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Monday 9am - 5pm Tuesday 9am - 5pm Wednesday 9am - 5pm Thursday 9am - 5pm Friday 9am - 5pm

http://www.marchesambulance.co.uk/

Marches Ambulance Service, Leominster (2026)

03/03/2026

“W𝘦’𝘷𝘦 𝘣𝘰𝘰𝘬𝘦𝘥 𝘵𝘸𝘰 𝘱𝘢𝘳𝘢𝘮𝘦𝘥𝘪𝘤𝘴.”
That tells you very little.

What matters is:
• Scope of practice
• Governance
• Supervision
• Escalation pathways
• Registration for the activity delivered

The sector is shifting away from title-led reassurance and toward governance-led accountability.

That shift is healthy.

And long overdue.

27/02/2026

Huge congratulations to Rich on completing his FREC 4! 👏

As one of our Responders, Rich plays a vital frontline role representing Marches Ambulance Service at events and operational deployments. In addition to this, he is also a Trainer for our parent company, Marches Group, where he supports the development and progression of others entering the pre-hospital care environment.

Rich’s dedication to maintaining high clinical standards and investing in the growth of those around him is exactly the culture we are proud to promote across the organisation. His dual role strengthens both our operational capability and our training provision, ensuring quality and consistency at every level.

We are proud to have professionals like Rich within the team who lead by example and continue to raise the bar.

Very well done Rich, thoroughly deserved!

26/02/2026

Too many event medical discussions still begin with:
“H𝘰𝘸 𝘮𝘢𝘯𝘺 𝘱𝘦𝘰𝘱𝘭𝘦 𝘢𝘳𝘦 𝘢𝘵𝘵𝘦𝘯𝘥𝘪𝘯𝘨?”

Attendance matters.

But risk profile matters more.

Two events with identical numbers can require completely different medical provision depending on:
• Age demographic
• Alcohol profile
• Environment
• Access for ambulances
• Distance to hospital

This is why structured Medical Needs Assessment remains central to defensible planning.

Headcount alone is never enough.
https://marchesambulance.co.uk/how-much-medical-cover-does-my-event-need/

26/02/2026

It’s been a real privilege to support Hereford FC while they’ve had to play a number of home fixtures at alternative venues.

Throughout that period, the club made a clear decision not to compromise on the standard of medical provision available to their players, coaching staff, or supporters. Something that speaks volumes about their professionalism and values.

We’re proud to stand alongside a local club that continues to push for excellence both on and off the pitch.

25/02/2026

𝗙𝗲𝘀𝘁𝗶𝘃𝗮𝗹 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗖𝗼𝘃𝗲𝗿: 𝗜𝘀 𝗧𝗿𝗮𝗻𝘀𝗽𝗼𝗿𝘁-𝗢𝗻𝗹𝘆 𝗥𝗲𝗴𝗶𝘀𝘁𝗿𝗮𝘁𝗶𝗼𝗻 𝗘𝗻𝗼𝘂𝗴𝗵?

The Health and Social Care Act 2008 recognises exemptions from registering for Treatment of Disease, Disorder or Injury (TDDI), including treatment delivered solely within a temporary sporting or cultural event.

So yes, an on-site festival exemption can apply.
However, context matters.

If a provider includes a paramedic-led ambulance that:
Undertakes structured assessment (ECGs, blood glucose testing, etc.)
Administers prescription-only medicines or controlled drugs
Provides treatment during offsite conveyance

That begins to look less like incidental event first aid and more like organised healthcare delivery.

Transport Services is a separate regulated activity.

If patients are conveyed offsite in the provider’s own ambulance, Transport registration may be required.

And where advanced clinical treatment is routinely delivered, providers should carefully consider whether TDDI is also being carried on.

The key question for organisers isn’t simply:
“Are you CQC registered?”
It’s:
“W𝗵𝗶𝗰𝗵 𝗿𝗲𝗴𝘂𝗹𝗮𝘁𝗲𝗱 𝗮𝗰𝘁𝗶𝘃𝗶𝘁𝗶𝗲𝘀 𝗮𝗿𝗲 𝘆𝗼𝘂 𝗿𝗲𝗴𝗶𝘀𝘁𝗲𝗿𝗲𝗱 𝗳𝗼𝗿, 𝗮𝗻𝗱 𝗱𝗼𝗲𝘀 𝘁𝗵𝗮𝘁 𝗮𝗹𝗶𝗴𝗻 𝘄𝗶𝘁𝗵 𝘄𝗵𝗮𝘁 𝘆𝗼𝘂 𝗱𝗼 𝗮𝘁 𝗼𝘂𝗿 𝗲𝘃𝗲𝗻𝘁?”

That’s not confrontation.

It’s due diligence.

24/02/2026

There’s been a lot of conversation recently about event medical regulation changes and the Purple Guide updates.

They are not the same thing.

The Purple Guide sets out recognised good practice for planning medical provision. Regulation determines which healthcare activities require statutory oversight. Both matter but they serve different purposes.

Right now:
• The Purple Guide 2026 updates are in force
• Regulatory reform is proposed for April 2026
• No new law has yet commenced

The most sensible approach for organisers is calm, proportionate planning, not reaction.

We’ve summarised the regulatory position here:https://marchesambulance.co.uk/event-medical-regulation-changes-2026/

23/02/2026

𝗦𝗽𝗼𝗿𝘁𝘀 𝗚𝗿𝗼𝘂𝗻𝗱𝘀 & 𝗧𝗲𝗺𝗽𝗼𝗿𝗮𝗿𝘆 𝗘𝘃𝗲𝗻𝘁 𝗘𝘅𝗲𝗺𝗽𝘁𝗶𝗼𝗻𝘀 – 𝗔𝗻𝗱 𝗪𝗵𝗲𝗿𝗲 𝗧𝗵𝗲𝘆 𝗦𝘁𝗼𝗽

The Care Quality Commission confirms there are exemptions from registering for Treatment of Disease, Disorder or Injury (TDDI) under the Health and Social Care Act 2008.

