Paramedic recruitment is changing. As primary care evolves under the NHS Long Term Plan, paramedics are moving from emergency-only settings into GP practices, urgent treatment centres, and multidisciplinary community teams.
Yet the transition is not without friction. Primary care providers are still battling with recruitment and retention challenges, despite paramedics being identified as essential to integrated care delivery.
In 2026, Compass Associates reports that average salaries for paramedics in primary care are £42,750 (excluding London) and £49,000 in London. However, many paramedics are reluctant to move unless roles offer autonomy, challenge, and professional recognition.
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What are the challenges within paramedic recruitment?
Many paramedics remain drawn to:
- Higher earning potential in emergency or private sectors
- Clear clinical protocols and structures in ambulance trusts
- Defined routes for progression, such as critical care or HART roles
To compete, primary care roles must offer:
- Advanced clinical practice training, including prescribing
- Protected mentorship and supervision
- Dynamic, well-supported environments, where paramedics feel valued
“Too often, primary care underestimates what paramedics want from their careers,” says Natasha Isaac, Senior Principal Consultant at Compass Associates. “We help clients shape roles that feel credible, rewarding, and aligned to clinicians’ ambitions.”
Looking for recruitment support at your clinical or care centre?
Compass Associates supports PCNs and practices in structuring paramedic roles that suit both clinical needs and candidate priorities ensuring successful recruitment into this evolving, high-impact workforce.
If you’re looking to benchmark your pay packages or plan for a resilient workforce, our consultants can guide you.
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