Work in London as Paramedic

The getting started guide you must read.

London Ambulance Jobs
for Diploma-qualified APC graduates

Earn $920.00 – $1191.00 a week after tax.

Australian Paramedical College Logo


A unique opportunity for Australian Paramedical College Diploma graduates to be employed by the London Ambulance Service as a Paramedic

Australian Paramedical College graduates are invited to apply for
the position of Paramedic with London Ambulance.


The London Ambulance Service (LAS) are actively recruiting newly-qualified Diploma students to work with them in the UK. Talks with LAS has revealed an opportunity for APC graduates who seek adventure and travel.

Why? –  because LAS recognises the excellent training and high-level competence of APC Diploma-qualified graduates across a range of clinical disciplines including pharmacology, trauma care and advanced life-support techniques.

“There are always enough places to accommodate new recruits from Australia”, said an LAS spokesperson.

“As long as applicants can demonstrate clinical knowledge and meet the standards and criteria, we encourage graduates to apply.”

A once in a lifetime opportunity to live and work in the busy city of London


London Ambulance Service NHS Trust

About the London Ambulance Service

The London Ambulance Service (LAS) is one of the world’s busiest ambulance services.  The opportunity to live and work in this amazing city provides APC graduates with a level of experience which is second to none. You will also have the enviable opportunity to rapidly develop your clinical skills as a recognised Paramedic and the legal right to use that title in the UK.

LAS is a huge organisation with over 5,000 staff; around 3,500 are frontline paramedic crews based at 70 ambulance stations across London. Approximately 500 people manage their two 999 despatch/control rooms and hundreds of support staff provide additional services from locations across the city.

Emergency health care services are provided free to more than 8.5 million people living in the London area. A truly multicultural city in every sense, London’s population comprises of many nationalities and backgrounds who live and work in the metropolitan area, which is around 620 square miles in size (about 990 sq kilometres).

The main role of LAS is to respond to emergency 999 calls, delivering urgent medical help to patients who have serious or life-threatening injuries or illnesses.


London Ambulance Service NHS Trust

With around 5,000 calls a day being received at the dispatch centres, almost 25 percent are immediately life-threatening (Category A), there’s no such thing as a routine job, let alone a ‘normal’ day working with the London Ambulance Service.

Factor in the world’s busiest airport (Heathrow) on the doorstep of London, the enormous underground train network, the busy tourist sites and the major public and cultural events; you’ll quickly see why LAS places so much emphasis on finding the right people to carry out the vital work that they do.

London Ambulance Service NHS Trust

600 London Paramedics to be hired over the next year

A recent article in the London Herald indicated LAS urgently requires over 600 paramedics to be hired over the next year.

Accounting for the 300+ Australians it intends to hire, there will still be a huge shortfall of some 109 Paramedics.

There is no doubt of the immense opportunity for Diploma-qualified graduates of the Australian Paramedical College to head over to work in the UK as a paramedic.

Read about the Diploma here

London Ambulance Service NHS Trust
Like nothing you can ever imagine

LAS have told the Australian Paramedical College that working in London is ‘like nothing you can ever imagine’. For those who have never been to the UK before, be prepared to experience a new and exciting way of life in every sense of the word.

In terms of pre-hospital healthcare experience, new recruits will learn so much in a short space of time. You’ll gain more experience than some paramedics who have practiced for many years in Australia in the same time frame.

This is because London is so densely populated which means a high volume of call-outs.

London also has a wide range of socio-economic issues which are reflective of the activities of LAS.  With such a disparity between the mega-wealthy sector and those living in poverty, working in London can be a real eye-opener.

In low income and employment areas of London, health education and literacy is a real problem, which contributes to the high volume of triple zero emergency calls.

As a paramedic in London, you’ll see all walks of life – from elegant Mayfair hotels to run-down apartment blocks. This is why the London experience will launch your paramedic career. You receive ongoing training to prepare for life on the streets because you have complete autonomy to make clinical decisions on the ground.

