Ambulance Service

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]

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]

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]