East Midlands Ambulance Service Ambulance Service: Case Study Performance decline RESPONSE RATE DECLINE The Trust could not pinpoint the reason for steady performance decline. SUDDEN £12M DEFICIT EMAS announced late in FY15/16 it was going to make a large loss not budgeted breakeven. SSG response DIAGNOSTIC SSG conducted an intense but swift review, including examination of underlying CAD data, to understand the drivers of performance decline and the key elements of a recovery plan. Our diagnostic challenged the existing paradigm, which sought to address performance decline by increasing resources. GRIP AND CONTROL A turnaround board was formed, corporate vacancies were removed and grip applied to spend. Delivered a £6m in-year improvement, sufficient to better its control tota

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