Private Ambulance and Secure Patient Transport in Manchester

August 24, 2026

At A Glance

Secure 24 provides private ambulance and specialist mental health transport across Greater Manchester, 24 hours a day, for planned and urgent transfers.

  • Secure ambulance, patient transport, ward assist and Section 135/136 support, all crewed by staff trained for mental health risk
  • Three vehicle classes, including a wheelchair-accessible variant and a high-risk variant with a Perspex-screened safe space
  • Every job is risk assessed by our control room before a crew is allocated, so vehicle and crew match the patient rather than the postcode
  • Coverage extends across Greater Manchester and the North West, including transfers into and out of the region
  • Secure 24 is CQC registered and rated Good across all service areas

Moving a patient across Greater Manchester is rarely just a journey. It is a mental health bed that expires if the transfer does not happen today, an A&E cubicle occupied while a place of safety is found, or a ward that cannot discharge because nobody can take the resident back to their care home safely.

Secure 24 works with NHS trusts, Integrated Care Boards, police forces, local authorities, care homes and private clients throughout the region, providing private ambulance services and specialist mental health conveyance. We operate nationally and cover Greater Manchester and the wider North West around the clock, for booked transfers and for the calls that come in with no notice at all.

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Private Ambulance Service in Manchester

A Secure 24 secure ambulance ready for a transfer

A private ambulance covers the patient movement that sits outside 999. In Manchester that means hospital discharges, transfers between sites, outpatient and dialysis journeys, care home moves, and conveyance for patients detained under the Mental Health Act. It is booked for a named person at an agreed time rather than dispatched against emergency triage, which means the vehicle and the crew can be chosen for that individual before anyone sets off.

Our fleet runs in three classes. A standard secure ambulance covers most risk levels. A wheelchair-accessible variant handles patients with combined physical and mental health needs. A Cell Secure Ambulance is used for the highest-risk journeys, and uses a Perspex-screened safe space rather than the barred Category B compartment much of the sector still relies on. Every vehicle carries 360 degree recording with audio, live tracking, full climate control and padded seating.

Mental Health Transport in Manchester

This is the work Secure 24 was built around, and it is a different discipline from standard patient transport rather than a variation of it. Crews are recruited as secure technicians and trained through a four-level progressive framework with our training partner RISKA, with ongoing monthly development, Basic Life Support refreshed every twelve months, and enhanced DBS checks throughout.

Greater Manchester has one of the largest mental health populations in the country, and the pressure on beds means patients frequently travel outside the region for admission. Those longer journeys are exactly where generalist transport struggles: a crew who are not trained in de-escalation, in a vehicle that offers no alternative to prolonged seated restraint, on a route that takes hours. Our secure ambulance crews plan against a risk profile built before departure and keep talking to the patient for the whole journey.

Why Specialist Transport Matters More Than the Vehicle Badge

Procurement increasingly bundles mental health transport into standard patient transport contracts, and on paper that looks efficient. In practice it puts generalist crews with volume targets in front of patients they have not been trained to support, and the cost of that only shows up later.

Three things separate the two disciplines. The first is the risk assessment: a specialist provider builds a profile of the person before a crew is allocated, rather than sending the nearest available vehicle. The second is restraint. Where a vehicle offers no safe alternative, containment becomes prolonged seated physical restraint for the length of the journey, which is neither therapeutic nor defensible if the transfer is later reviewed. The third is the audit trail. Recording with audio, live tracking and complete handover paperwork mean that if something does go wrong, the transfer can be reconstructed and accounted for.

For a trust or an ICB, that last point is often the decisive one. Transport is one of the few risks on a mental health pathway that can be closed off properly, and the evidence that it was closed off properly is what a board, a coroner or an inspector will ask for.

Section 135 and Section 136 Support in Greater Manchester

Specialist secure transport for Section 135 and 136 mental health care

Under Right Care, Right Person, police forces across England are stepping back from mental health response, and Greater Manchester Police is no exception. That shift only works if something competent fills the gap.

We meet officers and Approved Mental Health Professionals at the scene, take over as soon as the scene is safe, convey the person to a place of safety, and complete the paperwork and handover at the other end. Our Section 135 and Section 136 support covers planned warrant executions with an AMHP as well as the unplanned Section 136 detentions that come in from a public place at three in the morning.

Ward Assist and Bedwatch in Manchester

Not every job is a journey. When a patient cannot safely be left unsupervised on a ward, in an A&E department, or in a prison healthcare unit, we provide ward assist and bedwatch cover on site.

