Findings from mapping work and quantitative analysis

Employment model

Often working at a single site as member of GP-led team with few exclusions.

Often directly employed (may or may not be ARRS funded).

Qualifications

These are extended role paramedics and/or those with a lot of experience (in non-ambulance settings) and specific interests. They are often qualified to the level of Advanced Clinical Practitioner (ACP).

Usually prescribers.

Remit

Will manage complexity, e.g. care- home ward rounds, hospital discharges

Largely autonomous with more infrequent or lighter touch supervision.

Paramedics in high integration sites, tend to carry out more remote consultations than those in medium and low integration sites. This may mean that they generate fewer prescriptions.

Paramedics working in high complexity models tend to see older patients and carry out the associated home visits. Because of this, the unit costs of paramedic consultations tend to be higher. However, they order fewer tests and investigations than paramedics working in low complexity models.