Findings from qualitative investigation across 2 domains: workforce and infrastructure
Relationship between PGP and GP is important to build trust.
Significant time and investment is needed to train a paramedic from ‘on the road’ to ACP/prescribing status.
In low integration models, if the paramedic is employed by the PCN, day to day issues such as annual leave can get muddled.
Rotational working (between primary care and ambulance service) can come at the expense of integration and may result in reluctance by the practice to invest in an individual paramedic’s development if they are likely to move on relatively quickly.