This report, developed by the Association of Ambulance Chief Executives in collaboration with NHS Providers and NHS Confederation, highlights the pivotal role ambulance trusts play in delivering urgent and emergency care and sets out a long term vision for an enhanced role they could take in co-designing this care. It sets out the case for change and includes several case studies that demonstrate the benefits of ambulance services taking this broader approach.

It is intended to be used as a conversation starter at national, regional and system level.