This report is a compilation of the investigations, evidence gathering and research during an inquiry into the core issues impacting the management and functions of Ambulance Victoria. It finds that the evidence is stark: Ambulance Victoria is an organisation in crisis. Change is urgent and badly needed. It makes 52 findings and 21 recommendations.

This research identified that acute male mental health presentations to ambulance services are both frequent and complex, with paramedics feeling that they are poorly equipped to respond effectively.

The focus of performance reporting in this chapter is on ambulance service organisations, which are the primary agencies involved in providing emergency medical care, pre-hospital and out-of-hospital care, and transport services.

The focus of performance reporting in this chapter is on ambulance service organisations, which are the primary agencies involved in providing emergency medical care, pre-hospital and out-of-hospital care, and transport services.

Victorian Opposition Leader Daniel Andrews claims ambulance service has never been worse, with response times longer than ever before.