New South Wales has experienced periods of high demand for ambulance services in metropolitan areas and ambulance services have needed to meet surges in demand. New South Wales has implemented strategies to manage its emergency responses, including the Sydney Ambulance Metropolitan Infrastructure Strategy that aims to reshape operations in metropolitan Sydney, transforming the majority of the 43 ambulance stations in the area into a network of NSW Ambulance superstations. This $184 million program has created ambulance hubs that are supported by smaller, standby stations called Paramedic Response Points. This audit could assess impacts of this and other strategies in meeting demand for ambulance services and improving ambulance response times.