Questions

556. Deputy Ken O'Flynn asked the Minister for Health whether ambulance allocation delays are specifically tracked within any HSE Enterprise Risk Register, regional risk register, or National Ambulance Service corporate risk register; and if they will provide details. [41029/26]

557. Deputy Ken O'Flynn asked the Minister for Health the estimated absolute number of PURPLE and RED calls which exceeded the relevant allocation thresholds in 2024 and 2025. [41030/26]

558. Deputy Ken O'Flynn asked the Minister for Health whether any automatic escalation threshold exists where ambulance allocation delays for PURPLE or RED calls exceed defined levels over a given reporting period; and if so, to provide details. [41031/26]

559. Deputy Ken O'Flynn asked the Minister for Health whether repeated breaches of ambulance allocation-time KPIs are recorded within any HSE enterprise, regional, or National Ambulance Service risk register; and if so, the current risk classification assigned. [41032/26]

560. Deputy Ken O'Flynn asked the Minister for Health whether any review has examined correlations between ambulance allocation delays and adverse patient outcomes, including cardiac arrest survival, stroke outcomes, sepsis outcomes, or mortality rates. [41033/26]

561. Deputy Ken O'Flynn asked the Minister for Health whether ambulance allocation delays beyond defined KPI thresholds are retrospectively clinically reviewed where serious harm or death subsequently occurs. [41034/26]

562. Deputy Ken O'Flynn asked the Minister for Health whether the International Academies of Emergency Dispatch or the Pre Hospital Emergency Care Council have identified any recommendations, findings, deficiencies, or corrective actions relating to ambulance allocation performance since 2020. [41035/26]

563. Deputy Ken O'Flynn asked the Minister for Health whether the National Ambulance Service maintains any written policy governing prioritisation decisions where multiple simultaneous PURPLE or RED calls arise, and insufficient ambulance resources are immediately available. [41036/26]

564. Deputy Ken O'Flynn asked the Minister for Health whether any cumulative reporting mechanism exists tracking repeated ambulance allocation delays by geographic area, time band, or demand surge category. [41037/26]

565. Deputy Ken O'Flynn asked the Minister for Health the number of emergency calls in 2024 and 2025 where no ambulance resource was immediately available at the point of allocation decision-making. [41038/26]

566. Deputy Ken O'Flynn asked the Minister for Health whether the National Ambulance Service records occasions where ambulance demand exceeds immediately available operational resources; and if so, the number of such occurrences in 2024 and 2025. [41039/26]

567. Deputy Ken O'Flynn asked the Minister for Health whether any retrospective clinical review process exists for cases where emergency ambulance allocation exceeded the defined PURPLE or RED KPI thresholds. [41040/26]

568. Deputy Ken O'Flynn asked the Minister for Health whether any deaths, serious incidents, or adverse clinical outcomes since 2020 have been linked through review or incident analysis to delayed ambulance allocation or dispatch. [41041/26]

569. Deputy Ken O'Flynn asked the Minister for Health whether ambulance allocation delays beyond KPI thresholds are automatically flagged for clinical governance review. [41042/26]

570. Deputy Ken O'Flynn asked the Minister for Health the longest recorded ambulance allocation delay for PURPLE and RED category calls in 2024 and 2025. [41043/26]

571. Deputy Ken O'Flynn asked the Minister for Health whether the International Academies of Emergency Dispatch accreditation process examines adverse outcomes associated with delayed ambulance allocation. [41044/26]

572. Deputy Ken O'Flynn asked the Minister for Health whether reports produced under IAED accreditation reviews or PHECC Governance Validation Framework inspections are published; and if not, why not. [41045/26]

573. Deputy Ken O'Flynn asked the Minister for Health whether NAS maintains any formal escalation threshold whereby repeated breaches of allocation-time KPIs trigger operational, managerial, or governance intervention. [41046/26]

574. Deputy Ken O'Flynn asked the Minister for Health whether delayed ambulance allocation performance forms part of any HSE enterprise risk register, regional risk register, or NAS operational risk framework. [41047/26]

575. Deputy Ken O'Flynn asked the Minister for Health whether ambulance dispatch delays beyond defined KPI thresholds are automatically classified as patient safety incidents for governance and reporting purposes; and if not, the criteria used to determine when a delay becomes reportable. [41048/26]

576. Deputy Ken O'Flynn asked the Minister for Health the number of emergency ambulance calls in 2024 and 2025 that exceeded allocation targets by more than 5 minutes, more than 10 minutes, more than 30 minutes, and more than 60 minutes. [41049/26]

577. Deputy Ken O'Flynn asked the Minister for Health whether the National Ambulance Service conducts retrospective clinical reviews of cases involving extended dispatch delays; the number undertaken since 2020; and whether any identified patient harm linked to delayed allocation. [41050/26]

578. Deputy Ken O'Flynn asked the Minister for Health whether any recommendations, corrective actions, non-compliance findings, or governance concerns have been identified by IAED accreditation reviews, or PHECC Governance Validation Framework inspections since 2020. [41051/26]

579. Deputy Ken O'Flynn asked the Minister for Health whether any HSE or National Ambulance Service risk register currently references ambulance resource scarcity, delayed emergency allocation, or inability to meet dispatch-time KPIs. [41052/26]

580. Deputy Ken O'Flynn asked the Minister for Health the number of occasions since 2020 on which ambulance dispatch performance triggered escalation under the HSE Performance Accountability Framework. [41053/26]