This page launched in January 2021 aims to provide you with ongoing knowledge of the College’s activities all in one place. Regularly updated, you will find brief outlines of developments, publications and workstreams, and updates on national groups that the College’s staff are involved with or leading on.

July 2022

College Acknowledge 
Following receipt of a letter from a member that was brought to the weekly Chief Executive Group meeting, we feel it is important to take this moment to acknowledge the ongoing challenges and burden that our members and colleagues are facing in the ambulance services. The passionate and emotive member’s letter, entitled ‘A Paramedics View on the horrendous situation outside ED departments’, outlines what many of you are experiencing currently. Therefore, this month we take a slightly different approach and have written a new College Acknowledge update to share with you the work that we have been doing in relation to ambulance handover delays. Click here to read College Acknowledge.    

June 2022

Diversity Equity and Belonging update
Plans for the ‘Paramedic Inclusive Recruitment’ conference to be held on the 4th October in Birmingham are well under way. The event is to be held in-person at the Birmingham Conference and Events Centre and will bring together recruitment leads from Higher Education Institutes (HEI’s), Ambulance Trusts and other paramedic employers, to share ideas and formulate strategies to increase the diversity of the profession, improve the retention and experience of staff with protected characteristics, and to consider how we can support the development of these staff. By cooperating across the network, identified themes will be discussed, and solutions to any barriers, overcome. A strategy for recruitment, retention and development of staff from their initial application to HEI’s through their career progression to Board level will be initiated and, task and finish groups set up to continue the work.

The Student Paramedic Council are supporting the DEB Manager with an exciting project which plans to offer 15–17 year-olds from schools and academies across the UK that have high proportion of under-represented students, the opportunity to participate in a week of high acuity simulation and paramedic specific activities. This will be designed and delivered by final year student paramedics as a demonstration of their leadership skills and with support and oversight by NQP’s, all of whom are acting as role models for future generations of student paramedics. This project is in the initial phase and is already attracting interest from HEI’s and governing bodies.

Keep an eye out for the series of podcasts due to be developed soon which will discuss a range of topics regarding some of the nine protected characteristics detailed by the Equality Act 2010. They aim to equip paramedics with the knowledge and communication skills needed to ask those sensitive equality monitoring questions when gaining a patients medical and social history, physical assessment and to aid clinical reasoning.


May 2022

Future Workforce Mental Health Project update
Launched in July 2021 with the last update provided here in December, we are now very happy to be announcing near completion of several pieces of work. The creation of a national curriculum for mental health & wellbeing for pre-registration students is now complete, the WRAP (Work, Risks, Awareness, Play) support and recovery tool for student paramedics and early career staff is complete in terms of design and content, and is now just getting the finishing touches, and the content including case studies, for the student and preceptorship supervisor learning and education package has been written ready for inclusion on the eLearning for Health platform.    

Members can read more about the project in the June issue of Paramedic INSIGHT. In addition, there will be a ‘The Future is Bright’ conference held on the 19th July in Birmingham, aimed at University faculty staff, Ambulance Service education teams and those with an interest in student education and wellbeing. If you would like to attend or just want further details then please contact Project Academic Lead, Emma Geis at

Business as usual

May has been a busy month for staff at the College with the culmination of months of hard work in the successful delivery of the 2022 National Conference. The conference ran over two days, with three simultaneous streams offering over 30 different presentations for delegates to enjoy and learn from. 

We have recently seen the deadline for several elections pass, with opportunities available to get involved in the Board, Paramedic Council and Student Council. 10 individuals have stood for the available Trustee of the Board roles and all successful candidates will be announced at our AGM on the 19th July in Birmingham. If you would like to attend the College of Paramedics AGM you can book your place via the Events page on our website. Please do take a moment to look at our outgoing Trustees who have reached the end of their tenures.
Work has been ongoing in recent months also to produce our first Impact Report. This short and bright booklet will highlight all the main achievements of the College of Paramedics during 2021. It will be published for all those with an interest in the College to read in the coming weeks. It is our aim and hope that this report will provide a very interesting yet concise outline of the work that the College does on behalf of its members on a yearly basis. 

The very first #InternationalParamedicsDay with the theme of #ProudToBeAParamedic is fast approaching. Please visit for more information on this international celebratory day for paramedics.   


April 2022

Team Together Day 
All the employed staff team came together for their regular Team Together Day in Bridgwater in April. As the number of people who work for the College continues to grow it is vital that essential communication regarding the many workstreams of the College is maintained across the organisation. This day is a perfect opportunity for staff to share updates with each other, to learn and develop together and also to have an invaluable catch up socially too. In addition to sharing updates this month the team enjoyed three presentations, one from new member, Sarah Todd (EDI Manger) on her priorities and plans for the future, one from Imogen Carter on the essential work around GDPR and a third on primary care entitled ‘The world of HBW’. There was also a very useful and practical training session on Emergency Aid and CPR for the non-clinicians within the team delivered by Tony Stone.    

