Questions

536. Deputy Ken O'Flynn asked the Minister for Health whether the National Ambulance Service records the number of clinical status 1 Purple and Red emergency calls where the response time exceeds 30 minutes, 45 minutes, and 60 minutes; if so, to provide the total number in each category for each of the past three years; and if not, the policy rationale for not capturing such data within the State’s emergency performa…

537. Deputy Ken O'Flynn asked the Minister for Health whether her Department has issued any policy guidance defining the circumstances in which prolonged ambulance response times constitute patient safety incidents; whether delays exceeding 60 minutes in life-threatening emergencies are automatically reviewed under the HSE Incident Management Framework; and if not, the governance basis for excluding such delays from …

538. Deputy Ken O'Flynn asked the Minister for Health the approved whole-time equivalent staffing target for the National Ambulance Service for each year 2023 to 2026 under the NAS Workforce Plan; the actual WTE achieved in each year; the variance between target and actual; and the measures being taken to close the current capacity deficit (details supplied); and if she will make a statement on the matter. [15866/26]

539. Deputy Ken O'Flynn asked the Minister for Health whether her Department conducts formal comparative analysis of ambulance response performance between HSE regions; whether any equity standard exists to ensure consistent life-threatening emergency response across regions; and the corrective mechanisms triggered where sustained regional underperformance is identified. [15867/26]

540. Deputy Ken O'Flynn asked the Minister for Health how long the National Ambulance Service has operated above NASCAP Level 1 since 2022; the total number of days spent at Levels 2 and 3 in each of the past three years; and whether the Department considers a prolonged state of escalation compatible with stable emergency service governance. [15868/26]

541. Deputy Ken O'Flynn asked the Minister for Health whether a national policy exists within the National Ambulance Service requiring that a life-threatening emergency call be allocated to the next available ambulance within a fixed time window, including a 90-second allocation protocol; when this policy was introduced; the clinical or operational rationale underpinning it; and whether she has reviewed its impact on…

542. Deputy Ken O'Flynn asked the Minister for Health the number of occasions in each of the past three years where an ambulance assigned to a life-threatening emergency call was dispatched from outside the county in which the incident occurred; the average travel distance and time in such cases; and whether her Department has assessed the impact of long-distance dispatch on local ambulance availability. [15872/26]

543. Deputy Ken O'Flynn asked the Minister for Health the number of instances in each of the past three years where an ambulance dispatched to a life-threatening emergency call travelled more than 20 minutes, 30 minutes, or 45 minutes before being stood down due to reassignment; whether such redeployments are reviewed for resource efficiency and patient safety impact; and whether national guidelines exist governing m…

544. Deputy Ken O'Flynn asked the Minister for Health whether her Department or HSE has undertaken any cost-benefit or efficiency analysis of the current national dispatch model, including fuel expenditure, crew time utilisation, overtime costs, and opportunity cost arising from cross-regional dispatch and stand-down; and if so, to provide details. [15878/26]

545. Deputy Ken O'Flynn asked the Minister for Health whether any formal clinical risk assessment has been conducted in relation to the National Ambulance Service dispatch model where units are assigned across regions under a time-based allocation protocol; whether this model has been benchmarked against alternative international dispatch systems; and whether any review is planned. [15875/26]

546. Deputy Ken O'Flynn asked the Minister for Health whether her Department monitors instances where rural or peripheral areas are temporarily left without local ambulance cover due to cross-regional dispatch under national allocation protocols; the frequency of such occurrences in the past three years; and the safeguards in place to mitigate exposure risk in those areas. [15876/26]

547. Deputy Ken O'Flynn asked the Minister for Health whether the 90-second allocation protocol forms part of the HSE Enterprise Risk Register; whether it has been subject to independent audit or review since 2020; and whether she is satisfied that the current dispatch framework balances speed of allocation with geographic efficiency and sustained regional capacity. [15877/26]

