Number of patients whose care was planned by a Paramedic

Theophilius Parry made this Freedom of Information request to North East Ambulance Service NHS Foundation Trust

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Theophilius Parry

Dear North East Ambulance Service NHS Foundation Trust,

Last year, the College of Paramedics published a recommendation that all patients dialing 999 should receive Paramedic-led care. This recommendation built upon the Francis reports' recommendation that all patients discharged from NHS Care have their discharge overseen by a registered healthcare professional.

In this context, please may I request the following data from you?

1) How many emergency patients did you respond to between the 31st October 2016 and the 31st October 2017? Please note that I am interested in unique numbers of patients, and not necessarily the number of 999 calls received. Please could I ask you to include only patients categorized as an emergency (for example those who have called 999/112), and not urgent cases or routine transfers (for example GP Admissions).

2) How many of those emergency patients were seen face-to-face by a registered paramedic?
3) How many of those emergency patients were seen face-to-face by a registered healthcare professional other than a paramedic (for example a nurse or doctor)?
4) How many of those emergency patients were seen face to face by a clinician other than a registered healthcare professional, however a registered paramedic* was involved in the care planning? (for example a patient who was seen by a technician-led ambulance crew and discussed with a Paramedic over the telephone, or where a patient received assessment from a paramedic over the telephone and then seen face to face by an unregistered member of staff)
5) How many of those emergency patients were seen face to face by a clinician other than a registered healthcare professional, however a registered healthcare professional other than a paramedic* was involved in the care planning? (for example a patient who was seen by a technician-led ambulance crew and discussed with a Nurse or Doctor over the telephone, or where an unregistered ambulance crew responded to a patient following assessment by a nurse over the telephone)
6) How many of those emergency patients were seen face to face by a clinician other than a registered healthcare professional where a registered healthcare professional was not involved in the care planning? (For example where a technician led ambulance crew saw a patient independently)
7) How many of those emergency patients were assessed otherwise than face to face by a paramedic, and who did not receive an ambulance response? (For example where a Paramedic closed a call following a telephone consultation)
8) How many of those emergency patients were assessed otherwise than face to face by a registered healthcare professional other than a paramedic and who did not receive an ambulance response? (For example, any patients who were referred to another NHS Service following a telephone assessment by a nurse)
9) How many of those emergency patients were assessed otherwise than face to face by a clinician other than a registered healthcare professional and who did not receive an ambulance response? (For example, any patients who were dealt with over the telephone by an Ambulance Technician)

10) How many of the emergency patients seen face-to-face by a registered paramedic were transported to an acute hospital?
11) How many of the emergency patients seen face-to-face by a registered healthcare professional other than a paramedic were transported to an acute hospital?
12) How many of the emergency patients seen face to face by a clinician other than a registered healthcare professional, but where a registered paramedic* was involved in the care planning, were transported to an acute hospital?
13) How many of the emergency patients were seen face to face by a clinician other than a registered healthcare professional, but where a registered healthcare professional other than a paramedic* was involved in the care planning were transported to an acute hospital?
14) How many of the emergency patients were seen face to face by a clinician other than a registered healthcare professional where a registered healthcare professional was not involved in the care planning were transported to an acute hospital?

15) Please could you supply copies of any policies or documentation you have regarding the deployment of paramedics or other registered healthcare professionals to patients (for example any patient groups for whom a paramedic is required to be sent)?
16) Please could you confirm if your ambulance service allows clinicians other than registered healthcare professionals to discharge emergency patients, and provide copies of any relevant policies (for example any restrictions on certain age groups of patients who cannot be discharged by unregistered staff)?
17) Please could you confirm if your ambulance service allows clinicians other than registered healthcare professionals to make patient referrals, and provide copies of any relevant policies (for example any services to which unregistered staff are not permitted to refer patients)?

*Please note: any references to a Healthcare Professional in this context would refer to a registered healthcare professional employed by your trust, and not a situation where an unregistered member of staff sought advice from a healthcare professional employed outside the trust (for example where a member of unregistered staff discussed a patient with the patient's own GP).

Yours faithfully,

Theophilius Parry

Karen Greenacre, North East Ambulance Service NHS Foundation Trust

1 Attachment

Please find attached acknowledgement letter to your Freedom of Information
request.

 

 

 

Karen Greenacre
Governor Support Officer | Chief Executive’s Directorate

 

Direct Line: 0191 430 2036  
North East Ambulance Service NHS Foundation Trust
Bernicia House | Goldcrest Way | Newburn Riverside Business Park
Newcastle Upon Tyne | NE15 8NY | 0191 430 2000
Unmatched quality of care every time we touch lives

CQC rated good
[1]www.neas.nhs.uk | [2]Twitter: @NEAmbulance | [3]Facebook:
North-East-Ambulance-Service

 

 

--
The North East Ambulance Service NHS Foundation Trust accepts no responsibility or liability for the contents of this email or any changes made after the original email. Any views or opinions presented are solely those of the sender and do not necessarily represent those of the North East Ambulance Service NHS Foundation Trust unless otherwise specifically stated. If you are not the intended recipient (or responsible for delivery) of this email and its attachments, please notify the sender and delete the email and any copies made. The confidentiality of this email cannot be guaranteed unless the contents are exempt from the FOI Act 2000.

References

Visible links
1. http://www.neas.nhs.uk/
2. https://twitter.com/NEAmbulance?ref_src=...
3. https://www.facebook.com/pages/North-Eas...

Karen Greenacre, North East Ambulance Service NHS Foundation Trust

2 Attachments

Please find attached response letter to your Freedom of Information
request.

 

 

 

Karen Greenacre
Governor Support Officer | Chief Executive’s Directorate

 

Direct Line: 0191 430 2036  
North East Ambulance Service NHS Foundation Trust
Bernicia House | Goldcrest Way | Newburn Riverside Business Park
Newcastle Upon Tyne | NE15 8NY | 0191 430 2000
Unmatched quality of care every time we touch lives

CQC rated good
[1]www.neas.nhs.uk | [2]Twitter: @NEAmbulance | [3]Facebook:
North-East-Ambulance-Service

 

 

--
The North East Ambulance Service NHS Foundation Trust accepts no responsibility or liability for the contents of this email or any changes made after the original email. Any views or opinions presented are solely those of the sender and do not necessarily represent those of the North East Ambulance Service NHS Foundation Trust unless otherwise specifically stated. If you are not the intended recipient (or responsible for delivery) of this email and its attachments, please notify the sender and delete the email and any copies made. The confidentiality of this email cannot be guaranteed unless the contents are exempt from the FOI Act 2000.

References

Visible links
1. http://www.neas.nhs.uk/
2. https://twitter.com/NEAmbulance?ref_src=...
3. https://www.facebook.com/pages/North-Eas...