Cornwall Ambulance Service is led by a group of experienced healthcare leaders and practitioners.

Cornwall Ambulance Service is managed and delivered by extremely experienced Paramedics. We provide a level of skilled clinician and vehicles not provided by routine transport services.

Interim Chief Operating Officer

Joseph Francis

Joe is an Advanced Paramedic, educationalist and health leader splitting his time between caring for patients, leading system change and passionately educating medical and allied health students.

Having achieved a BSc (Hons) in Paramedic Science, Joe spent time working as a frontline Paramedic for the London Ambulance Service before transitioning into advanced practice roles in the wider healthcare system to include intermediate care teams, minor injury units, emergency departments, GP surgeries and now within integrated urgent care. Within these areas, Joe has focussed his postgraduate studies in primary care therapeutics developing specific interests in antibiotic resistance and mental health.

Within his educational roles, Joe has worked across several universities and now leads a Masters in Advanced Clinical Practice whilst also tutoring undergraduate medical students. Joe has continuously championed learner engagement and satisfaction and has been awarded multiple fellowship grants to strategically implement radical learning pedagogies in creative and playful adult learning. He holds a PGCE and is a Fellow of the Higher Education Academy.

Recently, Joe has drawn from his experience across these various roles to gain strategic lead positions developing and implementing advanced clinical practice across the Cornwall and Isles of Scilly healthcare system.

Joseph Francis BSc (Hons). Paramedic
Director of Operations

Dave Pascoe

Having qualified as the third official Paramedic in Cornwall, Dave has spent 43 years in the NHS as a clinician, health leader, educator and operations officer. Dave is now a Specialist Paramedic, having worked as a Fast Response Motorcycle Paramedic, Air Ambulance Paramedic and Winch Paramedic on the 771 Search and Rescue Helicopter. Dave is a passionate educator and in his role as a Paramedic Clinical Tutor, has educated and trained across a wide array of emergency, urgent care and primary care subject areas.

Daves qualifications include:
Minor Injury Nursing Module 1 (NURB 261) Plymouth University
Certificate in Education (Cert Ed)
IHCD Instructional Methods instructor
Major Incident Medical Management and Support practitioner and instructor
Previous PHTLS and JESIP instructor

Outside of work, Dave is just as active and spends his time with his family, training in the gym, walking and watching Rugby union (whilst wishing he was still playing it!)

dave pascoe
Clinical Director

Steve Small

Steve is a Consultant Paramedic with 25 years of experience as a practitioner and Clinical Manager within the NHS. Having worked within frontline emergency ambulance service roles, Steve developed clinically to gain advanced clinical roles in emergency medicine within Cornwall Air Ambulance, as a Fast Response Motorcycle Paramedic and within Search and Rescue.

During his employment within the ambulance service, he was the Operational Locality Manager for West Cornwall and Isles of Scilly for 10 years, managing and supporting over 230 staff and working with the community and commissioners to improve emergency and urgent care within Cornwall. Steve has educated and trained staff of various grades in areas such as Pre-Hospital Life Support, Handling and Moving, Geriatric Emergency Medicine and Advanced Paediatric Trauma Life Support.

Steve has now transitioned his practice into the delivery of primary and urgent care, where he has worked in Minor Injury units and, most recently, in integrated urgent care services in the out of hours period as an Advanced Paramedic and non-medical prescriber.

Steve’s qualifications include:
Reading a MSc Advanced Clinical Practice
Non-medical Prescriber
Diploma in Primary and Urgent Care - College of Paramedics
BSc(Hons) Emergency Care
C&G 730 in Teaching

Outside of work, Steve enjoys surfing, paddle boarding, spearfishing, walking the dog and spending time with his beautiful wife Cathy.

Steve Small
Director of Governance

Simon Williams

Simon is an Advanced Paramedic, project leader and dedicated educationalist specialising in human factors. With 36 years of experience as a Paramedic within the NHS in Cornwall, Simon is proud to have co-designed and acted as the joint first Paramedic for a number of innovative services across the county. Simon was a member of the design team for the Cornwall Air Ambulance, the first dedicated air ambulance in the UK, where he became the joint first Air Ambulance Paramedic. Simon also co-led the introduction of pre-hospital thrombolysis for cardiac patients in Cornwall achieving recognition by the Prime Minister at Downing Street. He was the first Paramedic to work in minor injury units in Cornwall opening the doors for multidisciplinary working and the advancement of the profession into primary and urgent care. Simon is search and rescue trained and was the project lead for the Isles of Scilly Ambulance launch. He also developed fixed wing air ambulance operations for a regional airline whilst additionally spending nine years as an airline pilot serving the region.

Simons qualifications include:
BSC (Hons) Emergency Care
Certificate in Education (Cert Ed)
Current CAA Crew Resource Manager Trainer (CRMT or Human Factors).
Major Incident Medical Management and Support practitioner
Acute Psychiatric Emergencies practitioner
Chapter Author, Nancy Caroline – Emergency Care in the Streets
Previous instructor for ALS, PHPLS and PHTLS

Outside of work, Simon enjoys cycling, cooking, mechanics and is an avid cider maker!

simon williams
Director of Clinical Services

Norman Trebilcock MBE

Norman is a Paramedic with 40 years services in the NHS Ambulance Service and has worked across several pre-hospital areas to include roles as a frontline emergency ambulance Paramedic, Fast Response Motorcycle Paramedic, Search and Rescue Paramedic and Clinical Support Officer providing clinical and logistical support to front line staff.

In addition to his clinical work, over the last 30 years Norman has managed the charity FLEET (Front Line Emergency Equipment Trust). Within this role, Norman has provided thousands of pounds for ambulance equipment, helping standardise every ambulance in Cornwall, develop Community Responders and provide public access defibrillators throughout Cornwall. In addition to this, in 2019, Norman oversaw FLEET funding and procurement of 69 defibrillators which have been placed onto every Community Police car in Cornwall.

In 2001, Norman was one of the very first BBC NHS Unsung Heros and in 2002 went on to be recognised as Unsung Hero by the Daily Mail. In 2008, he was awarded the MBE for his service to the community and in 2012 was very privileged to carry the Olympic Torch as it made its way through Cornwall.

Outside of work Normal is a passionate runner and organises a FLEET Team of at least 20 runners for the annual London Marathon which raises thousands of pounds every year. This year is Norman’s 27th Marathon.

norman trebilcock