The Council is the governing body of the organization, responsible for policy making, fund raising, allocation of resources, and providing support and co-ordination of the functions of the St. John Ambulance Association and Brigade.

The Director of the St. John Ambulance Association, in consultation with the Director's Conference, is responsible for ensuring that the training work of the Association is conducted efficiently. They are assisted by panels of volunteer doctors, nurses and lecturers.

The Commissioner is the Head of the St. John Ambulance Brigade, and the Commissioner's Conference is the supreme policy making body of the Brigade. In consultation with the Commissioner's Conference, the Commissioner is responsible for the organization, administration, provision of services and continuous development of the Brigade.