History of NSW Ambulance - Celebrating 130 Years

Celebrating our history

The origins of NSW Ambulance trace back to 1 April 1895 with the establishment of the Civil Ambulance and Transport Brigade – the first recognised ambulance service in the state. Initially operating from a borrowed police station at Sydney’s Railway Square, the service began with just two permanent officers and relied on hand-held stretchers to transport patients.

From these humble beginnings, the Brigade rapidly grew into a respected, community-focused organisation. In 1899, it introduced the first horse-drawn ambulance, and by 1912, the first motor vehicle – both donated by members of the public.

Innovation has long been a hallmark of NSW Ambulance. The organisation pioneered the use of radio-controlled vehicles in 1937, established a dedicated rescue service in 1941, opened a formal training school in 1961, and launched the Air Ambulance in 1967. In 1976, the introduction of advanced life support and intensive care vehicles marked a new era in pre-hospital emergency care.

Fast forward to today

NSW Ambulance remains at the forefront of emergency healthcare, continuing its legacy of innovation and excellence in pre-hospital care.

Recent advancements include the launch of the Virtual Clinical Care Centre, designed to ensure patients receive the most appropriate and timely care. NSW Ambulance also became the first emergency service in NSW to achieve gender parity—a significant milestone reflecting its ongoing commitment to diversity and inclusion.

The organisation has also led the way in clinical innovation, pioneering the world-first PRECARE trial and introducing the GoodSAM app. The GoodSAM app alerts trained volunteers to respond to cardiac arrest emergencies before paramedics arrive.

In 2024, NSW Ambulance further enhanced its aeromedical capabilities with the addition of two jets to its Air Ambulance fleet. Its special operations capacity was expanded with the deployment of eight hazardous area rescue ambulances and eight inflatable rescue boats. These will continue to improve response capabilities during natural disasters and challenging environments in the years to come.

The people of NSW can take pride in the ambulance service they have helped shape, and in the dedication of the men and women who continue to uphold its proud tradition of service, innovation and care.

Preserving our legacy

Tucked away on the northern edge of the Riverina region, the town of Temora might seem like an unexpected place to find a vast collection of NSW Ambulance vehicles and equipment.

Yet, it’s home to the NSW Ambulance Museum—an essential hub for preserving and showcasing the rich history of the service. Inside, you’ll discover an impressive array of historic ambulances, equipment and memorabilia that bring the evolution of NSW Ambulance to life.

So next time you’re passing through, make sure to plan a visit. You’ll be amazed by the beautifully restored ambulances and the detailed displays of vintage uniforms, rescue tools, photographs and records. It’s a fascinating insight into the heritage and accomplishments of ambulance services across NSW and the ACT.


NSW Ambulance has been serving the people of NSW for more than 130 years. Our history and heritage can be traced, below.

1895Formation of the Civilian Ambulance and Transport Brigade of NSW
1912Transition from horse-drawn to motorised ambulances
1915Two trams converted into ambulances to transport patients from Woolloomooloo Wharf to Randwick Military Hospital during World War I
1937Introduction of two-way radios, improving communication and coordination
1954Oxygen equipment added to ambulances, enhancing patient care
1959Participation in EAR (Expired Air Resuscitation) research, contributing to modern CPR techniques.
1961Australia's Triple Zero (000) service was established
1961Ambulance training school opens
1967Air Ambulance Service commences operations
1976Leo Watts appointed as the first Aboriginal Liaison Officer
1976Introduction of Intensive Care Paramedics
1979Lee Clout (née Vickery) becomes the first female paramedic
1983Paramedics commence responding on Rescue Helicopters
1985Introduction of Advanced Life Support officers
1986Special Casualty Access Team established to respond to hazardous environments
1988Peer support program commences
1990Chaplaincy program formally established
1998CAD system introduction
1999Consultation Control Centre function - 4 Control Centres instead of various local centres
2000Largest planned deployment in NSW Ambulance history: Sydney Olympics medical response
2007Introduction of Extended Care Paramedics
2007The Statewide Aeromedical Retrieval Network is brought into NSW Ambulance
2007First cohort of paramedicine university students graduate
2009Special Operations Team established
2009Pioneering of aeromedical ECMO retrievals, advancing critical care transport
2014Opening of the Temora Ambulance Museum, preserving NSW Ambulance history
2016First NSW Ambulance therapy dog joins the team, helping staff manage stres
2017NSW Ambulance and Toll open new helicopter base and ACE training facility at Bankstown
2017$202M Sydney Metropolitan Ambulance Infrastructure Strategy (SAMIS) program starts for the delivering of 12 new ambulance stations
2017$30 million investment from the Government to improve staff health and wellbeing
2018$180M Statewide Workforce Enhancement Program launched to deliver an additional 750 paramedics and call centre staff over 4 years
2021Roll out of new Intensive Care Ambulances and ICP update program.
2021Launch of the Virtual Clinical Care Centre, diverting low acuity cases away from hospital emergency departments to more appropriate care pathways
2021Patient safety distribution unit started
2022$1.76B Strategic Workforce Infrastructure Team (SWIFT) program launched to deliver 2,500 additional NSW Ambulance staff and 30 new stations
2023First emergency service in NSW to achieve gender parity
2023Control Centres received ACE accreditation
2023World-first PRECARE trial
2023Launch of GoodSAM app, enabling volunteers to help in cardiac arrest emergencies while paramedics are on the way
2024Introduction of Primary Triage
2024Two Pilatus PC-24 Jets introduced into the aeromedical air ambulance fleet
20248 hazardous area rescue ambulances and 8 inflatable rubber boats added to the special operations fleet to increase access to patients during natural disasters
2024Aboriginal Health Action Plan launched
2024State Headquarters moved to Sydney Operations Centre at Sydney Olympic Park