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Yesterday he confirmed he is planning to visit the region.

"Ministers do not control the NHS, but we do have accountability to Parliament and to the public which is why we have been careful to keep looking at what has been going on."

But Lord Howe insisted that did not amount to a vote of no confidence in the management of the trust, of which Andrew Morgan is currently interim chief executive after taking on the role in December following Converse Maroon Color

But Lord Howe insisted a government decision to parachute in another chief executive to review the trust does not equate to a vote of no confidence in the current management of the East of England Ambulance Service.

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"I am not so worried about the actual targets as the way they are being implemented and Converse Maroon High Top managed. We do have ambulance trusts in other parts of the country which cover similar areas which are performing perfectly well.

Lord Howe said: "I have not been up yet but I have Converse Sale Uk 2018

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only had responsibility for emergency care since autumn.

One of the concerns which critics have raised during the course of the EDP's Ambulance Watch campaign, which was launched last year to fight for better services, is that the trust tends to over perform in counties such as Bedfordshire, Hertfordshire and Essex, which has helped mask poorer performance in Norfolk, Suffolk and Cambridgeshire.

"One of the things the ambulance personnel I met told me was how difficult it is to access some part of the patch in the times which are expected of them."

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Lord Howe said: "I think these logistical difficulties will exist however big or small an ambulance trust is. What concerns me is the way we are measuring performance.

He said: "We see the monthly statistics and, from about last summer, it become apparent that East of England Ambulance Trust was not meeting its response time targets.

Lord Howe said his department had been concerned about the performance of the trust, where the service is failing to respond to 75pc of A8 category emergency calls within eight minutes and 95pc of A19 calls in 19 minutes, for months.

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"I met quite a large group of ambulance men and women last week, which was extremely helpful, and I have been in Converse High Tops Black Sale

"It was felt it was right to give those plans a chance to bed down, because direct ministerial interference is something we do not do lightly.

"That can happen sometimes because of operational reasons or bad weather, but we became increasingly concerned before Christmas when it was clear the statistics were consistently below standard.

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"This is not a vote of no confidence, but they clearly need support. Anthony assessment will be complete by the end of April and we expect him to look at all the relevant issues, such as governance, leadership and resources."

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And this week, the Department of Health did intervene, bringing in Anthony Marsh, the chief executive of the West Midlands Ambulance Service and a former head of the Essex Ambulance Service, to carry out a review of the trust.

close touch with the local NHS.

"I don't know if its the size or the geographic challenge with is the problem. It may be resources or operational planning which is the issue."

the resignation of former boss Hayden Newton.

"I have been keeping an extremely close eye on the situation with the East of England Ambulance Trust.

He also revealed the Department of Health has had concerns about the under performance of the ambulance service since last summer and said it simply has to get better.

Last Saturday the EDP demanded to know why Lord Howe had not stepped in to make vital changes to the much criticised service and why he had yet to visit a region where the service he is responsible for is failing to hit response times.

Lord Howe said: "I understand the concern and that has been relayed to me a number of times. I hope Anthony Marsh will bring us closer to some answers on that, but I reserve judgement at this stage. But I understand the concern."

He said he was aware of the difficulties posed in counties such as Norfolk and Suffolk, which have no motorways and major roads which have yet to be fully dualled.

When asked whether a service which takes in Norfolk, Suffolk, Cambridgeshire, Essex, Hertfordshire and Bedfordshire needed to be broken up to provide a better service to the more rural parts of that area, Lord Howe said: "This question has been wrestled with for a very long time. It's an immense area and the geography is difficult up in The Fens and also in parts of Essex.

"There are some very carefully worked out targets for ambulances which clearly we must have because response times are crucial.

Health minister pledges to visit beleaguered East of England Ambulance Trust

"That's why Anthony Marsh has come in. We think highly of him, as we do of the management at the East of England Ambulance Trust, but they are struggling.

"My colleagues and I were obviously anxious to ensure local management were doing all they could and we asked for a report as to what they were doing. "We judged it best to let the management team, which was relatively new, to work through their plans to look afresh at the system of ambulance locations, rotas and staffing.

Lord Howe said: "The most recent set of statistics did not reassure us things were pointing in the right direction, so this week we decided to undertake a special exercise to support the management of the service and reassure both them and the public that the plans in train are robust and correct and are likely to work.

"There are plans in train to enable us to do that. We are looking at dates and we are looking at coming up during the parliamentary recess. I don't know at this point whether I will come to Norwich or if I will meet the trust at another location.

"But I think there is value for me and for people locally if I visit the area. I am proposing to bring together representatives from commissioning services and other relevant people to make sure we have got a good handle on the issues."

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