Table 1

Skill level competencies of ambulance clinicians in London

Skill levelRole and responsibilities
Emergency medical technician 2Supervised patient assessment, administration of selected prescription medications, provision of ambulance aid, blue light driving.
Emergency medical technician 3Unsupervised patient assessment, administration of selected prescription medications, provision of ambulance aid, blue light driving.
ParamedicUnsupervised patient assessment, provision of ambulance aid, blue light driving.
Extra skills: cannulation, advanced airway management, administration of extended prescription medications.
Lead clinician on scene responsible for care of the patient and scene management.
Registered under the health professions council.
Paramedic team leaderUnsupervised patient assessment, provision of ambulance aid, blue light driving.
Extra skills: cannulation, advanced airway management, administration of extended prescription medications.
Lead clinician on scene responsible for care of the patient and scene management.
Clinical lead/role model for practice.
Registered under the health professions council.
Emergency care practitionerAutonomous advanced patient assessment, provision of ambulance aid, blue light driving.
Extra skills: cannulation, advanced airway management, administration of further extended prescription medications, minor injury treatment, community referrals.
Lead clinician on scene responsible for care of the patient and scene management.
Registered under the health professions council.