Emergency Ambulance Service

Regulatory requirements

When is an Emergency Ambulance Service licence needed?

You will require an Emergency Ambulance Service licence if you:

• Convey any patient (including an emergency patient*) by land using an emergency ambulance and provide clinical care and monitoring of the patient while the patient is being conveyed in the emergency ambulance.

*An “emergency patient” is an individual who is suffering or believed to be suffering from an injury, or a condition of acute or sudden onset, that poses an immediate threat to the individual’s life or jeopardises the long-term health of the individual.

For the legal definition of an Emergency Ambulance Service, please refer to the First Schedule of the Act.

Applicable Specified Services and Mode of Service Delivery

The only allowable Mode of Service Delivery for Emergency Ambulance Service and its specified services is conveyance.

Requirements to be a Clinical Governance Officer

An individual must be in good standing and fulfil all of the criteria below to be appointed as a Clinical Governance Officer (CGO).

1. For an individual to fulfil the requirements to be a CGO, he or she must:

   • Reside in Singapore during his or her appointment as a CGO

   • Be a fully registered medical practitioner with the Singapore Medical Council (SMC) and hold a valid practising certificate

   • Fulfil one of the following:

     • Be registered as a specialist in anaesthesiology, emergency medicine, general surgery, or intensive care medicine, OR

     • Have at least 10 years of work experience in any or any combination of the following branches of medicine: anaesthesiology, emergency medicine, general surgery or intensive care medicine

   • Have valid certifications of competency in:

     • Appointment as a CGO of the EAS; and

     • Provision of Advanced Cardiac Life Support

   • Must not be subject to either a decision, or an order made under Part 7 of the Medical Registration Act 1997 by a Disciplinary Tribunal appointed under that Act, in the 3 years prior to the appointment.

2. For an individual to fulfil the suitability qualifications to be a CGO, he or she must not:

   • Have any of the following convictions, unless it is a spent conviction:

     • An offence involving fraud or dishonesty;

     • Offence under the HCSA, the PHMCA or any applicable Acts listed in the Annex A of the Code of Practice [PDF, 439KB];

     • An offence specified in the Third Schedule to the Registration of Criminals Act; or

     • Any other offence involving abuse, ill treatment, assault, or physical violence

   • Have a pending charge for an offence involving abuse, ill treatment, assault, or physical violence

   • Be an undischarged bankrupt

   • Have had his or her healthcare professional registration(s) under MOH cancelled, removed, or suspended

   • Have been a director or manager of a healthcare service provider that had its registration or licence suspended, cancelled, or revoked

   • Have had his or her accreditation or approval to participate in MOH-administered public schemes revoked or suspended

   • Lack capacity within the meaning of the Mental Capacity Act 2008.

For further details on the qualifications, skills and competencies of a CGO, please refer to Regulation 6 of the Emergency Ambulance Service and Medical Transport Service Regulations.

For further details on the suitability requirements for a Key Office Holder, please refer to the Code of Practice [PDF, 439 KB].

Licence fee

For Emergency Ambulance Service, the applicable licence fee is

• $1,300 (more than 10 vehicles in total)

• $1,000 (10 or less vehicles in total)

If you provide a Specified Service (SS), you will have to pay an additional fee on top of the LHS fee. If you offer two or more SSes, you can pay a bundled fee instead.