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The Welsh Ambulance Services NHS Trust (WAST) implemented an innovative Clinical Response Model (CRM) in October 2015. Following these changes WAST has consistently achieved a pan-Wales level of Red (immediately life threatening) performance higher than the Welsh Government target of 65 % of Red incidents responded to in 8 minutes; however Amber (serious, but not immediately life threatening) performance has worsened over the last few years. In November 2018, the Emergency Ambulance Services Committee (EASC) published its Amber Review. The Amber Review identified that the CRM was ‘valid’ and ‘safe’, but that ‘a number of patients are waiting too long to receive a response’ with the overriding factor in improving performance being ‘availability of ambulance resource’ and not categorisation. EASC and WAST now intend to procure a demand and capacity review to re-examine the levels of demand and the overall capacity required to meet this demand. The Welsh Ambulance Services NHS Trust (WAST) implemented an innovative Clinical Response Model (CRM) in October 2015. Following these changes WAST has consistently achieved a pan-Wales level of Red (immediately life threatening) performance higher than the Welsh Government target of 65 % of Red incidents responded to in 8 minutes; however Amber (serious, but not immediately life threatening) performance has worsened over the last few years. In November 2018, the Emergency Ambulance Services Committee (EASC) published its Amber Review. The Amber Review identified that the CRM was ‘valid’ and ‘safe’, but that ‘a number of patients are waiting too long to receive a response’ with the overriding factor in improving performance being ‘availability of ambulance resource’ and not categorisation. EASC and WAST now intend to procure a demand and capacity review to re-examine the levels of demand and the overall capacity required to meet this demand.