In an emergency dial


Clinical Care

Our paramedics work with people who are sick, injured and at their most vulnerable, so they have to be at the top of their game when it comes to clinical practice.

Clinical Practice

Our Quality Improvement and Innovation team takes care of policy, practice and processes for continual improvement.

Our clinical practice is overseen by Medical Director, Dr Andy Swain. The clinical team works with all parts of the business to make sure our patients receive the best possible care.  They:

  • Design and regularly review Clinical Procedures and Guidelines that all paramedics use in their day to day work
  • Constantly review paramedic national and international sector standards to keep pace with today’s best practice knowledge and changing service needs
  • Take part in sector wide clinical initiatives and new developments
  • Carry out clinical audits, and monitor our practice against international best practice Clinical Quality Indicators
  • Review and share organisational learnings from complex cases
  • Review and approve new clinical equipment.

Paramedic Registration

The matter of paramedic registration is being considered by government. It has the full support of Wellington Free Ambulance and the paramedic sector.

There is a lot of talk at present about introducing registration for paramedics.Currently paramedics operate under a set of national practice guidelines and are granted “Authority to Practice” by our medical director.  To become qualified they undertake a minimum of three years degree training and spend a further year working on the road under the guidance of a mentor.  Paramedics’ “Authority to Practice” certificates are reviewed and renewed annually.

Paramedics Australasia spokesperson, and Wellington Free paramedic Sean Thompson says that registration is important.

“Paramedicine will become a nationally regulated medical profession under the Health Practitioners Competence Assurance Act (2003) along with nurses, doctors, physiotherapists and others. Regulation ensures consistent national standards of care from health professionals, so the public can be assured of receiving the highest level of care no matter where they are in New Zealand.  At the end of the day it’s about patient safety,” he says.

It also opens up career opportunities for paramedics.  “Many registered paramedics in the UK now work in emergency departments, GP practices and medical centres rather than just on ambulances,” Sean Thompson says.

The matter of paramedic registration is being considered by government.  It has the full support of Wellington Free Ambulance and the paramedic sector.

Clinical Procedures and Guidelines

This national document guides our clinical practice to ensure safe and consistent care for all of our patients.

These guidelines are presented for informative purposes only. Only those with an authority to practice issued by Wellington Free Ambulance may use these guidelines for the provision of patient care. These guidelines may change from time to time and Wellington Free Ambulance does not guarantee their accuracy once downloaded or printed.

Clinical Procedures and Guidelines

If you wish to make any formal comments or enquiries regarding these guidelines please contact: Chair of the National Ambulance Sector Clinical Working Group c/o Ambulance New Zealand, PO Box 714, Wellington.

Requesting patient information

We take great care to ensure the privacy of your health information.

We collect information about you and your health to provide appropriate care, to keep you and others safe, to carry out teaching and research, and for statistical purposes.

Be assured that your information is kept secure and only authorised people have access to it. This may include other agencies, where authorised by law.

Accessing your health information

If you have been a patient of ours, you have a right to request access to any personal health information that we hold and which is readily retrievable.

To apply for your information to be released to you, download and complete the Patient Health Information Form with appropriate documents attached as stated in the checklist.

Adverse Events

We take the provision of high quality patient care extremely seriously. We strive to do our very best for patients and their families every time we go to them.

We have a process for identifying, investigating, and learning from events where patient care has not been to the standard we would expect.  This involves a team of our clinical, operational and 111 communications centre experts coming together regularly to review information received via patient feedback, complaints, or from our own quality assurance process.

Every investigation results in a set of recommendations for improvement, and as much as possible we keep the patient and their family informed of our progress and findings.  As well as our own investigation, serious (SAC1 and SAC2) events are reported to NASO and the Health Quality and Safety Commission.

For information about how adverse events are coded, and to view previous events visit the Ministry of Health website

We use the World Health Organization event codes to classify all events. More information on these codes can be found in the National Adverse Events Reporting Policy 2017. A copy of this policy is available here.

Reportable Events October – December 2017

Reportable Events January – March 2018

Reportable Events April – June 2018

Reportable Events July- September 2018

Reportable Events October – December 2018

Families Council

Staff mental health and emotional wellbeing is a top priority for Wellington Free Ambulance. Our staff work in a number of stressful situations and often experience immense pressure in their role.

We know this work can impact on a person’s personal and professional worlds, so with this in mind, we are creating the Families Council – a group of family members who can advise us on the issues affecting them and the people they care about.

The Families Council will involve open discussions and collaboration on the best ways to improve mental health and emotional wellbeing for our staff and the people they care about. By working together the Families Council will help improve support networks for staff and their families, helping to promote a workplace that is committed to open communication, respect and support.

If you would like to know more please download the Families Council Charter or contact

Consumer Council

Wellington Free Ambulance is here for all our communities in Greater Wellington and Wairarapa. With over 400 dedicated and compassionate staff, the team help thousands of people every year.

In order to continue to improve the way we do things, we want to hear from our consumers and their carers.

Through partnership and collaboration, the thoughts, feelings and ideas of the consumer will be heard in an honest and open forum, as part of the Consumer Council.

The Council will offer insight into the patient experience. Ensuring the consumers has a voice in all stages of planning, delivery, evaluation and monitoring, affecting all programmes and services at Wellington Free.

The rich diversity within our region needs to be reflected in our Consumer Council, this will ensure that interests of each group will be fairly represented. Understanding pre-hospital care through our consumer’s eyes is an important step to improving the overall health of our whole community.

The council will meet every 6-8 weeks and provide consumer’s insight for the following:

  • Reviewing clinical guidelines
  • Clinical pathway development
  • Adverse events group
  • Complaints process (not individual complaints)
  • Appointment panel for new staff
  • Clinical desk improvements
  • New ambulance vehicle layouts
  • Professional development for staff
  • Publications and documentation review
  • New health initiatives

If you are aged over 18, live in Greater Wellington or the Wairarapa, have used one of services in the past two years, as a patient or carer, and are keen to improve the health outcomes for all our communities, please read the Charter and FAQs for more information.

Expressions of interest for the Consumer Council have now closed, and all those who applied will be contacted in the coming weeks.

electronic Patient Report Form (ePRF)

We have now moved from paper to electronic patient records to ensure improved data quality and patient care.

In March 2018 Wellington Free Ambulance moved from paper to electronic patient records. This change brings with it improved data quality and patient care.

It is a step towards information sharing between health services which over time will mean one record, one story, and joined up care plans.

For more information, support or advice contact:

0800 WFA PRF (0800 932 773)

To access your patients Ambulance Care Summary (ACS) visit:

Download the “How to use ePRF ACS access” information sheet.