Purpose – The purpose of this paper is to explore the issues around the considerable increase in emergency calls experienced by a large county ambulance trust and implications for the implementation of government policy in relation to the English National Health Service Ambulance Service....

<title/> Performance indicators used in the ambulance service in England are one-dimensional and do not reflect the widening role of the ambulance paramedic. The development of a broader range of indicators is thus to be encouraged. As well as highlighting the consequences of simplistic indicators, this...

This article explores the relationship between the changing roles of ambulance paramedics, the causes of increasing call outs in the UK and in other countries and the need for improvements in process and outcome measures to reflect these changes. It also reflects on the application of ‘Lean’...

Introduction to critical perspectives on the management and organisation of emergency services -- Part 1 -- Emergency services architecture: JESIP and interoperability -- History of the UK paramedic profession -- Personal reflections on fire and rescue service incident command -- Quo Vadis:...

This article explores the relationship between organizational subcultures and organizational performance in an ambulance service. Three distinct occupational ‘tribes’ , or subcultures, are identified. There is no ‘single’ ambulance culture and no consensus view on good performance, for...