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West Midlands Ambulance Service University NHS Foundation Trust: funding, staff and response times

Last updated . Figures refresh every night. How each figure is worked out.

£456m for West Midlands Ambulance Service University NHS Foundation Trust in 2024-25, £73.76 per resident, +6.2% on a year earlier after inflation. Its mean response to category 2 calls was 20.9 minutes in 2026-08, against a standard of 18 minutes (category 2 mean).

Figure as of unknown date. Source: NHS England.

Key figures

  • £456m2024-25, cash +10.5% on a year earlier
  • £73.76Per resident, 2024-25
  • 8.0 minutesCategory 1 (life-threatening): average response, 2026-08 England: 7.9 minutes
  • 20.9 minutesCategory 2 (emergency, such as stroke or heart attack): average response, 2026-08 England: 28.9 minutes
  • 41.9 minutesCategory 2: 9 in 10 reached within, 2026-08 England: 58.6 minutes

Source: NHS England.

Over time: cash, real terms and per resident

West Midlands Ambulance Service University NHS Foundation Trust: spending in cash and in 2025-26 prices, £ million

Real terms use HM Treasury’s GDP deflator, 2025-26 prices. Breaks in the series: 2017-18: England’s response categories 1 to 4 and their standards (the Ambulance Response Programme) began in 2017; the NHS England series here starts with them. Earlier red/green figures are not comparable. 2022-23: Scotland: response times from April 2022 are provisional while the Scottish Ambulance Service revises its definition. 2023-24: England: handover times are in AmbSYS from October 2023, replacing the winter situation reports. 2025-26: Wales: a new clinical response model from July 2025 (purple, red, orange, yellow, green); the old red 8-minute measure ends in June 2025 and the two are not comparable. 2026-27: England: integrated care boards merged in April 2026; the trust areas are drawn on the new boards. From August 2026 NHS England moved some ambulance data to the Ambulance Data Set, and the latest month is revised the month after.

The numbers behind this chart
West Midlands Ambulance Service University NHS Foundation Trust: spending in cash and in 2025-26 prices, £ million (£ million)
YearReal terms (2025-26 prices)Cash
2019-20
Details for 2019-20
£409.5m£320.1m
Cash
£320.1m
2020-21
Details for 2020-21
£481.6m£396.2m
Cash
£396.2m
2021-22
Details for 2021-22
£488.8m£403.0m
Cash
£403.0m
2022-23
Details for 2022-23
£489.3m£431.8m
Cash
£431.8m
2023-24
Details for 2023-24
£444.1m£412.5m
Cash
£412.5m
2024-25
Details for 2024-25
£471.7m£456.0m
Cash
£456.0m

Figure as of unknown date. Source: NHS England.

West Midlands Ambulance Service University NHS Foundation Trust: spending per resident, 2025-26 prices

Per resident divides by ONS mid-year population estimates.

The numbers behind this chart
West Midlands Ambulance Service University NHS Foundation Trust: spending per resident, 2025-26 prices (£ per resident)
YearPer resident, 2025-26 pricesPer resident, cash
2019-20
Details for 2019-20
£69£54
Per resident, cash
£54
2020-21
Details for 2020-21
£81£67
Per resident, cash
£67
2021-22
Details for 2021-22
£82£68
Per resident, cash
£68
2022-23
Details for 2022-23
£81£72
Per resident, cash
£72
2023-24
Details for 2023-24
£73£68
Per resident, cash
£68
2024-25
Details for 2024-25
£76£74
Per resident, cash
£74

Figure as of unknown date. Source: NHS England.

Source: NHS England, NHS providers: trust accounts consolidation (TAC) data, 2024/25, 2022/23, 2020/21 accounts.

Where it sits, and what is below it

  1. UK total
  2. Nation
  3. Department or service body not published
  4. Local body (this level)
  5. Spending category
  6. Line or transaction not published

West Midlands Ambulance Service University NHS Foundation Trust

Operating expenses from the trust’s audited accounts (NHS England TAC data), including NHS 111 and patient transport services where the trust runs them. Per head uses the residents of the integrated care boards the trust serves.

£456m in 2024-25 (cash); £472m in 2025-26 prices; £73.76 per resident; +10.5% on a year earlier in cash, +6.2% in real terms.

West Midlands Ambulance Service University NHS Foundation Trust: by spending category, 2024-25
Spending categoryCash, 2024-25Real terms (2025-26 prices)Per residentReal change on a year earlierSourceBelow this
Staff and directors
Details for Staff and directors
£350m£362m£56.55+9.9%NHS EnglandLine or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Real terms (2025-26 prices)
£362m
Per resident
£56.55
Real change on a year earlier
+9.9%
Below this
Line or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Depreciation, amortisation and impairments
Details for Depreciation, amortisation and impairments
£29m£30m£4.68+13.4%NHS EnglandLine or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Real terms (2025-26 prices)
£30m
Per resident
£4.68
Real change on a year earlier
+13.4%
Below this
Line or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Transport (including vehicle running and patient travel)
Details for Transport (including vehicle running and patient travel)
£26m£27m£4.19−9.4%NHS EnglandLine or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Real terms (2025-26 prices)
£27m
Per resident
£4.19
Real change on a year earlier
−9.4%
Below this
Line or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Other operating costs
Details for Other operating costs
£20m£21m£3.30−15.4%NHS EnglandLine or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Real terms (2025-26 prices)
£21m
Per resident
£3.30
Real change on a year earlier
−15.4%
Below this
Line or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Premises and establishment
Details for Premises and establishment
£19m£19m£2.99−9.4%NHS EnglandLine or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Real terms (2025-26 prices)
£19m
Per resident
£2.99
Real change on a year earlier
−9.4%
Below this
Line or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Supplies, services and drugs
Details for Supplies, services and drugs
£13m£13m£2.05+0.7%NHS EnglandLine or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.
Real terms (2025-26 prices)
£13m
Per resident
£2.05
Real change on a year earlier
+0.7%
Below this
Line or transaction not published: The accounts give spending only at this level. English trusts publish their individual payments over £25,000 on their own websites, but these are not collected centrally, so no finer lines are shown.

