 The idea is for this service to be rolled out nationally and to replace NHS Direct.Between April and October 2013 the service recorded 10,072 "incidents" in which handovers to hospital accident and emergency departments had taken longer than 30 minutes and 499 which took longer than one hour triggering fines of £250,000.In 2018 the trust said it would need 100 more paramedics to meet the new ambulance performance standards.