In 1991, the organisation increased its involvement in educational activities, making available residential courses covering prehospital care and resuscitation.

[17] BASICS Scotland responders, many of whom are general practitioners,[18][19] are able to offer additional skills and resources to the other statutory and voluntary emergency services.

[35] This resource, described as "world class" by a Professor of Rural Health[36] provides a physician and advanced practitioner team which responds to major trauma and medical illness across North Scotland.

[37][38] In light of the "sparsely distributed ambulance resources in the Highlands"[39] and the challenges of distance and adverse weather in the North West of Scotland which hampers aeromedical activities, PICT has a considerable remit beyond major trauma.

The role of the advanced practitioner is to support PICT clinicians in managing trauma and medical emergencies, including blue light driving to attend these calls.

In 2021, BASICS Scotland and the Scottish Ambulance Service ran a medical centre for attendees at the 2021 United Nations Climate Change Conference (COP26) in Glasgow, during October and November 2021.

[46] The medical centre was successful at managing a high percentage of patients at the conference and avoiding unnecessary burdens on surrounding NHS services.

National Clinical Director of the Scottish Government Jason Leitch and Cabinet Secretary for Health and Social Care Humza Yousaf both visited the BASICS Scotland staff at the medical centre during the COP26 conference.

It also has a voice at national level[50] and direct involvement with the work of the Royal College of Surgeons in relation to their Faculty of Prehospital Care.

[53] BASICS Scotland holds annual conferences covering a range of topics of interest to those involved in prehospital and rural emergency care.

These have covered a wide range of topics such as traumatic and paediatric cardiac arrest management, forensic considerations for responders, analgesia and prolonged field care.

These pouches are made of hardwearing, wipe clean material and contain essential lifesaving medications, allowing responders to undertake effective prehospital care across rural Scotland.

The Sandpiper Trust facilitated the provision of fully updated responders helmets, suitable for multi-modality rescue operations.