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National Health Act, 2003 (Act No. 61 of 2003)


Emergency Medical Services Regulations, 2017

Part 3 : Licensing of Emergency Medical Services

7. Licensing


(1) A person, organisation or organ of state may not, without the requisite licence, establish, control, change ownership, rename, temporarily or permanently relocate, or alter the services of—
(a) an Emergency Medical Service;
(b) an Aeromedical Service;
(c) an Event Medical Service;
(d) a Volunteer Emergency Medical Service; or
(e) an Education Institution Emergency Medical Service.


(2) The minimum licensing category must be Intermediate Life Support.


(3) An Emergency Medical Service that is licensed at either Intermediate Life Support level or Advanced Life Support level, must be allowed to operate up to, but not exceeding, 50% of the ambulances operated by the Emergency Medical Service at Basic Life Support level and the remaining 50% of the ambulances being operated by the Emergency Medical Service must be  operated at either Intermediate Life Support level, or Advanced Life Support level, or a combination thereof.


(4) The Head of Department may only issue a licence if the service has been inspected by an inspecting officer and is found to be in compliance with the requirements outlined in Annexures A and B, and is considered suitable and adequate for the purpose of providing a service in respect of the licence application.


(5) A Volunteer Emergency Medical Service must comply with the requirements for the licensing of an Emergency Medical Service with the exclusion of sections 2(b), 5(c) and 5(d) in Annexure A.


(6) A private Emergency Medical Service (excluding Event Medical Services) may only provide emergency medical services within the demarcated boundary within a health district as specified in its application for a licence and in which its station is located, unless it is transporting patients between health establishments or it is requested by the Head of Department.