AQW 31025/22-27 – Emergency ambulance response in Mid Ulster

Mr Patsy McGlone (Mid Ulster): To ask the Minister of Health to detail the average waiting time for an emergency ambulance response in Mid Ulster, in each of the last five years.

Minister of Health: Ambulance call categorisation for emergency calls is standardised across the UK. For your information, ambulance call category definitions and response time standards are set out in Table 1 below.

Table 1

Call TypeCategoryMean Standard
Immediately life threateningCat 18 Mins
999 Emergency – potentially serious incidentsCat 218 Mins
Urgent problemCat 3*120 Mins
Non- emergency ED visitsCat 4*180 Mins

*This is the 90th centile standard for category 3 and category 4 calls as there is not a mean standard

Table 2 below shows the mean response times across categories 1-4 for the Mid-Ulster area, for the period January 2020 to August 2025.

Table 2

YearCategory 1Category 2Category 3Category 4
2020 Mean0:13:070:24:190:54:191:39:10
2021 Mean0:13:480:32:391:15:002:05:15
2022 Mean0:14:540:39:251:31:062:31:18
2023 Mean0:14:190:42:211:56:033:01:21
2024 Mean0:15:270:58:512:17:551:54:43
2025 Mean0:15:421:05:182:15:421:14:08
Overall Mean0:14:400:43:031:34:311:52:51

The impact on patient outcomes of appropriate and timely ambulance responses for every call received was recognised in the Getting It Right First Time (GIRFT) Review of Emergency Medicine.

Ambulance handover delays at emergency departments (EDs) impact on the Northern Ireland Ambulance Service’s (NIAS) ability to respond to emergency calls in the community. Improving ambulance handover times is a key priority for my department. Earlier this year, departmental officials, alongside clinicians from the Trusts and NIAS, visited a hospital in London to learn from their approach to releasing ambulances more quickly. Following that visit, the Trusts and NIAS were asked to adopt a similar model.

At a regional workshop in August 2025, the Permanent Secretary, supported by the Chief Medical Officer and Chief Nursing Officer, endorsed the implementation of regional ambulance handover guidance aimed at eliminating handovers exceeding two hours by 1 December 2025. Achieving the 15-minute handover standard remains a longer-term objective.

This is a system-wide challenge, and my department is committed to leading the co-ordinated action required to deliver these improvements.

In addition, my department is working with NIAS to ensure sufficient ambulance and staffing capacity to meet Category 1 and Category 2 response time standards through the development of a 10-year workforce and financial plan.

ENDS