 In the 2017–18 contract negotiations with clinical commissioning groups, where Sandwell and West Birmingham CCG negotiated on behalf of all the West Midlands CCGs the trust sought financial compensation for the delays to ambulances caused by patient handover delays at local hospitals.WMAS wanted a "full second tariff" on top of the standard tariff for delays over 60 minutes, and "a smaller second tariff" for delays over 30 minutes, which would have come to around £6 million.After mediation by NHS England and NHS Improvement it was agreed to pay the trust an additional £2.1m in 2017–18.