Mystery “shoppers” could be used to monitor the way a patient transport system in Nottingham is run.

Hospitals must keep better records of how long it takes to hand patients from ambulances into A&E departments, says the Auditor General for Wales

Of 7,018 calls that were considered to be Class A or immediately life threatening, ambulances or rapid response vehicles arrived within the recommended eight minutes for only 4,849 of them.

The East Midlands Ambulance Service is anxious that it suffers delays in getting to emergency calls at a time when speed is vital