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, 178.84 KB).


Dominic Morgan

Commissioner and Chief Executive - Dr Dominic Morgan, ASM

Dr Morgan has been working with NSW Ambulance for more than 30 years across a broad range of roles from operational through to clinical. After starting 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.

Dr Morgan is proud to be a Board member of The Australasian Council of Ambulance Authorities, the peak body representing the Ambulance sector in Australia and New Zealand. He has also chaired a number of international sub-committees and is also a Fellow of the Australian Institute of Management and a member of Paramedics Australasia, the peak paramedic professional association. Dr Morgan is also a qualified Intensive Care Paramedic, so he understand what it’s like to work in the field.

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

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.

Allan Loudfoot

Executive Director, Clinical Systems Integration - Allan Loudfoot

Allan has an international ambulance career spanning over 38 years working within Health services in Australia and the United Kingdom.

Throughout his career, Allan has maintained an active interest in the future direction of out of hospital care, with an emphasis on clinical practice, paramedic education and new models of care across a variety of clinical categories including cardiac, stroke, trauma, palliative, mental health, frequent callers and non-ambulance transport care pathways.

Allan continues to sponsor change and innovation to achieve improved health outcomes for patients. His work has resulted in significant advances in research, design, development and implementation of internationally-recognised clinical programs.

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.

Kathryn Wood

Executive Director, Engagement & Corporate Governance - Kathryn Wood

Kathryn has more than 17 years’ experience working with NSW Ambulance. She brings more than 25 years’ experience in health-focused, government organisations to the Directorate. In this role she is responsible for ensuring effective communication, engagement, governance and the creation of content that meets the organisation’s strategic goals.