Ambulance Call outs
St John Ambulance and Rescue Service provides the following chargeable services:
- Emergency Ambulance Conveyance
- Emergency Ambulance Non-Conveyance
- Paramedic care and treatment
- Airport transfers
- Hospital Discharge
- Inter facility transfers
- Non emergency patient transport
- Marine Ambulance
These services are defined below:
Emergency Ambulance Conveyance
This is where a non-pre booked ambulance, called through 999 or JESCC, is required. The patient is assessed and conveyed to hospital as required.
Emergency Ambulance Non-Conveyance
This is where a non-pre booked ambulance, called through 999 or JESCC, is required. The patient is assessed and is discharged on scene.
Paramedic Care and Treatment
Where the services of a qualified paramedic is required, judged by the experts and qualified staff on the scene, additional and specialist care is provided as required. This is an additional service to when there is an Emergency Ambulance call out.
In the event a medical evacuation is required, to a specialist hospital/other off-island treatment is required, the Ambulance is chartered for journeys to the airport.
In the event a patient is discharged from hospital and requires an ambulance to take them home, this is defined as a hospital discharge.
Inter facility transfers
Whereby a patient requires a transfer provided by the specialist vehicles operated by St John Ambulance and Rescue between medical facilities on island, this is defined as an inter facility transfer.
Non-Emergency Patient Transport Service
This is to be pre-booked by a medical professional. It is a service provided by St John Ambulance and Rescue to convey people to appointments as required, where there is a medical need.
St John Guernsey LBG owns and operates, through the use of volunteers and charitable funds, a Marine Ambulance service – partially staffed by St John Ambulance and Rescue crew. Whereby an accident takes place in a neighbouring Bailiwick island (Herm, Sark, Alderney, Jethou), and conveyance to Guernsey is required, the Marine Ambulance is used.
A full list of all costs for these services can be found at www.stjohn.gg/subscriptionprices
Payment is required within 30 days of date of accident. Failure to pay within this time may result in court action.
In the event whereby the patient has insurance, it is the patient’s responsibility to provide their insurance provider with the appropriate invoice evidence for them to pay direct. The Ambulance Service do not liaise directly with insurance providers. Please Note: The invoice is still the patient’s responsibility, and in the event the insurance providers do not pay us in a timely manner, the onus is on the patient to make immediate payment, as otherwise court action may be enacted.
Payment plans are permitted – whereby a pre-agreed timeframe and amount of recurring payments to settle the bill is implemented. Please note: No payment plan from
2022 invoices onwards will be permitted to go on longer than 18 months. Additionally, administration fees will apply in the event the payment plan is longer than 3 months.
The administration fee is based on a percentage of the total invoice and increases in line
with the time taken to pay/settle the invoice:
|0-3 months||No charge|
|4 – 6 months||5% of the invoice amount will be added to your total bill payable|
|7 – 9 months||10% of the invoice amount will be added to your total bill payable|
|10 – 12 months||15% of the invoice amount will be added to your total bill payable|
|12 – 18 months||25% of the invoice amount will be added to your total bill payable|
|No payment plans over 18 months are permitted.|
In order to take out a payment plan, the patient would be required to come to the offices of St John Ambulance and Rescue Service and complete a form and contract, with a passport or Driver’s license and recent utility bill, which outlines the terms of payment.
In the event the payment plan is not adhered to, court action will ensue.
In order to avoid these bills, St John Ambulance and Rescue Service offer a Subscription Scheme which is defined below.
As a local resident, by becoming a member of our Subscription Scheme, you will help us to provide essential ambulance services to the Bailiwick of Guernsey and at the same time support St John as a charity.
By becoming a member you will receive and be entitled to:
- 50 free emergency ambulance responses (regardless of age or pre-existing medical conditions);
- Assessment and medical treatment by a paramedic or other qualified ambulance clinicians;
- 10 non-emergency patient transfers (under the direct instructions of a Health Care Professional where you are unfit to travel by any other means for medical treatment or a medical appointment).
A Top up payment is available in order to receive an Additional allotment of journeys.
