Appendix 1, Health Overview and Scrutiny Committee

Committee report · Health Overview and Scrutiny Committee · Thu 17 Sep 2026 · East Sussex County Council · agenda item 6

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The service now handles about 23,000 to 24,000 patient journeys a month, but call answering, punctuality and discharge wait times are all below their targets. p6p16p17p18

A CQC inspection rated the service Requires Improvement overall, and EMED has since completed a rectification plan including staff training and vehicle safety checks. p10

The Committee is being asked to note the service's performance challenges, the improvement plan aimed at Winter 2026/27, and the completed actions under the CQC rectification plan. p50p51p52

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  • p6Following initial mobilisation, operational activity volumes have stabilised at approximately 23,000–24,000 patient journeys each month across Sussex.
  • p10CQC inspection rectification: Following a CQC inspection five months into mobilisation (report published June 2026, rating the service Requires Improvement overall and Good for Caring), EMED has completed its core rectification plan, including achieving 90% mandatory training compliance, establishing a subcontractor portal, and auditing vehicle safety.
  • p16Challenged 59.71% of calls answered within 90 seconds overall for Q1 (dropping from 63.42% in Apr to 53.76% in Jun). Target 90.00%, threshold 85.00%.
  • p17Inbound Punctuality Challenged 75.11% for Renal (Ref 04) and 65.98% for Non-Renal (Ref 05a) arriving within 45 mins prior to appointment. Long-distance non-renal (>50 mi) sits at 69.28%. Target 90.00%, threshold 80.00%.
  • p18Discharge Wait Times Challenged Pre-planned discharges collected within 60 mins sit at 54.44% (dipping to 48.18% in Jun). Same-day discharges within 120 mins average 69.20%. Mental Health same-day within 60 mins sits at 58.67%. Target 80.00%, threshold 75.00%.
  • p50· Note that while total monthly journey volumes have stabilised and safety metrics remain robust (with low complaints at <0.14% and zero severe/fatal PSIRF incidents), operational KPI performance remains challenged across call answering, punctuality, and discharge wait times.
  • p51· Note the targeted Recovery and Action Plan underway—including fleet re-balancing, contact centre staffing adjustments, and contractual re-baselining—to improve KPI performance ahead of Winter 2026/27.
  • p52· Note the completion of core actions under the CQC Integrated Rectification Plan and the ongoing fortnightly commissioning oversight in place to maintain regulatory compliance.

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