These include treatment:
Provided at a sports ground or gymnasium
Delivered through temporary arrangements for a sporting or cultural event
Limited to the duration of that event

These exemptions exist.

However, they relate to treatment delivered within the context of the event.
They do not automatically extend to operating an organised ambulance transport service.

Transport Services is a separate regulated activity.

If an organisation:
Assesses a patient at an event
Places them in its own ambulance
Conveys them offsite as part of its service
Registration for Transport Services is normally required, even if on-site treatment falls within an exemption.

The key point:
The venue does not determine regulation.
The activity does.

For organisers and SAGs, it is entirely reasonable to ask:
Which regulated activities are you registered for?
Does your service include offsite ambulance conveyance?

That’s not confrontation.

That’s due diligence.

23/02/2026

Huge congratulations to Helen on successfully completing her FREC 4 qualification 👏

This is a fantastic achievement and a significant step forward in her clinical development within the pre-hospital care environment. As one of our Welfare Officers, Helen already plays an essential role in supporting both our teams and members of the public at events and this qualification further enhances her capability and scope within the field.

We are proud to support continual professional development across all roles within Marches Ambulance Service, and Helen’s commitment to expanding her skills is a great example of the standards we strive to uphold.

Very well done Helen, thoroughly deserved!

23/02/2026

𝗪𝗵𝗲𝗻 𝗜𝘀 𝗧𝗗𝗗𝗜 𝗥𝗲𝗾𝘂𝗶𝗿𝗲𝗱 𝗳𝗼𝗿 𝗘𝘃𝗲𝗻𝘁 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗦𝗲𝗿𝘃𝗶𝗰𝗲𝘀?

One of the most common areas of confusion in event medical provision is Treatment of Disease, Disorder or Injury (TDDI).

Under the Health and Social Care Act 2008, organisations delivering healthcare in England may be required to register with the Care Quality Commission for TDDI.

The key test is not where care is delivered, it is what care is being delivered.

TDDI registration is generally required where an organisation:
Clinically assesses and treats illness or injury
Supplies or administers prescription-only medicines
Operates under Patient Group Directions (PGDs)
Makes discharge or non-conveyance decisions
Provides structured clinical observation
Holds medicines as part of an organised service

It is not enough to say, “We have a paramedic on site.”

If healthcare treatment is being delivered as part of an organised servicee, rather than incidental first aid, registration is likely required.

The setting (festival, racecourse, football ground) does not determine the regulatory position.

The activity does.
For organisers and Safety Advisory Groups, a reasonable question to ask is:
“A𝘳𝘦 𝘺𝘰𝘶 𝘳𝘦𝘨𝘪𝘴𝘵𝘦𝘳𝘦𝘥 𝘧𝘰𝘳 𝘵𝘩𝘦 𝘳𝘦𝘨𝘶𝘭𝘢𝘵𝘦𝘥 𝘢𝘤𝘵𝘪𝘷𝘪𝘵𝘺 𝘺𝘰𝘶 𝘢𝘳𝘦 𝘥𝘦𝘭𝘪𝘷𝘦𝘳𝘪𝘯𝘨?”undefined

That protects patients and it protects commissioners.

21/02/2026

⚽🚑 Marches Ambulance Service On Tour 🚑⚽

Today we hit the road with Hereford FC as they played their “home” fixture at Redditch United F.C..

Different ground. Same standards. Same commitment.

Our Doctor-led team delivered first-class medical cover from first whistle to final minutes, professional, proactive and fully integrated with matchday operations, exactly how it should be done.

These away “home” fixtures bring additional logistics and planning, but that is where we thrive. Advance prep, clear command structure and experienced clinicians on the ground means seamless delivery every time.

Proud to stand behind the Bulls wherever they play.

🚑⚽

20/02/2026

“First Aid” vs “Healthcare” at Events: Where Regulation Changes

Many organisers assume event medical provision is simply “enhanced first aid”.
Sometimes it is.

But the regulatory position changes when activity moves from basic first aid into regulated healthcare.

If a provider is:
- Assessing, diagnosing or treating injury or illness
- Administering prescription-only medicines
- Delivering structured clinical care
- Providing ambulance conveyance
… this may amount to regulated activity under the Health and Social Care Act 2008.

In those circumstances, registration with the Care Quality Commission is usually required, except where a defined exemption applies (such as certain temporary sporting or cultural events).

The key test is always the scope and nature of the activity, not simply the setting.

That means:
✔ The provider must be registered for the regulated activities they are carrying on
✔ Governance and medicines systems must meet statutory standards
✔ Accountability sits with the organisation, not just the individual clinician

It is not enough to simply “have a paramedic on site”.

Event organisers should ask:
Are you CQC registered?
Which regulated activities are you registered for?
If relying on an exemption, how does your service remain within it?

This protects the public and protects you as the commissioning body.

19/02/2026

Our Recruitment day is now full!!

The response has been fantastic and we’re looking forward to meeting everyone who has secured a place!

For those who weren’t able to secure a space this time — don’t worry. We will be holding further recruitment opportunities and continuing to expand our team throughout the year.

If you’re interested in working with a CQC-regulated ambulance service, keep an eye on our page for upcoming announcements 👀

Thank you for the incredible interest in joining Marches Ambulance Service 💙🚑

Marches Ambulance Service

03/03/2026

27/02/2026

26/02/2026

26/02/2026

25/02/2026

24/02/2026

23/02/2026

23/02/2026

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21/02/2026

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19/02/2026

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Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm