The ACT Ambulance Service has some of the best response times of any Australian capital with half of all priority one emergencies being responded to within 8.7 minutes, a government-commissioned report records.
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ACTAS response times were well below Sydney, Melbourne, Brisbane and other capitals last financial year, with 90 per cent of patients receiving emergency care within 13.7 minutes.
Patient satisfaction in the ACT increased from 96 per cent to 98 per cent over the past five years while satisfaction with paramedic attitudes increased from 97 per cent to 99 per cent.
The report by former head of the Tasmanian Ambulance Service Grant Lennox also showed the ACTAS staff attrition rate had fallen from 10 per cent in 2008-09 to just 2.6 per cent last financial year.
The national average attrition rate for ambulance crews is 4.3 per cent.
Mr Lennox considered the implementation of recommendations he made to the ACT government after an extensive review of ACT ambulance services in 2009 and 2010.
The previous study found escalating demand and response capacity were among a series of challenges faced by ACTAS, as well as management problems affecting clinical governance and monitoring and evaluation.
The report also determined the government's funding model had not kept pace with community demand.
Mr Lennox's latest report considered the implementation of his original nine recommendations, dealing with demand and communications, funding training and other workforce issues.
He identified the level of interoperability in the Emergency Services Agency communications centre as a key concern and said high rotation of staff could lead to poor outcomes.
Mr Lennox called for the "nerve centre" facility to be staffed with dedicated officers.
The report was also critical of space provided for ambulance crews to complete case reports and debriefings in emergency departments. It said the facility at Calvary Hospital was described as ''like a walk-in wardrobe''.
Emergency Services Minister Simon Corbell is to release the report on Thursday.
Mr Lennox also calls for better storage of ambulance linen and medical supplies.
"I believe it is fair to say that the strong consensus in each of the various viewpoints was that substantial progress had been made in virtually every facet of the organisation and in its relationships with other key components of the emergency medical system and the health system generally," Mr Lennox said.
He identified increasing caseloads and staff embracing professional responsibilities as two remaining challenges to be addressed.
"The funding injection by government has led to a revitalisation of the ACT Ambulance Service with a much improved focus on patient safety and effective clinical governance but without compromise to response performance despite continued growth in ambulance demand," he said.
Since the 2007-08 financial year, demand for ambulances in the ACT had risen from 34,000 response instances to 43,000 a year.
The report found travel by ambulance crews had increased by 500,000 kilometres in the same period, while the communication centre receives more than 144,000 calls a year.
Mr Corbell welcomed the study's findings and said increased government funding had revitalised the ACT Ambulance Service.
"The government responded to the [2010] recommendations, with increased recurrent and capital funding of $35 million being provided to ACTAS in successive budgets since 2011-12, which has enabled the successful implementation of such major reforms over the past four years.''