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Source: Middlesex-London EMS

Middlesex-London Paramedic Service is the statutory Emergency medical services provider for Middlesex County, and London, Ontario. The service provides Paramedic Services to the City of London, and the Townships of Adelaide Metcalfe, Lucan Biddulph, Middlesex Centre, North Middlesex, Southwest Middlesex, Strathroy-Caradoc, Thames Centre, Newbury. Middlesex London Paramedic Service delivers ambulance service to Middlesex and London in accordance with service and patient care standards set by the County of Middlesex, City of London, and Ministry of Health and Long Term Care. Medical oversight for controlled medical acts is provided under the direction of the Southwestern Ontario Regional Base Hospital Program.
The service is operated directly as a branch of the municipal government as an independent, third-service option provider, which means that the service is funded by the municipal tax base, and operates in much the same manner as any other municipal department, such as the police or fire department, or in some cases like a public utility, but retains its complete independence from all other departments. While under municipal government control, it is required to comply with legislation and licensing standards provided by the Ontario provincial government. It is not the only service provider in its area; private-for-profit medical transport services also provide routine, non-emergency transports and coverage for special events, but the statutory EMS system is the only provider permitted to service emergency calls.