Cash is as published. Real terms are in 2025-26 prices, using HM Treasury’s GDP deflator. Per resident divides by ONS mid-year population for the area the body serves. Changes compare the same body in consecutive years.

What is recorded alongside the money

These figures are published beside the funding, not as its result. Demand, geography, recording practice and many other things differ between areas and change over time; none of these charts shows cause and effect.

West Midlands Ambulance Service University NHS Foundation Trust against England: latest period of each measure
MeasureWest Midlands Ambulance Service University NHS Foundation TrustEnglandPeriod
Category 1 (life-threatening): average response
Details for Category 1 (life-threatening): average response
8.0 minutes7.9 minutes2026-08
England
7.9 minutes
Period
2026-08
Category 2 (emergency, such as stroke or heart attack): average response
Details for Category 2 (emergency, such as stroke or heart attack): average response
20.9 minutes28.9 minutes2026-08
England
28.9 minutes
Period
2026-08
Category 2: 9 in 10 reached within
Details for Category 2: 9 in 10 reached within
41.9 minutes58.6 minutes2026-08
England
58.6 minutes
Period
2026-08
Handovers taking over an hour
Details for Handovers taking over an hour
19.8%7.0%2026-08
England
7.0%
Period
2026-08
Incidents per 1,000 residents
Details for Incidents per 1,000 residents
14.6 per 1,000 residents13.8 per 1,000 residents2026-08
England
13.8 per 1,000 residents
Period
2026-08
Staff (full-time equivalent)
Details for Staff (full-time equivalent)
6,502 FTE55,608 FTE2026-07
England
55,608 FTE
Period
2026-07
Category 1 (life-threatening): average response: West Midlands Ambulance Service University NHS Foundation Trust and comparisons

Mean time from the call to the first ambulance response arriving, for category 1 calls (cardiac arrest and other life-threatening conditions), against the national ambulance response standards for England (Ambulance Response Programme, 2017). Target: 7 minutes (category 1 mean).

