sentences:  Many NHS trusts are in the process of phasing out the Ambulance Technician/Emergency Medical Technician (Band 5 on the Agenda for Change) role from the services and replacing it with the Emergency Care Support Worker or Emergency Care Assistant roles (Band 3 on the Agenda for Change), and most services are no longer training staff at Technician level.All ambulance services, whether public, private or voluntary, are regulated by the Care Quality Commission, who dictate the expected standard of care.In 1970 it was Professor Douglas Chamberlain who pioneered the first recognisable paramedic training programme in the UK, up until this point, only basic ambulance training had been in place nationally, having been rolled out only four years earlier.