There are ten individual NHS Ambulance Trusts (some of which are now Foundation Trusts) in England.
The Welsh Ambulance Services NHS Trust covers the whole of Wales, the Scottish Ambulance Service covers the whole of Scotland and the Northern Ireland Ambulance Service Health and Social Care Trust covers the whole of Northern Ireland.
Public ambulance services operate on the Isle of Man, Guernsey and Jersey, and the British Overseas Territory of Gibraltar.
Separate management arrangements are in place for the Isle of Wight.
Private Ambulance Companies
There is a growing number of independent companies providing ambulance services across the UK. These companies provide a range of services, ranging from specialist patient transfer to non-emergency patient journeys through to event cover and supporting NHS Ambulance Trusts at times of peak demand.
Other areas of work
In recent years, the roles and areas in which paramedics work have become increasingly diverse, and paramedics are now employed within the following roles (note that this list is not exhaustive):
Telephone triage systems (including NHS 111); NHS acute trusts (ED roles, for example); NHS primary and secondary care (urgent care centres, mental health, and community settings, for example); GP surgeries; national NHS services, including NHS England, Health Education England, NHS Digital, local authority, higher education, military, offshore and remote, helicopter emergency medical services, hazardous area response teams, special operations response teams; and international services.
Employment in Ambulance Services
For those individuals who may be considering a start to their career in the ambulance service, the following link will provide further guidance:
There are a variety of ambulance related roles that include:
- Ambulance Care Assistant;
- Emergency Care Assistant;
- Emergency Medical Technician;
- Patient Transport Controller;
- Call handler/Emergency Medical Dispatcher and, of course Paramedic.
- Various Ambulance services offer some of these positions as an apprenticeship.