Air ambulance services in the United Kingdom are provided by a mixture of organisations, operating either helicopters or fixed-wing aircraft to respond to medical emergencies, and transport patients to, from, or between points of definitive care. These air ambulances fulfil both emergency medical services functions, as well as patient transport between specialist centres, or as part of a repatriation operation.
The first air ambulance services in the UK commenced in Scotland in November 1933 with a flight from Wideford Airport, Kirkwall Orkney and in February 1939 the first night time ambulance flight was undertaken from Wideford to the island of Sanday, using car headlights to help take off and landing. The aircraft used was a General Aircraft Monospar G-ACEW operated by Highland Airways.
Emergency air ambulances are generally helicopter based, and used to respond to medical emergencies in support of local ambulance services. In England and Wales, all of these services are charitably funded, and operated under contract with a private provider. The ambulance staff crewing these flights are generally seconded from the local NHS ambulance service. In Scotland, there is the only publicly funded air ambulance service, with the Scottish Ambulance Service operating two helicopters and two fixed wing aircraft in this role, alongside a single charity operator helicopter (EC135T2).
Helimed 28
G-LNDN
There are also a number of patient transport operations in the UK, generally using fixed wing aircraft, and which are part of a system of moving patients between points of care, or as part of a repatriation to the UK. There is a helicopter based patient transfer service, focused on paediatric cases, called the Children's Air Ambulance, which first flew in 2012.