1. 1. Specialist Paramedics (Emergency Care / Paramedic Practitioners)
2. 2. Positive publicity
3. 3. Culture System factors Geography National variations in non-conveyance rates due to: National Ambulance Commissioners Group reported SCAS figures were unremarkable
4. 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. 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. 6. Culture System factors Geography National Ambulance Commissioners Group Leadership, demonstrate +ve outcomes Highly mobile Clinical Hubs Specialist Paramedics will impact:
7. 7. System factors Culture Geography National Ambulance Commissioners Group Clinical Hubs of Specialist Paramedics
8. 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. 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. 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. 11. Specialist Paramedics reflect CCG values: Reduce silo-working Collaborate with Multi-Disciplinary Team Enhance patient experience
12. 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. 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. 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. 15. Specialist Paramedics - great job prospects outside the Ambulance Service
16. 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