Case study

Newly qualified paramedic - Millie

After graduating in 2024, Millie is already taking on clinical leadership, teaching students and gaining experience on the frontline as a newly qualified paramedic

How did you get your job?

I applied through the NHS Jobs website, which is the standard route into most paramedic roles. After submitting my application, I was invited to an online interview with a senior operations manager (SOM). They try to match you with a SOM from one of your preferred hubs if possible - the hub is the location where you'll be based and where you start and end each shift.

The interview covered a range of topics. I was asked about the Ambulance Trust's core values, what they mean in practice and how I would demonstrate them in my work. I was also asked about diversity, including how I would respond if a colleague expressed negative views or if team members felt uncomfortable. They explored how I manage stress, what I enjoy outside of work, and the experience I had gained on placement, including which hub I trained at.

If you succeed at the interview, you're allocated a hub and then move on to training.

Is there any further training before you start on the frontline?

Yes. I completed three weeks of clinical training, during which I was assessed on key skills including manual handling and advanced life support. The training is intensive but essential for preparing you for frontline work. During this time, staff also show you practical things such as how to access and manage your rota.

After clinical training, I moved on to the blue‑light driving course. The driving course was intense and stressful, but it brought everything together and made me feel ready for operational work.

Once both training stages are complete, you can start working at your allocated hub.

What do you do in a typical shift?

There is a lot of variation in the types of clinical jobs I go to. This includes Category 1 calls, where someone has a life‑threatening injury or illness. These can feel daunting, especially when I'm working with someone new. Sometimes the situation isn't as serious as it first appears, so you have to keep an open mind - but when it is a genuine Cat 1, the pressure is real. Families are distressed, information can be unclear, and you're trying to treat the patient while gathering a history. That's something I still find challenging.

There are also times when I go to incidents where we aren't really needed medically. These might be social care issues or long‑term conditions where the patient is stable but still needs support. These can be some of the toughest jobs, because although the patient may appear unwell, there isn't always a clinical problem we can fix. In those cases, we can spend a long time on the scene waiting for police, mental health teams or social workers. We also frequently spend time cohorting - when patient care is handed between paramedic teams while waiting for admission to the hospital.

Overall, as a paramedic, you see something new every shift and you're constantly learning. That's what makes the job challenging, unpredictable and rewarding.

How relevant is your degree?

My degree in paramedic science has been highly relevant. It helps me think through pathology when I'm giving medications and supports my ability to assess patients properly. The clinical knowledge I gained at university underpins everything I do on shift.

What do you enjoy about being a paramedic?

I enjoy helping people when they need it most. I also like teaching associate ambulance practitioners (AAPs) and university students - it's rewarding to support others who are starting their careers.

What are the most challenging parts of the job?

As well as the pressures of Category 1 calls, it can be challenging to be the lead clinician when I'm working with new people. The responsibility to make the right decisions is always there, and that can feel heavy at times.

How has your role developed since qualifying?

My role has progressed quickly. I'm already taking university students out on shift and teaching them things that I didn't know at their stage. Looking ahead, I'm interested in becoming a prescriber to expand the level of care I can provide.

Can I become a paramedic without previous healthcare experience?

Yes, but gaining some experience really helps. When I first qualified, I was surprised by how far I'd come and how much responsibility I now had. The public looks to you for reassurance, confidence and leadership, and that takes time to grow into.

Working as a paramedic can be emotionally demanding, so developing resilience and strong communication skills is just as important as clinical knowledge. I make sure I speak to management when a job has affected me emotionally, and I'm careful to maintain a healthy work/life balance.

What advice would you give to someone who wants to become a paramedic?

  • Get real experience first - Spend time in a healthcare setting before applying. It helps you understand the pressures and pace of the job.
  • Make the most of your placements - Take every opportunity to practise your skills and see a range of cases.
  • Be kind to yourself - The work can be emotionally challenging. You're human, and it's important to talk to your peers when you're struggling and allow yourself space to decompress.

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