Some patients need more than conventional patient transport. A person may be stable enough for a planned journey but need clinical monitoring, oxygen, specialist equipment or a qualified clinician alongside them.
Medic 1 provides specialist medical and ambulance transport across North Wales and the UK, including planned journeys with Paramedic crews — between hospitals, home after treatment, to another care setting or over long distances. We can also provide emergency ambulance transport within our operational scope.
Every specialist journey is individually assessed so the ambulance, equipment and clinical crew match the patient’s needs.
Transport for Complex Medical Needs
Complex medical needs don’t necessarily mean someone can’t make a planned journey — but the transport must suit their condition.
Depending on the patient, this may require:
- Clinical observation during transport
- An ECA, EMT or Paramedic crew
- Oxygen during the journey
- Appropriate clinical monitoring
- A stretcher rather than seated transport
- Additional medical equipment
- The ability to respond if their condition changes
- Careful planning for longer journeys
We assess these needs before accepting the transfer and, for referrals, work with the clinical team. We aim to provide the right level of clinical support — without unnecessary intervention.
Paramedic Ambulance Transport
Some planned journeys need a Paramedic throughout. We provide a fully equipped ambulance with a Paramedic as part of the crew where this suits the patient’s clinical needs — for complex conditions, transfers between facilities, returning home after significant illness, or longer journeys where clinical support must stay available.
A Paramedic may also be appropriate where the patient’s condition could foreseeably change en route. The decision is based on the patient’s condition, not simply distance — and where a different crew can safely meet their needs, we’ll consider that too.
Stretcher Ambulance Transport
For patients who are bedbound, have significantly reduced mobility, or a condition, injury or recovery that makes sitting unsuitable, we provide stretcher transport for local and long-distance journeys.
Journeys include:
- Hospital admissions and discharges
- Inter-hospital transfers
- Transfers between healthcare facilities
- Care and nursing home transfers
- Hospice transfers
- Rehabilitation transfers
- Returning home after treatment
- Long-distance medical transport
- Palliative and end-of-life transfers
- Other appropriate private journeys
Planning a stretcher transfer
Safe stretcher transport is about more than an ambulance and a stretcher — it’s how the patient moves safely between their bed, the ambulance and the destination. We look at current mobility, ability to assist, moving and handling needs, steps or stairs, doorways, corridors and lifts, where the patient is within the property, access at the destination, relevant conditions, equipment and staffing.
Spotting difficulties before we arrive means the right arrangements are in place. If a transfer is beyond the safe capabilities of our equipment or crew, we’ll tell you.
Oxygen & Clinical Support During Transport
Where clinically appropriate, we provide ambulance transport with oxygen and suitable clinical equipment — for discharges, inter-hospital transfers, specialist appointments, care and hospice transfers, long-distance transport and repatriation.
Please identify oxygen and clinical needs before the journey where possible. If more than straightforward oxygen is needed, a higher level of crew may be required.
Matching the Clinical Crew to the Patient
Not every specialist journey needs a Paramedic — and some patients need far more than a routine crew. We provide Emergency Care Assistants, Emergency Medical Technicians and Paramedics according to assessed need.
We may consider:
- Current medical condition
- Recent illness, injury or treatment
- Clinical observations
- Risk of deterioration in transit
- Need for monitoring
- Oxygen requirements
- Mobility and moving and handling
- Required equipment
- Journey duration
- The destination
- Access to healthcare en route
Information from the referring healthcare team is often an important part of this. The goal: the right clinical support for the patient, not one crew setup for every journey.
Hospital & Inter-Facility Transfers
We provide planned specialist transfers between hospitals and healthcare facilities — seated, wheelchair or stretcher, with an appropriately qualified crew where needed.
- Hospital-to-hospital
- NHS and private hospital transfers
- Hospital to care home
- Hospital to hospice
- Specialist treatment centres
- Rehabilitation facilities
- Between care settings
- Hospital discharge
For referrals, we liaise with the clinical team to establish a transport plan.
Long-Distance Clinical Transport
Complex medical needs don’t have to stop someone travelling a long way — after specialist treatment away from home, moving facility, relocating closer to family or when ordinary transport isn’t possible.
- Paramedic ambulance transport
- Stretcher ambulance transport
- Oxygen-supported journeys
- Clinically monitored transfers
- Hospital-to-home transport
- Facility-to-facility transfers
- UK medical repatriation
Patients may be in the ambulance for several hours, so we plan for clinical needs, comfort, positioning, stops, duration and contingencies.
Palliative & End-of-Life Transfers
People receiving palliative or end-of-life care can have significant clinical needs and still have a strong wish about where they want to be. We provide planned transfers: hospital to home, hospice or care home; hospice to home; closer to family; and other care settings.
Where needed, a clinical crew including a Paramedic travels with them. These journeys are planned with particular care for comfort, dignity and the person’s wishes. For a meaningful personal journey rather than a transfer, see Journeys That Matter.
Specialist Transport From Home & Care Settings
Specialist transport doesn’t have to start at a hospital. We can collect from private homes, care and nursing homes, hospices, supported living, rehabilitation facilities and other locations — especially important when someone’s condition has changed and they now need more support to travel safely. We work with families, care providers and professionals to plan the right arrangement.
Emergency Ambulance Transport
Medic 1 can also provide emergency ambulance transport within our operational and clinical scope. Our crews assess and treat within their scope of practice and, where needed, convey patients to an appropriate facility — for example, if a patient deteriorates in our care or at events we support.
In an emergency, call 999
Our private ambulance service does not replace the NHS 999 service. If somebody is seriously ill or injured and needs an immediate emergency response, call 999. Planned transport should be booked through our normal booking service.
Clinical Safety at the Centre of the Journey
Specialist transport starts with understanding the patient. Before accepting a planned journey, we check the patient’s clinical and transport needs can be met safely with the resources available.
If a patient’s needs are outside our scope, we won’t undertake the journey with an inappropriate level of provision. Specialist transport isn’t just moving someone — it’s maintaining the right care and safety throughout.
Local knowledge, UK-wide transport
Based in North Wales, we provide specialist medical and ambulance transport across the region and planned long-distance journeys throughout Wales and the UK — for individuals, families, hospitals, care homes, hospices and healthcare providers.
Areas we cover across North Wales
- Anglesey
- Gwynedd
- Conwy
- Denbighshire
- Flintshire
- Wrexham
- Wales & the wider UK
Frequently asked questions
Do you provide Paramedic ambulance transport?
Yes. We provide planned journeys with a fully equipped ambulance and a Paramedic as part of the crew where the patient’s clinical needs require it.
Can you provide oxygen during the journey?
Yes, where clinically appropriate. Please let us know oxygen requirements in advance so suitable resources can be allocated.
How do you decide which crew a patient needs?
We assess the patient’s condition, risk of deterioration, monitoring, oxygen, mobility, equipment and journey length, often with input from the referring clinical team.
Do you provide palliative and end-of-life transfers?
Yes. We provide planned transfers to home, hospice, care homes or closer to family, with an appropriate clinical crew and particular care for comfort and dignity.
Do you replace the 999 ambulance service?
No. If somebody is seriously ill or injured and needs an immediate emergency response, call 999.
Arrange Specialist Medical Transport
Planned specialist ambulance transport for patients needing more clinical support than conventional transport — stretcher, complex medical needs, oxygen and Paramedic crews where clinically appropriate.
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