The model is active engagement rather than passive observation. Crews use conversation, board games, music and craft activity to keep someone settled, on the principle that positive engagement produces positive behaviour and that an incident prevented is worth more than an incident managed. Cover can be arranged for a single overnight shift or run long term with managed crew rotation so the patient sees familiar faces.

Patient Transport and Hospital Transport in Manchester

A Secure 24 crew member on shift
A Secure 24 ambulance on call
Interior detail of a Secure 24 secure ambulance
Secure 24 operations team coordinating a transfer
Secure 24 crew during a RISKA training scenario
Equipment storage and crew PPE inside a Secure 24 ambulance

Routine transfers make up the largest share of the work. Getting patients to appointments and home again, moving people between hospital sites for specialist input, and taking the pressure off discharge so a bed can be turned around. Our patient transport services cover formal and informal transfers for patients with mental health, mobility or complex needs.

Discharge is where delay costs the most. A transfer that slips by a day holds a bed that an admission is waiting for, and in a system running at capacity that single delay travels all the way back to the emergency department.

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Non-Emergency Patient Transport in Manchester

Non-emergency patient transport covers the planned, repeating journeys that keep treatment on track: dialysis, chemotherapy, day surgery, outpatient clinics and hospital discharges. Vehicles are wheelchair accessible where needed and the service is door to door, which matters for patients who cannot manage the walk from a car park or a drop-off point.

Care Home and Hospice Transfers Across Greater Manchester

Moving a resident between care settings is a clinical event in itself, particularly for someone living with dementia. Disorientation is the risk, not distance. Crews are briefed on the individual, keep the environment calm and familiar where they can, and hand over properly at the destination so the receiving team knows how the journey went.

Court and Prison Transfers in Manchester

We move detainees for medical appointments, court hearings and transfers between secure facilities, working alongside HMPPS, court services and police forces. The same vehicle classes and the same trained crews apply, with ward assist available inside prison healthcare units where a detainee needs constant supervision.

Who We Support Across Greater Manchester

The service is built for organisations that carry accountability when a transfer goes wrong:

  • NHS trusts and Integrated Care Boards, through ad hoc bookings, service level agreements and procurement contracts. See our NHS sector page for how those arrangements work.
  • Police forces, particularly for Right Care, Right Person handovers and Section 136 conveyance
  • Private hospital groups needing discreet, confidential transfers
  • Local authorities, including children’s services and CAMHS placements
  • Care homes and hospices across the region
  • Courts, prisons and custody suites
  • Families arranging transport privately for a relative

Secure Transport in Manchester

Secure transport and private ambulance overlap but are not the same thing. Any CQC-registered provider can carry a patient. Secure transport specifically means the vehicle, crew and process are built to manage a person who may be detained, may attempt to abscond, or may present a risk to themselves or others during the journey.

That is the difference between a converted van with a locking rear door and a purpose-built vehicle with a Perspex-screened safe space, anti-finger-trap hinges, no ligature points, recording with audio, and a crew trained in de-escalation. Where a Greater Manchester trust is moving a detained patient, secure transport is the requirement even when the tender wording says patient transport.

Private Ambulance Hire in Manchester

Private ambulance hire usually means one of three arrangements, and it is worth being clear which you need before asking for a price.

  • Single transfer. One booked journey, priced as a job. Most family bookings and one-off hospital transfers work this way
  • Standby or on-site cover. A vehicle and crew held at a location for a defined period, used for events, production work and clinical settings that need cover on hand
  • Contracted hire. A service level agreement or procurement contract giving a trust, ICB or hospital group prioritised access across an agreed volume

For regular NHS work in Greater Manchester the third is almost always the right structure. A trust moving patients weekly gets better response times and better continuity from an agreed arrangement than from booking job by job.

Who Pays for a Private Ambulance in Manchester?

Three routes cover almost all of it, and confusing them is a common source of delay.

NHS commissioned. Where a trust, ICB or local authority has arranged the transfer, the cost sits with them and the patient pays nothing. This covers most Mental Health Act conveyance, inter-hospital transfers and discharge transport.

Private payment. A family or individual arranging transport directly pays for the job. Quotes are given before booking, and ours are all-inclusive rather than a base rate with additions.

Insurance. Some private medical insurance policies cover patient transport, and some travel and repatriation policies do. Cover is not universal and varies by policy, so check with your insurer before booking rather than after. Where a policy does cover it, insurers generally want an invoice and a record of the clinical need, both of which we provide as standard.

Choosing a Private Ambulance Company in Manchester

Quality across providers varies widely. Four checks separate them:

  • The full CQC report, not just the rating. Registration is a legal minimum, not a benchmark
  • Crew training, and specifically whether crews are trained for mental health work or trained in it as an afterthought
  • The vehicle, seen in person. A walk-around tells you in two minutes what a brochure will not
  • The audit trail. Ask what exists if a transfer is later questioned by a board, a coroner or an inspector

Our own answers are set out in what good looks like in secure ambulance standards.

