Single responders
As well as crews who work together on an ambulance, we also have a number of single responders, who go to patients by car, motorcycle or bicycle.
They are able to treat patients without the help of an ambulance crew, or are sent to a patient ahead of an ambulance as they still carry the vital life-saving equipment needed in an emergency.
In life-threatening emergencies we will send a single responder and an ambulance crew to treat the patient. In these situations every second counts, and a single responder can get through the traffic faster than a large ambulance which means we can get treatment to a patient more quickly.
However, our single responders have been fully trained to work on their own. They are emergency medical technicians or paramedics who have the skills to assess patients to see whether they definitely need treatment by an ambulance crew.
Our Incident Response Officers (IROs) respond to and oversee complex incidents or situations involving multiple patients – and also support the welfare of our staff and volunteers on scene.
In some parts of London we are supported in our work by ambulance community responders, who work for us on a voluntary basis. These are members of the public who have had emergency life-support training, and they respond alongside our staff to life-threatening 999 calls.
We plan to increase the number of single responders to ensure that we are able to retain crewed ambulances for those patients who need them.
Click on the boxes to find out about all our different single responders:
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Critical care advanced paramedic practitioners (APPs)
Our Advanced Paramedic Practitioners in Critical Care (APP-CC) treat the most seriously ill and injured patients – including patients in cardiac arrest and with serious traumatic injuries.
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Urgent care advanced paramedic practitioners (APPs)
Our Advanced Paramedic Practitioners in Urgent Care (APP-UC) respond to a variety of different calls for patients with a variety of illnesses and injuries.
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Cycle response unit
Our pedal powered paramedics can often be first on scene at a 999 call as they weave through (or cut out!) London traffic. Our cycle responders operate in busy locations, especially where there are large pedestrian areas including Canary Wharf, Croydon, Kensington, St Pancras Station and Heathrow Airport. Watch this video and join them on a ride out.
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Motorcycle response unit
Meet our motorcycle response unit on a typical day responding to 999 calls in London.
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Incident Response Officers
Our Incident Response Officers (IROs) respond to and oversee complex incidents or situations involving multiple patients – and also support the welfare of our staff and volunteers on scene.
There are usually eight IROs per shift, responding across the capital. IRO teams respond from eight bases across London and respond 24/7.
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