Alex Walter



Frailty and how ambulance paramedics and primary care paramedics can help each other

Date: Thursday 23rd May 2024

Frailty and its associated co-morbidities account for a large proportion of both ambulance and primary care paramedics' workload. How can the ambulance paramedic in front of the patient, but with no real history, be helped by the remote primary care paramedic in the patient's surgery, who does have all the history?

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Alex Walter, Consultant Paramedic (General Practice), Petworth Surgery, Petworth, West Sussex

Alex has worked in and around the NHS for over twenty five years, starting in the Ambulance Service, where he became a Clinical Team Leader, before embarking on specialist paramedic training (Graduate Certificate), followed by advanced paramedic training (Masters and Post Graduate Certificate) in primary and urgent care. He has worked across all sectors of NHS unscheduled care from ambulances, A&E, though urgent treatment / care centres and walk in centres / minor injury units to general practice both in and out of hours. He has worked face to face and remotely on telephones and video consultations. Alex sits on the College's Primary and Urgent Care Special Interest Group and regularly examines for the College Diploma in Urgent and Primary Care. He supports pre- and post-registration students from not only a paramedic background but also nursing and other allied health professional backgrounds. He has been a Frailty Lead in general practice as well as the non-medical education lead. He regularly conducts ward rounds within care homes and is a ReSPECT Champion for Sussex. . He has also previously worked in the private ambulance sector, including event cover. He hopes to soon start his Doctorate in Health.