The numbers behind this chart
Category 1 (life-threatening): average response: West Midlands Ambulance Service University NHS Foundation Trust and comparisons (Category 1 (life-threatening): average response, minutes)
YearWest Midlands Ambulance Service University NHS Foundation TrustEngland
2017-09
Details for 2017-09
7.08.1
England
8.1
2017-10
Details for 2017-10
6.77.9
England
7.9
2017-11
Details for 2017-11
6.88.0
England
8.0
2017-12
Details for 2017-12
7.18.9
England
8.9
2018-01
Details for 2018-01
6.88.3
England
8.3
2018-02
Details for 2018-02
7.18.3
England
8.3
2018-03
Details for 2018-03
7.28.6
England
8.6
2018-04
Details for 2018-04
6.87.6
England
7.6
2018-05
Details for 2018-05
6.97.7
England
7.7
2018-06
Details for 2018-06
7.07.6
England
7.6
2018-07
Details for 2018-07
6.87.5
England
7.5
2018-08
Details for 2018-08
6.77.1
England
7.1
2018-09
Details for 2018-09
6.87.2
England
7.2
2018-10
Details for 2018-10
6.97.2
England
7.2
2018-11
Details for 2018-11
6.97.2
England
7.2
2018-12
Details for 2018-12
6.87.1
England
7.1
2019-01
Details for 2019-01
6.77.1
England
7.1
2019-02
Details for 2019-02
6.87.3
England
7.3
2019-03
Details for 2019-03
6.87.0
England
7.0
2019-04
Details for 2019-04
6.77.0
England
7.0
2019-05
Details for 2019-05
6.76.9
England
6.9
2019-06
Details for 2019-06
6.87.1
England
7.1
2019-07
Details for 2019-07
6.97.2
England
7.2
2019-08
Details for 2019-08
6.77.1
England
7.1
2019-09
Details for 2019-09
7.07.3
England
7.3
2019-10
Details for 2019-10
7.07.4
England
7.4
2019-11
Details for 2019-11
7.17.5
England
7.5
2019-12
Details for 2019-12
7.07.6
England
7.6
2020-01
Details for 2020-01
7.07.1
England
7.1
2020-02
Details for 2020-02
7.27.3
England
7.3
2020-03
Details for 2020-03
7.18.1
England
8.1
2020-04
Details for 2020-04
7.07.1
England
7.1
2020-05
Details for 2020-05
7.06.5
England
6.5
2020-06
Details for 2020-06
6.86.6
England
6.6
2020-07
Details for 2020-07
6.96.8
England
6.8
2020-08
Details for 2020-08
6.97.1
England
7.1
2020-09
Details for 2020-09
7.17.2
England
7.2
2020-10
Details for 2020-10
7.27.4
England
7.4
2020-11
Details for 2020-11
6.87.2
England
7.2
2020-12
Details for 2020-12
7.07.4
England
7.4
2021-01
Details for 2021-01
6.97.5
England
7.5
2021-02
Details for 2021-02
6.66.8
England
6.8
2021-03
Details for 2021-03
6.66.8
England
6.8
2021-04
Details for 2021-04
6.67.0
England
7.0
2021-05
Details for 2021-05
6.97.4
England
7.4
2021-06
Details for 2021-06
7.27.9
England
7.9
2021-07
Details for 2021-07
7.88.6
England
8.6
2021-08
Details for 2021-08
7.58.5
England
8.5
2021-09
Details for 2021-09
7.79.0
England
9.0
2021-10
Details for 2021-10
8.29.4
England
9.4
2021-11
Details for 2021-11
8.29.2
England
9.2
2021-12
Details for 2021-12
8.39.2
England
9.2
2022-01
Details for 2022-01
8.28.5
England
8.5
2022-02
Details for 2022-02
8.28.9
England
8.9
2022-03
Details for 2022-03
8.59.6
England
9.6
2022-04
Details for 2022-04
8.39.0
England
9.0
2022-05
Details for 2022-05
8.08.6
England
8.6
2022-06
Details for 2022-06
8.29.1
England
9.1
2022-07
Details for 2022-07
8.39.6
England
9.6
2022-08
Details for 2022-08
8.29.1
England
9.1
2022-09
Details for 2022-09
8.39.3
England
9.3
2022-10
Details for 2022-10
8.89.9
England
9.9
2022-11
Details for 2022-11
8.59.4
England
9.4
2022-12
Details for 2022-12
9.211.0
England
11.0
2023-01
Details for 2023-01
8.28.5
England
8.5
2023-02
Details for 2023-02
8.38.5
England
8.5
2023-03
Details for 2023-03
8.28.8
England
8.8
2023-04
Details for 2023-04
8.18.1
England
8.1
2023-05
Details for 2023-05
8.28.3
England
8.3
2023-06
Details for 2023-06
8.38.7
England
8.7
2023-07
Details for 2023-07
8.18.4
England
8.4
2023-08
Details for 2023-08
8.18.3
England
8.3
2023-09
Details for 2023-09
8.28.5
England
8.5
2023-10
Details for 2023-10
8.58.7
England
8.7
2023-11
Details for 2023-11
8.28.5
England
8.5
2023-12
Details for 2023-12
8.48.7
England
8.7
2024-01
Details for 2024-01
8.48.4
England
8.4
2024-02
Details for 2024-02
8.28.4
England
8.4
2024-03
Details for 2024-03
8.28.3
England
8.3
2024-04
Details for 2024-04
8.48.2
England
8.2
2024-05
Details for 2024-05
8.38.3
England
8.3
2024-06
Details for 2024-06
8.38.4
England
8.4
2024-07
Details for 2024-07
8.08.3
England
8.3
2024-08
Details for 2024-08
7.98.1
England
8.1
2024-09
Details for 2024-09
8.28.4
England
8.4
2024-10
Details for 2024-10
8.48.6
England
8.6
2024-11
Details for 2024-11
8.68.6
England
8.6
2024-12
Details for 2024-12
8.68.7
England
8.7
2025-01
Details for 2025-01
8.28.3
England
8.3
2025-02
Details for 2025-02
8.08.1
England
8.1
2025-03
Details for 2025-03
8.07.9
England
7.9
2025-04
Details for 2025-04
7.87.7
England
7.7
2025-05
Details for 2025-05
8.07.8
England
7.8
2025-06
Details for 2025-06
8.07.9
England
7.9
2025-07
Details for 2025-07
7.97.9
England
7.9
2025-08
Details for 2025-08
7.87.8
England
7.8
2025-09
Details for 2025-09
8.28.0
England
8.0
2025-10
Details for 2025-10
8.18.0
England
8.0
2025-11
Details for 2025-11
8.28.0
England
8.0
2025-12
Details for 2025-12
8.18.0
England
8.0
2026-01
Details for 2026-01
8.38.1
England
8.1
2026-02
Details for 2026-02
7.97.8
England
7.8
2026-03
Details for 2026-03
7.97.8
England
7.8
2026-04
Details for 2026-04
7.97.7
England
7.7
2026-05
Details for 2026-05
7.97.9
England
7.9
2026-06
Details for 2026-06
8.38.1
England
8.1
2026-07
Details for 2026-07
8.08.0
England
8.0
2026-08
Details for 2026-08
8.07.9
England
7.9

Figure as of unknown date. Source: NHS England.

Category 2 (emergency, such as stroke or heart attack): average response: West Midlands Ambulance Service University NHS Foundation Trust and comparisons

Mean response time for category 2 calls. The standard is 18 minutes; NHS England’s planning ambition for 2025-26 was a mean of 30 minutes. Target: 18 minutes (category 2 mean).

