 In 2019 the Care Quality Commission reported that ambulance services were relying on private providers because of lack of capacity.The trust spent £9.5 million on private ambulances for 999 and non-urgent work in 2018/19, double the amount spent previous year.Private Ambulance Providers include (not exclusive list) Polaris Medical, Elite EMS, Jigsaw Medical, Hearts Ambulance Service, BM Ambulance, Immediate Care Medical, Team Medic, Met Medical, Pro Medicus Ltd, St John Ambulance and Essex Ambulance Service.