590. Deputy Ken O'Flynn asked the Minister for Health whether any external review since 2020 has specifically examined the relationship between ambulance allocation delays and adverse patient outcomes. [41063/26]
591. Deputy Ken O'Flynn asked the Minister for Health whether any formal escalation process exists where ambulance dispatch allocation KPIs are repeatedly breached over sustained periods; who is notified under such circumstances; and whether any mandatory corrective-action process applies. [41065/26]
592. Deputy Ken O'Flynn asked the Minister for Health whether delays in ambulance allocation are formally recorded within any HSE Enterprise Risk Register, National Ambulance Service risk register, or regional operational risk framework; and if so, to provide details of the relevant risk categories. [41066/26]
593. Deputy Ken O'Flynn asked the Minister for Health whether any retrospective clinical review process exists for cases where emergency calls exceeded ambulance allocation KPI thresholds and adverse patient outcomes subsequently occurred. [41067/26]
594. Deputy Ken O'Flynn asked the Minister for Health whether the International Academies of Emergency Dispatch accreditation reviews or PHECC Governance Validation Framework inspections since 2020 identified any recommendations, concerns, corrective actions, or areas requiring improvement relating to ambulance dispatch allocation performance. [41068/26]
595. Deputy Ken O'Flynn asked the Minister for Health whether the National Ambulance Service records the longest ambulance allocation delays occurring annually for PURPLE and RED category calls; and if so, the longest recorded delays in 2024 and 2025. [41069/26]
596. Deputy Ken O'Flynn asked the Minister for Health whether ambulance dispatch delays beyond defined KPI thresholds are routinely linked with mortality reviews, serious incident reviews, or adverse outcome monitoring systems. [41070/26]
597. Deputy Ken O'Flynn asked the Minister for Health whether any internal threshold exists at which an emergency ambulance allocation delay is automatically escalated to senior operational management or clinical oversight personnel. [41071/26]
598. Deputy Ken O'Flynn asked the Minister for Health whether any threshold exists at which repeated ambulance allocation breaches are escalated to senior HSE management, the HSE Board, or the Department of Health. [41072/26]
599. Deputy Ken O'Flynn asked the Minister for Health whether delays in ambulance allocation are tracked against patient outcomes including mortality, ICU admission, cardiac arrest survival, or adverse clinical incidents. [41073/26]
600. Deputy Ken O'Flynn asked the Minister for Health whether the National Ambulance Service maintains any internal reporting categorising prolonged ambulance allocation delays by duration band including delays exceeding 5 minutes, 10 minutes, 20 minutes, 30 minutes or longer. [41075/26]
601. Deputy Ken O'Flynn asked the Minister for Health whether any review has examined the proportion of patients experiencing clinically significant deterioration while awaiting ambulance allocation following a 999 or 112 call. [41076/26]
602. Deputy Ken O'Flynn asked the Minister for Health whether the HSE or National Ambulance Service has defined any maximum clinically acceptable allocation delay thresholds for PURPLE or RED calls beyond the published KPI targets. [41077/26]
603. Deputy Ken O'Flynn asked the Minister for Health whether repeated breaches of ambulance allocation KPIs form part of any formal risk escalation process under the HSE Enterprise Risk Management Framework. [41078/26]
604. Deputy Ken O'Flynn asked the Minister for Health whether any external audit, IAED review, or PHECC inspection since 2020 identified concerns, recommendations, corrective actions, or non-compliance findings relating to ambulance dispatch allocation times. [41079/26]
605. Deputy Ken O'Flynn asked the Minister for Health whether the National Ambulance Service records the number of occasions where no ambulance resource was immediately available for a PURPLE or RED emergency call. [41080/26]
608. Deputy Ken O'Flynn asked the Minister for Health whether the HSE maintains any data regarding mental health outcomes, service disengagement, emergency presentations or psychiatric admissions among care-experienced young adults following transition from CAMHS to adult mental health services; and if she will make a statement on the matter. [41127/26]
609. Deputy Ken O'Flynn asked the Minister for Health whether the HSE National Ambulance Service maintains any formal escalation matrix specifying the actions required when ambulance allocation KPIs fall below target levels over sustained periods; and if they will provide details. [41133/26]
610. Deputy Ken O'Flynn asked the Minister for Health whether repeated breaches of ambulance allocation time KPIs trigger mandatory review by senior HSE management, the National Director of Acute Operations, or the Department of Health. [41134/26]
611. Deputy Ken O'Flynn asked the Minister for Health whether any patient harm review, serious incident review, morbidity review, or mortality review process specifically examines cases involving ambulance allocation delays beyond defined KPI thresholds. [41135/26]
612. Deputy Ken O'Flynn asked the Minister for Health whether the National Ambulance Service records the longest ambulance allocation delay experienced for PURPLE and RED calls each month. [41136/26]
613. Deputy Ken O'Flynn asked the Minister for Health whether any ambulance allocation delays exceeding defined thresholds have been linked to adverse clinical outcomes, cardiac arrest deterioration, preventable harm, or death since 2020. [41137/26]
614. Deputy Ken O'Flynn asked the Minister for Health whether ambulance allocation delays are currently recorded as strategic, operational, or enterprise risks within any HSE or National Ambulance Service risk register. [41138/26]
615. Deputy Ken O'Flynn asked the Minister for Health whether the IAED accreditation process examines patient outcome data associated with delayed ambulance allocation times. [41139/26]
616. Deputy Ken O'Flynn asked the Minister for Health whether the PHECC Governance Validation Framework specifically reviews the relationship between ambulance allocation delays and adverse patient outcomes. [41140/26]