Interview: Margaret O'Donnell, Director and Clinical Services Manager, Australian Medical Escort Service
Oliver Cuenca talks to Margaret O'Donnell of Australian Medical Escort Service (AMES), about her company’s work
As a relatively young company, founded in 2019, how has AMES developed over the past six years?
Although AMES is technically a young company, our team brings several decades of collective experience in medical repatriations. Many of our staff have spent years working as flight crew and operations managers for various insurance and assistance companies, gaining extensive knowledge and expertise in coordinating and executing international medical transfers. This wealth of experience forms the foundation of AMES and allows us to provide high-quality service in the medical repatriation field.
Transitioning from employee to employer presented a new set of challenges, offering us a fresh perspective on the industry. Establishing AMES required navigating compliance and accreditation processes, building operational frameworks, and adapting to the responsibilities of running a business. After securing our accreditations and officially launching AMES, we swiftly set up operations – only to be met with the unprecedented challenges of the Covid-19 pandemic.
Stretcher repatriations have become increasingly challenging to coordinate due to limited availability
During this uncertain period, we successfully navigated the ever-changing Covid-19 regulations, overcame the numerous lockdowns imposed in Melbourne, Australia, and continued to provide medical escort services worldwide. Our problem-solving and flexibility, together with key partnerships, allowed us to support state and federal government repatriation efforts.
AMES is continuing to further develop our operations by building strategic partnerships, expanding our team, and leveraging digital advancements to improve efficiency.
What ongoing trends are there in the medical escort sector that you have identified, and how is AMES adapting to them?
Since the pandemic, global travel has surged as individuals and businesses resume international movement.
This rebound has significantly increased demand for medical repatriation services. The aviation industry faced challenges in returning to full operational capacity, directly impacting flight availability and costs. This led to limited seats and rising ticket prices, necessitating innovative solutions.
Stretcher repatriations have become increasingly challenging to coordinate due to limited availability. Shorter airline turnaround times, and often the need for stretchers to be assembled and returned at airline hubs, requires careful planning.
Australia is well positioned to reach most locations across the region within realistic time frames
In response to these evolving conditions, AMES has implemented several strategic adaptations:
- Flight coordination – through our travel consultant, leveraging real-time airline data and alternative routing strategies to secure the best possible flight options
- Enhanced airline partnerships – strengthening relationships with carriers to negotiate access to limited seating, including stretcher accommodations
- Alternative transport solutions – exploring ground-based repatriation where feasible, especially for shorter distances or when flight/stretcher availability is restricted.
Recognising the environmental impact of air travel, AMES has committed to sustainable practices by exploring carbon offset programmes and eco-friendly travel alternatives.
This aligns with a broader industry shift toward reducing carbon footprints in medical transport.
Are there unique demands and challenges when providing medical escorts in the Asia-Pacific region?
Providing medical escort services in the Asia-Pacific region comes with distinct challenges due to its vast geography, diverse healthcare systems, and logistical complexities. The region includes highly developed nations with advanced medical facilities, as well as developing countries where healthcare resources may be limited.
This variation means medical escort providers must navigate differences in medical standards, hospital capabilities, equipment availability, and limited flight services. For example, during two recent missions in the region, flights were only available every third day. This required careful coordination to ensure our flight nurse could complete the patient transfer and immediately secure a return flight to Australia.
Another major challenge is responding to environmental and public health risks. The Asia-Pacific region is prone to natural disasters, such as typhoons and earthquakes, which can disrupt travel and medical evacuations. As a case in point, following a recent air ambulance mission to Tonga, the Vanuatu earthquake struck, placing our team on standby for a potential return-leg repatriation.
As a medical escort provider to prepare for these challenges, AMES maintains strong regional partnerships, monitors evolving health and travel regulations, and is prepared with contingency plans for unexpected disruptions. Australia is well positioned to reach most locations across the region within realistic time frames, either by commercial airlines or utilising our private air ambulance network.
What advantages are there to being a medical escort provider based in Australia?
Geographically positioned as a key link between Southeast Asia and the Pacific, Australia benefits from a strong healthcare system. Our world-class medical infrastructure provides access to well-trained professionals, advanced equipment, and high regulatory standards, making AMES well equipped as a medical escort provider.
AMES is actively seeking strategic partnerships to expand our global footprint and strengthen our presence within the international and domestic markets
This enables us to deliver high-quality patient care during both domestic and international transport, as well as world-class healthcare upon arrival. Additionally, Australia’s well-developed aviation industry, including major international hubs in Sydney and Melbourne, facilitates seamless medical repatriation services worldwide.
April 2025
Issue
In this issue we focus on how AI is transforming claims management; how assistance firms navigate the unique challenges of working in Africa; and what the potential legal risks are when conducting a medical transfer.
Oliver Cuenca
Oliver Cuenca is a Junior Editor for Voyageur Group, joining in 2021. He writes for both ITIJ and AirMed&Rescue, covering a range of topics including international travel and health insurance, medical assistance provision and air medical transportation. He also serves as Title Editor of the Assistance & Repatriation Reviews. Oliver holds an MA in Magazine Journalism from Cardiff University, as well as a BA in English with Creative Writing from Falmouth University.