Report on Government Services 2018
Part E, Chapter 11
Ambulance services
The focus of performance reporting in this chapter is on ambulance service organisations, which are the primary agencies involved in providing emergency medical care, pre-hospital and out-of-hospital care, and transport services.
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- Key Facts
- Indicator Framework
- Indicator Results
Nationally in 2016-17:
- there were 3.5 million incidents resulting in 4.4 million ambulance service responses to attend to 3.3 million patients
- recurrent expenditure across Australia was approximately $3.2 billion (or $130 per person)
- there were 16 980 full time equivalent paid personnel, 6575 volunteers and 3178 community first responders in ambulance service organisations. (Community first responders are trained volunteers that provide an emergency response (with no transport capacity) and first aid care before ambulance arrival.)
Ambulance services aim to promote health and reduce the adverse effects of emergency events on the community. Governments’ involvement in ambulance services is aimed at providing emergency medical care, pre-hospital and out-of-hospital care, and transport services that are:
- accessible and timely
- meet patients’ needs through delivery of appropriate health care
- high quality — safe, co-ordinated and responsive health care
- sustainable.
Governments aim for ambulance services to meet these objectives in an equitable and efficient manner.
The performance indicator framework provides information on equity, efficiency and effectiveness, and distinguishes the outputs and outcomes of ambulance services. The performance indicator framework shows which data are complete and comparable in the 2018 Report.
An overview of the Ambulance services performance indicator results are presented. Information to assist the interpretation of these data can be found in the indicator interpretation boxes in the Ambulance services chapter and attachment tables.
Equity — Access indicators
Response times by geographic location
Ambulance response times, 90th percentile, 2016-17 (minutes)
NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
---|---|---|---|---|---|---|---|---|---|
Capital city | 20.8 | 17.3 | 16.2 | 14.6 | 17.0 | 22.5 | 14.3 | 23.3 | .. |
State-wide | 23.0 | 20.5 | 16.9 | 15.3 | 19.0 | 31.4 | 14.3 | 25.1 | .. |
Effectiveness — Appropriateness — Clinical indicators
Pain management
Proportion of patients who reported a clinically meaningful pain reduction, 2016-17
NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
---|---|---|---|---|---|---|---|---|---|
% | 85.2 | 88.8 | 88.3 | 85.3 | 73.3 | 84.6 | 91.5 | 62.6 | 86.2 |
Source: Attachment table 11A.5
Effectiveness — Quality — Responsiveness indicators
Patient satisfaction
Overall satisfaction rate, 2017
NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
---|---|---|---|---|---|---|---|---|---|
% | 97 ± 4.9 | 97 ± 4.9 | 98 ± 5.0 | 99 ± 5.9 | 98 ± 5.2 | 97 ± 4.7 | 97 ± 5.4 | 97 ± 7.6 | 97 ± 1.8 |
Effectiveness — Sustainability indicators
Ambulance workforce
Most recent data for these measures are comparable and complete, subject to caveats
Operational workforce under 50 years of age, 2016-17
NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
---|---|---|---|---|---|---|---|---|---|
% | 74.2 | 77.1 | 79.6 | 80.1 | 73.6 | 79.5 | 76.8 | 87.1 | 77.0 |
Staff attrition rate, 2016-17
NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
---|---|---|---|---|---|---|---|---|---|
% | 3.0 | 1.7 | 2.3 | 4.0 | 1.9 | 3.0 | 3.7 | 14.4 | 2.6 |
Efficiency indicators
Ambulance services expenditure per person
Ambulance services expenditure per person, 2016-17
NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
---|---|---|---|---|---|---|---|---|---|
$ | 111.24 | 149.20 | 137.44 | 95.11 | 172.61 | 135.80 | 118.74 | 137.48 | 129.72 |
Outcome indicators
Cardiac arrest survived event rate
Adult cardiac arrest survival rate — where resuscitation attempted (excluding paramedic witnessed), 2016-17
NSW | Vic | Qld | WA | SA | Tas | ACT | NT | Aust | |
---|---|---|---|---|---|---|---|---|---|
% | 37.2 | 26.1 | 29.4 | 17.8 | 26.0 | 20.8 | 40.3 | 18.5 | 29.0 |
Notes
These data and caveats for these data are available in chapter 11 and attachment 11A.
Some percentages reported in these tables include 95 per cent confidence intervals (for example, 80 per cent ± 2.7 per cent).
.. Not applicable.