Throughout 2021 the College of Paramedics tried a different way of engaging with members through a series of short survey questions. These surveys ran almost every month and produced important feedback on a range of topics. Analysis of these data is ongoing and we have decided to utilise our National Conference as a platform to feedback some of what the membership told us. This #ParaCon22 session entitled ‘The Member Voice’ is on the afternoon of the 26th May and will include the most recent survey, ran in March 2022 on the NHS England proposal to erect temporary external structures outside of Emergency Departments.    

Medicine Administration by Student Paramedics 
The College has been aware for some time that the issue of medicine administration by student paramedics is being discussed between Ambulance Services and Universities with a view to establishing some clarity on the subject. In addition to this we are regularly approached for the College’s own views on this by other stakeholder organisations. As a result, we have over recent months been working to develop a position statement on the subject that will set out our position on medicine administration by student paramedics. We are currently making the final amendments and we plan to publish in May 2022. 

March 2022

The Mental Health Continuum launch 
The mental health continuum has been developed by an expert working group comprised of individuals with experience in public health, the ambulance sector and mental health. Mental health is not an all or nothing concept – it can change frequently. We will all experience difficulties at some point during our life, mental health is affected by lots of things such as work, home life, bereavement, ill health and more. Even positive things can affect mental health, such as the pressure after getting a promotion or the stress of a house move. The mental health continuum has been designed to help individuals identify when mental health is low and can be used to show that we are able to move between the different states of wellbeing; thriving, surviving, struggling and crisis. The mental health continuum is a tool that is being implemented in NHS Ambulance Services which helps individuals to think about wellbeing and what actions to take to improve it. Click here to find out more. 

Critical Care Special Interest Group
The College of Paramedics Critical Care Special Interest Group (CCSIG) met for a full day face to face meeting on the 24th of March, which was the first time that the CCSIG have met in person since the start of the pandemic. The CCSIG is made up of representatives from across the UK who have an interest in the development of paramedic delivered critical care, and the CCSIG’s primary role is to plan how the College can support members who work in, or are interested in working in this area. The focus of the meeting on the 24th was to discuss how the College could proceed with the development of a UK-wide career development framework and curriculum for specialist and advanced paramedic pre-hospital critical/emergency care. The meeting was supported by a representative from the Faculty of Pre-Hospital Care (FPHC) and by several co-opted members to help ensure the meeting represented the diversity of the College membership. The day was full of interesting and productive discussions and hopefully is the start of creating some UK-wide standardisation. Keep an eye out for future developments! 

Equality Monitoring 
We are currently introducing equality monitoring into our joining process and membership services. The aim is to gather information about the diversity of our membership, to better understand our membership, in order to tailor our services accordingly and improve the representativeness of our policy-making and negotiating structures. We wish to meet our aims and commitments of non-discrimination under the Equality Act 2010, reflecting in our membership, the paramedic and student bodies and the communities we serve, in order to be sustainable, to grow and to allow the voices of all groups to be heard. We understand that you may not want to answer some of the questions, so we have included an option for ‘prefer not to say’. But the more information you provide us with, the better able we are to improve our membership services and profession specific support. 

Recruitment Film: Promoting diversity in the paramedic profession
We have been commissioned by Health Education England to produce a video to promote diversity in the paramedic profession. 

The paramedic workforce has been developed from a strong in-house ambulance training base over the past 50 years. Since the first pre-reg honours degree in 1998 and now the expansion to 46 different approved university programmes and nine apprenticeships. We have also seen the workforce move from male dominated to nearly 50/50 male/female. As part of that key change however we have not enjoyed the same balance with student paramedics and diversity of the student community from applicants with protected characteristics. Only 4% the paramedic profession identifies as BAME, yet many UK city centres have much closer to 40-50% ethnic diversity within their communities.

Evidence is clear that some underrepresented communities need encouragement to apply and that is enhanced when they can see and hear people from their own communities raising a welcome banner. This film is a proactive and accessible way to promote the paramedic profession as a career for all and to show that recruitment opportunities are available for all.


February 2022

FCP/AP Roadmap
It is a year since Health Education England published the FCP/AP Roadmap for paramedics. There was a second edition published in July 2021 which addressed some broken links.  The link to this version is First Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedics) (  Within the document there are links to the Primary Care e-learning modules, the Personalised Care Institute modules and the FCP Survey for submission once completed, these can be found on pages 34-35.  For those who still need to find a Roadmap Supervisor, your Training Hub will be able to help, or you can contact your local or regional Faculty of Advancing Practice who can also point you in the right direction.  The College is running another Roadmap Supervisor course shortly, please contact me at if you would like to access this free training. 

