Questions

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]

581. Deputy Ken O'Flynn asked the Minister for Health whether any retrospective clinical review process exists for emergency calls where ambulance allocation exceeded the applicable PURPLE or RED dispatch KPI threshold by more than a specified duration. [41054/26]

582. Deputy Ken O'Flynn asked the Minister for Health whether delays in ambulance allocation are linked to mortality, morbidity, cardiac arrest outcomes, or other adverse clinical indicators within NAS or HSE governance systems. [41055/26]

583. Deputy Ken O'Flynn asked the Minister for Health whether any emergency calls exceeding ambulance allocation KPI thresholds automatically trigger review, escalation, or incident reporting procedures. [41056/26]

584. Deputy Ken O'Flynn asked the Minister for Health whether the International Academies of Emergency Dispatch accreditation process examines adverse patient outcomes associated with delayed ambulance allocation. [41057/26]

585. Deputy Ken O'Flynn asked the Minister for Health whether PHECC Governance Validation Framework inspections assess prolonged ambulance allocation delays and their relationship to patient safety incidents. [41058/26]

586. Deputy Ken O'Flynn asked the Minister for Health the number of PURPLE and RED emergency calls in 2024 and 2025 where ambulance allocation exceeded times (details supplied). [41059/26]

587. Deputy Ken O'Flynn asked the Minister for Health whether any HSE Enterprise Risk Register, National Ambulance Service risk register, or regional risk framework currently contains entries relating to ambulance allocation delays, emergency resource shortages, or dispatch capacity constraints. [41060/26]

588. Deputy Ken O'Flynn asked the Minister for Health whether any formal threshold exists at which ambulance allocation delays must be escalated to senior HSE management or the Department of Health. [41061/26]

589. Deputy Ken O'Flynn asked the Minister for Health whether NAS maintains any national dataset linking dispatch delays with subsequent serious incidents, protected disclosures, coronial findings, or patient safety investigations. [41062/26]

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]