<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’...

Since the global financial crisis of 2008, government institutions have had to change their approaches to community governance. Over recent years there has been much discussion on the impact of community governance within local communities. The aim of this paper is to critically explore the...

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...