Abstract

AbstractAmbulance service demand is increasing in the United Kingdom. A common speculative view makes a link between this rise in demand, deprivation, and certain medical conditions. This study explored factors influencing English ambulance service demand in two areas of differing socioeconomic status. Adopting a causal comparative design, the study compared the numbers of life‐threatening calls that Yorkshire Ambulance Service receives and serves in two geographical areas within the Hull and East Riding area. The area of lower socioeconomic status generated significantly more life‐threatening calls than the area of higher socioeconomic status; these calls often supported younger patients (mean age 59 years versus 71 years) for breathing difficulties (29% versus 14.5%) more commonly. Tackling inequality will require a whole‐systems approach, effective leadership, and recognition of the benefits of understanding difference. A key relationship will entail engaging with seldom heard communities.

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