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New for Wales: Orange ambulance category for stroke

A new “orange” ambulance category will be introduced in Wales this winter to improve emergency care for stroke patients currently grouped within broader amber calls. Under the new system, specialist nurses and paramedics will screen 999 calls to identify patients with stroke or STEMI heart attacks—where blood flow to the heart is completely blocked—who need a faster response and specialist care before arriving at hospital.

The aim is to better direct time-critical cases to specialist pre-hospital treatment. Stroke patients are currently within the amber category, which covers about 70 per cent of all 999 calls in Wales. The new orange category will not have a specific response time target, but average and longest response times will be recorded, along with the type and quality of care provided before hospital arrival.

Alongside orange, two additional categories will replace the current amber group: yellow, for cases requiring further clinical assessment to determine the best response, and green, for issues such as blocked catheters that may need community care or planned transport. The changes follow updates earlier this month to how the most urgent 999 calls are categorised. A purple category was introduced for patients in cardiac or respiratory arrest, and a red emergency category for cases such as major trauma. These categories carry a target average response time of six to eight minutes. A “video triage” pilot scheme is also underway in five areas, allowing paramedics to consult hospital stroke specialists in real time before the patient arrives.


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