Harley Street Ambulance Service

Updated 14 January 2026

This was a focused follow-up inspection to follow up enforcement action we took in June 2023. Therefore, we did not re-rate the service. The previous rating of requires improvement still stands, however individual quality statements have been scored showing some improvement.

Harley Street Ambulance service provides patient transport services (PTS). During our inspection we were told by the management team the service no longer provided emergency and urgent care services. Following our inspection, we were told the service provided both high dependency and non-emergency patient transport.

At this inspection we only looked at quality statements within the safe and well led domains for PTS and therefore did not rerate the service at this time.

Harley Street Ambulance is a subcontractor providing patient transport services for NHS patients across north London and a private contractor providing services directly to organisations or private patients.

Updated 22 August 2025

We carried out a focused inspection of this service on 14 October 2025 to follow up on concerns identified at the previous inspection on 23 May 2023 when a warning noticed was served. This was because the provider was failing to comply with requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This inspection focused on the warning notice, and we looked at 1 quality statement in safe and 1 quality statement in well led. Our team consisted of 1 inspector and 1 specialist advisor. We spoke with 2 members of staff, the operations manager and the registered manager for the service. We reviewed policies, staff files and training records while we were on site and were provided with further documentation after our visit.

We found the service had made improvements and were no longer in breach of regulations 18 and 19. However the breach of regulation 17 remained. The service did not have a formal system to share learning from incidents in a structured way to prevent recurrence and staff meetings were usually held quarterly but did not always follow a set agenda.

The service did not have a formal process in place to share learning from incidents and complaints with staff. Feedback was provided to staff regarding learning via informal conversations with staff when they came in for their shift.

The service carried out regular supervision meetings with staff and an annual appraisal. Staff files were up to date and included a record of the training staff had completed which was logged and reviewed by managers.

In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward. Or, if we have requested an action plan, this will be requested upon publication of the final report.

Updated 17 May 2019

Emergency and Urgent Care (EUC) services were a small proportion of activity by the provider making up 20% of the work they carried out. EUC services included high dependency transfers between hospitals.

Arrangements for patient transport services (PTS)  and EUC were mostly the same. Therefore, we have reported most of our findings in relation to this core service in the relevant sections of the PTS report.

We rated the EUC service good overall for the same reasons set out in the PTS summary of findings below.