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.

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. We have the necessary details to report ongoing issues so do contact us if you continue to experience problems. 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 - assets.zip - 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 enquires@collegeofparamedics.co.uk