 In the year 2015 the new occupation of "Notfallsanitäter" was introduced, including a three-year education and training for the role as high professional emergency care provider as well as a substantial assistant to the emergency physician on scene.Today Germany has a dense net of emergency services available, providing emergency care at a high professional standard.In Germany the individual German states are legally responsible for the provision of emergency services, but typically delegate these responsibilities to the district level ("Kreis" or "kreisfreie Stadt").