Findings from mapping work and quantitative analysis

Employment model

Paramedics are usually ARRS funded working across sites in a PCN e.g. limited sessions a week at each practice to fulfil a specific role (e.g. frailty service or home visits).

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

Paramedics in low integration sites carry out more home visits than in medium and high integration sites. Because of this, the unit costs of a consultation in low integration sites tend to be higher.

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.