NSW Ambulance is made up of six Directorate areas:

  • Clinical Operations
  • Aeromedical Operations
  • Clinical Systems Integration
  • People & Culture
  • Finance & Corporate Services
  • Engagement & Corporate Governance

The organisation is led by an Executive Leadership Team who preside over each Directorate.

Download the NSW Ambulance organisational chart (PDF, 37.51 KB).


Dominic Morgan

Commissioner and Chief Executive - Dr Dominic Morgan, ASM

Adjunct Associate Professor Dominic Morgan has over 30 years of ambulance experience across a broad range of roles in the areas of operations, clinical practice and leadership within Ambulance Services and the Financial Sector. After commencing his career with NSW Ambulance, he was appointed as Chief Executive Officer of Ambulance Tasmania in 2009 and returned to NSW Ambulance in 2016 as Chief Executive and Commissioner.

He is a Board member and Chair of The Australasian Council of Ambulance Authorities, the peak body representing the Ambulance sector in Australia and New Zealand and he has also chaired a number of international sub-committees. He is also a member of the Ambulance Service Advisory Board.

Dr Morgan has a number of professional affiliations including Adjunct Associate Professorship with the University of Technology, Sydney, as well as being a Registered Paramedic.

Dominic holds a Diploma in Education, Bachelor of Health Science and a Master of Business Administration. He completed his PhD in 2018, undertaking a study into the factors that influence early access to defibrillation following out-of-hospital cardiac arrest.

Deputy Commissioner and Executive Director - David Dutton

David joined NSW Ambulance in 2013 after twenty years working in the ACT Ambulance Service.  His career began as a student paramedic and included working in road and aeromedical operations, clinical education, emergency operations, operational support and senior executive management roles.

David has a strong interest and wide range of experience in emergency management, including as a responder to the 1998 Sydney-Hobart Yacht Race Disaster, operational commander for the 2003 Canberra Firestorm Disaster and executive manager for the 2014 Lindt Café Siege. In 2018 he was appointed as Executive Director Clinical Operations and promoted to Deputy Commissioner, where he currently leads a team responsible for answering over 1 million Emergency Triple Zero calls a year and responding across NSW from Tweed Heads to Tathra and Bondi Beach to Broken Hill and beyond.

Clare Beech

Assistant Commissioner and Executive Director - Clare Beech

In January 2020, Assistant Commissioner Clare Beech was permanently appointed to the role of Executive Director Clinical Systems Integration.

Clare is responsible for the development, implementation and coordination of integrated health initiatives and services to improve health outcomes and patient care, better coordination of services between ambulance, primary, community and hospital settings and working towards a more efficient health care delivery system. Clare also provides leadership over training and education for NSW Ambulance clinical staff.

Clare began her paramedic career in Victoria in 2003. She worked in rural and remote locations in Victoria, then had a stint in Melbourne before joining NSW Ambulance in 2007.

Clare has performed a range of clinical, corporate and executive roles within the service. In her previous role as Director Clinical Operations (Sectors), Clare was responsible for delivery of all land-based ambulance operations and providing senior clinical and cultural leadership to the operational workforce across NSW. A career highlight included helping local staff build a model of care that was specifically tailored and culturally safe for remote Indigenous communities.

Sarah Coombes

A/Executive Director, Sarah Coombes

Sarah is Acting Executive Director of Aeromedical Operations and one of NSW Ambulance's Senior Assistant Commissioners. She brings extensive experience to the position from across the Public Hospital and Aeromedical Retrieval sectors within NSW Health and the UK National Health Service (NHS). Sarah has more than 15 years of operational experience flying with London’s Air Ambulance, NETS, Westpac Lifesaver and NSW Ambulance Aeromedical Operations. Sarah also has nine years of operational support experience as a Senior State Retrieval Consultant within the Aeromedical Control Centre. In addition she was the Clinical Governance Lead for NSW Ambulance, Aeromedical Operations for five years.

Sarah is a Fellow of the Australasian College of Emergency Medicine and the College of Emergency Medicine, UK, specialising in both Emergency Medicine and Pre-Hospital and Retrieval Medicine. She is a Certified Medical Transport Executive with the Association of Air Medical Services and has a strong interest in humanitarian causes; with active participation in AUSMAT and USAR team development, leadership capability and response planning.

Kalena Smitham

Executive Director, People & Culture - Kalena Smitham

Kalena has senior executive leadership and commercial operations management experience; working in roles spanning Australia, New Zealand, Singapore, Malaysia and China. She has worked in human services organisations her entire career, including aged care, not-for-profit community services and global publicly listed Fortune 500 companies. She has led teams and organisations in strategy, performance, organisational development, human resources, learning, best practices & quality, operations management, marketing & communications, risk, mergers and sales.

Kalena has a passion for achieving high employee engagement and high performance. Her approach to People & Culture is to ensure my team operates as a true value provider to the organisation, where tangible outcomes are achieved positively impacting staff, patients and organisational performance. Kalena has a Master in Management, MGSM, a Bachelor of Science (Psychology), UNSW, a Grad. Dip. Counselling and Psychotherapy, Torrens U and a Cert IV in Training and Assessment.

Brian Jackson

Executive Director, Finance & Corporate Services - Brian Jackson

Brian brings a wealth of experience and skills to the role of Executive Director, Finance & Corporate Services.

Prior to this appointment, he held a number of senior executive positions including Director Business Services at the ABC, and Group General Manager Finance at Qantas. Brian also held accounting and finance roles with iconic companies Optus, Telstra and IBM. He holds an MBA from the AGSM, a Bachelor of Commerce from UNSW and a CPA qualification.