To whom it may concern,

I wish to resign from my post as an EMT-3 in the London Ambulance Service. If possible I would like to go onto a bank contract so that I may work the occasional shift.

I would appreciate it if you could tell me my last working day as soon as possible as I am moving elsewhere in the NHS and they would like to know the earliest date that I can start.

Many thanks in advance.

Brian Kellett


I handed this letter to my immediate boss today.

People who follow me on Twitter will have already heard that I have a new job, one that I'm due to start in approximately one month. In one month's time I shall be going back to nursing where I am taking a post as an Urgent Care Nurse Practitioner at Newham hospital.

I've been led to this by a number of factors, a majority of things that have pulled me towards a career change as well as more than a few things that have pushed me away from the LAS.

My AOM described it best when she gave me my reference, she said that I was bored and that I needed new challenges. We both agree that in most cases the job that we do turns our brain to mush.

So, I'm going back to nursing because I want to develop my clinical skills, I want to learn new things, I want to be more responsible for providing people with the best healthcare that I can.

It's pretty much impossible to do this within the LAS because, for example, our ECP (Emergency Care Practitioner – our top clinically trained people) programme is effectively being shut down. There is nowhere to progress to and… well… you have been reading all about it on this blog for the past few years.


So, some big changes – one of which being that I'm going to go to writing under my real name, Brian Kellett, rather than the helpful pseudonym of Tom Reynolds. At the moment I'm in the process of changing this on all the social network profiles that I can remember belonging to.

If you take a look at the top of this very blogpost you should see that it no longer says 'By Reynolds'.

As for this blog… well… I'm unsure of what form it's going to take in the future. WIll I be still writing about ambulance stuff? Will I be documenting my journey into urgent care? Will I just natter about whatever interests me at that moment in time? I'm not quite sure. Certainly I'm not going to stop writing and in fact, later today, I'm heading into town to have drinks and a chat with a friend about something we are planning together.

So I'll keep blogging, but I'll no longer be the 'ambulance blogger', I'll be 'that annoyingly nerdy blogger', which I think puts me in good company.


So there you go, a change in career, a change in direction, a change (of sorts) of name. I'm looking forward to it and will be writing about it in the coming weeks.

It would be a lie to say that I'm not at least a little bit nervous about this, but nervousness is just a form of excitement – and while this is a big step for me it's one I'm looking forward to taking.

61 thoughts on “Done”

  1. Well done Mate. Welcome back to civvy street. Although staying in the NHS you must still expect to be treated like shite and be dealing with assholes!

  2. Will miss your LAS blogs but hope you will still be writing! I've a daughter with rare condition who's endured 23 surgeries. Suffice it to say I've spent a fair amount of time in hospital. It's always a great nurse who makes the whole experience that bit more bearable for both child and mum! Daughter is 15 now but never forgets, remembers most of their names or has references for them 'the one that played games when he took out my IV', 'the one who discussed Harry Potter', 'the one who told jokes' etc. Wishing you all the best.

  3. Aww well done, we all know you haven't been happy for some time. I'm glad you plucked up courage to make the move. I hope you will be happier in your new job.I am a bit gutted that the blog will never me the same again, but am hoping for some nurse related blog posts instead 🙂

  4. Way to go, Brian! The excitement you feel is evident in the way you write and it's clear you have made a good decision for yourself.I look forward with interest to what comes next.

  5. The LAS's loss is Newham hospital's gain. I'm glad you're still going to be helping people, and I hope the new challenge works for you.In terms of what to blog – one interesting thing might be what's changed (and what's stayed the same) since you were last a nurse. But ultimately, whatever you write I know I'll keep reading.

    I hope your last few days on the ambulance give you some worthwhile calls.

  6. I'm so pleased for you, you were one of the first people I started following on Twitter (via @Suw) and this was one of the first blogs I started regularly reading and while I'm sad that things are going to be different round here I'm stoked that you've finally found something that interests you enough to make you quit.I wish you all the best in the future and look forward to reading the next chapter in your life

  7. Hope you will be happier in your new post, but as it is nursing I suspect not – frustration will set in. I will miss your writing.Just a quick question, how did you manage to convince the NMC that you were still able to work as a nurse after at least 7 years away?

