Five ambulance services received no stars

Tees, East and North Yorkshire Ambulance Service (TENYAS) is one of only five to receive no stars at all in the survey.

The figures have been released by the independent health watchdog body the Commission for Health Improvement (CHI).

In contrast, South Yorkshire Ambulance Trust was among those to receive the maximum three stars for its emergency service performance.

We have made significant improvements. Jayne Barnes, Chief executive TENYAS

Ambulance services across the country were assessed on criteria including emergency response times, staff sickness, patient complaints and clinical negligence.

West Yorkshire Metropolitan Ambulance Service has been awarded one star, five months after the CHI accused it of "fiddling" its figures.

In February officials found managers had been exaggerating the speed with which they answer the most urgent 999 calls.

The new figures released on Wednesday show that the performance of ambulance trusts has fallen over the last year.

Full breakdown

Jayne Barnes, chief executive of TENYAS said: "To put this in context, the star ratings are a snapshot.

"Since then, we have made significant improvements. Furthermore there is absolutely no criticism of the clinical care our staff provide for patients. "

The CHI also assessed every primary care trust in the country with those in North Bradford, Selby and York, Sheffield South West, and South Huddersfield all achieving top marks.

Stars were awarded on criteria including waiting lists, death rates and access to GPs.