The numbers behind this chart
Category 2 (emergency, such as stroke or heart attack): average response: West Midlands Ambulance Service University NHS Foundation Trust and comparisons (Category 2 (emergency, such as stroke or heart attack): average response, minutes)
YearWest Midlands Ambulance Service University NHS Foundation TrustEngland
2017-09
Details for 2017-09
12.322.0
England
22.0
2017-10
Details for 2017-10
11.621.9
England
21.9
2017-11
Details for 2017-11
11.922.8
England
22.8
2017-12
Details for 2017-12
13.229.6
England
29.6
2018-01
Details for 2018-01
12.426.1
England
26.1
2018-02
Details for 2018-02
13.225.6
England
25.6
2018-03
Details for 2018-03
14.327.7
England
27.7
2018-04
Details for 2018-04
11.420.2
England
20.2
2018-05
Details for 2018-05
12.021.2
England
21.2
2018-06
Details for 2018-06
12.521.5
England
21.5
2018-07
Details for 2018-07
12.822.6
England
22.6
2018-08
Details for 2018-08
11.720.6
England
20.6
2018-09
Details for 2018-09
12.021.6
England
21.6
2018-10
Details for 2018-10
12.121.3
England
21.3
2018-11
Details for 2018-11
12.821.9
England
21.9
2018-12
Details for 2018-12
12.522.4
England
22.4
2019-01
Details for 2019-01
12.223.0
England
23.0
2019-02
Details for 2019-02
12.523.6
England
23.6
2019-03
Details for 2019-03
12.021.3
England
21.3
2019-04
Details for 2019-04
12.221.5
England
21.5
2019-05
Details for 2019-05
11.821.0
England
21.0
2019-06
Details for 2019-06
13.022.5
England
22.5
2019-07
Details for 2019-07
13.023.3
England
23.3
2019-08
Details for 2019-08
12.621.3
England
21.3
2019-09
Details for 2019-09
13.222.4
England
22.4
2019-10
Details for 2019-10
13.823.8
England
23.8
2019-11
Details for 2019-11
14.525.9
England
25.9
2019-12
Details for 2019-12
14.928.0
England
28.0
2020-01
Details for 2020-01
12.520.9
England
20.9
2020-02
Details for 2020-02
13.122.1
England
22.1
2020-03
Details for 2020-03
14.832.1
England
32.1
2020-04
Details for 2020-04
11.818.5
England
18.5
2020-05
Details for 2020-05
11.013.5
England
13.5
2020-06
Details for 2020-06
10.914.9
England
14.9
2020-07
Details for 2020-07
11.416.7
England
16.7
2020-08
Details for 2020-08
12.220.1
England
20.1
2020-09
Details for 2020-09
13.322.6
England
22.6
2020-10
Details for 2020-10
13.425.4
England
25.4
2020-11
Details for 2020-11
13.721.3
England
21.3
2020-12
Details for 2020-12
14.827.9
England
27.9
2021-01
Details for 2021-01
14.829.7
England
29.7
2021-02
Details for 2021-02
12.018.3
England
18.3
2021-03
Details for 2021-03
12.218.4
England
18.4
2021-04
Details for 2021-04
12.720.3
England
20.3
2021-05
Details for 2021-05
15.524.6
England
24.6
2021-06
Details for 2021-06
18.630.7
England
30.7
2021-07
Details for 2021-07
30.641.1
England
41.1
2021-08
Details for 2021-08
22.838.7
England
38.7
2021-09
Details for 2021-09
31.045.5
England
45.5
2021-10
Details for 2021-10
46.653.9
England
53.9
2021-11
Details for 2021-11
39.446.6
England
46.6
2021-12
Details for 2021-12
48.353.4
England
53.4
2022-01
Details for 2022-01
34.738.1
England
38.1
2022-02
Details for 2022-02
33.642.1
England
42.1
2022-03
Details for 2022-03
57.661.1
England
61.1
2022-04
Details for 2022-04
56.051.3
England
51.3
2022-05
Details for 2022-05
34.439.9
England
39.9
2022-06
Details for 2022-06
52.251.4
England
51.4
2022-07
Details for 2022-07
59.958.9
England
58.9
2022-08
Details for 2022-08
35.842.6
England
42.6
2022-09
Details for 2022-09
45.148.0
England
48.0
2022-10
Details for 2022-10
68.361.3
England
61.3
2022-11
Details for 2022-11
47.948.2
England
48.2
2022-12
Details for 2022-12
91.292.9
England
92.9
2023-01
Details for 2023-01
27.432.1
England
32.1
2023-02
Details for 2023-02
25.832.3
England
32.3
2023-03
Details for 2023-03
31.839.6
England
39.6
2023-04
Details for 2023-04
27.228.6
England
28.6
2023-05
Details for 2023-05
33.032.4
England
32.4
2023-06
Details for 2023-06
36.836.8
England
36.8
2023-07
Details for 2023-07
28.731.8
England
31.8
2023-08
Details for 2023-08
25.731.5
England
31.5
2023-09
Details for 2023-09
35.637.7
England
37.7
2023-10
Details for 2023-10
46.941.7
England
41.7
2023-11
Details for 2023-11
39.538.5
England
38.5
2023-12
Details for 2023-12
46.446.0
England
46.0
2024-01
Details for 2024-01
43.640.1
England
40.1
2024-02
Details for 2024-02
36.136.3
England
36.3
2024-03
Details for 2024-03
33.033.9
England
33.9
2024-04
Details for 2024-04
28.430.4
England
30.4
2024-05
Details for 2024-05
27.932.7
England
32.7
2024-06
Details for 2024-06
28.534.6
England
34.6
2024-07
Details for 2024-07
23.033.4
England
33.4
2024-08
Details for 2024-08
18.627.4
England
27.4
2024-09
Details for 2024-09
26.336.1
England
36.1
2024-10
Details for 2024-10
34.742.3
England
42.3
2024-11
Details for 2024-11
39.342.4
England
42.4
2024-12
Details for 2024-12
44.147.4
England
47.4
2025-01
Details for 2025-01
27.735.7
England
35.7
2025-02
Details for 2025-02
26.031.4
England
31.4
2025-03
Details for 2025-03
23.228.6
England
28.6
2025-04
Details for 2025-04
21.727.5
England
27.5
2025-05
Details for 2025-05
21.527.8
England
27.8
2025-06
Details for 2025-06
22.729.6
England
29.6
2025-07
Details for 2025-07
19.728.6
England
28.6
2025-08
Details for 2025-08
19.427.0
England
27.0
2025-09
Details for 2025-09
27.630.8
England
30.8
2025-10
Details for 2025-10
31.732.6
England
32.6
2025-11
Details for 2025-11
28.932.8
England
32.8
2025-12
Details for 2025-12
30.832.7
England
32.7
2026-01
Details for 2026-01
31.335.1
England
35.1
2026-02
Details for 2026-02
20.729.0
England
29.0
2026-03
Details for 2026-03
19.526.3
England
26.3
2026-04
Details for 2026-04
17.024.5
England
24.5
2026-05
Details for 2026-05
20.529.2
England
29.2
2026-06
Details for 2026-06
25.432.5
England
32.5
2026-07
Details for 2026-07
19.629.8
England
29.8
2026-08
Details for 2026-08
20.928.9
England
28.9

Figure as of unknown date. Source: NHS England.

