B.C. adds hundreds of new paramedics to rural and remote communities

B.C. adds hundreds of new paramedics to rural and remote communities
Ambulances parked outside the BC Ambulance Service Victoria Central Reporting Station on Douglas Street on Nov. 9, 2023.

The B.C. government has added 271 new full-time positions for paramedics in rural and remote communities across the province, in an effort to address responsiveness.

The positions will be distributed across 60 rural and remote communities, with three different staffing models, moving away from the on-call model that would see paramedics working 72 hour shifts.

“We are excited to be bringing these staffing model improvements to our paramedics and the rural and remote communities we serve,” said Leanne Heppell, BCEHS’ Chief Ambulance Officer.

“We recognize that one staffing model doesn’t work for all parts of the province, and these three models will help us improve our services to better meet the needs of the community and patients and enable more of our paramedics to live and work in their home communities.”

The three models are called alpha, mix shift and kilo.

In the alpha model, which is what 21 communities will be transitioned to, there will be 24/7 emergency response service with at least eight paramedics in the stations, with staff on duty 24 hours a day.

There will be 25 communities moving to the mix shift model, which will have eight part-time staff for 16 hours a day and eight on call.

The final model is the kilo model, with 14 communities moving to this, which will have a full-time unit chief and staff on call.

In addition to these new models, the on-call pay is increasing from its current rate of $2 per hour to $12 per hour, as negotiated in the new collective agreement in February 2023.

“Today’s announcement by BCEHS is an important step toward providing more equitable access to care for people living in rural and remote communities, and better compensation and work environments for paramedics,” Adrian Dix, B.C.’s health minister said. “I commend the collaboration by BCEHS and CUPE 873 to make things better for paramedics who provide valuable, essential healthcare service to people in B.C.”

The model each community would be moving to was decided in consultation with staff, communities, First Nations leaders, health authorities and the Ambulance Paramedics and Ambulance Dispatchers of BC.

“Paramedics play a major role in small-town healthcare. With this announcement, thanks to our continuing collaborative approach to improving deployment and staffing, we will see a renewed commitment to providing many new full-time resources to dozens of communities across B.C.,”  Jason Jackson, president of Ambulance Paramedics of BC said.

“This is a fundamental change in how we provide paramedic services in these communities and will address how we respond to 911 calls, how we recruit and retain paramedics to work in smaller communities, and most importantly, how we can provide better care to our patients.”

Which communities will be moving to each model:


  • Gabriola Island
  • Gold River
  • Quadra Island
  • Boston Bar
  • Bowen Island
  • Bella Coola
  • Maderia Park
  • Clinton
  • Logan Lake
  • Lumby
  • Alexis Creek
  • Midway
  • Fruitvale
  • Salmo
  • McBride
  • Mackenzie
  • Village of Daajing Giids
  • Masset
  • Dease Lake
  • Fraser Lake
  • Tumber Ridge

Mix shift

  • Alert Bay
  • Mayne Island
  • Pender Island
  • Port Renfrew
  • Galiano Island
  • Sayward
  • Tahsis
  • Ucluelet
  • Cortes Island
  • Denman Island
  • Port Alice
  • Bella Bella
  • Texada
  • Anahim Lake
  • Lytton
  • Elkford
  • Greenwood
  • Kaslo
  • New Denver
  • Riondel
  • Rossland
  • Winlaw
  • Granisle
  • Southside
  • Hudson’s Hope


  • Sointula
  • Zeballos
  • Seton Portage
  • Gold Bridge
  • Blue River
  • Edgewood
  • Field
  • Bear Lake
  • Wells
  • Stewart
  • Port Clements
  • Kitwanga
  • Sandspit
  • Atlin


Laura BroughamLaura Brougham

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