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Current campaigns

This page looks at some of the issues Paramedics across NSW are fighting for. This is not an exhaustive list. If you wish to learn more about any of these issues, or any other issues APA (NSW) is fighting for, please contact us on (02) 9564 3261.  


NSW Ambulance has not updated the 'Minimum Operating Levels' since 2010. This means that if the same number of ambulances are on the road today as there were in 2010, the government would consider that sufficient for community needs. Rather than invest in actual enhancements to community resourcing, NSW Ambulance uses funding to shuffle the deck chairs and change work pattern or resource distribution.

The service maintains that these operating levels are sufficient in spite of the Bureau of Health Information demonstrating that: 

APA (NSW) is currently at the Industrial Relations Commission working hard to hold NSW Ambulance to account for the safety of all Paramedics, dispatchers and patients.  We are demanding that NSW Ambulance commit to MOLs that actually meet present day and future demand.  To read more about how this issue impacts Paramedics and patients every day, check out the following resources:


Fighting for our ECPs

APA (NSW) strongly believes that Extended Care Paramedics provide a vital service to the community, and an important career advancement pathway for Paramedics. Extended Care Paramedics treat patients at home, providing antibiotics, setting dislocations, suturing. They are invaluable to communities and hospitals, avoiding distressing and unnecessary trips to hospital . NSW Ambulance continuously fails to maintain planned ECP numbers across metropolitan NSW. On average, around 50% of the ECPs who are meant to be working as ECPs are rostered on to do so. The other 50% are utilised to fill gaps in 'general duties' rosters. NSW Ambulance  effectively refuses to allow anybody who works rurally to become an ECP. If a Paramedic successfully applies for an ECP course, they must agree to give up their position in regional or rural NSW and relocate to Sydney for a minimum of two years. APA (NSW) will continue to fight for a greater investment in the ECP program, across NSW. Our communities and Paramedics deserve better. 

Rural, regional and remote communities 

In our submissions to the Regional, Rural and Remote Health Access and Outcomes Senate Inquiry, APA (NSW) put forward 6 key recommendations: 

  1. Resourcing to match demand: Update deployment modelling to reflect present day demand, ensuring that ambulances are deployed as rostered.
  2. Specialist Paramedic resources: More funding for Intensive Care and Extended Care Paramedics across regional, rural and remote NSW, while allowing for flexibility in work practices, and providing the workforce with the ability to undertake training, skills consolidation and skills maintenance locally.
  3. Ensuring Paramedics are available for emergency work: Enhance Non-Emergency Patient Transport services to provide 24-hour coverage and improve consultation systems to avoid Paramedics undertaking unnecessary transports.
  4. Appropriately resourcing local hospitals: Undertake a review looking at which local hospitals would benefit most greatly from basic diagnostic tools (x-ray and CT), technicians who can utilise those tools, and dedicated mental health facilities. Recommendation
  5. Review triaging and referral services: Undertake a review of the efficacy of the current call triaging system and referral services.
  6. Build reliable communication networks: Invest in building a reliable radio and cellular network to ensure Paramedic safety.

Click here to read our submissions in full: "Patients are dying and Paramedics will soon too if this isn't fixed".