Business as usual
2022 has started just as busy as any of our recent years. The paid staff team here at the College continue to work hard on a range of ongoing workstreams and projects. We are currently compiling our next Annual Report with the Finance Department preparing for the annual external independent audit of our finances. This 2021 Annual Report will be published in the summer of 2022. The College is currently recruiting to two key vacancies, the Chief Operating Officer and a PA role to provide vital increased support and capacity for the team. Work continues on the organisation of the 2022 National Conference, International Women’s Day, International Paramedics Day and our Honours and Awards Ceremony. Nominations for our Honours and Competitive Awards are open until 21st March 2022 so please visit the webpage for more information on how to nominate a colleague. The College continues to use all our social media platforms to communicate with members and we are currently starting to utilise analytics software to ensure our membership communications are as effective as possible and that we can reach all of our members.     

A final exciting development to mention is the production of a recruitment film. The planning and design of this promotional film has already begun, with key participation from members of our Diversity Steering Group. It will showcase the paramedic profession as an attractive career and have an emphasis on appealing to those communities that are currently underrepresented in our profession. 


January 2022

HSIB Recognition of the acutely ill infant report

HSIB has published a report highlighting the impact of delays in recognising acutely unwell infants. The investigation considered the system and environmental influences that impact on the decision making process, taking into account the contextual factors that influence the effectiveness of existing track and trigger tools for acutely ill infants. The HSIB have made five safety recommendations, two to System-wide Paediatric Observation Tracking (SPOT), one to NHSX, one to Association of Ambulance Chief Executives and one to the College of Paramedics. We will be responding to the HSIB within 90 days of publication of the investigation report.

Practice Educator Development
We are aware that the preparation of paramedics nationally to undertake practice education in the UK has many iterations and variants and that we believe there are at least 15-20 different approaches to this programme of development and at different academic levels.  We believe it is a good time to review what is happening and bring some new ideas into the field and help build a new curriculum model and standardise what is taught. Jim Petter (Education Consultant) is leading on this work on behalf of The College of Paramedics.

National Practice Assessment Document (PAD)
Jim Petter has also been asked to undertake some exploratory work for the College of Paramedics initially looking at what is currently used and then contrasting and comparing to build a cohesive review. This is very early days and it will link to the Health Education England review of the NQP so that all our graduates can be seen to have a common set of learning outcomes and competencies go beyond the threshold of the Standards of Proficiency for Paramedics, which is due for publication in the early summer from the HCPC. These standards haven’t been reviewed since 2014 when they were last published. For our student members nothing will change at this stage for your own PADs until HEIs are ready.

Foundation Preceptorship Programme (new NQP) 
HEE are leading a review of the NQP programme, and of course we are all wanting this to be a four Nation approach and not just England. Estimates position this work as between 18 and 24 months. With over 7,500 students in pre-reg education to become paramedics, it will impact significantly on our future paramedics and the national workforce modelling being undertaken. The project has only just started, but it is important you are aware that the first conversations in this area are up and running.

Key Aims of the programme 
•            To develop a paramedic preceptorship offering that encompasses the 4 pillars of practice and aligns to the AHP framework to promote continued development and learning.
•            To support confidence and competence in newly-registered and new practice paramedics
•            To develop a paramedic preceptorship
•            Improve retention
•            Wellbeing
•            Workforce stabilisation
•            Potentially reduce Fitness to Practice cases for New Paramedics


Future Workforce Mental Health Project
This project, launched in July (see below) is now progressing fabulously in the hands of our two Academic Leads, Katie Pavoni and Emma Geis.  
Output 1 – The first draft of the curriculum guidance content regarding student personal mental health and wellbeing is nearing completion and there will be stakeholder engagement in early 2022. 
Output 2 – Focus Groups were held in December to collect qualitative data on the proposed student wellbeing tool and the post intervention focus groups will be held in March 2022. 
Output 3 – Work is ongoing to create student and preceptorship supervisor, case study learning content for the e-Learning for Health platform, with an aim of completion by Spring 2022. 

Mental Health Continuum 
Following our collaborative work with the Association of Ambulance Chief Executives (AACE) on suicide prevention, we were commissioned alongside other representatives, including those from the Office for Health Improvement & Disparities (formerly Public Health England) to develop an ambulance sector specific visual tool as a guide to help people evaluate where they are at in terms of their mental wellbeing. This tool acknowledges that mental health is not something which is 'all or nothing' and rather we fluctuate between different states of wellbeing. This is highly dependent upon a variety of factors including things happening in our daily lives, relationships, and at work. The tool is grounded within an evidence-base following examination of current research literature. It guides individuals to think about and self-reflect upon how they are feeling and also promotes individuals thinking around the support that may be helpful to them and how they may access this. The tool can be used by individuals to assess their own wellbeing, or could be used to engage staff in wellbeing conversations with managers, for example. The tool will be available via the College and AACE website's shortly, and will be shared with NHS Ambulance Trusts.   

