Overstretched NHS ambulance service. Poorly led vast organisation that has little career development available to paramedics. Poor work/ life balance for frontline staff with late unarranged finishes now been the norm, and poor short notice shift planning. It seems now more than ever staff are voting with their feet and leaving what once was a job for life. I don't believe its any different in any NHS ambulance service, so after 15 years of being a part of the NHS ambulance service it is with a heavy heart that I am looking elsewhere for employment, but believe that the current situation within the frontline of the service is unhealthy.