Welsh

Ambulance Services NHS Trust

Grayham Mclean Welsh Ambulance Services NHS Trust

Welsh

Ambulance Services NHS Trust

The Case For Change

 Current education (12 weeks) aimed at immediately life threatening conditions (level 3 care)  Emergency incidents responded to by ambulance service risen annually (approx 200, 000 in 2000 to 299, 862 in 2007)  Recognition that the majority of 999 calls are not immediately life threatening conditions

The Career Framework

Strategic & Professional Leadership

8 Consultant Paramedic 7 6 Advanced Paramedic Specialist Paramedic

Advanced clinical education

5 4 Paramedic Associate Practitioner Health Care Assistant

Specific area of Clinical practice First contact practitioners professional entry point Support role to be developed Support role to be developed

3

Academic levels

Welsh

Ambulance Services NHS Trust

The Evidence

Results  Overall, patients treated by paramedic practitioners were less likely to attend an emergency department or require hospital admission within 28 days.

 Mason, S., Knowles, E., Colwell, B., Dixon, S., Wardrope, J., Gorringe, R., Snooks, H., Perrin, J., Nicholl, J. (2007) Effectiveness of paramedic practitioners in attending 999 calls from elderly people in the community.

British Medical Journel

. 335: 919 922

Welsh

Ambulance Services NHS Trust

PLENARY

Grayham McLean, Unscheduled Care Lead Tel: 01792 562918