|Ambulance Service (Emergency Duties) Long Service and Good Conduct Medal|
|Type||Long service and good conduct medal|
|Awarded for||20 years of service|
|Presented by||the United Kingdom|
|Eligibility||Associate Ambulance Practitioners (AAP), Ambulance Technicians, A&E Support Clinicians, Ambulance Nurses, Community First Responders (CFR) (trained to FREC 5 or higher), Emergency Ambulance Crews (EAC), Paramedics and Ambulance Officers|
|Established||5 July 1995 |
|Order of Wear|
|Next (higher)||Civil Defence Long Service Medal |
|Next (lower)||Royal Fleet Auxiliary Service Medal |
The Ambulance Service (Emergency Duties) Long Service and Good Conduct Medal is a long service medal of the United Kingdom established in 1995. The medal is awarded to recognise long service by all clinical grades of the ambulance services who serve on emergency duty.
The Ambulance Service (Emergency Duties) Long Service and Good Conduct Medal is presented for 20 years commendable service to all clinical grades, such as Associate Ambulance Practitioners (AAP), Ambulance Technicians, A&E Support Clinicians, Ambulance Nurses, Community First Responders (CFR trained), Emergency Ambulance Crews (EAC), Paramedics and Ambulance Officers employed in emergency duties in the ambulance services across the United Kingdom. Full-time, part-time and voluntary service qualify.  For ambulance officers, at least seven of their 20 years service must have been spent on emergency duties as a clinical grade.
Support staff and Non-clinical grades, such as 999 Call takers and Dispatchers, Ambulance Care Assistants (Non-Emergency Patient Transport Service), Emergency Care Assistants (ECA), Emergency Care Support Workers (ECSW) and Emergency Vehicle Operators (EVO) do not automatically qualify, however, can be nominated by senior management for consideration, if length of service and good conduct criteria on emergency duties are met. 
Service prior to 1974 in an ambulance service maintained by a local authority may also be counted.  There is no provision for ribbon clasps to recognise further periods of service.
The bodies covered by the medal are the various ambulance services trusts in England; the ambulance services of Scotland, Wales, Northern Ireland, the Isle of Man and the States of Jersey; and the Guernsey Ambulance and Rescue Service. 
The medal is circular, 1.4 inches (36 mm) in diameter, and made of cupro-nickel. The obverse bears the crowned effigy of the reigning sovereign, surrounded by the royal titles, ELIZABETH II DEI GRATIA REGINA F.D. The reverse depicts the insignia of the NHS ambulance services trusts or, for awards in Scotland that of the Scottish Ambulance Service, with the words FOR EXEMPLARY SERVICE above. 
The medal has a ring suspension, the 1.25 inches (32 mm) wide ribbon being green with white edges that are bisected by a narrow green stripe. 
The London Ambulance Service NHS Trust (LAS) is an NHS trust responsible for operating ambulances and answering and responding to urgent and emergency medical situations within the London region of England. The service responds to 999 phone calls across the region, and 111 phone calls from certain parts, providing triage and advice to enable an appropriate level of response.
The Scottish Ambulance Service is part of NHS Scotland, which serves all of Scotland's population. The Scottish Ambulance Service is governed by a special health board and is funded directly by the Health and Social Care Directorates of the Scottish Government.
The Welsh Ambulance Services NHS Trust is the national ambulance service for Wales and one of the three NHS trusts in the country. It was established on 1 April 1998 and as of December 2018 has 3,400 staff providing ambulance and related services to the 3 million residents of Wales.
The South Western Ambulance Service NHS Foundation Trust (SWASFT) is the organisation responsible for providing ambulance services for the National Health Service (NHS) across South West England. It serves the council areas of Bath and North East Somerset, Bournemouth, Christchurch and Poole Council, Bristol, Cornwall, Devon, Dorset, Gloucestershire, North Somerset, Plymouth, Isles of Scilly, Somerset, South Gloucestershire, Swindon, Torbay and Wiltshire.
The Yorkshire Ambulance Service NHS Trust (YAS) is the NHS ambulance service covering most of Yorkshire in England. It is one of ten NHS Ambulance Trusts providing England with emergency medical services as part of the National Health Service it receives direct government funding for its role.
The South Central Ambulance Service NHS Foundation Trust (SCAS) is the ambulance service for the counties of Berkshire, Buckinghamshire, Oxfordshire and Hampshire. It is a foundation trust of the National Health Service, and one of ten NHS ambulance trusts in England.
The East of England Ambulance Service NHS Trust (EEAST) is an NHS trust responsible for providing National Health Service (NHS) ambulance services in the counties of Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Norfolk and Suffolk, in the East of England region. These consist of approximately 6.2 million people across an area of 7,500 square miles (19,000 km2).
The West Midlands Ambulance Service University NHS Foundation Trust (WMAS) is responsible for providing NHS ambulance services within the West Midlands region of England. It is one of ten ambulance trusts providing England with emergency medical services, and is part of the National Health Service.
Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services (NHS) of England, Scotland, Wales, and Northern Ireland. Emergency care including ambulance and emergency department treatment is only free to UK residents and a charge may be made to those not entitled to free NHS care. The NHS commissions most emergency medical services through the 14 NHS organisations with ambulance responsibility across the UK.
Emergency medical personnel in the United Kingdom are people engaged in the provision of emergency medical services. This includes paramedics, emergency medical technicians and emergency care assistants. 'Paramedic' is a protected title, strictly regulated by the Health and Care Professions Council, although there is tendency for the public to use this term when referring to any member of ambulance staff.
National Health Service ambulance services provide free at the point of use emergency medical care to any person requiring treatment, regardless of immigration or visitor status, within the United Kingdom. These services are provided by National Health Services of England, Scotland, Wales and Northern Ireland. The current system comprises 14 NHS organisations: 11 ambulance services trusts cover the separate regions of England and; individual nationwide services cover Scotland, Wales and Northern Ireland respectively.
The National Medal is an Australian award given for long service by operational members of specified eligible organisations. It was introduced in 1975, as an original component of the new Australian honours system, and replaced a range of medals available to military and civilian uniformed services for long service and good conduct. The eligible groups have in common that their members serve or protect the community at the risk of death, injury or trauma, hence it is only available to members of the eligible organisations who are operationally deployed. In the case of corrective services, eligibility is restricted to officers with custodial duties.
Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together with smaller private sector and voluntary provision. As a result of each country having different policies and priorities, a variety of differences have developed between these systems since devolution.
An emergency care assistant (ECA) is a type of NHS ambulance service worker in the United Kingdom, often used to support paramedics in responding to emergency calls.
The Police Long Service and Good Conduct Medal is a decoration for police officers of the United Kingdom. First instituted in 1951, the medal is presented for twenty aggregate years of service in the police services of the United Kingdom.
The Queen's Ambulance Service Medal is awarded to members of the NHS Ambulance Service in the United Kingdom, Isle of Man and Channel Islands for distinguished service. It was introduced on 11 July 2011 and first awarded during the 2012 Birthday Honours. Recipients may use the post-nominal letters “QAM.”
The Prison Services Long Service and Good Conduct Medal was established by Royal Warrant on 17 December 2010. The medal is awarded for long service to members of the various prison services of the United Kingdom.
The State of Queensland has created several independent honours to that of the Australian Honours System.
The Police Coronation Medal was sanctioned in 1902 as an award to policeman, firemen and members of ambulance units on duty during the official celebrations of the Coronation of King Edward VII and Queen Alexandra on 9 August 1902.