"The system is under a lot of strain and the number of call-outs is rising," said Spranger, explaining the need for reform. In 2024, there were almost half a million call-outs in the ambulance service, almost 21,000 more than in the previous year. One of the reasons for this is demographic change: more and more people are getting older and need medical assistance. One aim of the reform is to enable the rescue service to concentrate on its core tasks of emergency rescue and emergency transport. "People now often call the emergency services even though there is no medical emergency in the original sense," said Spranger. "In 2024, the fire service was able to refer almost 40,000 such calls to the Association of Statutory Health Insurance Physicians."