One Question Survey
Since April 2021, we have been running our monthly one question surveys, via our social media platforms, to get your thoughts on a wide variety of topics including CPD events, membership and what an International Paramedics Day would mean to you. Over the course of nine months we have had in excess of 700 responses which have given us a fantastic insight into what our members want and need from their professional body.
Of all the questions we have posed, the two which elicited the biggest responses by far were to do with a potential Coat of Arms for the College of Paramedics and your experiences of harassment and bullying, the results of which were truly shocking and a subject we have been addressing in our series of webinars with Brabners.
We will be analysing the data in the new year and will be continuing with our monthly questions throughout 2022. Please do take the time to participate in these surveys because we want your voice to be at the centre of everything we do.



Primary and Urgent Care update by Helen Beaumont-Waters (Head of Clinical Development – Primary & Urgent Care)
Following on from Tony Stone and I’s 'Sharing our Vision Roadshow' in Northern Ireland, the second leg has now been planned and booked, we will be in Scotland in Spring.  We will be visiting Inverness, Aberdeen, Edinburgh and Glasgow and look forward to meeting more of our members.  
The Primary and Urgent Care Special Interest Group met in Leeds on 1st December and after a year of monthly Teams meetings, it was great to meet the team in person.  I was delighted with the progress we made and how productive the day was.  Watch this space for exciting things happening next year.

Education and CPD
Bob Fellows, Head of Education and Gary Strong, National CPD Lead have been busy working on a plan to develop a more integrated approach to education and CPD, looking at the infrastructure and resources needed for the future.  Did you know that the College is engaged in over fifteen separate projects which support the profession and our members in pre and post registration education?  Examples include undergraduate Curriculum Guidance, due for review in 2022; post-registration career guidance, also soon to be updated; endorsement of approved programmes; working with e-Learning for Healthcare to provide paramedics e-learning; and leading the interprofessional CPD and Lifelong Learning working group. Talking of CPD, the College has hosted almost fifty online CPD events in 2021, a remarkable achievement for our small but highly motivated team. CPD can of course take many forms, and by integrating our CPD output within our education work, we aim to give our members the best of both worlds and build a strong team capable of leading the profession in all aspects of education and continued learning.

Paramedics e-Learning Project
The College of Paramedics, eLearning for Healthcare (eLfH) project has now been running for five years, during which time our authors and editors, supported by eLfH’s highly skilled instructional designers, have between them produced well over 100 bite sized e-learning sessions to support paramedics in practice. The Project Executive is now focussing on how these sessions, and more, can be used to help newly registered paramedics grow in confidence and competence in their early years of practice. If you are recently registered and would like to give feedback on current and future e-learning content, watch our social media for some pre-Christmas posts asking for your views.


Honours & Awards
The College of Paramedics Honours & Awards processes underwent a full review and revision in 2020 and as a result introduced a new award for the 2021 season, the Companionship of the College. We were very proud to announce our awards winners at a special ceremony in central Birmingham in late summer this year that included the honours and awards from the previous two years due to our inability to previously meet in person. We are now looking to further improve this process and learning from the previous review and we are looking forward to the National Conference in May 2022 where we will celebrate more of our colleagues achievements in person. We will make announcements through our normal communication channels for both the competitive awards and for members to nominate their colleagues who meet the criteria for the formal honours awards in the coming months.
Primary and Urgent Care update by Helen Beaumont-Waters (Head of Clinical Development – Primary & Urgent Care)               
October has been busy with different events and it has been great to meet up with our members. Early October saw myself and Tony Stone in Northern Ireland on the first leg of our ‘Sharing Our Vision’ roadshow, and planning is now underway for the Scottish leg. We hope to meet many more of our members very soon. It’s incredibly important to us that we have this contact with those who work in Primary and Urgent Care, and in Emergency and Critical Care so we can better understand how we can support you in your roles and let you know about all the background work that is ongoing at the College.  

The Urgent Care conference in Milton Keynes was well attended, and again it was brilliant to meet members in real life! Mark Hobson, a member of the College’s Primary and Urgent Care Special Interest Group, and who works in Urgent Care attended this meeting with me and I must thank him for his expertise and support.  

There are many ways for those who are interested to become more involved in the workstreams at the College, do email me if you have any ideas or want to volunteer for any short project work.

Also, keep an eye out on the News Digest for a Fellowship secondment that we aim to land in the New Year which will support a larger project at the College.  

In addition to my College work, I still maintain my clinical role working three long sessions per week in general practice. I think everyone is equally busy and feeling drained and wondering how the winter pressures will be this year, stay positive, look after yourself and please don’t struggle on your own. We have access to support resources here… and of course, you are always welcome to contact the team or me at if there is anything we can do to help.


Making vaccination a condition of deployment in the health and social care sector consultation
In September the Department of Health and Social Care launched this consultation. The consultation proposes that, if introduced, requirements would apply to frontline health and care workers, those with face-to face contact with patients through the delivery of services as part of a CQC regulated activity. It would mean that only those workers that are vaccinated could be deployed (or those with a legitimate medical exemption) to deliver those services. The College of Paramedics has emailed all of its members encouraging them to take part in the consultation, and also to offer the opportunity to share their opinions with the College via completion of a survey by 23:45 on the 4th October 2021. The survey responses received will contribute towards the College of Paramedics consultation submission on behalf of members and the paramedic profession.