Category 2: 9 in 10 reached within: West Midlands Ambulance Service University NHS Foundation Trust and comparisons

The 90th centile category 2 response time. Target: 40 minutes (category 2, 90th centile).

The numbers behind this chart
Category 2: 9 in 10 reached within: West Midlands Ambulance Service University NHS Foundation Trust and comparisons (Category 2: 9 in 10 reached within, minutes)
YearWest Midlands Ambulance Service University NHS Foundation TrustEngland
2017-09
Details for 2017-09
22.446.8
England
46.8
2017-10
Details for 2017-10
21.246.7
England
46.7
2017-11
Details for 2017-11
21.647.7
England
47.7
2017-12
Details for 2017-12
24.363.0
England
63.0
2018-01
Details for 2018-01
22.455.6
England
55.6
2018-02
Details for 2018-02
24.454.0
England
54.0
2018-03
Details for 2018-03
26.859.3
England
59.3
2018-04
Details for 2018-04
20.441.4
England
41.4
2018-05
Details for 2018-05
21.543.7
England
43.7
2018-06
Details for 2018-06
22.444.3
England
44.3
2018-07
Details for 2018-07
23.346.9
England
46.9
2018-08
Details for 2018-08
21.342.3
England
42.3
2018-09
Details for 2018-09
21.844.3
England
44.3
2018-10
Details for 2018-10
21.943.4
England
43.4
2018-11
Details for 2018-11
23.544.9
England
44.9
2018-12
Details for 2018-12
23.046.4
England
46.4
2019-01
Details for 2019-01
22.247.7
England
47.7
2019-02
Details for 2019-02
22.849.0
England
49.0
2019-03
Details for 2019-03
21.843.2
England
43.2
2019-04
Details for 2019-04
22.444.0
England
44.0
2019-05
Details for 2019-05
21.543.0
England
43.0
2019-06
Details for 2019-06
24.046.1
England
46.1
2019-07
Details for 2019-07
23.748.0
England
48.0
2019-08
Details for 2019-08
23.143.5
England
43.5
2019-09
Details for 2019-09
24.245.7
England
45.7
2019-10
Details for 2019-10
25.448.5
England
48.5
2019-11
Details for 2019-11
27.153.3
England
53.3
2019-12
Details for 2019-12
28.258.5
England
58.5
2020-01
Details for 2020-01
22.842.5
England
42.5
2020-02
Details for 2020-02
24.145.1
England
45.1
2020-03
Details for 2020-03
27.769.0
England
69.0
2020-04
Details for 2020-04
20.738.4
England
38.4
2020-05
Details for 2020-05
19.125.3
England
25.3
2020-06
Details for 2020-06
19.028.4
England
28.4
2020-07
Details for 2020-07
20.432.6
England
32.6
2020-08
Details for 2020-08
22.440.6
England
40.6
2020-09
Details for 2020-09
24.646.1
England
46.1
2020-10
Details for 2020-10
24.752.1
England
52.1
2020-11
Details for 2020-11
25.542.8
England
42.8
2020-12
Details for 2020-12
28.059.6
England
59.6
2021-01
Details for 2021-01
27.864.2
England
64.2
2021-02
Details for 2021-02
21.936.1
England
36.1
2021-03
Details for 2021-03
22.336.4
England
36.4
2021-04
Details for 2021-04
23.440.5
England
40.5
2021-05
Details for 2021-05
29.750.0
England
50.0
2021-06
Details for 2021-06
37.463.5
England
63.5
2021-07
Details for 2021-07
63.887.7
England
87.7
2021-08
Details for 2021-08
46.182.3
England
82.3
2021-09
Details for 2021-09
67.098.0
England
98.0
2021-10
Details for 2021-10
106.4116.3
England
116.3
2021-11
Details for 2021-11
88.6101.0
England
101.0
2021-12
Details for 2021-12
113.7119.2
England
119.2
2022-01
Details for 2022-01
76.283.6
England
83.6
2022-02
Details for 2022-02
71.991.9
England
91.9
2022-03
Details for 2022-03
133.2137.2
England
137.2
2022-04
Details for 2022-04
130.4116.4
England
116.4
2022-05
Details for 2022-05
75.685.8
England
85.8
2022-06
Details for 2022-06
125.8113.9
England
113.9
2022-07
Details for 2022-07
141.8131.5
England
131.5
2022-08
Details for 2022-08
79.593.2
England
93.2
2022-09
Details for 2022-09
102.9105.8
England
105.8
2022-10
Details for 2022-10
164.1136.2
England
136.2
2022-11
Details for 2022-11
110.0105.4
England
105.4
2022-12
Details for 2022-12
236.8221.8
England
221.8
2023-01
Details for 2023-01
53.668.0
England
68.0
2023-02
Details for 2023-02
54.468.8
England
68.8
2023-03
Details for 2023-03
71.486.3
England
86.3
2023-04
Details for 2023-04
58.660.5
England
60.5
2023-05
Details for 2023-05
72.769.7
England
69.7
2023-06
Details for 2023-06
82.778.9
England
78.9
2023-07
Details for 2023-07
63.267.8
England
67.8
2023-08
Details for 2023-08
55.767.4
England
67.4
2023-09
Details for 2023-09
80.281.1
England
81.1
2023-10
Details for 2023-10
108.990.1
England
90.1
2023-11
Details for 2023-11
89.182.1
England
82.1
2023-12
Details for 2023-12
105.5101.0
England
101.0
2024-01
Details for 2024-01
99.787.5
England
87.5
2024-02
Details for 2024-02
80.277.7
England
77.7
2024-03
Details for 2024-03
73.071.9
England
71.9
2024-04
Details for 2024-04
61.764.2
England
64.2
2024-05
Details for 2024-05
60.968.8
England
68.8
2024-06
Details for 2024-06
62.573.4
England
73.4
2024-07
Details for 2024-07
49.570.4
England
70.4
2024-08
Details for 2024-08
37.757.5
England
57.5
2024-09
Details for 2024-09
56.476.3
England
76.3
2024-10
Details for 2024-10
78.190.3
England
90.3
2024-11
Details for 2024-11
87.590.8
England
90.8
2024-12
Details for 2024-12
102.1101.7
England
101.7
2025-01
Details for 2025-01
60.876.4
England
76.4
2025-02
Details for 2025-02
56.565.2
England
65.2
2025-03
Details for 2025-03
47.558.5
England
58.5
2025-04
Details for 2025-04
44.156.4
England
56.4
2025-05
Details for 2025-05
43.656.6
England
56.6
2025-06
Details for 2025-06
46.660.2
England
60.2
2025-07
Details for 2025-07
39.358.1
England
58.1
2025-08
Details for 2025-08
39.154.7
England
54.7
2025-09
Details for 2025-09
58.163.5
England
63.5
2025-10
Details for 2025-10
68.067.3
England
67.3
2025-11
Details for 2025-11
60.468.1
England
68.1
2025-12
Details for 2025-12
65.368.8
England
68.8
2026-01
Details for 2026-01
68.373.9
England
73.9
2026-02
Details for 2026-02
41.559.5
England
59.5
2026-03
Details for 2026-03
38.653.3
England
53.3
2026-04
Details for 2026-04
32.749.1
England
49.1
2026-05
Details for 2026-05
40.659.4
England
59.4
2026-06
Details for 2026-06
51.367.0
England
67.0
2026-07
Details for 2026-07
38.760.7
England
60.7
2026-08
Details for 2026-08
41.958.6
England
58.6

