Board of the St John Ambulance Association to fulfill its requirement to the Government (through the Ambulance Transport Advisory Board) to establish a national system of training for Ambulance Officers. NAOTS formalised training into three distinct levels of "Ambulance Aid" with each was a Certificate issued jointly by the Department of Health (through the ATAB) and the National Training School under the auspices of the Order of St John. Basic grade certification as either six weeks full-time for paid officers or taught in two three-week blocks for volunteers over two years (three weeks each year) provided they had completed at least 400 hours of service in the year prior to commencing and in the year between blocks. Intermediate Aid consisted of six pre-course correspondence assignments, a two-week block course and two weeks of in-hospital experience. The initial provisions of the Intermediate Aid course were nebulised salbutamol, MAST and intravenous fluid administration. Advanced Aid built upon Intermediate Aid and required a minimum of three years' service. The fourteen-week course was spread over a five-week block course, four weeks each of in-hospital and on-road and then a one-week examining period. Once qualified in Advanced Aid (as a "Paramedic") an Officer could perform defibrillation, intubation, chest decompression and administer a number of drugs. Walton and Offenberger compiled a review of the NAOTS (and Ambulance Officer training generally) for the Department of Health in 1984 which led to the following reforms: The School became affiliated with the (then) Auckland Institute of Technology (now AUT) and relocating out of the old Central Ambulance Station in Pitt St to the Akoranga Campus in 1990. Elementary Ambulance Aid was introduced to provide a national first step for volunteers The "Basic Grade Certificate in Ambulance Aid" was renamed "Proficiency Ambulance Aid" Intermediate Aid was changed to form two "Post-Proficiency Modules" one in Monitoring/Defibrillation and the other Intravenous Therapy. Medical treatment protocols for Intermediate and Advanced Aid became the responsibility of the Ambulance Transport Advisory Board (later the New Zealand Ambulance Board) as they had initially been developed by the NAOTS however this was seen to be unsatisfactory as it was deemed a responsibility of the medical profession whereas NAOTS was an educational body. The review also consideration the necessity of using qualified Ambulance Officers when undertaking non-emergency transfer duties; this can be seen today as the Patient Transport Service whereby transfers of nonemergency patients between hospitals, clinics and