A large part of the shortage of HGV drivers is the failure of the industry to train sufficient numbers over the last two decade.
Expecting ambulance drivers to pay for thier own training will lead to a shortage in the future - even if we don't already have one.
The service could either pay up front for their training in the hope they stick with it as a career, or the trainee could pay upfront with the cost refunded over the first 12/24 months of work
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