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Unreliable measurement of ambulance response times 2 2 3 Oct 2024 Failure to reliably notify receiving hospital staff of ambulance arrivals 3 6 1 Sep 2023 Unreliable category 3 ambulance assessment and response arrangements 7 9 6 Jan 2026 Failure to provide timely medical review of emergency-department patients 8 7 4 Feb 2025 Unreliable coordination of social-care-related patient flow 2 8 10 Jul 2023 Failure of ambulance information systems to transfer safety-critical clinical and operational information 12 20 18 Jun 2025 Insufficient mental health service capacity for timely patient care 40 46 24 Oct 2025 Failure to provide timely non-emergency patient transfers 2 3 19 Jul 2018 Unreliable police and ambulance coordination for patient transport assistance 2 5 20 Aug 2025 Failure to establish and address patients’ ability to access advised emergency care 2 3 7 Apr 2025 Unsafe management of ambulance calls involving callers who are alone 5 6 18 Feb 2025 Unreliable emergency-service incident grading and response-time coordination 8 17 23 Mar 2026 Failure to provide timely direction and escort for arriving paramedics 5 8 25 Nov 2024 Unreliable hospital destination selection for patient transfers 5 12 7 Dec 2023 Unreliable emergency access to hospital care 50 75 5 Jun 2026 Unreliable ambulance dispatch and resource-allocation controls 17 15 30 Jan 2025 Unreliable GP appointment triage for determining clinical urgency 9 17 4 Apr 2025 Unsafe police conveyance of mental health patients 4 11 25 Jul 2025 Unreliable categorisation and escalation of paramedic backup requests 2 4 4 Mar 2025 Failure to ensure paramedics have required emergency medicines for pre-hospital care 8 11 10 Apr 2026 Unreliable provision of safety-critical patient information to paramedics 12 15 28 Apr 2023 Unreliable ambulance-service computer systems for safety-critical information 6 20 27 Jan 2020 Unreliable transfer of safety-critical patient information within ambulance services 6 12 5 Jan 2026 Unreliable ambulance-to-emergency-department patient-information handover 4 14 26 Nov 2021 Unsafe coordination of thrombolysis care 3 6 14 Nov 2025