London Ambulance Service NHS Trust

Every day in London is different

Although emergency medical care for patients is the top priority, many patients have less serious illnesses or injuries and do not need to be sent an ambulance on blue lights and sirens.

Often these patients will receive more appropriate care somewhere other than at hospital. Hence a wide range of care is provided to these patients, recognising that many have complex problems or long-term medical conditions.

As an integral part of the National Health Service (NHS) in London, LAS works closely with hospitals and other healthcare professionals, as well as with other emergency services such as Police and Fire. They are also central to planning for, and responding to, large-scale events or major incidents in the capital.

Attending to about 1 million patients a year, LAS is experiencing tremendous demand for additional health care specialists and is prepared to train the right people.

The UK is also set to follow the Australian model where a mental health response team can be dispatched to non-life-threatening situations, leaving Paramedics to respond to 999 (000) emergency calls.

London Ambulance Service NHS Trust

Read about the Diploma here


Getting to know London.

Another vital part of your research if you are thinking of working in London is to get to know the terrain and the layout of the city. It’s a huge city with so much history and culture.

Go on to Google Earth and Google Maps – walk the streets of London, see where the hospitals and ambulance stations are located – get a feel for the place and immerse yourself in it.

London Ambulance Locations

Like most careers, you can’t always choose the perfect location to work from.

London Ambulance Service, with its 3500+ staff, operating out of 70 locations means anything can happen, including where you will be stationed.

The reality is, as a new recruit you will be placed wherever you are needed the most. You could be stationed somewhere for a month or a few days at a time.

Relief rostering may require you to go to a different station every couple of weeks, working with people you’ve never met before.

This is part of the appeal of the job as a London Paramedic. The variety of work scenarios can not be matched in Australia.

Keep an open mind, manage your expectations accordingly and be grateful for the opportunity.


London Ambulance Service NHS Trust

Equipment and Resources

As a Paramedic working in London, you are required to carry your personal kit or immediate/primary response bag as it is referred to. This means you take your kit home with you after every shift.

The kit is stocked with the same essential equipment you will find in Australia to handle airway management, airway Oropharyngeal, dressings for wound management, sharps disposal containers etc.

Restocking your kit is arranged at the station you will be stationed at.

Your ambulance of course is fitted out with the essential equipment to perform your job, it’s just the consumables that are your responsibility.

London Ambulance Service NHS Trust

Getting a work Visa

Most new recruits tend to get a 2 year working Visa (which also allows spouse) and tend to extend their Visa and stay for 2-3 years.

It’s thought about 50% of paramedics return home to Australia and the other 50% stay on because they just love living and working in London.

It’s also possible to apply for citizenship after completing several years in the service.

One of the biggest questions you should ask yourself is ‘what do you want of out the opportunity to go to London and work as a paramedic?’


London Ambulance Service NHS Trust

London Paramedic – How much can you earn?

One of the important considerations before jumping on a plane to the UK is understanding just how much does a London paramedic earns?

Looking at some of the recent job vacancies on the London Ambulance website, here is an overview of the type of money you can make.

For the sake of this exercise, let’s take the current UK pound to AUD exchange rate as
1 Australian dollar = 57 pence (1 pound = $1.76).

So for every 100 pounds earned, you receive the equivalent of $176 Australian dollars.

London Paramedic jobs (permanent contract roles).

Hours: 37.5 Hours Per Week

Location: London area

Base salary

Working in and around London you will be awarded a base salary plus a supplement;

  • high cost area supplement (HCAS) of 15% working the outer London area
  • high cost area supplement (HCAS) of 20% for working the inner London area

Newly Qualified Paramedic (APC): Band 5: £23,023 to £29,608 pa
AUD$52,100 + max HCAS of 20% =$62,532
Before tax per week: $1202.53

After tax: $962.00

Qualified Paramedic: HCPC Registered: Band 6 £28,050 to £36,644 pa
AUD$64,528 + max HCAS of 20% =$77,434
Before tax per week: $1489.00

After tax: $1191.20

The UK income tax rate if you earn under £46,350 is 20%.

