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Review of the Air Ambulance Service in Wales taking place in February

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Final Engagement Phase of Wales Air Ambulance Service Takes Place in February

The third and final engagement phase of the Emergency Medical Retrieval and Transfer Service (EMRTS) Review, about how to further improve the air ambulance service in Wales, takes place between 01 and 29 February 2024. The link to the full engagement documentation can be found here: EMRTS Service Review – Emergency Ambulance Services Committee (

The engagement gives the public and stakeholders to have their say on the shortlisted options to further improve Wales’ air ambulance service. The service is provided in partnership between the Wales Air Ambulance Charity and NHS Wales’ EMRTS of NHS Wales.

The Charity supplies the helicopters, cars, air bases, pilots, engineers and fuel, whilst the clinical teams are made up of medics and clinicians from NHS Wales. The purpose of the review is to ensure that as many people as possible benefit from the excellent clinical patient outcomes by making the best use of the clinical teams across Wales. The review also looks at how to ensure fair geographical coverage across Wales and the effective use of Rapid Response Vehicles (RRVs), especially when the helicopters are unable to fly.

Stephen Harrhy is the Chief Ambulance Services Commissioner tasked with leading the independent review by the Emergency Ambulance Services Committee (EASC) – a joint committee of all health boards in Wales. The Commissioner is encouraging the public and stakeholders to comment on options throughout February before a Committee decision is made in March.

Mr Harrhy said: “This review is focusing on improving – what is already – a brilliant and highly valued service. No decision has yet been made on this issue and this final phase gives me a chance to share what has been heard in Phase 2 engagement and show how the shortlisted options have been arrived at.

As we have gone through the engagement process it has allowed me to gather more feedback on what really matters to people, to include more options, and to consider potential solutions. As part of this process and to help me, an option appraisal workshop has been held with a range of professional colleagues from health board and NHS trusts across Wales.

The evaluation resulted in two highest scoring options which are now referred to as Option A and Option B. The options propose changing operations from Caernarfon and Welshpool and to have a merged base in North Wales somewhere near the A55 to allow the service to help more patients and make more effective use of the clinical crews.

Even though both two options could improve the air ambulance service, they are not perfect solutions and they do not address all the concerns heard in the public feedback which is why I have shown some extra actions as potential solutions in my report for the engagement. I am inviting citizens to comment on the process followed in arriving at these options, the options themselves, and the extra actions I have identified as potential solutions.”

The first phase of the all-Wales public engagement, that began in March 2023, focused on listening to comments, queries and feedback on how to develop options to further improve the air ambulance service. The second engagement phase took place between October and November 2023 and asked for feedback on the options developed from Phase 1 feedback.

Mr Harrhy said: “This final engagement phase on the shortlisted options will help me arrive at a preferred option that I will then be able to recommend formally to the Emergency Ambulance Services Committee for their decision in March 2024.”

As in earlier engagement phases, people can give their feedback in a range of ways including online, by e-mail, post or telephone. Anyone needing different languages and formats can contact the EASC team who will help.

The Commissioner’s Report, all engagement documents, and details of how to give feedback are on the EASC website: EMRTS Service Review – Emergency Ambulance Services Committee (

For more information please click the link here.


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