There is no departmental policy held on underwriting indemnity insurance for private sector paramedic providers. This is a matter for the private ambulance providers to manage themselves.
The Department has not issued guidance on competition in service provision by paramedics. It is up to the NHS Ambulance Trust locally to decide how to resource its front-line response to meet demand.
The Department has however made clear that in commissioning patient transport services, contracts/service level agreements with providers should set out standards and requirements relating to a range of areas to ensure high quality, safe services.