Professional Practice, Clinical Excellence and System Oversight

The Professional Practice, Clinical Excellence and System Oversight division is responsible for providing operational and system support services to the organization. 

Middlesex-London Paramedic Service works diligently to provide quality patient care services to the public. In order to achieve and enforce the highest standards possible, the Professional Practice, Clinical Excellence and System Oversight division is responsible for conducting all investigations, which includes responding to community complaints and inquiries in a timely manner.

“I wanted to pass along our thanks to the paramedics that picked up, assisted my mom with a cardiac emergency and again last night, taking her to UH. They showed extraordinary care, saved her life, with their skill and compassion.  Big thank you from our family”

Quality Assurance is a component of the division and is tasked with confirming clinical excellence and system analysis to maintain comprehensive quality management in respect to various Acts, legislative requirements and best practices. This is accomplished by analyzing and providing data on organizational systems, identifying trends, defining best practices, performing field audits and completing detailed recommendations for system improvement.

The Professional Practice, Clinical Excellence and System Oversight division also oversees the occupational health and safety program, contractual and legislated reporting requirements and is responsible for coordination of the Ministry of Health Ambulance Service Review.

Additionally, the Professional Practice, Clinical Excellence and System Oversight division gathers, stores and audits ambulance call reports, as mandated by the Ontario Ministry of Health and Long-Term Care, oversees credentialing of paramedic staff in line with the Ambulance Act, liaises with the Southwest Ontario Regional Base Hospital Program (SWORBHP) and reports incidents to the Ministry of Health – EHS Field Office as required.

To directly contact the Professional Practice department, please email @email

To report a complaint or concern about the conduct, behaviour or competence of Middlesex-London Paramedic Service staff member(s). You must:

  • submit the complaint or concern in writing to @email
  • be involved in the incident
  • identify yourself (cannot be anonymous)
    • name
    • address
    • telephone number
    • Location of the ambulance call or incident
    • Approximate time of service
    • Relevant details of the incident

Once an investigation is complete you will be notified of the completion of the investigation.

If we determine that your issue is not within the jurisdiction of Middlesex-London Paramedic Service, your concern will be forwarded to the appropriate authority, whenever possible. You will be notified to whom your issue was redirected.