Addressing one of the NHS’s most visible pressures
Prolonged ambulance handover delays and corridor care have become defining challenges across the UK’s urgent and emergency care system.
Ambulances frequently arrive at emergency departments only to find there is no safe space to hand patients over. As a result, patients may remain in vehicles or be placed in corridors and temporary spaces while departments struggle to manage overwhelming demand.
This creates a damaging cycle:
Evidence highlights the scale of the problem. National data shows millions of ambulance handovers each year exceed safe time thresholds, contributing to delays in emergency response and avoidable harm.
At the same time, a significant proportion of ambulance arrivals do not require full emergency department care. Many patients require assessment, diagnostics and treatment, but could be managed safely in an alternative clinical setting.
Ambulance Relief Centres address this gap.
By creating a dedicated destination for suitable ambulance patients, ARCs:
Rather than adding temporary capacity inside already crowded hospitals, ARCs help prevent unnecessary congestion from entering the system in the first place.
In 2024, around 800 working days, each day, have been lost to these delays, which are only counted when they exceed 30 minutes. In aggregate, it is the full-time equivalent of nearly 1,400 paramedics over the course of a year.
If you wait more than 12 hours in A&E you are more than twice as likely to die within 30 days of being discharged than if you are seen within two hours
One in five patients treated in corridors or waiting room
It was cold room with no natural light or access to toilet or shower facilities nearby. Temporary measure for no beds in the hospital. Patients felt undervalued and forgotten about.
I had to change an incontinent, frail patient with dementia on the corridor, by the vending machine. It was undignifying, felt so bad at the same time it was my duty to deliver care.
Spending a full 12-hour shift queuing outside hospital is soul-destroying. It’s tiring, it’s repetitive and it’s awful for patients.