Although training courses are delivered locally, paramedics and technicians employed by national health service ambulance services are trained in accordance with a national syllabus administered on behalf of the Department by the Ambulance Service Association and based on clinical advice from the Joint Royal Colleges Ambulance Liaison Committee.
To qualify, they are also required to sit nationally set examinations with awards administered by Edexel on behalf of the Ambulance Service Association.
To practise, paramedics have additionally to register and meet standards approved by the Health Professions Council.
Training in private ambulance services is a matter for each individual employer. Each has a general duty to ensure that its staff are suitably qualified and trained in order to provide the level of care which they are required to deliver. If private ambulance services are employed by the NHS, guidance to trusts requires that they satisfy themselves that the contractor's staff are suitably trained and experienced.