The States of Jersey Ambulance Service is managed by the Justice and Home Affairs department. In 2022 in order to deal with peaks in demand and unexpected events it changed the way emergency calls were prioritised. Staff shortages were attributed to the cost of living on the island and it was suggested that there could be accommodation provided for the ambulance staff. Calls will be prioritised similarly to practice in NHS ambulance services. It launched a community first responders scheme in 2022. Performance The service was said to be a good organisation with "passionate and caring staff who provide a good quality of care to patients when reviewed in 2022 but levels of staff were said to be inadequate in terms of meeting current demands. An overspend of around £400,000 was expected by the end of 2022. A lack of core capacity leads more agency staff being used and for staff doing more overtime. Structure The States of Jersey Ambulance Service is structured similarly to most NHS ambulance services. Paramedics are the primary healthcare professionals within the service and are all required to be registered with the Health and Care Professions Council (HCPC) alike the UK. There are currently no on-island routes to becoming a paramedic, as paramedics require a Paramedic Science BSc (Hons) to become registered. Paramedics are supported by Ambulance Technicians (also called 'Technicians' or 'Techs') who are also healthcare professionals however lack the same scope of practice and autonomy as their paramedic colleagues. Ambulance technicians can be trained on-island by the service. Where a lack of paramedic staff on duty makes it necessary, technicians may crew together on front line ambulances. The States of Jersey Ambulance Service has recently introduced a new clinical role known as an Emergency Care Assistant (ECA). ECAs have the most basic scope of practice for front line ambulance staff and work in a supporting capacity to paramedics. ECAs can never crew together to operate a front line ambulance. All of the above staff crew between two and four double crewed ambulances dependant on staffing and time of day. Where there is an odd-number of staff, paramedics may work on a see-and-treat vehicle, targeted at delivering care to patients who may be discharged into the community and not require transport to hospital. The see-and-treat vehicle is sometimes used for paramedic backup or as an additional resource to life-threatening emergencies. The service also operates