  8. Back when I left A&E Nursing I spoke to them about it and they said that my ambulance practice worked as the clinical requirement.The updates and the like I've had to do myself.

    So my registration has never been dropped – I've paid it like a good boy every time it comes around.

  9. Well, bugger. I just finished your books over a long weekend and said to myself, “wow, I have to go follow this guys blog” and then I find this.I've been out of the EMS world for several years and your stories brought back a flood of memories; some of the best ones of my life and also some of the worst ones. A lot of laughs and a few sniffy moments.

    I hope your new gig works for you and you find it is what you are looking for. I also hope you'll keep up with the blog – it is a great insight in to life in London.

  10. I've been following your blog since my reading group read the first book a good couple or so years ago. It's always been interesting, sometimes heartbreaking, and sometimes the things that you've seen just made me want to throw my hands up in total exasperation at the world… One thing it has never been is dull – thank you for a fantastic insight into the world of the LAS. Good luck with the new job, it sounds like a great move for you. Keep writing, whatever you choose to write, it'll be worth the reading.

  11. Congratulations, well done on having the strength of will to get out of the rut, and good luck in your new life :)I'll miss the blog as it was, but I suspect that it'll be even more awesome in other ways.

    Why the name change, though? Won't it make blogging about the nursing (if that'w what you end up doing with the blog) more difficult?

  12. Congratulations and all the best.I'll miss your ambulance natter… and hope to hear lots of Urgent Care Nurse Practitioner natter in future.

  13. Sorry to hear you are leaving us, Brian, but all the best in your new job. As someone working in support services at the LAS it was always interesting to hear from the front line and being reminded of what it is all about.I have been following you for years and will continue to do so, both here and on Twitter, so please continue writing.Good luck!

  14. Glad to see you've made the move – it must be for the best. How many others feel the same way and want out of the LAS?Will the blog have a new name? Somehow the title doesn't seem to fit your new position.

  15. Wow, congratulations!Hope it all goes really well. Thank you for being so inspiring and providing great material on the blog and in your books 🙂

  16. Congratulations on the new job, I hope you'll be happier in that, although I suspect the NHS will still provide you with plenty to blog about. I've learnt a huge amount about the random reality over the last few years, something that, without your blog I would never had had the slightest inkling about.I hope to hear plenty more about your new life!

    But most importantly, I want to wish you all the very best in your new (or is that old) job.

  17. Congratulations mate!About time too.

    It's good that you feel nervous, it shows that you've got challenges ahead, which are what you need.

    Looking forward to hearing all about the 'new' venture.

    Keep blogging though.

  18. Good on you.We have a lot of people who want out but don't make the move. You can see them every day on every station. They have had enough. It's good to see someone doing what is best for themselves and getting out.

    We have a ridiculous number of people who would qualify as depressed. They have had enough. Enough of the politics, enough of the running back and forth across London for people that have no real need of anything more than paracetamol or sobering up. Wearing yourself out for that magic 8 mins.

    None of us can see as solution to the problems of the LAS and we despair when we see new (draconian) ways of working being introduced without any thought as to how it will impact on the lives of road staff (patients were forgotten about years ago).

    I wish you all the best and hope to see you in A&E sometime.

  19. Congratulations on the new job! It sounds like it will be a good move for you. Wouldn't want your brains turning to mush!

  20. Good luck, both with the new job and with the morph back to 'Brian' – I am still shy of losing ''Jonny' as a comfort blanket, and admire your bravery in that.

  21. Good luck BRIAN! It feels like a momentous day……….enjoy what time you have left in the LAS and enjoy the new challenge.

  22. Congratulations! I hope that the move back to nursing is the challenge that you would like it to be, and I look forward to reading more of your blog posts, whether they are work related, technology or fictional (I do love your short stories!)

  23. Good Luck and best wishes for the future. Probably a good choice the way things are going. Hope they treat you well at “585”. One bonus – a lot nearer to Georges Chippy just up the road!!

