The Netherlands has 25 RAV regions. The Dutch Minister of Health, Welfare and Sport (VWS) has designated a Regional Ambulance Service (RAV) in each region, which is responsible for ambulance care.

25

Ambulance care in the Netherlands is organised regionally in Regional Ambulance Services (RAVs) The RAV is the entity legally appointed to provide ambulance care and maintain the ambulance care dispatch centre.

There are 25 RAVs in the Netherlands. The division into RAV regions is the same as the division into Security Regions under the Dutch Security Regions Act (Wvr).

On 31 December 2021, the RAVs had 900 ambulances available in the Netherlands.

900

In the Netherlands, ambulances and ambulance crews are available 24 hours a day, 7 days a week.

In 2020, there were 881 ambulances. In practice, however, not all 881 ambulances are responding to calls at the same time. Part of the available capacity is reserved for large-scale accidents or emergencies or for maintenance or damage to vehicles and during overlapping shifts.

To distribute the ambulances throughout the region as effectively as possible, every RAV has a number of ambulance posts.

224

In many regions, particularly during the day, crews are in a state of dynamic readiness. At the end of an assignment, the ambulance does not return to a post, but remains on the road. If this ambulance is given a new assignment in the case of dynamic readiness, no call-out time is involved.

The number of posts varies from region to region. In the National Reference Framework for Distribution & Availability, an optimal theoretical distribution of posts was calculated to comply with the starting point that under normal circumstances, 95% of the population must be reached within fifteen minutes of the start of the report to the ambulance dispatch centre.

In 2021, there were 1,408,115 ambulance deployments in the Netherlands.

1.408.115

In 2021, there were 1,408,115 ambulance deployments in the Netherlands. The number of deployments increased by over 1.75% compared with 2020.

In 2020 the number of deployments decreased by more than 46,000 (3.4%) compared with 2019 as a result of the COVID-19 pandemic that reached the Netherlands in March 2020.

In 2021, there were 6,863 staff, spread over 6,178 FTEs.

6.863

The number of ambulance care staff rose from 5,925 in 2017 to 6,863 in 2021. This is an increase of more than 15%.

The ambulance sector has traditionally been a male-dominated sector, but the ratio is gradually shifting and there are more and more women. In 2021, 61% of staff were men and 39% women.

Both nurse and non-nurse operators work in the dispatch centre. The nurse dispatch centre operator is responsible for the dispatch centre process, handles the details and ensures a responsible implementation of the process of intake, care needs assessment, care assignment and care instruction. The non-nurse operator is usually deployed on the logistic process of issuing ambulance calls.

The national average sickness absence rate within the ambulance care sector in 2021 was 5.8%.

5,8%

The average sickness absence rate in 2021 was 5.8%.

This percentage decreased in 2021 compared with 2020, when the rate was 6.4%.

745.000.000

The macro budget for ambulance care is determined every year in the national budget.

The macro budget in 2021 was €745 million. For this macro budget, ambulance care is available 24/7 throughout the entire year and 1,408,115 deployments took place in 2021.

At the end of 2021, the population of the Netherlands was more than 17.5 million. In other words, ambulance care in 2021 cost an average of approximately €42.35 per inhabitant.