Organisation of ambulance care - Towards structural legislation in 2020

​In order for the new law of ambulance care to be timely implemented, the cabinet has to decide on the design of the ambulance care organisation in the Netherlands. The Ministry of Health, Welfare and Sport has asked SiRM to conduct a comparative analysis of different variants for the organisation and funding of ambulance care from 2020.

SiRM recommends to appoint healthcare insurers or the Ministry of Health, Welfare and Sport to be the reponsible authorities of ambulance care in the Netherlands. Both have disadvantages that can largely be overcome by giving Regional Acute Care Organisations (ROAZ) a non-binding advisory role.

SiRM also advises to allow both public and private providers of ambulance care, with or without the possibility of payment of dividend, to provide ambulance care.

The Ministry of Health, Welfare and Sport is according to EU legislation obliged to tender in order to select ambulance care providers. Health insurers are not yet obliged to tender for the selection of ambulance providers. In the case of periodic selection by means of tender it is very important that the continuity of care and safety is not compromised.

Written by

Saskia van der Erf
Mainly active in International Health Systems, Pharmaceutical care, Emergency care and Mental Healthcare
View profile
Jan-Peter Heida
Mainly active in Healthcare, Strategy consulting, Regulated markets and Competition
View profile


dr. Jan-Peter Heida (partner)
+31 6 41 36 23 59

Pam van der Meer (officemanager)
+31 6 21 32 55 55


Stadsplateau 17
3521 AZ Utrecht
The Netherlands
Google maps

CoC SiRM Group B.V.: 67397395
CoC SiRM Healthcare B.V.: 67401600