sentences:  The most homogenous group is the Paramedics, as the framework of practice is largely dictated by their status as registered healthcare professionals.Other grades such as Technicians, Emergency Care Support Workers and Emergency Care Assistants do not have a registered or protected role and their skill sets and permitted interventions are governed by their employer.This has led to significant differences in training and skill between staff in different services with the same or similar job titles, especially within the private sector.