Ambulance Trust summoned to county hall to explain changes
The South Western Ambulance Trust is using trained volunteers as first responders rather than fire crews
Last updated 22nd Sep 2025
Ambulance Trust bosses are today being summoned to county hall - over concerns about plans to use trained volunteers in emergencies rather than firefighters.
Crews say saving £80 a call out by relying on volunteers - rather than fire crews - would save £280,000 a year which they call 'peanuts' compared with the total service's budget. Mark Palmer, from the Fire & Rescue Services Association, added: "We believe one life is worth more than that.'"
He added: "This is about resilience, if a community responder is not available that's it. With co-responding there's a number of crew members who are co-responders so if one is unavailable another can take up the strain.
"We do go out normally with double crew and so the individual who is treating the casualty can continue to give that medical support where as our second crew member can be providing other support that's needed such as managing the situation."
Ahead of the meeting the ambulance trusts says it's now trained 600 'Community First responders' to call on (see full statement below) and the change is not about 'cost saving'.
It comes as questions are being asked about why Paignton's now closed ambulance station has still not been replaced with former Torbay MP Kevin Foster saying he was promised an alternative site would be found. In response to his 900 strong petition at the latest board meeting the Trust says in Plymouth crews use a 'community site' and it's still hoping to copy that for Paignton.
What is happening today?
Ahead of the meeting, the council has called for a detailed 'impact on Devon’s communities and risk management' as well as 'assurance of how SWAST will provide a consistent service across the county'.
What is a co-responder?
Co-Responders are a partnership between a fire & rescue and ambulance service 'to provide an effective, rapid response to immediately life threatening medical emergencies. Specifically in locations where the fire service will be able to get to the call more quickly'.
Co-Responders are not 'replacement paramedics' but are trained in basic first aid, oxygen therapy and the use of an automatic defibrillator, whilst the level of training will depend on the requirements of the local Ambulance Service.
What has the South Western Ambulance Service NHS Foundation Trust said?
A spokesperson said: “We continually review our 999 response model to ensure we’re delivering a high level of patient care.
“In recent years we have been developing and strengthening our Community First Responder (CFR) volunteering model, and now have over 600 volunteer CFRs across the South West. They play a vital role in helping us to respond to 999 calls and deliver emergency care to patients within their local community, often ahead of an ambulance arriving on scene.
“This development means we will be phasing out the Fire Co-Responder role that the Trust has provided in collaboration with Fire and Rescue Services, and we would like to offer our thanks and gratitude to all Fire Co-Responders who have supported the Trust, by providing dedicated patient care, and who are now working with us to manage the change.
“CFRs receive an enhanced level of clinical training to help them to respond to patients. CFRs can, with clinical support from the Trust, administer pain relief and discharge patients at scene where an onward conveyance to hospital is not the most appropriate next step for them.
“The cost comparator between a Fire Co-Responder and a SWASFT Community First Responder is significant, so as part of our responsibility to provide the best possible care to patients, while meeting national expectations for efficiency and value for money, we are investing into increasing volunteers across the South West. We are repurposing the finances to ensure we can provide increased availability within the community through our established CFR scheme.
“As part of the transition, we have invited Fire Co-Responders to train to become CFRs, so they can acquire new skills and continue to help support their local community in a medical emergency.
“We are also extremely grateful to the Fire and Rescue Services who have volunteered space on their sites for us to undertake local recruitment and training.”
What has Devon & Somerset Fire Service said?
A spokesperson said: “We are saddened to see that South Western Ambulance Service will be phasing co-responding out, but understand their decision to move to a different model of community medical response. Devon and Somerset firefighters have been proud to support their communities and aid the ambulance service since the introduction of co-responding 27 years ago.
“In that time, our firefighters have carried out some amazing acts that have saved lives and improved outcomes for people needing medical support. We are immensely proud of what our people have achieved and continue to do to support their communities. We will work with our fire co-responders and South Western Ambulance Service to support the transition to the community first responder model.”
What has the FRSA said?
The Fire and Rescue Services Association (FRSA) questions whether the expansion of the number of volunteers, particularly in rural areas, is viable. It is clear from the fact that SWASFT have suggested that current fire co-responders become volunteers without first speaking to these individuals, that the necessary due diligence has not been undertaken.
While volunteer co-responders are a valuable community resource, we fail to be convinced that there will be an appetite within the voluntary sector to cover the large number of fire co-responders that would need to be replaced.
Volunteers can be called upon frequently for this emotionally demanding role which can cause ‘burn-out’. The current model of fire co-responders provides a resilience by having teams rotate when providing availability.
Fire co-responders are by their nature, professionally trained firefighters, contracted by their employer, fire and rescue services (FRS’s) to provide availability to respond to emergency incidents, which currently includes co-responder calls. These firefighters will have long term careers within the fire service which provides stability in both the number of fire co-responders and experience.
The full statement can be found here
What has Cornwall's fire service said?
Crews in Helston did post online: "This news is absolutely devastating for us, and those that have worked as Co-Responders, providing life saving treatment to so many in the local area. Ambulance attendance times are often much longer in rural areas, meaning the response by our Co-Responders is vital.
"We are sure that every one of our followers has either been treated by a Co Responder, or knows someone that has treated by one. This is where we’re asking for your help.
"In due course, we will be creating a petition to help save this role but for now - PLEASE, share far and wide that you’re unhappy with this decision. Tell your friends how vital this resource is in our local area. Write to your local MP’s and councillors.
"We feel that without Co-Responders in these rural communities, the backlash will be devastating."
What have other councils said?
Stuart Hughes East Devon District Councillor for Sidmouth and Sidford has 'expressed strong concerns' over the 'decision that could significantly impact emergency response times and community safety'.
He said: "For nearly three decades, firefighters have played a lifesaving role in medical emergencies, working alongside ambulance services to provide swift and professional care. The move to phase out co-responders in favor of South Western Ambulance Service NHS Foundation Trust’s (SWAST) Community First Responder program has sparked widespread disappointment among emergency personnel and residents alike.
“The fire service co-responders have been an integral part of rural emergency response, ensuring timely and skilled assistance in critical situations,” said Councillor Hughes “While the efforts of SWAST’s Community First Responders are commendable, the removal of trained firefighters from medical response duties raises serious concerns—particularly in areas where ambulance availability is already stretched thin.”
"Local fire stations, emergency personnel, and community members have voiced frustration over the decision, warning that the absence of co-responders could lead to longer emergency response times, especially in isolated rural locations. "
Councillor Hughes is urging SWAST to reconsider the decision and explore alternative solutions that allow co-responders to continue serving alongside Community First Responders.
“This cannot be purely a financial decision—it must prioritize public safety,”_Councillor Hughes emphasized.
“Our communities deserve access to the fastest and most effective emergency response possible. I call on all stakeholders to review this change and ensure that vital services are not lost.”