Once any one limit of the above has been exceeded with no Top Up payment, a full fee
This cover is valid until 31st December of the year that you have subscribed, you will need to renew from January for the following year. You may join the scheme at any time of the year, the membership fees and benefits remain the same no matter when you join.
Where you do not meet the conditions, you will be subject to normal charges for ambulance services regardless of your membership to the St John Subscription Scheme.
You will not become a St John Subscriber or be entitled to the benefits of the Scheme until you have made payment in full for the respective year of subscribing, or sent a cheque to us for the full amount of your subscription. In the event your cheque does not clear, you will be contacted to make an immediate payment. Failure to do so may result in your subscription being null and void.
The St John Subscription Scheme prices for this year can be found at www.stjohn.gg/subscriptionprices
From 2022, the Subscription Scheme will be charged on a per-person basis, which allows flexibility of having an unlimited number of people on one subscription.
To be eligible for a child membership of the Scheme, a child or young person must be in full-time education and under the age of 18.
To be eligible for a senior citizen membership you must be 65 years of age or over.
Joining as a new Subscriber and making payment
You may sign up as a new member to the St John Subscription Scheme at any time and pay by using our online self-service portal on our web site.
You may also sign up as a new member by completing and returning a St John Subscription Scheme leaflet and returning this to us by post.
You can also join by personally visiting Ambulance Headquarters during weekday office hours.
You can pay by one of the following options:
- Debit/Credit card – to pay through this method you must either complete an online payment, which is our preferred choice, or come in to our office. (Please note, we do not accept American Express)
- By setting up a direct debit (Note: The direct debit scheme run closes within Quarter 1 of the subscription year. You may join the Direct Debit scheme for following years but may be required to pay using another method if the final run has been undertaken)
Cheques which are sent to our registered office address will be banked within 30 days of receipt. In the event there is an error on your cheque, your cheque is returned unpaid or you have completed the joining form incorrectly, we will contact you.
Your cover will be effective from once we receive your cheque, so long as there are no errors or the cheque is not returned unpaid. If this occurs you will not be covered until payment in full is made by you.
Debit/Credit card payment provides immediate cover and peace of mind.
You may choose to pay by setting up a Direct Debit. If you set up a Direct Debit midway through a year, you will be notified of the renewal before the following years payment is due. We will endeavour to debit the funds from your account a minimum of 10 working days after we have advised you by letter or email. A Direct Debit is only registered on a bank account for a maximum of 13 months. If it is not claimed within that time then it automatically gets deleted on the customer account held at the bank. Should any Direct Debit subscribers wish to change their bank details they need to cancel the old instruction with their bank (if not closing their account) and complete a new form.
If a Direct Debit is returned unpaid you will not be covered until payment by you is made in full.
In the event of cancellation of your subscription, you will not be charged a cancellation fee. Additionally, you will not be entitled to a partial or full refund.
We will process your personal information to fulfil your request to pay for your membership of the St John Subscription Scheme.
Renewing membership of the St John Subscription Scheme.
Existing members of the St John Subscription Scheme will receive either a letter or email with instructions on how to renew for the following year.
Subscribing on Someone Else’s Behalf
From 2022 onwards, individuals will be able to subscribe for their friends or family without the requirement of signed consent forms from those being covered.
The payor (defined as the person making the payment) may not necessarily be included on the subscription. The subscribed persons (those mentioned on the form but not paying) are eligible to call the Service and request knowledge on:
- If they are covered; and
- Who covered them.
They would not be entitled to contact information of the Payor.
During the renewal or new subscription process, the payor is asked to confirm that they have discussed with the persons to be subscribed and that the persons involved are happy for:
- Their name and dates of birth to be provided and retained on the Subscription system in accordance with The Data Protection Law (Bailiwick of Guernsey) 2017, as amended requirements; and
- The payor to be contacted in the event where the benefits have been exceeded for any individual listed on the membership in order to make a Top Up payment to get further or additional benefits.