Figure as of unknown date. Source: NHS England.

Handovers taking over an hour: West Midlands Ambulance Service University NHS Foundation Trust and comparisons

Share of handovers with a known time that took over 60 minutes (AmbSYS A146 ÷ A140).

The numbers behind this chart
Handovers taking over an hour: West Midlands Ambulance Service University NHS Foundation Trust and comparisons (Handovers taking over an hour)
YearWest Midlands Ambulance Service University NHS Foundation TrustEngland
2023-10
Details for 2023-10
21.3%12.2%
England
12.2%
2023-11
Details for 2023-11
20.0%10.8%
England
10.8%
2023-12
Details for 2023-12
20.7%12.3%
England
12.3%
2024-01
Details for 2024-01
25.2%14.0%
England
14.0%
2024-02
Details for 2024-02
18.0%11.5%
England
11.5%
2024-03
Details for 2024-03
17.4%10.0%
England
10.0%
2024-04
Details for 2024-04
18.5%9.9%
England
9.9%
2024-05
Details for 2024-05
18.9%9.9%
England
9.9%
2024-06
Details for 2024-06
20.8%9.7%
England
9.7%
2024-07
Details for 2024-07
17.4%9.1%
England
9.1%
2024-08
Details for 2024-08
13.0%7.0%
England
7.0%
2024-09
Details for 2024-09
21.7%11.1%
England
11.1%
2024-10
Details for 2024-10
27.8%14.3%
England
14.3%
2024-11
Details for 2024-11
28.7%13.5%
England
13.5%
2024-12
Details for 2024-12
34.7%16.2%
England
16.2%
2025-01
Details for 2025-01
27.3%14.2%
England
14.2%
2025-02
Details for 2025-02
24.8%11.1%
England
11.1%
2025-03
Details for 2025-03
21.1%9.1%
England
9.1%
2025-04
Details for 2025-04
23.8%9.5%
England
9.5%
2025-05
Details for 2025-05
20.6%7.7%
England
7.7%
2025-06
Details for 2025-06
19.2%7.2%
England
7.2%
2025-07
Details for 2025-07
13.9%5.5%
England
5.5%
2025-08
Details for 2025-08
15.4%5.7%
England
5.7%
2025-09
Details for 2025-09
24.1%7.5%
England
7.5%
2025-10
Details for 2025-10
27.4%8.1%
England
8.1%
2025-11
Details for 2025-11
25.6%7.6%
England
7.6%
2025-12
Details for 2025-12
24.4%7.7%
England
7.7%
2026-01
Details for 2026-01
31.5%11.7%
England
11.7%
2026-02
Details for 2026-02
21.2%8.3%
England
8.3%
2026-03
Details for 2026-03
14.2%5.4%
England
5.4%
2026-04
Details for 2026-04
14.4%5.5%
England
5.5%
2026-05
Details for 2026-05
16.5%6.6%
England
6.6%
2026-06
Details for 2026-06
18.4%7.1%
England
7.1%
2026-07
Details for 2026-07
16.9%6.5%
England
6.5%
2026-08
Details for 2026-08
19.8%7.0%
England
7.0%

Figure as of unknown date. Source: NHS England.

Incidents per 1,000 residents: West Midlands Ambulance Service University NHS Foundation Trust and comparisons

Incidents in the month per 1,000 residents of the area the trust serves (ONS mid-year estimates; the area is the trust’s integrated care boards).

