Can anyone assist me with this? I currently work as a Paramedic in England and was wondering what the state of play is with emergency healthcare (in particular ambulances) for expats in Spain?
Does anyone have any good / bad stories or is there a general perception of it?

Theres a good and a bad side, from what I've seen.

Stories of ambulances taking a long time to get to an incident. Villages paying into a pot to make sure they get a timely ambulance in the case of need, and ambulances arriving quickly.

Never needed the service thankfully, but as I understand it the drivers / attendants are not paramedics and are normally just there to load you in and get you to a hospital.

Anyone know if thats changed?

I thought Spanish Healthcare was at least on par with the UK.

When I`ve watched 112 Heroes en la calle they seem pretty good, especially in Madrid.

You can watch them here, I guess you can then compare situations.Ambulance bit starts at 2.20 minutes into vid.

I believe here are two types, the TNA are Transporte no assist, and the others are paramedic ambulances, some even carry medically qualified staff.

Is that just in the main cities, or in the campo as well?

No idea, there were always plenty about on and around the N332 in Torrevieja area, and in Albir as well.

Locallly to where I live a lady phoned the ambulance after her husband collapsed. She speaks excellent Spanish and she gave them directions (Campo) but it took several calls before they arrived and then they had no paramedic with them.

Yes I have heard that.

It also explains why, in some motor accident cases, the body is left at the scene of the accident as the doctor on board has certified death so other facilities can collect the body rather than fill up an ambulance.

Around here we have TNA which is transport no assist and SUV (or something like that) which is manned by three people - a doctor, paramedic/driver and a nurse or second parmedic or second doctor.

Rosemary

The one that came to my friend was manned by a doctor, paramedic and a nurse, with all resuscitation gear on board.