East of England Ambulance Service
The East of England Ambulance Service NHS Trust (EEAST) is the authority responsible for providing National Health Service (NHS) ambulance services in the counties of Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Norfolk and Suffolk, in the East of England region. These consist of 5.8 million people and 7,500 square miles.
It is one of 10 Ambulance Trusts providing England with emergency medical services, and is part of the NHS, receiving direct government funding for its role. There is no charge to patients for use of the service, and under the Patient's Charter every person in the United Kingdom has the right to the attendance of an ambulance in an emergency.
As well as providing an emergency ambulance service, the Trust also provides out-of-hours primary care services, patient transport, commercial services and special operations such as air ambulances, emergency planning, and hazardous materials incident response.
The Trust controls the mobilisation of Immediate Care charities throughout its area. These include Magpas Helimedix (HEMS), Essex & Herts Air Ambulance (HEMS), East Anglian Air Ambulance (HEMS), BASICS Essex Accident Rescue Service (BEARS), SARS, and Norfolk Accident Rescue Service (NARS). The team can also, if required, mobilise London's Air Ambulance and even the Kent, Surrey and Sussex Air Ambulance if there is a major incident requiring more than one advanced trauma team, and where other teams in the region are operating at maximum capacity. The trauma teams are dispatched by a Critical Care Paramedic in the Control Room, at Broomfield Hospital, Chelmsford, who filters through every call the ambulance service receives and makes a clinical decision on whether to send an advanced trauma team to the scene. 
The trust was formed on 1 July 2006 following the three-way merger of the Bedfordshire and Hertfordshire Ambulance and Paramedic Service NHS Trust, the East Anglian Ambulance NHS Trust, and the Essex Ambulance Service NHS Trust. The result was a service covering an area of over 7,500 square miles (19,000 km2) with a population of 5.8 million people, and one which answers over 500,000 emergency calls per year.
The East Anglian Ambulance NHS Trust had been formed in 1994 from the three-way merger of Cambridgeshire, Norfolk and Suffolk Ambulance Services.
In 2009, the Trust was censured by the Care Quality Commission after inspection of an ambulance depot and seven of its 100 ambulance stations found patient-carrying vehicles were "dirty" and that staff were "unsure of basic measures for infection prevention and control". The service launched an "urgent and comprehensive review" of its ambulance cleaning programme and reiterated its stance on patient safety, adding that "ensuring consistent high standards of cleanliness is a challenge" with so many stations, covering six counties and an area of 7,500 square-miles.
Statistics and resources
In 2015/16, the trust received 1,037,119 emergency calls and handled 500,620 non-emergency patient transport journeys. The trust arrived at 66.9% of emergency Red 1 calls within eight minutes, and 59.9% of emergency Red 2 calls within eight minutes. Overall, the trust arrived to 90% of Red 1/2 calls within 19 minutes.
EEAST employs more than 4,000 staff and has around 1,500 volunteers.
- 357 front-line emergency ambulances
- 201 marked rapid-response vehicles (RRV)
- 164 non-emergency ambulances (Patient Transport Service - PTS)
- 52 major incident support vehicles (HART/major incident/resilience vehicles)
- Over 130 ambulance stations and response posts
- 3 health emergency operations centers (EOC - control rooms) in Bedford, Chelmsford and Norwich
The EEAST uses Mercedes-Benz Sprinters as their front-line emergency ambulances, and use Ford Mondeo's and Skoda Octavia Scouts as well as Land Rover Freelanders and Range Rover Discovery Sport's as their Rapid Response Vehicles (RRV). Renault Masters are used as Patient Transport Service (PTS) vehicles. Iveco Dailys and Land Rover Discoverys are used as Hazardous Area Response Team (HART) vehicles.
In 2013-14 the Trust missed all of its targets in Cambridgeshire and Peterborough. 73.6% of "red 1 calls" for immediately life-threatening situations were met within eight minutes against a target of 75%. 69.4% of "red 2 calls", which may be life-threatening but less time critical were responded to within eight minutes against a 75% target. In north Norfolk, rapid responses during one month were as low as 25%. According to the Clinical Commissioning Group performance had "deteriorated overall in comparison to prior year at both regional and local level". In August 2014, the Trust was fined £1.2m over these failures. It was also fined £300,000 over turnaround times at hospitals. The fines were accrued between April and July 2014. EEAST, which handles more than 900,000 emergency 999 calls a year, said it was recruiting hundreds of new staff and investing in new ambulances. In a statement in November 2014, Chief executive Anthony Marsh blamed EEASTS’ continued failure to meet its emergency response time targets on a lack of staff. Acknowledging that the service was still "not good enough” he said that "significant progress" had been made; 536 student paramedics and a further 69 graduate and qualified paramedics and emergency medical technicians had been recruited since January 2014.
In October 2014, EEAST apologised after claims were published in a local newspaper that a body had been left lying next to dustbins at its station in Ely, Cambridgeshire the previous month. Chief executive Anthony Marsh said the Trust was "very sorry for what happened" and had started a "thorough investigation". An EEAST spokesman confirmed the investigation involved "the transportation of a deceased patient", but said he could not comment further as inquiries were ongoing. The newspaper which published the claims said it had done so after being approached by a whistleblower.
The trust was accused of putting patient safety at risk in July 2017 because of a “fixation” with hitting response time targets, using a practice referred to as “stopping the clock” - sending a rapid response vehicle to a call within the target time, leaving the patient to wait longer for the arrival of an ambulance.
- Emergency medical services in the United Kingdom
- Healthcare in Bedfordshire
- Suffolk Accident Rescue Service
- East Anglian Air Ambulance
Other emergency services covering the East of England:
- Bedfordshire Fire and Rescue Service
- Bedfordshire Police
- Cambridgeshire Fire and Rescue Service
- Cambridgeshire Constabulary
- Essex Air Ambulance
- Essex County Fire and Rescue Service
- Essex Police
- Hertfordshire Fire and Rescue Service
- Hertfordshire Constabulary
- Norfolk Fire and Rescue Service
- Norfolk Constabulary
- Suffolk Fire and Rescue Service
- Suffolk Constabulary
- List of Care Schemes in East of England BASICS, Accessed 18/10/2010
- East of England Ambulance Service
- EAAT welcomes ambulance merger East Anglian Ambulance NHS Trust, 16 May 2006
- Patients at risk of infection from dirty ambulances The Telegraph, 2 Oct 2009
- "About us". East of England Ambulance Service. Retrieved 21 July 2016.
- "East of England Ambulance target failures 'down to lack of staff'". BBC News. 3 November 2014. Retrieved 7 November 2014.
- "Performance of troubled ambulance trust deteriorated". Health Service Journal. 2 July 2014. Retrieved 14 July 2014.
- "East of England Ambulance fined over target time failures". BBC News. 29 August 2014. Retrieved 17 October 2014.
- "Body 'left near bins' in Ely claim prompts ambulance apology". BBC News. 17 October 2014. Retrieved 17 October 2014.
- "Trust accused of putting patients at risk with 'fixation' on targets". Health Service Journal. 12 July 2017. Retrieved 23 August 2017.