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Commissioners press for a work session, more data as EMS prepares operational changes
Summary
Several commissioners said the EMS proposal felt presented rather than requested and asked staff to return with comparative response‑time data, broader outreach plans and a formal work session so all commissioners can weigh in before full roll‑out.
Multiple Wake County commissioners told staff on Oct. 27 that the EMS change felt presented as a near‑final decision rather than a policy the board had been asked to consider.
“This seems very much like, for information as opposed to for permission,” said Commissioner Adamson, who asked whether the proposal was effectively a done deal. Commissioner Thomas echoed the concern and proposed a general work session so every commissioner could review the proposal, ask for data and hear community feedback together.
Staff said they were seeking feedback on the process, not simply informing the board of a finalized decision, and committed to additional briefings after community meetings. Jose, identified in the record as a medical director, said operational items are often decided by department leadership but acknowledged the county’s practice of broadening feedback and said staff would return with requested data and consider a work session.
Why it matters: Commissioners emphasized governance and transparency — they want clear data on how the change will affect response times for different acuity levels and broader outreach to heavy EMS users before a county‑wide implementation.
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