“Since 2017, our government has supported BCEHS’s work to significantly improve paramedic staffing and strengthen and transform ambulance service throughout the province,” said Adrian Dix, Minister of Health. “The April 1, 2024 conversion of 60 ambulance stations across the province to more effective service delivery models that respond to each of these 60 communities’ unique needs provides more equitable access to care for people living in rural and remote communities, and better compensation and work environments for paramedics, particularly those who already live and work in these communities and provide emergency medical care to neighbours and community members. I commend the continued collaboration by BCEHS and CUPE 873 to make things better for paramedics who provide valuable, essential healthcare service to people in B.C.” 

All 21 communities in the Interior Health region transitioned from the “scheduled on-call” (SOC) model to one of three new models that will support available, staffed ambulances, and will continue to move BC Emergency Health Services (BCEHS) towards a predominantly regularized workforce.

Eight communities including Alexis Creek, Clinton, Fruitvale, Logan Lake, Lumby, Midway, Rossland and Salmo were upgraded to the 24/7 full-time “alpha” model in ambulance stations on April 1, 2024. Under this model, each station has 8 full-time positions, with paramedics in the station 24 hours a day. Compared to the previous model, this means that there will be paramedics in the station on duty three times more than with the SOC model that had paramedics at the station 8 hours a day, and 16 hours on call.

Eight communities, including Anahim Lake, Lytton, Elkford, Greenwood, Kaslo, New Denver, Riondel and Winlaw upgraded to a new “mix shift” staffing model on April 1, 2024. The mix shift model has staff on duty in the station twice as often as they did with the SOC model, with 16 hours in station on duty and 8 hours on call (pager) at night.

Five communities - Seton Portage, Gold Bridge, Blue River, Edgewood and Field –are benefiting from new full-time paramedic unit chiefs to provide support to on-call paramedic staffing in these communities. The on-call “kilo” model in these stations offers more flexible staffing options to maximize local recruitment. It also leverages the latest collective agreement with paramedics, which increased the on-call rate from $2 per hour to $12 per hour.

“In our many discussions with community leaders in these rural and remote communities we heard how critically important paramedic services are to them,” said Leanne Heppell, BCEHS’ Chief Ambulance Officer. “These improved paramedic staffing models and the increase in full-time and regular part-time positions together with the changes we are making to enhance community paramedicine services are an exciting investment in the health and well-being of our patients in rural and remote British Columbia.”

The plan to convert staffing models in 60 communities in rural and remote B.C., including 21 in the interior, was outlined in a joint announcement from BCEHS, the Ambulance Paramedics of British Columbia (APBC, CUPE Local 873) and the Ministry of Health on November 9, 2023. Further changes in December 2023 resulted in additional positions in two communities, Rossland and Sointula.

BCEHS and APBC (CUPE Local 873) worked together closely with the 60 communities to determine the best staffing model for each and to bring forward recommendations to the Ministry of Health. This work included engagement with staff, the communities, First Nations leaders and health authorities. BCEHS will continue working closely with partners to address future needs of communities and make changes as needed.

“The April 1 conversions are an important change in how we provide paramedic services in these 60 communities,” said Ambulance Paramedics of BC president, Jason Jackson. “Patient care is the most important thing to us, and this new approach helps us better recruit and retain paramedics to work in these smaller communities, improve how we respond to 911 calls, and most importantly, help paramedics provide better care to our patients.”

“Enhanced ambulance services for our communities are welcome news, and this investment will bolster emergency response times so more people in rural and remote areas get the timely care they need, when and where they need it,” said Jennifer Rice, Parliamentary Secretary for Rural Health.

“Expanding ambulance services to more areas is crucial so people can get better access to the ambulatory care they need, when they need it most,” said Katrine Conroy, MLA, Kootenay West.

"The addition of more ambulance services in our region will help save lives and improve response time. This will bring more peace of mind to people in our communities," said Harwinder Sandhu, MLA, Vernon-Monashee. “I am thrilled that the Lumby station will have 8 full time positions with paramedics in station 24/7.”

“Every minute matters in a life-threatening situation, so we are taking action to expand ambulance services in our region to make sure that people will have further improved access to timely care,” said Roly Russell, MLA, Boundary-Similkameen, "this helps provide even better care for people who chose to live in small communities, providing better quality care to rural residents across the province."

"Improving ambulance services will make a real difference to people in our region, and our government and our partners will continue working hard to find solutions that will help shorten response times,” said Brittny Anderson, MLA, Nelson-Creston.

“Our City of Rossland is, of course, very pleased to hear of the enhanced level of service by the Province, providing an improved paramedic staffing model,” said Mayor Andy Morel. “Having 24-hour quick response for medical emergencies is important. We have an active, outdoor community in all seasons, including a population of aging residents who, at times, require ambulance services to support their health care needs. As a multi-generational community, we wish to support our Rossland seniors in continuing to live in their homes as long as possible. Consistent and timely support from BC Paramedics supports this important value to our community."

Together with the staffing model conversions, changes have been made to Community Paramedic positions to better fit community needs. At least 55 stand-alone Community Paramedic positions (55.2) FTEs) will focus on delivering community-based care and outreach services. Unlike the previous scheduled on-call model, these roles are no longer automatically integrated into the 911 emergency response. They will however respond to potentially life-threatening 911 calls if they are the nearest available unit, along with regular ambulance resources providing support.

While the conversions are complete as of April 1, 2024, the job competition and recruitment process for the new positions is ongoing. Many of the new shifts are currently being filled by existing staff working backfill to fill the new roles.

The transformation to the new models represents one of the single largest recruitments of primary care paramedics in BCEHS history. To help recruiting efforts BCEHS has created a dedicated BCEHS talent acquisition team with 32 permanent staff as well as temporary support staff. BCEHS has also created a proactive recruitment team with five Indigenous recruiters, focused on bringing more Indigenous paramedics into BCEHS. 

The conversion to the new models builds on significant provincial investments to better support ambulance paramedics and dispatchers and improve services for people throughout B.C.