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College of Paramedics responds to NICE consultation

Posted: 11.08.2017

Comments: 2

College of Paramedics responds to NICE consultation on the changing needs of patients who access 999 emergency ambulance services

The College of Paramedics has submitted a formal response to the National Institute for Health and Care Excellence (NICE) consultation and welcomes the proposal that specialist and advanced paramedics could play an important role in meeting the increasing and changing needs of patients who access 999 emergency ambulance services. This response was developed from an internal consultation process and members feedback. Also, recent involvement in the @WeParamedics and @NICEcomms tweetchat has been included. The following is an extract from the formal response:

The College agrees that increased numbers of specialist and advanced paramedics would result in a higher proportion of emergency patients being assessed and treated without the need for attendance at emergency departments. There has previously been insufficient attention given to career development and career opportunities and there is currently significant variation across the ambulance services in the definitions, titles, education, and training of specialist and advanced paramedics. To ensure consistency of education, training and qualification, the UK ambulance services would need to adopt the frameworks developed by the College of Paramedics which provide detailed guidance on education, competencies, and career development.

Specialist and advanced paramedics are already working in a wide range of health settings and may have an impact 
in other guidelines relating to: Extended access to GP Services; GP practices located near or in Emergency Departments; GP - led home visits; Extended opening of Emergency Departments; and Urgent Care and Walk-in centres.
Although the available evidence is limited, there is 
strong opinion that specialist and advanced paramedics are most effective when working as part of a multi-professional team and in a setting that makes best use of their education, training and experience gained from working in the out-of-hospital environment.
Putting Guideline into Practice – there needs to be targeted funding for NHS ambulance services to educate their clinicians through advanced practice 
programmes and for NHS England and Clinical Commissioning Groups to provide funding to deliver Specialist and Advanced Paramedics as part of the core workforce.  There now needs to be longer-term workforce planning to provide stability for service-provision and retention of staff.

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Hi. Great response but only mentions England!

How about adding Local Health Boards as well as CCGs?

Added by: Richard.lee@wales.nhs.uk on: 11.08.2017

“there needs to be targeted funding for NHS ambulance services to educate their clinicians”
Sorry, but IMHO many NHS ambulance services have fumbled and dropped the ball on this one.  Giving the money to these organisations would see it drain into one of their half-hearted attempts at an “upskilling” while spending the lion’s share on target hitting strategies.  Paramedics are leaving the NHS ambulance service in droves as they fail to appreciate and support the development of their staff.
Give the resources to those that appreciate the potential that paramedics have.  Invest it in real development that not only enhances the skills of paramedics, but enables them to achieve their potential.
Good for the staff AND good for patients.

Added by: Chris Gibbons on: 15.08.2017

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