1. Specialist Paramedics (Emergency Care / Paramedic
Practitioners)
2. Positive publicity
3. Culture System factors Geography National variations in
non-conveyance rates due to: National Ambulance Commissioners Group
reported SCAS figures were unremarkable
4. Milton Keynes Specialist Paramedic Team A new deployment
model targeted the most appropriate calls for Specialist Paramedics
See & Treat/ Refer 68% Patie nt to A&E 32% SP attendance
changed the disposition from crew taking patient to A&E 68%
A&E avoidance by Specialist Paramedics
5. 0 0.115 0.23 0.345 0.46 0.575 ValueAxis Non-Conveyance Smart
deployment works 50 % 45 % 30 % 15 % 0% Milton Keynes Oxfordshire
Buckinghamshire Berkshire National September October December
Targeted deployment from November November
6. Culture System factors Geography National Ambulance
Commissioners Group Leadership, demonstrate +ve outcomes Highly
mobile Clinical Hubs Specialist Paramedics will impact:
7. System factors Culture Geography National Ambulance
Commissioners Group Clinical Hubs of Specialist Paramedics
8. National Ambulance Commissioners Group College of Paramedics
and NHS Career Framework Consultant Paramedics - Level 8 Paramedics
- Level 5 Specialist Paramedics - Level 6 Advanced Paramedics -
Level 7 Community Services - 1 for each pair of Clinical Hubs -
minimum of 6 per Clinical Hub - 3 Trustwide - skilled generalists
who may choose additional educational modules to specialise in
either Urgent or Critical Care This is level of Practice, not AfC
Pay Banding
9. Specialist Paramedics may be prepared to change base station
or shift pattern feel the Ambulance Service doesnt value their
work-life-balance Dynamic & flexible 76% 90% 27%
10. Specialist Paramedics Dynamic, flexible, & professional
want to positively impact on Ambulance Service performance by: -
attending all NHS111 calls - visiting certain Health Care
Professional Admissions to confirm a Double-Crewed Ambulance is
appropriate 77%
11. Specialist Paramedics reflect CCG values: Reduce
silo-working Collaborate with Multi-Disciplinary Team Enhance
patient experience
12. 5,000,000 10,000,000 15,000,000 20,000,000 25,000,000 2004
20131988 2003 Supply-Induced Demand? Main A&E remains stable
Total includes MIU and WiC
13. Specialist Paramedics Generally content: considering
leaving for other Urgent Care providers worth investing in want to
be with the Ambulance Service in 5 years tim 22% 61%
14. Specialist Paramedics Uncertain job security: believe they
will be downgraded to Level 5 Paramedic but hope their role will
expand and be enhanced use them or lose them 27% think the
Ambulance Service doesn't know how to use them 18%
15. Specialist Paramedics - great job prospects outside the
Ambulance Service
16. References 1. Woolard M. (2006). The Role of the Paramedic
Practitioner in the UK. Australasian Journal of Paramedic Practice
2. Health and Care Professions Council (2013) 3. Electonic survey
distributed to SCAS ECPs through internal email during January 2014
(total responses n=23) 4. The Kings Fund (2013). Are accident and
emergency attendances increasing?
http://www.kingsfund.org.uk/blog/2013/04/are-accident-and-emergency-attendances-increasing