New Student Talks
Members of the Chief Executive Group, Paramedic Council members and Student Council representatives have been doing virtual tours of Universities this month, delivering College of Paramedics ‘introduction’ presentations to over 30 cohorts of new 1st year paramedic students.   

Primary and Urgent Care update
The Primary and Urgent Care webpage has now been updated.  There are some useful links to resources which will be updated regularly.  There is also some new CPD content in video format on pathology which an ED registrar has kindly produced for us.  Please send any suggestions for further content in this series. Tony Stone and Helen Beaumont-Waters embark on their ‘Sharing our Vision’ membership engagement roadshow very soon, they are both looking forward to meeting both our critical and primary/urgent care members in Northern Ireland as this trip kicks off their UK tour.  Keep an eye out for short Twitter updates @CoP_PrimUrgCare and do let us know if there are any further resources you would like to see on the primary and urgent care webpage.



Facilitation of Custody/Prison paramedic forum – The College is facilitating a support forum for our custody and prison paramedics and other members who work in the justice system.  This will offer a platform to share ideas, best practice and to seek advice from others working in the same environments. Please email for further information 

HCPC webinars
The College of Paramedics are working closely with The HCPC to deliver three different sets of webinars over the next few months. One series is aimed at 1st year paramedic students, entitled Professionalism in practice: Becoming a health and care professional. A second series is for international paramedics who are joining the UK workforce. Finally, a third webinar will focus on providing guidance and advice on self-referral, including myth busting and information on the newly published Health and Character guidance. Look out for more info on our social media in September. 

AHP Student Social Prescribing Scheme
The Chief Executive’s Team recently welcomed Sammer Tang, Public Health Lead and his colleague Anya de Longh, OT student and AHP Prescribing Scheme Lead to discuss this subject. Social prescribing is something that all healthcare professionals can support, so developing that awareness and knowledge of social prescribing among AHP students is important. “The valuable role of AHPs in supporting social prescribing has already been outlined by many bodies, including the Royal Society for Public Health (RSPH) who published ‘Driving forward social prescribing: A framework for Allied Health Professionals’ (2019). Many AHPs are already playing active roles in and around social prescribing, as well as supporting referrals in their practice.” The NHS Social Prescribing Champion Scheme. 


July 2021

Future Workforce Mental Health Project
July saw the launch of this project which brings together a range of expertise and experience from academia, mental health and our Student Council. The project is funded by Health Education England with a key aim to review and improve the mental health and wellbeing offering to student paramedics. There are three key outputs from the project:
1.            Development of curriculum guidance regarding personal mental health and well-being for pre-registration paramedic students.
2.            Development of a wellbeing and recovery support tool for use by paramedic students and early career staff in ambulance services.
3.            Development of a learning and development package for student and preceptorship supervisors. The project will run over the next 12 months.

Royal Charter Status
We have now officially begun the process to seek a Royal Charter. There are many formalities to work through as we embark on this journey but we are confident that we meet all the criteria necessary to be granted Royal Charter status, which if awarded, would strengthen our professional voice and leadership. While we firmly believe that now is the right time to begin this process we are fully aware that Royal Charters are rarely awarded and that our application could be rejected. We will, of course, keep you updated as we move from one stage to the next.  Click here to read more.

The College of Paramedics has two seats on the Joint Royal Colleges Ambulance Liaison Committee (JRCALC). Representing the College of Paramedics membership are Tony Stone (Head of Clinical Development – Emergency & Critical Care) and Professor Julia Williams (Head of Research). The committee is responsible for reviewing, updating, and producing the JRCALC guidelines which all members will be undoubtedly familiar with. The committee meets multiple times a year (albeit virtually throughout the pandemic) to discuss and approve changes and/or new guidelines as required. The committee constantly reviews new evidence (e.g. the updated RCUK anaphylaxis guideline) and sub-groups are developed to draft updated guidelines pending committee approval. Currently, the College of Paramedics is supporting in the development of guidelines around steroid-dependent patients, limb Injuries and non-traumatic back pain.

Paramedics and Neonatal Critical Care
Response to Allied Health Solutions who have been commissioned to understand the contribution and potential of Allied Health Professionals (AHPs) in neonatal critical care.
Following the NHSE/I Implementing the Recommendations of the Neonatal Critical Care Transformation Review, Allied Health Solutions (AHS) were commissioned on behalf of the Health Education England national maternity programme to identify and understand the contribution and potential of AHPs, pharmacists and psychologists in neonatal critical care. As part of this work, both the College of Paramedics Maternity Lead and the Head of Clinical Development – Emergency & Critical Care worked with AHS to provide:
• a description of the role of paramedics with neonates,
• an anonymised neonate care case example that paramedics were involved with,
• a summary of the MIST programme.  

