ambulance technician qualification or FutureQuals level 4 diploma for associate ambulance practitioners. Assistant ambulance practitioner - trained in ambulance emergency and urgent care support. Non-emergency ambulance crew - work for the non-emergency transport service to providing a response to patients who are ill or injured but do not require the skills of a frontline clinician. London's Air Ambulance Charity work alongside and is dispatched by LAS, who also provides paramedics to the charity, to work alongside doctors who are sourced from national and international hospitals. Pioneer services LAS published its strategy for 2018/19 – 2022/23 in April 2018. It focused heavily on in introduction of what it describes as "pioneer services". These are services which are focused on delivering a more tailored treatment package to specific and significant groups of patients in the community including: Urgent care: Managing low acuity patients in the community with the use of advanced paramedic practitioners (urgent care). These paramedics will have additional training, testing, referral and prescribing capability, which in the trial in south London reduced conveyance from 63% to 36.6% of the target patient group. Falls: A paramedic with additional training and equipment paired with an assistant to appropriately assess elderly fallers in a timely manner, treat as required and be able to make additional referrals to ensure patients are supported at home. Mental health: Ensuring that a suitable mental health clinician is available to patients 24/7 by having registered mental health nurses (RMN) available in the clinical hub, as well as introducing vehicles with a RMN paired with a paramedic to provide appropriate assessment and treatment for people experiencing a mental health crisis. This includes transport to more appropriate facilities than an emergency department where possible. Maternity: An ambulance rapid response vehicle with a registered midwife and paramedic with an increased ability to assess and treat on scene, as well as increased access to community services enabling mothers to stay at home where possible. End of life: LAS will invest in knowledge and skills involving these patients, developing stronger links with hospices and review the pharmacology available to the crews to make this stage of life as comfortable and dignified as possible. Volunteers Volunteers make up a small but significant proportion of front line ambulance staff that respond to emergency calls in London. Voluntary responders vary in skill level, but their principal purpose remains the same. That is to attend medical emergencies