The Payor will never be privy to medical information, categorised as Special Category data under The Data Protection Law (Bailiwick of Guernsey) 2017, as amended. They will only be informed that a certain category of call outs has been exceeded.
Failure to make top up payments will result in invoices being sent out to the patient.
The subscribed persons can, at any time, request to be removed from the subscription scheme but no refund is provided.
Marine Ambulance Subscription Scheme for Sark and Herm Residents
The Marine Ambulance service is not covered by government funding, unlike the other services of the Ambulance Service, and is therefore not subsidised. Members of the St John Marine Ambulance Subscription Scheme are not charged should they need:
- 50 responses by the marine ambulance (Flying Christine III);
- assessment, diagnosis and treatment by ambulance clinicians;
- transfer by marine ambulance to Guernsey and ambulance transfer in Guernsey in the event of an injury, serious illness or other serious medical condition; or under the direct instructions of a Health Care Professional or, if in Sark, the designated Sark Doctor, where they are unfit to travel by any other means for treatment.
- 50 free emergency ambulance transfers in Guernsey.
*“Marine Ambulance” includes any vessels used by the Service in lieu of the Flying Christine III when she is unavailable.
There is no age limit for members. Members however cannot order the marine ambulance just because they are members, calls must be for medical emergencies resulting from injury or illness; or must come from a Health Care Professional.
If you are covered by a Private Medical Insurance you will need to make a claim through the normal process. You will be invoiced for the full amount to enable you to make a claim from your Insurers.
Membership is only valid until the 31st December of the year you have subscribed, you will need to renew from January the following year.
Failure to meet these conditions, you will be subject to normal charges for ambulance services regardless of your membership to the St John Subscription Scheme.
You may join the Marine Ambulance Subscription Scheme either online or by completing and returning a Scheme leaflet.
Existing members of the Marine Ambulance Subscription Scheme will receive either a letter or email with instructions on how to renew for the following year.
Herm residents can request to solely have a road-ambulance subscription (similar to Guernsey residents) and this means use and cover of Flying Christine III is not included and will result in an additional charge.
A tiered subscription fee system applies depending on if you are a Guernsey, Sark or Herm resident and can be found at www.stjohn.gg/subscriptionprices
Bed Subscriptions for Residential Care Homes and Nursing Homes
A Bed Subscription is an arrangement the St John Emergency Ambulance Service has with residential care homes and nursing homes to provide Subscription Scheme cover for their residents. A charge is levied annually to provide a named individual, who is a resident of the care/nursing home, with St John Subscription Scheme cover so that they are eligible to receive the benefits of the Scheme. In the event that an individual is not listed as a member, they are not a resident of the care/nursing home, or they may be transferring to the home to become a resident, then normal charges will apply (unless they have their own personal membership).
Guernsey Visitor St John Subscription Scheme membership
If you are not a resident of the Bailiwick of Guernsey and if you wish to receive the benefits of membership, you are required to pay in order to be covered for 3 consecutive months on the same basis as a single membership of the Scheme, regardless of your age. Cover will be with effect from when payment in full has been received. All other conditions apply as listed above. Please be aware that non-residents without a subscription incur a charge higher than that of a local resident. All charges can be seen on our website (www.stjohn.gg/subscriptionprices)
Alderney Reciprocal coverage
All permanent residents of Alderney receive the same cover as members of the St John Subscription Scheme and the same Terms and Conditions apply whilst on the Island of Guernsey in accordance with an agreement between the St John Emergency Ambulance Service and the States of Alderney. You must be a permanent resident of Alderney to be eligible.
All other Terms and Conditions of the St John Subscription Scheme apply.
There is also a reciprocal agreement in place for Guernsey residents who are members of the St John Subscription Scheme when on the Island of Alderney, they will receive the same cover as an Alderney Ambulance subscriber and receive free emergency ambulance attendance in accordance with the Alderney Ambulance Subscription Scheme (or equivalent free coverage as provided to Alderney residents) Terms and Conditions.
Donations made as part of the 2022 subscription scheme are to be put towards Staff welfare and wellbeing costs.
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