  24. If the LAS would let me raise a glass during work hours to toast your new move, I would do. I therefore raise a glass of skimmed milk to your new venture! Congratulations for making the step out of the LAS to do what you love.I look forward to a new direction for your blog! Best of luck.

  25. …and no tracking device to see where I am going when I try to sneak off to grab some food.Actually, I'll be *allowed* to eat.

    George's will get a bit more profit from me now.

  26. I don't agree, there are obvious ways to change the job to make it better for staff, and more importantly, for patients. But the people in charge are often just too short-sighted to make those changes.I may well post about it in the near future.

  27. Good Luck with the new job. I hope that it works out well for you. Please continue writing. I've enjoyed your blog for years and have both books.

  28. Wow Tom/Brian that was a shock!Good for you for having the guts to go for it

    Thank you for keeping me informed.amused.apalled and amazed for so long

    I hope you will continue

    much love and respect to you and very best wishes for your future


  29. Good luck with the new job!I hope you keep posting as I am sure there will be plenty of tales from A&E.

  30. Good on you! Feel slightly bereft already but really happy for you and looking forward to more of your excellent writing, in whatever form it takes.

  31. Well done for making the move, it isn't just about blogging it is about you, your health and welfare as well.I know, I did something similar in my job, leaving after nearly 30 years and trying something new. Wasn't certain how I would feel being the new girl, but am loving it here down in Cornwall and feeling like a youngster again instead of an old lag lolSage

  32. oh I don't know…….. knowing Newham General Hospital there will be many random acts of reality.There are many who feel the same as Tom….. sorry Brian within the LAS. I hear people who have been in the service for a long time considering retirement and others who are looking for pastures new.

    Good luck with your future career Brian.

  33. Well done indeed! Since I started reading your blog about 3 years ago, I've felt the drift that you have experienced. So I'm confident that we'll get back to the real goal of this blog – “Trying to kill as few people as possible” 🙂 I'm sure that hospital life is just as “interesting” as the ambulance job once was.

  34. Good on you – I'm sure you've made the right decision at the right time.You may remember (but probably won't) that I commented on one of your posts some years ago when I was starting out in the LAS as a fresh-faced unibod. If I remember correctly you very kindly invited me to come out observing with you, an offer which I sadly never took you up on.

    Since then I have done my bag, got a line and a fantastic crewmate… and last week handed in a very similar letter to yours to my AOM.

    I'm jumping clear of the NHS for the time being to pursue a career in a completely different field, and I too am getting more and more nervous about it the closer I get to my final day. The irritating thing is that I know that, for all of its shortcomings and irritations, I will miss the LAS. I'll miss the camaraderie, I'll miss the odd ten minutes at hospital having a laugh and a good old moan, and I'll even miss the inner peace that can be achieved from shouting at the MDT when you get sent to a 24 year old with chest pain half an hour before the end of shift, in the catchment area of a hospital that's miles away from station.

    That said, I'm getting increasingly frustrated by too many aspects of the job. Six months ago I wouldn't have batted an eyelid at going to a Cat A cough or a toothache (been to TAS, patient says the tooth is really REALLY hurty, so they've upgraded it to an Amber…) – I used to really not care. But for some reason these things have started getting to me more and more – I'm really quite bored of driving well people to hospital (you're quite right about it turning your brain to mush), and I can see myself being a very bitter and angry person if I'm still doing the job full-time a couple years from now. So, envious though I am of colleagues who look forward to coming into work every day and still enjoy the job after 20 years, for me it's time to get out I think.

    Anyhow, I wish you the very best of luck with the new job, and perhaps our paths may yet cross on a bank shift in a mutually inconvenient part of London!



  35. Its my first time commenting on a post but have followed you on here for a while now! Its a shame to see a really passionate member of the Ambulance leave. I was wondering if I could ask your advice. I have had a passion to work in the Ambulance service for a while, however due to lack of interview experience and nerves on the day I was unsuccessful this year however I was offered a place to do a nursing course at a different university. Would you recommend doing the nursing course or reapplying next year for the paramedic course?

