Findings from mapping work and quantitative analysis

Employment model

Paramedics may work across a small number of sites in a PCN or across different surgeries within a single practice. In some medium integration models, sites employ two or more paramedics that work differently. For example, one highly integrated paramedic may be directly employed and another PCN paramedic may work a limited number of sessions at the practice.

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

Can independently manage patients aligned with specific areas of extended competence e.g. long term conditions such as diabetes.

Paramedics in low and medium integration sites carry out more home visits than high integration sites.

Paramedics working in high complexity models tend to see older patients with complex needs and carry out the associated home visits. Because of this, the unit costs of paramedic consultations tend to be higher.