We do get around 30k including unsocial hours, o/t is paid on top. That's fairly recent, the last couple of years really and was a big big improvement. It came with the Agenda for change stuff.
Morningpaper, I'm guessing your OH is an older ambulanceman? The if they're screaming one was always more for a quick traige of patients if you have several to deal with, in that the quite ones are often in a worse state.
It is true that generally, we get more out of jobs that are serious, as then we have the opportunity to use more of our brain/skills, and to be honest, the really interesting(which can mean dramatic or gorey) ones don't happen very often, so I guess they can be exciting, and give you a sense of achievement if they go well.
We do standyby all the time now, and we still get those complaints! There is still a huge alcohol element, especially in A+E.
I can't say I enjoy the job any more TBH. Mostly as I think what you were saying about London has filtered through to the rest of the country. The real patients are still great though.
It is a bit annoying sometimes if you go to a job and then the family follows in the car if you feel the patient could have been taken by car, but often this is understandable or necessary(again especially with children). If we felt the patient could go by car, we would suggest this. Besides, we usually try to get someone to follow in the car in many cases, or the patient would be stuck at A+E!
I agree with it being harder to make a judgment with illness than accident. It's difficult to know at what point it crosses the line. If it helps, just because you call an ambulance, it doesn't mean an automatic trip to hospital. We really would rather asses and leave, that not come at all and have something be missed. Usually it is easy to see that a call is genuine anyway, and that it hasn't been done in a thoughtless way.
It's nice that everyone's saying such lovely things about paramedics here, I think generally people who work in caring professions can easily become cynical as you mostly see a needier side to humanity, and it's always nice to know that people still like you out there