College of Paramedics Response to the HSSIB Report on 12-Lead Electrocardiograms in Ambulance Services

27/03/2025

The College of Paramedics welcomes the publication of the Health Services Safety Investigations Body (HSSIB) report on the education, training, and competency of paramedics in conducting and interpreting 12-lead electrocardiograms (ECGs). We appreciate the thorough investigation into this critical aspect of out-of-hospital care and fully support efforts that rightly enhance patient safety. 

At the heart of this issue is the College’s commitment to ensuring that paramedics are equipped with the knowledge, skills, and confidence to undertake and interpret ECGs effectively as part of their holistic patient assessment. Our focus has always been, and remains, on improving patient outcomes by supporting paramedics in delivering high-quality care. 

We acknowledge the findings regarding variability in ECG education and training across Higher Education Institutions (HEIs) and ambulance services. We fully support the report’s recommendations for greater clarity and consistency in pre-registration education, ongoing professional development and training and assessment standards. 

The College of Paramedics is committed to working collaboratively with the Health and Care Professions Council (HCPC), education providers, ambulance services, and other key stakeholders to review and update relevant curricula and professional development frameworks. We welcome the opportunity to contribute our expertise and engage in constructive dialogue to ensure that any enhancements to ECG education align with the evolving role of paramedics within the healthcare system. 

As a member representative organisation, we will always advocate for paramedics and work towards ensuring they have the education, training and resources necessary to provide the best possible care. We fundamentally believe that a shared approach—bringing together regulators, educators, and service providers—will lead to a more cohesive and effective strategy for improving ECG competency in out-of-hospital care.

The College of Paramedics looks forward to continuing its collaboration with all relevant partners to implement the recommendations of this report, ensuring that paramedics are supported in their vital role in delivering life-improving and life-saving care to patients which is aligned to our charitable objectives as a professional body.