Right Care, Right Time, Right Place
Research type
Research Study
Full title
Right care, right time, right place: A 12-month observational analysis of activity and impact of Advanced Paramedic Practitioners Urgent Care in London.
IRAS ID
293907
Contact name
Joshua Golding
Contact email
Sponsor organisation
London Ambulance Service NHS Trust
Duration of Study in the UK
1 years, 0 months, 0 days
Research summary
The role of Advanced Paramedic Practitioner Urgent Care (APP-UC) was introduced to the London Ambulance Service (LAS) in 2017, with the primary aim of reducing the number of patients who are unnecessarily conveyed to hospital. APP’s-UC have completed extended training in advanced clinical assessment, examination and diagnostic skills and have an extended scope of practice compared to traditional Paramedics. This enables them to treat and refer more patients at scene.
This study aims to understand the effectiveness and impact of this role on the patients who receive their care, and the economic impact of this role on the LAS and NHS.
Over the course of a one-year period, APPs-UC will attend patients as normal. As per standard-care, the patient encounter will be added to an anonymised database with patient demographics, treatment provided and the outcome of the patient encounter. At the end of the encounter the patient will be provided with a Patient Information Sheet (PIS) and a validated Family and Friend’s Test (FFT) to voluntarily complete. All patients with capacity, attended by an APP-UC, will be invited to take part.
Business Intelligence (BI) data will also be accessed by the research team to compare cases attended, over the same one-year time period, by APPs-UC versus traditional Paramedics.
Data collected from the FFT, patient encounter and Business Intelligence (BI) will contribute to the following outcomes;
Work Plan 1) To analyse patient outcomes with APPs-UC and compare them to business-as-usual ambulances including conveyance, referral, see and treat and recontacts.
Work Plan 2) To ascertain patient satisfaction levels with the APPs-UC programme.
Work plan 3) To assess the economic impact that APPs-UC have on the London Ambulance Service NHS Trust.REC name
East Midlands - Leicester Central Research Ethics Committee
REC reference
22/EM/0284
Date of REC Opinion
6 Feb 2023
REC opinion
Further Information Favourable Opinion