys.

"I'm very happy for HIQA to bring this forward and have a thorough review of all these situations of the entire service, tell us what they feel the problem is, where the problems lie and we will address them. Because the safety of our citizens has to be paramount," he added.

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