London Ambulance Service News

29 Oct 2026

Paramedics urge Londoners to enjoy Halloween responsibly as they brace for a rise in alcohol-related callouts

Paramedics urge Londoners to enjoy Halloween responsibly as they brace for a rise in alcohol-related callouts: Halloween 1

Paramedics at London Ambulance Service are urging Londoners to celebrate Halloween safely as new figures from the past five years show alcohol-related incidents were more than a third higher on Halloween than on a normal October day[1].

The busy weekend comes as the Service is already experiencing increased demand, including a rise in patients with breathing difficulties, with elderly and vulnerable people among the hardest hit.

October is on course to be the second-busiest month of the year so far, with more than 200,000 999 calls expected, second only to July when London experienced extreme heat.

Calls for the sickest patients – known as ‘Category 1’ – have risen steadily over the month to around 480 a day. LAS would usually expect to attend around 400 on a typically busy day. This month, paramedics have also treated over 9,000 patients face to face with respiratory and breathing issues.

October has also seen more calls to 111, with a 12.5 per cent increase compared with the same period last year.

With demand remaining high, London Ambulance Service is calling on Londoners to call 999 appropriately for life-threatening emergencies.

Chief Operating Officer Craig Harman said:

“Halloween is an exciting time for many people, with parties, trick-or-treating and firework displays taking place across London.

“If you’re planning to drink, please do so responsibly, plan your journey home and be considerate of others, particularly children, older people and those who may be vulnerable.

“999 is for life-threatening emergencies. For other urgent medical concerns, contact NHS 111. This helps us reach the people who need us most.”

Londoners attending organised firework displays should follow the organisers’ safety advice. Anyone planning to set off fireworks at home should take extra care and follow London Fire Brigade’s firework safety advice.

People with non-emergency health concerns can visit NHS 111 online for advice on the most appropriate care. GP practices and pharmacies can also help with a range of common health concerns.

The recent surge in demand comes just after London Ambulance Service finalised its operational plans for this winter. LAS has been working closely with partners in the capital for many months to plan a city-wide approach to winter.

The resulting Winter Plan includes:

  • LAS putting additional ambulances out on the road during peak demand
  • Innovative ways of caring for patients, such as using trusted AI tools to help with recording patient notes
  • More clinicians treating patients over the phone to avoid busy emergency departments
  • Scaling up cleaning and vehicle repair capacity across the fleet and estates to ensure safe, clean vehicles are readily available
  • Working with hospitals to ensure that patients are handed over in a more timely manner at A&E departments

 

Contact Information

London Ambulance Service Media Team
London Ambulance Service NHS Trust
020 3267 4440
londamb.press.office@nhs.net

Notes to editors

Methodology 

  1. Alcohol-related incidents on Halloween were compared with the average for the same day of the week over the preceding four weeks. Across the five years from 2021 to 2025, there were 614 incidents on Halloween compared with a baseline of 452, an increase of 35.8%.

About London Ambulance Service

London Ambulance Service answers more 999 and 111 calls than any other ambulance service in the UK. Our ambulance crews go to more than 1 million patients and our call handlers answer more than 1.9 million 999 calls a year.*

Our 24-hour 111 integrated urgent care services help more than 2.2 million patients a year and cover most of London.

We have a core fleet of nearly 600 ambulances. Paramedics also respond in fast response cars, on motorcycles, on bicycles and by helicopter, working with our partners at London’s Air Ambulance.  

We have more than 10,000 people who work for us, caring for the nine million people who live or work in the city and all those who visit us.

Our partnerships with the Metropolitan Police Service, London Fire Brigade and London’s Resilience Forums mean we are ready and prepared to respond to major incidents; and ensure we keep Londoners safe.

*All the statistics used are correct for the year 2023/24 and have been published in our latest annual report which you can find here: https://www.londonambulance.nhs.uk/about-us/our-publications/