553. Deputy Ken O'Flynn asked the Minister for Health whether her Department has approved, directed, agreed to, or otherwise authorised any performance reporting methodology under the Health Service Executive National Service Plan whereby clinical status 1 purple or red emergency ambulance calls with response times exceeding 60 minutes are excluded, truncated, capped, or otherwise omitted from published National Ambu…

554. Deputy Ken O'Flynn asked the Minister for Health whether the current National Ambulance Service key performance Indicator (KPI) framework, including the absence of any maximum response time thresholds for clinical status 1 purple and red calls, has been formally approved, endorsed or noted by her Department; the date on which the current KPI framework was last reviewed by her Department; and whether any review o…

556. Deputy Ken O'Flynn asked the Minister for Health whether the Department of Health Enterprise Risk Management Framework identifies prolonged ambulance response times for life-threatening emergencies as a strategic or operational risk; if so, the risk rating currently assigned; and if not, whether she will require that this risk be formally assessed and recorded. [15891/26]

557. Deputy Ken O'Flynn asked the Minister for Health whether any internal Departmental briefings, submissions, memoranda or governance reviews since 2020 have considered the question of whether emergency ambulance response times exceeding 60 minutes should be classified or recorded as patient safety incidents; and if so, to outline the conclusions reached. [15892/26]

558. Deputy Ken O'Flynn asked the Minister for Health the number of occasions in 2025 on which the National Ambulance Service operated at NASCAP level 3; the duration in days of each such period; whether any escalation to level 4 was considered; and the formal reporting mechanism by which such escalation levels are notified to her Department. [15893/26]

559. Deputy Ken O'Flynn asked the Minister for Health whether her Department has undertaken or commissioned any comparative review of international ambulance service performance governance frameworks, including the use of outlier response time reporting, since 2018; and if so, to provide the title and date of such review and the principal findings. [15894/26]

579. Deputy Ken O'Flynn asked the Minister for Health whether emergency ambulance responses to clinical status 1 purple and red calls where the response time exceeds 60 minutes are classified by her Department or the HSE as patient safety incidents; if so, the number of such incidents recorded in each of the past three years; if not, the clinical and governance rationale for not treating such delays in life-threateni…

580. Deputy Ken O'Flynn asked the Minister for Health when she was first informed that response times exceeding 60 minutes for clinical status 1 purple and red emergency calls are not included in published National Ambulance Service performance indicators; whether this issue was raised with her Department by the HSE or the National Ambulance Service; the date on which this occurred; and the actions she has taken sinc…

581. Deputy Ken O'Flynn asked the Minister for Health to provide, for each HSE region, the percentage of clinical status 1 purple and red emergency calls responded to within target timeframes in each of the past 12 months; whether her Department has assessed the causes of persistent regional variation in emergency ambulance response performance; and the specific national actions in place to address inequity in emerge…

582. Deputy Ken O'Flynn asked the Minister for Health her views on whether the National Ambulance Service performance framework in which 55 percent of clinical status 1 red emergency calls fail to meet response time targets represents an acceptable standard of emergency care; the clinical or policy basis on which the current red call target was set; and whether any review of that target has been undertaken in light o…

583. Deputy Ken O'Flynn asked the Minister for Health the formal escalation, intervention, or corrective measures which are triggered when the National Ambulance Service response time targets for clinical status 1 purple or red emergency calls are not met at national or regional level; whether any such measures were triggered during 2025; and if not, the way in which compliance with emergency response targets is enfo…

584. Deputy Ken O'Flynn asked the Minister for Health whether median response times for clinical status 1 purple and red emergency calls are collected by the National Ambulance Service; if so, to provide the median response times for each of the past 12 months by HSE region; and if not, the methodological reasons median response times are not used alongside averages in assessing emergency ambulance performance. [1139…

374. Deputy Ken O'Flynn asked the Minister for Health when the decision was taken that emergency ambulance response times exceeding 60 minutes would not be routinely recorded, collated, or reported as part of the State’s ambulance performance framework; the person that authorised this decision; and whether she is satisfied that the absence of such data is compatible with effective patient safety oversight. [8860/26]