Specialist Paramedic Rotations And Their Impact on Non-conveyancE Decisions

NCT04193800 | Unknown

• 1 other identifier: YASRD128
• Study Type: observational
• Target: 33,600
• Locations: 1 country
• Sites: 1

Brief Summary

The National Health Service (NHS) in the United Kingdom is facing a 5% increase in demand every year for urgent and emergency care services, and there is evidence that patients are being taken to hospitals by ambulance services when they do not need to go. This is a problem because emergency departments are becoming more crowded, which can lead to poorer quality care. Also, less ambulances are available to respond to emergencies, because they are queueing at hospital for a long time. To improve the care Yorkshire Ambulance Service provide to their patients, some paramedics have received additional training. These advanced paramedics have been very successful at treating patients in their own home safely. However, their training is long and expensive, so another role, the specialist paramedic role has been introduced. Their training does not take as long and is cheaper to provide. However, the specialist paramedics do not appear to keep patients safely at home more often than regular paramedics. Recently, the specialist paramedics have taken part in a national paramedic programme, where they are given the chance to work in GP surgeries and emergency call centres. This study aims to see if specialist paramedics who have worked in a GP surgery for 10 weeks, can keep patients at home safely, and without costing too much, more often than regular paramedics.

Conditions

Safe Paramedic Non-conveyance

Outcome Measures

Primary Outcomes (1)

• Change in proportion and trend of safe non-conveyance

  Change in proportion of appropriate non-conveyance decision by paramedics immediately following a 10-week rotation in a GP surgery, and the trend in non-conveyance decision in the 12-month period following the rotation

  12 months

Study Arms (2)

Rotational paramedic pilot group

Other: 10-week rotation in primary care setting

Paramedic control group

Interventions

10-week rotation in primary care setting OTHER

Ten paramedics underwent a 10 week rotation into a GP practice in the Leeds area of South Yorkshire, England.

Rotational paramedic pilot group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All face-to-face patient care episodes that were attended by one of the 10 rotational paramedics between the 1st June, 2017 to 31st December, 2019 and an additional cohort of patients who have receive a face-to-face assessment by paramedics who have not taken part in the GP rotation.

You may qualify if:

• Incident date 12 months before or after the 10 week rotational pilot period
• Adult patient receiving a face-to-face assessment by a paramedic taking part in the primary care rotation pilot, or
• Matched adult patient who receive a face-to-face assessment by a paramedic not taking part in the rotation pilot
• Has a completed paper or electronic patient care record.

You may not qualify if:

• Patient under the age of 18 years of age

Sponsors & Collaborators

• Yorkshire Ambulance Service NHS Trust: lead
• Applied Research Collaboration for Yorkshire and Humber: collaborator

Study Sites (1)

Yorkshire Ambulance Service NHS Trust

Wakefield, West Yorkshire, WF2 0XQ, United Kingdom

Location

MeSH Terms

Interventions

Rotation

Intervention Hierarchy (Ancestors)

Motion; Physical Phenomena

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 6, 2019
• First Posted: December 10, 2019
• Study Start: January 1, 2020
• Primary Completion: January 2, 2020
• Study Completion: April 1, 2020
• Last Updated: December 16, 2019

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)