1. SWAST Workforce Changes 2015/16
Jim Petter
Head of Education

2. Conventional Ambulance Workforce
Emergency Care Assistant (ECA) Band 4 L3
Technician Band 4 L3
Advanced Technician aka Band 5 L3/4
Ambulance Practitioner Band 5 L3/4
Paramedic Band 5 L3/4/5!
Emergency Care Practitioner (ECP) Band 6 L6/7

3. The influence of ‘PEEP’
The Paramedic Evidence-Based Education Report (HEE, 2013)
Acknowledges massive changes in ‘999’ workload
Standardised, directly commissioned education:
Paramedics: Degree entry from 2019
NHS Inclusion:
? Tuition Fees
? NHS Bursary
? Practice Placements Tariff

4. The influence of ‘PEEP’ (2)
Curriculum Guidance 2015
Scope of Practice Guidance
Pay Banding and the move to degree?
Band 6?
Pay costs to employers?
What ‘valued added’
What effect on the workforce model

5. 20% Employed (Internal) Paramedic route 5-6 years total duration
80% Direct Commissioned route
ECA
Band 3
(Ac L 3, 1 year)
Direct Paramedic route
3 years total duration
B.Sc Hons (Ac L 6)
ECA (Patient Support vehicle PSV)
Band 4
(Ac L4 over 1-2 years)
Paramedic
Band 5
(Ac L 6 over 3 yrs)
Specialist Paramedic
Urgent/Critical/Hub

6. Contemporary SWAST Clinical Workforce
Progression
ECA Band 3 L3 /L4 (Internal progression)
PSV Band 4 L4 (Enhanced scope)
Paramedic (Internal route) Band 6/ L6
Paramedic UG (direct commision) Band 6/ L6
Specialist Paramedic/Specialist Nurse
Band 6/7 Post Graduate
SPUEC. CCP. Hub Clinicians:

7. Specialist Paramedic (Urgent Care)
(Not ‘ECP’!)
Five Modules
Physical; Assessment & Clinical Reasoning
Contemporary Paramedic Practice in Urgent Care
Pharmacology
Remote Clinical Decision-Making (aka ‘Hear 7 Treat’)
Evidencing Work-Based Learning (‘long thin’ Practice Module)
Practice Element:
Workplace mentoring:
GP Placement (8 weeks)
MIU/UCC
Clinical Hubs (RCDM)

8. Specialist Paramedic (Urgent Care)
Modules taken at Level 7
18-month programme duration
Peer review/supervision element
Practice Assessment:
Portfolio Completion
CoP/RCGP-designed summative exam
CoP/RCGP Paramedic Practitioner Exam (since 2013)
Part One. 14 Station OSCEs
Part Two: 3-Hour Written component
Run at St Georges, London by the RCGP. SWAST staff are on the faculty
(Plans for separate Critical Care Exam are ongoing)

9. Remote Clinical Decision-Making (Hub)
CAD system
Triage System
(AMPDS or NHS Pathways)
Underpinning Educational Framework
RCDM Module
Enhances hospital avoidance
Supports wider non-conveyance aims
Supports appropriate and safe disposition of resource
Patient centred

10. Remote Clinical Decision-Making
Collaboration between UWE and SWAST
Due to commence Jan 2016 (earlier pilot possible)
8 contact days (classroom)
10 days practice placement
Accredited by UWE at 20 credits L6 or 7
Pre entry: clinical experience and patient assessment module

11. Questions?