  36. Congratulations, Brian!! I am very excited for your new life.I have only discovered your blog comparatively recently (a few months?), but I always enjoy your writing, particularly your future virus story and your experiences and opinions in the medical field. Take care

  37. Many thanks Tom/Brian for all your great posts in the years I've been following your exploits.Whilst I can understand your reasons for going back indoors, I'd just love to join the ambulance service, but no vacancies at all in our area.

    Whilst I love doing H&S (my main job) when I can do it properly, I'm fed up with simply being a glorified clerk. My employers simply want a documentation of injuries. I want to stop accidents happening, and let a clerk do the clerking!

    Anyway, I hope you find time to start blogging again after a while. You have always been interesting and sometimes an inspiration.

  38. Its such a same to see such a dedicated EMT leave the service although most of the EMTs and Paramedics that I have spoken to feel the same. Good luck with your future career.

  39. Hi Thanks for the years of laughs and tears some time both at the same time.good luck in your new position and having had to drop patients off at Newham i know you'll be a positive addition to the staff.

    I hope you keep up the blogs no matter what you write about i'm sure it will be insitefull and funny..

    For those of you who still want to read about the ambulance service i can highly recomend TRAUMA QUEEN it's by a paramedic in edinburgh and he is a great writer….

  40. Well done Brian, from an AP coming up to his 1st year on the service up in YAS.One question that's always puzzled me; how did you get away with blogging, when we were told that “it was strictly forbidden”, by our soon-to-be-ex Chief Executive?

  41. Grats Brian, on finally making the move you have been talking about for a while. I am looking forward to hearing all the ins and outs of the nursing profession in the same engaging way as you blogged about the LAS. Was your blogging mentioned in your interview at all?As for the future, I am convinced that feeling nervous or apprehensive about a new challenge is why we all love a new challenge. I'm sure you will revel in it, especially experiencing the learning curve as you get your nursing muscles up to speed once more.

    All the best,


  42. w00t! Grats! I hope you love the change and that you keep writing about whatever catches your fancy. /re-lurk

  43. Wow well done. Just wish you were going to my local as a asthmatic who hasn't read the books well lungs havent I'd feel much safer if I knew a nurse was previously ambulance trained as care for me tends to be great by the ambulance and goes down when we hit the local establishment.

  44. Grats!!I think this move will be food for your soul, its been on a bit of a diet lately it seems.I hope you can keep on blogging, I'm sure there will be many amusing stories to be told.Have fun!

  45. OH!Ive just finished reading ur books (blood, sweat and tea) and thoroughly enjoyed them. So I thought I'd sign up to ur blog. I must say Im gutted to hear ur leaving the LAS for a return to nursing. I am thinking of a career change of the opposite and go from nursing to training as a Paramedic!

    But I completely understand why U are! I wish u good luck and i will look forward to ur insight into the nursing world!


  46. Brian dear boy, being one of your original training instructors at Ilford TC it was always refreshing to read the truth about life on the road, rather than the smug propagonda LAS News. In the time you've been in, the management structure has increased in levels and the union has become totally ineffective in putting staffs concerns forward. I hope that you find going back to nursing is not as bad as what has happen to the ambulance service.Thanks for chats during your training course.

    Good luck


  47. I am absolutely gutted to hear that you are leaving the world of nee naws, but excited for you and you new job – I hope that it brings everything that you want and I look forward to hearing/reading your new blog! Heres to a third book!All the best for the future

    Fellow ambulance person 🙂

  48. Bravo!! I think your making the right move at absoloutely the right time. It's a shame to lose good people but perhaps your leaving gives hope and motivation to others. There certainly is life outside of the service.Good luck in your new role.

    Another fellow ambulance person.

  49. Congrats, Brian, on a bunch of jobs well done. I've enjoyed your blogging, and ebooks, and appreciate your efforts on behalf of (and occasionally in opposition to) the London-area ambulance services.I look forward to reading whatever else you deem fit to print 🙂

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