Areas We Cover Across Greater Manchester and the North West

Coverage runs across all ten Greater Manchester boroughs, including Salford, Bolton, Stockport, Oldham, Rochdale, Bury, Wigan, Tameside and Trafford, and outward into Cheshire, Lancashire and Merseyside.

Long-distance work is routine rather than exceptional. Bed allocation regularly sends North West patients well outside the region, so a transfer that starts in central Manchester can finish several hours away. Those are the journeys where crew training and vehicle design stop being procurement line items and start mattering hour by hour.

How to Book Secure Patient Transport in Manchester

Booking starts with a call to the control room on 0330 320 1159, at any hour. Dispatch will ask who the patient is, where they are going, what has happened recently, and anything about the person that would change how a crew should approach them. That conversation is the risk assessment, and it determines crew size, whether a gender-matched crew is appropriate, which vehicle class is sent, and whether civilian clothes would be better than uniform.

Planned transfers benefit from as much notice as you can give. Urgent and unplanned bookings are taken around the clock, and capacity is held for them.

Great service from Secure 24, the escort team were very professional and mindful of the patients needs. I was kept informed of ETAs for the journey which was greatly appreciated. All paperwork was completed and the handover was completed successfully.

Ashlie Georgiou
Verified Google review

Related Reading

Manchester Private Ambulance FAQs

Do You Cover The Whole Of Greater Manchester?

Yes. Secure 24 operates nationally and covers Greater Manchester and the wider North West, including transfers into and out of the region. Long-distance admissions and discharges are a routine part of the work, because mental health beds are frequently allocated well outside a patient’s home area.

How Quickly Can You Reach A Manchester Address?

It depends on the time, the risk profile and what crew and vehicle the job requires. Dispatch will give you a realistic time on the call rather than an optimistic one, because a transfer built on a time that cannot be met causes more disruption than a slightly later arrival. Urgent and unplanned bookings are taken 24 hours a day.

How Much Does A Private Ambulance In Manchester Cost?

There is no flat rate. Cost is built from crew size, whether specialist mental health training is required, vehicle class, mileage and journey time, the time of day, and whether the booking is planned or urgent. Quotes are all-inclusive, covering crew, vehicle, equipment, risk assessment, paperwork and handover, with nothing added afterwards.

Can You Support A Section 136 Detention In Manchester?

Yes. We meet police officers and Approved Mental Health Professionals at the scene, take over as soon as the scene is safe, convey the person to a place of safety and complete the handover and paperwork. This is a core part of the service and directly supports Right Care, Right Person, under which forces are reducing their role in mental health response.

Do You Transport Children And Young People?

Yes. CAMHS work runs under a separate safeguarding policy with child-specific enhanced DBS checks for crew. Tier 4 admissions often involve long journeys to units a considerable distance from home, and wherever the clinical team supports it and the risk assessment allows, a parent or carer travelling with the young person is usually the most effective way to keep them settled.

Can A Family Book Transport Directly, Or Does It Need To Come From A Trust?

A family can arrange transport directly for a relative, and no doctor’s referral is needed for ordinary patient transport. Where a patient is detained under the Mental Health Act, the referring clinical team or Approved Mental Health Professional leads the booking, because the legal authority for the transfer sits with them.

Are Your Crews Trained For Mental Health Transport Specifically?

Yes. Crews are recruited as secure technicians rather than general patient transport staff, and train through a four-level progressive framework with our training partner RISKA, supported by an ongoing monthly development plan. Training covers de-escalation, trauma-informed care, safeguarding, the Mental Health Act and Sections 135 and 136, alongside Basic Life Support refreshed every twelve months.

What Is The Difference Between Secure Transport And A Private Ambulance?

Any CQC-registered provider can carry a patient in a private ambulance. Secure transport means the vehicle, crew and process are specifically built to manage someone who may be detained, may attempt to abscond, or may present a risk during the journey. In practice that means a purpose-built safe space with no ligature points, recording with audio, and a crew trained in de-escalation rather than a converted van with a locking door.

Does Insurance Cover A Private Ambulance In Manchester?

Sometimes. Some private medical insurance policies cover patient transport, and some travel or repatriation policies do, but cover is not universal and varies by policy. Check with your insurer before booking rather than afterwards. Where a policy does cover it, insurers generally want an invoice and a record of the clinical need, both of which we provide as standard. Where the NHS has commissioned the transfer, the patient pays nothing.

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