The numbers behind this chart
Incidents per 1,000 residents: West Midlands Ambulance Service University NHS Foundation Trust and comparisons (Incidents per 1,000 residents, per 1,000 residents)
YearWest Midlands Ambulance Service University NHS Foundation TrustEngland
2017-09
Details for 2017-09
11.23.4
England
3.4
2017-10
Details for 2017-10
14.85.5
England
5.5
2017-11
Details for 2017-11
14.710.3
England
10.3
2017-12
Details for 2017-12
15.913.4
England
13.4
2018-01
Details for 2018-01
15.712.8
England
12.8
2018-02
Details for 2018-02
13.911.3
England
11.3
2018-03
Details for 2018-03
15.012.6
England
12.6
2018-04
Details for 2018-04
14.111.9
England
11.9
2018-05
Details for 2018-05
15.012.5
England
12.5
2018-06
Details for 2018-06
14.512.1
England
12.1
2018-07
Details for 2018-07
15.412.7
England
12.7
2018-08
Details for 2018-08
14.312.1
England
12.1
2018-09
Details for 2018-09
14.411.9
England
11.9
2018-10
Details for 2018-10
14.912.5
England
12.5
2018-11
Details for 2018-11
15.112.6
England
12.6
2018-12
Details for 2018-12
16.013.4
England
13.4
2019-01
Details for 2019-01
16.113.3
England
13.3
2019-02
Details for 2019-02
14.511.9
England
11.9
2019-03
Details for 2019-03
15.613.0
England
13.0
2019-04
Details for 2019-04
15.312.7
England
12.7
2019-05
Details for 2019-05
15.312.9
England
12.9
2019-06
Details for 2019-06
14.912.5
England
12.5
2019-07
Details for 2019-07
15.613.1
England
13.1
2019-08
Details for 2019-08
15.112.8
England
12.8
2019-09
Details for 2019-09
15.012.4
England
12.4
2019-10
Details for 2019-10
15.913.2
England
13.2
2019-11
Details for 2019-11
15.913.2
England
13.2
2019-12
Details for 2019-12
16.914.1
England
14.1
2020-01
Details for 2020-01
15.813.3
England
13.3
2020-02
Details for 2020-02
14.712.4
England
12.4
2020-03
Details for 2020-03
17.113.6
England
13.6
2020-04
Details for 2020-04
15.012.2
England
12.2
2020-05
Details for 2020-05
14.712.1
England
12.1
2020-06
Details for 2020-06
14.812.0
England
12.0
2020-07
Details for 2020-07
15.612.8
England
12.8
2020-08
Details for 2020-08
15.913.1
England
13.1
2020-09
Details for 2020-09
15.712.8
England
12.8
2020-10
Details for 2020-10
16.113.2
England
13.2
2020-11
Details for 2020-11
15.712.8
England
12.8
2020-12
Details for 2020-12
16.313.6
England
13.6
2021-01
Details for 2021-01
17.213.9
England
13.9
2021-02
Details for 2021-02
14.611.8
England
11.8
2021-03
Details for 2021-03
16.213.2
England
13.2
2021-04
Details for 2021-04
16.013.2
England
13.2
2021-05
Details for 2021-05
17.014.2
England
14.2
2021-06
Details for 2021-06
16.713.9
England
13.9
2021-07
Details for 2021-07
16.914.0
England
14.0
2021-08
Details for 2021-08
16.613.3
England
13.3
2021-09
Details for 2021-09
16.412.9
England
12.9
2021-10
Details for 2021-10
16.413.2
England
13.2
2021-11
Details for 2021-11
15.412.7
England
12.7
2021-12
Details for 2021-12
15.512.9
England
12.9
2022-01
Details for 2022-01
15.012.5
England
12.5
2022-02
Details for 2022-02
13.811.3
England
11.3
2022-03
Details for 2022-03
15.412.5
England
12.5
2022-04
Details for 2022-04
14.712.0
England
12.0
2022-05
Details for 2022-05
15.212.5
England
12.5
2022-06
Details for 2022-06
14.612.2
England
12.2
2022-07
Details for 2022-07
14.712.2
England
12.2
2022-08
Details for 2022-08
14.111.7
England
11.7
2022-09
Details for 2022-09
13.511.4
England
11.4
2022-10
Details for 2022-10
13.911.9
England
11.9
2022-11
Details for 2022-11
14.011.8
England
11.8
2022-12
Details for 2022-12
14.012.0
England
12.0
2023-01
Details for 2023-01
13.011.3
England
11.3
2023-02
Details for 2023-02
12.010.6
England
10.6
2023-03
Details for 2023-03
14.312.1
England
12.1
2023-04
Details for 2023-04
13.511.7
England
11.7
2023-05
Details for 2023-05
13.712.2
England
12.2
2023-06
Details for 2023-06
13.511.9
England
11.9
2023-07
Details for 2023-07
14.112.2
England
12.2
2023-08
Details for 2023-08
14.112.2
England
12.2
2023-09
Details for 2023-09
13.812.1
England
12.1
2023-10
Details for 2023-10
13.912.5
England
12.5
2023-11
Details for 2023-11
13.712.3
England
12.3
2023-12
Details for 2023-12
14.313.1
England
13.1
2024-01
Details for 2024-01
13.912.9
England
12.9
2024-02
Details for 2024-02
13.012.0
England
12.0
2024-03
Details for 2024-03
13.912.8
England
12.8
2024-04
Details for 2024-04
13.212.3
England
12.3
2024-05
Details for 2024-05
14.012.9
England
12.9
2024-06
Details for 2024-06
13.412.4
England
12.4
2024-07
Details for 2024-07
14.212.9
England
12.9
2024-08
Details for 2024-08
13.912.5
England
12.5
2024-09
Details for 2024-09
13.612.3
England
12.3
2024-10
Details for 2024-10
14.313.0
England
13.0
2024-11
Details for 2024-11
14.112.9
England
12.9
2024-12
Details for 2024-12
15.013.8
England
13.8
2025-01
Details for 2025-01
14.313.2
England
13.2
2025-02
Details for 2025-02
13.011.9
England
11.9
2025-03
Details for 2025-03
14.513.1
England
13.1
2025-04
Details for 2025-04
14.112.7
England
12.7
2025-05
Details for 2025-05
14.413.1
England
13.1
2025-06
Details for 2025-06
14.112.9
England
12.9
2025-07
Details for 2025-07
14.713.4
England
13.4
2025-08
Details for 2025-08
14.213.2
England
13.2
2025-09
Details for 2025-09
13.713.0
England
13.0
2025-10
Details for 2025-10
14.413.7
England
13.7
2025-11
Details for 2025-11
14.413.6
England
13.6
2025-12
Details for 2025-12
15.214.4
England
14.4
2026-01
Details for 2026-01
14.914.2
England
14.2
2026-02
Details for 2026-02
13.612.5
England
12.5
2026-03
Details for 2026-03
14.713.8
England
13.8
2026-04
Details for 2026-04
14.413.4
England
13.4
2026-05
Details for 2026-05
15.114.1
England
14.1
2026-06
Details for 2026-06
14.813.9
England
13.9
2026-07
Details for 2026-07
14.914.1
England
14.1
2026-08
Details for 2026-08
14.613.8
England
13.8