The full report is currently undergoing final revision and will be published by HEE in due course.

Strategic Planning Workshop
The Chief Executive Group came together to meet in Leeds in July for a strategic planning workshop. This provided vital time for the team to explore key strategic planning principles and approaches, and to develop a strategy implementation plan to support the organisation to meet the delivery of its current strategic aims by 2024. There will be further workshops to include the staff team at the Bridgwater Head Office to ensure a collaborative organisational approach. This strategy work also aligns and compliments the ongoing governance restructure work to grow a professional body that is effective and robust, but also agile enough for future challenges.

June 2021

Research Database aka CRED coming soon.
We will soon be launching the College of Paramedics ResEarch StuDies (CRED) database where you can register your research studies. CRED is a searchable database open to everyone where people can put in some key details about their research such as the aim and objectives and an abstract with contact details. This will help people to network about their projects and also act as a portal to keep people informed about what research is in progress so that people don’t unnecessarily duplicate work. For this to work well it needed to be something open to all professions so it is not a members only resource. By opening it to anyone, members will benefit from a far more extensive database of information. We are pleased to say that we are almost ready to go live and then we will evaluate its usefulness and develop the database as we move forward. We will let you know as soon as the CRED database is operational!

eLearning for Health research resources
We have submitted a grant application in March for £120,000 to the NIHR to develop on line resources for research education to be hosted on the e-learning for Health platform. We worked with the Royal College of Emergency Medicine (RCEM) on a joint submission and we are delighted to say that we have been shortlisted – so fingers crossed and we should hear more in July.

Regulating healthcare professionals, protecting the public consultation response
The Department of Health and Social Care consultation which sought to seek views on proposals to modernise the regulatory legislation and reform the regulation of healthcare professionals (including the introduction of statutory regulation of physician and anaesthesia associates) closed on the 16th June. This was a comprehensive consultation document with 70 questions covering proposals within Governance and Operating Framework, Education and Training, Registration and Fitness to Practise.

The College of Paramedics broadly supported most of the proposals in the consultation. These have been recommended to provide all regulators with the same powers to carry out their registration function and to facilitate the resolution of fitness to practise cases more quickly, enabling the regulators to better support the professionalism of all their registrants.

However, we have outlined our concerns within our response, the keys ones being: Registrar discretion – we disagreed that all Registrars should be given a discretion to turn down an applicant for registration. The criteria for registration should be clearly set and be measurable and not subjective. We disagreed that separate grounds for action relating to health (and English language) should be removed from the legislation, and concerns of this kind investigated under the ground of lack of competence. To describe a registrant who has a health condition that affects their ability to carry out their professional practice or activities as ‘lacking competence’ is demeaning and offensive. If fitness to practise matters related to ill-health are to be combined with matters relating to professional practice, as proposed in this consultation, then the term ‘competence’ or ‘lack of competence’ is completely inappropriate. We remained unconvinced that there is sufficient case law that has determined what ‘competence’ actually is, and therefore how it is proved to be lacking. We disagreed that case examiners should have the full suite of measures available to them, including removal from the register. Case Examiners should not have the power to remove or suspend from the register without the registrant’s agreement. Notification of a concern raised to the regulator can be devasting to a registrant and render them unable to respond within the 28-day period proposed. The Interim Measures process allows for sufficient protection of the public. We would like to understand further what the training and qualifications are to become a Case Examiner if such serious sanctions are within their power.

You can read our full response to this consultation on our Statements and Consultation webpage.

May 2021

Commission on Race and Ethnic Disparities report – published 31st March
Tracy Nicholls, CEO, along with members of our Diversity Steering Group have responded to the publication of this report. We do not support the findings of the Commission on Race and Ethnic Disparities report, that institutional racism does not exist and is not one of the reasons for the inequalities, that black and ethnic minority people face, in the UK today. We feel that this view bears no resemblance to the lived experiences of those in our group, as well as many other College of Paramedics members, from black and ethnic minority backgrounds, including those that gave evidence to the Commission. Read the full response by the Diversity Steering Group here

April 2021

HCPC Health and Character Guidance consultation 
The College of Paramedics submitted a response to the proposed changes outlined in the HCPC Health and Character Consultation, which closed on the 12th April 2021. We believe that merging the Health and Character Policy document with the Health and Character Guidance (2017) to produce the new Guidance on Health and Character seems a sensible way forward that should be simpler and easier for applicants and registrants to follow. Other improvements highlighted in our response included the inclusion of case studies, in particular ones that outline potentially complex, but realistic circumstances are welcome additions, the inclusion of the ‘Do I need to self-refer to the HCPC’ infographic was another welcome addition. However, we did highlight several grammatical errors and provide further suggestions on how to improve this section for clarity. We felt that incorporating Standard 9.5 (Standards of Conduct, Performance and Ethics) into the Health and Character Guidance, aligning the two, is entirely appropriate. It is also appropriate to align the criteria for character declarations for both applicants and registrants. Finally, separation of the advice for education providers away from the applicant/registrant guidance we also felt was appropriate and a step in the right direction.  

