title: Performance. 'We are not looking for blame but improvement'.
abstract: Mersey Regional Ambulance Service was the worst-performing in the country. A strategic review recommended a robust approach to performance measurement and management. An impressive turnaround was achieved by simplifying management systems, rethinking responses to emergency patients and introducing a new performance framework.
authors.forename: Alexis
authors.initials: A
authors.lastname: Nolan
mesh_terms: D000552:Ambulances / Q000458:organization & administration*; D003659:Decision Making, Organizational; D017598:Efficiency, Organizational; D015279:Organizational Culture; D011320:Primary Health Care; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom