Basic framing — answer can clarify scope
Which level does each of these repeated names belong to — the whole organisation, a division, or one local operation?
Why this matters
These names each appear at more than one system level, so settling one level silently would change role and channel bindings: AA and ScotSTAR operational managers, AA paramedics, ACC, Adult (EMRS), Advance Nurse Practitioners, Advanced Practitioner (AP), Advanced Retrieval Practitioners, advice service, advisers, Air Ambulance aviation contract, Air Ambulance Service, Air Ambulance team paramedics, aircraft pilots, ANPs/non-consultant grade doctors, ASM or equivalents, Associate Air Ambulance (AA), automatic ambulance dispatch, aviation assets, this actor or operation, this actor or operation, and 93 more. Beer's guidance expects up to seven or eight subsidiary systems at one level; 113 names sitting at more than one level may mean a level of recursion is missing here, which is worth checking.
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