Reforming the Mental Health Act white paper consultation

The College of Paramedics submitted a response to the Reforming the Mental Health Act White Paper Consultation, which closed on the 21st April 2021. This was a comprehensive document with some areas requiring specific knowledge and expertise. Our response was based on comment, conversation and collaboration with Paramedic Mental Health and Wellbeing Steering Group members, the National Ambulance Mental Health Leads Group and Mental Health and Ambulance Stakeholder Group colleagues. We commented on several areas of this document including supporting the need to embed the newly proposed principles into the MHA and the MHA code of practice, and that these principles should also be included in the undergraduate education of healthcare professionals, within postgraduate/advanced practice curriculum and embedded in training of the existing healthcare workforce also. We gave response to a range of questions on topics such as the MCA, detention, advanced choice documents, the introduction of a ‘nominated person’, the use of police custody and ambulance conveyance.  

There are several other consultations currently open that we are formulating our responses to, including the Regulating Healthcare Professionals, protecting the public (DHSC) and the Duty of Candour and Being Open (DoH, NI). To read our responses to all the consultations in full go to the Statements and Consultations webpage.  


March 2021

National Ambulance Clinical Supervision Framework
Following a recommendation by the Healthcare Safety Investigation Branch (HSIB) to the College of Paramedics, and a recommendation from the ‘Carter Report’ to the Association Ambulance Chief Executives the Ambulance Clinical Supervision Steering Group was formed. This Steering Group tasked a national working group to develop a framework for clinical supervision for all ambulance service staff and paramedics in all clinical settings. The working group has representatives from all 4 nations and St John Ambulance, and aims to publish this framework in 2021.

The Medical Management of Post-conducted Energy Devices (CED) in Police Custody – at a glance guidance.

The College of Paramedics has recently reviewed the Faculty of Forensic and Legal Medicine guidance on the management of patients that have been subject to conducted electrical devices to ensure that it is robust and pertinent from a custody paramedic profession perspective.

Primary and Urgent Care Update
Now Health Education England’s First Contact Practitioner Roadmap to practice for Paramedics document has been published, a few enquiries are trickling through from those who have struggled to access some of the necessary e-learning modules. The link for the personalised care modules is here. The primary care specific modules are on the e-LfH website, don’t be put off or offended that the title is related to MSK and still has some heavy physiotherapy focus, this was the template for all professions, and it is the principles that are important, as outlined in the recent INSIGHT article, this cannot be changed quickly nor without significant cost. The College is developing further resources to support our members navigating the Roadmap, keep an eye on the Primary and Urgent Care webpage.

The College is also exploring some hurdles our members have encountered in Primary Care such as eligibility to undertake sample-taker training for cervical screening, also, if the College could or should contribute or influence any discussions in terms of employment issues relating to, for example redundancy or maternity pay? Although you should always speak to your Practice Manager first. The College would like to remind members that union representation (if you are a member), normally taken for granted within Ambulance Trusts should always be considered if or when transferring into Primary Care roles. You may wish to discuss continuing your union membership or sourcing an alternative. We strongly advise you give this serious thought.

Clinical Development workstream survey.
Finally, please ensure you look out for the Critical Care, and the Primary and Urgent Care questionnaires that are currently running, this will help shape our workstreams to ensure all our members in these areas are supported and given development opportunities. The results will be presented at the National Conference in May.

NHS England (NHSE/I) have recently informed the College their ’Looking After You’ team have expanded upon their free health and wellbeing coaching offer, #LookingAfterYouToo, to create a second initiative #LookingAfterYourTeam, offering dedicated coaching support to all those who lead, manage and coordinate teams in Primary Care settings in England. Follow this link to Primary Care Coaching NHS England » Looking after your team to access a range of resources, including social media assets, a video, PDF case studies and posters, website and email banners. Take a look here also, there are some great resources Primary Care coaching - - Google Drive  

Ambulance Service Suicide Prevention workstream
For several months the College of Paramedics have been involved with a NHSEI led workstream aimed at suicide prevention in the ambulance sector. This work is includes colleagues from the Association of Ambulance Chief Executives and their member organisations, The Ambulance Staff Charity, The University of East Anglia, Health Education England and Public Health England. Several documents have been produced and are due for publication in the coming months, these include a national Consensus Statement on suicide prevention, ‘What Next’ and ‘Implementation Guidance’ documents and a comprehensive Postvention Guidance produced in collaboration with The Samaritans specifically for the Ambulance Services.

