1. Shifting the Balance of Care (a view from the front line) Chris Aitchison Community Paramedic West Central Division

2. Shifting the Balance of Care What’s the scope of my role? Respond to 999 cases as a front line Paramedic What works Patients who are life threateningly ill or injured get a response on scene in 8 minutes or less. What could be better Not enough alternatives to A&E. 9 in every 10 cases are presented to A&E (too many). Need more pathways and decision support

3. Better Health Better Care What’s the scope of my role? Delivery & support of SAS A&E service and NHS Lanarkshire out of hours service. What works Effective support & collaboration across two different (still NHS!!) services. Availability of alternative outcomes for patients. What could be better Can’t offer this service to patients in hours Professional barriers can still result in A&E attendances

4. Shifting the Balance of Care Summary of front line view Role which is provided out of hours should be provided 24/7 Has strong potential to deliver on the “right person, right place etc.” ethos (but doesn’t at the moment). One NHS but more than one service lots of steps for the patient & hand offs for the Community Paramedic – need to be Clark Kent sometimes. Patients use 999 as a “fast track” into NHS. The NHS works best when it works as a team (and the patient gets a better deal).

5. picture Questions ?