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These are to apply to all 999 calls for the first time. Call handlers will be given four minutes to assess the urgency of the call before the clock starts. The target for the most seriously ill patients is now seven minutes. The 'clock' stops when the most appropriate response, not necessarily the first, arrives.
The service responds to 999 phone calls across the region, and 111 phone calls from certain parts, providing triage and advice to enable an appropriate level of response. It is one of the busiest ambulance services in the world, and the busiest in the United Kingdom, providing care to more than 8.6 million people, who live and work in London.
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The 9-9-9 format was chosen based on the 'button A' and 'button B' design of pre-payment coin-operated public payphones in wide use (first introduced in 1925) which could be easily modified to allow free use of the 9 digit on the rotary dial in addition to the 0 digit (then used to call the operator), without allowing free use of numbers ...
An example of a P4 call is a reattendance of a job that was of a higher priority, arrest attempts or neighbourly dispute. The KPI for attendance of P4's is 24 hours. Priority 5 or P5 is a job that has been set for supervisor review. Various jobs may require a person of the rank of Acting Sergeant or higher to review the completed job.