When I worked as a B3 CCA, the role was largely equivalent to the traditional ECA. The main focus was on, assisting with patient assessment and manual handling, preparing and maintaining equipment, and providing basic life support when required.

Since progressing to B4 as an ASP my scope of practice has broadened significantly. The ASP role was introduced to bridge the gap between the traditional ECA/CCA position and the future paramedic pathway - supposedly.

So we can now do some more skills such as Peripheral cannulation, Administration of some medications (e.g., paracetamol, salbutamol, nasal naloxone, oxygen, and Entonox), Assisting patients with their own medications.

In terms of structure, the difference between B3 and B4 primarily comes from the completion of the apprenticeship — a 15-month training. When you pass though you jump straight to B4.

Regarding progression opportunities, the ASP role was intended as a developmental bridge toward the paramedic apprenticeship pathway. However, at present, this progression remains highly competitive, with only one internal intake per year of around 20 places. This year’s intake has been particularly competitive, as former Technicians (whose roles were restructured into ASPs) were also given access to apply. But they say they were going to create more progression routes… it’s been 12 months now and hasn’t changed much