How we keep care within limits.
A public overview of how responders will be kept within their training, and how we will learn when something goes wrong. None of this is operating yet.
Draft version · last updated 12 October 2026
What clinical governance means here
It is how we make sure responders only do what they are trained and allowed to do, and how we review and learn from every alert. It must be in place before any real dispatch.
Clinical lead
A medical director or clinical lead will be appointed before launch. They will approve the protocols and the scope matrix, review alerts and adverse events, and have the authority to stop dispatch on safety grounds. This role is not filled yet.
Scope-of-practice matrix
A matrix sets which responder role may be offered which kind of situation, based on qualification, training and registration.
- Doctors and registered nurses: within their registration and the approved protocols.
- Qualified emergency responders: within their training and the approved protocols.
- First-aid-trained volunteers and trained carers: non-clinical support and first aid within their training only.
- Nobody is offered a situation outside their scope, however close they are.
Protocols
Responders will follow approved protocols for scene safety, calling 112, first aid within their training, and handover to the emergency services. aid.mt does not give medical instructions through the app.
No automated triage
aid.mt does not use software or AI to diagnose, triage or score how serious an emergency is. Any change would need clinical approval and a separate regulatory review first.
Training and expiry
We record each responder’s training and its expiry date. Expired training, registration or insurance suspends the responder automatically until it is renewed and re-checked. Refresher training is mandatory.
Adverse events and review
- Every alert in a pilot is reviewed.
- Adverse events and near misses are reported, investigated and discussed openly.
- Lessons lead to changes in protocols, training or the app.
- Safeguarding concerns go to the clinical lead and, where required, to the authorities.
Approvals
Before any real dispatch, the operating model must be reviewed by Maltese legal counsel, the clinical lead, insurers and the relevant authorities, and pass a supervised pilot.
Be ready before you need it.
Set up your trusted contacts and emergency profile in the app preview. In an emergency, call 112 first.