If you earned the same amount in Australia you would be taxed at 32.5%. So you can see an instant benefit there – 12.5% more money in your pocket.

Plus – you may also receive unsocial hours overtime payments (under the provisions of Section 2: maintain round the clock services). Exact salary will depend on location and working patterns.

Considering the starting salary for a uni graduate in Australia is around $60,000, London is quite appealing, especially when you factor in how close Europe is and how cheap it is to fly to Italy, Spain, Holland, Germany, France etc from about $30 ($52).

Read about the Diploma here

London Ambulance Service NHS Trust


UK Clinical Practice Guidelines

The scope of clinical practice in the UK is similar to that of Australia. Of course there are some differences in their National Scope of Practice, however these are covered in an induction course where new paramedics are soon familiarised with the LAS NHS CPG’s.

LAS clinical guidelines are managed by the Joint Royal Colleges Ambulance Liaison Committee and are referred to as JRCALC. They provide guidance for UK Paramedics, although the principles are applicable to the work of all pre-hospital clinicians.

You can also get the phone APP here:


London Ambulance Service NHS Trust

UK Paramedic Registration

As a practicing health care clinician in the UK you are also required to be registered with the UK  Health and Care Professions Council (HCPC).

Their reason for existence is to set the standards for professionals’ education and training and practice as well as keep a register of professionals, known as ‘registrants’, who meet the required standards.

Registration can take anywhere from a couple of weeks to 2-3 months.


London Ambulance Service NHS Trust

London Ambulance Service values

Respectful – Caring for our Patients and each other with compassion and empathy. Championing equality and diversity. Acting fairly.

Professional – Acting with honesty and integrity. Aspiring to clinical, technical and managerial excellence. Leading by example. Being accountable and outcomes orientated.

Innovative – Thinking creatively. Driving value and sustainable change. Harnessing technology and new ways of working. Taking courageous decisions.

Collaborative: Listening and learning from each other. Working with partners. Being open and transparent. Building trust.


London Ambulance Service NHS Trust

Application Process and Requirements

  • Provide CV, qualification, Work Experience
  • Give your reasons as to why you want to work with LAS
  • You will be asked questions on problem solving and resolution outcomes

If successful at this stage, you will be shortlisted

  • A Skype interview – how you see yourself meeting the NHS Trust values of Respectful, Professional, Innovative and Collaborative.
  • Clinical assessment – two way discussion, physiology, pharmacology, ethics etc
  • Safety assessment, physical capacity fitness – beep test, exercise physiology, bike test, endurance, core strength etc which will be conducted in Australia.
  • Applicants can also get a lot of information from the website – encouraged to do your own research
  • A successful Police check
  • A good driving record, full manual driving license valid in the UK, with no more than 3 penalty points and yes – they drive on the same side of the road as we do.
  • Health Care and Professional Council (HCPC) registration.  AUD$350 or 180 pounds – 2 years. The HCPC is a bit like Australian Health Practitioner Regulation Agency (AHPRA).

Employment benefits of working with the London Ambulance Service:

  • 3 weeks paid classroom based course plus 300 hours operational placement
  • 4 weeks blue light emergency driving course for those who do not hold the Emergency Blue Light Driving Award
  • Clinical Induction tailored to your job
  • Protected training and continued professional development
  • A clinical career path which is well established and expanding
  • Regular clinical updates
  • Enhanced hands on experience across the spectrum in the Service

LAS recruit on a monthly basis.

London Ambulance Service NHS Trust

Quick links

Read these first

PDF download -> LAS Strategic Intent 2018/19 – 2022/2023

LAS Policy and Procedures

A good PDF explaining the London Ambulance Service

LAS Social Media

NHS jobs


Read about the Diploma here

Download the text version of this page

Get the eBook version here