February 2021

RCUK draft 'Emergency treatment of anaphylaxis guidelines for healthcare providers'
The College has undertaken a review of the latest Resuscitation Council UK (RCUK) guidelines on the emergency treatment of anaphylaxis guidelines for healthcare providers. Following a wider request for views, the College has made several recommendations which included:
• To include non-doctor roles (e.g. Specialist / Advanced Paramedic) within examples of those who may have the experience and knowledge of the safe use of IV vasopressors.
• To seek clarification on the RCUK position that to administer adrenaline as an emergency drug, you must be “working within the standards of the relevant regulator (e.g. Nursing & Midwifery Council; Health & Care Professionals Council)”. This statement appears at odds with schedule 19 of the human medicines regulation. The College of Paramedics recognises non-registered ambulance colleagues play a vital role in the prompt management of anaphylaxis in the community and therefore should not be excluded by the RCUK guidelines.

Response to HSIB ‘Thrombolysis Consultation’.
Following an investigation completed by the Healthcare Safety Investigation Branch (HSIB) the College of Paramedics was asked to comment on the draft report into heart attack care which includes the issue of thrombolysis and its place in the care of patients within ambulance services. Working with colleagues from the Association of Ambulance Chief Executives (AACE) the College has submitted its comments to HSIB and we await further communication on the publication date of this report.

Consultation response for the final recommendations on the urgent and emergency care (UEC) standards from the Clinically-led Review of NHS Standards (CRS).
Following a review by NHSE/I around the four-hour target for EDs, a set of recommendations were drafted and were circulated for comment by all the relevant organisations and interested parties, of which the College of Paramedics was one. The new recommendations are set to include ambulance response times, metrics on non-conveyance & hospital handover delays amongst others. The College provided a detailed response to the consultation which highlighted both areas of support and aspects of concern for the various proposed recommendations. In particular, the College welcomes measures that strive to improve ambulance response times, support appropriate non-conveyance to hospital and reduce hospital handover delays which clearly benefits both our members and our patients. However, the College highlighted that it is vital that new targets do not place unnecessary pressure on paramedics and ambulance clinicians to not convey patients to hospital. The College feels that safe non-conveyance is only possible with increased education, training and clinical feedback processes for paramedics and ambulance clinicians, coupled with 24/7 access to appropriate community treatment / social care pathways which are supported by access to senior clinicians for shared decision making.
Click here for more information. 

National Institute of Health Research Incubator for Emergency Medicine - update
I represent the College of Paramedics on this incubator which really has not been in existence for very long and, added to that over the past 15 months it has been relatively inactive due to COVID-19.

It is hosted by RCEM but involves researchers involved in emergency medicine from allied health professions, nursing, and medicine.

Click here for more information.  

Professor Rick Body has led the Incubator from the beginning and has decided to stand down so two new Co Chairs have been appointed this year:
• Professor Heather Jarman
• Dr Ed Carlton
Rick has done an amazing job getting this incubator up and running and we are grateful for all of his hard work and, we now look forward to working alongside Ed and Heather.

We had a meeting this week and are looking to get the activities of the Incubator back on track. This forum will offer future opportunities for people from a variety of healthcare professions interested in research in Emergency Medicine. I will keep you up to date with developments. Please note I am also looking for opportunities to collaborate with organisations who we can work with to develop resources for paramedics working in non-emergency medicine settings.

Professor Julia Williams FCPara, Head of Research, College of Paramedics

January 2021

The new year has started like any other for the College of Paramedic’s staff, with the writing of the Annual Report for the previous year. This report will detail all activities, achievements and the financial situation of the College at the end of 2020. It will be published later in 2021 to coincide with our AGM. January 2021 also brings a renewed focus on Covid19, building on the work that occurred in 2020. The College of Paramedics continues to make its position clear through press engagement, social media and corresponding with national organisations and government, on a range of issues such as PPE, vaccinations, ambulance handover delays and the need for adequate support for the mental health and wellbeing of ambulance staff and paramedics in all settings. Our Education Team are also committed to continuing to support our student member colleagues in all four nations of the UK, who are experiencing interruptions to their academic studies and clinical placements due to the ongoing pandemic. An update letter has been sent to all student members. Our Covid19 webpage has more information and updates, click here to read.

Commission on Race and Ethnic Disparities
We are working in collaboration with the Commission on Race and Ethnic Disparities who are seeking the opinions of doctors, nurses and paramedics, to help them identify and understand the drivers behind disparities within the health service. As part of their ongoing work the Commission is currently running focus groups for the professions above, which will include a number of College members from around the UK. Click here to learn more.

Launch of Health Education England’s ‘A Roadmap to Practice’ for paramedics in primary care
The Roadmap identifies the standards of practice expected for those paramedics wanting to work in primary care roles and those who already do so. It outlines the route from entry into primary care to the First Contact Practitioner role, and on to Advanced Practice, whether by an academic route or by the development of a portfolio. The roadmap for paramedics will guide our primary care paramedics to evidence their skills, knowledge and attributes to demonstrate such capabilities, and to thus work towards recognition and inclusion on HEE’s Centre of Advancing Practice Directories. Click here to learn more. 

Any enquiries on the work of the College of Paramedics should be directed in the first instance to