RANK STRUCTURE
Overview of Epaulette/Slider Colouring (with examples)
Red Advanced Care Clinician Sky Blue Level 3 ASFR (ER)
Trainee Clinician
Student Clinician
Non-Emergency Transfer
Service
Assistant Ambulance
Practitioner
Green Registered Clinician Black Non-Clinical
Bar indicates Newly Qualified
Clinician
Navy Qualified Clinician Extract from OP/001, Section 5.3.7:
Blue (EMT) “When operationally deployed in frontline delivery, rank marking, other than for
(EAC and EMT roles consolidated in 2022)
Team Managers/Clinical Team Managers, will only be worn if the holder is an
authorised and approved operational, tactical or strategic commander. Those that
are not authorised or approved operational tactical or strategic commanders will
wear unranked/descriptor slides. The rank slides must be correctly coloured to
reflect the wearer’s clinical skill level.”
Rank Structure London Ambulance Service Version 3.0 – March 2023
Role Epaulettes Gorget Patches Cap
Ambulance Operations
Team Manager
NETS Operations Manager
999 Operations
Performance Manager (EOC)
Integrated Urgent and Emergency Care
N/A
Team Manager
Clinical Directorate
Trainee Clinical Tutor
Driving Tutor
Associate Tutor
Quality Directorate
Quality Assurance Manager (EOC)
Rank Structure London Ambulance Service Version 3.0 – March 2023
All Directorates
Business Support Manager (where on call)
Clinical Team Manager / Navigator
Ambulance Operations
Station Support Manager / MRU Manager
Hospital Ambulance Liaison Officer
999 Operations
Watch Manager
Integrated Urgent and Emergency Care
Deputy General Manager (site)
Clinical Directorate
Clinical Advisor
Quality Directorate N/A
Clinical Tutor / Driving Education Support Manager
Curriculum Developer / Education Governance Support Manager
Senior Quality Assurance Manager
Resilience and Specialist Assets
Emergency Planning Support Officer
CBRN Operations Officer / MERIT Project Coordinator
CBRN Acute Trust Trainer / Clinical Liaison Officer (LAA)
Operations Officer – Emerging Threats / HART Operations Officer
Training Officer – SORT/Emerging Threats/HART
Interoperability Development Officer (LFB/MPS)
Rank Structure London Ambulance Service Version 3.0 – March 2023
999 Operations
Incident Response Officer
Operational Delivery Manager
Rank Structure London Ambulance Service Version 3.0 – March 2023
Ambulance Operations
System Partnership and Transformation Manager
Cycle Response Unit Manager / Scheduling Manager
Integrated Urgent and Emergency Care
Deputy General Manager – Clinical Assessment Service
Clinical Directorate
Senior Clinical Advisor
Sector Clinical Lead
Quality Directorate
Driving Standards Manager
Operational Placement Centre Manager
Education Manager
Education Centre Manager
Clinical Education Programme Manager
Patient Safety and Improvement Manager
Resilience and Specialist Assets
Emergency Preparedness and Resilience Officer
Rank Structure London Ambulance Service Version 3.0 – March 2023
Ambulance Operations
[Location] Group Manager / Head of Scheduling
General Manager (Ambulance Operations)
999 Operations
General Manager (EOC / IM&SD) / Incident and Delivery Manager
Integrated Urgent and Emergency Care
General Manager (Site / Clinical Assessment Service)
Clinical Directorate
Senior Sector Clinical Lead
Site Senior Clinical Lead
Quality Directorate
Quality Governance and Assurance Manager
Governance Manager (CESD)
Clinical Education Manager
Head of Quality Assurance (999 Operations)
Patient Safety Specialist
Resilience and Specialist Assets
Head of Resilience and Spec Ops / Head of CBRN and HART
Clinical Operations Lead (APP)
Rank Structure London Ambulance Service Version 3.0 – March 2023
Ambulance Operations
Assistance Director of Operations
Clinical Directorate
Chief Clinical Information Officer
Assistant Medical Director
Quality Directorate
Head of Clinical Education
Head of Quality and Assurance Systems
Head of Quality Improvement and Learning
Resilience and Specialist Assets
Head of Transformation, Engagement and Blue Light Collaboration
Rank Structure London Ambulance Service Version 3.0 – March 2023
Ambulance Operations
Deputy Director, Ambulance Operations
999 Operations
Deputy Director, Incident Management & Service Delivery
Deputy Director, 111/999 Control Centres
Integrated Urgent and Emergency Care
Deputy Director, Clinical Assessment Service
Deputy Director, Service and Partnership Development
Clinical Directorate
Consultant Paramedic
Rank Structure London Ambulance Service Version 3.0 – March 2023
Director of Ambulance Operations
Director of 999 Operations
Director of Integrated Urgent and Emergency Care
Director of Resilience and Specialist Assets
Director of Clinical Education
Director of Quality
Director of Clinical Pathways and Clinical Transformation
Medical Director (DOCTOR)
Deputy Chief Medical Officer (DOCTOR)
Rank Structure London Ambulance Service Version 3.0 – March 2023
Deputy Chief Executive
(Chief Medical Officer / Chief Paramedic)
Rank Structure London Ambulance Service Version 3.0 – March 2023
Chief Executive Officer
Rank Structure London Ambulance Service Version 3.0 – March 2023