Figure as of unknown date. Source: NHS England.

Staff (full-time equivalent): West Midlands Ambulance Service University NHS Foundation Trust and comparisons

All staff employed by the trust or service, full-time equivalent, as each nation’s workforce statistics count them (England and Wales: NHS staff statistics; Northern Ireland: HSC workforce statistics; Scotland: the service’s accounts). Counts include NHS 111 and patient transport staff where the service runs them, so they are not like-for-like between nations.

The numbers behind this chart
Staff (full-time equivalent): West Midlands Ambulance Service University NHS Foundation Trust and comparisons (Staff (full-time equivalent), FTE)
YearWest Midlands Ambulance Service University NHS Foundation TrustEngland
2009-09
Details for 2009-09
3,35532,079
England
32,079
2010-09
Details for 2010-09
3,62732,719
England
32,719
2011-09
Details for 2011-09
3,57332,304
England
32,304
2012-09
Details for 2012-09
3,48031,736
England
31,736
2013-09
Details for 2013-09
3,59134,239
England
34,239
2014-09
Details for 2014-09
3,97734,998
England
34,998
2015-09
Details for 2015-09
4,32036,719
England
36,719
2016-09
Details for 2016-09
4,23838,184
England
38,184
2017-09
Details for 2017-09
4,57539,116
England
39,116
2018-09
Details for 2018-09
4,78340,677
England
40,677
2019-09
Details for 2019-09
5,17643,536
England
43,536
2020-09
Details for 2020-09
6,21847,032
England
47,032
2021-09
Details for 2021-09
6,30447,984
England
47,984
2022-09
Details for 2022-09
6,51949,104
England
49,104
2023-09
Details for 2023-09
6,07951,192
England
51,192
2024-09
Details for 2024-09
6,37154,795
England
54,795
2025-07
Details for 2025-07
6,54155,495
England
55,495
2025-08
Details for 2025-08
6,55255,466
England
55,466
2025-09
Details for 2025-09
6,59955,779
England
55,779
2025-10
Details for 2025-10
6,56655,746
England
55,746
2025-11
Details for 2025-11
6,59255,730
England
55,730
2025-12
Details for 2025-12
6,56855,534
England
55,534
2026-01
Details for 2026-01
6,57555,759
England
55,759
2026-02
Details for 2026-02
6,55755,893
England
55,893
2026-03
Details for 2026-03
6,58456,033
England
56,033
2026-04
Details for 2026-04
6,57355,878
England
55,878
2026-05
Details for 2026-05
6,56255,823
England
55,823
2026-06
Details for 2026-06
6,53255,747
England
55,747
2026-07
Details for 2026-07
6,50255,608
England
55,608

Figure as of 24 September 2026. Source: NHS England (formerly NHS Digital).

What these figures do and don't show

  • Each nation measures response times its own way. England uses categories 1 to 4 with national standards; Wales moved to a new model in July 2025, which breaks its series; Scotland and Northern Ireland publish their own measures. Times are compared within a nation, never across.
  • No Treasury figure for ambulances. HM Treasury counts ambulance services inside medical services, so the UK figure here is the sum of the services’ own accounts, for years all of them have.
  • Handover delays are hospital as well as ambulance. Time lost at hospital handover depends on the hospital’s capacity as much as on the ambulance service.
  • Vehicle numbers are not published as official statistics for any nation.
  • Nothing here shows cause and effect.

Where this sits: Ambulance services, United Kingdom → England → West Midlands Ambulance Service University NHS Foundation Trust. Figures from data/services/ambulance.json, generated 29 September 2026.

Use this data

The figures belong to the bodies that published them and are used under their terms, listed in Sources for this page; most are Crown copyright under the Open Government Licence. Only our own words, analysis, charts and derived calculations are ours, published under CC BY 4.0: reuse them, including commercially, if you credit Tekstak Ltd and link back to this page.

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Sources for this page

Each source's figures are used under the licence shown. Our own words, analysis, charts and derived calculations are ours, under CC BY 4.0.

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